| [613] | 1 | IBCNRPM2 ;BHAM ISC/CMW - Match Multiple Group Plans to a Pharmacy Plan ;10-MAR-2004 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**251,276**;21-MAR-94 | 
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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 | EN(IBCNRP,IBCNRI,IBCNRGP) ; -- main entry point for IBCNR PAYERSHEET MATCH (LIST TEMPLATE) | 
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|  | 6 | D EN^VALM("IBCNR GROUP PLAN MATCH") | 
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|  | 7 | Q | 
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|  | 8 | ; | 
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|  | 9 | HDR ; -- header code | 
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|  | 10 | NEW IBCNR0,IBCNRID,IBCNRNM,IBCNR10,IBCNRPBM,IBCNRBIN,IBCNRPCN,IBLEAD | 
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|  | 11 | NEW IBCNR3,IBCNRIN,NST,LST,X | 
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|  | 12 | ; get pharmacy plan data | 
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|  | 13 | S IBCNR0=$G(^IBCNR(366.03,+IBCNRP,0)) | 
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|  | 14 | S IBCNRID=$P(IBCNR0,"^",1) ;id | 
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|  | 15 | S IBCNRNM=$P(IBCNR0,"^",2) ;name | 
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|  | 16 | S IBCNR10=$G(^IBCNR(366.03,+IBCNRP,10)) | 
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|  | 17 | S IBCNRPBM=$P(IBCNR10,"^",1) ;pbm | 
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|  | 18 | S IBCNRBIN=$P(IBCNR10,"^",2) ;bin | 
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|  | 19 | S IBCNRPCN=$P(IBCNR10,"^",3) ;pcn | 
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|  | 20 | S IBCNR3=$G(^IBCNR(366.03,+IBCNRP,3,1,0)) ; appl | 
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|  | 21 | S NST=$S($P(IBCNR3,"^",2)=0:"Inactive ",1:"Active ") | 
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|  | 22 | S LST=$S($P(IBCNR3,"^",3)=0:"Inactive ",1:"Active ") | 
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|  | 23 | ; get insurance company name | 
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|  | 24 | S IBCNRIN=$P($G(^DIC(36,IBCNRI,0)),U) | 
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|  | 25 | ; row 1 | 
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|  | 26 | S IBLEAD="FOR PHARMACY PLAN: " | 
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|  | 27 | S X=IBCNRNM_" - "_IBCNRID | 
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|  | 28 | S VALMHDR(1)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80) | 
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|  | 29 | ; row 2 | 
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|  | 30 | S IBLEAD="BIN: "_IBCNRBIN | 
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|  | 31 | S X="     PCN: "_IBCNRPCN_"     STATUS:  National "_NST_"/Local "_LST | 
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|  | 32 | S VALMHDR(2)=$$SETSTR^VALM1(X,IBLEAD,$L(IBLEAD)+1,80) | 
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|  | 33 | ; row 3 | 
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|  | 34 | ;S X="STATUS:  National "_NST_"/" | 
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|  | 35 | ;S VALMHDR(3)=$$SETSTR^VALM1("Local "_LST,X,$L(X)+1,80) | 
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|  | 36 | ; row 4 | 
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|  | 37 | S X="FOR INSURANCE COMPANY: " | 
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|  | 38 | S VALMHDR(4)=$$SETSTR^VALM1(IBCNRIN,X,$L(X)+1,80) | 
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|  | 39 | ; | 
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|  | 40 | Q | 
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|  | 41 | ; | 
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|  | 42 | INIT ; -- init variables and list array | 
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|  | 43 | ; | 
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|  | 44 | I '$D(^TMP("IBCNR",$J,"GP")) D  Q | 
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|  | 45 | . S VALMCNT=0 | 
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|  | 46 | . W !,*7,"Warning: No Active Group Plans with Pharmacy Coverage Found." | 
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|  | 47 | ; | 
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|  | 48 | N GPIEN,IBGP0,IBCPOLD,X,IBCPD6,IBCNRPP,IBCOV,IBCRVD,LIM | 
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|  | 49 | N IBGNA,IBGNM,IBCNA,IBCNM,IBDAT | 
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|  | 50 | K ^TMP("IBCNR",$J,"PM") | 
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|  | 51 | S VALMCNT=0,VALMBG=1,(IBCNA,IBCNM)="" | 
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|  | 52 | S (IBIND,IBMULT,IBW)=1 | 
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|  | 53 | F  S IBCNA=$O(^TMP("IBCNR",$J,"GP",IBCNA)) Q:IBCNA=""  D | 
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|  | 54 | . F  S IBCNM=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM)) Q:IBCNM=""  D | 
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|  | 55 | .. ;get pharm plan id | 
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|  | 56 | .. S GPIEN=$O(^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,"")),IBDAT=^TMP("IBCNR",$J,"GP",IBCNA,IBCNM,GPIEN) | 
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|  | 57 | .. ;set up list | 
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|  | 58 | .. S VALMCNT=VALMCNT+1 | 
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|  | 59 | .. S X=$$SETFLD^VALM1(VALMCNT,"","NUMBER") | 
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|  | 60 | .. ; | 
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|  | 61 | .. ;group name | 
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|  | 62 | .. S X=$$SETFLD^VALM1(IBCNA,X,"GNAME") | 
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|  | 63 | .. ; | 
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|  | 64 | .. ;group number | 
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|  | 65 | .. S X=$$SETFLD^VALM1(IBCNM,X,"GNUM") | 
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|  | 66 | .. ; | 
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|  | 67 | .. ;group plan type | 
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|  | 68 | .. S X=$$SETFLD^VALM1($$EXPAND^IBTRE(355.3,.09,$P(IBDAT,"^",2)),X,"GTYP") | 
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|  | 69 | .. ; | 
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|  | 70 | .. ;pharmacy plan | 
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|  | 71 | .. S IBCNRPP=$P($G(IBDAT),U) | 
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|  | 72 | .. I IBCNRPP'="" S IBCNRPP=$$GET1^DIQ(366.03,IBCNRPP_",",.02,"E") | 
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|  | 73 | .. S X=$$SETFLD^VALM1(IBCNRPP,X,"PHRM") | 
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|  | 74 | .. ; | 
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|  | 75 | .. ; set up tmp for SEL | 
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|  | 76 | .. S ^TMP("IBCNR",$J,"PM",VALMCNT,0)=X | 
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|  | 77 | .. S ^TMP("IBCNR",$J,"PM","IDX",VALMCNT,VALMCNT)=GPIEN | 
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|  | 78 | ; | 
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|  | 79 | Q | 
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|  | 80 | ; | 
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|  | 81 | HELP ; -- help code | 
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|  | 82 | S X="?" D DISP^XQORM1 W !! | 
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|  | 83 | Q | 
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|  | 84 | ; | 
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|  | 85 | EXIT ; -- exit code | 
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|  | 86 | K ^TMP("IBCNR",$J,"PM"),VALMBCK,VALMY | 
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|  | 87 | K IBIND,IBMULT,IBW,IBX | 
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|  | 88 | D CLEAN^VALM10,CLEAR^VALM1 | 
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|  | 89 | Q | 
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|  | 90 | ; | 
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|  | 91 | EXPND ; -- expand code | 
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|  | 92 | Q | 
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|  | 93 | ; | 
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|  | 94 | SEL ;  Select Plan | 
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|  | 95 | ; | 
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|  | 96 | D S1 | 
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|  | 97 | ; | 
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|  | 98 | I 'IBX Q  ; no group selected | 
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|  | 99 | ; | 
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|  | 100 | N DA,DIC,DIE,DR,D,IBSEL | 
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|  | 101 | S IBX=0 | 
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|  | 102 | F  S IBX=$O(VALMY(IBX)) Q:IBX=""  D | 
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|  | 103 | . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)) | 
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|  | 104 | . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01////^S X="_IBCNRP | 
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|  | 105 | . D ^DIE | 
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|  | 106 | D GIPF^IBCNRPM1 | 
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|  | 107 | D INIT | 
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|  | 108 | ; | 
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|  | 109 | S IBX=0 F  S IBX=$O(VALMY(IBX)) Q:'IBX  D | 
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|  | 110 | . S ^TMP($J,"IBSEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))="" | 
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|  | 111 | ; | 
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|  | 112 | Q | 
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|  | 113 | ; | 
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|  | 114 | DEL ; remove a plan from a group | 
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|  | 115 | D S1 | 
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|  | 116 | ; | 
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|  | 117 | I 'IBX Q  ; no group selected | 
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|  | 118 | ; | 
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|  | 119 | NEW DA,DIC,DIE,DR,IBSEL | 
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|  | 120 | S IBX=0 | 
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|  | 121 | F  S IBX=$O(VALMY(IBX)) Q:IBX=""  D | 
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|  | 122 | . S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)) | 
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|  | 123 | . S DA=IBSEL,DIC="^IBA(355.3,",DIE=DIC,DR="6.01///@" | 
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|  | 124 | . D ^DIE | 
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|  | 125 | D GIPF^IBCNRPM1 | 
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|  | 126 | D INIT | 
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|  | 127 | ; | 
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|  | 128 | S IBX=0 F  S IBX=$O(VALMY(IBX)) Q:'IBX  S ^TMP($J,"IBDEL",+$G(^TMP("IBCNR",$J,"PM","IDX",IBX,IBX)))="" | 
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|  | 129 | ; | 
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|  | 130 | Q | 
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|  | 131 | ; | 
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|  | 132 | S1 N DIR,DIRUT,DUOUT,DTOUT,DIROUT,IBOK,IBQUIT,Y,X | 
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|  | 133 | D EN^VALM2($G(XQORNOD(0))),FULL^VALM1 | 
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|  | 134 | S IBX=$O(VALMY(0)),VALMBCK="R" | 
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|  | 135 | ; | 
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|  | 136 | I 'IBX W !!,"No group selected!" D PAUSE^VALM1 Q | 
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|  | 137 | I 'IBMULT D  G SPQ | 
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|  | 138 | . D OK^IBCNSM3 | 
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|  | 139 | . I IBQUIT S VALMBCK="Q" Q | 
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|  | 140 | . I IBOK S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX)),VALMBCK="Q" | 
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|  | 141 | ; | 
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|  | 142 | ;S IBSEL=+$G(^TMP("IBCNR",$J,"PM","IDX",IBX)) | 
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|  | 143 | ;Q | 
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|  | 144 | ; | 
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|  | 145 | SPQ ; | 
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|  | 146 | S DIR(0)="SB^Y:YES;N:NO",DIR("B")="NO",DIR("A")="OK to Continue? " | 
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|  | 147 | D ^DIR K DIR | 
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|  | 148 | I $G(Y)="^" S IBX="" Q | 
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|  | 149 | I $G(Y(0))="NO" S IBX="" | 
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|  | 150 | Q | 
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