| [623] | 1 | ECXSURG ;ALB/JA,BIR/DMA,PTD-Surgery Extract for DSS ; 11/2/06 9:00am
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| 2 | ;;3.0;DSS EXTRACTS;**1,11,8,13,25,24,33,39,41,42,46,50,71,84,92,99**;Dec 22, 1997;Build 2
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| 3 | BEG ;entry point from option
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| 4 | D SETUP I ECFILE="" Q
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| 5 | D ^ECXTRAC,^ECXKILL
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| 6 | Q
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| 7 | ;
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| 8 | START ;
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| 9 | S QFLG=0,ECED=ECED+.3,ECD=ECSD1
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| 10 | F S ECD=$O(^SRF("AC",ECD)),ECD0=0 Q:('ECD)!(ECD>ECED)!(QFLG) D
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| 11 | .F S ECD0=$O(^SRF("AC",ECD,ECD0)) Q:'ECD0 D
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| 12 | ..I $D(^SRF(ECD0,0)) S EC=^SRF(ECD0,0),ECXDFN=+$P(EC,U),ECXVISIT=$P(EC,U,15) D STUFF Q:QFLG
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| 13 | Q
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| 14 | ;
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| 15 | STUFF ;gather data
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| 16 | N J,X,Y,PP,DATA1,DATA2,DATAOP,ARR,ERR,SUB,MOD,ECXNONL,ECXSTOP,TIMEDIF
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| 17 | N ECPRO,ECXORCT,ECXPTHA,ECXNPRFI,ECXPA,ECXPAPC,ECSRPC,ECATPC,ECSAPC
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| 18 | S ECXDATE=ECD,ECXERR=0,ECXQ=""
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| 19 | Q:'$$PATDEM^ECXUTL2(ECXDFN,ECXDATE,"1;2;3;5;")
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| 20 | I ECXADMDT="" S ECXADD=ECXADMDT
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| 21 | I ECXADMDT'="" S ECXADD=$$ECXDATE^ECXUTL(ECXADMDT,ECXYM)
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| 22 | S EC0=^SRF(ECD0,0)
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| 23 | S DATA1=$S($D(^SRF(ECD0,.1)):^(.1),1:"")
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| 24 | S DATA2=$S($D(^SRF(ECD0,.2)):^(.2),1:"")
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| 25 | ;S DATAOP=$S($D(^SRF(ECD0,"OP")):^("OP"),1:"")
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| 26 | S DATAOP=$S($D(^SRO(136,ECD0,0)):^(0),1:"")
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| 27 | S ECNO=$G(^SRF(ECD0,"NON"))
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| 28 | ;get data
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| 29 | S ECSR=$P(DATA1,U,4),(ECATNPI,ECSANPI,ECSRNPI)="",ECAT=$P(DATA1,U,13)
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| 30 | ;-Time patient in OR room (Nurse Time)
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| 31 | S ECXTM=$$ECXTIME^ECXUTL($P(DATA2,U,10))
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| 32 | S ECXDIV=$S($D(^SRF(ECD0,8)):^(8),1:ECINST)
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| 33 | N ECXPDIV S ECXPDIV=$$RADDIV^ECXDEPT(ECXDIV) ;Production Division
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| 34 | S ECSA=$P($G(^SRF(ECD0,.3)),U,4),ECO=$P(EC0,U,2)
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| 35 | ;get principle anesthetist and person class DBIA #103
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| 36 | S ECXPA=$P($G(^SRF(ECD0,.3)),U,1)
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| 37 | S ECXPAPC=$$PRVCLASS^ECXUTL(ECXPA,ECXDATE)
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| 38 | S ECORTY=$P($G(^SRS(+ECO,2)),U),ECO=$P($G(^SRS(+ECO,0)),U)
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| 39 | S ECSS=$P($G(^SRO(137.45,+$P(EC0,U,4),0)),U,2)
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| 40 | S ECSS=$$RJ^XLFSTR($P($G(^DIC(45.3,+ECSS,0)),U),3,0)
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| 41 | S:ECSS="000" ECSS="999"
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| 42 | ;get classification information
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| 43 | S (ECXAO,ECXHNC)="" I ECXVISIT'="" D
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| 44 | .D VISIT^ECXSCX1(ECXDFN,ECXVISIT,.ECXVIST,.ECXERR) I ECXERR K ECXERR
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| 45 | .S ECXAO=$G(ECXVIST("AO")),ECXHNC=$G(ECXVIST("HNC"))
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| 46 | ; - Head and Neck Cancer Indicator
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| 47 | S ECXHNCI=$$HNCI^ECXUTL4(ECXDFN)
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| 48 | ;look for non-OR
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| 49 | S (ECNT,ECNL,ECXDSSD,ECXNONL,ECXSTOP)=""
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| 50 | I $P(ECNO,U)="Y" D
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| 51 | .S ECSR=$P(ECNO,U,6),ECAT=$P(ECNO,U,7)
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| 52 | .S ECXTM=$$ECXTIME^ECXUTL($P(ECNO,U,4))
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| 53 | .S A1=$P(ECNO,U,5),A2=$P(ECNO,U,4),TIME="##" D:(A1&A2) TIME S ECNT=TIME
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| 54 | .S (ECXNONL,ECNL)=+$P(ECNO,U,2),ECNL=$P($G(^ECX(728.44,ECNL,0)),U,9)
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| 55 | .S:ECNL="" ECNL="UNKNOWN"
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| 56 | .;
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| 57 | .;- Get DSS Stop Code to use in encounter number
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| 58 | .S ECXSTOP=$P($G(^ECX(728.44,ECXNONL,0)),U,4)
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| 59 | ;
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| 60 | ;- If surgery cancelled/aborted quit and go to next record
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| 61 | S ECCAN=$P($G(^SRF(ECD0,30)),U)
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| 62 | I +ECCAN S ECCAN=$$CANC^ECXUTL4(ECNL,$P(DATA2,U,10))
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| 63 | ;on hold for ECXDSSD and ECXDSSP I $P($G(^SRF(ECD0,30)),U) Q
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| 64 | ;get service of attending surgeon
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| 65 | S ECATSV=$P($G(^DIC(49,+$G(^VA(200,+ECAT,5)),730)),U)
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| 66 | ;
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| 67 | ;get surgeon, attending and anesthesia super person classes
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| 68 | S ECSRPC=$$PRVCLASS^ECXUTL(ECSR,ECXDATE)
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| 69 | S ECATPC=$$PRVCLASS^ECXUTL(ECAT,ECXDATE)
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| 70 | S ECSAPC=$$PRVCLASS^ECXUTL(ECSA,ECXDATE)
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| 71 | ;
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| 72 | ;add leading 2s for pointer to 200
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| 73 | S:ECAT ECAT="2"_ECAT S:ECSR ECSR="2"_ECSR S:ECSA ECSA="2"_ECSA
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| 74 | ;add leading 2 to principle anesthetist IEN
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| 75 | S:ECXPA ECXPA="2"_ECXPA
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| 76 | ;anesthesia technique
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| 77 | S ECANE="",PP=""
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| 78 | I $D(^SRF(ECD0,6,0)) S ECXJ=0 D
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| 79 | .F S ECXJ=$O(^SRF(ECD0,6,ECXJ)) Q:('ECXJ)!(ECANE]"") D
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| 80 | ..S PP=$P($G(^(ECXJ,0)),U,3) S:PP="Y" ECANE=$P(^(0),U,1)
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| 81 | .I ECANE="" S ECXJ=$O(^SRF(ECD0,6,0)) I ECXJ S ECANE=$P(^SRF(ECD0,6,ECXJ,0),U,1)
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| 82 | ;get primary procedure
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| 83 | ;ecode0=p^cpt code^^patient time^operation time^anesthesia time
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| 84 | S ECPT=+$P(DATAOP,U,2),ECXCMOD=""
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| 85 | K ARR,ERR D FIELD^DID(130,28,,"LABEL","ARR","ERR") I $D(ARR("LABEL")) D
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| 86 | .K ARR,ERR D FIELD^DID(130,28,,"GLOBAL SUBSCRIPT LOCATION","ARR","ERR")
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| 87 | .Q:$D(ERR("DIERR"))
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| 88 | .S SUB=$P(ARR("GLOBAL SUBSCRIPT LOCATION"),";"),MOD=0
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| 89 | .F S MOD=$O(^SRF(ECD0,SUB,MOD)) Q:MOD'>0 D
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| 90 | ..S ECXCMOD=ECXCMOD_$P(^(MOD,0),U)_";"
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| 91 | S ECXCPT=$$CPT^ECXUTL3(ECPT,ECXCMOD)
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| 92 | S ECODE0="P"_U_U ;ECPT_U
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| 93 | F J="10,12","2,3","1,4" D
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| 94 | .N ECNTIME,ECSTIME,ECATIME
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| 95 | .S A2=$P(DATA2,U,$P(J,",")),A1=$P(DATA2,U,$P(J,",",2)),TIME="##"
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| 96 | .I (A1&A2)&(+J=10) D TIME S ECNTIME=TIME
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| 97 | .I (A1&A2)&(+J=1) D TIME S ECATIME=TIME
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| 98 | .I (A1&A2)&(+J=2) D
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| 99 | ..;
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| 100 | ..;-Operation Time (Surgeon Time)
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| 101 | ..;-Get time diff (in secs) & set to .5 if < 7.5 minutes (rounds to 1)
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| 102 | ..S TIMEDIF=$$FMDIFF^XLFDT(A1,A2,2)/900
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| 103 | ..S TIMEDIF=$S(TIMEDIF>0&(TIMEDIF<.5):.5,1:TIMEDIF)
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| 104 | ..S TIME=$TR($J(TIMEDIF,4,0)," ")
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| 105 | ..S:TIME<0 TIME="###"
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| 106 | ..S:TIME ECSTIME=TIME
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| 107 | .S ECODE0=ECODE0_U_TIME K TIME
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| 108 | ; -Recovery Room Time
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| 109 | S ECRR=""
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| 110 | I $D(^SRF(ECD0,1.1)) D
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| 111 | .S A1=$P(^(1.1),U,8),A2=$P(^(1.1),U,7),TIME="##" D:(A1&A2) TIME
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| 112 | .S ECRR=TIME K TIME
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| 113 | I ECNL]"" S $P(ECODE0,U,5)=ECNT
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| 114 | ;
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| 115 | ; -OR Clean Time in 15 min increments DBIA #103
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| 116 | S ECXORCT=($$FMDIFF^XLFDT($P($G(DATA2),U,14),$P($G(DATA2),U,13),2)/60)/15
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| 117 | ; -If no OR clean time recorded set it to 2
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| 118 | I ECXORCT'>0 S ECXORCT=2
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| 119 | ;
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| 120 | ; -PT in hold area time in 15 min increments DBIA #103
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| 121 | I $P($G(DATA2),U,10),$P($G(DATA2),U,15) D
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| 122 | .S ECXPTHA=($$FMDIFF^XLFDT($P($G(DATA2),U,10),$P($G(DATA2),U,15),2)/60)/15
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| 123 | .S CON=$P($G(^SRF(ECD0,"CON")),U)
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| 124 | .I CON S ECXPTHA=ECXPTHA/2
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| 125 | .S ECXPTHA=$TR($J(ECXPTHA,3,0)," ")
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| 126 | ; -If hold time is =<0 set it to ""
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| 127 | S:$G(ECXPTHA)'>0 ECXPTHA=""
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| 128 | ;
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| 129 | ;- Observation Patient Indicator (yes/no)
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| 130 | S ECXOBS=$$OBSPAT^ECXUTL4(ECXA,ECXTS,ECNL)
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| 131 | ;
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| 132 | ;- set national patient record flag if exist
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| 133 | D NPRF^ECXUTL5
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| 134 | ;
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| 135 | ;- If no encounter number don't file record
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| 136 | S ECXENC=$$ENCNUM^ECXUTL4(ECXA,ECXSSN,ECXADMDT,ECXDATE,ECXTS,ECXOBS,ECHEAD,ECXSTOP,ECSS) Q:ECXENC=""
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| 137 | ;
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| 138 | D FILE
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| 139 | ;get secondary procedures
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| 140 | ;ecode0=s^cpt code
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| 141 | S ECXJ=0
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| 142 | ;F S ECXJ=$O(^SRF(ECD0,13,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)),$D(^(2)),$P(^(2),U)]"" D
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| 143 | F S ECXJ=$O(^SRO(136,ECD0,3,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)),$D(^(0)),$P(^(0),"^")]"" D
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| 144 | .;S ECPT=$P(^SRF(ECD0,13,ECXJ,2),U),ECXCMOD=""
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| 145 | . S ECPT=$P(^SRO(136,ECD0,3,ECXJ,0),"^"),ECXCMOD=""
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| 146 | .K ARR,ERR
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| 147 | .D FIELD^DID(130.16,4,,"LABEL","ARR","ERR") I $D(ARR("LABEL")) D
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| 148 | ..K ARR,ERR
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| 149 | ..D FIELD^DID(130.16,4,,"GLOBAL SUBSCRIPT LOCATION","ARR","ERR")
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| 150 | ..Q:$D(ERR("DIERR"))
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| 151 | ..S SUB=$P(ARR("GLOBAL SUBSCRIPT LOCATION"),";"),MOD=0
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| 152 | ..F S MOD=$O(^SRF(ECD0,13,ECXJ,SUB,MOD)) Q:MOD'>0 S ECXCMOD=ECXCMOD_$P(^(MOD,0),U)_";"
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| 153 | .S ECXCPT=$$CPT^ECXUTL3(ECPT,ECXCMOD)
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| 154 | .S ECODE0="S"_U ;_ECPT
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| 155 | .D FILE
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| 156 | ;get prostheses
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| 157 | ;ecode0=i^^^^^^prosthesis^old qty field (null)
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| 158 | S ECXJ=0
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| 159 | F S ECXJ=$O(^SRF(ECD0,1,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)) D
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| 160 | .S ECXP=+^SRF(ECD0,1,ECXJ,0),ECXQ=$P($G(^(1)),U,2) S:'ECXQ ECXQ=1
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| 161 | .S ECODE0="I"_U_U_U_U_U_U_ECXP_U_U
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| 162 | .D FILE
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| 163 | Q
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| 164 | ;
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| 165 | FILE ;file record
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| 166 | ;node0
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| 167 | ;division^dfn^ssn^name^in/out (ECXA)^day^case #^
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| 168 | ;surg specialty^or room #^
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| 169 | ;surgeon^attending^anesthesia supervisor^anesthesia technique^
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| 170 | ;primary/secondary/prostheses^cpt^^pt time^op time^anes time^
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| 171 | ;prostheses^qty^^
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| 172 | ;movement number^treating specialty^cancel/abort (ECCAN)^time^or type^
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| 173 | ;attending's service^non-or dss id^recovery room time^^
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| 174 | ;primary care team^primary care provider^admission date
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| 175 | ;node1
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| 176 | ;mpi^dss dept ECXDSSD^surgeon npi^attending npi^anes supervisor npi^
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| 177 | ;pc provider npi^pc prov person class^
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| 178 | ;assoc pc provider^assoc pc prov person class^assoc pc prov npi^
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| 179 | ;cpt&modifiers ECXCPT^dom ECXDOM^enrollment category ECXCAT^
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| 180 | ;enrollment status ECXSTAT^enrollment priority ECXPRIOR^
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| 181 | ;period of service ECXPOS^purple heart indicator ECXPHI^
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| 182 | ;observ pat ind ECXOBS^encounter num ECXENC^ao loc ECXAOL^
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| 183 | ;production division ECXPDIV^head & neck canc ind ECXHNCI^
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| 184 | ;ethnicity ECXETH^race1 ECXRC1^new quantity ECXQ^
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| 185 | ;^user enrollee ECXUESTA^patient type ECXPTYPE^combat vet elig
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| 186 | ;ECXCVE^combat vet elig end date ECXCVEDT^enc cv eligible ECXCVENC
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| 187 | ;or clean time ECXORCT^time pt in hold area ECXPTHA^national patient
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| 188 | ;record flag ECXNPRFI^princ anesthetist ECXPA^surgeon per class ECSRPC
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| 189 | ;node2
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| 190 | ;atten surgeon per class ECATPC^anesthesia super person class ECSAPC^
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| 191 | ;princ anesthetist PC ECXPAPC^emergency response indicator(FEMA) ECXERI^
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| 192 | ;agent orange indic ECXAO^head/neck cancer ECXHNC
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| 193 | ;
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| 194 | N DA,DIK,STR
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| 195 | S EC7=$O(^ECX(ECFILE,999999999),-1),EC7=EC7+1
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| 196 | S ECODE=EC7_U_EC23_U_ECXDIV_U_ECXDFN_U_ECXSSN_U_ECXPNM_U_ECXA_U
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| 197 | S ECODE=ECODE_$$ECXDATE^ECXUTL(ECXDATE,ECXYM)_U_ECD0_U_ECSS_U_ECO_U
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| 198 | S ECODE=ECODE_ECSR_U_ECAT_U_ECSA_U_ECANE_U_ECODE0_U
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| 199 | S STR=ECXMN_U_ECXTS_U_$S(ECCAN'="":ECCAN,1:"")_U_ECXTM_U_ECORTY_U
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| 200 | S STR=STR_ECATSV_U_ECNL_U_ECRR_U_U_ECPTTM_U_ECPTPR_U_ECXADD_U
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| 201 | S $P(ECODE,U,26,38)=STR
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| 202 | S ECODE1=ECXMPI_U_ECXDSSD_U_ECSRNPI_U_ECATNPI_U_ECSANPI_U_ECPTNPI_U
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| 203 | S ECODE1=ECODE1_ECCLAS_U_ECASPR_U_ECCLAS2_U_ECASNPI_U_ECXCPT_U_ECXDOM_U
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| 204 | S ECODE1=ECODE1_ECXCAT_U_ECXSTAT_U_$S(ECXLOGIC<2005:ECXPRIOR,1:"")_U_ECXPOS_U_ECXPHI_U
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| 205 | S ECODE1=ECODE1_ECXOBS_U_ECXENC_U_ECXAOL_U_ECXPDIV_U_ECXHNCI_U
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| 206 | S ECODE1=ECODE1_ECXETH_U_ECXRC1_U_ECXQ_U
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| 207 | I ECXLOGIC>2004 S ECODE1=ECODE1_U_ECXPRIOR_ECXSBGRP_U_ECXUESTA_U_ECXPTYPE_U_ECXCVE_U_ECXCVEDT_U_ECXCVENC_U_ECXORCT_U_ECXPTHA_U_ECXNPRFI
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| 208 | I ECXLOGIC>2005 S ECODE1=ECODE1_U_ECXPA_U_ECSRPC_U,ECODE2=ECATPC_U_ECSAPC_U_ECXPAPC
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| 209 | I ECXLOGIC>2006 S ECODE2=ECODE2_U_ECXERI_U_ECXAO_U_ECXHNC
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| 210 | S ^ECX(ECFILE,EC7,0)=ECODE,^ECX(ECFILE,EC7,1)=ECODE1,^ECX(ECFILE,EC7,2)=ECODE2,ECRN=ECRN+1
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| 211 | S DA=EC7,DIK="^ECX("_ECFILE_"," D IX1^DIK K DIK,DA
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| 212 | I $D(ZTQUEUED),$$S^%ZTLOAD S QFLG=1
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| 213 | ;
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| 214 | TIME ; given date/time get increment
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| 215 | ;A1=later, A2=earlier, TIME=difference
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| 216 | N CON,TIMEDIF
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| 217 | S CON=$P($G(^SRF(ECD0,"CON")),U)
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| 218 | ;
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| 219 | ;-Get time diff (in secs) & set to .5 if < 7.5 minutes (rounds to 1)
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| 220 | S TIMEDIF=$$FMDIFF^XLFDT(A1,A2,2)/900
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| 221 | S TIMEDIF=$S(TIMEDIF>0&(TIMEDIF<.5):.5,1:TIMEDIF)
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| 222 | I 'CON D
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| 223 | .S TIME=$J($TR($J(TIMEDIF,4,0)," "),2,1)
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| 224 | .S:TIME>"99.0" TIME="99.0"
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| 225 | I CON D
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| 226 | .S TIME=$J(($TR($J(TIMEDIF,4,0)," ")/2),2,1)
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| 227 | .S:TIME>"99.5" TIME="99.5"
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| 228 | S:TIME<0 TIME="###"
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| 229 | Q
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| 230 | ;
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| 231 | SETUP ;Set required input for ECXTRAC
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| 232 | S ECHEAD="SUR"
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| 233 | D ECXDEF^ECXUTL2(ECHEAD,.ECPACK,.ECGRP,.ECFILE,.ECRTN,.ECPIECE,.ECVER)
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| 234 | Q
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| 235 | ;
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| 236 | QUE ; entry point for the background requeuing handled by ECXTAUTO
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| 237 | D SETUP,QUE^ECXTAUTO,^ECXKILL Q
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