[613] | 1 | IBACV ;WOIFO/SS-COMBAT VET UTILITIES ;7-AUG-03
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| 2 | ;;2.0;INTEGRATED BILLING;**234,247,275,339,347** ;21-MAR-94;Build 24
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;
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| 5 | ;To replace CL^SDCO21 with CL^IBACV that wraps out both CL^SDCO21 and $$CVEDT^DGCV
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| 6 | CL(IBDFN,IBSDDT,IBSDOE,IBSDCLY) ;Build Classification Array
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| 7 | ; Input -- DFN Patient file IEN
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| 8 | ; SDDT Date/Time [Optional]
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| 9 | ; SDOE Outpatient Encounter file IEN [Optional]
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| 10 | ; Output -- SDCLY Classification Array
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| 11 | ; Subscripted by Class. Type file (#409.41) IEN
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| 12 | ;
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| 13 | D CL^SDCO21(IBDFN,$G(IBSDDT),$G(IBSDOE),.IBSDCLY)
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| 14 | Q
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| 15 | ;
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| 16 | ;returns CV status as:
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| 17 | ; current_CV_status^end_date^if_ever_had_CV_status
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| 18 | CVEDT(IBDFN,IBDT) ;
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| 19 | N IBRET S IBRET=$$CVEDT^DGCV($G(IBDFN),$G(IBDT))
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| 20 | Q (+$P(IBRET,"^",3))_"^"_(+$P(IBRET,"^",2))_"^"_(+$P(IBRET,"^",1)) ;swop
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| 21 | ;
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| 22 | ;/**
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| 23 | ;Return the classification description of code sets for #.03 in #351.2.
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| 24 | ; Input:
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| 25 | ; X -- Patient class [1-ao|2-ir|3-swa|4-sc|5-mst|6-hnc|7-cv|8-SHAD]
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| 26 | ; IBCASE -- "M" - mixed case (the first letter is uppercase and others-lowercase)
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| 27 | PATTYPE(X,IBCASE) ; */
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| 28 | N IBZ
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| 29 | S IBZ=$S(X=1:"AGENT ORANGE",X=2:"IONIZING RADIATION",X=3:"SOUTHWEST ASIA",X=4:"SERVICE CONNECTED",X=5:"MILITARY SEXUAL TRAUMA",X=6:"HEAD/NECK CANCER",X=7:"COMBAT VETERAN",X=8:"PROJECT 112/SHAD",1:"SPECIAL")
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| 30 | Q:$G(IBCASE)="M" $$LOWER^VALM1(IBZ)
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| 31 | Q IBZ
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| 32 | ;
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| 33 | PATTYAB(X) ; Return External Abbreviation of Special Inpatient Billing Case Patient Type (#351.2,.03)
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| 34 | ; Input: 351.2, .03 internal value
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| 35 | N IBZ S X=$G(X)
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| 36 | S IBZ=$S(X=1:"AO",X=2:"IR",X=3:"SWA",X=4:"SC",X=5:"MST",X=6:"HNC",X=7:"CV",X=8:"SHAD",1:"UNK")
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| 37 | Q IBZ
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| 38 | ;
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| 39 | ;if Combat Vet sends e-mail to mailgroup "IB COMBAT VET RX COPAY"
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| 40 | ;IBDFN-patient IEN, IBDT - date, IBRXPTR - pointer to #52 file to get prescription #
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| 41 | RXALRT(IBDFN,IBDT,IBRXPTR) ;
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| 42 | N IB1
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| 43 | S IB1=$$CVEDT(IBDFN,$G(IBDT))
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| 44 | I +IB1 D EMAIL(IBDFN,$G(IBDT),$P(IB1,"^",2),$G(IBRXPTR))
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| 45 | Q
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| 46 | ;sends e-mail to mail group IB COMBAT VET RX COPAY
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| 47 | EMAIL(DFN,IBEFDT,IBEXPDT,IBRX) ;
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| 48 | N IBTODAY,IBPAT,IBT,IBSSN
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| 49 | N XMSUB,XMY,XMTEXT,XMDUZ
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| 50 | N Y D NOW^%DTC S Y=%\1 X ^DD("DD") S IBTODAY=Y
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| 51 | I +$G(DFN)>0 D
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| 52 | . N VADM,VA,VAERR
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| 53 | . D DEM^VADPT
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| 54 | . S IBPAT=$G(VADM(1))
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| 55 | . S IBSSN=$P($G(VADM(2)),"^",2)
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| 56 | I $G(IBRX) S IBRX=$$FILE^IBRXUTL(IBRX,.01) ;get RX number
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| 57 | S:IBPAT="" IBPAT="Unknown"
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| 58 | S XMSUB="COMBAT VET RX COPAY REVIEW NEEDED"
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| 59 | S XMY("G.IB COMBAT VET RX COPAY")=""
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| 60 | S XMTEXT="IBT(",XMDUZ="INTEGRATED BILLING PACKAGE"
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| 61 | S IBT(1,0)="PATIENT: "_IBPAT
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| 62 | I $G(IBEXPDT)>0 S Y=IBEXPDT X ^DD("DD") S IBT(1,0)=IBT(1,0)_" COMBAT VET until: "_Y
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| 63 | S IBT(2,0)="SSN: "_IBSSN
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| 64 | S IBT(3,0)=""
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| 65 | S IBT(4,0)=$S($G(IBRX)'="":"RX#: "_$G(IBRX),1:"")
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| 66 | S IBT(5,0)="RX RELEASE DATE: "_IBTODAY
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| 67 | S IBT(6,0)=""
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| 68 | S IBT(7,0)="The above patient has a Combat Veteran status. Please review this"
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| 69 | S IBT(8,0)="prescription to determine if the RX Copay charge should be cancelled."
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| 70 | S IBT(9,0)=""
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| 71 | D ^XMD
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| 72 | Q
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| 73 | ;
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| 74 | ;--------------------------------------------------------------------
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| 75 | ;is called from PROC^IBAMTC for each active inpatient
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| 76 | IFCVEXP(IBDFN,IBNJDT,IB405) ;
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| 77 | ;Input:IBDFN1 - patient's ien in PATIENT file
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| 78 | ; IBNJDT - Nightly Job date
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| 79 | ; IB405 - ptr to #405
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| 80 | N IBTSTDT,IBPAT,IBZ,IBEXPIR,IBADM
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| 81 | S IBPAT=$$PT^IBEFUNC(IBDFN)
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| 82 | S (IBZ,IBEXPIR)=0
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| 83 | S IBZ=$$CVEDT^IBACV(IBDFN,IBNJDT)
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| 84 | I $P(IBZ,"^",3)=0 Q ;patient has never been CV
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| 85 | S IBEXPIR=+$P(IBZ,"^",2)\1
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| 86 | I IBEXPIR>IBNJDT Q ;expires in the future
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| 87 | ;get last date when Nightly job checked CV status for inpatients
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| 88 | S IBTSTDT=$$XTMPLST()
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| 89 | ;if ^XTMP is not there then make the last CV check date as TODAY-7
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| 90 | I IBTSTDT=0 S IBTSTDT=$$CHNGDATE^IBAHVE3(IBNJDT,-7) D SETXTMP0(IBTSTDT)
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| 91 | S IBADM=+$G(^DGPM(IB405,0))\1 ;admission/movement date
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| 92 | I IBTSTDT'<IBNJDT Q
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| 93 | ;check for all the days since the last check date thru today
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| 94 | F D Q:(IBTSTDT'<IBNJDT)!(IBTSTDT=IBEXPIR)
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| 95 | . S IBTSTDT=$$CHNGDATE^IBAHVE3(IBTSTDT,+1) ;next date
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| 96 | . ;quit if the date is before the admission
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| 97 | . I IBTSTDT<IBADM Q
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| 98 | . ;send alert if CV expires this day
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| 99 | . I IBEXPIR=IBTSTDT D SETXTPM(IBDFN,IBTSTDT,IBEXPIR,IBADM,IBPAT)
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| 100 | Q
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| 101 | ;
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| 102 | XTMPLST() ;get the last CV check date in ^XTMP
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| 103 | Q +$P($G(^XTMP("IBCVEXPDT",0)),"^",2)
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| 104 | ;
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| 105 | SETXTPM(IBDFN,IBCHKDT,IBEXP,IBADMIS,IBPT) ;save info in ^XTMP
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| 106 | ;Input:IBDFN - patient's ien in PATIENT file
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| 107 | ; IBEXP - CV expiration date
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| 108 | ; IBADMIS - admission/movement date
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| 109 | ; IBPT - patient's info
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| 110 | S ^XTMP("IBCVEXPDT",IBDFN)=IBDFN_"^"_IBCHKDT_"^"_IBEXP_"^"_IBADMIS_"^"_$P(IBPT,"^",1,2)
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| 111 | Q
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| 112 | ;
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| 113 | ;is called from IBAMTC after PROC^IBAMTC and sends e-mail alert
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| 114 | ;with the list of inpatient's with CV expired
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| 115 | CVEXMAIL(IBDT) ;send all e-mails
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| 116 | N Y,IBT,IBZ1,IBZ2,IBC,IBT,IBTOTAL
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| 117 | S IBC=0,IBTOTAL=0
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| 118 | ;loop thru ^XTMP
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| 119 | S IBZ1=0 F S IBZ1=$O(^XTMP("IBCVEXPDT",IBZ1)) Q:+IBZ1=0 D
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| 120 | . D HEADER
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| 121 | . S IBZ2=$G(^XTMP("IBCVEXPDT",IBZ1))
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| 122 | . I IBZ2'="" S IBTOTAL=IBTOTAL+1 D MKEMAIL($P(IBZ2,U,3),$P(IBZ2,U,4),$P(IBZ2,U,5),$P(IBZ2,U,6))
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| 123 | I IBC>0 D
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| 124 | . D FOOTER(IBTOTAL)
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| 125 | . D SEND^IBACVA2
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| 126 | D SETXTMP0(IBDT)
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| 127 | Q
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| 128 | ;
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| 129 | HEADER ;prints a header for the e-mail
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| 130 | I IBC>0 Q
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| 131 | S XMSUB="INPATIENTS' COMBAT VET STATUS EXPIRED"
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| 132 | N IBX S IBX="",$P(IBX,"=",70)=""
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| 133 | S IBC=IBC+1,IBT(IBC)="The following patients whose records indicate that they had CV status, were"
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| 134 | S IBC=IBC+1,IBT(IBC)="admitted for inpatient care with CV status, and their CV status has expired"
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| 135 | S IBC=IBC+1,IBT(IBC)="during their stays. Please check their CV exp date again before adjusting"
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| 136 | S IBC=IBC+1,IBT(IBC)="their billings accordingly."
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| 137 | S IBC=IBC+1,IBT(IBC)=""
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| 138 | S IBC=IBC+1,IBT(IBC)=$$LRJ("Patient NAME",23)_$$LRJ("SSN",14)_$$LRJ("CV exp. date",20)_$$LRJ("Date of admission",20)
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| 139 | S IBC=IBC+1,IBT(IBC)=IBX
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| 140 | Q
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| 141 | FOOTER(IBTOTAL) ;
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| 142 | S IBC=IBC+1,IBT(IBC)=""
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| 143 | S IBC=IBC+1,IBT(IBC)="Total: "_IBTOTAL_" patient(s)"
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| 144 | Q
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| 145 | ;
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| 146 | MKEMAIL(IBEXP,IBADM,IBNAME,IBSSN) ;
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| 147 | ;send e-mail alert if CV does expire today
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| 148 | N Y
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| 149 | S Y=IBEXP D DD^%DT S IBEXP=Y
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| 150 | S Y=IBADM D DD^%DT S IBADM=Y
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| 151 | S IBC=IBC+1,IBT(IBC)=$$LRJ($E(IBNAME,1,21),23)_$$LRJ(IBSSN,14)_$$LRJ(IBEXP,20)_$$LRJ(IBADM,20)
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| 152 | Q
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| 153 | ;
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| 154 | SETXTMP0(IBDT) ;set the new "last CV check date" in ^XTMP
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| 155 | N IBPURGDT S IBPURGDT=+$$CHNGDATE^IBAHVE3(IBDT,+7)
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| 156 | K ^XTMP("IBCVEXPDT")
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| 157 | S ^XTMP("IBCVEXPDT",0)=IBPURGDT_"^"_IBDT_"^LAST DATE NIGHTLY JOB CHECKED COMBAT VET EXPIRATION FOR INPATIENTS"
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| 158 | Q
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| 159 | ;
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| 160 | ;---
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| 161 | ;adds spaces on right/left or truncates to make return string IBLEN characters long
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| 162 | ;IBST- original string
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| 163 | ;IBLEN - desired length
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| 164 | ;IBCHR -character (default = SPACE)
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| 165 | ;IBSIDE - on which side to add characters (default = RIGHT)
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| 166 | LRJ(IBST,IBLEN,IBCHR,IBSIDE) ;
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| 167 | N Y S $P(Y,$S($L($G(IBCHR)):IBCHR,1:" "),$S(IBLEN-$L(IBST)<0:1,1:IBLEN-$L(IBST)+1))=""
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| 168 | Q $E($S($G(IBSIDE)="L":Y_IBST,1:IBST_Y),1,IBLEN)
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| 169 | ;---
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| 170 | ;
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