| 1 | RORHL09 ;HOIFO/BH - HL7 OUTPATIENT DATA: PV1,OBR,OBX ; 3/13/06 9:24am | 
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| 2 | ;;1.5;CLINICAL CASE REGISTRIES;**1,5**;Feb 17, 2006;Build 10 | 
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| 3 | ; | 
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| 4 | ; 11/29/2007 BAY/KAM ROR*1.5*5 Rem Call 218601 Correct Outpatient | 
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| 5 | ;                              CPTs not transmitting to the AAC | 
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| 6 | ; | 
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| 7 | ; This routine uses the following IAs: | 
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| 8 | ; | 
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| 9 | ; #93       Get stop code from the file #44 (controlled) | 
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| 10 | ; #1889     Use of the ENCEVENT^PXKENC API | 
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| 11 | ; #1995     $$CODEC^ICPTCOD (supported) | 
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| 12 | ; #2309     Read access to the 'AA' x-ref in VISIT file (#9000010) | 
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| 13 | ; #3990     $$CODEC^ICDCODE (supported) | 
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| 14 | ; #10060    Read access to the file #200 (supported) | 
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| 15 | ; #2438     Access to the file #40.8 (field #1) (controlled) | 
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| 16 | ; | 
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| 17 | Q | 
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| 18 | ; | 
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| 19 | ;***** PROCESSES DIAGNOSIS CODES | 
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| 20 | DIAGS() ; | 
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| 21 | N DIAG,IEN,K5,OID,REC,TMP | 
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| 22 | S OID="OICD9"_RORCS_"Diagnosis"_RORCS_"VA080" | 
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| 23 | S K5="" | 
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| 24 | F  S K5=$O(^TMP("PXKENC",$J,RORIEN,"POV",K5))  Q:K5=""  D | 
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| 25 | . S REC=^TMP("PXKENC",$J,RORIEN,"POV",K5,0) | 
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| 26 | . S IEN=+$P(REC,U)  Q:IEN'>0 | 
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| 27 | . ;--- | 
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| 28 | . S DIAG=$$CODEC^ICDCODE(IEN) | 
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| 29 | . D:DIAG'<0 SETOBX(OID,DIAG) | 
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| 30 | Q 0 | 
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| 31 | ; | 
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| 32 | ;***** OUTPATIENT DATA SEGMENT BUILDER | 
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| 33 | ; | 
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| 34 | ; RORDFN        DFN of Patient Record in File #2 | 
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| 35 | ; | 
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| 36 | ; .DXDTS        Reference to a local variable where the | 
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| 37 | ;               data extraction time frames are stored. | 
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| 38 | ; | 
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| 39 | ; RORTY         Set to either "PV1" or "OBR" | 
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| 40 | ; | 
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| 41 | ; The ^TMP("PXKENC",$J) and ^TMP("RORHL08",$J) global nodes are | 
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| 42 | ; used by this function. | 
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| 43 | ; | 
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| 44 | ; Return Values: | 
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| 45 | ;       <0  Error Code | 
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| 46 | ;        0  Ok | 
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| 47 | ;       >0  Non-fatal error(s) | 
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| 48 | ; | 
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| 49 | EN1(RORDFN,DXDTS,RORTY) ; | 
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| 50 | N ERRCNT,PIEN,PV1CNT,RC | 
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| 51 | S (ERRCNT,RC)=0 | 
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| 52 | ; | 
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| 53 | ;--- PV1 Segments | 
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| 54 | I RORTY="PV1"  K ^TMP("PXKENC",$J),^TMP("RORHL09",$J)  D | 
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| 55 | . N IDX,INVDT,ROREND | 
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| 56 | . S (IDX,PV1CNT)=0 | 
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| 57 | . F  S IDX=$O(DXDTS(2,IDX))  Q:IDX'>0  D  Q:RC<0 | 
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| 58 | . . S INVDT=9999999-$$FMADD^XLFDT($P(DXDTS(2,IDX),U)\1,-1) | 
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| 59 | . . S ROREND=9999999-$P(DXDTS(2,IDX),U,2) | 
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| 60 | . . F  S INVDT=$O(^AUPNVSIT("AA",RORDFN,INVDT),-1)  Q:'INVDT!(INVDT'>ROREND)  D | 
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| 61 | . . . S PIEN="" | 
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| 62 | . . . F  S PIEN=$O(^AUPNVSIT("AA",RORDFN,INVDT,PIEN),-1)  Q:'PIEN  D | 
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| 63 | . . . . S TMP=$$PV1(PIEN,RORDFN) | 
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| 64 | . . . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
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| 65 | . . . . ;--- Reference for the corresponding OBR segment | 
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| 66 | . . . . S:TMP'="S" PV1CNT=PV1CNT+1,^TMP("RORHL09",$J,PV1CNT)=PIEN | 
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| 67 | ; | 
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| 68 | ;--- OBR and OBX Segments | 
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| 69 | I RORTY="OBR"  D  K ^TMP("PXKENC",$J),^TMP("RORHL09",$J) | 
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| 70 | . S PV1CNT=0 | 
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| 71 | . F  S PV1CNT=$O(^TMP("RORHL09",$J,PV1CNT))  Q:PV1CNT'>0  D | 
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| 72 | . . S PIEN=+$G(^TMP("RORHL09",$J,PV1CNT))  Q:PIEN'>0 | 
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| 73 | . . ;--- | 
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| 74 | . . S TMP=$$OBR(PIEN,RORDFN) | 
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| 75 | . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
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| 76 | . . ;--- | 
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| 77 | . . S TMP=$$OBX(PIEN,RORDFN) | 
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| 78 | . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
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| 79 | ; | 
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| 80 | ;--- Check for errors | 
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| 81 | Q $S(RC<0:RC,1:ERRCNT) | 
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| 82 | ; | 
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| 83 | ;***** OBR SEGMENT BUILDER (OUTPATIENT) | 
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| 84 | ; | 
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| 85 | ; RORIEN        IEN of file #9000010 | 
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| 86 | ; RORDFN        DFN of Patient Record in File #2 | 
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| 87 | ; | 
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| 88 | ; Return Values: | 
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| 89 | ;       <0  Error Code | 
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| 90 | ;        0  Ok | 
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| 91 | ;       >0  Non-fatal error(s) | 
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| 92 | ; | 
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| 93 | OBR(RORIEN,RORDFN) ; | 
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| 94 | N CS,ERRCNT,RC,RORSEG,STN,TMP,VST0 | 
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| 95 | S (ERRCNT,RC)=0 | 
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| 96 | D ECH^RORHL7(.CS) | 
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| 97 | ; | 
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| 98 | S VST0=$G(^TMP("PXKENC",$J,RORIEN,"VST",RORIEN,0)) | 
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| 99 | ; | 
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| 100 | ;--- Initialize the segment | 
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| 101 | S RORSEG(0)="OBR" | 
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| 102 | ; | 
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| 103 | ;--- OBR-3 - Order Number (IEN in the VISIT file #9000010) | 
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| 104 | S RORSEG(3)=RORIEN | 
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| 105 | ; | 
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| 106 | ;--- OBR-4 - Universal Service ID | 
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| 107 | S RORSEG(4)="OP"_CS_"Outpatient"_CS_"C4" | 
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| 108 | ; | 
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| 109 | ;--- OBR-7 - Observation Date/Time (Visit Date/Time) *KEY* | 
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| 110 | S TMP=$$FMTHL7^XLFDT($P(VST0,U)) | 
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| 111 | Q:TMP'>0 $$ERROR^RORERR(-100,,,,"No visit date","ENCEVENT^PXKENC") | 
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| 112 | S RORSEG(7)=TMP | 
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| 113 | ; | 
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| 114 | ;--- OBR-24 - Diagnostic Service ID | 
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| 115 | S RORSEG(24)="PHY" | 
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| 116 | ; | 
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| 117 | ;--- OBR-44 - Division | 
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| 118 | S RORSEG(44)=$$SITE^RORUTL03(CS) | 
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| 119 | S TMP=+$P(VST0,U,6)  ; LOC. OF ENCOUNTER (.06) | 
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| 120 | I TMP>0  D | 
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| 121 | . S TMP=$$NS^XUAF4(TMP),STN=$P(TMP,U,2) | 
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| 122 | . S:STN'="" RORSEG(44)=STN_CS_$P(TMP,U)_CS_"99VA4" | 
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| 123 | ; | 
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| 124 | ;--- Store the segment | 
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| 125 | D ADDSEG^RORHL7(.RORSEG) | 
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| 126 | Q ERRCNT | 
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| 127 | ; | 
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| 128 | ;***** OBX SEGMENT BUILDER (OUTPATIENT) | 
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| 129 | ; | 
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| 130 | ; RORIEN        IEN of file #9000010 | 
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| 131 | ; RORDFN        DFN of Patient Record in File #2 | 
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| 132 | ; | 
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| 133 | ; Return Values: | 
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| 134 | ;       <0  Error Code | 
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| 135 | ;        0  Ok | 
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| 136 | ;       >0  Non-fatal error(s) | 
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| 137 | ; | 
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| 138 | OBX(RORIEN,RORDFN) ; | 
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| 139 | N ERRCNT,RC,RORCS,RORLST,RORMSG,RORSEG,TMP | 
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| 140 | S (ERRCNT,RC)=0 | 
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| 141 | D ECH^RORHL7(.RORCS) | 
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| 142 | ; | 
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| 143 | ;--- Procedures | 
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| 144 | I $D(^TMP("PXKENC",$J,RORIEN,"CPT"))>1  D  Q:RC<0 RC | 
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| 145 | . S RC=$$PROCS()  S:RC ERRCNT=ERRCNT+1 | 
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| 146 | ;--- Diagnosis codes | 
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| 147 | I $D(^TMP("PXKENC",$J,RORIEN,"POV"))>1  D  Q:RC<0 RC | 
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| 148 | . S RC=$$DIAGS()  S:RC ERRCNT=ERRCNT+1 | 
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| 149 | ; | 
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| 150 | Q ERRCNT | 
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| 151 | ; | 
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| 152 | ;***** PROCESSES PROCEDURES | 
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| 153 | PROCS() ; | 
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| 154 | N CLASS,ERRCNT,IEN,K5,OID,PROC,PRV,REC,RORMSG,TMP | 
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| 155 | S ERRCNT=0 | 
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| 156 | S OID="OCPT"_RORCS_"Procedures"_RORCS_"VA080" | 
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| 157 | S K5="" | 
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| 158 | F  S K5=$O(^TMP("PXKENC",$J,RORIEN,"CPT",K5))  Q:K5=""  D | 
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| 159 | . S REC=$G(^TMP("PXKENC",$J,RORIEN,"CPT",K5,0)) | 
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| 160 | . S IEN=+$P(REC,U)  Q:IEN'>0 | 
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| 161 | . ;--- | 
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| 162 | . S PROC=$$CODEC^ICPTCOD(IEN) | 
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| 163 | . Q:PROC<0 | 
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| 164 | . ;--- | 
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| 165 | . S PRV=+$P($G(^TMP("PXKENC",$J,RORIEN,"CPT",K5,12)),U,4) | 
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| 166 | . ;12/06/2007 BAY/KAM REM CALL 218601 Modified next 8 lines | 
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| 167 | . ;--- | 
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| 168 | . I PRV>0 D | 
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| 169 | .. S $P(PRV,RORCS,13)=$$GET1^DIQ(200,PRV_",",53.5,"E",,"RORMSG") | 
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| 170 | .. I $G(DIERR)  D  S ERRCNT=ERRCNT+1 | 
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| 171 | ... D DBS^RORERR("RORMSG",-99,,RORDFN,200,+PRV_",") | 
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| 172 | . E  S PRV="" | 
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| 173 | . ;----------> End of changes for 218601 | 
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| 174 | . ;--- | 
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| 175 | . D SETOBX(OID,PROC,PRV) | 
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| 176 | Q ERRCNT | 
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| 177 | ; | 
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| 178 | ;***** PV1 SEGMENT BUILDER (OUTPATIENT) | 
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| 179 | ; | 
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| 180 | ; RORIEN        IEN in the file #9000010 | 
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| 181 | ; RORDFN        DFN of Patient Record in File #2 | 
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| 182 | ; | 
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| 183 | ; Return Values: | 
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| 184 | ;       <0  Error Code | 
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| 185 | ;        0  Ok | 
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| 186 | ;      "S"  No visit data | 
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| 187 | ;       >0  Non-fatal error(s) | 
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| 188 | ; | 
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| 189 | PV1(RORIEN,RORDFN) ; | 
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| 190 | N BUF,CLASS,CS,ERRCNT,IENS,KK4,RC,REC,REP,RORCLIN,RORMSG,PRV,TMP,TMP1,VST0 | 
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| 191 | S (ERRCNT,RC)=0 | 
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| 192 | D ECH^RORHL7(.CS,,.REP) | 
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| 193 | ; | 
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| 194 | ;--- Get Visit Data | 
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| 195 | D ENCEVENT^PXKENC(RORIEN,1) | 
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| 196 | Q:$D(^TMP("PXKENC",$J,RORIEN))<10 "S" | 
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| 197 | S VST0=$G(^TMP("PXKENC",$J,RORIEN,"VST",RORIEN,0)) | 
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| 198 | ; | 
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| 199 | ;--- Do not send visits with the following service categories: Daily | 
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| 200 | ;--- Hospitalization (D), Ancillary (X), Chart (C), Not Found (N), | 
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| 201 | ;                    (E), Event Historical, Hospitalization (H). | 
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| 202 | Q:"HEDXNC"[$P(VST0,U,7) "S" | 
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| 203 | ; | 
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| 204 | ;--- Initialize the segment | 
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| 205 | S RORSEG(0)="PV1" | 
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| 206 | ; | 
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| 207 | ;--- PV1-2 - Patient Class | 
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| 208 | S RORSEG(2)="O"  ; O - Outpatient | 
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| 209 | ; | 
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| 210 | ;--- PV1-3 - Assigned Patient Location (Station Number and Stop Code) | 
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| 211 | S RORCLIN=+$P(VST0,U,22),BUF="" | 
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| 212 | I RORCLIN>0  D | 
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| 213 | . S IENS=RORCLIN_"," | 
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| 214 | . S TMP=$$GET1^DIQ(44,IENS,3.5,"I")  Q:TMP'>0 | 
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| 215 | . S BUF=$$GET1^DIQ(40.8,TMP,1)       Q:BUF=""  ; Station Number | 
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| 216 | . S TMP=$$STOPCODE^RORUTL18(+RORCLIN) | 
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| 217 | . S $P(BUF,CS,6)=$S(TMP>0:TMP,1:"")            ; Stop Code | 
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| 218 | Q:$P(BUF,CS,6)="" "S"  ; Stop Code is required | 
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| 219 | S RORSEG(3)=BUF | 
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| 220 | ; | 
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| 221 | ; PV1-4  - Admission Type | 
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| 222 | S TMP=$P($G(^TMP("PXKENC",$J,RORIEN,"VST",RORIEN,150)),U,3) | 
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| 223 | S RORSEG(4)=TMP | 
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| 224 | ; | 
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| 225 | ;--- PV1-7 - Attending Physician (User IEN and Provider Class Name) | 
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| 226 | S (KK4,BUF)="" | 
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| 227 | F  S KK4=$O(^TMP("PXKENC",$J,RORIEN,"PRV",KK4))  Q:KK4=""  D | 
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| 228 | . S REC=$G(^TMP("PXKENC",$J,RORIEN,"PRV",KK4,0)) | 
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| 229 | . S PRV=+$P(REC,U)  Q:(PRV'>0)!($P(REC,U,4)'="P") | 
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| 230 | . S $P(PRV,CS,13)=$$GET1^DIQ(200,PRV_",",53.5,"E",,"RORMSG") | 
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| 231 | . I $G(DIERR)  D  S ERRCNT=ERRCNT+1 | 
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| 232 | . . D DBS^RORERR("RORMSG",-99,,RORDFN,200,PRV_",") | 
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| 233 | . S BUF=BUF_REP_PRV | 
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| 234 | S RORSEG(7)=$P(BUF,REP,2,999) | 
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| 235 | ; | 
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| 236 | ;--- PV1-19 - Visit Number (IEN in the VISIT file #9000010) *KEY* | 
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| 237 | S RORSEG(19)=RORIEN | 
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| 238 | ; | 
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| 239 | ;--- PV1-44 - Admit Date/Time (Visit Date/Time) *KEY* | 
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| 240 | S TMP=$$FMTHL7^XLFDT($P(VST0,U)) | 
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| 241 | I TMP'>0  D  Q RC | 
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| 242 | . S RC=$$ERROR^RORERR(-100,,,,"No admission date","ENCEVENT^PXKENC") | 
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| 243 | S RORSEG(44)=TMP | 
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| 244 | ; | 
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| 245 | ;--- PV1-51 - Visit Indicator (Deleted Visit Indicator) | 
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| 246 | S TMP=$P(VST0,U,11) | 
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| 247 | S RORSEG(51)=$S(TMP'="":TMP,1:0) | 
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| 248 | ; | 
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| 249 | ;--- Store the segment | 
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| 250 | D ADDSEG^RORHL7(.RORSEG) | 
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| 251 | Q ERRCNT | 
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| 252 | ; | 
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| 253 | ;***** LOW-LEVEL SEGMENT BUILDER | 
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| 254 | ; | 
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| 255 | ; OBX3          Observation Identifier | 
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| 256 | ; | 
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| 257 | ; OBX5          Observation Value | 
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| 258 | ; | 
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| 259 | ; [OBX16]       Procedure Provider and Provider Class Name | 
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| 260 | ; | 
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| 261 | SETOBX(OBX3,OBX5,OBX16) ; | 
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| 262 | N RORSEG | 
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| 263 | S RORSEG(0)="OBX" | 
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| 264 | ;--- OBX-2 Value Type | 
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| 265 | S RORSEG(2)="FT" | 
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| 266 | ;--- OBX-3 Observation Identifier | 
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| 267 | S RORSEG(3)=OBX3 | 
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| 268 | ;--- OBX-5 Observation Value | 
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| 269 | S RORSEG(5)=OBX5 | 
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| 270 | ;--- OBX-11 Observation Result Status | 
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| 271 | S RORSEG(11)="F" | 
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| 272 | ;--- OBX-16 Responsible Observer (Procedure Provider) | 
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| 273 | S:$G(OBX16)'="" RORSEG(16)=OBX16 | 
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| 274 | ;--- Store the segment | 
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| 275 | D ADDSEG^RORHL7(.RORSEG) | 
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| 276 | Q | 
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