source: FOIAVistA/tag/r/HEALTH_SUMMARY-GMTS/GMTSLRME.m@ 628

Last change on this file since 628 was 628, checked in by George Lilly, 14 years ago

initial load of FOIAVistA 6/30/08 version
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1GMTSLRME ; SLC/JER,KER - Microbiology Extract Routine ; 08/27/2002
2 ;;2.7;Health Summary;**25,28,37,56**;Oct 20, 1995
3 ;
4 ; External References
5 ; DBIA 67 ^LAB(60
6 ; DBIA 525 ^LR(
7 ; DBIA 531 ^LRO(68
8 ; DBIA 10006 ^DIC
9 ; DBIA 10007 MIX^DIC1
10 ; DBIA 2056 $$GET1^DIQ
11 ; DBIA 10015 EN^DIQ1
12 ;
13XTRCT ; Extract
14 N ACC,CDT,SS,CS,X,DIC,DIQ,DA,DR,MICRO,LOC,RDT,MICCOM K ^TMP("LRM",$J)
15 S X=$P(^LR(LRDFN,"MI",IX,0),U),RDT=$P(^(0),U,3),ACC=$P(^(0),U,6),LOC=$P(^(0),U,8) D REGDTM4^GMTSU S CDT=X K X
16 D LABTEST($P(^LR(LRDFN,"MI",IX,0),U),ACC)
17 ; Get External format of site/specimen
18 ; collection sample, and comment
19 S DIC=63,DIQ="MICRO",DIQ(0)="E",DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)=".05;.055;.99"
20 D EN^DIQ1
21 S SS=MICRO(63.05,IX,.05,"E")
22 S CS=MICRO(63.05,IX,.055,"E"),MICCOM=MICRO(63.05,IX,.99,"E")
23 S ^TMP("LRM",$J,0)=CDT_U_ACC_U_SS I $D(EXPAND) S ^TMP("LRM",$J,0)=^TMP("LRM",$J,0)_U_RDT_U_LOC
24 S $P(^TMP("LRM",$J,0),U,6)=CS_U_MICCOM
25 D ABXLEV,BACT,GRAM,STER,PARA^GMTSLRMX,MYCO^GMTSLRMX,TB^GMTSLRMX,VIRO^GMTSLRMX
26 Q
27BACT ; Get Bacteriology Work-up
28 N DA,DIC,DIQ,DR,STATUS,ISO,ORG,RMK,COM,SMEAR
29 ; Work up
30 I $D(^LR(LRDFN,"MI",IX,1)) D
31 . S DIC=63,DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)="11.5;11.51;11.57;11.58",DIQ="STATUS"
32 . S DIQ(0)="E" D EN^DIQ1
33 . ; Include Status, sputum screen, and urine screen
34 . S ^TMP("LRM",$J,"BACT",0)=$E($P(STATUS(63.05,IX,11.5,"E")," ",1),1,6)_U_STATUS(63.05,IX,11.58,"E")_U_STATUS(63.05,IX,11.57,"E")
35 . ; Include sterility control
36 . S ^TMP("LRM",$J,"BSTER",0)=STATUS(63.05,IX,11.51,"E")
37 S ISO=0 F S ISO=$O(^LR(LRDFN,"MI",IX,3,ISO)) Q:+ISO'>0 D
38 . D ORGNSM S ^TMP("LRM",$J,"BACT",ISO)=$S($D(EXPAND):ISO_";"_ORG,1:ORG)
39 . I $O(^LR(LRDFN,"MI",IX,3,ISO,1)) D ANTIBX
40 . ; Get Comment
41 . S COM=0
42 . F S COM=$O(^LR(LRDFN,"MI",IX,3,ISO,1,COM)) Q:COM'>0 S ^TMP("LRM",$J,"BACT",ISO,"COM",COM)=^(COM,0)
43 ; Bacteriology smear/prep
44 S SMEAR=0
45 F S SMEAR=$O(^LR(LRDFN,"MI",IX,25,SMEAR)) Q:SMEAR'>0 S ^TMP("LRM",$J,"BACT","SMEAR",SMEAR)=^(SMEAR,0)
46 ; Get Remark
47 S RMK=0
48 F S RMK=$O(^LR(LRDFN,"MI",IX,4,RMK)) Q:RMK="" S ^TMP("LRM",$J,"BACT","R",RMK)=^(RMK,0)
49 Q
50ORGNSM ; Get Organism
51 N QTY
52 S ORG=+^LR(LRDFN,"MI",IX,3,ISO,0),QTY=$P(^(0),U,2)
53 S ORG=$$GET1^DIQ(61.2,ORG,.01,"I")
54 S ORG=ORG_U_QTY
55 Q
56ANTIBX ; Get Antibitiotic susceptibility results on demand
57 N ABX S ABX=1
58 F S ABX=$O(^LR(LRDFN,"MI",IX,3,ISO,ABX)) Q:ABX=""!(ABX'<3) D ABXSET
59 Q
60ABXSET ; Antibiotic Susceptability Data
61 ; Separate out by Susceptable, Intermediate, and Resistant
62 N FOUND,GMTSR,GMABX,ABXI,ABXNM,ABXN
63 S ABXI=$$ABXI(ABX),ABXNM=$$ABXNM(ABXI),ABXN=ABX_";"_ABXNM
64 I $P(ABXN,";",2)']"" S $P(ABXN,";",2)="UNKNOWN"
65 I ("A"[$P(^LR(LRDFN,"MI",IX,3,ISO,ABX),U,3)) D
66 . S GMABX=$G(^LR(LRDFN,"MI",IX,3,ISO,ABX))
67 . ; Check for interpreted result (S, I, or R) first
68 . S FOUND=0
69 . S GMTSR=$P(GMABX,U,2) D SAVE Q:FOUND
70 . ; If not found then check reported result (S,I, or R)
71 . S GMTSR=$P(GMABX,U) D SAVE Q:FOUND
72 . ; Neither interpreted nor reported result equaled
73 . ; S, I, or R so we'll store it in the "other" list
74 . ; provided that reported and interpreted are both
75 . ; not null
76 . S:$P(GMABX,U)'=""&($P(GMABX,U,2)'="") ^TMP("LRM",$J,"BACT",ISO,"SUSC","O",$P($P(ABXN,U),";",2))=ABXN_U_GMABX
77 Q
78ABXI(X) ; Antibiotic Susceptability IEN
79 S X=$G(X) Q:'$L(X) 0 N DIC,DTOUT,DUOUT,Y S DIC="^LAB(62.06,",D="AD",DIC(0)="" D MIX^DIC1 S X=+($G(Y)) S:X'>0 X=0 Q X
80ABXNM(X) ; Antibiotic Susceptability Name
81 S X=$G(X) Q:+X'>0 "" S X=$$GET1^DIQ(62.06,+X,.01) Q X
82ABXLEV ; Get Serum antibiotic level
83 Q:'$D(^LR(LRDFN,"MI",IX,14)) N GMI S GMI=0
84 F S GMI=$O(^LR(LRDFN,"MI",IX,14,GMI)) Q:GMI'>0 S ^TMP("LRM",$J,"CABXL",GMI)=$G(^(GMI,0))
85 Q
86STER ; Get sterility results if they exist
87 N RESULT,STER S STER=0
88 F S STER=$O(^LR(LRDFN,"MI",IX,31,STER)) Q:STER'>0 D
89 . S DIQ(0)="E",DIC=63,DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)=11.52
90 . S DR(63.292)=.01,DIQ="RESULT"
91 . S DA(63.292)=STER
92 . D EN^DIQ1
93 . S ^TMP("LRM",$J,"BSTER",STER)=RESULT(63.292,STER,.01,"E")
94 Q
95GRAM ; Get Gram Stain Results
96 N ISO Q:'$D(^LR(LRDFN,"MI",IX,2)) S ISO=0
97 F S ISO=$O(^LR(LRDFN,"MI",IX,2,ISO)) Q:ISO="" S ^TMP("LRM",$J,"GRAM",ISO)=^(ISO,0)
98 Q
99LABTEST(SDT,LRACC) ; Get lab test names and results
100 N X,Y,LRAA,LRAN,LRAD,LRBRR,LRTSTS,LRTS
101 S LRAD=+$E(SDT)_$P(LRACC," ",2)_"0000",X=$P(LRACC," "),DIC=68,DIC(0)="M"
102 Q:'$L(X) D ^DIC S LRAA=+Y,LRAN=+$P(LRACC," ",3)
103 S LRBRR=0
104 F S LRBRR=+$O(^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR)) Q:LRBRR'>0 D
105 . S LRTS=+^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR,0),LRTS(1)=$P(^(0),U,5)
106 . Q:"BO"'[$P($G(^LAB(60,LRTS,0)),U,3)
107 . S LRTSTS=$S($D(^LAB(60,LRTS,0)):$P(^(0),U),1:"deleted test")
108 . ; Lab test name and results in print order
109 . S ^TMP("LRM",$J,0,"TEST",$S($D(^LAB(60,LRTS,.1)):$P(^(.1),U,6),1:"")_","_U_LRBRR)=LRTSTS_U_LRTS(1)
110 Q
111SAVE ; If result = S, I, or R then save
112 I $S(GMTSR="I":1,GMTSR="R":1,GMTSR="S":1,1:0) S ^TMP("LRM",$J,"BACT",ISO,"SUSC",GMTSR,$P($P(ABXN,U),";",2))=ABXN_U_GMABX S FOUND=1
113 Q
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