1 | ECXNURS ;ALB/JAP,BIR/DMA,PTD-Nursing Extract for DSS ;4/19/2007
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2 | ;;3.0;DSS EXTRACTS;**8,14,22,24,33,39,46,71,107**;Dec 22, 1997;Build 9
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3 | BEG ;entry point from option
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4 | D SETUP I ECFILE="" Q
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5 | D ^ECXTRAC,^ECXKILL
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6 | Q
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7 | ;
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8 | START ;entry when queued
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9 | ;store in ^tmp by patient and date/time
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10 | N CNT,INP,FIRSTDAY,LASTDAY
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11 | S QFLG=0,CNT=0
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12 | K ^TMP("ECX",$J)
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13 | S FIRSTDAY=$P(ECSD1,".")+1,LASTDAY=$P(ECED,".")
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14 | S ECED=ECED+.3,ECD=ECSD1
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15 | F S ECD=$O(^NURSA(214.6,"B",ECD)),ECDA=0 Q:'ECD Q:ECD>ECED D Q:QFLG
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16 | .F S ECDA=$O(^NURSA(214.6,"B",ECD,ECDA)) Q:'ECDA D Q:QFLG
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17 | ..K LOC S DIC=214.6,DIQ(0)="I",DA=ECDA,DIQ="LOC",DR=".01;.02;1;3;4;6;7;8"
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18 | ..D EN^DIQ1 K DIQ,DIC,DA,DR
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19 | ..F J=.01,.02,1,3,4,6,7,8 S EC(J)=LOC(214.6,ECDA,J,"I")
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20 | ..Q:EC(8)'=""
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21 | ..S INP=$$INP^ECXUTL2(EC(.02),EC(.01))
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22 | ..;
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23 | ..;- Don't create ^TMP record if outpatient and no treat spec
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24 | ..Q:$P(INP,U)="O"&($P(INP,U,3)="")
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25 | ..; retain latest classification per day per patient
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26 | ..S ^TMP("ECX",$J,EC(.02),$P(EC(.01),"."))=EC(1)_U_EC(3)_U_EC(4)_U_EC(6)_U_EC(7)_U_$P(INP,U,1,6)_U_EC(.01)_U_$P(INP,U,10)
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27 | ..K LOC(214.6,ECDA),EC,INP
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28 | ..S CNT=CNT+1
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29 | ..I $D(ZTQUEUED),(CNT>499),'(CNT#500),$$S^%ZTLOAD S QFLG=1
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30 | I QFLG K ^TMP("ECX",$J) Q
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31 | D RESOLVE
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32 | D FILE
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33 | K ^TMP("ECX",$J)
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34 | ;
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35 | RESOLVE ;process ^tmp by patient
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36 | N DFN,TM,ECD,ECDPREV,ECDNEW,OLDWARD,NEWWARD,NEWDT
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37 | S DFN=0
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38 | F S DFN=$O(^TMP("ECX",$J,DFN)) S ECD=0 Q:'DFN D
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39 | .;remove any classifications for day of discharge
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40 | .F S ECD=$O(^TMP("ECX",$J,DFN,ECD)) Q:'ECD D
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41 | ..I ECD=$P($P(^TMP("ECX",$J,DFN,ECD),U,11),".") K ^TMP("ECX",$J,DFN,ECD)
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42 | .;proceed only if ^tmp remains
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43 | .Q:'$D(^TMP("ECX",$J,DFN))
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44 | .;proceed with fill-in only if processing more than 3 days' data
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45 | .Q:LASTDAY<(FIRSTDAY+2)
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46 | .;fill-in records for any missing days per inpatient episode
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47 | .K TM S ECD=0
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48 | .F S ECD=$O(^TMP("ECX",$J,DFN,ECD)) Q:'ECD D
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49 | ..S TM(ECD)=$P(^TMP("ECX",$J,DFN,ECD),U,9)
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50 | .S (ECD,ECDPREV)=0
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51 | .F S ECD=$O(TM(ECD)) Q:'ECD D
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52 | ..I ECDPREV=0 S ECDPREV=ECD Q
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53 | ..I (ECD-ECDPREV)>1,+TM(ECD)=+TM(ECDPREV) D
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54 | ...F ECDNEW=ECDPREV+1:1:ECD-1 S ^TMP("ECX",$J,DFN,ECDNEW)=^TMP("ECX",$J,DFN,ECDPREV) D
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55 | ....S NEWWARD="",OLDWARD=$P(^TMP("ECX",$J,DFN,ECDPREV),U,10)
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56 | ....D NEWWARD(ECDNEW,OLDWARD,.NEWWARD)
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57 | ....Q:'NEWWARD
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58 | ....S $P(^TMP("ECX",$J,DFN,ECDNEW),U,4)=$P(NEWWARD,U,1)
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59 | ....S $P(^TMP("ECX",$J,DFN,ECDNEW),U,5)=$P(NEWWARD,U,2)
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60 | ..S ECDPREV=ECD
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61 | .;fill-in to end of extract date range
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62 | .K TM S ECD=0
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63 | .F S ECD=$O(^TMP("ECX",$J,DFN,ECD)) Q:'ECD D
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64 | ..S TM(ECD)=$P(^TMP("ECX",$J,DFN,ECD),U,11)
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65 | .S ECD=$O(TM(""),-1),DCDT=+TM(ECD)
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66 | .;if last day in date range is after last classification date
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67 | .I LASTDAY>ECD D
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68 | ..;if there is no d/c date
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69 | ..I DCDT=0 F ECDNEW=ECD+1:1:LASTDAY D Q
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70 | ...I '$D(^TMP("ECX",$J,DFN,ECDNEW)) S ^TMP("ECX",$J,DFN,ECDNEW)=^TMP("ECX",$J,DFN,ECD)
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71 | ...S NEWWARD="",OLDWARD=$P(^TMP("ECX",$J,DFN,ECD),U,10)
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72 | ...D NEWWARD(ECDNEW,OLDWARD,.NEWWARD)
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73 | ...Q:'NEWWARD
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74 | ...S $P(^TMP("ECX",$J,DFN,ECDNEW),U,4)=$P(NEWWARD,U,1)
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75 | ...S $P(^TMP("ECX",$J,DFN,ECDNEW),U,5)=$P(NEWWARD,U,2)
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76 | ..;if d/c date is after last classification date
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77 | ..I $P(DCDT,".")>ECD S NEWDT=$S($P(DCDT,".")>LASTDAY:LASTDAY,1:($P(DCDT,".")-1)) F ECDNEW=ECD+1:1:NEWDT D Q
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78 | ...I '$D(^TMP("ECX",$J,DFN,ECDNEW)) S ^TMP("ECX",$J,DFN,ECDNEW)=^TMP("ECX",$J,DFN,ECD)
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79 | ...S NEWWARD="",OLDWARD=$P(^TMP("ECX",$J,DFN,ECD),U,10)
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80 | ...D NEWWARD(ECDNEW,OLDWARD,.NEWWARD)
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81 | ...Q:'NEWWARD
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82 | ...S $P(^TMP("ECX",$J,DFN,ECDNEW),U,4)=$P(NEWWARD,U,1)
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83 | ...S $P(^TMP("ECX",$J,DFN,ECDNEW),U,5)=$P(NEWWARD,U,2)
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84 | Q
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85 | ;
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86 | NEWWARD(ECDNEW,OLDWARD,NEWWARD) ;get new nursing location
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87 | ; input ECDNEW = date of care
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88 | ; OLDWARD = pointer to file #42, previous mas ward
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89 | ; NEWWARD = null
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90 | ; output NEWWARD = new nursing location^new nursing bedsection
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91 | ; OR "^", if new ward same as previous ward or
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92 | ;could not be resolved
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93 | ;if the new ward is mapped to multiple nursing locations, get the
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94 | ;first active location
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95 | N NEWW,NEWLOC,NEWSEC,OUT,DA,DR,DIC,DIQ,LOC,INP
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96 | S INP=$$INP^ECXUTL2(DFN,ECDNEW)
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97 | S NEWWARD=$P(INP,U,5)
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98 | I NEWWARD=OLDWARD S NEWWARD=""
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99 | Q:'NEWWARD
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100 | S (NEWW,NEWW2,NEWLOC,NEWSEC)="",OUT=0
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101 | F S NEWW=$O(^NURSF(211.4,"C",NEWWARD,NEWW)) Q:OUT Q:+NEWW<1 D
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102 | .S DIC=211.4,DIQ(0)="I",DIQ="LOC",DA=NEWW,DR="1;1.5"
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103 | .D EN^DIQ1 K DIQ,DIC,DA,DR
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104 | .Q:LOC(211.4,NEWW,1,"I")="I"
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105 | .Q:LOC(211.4,NEWW,1.5,"I")="I"
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106 | .S JJ=$O(^NURSF(211.4,"C",NEWWARD,NEWW,""))
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107 | .S DIC=211.4,DIQ(0)="I",DIQ="LOC",DA=NEWW,DA(211.41)=JJ,DR="2",DR(211.41)=".01;1"
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108 | .D EN^DIQ1 K DIQ,DIC,DA,DR
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109 | .Q:NEWWARD'=LOC(211.41,JJ,.01,"I")
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110 | .S NEWLOC=NEWW,NEWSEC=LOC(211.41,JJ,1,"I"),OUT=1
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111 | I (NEWLOC="")!(NEWSEC="") S NEWWARD="" Q
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112 | S NEWWARD=NEWLOC_U_NEWSEC
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113 | Q
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114 | ;
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115 | FILE ;file extract records
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116 | ;node0
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117 | ;inst^dfn^ssn^name^in/out (ECXA)^date^acuity level(category)^entered by^
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118 | ;classifier^nurs location^nursing bed section^mov #^treat spec^adm date^
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119 | ;adm time
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120 | ;node1
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121 | ;mpi^dss dept ECXDSSD^dom (ECXDOM)^observ pat ind (ECXOBS)^dss
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122 | ;product ECXDSSP
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123 | N DA,DIK
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124 | S EC7=$O(^ECX(ECFILE,999999999),-1)
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125 | S DFN=0,QFLG=0
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126 | F S DFN=$O(^TMP("ECX",$J,DFN)) Q:'DFN D Q:QFLG
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127 | .K ECXPAT S OK=$$PAT^ECXUTL3(DFN,DT,"1;",.ECXPAT)
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128 | .Q:'OK
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129 | .S ECXDFN=DFN,ECXPNM=ECXPAT("NAME"),ECXSSN=ECXPAT("SSN")
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130 | .S ECXMPI=ECXPAT("MPI"),ECD=0
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131 | .;file patient's classification data
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132 | .F S ECD=$O(^TMP("ECX",$J,DFN,ECD)) Q:'ECD D
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133 | ..S ECC=$P(^TMP("ECX",$J,DFN,ECD),U,1,5),ECMN=$P(^(ECD),U,7),ECXA=$P(^(ECD),U,6)
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134 | ..S ECTS=$P(^(ECD),U,8),ECA=$P(^(ECD),U,9),ECXDOM=$P(^(ECD),U,13)
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135 | ..S ECXACU=$P(ECC,U,1),ECXEB=$P(ECC,U,2),ECXCLS=$P(ECC,U,3)
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136 | ..S ECXNLOC=$P(ECC,U,4),ECXNBED=$P(ECC,U,5)
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137 | ..;
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138 | ..;Get DSS Department and Product
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139 | ..S (ECXDSSD,ECXDSSP)=""
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140 | ..;I ECXLOGIC>2004 S X=$$NUR^ECXDEPT(ECD)
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141 | ..;
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142 | ..;- Observation patient indicator (YES/NO)
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143 | ..S ECXOBS=$$OBSPAT^ECXUTL4(ECXA,ECTS)
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144 | ..;
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145 | ..;- Don't file record if outpatient and NOT an observation patient
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146 | ..Q:ECXA="O"&(ECXOBS="NO")
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147 | ..;
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148 | ..;- If no encounter number don't file record
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149 | ..S ECXENC=$$ENCNUM^ECXUTL4(ECXA,ECXSSN,ECA,ECD,ECTS,ECXOBS,ECHEAD,,) Q:ECXENC=""
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150 | ..S EC7=EC7+1
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151 | ..S ECODE=EC7_U_EC23_U_ECINST_U_ECXDFN_U_ECXSSN_U_ECXPNM_U_ECXA_U
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152 | ..S ECODE=ECODE_$$ECXDATE^ECXUTL(ECD,ECXYM)_U
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153 | ..S ECODE=ECODE_ECXACU_U_ECXEB_U_ECXCLS_U_ECXNLOC_U_ECXNBED_U
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154 | ..;convert specialties to PTF Codes for transmission
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155 | .. N ECXDATA
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156 | .. S ECXDATA=$$TSDATA^DGACT(42.4,+ECTS,.ECXDATA)
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157 | .. S ECTS=$G(ECXDATA(7))
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158 | ..;done
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159 | ..S ECODE=ECODE_ECMN_U_ECTS_U_$$ECXDATE^ECXUTL(ECA,ECXYM)_U
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160 | ..S ECODE=ECODE_$$ECXTIME^ECXUTL(ECA)_U
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161 | ..S ECODE1=ECXMPI_U_ECXDSSD_U_ECXDOM_U_ECXOBS_U_ECXENC_U
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162 | ..S ECODE1=ECODE1_ECINST_U
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163 | ..I ECXLOGIC>2004 S ECODE1=ECODE1_ECXDSSP
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164 | ..S ^ECX(ECFILE,EC7,0)=ECODE,^ECX(ECFILE,EC7,1)=ECODE1,ECRN=ECRN+1
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165 | ..S DA=EC7,DIK="^ECX("_ECFILE_"," D IX1^DIK K DIK,DA
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166 | ..I $D(ZTQUEUED),$$S^%ZTLOAD S QFLG=1
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167 | Q
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168 | ;
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169 | SETUP ;Set required input for ECXTRAC
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170 | S ECHEAD="NUR"
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171 | D ECXDEF^ECXUTL2(ECHEAD,.ECPACK,.ECGRP,.ECFILE,.ECRTN,.ECPIECE,.ECVER)
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172 | Q
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173 | ;
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174 | QUE ; entry point for the background requeuing handled by ECXTAUTO
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175 | D SETUP,QUE^ECXTAUTO,^ECXKILL Q
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