325 lines
15 KiB
Plaintext
325 lines
15 KiB
Plaintext
maintenance:
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title: DOC_SCH_Triage_Screening_Hearing;;
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mlmname: DOC_SCH_Triage_Screening_Hearing;;
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arden: version 5.5;;
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version: 2.50;;
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institution: St.Clair Hospital;;
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author: Shivprasad Jadhav;;
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specialist: ;;
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date: 2015-03-05;;
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validation: testing;;
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library:
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purpose: This MLM will create a Health Issue when an observation is charted on ED Triage Note. ;;
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explanation: Create Hearing Impaired HI if one does not already exist
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Change history
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09.30.2015 GOS CSR#23359 - Made change in MLM for ICD9-ICD10 HI Dynamic Creation with all details Like ICD10 Code, Snowmed Code etc And Duplicate HI Check Change.
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10.12.2015 GOS CSR#23359 - Made change in MLM for ICD9-ICD10 Coding Scheme [ICD10] And Duplicate Check of HI .
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09.08.2016 DW HD# 2200677 - Disability Risk MLM - Duplicate Health Issue - copied Prod version over dev as they didn{{{SINGLE-QUOTE}}}t match. Altered HI lookup to interrogate all visits
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;;
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keywords: ;;
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knowledge:
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type: data-driven;;
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data:
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standard_libs := mlm {{{SINGLE-QUOTE}}}std_include_libs{{{SINGLE-QUOTE}}};
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include standard_libs;
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using "ObjectsPlusXA.SCM.Forms";
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using namespace "ObjectsPlusXA.SunriseClinicalManager.Forms";
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// Recieve arguments from the structured note
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(thisDocumentCommunication) := argument;
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// Extract interesting parts of the object model
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(thisStructuredNoteDoc) := thisDocumentCommunication.DocumentConfigurationObj;
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(thisParameters) := thisStructuredNoteDoc.ParametersList;
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(thisObservations) := thisStructuredNoteDoc.ChartedObservationsList;
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// Create prototypes for the object types we{{{SINGLE-QUOTE}}}ll need to instantiate
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ObservationType := OBJECT [ObservationGUID, ClientDocumentGUID, ParameterGUID, DataType, ValueObj];
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FreeTextValueType := OBJECT [Value];
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ListValueType := OBJECT [ListGuid,ListItemsList, SuggestedTextValue];
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ListValueListItemType := OBJECT [ListItemGUID, Value, IsSelected];
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// Get the client and visit GUIDs
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clientGuid := thisDocumentCommunication.ClientGUID;
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visitGuid := thisDocumentCommunication.ClientVisitGUID;
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chartGuid := thisDocumentCommunication.ChartGUID;
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z:=thisParameters.Records__;
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// for ed Triage Note-----------------------------------------------------------------------------------------------------
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this_parametername := first of (thisParameters where thisParameters.Name = "sch_edtriage_Special need");
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theObservation := first of (thisobservations where thisobservations.ParameterGUID = this_parametername.ParameterGUID);
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If true in (theObservation.ValueObj.ListItemsList.IsSelected where
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theObservation.ValueObj.ListItemsList.Value = "Deaf"
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) then chronic := "Deaf";
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endif;
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// for Pediatric Patient Profile -----------------------------------------------------------------------------------------
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this_parametername1 := first of (thisParameters where thisParameters.Name = "SCH_Ped_Special need");
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theObservation1 := first of (thisobservations where thisobservations.ParameterGUID = this_parametername1.ParameterGUID);
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If true in (theObservation1.ValueObj.ListItemsList.IsSelected where
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theObservation1.ValueObj.ListItemsList.Value = "Deaf"
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) then chronic := "Deaf";
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endif;
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// for OB Patient Profile -----------------------------------------------------------------------------------------
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this_parametername2 := first of (thisParameters where thisParameters.Name = "sch_obpt_Special Need");
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theObservation2 := first of (thisobservations where thisobservations.ParameterGUID = this_parametername2.ParameterGUID);
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If true in (theObservation2.ValueObj.ListItemsList.IsSelected where
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theObservation2.ValueObj.ListItemsList.Value = "Deaf"
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) then chronic := "Deaf";
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endif;
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// for Adult Patient Profile -----------------------------------------------------------------------------------------
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this_parametername3 := first of (thisParameters where thisParameters.Name = "SCH_Adultpt_Special need");
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theObservation3 := first of (thisobservations where thisobservations.ParameterGUID = this_parametername3.ParameterGUID);
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If true in (theObservation3.ValueObj.ListItemsList.IsSelected where
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theObservation3.ValueObj.ListItemsList.Value = "Deaf"
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) then chronic := "Deaf";
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endif;
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//-------------------------------------------------------------------------------------------------------------------------
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// If the patient have health issue, determine if they already have a Health Issue in their record
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If chronic = "Deaf" then
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//----------------------for PPM Alert to Careprovider ----------------------
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CurrentLocation, Account := read last {"Select CurrentLocation, VisitIDCode From cv3Clientvisit with (nolock) Where Guid = " || SQL(visitGuid)||" " };
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EndOfUnit := find "-" in string CurrentLocation;
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If EndofUnit <> 0
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then Unit:= SUBSTRING EndOfUnit -1 CHARACTERS STARTING AT 1 from CurrentLocation;
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else Unit:= CurrentLocation;
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endif;
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// Send a Text Message Section
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PhoneNumber := read last {" select p.AreaCode + p.PhoneNumber from CV3User u with (nolock) join Cv3Phone p with (nolock) on p.PersonGUID = u.GUID " ||
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" where u.displayname = {{{SINGLE-QUOTE}}}SCM, Text Messaging{{{SINGLE-QUOTE}}} and p.PhoneNote = {{{SINGLE-QUOTE}}}PPM{{{SINGLE-QUOTE}}} And p.Active =1 "};
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Page_MLM := mlm {{{SINGLE-QUOTE}}}SCH_FUNC_PAGE{{{SINGLE-QUOTE}}};
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MessageSubject:= "Important Message";
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MessageBody := " Please call unit " || Unit || " Account # " || Account || " for Disability Risk - Deaf";
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PPMvoid := call Page_MLM with(PhoneNumber, MessageSubject, MessageBody);
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//PPMvoid := call Page_MLM with("shivprasad.jadhav@stclair.org", MessageSubject, MessageBody);
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//---------------------------------------
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(HearingImpHI) := read {" select distinct hi.shortname "
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|| "from cv3healthissuedeclaration hi with (nolock) "
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|| "join CV3CodedHealthIssue chi with (nolock) on chi.GUID = hi.CodedHealthIssueGUID "
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|| "where hi.clientguid = " || clientGuid || " and hi.active = 1 and hi.status = {{{SINGLE-QUOTE}}}Active{{{SINGLE-QUOTE}}} "
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|| " and hi.typecode = {{{SINGLE-QUOTE}}}Problem-Chronic{{{SINGLE-QUOTE}}} "
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|| "And hi.ICD10Code is not null " // Added By Shivprasad on 29 Sept 2015 for ICD9-10 Changes
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|| "and ( "
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|| "hi.text like {{{SINGLE-QUOTE}}}%Deaf%{{{SINGLE-QUOTE}}} or hi.shortname like {{{SINGLE-QUOTE}}}%Deaf%{{{SINGLE-QUOTE}}} or "
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|| " "
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|| "(Case when chi.TypeCode = {{{SINGLE-QUOTE}}}ICD9{{{SINGLE-QUOTE}}} then chi.code when chi.TypeCode = {{{SINGLE-QUOTE}}}ICD10{{{SINGLE-QUOTE}}} then chi.code end) in ({{{SINGLE-QUOTE}}}389.9{{{SINGLE-QUOTE}}},{{{SINGLE-QUOTE}}}H91.90{{{SINGLE-QUOTE}}}) " //CSR#23359-ICD9-ICD10 HI Change for Code Scheme ICD10- Added By shivprasad
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|| " ) "
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};
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// 09.08.2016 DW HD# 2200677 - removed the firstline and replaced the second line below which will direct the SQL to look across all visits for a chronic HI
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// || " AND ({{{SINGLE-QUOTE}}}1{{{SINGLE-QUOTE}}} = {{{SINGLE-QUOTE}}}1{{{SINGLE-QUOTE}}} AND ( hi.ScopeLevel = {{{SINGLE-QUOTE}}}2{{{SINGLE-QUOTE}}} OR ( hi.ScopeLevel = {{{SINGLE-QUOTE}}}2{{{SINGLE-QUOTE}}} AND hi.ChartGUID = " || SQL(chartGuid) || " ) OR hi.ClientVisitGUID = " || SQL(visitGuid) || " ) ) "
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// || "and hi.typecode not in ({{{SINGLE-QUOTE}}}admitting dx{{{SINGLE-QUOTE}}}, {{{SINGLE-QUOTE}}}chronic dx{{{SINGLE-QUOTE}}} ,{{{SINGLE-QUOTE}}}dx comments{{{SINGLE-QUOTE}}}) "
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// Notify the user if a new Health Issue is about to be created and permit them to reverse them to cancel the process
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If not exists HearingImpHI AND thisDocumentCommunication.EventType <> "DocumentOpening" then
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dlg_result := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with
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"\n This selection will create a chronic health issue of {{{SINGLE-QUOTE}}}" || chronic || "{{{SINGLE-QUOTE}}}" ||
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"\n\n Click {{{SINGLE-QUOTE}}}Yes{{{SINGLE-QUOTE}}} to confirm your selection. " ||
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"\n\n Click {{{SINGLE-QUOTE}}}No{{{SINGLE-QUOTE}}} if you wish to change your selection. " ||
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"\n "
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,"Confirm {{{SINGLE-QUOTE}}}" || chronic || "{{{SINGLE-QUOTE}}} Documentation ", "YesNo" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}},"Question" as {{{SINGLE-QUOTE}}}MessageBoxIcon{{{SINGLE-QUOTE}}};
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// If the user responds by cliking the "Yes" button, proceed with creating the order
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If (dlg_result as string) = "Yes" then
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try
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client_visit_obj := call {{{SINGLE-QUOTE}}}ClientVisit{{{SINGLE-QUOTE}}}.FindByPrimaryKey with ((visitGuid as number) as {{{SINGLE-QUOTE}}}Int64{{{SINGLE-QUOTE}}}) ;
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endtry;
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catch Exception ex
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error_occurred := true;
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error_message := "{{+R}}Retrieve client:{{-R}}\n" ||
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ex.Message || "\n\n";
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if ex.InnerException is not null net_object then
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error_message := error_message || "Inner Exception: " || ex.InnerException.Message || "\n\n";
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endif;
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if ( client_visit_obj is NOT NULL ) then
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void:= call client_visit_obj.Dispose; client_visit_obj:= null;
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endif;
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endcatch;
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/*
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// 09.08.2016 DW HD# 2200677 - moved this earlier in the logic
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//----------------------for PPM Alert to Careprovider ----------------------
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CurrentLocation, Account := read last {"Select CurrentLocation, VisitIDCode From cv3Clientvisit with (nolock) Where Guid = " || SQL(visitGuid)||" and VisitStatus = {{{SINGLE-QUOTE}}}ADM{{{SINGLE-QUOTE}}}" };
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EndOfUnit := find "-" in string CurrentLocation;
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If EndofUnit <> 0
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then Unit:= SUBSTRING EndOfUnit -1 CHARACTERS STARTING AT 1 from CurrentLocation;
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else Unit:= CurrentLocation;
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endif;
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// Send a Text Message Section
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PhoneNumber := read last {" select p.AreaCode + p.PhoneNumber from CV3User u with (nolock) join Cv3Phone p with (nolock) on p.PersonGUID = u.GUID " ||
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" where u.displayname = {{{SINGLE-QUOTE}}}SCM, Text Messaging{{{SINGLE-QUOTE}}} and p.PhoneNote = {{{SINGLE-QUOTE}}}PPM{{{SINGLE-QUOTE}}} And p.Active =1 "};
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Page_MLM := mlm {{{SINGLE-QUOTE}}}SCH_FUNC_PAGE{{{SINGLE-QUOTE}}};
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MessageSubject:= "Important Message";
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MessageBody := " Please call unit " || Unit || " Account # " || Account || " for Disability Risk - Deaf";
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PPMvoid := call Page_MLM with(PhoneNumber, MessageSubject, MessageBody);
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//PPMvoid := call Page_MLM with("shivprasad.jadhav@stclair.org", MessageSubject, MessageBody);
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//---------------------------------------
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*/
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try
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//---------------------------------------------------------
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// New HealthIssue Example
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//---------------------------------------------------------
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If chronic = "Deaf" then
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issuename := "Deaf";
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issuecode := "H91.90" ; // "389.9"; //CSR#23359-ICD9-ICD10 HI Change for Code Scheme ICD10- Added By shivprasad
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endif;
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NewHealthIssueHIType := "Problem-Chronic";
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NewHealthIssueHICode := issuecode;
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NewHealthIssueHIScheme := "ICD10" ; //"ICD9"; //CSR#23359-ICD9-ICD10 HI Change for Code Scheme ICD10- Added By shivprasad
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dd := EXTRACT Day now;
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mn := EXTRACT Month now;
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yr := EXTRACT Year now;
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/*
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New_HealthIssue_obj := call {{{SINGLE-QUOTE}}}HealthIssue{{{SINGLE-QUOTE}}}.CreateCodedHealthIssue with
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(client_visit_obj, NewHealthIssueHIType, NewHealthIssueHIScheme, NewHealthIssueHICode);
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PartialDate_obj := new net_object {{{SINGLE-QUOTE}}}PartialDate{{{SINGLE-QUOTE}}} with (yr as {{{SINGLE-QUOTE}}}Int32{{{SINGLE-QUOTE}}}, mn as {{{SINGLE-QUOTE}}}Int32{{{SINGLE-QUOTE}}}, dd as {{{SINGLE-QUOTE}}}Int32{{{SINGLE-QUOTE}}} );
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New_HealthIssue_obj.OnsetDate := PartialDate_obj;
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New_HealthIssue_obj.Text := "Created from ED Triage Note Screening. " ;
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New_HealthIssue_obj.Name := issuename;
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//New_HealthIssue_obj.ICD10Code := "H91.90" As String;
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//New_HealthIssue_obj.SNOMEDCTCode := "15188001";
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*/
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//--Start: CSR 23359-ICD9-ICD10 HI Change Added By shivprasad
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Terms := call {{{SINGLE-QUOTE}}}HealthIssue{{{SINGLE-QUOTE}}}.FindIMOTerms with (NewHealthIssueHIScheme,issuecode);
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FOR i IN 1 SEQTO (Terms.Count as Number ) DO
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HI_obj := Terms[i];
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HI_Name := HI_obj.TermName as string;
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if HI_Name = issuename then
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HI_NO := i ;
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Endif;
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ENDDO;
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If HI_NO is Null Then HI_NO :=1 ; Endif;
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New_HealthIssue_obj := call {{{SINGLE-QUOTE}}}HealthIssue{{{SINGLE-QUOTE}}}.CreateCodedHealthIssue with
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(client_visit_obj, NewHealthIssueHIType, Terms[HI_NO]);
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// end of code
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//Terms := call {{{SINGLE-QUOTE}}}HealthIssue{{{SINGLE-QUOTE}}}.FindIMOTerms with (NewHealthIssueHIScheme,issuecode);
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//New_HealthIssue_obj := call {{{SINGLE-QUOTE}}}HealthIssue{{{SINGLE-QUOTE}}}.CreateCodedHealthIssue with
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// (client_visit_obj, NewHealthIssueHIType, Terms[8]);
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PartialDate_obj := new net_object {{{SINGLE-QUOTE}}}PartialDate{{{SINGLE-QUOTE}}} with (yr as {{{SINGLE-QUOTE}}}Int32{{{SINGLE-QUOTE}}}, mn as {{{SINGLE-QUOTE}}}Int32{{{SINGLE-QUOTE}}}, dd as {{{SINGLE-QUOTE}}}Int32{{{SINGLE-QUOTE}}} );
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New_HealthIssue_obj.OnsetDate := PartialDate_obj;
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New_HealthIssue_obj.Text := "Created from ED Triage Note Screening. " ;
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New_HealthIssue_obj.Name := issuename;
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if ( New_HealthIssue_obj is NOT NULL ) then
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void := call New_HealthIssue_obj.Save;
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void := call New_HealthIssue_obj.Dispose;
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endif;
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if ( client_visit_obj is NOT NULL ) then void:= call client_visit_obj.Dispose; client_visit_obj:= null; endif;
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endtry;
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catch exception ex
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error_occurred := true;
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if ( New_HealthIssue_obj is NOT NULL ) then void:= call New_HealthIssue_obj.Dispose; New_HealthIssue_obj:= null; endif;
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endcatch;
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Elseif (dlg_result as string) = "No" then
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lst1 := theObservation.valueObj.ListItemsList ;
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for i in lst1 do
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if i.IsSelected = true And i.value = "Deaf" Then
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i.IsSelected := false ;
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endif;
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enddo;
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lst2 := theObservation1.valueObj.ListItemsList ;
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for i in lst2 do
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if i.Isselected = true and i.value = "Deaf" then
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i.IsSelected := FALSE ;
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endif;
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enddo;
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lst3 := theObservation2.valueObj.ListItemsList ;
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for i in lst3 do
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if i.Isselected = true and i.value = "Deaf" then
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i.IsSelected := FALSE ;
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endif;
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enddo;
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lst4 := theObservation3.valueObj.ListItemsList ;
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for i in lst4 do
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if i.Isselected = true and i.value = "Deaf" then
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i.IsSelected := FALSE ;
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endif;
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enddo;
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endif; // If exists CHFHI
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endif; // If (dlg_result as string) = "Yes"
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endif;
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;;
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evoke:
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;;
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logic:
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conclude true;
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;;
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action:
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return thisDocumentCommunication;
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;;
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Urgency: 50;;
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end:
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