1 | IBCNBLE ;ALB/ARH-Ins Buffer: LM buffer entry screen ;1 Jun 97
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2 | ;;2.0;INTEGRATED BILLING;**82,231,184,251,371**;21-MAR-94;Build 57
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3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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4 | ;
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5 | EN ; - main entry point for list manager display
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6 | N DFN
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7 | D EN^VALM("IBCNB INSURANCE BUFFER ENTRY")
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8 | Q
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9 | ;
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10 | HDR ; - header code for list manager display
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11 | N IBX,IB0,VADM,VA,VAERR S IBX=""
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12 | I +$G(DFN) D DEM^VADPT S IBX=$E(VADM(1),1,28),IBX=IBX_$J("",35-$L(IBX))_$P(VADM(2),U,2)_" DOB: "_$P(VADM(3),U,2)_" AGE: "_VADM(4)
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13 | S VALMHDR(1)=IBX
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14 | S IB0=$G(^IBA(355.33,+$G(IBBUFDA),0))
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15 | S IBX=$E($P($G(^VA(200,+$P(IB0,U,2),0)),U,1),1,27)_" ("_$E($$EXPAND^IBTRE(355.33,.03,$P(IB0,U,3)),1,11)_")"
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16 | S IBX="Buffer entry created on "_$$DATE(+IB0)_" by "_IBX,IBX=$J("",40-($L(IBX)\2))_IBX
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17 | S VALMHDR(2)=IBX
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18 | S IBX="" I +$P(IB0,U,10) S IBX="Buffer entry verified on "_$$DATE(+$P(IB0,U,10))_" by "_$E($P($G(^VA(200,+$P(IB0,U,11),0)),U,1),1,27),IBX=$J("",40-($L(IBX)\2))_IBX
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19 | S VALMHDR(3)=IBX
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20 | Q
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21 | ;
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22 | INIT ; - initialization of list manager screen, ifn of record to display required IBBUFDA
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23 | K ^TMP("IBCNBLE",$J)
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24 | I '$G(IBBUFDA) S VALMQUIT="" Q
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25 | S DFN=+$G(^IBA(355.33,IBBUFDA,60))
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26 | D BLD
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27 | Q
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28 | ;
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29 | HELP ; - help text for list manager screen
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30 | D FULL^VALM1
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31 | W !!,"This screen displays all data in a Buffer File entry."
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32 | W !!,"The actions allow editing of all data and verification of coverage."
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33 | W !!,"It is not necessary to use the Verify Entry action, this action is optional.",!,"If the Verify Entry action is not used, the policy will be automatically flagged",!,"as verified when it is Accepted and stored in the main Insurance files."
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34 | D PAUSE^VALM1 S VALMBCK="R"
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35 | Q
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36 | ;
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37 | EXIT ; - exit list manager screen
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38 | K ^TMP("IBCNBLE",$J)
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39 | D CLEAR^VALM1
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40 | Q
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41 | ;
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42 | BLD ; display buffer entry
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43 | N IB0,IB20,IB40,IB60,IB61,IB62,IBL,IBLINE,ADDR,IBI,IBY
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44 | S VALMCNT=0
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45 | S IB0=$G(^IBA(355.33,IBBUFDA,0)),IB20=$G(^IBA(355.33,IBBUFDA,20)),IB40=$G(^IBA(355.33,IBBUFDA,40))
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46 | S IB60=$G(^IBA(355.33,IBBUFDA,60)),IB61=$G(^IBA(355.33,IBBUFDA,61)),IB62=$G(^IBA(355.33,IBBUFDA,62))
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47 | ;
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48 | D SET(" ") S IBY=$J("",26)_"Insurance Company Information" D SET(IBY,"B") S IBLINE=""
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49 | S IBL="Name: ",IBY=$P(IB20,U,1) S IBLINE=$$SETL("",IBY,IBL,10,30)
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50 | S IBL="Reimburse?: ",IBY=$$EXPAND^IBTRE(355.33,20.05,$P(IB20,U,5)) S IBLINE=$$SETL(IBLINE,IBY,IBL,57,20)
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51 | D SET(IBLINE) S IBLINE=""
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52 | S IBL="Phone: ",IBY=$P(IB20,U,2) S IBLINE=$$SETL(IBLINE,IBY,IBL,10,20)
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53 | S IBL="Billing Phone: ",IBY=$P(IB20,U,3) S IBLINE=$$SETL(IBLINE,IBY,IBL,57,20)
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54 | D SET(IBLINE) S IBLINE=""
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55 | S IBL="Precert Phone: ",IBY=$P(IB20,U,4) S IBLINE=$$SETL(IBLINE,IBY,IBL,57,20)
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56 | D SET(IBLINE) S IBLINE=""
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57 | S IBL="Remote Query From: ",IBY=$$EXTERNAL^DILFD(355.33,.14,"",$P(IB0,"^",14)) S IBLINE=$$SETL(IBLINE,IBY,IBL,57,20)
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58 | D SET(IBLINE) S IBLINE="" D ADDR(21,1)
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59 | S IBL="Address: ",IBY=ADDR(1) S IBLINE=$$SETL(IBLINE,IBY,IBL,10,69)
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60 | D SET(IBLINE) S IBLINE=""
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61 | F IBI=2:1:9 S IBL="",IBY=$G(ADDR(IBI)) Q:IBY="" S IBLINE=$$SETL(IBLINE,IBY,IBL,10,69) D SET(IBLINE) S IBLINE=""
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62 | ;
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63 | D SET(" ") S IBY=$J("",29)_"Group/Plan Information" D SET(IBY,"B") S IBLINE=""
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64 | S IBL="Group Plan?: ",IBY=$$YN($P(IB40,U,1)) S IBLINE=$$SETL("",IBY,IBL,16,3)
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65 | S IBL="Require UR: ",IBY=$$YN($P(IB40,U,4)) S IBLINE=$$SETL(IBLINE,IBY,IBL,63,3)
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66 | D SET(IBLINE) S IBLINE=""
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67 | S IBL="Group Name: ",IBY=$P(IB40,U,2) S IBLINE=$$SETL("",IBY,IBL,16,20)
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68 | S IBL="Require Amb Cert: ",IBY=$$YN($P(IB40,U,6)) S IBLINE=$$SETL(IBLINE,IBY,IBL,63,3)
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69 | D SET(IBLINE) S IBLINE=""
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70 | S IBL="Group Number: ",IBY=$P(IB40,U,3) S IBLINE=$$SETL("",IBY,IBL,16,17)
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71 | S IBL="Require Pre-Cert: ",IBY=$$YN($P(IB40,U,5)) S IBLINE=$$SETL(IBLINE,IBY,IBL,63,3)
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72 | ;;Daou/EEN - Adding BIN and PCN
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73 | D SET(IBLINE) S IBLINE=""
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74 | S IBL="BIN: ",IBY=$P(IB40,U,10) S IBLINE=$$SETL("",IBY,IBL,16,10)
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75 | D SET(IBLINE) S IBLINE=""
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76 | S IBL="PCN: ",IBY=$P(IB40,U,11) S IBLINE=$$SETL("",IBY,IBL,16,20)
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77 | D SET(IBLINE) S IBLINE=""
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78 | S IBL="Type of Plan: ",IBY=$P($G(^IBE(355.1,+$P(IB40,U,9),0)),U,1) S IBLINE=$$SETL("",IBY,IBL,16,25)
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79 | S IBL="Exclude Pre-Cond: ",IBY=$$YN($P(IB40,U,7)) S IBLINE=$$SETL(IBLINE,IBY,IBL,63,3)
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80 | D SET(IBLINE) S IBLINE=""
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81 | S IBL="Benefits Assignable: ",IBY=$$YN($P(IB40,U,8)) S IBLINE=$$SETL(IBLINE,IBY,IBL,63,3)
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82 | D SET(IBLINE) S IBLINE=""
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83 | ;
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84 | D SET(" ") S IBY=$J("",26)_"Policy/Subscriber Information" D SET(IBY,"B") S IBLINE=""
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85 | S IBL="Whose Insurance: ",IBY=$$EXPAND^IBTRE(355.33,60.05,$P(IB60,U,5)) S IBLINE=$$SETL("",IBY,IBL,18,7)
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86 | S IBL="Effective: ",IBY=$$DATE($P(IB60,U,2)) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,8)
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87 | D SET(IBLINE) S IBLINE=""
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88 | S IBL="Insured's Name: ",IBY=$P(IB60,U,7) S IBLINE=$$SETL("",IBY,IBL,18,30)
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89 | S IBL="Expiration: ",IBY=$$DATE($P(IB60,U,3)) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,13)
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90 | D SET(IBLINE) S IBLINE=""
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91 | S IBL="Subscriber Id: ",IBY=$P(IB60,U,4) S IBLINE=$$SETL("",IBY,IBL,18,20)
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92 | S IBL="Primary Provider: ",IBY=$P(IB60,U,10) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,17)
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93 | D SET(IBLINE) S IBLINE=""
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94 | S IBL="Relationship: ",IBY=$$EXPAND^IBTRE(355.33,60.06,$P(IB60,U,6)) S IBLINE=$$SETL("",IBY,IBL,18,16)
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95 | S IBL="Provider Phone: ",IBY=$P(IB60,U,11) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,16)
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96 | D SET(IBLINE) S IBLINE=""
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97 | I $P(IB60,U,6)'="01"!($P(IB60,U,8)'="") S IBL="Insured's DOB: ",IBY=$$DATE($P(IB60,U,8)) S IBLINE=$$SETL("",IBY,IBL,18,8)
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98 | S IBL="Coord of Benefits: ",IBY=$$EXPAND^IBTRE(355.33,60.12,$P(IB60,U,12)) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,16)
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99 | D SET(IBLINE) S IBLINE=""
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100 | I $P(IB62,U)'="" S IBL="Patient Id: ",IBY=$P(IB62,U) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,13)
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101 | I IBLINE'="" D SET(IBLINE) S IBLINE=""
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102 | ;
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103 | I '$P(IB61,U,1) D SET(" ") S IBL="Employer Sponsored Group Health Plan?: ",IBY=$$YN($P(IB61,U,1)) S IBLINE=$$SETL("",IBY,IBL,40,3) D SET(IBLINE) S IBLINE="" G NXT
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104 | ;
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105 | D ADDR(61,6)
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106 | D SET(" ") S IBY=$J("",24)_"Subscriber's Employer Information" D SET(IBY,"B") S IBLINE=""
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107 | S IBL="Employer Sponsored?: ",IBY=$$YN($P(IB61,U,1)) S IBLINE=$$SETL("",IBY,IBL,22,3)
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108 | S IBL="Employment Status: ",IBY=$$EXPAND^IBTRE(355.33,61.03,$P(IB61,U,3)) S IBLINE=$$SETL(IBLINE,IBY,IBL,64,15)
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109 | D SET(IBLINE) S IBLINE=""
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110 | S IBL="Claim to Employer: ",IBY=$$YN($P(IB61,U,5)) S IBLINE=$$SETL("",IBY,IBL,22,3)
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111 | S IBL="Retirement Date: ",IBY=$$DATE($P(IB61,U,4)) S IBLINE=$$SETL(IBLINE,IBY,IBL,64,8)
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112 | D SET(IBLINE) S IBLINE=""
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113 | S IBL="Employer Name: ",IBY=$P(IB61,U,2) S IBLINE=$$SETL("",IBY,IBL,16,30)
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114 | S IBL="Employer Phone: ",IBY=$P(IB61,U,12) S IBLINE=$$SETL(IBLINE,IBY,IBL,64,15)
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115 | D SET(IBLINE) S IBLINE=""
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116 | S IBL="Address: ",IBY=ADDR(1) S IBLINE=$$SETL(IBLINE,IBY,IBL,16,64)
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117 | D SET(IBLINE) S IBLINE=""
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118 | F IBI=2:1:9 S IBL="",IBY=$G(ADDR(IBI)) Q:IBY="" S IBLINE=$$SETL(IBLINE,IBY,IBL,16,64) D SET(IBLINE) S IBLINE=""
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119 | ;
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120 | NXT ;
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121 | D SET(" ") S IBY=$J("",26)_"Buffer Entry Information" D SET(IBY,"B") S IBLINE=""
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122 | S IBL="Date Entered: ",IBY=$$FMTE^XLFDT($P(IB0,U,1),2) S IBLINE=$$SETL("",IBY,IBL,18,17)
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123 | S IBL="Date Verified: ",IBY=$$FMTE^XLFDT($P(IB0,U,10),2) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,17)
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124 | D SET(IBLINE) S IBLINE=""
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125 | S IBL="Entered By: ",IBY=$$EXPAND^IBTRE(355.33,.02,$P(IB0,U,2)) S IBLINE=$$SETL("",IBY,IBL,18,40)
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126 | S IBL="Verified By: ",IBY=$$EXPAND^IBTRE(355.33,.11,$P(IB0,U,11)) S IBLINE=$$SETL(IBLINE,IBY,IBL,62,17)
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127 | D SET(IBLINE) S IBLINE=""
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128 | ;
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129 | ; esg - 6/25/02 SDD 5.1.2 - modifications to Expand Entry for IIV
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130 | ; move source down one line, eIIV trace # to the left column and add
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131 | ; eIIV processed date to the right column
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132 | ;
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133 | S IBLINE=$$TRACE(IBLINE,IBBUFDA) ; eIIV trace #
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134 | S IBL="eIIV Processed Date: ",IBY=$S($P(IB0,U,15)="":"",1:$$FMTE^XLFDT($P(IB0,U,15),"2M"))
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135 | S IBLINE=$$SETL(IBLINE,IBY,IBL,62,17)
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136 | D SET(IBLINE) S IBLINE=""
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137 | S IBL="Source: ",IBY=$$EXPAND^IBTRE(355.33,.03,$P(IB0,U,3))
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138 | S IBLINE=$$SETL("",IBY,IBL,18,17)
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139 | D SET(IBLINE) S IBLINE=""
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140 | ;
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141 | ; Call another routine for continuation of list build
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142 | D BLD^IBCNBLE1
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143 | ;
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144 | BLDQ Q
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145 | ;
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146 | ;
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147 | SETL(LINE,DATA,LABEL,COL,LNG) ;
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148 | S LINE=LINE_$J("",(COL-$L(LABEL)-$L(LINE)))_LABEL_$E(DATA,1,LNG)
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149 | Q LINE
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150 | ;
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151 | SET(LINE,SPEC) ;
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152 | S VALMCNT=VALMCNT+1
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153 | S ^TMP("IBCNBLE",$J,VALMCNT,0)=LINE
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154 | I $G(SPEC)="B" D CNTRL^VALM10(VALMCNT,1,80,IOINHI,IOINORM)
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155 | Q
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156 | ;
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157 | DATE(X) ;
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158 | N Y S Y="" I X?7N.E S Y=$E(X,4,5)_"/"_$E(X,6,7)_"/"_$E(X,2,3)
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159 | Q Y
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160 | ;
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161 | YN(X) ;
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162 | N Y S X=$G(X),Y=$S(X=1:"Yes",X=0:"No",1:"")
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163 | Q Y
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164 | ;
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165 | ADDR(NODE,FLD) ; format address for output
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166 | N IBY,IB0,IBCS,IBST,IBZIP,IBJ,IBZ,IBX K ADDR S ADDR(1)=""
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167 | S IB0=$G(^IBA(355.33,IBBUFDA,NODE))
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168 | S IBCS=$P(IB0,U,FLD+3),IBST=$P($G(^DIC(5,+$P(IB0,U,FLD+4),0)),U,2),IBZIP=$P(IB0,U,FLD+5)
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169 | S IBZIP=$E(IBZIP,1,5)_$S($E(IBZIP,6,9)'="":"-"_$E(IBZIP,6,9),1:"")
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170 | S IBST=IBST_$S(IBST=""!(IBZIP=""):"",1:" ")_IBZIP
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171 | S IBCS=IBCS_$S(IBCS=""!(IBST=""):"",1:", ")_IBST
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172 | ;
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173 | S IBJ=1 F IBY=$P(IB0,U,FLD),$P(IB0,U,(FLD+1)),$P(IB0,U,(FLD+2)),IBCS I IBY'="" S IBX=$G(ADDR(IBJ)),IBZ=", " D
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174 | . S:IBX="" IBZ="" S:($L(IBX)+2+$L(IBY))>64 IBZ="",IBJ=IBJ+1
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175 | . S ADDR(IBJ)=$G(ADDR(IBJ))_IBZ_IBY
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176 | Q
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177 | ;
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178 | TRACE(IBLINE,IBBUFDA) ; Add the eIIV Trace Number to the display
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179 | NEW RESP,TRACENUM,IBL,IBY
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180 | I '$G(IBBUFDA) G TRACEX
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181 | S RESP=$O(^IBCN(365,"AF",IBBUFDA,""),-1) ; response ien
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182 | S TRACENUM=""
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183 | I RESP S TRACENUM=$P($G(^IBCN(365,RESP,0)),U,9) ; trace# field
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184 | S IBL="eIIV Trace #: ",IBY=TRACENUM ; field label/data
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185 | S IBLINE=$$SETL("",IBY,IBL,18,17) ; add it
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186 | TRACEX ;
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187 | Q IBLINE
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188 | ;
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