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