1 | LA7VOBX3 ;DALOI/JMC - LAB OBX Segment message builder (MI subscripts) cont'd ; 5/26/00
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2 | ;;5.2;AUTOMATED LAB INSTRUMENTS;**46,64**;Sep 27, 1994
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3 | ;
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4 | MI ; Build OBX segments for results that are microbiology subscript.
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5 | ; Called by LA7VOBX
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6 | ;
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7 | N I,LA761,LA76305,LA7ALT,LA7ALTCS,LA7CODE,LA7DIV,LA7IENS,LA7LOINC,LA7NLT,LA7OBX,LA7ORS,LA7PARNT,LA7SAVID,LA7SUBFL,LA7VAL,LA7VERP
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8 | ;
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9 | I $P(LRIDT,",",2) S LRIDT(2)=$P(LRIDT,",",2),LRIDT(3)=$P(LRIDT,",",3),LRIDT=$P(LRIDT,",")
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10 | ;
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11 | I '$D(^LR(LRDFN,LRSS,LRIDT)) Q
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12 | ;
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13 | F I=0,1,5,8,11,16 S LA76305(I)=$G(^LR(LRDFN,LRSS,LRIDT,I))
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14 | ;
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15 | S (LA7ALT,LA7ALTCS,LA7CODE,LA7ID,LA7LOINC,LA7NLT,LA7ORS,LA7SAVID,LA7SUBFL,LA7VAL,LA7VERP)=""
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16 | ;
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17 | ; Specimen topography
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18 | S LA761=$P(LA76305(0),"^",5)
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19 | ; Default codes
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20 | S LA7CODE=$$DEFCODE^LA7VHLU5(LRSS,LRSB,LA7CODE,LA761)
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21 | ;
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22 | ; Gram stain
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23 | I LRSB=11.6 D
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24 | . N LA7ERR
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25 | . S LA7VERP=$P(LA76305(1),"^",3)
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26 | . S LA7ORS=$P(LA76305(1),"^",2)
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27 | . S LA7OBX(2)=$$OBX2^LA7VOBX(63.05,11.6)
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28 | . S LA7IENS=LRIDT(2)_","_LRIDT_","_LRDFN_","
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29 | . S LA7VAL=$$GET1^DIQ(63.29,LA7IENS,.01,"","LA7ERR")
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30 | . ; Setup DoD special coding system
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31 | . I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MG"
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32 | ;
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33 | ; Micro organism
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34 | I $P(LRSB,",")=12 D
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35 | . S LA7VERP=$P(LA76305(1),"^",3)
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36 | . S LA7ORS=$P(LA76305(1),"^",2)
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37 | . S LA7SUBFL=63.3
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38 | . ; Working on colony count
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39 | . I $P(LRSB,",",2)=1 D CC Q
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40 | . ; Working on organism
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41 | . I $G(LRIDT(3))="" D ORG Q
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42 | . ; Working on susceptibilities
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43 | . I $P(LA76305(1),"^",4) S LA7VERP=$P(LA76305(1),"^",4)
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44 | . D MIC
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45 | ;
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46 | ; Parasite organism
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47 | I $P(LRSB,",")=16 D
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48 | . S LA7ORS=$P(LA76305(5),"^",2)
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49 | . S LA7VERP=$P(LA76305(5),"^",3)
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50 | . ; Working on organism
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51 | . S LA7SUBFL=63.34 D ORG
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52 | ;
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53 | ; Mycology organism
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54 | I $P(LRSB,",")=20 D
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55 | . S LA7ORS=$P(LA76305(8),"^",2)
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56 | . S LA7VERP=$P(LA76305(8),"^",3)
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57 | . S LA7SUBFL=63.37
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58 | . ; Working on colony count
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59 | . I $P(LRSB,",",2)=1 D CC Q
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60 | . ; Working on organism
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61 | . D ORG
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62 | ;
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63 | ; Acid Fast stain
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64 | I LRSB=24 D
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65 | . N LA7ERR
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66 | . S LA7VERP=$P(LA76305(11),"^",3)
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67 | . S LA7ORS=$P(LA76305(11),"^",2)
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68 | . S LA7OBX(2)=$$OBX2^LA7VOBX(63.05,24)
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69 | . S LA7IENS=LRIDT_","_LRDFN_","
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70 | . S LA7VAL=$$GET1^DIQ(63.05,LA7IENS,24,"","LA7ERR")
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71 | ;
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72 | ; Acid Fast stain quantity
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73 | I LRSB=25 D
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74 | . N LA7ERR
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75 | . S LA7VERP=$P(LA76305(11),"^",3)
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76 | . S LA7ORS=$P(LA76305(11),"^",2)
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77 | . S LA7OBX(2)=$$OBX2^LA7VOBX(63.05,25)
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78 | . S LA7IENS=LRIDT_","_LRDFN_","
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79 | . S LA7VAL=$$GET1^DIQ(63.05,LA7IENS,25,"","LA7ERR")
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80 | ;
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81 | ; TB organism
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82 | I $P(LRSB,",")=26 D
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83 | . S LA7ORS=$P(LA76305(11),"^",2)
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84 | . S LA7VERP=$P(LA76305(11),"^",5)
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85 | . S LA7SUBFL=63.39
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86 | . ; Working on organism
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87 | . I $G(LRIDT(3))="" D ORG Q
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88 | . ; Working on susceptibilities
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89 | . D MIC
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90 | ;
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91 | ; Virology virus
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92 | I $P(LRSB,",")=36 D
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93 | . S LA7ORS=$P(LA76305(16),"^",2)
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94 | . S LA7VERP=$P(LA76305(16),"^",3)
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95 | . ; Working on virus
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96 | . S LA7SUBFL=63.43
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97 | . D ORG
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98 | ;
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99 | D GEN
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100 | ;
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101 | Q
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102 | ;
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103 | ;
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104 | CC ; Organism's Colony count
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105 | ; If "CFU/ml" found then move units to OBX-6 (Units).
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106 | N LA7X
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107 | ;
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108 | S LA7ID=$P(LRSB,",")_"-"_LRIDT(2)
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109 | S LA7IENS=LRIDT(2)_","_LRIDT_","_LRDFN_","
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110 | S LA7OBX(2)=$$OBX2^LA7VOBX(LA7SUBFL,1)
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111 | S LA7VAL=$$GET1^DIQ(LA7SUBFL,LA7IENS,1)
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112 | S LA7X=$$UP^XLFSTR(LA7VAL)
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113 | I LA7X["CFU/ML" D
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114 | . S LA7OBX(6)="CFU/ml"
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115 | . S LA7X("CFU/ml")="",LA7X("CFU/ML")=""
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116 | . S LA7VAL=$$REPLACE^XLFSTR(LA7VAL,.LA7X)
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117 | ;
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118 | ; Setup DoD special coding system
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119 | I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MC"
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120 | ;
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121 | Q
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122 | ;
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123 | ;
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124 | ORG ; Organism
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125 | ;
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126 | S LA7ID=LRSB_"-"_LRIDT(2)
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127 | S LA7OBX(2)=$$OBX2^LA7VOBX(LA7SUBFL,.01)
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128 | S LA7IENS=LRIDT(2)_","_LRIDT_","_LRDFN_","
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129 | S LA7VAL=$$GET1^DIQ(LA7SUBFL,LA7IENS,.01)
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130 | ;
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131 | ; Check for Snomed coding
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132 | S X=$$GET1^DIQ(LA7SUBFL,LA7IENS,".01:2")
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133 | I X'="" S LA7VAL=X_"^"_LA7VAL_"^SNM"
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134 | ;
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135 | S LA7OBX(8)=$$OBX8^LA7VOBX("A")
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136 | ;
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137 | ; Setup DoD special coding system
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138 | I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MO"
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139 | ;
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140 | ; Set flag to save sub-id for parent-child relationship
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141 | S LA7SAVID=1
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142 | Q
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143 | ;
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144 | ;
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145 | MIC ; Organism's susceptibilities
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146 | ;
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147 | N LA7IENS,LA7SUB
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148 | ;
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149 | ; Bact or TB organism
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150 | S LA7SUB=$S($P(LRSB,",")=12:3,1:12)
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151 | ;
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152 | ;S LA7X=$O(^LAB(62.06,"AD",LRIDT(3),0)) Q:'LA7X
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153 | S LA7OBX(2)=$$OBX2^LA7VOBX(62.06,.01)
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154 | ;
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155 | S LA7X=$G(^LR(LRDFN,"MI",LRIDT,LA7SUB,LRIDT(2),LRIDT(3)))
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156 | S LA7VAL=$P(LA7X,"^")
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157 | I LA7VAL'="" D
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158 | . I "SIR"[$E(LA7VAL) S LA7OBX(8)=$$OBX8^LA7VOBX($E(LA7VAL)) Q
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159 | . I "SIR"[$E($P(LA7X,"^",2)) S LA7OBX(8)=$$OBX8^LA7VOBX($E($P(LA7X,"^",2))) Q
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160 | ;
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161 | ; Determine access screen for this susceptibility
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162 | I $P(LA7X,"^",3)="" S $P(LA7X,"^",3)="A"
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163 | S LA7OBX(13)=$$OBX13^LA7VOBX($P(LA7X,"^",3),"MIS",LA7FS,LA7ECH)
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164 | ;
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165 | ; Setup DoD special coding system
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166 | I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MS"
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167 | ;
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168 | Q
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169 | ;
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170 | ;
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171 | GEN ; Fields common to all MI OBX segments.
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172 | ;
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173 | ; Initialize OBX segment
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174 | S LA7OBX(0)="OBX"
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175 | S LA7OBX(1)=$$OBX1^LA7VOBX(.LA7OBXSN)
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176 | ;
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177 | S LA7OBX(3)=$$OBX3^LA7VOBX($P(LA7CODE,"!",2),$P(LA7CODE,"!",3),LA7ALT,LA7FS,LA7ECH)
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178 | ;
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179 | ; Change normal coding system for DoD special
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180 | I LA7NVAF=1,LA7ALTCS'="" D
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181 | . F I=3,6 I $P(LA7OBX(3),$E(LA7ECH,1),I)="99VA64" S $P(LA7OBX(3),$E(LA7ECH,1),I)=LA7ALTCS Q
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182 | ;
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183 | ; Test value
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184 | S LA7OBX(5)=$$OBX5^LA7VOBX(LA7VAL,LA7OBX(2),LA7FS,LA7ECH)
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185 | ;
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186 | ; Set sub-id and save for constructing parents
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187 | I LA7ID'="" D
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188 | . S LA7OBX(4)=$$OBX4^LA7VOBX(LA7ID,LA7FS,LA7ECH)
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189 | . I LA7SAVID F I=1:1:3 S LA7ID(LA7ID,I)=LA7OBX(I+2)
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190 | ;
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191 | ; Order result status - "P"artial, "F"inal , "A"mended results
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192 | ; If no status from individual components then use status from zeroth node.
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193 | ; If no release date then pending else final
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194 | ; If amended, overrides all other status
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195 | I LA7ORS="" S LA7ORS=$S('$P(LA76305(0),"^",3):"P",1:"F")
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196 | I $P(LA76305(0),"^",9) S LA7ORS="A"
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197 | S LA7OBX(11)=$$OBX11^LA7VOBX(LA7ORS)
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198 | ;
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199 | S LA7DIV=""
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200 | I $$DIV4^XUSER(.LA7DIV,$P(LA76305(0),"^",4)) S LA7DIV=$O(LA7DIV(0))
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201 | ;
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202 | ; Observation date/time - collection date/time per HL7 standard
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203 | I $P(LA76305(0),"^") S LA7OBX(14)=$$OBX14^LA7VOBX($P(LA76305(0),"^"))
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204 | ;
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205 | ; Facility that performed the testing
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206 | S LA7OBX(15)=$$OBX15^LA7VOBX(LA7DIV,LA7FS,LA7ECH)
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207 | ;
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208 | ; Person that verified the test
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209 | I $P(LA76305(0),"^",4) S LA7VERP=$P(LA76305(0),"^",4)
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210 | I LA7VERP S LA7OBX(16)=$$OBX16^LA7VOBX(LA7VERP,LA7DIV,LA7FS,LA7ECH)
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211 | ;
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212 | D BUILDSEG^LA7VHLU(.LA7OBX,.LA7ARRAY,LA7FS)
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213 | ;
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214 | Q
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