1 | ORMEVNT1 ;SLC/MKB-Trigger HL7 msg off OR events,ORMTIME ;9/9/03 13:00
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2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**141,165,177,186,215**;Dec 17, 1997
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3 | ;
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4 | ;DBIA Section
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5 | ; 3559 - Direct read of ^SRF
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6 | ;10039 - Direct read of ^DIC(42,
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7 | ;
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8 | OR2(ORSRDA) ;Queue EDO process to background, return control to surgery
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9 | ;
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10 | N ZTRTN,ZTDESC,ZTDTH,ZTIO,ZTSK,ZTSAVE
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11 | S ZTRTN="OR2Q^ORMEVNT1",ZTDTH=$H,ZTDESC="Surgery triggered EDO processing",ZTIO="",ZTSAVE("ORSRDA")="" D ^%ZTLOAD
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12 | Q
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13 | ;
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14 | OR2Q ; -- Kill logic, from Surgery package [DBIA #3558]
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15 | I $D(^XTMP("ORSURG",ORSRDA)) D OR2(ORSRDA) Q ;186 requeue if flag set
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16 | N X,Y,DA,OREVT,ORSRF,ORACT
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17 | S OREVT=+$O(^ORE(100.2,"ASR",+$G(ORSRDA),0)) Q:OREVT<1
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18 | S ORSRF=$G(^SRF(+ORSRDA,.2)),ORACT=$S($L($P(ORSRF,U,12)):"ED",1:"DL")
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19 | D ACTLOG^OREVNTX(OREVT,ORACT)
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20 | Q
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21 | ;
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22 | OR1(ORSRDA,ORSRX) ;Queue EDO process to background, return control to surgery
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23 | N ZTRTN,ZTDESC,ZTDTH,ZTIO,ZTSK,ZTSAVE
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24 | S ZTRTN="OR1Q^ORMEVNT1",ZTDTH=$H,ZTDESC="Surgery triggered EDO processing",ZTIO="",ZTSAVE("ORSRDA")="",ZTSAVE("ORSRX")="" D ^%ZTLOAD
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25 | Q
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26 | ;
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27 | OR1Q ; -- Set logic, from Surgery package [DBIA #3558]
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28 | I $D(^XTMP("ORSURG",ORSRDA)) D OR1(ORSRDA,ORSRX) Q ;186 requeue if flag set
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29 | N X S X=ORSRX
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30 | I $G(^SRF(+$G(ORSRDA),"CON")),$D(^ORE(100.2,"ASR",+^("CON"))) Q ;concurrent
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31 | Q:$D(^ORE(100.2,"ASR",+$G(ORSRDA))) Q:'$$CURRENT ;edit
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32 | ;
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33 | N ORSR0,DFN,VAIP,VAERR,X,Y,DA,ORVP,ORL,ORDIV,ORTS,OREVENT,ORDCRULE,ORPRINT
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34 | S ORSR0=$G(^SRF(+$G(ORSRDA),0)),DFN=+$P(ORSR0,U)
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35 | D IN5^VADPT Q:'$G(VAIP(13)) ;not admitted
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36 | S ^XTMP("ORSURG",ORSRDA)=$$FMADD^XLFDT(DT,5)_U_DT ;186 Set flag
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37 | S ORL=$P($G(^SRS(+$P(ORSR0,U,2),0)),U)_";SC(",ORDIV=$$DIV(+ORL) ;DBIA #3362
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38 | I '$G(LOC) S ORL=+$G(^DIC(42,+$G(VAIP(5)),44))_";SC(" ;186 If no O.R. loc then use current loc
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39 | S ORTS=+$G(VAIP(8)) ; need surg spec too? DBIA #991
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40 | S ORVP=DFN_";DPT(",OREVENT=$$PATEVT,ORDCRULE=$$DCEVT
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41 | D:ORDCRULE AUTODC(ORDCRULE,ORSRX) I OREVENT D
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42 | . D RELEASE(OREVENT),DONE^OREVNTX(OREVENT,ORSRX,,ORSRDA)
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43 | . D ACTLOG^OREVNTX(OREVENT,"NW","O")
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44 | I $O(ORPRINT(0)),$G(ORL) D PRINTS^ORWD1(.ORPRINT,+ORL)
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45 | K ^XTMP("ORSURG",ORSRDA) ;186
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46 | Q
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47 | ;
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48 | DIV(LOC) ; -- Return Institution file #4 ptr for LOC
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49 | N X0,Y S X0=$G(^SC(+LOC,0))
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50 | S Y=$S($P(X0,U,4):$P(X0,U,4),$P(X0,U,15):$$SITE^VASITE(DT,$P(X0,U,15)),1:+$G(DUZ(2)))
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51 | Q Y
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52 | ;
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53 | CURRENT() ; -- Is posted mvt the latest one?
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54 | N Y S Y=$S((DT-X)<1:1,1:0)
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55 | Q Y
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56 | ;
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57 | PATEVT() ; -- Find match to new data in Patient Event file
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58 | N EVT,IFN,X0,Y S EVT=0,Y=""
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59 | F S EVT=+$O(^ORE(100.2,"AE",+ORVP,EVT)) Q:EVT<1 S IFN=$O(^(EVT,0)) D Q:Y
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60 | . Q:$$LAPSED^OREVNTX(+IFN) ;don't release orders
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61 | . S X0=$G(^ORD(100.5,EVT,0))
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62 | . I $P(X0,U,2)="O",$P(X0,U,3)=ORDIV S Y=+IFN Q
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63 | Q Y
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64 | ;
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65 | DCEVT() ; -- Find match to event in AutoDC Rules file for [new] ORDIV
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66 | N Y I '$G(^DPT(+ORVP,.105)) Q 0 ;no auto-dc's if not admitted
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67 | S Y=+$O(^ORD(100.6,"AE",ORDIV,"O",0))
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68 | Q Y
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69 | ;
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70 | AUTODC(ORDC,ORDT) ; -- DC orders based on rule ORDC [also from ORMEVNT]
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71 | ; Expects VAIP array with current admission data
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72 | N ORADM,ORNOW,ORN,X,OREASON,ORNATR,ORCREATE,ORPRNT,ORSIG,ORDG,ORI,ORPKG,ORLIST,ORIFN,OR0,ORDER,ORERR
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73 | S OREASON=+$P($G(^ORD(100.6,ORDC,0)),U,4) I OREASON<1 D
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74 | . S OREASON=$S('$G(DGPMT):"OROR",DGPMT=1:"ORADMIT",DGPMT=2:"ORTRANS",DGPMT=3:"ORDIS",1:"ORSPEC")
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75 | . S OREASON=+$O(^ORD(100.03,"C",OREASON,0))
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76 | S ORNATR=+$P($G(^ORD(100.03,+$G(OREASON),0)),U,7)
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77 | S:ORNATR'>0 ORNATR=+$O(^ORD(100.02,"C","A",0))
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78 | S X=$G(^ORD(100.02,ORNATR,1)),ORCREATE=+$P(X,U),ORPRNT=+$P(X,U,2)
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79 | S ORSIG=$S('ORCREATE:"",1:$P(X,U,4)),ORDG=$O(^ORD(100.98,"B","ALL",0))
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80 | S ORI=0 F S ORI=$O(^ORD(100.6,ORDC,7,"B",ORI)) Q:ORI<1 S ORPKG(ORI)=1
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81 | D:$G(DGPMT)'=1 CHKOBS S:'$G(ORADM) ORADM=+$G(VAIP(13,1)) S ORNOW=$$NOW^XLFDT,ORN="A",ORI=6 ;177
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82 | I $G(DGPMT)=1 S ORI=2,ORADM="",ORN="A"
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83 | I $G(DGPMT)=3,"^12^38^"[(U_$P(DGPMA,U,18)_U) S ORI=2,ORADM="",ORN=""
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84 | D EN^ORQ1(ORVP,ORDG,ORI,,ORADM,ORNOW),ADMORD S ORI=0
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85 | DC1 F S ORI=$O(^TMP("ORR",$J,ORLIST,ORI)) Q:ORI'>0 S ORIFN=^(ORI) D
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86 | . ;Q:$P(ORIFN,";",2)>1 ; or DC/Delete actions ??
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87 | . Q:"^1^2^7^11^12^13^"[(U_$P(^OR(100,+ORIFN,3),U,3)_U) S OR0=$G(^(0))
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88 | . Q:'$G(ORPKG($P(OR0,U,14))) Q:$D(^ORD(100.6,ORDC,10,"B",+$P(OR0,U,11)))
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89 | . S X=+$$VALUE^ORX8(+ORIFN,"ORDERABLE") Q:$D(^ORD(100.6,ORDC,8,"B",X))
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90 | . Q:'$$VALID^ORCACT0(ORIFN,"DC",,ORN) ;ok to auto-dc order?
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91 | . I '$G(OREVENT) S OREVENT=+$$NEW^OREVNT(+ORVP) ;no delayed orders
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92 | . S ORDER=+ORIFN_$S(ORCREATE:";"_$$ACTION^ORCSAVE("DC",+ORIFN,$G(ORNP),,$G(ORDT)),1:"")
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93 | . D EN^ORCSEND(ORDER,"DC",ORSIG,1,ORNATR,$G(OREASON),.ORERR) Q:$G(ORERR)
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94 | . S $P(^OR(100,+ORIFN,6),U,8)=OREVENT D SAVE(ORIFN,OREVENT,3)
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95 | . S:ORPRNT ORPRINT=$G(ORPRINT)+1,ORPRINT(ORPRINT)=ORDER_"^1"
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96 | DC2 I $G(OREVENT) D
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97 | . S $P(^ORE(100.2,OREVENT,1),U,3)=ORDC,^ORE(100.2,"DC",ORDC,OREVENT)=""
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98 | . I $G(DGPMDA),$D(^XTMP("ORDC-"_DGPMDA)) D XTMP ;save order#'s
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99 | K ^TMP("ORR",$J,ORLIST),^XTMP("ORDC-"_$G(DGPMDA))
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100 | Q
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101 | ;
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102 | RELEASE(OREVT) ; -- release orders for OREVT [also from ORMEVNT]
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103 | ; Returns ORPRINT(#)=order^prints for orders released
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104 | Q:'$G(OREVT) N ORPARM,ORLR,ORX,ORI,ORV,ORIFN,ORERR,OR0,OR3,ORLAB
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105 | S ORPARM="" I $G(ORL) F ORI="CHART COPY","LABELS","REQUISITIONS","SERVICE","WORK COPY" S ORX=$S(ORI="SERVICE":0,1:$$GET^XPAR("ALL^"_ORL,"ORPF PROMPT FOR "_ORI,1,"I")),ORPARM=ORPARM_U_$S(ORX="*":0,1:1)
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106 | I $D(^XTMP("ORSURG",+$G(ORSRDA))) S ORL=+$G(^DIC(42,+$G(VAIP(5)),44))_";SC(" ;186 Reset loc
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107 | F ORI="LR","VBEC" S ORX=+$O(^DIC(9.4,"C",ORI,0)) S:ORX ORLR(ORX)=1
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108 | S ORX=OREVT,ORI=0
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109 | F S ORI=+$O(^ORE(100.2,"DAD",OREVT,ORI)) Q:ORI<1 S ORX=ORX_U_ORI
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110 | F ORV=1:1:$L(ORX,U) S OREVT=$P(ORX,U,ORV) D ;event[+children]
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111 | . F S ORI=$O(^OR(100,"AEVNT",ORVP,OREVT,ORI)) Q:ORI'>0 D
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112 | .. S ORIFN=ORI,OR0=$G(^OR(100,ORIFN,0)),OR3=$G(^(3))
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113 | .. I ORIFN=+$P($G(^ORE(100.2,OREVT,0)),U,4) D Q ;event order
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114 | ... Q:$$TYPE^OREVNTX(OREVT)="D" Q:$P(OR3,U,3)=11
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115 | ... S ORPRINT=+$G(ORPRINT)+1,ORPRINT(ORPRINT)=ORIFN_";1"_ORPARM
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116 | .. Q:$P(OR3,U,3)'=10 Q:$P(OR3,U,9) ;released or cancelled, has parent
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117 | .. S:$G(ORL) $P(^OR(100,ORIFN,0),U,10)=ORL ;set location
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118 | .. S:$G(ORTS) $P(^OR(100,ORIFN,0),U,13)=ORTS ;set specialty
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119 | .. I $G(ORLR(+$P(OR0,U,14))),'$G(ORLAB) D BHS^ORMBLD(ORVP) S ORLAB=1
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120 | .. K ORERR D EN1^ORCSEND(ORIFN,.ORERR) Q:$G(ORERR)
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121 | .. Q:"^10^11^"[(U_$P($G(^OR(100,ORIFN,3)),U,3)_U) D SAVE(ORIFN,OREVT,2)
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122 | .. S ORPRINT=+$G(ORPRINT)+1,ORPRINT(ORPRINT)=ORIFN_";1"_ORPARM
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123 | D BTS^ORMBLD(ORVP):$G(ORLAB) ;send batch hdr/tlr segments for labs
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124 | Q
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125 | ;
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126 | ADMORD ; -- Add admission order to list
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127 | ; Uses VAIP(13),ORADM from AUTODC
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128 | ;Q:$G(DGPMT)'=3
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129 | I $G(DGPMT)=3 Q:"^12^38^"[(U_$P(DGPMA,U,18)_U) ;already included
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130 | N LAST,ADMEVT,IFN
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131 | S LAST=+$O(^ORE(100.2,"ADT",+$G(VAIP(13)),""),-1),ADMEVT=+$O(^(LAST,0))
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132 | S IFN=+$P($G(^ORE(100.2,ADMEVT,0)),U,4) Q:IFN<1
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133 | I $P($G(^OR(100,IFN,8,1,0)),U,16)<ORADM D ;add to auto-dc list
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134 | . N ORI S ORI=+$O(^TMP("ORR",$J,ORLIST,"A"),-1),ORI=ORI+1
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135 | . S ^TMP("ORR",$J,ORLIST,ORI)=IFN
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136 | Q
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137 | ;
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138 | XTMP ; -- Save auto-dc'd by package order numbers
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139 | N ORDC,ORIFN,X Q:'$G(OREVENT)
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140 | S ORDC="ORDC-"_$G(DGPMDA),ORIFN=0
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141 | F S ORIFN=+$O(^XTMP(ORDC,ORIFN)) Q:ORIFN<1 S X=$G(^(ORIFN)) D
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142 | . D SAVE(ORIFN,OREVENT,3,X)
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143 | . S $P(^OR(100,+ORIFN,6),U,8)=OREVENT
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144 | Q
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145 | ;
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146 | SAVE(IFN,EVT,NODE,PKG) ; -- Save order# IFN with EVT at NODE
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147 | ; NODE=2: Released orders, NODE=3: Auto-DC'd orders
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148 | Q:'$G(IFN)!'$G(EVT)!'$G(NODE) ;missing data
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149 | Q:$D(^ORE(100.2,EVT,NODE,+IFN,0)) ;already saved
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150 | N I,HDR,TOTAL
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151 | F I=1:1:10 L +^ORE(100.2,EVT,NODE,0):1 Q:$T H 2
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152 | Q:'$T S HDR=$G(^ORE(100.2,EVT,NODE,0))
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153 | I '$L(HDR) S:NODE=2 HDR="^100.26PA^^" S:NODE=3 HDR="^100.27PA^^"
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154 | Q:'$L(HDR) S TOTAL=+$P(HDR,U,4),$P(HDR,U,3,4)=+IFN_U_(TOTAL+1)
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155 | S ^ORE(100.2,EVT,NODE,0)=HDR L -^ORE(100.2,EVT,NODE,0)
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156 | S ^ORE(100.2,EVT,NODE,+IFN,0)=+IFN_$S($D(PKG):U_PKG,1:"")
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157 | Q
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158 | ;
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159 | EXP ; -- expire an order from EXP^ORMEVNT(ORDER,ORSTOP)
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160 | ; [ORMTIME]
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161 | G:'$D(^OR(100,+ORDER,0)) EXPQ
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162 | N OR0,ORNMSP,ORSTS
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163 | S OR0=$G(^OR(100,+ORDER,0)),ORSTS=$P($G(^(3)),U,3)
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164 | I "^1^2^7^12^13^14^"[(U_ORSTS_U) G EXPQ ;done
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165 | I $O(^OR(100,+ORDER,2,0)) G EXPQ ;parent
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166 | I $P(^ORD(100.98,$P(OR0,U,11),0),U,3)="NV RX" G EXPQ ;Non-VA med
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167 | S ORNMSP=$$NMSP^ORCD($P(OR0,U,14))
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168 | D:ORNMSP="PS"!(ORNMSP="FH") MSG^ORMBLD(+ORDER,"SS")
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169 | I ORNMSP="OR"!(ORNMSP="FH"),"^1^7^"'[(U_ORSTS_U) D STATUS^ORCSAVE2(+ORDER,7) ;ck FH
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170 | EXPQ K ^OR(100,"AE",ORSTOP,ORDER)
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171 | Q
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172 | ;
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173 | ACT ; -- activate an order from ACTIVE^ORMEVNT(ORDER,ORSTRT)
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174 | ; [ORMTIME]
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175 | G:'$D(^OR(100,+ORDER,0)) ACTQ
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176 | N OR0,ORNMSP,ORSTS
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177 | S OR0=$G(^OR(100,+ORDER,0)),ORSTS=$P($G(^(3)),U,3)
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178 | I "^1^2^6^7^12^13^14^"[(U_ORSTS_U) G ACTQ ;done
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179 | I $O(^OR(100,+ORDER,2,0)) G ACTQ ;parent
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180 | S ORNMSP=$$NMSP^ORCD($P(OR0,U,14))
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181 | D:ORNMSP="PS"!(ORNMSP="FH") MSG^ORMBLD(+ORDER,"SS")
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182 | I ORNMSP="OR"!(ORNMSP="FH"),ORSTS=8 D STATUS^ORCSAVE2(+ORDER,6) ;ck FH
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183 | ACTQ K ^OR(100,"AD",ORSTRT,ORDER)
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184 | Q
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185 | ;
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186 | PUR ; -- purge an order
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187 | ; from PURGE^ORMEVNT(ORDER)
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188 | N ORSTS,ORPK,ORNMSP,ORCHLD Q:'$D(^OR(100,ORDER))
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189 | S ORSTS=$P($G(^OR(100,ORDER,3)),U,3),ORPK=$G(^(4)),ORNMSP=$P($G(^(0)),U,14),ORNMSP=$$NMSP^ORCD(ORNMSP)
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190 | I '$L(ORPK)!(ORSTS=11)!(ORNMSP="OR")!(ORNMSP="LR"&('ORPK)) D DELETE^ORCSAVE2(ORDER) Q
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191 | I '$D(^OR(100,ORDER,2)) D MSG^ORMBLD(ORDER,"Z@") Q
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192 | S ORCHLD=0 F S ORCHLD=$O(^OR(100,ORDER,2,ORCHLD)) Q:ORCHLD'>0 D MSG^ORMBLD(ORCHLD,"Z@")
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193 | I '$O(^OR(100,ORDER,2,0)) D DELETE^ORCSAVE2(ORDER) ; delete parent
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194 | Q
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195 | ;
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196 | CHKOBS ;177, previous dx from obs?
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197 | N INVDT,PDCDT,PDCMVT,CADMDT
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198 | S CADMDT=+$G(VAIP(13,1)) Q:'CADMDT ;Current admission d/t of movement
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199 | S INVDT=9999999.9999999-(+VAIP(3)) ;Inverse date of movement
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200 | S PDCDT=$O(^DGPM("ATID3",DFN,INVDT)) Q:'+PDCDT ;No previous discharge
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201 | S PDCMVT=$O(^DGPM("ATID3",DFN,PDCDT,0))
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202 | Q:+$$MVT^DGPMOBS(PDCMVT)'=1 ;Quit if previous discharge not from obs
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203 | N VAIP
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204 | S VAIP("E")=PDCMVT
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205 | D IN5^VADPT
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206 | Q:'$G(VAIP(13)) ;No previous admission data
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207 | Q:$$FMDIFF^XLFDT(CADMDT,+$G(VAIP(3)),2)>3600 ;Quit if previous discharge was more than 1 hour before admission
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208 | S ORADM=+$G(VAIP(13,1))
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209 | Q
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