[613] | 1 | ORB3TIM2 ; slc/CLA - Routine to trigger time-related notifications ;3/30/01 07:41 [1/3/05 8:21am]
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| 2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**102,215,251,265**;Dec 17, 1997;Build 17
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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 | EXPIR ;trigger expiring order notifs
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| 6 | N EDT,EXDT,EXORN,ORBDNR,ORPT,ORBRSLT,RXORD,ORLASTDT,X,Y,%DT
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| 7 | N OIFILE,ORBY,ORBZ,ORBI,ORSCH,ORSCHFIL,ONETIME,ORST,ORNG,ORDT,ORDW,ORHOL
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| 8 | N EXOI,ORBLST,ORBERR,OITXT,PTLOC,ORSDT,ORNOW,ORLDT
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| 9 | ;
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| 10 | S ORNOW=$$NOW^XLFDT
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| 11 | ;
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| 12 | I '$D(^XTMP("ORB LAST EXPIRE")) D ;holds last dt EXPIR processed
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| 13 | .S ^XTMP("ORB LAST EXPIRE",0)=$$FMADD^XLFDT(ORNOW,7,"","","")_U
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| 14 | ;
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| 15 | ;determine number of days to return orders using day of week & holidays
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| 16 | F ORNG=1:1 D I ORHOL=0,ORDW=0 Q
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| 17 | .S ORDW=$S($H-4+ORNG#7>4:1,1:0) ;if Sat or Sun, ORDW=0
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| 18 | .S ORDT=$$FMADD^XLFDT(DT,ORNG)
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| 19 | .K DIC S DIC="^HOLIDAY(",X=ORDT D ^DIC
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| 20 | .S ORHOL=$S(+$G(Y)>0:1,1:0) ;if ORDT is a holiday, ORHOL=0
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| 21 | S %DT="",X="T+"_ORNG D ^%DT
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| 22 | S EDT=Y_".2400"
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| 23 | K DIC
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| 24 | ;
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| 25 | ;get DNR OIs:
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| 26 | S OIFILE=$$TERMLKUP^ORB31(.ORBY,"DNR")
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| 27 | ;
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| 28 | ;get local admin schedules for ONE TIME MED:
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| 29 | S ORSCHFIL=$$TERMLKUP^ORB31(.ORBZ,"ONE TIME MED")
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| 30 | ;
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| 31 | ;examine expiring orders:
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| 32 | S ORLASTDT=$P(^XTMP("ORB LAST EXPIRE",0),U,2)
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| 33 | S EXDT=$S($L(ORLASTDT):ORLASTDT,1:ORNOW)
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| 34 | F S EXDT=$O(^OR(100,"AE",EXDT)) Q:(EXDT="") D Q:ORBRSLT<0
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| 35 | .S ORBRSLT=$$FMDIFF^XLFDT(EDT,$P(EXDT,".")_".2400",2) ;diff in seconds
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| 36 | .Q:ORBRSLT<0
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| 37 | .S EXORN="" F S EXORN=$O(^OR(100,"AE",EXDT,EXORN)) Q:EXORN="" D
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| 38 | ..;
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| 39 | ..;Quit if isn't at least next day after order's Date of Last Activity:
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| 40 | ..S ORLDT=$P(^OR(100,EXORN,3),U)
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| 41 | ..Q:$$FMDIFF^XLFDT(ORNOW,ORLDT)<1
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| 42 | ..;
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| 43 | ..Q:$D(^XTMP("ORB LAST EXPIRE",EXORN)) ;quit if order already processed
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| 44 | ..S ^XTMP("ORB LAST EXPIRE",EXORN)=EXDT
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| 45 | ..;
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| 46 | ..S ORPT=$$PT^ORQOR2(EXORN) ; get pt assoc w/order
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| 47 | ..Q:+$G(ORPT)<1
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| 48 | ..;
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| 49 | ..Q:+$G(^DPT(ORPT,.35))>0 ; quit if pt deceased - DBIA #10035
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| 50 | ..;
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| 51 | ..S PTLOC=$G(^DPT(+$G(ORPT),.1)),PTLOC=$S($L(PTLOC):PTLOC,1:"OUTPT")
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| 52 | ..;
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| 53 | ..; is expiring order a DNR order:
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| 54 | ..I $D(ORBY),(+$G(OIFILE)=101.43) D
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| 55 | ...F ORBI=1:1:ORBY D
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| 56 | ....S ORBDNR=$P(ORBY(ORBI),U) I ORBDNR=$$OI^ORQOR2(EXORN) D
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| 57 | .....S ORST=$P($$STATUS^ORQOR2(EXORN),U,2)
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| 58 | .....I ORST'="DISCONTINUED",ORST'="COMPLETE",ORST'="EXPIRED",ORST'="CANCELLED",ORST'="DISCONTINUED/EDIT" D
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| 59 | ......D EN^ORB3(45,ORPT,EXORN,"","",EXORN_"@") ;trigger DNR notif
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| 60 | ..;
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| 61 | ..; is expiring order a flagged oi:
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| 62 | ..S EXOI=$$OI^ORQOR2(EXORN) I +$G(EXOI)>0 D
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| 63 | ...I $L(PTLOC),PTLOC'="OUTPT" D
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| 64 | ....D ENVAL^XPAR(.ORBLST,"ORB OI EXPIRING - INPT","`"_EXOI,.ORBERR)
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| 65 | ....I 'ORBERR,'$G(ORBLST) D ENVAL^XPAR(.ORBLST,"ORB OI EXPIRING - INPT PR","`"_EXOI,.ORBERR)
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| 66 | ....I 'ORBERR,$G(ORBLST)>0 D
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| 67 | .....S OITXT=$P(^ORD(101.43,EXOI,0),U)
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| 68 | .....S ORSDT=$P(^OR(100,EXORN,0),U,8),ORSDT=$$FMTE^XLFDT(ORSDT,"2P")
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| 69 | .....D EN^ORB3(64,ORPT,EXORN,"","["_PTLOC_"] Order expiring: "_OITXT_" "_ORSDT,EXORN_"@") ;trigger Expiring Flagged OI - INPT notification
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| 70 | ...;
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| 71 | ...I $L(PTLOC),PTLOC="OUTPT" D
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| 72 | ....D ENVAL^XPAR(.ORBLST,"ORB OI EXPIRING - OUTPT","`"_EXOI,.ORBERR)
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| 73 | ....I 'ORBERR,$G(ORBLST)>0 D
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| 74 | .....S OITXT=$P(^ORD(101.43,EXOI,0),U)
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| 75 | .....S ORSDT=$P(^OR(100,EXORN,0),U,8),ORSDT=$$FMTE^XLFDT(ORSDT,"2P")
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| 76 | .....D EN^ORB3(65,ORPT,EXORN,"","["_PTLOC_"] Order expiring: "_OITXT_" "_ORSDT,EXORN_"@") ;trigger Expiring Flagged OI - OUTPT notification
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| 77 | ..;
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| 78 | ..;is expiring order a med order:
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| 79 | ..S RXORD=$$DGRX^ORQOR2(EXORN)
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| 80 | ..I $L(RXORD) D ;if expiring order is a med order
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| 81 | ...;
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| 82 | ...N DFN S DFN=ORPT
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| 83 | ...D ADM^VADPT2
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| 84 | ...;
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| 85 | ...I (RXORD="OUTPATIENT MEDICATIONS")!(+$G(VADMVT)<1&(RXORD'="CLINIC ORDERS")) D
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| 86 | ....D EN^ORB3(72,ORPT,EXORN,"","",EXORN_"@") ;trigger outpt notif
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| 87 | ...;
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| 88 | ...Q:RXORD="OUTPATIENT MEDICATIONS" ;quit if an outpt med
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| 89 | ...Q:+$G(VADMVT)<1&(RXORD'="CLINIC ORDERS") ;quit if an outpt
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| 90 | ...;
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| 91 | ...K VADMVT
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| 92 | ...;
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| 93 | ...;is schedule for the order a ONE TIME MED:
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| 94 | ...S ONETIME=0
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| 95 | ...I $D(ORBZ),(+$G(ORSCHFIL)=51.1) F ORBI=1:1:ORBZ D
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| 96 | ....S ORSCH=$P(ORBZ(ORBI),U,2)
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| 97 | ....I ORSCH=$$VALUE^ORCSAVE2(EXORN,"SCHEDULE") S ONETIME=1 Q
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| 98 | ...Q:+$G(ONETIME)=1 ;quit if one time med
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| 99 | ...;
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| 100 | ...;check if this is an IMO order and what it is,send an M.E.-OUTPT alert
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| 101 | ...I RXORD="CLINIC ORDERS" D Q
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| 102 | ....N ORDLG,ORDG,ORDLGNM,FLAG,ORX
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| 103 | ....S FLAG=0
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| 104 | ....S ORDLG=$P($G(^OR(100,EXORN,0)),U,5) Q:$P(ORDLG,";",2)'="ORD(101.41,"
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| 105 | ....S ORDLGNM=$P($G(^ORD(101.41,+ORDLG,0)),U)
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| 106 | ....S ORDG=$P($G(^ORD(101.41,+ORDLG,0)),U,2)
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| 107 | ....I ORDLGNM="PSJ OR PAT OE"!(ORDLGNM="PSJI OR PAT FLUID OE") S FLAG=1
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| 108 | ....I 'FLAG F ORX="INPATIENT MEDICATIONS","IV MEDICATIONS","UNIT DOSE MEDICATIONS","CLINIC ORDERS" I $$UPPER^ORU(ORDG)=ORX D
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| 109 | .....S FLAG=1
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| 110 | .....I ORX="IV MEDICATIONS",(+$$IVRENEW(EXORN)=0) S FLAG=0
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| 111 | .....I ORX="UNIT DOSE MEDICATIONS",(+$$UDRENEW(EXORN,EXDT)=0) S FLAG=0
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| 112 | ....I FLAG D EN^ORB3(72,ORPT,EXORN,"","",EXORN_"@") ;trigger outpt notif
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| 113 | ...;
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| 114 | ...;quit if inpt/unit dose med and med is not renewable:
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| 115 | ...I RXORD="UNIT DOSE MEDICATIONS",(+$$UDRENEW(EXORN,EXDT)=0) Q
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| 116 | ...;
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| 117 | ...;quit if IV med and med is not renewable:
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| 118 | ...I RXORD="IV MEDICATIONS",(+$$IVRENEW(EXORN)=0) Q
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| 119 | ...;
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| 120 | ...D EN^ORB3(47,ORPT,EXORN,"","",EXORN_"@") ;trigger notif
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| 121 | S ^XTMP("ORB LAST EXPIRE",0)=$$FMADD^XLFDT(ORNOW,7,"","","")_U_$$NOW^XLFDT
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| 122 | D EXCLN(ORNOW)
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| 123 | Q
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| 124 | UDRENEW(EXORN,EXDT) ;extr function returns 1 if med is renewable, 0 if not
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| 125 | N ORNOW,ORSLT,ORSTATUS
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| 126 | S ORSLT=0
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| 127 | S ORSTATUS=$P($$STATUS^ORQOR2(EXORN),U,2)
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| 128 | I ORSTATUS="ACTIVE" Q 1 ;renewable if "active"
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| 129 | I ORSTATUS="HOLD" Q 1 ;renewable if "on hold"
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| 130 | I ORSTATUS="EXPIRED" D
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| 131 | .S ORNOW=$$NOW^XLFDT
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| 132 | .;renewable if expired w/in past 4 days:
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| 133 | .I $$FMDIFF^XLFDT(ORNOW,EXDT,1)<4 S ORSLT=1
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| 134 | Q ORSLT
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| 135 | ;
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| 136 | IVRENEW(EXORN) ;extr function returns 1 if med is renewable, 0 if not
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| 137 | N ORSLT,ORSTATUS
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| 138 | S ORSLT=0
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| 139 | S ORSTATUS=$P($$STATUS^ORQOR2(EXORN),U,2)
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| 140 | I ORSTATUS="ACTIVE" Q 1 ;renewable if "active"
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| 141 | I ORSTATUS="HOLD" Q 1 ;renewable if "on hold"
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| 142 | I ORSTATUS="EXPIRED" Q 1 ;renewable if "expired"
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| 143 | Q ORSLT
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| 144 | ;
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| 145 | EXCLN(ORNOW) ;clean up old entires in ^XTMP("ORB LAST EXPIRE")
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| 146 | N ORN,ORDT
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| 147 | S ORN=1
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| 148 | F S ORN=$O(^XTMP("ORB LAST EXPIRE",ORN)) Q:ORN="" D
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| 149 | .S ORDT=$G(^XTMP("ORB LAST EXPIRE",ORN))
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| 150 | .I $L(ORDT),(ORDT<ORNOW) D
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| 151 | ..K ^XTMP("ORB LAST EXPIRE",ORN)
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| 152 | Q
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