| 1 | C0QPRML ;JJOH/ZAG/GPL - Patient Reminder List ;7/5/11 8:50pm
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| 2 | ;;1.0;MU PACKAGE;;;Build 19
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| 3 | ;
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| 4 | ;2011 Zach Gonzales<zach@linux.com> - Licensed under the terms of the GNU
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| 5 | ;General Public License See attached copy of the License.
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| 6 | ;
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| 7 | ;This program is free software; you can redistribute it and/or modify
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| 8 | ;it under the terms of the GNU General Public License as published by
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| 9 | ;the Free Software Foundation; either version 2 of the License, or
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| 10 | ;(at your option) any later version.
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| 11 | ;
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| 12 | ;This program is distributed in the hope that it will be useful,
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| 13 | ;but WITHOUT ANY WARRANTY; without even the implied warranty of
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| 14 | ;MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
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| 15 | ;GNU General Public License for more details.
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| 16 | ;
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| 17 | ;You should have received a copy of the GNU General Public License along
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| 18 | ;with this program; if not, write to the Free Software Foundation, Inc.,
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| 19 | ;51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
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| 20 | ;
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| 21 | BUILD ; CALL ALL AND DIS AND BUILD THE GRSLT ARRAY or print or create
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| 22 | ; patient lists
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| 23 | ;N GRSLT ; ARRAY FOR RESULTS
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| 24 | I '$D(C0QSS) S C0QSS=0 ;default don't build spreadsheet array
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| 25 | I '$D(C0QPR) S C0QPR=0 ;default don't print out results
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| 26 | I '$D(C0QPL) S C0QPL=1 ;default do create patient lists
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| 27 | N G1 ; ONE SET OF VALUES - RNF1 FORMAT
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| 28 | ; INITIALIZE LISTS
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| 29 | ; this is done so that if there are no matching patients, the patient list
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| 30 | ; will be zeroed out
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| 31 | S C0QLIST("HasDemographics")=""
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| 32 | S C0QLIST("Patient")=""
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| 33 | S C0QLIST("HasProblem")=""
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| 34 | S C0QLIST("HasAllergy")=""
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| 35 | S C0QLIST("HasMed")=""
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| 36 | S C0QLIST("HasVitalSigns")=""
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| 37 | S C0QLIST("HasMedOrders")=""
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| 38 | S C0QLIST("HasSmokingStatus")=""
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| 39 | D ALL ; all currently admitted patients in the hospital
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| 40 | D DIS ; all patients discharged since the reporting period began
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| 41 | I C0QSS ZWR GRSLT
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| 42 | I C0QPL D ;
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| 43 | . D FILE ; FILE THE PATIENT LISTS
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| 44 | . D UPDATE^C0QUPDT(.G,8) ; UPDATE THE MU MEASUREMENT SET
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| 45 | Q
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| 46 | ;
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| 47 | ALL ;retrieve active inpatients
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| 48 | N WARD S WARD=""
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| 49 | F D Q:WARD=""
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| 50 | . S WARD=$O(^DIC(42,"B",WARD)) ;ward name
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| 51 | . Q:WARD=""
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| 52 | . N WIEN S WIEN=""
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| 53 | . F S WIEN=$O(^DIC(42,"B",WARD,WIEN)) Q:'WIEN D ;wards IEN
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| 54 | . . S WARDNAME=$P(^DIC(42,WIEN,0),U,2) ;ward name
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| 55 | . . N DFN,RB S DFN=""
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| 56 | . . F S DFN=$O(^DPT("CN",WARD,+DFN)) Q:'DFN D ;DFN of patient on ward
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| 57 | . . . D DEMO
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| 58 | . . . D PROBLEM
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| 59 | . . . D ALLERGY
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| 60 | . . . D MEDS
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| 61 | . . . D SMOKING
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| 62 | . . . D VITALS
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| 63 | . . . I C0QPR D PRINT
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| 64 | . . . I C0QSS D SS
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| 65 | . . . I C0QPL D PATLIST
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| 66 | Q
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| 67 | ;
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| 68 | DEMO ; patient demographics
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| 69 | S PTNAME=$P(^DPT(DFN,0),U) ;patient name
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| 70 | S PTDOB=$$FMTE^XLFDT($P($G(^DPT(DFN,0)),U,3)) ;date of birth
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| 71 | S PTSEX=$P($G(^DPT(DFN,0)),U,2) ;patient sex
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| 72 | D PID^VADPT ;VADPT call to grab PISD based on PT Eligibility
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| 73 | S PTHRN=$P($G(VA("PID")),U) ;health record number
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| 74 | S PTRLANG=$P($G(^DPT(DFN,256000)),U) ;ptr to language file
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| 75 | I $G(PTRLANG)'="" S PTLANG=$P(^DI(.85,PTRLANG,0),U) ;PLS extrnl
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| 76 | S RACE=""
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| 77 | F D Q:RACE=""
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| 78 | . S RACE=$O(^DPT(DFN,.02,"B",RACE)) ;race code IEN
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| 79 | . Q:'RACE
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| 80 | . S RACEDSC=$P($G(^DIC(10,RACE,0)),U) ;race description
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| 81 | S ETHN=""
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| 82 | F D Q:ETHN=""
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| 83 | . S ETHN=$O(^DPT(DFN,.06,"B",ETHN)) ;ethnicity IEN
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| 84 | . Q:'ETHN
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| 85 | . S ETHNDSC=$P($G(^DIC(10.2,ETHN,0)),U) ;ethnincity description
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| 86 | S RB=$P($G(^DPT(DFN,.101)),U) ;room and bed
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| 87 | Q
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| 88 | ;
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| 89 | PROBLEM ; PATIENT PROBLEMS
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| 90 | D LIST^ORQQPL(.PROBL,DFN,"A")
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| 91 | S PBCNT=""
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| 92 | F S PBCNT=$O(PROBL(PBCNT)) Q:PBCNT="" D
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| 93 | . S PBDESC=$P(PROBL(PBCNT),U,2) ;problem description
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| 94 | K PROBL
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| 95 | Q
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| 96 | ;
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| 97 | ALLERGY ; ALLERGY LIST
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| 98 | D LIST^ORQQAL(.ALRGYL,DFN)
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| 99 | S ALCNT=""
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| 100 | F S ALCNT=$O(ALRGYL(ALCNT)) Q:ALCNT="" D
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| 101 | . S ALDESC=$P(ALRGYL(ALCNT),U,2) ;allergy description
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| 102 | K ALRGYL
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| 103 | Q
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| 104 | ;
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| 105 | MEDS ; MEDICATIONS
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| 106 | ;
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| 107 | I DFN=97 D Q ;
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| 108 | . S MDCNT=271
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| 109 | K MEDSL
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| 110 | D EN^C0CNHIN(.MEDSL,DFN,"MED;") ; GET THE MEDS FROM THE NHIN API
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| 111 | ; can't use COVER^ORWPS even though it's fast.. we need to detect
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| 112 | ; if the medications are Inpatient to compute the CPOE measure
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| 113 | ; we will use the NHINV routines for this purpose
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| 114 | ;D COVER^ORWPS(.MEDSL,DFN)
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| 115 | S MDCNT="" S HASINP=0
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| 116 | F S MDCNT=$O(MEDSL("med",MDCNT)) Q:MDCNT="" D
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| 117 | . ;Q:$P(MEDSL(MDCNT),U,4)'="ACTIVE" ;active medications only
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| 118 | . Q:MEDSL("med",MDCNT,"status@value")'="active"
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| 119 | . ;S MDDESC=$P(MEDSL(MDCNT),U,2) ;medication description
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| 120 | . S MDDESC=$G(MEDSL("med",MDCNT,"products.product@name"))
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| 121 | . ;S MDITEM=$P($G(MEDSL(MDCNT)),U,3)
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| 122 | . S MDITEM=$G(MEDSL("med",MDCNT,"sig")) ; i think this is what meditem is
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| 123 | . I MEDSL("med",MDCNT,"vaType@value")="I" S HASINP=1
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| 124 | I HASINP D ; THE PATIENT HAS AN INPATIENT MED
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| 125 | . S C0QLIST("HasMedOrders",DFN)="" ; an inpatient drug indicates CPOE
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| 126 | E S C0QLIST("NoMedOrders",DFN)="" ; this will be different for outpatient
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| 127 | K MEDSL
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| 128 | Q
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| 129 | ;
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| 130 | SMOKING ;
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| 131 | N C0QSMOKE
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| 132 | D HFCAT^C0QHF(.C0QSMOKE,DFN,"TOBACCO") ; GET ALL HEALTH FACTORS FOR THE
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| 133 | ; PATIENT IN THE CATEGORY OF TOBACCO
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| 134 | I $D(C0QSMOKE) S C0QLIST("HasSmokingStatus",DFN)=""
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| 135 | E S C0QLIST("NoSmokingStatus",DFN)=""
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| 136 | Q
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| 137 | ;
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| 138 | VITALS ;
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| 139 | ;
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| 140 | N C0QSDT,C0QEDT
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| 141 | D DT^DILF(,"JULY 3,2011",.C0QSDT) ; START DATE
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| 142 | D DT^DILF(,"T",.C0QEDT) ; END DATE TODAY
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| 143 | D VITALS^ORQQVI(.VITRSLT,DFN,C0QSDT,C0QEDT) ; CALL FAST VITALS
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| 144 | I $D(VITRSLT) D ;ZWR VITRSLT B ;
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| 145 | . I VITRSLT(1)["No vitals found." S C0QLIST("NoVitalSigns",DFN)=""
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| 146 | . E S C0QLIST("HasVitalSigns",DFN)=""
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| 147 | Q
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| 148 | ;
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| 149 | PRINT ; PRINT TO SCREEN
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| 150 |
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| 151 | I $D(WARD) W !!,WARD_"-"_WARDNAME_" "_RB_": "_PTNAME_"("_PTSEX_") "
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| 152 | I $D(EXDTE) D ;
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| 153 | . W !,"Discharge Date: ",EXDTE
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| 154 | . W !,DFN," ",PTNAME
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| 155 | W !,"DOB: ",PTDOB," HRN: ",PTHRN
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| 156 | W !,"Language Spoken: ",$G(PTLANG)
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| 157 | W !,"Race: ",RACEDSC
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| 158 | W !,"Ethnicity: ",$G(ETHNDSC)
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| 159 | W !,"Problems: "
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| 160 | W !,PBDESC
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| 161 | W !,"Allergies: "
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| 162 | W !,ALDESC
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| 163 | W !,"Medications: "
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| 164 | W !
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| 165 | Q
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| 166 | ;
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| 167 | SS ; CREATE SPREADSHEET ARRAY
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| 168 | S G1("Patient")=DFN
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| 169 | I $D(WARD) D ;
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| 170 | . S G1("WardName")=WARDNAME
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| 171 | . S G1("RoomAndBed")=RB
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| 172 | I $D(EXDTE) D ;
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| 173 | . S G1("DischargeDate")=EXDTE
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| 174 | S G1("PatientName")=PTNAME
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| 175 | S G1("Gender")=PTSEX
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| 176 | S G1("DateOfBirth")=PTDOB
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| 177 | S G1("HealthRecordNumber")=PTHRN
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| 178 | S G1("LanguageSpoken")=$G(PTLANG)
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| 179 | S G1("Race")=RACEDSC
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| 180 | S G1("Ehtnicity")=$G(ETHNDSC)
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| 181 | S G1("Problem")=PBDESC
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| 182 | I PBDESC["No problems found" S G1("HasProblem")=0
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| 183 | E S G1("HasProblem")=1
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| 184 | S G1("Allergies")=ALDESC
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| 185 | I ALDESC["No Allergy" S G1("HasAllergy")=0
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| 186 | E S G1("HasAllergy")=1
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| 187 | I $D(MDITEM) D ;
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| 188 | . S G1("HasMed")=1
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| 189 | E S G1("HasMed")=0
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| 190 | S G1("MedDescription")=$G(MDDESC)
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| 191 | I $D(MDITEM) W !,"("_MDITEM_")"_MDDESC E W !,MDDESC
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| 192 | D RNF1TO2B^C0CRNF("GRSLT","G1")
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| 193 | K G1
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| 194 | Q ; DON'T WANT TO DO THE NHIN STUFF NOW
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| 195 | ;
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| 196 | PATLIST ; CREATE PATIENT LISTS
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| 197 | S C0QLIST("Patient",DFN)="" ; THE PATIENT LIST
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| 198 | N DEMOYN S DEMOYN=1
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| 199 | I $G(PTSEX)="" S DEMOYN=0
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| 200 | I $G(PTDOB)="" S DEMOYN=0
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| 201 | I $G(PTHRN)="" S DEMOYN=0
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| 202 | I $G(PTLANG)="" S DEMOYN=0
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| 203 | I $G(RACEDSC)="" S DEMOYN=0
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| 204 | I $G(ETHNDSC)="" S DEMOYN=0
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| 205 | I DEMOYN S C0QLIST("HasDemographics",DFN)=""
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| 206 | E S C0QLIST("FailedDemographics",DFN)=""
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| 207 | ;S G1("Gender")=PTSEX
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| 208 | ;S G1("DateOfBirth")=PTDOB
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| 209 | ;S G1("HealthRecordNumber")=PTHRN
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| 210 | ;S G1("LanguageSpoken")=$G(PTLANG)
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| 211 | ;S G1("Race")=RACEDSC
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| 212 | ;S G1("Ehtnicity")=$G(ETHNDSC)
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| 213 | S G1("Problem")=PBDESC
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| 214 | I PBDESC["No problems found" S C0QLIST("NoProblem",DFN)=""
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| 215 | E S C0QLIST("HasProblem",DFN)=""
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| 216 | ;S G1("Allergies")=ALDESC
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| 217 | I ALDESC["No Allergy" S C0QLIST("NoAllergy",DFN)=""
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| 218 | E S C0QLIST("HasAllergy",DFN)=""
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| 219 | I $D(MDITEM) D ;
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| 220 | . S C0QLIST("HasMed",DFN)=""
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| 221 | E S G1("NoMed",DFN)=""
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| 222 | ;S G1("MedDescription")=$G(MDDESC)
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| 223 | Q
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| 224 | ;
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| 225 | NHIN ; SHOW THE NHIN ARRAY FOR THIS PATIENT
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| 226 | Q:DFN=137!14
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| 227 | D EN^C0CNHIN(.G,DFN,"")
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| 228 | ZWR G
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| 229 | K G
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| 230 | ;
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| 231 | QUIT ;end of WARD
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| 232 | ;
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| 233 | ;
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| 234 | DIS;
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| 235 | N DFN,DTE,EXDTE S DTE=""
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| 236 | F D Q:DTE=""
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| 237 | . S DTE=$O(^DGPM("B",DTE))
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| 238 | . Q:'DTE
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| 239 | . Q:DTE<3110703
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| 240 | . S EXDTE=$$FMTE^XLFDT(DTE)
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| 241 | . N PTFM S PTFM=""
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| 242 | . D
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| 243 | . . S PTFM=$O(^DGPM("B",DTE,PTFM))
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| 244 | . . Q:'PTFM
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| 245 | . . S DFN=$P(^DGPM(PTFM,0),U,3)
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| 246 | . . D DEMO
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| 247 | . . D PROBLEM
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| 248 | . . D ALLERGY
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| 249 | . . D MEDS
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| 250 | . . D SMOKING
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| 251 | . . D VITALS
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| 252 | . . I C0QPR D PRINT
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| 253 | . . I C0QSS D SS
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| 254 | . . I C0QPL D PATLIST
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| 255 | Q
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| 256 | ;
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| 257 | C0QPLF() Q 1130580001.301 ; FILE NUMBER FOR C0Q PATIENT LIST FILE
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| 258 | C0QALFN() Q 1130580001.311 ; FILE NUMBER FOR C0Q PATIENT LIST PATIENT SUBFILE
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| 259 | FILE ; FILE THE PATIENT LISTS TO C0Q PATIENT LIST
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| 260 | ;
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| 261 | I '$D(C0QLIST) Q ;
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| 262 | N LFN S LFN=$$C0QALFN()
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| 263 | N ZI,ZN
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| 264 | S ZI=""
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| 265 | F S ZI=$O(C0QLIST(ZI)) Q:ZI="" D ;
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| 266 | . S ZN=$O(^C0Q(301,"CATTR",ZI,""))
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| 267 | . I ZN="" D Q ; OOPS
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| 268 | . . W !,"ERROR, ATTRIBUTE NOT FOUND IN PATIENT LIST FILE:"_ZI
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| 269 | . ;S ZN=$$KLNCR(ZN) ; KILL AND RECREATE RECORD ZN
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| 270 | . N C0QNEW,C0QOLD,C0QRSLT
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| 271 | . S C0QNEW=$NA(C0QLIST(ZI)) ; THE NEW PATIENT LIST
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| 272 | . S C0QOLD=$NA(^C0Q(301,ZN,1,"B")) ; THE OLD PATIENT LIST
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| 273 | . D UNITY^C0QSET("C0QRSLT",C0QNEW,C0QOLD) ; FIND WHAT'S NEW
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| 274 | . N ZJ,ZK
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| 275 | . ; FIRST, DELETE THE OLD ONES - NO LONGER IN THE LIST
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| 276 | . K C0QFDA
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| 277 | . S ZJ=""
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| 278 | . F S ZJ=$O(C0QRSLT(2,ZJ)) Q:ZJ="" D ; MARKED WITH A 2 FROM UNITY
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| 279 | . . S ZK=$O(@C0QOLD@(ZJ,"")) ; GET THE IEN OF THE RECORD TO DELETE
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| 280 | . . I ZK="" D Q ; OOPS SHOULDN'T HAPPEN
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| 281 | . . . W !,"INTERNAL ERROR FINDING A PATIENT TO DELETE"
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| 282 | . . . B
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| 283 | . . S C0QFDA(LFN,ZK_","_ZN_",",.01)="@"
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| 284 | . I $D(C0QFDA) D UPDIE ; PROCESS THE DELETIONS
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| 285 | . ; SECOND, PROCESS THE ADDITIONS
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| 286 | . K C0QFDA
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| 287 | . S ZJ="" S ZK=1
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| 288 | . F S ZJ=$O(C0QRSLT(0,ZJ)) Q:ZJ="" D ; PATIENTS TO ADD ARE MARKED WITH 0
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| 289 | . . S C0QFDA(LFN,"+"_ZK_","_ZN_",",.01)=ZJ
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| 290 | . . S ZK=ZK+1
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| 291 | . I $D(C0QFDA) D UPDIE ; PROCESS THE ADDITIONS
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| 292 | ;. Q
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| 293 | ;. K C0QFDA
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| 294 | ;. N ZJ,ZC
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| 295 | ;. S ZJ="" S ZC=1
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| 296 | ;. F S ZJ=$O(C0QLIST(ZI,ZJ)) Q:ZJ="" D ; FOR EACH PAT IN LIST
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| 297 | ;. . S C0QFDA(LFN,"?+"_ZC_","_ZN_",",.01)=ZJ
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| 298 | ;. . S ZC=ZC+1
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| 299 | ;. D UPDIE
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| 300 | ;. W !,"FOUND:"_ZI
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| 301 | Q
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| 302 | ;
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| 303 | KLNCR(ZREC) ; KILL AND RECREATE RECORD ZREC IN PATIENT LIST FILE
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| 304 | ;
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| 305 | N C0QFDA,ZFN,LIST,ATTR
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| 306 | S ZFN=$$C0QPLF() ; FILE NUMBER FOR C0Q PATIENT LIST FILE
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| 307 | D CLEAN^DILF
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| 308 | S LIST=$$GET1^DIQ(ZFN,ZREC_",",.01) ; MEASURE NAME
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| 309 | S ATTR=$$GET1^DIQ(ZFN,ZREC_",",999) ; ATTRIBUTE
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| 310 | D CLEAN^DILF
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| 311 | K ZERR
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| 312 | S C0QFDA(ZFN,ZREC_",",.01)="@" ; GET READY TO DELETE THE MEASURE
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| 313 | D FILE^DIE(,"C0QFDA","ZERR") ; KILL THE SUBFILE
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| 314 | I $D(ZERR) S ZZERR=ZZERR ; ZZERR DOESN'T EXIST, INVOKE THE ERROR TRAP IF TASKED
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| 315 | ;. W "ERROR",!
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| 316 | ;. ZWR ZERR
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| 317 | ;. B
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| 318 | K C0QFDA
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| 319 | S C0QFDA(ZFN,"+1,",.01)=LIST ; GET READY TO RECREATE THE RECORD
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| 320 | S C0QFDA(ZFN,"+1,",999)=ATTR ; ATTRIBUTE
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| 321 | D UPDIE ; CREATE THE SUBFILE
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| 322 | N ZR ; NEW IEN FOR THE RECORD
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| 323 | S ZR=$O(^C0Q(301,"CATTR",ATTR,""))
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| 324 | ;
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| 325 | Q ZR
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| 326 | ;
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| 327 | UPDIE ; INTERNAL ROUTINE TO CALL UPDATE^DIE AND CHECK FOR ERRORS
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| 328 | K ZERR
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| 329 | D CLEAN^DILF
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| 330 | D UPDATE^DIE("","C0QFDA","","ZERR")
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| 331 | I $D(ZERR) S ZZERR=ZZERR ; ZZERR DOESN'T EXIST, INVOKE THE ERROR TRAP IF TASKED
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| 332 | ;. W "ERROR",!
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| 333 | ;. ZWR ZERR
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| 334 | ;. B
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| 335 | K C0QFDA
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| 336 | Q
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| 337 | ;
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| 338 | ; WHAT FOLLOWS IS OLD CODE - DELETE WHEN THIS WORKS
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| 339 | ;. . N PTNAME S PTNAME=$P(^DPT(DFN,0),U,1)
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| 340 | ;. . S PTDOB=$$FMTE^XLFDT($P($G(^DPT(DFN,0)),U,3)) ;date of birth
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| 341 | ;. . S PTSEX=$P($G(^DPT(DFN,0)),U,2) ;patient sex
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| 342 | ;. . D PID^VADPT ;VADPT call to grab PISD based on PT Eligibility
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| 343 | ;. . S PTHRN=$P($G(VA("PID")),U) ;health record number
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| 344 | ;. . S PTRLANG=$P($G(^DPT(DFN,256000)),U) ;ptr to language file
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| 345 | ;. . I $G(PTRLANG)'="" S PTLANG=$P(^DI(.85,PTRLANG,0),U) ;PLS extrnl
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| 346 | ;. . S RACE=""
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| 347 | ;. . F D Q:RACE=""
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| 348 | ;. . . S RACE=$O(^DPT(DFN,.02,"B",RACE))
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| 349 | ;. . . Q:'RACE
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| 350 | ;. . . S RACEDSC=$P($G(^DIC(10,RACE,0)),U)
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| 351 | ;. . N ETHNDSC
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| 352 | ;. . N ETHNDSC S ETHNDSC=""
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| 353 | ;. . S ETHN=""
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| 354 | ;. . F D Q:ETHN=""
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| 355 | ;. . . S ETHN=$O(^DPT(DFN,.06,"B",ETHN))
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| 356 | ;. . . Q:'ETHN
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| 357 | ;. . . S ETHNDSC=$P($G(^DIC(10.2,ETHN,0)),U)
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| 358 | ;. . D LIST^ORQQPL(.PROBL,DFN,"A")
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| 359 | ;. . S PBCNT=""
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| 360 | ;. . F S PBCNT=$O(PROBL(PBCNT)) Q:PBCNT="" D
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| 361 | ;. . . S PBDESC=$P(PROBL(PBCNT),U,2) ;problem description
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| 362 | ;. . K PROBL
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| 363 | ;. . D LIST^ORQQAL(.ALRGYL,DFN)
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| 364 | ;. . S ALCNT=""
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| 365 | ;. . F S ALCNT=$O(ALRGYL(ALCNT)) Q:ALCNT="" D
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| 366 | ;. . . S ALDESC=$P(ALRGYL(ALCNT),U,2) ;allergy description
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| 367 | ;. . K ALRGYL
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| 368 | ;. . D COVER^ORWPS(.MEDSL,DFN)
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| 369 | ;. . S MDCNT=""
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| 370 | ;. . F S MDCNT=$O(MEDSL(MDCNT)) Q:MDCNT="" D
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| 371 | ;. . . Q:$P(MEDSL(MDCNT),U,4)'="ACTIVE" ;active medications only
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| 372 | ;. . . S MDDESC=$P(MEDSL(MDCNT),U,2) ;medication description
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| 373 | ;. . . S MDITEM=$P($G(MEDSL(MDCNT)),U,3)
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| 374 | ;. . K MEDSL
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| 375 | ;. . W !,"Discharge Date: ",EXDTE
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| 376 | ;. . W !,DFN," ",PTNAME
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| 377 | ;. . W !,"DOB: ",PTDOB," HRN: ",PTHRN
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| 378 | ;. . W !,"Language Spoken: ",$G(PTLANG)
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| 379 | ;. . W !,"Race: ",RACEDSC
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| 380 | ;. . W !,"Ethnicity: ",ETHNDSC
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| 381 | ;. . W !,"Problems: "
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| 382 | ;. . W !,PBDESC
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| 383 | ;. . W !,"Allergies: "
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| 384 | ;. . W !,ALDESC
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| 385 | ;. . W !,"Medications: "
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| 386 | ;. . I $D(MDITEM) W !,"(",MDITEM,")",MDDESC E W !,MDDESC
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| 387 | ;. . W !
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| 388 | ;Q
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| 389 | ;
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| 390 | ;
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| 391 | ;
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| 392 | ;
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| 393 | END ;end of C0QPRML;
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