Check VAP acquired only first encounter

Data Integrity Checks
Summary:	VAP should only be Acquired Diagnosis on the first encounter.
Related:	Pneumonia, ventilator-associated (VAP), Acquired Diagnosis, Multiple Encounter
Firmness:	hard check
Timing:	always
App:	Centralized data front end.accdb
Coding:	not entered
Uses L Problem table:	not entered
Status:	needs review
Implementation Date:	not entered
Backlogged:	true

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VAP should only be acquired dx on first encounter

VAP should only be Acquired Diagnosis on the first encounter. There have not so far been any validated re-acquisitions during the same stay.

We decided that VAP can actually happen in medicine if pt admitted from ICU. How would we deal with that for this check?

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