| [1577] | 1 | C0QUPDT ; GPL - Quality Reporting List Update Routines ; 10/17/12 12:09pm
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| 2 | ;;1.0;QUALITY MEASURES;**1,5**;May 21, 2012;Build 32
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| [1232] | 3 | ;Copyright 2009 George Lilly. Licensed under the terms of the GNU
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| 4 | ;General Public License See attached copy of the License.
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| 5 | ;
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| 6 | ;This program is free software; you can redistribute it and/or modify
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| 7 | ;it under the terms of the GNU General Public License as published by
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| 8 | ;the Free Software Foundation; either version 2 of the License, or
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| 9 | ;(at your option) any later version.
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| 10 | ;
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| 11 | ;This program is distributed in the hope that it will be useful,
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| 12 | ;but WITHOUT ANY WARRANTY; without even the implied warranty of
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| 13 | ;MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
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| 14 | ;GNU General Public License for more details.
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| 15 | ;
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| 16 | ;You should have received a copy of the GNU General Public License along
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| 17 | ;with this program; if not, write to the Free Software Foundation, Inc.,
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| 18 | ;51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
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| 19 | ;
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| 20 | Q
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| 21 | ;
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| 22 | C0QQFN() Q 1130580001.101 ; FILE NUMBER FOR C0Q QUALITY MEASURE FILE
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| 23 | C0QMFN() Q 1130580001.201 ; FILE NUMBER FOR C0Q MEASUREMENT FILE
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| 24 | C0QMMFN() Q 1130580001.2011 ; FN FOR MEASURE SUBFILE
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| 25 | C0QMMNFN() Q 1130580001.20111 ; FN FOR NUMERATOR SUBFILE
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| 26 | C0QMMDFN() Q 1130580001.20112 ; FN FOR DENOMINATOR SUBFILE
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| 27 | RLSTFN() Q 810.5 ; FN FOR REMINDER PATIENT LIST FILE
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| 28 | RLSTPFN() Q 810.53 ; FN FOR REMINDER PATIENT LIST PATIENT SUBFILE
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| [1335] | 29 | C0QPLF() Q 1130580001.301 ; C0Q PATIENT LIST FILE
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| [1232] | 30 | C0QALFN() Q 1130580001.311 ; FILE NUMBER FOR C0Q PATIENT LIST PATIENT SUBFILE ;
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| 31 | ;
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| 32 | UPDATE(RNT,MSET) ; UPDATE A MEASURE SET BY ADDING NEW ENTRIES TO PATIENT
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| 33 | ; LISTS AND DELETING ENTRIES THAT ARE NO LONGER VALID. ALSO UPDATE
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| 34 | ; NUMERATOR AND DENOMINATOR COUNTS
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| 35 | ; MAKES HEAVY USE OF UNITY^C0QSET TO DETERMINE WHAT TO ADD AND DELETE
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| 36 | ;
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| 37 | ; THIS IS A REPLACEMENT FOR C0QRPC^C0QMAIN WHICH DELETES THE PATIENT
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| 38 | ; LISTS AND RECREATES THEM, WHICH IS A LOT OF UNNECESSARY PROCESSING
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| 39 | ;
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| 40 | N ZI S ZI=""
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| 41 | N C0QM ; FOR HOLDING THE MEASURES IN THE SET
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| [1335] | 42 | I $$GET1^DIQ($$C0QMFN,MSET_",",.05,"I")="Y" D Q ; IS IT LOCKED?
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| 43 | . W !,"ERROR MEASURE SET IS LOCKED, EXITING"
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| 44 | D LIST^DIC($$C0QMMFN,","_MSET_",",".01I;1.2I;2.2I") ; GET ALL THE MEASURES
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| [1232] | 45 | D DELIST("C0QM")
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| 46 | N ZII S ZII=""
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| 47 | F S ZII=$O(C0QM(ZII)) Q:ZII="" D ; FOR EACH MEASURE
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| [1445] | 48 | . ;
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| 49 | . ; Special processing for eRx measure.
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| [1572] | 50 | . I $$GET1^DIQ(1130580001.101,+C0QM(ZII)_",",4,"I")="E" D ERXCOUNT(MSET,ZII) Q
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| [1445] | 51 | . ;
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| 52 | . ; Otherwise, we go on
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| [1572] | 53 | . N C0QNL,C0QDL,C0QFLTN,C0QFLTD,C0QNALT ; VEN/SMH - line changed in *5
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| [1335] | 54 | . S C0QFLTN=$P(C0QM(ZII),U,3) ;IEN OF NUMERATOR FILTER LIST
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| 55 | . S C0QFLTD=$P(C0QM(ZII),U,4) ; IEN OF DENOMINATOR FILTER LIST
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| [1232] | 56 | . S ZI=$P(C0QM(ZII),U,1) ; IEN OF THE MEASURE IN THE C0Q QUALITY MEAS FILE
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| [1445] | 57 | . ;
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| 58 | . ; Numerator
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| [1232] | 59 | . S C0QNL=$$GET1^DIQ($$C0QQFN,ZI_",",1,"I") ; NUMERATOR POINTER
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| 60 | . I C0QNL="" D ; CHECK ALTERNATE LIST
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| 61 | . . S C0QNL=$$GET1^DIQ($$C0QQFN,ZI_",",1.1,"I") ; NUMERATOR POINTER
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| 62 | . . I C0QNL'="" S C0QNALT=1
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| [1445] | 63 | . I C0QNL="" QUIT ; No Numerator. Can't perform calculation.--smh
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| 64 | . ;
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| 65 | . ; Denominator
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| [1232] | 66 | . S C0QDL=$$GET1^DIQ($$C0QQFN,ZI_",",2,"I") ; DENOMINATOR POINTER
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| 67 | . I C0QDL="" D ; CHECK ALTERNATE LIST
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| 68 | . . S C0QDL=$$GET1^DIQ($$C0QQFN,ZI_",",2.1,"I") ; DENOMINATOR POINTER
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| 69 | . . I C0QDL'="" S C0QDALT=1
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| [1445] | 70 | . I C0QDL="" QUIT ; No Denominator. Can't perform calcuation.--smh
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| [1232] | 71 | . ;
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| 72 | . ; FIRST PROCESS THE NUMERATOR
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| 73 | . ;
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| 74 | . N C0QNEW ; REFERENCE TO NEW NUMBERATOR LIST B INDEX
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| 75 | . I $G(C0QNALT)=1 D ; USING ALTERNATE LIST FOR NUMERATOR
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| 76 | . . S C0QNEW=$NA(^C0Q(301,C0QNL,1,"B")) ; B INDEX FOR THIS LIST
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| 77 | . E D ; USE THE REMINDER PACKAGE PATIENT LISTS
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| 78 | . . S C0QNEW=$NA(^PXRMXP(810.5,C0QNL,30,"B")) ; REMINDER LIST PATIENTS
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| [1335] | 79 | . I C0QFLTN'="" D ; USE A NUMERATOR FILTER LIST
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| 80 | . . N ZNEW
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| 81 | . . S ZNEW=$NA(^C0Q(301,C0QFLTN,1,"B")) ; B INDEX OF FILTER LIST
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| 82 | . . K C0QFLTRD
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| 83 | . . D AND^C0QSET("C0QFLTRD",ZNEW,C0QNEW)
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| 84 | . . S C0QNEW="C0QFLTRD"
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| [1232] | 85 | . N C0QOLD ; REFERENCE FOR OLD PATIENT LIST
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| 86 | . S C0QOLD=$NA(^C0Q(201,MSET,5,ZII,1,"B")) ; NUMERATOR LIST IN MEASURE SET
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| 87 | . N C0QRSLT ; ARRAY FOR THE UNITY DIFFERENCES
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| 88 | . D UNITY^C0QSET("C0QRSLT",C0QNEW,C0QOLD) ; FIND THE DIFFERENCES
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| 89 | . N C0QCNT
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| 90 | . S C0QNCNT=$G(C0QRSLT("COUNT"))
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| 91 | . I C0QNCNT="" D ;
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| 92 | . . S C0QNCNT=0 ; DEFAULT COUNT IS ZERO
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| 93 | . . N GZZ S GZZ=""
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| 94 | . . F S GZZ=$O(C0QRSLT(0,GZZ)) Q:GZZ="" D ; EVERY ADD ENTRY
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| 95 | . . . S C0QNCNT=C0QNCNT+1
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| 96 | . . F S GZZ=$O(C0QRSLT(1,GZZ)) Q:GZZ="" D ; EVERY EQUAL ENTRY
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| 97 | . . . S C0QNCNT=C0QNCNT+1
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| 98 | . K C0QFDA ; CLEAR THE FDA
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| 99 | . N C0QONCNT ; OLD COUNT
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| 100 | . S C0QONCNT=$$GET1^DIQ($$C0QMMFN(),ZII_","_MSET_",",1.1)
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| 101 | . I C0QNCNT'=C0QONCNT D ; COUNT HAS CHANGED
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| 102 | . . S C0QFDA($$C0QMMFN(),ZII_","_MSET_",",1.1)=C0QNCNT ; NUMERATOR COUNT
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| 103 | . . D UPDIE ; UPDATE THE NUMERATOR COUNT
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| 104 | . I $D(C0QRSLT) D ;B ;
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| 105 | . . ;ZWR C0QRSLT
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| 106 | . ; FIRST PROCESS DELETIONS
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| 107 | . K C0QFDA ; CLEAR OUT THE FDA
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| [1438] | 108 | . N ZG,ZIEN S ZG=""
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| [1232] | 109 | . F S ZG=$O(C0QRSLT(2,ZG)) Q:ZG="" D ; FOR EACH DELETION
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| 110 | . . S ZIEN=$O(@C0QOLD@(ZG,"")) ; IEN OF THE ENTRY
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| 111 | . . I ZIEN="" D Q ; OOPS
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| 112 | . . . W !,"ERROR DELETING ENTRY!! ",ZG
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| 113 | . . S C0QFDA($$C0QMMNFN(),ZIEN_","_ZII_","_MSET_",",.01)="@" ; DELETE
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| 114 | . I $D(C0QFDA) D UPDIE ; PROCESS
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| 115 | . ; SECOND, PROCESS ADDITIONS
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| 116 | . K C0QFDA ; CLEAR OUT THE FDA
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| [1438] | 117 | . N ZG,ZC S ZG="" S ZC=1
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| [1232] | 118 | . F S ZG=$O(C0QRSLT(0,ZG)) Q:ZG="" D ; FOR EACH ADDITION
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| 119 | . . S C0QFDA($$C0QMMNFN(),"+"_ZC_","_ZII_","_MSET_",",.01)=ZG ; ADD THE ENTRY
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| 120 | . . S ZC=ZC+1
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| 121 | . I $D(C0QFDA) D UPDIE ; PROCESS
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| 122 | . ;
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| 123 | . ; PROCESS THE DENOMINATOR
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| 124 | . ;
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| 125 | . N C0QNEW ; REFERENCE TO NEW NUMBERATOR LIST B INDEX
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| 126 | . I $G(C0QNALT)=1 D ; USING ALTERNATE LIST FOR NUMERATOR
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| 127 | . . S C0QNEW=$NA(^C0Q(301,C0QDL,1,"B")) ; B INDEX FOR THIS LIST
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| 128 | . E D ; USE THE REMINDER PACKAGE PATIENT LISTS
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| 129 | . . S C0QNEW=$NA(^PXRMXP(810.5,C0QDL,30,"B")) ; REMINDER LIST PATIENTS
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| [1335] | 130 | . I C0QFLTD'="" D ; USE A DENOMINATOR FILTER LIST
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| 131 | . . N ZNEW
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| 132 | . . S ZNEW=$NA(^C0Q(301,C0QFLTD,1,"B")) ; B INDEX OF FILTER LIST
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| 133 | . . K C0QFLTRD
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| 134 | . . D AND^C0QSET("C0QFLTRD",ZNEW,C0QNEW)
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| 135 | . . S C0QNEW="C0QFLTRD"
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| [1232] | 136 | . N C0QOLD ; REFERENCE FOR OLD PATIENT LIST
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| 137 | . S C0QOLD=$NA(^C0Q(201,MSET,5,ZII,3,"B")) ; DENOMINATOR LIST IN MEASURE SET
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| 138 | . N C0QRSLT ; ARRAY FOR THE UNITY DIFFERENCES
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| 139 | . D UNITY^C0QSET("C0QRSLT",C0QNEW,C0QOLD) ; FIND THE DIFFERENCES
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| 140 | . N C0QDCNT
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| 141 | . S C0QDCNT=$G(C0QRSLT("COUNT"))
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| 142 | . I C0QDCNT="" D ;
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| 143 | . . S C0QDCNT=0 ; DEFAULT COUNT IS ZERO
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| 144 | . . N GZZ S GZZ=""
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| 145 | . . F S GZZ=$O(C0QRSLT(0,GZZ)) Q:GZZ="" D ; EVERY ADD ENTRY
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| 146 | . . . S C0QDCNT=C0QDCNT+1
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| 147 | . . F S GZZ=$O(C0QRSLT(1,GZZ)) Q:GZZ="" D ; EVERY EQUAL ENTRY
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| 148 | . . . S C0QDCNT=C0QDCNT+1
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| 149 | . K C0QFDA ; CLEAR THE FDA
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| 150 | . N C0QODCNT ; OLD COUNT
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| 151 | . S C0QODCNT=$$GET1^DIQ($$C0QMMFN(),ZII_","_MSET_",",2.1)
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| 152 | . I C0QDCNT'=C0QODCNT D ; COUNT HAS CHANGED
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| 153 | . . S C0QFDA($$C0QMMFN(),ZII_","_MSET_",",2.1)=C0QDCNT ; DENOMINATOR COUNT
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| 154 | . . D UPDIE ; UPDATE THE DENOMINATOR COUNT
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| 155 | . I $D(C0QRSLT) D ;B ;
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| 156 | . . ;ZWR C0QRSLT
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| 157 | . I '$D(C0QRSLT) Q ; NO RESULTS TO USE
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| 158 | . ; FIRST PROCESS DELETIONS
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| 159 | . K C0QFDA ; CLEAR OUT THE FDA
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| [1438] | 160 | . N ZG,ZIEN S ZG=""
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| [1232] | 161 | . F S ZG=$O(C0QRSLT(2,ZG)) Q:ZG="" D ; FOR EACH DELETION
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| 162 | . . S ZIEN=$O(@C0QOLD@(ZG,"")) ; IEN OF THE ENTRY
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| 163 | . . I ZIEN="" D Q ; OOPS
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| 164 | . . . W !,"ERROR DELETING ENTRY!! ",ZG
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| 165 | . . S C0QFDA($$C0QMMDFN(),ZIEN_","_ZII_","_MSET_",",.01)="@" ; DELETE
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| 166 | . I $D(C0QFDA) D UPDIE ; PROCESS
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| 167 | . ; SECOND, PROCESS ADDITIONS
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| 168 | . K C0QFDA ; CLEAR OUT THE FDA
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| [1438] | 169 | . N ZG,ZC S ZG="" S ZC=1
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| [1232] | 170 | . F S ZG=$O(C0QRSLT(0,ZG)) Q:ZG="" D ; FOR EACH ADDITION
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| 171 | . . S C0QFDA($$C0QMMDFN(),"+"_ZC_","_ZII_","_MSET_",",.01)=ZG ; ADD THE ENTRY
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| 172 | . . S ZC=ZC+1
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| 173 | . I $D(C0QFDA) D UPDIE ; PROCESS
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| [1445] | 174 | . ;
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| 175 | . ; File Percentage
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| [1232] | 176 | . N C0QPCT ; PERCENT
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| [1335] | 177 | . D ;
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| [1445] | 178 | . . I C0QDCNT>0 D ;
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| [1335] | 179 | . . . S C0QPCT=$J(100*C0QNCNT/C0QDCNT,0,0)
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| [1445] | 180 | . . E S C0QPCT=0
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| [1232] | 181 | . . K C0QFDA
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| 182 | . . S C0QFDA($$C0QMMFN(),ZII_","_MSET_",",3)=C0QPCT ; PERCENT
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| 183 | . . D UPDIE
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| 184 | Q
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| 185 | ;
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| 186 | DELIST(RTN) ; DECODES ^TMP("DILIST",$J) INTO
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| 187 | ; @RTN@(IEN)=INTERNAL VALUE^EXTERNAL VALUE
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| 188 | ; ADDED A B INDEX @RTN@("B",INTERNAL VALUE,IEN)=EXTERNAL VALUE
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| [1335] | 189 | N ZI,IV,EV,ZDI,ZIEN,FLTN,FLTD
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| [1232] | 190 | S ZI=""
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| 191 | S ZDI=$NA(^TMP("DILIST",$J))
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| 192 | K @RTN
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| 193 | F S ZI=$O(@ZDI@(1,ZI)) Q:ZI="" D ;
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| 194 | . S EV=@ZDI@(1,ZI) ;EXTERNAL VALUE
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| 195 | . S IV=$G(@ZDI@("ID",ZI,.01)) ; INTERNAL VALUE
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| [1335] | 196 | . S FLTN=$G(@ZDI@("ID",ZI,1.2)) ; NUMERATOR FILTER LIST
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| 197 | . S FLTD=$G(@ZDI@("ID",ZI,2.2)) ; DENOMINATOR FILTER LIST
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| [1232] | 198 | . S ZIEN=@ZDI@(2,ZI) ; IEN
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| [1335] | 199 | . S @RTN@(ZIEN)=IV_"^"_EV_"^"_FLTN_"^"_FLTD
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| [1232] | 200 | . ;S @RTN@("B",IV,ZIEN)=EV
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| 201 | Q
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| 202 | ;
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| 203 | UPDIE ; INTERNAL ROUTINE TO CALL UPDATE^DIE AND CHECK FOR ERRORS
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| 204 | K ZERR
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| 205 | D CLEAN^DILF
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| [1572] | 206 | D ZWRITE^C0QUTIL("C0QFDA")
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| [1232] | 207 | D UPDATE^DIE("","C0QFDA","","ZERR")
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| 208 | I $D(ZERR) S ZZERR=ZZERR ; ZZERR DOESN'T EXIST, INVOKE THE ERROR TRAP IF TASKED
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| 209 | ;. W "ERROR",!
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| 210 | ;. ZWR ZERR
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| 211 | ;. B
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| 212 | K C0QFDA
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| 213 | Q
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| 214 | ;
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| [1572] | 215 | ERXCOUNT(MSETIEN,MIEN) ; Private Proc; Get eRx and file as Numerator, Denominator, and %
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| 216 | ; Inputs:
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| 217 | ; MSETIEN - Measurement Set IEN - By Value
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| 218 | ; MIEN - Measurement IEN inside the Measurement Set - By Value
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| 219 | ;
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| 220 | ; Optional Symtab input: C0QDEBUG to print out debug messages to STDOUT.
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| 221 | ; ZEXCEPT: C0QDEBUG ; For Dr. Ivey's parser.
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| 222 | ;
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| 223 | ; No check is done to see if the caller is sending bad data. Measurement must be
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| 224 | ; in a subfile under Measurement Set.
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| 225 | ;
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| 226 | W:$G(C0QDEBUG) "Processing E-Prescribing Counts",!
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| 227 | ; Example of Data we go through in the C0Q Parameter File, so the code below
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| 228 | ; will make sense.
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| 229 | ; ^C0Q(401,"AMMS",2,1)=""
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| 230 | ; ^C0Q(401,"AMMS",2,2)=""
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| 231 | ; ^C0Q(401,"AQMS",6,2)=""
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| 232 | ; ^C0Q(401,"B","INPATIENT",2)=""
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| 233 | ; ^C0Q(401,"B","OUTPATIENT",1)=""
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| 234 | ; ^C0Q(401,"MU","MU12",1)=""
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| 235 | ; ^C0Q(401,"MU","MU12",2)=""
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| 236 | ; ^C0Q(401,"MUTYP","MU12","EP",1)=""
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| 237 | ; ^C0Q(401,"MUTYP","MU12","INP",2)=""
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| 238 | ;
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| 239 | ; Get Parameter year from the Parameters file.
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| 240 | ; 1. Get parameter associated with this measurement set from AMMS x-ref (new in C0Q*1*1).
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| 241 | N C0QPARAM
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| 242 | N % S %="" F S %=$O(^C0Q(401,"AMMS",MSETIEN,%)) Q:%="" S C0QPARAM(%)=""
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| 243 | ;
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| 244 | ; 2. Find the year for each of those--store as value of node; IEN still subscript.
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| 245 | N % S %="" F S %=$O(C0QPARAM(%)) Q:%="" S C0QPARAM(%)=$$GET1^DIQ(1130580001.401,%_",",.02)
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| 246 | ;
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| 247 | ; 3. Now make sure that this parameter that point to an Outpatient Parameters
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| 248 | ; WARNING: CONFUSING CODE WRITTEN BY ME AHEAD
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| 249 | ; The % loop will stop with a valid value if found; % is used in the lines immediately below
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| 250 | N % S %="" F S %=$O(C0QPARAM(%)) Q:%="" Q:$D(^C0Q(401,"MUTYP",C0QPARAM(%),"EP",%))
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| 251 | ;
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| 252 | ; 4. If % has a valid IEN (there can be multiple, we take the first), then off we go.
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| 253 | ; Otherwise, if it is back to "", we quit.
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| 254 | N MUYEAR
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| 255 | IF '% W "No suitable parameter found. Cannot determine Measurement Year.",! QUIT
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| 256 | ELSE S MUYEAR=C0QPARAM(%)
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| 257 | ;
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| 258 | ; Now, based on the MU year, construct the patient list name that has the eRx data.
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| 259 | N LISTNAME S LISTNAME=MUYEAR_"-"_"EP"_"-"_"HasERX"
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| 260 | ;
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| 261 | ; Call the API in C0QMUERX to get the counts already calculated
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| 262 | ; Data is returned NUM/DEN
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| 263 | N COUNTS S COUNTS=$$COUNT^C0QMUERX($$PATLN^C0QMU12(LISTNAME))
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| 264 | ;
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| 265 | ; File the count
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| 266 | N NUM S NUM=$P(COUNTS,"/") ; Numerator
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| 267 | N DEN S DEN=$P(COUNTS,"/",2) ; Denominator
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| 268 | ;
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| 269 | ; Prepare FDA
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| 270 | N C0QFDA,C0QERR
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| 271 | S C0QFDA($$C0QMMFN(),MIEN_","_MSETIEN_",",1.1)=NUM ; Numerator
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| 272 | S C0QFDA($$C0QMMFN(),MIEN_","_MSETIEN_",",2.1)=DEN ; Denominator
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| 273 | S C0QFDA($$C0QMMFN(),MIEN_","_MSETIEN_",",3)=$S(DEN=0:0,1:$J(100*NUM/DEN,0,0)) ; Percentage; avoid dividing by zero!
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| 274 | ;
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| 275 | ; File FDA using Filer not updater (editing existing entry only)
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| 276 | D FILE^DIE("ET",$NAME(C0QFDA),$NAME(C0QERR)) ; Flags: External, Transaction
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| 277 | ;
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| 278 | ; If error, print it out
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| 279 | I $D(C0QERR) DO
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| 280 | . W "Error filing data",!
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| 281 | . N % S %=$NAME(C0QERR) F S %=$Q(@%) Q:%="" W %_": "_@%,!
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| 282 | ;
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| 283 | QUIT
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