192 lines
9.4 KiB
Mathematica
192 lines
9.4 KiB
Mathematica
ORMEVNT ;SLC/MKB-Trigger HL7 msg off MAS events ;3/31/04 09:21
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;;3.0;ORDER ENTRY/RESULTS REPORTING;**24,45,70,79,141,165,177,186,195,278**;Dec 17, 1997;Build 5
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;;Per VHA Directive 2004-038, this routine should not be modified.
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;
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EN1 ; -- tasked entry point
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Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5) ;skip lodger mvts
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N ZTDESC,ZTIO,ZTRTN,ZTDTH,ZTSAVE,ZTSK,I
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S ZTDESC="Auto-DC and/or Release orders on MAS movement",ZTIO=""
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S ZTRTN="EN^ORMEVNT",ZTDTH=$H,ZTSAVE("^UTILITY(""DGPM"",$J,")=""
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F I="DFN","DGPMDA","DGPMA","DGPMP","DGPMT" S ZTSAVE(I)=""
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D ^%ZTLOAD ;D EN^ORYDGPM
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Q
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;
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EN ; -- main entry point
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S:$D(ZTQUEUED) ZTREQ="@"
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Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5)
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I '$G(DGPMP) S ^XTMP("OREVENT",DFN,DGPMDA,0)=DT_U_$$FMADD^XLFDT(DT,2)_U_"Event process flag" ;195
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I $G(DGPMP),$D(^XTMP("OREVENT",DFN,DGPMDA)) D EN1 Q ;195 edits processed after new JEH
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N XQORQUIT,XQORPOP,DTOUT,DUOUT,DIRUT,DIROUT ;protect protocol context
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N VAIP,DONE,ORVP,ORWARD,ORTS,ORL,ORDIV,ORLAST,X,Y,I,ORCURRNT,OREVENT,ORDCRULE,ORACT,ORPRINT
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S VAIP("E")=DGPMDA D IN5^VADPT M ORVP=VAIP I '$G(DGPMA) D Q ;deleted
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. N LAST,OREVT S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1
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. S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0))
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. D ACTLOG^OREVNTX(OREVT,"DL")
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A ;
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S ORVP=+DFN_";DPT(",ORTS=+$G(^DPT(DFN,.103)),ORWARD=$G(^(.1))
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S ORWARD=$S($L(ORWARD):+$O(^DIC(42,"B",ORWARD,0)),1:0)
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S ORL=$S(ORWARD:+$G(^DIC(42,ORWARD,44))_";SC(",1:""),ORDIV=$$DIV(+ORL)
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S ORLAST("TS")=$$PREVTS,X=+VAIP(15,4) F I="WD","LOC","DIV" S ORLAST(I)=""
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S:X ORLAST("WD")=X,Y=+$G(^DIC(42,X,44)),ORLAST("LOC")=Y_";SC(",ORLAST("DIV")=$$DIV(Y)
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N OREVNTLK S OREVNTLK="" ;JEH
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S ORCURRNT=$$CURRENT,OREVENT=$$PATEVT,ORACT=$S($G(DGPMP):"ED",1:"NW") ; Lock
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I OREVENT=-1 D EN1 Q ;195 Can't lock, retry
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S OREVNTLK=OREVENT ; save routine copy of ifn JEH
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I $G(DGPMP),$D(^ORE(100.2,"ADT",DGPMDA)) D ;edited
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. N LAST,OREVT,DA,X,I S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1
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. S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0)),DA=+$O(^(OREVT,0))
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. S X=$G(^ORE(100.2,OREVT,10,DA,0)) ;last activity on movement
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. I $P(X,U,5)=+$G(VAIP(4)),$P(X,U,6)=+$G(VAIP(8)),$P(X,U,7)=+$G(VAIP(5)) S DONE=1 Q ;no change
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. I 'OREVENT D ACTLOG^OREVNTX(OREVT,"ED",$$TYPE(DGPMT),1) S DONE=1
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I $G(DONE) D FINISHED Q ; unlock and clean up before quit IFNjeh
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B ;
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I '$G(DGPMP),ORCURRNT D ;new mvt - autoDC
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. I $D(^ORE(100.2,"ADT",DGPMDA)) D Q:$G(DONE) ;ReEntered
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.. N LAST,OREVT S DONE=0
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.. S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1),OREVT=+$O(^(LAST,0))
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.. Q:+ORVP'=+$G(^ORE(100.2,OREVT,0)) ;diff pat -> diff mvt
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.. S ORACT="RE",DONE=1 Q:OREVENT ;log on new event instead
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.. D ACTLOG^OREVNTX(OREVT,ORACT,$$TYPE(DGPMT),1)
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. I DGPMT=3 D COMP("ALG") ;keep until GMRA*4*15 gets out
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. S ORDCRULE=$$DCEVT D:ORDCRULE AUTODC^ORMEVNT1(ORDCRULE,$P(DGPMA,U))
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. I DGPMT=1!(DGPMT=2&("^13^40^"[("^"_$P(DGPMA,U,18)_"^"))) I $G(^XTMP("ORDCOBS-"_+ORVP,0)) D REINST ;186 TO ASIH tran mvmt
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C ;
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I OREVENT D ;release delayed orders, complete event
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. D RELEASE^ORMEVNT1(OREVENT),DONE^OREVNTX(OREVENT,$P(DGPMA,U),DGPMDA)
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. I '$G(VAIP(1)) M VAIP=ORVP ;reset for ACTLOG use
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. D ACTLOG^OREVNTX(OREVENT,ORACT,$$TYPE(DGPMT),1)
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. I DGPMT=1,'$P($G(^ORE(100.2,+OREVENT,0)),U,3) S $P(^(0),U,3)=DGPMDA
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. ;D UNLEVT^ORX2(OREVENT)
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I $O(ORPRINT(0)),$G(ORL) D PRINTS^ORWD1(.ORPRINT,+ORL)
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I DGPMT=3,ORCURRNT,'$G(DGPMP) D DISCH ;lapse remaining events
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I '$G(DFN),$G(ORVP) S DFN=+ORVP ;just in case
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FINISHED ; unlock and clean up JEH
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D:$G(OREVNTLK) UNLEVT^ORX2(OREVNTLK) K ^XTMP("OREVENT",DFN,DGPMDA) ;195
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Q
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;
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CURRENT() ; -- Returns 1 or 0, if DGPMDA is the latest movement
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N Y,LAST,LASTYPE,LASTDT S Y=0
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S LAST=+VAIP(14),LASTDT=+VAIP(14,1),LASTYPE=+VAIP(14,2)
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; VAIP(14) = last physical movement for the admission
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I DGPMT=6 D G CQ
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. N CA,IDT I LAST,LASTDT>+VAIP(3) Q ;last physical mvt
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. S CA=+VAIP(13),IDT=9999999.9999999-VAIP(3)
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. I '$O(^DGPM("ATS",DFN,CA,IDT),-1) S Y=1 Q ;last TS mvt
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I DGPMT=3 D ;get last mvt overall
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. N VAIP,Y S VAIP("D")="LAST" D IN5^VADPT
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. S LAST=+VAIP(14),LASTYPE=+VAIP(14,2) ;reset
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I LAST=DGPMDA S Y=1 G CQ ;primary mvt
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I $D(^UTILITY("DGPM",$J,LASTYPE,LAST)) S Y=1 ;secondary mvt
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CQ Q Y
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;
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PREVTS() ; -- Returns previous treating specialty
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N TS,TSP,CA,ID,LAST,Y
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S TS=+$O(^UTILITY("DGPM",$J,6,0)),TSP=$G(^(TS,"P"))
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I $G(TSP) S Y=+$P(TSP,U,9) G PRVQ ;edited TS mvt
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; look for TS mvt since last phys mvt
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S CA=$P(DGPMA,U,14),ID=9999999.9999999-DGPMA
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S LAST=+$O(^DGPM("ATS",DFN,CA,ID)),Y=$S(LAST:+$O(^(LAST,0)),1:+VAIP(15,6))
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PRVQ Q Y
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;
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TYPE(X) ; -- Return type of event from MAS code
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N Y S Y=$S(X=1:"A",X=2:"T",X=3:"D",X=6:"S",1:"")
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Q Y
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;
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DIV(LOC) ; -- Return Institution file #4 ptr for LOC
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N X0,Y S X0=$G(^SC(+LOC,0))
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S Y=$S($P(X0,U,4):$P(X0,U,4),$P(X0,U,15):$$SITE^VASITE(DT,$P(X0,U,15)),1:+$G(DUZ(2)))
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Q Y
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;
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PATEVT() ; -- Find match to new data in Patient Event file
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N TYPE,MVTYPE,EVT,IFN,X0,Y S Y="" G:'$G(ORCURRNT) PTQ
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S TYPE=$S(DGPMT=1:"A",DGPMT=3:"D",DGPMT=2!(DGPMT=6):"T",1:""),EVT=0
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S MVTYPE=$P(DGPMA,U,18),TYPE(1)="",MVTYPE(1)=""
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I DGPMT=2,MVTYPE=13 S TYPE(1)="A",MVTYPE(1)=40 ;To ASIH
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I DGPMT=3,MVTYPE=41 S TYPE(1)="T",MVTYPE(1)=14 ;From ASIH
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I DGPMT'=3,$$GET1^DIQ(45.7,+$G(ORTS)_",","SPECIALTY:SERVICE")="NHCU" S TYPE(1)=$S(TYPE="A":"T",1:"A") ;DBIA #1154
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F S EVT=+$O(^ORE(100.2,"AE",DFN,EVT)) Q:EVT<1 S IFN=+$O(^(EVT,0)) D Q:Y
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. Q:$$LAPSED^OREVNTX(+IFN) Q:$P($G(^ORE(100.2,IFN,1)),U,5)
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. S X0=$G(^ORD(100.5,EVT,0)) Q:$P(X0,U,3)'=ORDIV
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. I $P(X0,U,2)'=TYPE,$P(X0,U,2)'=TYPE(1) Q ;Xaction type
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. I $P(X0,U,7),$P(X0,U,7)'=MVTYPE,$P(X0,U,7)'=MVTYPE(1) Q ;Mvt type
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. I $O(^ORD(100.5,EVT,"TS",0)) Q:'$D(^("B",ORTS)) Q:ORTS=ORLAST("TS")&(ORDIV=ORLAST("DIV"))
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. I $O(^ORD(100.5,EVT,"LOC",0)) Q:'$D(^("B",ORWARD)) Q:ORWARD=ORLAST("WD")
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. S Y=+IFN ;ok
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I Y S:'$$LCKEVT^ORX2(Y) Y=-1 ;195 Lock event if possible
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PTQ Q Y
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;
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DCEVT() ; -- Find match to event in AutoDC Rules file for [new] ORDIV,ORTS,ORL
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N MVTYPE,DIV,XFER,ORY,EXC,OBS
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S OBS=$S(DGPMT=3:$$MVT^DGPMOBS(DGPMDA),1:0) ;observation mvt
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S MVTYPE=+$P(DGPMA,U,18) S:MVTYPE=41 MVTYPE=14 S:MVTYPE=40 MVTYPE=13 ;ASIH- 186
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S XFER=$S(DGPMT=2:1,DGPMT=6:1,MVTYPE'=14:0,OBS:0,1:1)
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I DGPMT=2,MVTYPE=13,$G(^XTMP("ORDCOBS-"_+ORVP,"READMIT")) S ORY=0 K ^XTMP("ORDCOBS-"_+ORVP,"READMIT") G DCQ ;186 Obs readmit from ASIH don't auto-dc
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I XFER,ORLAST("TS")'=ORTS,$D(^ORD(100.6,"AC",ORDIV,20)) S MVTYPE=20 ;TS
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S DIV=ORDIV I DGPMT=3,MVTYPE'=14 S DIV=ORLAST("DIV") ;discharge
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S ORY=+$O(^ORD(100.6,"AC",ORDIV,MVTYPE,0)) K:ORY<1&(DGPMT=3)&(OBS) ^XTMP("ORDCOBS-"_+ORVP) G:ORY<1 DCQ ;186, If obs, no active rule, no reinstate
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I MVTYPE=20,$D(^ORD(100.6,ORY,4,ORLAST("TS"),1,ORTS))!(ORTS=ORLAST("TS")) S ORY=0 G DCQ
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I MVTYPE=4 D G DCQ ;ck Div and Loc multiples
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. I ORLAST("DIV")'=ORDIV S:'$D(^ORD(100.6,ORY,6,ORLAST("DIV"))) ORY=0 Q
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. N OLD,INCL S INCL=0 ;ck incl loc's
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. F OLD=+ORLAST("LOC"),"ALL" I $D(^ORD(100.6,ORY,5,"ADC",OLD,+ORL))!$D(^("ALL")) S INCL=1 Q
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. S:'INCL ORY=0
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I DGPMT=3,OBS D ;readmitting from observation?
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. N TORY
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. S TORY=ORY
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. S EXC=+$P($G(^ORD(100.6,ORY,0)),U,6) S:EXC=2 ORY=0 ;ignore rule
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. I EXC=1,'$D(ZTQUEUED),$$READMIT S ORY=0
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. I ORY=0 D DCGEN^ORMEVNT2,TIMER^ORMEVNT2 S:"^14^41^"[("^"_$P(DGPMA,U,18)_"^") ^XTMP("ORDCOBS-"_+ORVP,"READMIT")=1 ;177,186
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. K:ORY ^XTMP("ORDCOBS-"_+ORVP) ;have rule -> dc, don't reinstate meds
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DCQ Q ORY
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;
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READMIT() ; -- Return 1 or 0, if patient is being readmitted
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N X,Y,DIR
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S DIR(0)="YA",DIR("A")="Will the patient be re-admitted immediately? "
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S DIR("?")="Enter YES if the patient is to be admitted to the hospital immediately following this discharge from observation."
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D ^DIR S:$D(DTOUT)!$D(DUOUT) Y="^"
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Q Y
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;
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COMP(ORDG) ; -- Complete orders on event [Keep until GMRA*4*15]
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N ORI,ORLIST,ORIFN,OREDT
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I 'ORDG S:ORDG?1.U ORDG=+$O(^ORD(100.98,"B",ORDG,0)) Q:ORDG'>0
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D EN^ORQ1(ORVP,ORDG,2) S ORI=0,OREDT=$P(DGPMA,U)
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F S ORI=$O(^TMP("ORR",$J,ORLIST,ORI)) Q:ORI'>0 S ORIFN=^(ORI) D STATUS^ORCSAVE2(+ORIFN,2) S:$G(OREDT) $P(^OR(100,+ORIFN,3),U)=OREDT,$P(^(6),U,6)=OREDT
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Q
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;
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LOC(NODE) ; -- Returns [new] patient location from NODE
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N X,Y S X=$P($G(NODE),U,6)
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I X'>0 S X=$P($G(^DPT(+ORVP,.1)),U) S:$L(X) X=$O(^DIC(42,"B",X,0))
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S Y=+$G(^DIC(42,+X,44))_";SC("
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Q Y
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;
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DISCH ; -- Lapse/cancel outstanding events on discharge
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D DISCH^ORMEVNT2 ;195 Code moved to ORMEVNT2 for space considerations
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Q
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;
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XTMP ; -- Save ORIFN to possibly reinstate on admission
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; Also uses ORVP, DGPMDA
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Q:'$G(DGPMDA) Q:'$G(ORIFN) Q:'$G(ORVP)
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N ORNOW S ORNOW=+$$NOW^XLFDT
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I $G(^XTMP("ORDCOBS-"_+ORVP,0)),+^(0)<ORNOW K ^XTMP("ORDCOBS-"_+ORVP)
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I '$G(^XTMP("ORDCOBS-"_+ORVP,0)) D
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. N ORNOW1H S ORNOW1H=$$FMADD^XLFDT(ORNOW,,1)
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. S ^XTMP("ORDCOBS-"_+ORVP,0)=ORNOW1H_U_ORNOW_"^InptMeds AutoDC'd on Discharge from Observation"
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S ^XTMP("ORDCOBS-"_+ORVP,+ORIFN)=$G(^OR(100,+ORIFN,4))
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S ^XTMP("ORDCOBS-"_+ORVP,"DISCHARGE")=DGPMDA
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Q
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;
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REINST ; -- Reinstate meds from observation
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I '$L($T(ENR^PSJOERI)) K ^XTMP("ORDCOBS-"_+ORVP) Q ;DBIA 3598
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N ORIDT,ORLASTDC,X0,ORIFN,PSIFN
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S ORIDT=+$O(^DGPM("ATID3",+ORVP,0)) S:DGPMT=2 ORIDT=$O(^DGPM("ATID3",+ORVP,ORIDT)) Q:ORIDT<1 S ORLASTDC=+$O(^(ORIDT,0)) ;186 If reinstating for transfer TO ASIH then skip pseudo discharge for WHILE ASIH
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Q:$G(^XTMP("ORDCOBS-"_+ORVP,"DISCHARGE"))'=ORLASTDC S X0=$G(^(0))
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I $P(X0,U)<$$NOW^XLFDT K ^XTMP("ORDCOBS-"_+ORVP) Q ;readmit after one hour 177
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S ORIFN=0 F S ORIFN=+$O(^XTMP("ORDCOBS-"_+ORVP,ORIFN)) Q:ORIFN<1 S PSIFN=$G(^(ORIFN)) D:PSIFN ENR^PSJOERI(+ORVP,PSIFN,+ORWARD) ;DBIA 3598
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K ^XTMP("ORDCOBS-"_+ORVP)
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Q
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;
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; -- Moved code:
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EXP(ORDER,ORSTOP) G EXP^ORMEVNT1
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ACTIVE(ORDER,ORSTRT) G ACT^ORMEVNT1
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PURGE(ORDER) G PUR^ORMEVNT1
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