[613] | 1 | IBY155PO ;ALB/DSM - IB*2*155 POST INIT ROUTINE ;25-MAR-2003
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| 2 | ;;2.0;INTEGRATED BILLING;**155**; 21-MAR-94
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| 3 | ;
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| 4 | POST ; Set up check points for post-init
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| 5 | S %=$$NEWCP^XPDUTL("ADDUSR","ADDUSR^IBY155PO")
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| 6 | ;
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| 7 | ; default a No in the automatic MRA process parameter if undefined
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| 8 | I $P($G(^IBE(350.9,1,8)),U,11)="" D
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| 9 | . NEW D,D0,DA,DI,DIC,DIE,DQ,DR,X,Y
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| 10 | . S DIE=350.9,DA=1,DR="8.11////0" D ^DIE
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| 11 | . Q
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| 12 | ;
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| 13 | ; default a Yes in the allow MRA processing parameter if undefined
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| 14 | I $P($G(^IBE(350.9,1,8)),U,12)="" D
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| 15 | . NEW D,D0,DA,DI,DIC,DIE,DQ,DR,X,Y
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| 16 | . S DIE=350.9,DA=1,DR="8.12////1" D ^DIE
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| 17 | . Q
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| 18 | ;
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| 19 | ; Add new Claims Tracking non-billable reasons (File 356.8)
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| 20 | D
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| 21 | . NEW DA,DIC,DO,X,Y
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| 22 | . F X="MRA REC'D. NO SEC RESP EXISTS","MRA REC'D. SEC NOT BILLED" D
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| 23 | .. I $D(^IBE(356.8,"B",X)) Q ; already on file
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| 24 | .. S DIC="^IBE(356.8,",DIC(0)="F"
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| 25 | .. D FILE^DICN
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| 26 | .. Q
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| 27 | . Q
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| 28 | ;
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| 29 | ; Add a new Bill Form Type for MRA reports
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| 30 | D BFT^IBY155PR
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| 31 | ;
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| 32 | ; Modify the Medicare entries in the IB PROVIDER ID # TYPE file (355.97)
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| 33 | D
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| 34 | . NEW P,NAME,CODE,DA,DIE,DR
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| 35 | . F P="A","B" D
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| 36 | .. S NAME="MEDICARE PART "_P
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| 37 | .. I P="A" S CODE=670899
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| 38 | .. I P="B" S CODE="VA0"_+$$SITE^VASITE()
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| 39 | .. S DA=$O(^IBE(355.97,"B",NAME,"")) Q:'DA
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| 40 | .. S DIE=355.97,DR=".03///1C;.04///"_CODE
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| 41 | .. D ^DIE
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| 42 | .. Q
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| 43 | . Q
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| 44 | ;
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| 45 | ; Update Short Description field for IEN #964 in File 364.6
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| 46 | N IBDESC,DA,DIE,DR
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| 47 | D BMES^XPDUTL("Updating Short Description field for IEN #964 in the IB FORM SKELETON DEFINITION FILE")
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| 48 | S IBDESC="COB COVERED DAYS"
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| 49 | S DA=964,DIE="^IBA(364.6,",DR=".1///^S X=IBDESC" D ^DIE
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| 50 | D COMPLETE
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| 51 | ;
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| 52 | ; Delete 3 action protocols from the CSA screen menu protocol
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| 53 | D BMES^XPDUTL("Removing actions from the CSA screen")
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| 54 | D CSA
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| 55 | D COMPLETE
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| 56 | ;
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| 57 | ; Build the new "AMRA" index for file 361.1
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| 58 | D BMES^XPDUTL("A new index will now be created for file 361.1.")
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| 59 | D AMRA,COMPLETE
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| 60 | ;
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| 61 | ; Delete old remark codes fields
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| 62 | D BMES^XPDUTL("Deleting old line item remarks code fields from EOB file 361.1")
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| 63 | S DIK="^DD(361.115,",DA(1)=361.115,DA=3.01 D ^DIK
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| 64 | S DIK="^DD(361.115,",DA(1)=361.115,DA=3.02 D ^DIK
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| 65 | D COMPLETE
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| 66 | ;
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| 67 | ; Check the insurance company file for fake Medicare WNR entries
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| 68 | D BMES^XPDUTL("Scanning Insurance Company File for Medicare WNR Entries ...")
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| 69 | D INSCHK^IBCEMU3,COMPLETE
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| 70 | ;
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| 71 | ;
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| 72 | Q ; IBY155PO
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| 73 | ;
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| 74 | ;
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| 75 | ;
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| 76 | ;
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| 77 | ADDUSR ; Add the Bill Authorizer for acceptable MRA secondary claims
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| 78 | ; to the New Person file (#200)
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| 79 | ;
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| 80 | N DIC,X,Y,DO,DD,DLAYGO
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| 81 | S DIC(0)="",DIC="^VA(200,",X="AUTHORIZER,IB MRA" D ^DIC
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| 82 | I Y>0 D Q
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| 83 | . D BMES^XPDUTL("User, AUTHORIZER,IB MRA, already exists in the NEW PERSON file - not added")
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| 84 | . D COMPLETE
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| 85 | D BMES^XPDUTL("Adding new user, AUTHORIZER,IB MRA, to the NEW PERSON file")
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| 86 | S DLAYGO=200,DIC(0)="L",DIC="^VA(200,",DIC("DR")="1////MRA",X="AUTHORIZER,IB MRA" D FILE^DICN K DIC,DO,DD,DLAYGO
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| 87 | I Y'>0 D
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| 88 | . D BMES^XPDUTL("A problem was encountered trying to add user, AUTHORIZER,IB MRA")
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| 89 | . D BMES^XPDUTL("The entry must be added manually to the NEW PERSON file")
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| 90 | E D
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| 91 | .D BMES^XPDUTL("User, AUTHORIZER,IB MRA, was successfully added to the NEW PERSON file")
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| 92 | D COMPLETE
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| 93 | Q
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| 94 | ;
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| 95 | INCLUDE(Y) ; Code executed by build to determine which entries from file 364.7 should be included
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| 96 | NEW IBOUT,LINE S IBOUT=0
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| 97 | F LINE=2:1:5 I $P($T(ENT7+LINE),";;",2)[(U_+Y_U) S IBOUT=1 Q
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| 98 | INCX ;
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| 99 | Q IBOUT
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| 100 | ;
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| 101 | ENT7 ; changed and new entries for file 364.7 to be included in build
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| 102 | ;
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| 103 | ;;^115^176^181^182^188^268^270^275^293^296^297^305^306^308^309^310^322^344^346^353^493^503^504^
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| 104 | ;;^623^630^631^633^635^717^728^729^736^809^814^815^816^822^823^824^832^839^842^846^851^
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| 105 | ;;^852^853^854^855^856^857^858^859^860^861^862^864^865^870^871^872^875^876^882^883^886^890^947^951^956^957^
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| 106 | ;;^958^959^960^961^962^963^964^965^966^967^975^978^980^982^983^985^1013^1014^
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| 107 | Q
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| 108 | ENT6 ; new entry for file 364.6
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| 109 | ;;^716^964^
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| 110 | Q
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| 111 | ;
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| 112 | CSA ; Remove 3 actions from the CSA screen menu protocol
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| 113 | NEW AP,MPI,DA,DIK,API,APNM
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| 114 | S AP("IBCEM CSA EDIT BILL")=""
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| 115 | S AP("IBCEM CSA COB MANAGEMENT")=""
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| 116 | S AP("IBCEM CSA VIEW EOB")=""
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| 117 | S MPI=$O(^ORD(101,"B","IBCEM CSA MSG MENU","")) ; menu protocol ien
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| 118 | I 'MPI G CSAX
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| 119 | S DA(1)=MPI
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| 120 | S DIK="^ORD(101,"_MPI_",10,"
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| 121 | S DA=0 F S DA=$O(^ORD(101,MPI,10,DA)) Q:'DA D
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| 122 | . S API=+$G(^ORD(101,MPI,10,DA,0))
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| 123 | . S APNM=$P($G(^ORD(101,API,0)),U,1)
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| 124 | . I APNM="" Q
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| 125 | . I '$D(AP(APNM)) Q
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| 126 | . D ^DIK
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| 127 | . Q
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| 128 | CSAX ;
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| 129 | Q
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| 130 | ;
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| 131 | AMRA ; Build the new index
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| 132 | N MRAXR,MRARES,MRAOUT
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| 133 | S MRAXR("FILE")=361.1
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| 134 | S MRAXR("NAME")="AMRA"
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| 135 | S MRAXR("TYPE")="R"
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| 136 | S MRAXR("USE")="S"
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| 137 | S MRAXR("EXECUTION")="R"
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| 138 | S MRAXR("ACTIVITY")="IR"
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| 139 | S MRAXR("SHORT DESCR")="Index by EOB type and Review Status"
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| 140 | S MRAXR("VAL",1)=.04
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| 141 | S MRAXR("VAL",1,"SUBSCRIPT")=1
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| 142 | S MRAXR("VAL",1,"COLLATION")="F"
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| 143 | S MRAXR("VAL",2)=.16
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| 144 | S MRAXR("VAL",2,"SUBSCRIPT")=2
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| 145 | S MRAXR("VAL",2,"COLLATION")="F"
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| 146 | D CREIXN^DDMOD(.MRAXR,"SW",.MRARES,"MRAOUT")
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| 147 | I +$G(MRARES) D MES^XPDUTL("Index successfully created!") G AMRAX
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| 148 | ;
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| 149 | ; Index file failure. Not created for some reason
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| 150 | ;
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| 151 | D MES^XPDUTL("A PROBLEM WAS ENCOUNTERED. INDEX FILE NOT CREATED!!!")
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| 152 | D MES^XPDUTL("SENDING MAILMAN MESSAGE...")
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| 153 | D MES^XPDUTL("PLACING THE MRA MANAGEMENT SCREEN OUT-OF-ORDER.")
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| 154 | NEW XMDUZ,XMSUBJ,XMBODY,MSG,XMTO,DA,DIE,DR
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| 155 | S XMDUZ=DUZ,XMSUBJ="IB*2*155 Error: AMRA index not built",XMBODY="MSG"
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| 156 | S MSG(1)="The new ""AMRA"" index for file 361.1 was not created at"
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| 157 | S MSG(2)=" "
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| 158 | S MSG(3)=" "_$$SITE^VASITE
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| 159 | S MSG(4)=" "
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| 160 | S MSG(5)="The MRA management worklist has been placed out of order."
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| 161 | ;
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| 162 | ; recipients of message
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| 163 | S XMTO(DUZ)=""
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| 164 | S XMTO("eric.gustafson@daou.com")=""
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| 165 | S XMTO("michael.f.pida@us.pwc.com")=""
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| 166 | S XMTO("Janet.Harris2@med.va.gov")=""
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| 167 | S XMTO("Loretta.Gulley2@med.va.gov")=""
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| 168 | S XMTO("G.PATCHES")=""
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| 169 | S XMTO("G.IB EDI")=""
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| 170 | S XMTO("G.IB EDI SUPERVISOR")=""
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| 171 | ;
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| 172 | D SENDMSG^XMXAPI(XMDUZ,XMSUBJ,XMBODY,.XMTO)
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| 173 | ;
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| 174 | ; place MRA management worklist screen out of order
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| 175 | S DA=$O(^DIC(19,"B","IBCE MRA MANAGEMENT",""))
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| 176 | I DA S DIE=19,DR="2////IB Patch 155 Installation Failure" D ^DIE
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| 177 | ;
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| 178 | AMRAX ;
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| 179 | Q
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| 180 | ;
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| 181 | COMPLETE ;
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| 182 | D BMES^XPDUTL("Step complete.")
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| 183 | Q
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| 184 | ;
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