1 | ORMEVNT2 ;SLC/DAN Additional event delayed order utilities ;3/31/04 09:12
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2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**177,186,195**;Dec 17, 1997
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3 | ;
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4 | ;DBIA SECTION
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5 | ;10063 - %ZTLOAD
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6 | ;17 - DGPM("ATID3"
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7 | ;
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8 | DCGEN ;Auto-dc admission generic order for observation episode of
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9 | ;care, if it exists and other orders are being carried over
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10 | ;
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11 | N ORLIST,ORADM,OREASON,ORNATR,X,ORCREATE,ORPRNT,ORSIG,ORI,ORPKG,ORDC,ORDT,ORN
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12 | S ORLIST=$H
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13 | S ORADM=$G(VAIP(13,1)) ;Admission date/time for this episode of care
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14 | D ADMORD^ORMEVNT1 ;See if admission order exists
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15 | Q:'$D(^TMP("ORR",$J,ORLIST)) ;no order found
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16 | S OREASON=$P($G(^ORD(100.6,TORY,0)),U,4) I OREASON<1 S OREASON=+$O(^ORD(100.3,"C","ORDIS",0)) ;If no reason assigned to rule, use discharge
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17 | S ORNATR=+$P($G(^ORD(100.03,+$G(OREASON),0)),U,7) I ORNATR<1 S ORNATR=+$O(^ORD(100.02,"C","A",0)) ;Get nature from reason, if none then use auto-dc
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18 | S X=$G(^ORD(100.02,ORNATR,1)),ORCREATE=+$P(X,U),ORPRNT=+$P(X,U,2) ;create order action, print?
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19 | S ORSIG=$S('ORCREATE:"",1:$P(X,U,4)) ;Signature required?
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20 | S ORI=0 F S ORI=$O(^ORD(100.6,TORY,7,"B",ORI)) Q:ORI<1 S ORPKG(ORI)=1 ;Identify packages to be auto-dcd for the rule
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21 | S ORDT=$P($G(DGPMA),U),ORDC=TORY,ORN=""
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22 | D DC1^ORMEVNT1 ;Code to auto-dc order
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23 | Q
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24 | ;
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25 | TIMER ;Start background job to make sure that patient was readmitted
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26 | ;following the discharge from observation. Readmission must
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27 | ;occur within 1 hour
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28 | N ZTSK,ZTRTN,ZTDESC,ZTDTH,ZTIO,ZTSAVE
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29 | S ZTRTN="TIMERDQ^ORMEVNT2",ZTIO="",ZTDESC="Observation readmit"
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30 | S ZTDTH=$P($G(^XTMP("ORDCOBS-"_+$G(ORVP),0)),U) ;If inpatient med orders will be reinstated, match timing
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31 | I ZTDTH="" S ZTDTH=$$FMADD^XLFDT($$NOW^XLFDT,,1) ;One hour from now
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32 | S ZTSAVE("*")="" ;Save everything for possible use in auto-dcing
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33 | D ^%ZTLOAD
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34 | Q
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35 | ;
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36 | TIMERDQ ;Check if patient readmitted, if not, auto-dc orders that should have auto-dcd on discharge
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37 | N CVAIP
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38 | K VAIP("E") S VAIP("V")="CVAIP" D IN5^VADPT ;Is patient an inpatient?
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39 | I $G(^XTMP("ORDCOBS-"_$G(DFN),"READMIT")) G DEL ;186 If readmit from ASIH OBS hasn't happened then auto-dc orders
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40 | I CVAIP(13)'="",CVAIP(13)'=VAIP(13) Q ;Check to see that patient is currently an inpatient and that they are in a different episode of care than the observation episode
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41 | I +$P($Q(^DGPM("ATID3",DFN)),",",4)'=VAIP(1) Q ;Stop if there's been another discharge since the discharge from observation.
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42 | DEL K ^XTMP("ORDCOBS-"_$G(DFN)) ;Inpatient meds waiting for reinstatement are no longer needed so XTMP can be deleted
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43 | D AUTODC^ORMEVNT1(TORY,$P($G(DGPMA),U)) ;Auto-dc orders from observation
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44 | I '$D(^ORE(100.2,$G(OREVENT),10)),$G(OREVENT) D ACTLOG^OREVNTX(OREVENT,"NW","D",1),DONE^OREVNTX(OREVENT,,DGPMDA) ;186 Log event in 100.2 if not previously done
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45 | Q
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46 | ;
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47 | DISCH ; -- Lapse/cancel outstanding events on discharge ;Section moved with 195
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48 | N X,ADM,EVT,ORP,X0,IFN,STS,X8,ORNOW,J,ORX,ORCH,DAD S ORNOW=+$E($$NOW^XLFDT,1,12) ;195
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49 | S X=$P(DGPMA,U,18),ADM=$S(X=12!(X=38):"",1:+$G(VAIP(13))),EVT=0
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50 | F S EVT=+$O(^ORE(100.2,"AE",+ORVP,EVT)) Q:EVT<1 S ORP=+$O(^(EVT,0)) D
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51 | . I $G(^ORE(100.2,ORP,1)) K ^ORE(100.2,"AE",+ORVP,EVT,ORP) Q
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52 | . Q:$$LAPSED^OREVNTX(ORP) I $$EMPTY^OREVNTX(ORP) D CANCEL^OREVNTX(ORP) Q
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53 | . I ADM,$P($G(^ORE(100.2,ORP,0)),U,3)'=ADM Q ;ck adm if not death
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54 | . S X0=$G(^ORE(100.2,ORP,0)),ORX=ORP ;195
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55 | . S DAD=0 I $D(^ORE(100.2,"DAD",ORP)) S ORCH=0,DAD=ORP F S ORCH=$O(^ORE(100.2,"DAD",ORP,ORCH)) Q:'+ORCH S ORX=ORX_","_ORCH ;195
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56 | . F J=1:1:$L(ORX,",") S ORP=$P(ORX,",",J) S IFN=0 F S IFN=$O(^OR(100,"AEVNT",ORVP,ORP,IFN)) Q:IFN<1 D ;195
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57 | .. S STS=$P($G(^OR(100,IFN,3)),U,3) I (STS=10)!(IFN=+$P(X0,U,4)) D
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58 | ... D STATUS^ORCSAVE2(IFN,13) S X8=$G(^OR(100,IFN,8,1,0))
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59 | ... S:$P(X8,U,15) $P(^OR(100,IFN,8,1,0),U,15)=13
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60 | ... D:$P(X8,U,4)=2 SIGN^ORCSAVE2(IFN,"","",5,1)
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61 | ... S ^OR(100,IFN,6)=+$O(^ORD(100.02,"C","A",0))_U_U_ORNOW_U_+$O(^ORD(100.03,"C","ORDIS",0))_U_U_U_U_$G(OREVENT)
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62 | . S:$G(DAD) ORP=DAD D DONE^OREVNTX(ORP),ACTLOG^OREVNTX(ORP,"CA") ;195
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63 | Q
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