1 | ECXTRT ;ALB/JAP,BIR/DMA,CML,PTD-Treating Specialty Change Extract ; 04/12/2007
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2 | ;;3.0;DSS EXTRACTS;**1,8,17,24,33,35,39,46,49,84,107**;Dec 22, 1997;Build 9
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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 ; start package specific extract
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9 | N LOC,SPC,TRT,WRD
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10 | S QFLG=0
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11 | K ECXDD D FIELD^DID(405,.19,,"SPECIFIER","ECXDD")
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12 | S ECPRO=$E(+$P(ECXDD("SPECIFIER"),"P",2)) K ECXDD
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13 | K ^TMP($J,"ECXTMP") S TRT=0
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14 | F S TRT=$O(^DIC(45.7,TRT)) Q:+TRT=0 S SPC=$P(^DIC(45.7,TRT,0),U,2),^TMP($J,"ECXTMP",TRT)=SPC
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15 | S ECED=ECED+.3,ECD=ECSD1
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16 | ;loop through type 6 movements to get treating specialty and provider changes
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17 | F S ECD=$O(^DGPM("ATT6",ECD)),ECDA=0 Q:('ECD)!(ECD>ECED)!(QFLG) F S ECDA=$O(^DGPM("ATT6",ECD,ECDA)) Q:'ECDA D Q:QFLG
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18 | .I $D(^DGPM(ECDA,0)) S EC=^(0),ECXDFN=+$P(EC,U,3) D Q:QFLG
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19 | ..S ECXMVD1=$P(EC,U),WRD=$P(EC,U,6)
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20 | ..;
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21 | ..;- Call sets ECXA (In/Out indicator)
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22 | ..Q:'$$PATDEM^ECXUTL2(ECXDFN,ECXMVD1,"1;",13)
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23 | ..S ECMT=$P(EC,U,18),ECXADM=$P(EC,U,14),ECXADT=$P($G(^DGPM(ECXADM,0)),U)
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24 | ..;skip the record if its the admission treat. spec. change for this episode of care
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25 | ..Q:ECXADM=$P(EC,U,24)
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26 | ..S (ECXLOS,ECXLOSA,ECXLOSP)="" S ECXDSSD=""
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27 | ..K LOC D SETLOC(ECXDFN,ECXADM,ECPRO,.LOC)
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28 | ..;get data for current (new) ts movement
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29 | ..S ECD1=9999999.9999999-ECXMVD1
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30 | ..D FINDLOC(ECD1,.LOC,.ECXSPCN,.ECXPRVN,.ECXATTN,.ECXMOVN,.ECXTRTN)
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31 | ..Q:ECXSPCN=""
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32 | ..S ECD2=$O(LOC(ECD1)) Q:ECD2=""
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33 | ..S ECXMVD2=9999999.9999999-ECD2
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34 | ..;get data for previous (losing) ts movement
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35 | ..D FINDLOC(ECD2,.LOC,.ECXSPCL,.ECXPRVL,.ECXATTL,.ECXMOVL,.ECXTRTL)
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36 | ..;if ts has changed, find los on losing ts
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37 | ..D:ECXTRTL'=ECXTRTN PREVTRT^ECXTRT1(.LOC,ECD1,ECD2,ECXTRTL,.ECXLOS)
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38 | ..;whether ts has changed or not, see if primary provider has changed
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39 | ..;dont bother if there's no data on current primary provider or no change in provider
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40 | ..D:(ECXPRVN'="")&(ECXPRVN'=ECXPRVL) PREVPRV^ECXTRT1(.LOC,ECD1,ECXPRVN,ECD2,.ECXPRVL,.ECXLOSP)
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41 | ..;whether ts has changed or not, see if attending physician has changed
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42 | ..;dont bother if theres no data on current attending physician or no change in attending
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43 | ..D:(ECXATTN'="")&(ECXATTN'=ECXATTL) PREVATT^ECXTRT1(.LOC,ECD1,ECXATTN,ECD2,.ECXATTL,.ECXLOSA)
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44 | ..S ECXDATE=$$ECXDATE^ECXUTL(ECXMVD1,ECXYM),ECXTIME=$$ECXTIME^ECXUTL(ECXMVD1)
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45 | ..S ECXADMDT=$$ECXDATE^ECXUTL(ECXADT,ECXYM),ECXADMTM=$$ECXTIME^ECXUTL(ECXADT),ECXDCDT=""
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46 | ..;- Production Division
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47 | ..S ECXPDIV=""
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48 | ..I ECXLOGIC>2003 S ECXPDIV=$S(WRD="":"",1:$$NPDIV(WRD))
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49 | ..S (ECXALNPI,ECXANNPI,ECXPLNPI,ECXPNNPI)=""
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50 | ..;
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51 | ..;- Observation patient indicator (YES/NO)
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52 | ..S ECXOBS=$$OBSPAT^ECXUTL4(ECXA,ECXTS)
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53 | ..;
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54 | ..;- Chg outpat with movemnt/discharge to inpat (to comply w/existing business rule)
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55 | ..I ECXA="O"&(ECXOBS="NO")&(ECXMVD1) S ECXA="I"
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56 | ..;
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57 | ..;- Get providers person classes
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58 | .. S ECXATLPC=$$PRVCLASS^ECXUTL($E(ECXATTL,2,999),ECXADT)
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59 | .. S ECXPRNPC=$$PRVCLASS^ECXUTL($E(ECXPRVN,2,999),ECXADT)
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60 | .. S ECXATNPC=$$PRVCLASS^ECXUTL($E(ECXATTN,2,999),ECXADT)
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61 | .. S ECXPRLPC=$$PRVCLASS^ECXUTL($E(ECXPRVL,2,999),ECXADT)
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62 | ..;
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63 | ..;- If no encounter number, don't file record
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64 | ..S ECXENC=$$ENCNUM^ECXUTL4(ECXA,ECXSSN,ECXADT,,ECXTS,ECXOBS,ECHEAD,,)
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65 | ..D:ECXENC'="" FILE
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66 | ;for nhcu episodes with intervening asih stays, the los calculated here is not accurate,
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67 | ;but it never has been; this is best solution within current extract framework;
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68 | ;at discharge the los calculated for nhcu apisodes will be the los since admission w/o asih los subtracted;
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69 | ;
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70 | ;loop through discharges to get last treating specialty
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71 | S ECD=ECSD1
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72 | F S ECD=$O(^DGPM("ATT3",ECD)),ECDA=0 Q:'ECD Q:ECD>ECED F S ECDA=$O(^DGPM("ATT3",ECD,ECDA)) Q:'ECDA D Q:QFLG
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73 | .I $D(^DGPM(ECDA,0)) S EC=^(0),ECXDFN=+$P(EC,U,3) D Q:QFLG
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74 | ..S ECXMVD1=$P(EC,U),WRD=$P(EC,U,6)
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75 | ..S (ECXDATE,ECXDCDT)=$$ECXDATE^ECXUTL(ECXMVD1,ECXYM),ECXTIME=$$ECXTIME^ECXUTL(ECXMVD1)
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76 | ..I ECXDCDT'>0 S ECXDCDT=""
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77 | ..S ECMT=$P(EC,U,18),ECXADM=$P(EC,U,14),ECXADT=$P($G(^DGPM(ECXADM,0)),U,1)
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78 | ..S (ECXTRTN,ECXSPCN,ECXPRVN,ECXATTN)="" S (ECXLOS,ECXLOSA,ECXLOSP)="" S ECXDSSD=""
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79 | ..K LOC D SETLOC(ECXDFN,ECXADM,ECPRO,.LOC)
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80 | ..S ECD1=9999999.9999999-ECXMVD1
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81 | ..;get ts change just before d/c
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82 | ..S ECD2=$O(LOC(ECD1)),ECXMVD2=9999999.9999999-ECD2
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83 | ..D FINDLOC(ECD2,.LOC,.ECXSPCL,.ECXPRVL,.ECXATTL,.ECXMOVL,.ECXTRTL)
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84 | ..;
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85 | ..;- Call sets ECXA (In/Out indicator) using date before discharge
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86 | ..Q:'$$PATDEM^ECXUTL2(ECXDFN,ECXMVD2,"1;",13)
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87 | ..S ECXADMDT=$$ECXDATE^ECXUTL(ECXADT,ECXYM),ECXADMTM=$$ECXTIME^ECXUTL(ECXADT)
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88 | ..;if closest ts change is admission ts, cant go back any further
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89 | ..S TRT=$O(LOC(ECD2,0)),REC=$O(LOC(ECD2,TRT,0))
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90 | ..I REC=ECXADM D
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91 | ...S X1=ECXMVD1,X2=ECXMVD2 D ^%DTC S ECXLOS=X
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92 | ...I ECXPRVL'="" S X1=ECXMVD1,X2=ECXMVD2 D ^%DTC S ECXLOSP=X
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93 | ...I ECXATTL'="" S X1=ECXMVD1,X2=ECXMVD2 D ^%DTC S ECXLOSA=X
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94 | ..;otherwise, need to find when change to last ts occurred
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95 | ..I REC'=ECXADM D
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96 | ...D PREVTRT^ECXTRT1(.LOC,ECD1,ECD2,ECXTRTL,.ECXLOS)
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97 | ...D PREVPRV^ECXTRT1(.LOC,ECD1,ECXPRVN,ECD2,.ECXPRVL,.ECXLOSP)
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98 | ...D PREVATT^ECXTRT1(.LOC,ECD1,ECXATTN,ECD2,.ECXATTL,.ECXLOSA)
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99 | ..S:ECXLOS>9999 ECXLOS=9999 S:ECXLOSA>9999 ECXLOSA=9999
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100 | ..S:ECXLOSP>9999 ECXLOSP=9999
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101 | ..;- Production Division
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102 | ..S ECXPDIV=""
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103 | ..I ECXLOGIC>2003 S ECXPDIV=$S(WRD="":"",1:$$NPDIV(WRD))
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104 | ..S (ECXALNPI,ECXANNPI,ECXPLNPI,ECXPNNPI)=""
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105 | ..;
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106 | ..;- Observation patient indicator (YES/NO)
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107 | ..S ECXOBS=$$OBSPAT^ECXUTL4(ECXA,ECXTS)
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108 | ..;
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109 | ..;- Chg outpat with movemnt/discharge to inpat (to comply w/existing business rule)
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110 | ..I ECXA="O"&(ECXOBS="NO")&(ECXMVD1) S ECXA="I"
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111 | ..;
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112 | ..;- Get providers person classes
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113 | .. S ECXATLPC=$$PRVCLASS^ECXUTL($E(ECXATTL,2,999),ECXADT)
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114 | .. S ECXPRNPC=$$PRVCLASS^ECXUTL($E(ECXPRVN,2,999),ECXADT)
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115 | .. S ECXATNPC=$$PRVCLASS^ECXUTL($E(ECXATTN,2,999),ECXADT)
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116 | .. S ECXPRLPC=$$PRVCLASS^ECXUTL($E(ECXPRVL,2,999),ECXADT)
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117 | ..;
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118 | ..;- If no encounter number don't file record
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119 | ..S ECXENC=$$ENCNUM^ECXUTL4(ECXA,ECXSSN,ECXADT,,ECXTS,ECXOBS,ECHEAD,,)
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120 | ..D:ECXENC'="" FILE
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121 | D KPATDEM^ECXUTL2
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122 | Q
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123 | ;
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124 | NPDIV(WRD) ;National Production Division
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125 | N DIV
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126 | S DIV=$$GET1^DIQ(42,WRD,.015,"I")
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127 | Q $S(DIV="":"",1:$$GETDIV^ECXDEPT(DIV))
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128 | ;
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129 | SETLOC(ECXDFN,ECXADM,ECXPRO,ECXLOC) ;setup the local array from the ATS index
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130 | ; output
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131 | ; ECXLOC = local array (passed by reference)
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132 | ;
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133 | N SUB3,SUB4,SUB5,SPC,PRV,ATT,MOV
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134 | S SUB3=0
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135 | F S SUB3=$O(^DGPM("ATS",ECXDFN,ECXADM,SUB3)) Q:SUB3="" D
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136 | .S (SUB4,SUB5)=0
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137 | .S SUB4=$O(^DGPM("ATS",ECXDFN,ECXADM,SUB3,SUB4))
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138 | .S SUB5=$O(^DGPM("ATS",ECXDFN,ECXADM,SUB3,SUB4,SUB5))
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139 | .S ECXLOC(SUB3,SUB4,SUB5)="",SPC=$G(^TMP($J,"ECXTMP",SUB4))
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140 | .S DATA=$G(^DGPM(SUB5,0)),PRV=$P(DATA,U,8),ATT=$P(DATA,U,19)
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141 | .S MOV=$P(DATA,U,14)
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142 | .S:PRV]"" PRV=ECXPRO_PRV S:ATT]"" ATT=ECXPRO_ATT
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143 | .S ECXLOC(SUB3,SUB4,SUB5)=SPC_U_PRV_U_ATT_U_MOV
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144 | Q
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145 | ;
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146 | FINDLOC(ECXTSD,ECXLOC,ECXSPC,ECXPRV,ECXATT,ECXMOV,ECXTRT) ;find local array node for current ts movement
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147 | ; input
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148 | ; ECXTSD = inverse date/time for current ts movement; required
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149 | ; ECXLOC = local array; passed by reference; required
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150 | ; output; data from record contained in MOVE
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151 | ; ECXSPC = piece 1 of LOC (passed by reference)
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152 | ; ECXPRV = piece 2 of LOC concatenated to PRO (passed by reference)
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153 | ; ECXATT = piece 3 of LOC concatenated to PRO (passed by reference)
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154 | ; ECXMOV = piece 4 of LOC (passed by reference)
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155 | ; ECXTRT = pointer to file #45.7
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156 | ;
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157 | N SUB3,SUB4,SUB5,LOC
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158 | S (ECXSPC,ECXPRV,ECXATT,ECXMOV)=""
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159 | S SUB3=ECXTSD
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160 | I $D(ECXLOC(SUB3)) D
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161 | .S SUB4=$O(ECXLOC(SUB3,0)),SUB5=$O(ECXLOC(SUB3,SUB4,0))
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162 | .S LOC=ECXLOC(SUB3,SUB4,SUB5),ECXTRT=SUB4,ECXSPC=$P(LOC,U)
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163 | .S ECXPRV=$P(LOC,U,2),ECXATT=$P(LOC,U,3),ECXMOV=$P(LOC,U,4)
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164 | Q
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165 | ;
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166 | FILE ;file the extract record
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167 | ;node0
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168 | ;^dfn^ssn^name^i/o (ECXA)^date^product^adm date^d/c date^
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169 | ;mov#^type^new ts^losing ts^losing ts los^
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170 | ;losing attending^movement type^time^adm time^new provider^
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171 | ;new attending^losing provider
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172 | ;node1
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173 | ;mpi^dss dept^losing attending npi^new provider npi^new attending npi^
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174 | ;losing provider npi^losing attending los^losing provider los^dom^
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175 | ;observ pat ind^encounter num
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176 | ;
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177 | ;convert specialties to PTF Codes for transmission
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178 | ;
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179 | N ECXDATA
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180 | S ECXDATA=$$TSDATA^DGACT(42.4,+ECXSPCN,.ECXDATA)
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181 | S ECXSPCN=$G(ECXDATA(7))
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182 | S ECXDATA=$$TSDATA^DGACT(42.4,+ECXSPCL,.ECXDATA)
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183 | S ECXSPCL=$G(ECXDATA(7))
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184 | ;done
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185 | S EC7=$O(^ECX(ECFILE,999999999),-1),EC7=EC7+1
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186 | S ECODE=EC7_U_EC23_U_U_ECXDFN_U_ECXSSN_U_ECXPNM_U_ECXA_U_ECXDATE_U_U
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187 | S ECODE=ECODE_ECXADMDT_U_ECXDCDT_U_ECDA_U_6_U_ECXSPCN_U_ECXSPCL_U
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188 | S ECODE=ECODE_ECXLOS_U_ECXATTL_U_ECMT_U_ECXTIME_U_ECXADMTM_U_ECXPRVN_U
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189 | S ECODE=ECODE_ECXATTN_U_ECXPRVL_U
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190 | S ECODE1=ECXMPI_U_ECXDSSD_U_ECXALNPI_U_ECXPNNPI_U_ECXANNPI_U_ECXPLNPI_U
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191 | S ECODE1=ECODE1_ECXLOSA_U_ECXLOSP_U_ECXDOM_U_ECXOBS_U_ECXENC_U_ECXPDIV
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192 | I ECXLOGIC>2005 S ECODE1=ECODE1_U_ECXATLPC_U_ECXPRNPC_U_ECXATNPC_U_ECXPRLPC
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193 | S ^ECX(ECFILE,EC7,0)=ECODE,^ECX(ECFILE,EC7,1)=ECODE1,ECRN=ECRN+1
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194 | S DA=EC7,DIK="^ECX("_ECFILE_"," D IX1^DIK K DIK,DA
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195 | I $D(ZTQUEUED),$$S^%ZTLOAD S QFLG=1
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196 | Q
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197 | ;
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198 | SETUP ;Set required input for ECXTRAC
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199 | S ECHEAD="TRT"
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200 | D ECXDEF^ECXUTL2(ECHEAD,.ECPACK,.ECGRP,.ECFILE,.ECRTN,.ECPIECE,.ECVER)
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201 | Q
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202 | ;
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203 | QUE ; entry point for the background requeuing handled by ECXTAUTO
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204 | D SETUP,QUE^ECXTAUTO,^ECXKILL
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205 | Q
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