LA7VORM ;DALOI/DLR - LAB ORM (Order) message PROCESSOR ; April 13, 2004 ;;5.2;AUTOMATED LAB INSTRUMENTS;**27,42,46,64**;Sep 27, 1994 IN ; D ORM^LA7VHL Q ; OBR ;;OBR N LA760,LA76205,LA7629,LA7ACC,LA7CEDT,LA7CSCS,LA7CSNM,LA7CSTY,LA7DCODE,LA7HSITE,LA7I,LA7NCS,LA7OTST,LA7OTSTN,LA7PF1,LA7PF2,LA7RCI,LA7SPCS,LA7SPNM,LA7SPTY,LA7USID,LA7X,LA7Y,RTST,RTSTN ; ; OBR Set ID S LA7SOBR=$$P^LA7VHLU(.LA7SEG,2,LA7FS) ; ; Placer order number S LA7SID=$$P^LA7VHLU(.LA7SEG,3,LA7FS) ; ; Universal service ID S LA7USID=$$P^LA7VHLU(.LA7SEG,5,LA7FS) S LA7OTSTN=$P(LA7USID,LA7CS) I LA7OTSTN="" D Q . N LA7X . S LA7X="PID-"_LA7SPID_"/OBR-"_LA7SOBR . D CREATE^LA7LOG(26) ; S LA7OTST=$$UNESC^LA7VHLU3($P(LA7USID,LA7CS,2),LA7FS_LA7ECH) S LA7NCS=$P(LA7USID,LA7CS,3) ; Name of coding system S RTSTN=$P(LA7USID,LA7CS,4) S RTST=$$UNESC^LA7VHLU3($P(LA7USID,LA7CS,5),LA7FS_LA7ECH) ; ; No ORC segment I LA7SEQ<20 D Q . D CREATE^LA7LOG(29) ; ; Missing patient name I $G(LA7PNM)="" D Q . D CREATE^LA7LOG(30) ; ; Non-VA system, not using NLT codes/file #60 tests I LA7NCS'="99VA64" D . I RTSTN="" S RTSTN=LA7OTST . I RTST="" S RTST=LA7OTSTN ; ; Specimen collection date/time S LA7CDT=$$HL7TFM^XLFDT($P($$P^LA7VHLU(.LA7SEG,8,LA7FS),LA7CS),"L") ; ; Specimen end collection date/time (timed collection) S LA7CEDT=$$HL7TFM^XLFDT($P($$P^LA7VHLU(.LA7SEG,9,LA7FS),LA7CS),"L") ; ; Collection volume S LA7VOL="" S LA7X=$$P^LA7VHLU(.LA7SEG,10,LA7FS) I $L($P(LA7X,LA7CS)) D . S $P(LA7VOL,"^")=$P(LA7X,LA7CS) ; volume . S $P(LA7VOL,"^",2)=$P(LA7X,LA7CS,2) ; volume units . S $P(LA7VOL,"^",3)=$P(LA7X,LA7CS,3) ; volume coding system ; ; Specimen action code S LA7X=$$P^LA7VHLU(.LA7SEG,12,LA7FS),LA7SAC="" I LA7X="A" S LA7SAC="Add ordered tests to the existing specimen" I LA7X="G" S LA7SAC="Generated order; reflex order" ; ; Danger code S LA7X=$P($$P^LA7VHLU(.LA7SEG,13,LA7FS),LA7CS,2) S LA7DCODE=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH) I LA7DCODE]"" D . S LA7DCODE=$$TRIM^XLFSTR(LA7DCODE,"RL"," ") . S LA7DCODE="Danger Code - "_LA7DCODE ; ; Relevant clinical information S LA7X=$$P^LA7VHLU(.LA7SEG,14,LA7FS) S LA7RCI=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH) I LA7RCI]"" D . S LA7RCI=$$TRIM^XLFSTR(LA7RCI,"RL"," ") . S LA7RCI="Relevant clinical information - "_LA7RCI ; ; Specimen source - specimen code - name of specimen coding system ; If no primary then try alternate S LA7X=$$P^LA7VHLU(.LA7SEG,16,LA7FS) S LA7SPTY=$P($P(LA7X,LA7CS),$E(LA7ECH,4)) S LA7SPNM=$P($P(LA7X,LA7CS),$E(LA7ECH,4),2) S LA7SPCS=$P($P(LA7X,LA7CS),$E(LA7ECH,4),3) I LA7SPTY="" D . S LA7SPTY=$P($P(LA7X,LA7CS),$E(LA7ECH,4),4) . S LA7SPNM=$P($P(LA7X,LA7CS),$E(LA7ECH,4),5) . S LA7SPCS=$P($P(LA7X,LA7CS),$E(LA7ECH,4),6) ; ; Collection sample from body site S LA7CSTY=$P($P(LA7X,LA7CS,4),$E(LA7ECH,4)) S LA7CSNM=$P($P(LA7X,LA7CS,4),$E(LA7ECH,4),2) S LA7CSCS=$P($P(LA7X,LA7CS,4),$E(LA7ECH,4),3) ; ; Placer's ordering provider (last name, first name, mi [id]) ; Only process if LA7POP from ORC-12 is blank. I LA7POP="" D . S LA7X=$$P^LA7VHLU(.LA7SEG,17,LA7FS) . S LA7POP=$$XCNTFM^LA7VHLU4(LA7X,LA7ECH) . I LA7POP="^^" S LA7POP="" ; ; Specimen urgency S LA7UR=$P($$P^LA7VHLU(.LA7SEG,28,LA7FS),LA7CS,6) ; If no urgency see if it came in ORC-7 I LA7UR="" S LA7UR=$G(LA7OUR) ; ; Look for receiving facility in OBR, then use receiving facility from MSH S LA7X=$P($$P^LA7VHLU(.LA7SEG,35,LA7FS),LA7CS,7) S LA7HSITE=$$FINDSITE^LA7VHLU2(LA7X,1,1) I LA7HSITE'>0 S LA7HSITE=$$FINDSITE^LA7VHLU2(LA7RFAC,1,0) ; ; Find an "active" shipping configuration for this pair. S LA7629=0 I LA7CSITE,LA7HSITE D . N LA7X . S LA7X=0 . F S LA7X=$O(^LAHM(62.9,"CH",LA7CSITE,LA7HSITE,LA7X)) Q:'LA7X I $P($G(^LAHM(62.9,LA7X,0)),"^",4) S LA7629=LA7X Q ; Log error and quit if no active shipping configuration identified I 'LA7629 D Q . D CREATE^LA7LOG(39) ; S LA7Y=$$DTTO^LA7SMU2(LA7629,LA7OTSTN,LA7SPTY,LA7NCS,LA7SPCS,LA7UR,LA7CSTY_"^"_LA7CSNM_"^"_LA7CSCS) S LA760=$P(LA7Y,"^"),LA761=$P(LA7Y,"^",2),LA762=$P(LA7Y,"^",3),LA76205=$P(LA7Y,"^",4) I $P(LA7Y,"^",5)'="" S LA7OTSTN=$P(LA7Y,"^",5),LA7OTST=$P(LA7Y,"^",6) F LA7I=1:1:4 I '$P(LA7Y,"^",LA7I) D . I LA7I=3,LA760,"MISPCYEM"[$P(^LAB(60,LA760,0),"^",4) Q . S LA7X="No local "_$P("lab test^topography^collection sample^urgency","^",LA7I)_" mapped." . N LA7I,LA7Y . D CREATE^LA7LOG(47) ; ; Placer fields 1 & 2 S LA7X=$$P^LA7VHLU(.LA7SEG,19,LA7FS) I LA7X'="",LA7X[LA7CS S LA7X=$TR(LA7X,LA7CS,"^") S LA7PF1=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH) S LA7X=$$P^LA7VHLU(.LA7SEG,20,LA7FS) I LA7X'="",LA7X[LA7CS S LA7X=$TR(LA7X,LA7CS,"^") S LA7PF2=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH) S LA7ACC=$P(LA7PF2,"^",6) ; ; New order - add to LAB PENDING ORDERS file #69.6 I LA7OTYPE="NW" D NW ; Q ; NW ; Create new order in LAB PENDING ORDERS file #69.6 ; N FDA,I,LA76964,LA7DIE,LA7I,LA7IEN,LA7PATID,LA7SSITE,LA7STAT,LA7WP ; ; Get lock on 69.6 L +^LRO(69.6,0):99999 I '$T D Q . D CREATE^LA7LOG(31) ; S LA7696=$O(^LRO(69.6,"AD",$S($P(LA7SM,"^",2)'="":$P(LA7SM,"^",2),1:0),LA7SID,0)) ; ; Find "In-Transit" status in #64.061 S LA7STAT=$$FIND1^DIC(64.061,"","OMX","In-Transit","","I $P(^LAB(64.061,Y,0),U,7)=""U""") ; ; Create entry in LAB PENDING ORDER ENTRY file, log error if not added I $G(LA7696)'>0 D . S FDA(1,69.6,"+1,",.01)=LA7PNM . S FDA(1,69.6,"+1,",6)=LA7STAT . D UPDATE^DIE("","FDA(1)","LA7IEN","LA7DIE(1)") . S LA7696=LA7IEN(1) . I LA7696<1 D CREATE^LA7LOG(32) ; L -^LRO(69.6,0) I LA7696<1 Q ; L +^LRO(69.6,LA7696):99999 I '$T D Q ;cannot get lock on ENTRY in 69.6 . D CREATE^LA7LOG(33) ; ; Prevent duplication of tests I $D(^LRO(69.6,LA7696,2,"C",LA7OTSTN)) D UNLOCK Q ; ; Determine entry in INSTITUTION file (#4) that's the sending site. S LA7SSITE=$$FINDSITE^LA7VHLU2(LA7SFAC,2,0) ; ; Patient id to store with order S LA7PATID=LA7SSN I LA7PATID="" D . S LA7PATID=$P($G(LA7PTID3(1)),$E(LA7ECH)) . I LA7PATID'="" Q . I LA7PTID4'="" S LA7PATID=$P($P(LA7PTID4,$E(LA7ECH,2)),$E(LA7ECH)) . I LA7PATID'="" Q . I LA7PTID2'="" S LA7PATID=$P(LA7PTID2,$E(LA7ECH)) ; S FDA(2,69.6,LA7696_",",.01)=LA7PNM S FDA(2,69.6,LA7696_",",.02)=LA7SEX S FDA(2,69.6,LA7696_",",.03)=LA7DOB I $G(LA7PRACE)'="" S FDA(2,69.6,LA7696_",",.06)=LA7PRACE S FDA(2,69.6,LA7696_",",.09)=LA7PATID S FDA(2,69.6,LA7696_",",1)=LA7SSITE S FDA(2,69.6,LA7696_",",2)=LA7CSITE S FDA(2,69.6,LA7696_",",3)=LA7SID S FDA(2,69.6,LA7696_",",3.2)=LA7ACC I LA761 S FDA(2,69.6,LA7696_",",4)=LA761 I LA762 S FDA(2,69.6,LA7696_",",5)=LA762 S FDA(2,69.6,LA7696_",",10)=LA7ORDT S FDA(2,69.6,LA7696_",",11)=LA7CDT S FDA(2,69.6,LA7696_",",11.1)=LA7CEDT S FDA(2,69.6,LA7696_",",14)=LA7MEDT S FDA(2,69.6,LA7696_",",17)=LA7MID I $P(LA7SM,"^",2)'="" S LA7X=$P(LA7SM,"^",2) E S LA7X=LA7SFAC_"-"_$E($$FMTHL7^XLFDT(LA7MEDT),1,8) S FDA(2,69.6,LA7696_",",18)=LA7X S FDA(2,69.6,LA7696_",",700)=LA7FS_LA7ECH I LA7PTID3'="" S FDA(2,69.6,LA7696_",",700.02)=LA7PTID3 I LA7PTID4'="" S FDA(2,69.6,LA7696_",",700.04)=LA7PTID4 D FILE^DIE("","FDA(2)","LA7DIE(2)") ; ; Add test to order S FDA(3,69.64,"+2,"_LA7696_",",.01)=LA7OTST S FDA(3,69.64,"+2,"_LA7696_",",1)=LA7OTSTN S FDA(3,69.64,"+2,"_LA7696_",",2)=RTST S FDA(3,69.64,"+2,"_LA7696_",",3)=RTSTN S FDA(3,69.64,"+2,"_LA7696_",",4)=LA7UR I LA760 S FDA(3,69.64,"+2,"_LA7696_",",11)=LA760 I LA76205 S FDA(3,69.64,"+2,"_LA7696_",",12)=LA76205 I $P(LA7POP,"^",3)'="" S FDA(3,69.64,"+2,"_LA7696_",",13)=$P(LA7POP,"^",3) I LA7USID'="" S FDA(3,69.64,"+2,"_LA7696_",",700.04)=LA7USID I LA7PF1'="" S FDA(3,69.64,"+2,"_LA7696_",",700.18)=LA7PF1 I LA7PF2'="" S FDA(3,69.64,"+2,"_LA7696_",",700.19)=LA7PF2 D UPDATE^DIE("","FDA(3)","LA76964","LA7DIE(3)") ; ; If no test status - set to In-transit. I $G(LA76964(2)),$P($G(^LRO(69.6,LA7696,2,LA76964(2),0)),"^",6)="" D . S FDA(4,69.64,LA76964(2)_","_LA7696_",",5)=LA7STAT . D FILE^DIE("","FDA(4)","LA7DIE(4)") ; ; Check for comments to store with order. ; Begin sections with to avoid FM word wrap. S LA7I=1 I 'LA760 S LA7WP(LA7I,0)="For test "_LA7OTST E S LA7WP(LA7I,0)="For test "_$$GET1^DIQ(60,LA760_",",.01) ; I LA7SAC'="" S LA7I=LA7I+1,LA7WP(LA7I,0)=" "_LA7SAC ; I LA7DCODE'="" F I=1:250:$L(LA7DCODE) S LA7I=LA7I+1,LA7WP(LA7I,0)=$S(I=1:" ",1:"")_$E(LA7DCODE,I,I+249) ; I LA7RCI'="" F I=1:250:$L(LA7RCI) S LA7I=LA7I+1,LA7WP(LA7I,0)=$S(I=1:" ",1:"")_$E(LA7RCI,I,I+249) ; I LA760,"MISPCYEM"[$P(^LAB(60,LA760,0),"^",4) D . S LA7I=LA7I+1,LA7WP(LA7I,0)=" Specimen source: "_LA7SPNM_" ["_LA7SPCS_": "_LA7SPTY_"]" . S LA7I=LA7I+1,LA7WP(LA7I,0)=" Collection sample: "_LA7CSNM_" ["_LA7CSCS_": "_LA7CSTY_"]" ; I $O(LA7WP(1)) D WP^DIE(69.6,LA7696_",",99,"A","LA7WP","LA7DIE(99)") ; D CLEAN^DILF D UNLOCK Q ; UNLOCK ; unlock entry in file #69.6 L -^LRO(69.6,LA7696) Q