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| 2 | G BEGIN
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| 3 | N W !
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| 4 | T W:$X ! I '$D(DIOT(2)),DN,$D(IOSL),$S('$D(DIWF):1,$P(DIWF,"B",2):$P(DIWF,"B",2),1:1)+$Y'<IOSL,$D(^UTILITY($J,1))#2,^(1)?1U1P1E.E X ^(1)
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| 6 | Q
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| 9 | W Y Q
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| 10 | M D @DIXX
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| 11 | Q
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| 12 | BEGIN ;
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| 24 | Q
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| 25 | A1R ;
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| 27 | G B1R
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| 30 | Q
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| 31 | B1R ;
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| 32 | D N:$X>0 Q:'DN W ?0 W "COMMENTS ON REASON FOR S/R:"
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| 37 | Q
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| 38 | C1R ;
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| 39 | D N:$X>0 Q:'DN W ?0 W "GENERAL COMMENTS: "
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| 41 | G D1R
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| 42 | D1 ;
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| 44 | Q
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| 45 | D1R ;
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| 46 | D A^DIWW
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| 47 | D T Q:'DN D N D N:$X>0 Q:'DN W ?0 W " "
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| 48 | K Y K DIWF
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| 49 | Q
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| 50 | HEAD ;
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| 51 | W !,?0,"D"
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| 52 | W !,?0,"PARSE^YSSRU"
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| 53 | W !,?0,"NUMDATE(ACTUAL"
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| 54 | W !,?0,"DATE OF"
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| 55 | W !,?0,"REVIEW)"
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| 56 | W !,?10,"NAME",?29,"NUMDATE(YSPARAM("
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| 57 | W !,?39,"YSPARAM("
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| 58 | W !,?46,"REASONS FOR"
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| 59 | W !,?46,"S/R:REASON"
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| 60 | W !,?63,"TYPE OF"
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| 61 | W !,?63,"SECLUSION/RESTRAINT:.01"
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| 62 | W !
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| 63 | W !,?0,"DESCRIBE CIRCUMSTANCES"
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| 64 | W !,?0,"GENERAL COMMENTS"
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| 65 | W !,"--------------------------------------------------------------------------------",!!
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