| 1 | EASUM1 ;ALB/SEK,GN - IVM MEANS/COPAY TEST UPLOAD DRIVER ; 7/6/04 1:23pm
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| 2 |  ;;1.0;ENROLLMENT APPLICATION SYSTEM;**23,30,35,42**;21-OCT-94
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| 3 |  ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 |  ;
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| 5 |  ;EAS*1*42 add RX Copay to Z06 Upload/Delete
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| 6 |  ;
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| 7 | EN ; this routine will call routines to upload means tests sent by the IVM
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| 8 |  ; Center in HL7 segments.  the required sequence of these segments were
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| 9 |  ; validated in the calling routine IVMPREC7.  this routine will call
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| 10 |  ; IVMUCHK to ensure that the data is consistent with DHCP means test
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| 11 |  ; file and software requirements.
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| 12 |  ;
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| 13 |  ; entries will be added/modified in the following means test and
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| 14 |  ; patient files:
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| 15 |  ;
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| 16 |  ;       PATIENT RELATION (#408.12)
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| 17 |  ;       INCOME PERSON (#408.13)
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| 18 |  ;       INDIVIDUAL ANNUAL INCOME (#408.21)
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| 19 |  ;       INCOME RELATION (#408.22)
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| 20 |  ;       ANNUAL MEANS TEST (#408.31)
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| 21 |  ;       MEANS TEST CHANGES (#408.41)
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| 22 |  ;       PATIENT (#2)
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| 23 |  ;
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| 24 |  ; current year is date of means test.
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| 25 |  ; income year is calendar year before date of means test.
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| 26 |  ; meant test status is based on income year data.
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| 27 |  ;
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| 28 |  ; IVMDAP is pointer to the PID HL7 segment in file #772
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| 29 |  ; IVMDAZ is pointer to the ZMT segment
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| 30 |  ;
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| 31 |  S:'$D(DUZ) DUZ=.5 ; if no DUZ set to postmaster
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| 32 |  ;
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| 33 |  ; get copay exemption status (IVMCEB) and means test status (IVMMTB)
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| 34 |  ; before upload
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| 35 |  S IVMCEB=$P($$RXST^IBARXEU(DFN),"^",2)
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| 36 |  S IVMMTB=$P($$LST^DGMTU(DFN),"^",3)
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| 37 |  ;
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| 38 |  ; subscript of array IVMAR is ien of 408.12 transmitted by IVM Center
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| 39 |  ; or created by upload.
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| 40 |  ;K IVMAR
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| 41 |  ;S IVMX=$$EN^IVMUCHK() I IVMX]"" S HLERR=IVMX K IVMX Q  ; error found in MT data
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| 42 |  ;
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| 43 | ADD ; add new annual means test file (408.31) stub
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| 44 |  ; input   DGMTDT (.01) dt of test
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| 45 |  ;         DFN (.02) Patient IEN
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| 46 |  ;         DGMTYPT (.19) type of test (1-means test, 2-Rx Copay test)
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| 47 |  ; output  DGMTI annual means test IEN
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| 48 |  S DGMTDT=IVMMTDT                 ;stop setting DGMTYPT here, EAS*1*42
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| 49 |  D ADD^DGMTA
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| 50 |  I $G(IVMMTIEN)="" S IVMMTIEN=+Y    ;Set IEN if only MT on file is Z06 MT
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| 51 |  ;
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| 52 |  ;Create new Z06 IVM Means Test
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| 53 |  ; Make STUB MT primary, add comment that it was created by Edb
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| 54 |  S DGCOM="Z06 MT via Edb"
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| 55 |  D PARSEZMT^EASPREC7(ZMTSEG)              ;Parse ZMT Segment for MT Data
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| 56 |  I $$EXPIRED^EASPTRN1(DFN,$G(IVM2)) S DGENUPLD="ENROLLMENT/ELIGIBILITY UPLOAD IN PROGRESS"    ;If MT expired then do not update Enrollment record
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| 57 |  S DA=DGMTI,DIE="^DGMT(408.31,"
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| 58 |  S DR=".03////^S X=IVM3;.12////^S X=IVM8;.07////^S X=IVM10;.09////^S X=IVM25;.11////^S X=IVM7;.18////^S X=IVM12;.23////^S X=IVM18;.25////^S X=IVM20;2////1;2.02////^S X=IVMDATE;2.03////^S X=IVM26;50///^S X=DGCOM"
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| 59 |  ;
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| 60 |  ; Linking logic for MT & CT, conditionally set link field 2.06 
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| 61 |  ;   Link the CT to MT (if MT found), or MT to CT (if CT found)
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| 62 |  ;   don't link tests older than Oct. 1999 or not same Year & NOT
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| 63 |  ;    Cat "C" (i.e. Cat "C" & > Oct. 1999 is ok to link)
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| 64 |  N LNKDAT,LNKMT,LNKDTE,LNKCAT,CURIEN
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| 65 |  S CURIEN=DGMTI,LNKMT=""
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| 66 |  S LNKDAT=$$LST^DGMTU(DFN,DGMTDT,$S(DGMTYPT=1:2,1:1)),DGMTI=CURIEN
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| 67 |  S:LNKDAT LNKMT=+LNKDAT,LNKDTE=$P(LNKDAT,"^",2),LNKCAT=$P(LNKDAT,"^",4)
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| 68 |  ; set LNKMT off if either of two scenarios below
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| 69 |  I LNKMT D                                  ;check for < Oct. 1999 1st
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| 70 |  . I DGMTDT<2991001 S LNKMT="" Q
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| 71 |  . I $E(LNKDTE,1,3)'=$E(DGMTDT,1,3),LNKCAT'="C" S LNKMT="" Q
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| 72 |  S:LNKMT DR=DR_";2.06////^S X=LNKMT"
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| 73 |  ;
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| 74 |  D ^DIE K DA,DIE,DR                            ;update new 408.31 test
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| 75 |  ;
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| 76 |  ; Update other 408.31 related Test, Link field, if link scenario true
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| 77 |  I LNKMT S DA=LNKMT,DIE="^DGMT(408.31,",DR="2.06////^S X=CURIEN" D ^DIE K DA,DIE,DR
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| 78 |  ;
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| 79 |  ;Variables needed for Bulletins
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| 80 |  ;
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| 81 |  S DGCAT=$P($G(^DG(408.32,IVM3,0)),"^",1)
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| 82 |  I '$D(IVM5) S IVM5=""
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| 83 |  ;
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| 84 |  D GETREL^DGMTU11(DFN,"V",DGLY,IVMMTIEN)
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| 85 |  I EASZ06 S (IVMMT31,DGMTP)=$G(^DGMT(408.31,IVMMTIEN,0)) ;dgmtp is event driver variable
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| 86 |  D COMPLETE
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| 87 |  Q
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| 88 |  ;
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| 89 |  ; add dependent(s) to income person file (408.13)
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| 90 |  ;
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| 91 |  ; add spouse if not in 408.13
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| 92 |  S IVMSPCHV="S" ; spouse/child/vet indicator
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| 93 |  S IVMDA1=IVMDAP+3 D GET ; spouse ZDP segment
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| 94 |  D INPIEN^IVMUM2
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| 95 |  Q:$D(IVMFERR)
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| 96 |  ;
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| 97 |  I IVMFLG5 G ADDCHILD ; entry not added - goto add children
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| 98 |  ;
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| 99 |  ; add entry to patient relation file (408.12)
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| 100 |  D EN^IVMUM3
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| 101 |  Q:$D(IVMFERR)
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| 102 |  ;
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| 103 | ADDS21 ; add spouse entry to individual annual income file (408.21)
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| 104 |  S IVMDA1=IVMDAP+4 D GET ; spouse ZIC segment
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| 105 |  D EN^IVMUM4
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| 106 |  Q:$D(IVMFERR)
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| 107 |  ;
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| 108 |  ; add spouse entry to income relation file (408.22)
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| 109 |  S IVMDA1=IVMDAP+5 D GET ; spouse ZIR segment
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| 110 |  D EN^IVMUM5
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| 111 |  Q:$D(IVMFERR)
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| 112 |  ;
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| 113 | ADDCHILD ; add children if not in 408.13
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| 114 |  S IVMSPCHV="C" ; spouse/child/vet indicator
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| 115 |  I 'IVMFLGC G ADDV21 ; no dependent children 
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| 116 |  S IVMCTR2=5
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| 117 |  F IVMCTR3=1:1:IVMFLGC D  Q:$D(IVMFERR)
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| 118 |  .S IVMCTR2=IVMCTR2+1
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| 119 |  .S IVMDA1=IVMDAP+IVMCTR2 D GET ; child ZDP segment
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| 120 |  .D INPIEN^IVMUM2
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| 121 |  .Q:$D(IVMFERR)
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| 122 |  .;
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| 123 |  .; add child entry to patient relation file (408.12)
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| 124 |  .D EN^IVMUM3
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| 125 |  .Q:$D(IVMFERR)
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| 126 |  .;
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| 127 | ADDC21 .; add child entry to individual annual income file (408.21)
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| 128 |  .S IVMCTR2=IVMCTR2+1
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| 129 |  .S IVMDA1=IVMDAP+IVMCTR2 D GET ; child ZIC segment
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| 130 |  .D EN^IVMUM4
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| 131 |  .Q:$D(IVMFERR)
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| 132 |  .;
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| 133 |  .; add entry to income relation file (408.22)
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| 134 |  .S IVMCTR2=IVMCTR2+1
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| 135 |  .S IVMDA1=IVMDAP+IVMCTR2 D GET ; child ZIR segment
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| 136 |  .D EN^IVMUM5
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| 137 |  .Q:$D(IVMFERR)
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| 138 |  .Q
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| 139 |  Q:$D(IVMFERR)
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| 140 |  ;
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| 141 | ADDV21 ; add vet entry to individual annual income file (408.21)
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| 142 |  ; get vet patient relation ien
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| 143 |  S DGPRI=+$G(DGREL("V"))
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| 144 |  S IVMDA1=IVMDAP+1 D GET ; vet ZIC segment
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| 145 |  S IVMSPCHV="V" ; spouse/child/vet indicator
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| 146 |  D EN^IVMUM4
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| 147 |  Q:$D(IVMFERR)
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| 148 |  S DGVINI=DGINI ; vet individual annual income ien
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| 149 |  ;
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| 150 |  ; add vet entry to income relation file (408.22)
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| 151 |  S IVMDA1=IVMDAP+2 D GET ; vet ZIR segment
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| 152 |  D EN^IVMUM5
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| 153 |  Q:$D(IVMFERR)
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| 154 |  S DGVIRI=DGIRI ; vet income relation ien
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| 155 |  ;
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| 156 | COMPLETE ; complete means test
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| 157 |  ;
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| 158 |  ;D EN^IVMUM6
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| 159 |  ;Call Means Test Event Driver to complete processing
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| 160 |  ;
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| 161 |  S DGMTACT="UPL"
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| 162 |  D AFTER^DGMTEVT
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| 163 |  S DGMTINF=1                                    ;Non-Interactive Flag
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| 164 |  D EN^DGMTEVT
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| 165 |  D MTBULL^EASUM7,MAIL^IVMUFNC()               ;Build Mail Message
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| 166 |  ;
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| 167 |  ; cleanup                                  ;EAS*1*42   remove Dgmtypt
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| 168 |  K DGINI,DGIRI,DGLY,DGMTDT,DGPRI,DGREL,DGVINI,DGVIRI,DGENUPLD
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| 169 |  K DGCAT,IVMAR,IVMCEB,IVMCTR2,IVMCTR3,IVMDA1,IVMDAP,IVMFERR
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| 170 |  K IVMFLG2,IVMFLG5,IVMFLGC,IVMMTB,IVMPRN
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| 171 |  K IVMRELN,IVMRELO,IVMSEG,IVMSPCHV,IVMX
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| 172 |  Q
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| 173 |  ; 
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| 174 | GET ; get HL7 segment from ^HL
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| 175 |  S IVMSEG=$P($G(^TMP($J,IVMRTN,IVMDA1,0)),"^",2,999)
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| 176 |  Q
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