1 | Source, Copyright, & Licensing:
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2 | ===============================
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3 | This patch to WorldVistA 2.0 was produced in Dew Drop
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4 | by George Lily on 24 August 2012 and released through VISTA Forum.
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5 |
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6 | (C) 2012 George Lilly
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7 | Licensed under GPL 2.
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8 |
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9 | Functionality:
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10 | ==============
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11 | This patch adds the ability to generate modified CCRs
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12 | containing a QUALITY measure section that looks like
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13 | this:
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14 | <QUALITY>
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15 | <MEASURE_SET>
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16 | <ID>1.3.6.1.4.1.33895.1.1.31.1.2.1</ID>
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17 | <MEASURES>
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18 | <MEASURE>1.3.6.1.4.1.33895.1.2.16001.1.2.2</MEASURE>
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19 | <MEASURE>1.3.6.1.4.1.33895.1.2.16002.1.2.2</MEASURE>
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20 | <MEASURE>1.3.6.1.4.1.33895.1.2.16004.1.2.2</MEASURE>
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21 | <MEASURE>1.3.6.1.4.1.33895.1.2.16008.1.2.2</MEASURE>
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22 | </MEASURES>
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23 | </MEASURE_SET>
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24 | </QUALITY>
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25 |
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26 | This enables you to create a QRDA document in the C32 format to submit to CMS
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27 | containing these measures. The C32 document will be generated by an XSLT
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28 | transform from the CCR document.
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29 |
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30 | The driving force behind the creation of this patch, as well as the
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31 | documentation of the actual QRDA documents to send to CMS can be found here:
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32 | http://qualitynet.org/dcs/ContentServer?c=Page&pagename=QnetPublic%2FPage%2FQnetTier3&cid=1228772217179
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33 |
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34 | Specifically, this sentence:
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35 | "One part of meeting the requirements for Stage I Meaningful Use may include
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36 | submitting Clinical Quality Measures (CQMs) electronically using the QRDA
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37 | Category I file format."
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38 |
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39 | Package Elements:
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40 | =================
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41 | PACKAGE: C0Q*1.0*4 Aug 24, 2012 12:02 pm PAGE 1
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42 | -------------------------------------------------------------------------------
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43 | TYPE: SINGLE PACKAGE TRACK NATIONALLY: YES
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44 | NATIONAL PACKAGE: QUALITY MEASURES ALPHA/BETA TESTING: NO
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45 |
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46 | DESCRIPTION:
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47 | QRDA Support.
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48 |
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49 | ENVIRONMENT CHECK: DELETE ENV ROUTINE:
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50 | PRE-INIT ROUTINE: DELETE PRE-INIT ROUTINE:
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51 | POST-INIT ROUTINE: DELETE POST-INIT ROUTINE:
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52 | PRE-TRANSPORT RTN: TRAN^C0Q1P4
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53 |
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54 | UP SEND DATA USER
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55 | DATE SEC. COMES SITE RSLV OVER
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56 | FILE # FILE NAME DD CODE W/FILE DATA PTRS RIDE
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57 | -------------------------------------------------------------------------------
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58 |
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59 | 1130580001.101C0Q QUALITY MEASURE YES YES YES OVER YES NO
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60 |
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61 | 1130580001.201C0Q MEASUREMENT SET YES YES YES OVER YES NO
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62 |
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63 | 1130580001.401C0Q PARAMETER YES YES NO NO
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64 | Partial DD: subDD: 1130580001.401fld: 5.1
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65 | fld: 5.2
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66 | fld: 5.3
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67 |
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68 | INPUT TEMPLATE: ACTION:
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69 | C0Q EDIT INPATIENT PARMS FILE #1130580001.401SEND TO SITE
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70 | C0Q EDIT MEASURE SET FILE #1130580001.201 SEND TO SITE
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71 |
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72 | ROUTINE: ACTION:
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73 | C0QQRDA SEND TO SITE
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74 |
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75 | OPTION: ACTION:
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76 | C0Q EXPORT INPATIENT QRDA CCRS SEND TO SITE
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77 | C0Q QRDA MENU SEND TO SITE
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78 | C0Q QUALITY MEASUREMENT MENU USE AS LINK FOR MENU ITEMS
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79 |
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80 | INSTALL QUESTIONS:
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81 |
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82 | Default Rebuild Menu Trees Upon Completion of Install: YES
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83 | Default INHIBIT LOGONs during the install: NO
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84 | Default DISABLE Scheduled Options, Menu Options, and Protocols: NO
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85 |
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86 | REQUIRED BUILDS: ACTION:
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87 | CCD/CCR GENERATION UTILITIES 1.2 Don't install, leave global
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88 | QUALITY MEASURES 1.0 Don't install, leave global
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89 |
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90 | Summary of Changes to package:
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91 | - Population of QRDA TEMPLATE ROOT field in all of the C0Q QUALITY MEASUREs
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92 | for Inpatients, as follows:
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93 |
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94 | NAME QRDA TEMPLATE ROOT NUMERATOR RULE SET
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95 | ----------------------------------------------------------------------------------
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96 |
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97 | MU HOS NQF 0495 2.16.840.1.113883.3.249.11.14.2.1.2.2 MU ED-1 NUMER RS
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98 | MU HOS NQF 0497 2.16.840.1.113883.3.249.11.14.3.1.2.2 MU ED-2 NUMER RS
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99 |
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100 | MU HOS NQF 0435 1.3.6.1.4.1.33895.1.2.16001.1.2.2 MU STK-2 NUMER RS
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101 | MU HOS NQF 0436 1.3.6.1.4.1.33895.1.2.16002.1.2.2 MU STK-3 NUMER RS
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102 | MU HOS NQF 0437 1.3.6.1.4.1.33895.1.2.16003.1.2.2 MU STK-4 NUMER RS
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103 | MU HOS NQF 0438 1.3.6.1.4.1.33895.1.2.16004.1.2.2 MU STK-5 NUMER RS
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104 | MU HOS NQF 0439 1.3.6.1.4.1.33895.1.2.16005.1.2.2 MU STK-6 NUMER RS
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105 | MU HOS NQF 0440 1.3.6.1.4.1.33895.1.2.16007.1.2.2 MU STK-8 NUMER RS
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106 | MU HOS NQF 0441 1.3.6.1.4.1.33895.1.2.16008.1.2.2 MU STK-10 NUMER RS
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107 |
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108 | MU HOS NQF 0371 1.3.6.1.4.1.33895.1.2.15971.1.2.2 MU VTE-1 NUMER RS
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109 | MU HOS NQF 0372 1.3.6.1.4.1.33895.1.2.15972.1.2.2 MU VTE-2 NUMER RS
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110 | MU HOS NQF 0373 1.3.6.1.4.1.33895.1.2.15973.1.2.2 MU VTE-3 NUMER RS
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111 | MU HOS NQF 0374 1.3.6.1.4.1.33895.1.2.15974.1.2.2 MU VTE-4 NUMER RS
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112 | MU HOS NQF 0375 1.3.6.1.4.1.33895.1.2.15975.1.2.2 MU VTE-5 NUMER RS
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113 | MU HOS NQF 0376 1.3.6.1.4.1.33895.1.2.15976.1.2.2 MU VTE-6 NUMER RS
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114 |
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115 | - Change of C0Q MEASUREMENT file name to C0Q MEASUREMENT SET
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116 | - Addition of QRDA TEMPLATE ROOT field to C0Q MEASUREMENT SET
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117 | - Creation of three Measurement Sets in the C0Q MEASUREMENT SET as follows:
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118 | NAME: ED CMS REPORTING MEASURES
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119 | QRDA TEMPLATE ROOT: 2.16.840.1.113883.3.249.11.14.1.1.1
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120 | BEGIN DATE: JAN 1,2012 END DATE: DEC 13,2012
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121 | MEASURE: MU HOS NQF 0495
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122 | MEASURE: MU HOS NQF 0497
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123 | MU YEAR KEY: MU12
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124 |
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125 | NAME: STK CMS REPORTING MEASURES
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126 | QRDA TEMPLATE ROOT: 1.3.6.1.4.1.33895.1.1.31.1.2.1
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127 | BEGIN DATE: JAN 1,2012 END DATE: DEC 31,2012
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128 | MEASURE: MU HOS NQF 0435
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129 | MEASURE: MU HOS NQF 0436
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130 | MEASURE: MU HOS NQF 0437
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131 | MEASURE: MU HOS NQF 0438
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132 | MEASURE: MU HOS NQF 0439
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133 | MEASURE: MU HOS NQF 0440
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134 | MEASURE: MU HOS NQF 0441
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135 | MU YEAR KEY: MU12
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136 |
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137 | NAME: VTE CMS REPORTING MEASURES
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138 | QRDA TEMPLATE ROOT: 1.3.6.1.4.1.33895.1.1.32.1.2.1
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139 | BEGIN DATE: JAN 1,2012 END DATE: DEC 31,2012
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140 | MEASURE: MU HOS NQF 0371
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141 | MEASURE: MU HOS NQF 0372
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142 | MEASURE: MU HOS NQF 0373
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143 | MEASURE: MU HOS NQF 0374
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144 | MEASURE: MU HOS NQF 0375
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145 | MEASURE: MU HOS NQF 0376
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146 | MU YEAR KEY: MU12
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147 |
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148 | - Creation of supporting fields in the C0Q PARAMETER file to drive generation
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149 | of the QRDA documents.
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150 | - VTE CMS MEASUREMENT SET
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151 | - STK CMS MEASUREMENT SET
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152 | - ED CMS MEASUREMENT SET
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153 |
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154 | - Modification of existing input templates to support the new fields created.
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155 | C0Q EDIT INPATIENT PARMS FILE #1130580001.401
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156 | C0Q EDIT MEASURE SET FILE #1130580001.201
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157 |
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158 | - Routine C0QQRDA to drive the generation of the QRDA documents.
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159 |
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160 | - Menu option to call EN^C0QQRDA:
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161 | -> C0Q QUALITY MEASUREMENT MENU
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162 | Parent: C0Q QRDA MENU
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163 |
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164 | Routine Versioning:
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165 |
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166 | The second line of each of these routines now looks like:
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167 | ;;1.0;QUALITY MEASURES;**4**;May 21, 2012;Build 28
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168 |
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169 |
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170 | The following checksums can be checked with CHECK1^XTSUMBLD:
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171 |
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172 | Routine Before After Patch List
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173 | ------- ----------- ------------ ---------------------------------
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174 | C0QQRDA 89943644 **4**
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175 |
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176 | Documentation:
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177 | ==============
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178 | None at this moment.
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179 |
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180 | Test Sites:
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181 | ===========
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182 | None at this moment.
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183 |
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184 | Compliance:
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185 | ===========
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186 | This software complies with the VA MUMPS Programming Standards and
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187 | Conventions (version 3 April 2007).
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188 |
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189 | Installation Instructions:
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190 | ==========================
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191 | Install Time - less than 1 minute
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192 |
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193 | 1. LOAD TRANSPORT GLOBAL
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194 |
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195 | Choose the PackMan message containing this patch and invoke the
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196 | INSTALL/CHECK MESSAGE PackMan option to unload the build.
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197 |
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198 | 2. START UP KIDS
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199 |
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200 | Start up the Kernel Installation and Distribution System Menu
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201 | [XPD MAIN]:
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202 |
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203 | Edits and Distribution ...
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204 | Utilities ...
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205 | Installation ...
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206 |
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207 | Select Kernel Installation & Distribution System Option: INStallation
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208 | ---
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209 | Load a Distribution
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210 | Print Transport Global
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211 | Compare Transport Global to Current System
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212 | Verify Checksums in Transport Global
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213 | Install Package(s)
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214 | Restart Install of Package(s)
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215 | Unload a Distribution
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216 | Backup a Transport Global
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217 |
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218 | Select Installation Option:
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219 |
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220 | 3. Select Installation Option:
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221 |
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222 | NOTE: The following are OPTIONAL - (When prompted for the INSTALL
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223 | NAME, enter C0Q*1.0*4):
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224 |
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225 | a. Backup a Transport Global - This option will create a backup
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226 | message of any routines exported with this patch. It will not
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227 | backup any other changes such as DD's or templates.
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228 | b. Compare Transport Global to Current System - This option will
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229 | allow you to view all changes that will be made when this patch
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230 | is installed. It compares all components of this patch
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231 | (routines, DD's, templates, etc.).
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232 | c. Verify Checksums in Transport Global - This option will allow
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233 | you to ensure the integrity of the routines that are in the
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234 | transport global.
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235 |
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236 | 4. Select Installation Option: Install Package(s)
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237 |
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238 | **This is the step to start the installation of this KIDS patch:
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239 |
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240 | a. Choose the Install Package(s) option to start the patch install
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241 | and enter "C0Q*1.0*4" at the INSTALL NAME prompt.
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242 | b. When asked, 'Shall I write over your C0Q MEASUREMENTS File? YES//'
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243 | Answer YES. The file is just renamed, that's why KIDS asks you to
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244 | overwrite it.
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245 | c. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
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246 | Install? YES//' answer YES
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247 | d. When prompted 'Want KIDS to INHIBIT LOGONs during the install?
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248 | NO//' answer NO
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249 | e. When prompted 'Want to DISABLE Scheduled Options, Menu Options,
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250 | and Protocols? NO//' answer NO
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251 |
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252 | Installation Example:
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253 | Select Installation Option: 6 Install Package(s)
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254 | Select INSTALL NAME: C0Q*1.0*4 Loaded from Distribution Loaded from D
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255 | istribution 8/24/12@10:05
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256 | => INPATIENT CMS QRDA GENERATION SUPPORT ;Created on Aug 02, 2012@10:40:
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257 |
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258 | This Distribution was loaded on Aug 24, 2012@10:05 with header of
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259 | INPATIENT CMS QRDA GENERATION SUPPORT ;Created on Aug 02, 2012@10:40:23
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260 | It consisted of the following Install(s):
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261 | C0Q*1.0*4
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262 |
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263 | Checking C0Q*1.0*4 for overlap with VOE 1.0 .... OK
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264 | No overlap found
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265 |
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266 |
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267 | Checking C0Q*1.0*4 for overlap with VOE 1.1 .... OK
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268 | No overlap found
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269 |
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270 |
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271 | Checking C0Q*1.0*4 for overlap with NO HOME 1.0 .... OK
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272 | No overlap found
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273 |
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274 | Checking Install for Package C0Q*1.0*4
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275 |
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276 | Install Questions for C0Q*1.0*4
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277 |
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278 | Incoming Files:
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279 |
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280 |
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281 | 1130580001.101C0Q QUALITY MEASURE (including data)
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282 | Note: You already have the 'C0Q QUALITY MEASURE' File.
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283 | I will OVERWRITE your data with mine.
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284 |
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285 |
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286 | 1130580001.201C0Q MEASUREMENT SET (including data)
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287 | *BUT YOU ALREADY HAVE 'C0Q MEASUREMENTS' AS FILE #1130580001.201!
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288 | Shall I write over your C0Q MEASUREMENTS File? YES//
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289 | I will OVERWRITE your data with mine.
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290 |
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291 |
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292 | 1130580001.401C0Q PARAMETER (Partial Definition)
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293 | Note: You already have the 'C0Q PARAMETER' File.
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294 |
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295 | Want KIDS to Rebuild Menu Trees Upon Completion of Install? YES//
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296 |
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297 |
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298 | Want KIDS to INHIBIT LOGONs during the install? NO//
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299 | Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO//
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300 |
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301 | Enter the Device you want to print the Install messages.
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302 | You can queue the install by enter a 'Q' at the device prompt.
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303 | Enter a '^' to abort the install.
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304 |
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305 | DEVICE: HOME// PHOME HOME PRINTER
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306 |
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307 |
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308 | Install Started for C0Q*1.0*4 :
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309 | Aug 24, 2012@10:08:54
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310 |
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311 | Build Distribution Date: Aug 02, 2012
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312 |
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313 | Installing Routines:..
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314 | Aug 24, 2012@10:08:54
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315 |
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316 | Installing Data Dictionaries: ....
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317 | Aug 24, 2012@10:08:55
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318 |
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319 | Installing Data:
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320 | Aug 24, 2012@10:08:55
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321 |
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322 | Installing PACKAGE COMPONENTS:
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323 |
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324 | Installing INPUT TEMPLATE...
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325 |
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326 | Installing OPTION....
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327 | Aug 24, 2012@10:08:55
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328 |
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329 | Updating Routine file......
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330 |
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331 | Updating KIDS files.......
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332 |
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333 | C0Q*1.0*4 Installed.
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334 | Aug 24, 2012@10:08:55
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335 |
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336 | Not a VA primary domain
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337 |
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338 | NO Install Message sent
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339 |
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340 | Call MENU rebuild
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341 |
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342 | Starting Menu Rebuild: Aug 24, 2012@10:08:57
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343 |
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344 | Collecting primary menus in the New Person file...
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345 |
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346 | Primary menus found in the New Person file
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347 | ------------------------------------------
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348 |
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349 | OPTION NAME MENU TEXT # OF LAST LAST
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350 | USERS USED BUILT
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351 |
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352 | EVE Systems Manager Menu 25 08/24/12 08/06/12
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353 | XUCORE Core Applications 3 08/14/12 08/06/12
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354 | XUSERTOOLS User's Toolbox 3 06/28/11 08/06/12
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355 | XMUSER MailMan Menu 1 06/03/11 08/06/12
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356 | DG REGISTRATION MENURegistration Menu 1 06/21/11 08/06/12
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357 | DGZ REGISTRATION MENU
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358 | EHR Registration Menu 39 07/09/12 08/06/12
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359 | XUZEVE STARTUP FUNCTIONS 1 11/16/05 08/06/12
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360 |
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361 | Building secondary menu trees....
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362 |
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363 | Merging.... done.
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364 |
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365 | Menu Rebuild Complete: Aug 24, 2012@10:09:01
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366 |
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367 | Brief Usage Instructions:
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368 | ====================================
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369 | Before running the QRDA option, you need to set-up your inpatient parameters.
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370 | You need AT LEAST a Parameter Name, an MU Year, and a Parameter Type in order
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371 | for the software to pick up the parameter's presence. If you already have it
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372 | set-up, you don't need to perform this step. Please note that the software does
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373 | a reverse $Order through the MU years and will only pick the latest one.
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374 |
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375 | ---
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376 | Select SETUP QUALITY REPORTING Option: INP EDIT PARMS
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377 |
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378 | Select C0Q PARAMETER NAME: ?
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379 | to exit:
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380 | You may enter a new C0Q PARAMETER, if you wish
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381 | NAME MUST BE 3-30 CHARACTERS, NOT NUMERIC OR STARTING WITH
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382 | PUNCTUATION
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383 |
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384 | Select C0Q PARAMETER NAME: INPATIENT
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385 | Are you adding 'INPATIENT' as a new C0Q PARAMETER (the 1ST)? No// Y (Yes)
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386 | NAME: INPATIENT//
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387 | MEASUREMENT PERIOD KEY: MU12
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388 | PARAMETER TYPE: INP INPATIENT
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389 | INP MU MEASUREMENT SET:
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390 | INP QUALITY MEASUREMENT SET:
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391 | VTE CMS MEASUREMENT SET:
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392 | STK CMS MEASUREMENT SET:
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393 | ED CMS MEASUREMENT SET:
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394 | Select SUBSCRIBER:
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395 | ---
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396 |
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397 | Next, the you can invoke the menu option as follows, but you may not get any
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398 | CCRs to generate. The option will run EN^C0QQRDA which will look up the
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399 | installed measure sets and try to set-up your parameters correctly. If you
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400 | re-named the installed measure sets, this step will fail and you will need to
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401 | populate them manually in the parameters.
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402 |
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403 | ---
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404 | Select QUALITY MEASUREMENT MENU Option: QRDA MENU
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405 |
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406 | Select QRDA MENU Option: EXPORT INPATIENT QRDA MEASURES AS CCRS
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407 | Trying to automatically set-up measure sets in parameters
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408 | ...Set-up complete
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409 |
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410 |
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411 |
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412 | This program collects patients from the denominators of the measures
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413 | STK, VTE, and ED and outputs modified CCR files to the kernel default
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414 | directory (probably /tmp/).
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415 |
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416 | This will take some time to execute.
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417 |
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418 |
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419 |
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420 | Which measure set would you like to produce QRDA documents for?
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421 | Choose to Run [V]TE Measure Set, [S]TK Measure Set, or
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422 | [E]D Measure Set. Or you can choose to run [A]ll of them.
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423 | Measure to calculate: (V/S/E/A): VTE
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424 | 10: VTE CMS REPORTING MEASURES^1.3.6.1.4.1.33895.1.1.32.1.2.1
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425 | ---
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426 |
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427 | The patient list to generate the CCRs is ultimately taken from the Patient
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428 | Lists pointed to from the C0Q QUALITY MEASURE file for each of the measures
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429 | being processed in the VTE, ED, or STK Measure Set. At this point of package
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430 | development, you must run these measures manually in the reminders package and
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431 | then populate the Numerator Patient List field and the Denominator Patient List
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432 | field for each of these measures. The software per CMS regs picks up the
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433 | patients in the denominator once the measure set is processed.
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434 |
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435 | A successful execution looks like this:
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436 | ---
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437 | Select QRDA MENU Option: EXPORT INPATIENT QRDA MEASURES AS CCRS
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438 | This program collects patients from the denominators of the measures
|
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439 | STK, VTE, and ED and outputs modified CCR files to the kernel default
|
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440 | directory (probably /tmp/).
|
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441 |
|
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442 | This will take some time to execute.
|
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443 |
|
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444 |
|
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445 |
|
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446 | Which measure set would you like to produce QRDA documents for?
|
---|
447 | Choose to Run [V]TE Measure Set, [S]TK Measure Set, or
|
---|
448 | [E]D Measure Set. Or you can choose to run [A]ll of them.
|
---|
449 | Measure to calculate: (V/S/E/A): V
|
---|
450 | 10: VTE CMS REPORTING MEASURES^1.3.6.1.4.1.33895.1.1.32.1.2.1C0QFDA(1130580001.2
|
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451 | 011,"6,10,",3)=33
|
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452 |
|
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453 | Prosessing DFN 97
|
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454 | RUNNING D EXTRACT^C0CPROBS(IXML,DFN,OXML)
|
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455 | NULL RESULT FROM LIST^ORQQPL3
|
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456 | RUNNING D EXTRACT^C0CALERT(IXML,DFN,OXML)
|
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457 | RUNNING D EXTRACT^C0CMED(IXML,DFN,OXML)
|
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458 | RUNNING D MAP^C0CIMMU(IXML,DFN,OXML)
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459 | NULL RESULT FROM IMMUN^PXRHS03
|
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460 | RUNNING D EXTRACT^C0CVITAL(IXML,DFN,OXML)
|
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461 | VITALS START: T LIMIT: T-360
|
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462 | RUNNING D MAP^C0CLABS(IXML,DFN,OXML)
|
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463 | I MAPPED
|
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464 | VARS:^TMP("C0CCCR",9097,"RESULTS")
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465 | DFN:97
|
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466 | LAB LOOKUP FAILED, NO SSN
|
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467 | RUNNING D EXTRACT^C0CPROC(IXML,DFN,OXML)
|
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468 | RUNNING D EXTRACT^C0CENC(IXML,DFN,OXML)
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469 | PROCESSING:PATIENT 97
|
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470 | PROCESSING:PROVIDER 8
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471 | PROCESSING:SYSTEM 1
|
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472 |
|
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473 | 1^WROTE FILE: VTE_QRDA_CCR_DFN0000000097.XML TO /tmp/
|
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474 | ---
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