| 1 | PSODRDU1 ;BIR/SAB - dup drug class checker for pending orders ;1/3/05 11:33am
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| 2 |  ;;7.0;OUTPATIENT PHARMACY;**4,27,32,56,63,130,132,192**;DEC 1997
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| 3 |  ;External reference to ^PSDRUG supported by DBIA 221
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| 4 |  ;External reference to ^PS(50.606 supported by DBIA 2174
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| 5 |  ;External reference to ^PS(51.2 supported by DBIA 2226
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| 6 |  ;External reference to ^PS(50.7 supported by DBIA 2223
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| 7 |  ;External reference to ^SC supported by DBIA 10040
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| 8 |  ;External reference to ^PS(56 supported by DBIA 2229
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| 9 |  ;External references PSOL and PSOUL^PSSLOCK supported by DBIA 2789
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| 10 |  S RXREC=$P(PSOSD(STA,DNM),"^",10)
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| 11 |  Q:'$D(^PS(52.41,RXREC,0))
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| 12 |  Q:$P($G(^PS(52.41,RXREC,0)),"^",3)="RF"
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| 13 |  I $G(ORD) D  K FSIG Q
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| 14 |  .D:ORD'=RXREC&($G(PSODRUG("NAME"))=$P(DNM,"^"))&('$D(^XUSEC("PSORPH",DUZ)))  Q:$G(PSORX("DFLG"))
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| 15 |  ..I $P($G(PSOPAR),"^",16) D DUP Q:$G(PSORX("DFLG"))
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| 16 |  ..I $P($G(PSOPAR),"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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| 17 |  ..I '$P(PSOPAR,"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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| 18 |  .I $D(^XUSEC("PSORPH",DUZ)) D:ORD'=RXREC&($G(PSODRUG("NAME"))=$P(DNM,"^")) DUP Q:$G(PSORX("DFLG"))
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| 19 |  .I $G(PSODRUG("VA CLASS"))]"",$E($G(PSODRUG("VA CLASS")),1,4)=$E($P($G(PSOSD(STA,DNM)),"^",5),1,4),$G(PSODRUG("NAME"))'=$P(DNM,"^"),ORD'=RXREC D CLS
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| 20 |  ;backdoor orders
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| 21 |  Q:'$P($G(^PS(52.41,RXREC,0)),"^",9)
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| 22 |  D:PSODRUG("NAME")=$P(DNM,"^")&('$D(^XUSEC("PSORPH",DUZ)))  I $G(PSORX("DFLG")) K FSIG Q
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| 23 |  .I $P($G(PSOPAR),"^",16) D DUP Q:$G(PSORX("DFLG"))
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| 24 |  .I $P($G(PSOPAR),"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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| 25 |  .I '$P(PSOPAR,"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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| 26 |  D:PSODRUG("NAME")=$P(DNM,"^")&($D(^XUSEC("PSORPH",DUZ))) DUP Q:$G(PSORX("DFLG"))
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| 27 |  I $G(PSODRUG("VA CLASS"))]"",$E($G(PSODRUG("VA CLASS")),1,4)=$E($P($G(PSOSD(STA,DNM)),"^",5),1,4),$G(PSODRUG("NAME"))'=$P(DNM,"^") D CLS
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| 28 |  K FSIG Q
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| 29 | DUP S DUP=1 W !,PSONULN,!,$C(7),"DUPLICATE DRUG "_$P(DNM,"^")_" in a Pending Order"
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| 30 |  S MSG="Discontinued During "_$S('$G(PSONV):"New Prescription Entry",1:"Verification")_" - Duplicate Drug."
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| 31 | DATA S DUPRX0=^PS(52.41,RXREC,0),RFLS=$P(DUPRX0,"^",11),ISSD=$P(DUPRX0,"^",6)
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| 32 |  S RXRECLOD=RXREC
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| 33 |  W !,"Orderable Item: "_$P(^PS(50.7,$P(DUPRX0,"^",8),0),"^")_" "_$P(^PS(50.606,$P(^(0),"^",2),0),"^")
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| 34 |  W !,"Drug: "_$S($P(DUPRX0,"^",9):$P(^PSDRUG($P(DUPRX0,"^",9),0),"^"),1:"No Dispense Drug Selected")
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| 35 |  W !,"Instructions: " S TY=2 D INST
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| 36 |  D FSIG^PSOUTLA("P",RXREC,IOM-6)
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| 37 |  W !,"SIG: " F I=0:0 S I=$O(FSIG(I)) Q:'I  W FSIG(I),!?5
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| 38 |  W !,"Routing: "_$S($P(DUPRX0,"^",17)="W":"WINDOW",1:"MAIL"),?30,"Quantity: "_$P(DUPRX0,"^",10),!,"# of Refills: "_$P(DUPRX0,"^",11)
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| 39 |  W ?30,"Patient Status: SC",!,"Patient Location: "_$S($P(DUPRX0,"^",13):$P($G(^SC($P(DUPRX0,"^",13),0)),"^"),1:""),!,"Med Route: "_$P($G(^PS(51.2,+$P(DUPRX0,"^",15),0)),"^"),?30,"Provider: "_$P(^VA(200,$P(DUPRX0,"^",5),0),"^")
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| 40 |  S Y=$P(DUPRX0,"^",6) X ^DD("DD") W !,"Issue Date: "_Y
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| 41 |  W !,"Provider Comments: " S TY=3 D INST
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| 42 |  W !,PSONULN,! I $P($G(^PS(53,+$P($G(PSORX("PATIENT STATUS")),"^"),0)),"^")["AUTH ABS"!($G(PSORX("PATIENT STATUS"))["AUTH ABS")&'$P(PSOPAR,"^",5) W !,"PATIENT ON AUTHORIZED ABSENCE!" K RXRECLOD Q
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| 43 | ASKCAN D PSOL^PSSLOCK(RXRECLOD_"S") I '$G(PSOMSG) D  K PSOMSG,DIR,DUP,RXRECLOD S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR S PSORX("DFLG")=1 Q
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| 44 |  .I $P($G(PSOMSG),"^",2)'="" W !!,$P(PSOMSG,"^",2),! Q
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| 45 |  .W !!,"Another person is editing this pending order.",!
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| 46 |  K PSOMSG S DIR("A")="Discontinue Pending Order",DIR(0)="Y",DIR("?")="Enter Y to Discontinue this pending order."
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| 47 |  D ^DIR K DIR
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| 48 |  I 'Y W $C(7)," -Pending Order was not discontinued..." S:$G(DUP) PSORX("DFLG")=1 K DUP,CLS D ULPN Q
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| 49 |  S ACT="Discontinued while "_$S('$G(PSONV):"entering",1:"verifying")_" new RX"
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| 50 |  W !!,"Duplicate "_$S($G(CLS):"Class",1:"Drug")_" will be discontinued after the acceptance of the new order.",! H 2
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| 51 |  S ^TMP("PSORXDC",$J,RXREC,0)="P^"_RXREC_"^"_MSG
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| 52 |  K CLS,DUP,PSOSD(STA,DNM) Q
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| 53 | CLS K DUP
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| 54 |  I $E($G(PSODRUG("VA CLASS")),1,2)="HA",$E($P($G(PSOSD(STA,DNM)),"^",5),1,2)="HA" K CLS,DUP,PSOELSE Q
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| 55 |  S MSG="  Discontinued During "_$S('$G(PSONV):"New Prescription Entry",1:"Verification")_" - Duplicate Class." W !,PSONULN
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| 56 |  W !,$C(7),"*** SAME CLASS *** of drug in a Pending Order for "_$P(DNM,"^"),!,"Class: "_$G(PSODRUG("VA CLASS"))
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| 57 |  S CLS=1 I $P($G(PSOPAR),"^",10) D DATA Q
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| 58 |  E  S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR,DTOUT,DUOUT,DIRUT
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| 59 |  K CLS,DUP,PSOELSE Q
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| 60 | INST ;displays instruction and/or comments
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| 61 |  S INST=0 F  S INST=$O(^PS(52.41,RXREC,TY,INST)) Q:'INST  S MIG=^PS(52.41,RXREC,TY,INST,0) D
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| 62 |  .F SG=1:1:$L(MIG," ") W:$X+$L($P(MIG," ",SG)_" ")>IOM @$S(TY=3:"!?14",1:"!?19") W $P(MIG," ",SG)_" "
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| 63 |  K INST,TY,MIG,SG
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| 64 |  Q
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| 65 | ULPN ;
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| 66 |  I '$G(RXRECLOD) Q
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| 67 |  D PSOUL^PSSLOCK(RXRECLOD_"S") K RXRECLOD
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| 68 |  Q
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| 69 | NVA ;displays duplicate drugs and classes for non-va meds
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| 70 |  I $G(IT) D  Q
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| 71 |  .S SER=$P($G(^PS(56,IT,0)),"^",4)
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| 72 |  .W "***"_$S(SER=1:"Critical",1:"Significant")_"*** Drug Interaction with a Non-VA Med Order.",!,"Drug: "_$P(DNM,"^")
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| 73 |  .K DIR,DIRUT,DTOUT,DUOUT S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR,DIRUT,DTOUT,DUOUT
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| 74 |  Q:'$D(^PS(55,PSODFN,"NVA",$P(PSOSD(STA,DNM),"^",10),0))
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| 75 |  S IFN=$P(PSOSD(STA,DNM),"^",10),RXREC=IFN
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| 76 |  I '$G(IT),$G(PSODRUG("NAME"))=$P(DNM,"^") D DSP Q
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| 77 |  I '$G(IT),$G(PSODRUG("VA CLASS"))]"",$E($G(PSODRUG("VA CLASS")),1,4)=$E($P($G(PSOSD(STA,DNM)),"^",5),1,4),$G(PSODRUG("NAME"))'=$P(DNM,"^") D DSP
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| 78 |  Q
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| 79 | DSP S $P(PSONULN,"-",79)="-"
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| 80 |  W !,PSONULN,!,$C(7),"Duplicate Drug "_$S($G(PSODRUG("NAME"))=$P(DNM,"^"):$P(DNM,"^"),1:"Class "_$G(PSODRUG("VA CLASS")))_" in a Non-VA Med Order.",!
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| 81 |  S DUPRX0=^PS(55,PSODFN,"NVA",RXREC,0)
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| 82 |  W !,"Orderable Item: "_$P(^PS(50.7,$P(DUPRX0,"^"),0),"^")_" "_$P(^PS(50.606,$P(^(0),"^",2),0),"^")
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| 83 |  W !,"Drug: "_$S($P(DUPRX0,"^",2):$P(^PSDRUG($P(DUPRX0,"^",2),0),"^"),1:"No Dispense Drug Selected")
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| 84 |  W !,"Drug Class: "_$G(PSODRUG("VA CLASS"))
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| 85 |  W !,"Dosage: "_$P(DUPRX0,"^",3)
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| 86 |  W !,"Schedule: "_$P(DUPRX0,"^",5),?40,"Medication Route: "_$P(DUPRX0,"^",4)
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| 87 |  W !,"Start Date: "_$$FMTE^XLFDT($P(DUPRX0,"^",9)),?40,"CPRS Order #: "_$P(DUPRX0,"^",8)
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| 88 |  W !,"Documented By: "_$P(^VA(200,$P(DUPRX0,"^",11),0),"^")_" on "_$$FMTE^XLFDT($P(DUPRX0,"^",10))
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| 89 |  F I=0:0 S I=$O(^PS(55,PSODFN,"NVA",IFN,"OCK",I)) Q:'I  D  W !
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| 90 |  .S ORD1=$P(^PS(55,PSODFN,"NVA",IFN,"OCK",I,0),"^"),ORP=$P(^(0),"^",2)
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| 91 |  .W !,"Order Check #"_I_": "
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| 92 |  .K OCK,LEN I $L(ORD1)>70 S (LEN,IEN)=1 D
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| 93 |  ..F SG=1:1:$L(ORD1) S:$L($G(OCK(IEN))_" "_$P(ORD1," ",SG))>75&($P(ORD1," ",SG)]"") IEN=IEN+1 S:$P(ORD1," ",SG)'="" OCK(IEN)=$G(OCK(IEN))_" "_$P(ORD1," ",SG)
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| 94 |  ..F II=0:0 S II=$O(OCK(II)) Q:'II  W !?5,OCK(II)
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| 95 |  .W:'$G(LEN) ORD1 K LEN,SG,IEN,II,OCK,ORD1
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| 96 |  .W !,"Overriding Provider: "_$S($G(ORP):$P(^VA(200,ORP,0),"^"),1:"")
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| 97 |  .K ORP,OCK,REA W !,"Reason:" F SS=0:0 S SS=$O(^PS(55,PSODFN,"NVA",IFN,"OCK",I,"OVR",SS)) Q:'SS  S REA(SS)=^PS(55,PSODFN,"NVA",IFN,"OCK",I,"OVR",SS,0)
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| 98 |  .S IEN=1 F II=0:0 S II=$O(REA(II)) Q:'II  D
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| 99 |  ..F SG=1:1:$L(REA(II)) S:$L($G(OCK(IEN))_" "_$P(REA(II)," ",SG))>70&($P(REA(II)," ",SG)]"") IEN=IEN+1 S:$P(REA(II)," ",SG)'="" OCK(IEN)=$G(OCK(IEN))_" "_$P(REA(II)," ",SG)
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| 100 |  ..K REA,IEN,SG F II=0:0 S II=$O(OCK(II)) Q:'II  W OCK(II) I $O(OCK(II)) W !?5
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| 101 |  .K OCK W !,"Statement/Explanation/Comments:" F SS=0:0 S SS=$O(^PS(55,PSODFN,"NVA",IFN,"DSC",SS)) Q:'SS  S DSC(SS)=^PS(55,PSODFN,"NVA",IFN,"DSC",SS,0)
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| 102 |  .S IEN=1 F II=0:0 S II=$O(DSC(II)) Q:'II  D
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| 103 |  ..F SG=1:1:$L(DSC(II)) S:$L($G(OCK(IEN))_" "_$P(DSC(II)," ",SG))>70&($P(DSC(II)," ",SG)]"") IEN=IEN+1 S:$P(DSC(II)," ",SG)'="" OCK(IEN)=$G(OCK(IEN))_" "_$P(DSC(II)," ",SG)
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| 104 |  ..K IEN,DSC,SG F II=0:0 S II=$O(OCK(II)) Q:'II  W !?5,OCK(II)
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| 105 |  W !,PSONULN,!
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| 106 |  K RX3,LSTFL,PSONULN,ISSD,J,LSTFD,PHYS,ST,TRM,DUPRX0,FL,FSIG,I,IFN,RFLS,RXREC,X,Y,IEN,DSC,REA,OCK,ORD1
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| 107 |  K DIR,DIRUT,DTOUT,DUOUT S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR,DIRUT,DTOUT,DUOUT
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| 108 |  Q
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