| 1 | BPSJZPR ;BHAM ISC/CMW/LJF - Process Incoming HL7 ZPR Message ;01-DEC-2003
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| 2 | ;;1.0;E CLAIMS MGMT ENGINE;**1**;JUN 2004
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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 | ; Description:
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| 6 | ; Process incoming HL7 ZPR Messages
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| 7 | ; Update Payer Sheet File (9002313.92)
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| 8 | ;
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| 9 | Q
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| 10 | ;
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| 11 | ; Entry point
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| 12 | EN(BPSJEN,BPSJSEG,BPSJROOT,BPSFILE) ;
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| 13 | ;
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| 14 | N BPRCODE,BPSF,BPSFDIC,BPSEGID,BPORDER,BPMODE,BPNOTES,BPSETID
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| 15 | N FLN,FLNSC,FLNPN,FLNSPEC
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| 16 | N DIE,DIC,DLAYGO,DR,DA,DINUM
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| 17 | N C,X,Y,NCNT,BPND
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| 18 | ;
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| 19 | I $G(BPSJEN),$G(BPSJROOT)]"",$G(BPSFILE)]"",$D(BPSJSEG)
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| 20 | E Q ; invalid info
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| 21 | ;
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| 22 | S BPRCODE=$$ZPR(),DIE=$G(BPSJROOT),C=","
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| 23 | ;
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| 24 | I BPRCODE,BPSEGID,BPORDER
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| 25 | E Q
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| 26 | ;
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| 27 | S BPSF=DIE_BPSJEN_C_BPSEGID_",0)"
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| 28 | I '$D(@BPSF) D
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| 29 | . S FLNSPEC=$$GET1^DID(BPSFILE,BPSEGID,"","SPECIFIER")
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| 30 | . S @BPSF=U_FLNSPEC_U_U
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| 31 | ;
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| 32 | S (X,DINUM)=BPORDER
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| 33 | S DA(1)=BPSJEN,DIC=DIE_BPSJEN_C_BPSEGID_C
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| 34 | S DIC(0)="L",(DIC("P"),DLAYGO)=FLN
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| 35 | D ^DIC
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| 36 | ;
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| 37 | S DA=+Y
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| 38 | S DIE=DIC
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| 39 | S DR=".02////"_BPRCODE_";.03////"_BPMODE
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| 40 | D ^DIE
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| 41 | ;
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| 42 | S BPSFDIC=DIC ; save dictionary ID
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| 43 | ; NOTES
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| 44 | I $D(BPSJSEG(8)) D
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| 45 | . S DIC=BPSFDIC,DIE=BPSFDIC_BPORDER_",2,",BPSF=DIE_"0)"
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| 46 | . I '$D(@BPSF) S @BPSF=U_FLNPN_U_U
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| 47 | . S BPND="BPSJSEG(7,99)",NCNT=0
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| 48 | . F S BPND=$Q(@BPND) Q:BPND="" I $G(@BPND)]"" D
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| 49 | .. S DIC=BPSFDIC,DIE=BPSFDIC_BPORDER_",2,",BPSF=DIE_"0)"
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| 50 | .. K DA S DA(4)=BPSJEN,DA(3)=BPSEGID,DA(2)=BPORDER,DA(1)=2,(NCNT,DA)=NCNT+1
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| 51 | .. K DR S DR=".01////"_@BPND
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| 52 | .. D ^DIE
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| 53 | K BPSJSEG(8) ; kill 8 so $Q of 7 won't find it
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| 54 | ;
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| 55 | ; Special Code
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| 56 | I $D(BPSJSEG(7)) D
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| 57 | . S DIC=BPSFDIC,DIE=BPSFDIC_BPORDER_",1,",BPSF=DIE_"0)"
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| 58 | . I '$D(@BPSF) S @BPSF=U_FLNSC_U_U
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| 59 | . S BPND="BPSJSEG(6,99)",NCNT=0
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| 60 | . F S BPND=$Q(@BPND) Q:BPND="" I $G(@BPND)]"" D
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| 61 | .. S DIC=BPSFDIC,DIE=BPSFDIC_BPORDER_",1,",BPSF=DIE_"0)"
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| 62 | .. K DA S DA(4)=BPSJEN,DA(3)=BPSEGID,DA(2)=BPORDER,DA(1)=1,(NCNT,DA)=NCNT+1
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| 63 | .. K DR S DR=".01////"_@BPND
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| 64 | .. D ^DIE
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| 65 | Q
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| 66 | ;
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| 67 | ZPR() ; Validate Fields and Initialize ZPR variables
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| 68 | N RCODE,WDATA
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| 69 | ;
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| 70 | ; Reject reasons: 1=Missing ,2=Invalid
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| 71 | ;
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| 72 | S BPSETID=$G(BPSJSEG(2))
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| 73 | ;
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| 74 | S BPSEGID=$G(BPSJSEG(3))
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| 75 | I BPSEGID="" S BPSEGID=0 D
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| 76 | . S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,2)="V632-1,"_BPSETID
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| 77 | E S BPSEGID=$G(ZPRS(BPSEGID)) D
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| 78 | . I 'BPSEGID S BPSEGID=0 D Q
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| 79 | .. S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,2)="V632-2,"_BPSETID
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| 80 | . ;
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| 81 | . S FLN=$P(BPSEGID,U,2)
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| 82 | . S FLNSC=$P(BPSEGID,U,3)
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| 83 | . S FLNPN=$P(BPSEGID,U,4)
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| 84 | . S BPSEGID=+BPSEGID
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| 85 | ;
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| 86 | S RCODE=$$GETPTR($G(BPSJSEG(4)))
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| 87 | I 'RCODE S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,3)="V633-2,"_BPSETID
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| 88 | I $G(BPSJSEG(4))="" S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,3)="V633-1,"_BPSETID
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| 89 | ;
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| 90 | S BPORDER=$G(BPSJSEG(5))
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| 91 | I BPORDER="" S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,4)="V634,"_BPSETID
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| 92 | ;
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| 93 | S BPMODE=$G(BPSJSEG(6))
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| 94 | ;
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| 95 | I BPMODE'="X",BPMODE'="S" D
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| 96 | . S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,5)="V635,"_BPSETID
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| 97 | ;
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| 98 | I '$L($G(BPSJSEG(7))),$D(BPSJSEG(7))'>1 K BPSJSEG(7)
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| 99 | E D ;NOTES(.BPSJSEG(7))
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| 100 | . K WDATA M WDATA(7)=BPSJSEG(7) D NOTES(.WDATA)
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| 101 | . K BPSJSEG(7) M BPSJSEG(7)=WDATA K WDATA
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| 102 | ;
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| 103 | ; flag error if processing mode="X" and no special code
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| 104 | I BPMODE="X",'$D(BPSJSEG(7)) S ^TMP($J,"BPSJ-ERROR","ZPR",BPSETID,6)="V636,"_BPSETID
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| 105 | ;
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| 106 | I '$L($G(BPSJSEG(8))),$D(BPSJSEG(8))'>1 K BPSJSEG(8)
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| 107 | E D ;NOTES(.BPSJSEG(8))
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| 108 | . K WDATA M WDATA(8)=BPSJSEG(8) D NOTES(.WDATA)
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| 109 | . K BPSJSEG(8) M BPSJSEG(8)=WDATA K WDATA
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| 110 | ;
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| 111 | Q RCODE
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| 112 | ;
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| 113 | NOTES(ARRAYIN,TRCH) ; fProgrammer Notes - Special Code handler
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| 114 | ;
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| 115 | N II,ODAT,NODENM
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| 116 | N ISDATA,ISDATA1,ISDATA2,ISDATA3
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| 117 | ;
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| 118 | I '$D(TRCH) D ; apply standard Vista/Vitria "Free Text" de-encoding
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| 119 | . S TRCH("\F\")="|",TRCH("\R\")="~",TRCH("\E\")="\"
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| 120 | . S TRCH("\T\")="&",TRCH("\S\")="^"
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| 121 | . S TRCH("\.b")=1,TRCH("\.br\")=1
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| 122 | ;
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| 123 | S NODENM="ARRAYIN"
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| 124 | ;
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| 125 | S (ODAT,ISDATA1)=""
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| 126 | F S NODENM=$Q(@NODENM) Q:NODENM="" S ISDATA=@NODENM D
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| 127 | . ; clean up partial string if any
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| 128 | . I $L(ISDATA1) D I '$L(ISDATA) Q
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| 129 | .. S ISDATA1=ISDATA1_$E(ISDATA,1,10)
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| 130 | .. S ISDATA3=$$DECODE(ISDATA1,.TRCH,.ODAT,.ISDATA2)
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| 131 | .. S $E(ISDATA,1,10)=ISDATA2
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| 132 | . ;
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| 133 | . S ISDATA2=$$DECODE(ISDATA,.TRCH,.ODAT,.ISDATA1)
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| 134 | ;
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| 135 | S ODAT=ODAT_ISDATA1 D NWNODE(.ODAT) K ARRAYIN M ARRAYIN=ODAT
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| 136 | Q
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| 137 | ;
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| 138 | NWNODE(FREERAY) ; build free text array
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| 139 | N CNT
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| 140 | S CNT=1+$O(FREERAY(""),-1),FREERAY(CNT)=FREERAY,FREERAY=""
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| 141 | Q
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| 142 | ;
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| 143 | DECODE(INSTR,TCH,WDAT,INSTR1) ;
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| 144 | ; INSTR - Input string
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| 145 | ; TCH - translation array
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| 146 | ; WDAT - Output in a Vista compliant "Free Text" array
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| 147 | ; INSTR1 - Remainder of text when last or
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| 148 | ; second to last INSTR char = "\"
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| 149 | ;Development Note:
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| 150 | ;\.br\ - removed and new node created
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| 151 | ;\E\.br\E\ = \.br\ - (no further translation)
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| 152 | ;non-printable character translation not supported
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| 153 | ;Output Array nodes will contain no more than 200 characters each
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| 154 | ;
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| 155 | N II,CH
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| 156 | S INSTR1="",WDAT=$G(WDAT)
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| 157 | F II=1:1:$L(INSTR) S CH=$E(INSTR,II) D:CH="\" S WDAT=WDAT_CH I $L(WDAT)>199 D NWNODE(.WDAT)
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| 158 | . ;
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| 159 | . ; Partial TCH string, if \.br\ (CR-LF) translation allowed
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| 160 | . I $L($E(INSTR,II,II+2))<3,$G(TCH("\.br\")) D Q
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| 161 | .. S INSTR1=$E(INSTR,II,II+2),II=$L(INSTR),CH=""
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| 162 | . ;
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| 163 | . I '$D(TCH($E(INSTR,II,II+2))) Q ; not one we're interested in
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| 164 | . I +$G(TCH($E(INSTR,II,II+2))) D Q ; \.br\ to <CR-LF> conversion
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| 165 | .. I (II+4)>$L(INSTR) S INSTR1=$E(INSTR,II,$L(INSTR)),II=$L(INSTR),CH="" Q
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| 166 | .. I +$G(TCH($E(INSTR,II,II+4))) S II=II+4,CH="" D NWNODE(.WDAT)
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| 167 | . ;
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| 168 | . S CH=TCH($E(INSTR,II,II+2)),II=II+2 ; std conversion
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| 169 | Q WDAT ; Return top node of WDAT - for strings less than 200 characters
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| 170 | ;
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| 171 | GETPTR(BPDAT) ; Get pointer into BPS NCPDP FIELD DEFS
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| 172 | N BPSFNM,BPSFNO,BPSIX,BPSIXALT,BPSFX,BPNAMIX,BPNUMIX,BPSFNOCK
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| 173 | ;
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| 174 | S BPSFNM=$P($G(BPDAT),"-",2),BPSFNO=+$G(BPDAT)
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| 175 | I BPSFNM]"",BPSFNO S (BPSIX,BPSIXALT)=0,BPSFX=BPSFNO_U_BPSFNM
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| 176 | E Q 0
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| 177 | S BPNAMIX=$O(^BPSF(9002313.91,"D",BPSFNM,""))
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| 178 | S BPNUMIX=$O(^BPSF(9002313.91,"B",BPSFNO,""))
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| 179 | ;
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| 180 | ;-if NAME and NUMBER point to the same IEN (but not 0)
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| 181 | I BPNAMIX,BPNUMIX=BPNAMIX Q BPNAMIX
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| 182 | ;
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| 183 | ;-else might be in another node of the "D" x-ref
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| 184 | I BPNAMIX,BPNUMIX F D Q:BPSIX Q:'BPNAMIX
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| 185 | . S BPNAMIX=$O(^BPSF(9002313.91,"D",BPSFNM,BPNAMIX))
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| 186 | . I BPNUMIX=BPNAMIX S BPSIX=BPNAMIX
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| 187 | ;
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| 188 | ;-If not found, try "B" x-ref value
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| 189 | I 'BPSIX,BPNUMIX D
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| 190 | . I $P($G(^BPSF(9002313.91,BPNUMIX,5)),U)=BPSFNM S BPSIX=BPNUMIX Q
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| 191 | . I 'BPSIXALT,$P($G(^BPSF(9002313.91,BPNUMIX,0)),U,1,2)=BPSFX S BPSIXALT=BPNUMIX Q
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| 192 | . ;
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| 193 | . ;-try additional "B" x-ref's for this NUMBER
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| 194 | . F D Q:BPSIX Q:'BPNUMIX
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| 195 | .. S BPNUMIX=$O(^BPSF(9002313.91,"B",BPSFNO,BPNUMIX))
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| 196 | .. I BPNUMIX D
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| 197 | ... I $P($G(^BPSF(9002313.91,BPNUMIX,5)),U)=BPSFNM S BPSIX=BPNUMIX
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| 198 | ... I 'BPSIXALT,$P($G(^BPSF(9002313.91,BPNUMIX,0)),U,1,2)=BPSFX S BPSIXALT=BPNUMIX
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| 199 | ;
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| 200 | ;-Last resort - go through all iens'
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| 201 | I 'BPSIX S BPNUMIX=0 F D Q:BPSIX Q:'BPNUMIX
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| 202 | . S BPNUMIX=$O(^BPSF(9002313.91,BPNUMIX))
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| 203 | . I BPNUMIX,+$G(^BPSF(9002313.91,BPNUMIX,0))[BPSFNO D
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| 204 | .. S BPSFNOCK=+$G(^BPSF(9002313.91,BPNUMIX,0))
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| 205 | .. ; Note: Special coding included for BPSFNO of 498 (498.nn)
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| 206 | .. I BPSFNOCK'=BPSFNO,$P(BPSFNOCK,".")'=498 Q
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| 207 | .. I $P($G(^BPSF(9002313.91,BPNUMIX,5)),U)=BPSFNM S BPSIX=BPNUMIX
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| 208 | .. I 'BPSIXALT,$P($G(^BPSF(9002313.91,BPNUMIX,0)),U,1,2)=BPSFX S BPSIXALT=BPNUMIX
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| 209 | ;
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| 210 | Q BPSIX
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| 211 | ;
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| 212 | INITZPRS(ZPRS) ;BPSEGID^FLN^FLNSC^FLNPN
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| 213 | S ZPRS(0)="100^9002313.9205^9002313.92051^9002313.92052"
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| 214 | S ZPRS(1)="110^9002313.9206^9002313.92061^9002313.92062"
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| 215 | S ZPRS(2)="140^9002313.9209^9002313.92091^9002313.92092"
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| 216 | S ZPRS(3)="150^9002313.921^9002313.9211^9002313.9212"
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| 217 | S ZPRS(4)="120^9002313.9207^9002313.92071^9002313.92072"
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| 218 | S ZPRS(5)="160^9002313.9213^9002313.92131^9002313.92132"
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| 219 | S ZPRS(6)="170^9002313.9214^9002313.92141^9002313.92142"
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| 220 | S ZPRS(7)="130^9002313.9208^9002313.92081^9002313.92082"
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| 221 | S ZPRS(8)="180^9002313.9215^9002313.92151^9002313.92152"
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| 222 | S ZPRS(9)="200^9002313.9217^9002313.92171^9002313.92172"
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| 223 | S ZPRS(10)="210^9002313.9218^9002313.92181^9002313.92182"
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| 224 | S ZPRS(11)="190^9002313.9216^9002313.92161^9002313.92162"
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| 225 | S ZPRS(12)="220^9002313.9219^9002313.92191^9002313.92192"
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| 226 | S ZPRS(13)="230^9002313.922^9002313.9221^9002313.9222"
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| 227 | Q
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