[613] | 1 | FBFHLD3 ;OIFO/SAB-GET DATA FOR OUT/ANC INVOICE ;9/9/2003
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| 2 | ;;3.5;FEE BASIS;**61**;JULY 18, 2003
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified.
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| 4 | Q
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| 5 | ;
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| 6 | EN ;
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| 7 | ; input
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| 8 | ; FBAAIN - invoice number
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| 9 | ; output
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| 10 | ; If transaction type = "X" then only * items are output
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| 11 | ; Claim Level Data
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| 12 | ; FBD(0,"AMT") = Amount Disbursed^Amount Interest
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| 13 | ; *FBD(0,"CAN") = Cancel Date^Cancel Reason^Cancel Activity
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| 14 | ; FBD(0,"DT") = Invoice Date
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| 15 | ; *FBD(0,"FPPS") = FPPS Claim ID
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| 16 | ; *FBD(0,"INV") = Invoice #^Transaction Type^Station #
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| 17 | ;
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| 18 | ; Line Level Data (# is a sequential number)
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| 19 | ; FBD(#,"ADJ") = AdjReason1^AdjGrp1^AdjAmt1^AdjReason2^AdjGrp2^AdjAmt2
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| 20 | ; FBD(#,"AMT") = Amount Claimed^Amount Paid
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| 21 | ; FBD(#,"CK") = Check Number^Check Date^Payment Method
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| 22 | ; FBD(#,"DT") = Date of Service
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| 23 | ; FBD(#,"FPPS") = FPPS Line Item
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| 24 | ; FBD(#,"RMK") = Remittance Remark1,Remittance Remark2
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| 25 | ; FBD(#,"SVC") = Service Code^Qualifier^Mod1,Mod2,Mod3,Mod4^Units
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| 26 | ;
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| 27 | ; If exceptions for invoice
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| 28 | ; ^TMP($J,"FBE",FBAAIN,seq number)=message
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| 29 | ; If warnings for invoice
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| 30 | ; ^TMP($J,"FBW",FBAAIN,seq number)=message
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| 31 | ;
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| 32 | ; initialize variables
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| 33 | N DA,FBC,FBI,FBIENS,FBSTA,FBTTYP,FBY
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| 34 | K FBD
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| 35 | S FBC=0 ; line count
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| 36 | ;
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| 37 | ; loop thru lines on invoice
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| 38 | S DA(3)=0
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| 39 | F S DA(3)=$O(^FBAAC("C",FBAAIN,DA(3))) Q:'DA(3) D
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| 40 | .S DA(2)=0
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| 41 | .F S DA(2)=$O(^FBAAC("C",FBAAIN,DA(3),DA(2))) Q:'DA(2) D
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| 42 | ..S DA(1)=0
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| 43 | ..F S DA(1)=$O(^FBAAC("C",FBAAIN,DA(3),DA(2),DA(1))) Q:'DA(1) D
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| 44 | ...S DA=0
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| 45 | ...F S DA=$O(^FBAAC("C",FBAAIN,DA(3),DA(2),DA(1),DA)) Q:'DA D
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| 46 | ....S FBIENS=DA_","_DA(1)_","_DA(2)_","_DA(3)_","
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| 47 | ....F FBI=0,2,3,"FBREJ" S FBY(FBI)=$G(^FBAAC(DA(3),1,DA(2),1,DA(1),1,DA,FBI))
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| 48 | ....Q:'$$CKLNST() ; skip line if status not OK to transmit
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| 49 | ....S FBC=FBC+1
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| 50 | ....; if 1st line then get invoice level data
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| 51 | ....I FBC=1 D INVOICE
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| 52 | ....I FBTTYP="L" D LINE
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| 53 | Q
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| 54 | ;
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| 55 | INVOICE ; determine invoice data from 1st line item
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| 56 | ; FBD(0,"AMT") = Amount Disbursed^Amount Interest
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| 57 | ; FBD(0,"CAN") = Cancel Date^Cancel Reason^Cancel Activity
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| 58 | ; FBD(0,"DT") = Invoice Date
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| 59 | ; FBD(0,"FPPS") = FPPS Claim ID
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| 60 | ; FBD(0,"INV") = Invoice #^Transaction Type^Station #
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| 61 | ; FBSTA = station number
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| 62 | ; FBTTYP = transaction type (L or X)
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| 63 | ;
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| 64 | N FBDT,FBOB,FBX
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| 65 | ; determine Transaction Type (based on CANCELLATION DATE)
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| 66 | S FBTTYP=$S($P(FBY(2),U,4)]"":"X",1:"L")
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| 67 | ;
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| 68 | ; determine station number
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| 69 | S FBSTA=$$STANO^FBFHLU($P(FBY(0),U,8))
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| 70 | ;
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| 71 | ;INV
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| 72 | S FBD(0,"INV")=FBAAIN_U_FBTTYP_U_FBSTA
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| 73 | ;
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| 74 | ;FPPS
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| 75 | S FBD(0,"FPPS")=$P(FBY(3),U)
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| 76 | ;
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| 77 | ;CAN
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| 78 | ; if cancel then get cancel data
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| 79 | I FBTTYP="X" D Q
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| 80 | . S FBD(0,"CAN")=$P(FBY(2),U,4)_U_$$GET1^DIQ(162.03,FBIENS,"37:1")_U_$P(FBY(2),U,6)
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| 81 | ;
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| 82 | ;AMT
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| 83 | S FBD(0,"AMT")="0^0" ; initialize sums
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| 84 | ;
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| 85 | ;DT
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| 86 | ; determine invoice date
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| 87 | ; (date finalized or date paid or date supervisor closed batch)
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| 88 | S FBDT=$P(FBY(0),U,6) ; date finalized
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| 89 | I FBDT="" S FBDT=$P(FBY(0),U,14) ; date paid
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| 90 | I FBDT="",$P(FBY(0),U,8) S FBDT=$P(^FBAA(161.7,$P(FBY(0),U,8),0),U,6) ; date supv closed batch (for 0.00 invoices)
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| 91 | S FBD(0,"DT")=FBDT
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| 92 | ;
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| 93 | Q
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| 94 | ;
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| 95 | LINE ; FBC
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| 96 | ; FBD(#,"ADJ") = AdjReason1^AdjGrp1^AdjAmt1^AdjReason2^AdjGrp2^AdjAmt2
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| 97 | ; FBD(#,"AMT") = Amount Claimed^Amount Paid
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| 98 | ; FBD(#,"CK") = Check Number^Check Date^Payment Method
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| 99 | ; FBD(#,"DT") = Date of Service
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| 100 | ; FBD(#,"FPPS") = FPPS Line Item
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| 101 | ; FBD(#,"RMK") = Remittance Remark1^Remittance Remark2
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| 102 | ; FBD(#,"SVC") = Service Code^Qualifier^Mod1,Mod2,Mod3,Mod4^Units
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| 103 | ;
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| 104 | N FBAARCE,FBADJ,FBMODLE
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| 105 | ; compare invoice transaction type (L,X) with line cancel status
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| 106 | I ((FBTTYP="X")&($P(FBY(2),U,4)=""))!((FBTTYP="L")&($P(FBY(2),U,4)]"")) D POST^FBFHLU(FBAAIN,"E","ALL LINES DO NOT HAVE SAME CANCEL STATUS") Q
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| 107 | ;
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| 108 | ; SVC
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| 109 | S FBAARCE=$$GET1^DIQ(162.03,FBIENS,48)
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| 110 | I FBAARCE]"" S FBD(FBC,"SVC")=FBAARCE_U_"NU"
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| 111 | E D
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| 112 | . S FBD(FBC,"SVC")=$$GET1^DIQ(162.03,FBIENS,.01)_U_"HC"
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| 113 | . S FBMODLE=$$MODL^FBAAUTL4("^FBAAC("_DA(3)_",1,"_DA(2)_",1,"_DA(1)_",1,"_DA_",""M"")","E")
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| 114 | . I $L(FBMODLE,",")>4 S FBMODLE=$P(FBMODLE,",",1,4)
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| 115 | . S $P(FBD(FBC,"SVC"),U,3)=FBMODLE
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| 116 | S $P(FBD(FBC,"SVC"),U,4)=$P(FBY(2),U,14) ; units paid
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| 117 | ;
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| 118 | ;FPPS
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| 119 | S FBD(FBC,"FPPS")=$P(FBY(3),U,2)
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| 120 | ;
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| 121 | ;DT
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| 122 | S FBD(FBC,"DT")=$P($G(^FBAAC(DA(3),1,DA(2),1,DA(1),0)),U)
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| 123 | ;
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| 124 | ;AMT
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| 125 | S FBD(FBC,"AMT")=$P(FBY(0),U,2)_U_$P(FBY(0),U,3)
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| 126 | ;
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| 127 | ;ADJ
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| 128 | D LOADADJ^FBAAFA(FBIENS,.FBADJ)
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| 129 | I $D(FBADJ) S FBD(FBC,"ADJ")=$$ADJL^FBUTL2(.FBADJ)
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| 130 | ;
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| 131 | ;RMK
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| 132 | S FBD(FBC,"RMK")=$$RRL^FBAAFR(FBIENS)
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| 133 | ;
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| 134 | ;CK
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| 135 | S FBD(FBC,"CK")=$P(FBY(2),U,3)_U_$P(FBY(0),U,14)_U_$$PAYMETH^FBFHLU($P(FBY(2),U,3))
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| 136 | ;
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| 137 | ;CAMT ; add disbursed and interest amounts to claim (0) level
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| 138 | ; note - disbursed amount on file includes the interest
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| 139 | ; since FPPS wants it w/o interest - interest is subtracted
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| 140 | S $P(FBD(0,"AMT"),U)=$P(FBD(0,"AMT"),U)+($P(FBY(2),U,8)-$P(FBY(2),U,9))
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| 141 | S $P(FBD(0,"AMT"),U,2)=$P(FBD(0,"AMT"),U,2)+$P(FBY(2),U,9)
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| 142 | Q
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| 143 | ;
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| 144 | CKLNST() ; check line status extrinsic function
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| 145 | ; result (0 or 1)
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| 146 | ; 0 when line should not be sent to FPPS
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| 147 | ; 1 when line should be sent to FPPS
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| 148 | N FBRET
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| 149 | S FBRET=1
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| 150 | ;
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| 151 | ; check if rejected line
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| 152 | I $P(FBY("FBREJ"),U)]"" S FBRET=0
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| 153 | ;
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| 154 | Q FBRET
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| 155 | ;
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| 156 | ;FBFHLD3
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