| 1 | IBCNEDEQ ;DAOU/ALA - Process Transactions continued ;21-AUG-2002 | 
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| 2 | ;;2.0;INTEGRATED BILLING;**184,271,300**;21-MAR-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 | ;**Program Description** | 
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| 6 | ;  This program contains some subroutines for processing a transmission | 
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| 7 | ; | 
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| 8 | HLER ;  HL7 Creation error message | 
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| 9 | ; | 
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| 10 | ;  Called from IBCNEDEP | 
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| 11 | ; | 
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| 12 | ;  Parameters | 
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| 13 | ;    HLRESLT = Error from GENERATE^HLMA call | 
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| 14 | ;    DFN = Patient IEN | 
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| 15 | ;    PAYR = Payer IEN | 
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| 16 | ;    MGRP = Mail group | 
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| 17 | ;    XMSUB = Subject line | 
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| 18 | ;    MSG = Message array | 
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| 19 | ; | 
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| 20 | S HLRESLT="Error - "_$P(HLRESLT,U,2,99) | 
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| 21 | S MSG(1)=HLRESLT | 
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| 22 | S MSG(2)="occurred when trying to create the outgoing HL7 message for" | 
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| 23 | S MSG(3)="Patient: "_$P($G(^DPT(DFN,0)),U,1)_$$SSN(DFN)_" and Payer: "_$P($G(^IBE(365.12,PAYR,0)),U,1)_"." | 
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| 24 | S MSG(4)="Please log a NOIS for this problem." | 
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| 25 | D TXT^IBCNEUT7("MSG") | 
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| 26 | S XMSUB="IIV HL7 Creation Error" | 
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| 27 | D MSG^IBCNEUT5(MGRP,XMSUB,"MSG(") | 
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| 28 | K XMSUB,MSG,HLRESLT | 
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| 29 | Q | 
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| 30 | ; | 
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| 31 | CERR ;  Communication Error Mail Message - No Retries defined | 
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| 32 | ; | 
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| 33 | ;  Called from IBCNEDEP | 
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| 34 | ; | 
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| 35 | ;  Parameters | 
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| 36 | ;    DFN = Patient IEN | 
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| 37 | ;    PAYR = Payer IEN | 
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| 38 | ;    FMSG = Failure message flag | 
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| 39 | ;    MGRP = Mail group | 
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| 40 | ;    XMSUB = Subject line | 
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| 41 | ;    MSG = Message array | 
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| 42 | ; | 
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| 43 | I 'FMSG G CERRQ | 
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| 44 | S XMSUB="IIV Communication Error" | 
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| 45 | S MSG(1)="VistA was unable to electronically confirm insurance for" | 
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| 46 | S MSG(2)="Patient: "_$P($G(^DPT(DFN,0)),U)_$$SSN(DFN)_" and Payer: "_$P($G(^IBE(365.12,PAYR,0)),U)_"." | 
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| 47 | S MSG(3)="A single attempt was made to electronically confirm the insurance" | 
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| 48 | S MSG(4)="with this payer." | 
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| 49 | ; | 
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| 50 | D TXT^IBCNEUT7("MSG") | 
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| 51 | ; | 
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| 52 | D MSG^IBCNEUT5(MGRP,XMSUB,"MSG(") | 
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| 53 | K MSG,XMSUB | 
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| 54 | CERRQ Q | 
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| 55 | ; | 
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| 56 | CERE ;  Communication Error Mail Message - Exceeds Retries | 
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| 57 | ; | 
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| 58 | ;  Called from IBCNEDEP | 
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| 59 | ; | 
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| 60 | ;  Parameters | 
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| 61 | ;    DFN = Patient IEN | 
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| 62 | ;    PAYR = Payer IEN | 
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| 63 | ;    FMSG = Failure message flag | 
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| 64 | ;    MGRP = Mail group | 
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| 65 | ;    XMSUB = Subject line | 
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| 66 | ;    MSG = Message array | 
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| 67 | ; | 
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| 68 | I 'FMSG G CEREQ | 
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| 69 | S XMSUB="IIV Communication Error" | 
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| 70 | S MSG(1)="VistA was unable to electronically confirm insurance for" | 
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| 71 | S MSG(2)="Patient: "_$P($G(^DPT(DFN,0)),U)_$$SSN(DFN)_" and Payer: "_$P($G(^IBE(365.12,PAYR,0)),U)_"." | 
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| 72 | ; | 
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| 73 | D TXT^IBCNEUT7("MSG") | 
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| 74 | ; | 
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| 75 | D MSG^IBCNEUT5(MGRP,XMSUB,"MSG(") | 
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| 76 | K MSG,XMSUB | 
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| 77 | CEREQ Q | 
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| 78 | ; | 
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| 79 | SUB ;  Create HL7 subrecord in TQ file | 
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| 80 | ; | 
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| 81 | ;  Called from tag SCC within this routine | 
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| 82 | ; | 
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| 83 | ;  Input Parameters | 
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| 84 | ;    IEN = the transmission IEN | 
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| 85 | ;    RSIEN = the response IEN | 
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| 86 | ;    MDTM = the date/time message was created | 
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| 87 | ;    MSGID = the HL7 message ID | 
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| 88 | ; | 
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| 89 | NEW DIC,DIE,X,DA,DLAYGO,Y | 
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| 90 | S DIC="^IBCN(365.1,"_IEN_",2,",DIE=DIC,X=MDTM,DA(1)=IEN | 
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| 91 | S DLAYGO=365.16,DIC(0)="L",DIC("P")=DLAYGO | 
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| 92 | I '$D(^IBCN(365.1,IEN,2,0)) S ^IBCN(365.1,IEN,2,0)="^365.16D^^" | 
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| 93 | K DD,DO | 
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| 94 | D FILE^DICN | 
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| 95 | K DO | 
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| 96 | S HIEN=+Y | 
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| 97 | S DR=".02////^S X=MSGID;.03////^S X=RSIEN" D ^DIE | 
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| 98 | S DA=HIEN D ^DIE | 
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| 99 | ; | 
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| 100 | K HIEN,RSIEN,DR,MDTM | 
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| 101 | Q | 
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| 102 | ; | 
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| 103 | RESP ;  Create Response Record | 
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| 104 | ; | 
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| 105 | ;  Called from IBCNEHL3 tag SCC within this routine | 
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| 106 | ; | 
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| 107 | ;  Input Parameters | 
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| 108 | ;    MSGID = Message Control ID (required) | 
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| 109 | ;    MDTM = Message date/time created (optional) | 
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| 110 | ;    DFN = Patient IEN (optional) | 
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| 111 | ;    PAYR = Payer IEN (optional) | 
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| 112 | ;    BUFF = Buffer IEN (optional) | 
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| 113 | ;    IEN = Transmission IEN (optional) | 
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| 114 | ;    RSTYPE = Response Type (O=Original, U=Unsolicited) | 
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| 115 | ; | 
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| 116 | NEW DIC,DIE,X,DA,DLAYGO,Y,RARRAY | 
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| 117 | S DIC="^IBCN(365,",X=MSGID,DLAYGO=365,DIC(0)="L",DIC("P")=DLAYGO | 
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| 118 | K DD,DO | 
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| 119 | D FILE^DICN | 
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| 120 | K DO | 
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| 121 | S RSIEN=+Y | 
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| 122 | S RARRAY(365,RSIEN_",",.02)=$G(DFN),RARRAY(365,RSIEN_",",.03)=$G(PAYR) | 
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| 123 | I $G(IEN)'="" D | 
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| 124 | . I $P(^IBCN(365.1,IEN,0),U,18)=1 S RARRAY(365,RSIEN_",",.04)=$G(BUFF) | 
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| 125 | S RARRAY(365,RSIEN_",",.05)=$G(IEN) | 
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| 126 | S RARRAY(365,RSIEN_",",.06)=2,RARRAY(365,RSIEN_",",.08)=$G(MDTM) | 
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| 127 | ; | 
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| 128 | I $G(RSTYPE)="" S RSTYPE="U" | 
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| 129 | S RARRAY(365,RSIEN_",",.1)=RSTYPE | 
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| 130 | ; | 
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| 131 | D FILE^DIE("I","RARRAY","ERR") | 
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| 132 | I $D(ERR) D | 
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| 133 | . S ERFLG=1,MCT=0,VEN=0 | 
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| 134 | . F  S VEN=$O(ERR("DIERR",VEN)) Q:'VEN  D | 
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| 135 | .. S MCT=MCT+1,MSG(MCT)=ERR("DIERR",VEN,"TEXT",1) | 
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| 136 | . ; | 
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| 137 | . S MCT=MCT+1,MSG(MCT)="Please log a NOIS for this problem." | 
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| 138 | . S XMSUB="Error creating Response" | 
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| 139 | . D MSG^IBCNEUT5(MGRP,XMSUB,"MSG(") | 
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| 140 | . K ERR,VEN,MCT | 
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| 141 | Q | 
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| 142 | ; | 
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| 143 | TMRR ;  Communication Timeout message | 
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| 144 | I 'TMSG Q | 
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| 145 | S XMSUB="IIV Communication Timeout" | 
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| 146 | S MSG(1)="No Response has been received within the defined failure days of "_FAIL_" for " | 
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| 147 | S MSG(3)="Patient: "_$P($G(^DPT(DFN,0)),U,1)_$$SSN(DFN)_" and Payer: "_$P($G(^IBE(365.12,PAYR,0)),U,1) | 
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| 148 | ; | 
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| 149 | D TXT^IBCNEUT7("MSG") | 
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| 150 | ; | 
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| 151 | D MSG^IBCNEUT5(MGRP,XMSUB,"MSG(") | 
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| 152 | K MSG,XMSUB | 
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| 153 | Q | 
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| 154 | ; | 
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| 155 | SSN(DFN) ; Retrieve patient's ssn and return last 4 digits | 
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| 156 | ; Subsequently added Date of Birth to display as well | 
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| 157 | Q:'$G(DFN) "" | 
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| 158 | N SSN,DOB | 
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| 159 | S SSN=$$GETSSN^IBCNEDE5(DFN) | 
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| 160 | S DOB=$$GETDOB(DFN) | 
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| 161 | I SSN="",DOB="" Q "" | 
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| 162 | I SSN="" Q " (DOB: "_DOB_")" | 
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| 163 | S SSN=" (SSN: xxx-xx-"_$E(SSN,6,9) | 
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| 164 | I DOB'="" S DOB="  DOB: "_DOB | 
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| 165 | Q SSN_DOB_")" | 
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| 166 | ; | 
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| 167 | GETDOB(DFN) ; | 
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| 168 | Q:'$G(DFN) "Unknown" | 
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| 169 | N DOB | 
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| 170 | S DOB=$P($G(^DPT(DFN,0)),U,3) | 
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| 171 | S DOB=$S('DOB:"Unknown",1:$$FMTE^XLFDT(DOB,"5Z")) | 
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| 172 | Q DOB | 
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| 173 | ; | 
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| 174 | SCC ;  If successfully creates an HL7 msg | 
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| 175 | S MSGID=$P(HLRESLT,U,1),NTRAN=NTRAN+1,MDTM=$$NOW^XLFDT(),IHCNT=IHCNT+1 | 
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| 176 | I NTRAN>1 S NRETR=NRETR+1 | 
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| 177 | D SST^IBCNEUT2(IEN,2) | 
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| 178 | S DA=IEN,DIE="^IBCN(365.1,",DR=".07////^S X=NTRAN;.08////^S X=NRETR" | 
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| 179 | D ^DIE | 
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| 180 | ; | 
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| 181 | ;  Create Response Record | 
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| 182 | S RSTYPE="O" D RESP | 
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| 183 | ; | 
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| 184 | ;  Create HL7 subrecord | 
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| 185 | D SUB | 
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| 186 | ; | 
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| 187 | ; If a buffer entry exists, set the buffer symbol to a '?' | 
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| 188 | I BUFF'="" D BUFF^IBCNEUT2(BUFF,10) | 
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| 189 | Q | 
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