| [1531] | 1 | DHCP Patch Display Page: 1
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| 2 | =============================================================================
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| 3 | Run Date: SEP 17, 2012 Designation: C0Q*1*1 TEST v
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| 4 | Package : QUALITY MEASURES Priority : MANDATORY
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| 5 | Version : 1 Status : UNDER DEVELOPMENT
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| 6 | =============================================================================
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| [1530] | 7 |
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| [1531] | 8 | Subject: E-Rx MU Measures
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| 9 |
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| 10 | Category: ROUTINE
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| 11 | ENHANCEMENT
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| 12 |
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| 13 | Description:
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| 14 | ===========
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| 15 |
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| 16 | Source, Copyright, & Licensing:
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| 17 | ===============================
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| 18 | This patch to WorldVistA 2.0 was produced by George Lilly on 14 June 2012
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| 19 | and released through VISTA Forum.
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| 20 |
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| 21 | Copyright: Build documentation and C0QMUERX routine (c) George Lilly
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| 22 | 2012.
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| 23 |
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| 24 | License: Package C0Q has license of GPL 2.0.
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| 25 |
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| 26 | Functionality:
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| 27 | ==============
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| [1530] | 28 | DESCRIPTION:
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| [1531] | 29 | Addition of ePrescribing MU measure and code to support it.
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| [1530] | 30 |
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| 31 | Dependencies:
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| [1531] | 32 | This build needs C0P*1*4 for the new WebService entry that gets MU
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| 33 | data from New Crop. It's not a technical dependency; the code will
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| 34 | function without it, but it won't perform ERx calculations.
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| [1530] | 35 | This build requires the base C0Q 1.0 to be installed.
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| 36 |
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| 37 | This build performs the following:
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| 38 | Routines:
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| 39 | 1. Adds routine C0QMUERX for calculation of ePrescribing stats.
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| 40 | 2. Mods routine C0QMU12 to call C0QMUERX for the ERX measure for
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| 41 | Outpatients.
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| 42 | 3. Mods routine C0QUPDT to handle the special case of ePrescribing stats.
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| 43 | Also, some checks and quits so that we won't crash if no patient lists
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| [1531] | 44 | are associated with a measure (general bug fix).
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| [1530] | 45 |
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| [1531] | 46 | Support Tickets:
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| 47 | <None>
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| 48 |
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| 49 | Package Elements:
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| 50 | =================
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| [1530] | 51 | Data Dictionary:
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| [1531] | 52 | 1. File C0Q PARAMETER has two new indexes (used by ERXCOUNT^C0QUPDT)
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| [1530] | 53 | AMMS REGULAR
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| 54 | Field: EP MU MEASUREMENT SET (1130580001.401,2)
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| 55 | Description: Indexes the IEN of the Measurement Set. Used so that we can
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| 56 | walk back to a parameter when processing a specific IEN.
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| 57 |
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| 58 | You can get the IEN of the measurement set using
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| 59 | $O(^C0Q(401,"AMMS",MSIEN,"")).
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| 60 | 1)= S ^C0Q(401,"AMMS",$E(X,1,30),DA)=""
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| 61 | 2)= K ^C0Q(401,"AMMS",$E(X,1,30),DA)
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| 62 | 3)= USED BY THE CODE. SEE DESCRIPTION.
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| 63 |
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| 64 | AQMS REGULAR
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| 65 | Field: EP QUALITY MEASUREMENT SET (1130580001.401,2.1)
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| 66 | Description: Indexes the IEN of the Measurement Set. Used so that we can
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| 67 | walk back to a parameter when processing a specific IEN.
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| 68 |
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| 69 | You can get the IEN of the measurement set using
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| 70 | $O(^C0Q(401,"AQMS",MSIEN,"")).
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| 71 | 1)= S ^C0Q(401,"AQMS",$E(X,1,30),DA)=""
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| 72 | 2)= K ^C0Q(401,"AQMS",$E(X,1,30),DA)
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| 73 | 3)= USED BY THE CODE. SEE DESCRIPTION.
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| 74 |
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| [1531] | 75 | 2. File C0Q QUALITY MEASURE has a new field, MEASURE TYPE (#4) used by
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| 76 | UPDATE^C0QUPDT
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| [1530] | 77 |
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| 78 | 1130580001.101,4MEASURE TYPE 0;5 SET
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| 79 |
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| 80 | 'P' FOR Performance;
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| 81 | 'Q' FOR Quality;
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| 82 | 'E' FOR Electronic Prescribing Performance;
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| 83 | LAST EDITED: MAY 30, 2012
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| 84 | HELP-PROMPT: Enter a code P, Q or E
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| 85 | DESCRIPTION: This field designates the measure type. It can
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| 86 | be P, Q or M.
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| 87 |
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| 88 | P is for Performance. Performance measures are
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| 89 | MU measures to measure how meaningfully used an
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| 90 | EMR is. An example of a performance measure is
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| 91 | whether allergies are documented in the EMR.
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| 92 | Performance measures reference a Patient List
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| 93 | created by this package.
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| 94 |
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| 95 | Q is for Quality Measures. Quality measures are
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| 96 | MU measures to assess how well the patients are
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| 97 | cared for. An example of a quality measure is
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| 98 | whether Hemoglobin A1c Poor Control. Quality
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| 99 | measures reference Patient Lists in the
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| 100 | Reminders package.
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| 101 |
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| 102 | E is for Electronic Prescribing. This is a
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| 103 | Performance measure, except that it is handled
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| 104 | differently than the rest. Instead of the
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| 105 | numerators and denominators being lists of
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| 106 | patients as with all the other measurements,
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| 107 | they are a number of prescriptions. That's why
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| 108 | we have a special flag for it. It references a
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| 109 | Patient List created by this package. The
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| 110 | numerator and denominators are stored in
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| 111 | subfiles for each patient.
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| 112 |
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| 113 | TECHNICAL DESCR: As of version C0P*1.0*1, the software doesn't
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| 114 | use this field except to check for an
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| 115 | electronic prescribing type (code E).
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| 116 |
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| 117 | I anticipate using this field for other
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| 118 | purposes in the future.
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| 119 |
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| 120 | DATA:
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| 121 | The entry MU EP ERX for processing ePrescribing stats in C0Q QUALITY
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| [1531] | 122 | MEASURE is sent to destination sites. This entry has MEASURE TYPE set to
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| 123 | E so that it is processed by the routine UPDATE^C0QUPDT.
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| [1530] | 124 |
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| [1531] | 125 | UP SEND DATA USER
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| 126 | DATE SEC. COMES SITE RSLV OVER
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| 127 | FILE # FILE NAME DD CODE W/FILE DATA PTRS RIDE
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| 128 | -------------------------------------------------------------------------------
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| 129 |
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| 130 | 1130580001.101C0Q QUALITY MEASURE YES YES YES OVER NO NO
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| 131 | DATA SCREEN: I $P(^(0),U)="MU EP ERX"
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| 132 |
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| 133 | 1130580001.401C0Q PARAMETER YES NO NO NO
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| 134 | Partial DD: subDD: 1130580001.401fld: 2
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| 135 | fld: 2.1
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| 136 |
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| 137 | INPUT TEMPLATE:
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| 138 | C0Q EDIT MU MEASURE adds the new field MEASURE TYPE mentioned above to
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| 139 | allow editing of measures
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| 140 |
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| 141 | INPUT TEMPLATE: ACTION:
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| 142 | C0Q EDIT MU MEASURE FILE #1130580001.101 SEND TO SITE
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| 143 |
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| 144 | ENVIRONMENT CHECK: DELETE ENV ROUTINE:
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| 145 | PRE-INIT ROUTINE: DELETE PRE-INIT ROUTINE:
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| 146 | POST-INIT ROUTINE: POST^C0Q1P1 DELETE POST-INIT ROUTINE: No
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| 147 | PRE-TRANSPORT RTN:
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| 148 |
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| 149 |
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| 150 | ROUTINE: ACTION:
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| 151 | C0QMU12 SEND TO SITE
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| 152 | C0QMUERX SEND TO SITE
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| 153 | C0QUPDT SEND TO SITE
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| 154 |
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| 155 | INSTALL QUESTIONS:
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| 156 |
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| 157 | Default Rebuild Menu Trees Upon Completion of Install: NO
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| 158 | Default INHIBIT LOGONs during the install: NO
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| 159 | Default DISABLE Scheduled Options, Menu Options, and Protocols: NO
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| 160 |
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| 161 | REQUIRED BUILDS: ACTION:
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| 162 | QUALITY MEASURES 1.0 Don't install, leave global
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| 163 |
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| 164 | Documentation:
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| 165 | ==============
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| 166 | <None at this moment>
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| 167 |
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| 168 | Test Sites:
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| 169 | ===========
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| 170 | <None at this moment>
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| 171 | Tested by George Lilly on smart2 (dEWDrop) environment
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| 172 |
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| 173 | Compliance:
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| 174 | ===========
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| 175 | Complies with the SACC. One routine has a code size or 15076,
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| 176 | and fails the code size check.
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| 177 |
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| 178 | Installation Instructions:
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| 179 | ==========================
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| 180 | Install Time - less than 1 minute
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| 181 |
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| 182 | 1. LOAD TRANSPORT GLOBAL
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| 183 |
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| 184 | Choose the PackMan message containing this patch and invoke the
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| 185 | INSTALL/CHECK MESSAGE PackMan option to unload the build.
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| 186 |
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| 187 | 2. START UP KIDS
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| 188 |
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| 189 | Start up the Kernel Installation and Distribution System Menu
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| 190 | [XPD MAIN]:
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| 191 |
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| 192 | Edits and Distribution ...
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| 193 | Utilities ...
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| 194 | Installation ...
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| 195 |
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| 196 | Select Kernel Installation & Distribution System Option: INStallation
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| 197 | ---
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| 198 | Load a Distribution
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| 199 | Print Transport Global
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| 200 | Compare Transport Global to Current System
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| 201 | Verify Checksums in Transport Global
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| 202 | Install Package(s)
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| 203 | Restart Install of Package(s)
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| 204 | Unload a Distribution
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| 205 | Backup a Transport Global
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| 206 |
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| 207 | Select Installation Option:
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| 208 |
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| 209 | 3. Select Installation Option:
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| 210 |
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| 211 | NOTE: The following are OPTIONAL - (When prompted for the INSTALL
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| 212 | NAME, enter C0Q*1.0*1):
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| 213 |
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| 214 | a. Backup a Transport Global - This option will create a backup
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| 215 | message of any routines exported with this patch. It will not
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| 216 | backup any other changes such as DD's or templates.
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| 217 | b. Compare Transport Global to Current System - This option will
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| 218 | allow you to view all changes that will be made when this patch
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| 219 | is installed. It compares all components of this patch
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| 220 | (routines, DD's, templates, etc.).
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| 221 | c. Verify Checksums in Transport Global - This option will allow
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| 222 | you to ensure the integrity of the routines that are in the
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| 223 | transport global.
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| 224 |
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| 225 | 4. Select Installation Option: Install Package(s)
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| 226 |
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| 227 | **This is the step to start the installation of this KIDS patch:
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| 228 |
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| 229 | a. Choose the Install Package(s) option to start the patch install
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| 230 | and enter "C0Q*1.0*1" at the INSTALL NAME prompt.
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| 231 | b. When prompted 'Want KIDS to Rebuild Menu Trees Upon Completion of
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| 232 | Install? NO//' answer NO
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| 233 | c. When prompted 'Want KIDS to INHIBIT LOGONs during the install?
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| 234 | NO//' answer NO
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| 235 | d. When prompted 'Want to DISABLE Scheduled Options, Menu Options,
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| 236 | and Protocols? NO//' answer NO
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| 237 |
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| 238 | The post installation routine POST^C0Q1P1 will perform the following
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| 239 | tasks:
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| 240 | 1. Re-index C0P PARAMETERS file fields EP MU MEASUREMENT SET
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| 241 | (1130580001.401,2) and EP QUALITY MEASUREMENT SET (1130580001.401,2.1)
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| 242 | to make the AMMS and AQMS indeces respectively.
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| 243 |
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| 244 | Post-installation instructions
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| 245 | ==============================
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| [1530] | 246 | 1. If you don't have New Crop eRx installed, there won't be any effects.
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| 247 | The C0Q code will behave like before.
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| 248 | 2. If you don't have C0P*1.0*4 installed, again, the C0Q code will behave
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| 249 | as before the patch.
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| 250 | 3. Once you install C0P*1.0*4 with this patch (C0Q*1.0*1), the code will
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| 251 | loop through all Outpatients who have an ERx. The actual patients are
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| 252 | determined via your outpatient parameters. If your parameters reference a
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| 253 | clinic location that already has patients with ERxs, you don't need to do
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| 254 | anything to make the code run. It will run automatically; and it's time
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| 255 | consuming; before you run it though, make sure to do #4.
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| 256 | 4. In order for you to see a print out of the eRx measures, you
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| 257 | need to add the Measure MU EP ERX to the Measure Set used in the EP MU
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| 258 | MEASUREMENT SET field in your Outpatient Parameters. You must do this
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| 259 | before you run this for the first time.
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| 260 |
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| 261 | Example of Set-up:
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| 262 |
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| 263 | Select QUALITY MEASUREMENT MENU Option: ?
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| 264 |
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| 265 | COPY OVER PATIENT LISTS
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| 266 | ED-1 COMPUTATION
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| 267 | ED-2 COMPUTATION
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| 268 | EP UPDATE MU MEASURES
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| 269 | INP UPDATE MU MEASURES
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| 270 | PQRI MENU ...
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| 271 | PQRI PRINT XML
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| 272 | PRINT C0Q MEASURES
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| 273 | QRDA MENU ...
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| 274 | SETUP QUALITY REPORTING ...
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| 275 |
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| 276 | Enter ?? for more options, ??? for brief descriptions, ?OPTION for help
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| 277 | text.
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| 278 |
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| 279 | Select QUALITY MEASUREMENT MENU Option: setUP QUALITY REPORTING
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| 280 |
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| 281 | Select SETUP QUALITY REPORTING Option: ?
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| 282 |
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| 283 | DISPLAY QUALITY MEASURES
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| 284 | EDIT SUPERUSERS
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| 285 | EP EDIT PARMS
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| 286 | INP EDIT PARMS
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| 287 | MEASURE SET EDIT
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| 288 | MU MEASURE EDIT
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| 289 | QUALITY MEASURE EDIT
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| 290 |
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| 291 | Enter ?? for more options, ??? for brief descriptions, ?OPTION for help
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| 292 | text.
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| 293 |
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| 294 | Select SETUP QUALITY REPORTING Option: ep edit PARMS
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| 295 |
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| 296 | Select C0Q PARAMETER NAME: OUTPATIENT
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| 297 | NAME: OUTPATIENT//
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| 298 | MEASUREMENT PERIOD KEY: MU12//
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| 299 | PARAMETER TYPE: OUTPATIENT//
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| 300 | EP MU MEASUREMENT SET: OUTPATIENT MEASURE SET//
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| 301 | EP QUALITY MEASUREMENT SET:
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| 302 | Select CLINIC: DR OFFICE//
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| 303 | PATIENT LIST LABEL:
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| 304 | Select SUBSCRIBER:
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| 305 |
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| 306 | Select C0Q PARAMETER NAME:
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| 307 |
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| 308 | Select SETUP QUALITY REPORTING Option: measure set EDIT
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| 309 |
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| 310 | Select C0Q MEASUREMENT SET NAME: outpaTIENT MEASURE SET
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| 311 | NAME: OUTPATIENT MEASURE SET Replace
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| 312 | BEGIN DATE: JUN 12,2001//
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| 313 | END DATE: MAY 25,2012//
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| 314 | LOCKED:
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| 315 | MU YEAR KEY: MU12//
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| 316 | QRDA TEMPLATE ROOT:
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| 317 | Select MEASURE: MU EP ERX//
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| 318 | MEASURE: MU EP ERX//
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| 319 | NUMERATOR FILTER LIST:
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| 320 | DENOMINATOR FILTER LIST:
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| 321 | Select MEASURE:
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| 322 |
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| 323 | Select C0Q MEASUREMENT SET NAME:
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| 324 |
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| 325 | Select SETUP QUALITY REPORTING Option:
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| 326 |
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| 327 | Select QUALITY MEASUREMENT MENU Option: ?
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| 328 |
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| 329 | COPY OVER PATIENT LISTS
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| 330 | ED-1 COMPUTATION
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| 331 | ED-2 COMPUTATION
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| 332 | EP UPDATE MU MEASURES
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| 333 | INP UPDATE MU MEASURES
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| 334 | PQRI MENU ...
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| 335 | PQRI PRINT XML
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| 336 | PRINT C0Q MEASURES
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| 337 | QRDA MENU ...
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| 338 | SETUP QUALITY REPORTING ...
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| 339 |
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| 340 | Enter ?? for more options, ??? for brief descriptions, ?OPTION for help
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| 341 | text.
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| 342 |
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| 343 | Select QUALITY MEASUREMENT MENU Option: ep updATE MU MEASURES
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| 344 | Sep 16, 2012@86:54:61
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| 345 | Jan 03, 2008@80:85:41
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| 346 | Jan 01, 2008@81:59:42
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| 347 | Nov 25, 2005@86:89:76
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| 348 | Nov 25, 2005@85:87:58
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| 349 | Nov 24, 2005@79:68:87
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| 350 | Aug 01, 2005@91:59:64
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| 351 | Aug 2005@84:91:51
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| 352 | Aug 2005@84:78:82
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| 353 | Jul 28, 2005@88:55:64
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| 354 | Jul 28, 2005@88:46:85
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| 355 | Jul 28, 2005@87:95:55
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| 356 | Jul 27, 2005@87:79:80
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| 357 | Jul 27, 2005@83:83:97
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| 358 | Jul 26, 2005@88:78:96
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| 359 | Jul 26, 2005@88:75:45
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| 360 | Jul 26, 2005@88:58:60
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| 361 | Jul 26, 2005@88:52:62
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| 362 | Jul 26, 2005@88:50:59
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| 363 | Jul 26, 2005@88:49:74
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| 364 | Jul 26, 2005@84:54:55
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| 365 | Jul 24, 2005@91:62:76
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| 366 | Jul 23, 2005@88:98:45
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| 367 | Jul 23, 2005@85:77:89
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| 368 | Jul 23, 2005@83:77:71
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| 369 | Jul 23, 2005@82:82:99
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| 370 | Jul 23, 2005@82:66:61
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| 371 | Jul 22, 2005@83:85:46
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| 372 | Jul 22, 2005@82:82:92
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| 373 | Jul 22, 2005@82:75:99
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| 374 | Jul 21, 2005@89:50:71
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| 375 | Jul 21, 2005@83:53:48
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| 376 | Jul 20, 2005@91:43:44
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| 377 | Jul 20, 2005@87:89:46
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| 378 | Jul 20, 2005@84:60:78
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| 379 | Jul 20, 2005@84:60:71
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| 380 | Jul 19, 2005@89:92:54
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| 381 | Jul 19, 2005@89:55:97
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| 382 | Jul 18, 2005@92:58:51
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| 383 | Jul 18, 2005@91:47:87
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| 384 | Jul 18, 2005@88:67:86
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| 385 | Jul 18, 2005@88:63:92
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| 386 | Jul 18, 2005@86:64:88
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| 387 | Jul 18, 2005@84:56:82
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| 388 | Jul 18, 2005@84:45:52
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| 389 | Jul 17, 2005@82:42:51
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| 390 | Jul 14, 2005@84:00
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| 391 | Jul 07, 2005@86:97
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| 392 | Jul 2005@85:62:77B index passed
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| 393 | 4
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| 394 | Calling GETMEDS6 SOAP Web Service Call for 4
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| 395 | Patient 4 Rx 1
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| 396 | DeaClassCode: 0
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| 397 | PharmacyType: 1
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| 398 | PharmacyDetailType: 1
|
|---|
| 399 | FinalDestinationType: 2
|
|---|
| 400 | FinalStatusType: 2
|
|---|
| 401 | Patient 4 Rx 2
|
|---|
| 402 | DeaClassCode: 0
|
|---|
| 403 | PharmacyType: 0
|
|---|
| 404 | Patient 4 Rx 3
|
|---|
| 405 | DeaClassCode: 0
|
|---|
| 406 | PharmacyType: 1
|
|---|
| 407 | PharmacyDetailType: 1
|
|---|
| 408 | FinalDestinationType: 2
|
|---|
| 409 | FinalStatusType: 2
|
|---|
| 410 | Patient 4 Rx 4
|
|---|
| 411 | DeaClassCode: 0
|
|---|
| 412 | PharmacyType: 0
|
|---|
| 413 | IENs ?+14,1,17, ready to file
|
|---|
| 414 | Saving ERXDEN of 0 for Patient MOUSE,MICKEY (4)
|
|---|
| 415 | Fileman Data Array
|
|---|
| 416 | C0QFDA(1130580001.3111,"?+14,1,17,",.01): ERXDEN
|
|---|
| 417 | C0QFDA(1130580001.3111,"?+14,1,17,",.02): 0
|
|---|
| 418 | Patient 4 Rx 1
|
|---|
| 419 | DeaClassCode: 0
|
|---|
| 420 | PharmacyType: 1
|
|---|
| 421 | PharmacyDetailType: 1
|
|---|
| 422 | FinalDestinationType: 2
|
|---|
| 423 | Patient 4 Rx 2
|
|---|
| 424 | DeaClassCode: 0
|
|---|
| 425 | PharmacyType: 0
|
|---|
| 426 | Patient 4 Rx 3
|
|---|
| 427 | DeaClassCode: 0
|
|---|
| 428 | PharmacyType: 1
|
|---|
| 429 | PharmacyDetailType: 1
|
|---|
| 430 | FinalDestinationType: 2
|
|---|
| 431 | Patient 4 Rx 4
|
|---|
| 432 | DeaClassCode: 0
|
|---|
| 433 | PharmacyType: 0
|
|---|
| 434 | IENs ?+14,1,17, ready to file
|
|---|
| 435 | Saving ERXNUM of 0 for Patient MOUSE,MICKEY (4)
|
|---|
| 436 | Fileman Data Array
|
|---|
| 437 | C0QFDA(1130580001.3111,"?+14,1,17,",.01): ERXNUM
|
|---|
| 438 | C0QFDA(1130580001.3111,"?+14,1,17,",.02): 0
|
|---|
| 439 | C0QFDA(1130580001.2011,"1,7,",3)=100
|
|---|
| 440 | Processing E-Prescribing Counts
|
|---|
| 441 | DFN Denominator Numerator
|
|---|
| 442 | 4 0 0
|
|---|
| 443 | === ===
|
|---|
| 444 | 0 0
|
|---|
| 445 |
|
|---|
| 446 |
|
|---|
| [1531] | 447 | Routine Information:
|
|---|
| 448 | ====================
|
|---|
| [1530] | 449 |
|
|---|
| 450 |
|
|---|
| [1531] | 451 | The second line of each of these routines now looks like:
|
|---|
| 452 | ;;1.0;QUALITY MEASURES;**[Patch List]**;May 21, 2012;Build 33
|
|---|
| [1530] | 453 |
|
|---|
| [1531] | 454 | The checksums below are new checksums, and
|
|---|
| 455 | can be checked with CHECK1^XTSUMBLD.
|
|---|
| [1530] | 456 |
|
|---|
| [1531] | 457 | Routine Name: C0Q1P1
|
|---|
| 458 | Before: n/a After: B541473 **1**
|
|---|
| 459 | Routine Name: C0QMU12
|
|---|
| 460 | Before: n/a After:B266254568 **1**
|
|---|
| 461 | Routine Name: C0QMUERX
|
|---|
| 462 | Before: n/a After: B83723794 **1**
|
|---|
| 463 | Routine Name: C0QUPDT
|
|---|
| 464 | Before: n/a After: B78393601 **1**
|
|---|
| [1530] | 465 |
|
|---|
| 466 |
|
|---|
| [1531] | 467 | =============================================================================
|
|---|
| 468 | User Information:
|
|---|
| 469 | Entered By : HABIEL,SAM Date Entered : JUN 11,2012
|
|---|
| 470 | Completed By: LILLY,GEORGE Date Completed: JUN 14,2012
|
|---|
| 471 | Released By : Date Released :
|
|---|
| 472 | =============================================================================
|
|---|
