GMVVDEF1 ;BPOIFO/JG,HIOFO/FT - BUILD HL7 ORU^R01 MESSAGE FOR VITALS ; 20 Sep 2005 4:36 PM ;;5.0;GEN. MED. REC. - VITALS;**5,8,12,17,11**;Oct 31, 2002 ;11/30/2005 KAM/BAY Remedy Calls 121661 and 122742 changes for HL7 message VALID ;;VDEF HL7 MESSAGE BUILDER ; Creates HL7 V2.4 ORU^R01 message for vitals ; ; This routine uses the following IAs: ; #93 - FILE 44 references (controlled) ; #557 - FILE 40.7 references (controlled) ; #2432 - FILE 44 references (controlled) ; #3630 - VAFCQRY calls (controlled) ; #4248 - VDEFEL calls (controlled) ; #4571 - VDEFREQ calls (controlled) ; #10035 - DPT( references (supported) ; #10040 - FILE 44 references (supported) ; #10112 - VASITE calls (supported) ; ; This routine is called at tag EN as a Function by VDEFREQ1 ; Q ; EN(EVIEN,KEY,VFLAG,OUT,MSHP) ; Entry point ; ; Inputs: EVIEN = IEN of VDEF Event in file 577 ; KEY - IEN of file to create message from ; VFLAG - "V" for VistA HL7 destination (default) ; OUT - target array, passed by reference ; MSHP - Piece 4 contains message subtype ; ; Output: Two part string with parts separated by "^" ; Part 1: "LM" - output in local array passed in "OUT" parameter ; "GM" - output in ^TMP("HLS",$J) ; Part 2: No longer used ; N DFN,HLFS,HLCM,HLSC,HLRP,HLES,HLQ,VTLDAT,UM,VTLTYP,DTE,DTP N VTLERR,VAL,I,S,X,XX,Y,QUALS,HL7RC,PIDSEG,IEN1,SEQ,STOPCD,EIEVUID N SEPF,SEPC,SEPR,SEPE,SEPS,VTLNAM,ARRAY,O2SUP,OUTX,ADD,VTLVUID ; ; Initialize stuff K ^TMP("HLS",$J) S S=0,ARRAY="OUT("_"""HLS"""_",S)",TARGET="LM^" ; ; Set up HL7 delimiters S HLCM=$E(VDEFHL("ECH")),HLRP=$E(VDEFHL("ECH"),2),HLSC=$E(VDEFHL("ECH"),4),HLES=$E(VDEFHL("ECH"),3) S HLFS=VDEFHL("FS"),HLQ=VDEFHL("Q"),HL7RC=HLES_HLFS_HLCM_HLRP_HLSC D SETDLMS^VDEFEL ; ; Get the vitals measurement record & patient ID S VTLDAT=$$EN^GMVHDR(KEY) I 'VTLDAT D ERR^VDEFREQ("Invalid data in file GMR(120.5) for IEN "_KEY) S ZTSTOP=1 G EXIT S DFN=$P(VTLDAT,U,2),VTLTYP=$P(VTLDAT,U,7) S VTLVUID=$$GET^GMVUID(120.51,.01,+VTLTYP_",") ;vital type vuid S O2SUP=$P(VTLDAT,U,10),VTLERR=$P(VTLDAT,U,11) S X=$P(VTLDAT,U,5) I +X'=X!(X<0) S $P(VTLDAT,U,5)="" S STOPCD="" I $P(VTLDAT,U,5)'="" D . S STOPCD=$P($G(^SC($P(VTLDAT,U,5),0)),U,7) Q:STOPCD="" . S STOPCD=$G(^DIC(40.7,STOPCD,0)) . S STOPCD=$$HL7RC($P(STOPCD,U,2))_";"_$$HL7RC($P(STOPCD,U)) ; ; Build segments for message in OUTX, $P # = HL7 field # ; ; PID - Use MPI PID builder PID K PIDSEG S OUTX="",S=1,SEQ="" I $G(^DPT(DFN,0))="" D ERR^VDEFREQ("No entry in file DPT for DFN "_DFN) S ZTSTOP=1 G EXIT D BLDPID^VAFCQRY(DFN,1,SEQ,.PIDSEG,.VDEFHL) F I=2:1 Q:$G(PIDSEG(I))="" S PIDSEG(1,I-1)=PIDSEG(I) K PIDSEG(I) M OUTX=PIDSEG(1) K PIDSEG D SAVE ; ; ORC ORC S S=S+1,OUTX="RE" ; ; Filler ID S X=KEY_HLCM_$$HL7RC($P(SITEPARM,U,6))_"_120.5",$P(OUTX,HLFS,3)=X ; ; Enterer's location I $P(VTLDAT,U,5)'="" D . S X=$G(^SC($P(VTLDAT,U,5),0)),VAL=$$HL7RC($P(X,U,2))_HLCM_$P(VTLDAT,U,5) . S $P(VAL,HLCM,9)=$$HL7RC($P(X,U)),$P(OUTX,HLFS,13)=VAL . I +$P(X,U,15) S X=$$SITE^VASITE($P(VTLDAT,U),$P(X,U,15)) S:X=-1 X="" . E S X="" . S VAL=$$HL7RC($P(X,U,3))_HLCM_$$HL7RC($P(X,U,2))_HLCM_"L",$P(OUTX,HLFS,17)=VAL ; Parent Facility (Added 04/17/2006) S $P(OUTX,HLFS,21)=$P($$SITE^VASITE(),"^",2) ; S VAL=$P(OUTX,HLFS,3),OUTX="ORC"_HLFS_OUTX D SAVE ; ; OBR OBR S S=S+1,OUTX="",VTLNAM=$$HL7RC($P(^GMRD(120.51,VTLTYP,0),U)) S X=VTLVUID_HLCM_VTLNAM_HLCM_$$HL7RC("99VA120.51") ; ; Add filler ID from ORC-3 & Procedure name S $P(OUTX,HLFS,3)=VAL,$P(OUTX,HLFS,4)=X ; ; Dates/times vital taken & entered S DTP=$$HL7RC($$TS^VDEFEL($P(VTLDAT,U))),$P(OUTX,HLFS,7)=DTP S DTE=$$HL7RC($$TS^VDEFEL($P(VTLDAT,U,4))),$P(OUTX,HLFS,8)=DTE ; ; Use date/time vital entered for results reported S $P(OUTX,HLFS,22)=DTE ; ; Set result status to Final or Error if entered in error S $P(OUTX,HLFS,25)=$E("FE",VTLERR'=""+1) ; ; Technician name S XX=$$XCN200^VDEFEL($P(VTLDAT,U,6)) F II=2:1:7 S $P(XX,SEPC,II)=$$HL7RC($P(XX,SEPC,II)) S $P(OUTX,HLFS,34)=XX S OUTX="OBR"_HLFS_OUTX D SAVE ; ; OBX 1 - Vital name OBX1 S S=S+1,OUTX=HLFS_"ST" ; ; Observation ID - Vital name S X=VTLVUID_HLCM_VTLNAM_HLCM_$$HL7RC("99VA120.51"),$P(OUTX,HLFS,3)=X ; ; Unit of measure ; If vital not performed, set units to null S UM=$$HL7RC($P(VTLDAT,U,9)) S:$F("Pass Refused Unavailable",$P(VTLDAT,U,8))>0 UM="" S UM=UM_HLCM_UM_HLCM_"L" ; ; Set sub-id if O2 supplements to follow S:O2SUP'="" $P(OUTX,HLFS,4)=1 S $P(OUTX,HLFS,5)=$$HL7RC($P(VTLDAT,U,8)),$P(OUTX,HLFS,6)=UM ; ; Set result status to Final or Wrong if errors entered S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1) S XX=$$XCN200^VDEFEL($P(VTLDAT,U,6)) F II=2:1:7 S $P(XX,SEPC,II)=$$HL7RC($P(XX,SEPC,II)) S $P(OUTX,HLFS,16)=XX S OUTX="OBX"_HLFS_OUTX D SAVE ; ; OBX2 - O2 Supplement OBX2 G QUALS:O2SUP="" S (VAL,UM)="" S S=S+1,OUTX=HLFS_"ST"_HLFS_"O2 Supplement" D . I O2SUP["%",O2SUP'["l/min" S VAL=+O2SUP,UM="%" Q . I O2SUP'["%",O2SUP["l/min" S VAL=+O2SUP,UM="l/min" . I O2SUP["%",O2SUP["l/min" S $P(VAL,U)=$P(O2SUP," "),$P(UM,U)="l/min",$P(VAL,U,2)=+$P(O2SUP," ",3),$P(UM,U,2)="%" S X=$P(UM,U),X=X_HLCM_X_HLCM_"L",$P(UM,U)=X I $P(UM,U,2)'="" S X=$P(UM,U,2),X=X_HLCM_X_HLCM_"L",$P(UM,U,2)=X S $P(OUTX,HLFS,4)=2,$P(OUTX,HLFS,5)=$P(VAL,U,1),$P(OUTX,HLFS,6)=$P(UM,U) ; ; Set result status to Final or Wrong if errors entered S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1) S OUTX="OBX"_HLFS_OUTX,X=OUTX D SAVE ; If more than one O2 supplement, add another OBX ; Field offset in OUT is now +1 because OBX has been added S OUTX=X I $P(VAL,U,2)'="" D . S S=S+1,$P(OUTX,HLFS,5)=3,$P(OUTX,HLFS,6)=$P(VAL,U,2),$P(OUTX,HLFS,7)=$P(UM,U,2) . D SAVE ; ; Qualifiers QUALS S QUALS="",X=$O(^GMR(120.5,KEY,5,0)) G ERRS:X="" S S=S+1,OUTX=HLFS_"CE"_HLFS_"Qualifiers"_HLFS_HLFS ; ; Get qualifiers S IEN1=0 F S IEN1=$O(^GMR(120.5,KEY,5,IEN1)) Q:'+IEN1 D . S X=^GMR(120.5,KEY,5,IEN1,0),VAL=$$HL7RC($P(^GMRD(120.52,X,0),U)) . S X=$$GET^GMVUID(120.52,.01,+X_",") ;qualifier vuid . S VAL=X_HLCM_VAL_HLCM_$$HL7RC("99VA120.52"),QUALS=QUALS_VAL_HLRP ; ; Set result S $P(OUTX,HLFS,5)=$E(QUALS,1,$L(QUALS)-1) ; ; Set result status to Final or Wrong if errors entered S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1) S OUTX="OBX"_HLFS_OUTX D SAVE ; ; Entered in Error ERRS G ZSC:VTLERR="" S S=S+1,OUTX=HLFS_"CE"_HLFS_"Error Reasons"_HLFS_HLFS ; ; Error data reason(s) S X=$P(VTLDAT,U,13),VAL="" F I=1:1:$L(X,"~") D .S Y=$P(X,"~",I) .S EIEVUID=$$GET^GMVUID(120.506,.01,$P(Y,"-",1)) ;error vuid .S VAL=VAL_$$HL7RC(EIEVUID)_HLCM_$$HL7RC($P(Y,"-",2))_HLCM_$$HL7RC("99VA8985.1")_HLRP S VAL=$E(VAL,1,$L(VAL)-1),$P(OUTX,HLFS,5)=VAL ; ; Set result status to Final or Wrong if errors entered S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1) ; ; Entered in error by technician S XX=$$XCN200^VDEFEL($P(VTLDAT,U,12)) F II=2:1:7 S $P(XX,SEPC,II)=$$HL7RC($P(XX,SEPC,II)) S $P(OUTX,HLFS,16)=XX S OUTX="OBX"_HLFS_OUTX D SAVE ; ; Stop Code & Name ZSC G EXIT:STOPCD="" S S=S+1,OUTX=HLFS_$P(STOPCD,";")_HLFS_$P(STOPCD,";",2) S OUTX="ZSC"_HLFS_OUTX D SAVE ; ; Done building segments EXIT Q TARGET ; ; ; Place current string into message array. ; Turn string into array if length >245. ; Move local array to global if needed. SAVE N I I $P(OUTX,HLFS)'="PID",$L(OUTX)>245 D . K ADD S ADD=$E(OUTX,1,245),OUTX=$E(OUTX,246,$L(OUTX)) . F I=1:1 S ADD(I)=$E(OUTX,1,245),OUTX=$E(OUTX,246,$L(OUTX)) Q:OUTX="" . K OUTX M OUTX=ADD M @ARRAY=OUTX ; ; Move local array to global if it's getting big. I $P(TARGET,U)="LM",$S<16000 D . K ^TMP("HLS",$J) M ^TMP("HLS",$J)=OUT("HLS") K OUT("HLS") . S $P(TARGET,U)="GM",ARRAY="^TMP("_"""HLS"""_",$J,S)" K OUTX,ADD Q ; ; Replace any HL7 coding chars. in strings with HL7 escape sequence ; Input: X = data string HL7RC(X) N OCHR,RCHR,RCHRI,TYPE,I F TYPE="E","F","C","R","S" D . S RCHRI=$S(TYPE="E":1,TYPE="F":2,TYPE="C":3,TYPE="R":4,TYPE="S":5) . S OCHR=$E(HL7RC,RCHRI),RCHR=$E("EFSRT",RCHRI) . Q:'$F(X,OCHR) . F I=1:1 Q:$E(X,I)="" I $E(X,I)=OCHR S X=$E(X,1,I-1)_HLES_RCHR_HLES_$E(X,I+1,999),I=I+2 Q X