238 lines
9.5 KiB
Mathematica
238 lines
9.5 KiB
Mathematica
ECXSURG ;ALB/JA,BIR/DMA,PTD-Surgery Extract for DSS ; 11/2/06 9:00am
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;;3.0;DSS EXTRACTS;**1,11,8,13,25,24,33,39,41,42,46,50,71,84,92,99**;Dec 22, 1997;Build 2
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BEG ;entry point from option
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D SETUP I ECFILE="" Q
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D ^ECXTRAC,^ECXKILL
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Q
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;
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START ;
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S QFLG=0,ECED=ECED+.3,ECD=ECSD1
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F S ECD=$O(^SRF("AC",ECD)),ECD0=0 Q:('ECD)!(ECD>ECED)!(QFLG) D
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.F S ECD0=$O(^SRF("AC",ECD,ECD0)) Q:'ECD0 D
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..I $D(^SRF(ECD0,0)) S EC=^SRF(ECD0,0),ECXDFN=+$P(EC,U),ECXVISIT=$P(EC,U,15) D STUFF Q:QFLG
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Q
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;
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STUFF ;gather data
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N J,X,Y,PP,DATA1,DATA2,DATAOP,ARR,ERR,SUB,MOD,ECXNONL,ECXSTOP,TIMEDIF
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N ECPRO,ECXORCT,ECXPTHA,ECXNPRFI,ECXPA,ECXPAPC,ECSRPC,ECATPC,ECSAPC
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S ECXDATE=ECD,ECXERR=0,ECXQ=""
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Q:'$$PATDEM^ECXUTL2(ECXDFN,ECXDATE,"1;2;3;5;")
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I ECXADMDT="" S ECXADD=ECXADMDT
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I ECXADMDT'="" S ECXADD=$$ECXDATE^ECXUTL(ECXADMDT,ECXYM)
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S EC0=^SRF(ECD0,0)
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S DATA1=$S($D(^SRF(ECD0,.1)):^(.1),1:"")
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S DATA2=$S($D(^SRF(ECD0,.2)):^(.2),1:"")
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;S DATAOP=$S($D(^SRF(ECD0,"OP")):^("OP"),1:"")
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S DATAOP=$S($D(^SRO(136,ECD0,0)):^(0),1:"")
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S ECNO=$G(^SRF(ECD0,"NON"))
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;get data
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S ECSR=$P(DATA1,U,4),(ECATNPI,ECSANPI,ECSRNPI)="",ECAT=$P(DATA1,U,13)
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;-Time patient in OR room (Nurse Time)
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S ECXTM=$$ECXTIME^ECXUTL($P(DATA2,U,10))
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S ECXDIV=$S($D(^SRF(ECD0,8)):^(8),1:ECINST)
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N ECXPDIV S ECXPDIV=$$RADDIV^ECXDEPT(ECXDIV) ;Production Division
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S ECSA=$P($G(^SRF(ECD0,.3)),U,4),ECO=$P(EC0,U,2)
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;get principle anesthetist and person class DBIA #103
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S ECXPA=$P($G(^SRF(ECD0,.3)),U,1)
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S ECXPAPC=$$PRVCLASS^ECXUTL(ECXPA,ECXDATE)
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S ECORTY=$P($G(^SRS(+ECO,2)),U),ECO=$P($G(^SRS(+ECO,0)),U)
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S ECSS=$P($G(^SRO(137.45,+$P(EC0,U,4),0)),U,2)
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S ECSS=$$RJ^XLFSTR($P($G(^DIC(45.3,+ECSS,0)),U),3,0)
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S:ECSS="000" ECSS="999"
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;get classification information
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S (ECXAO,ECXHNC)="" I ECXVISIT'="" D
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.D VISIT^ECXSCX1(ECXDFN,ECXVISIT,.ECXVIST,.ECXERR) I ECXERR K ECXERR
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.S ECXAO=$G(ECXVIST("AO")),ECXHNC=$G(ECXVIST("HNC"))
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; - Head and Neck Cancer Indicator
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S ECXHNCI=$$HNCI^ECXUTL4(ECXDFN)
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;look for non-OR
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S (ECNT,ECNL,ECXDSSD,ECXNONL,ECXSTOP)=""
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I $P(ECNO,U)="Y" D
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.S ECSR=$P(ECNO,U,6),ECAT=$P(ECNO,U,7)
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.S ECXTM=$$ECXTIME^ECXUTL($P(ECNO,U,4))
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.S A1=$P(ECNO,U,5),A2=$P(ECNO,U,4),TIME="##" D:(A1&A2) TIME S ECNT=TIME
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.S (ECXNONL,ECNL)=+$P(ECNO,U,2),ECNL=$P($G(^ECX(728.44,ECNL,0)),U,9)
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.S:ECNL="" ECNL="UNKNOWN"
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.;
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.;- Get DSS Stop Code to use in encounter number
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.S ECXSTOP=$P($G(^ECX(728.44,ECXNONL,0)),U,4)
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;
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;- If surgery cancelled/aborted quit and go to next record
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S ECCAN=$P($G(^SRF(ECD0,30)),U)
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I +ECCAN S ECCAN=$$CANC^ECXUTL4(ECNL,$P(DATA2,U,10))
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;on hold for ECXDSSD and ECXDSSP I $P($G(^SRF(ECD0,30)),U) Q
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;get service of attending surgeon
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S ECATSV=$P($G(^DIC(49,+$G(^VA(200,+ECAT,5)),730)),U)
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;
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;get surgeon, attending and anesthesia super person classes
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S ECSRPC=$$PRVCLASS^ECXUTL(ECSR,ECXDATE)
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S ECATPC=$$PRVCLASS^ECXUTL(ECAT,ECXDATE)
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S ECSAPC=$$PRVCLASS^ECXUTL(ECSA,ECXDATE)
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;
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;add leading 2s for pointer to 200
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S:ECAT ECAT="2"_ECAT S:ECSR ECSR="2"_ECSR S:ECSA ECSA="2"_ECSA
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;add leading 2 to principle anesthetist IEN
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S:ECXPA ECXPA="2"_ECXPA
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;anesthesia technique
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S ECANE="",PP=""
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I $D(^SRF(ECD0,6,0)) S ECXJ=0 D
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.F S ECXJ=$O(^SRF(ECD0,6,ECXJ)) Q:('ECXJ)!(ECANE]"") D
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..S PP=$P($G(^(ECXJ,0)),U,3) S:PP="Y" ECANE=$P(^(0),U,1)
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.I ECANE="" S ECXJ=$O(^SRF(ECD0,6,0)) I ECXJ S ECANE=$P(^SRF(ECD0,6,ECXJ,0),U,1)
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;get primary procedure
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;ecode0=p^cpt code^^patient time^operation time^anesthesia time
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S ECPT=+$P(DATAOP,U,2),ECXCMOD=""
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K ARR,ERR D FIELD^DID(130,28,,"LABEL","ARR","ERR") I $D(ARR("LABEL")) D
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.K ARR,ERR D FIELD^DID(130,28,,"GLOBAL SUBSCRIPT LOCATION","ARR","ERR")
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.Q:$D(ERR("DIERR"))
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.S SUB=$P(ARR("GLOBAL SUBSCRIPT LOCATION"),";"),MOD=0
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.F S MOD=$O(^SRF(ECD0,SUB,MOD)) Q:MOD'>0 D
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..S ECXCMOD=ECXCMOD_$P(^(MOD,0),U)_";"
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S ECXCPT=$$CPT^ECXUTL3(ECPT,ECXCMOD)
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S ECODE0="P"_U_U ;ECPT_U
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F J="10,12","2,3","1,4" D
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.N ECNTIME,ECSTIME,ECATIME
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.S A2=$P(DATA2,U,$P(J,",")),A1=$P(DATA2,U,$P(J,",",2)),TIME="##"
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.I (A1&A2)&(+J=10) D TIME S ECNTIME=TIME
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.I (A1&A2)&(+J=1) D TIME S ECATIME=TIME
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.I (A1&A2)&(+J=2) D
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..;
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..;-Operation Time (Surgeon Time)
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..;-Get time diff (in secs) & set to .5 if < 7.5 minutes (rounds to 1)
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..S TIMEDIF=$$FMDIFF^XLFDT(A1,A2,2)/900
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..S TIMEDIF=$S(TIMEDIF>0&(TIMEDIF<.5):.5,1:TIMEDIF)
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..S TIME=$TR($J(TIMEDIF,4,0)," ")
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..S:TIME<0 TIME="###"
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..S:TIME ECSTIME=TIME
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.S ECODE0=ECODE0_U_TIME K TIME
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; -Recovery Room Time
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S ECRR=""
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I $D(^SRF(ECD0,1.1)) D
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.S A1=$P(^(1.1),U,8),A2=$P(^(1.1),U,7),TIME="##" D:(A1&A2) TIME
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.S ECRR=TIME K TIME
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I ECNL]"" S $P(ECODE0,U,5)=ECNT
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;
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; -OR Clean Time in 15 min increments DBIA #103
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S ECXORCT=($$FMDIFF^XLFDT($P($G(DATA2),U,14),$P($G(DATA2),U,13),2)/60)/15
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; -If no OR clean time recorded set it to 2
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I ECXORCT'>0 S ECXORCT=2
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;
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; -PT in hold area time in 15 min increments DBIA #103
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I $P($G(DATA2),U,10),$P($G(DATA2),U,15) D
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.S ECXPTHA=($$FMDIFF^XLFDT($P($G(DATA2),U,10),$P($G(DATA2),U,15),2)/60)/15
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.S CON=$P($G(^SRF(ECD0,"CON")),U)
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.I CON S ECXPTHA=ECXPTHA/2
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.S ECXPTHA=$TR($J(ECXPTHA,3,0)," ")
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; -If hold time is =<0 set it to ""
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S:$G(ECXPTHA)'>0 ECXPTHA=""
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;
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;- Observation Patient Indicator (yes/no)
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S ECXOBS=$$OBSPAT^ECXUTL4(ECXA,ECXTS,ECNL)
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;
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;- set national patient record flag if exist
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D NPRF^ECXUTL5
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;
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;- If no encounter number don't file record
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S ECXENC=$$ENCNUM^ECXUTL4(ECXA,ECXSSN,ECXADMDT,ECXDATE,ECXTS,ECXOBS,ECHEAD,ECXSTOP,ECSS) Q:ECXENC=""
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;
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D FILE
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;get secondary procedures
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;ecode0=s^cpt code
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S ECXJ=0
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;F S ECXJ=$O(^SRF(ECD0,13,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)),$D(^(2)),$P(^(2),U)]"" D
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F S ECXJ=$O(^SRO(136,ECD0,3,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)),$D(^(0)),$P(^(0),"^")]"" D
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.;S ECPT=$P(^SRF(ECD0,13,ECXJ,2),U),ECXCMOD=""
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. S ECPT=$P(^SRO(136,ECD0,3,ECXJ,0),"^"),ECXCMOD=""
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.K ARR,ERR
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.D FIELD^DID(130.16,4,,"LABEL","ARR","ERR") I $D(ARR("LABEL")) D
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..K ARR,ERR
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..D FIELD^DID(130.16,4,,"GLOBAL SUBSCRIPT LOCATION","ARR","ERR")
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..Q:$D(ERR("DIERR"))
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..S SUB=$P(ARR("GLOBAL SUBSCRIPT LOCATION"),";"),MOD=0
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..F S MOD=$O(^SRF(ECD0,13,ECXJ,SUB,MOD)) Q:MOD'>0 S ECXCMOD=ECXCMOD_$P(^(MOD,0),U)_";"
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.S ECXCPT=$$CPT^ECXUTL3(ECPT,ECXCMOD)
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.S ECODE0="S"_U ;_ECPT
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.D FILE
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;get prostheses
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;ecode0=i^^^^^^prosthesis^old qty field (null)
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S ECXJ=0
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F S ECXJ=$O(^SRF(ECD0,1,ECXJ)) Q:'ECXJ I $D(^(ECXJ,0)) D
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.S ECXP=+^SRF(ECD0,1,ECXJ,0),ECXQ=$P($G(^(1)),U,2) S:'ECXQ ECXQ=1
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.S ECODE0="I"_U_U_U_U_U_U_ECXP_U_U
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.D FILE
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Q
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;
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FILE ;file record
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;node0
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;division^dfn^ssn^name^in/out (ECXA)^day^case #^
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;surg specialty^or room #^
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;surgeon^attending^anesthesia supervisor^anesthesia technique^
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;primary/secondary/prostheses^cpt^^pt time^op time^anes time^
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;prostheses^qty^^
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;movement number^treating specialty^cancel/abort (ECCAN)^time^or type^
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;attending's service^non-or dss id^recovery room time^^
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;primary care team^primary care provider^admission date
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;node1
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;mpi^dss dept ECXDSSD^surgeon npi^attending npi^anes supervisor npi^
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;pc provider npi^pc prov person class^
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;assoc pc provider^assoc pc prov person class^assoc pc prov npi^
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;cpt&modifiers ECXCPT^dom ECXDOM^enrollment category ECXCAT^
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;enrollment status ECXSTAT^enrollment priority ECXPRIOR^
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;period of service ECXPOS^purple heart indicator ECXPHI^
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;observ pat ind ECXOBS^encounter num ECXENC^ao loc ECXAOL^
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;production division ECXPDIV^head & neck canc ind ECXHNCI^
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;ethnicity ECXETH^race1 ECXRC1^new quantity ECXQ^
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;^user enrollee ECXUESTA^patient type ECXPTYPE^combat vet elig
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;ECXCVE^combat vet elig end date ECXCVEDT^enc cv eligible ECXCVENC
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;or clean time ECXORCT^time pt in hold area ECXPTHA^national patient
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;record flag ECXNPRFI^princ anesthetist ECXPA^surgeon per class ECSRPC
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;node2
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;atten surgeon per class ECATPC^anesthesia super person class ECSAPC^
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;princ anesthetist PC ECXPAPC^emergency response indicator(FEMA) ECXERI^
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;agent orange indic ECXAO^head/neck cancer ECXHNC
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;
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N DA,DIK,STR
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S EC7=$O(^ECX(ECFILE,999999999),-1),EC7=EC7+1
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S ECODE=EC7_U_EC23_U_ECXDIV_U_ECXDFN_U_ECXSSN_U_ECXPNM_U_ECXA_U
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S ECODE=ECODE_$$ECXDATE^ECXUTL(ECXDATE,ECXYM)_U_ECD0_U_ECSS_U_ECO_U
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S ECODE=ECODE_ECSR_U_ECAT_U_ECSA_U_ECANE_U_ECODE0_U
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S STR=ECXMN_U_ECXTS_U_$S(ECCAN'="":ECCAN,1:"")_U_ECXTM_U_ECORTY_U
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S STR=STR_ECATSV_U_ECNL_U_ECRR_U_U_ECPTTM_U_ECPTPR_U_ECXADD_U
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S $P(ECODE,U,26,38)=STR
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S ECODE1=ECXMPI_U_ECXDSSD_U_ECSRNPI_U_ECATNPI_U_ECSANPI_U_ECPTNPI_U
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S ECODE1=ECODE1_ECCLAS_U_ECASPR_U_ECCLAS2_U_ECASNPI_U_ECXCPT_U_ECXDOM_U
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S ECODE1=ECODE1_ECXCAT_U_ECXSTAT_U_$S(ECXLOGIC<2005:ECXPRIOR,1:"")_U_ECXPOS_U_ECXPHI_U
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S ECODE1=ECODE1_ECXOBS_U_ECXENC_U_ECXAOL_U_ECXPDIV_U_ECXHNCI_U
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S ECODE1=ECODE1_ECXETH_U_ECXRC1_U_ECXQ_U
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I ECXLOGIC>2004 S ECODE1=ECODE1_U_ECXPRIOR_ECXSBGRP_U_ECXUESTA_U_ECXPTYPE_U_ECXCVE_U_ECXCVEDT_U_ECXCVENC_U_ECXORCT_U_ECXPTHA_U_ECXNPRFI
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I ECXLOGIC>2005 S ECODE1=ECODE1_U_ECXPA_U_ECSRPC_U,ECODE2=ECATPC_U_ECSAPC_U_ECXPAPC
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I ECXLOGIC>2006 S ECODE2=ECODE2_U_ECXERI_U_ECXAO_U_ECXHNC
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S ^ECX(ECFILE,EC7,0)=ECODE,^ECX(ECFILE,EC7,1)=ECODE1,^ECX(ECFILE,EC7,2)=ECODE2,ECRN=ECRN+1
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S DA=EC7,DIK="^ECX("_ECFILE_"," D IX1^DIK K DIK,DA
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I $D(ZTQUEUED),$$S^%ZTLOAD S QFLG=1
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;
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TIME ; given date/time get increment
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;A1=later, A2=earlier, TIME=difference
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N CON,TIMEDIF
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S CON=$P($G(^SRF(ECD0,"CON")),U)
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;
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;-Get time diff (in secs) & set to .5 if < 7.5 minutes (rounds to 1)
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S TIMEDIF=$$FMDIFF^XLFDT(A1,A2,2)/900
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S TIMEDIF=$S(TIMEDIF>0&(TIMEDIF<.5):.5,1:TIMEDIF)
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I 'CON D
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.S TIME=$J($TR($J(TIMEDIF,4,0)," "),2,1)
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.S:TIME>"99.0" TIME="99.0"
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I CON D
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.S TIME=$J(($TR($J(TIMEDIF,4,0)," ")/2),2,1)
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.S:TIME>"99.5" TIME="99.5"
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S:TIME<0 TIME="###"
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Q
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;
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SETUP ;Set required input for ECXTRAC
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S ECHEAD="SUR"
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D ECXDEF^ECXUTL2(ECHEAD,.ECPACK,.ECGRP,.ECFILE,.ECRTN,.ECPIECE,.ECVER)
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Q
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;
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QUE ; entry point for the background requeuing handled by ECXTAUTO
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D SETUP,QUE^ECXTAUTO,^ECXKILL Q
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