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? What do we even mean by encounter, now with patientFollow?

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