[613] | 1 | PXRRPAPI ;ISL/PKR - Build the patient specific info for each patient on the list. ;6/27/97
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| 2 | ;;1.0;PCE PATIENT CARE ENCOUNTER;**18,121,165**;Aug 12, 1996
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| 3 | ;
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| 4 | PAT ;
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| 5 | N ACTIVITY,BACDATE,BD,BUSY,DATE,DFN,EACDATE,ED,ERIEN,ERR
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| 6 | N IC,IEN,JC,FACIEN,FACNAM
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| 7 | N HLOCIEN,HLOCNAM,LABTEST,LOCIEN,LRDFN,NERM
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| 8 | N PNAME,SPEC,SSN,SSNF,UNITS
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| 9 | N TEMP
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| 10 | ;
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| 11 | ;Allow the task to be cleaned up upon successful completion.
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| 12 | S ZTREQ="@"
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| 13 | ;
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| 14 | S BACDATE=PXRRBCDT-.0001
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| 15 | S EACDATE=PXRRECDT+.2359
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| 16 | ;
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| 17 | ;Build a list of emergency room iens, get list from PCE parameter file.
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| 18 | S NERM=0
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| 19 | S IC=0
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| 20 | F S IC=$O(^PX(815,IC)) Q:+IC=0 D
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| 21 | . S JC=0
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| 22 | . F S JC=$O(^PX(815,IC,"RR1",JC)) Q:+JC=0 D
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| 23 | .. S NERM=NERM+1
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| 24 | .. S TEMP=^PX(815,IC,"RR1",JC,0)
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| 25 | .. S ERIEN(NERM)=TEMP_U_$P(^SC(TEMP,0),U,1)
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| 26 | ;
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| 27 | I '(PXRRQUE!$D(IO("S"))) D INIT^PXRRBUSY(.BUSY)
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| 28 | ;
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| 29 | S FACIEN=""
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| 30 | NFAC1 S FACIEN=$O(^XTMP(PXRRXTMP,"APPT",FACIEN))
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| 31 | I +FACIEN=0 G DONE
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| 32 | ;
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| 33 | S HLOCIEN=""
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| 34 | NHLOC1 S HLOCIEN=$O(^XTMP(PXRRXTMP,"APPT",FACIEN,HLOCIEN))
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| 35 | I +HLOCIEN=0 G NFAC1
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| 36 | ;
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| 37 | ;Check for a user request to stop the task.
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| 38 | I $$S^%ZTLOAD S ZTSTOP=1 D EXIT^PXRRGUT
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| 39 | ;
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| 40 | S DFN=0
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| 41 | NPAT S DFN=$O(^XTMP(PXRRXTMP,"APPT",FACIEN,HLOCIEN,DFN))
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| 42 | I +DFN=0 G NHLOC1
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| 43 | S ACTIVITY=0
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| 44 | ;
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| 45 | ;If this is an interactive session let the user know that something
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| 46 | ;is happening.
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| 47 | I '(PXRRQUE!$D(IO("S"))) D SPIN^PXRRBUSY("Sorting patient information",.BUSY)
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| 48 | ;
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| 49 | ;Emergency room visits.
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| 50 | I NERM>0 D
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| 51 | . S BD=BACDATE
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| 52 | . S ED=EACDATE
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| 53 | . F S BD=$O(^AUPNVSIT("AET",DFN,BD)) Q:((BD>EACDATE)!(BD="")) D
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| 54 | .. S LOCIEN=""
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| 55 | .. F S LOCIEN=$O(^AUPNVSIT("AET",DFN,BD,LOCIEN)) Q:LOCIEN="" D
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| 56 | ... F IC=1:1:NERM D
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| 57 | .... I $P(ERIEN(IC),U,1)=LOCIEN D
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| 58 | ..... S ^TMP(PXRRXTMP,$J,"ER",DFN,BD)=ERIEN(IC)
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| 59 | . I $D(^TMP(PXRRXTMP,$J,"ER",DFN)) S ACTIVITY=1
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| 60 | ;
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| 61 | ;Build a list of future appointments.
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| 62 | D KVA^VADPT
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| 63 | S VASD("F")=PXRRBFDT
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| 64 | S VASD("T")=PXRREFDT
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| 65 | D SDA^VADPT
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| 66 | S IC=0
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| 67 | F S IC=$O(^UTILITY("VASD",$J,IC)) Q:+IC=0 D
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| 68 | . S ^TMP(PXRRXTMP,$J,"FUT",DFN,IC)=^UTILITY("VASD",$J,IC,"E")
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| 69 | K ^UTILITY("VASD",$J)
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| 70 | D KVA^VADPT
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| 71 | I $D(^TMP(PXRRXTMP,$J,"FUT",DFN)) S ACTIVITY=1
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| 72 | ;
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| 73 | ;Save all admissions and discharges in the date range.
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| 74 | ;We will need a DBIA to use the cross-ref. Numerous similar
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| 75 | ;ones are already in place, i.e., DBIA244-D, DBIA325-B, DBIA966, DBIA1358.
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| 76 | S BD=BACDATE
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| 77 | S ED=EACDATE
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| 78 | NADM S BD=$O(^DGPM("APTT1",DFN,BD))
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| 79 | ;If we have passed the ending date we are done.
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| 80 | I (BD>ED)!(BD="") G DIS
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| 81 | S IEN=$O(^DGPM("APTT1",DFN,BD,""))
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| 82 | S ^TMP(PXRRXTMP,$J,"ADM",DFN,BD,IEN)=""
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| 83 | G NADM
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| 84 | I $D(^TMP(PXRRXTMP,$J,"ADM",DFN)) S ACTIVITY=1
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| 85 | ;
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| 86 | DIS S BD=BACDATE
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| 87 | S ED=EACDATE
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| 88 | NDIS S BD=$O(^DGPM("APTT3",DFN,BD))
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| 89 | ;If we have passed the ending date we are done.
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| 90 | I (BD>ED)!(BD="") G CLAB
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| 91 | S IEN=$O(^DGPM("APTT3",DFN,BD,""))
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| 92 | S ^TMP(PXRRXTMP,$J,"DIS",DFN,BD,IEN)=""
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| 93 | G NDIS
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| 94 | I $D(^TMP(PXRRXTMP,$J,"DIS",DFN)) S ACTIVITY=1
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| 95 | ;
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| 96 | ;Get critical lab values.
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| 97 | ;This will probably require a DBIA to read DPT.
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| 98 | ;We will need a DBIA to look at lab stuff.
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| 99 | CLAB S LRDFN=$G(^DPT(DFN,"LR"))
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| 100 | I LRDFN="" G SAVPAT
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| 101 | S ED=$$FMDFINVL(BACDATE,0)
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| 102 | S BD=$$FMDFINVL(EACDATE,0)
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| 103 | NLAB S BD=$O(^LR(LRDFN,"CH",BD))
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| 104 | ;If we have passed the ending date we are done.
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| 105 | I (BD>ED)!(BD="") G SAVPAT
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| 106 | S IC=0
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| 107 | F S IC=$O(^LR(LRDFN,"CH",BD,IC)) Q:+IC=0 D
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| 108 | . S TEMP=$G(^LR(LRDFN,"CH",BD,IC))
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| 109 | . I $P(TEMP,U,2)["*" D
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| 110 | .. D FIELD^DID(63.04,IC,"","LABEL","LABTEST","ERR")
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| 111 | ..;Try to get the units.
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| 112 | .. S SPEC=$P(^LR(LRDFN,"CH",BD,0),U,5)
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| 113 | .. S JC=$O(^LAB(60,"C","CH;"_IC_";1",""))
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| 114 | .. S UNITS=$P($G(^LAB(60,JC,1,SPEC,0)),U,7)
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| 115 | .. S ^TMP(PXRRXTMP,$J,"CLAB",DFN,BD,IC)=LABTEST("LABEL")_U_TEMP_U_UNITS
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| 116 | G NLAB
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| 117 | I $D(^TMP(PXRRXTMP,$J,"CLAB",DFN)) S ACTIVITY=1
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| 118 | ;
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| 119 | SAVPAT ;Save the patient data in XTMP in a format suitable for printing.
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| 120 | ;We only want those patients that had some activity.
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| 121 | I 'ACTIVITY G NPAT
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| 122 | S TEMP=$G(^DPT(DFN,0))
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| 123 | S PNAME=$P(TEMP,U,1)
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| 124 | S SSN=$P(TEMP,U,9)
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| 125 | S FACNAM=PXRRFACN(FACIEN)_U_FACIEN
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| 126 | S HLOCNAM=$P($G(^SC(HLOCIEN,0)),U,1)
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| 127 | S ^XTMP(PXRRXTMP,"ALPHA",FACNAM,HLOCNAM_U_HLOCIEN,PNAME,SSN)=DFN
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| 128 | D KVA^VADPT
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| 129 | D ADD^VADPT
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| 130 | S SSNF=$$SSNFORM(SSN)
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| 131 | S ^XTMP(PXRRXTMP,"PATIENT",DFN)=SSNF_U_VAPA(1)_U_VAPA(2)_U_VAPA(3)_U_VAPA(4)_U_VAPA(5)_U_VAPA(6)_U_VAPA(8)
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| 132 | D KVA^VADPT
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| 133 | ;
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| 134 | ;Appointment data.
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| 135 | S IC=0
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| 136 | F S IC=$O(^XTMP(PXRRXTMP,"APPT",FACIEN,HLOCIEN,DFN,IC)) Q:+IC=0 D
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| 137 | . S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"APPT",IC)=^XTMP(PXRRXTMP,"APPT",FACIEN,HLOCIEN,DFN,IC)
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| 138 | ;
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| 139 | ;Process admission data, build a complete entry including discharge
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| 140 | ;date, last treating specialty, last provider, admitting diagnosis.
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| 141 | S IC=0
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| 142 | F S IC=$O(^TMP(PXRRXTMP,$J,"ADM",DFN,IC)) Q:+IC=0 D
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| 143 | . S IEN=$O(^TMP(PXRRXTMP,$J,"ADM",DFN,IC,""))
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| 144 | . D ADMISS(DFN,IC,IEN)
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| 145 | ;
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| 146 | ;Process discharge admission data, build a complete entry just as for
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| 147 | ;admissions above. Match the discharge to the admission, avoiding
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| 148 | ;duplicate entries.
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| 149 | S IC=0
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| 150 | F S IC=$O(^TMP(PXRRXTMP,$J,"DIS",DFN,IC)) Q:+IC=0 D
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| 151 | . S IEN=$O(^TMP(PXRRXTMP,$J,"DIS",DFN,IC,""))
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| 152 | . D DISCHRG(DFN,IC,IEN)
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| 153 | ;
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| 154 | ;Look for any current inpatient data whose admission we may have
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| 155 | ;missed.
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| 156 | I '$D(^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"ADMDIS")) D
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| 157 | . D KVA^VADPT
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| 158 | . D IN5^VADPT
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| 159 | . I $L(VAIP(13))>0 D
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| 160 | .. S DATE=$P(VAIP(13,1),U,1)
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| 161 | ..;The admission date must be less than the beginning activity date
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| 162 | ..;in order for the patient to be an inpatient during the activity
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| 163 | ..;date range.
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| 164 | .. I DATE<PXRRBCDT D
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| 165 | ...;Ward
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| 166 | ... S TEMP=$P(VAIP(14,4),U,2)
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| 167 | ...;Last treating specialty
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| 168 | ... S TEMP=TEMP_U_$P(VAIP(14,6),U,2)
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| 169 | ... ;Last provider
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| 170 | ... S TEMP=TEMP_U_$P(VAIP(14,5),U,2)
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| 171 | ...;Admitting diagnosis
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| 172 | ... S TEMP=TEMP_U_VAIP(13,7)
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| 173 | ... S DISDATE=DT+1
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| 174 | ... S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"ADMDIS",DATE,DISDATE)=TEMP
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| 175 | ;
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| 176 | ;Critical lab data.
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| 177 | S IC=0
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| 178 | F S IC=$O(^TMP(PXRRXTMP,$J,"CLAB",DFN,IC)) Q:+IC=0 D
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| 179 | . S TEMP=$$FMDFINVL(IC,1)
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| 180 | . S JC=0
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| 181 | . F S JC=$O(^TMP(PXRRXTMP,$J,"CLAB",DFN,IC,JC)) Q:+JC=0 D
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| 182 | .. S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"CLAB",TEMP,JC)=^TMP(PXRRXTMP,$J,"CLAB",DFN,IC,JC)
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| 183 | ;
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| 184 | ;Emergency room visits.
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| 185 | S IC=0
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| 186 | F S IC=$O(^TMP(PXRRXTMP,$J,"ER",DFN,IC)) Q:+IC=0 D
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| 187 | . S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"ER",IC)=^TMP(PXRRXTMP,$J,"ER",DFN,IC)
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| 188 | ;
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| 189 | ;Future appointments.
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| 190 | S IC=0
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| 191 | F S IC=$O(^TMP(PXRRXTMP,$J,"FUT",DFN,IC)) Q:+IC=0 D
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| 192 | . S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"FUT",IC)=^TMP(PXRRXTMP,$J,"FUT",DFN,IC)
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| 193 | ;
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| 194 | G NPAT
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| 195 | DONE ;
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| 196 | I '(PXRRQUE!$D(IO("S"))) D DONE^PXRRBUSY("done")
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| 197 | ;
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| 198 | EXIT ;
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| 199 | K ^TMP(PXRRXTMP)
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| 200 | ;
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| 201 | ;Print the report.
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| 202 | I PXRRQUE D
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| 203 | .;Start the report that was queued but not scheduled.
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| 204 | . N DESC,ROUTINE,TASK
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| 205 | . S DESC="Patient Activity Report - print"
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| 206 | . S ROUTINE="PXRRPAPR"
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| 207 | . S ZTDTH=$$NOW^XLFDT
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| 208 | . S TASK=^XTMP(PXRRXTMP,"PRZTSK")
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| 209 | . D REQUE^PXRRQUE(DESC,ROUTINE,TASK)
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| 210 | E D ^PXRRPAPR
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| 211 | Q
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| 212 | ;
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| 213 | ;=======================================================================
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| 214 | ADMISS(DFN,DATE,IEN) ;Given a patient and an admission date find the
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| 215 | ;associated discharge, if any. Save the other information listed
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| 216 | ;below.
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| 217 | N DISDATE,TEMP
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| 218 | D KVA^VADPT
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| 219 | S VAIP("D")=DATE
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| 220 | S VAIP("E")=IEN
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| 221 | S VAIP("M")=0
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| 222 | D IN5^VADPT
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| 223 | ;Store the information in TEMP in printing order.
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| 224 | ;Ward
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| 225 | S TEMP=$P(VAIP(14,4),U,2)
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| 226 | ;Last treating specialty
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| 227 | S TEMP=TEMP_U_$P(VAIP(14,6),U,2)
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| 228 | ;Last provider
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| 229 | S TEMP=TEMP_U_$P(VAIP(14,5),U,2)
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| 230 | ;Admitting diagnosis
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| 231 | S TEMP=TEMP_U_VAIP(13,7)
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| 232 | I $L(VAIP(17))>0 D
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| 233 | . S DISDATE=$P(VAIP(17,1),U,1)
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| 234 | E D
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| 235 | . S DISDATE=DT+1
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| 236 | S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"ADMDIS",DATE,DISDATE)=TEMP
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| 237 | ;
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| 238 | ADMDONE ;
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| 239 | D KVA^VADPT
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| 240 | Q
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| 241 | ;
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| 242 | ;=======================================================================
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| 243 | DISCHRG(DFN,DATE,IEN) ;Given a patient and a discharge date find the
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| 244 | ;associated admission. Determine if the combined admission-discharge
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| 245 | ;data has already been stored. If it has quit otherwise store it.
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| 246 | N ADMDATE,ICD9IEN,TEMP
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| 247 | D KVA^VADPT
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| 248 | S VAIP("D")=$P(DATE,".",1)
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| 249 | S VAIP("E")=IEN
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| 250 | S VAIP("M")=0
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| 251 | D IN5^VADPT
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| 252 | S ADMDATE=$P(VAIP(13,1),U,1)
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| 253 | I ADMDATE="" S ADMDATE=DATE_"NA"
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| 254 | I $D(^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"ADMDIS",ADMDATE,DATE)) G DISDONE
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| 255 | ;Information is not already there, store the data.
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| 256 | ;Ward
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| 257 | S TEMP=""
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| 258 | ;Last treating specialty
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| 259 | S TEMP=TEMP_U_$P(VAIP(17,6),U,2)
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| 260 | ;Last provider
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| 261 | S TEMP=TEMP_U_$P(VAIP(17,5),U,2)
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| 262 | ;Admitting diagnosis
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| 263 | S TEMP=TEMP_U_VAIP(13,7)
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| 264 | ;Will need a DBIA for these reads.
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| 265 | ;Try to get DXLS
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| 266 | I +VAIP(12)>0 S ICD9IEN=$P($G(^DGPT(VAIP(12),70)),U,10)
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| 267 | ;I +$G(ICD9IEN)>0 S TEMP=TEMP_U_$P(^ICD9(ICD9IEN,0),U,3)
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| 268 | I +$G(ICD9IEN)>0 S TEMP=TEMP_U_$P($$ICDDX^ICDCODE(ICD9IEN),U,4)
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| 269 | ;
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| 270 | S ^XTMP(PXRRXTMP,FACIEN,HLOCIEN,DFN,"ADMDIS",ADMDATE,DATE)=TEMP
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| 271 | DISDONE ;
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| 272 | D KVA^VADPT
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| 273 | Q
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| 274 | ;
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| 275 | ;=======================================================================
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| 276 | SSNFORM(SSN) ;Format the social security number with dashes.
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| 277 | N FSSN,TEMP
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| 278 | S TEMP=$E(SSN,1,3)
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| 279 | S FSSN=TEMP_"-"
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| 280 | S TEMP=$E(SSN,4,5)
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| 281 | S FSSN=FSSN_TEMP_"-"
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| 282 | S TEMP=$E(SSN,6,9)
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| 283 | S FSSN=FSSN_TEMP
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| 284 | Q FSSN
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| 285 | ;
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| 286 | ;=======================================================================
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| 287 | FMDFINVL(INVDT,DATE) ;Convert an inverse date (LABORATORY format
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| 288 | ;9999999-date) to Fileman format.
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| 289 | I $L(INVDT)=0 Q INVDT
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| 290 | N TEMP
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| 291 | S TEMP=9999999-INVDT
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| 292 | ;If DATE is TRUE return only the date portion.
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| 293 | I DATE S TEMP=$P(TEMP,".",1)
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| 294 | Q TEMP
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| 295 | ;
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