| 1 | MAG7RS ;WOIFO/PMK,MLH - copy radiology message from HLSDATA to ^MAGDHL7 - add segment data ; 30 Jun 2004  4:32 PM | 
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| 2 | ;;3.0;IMAGING;**11,40,30**;16-September-2004 | 
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| 3 | ;; +---------------------------------------------------------------+ | 
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| 4 | ;; | Property of the US Government.                                | | 
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| 5 | ;; | No permission to copy or redistribute this software is given. | | 
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| 6 | ;; | Use of unreleased versions of this software requires the user | | 
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| 7 | ;; | to execute a written test agreement with the VistA Imaging    | | 
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| 8 | ;; | Development Office of the Department of Veterans Affairs,     | | 
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| 9 | ;; | telephone (301) 734-0100.                                     | | 
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| 10 | ;; |                                                               | | 
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| 11 | ;; | The Food and Drug Administration classifies this software as  | | 
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| 12 | ;; | a medical device.  As such, it may not be changed in any way. | | 
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| 13 | ;; | Modifications to this software may result in an adulterated   | | 
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| 14 | ;; | medical device under 21CFR820, the use of which is considered | | 
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| 15 | ;; | to be a violation of US Federal Statutes.                     | | 
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| 16 | ;; +---------------------------------------------------------------+ | 
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| 17 | ;; | 
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| 18 | ; | 
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| 19 | PIDADD ; SUBROUTINE - called by ADDDTA^MAGDHL7 | 
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| 20 | ; Add PID info for DICOM Gateway. | 
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| 21 | ; Uses multi-tier array structure MAG7WRK produced by call to MAG7UP. | 
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| 22 | ; | 
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| 23 | N DIQUIET ; -------------- FileMan verbose/silent variable | 
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| 24 | N IXPID ; ---------------- index to PID segment in MAG7WRK array | 
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| 25 | N VADM,VAPA ; ------------ VADPT return arrays | 
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| 26 | ; | 
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| 27 | ; ==================================================== | 
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| 28 | ; Get patient DFN and retrieve demo data. | 
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| 29 | S IXPID=$O(MAG7WRK("B","PID","")) I 'IXPID Q | 
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| 30 | S DFN=MAG7WRK(IXPID,3,1,1,1) I 'DFN Q | 
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| 31 | ; | 
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| 32 | ; ================================================ | 
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| 33 | ; load demo information into HL7 PID segment | 
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| 34 | S DIQUIET=1 | 
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| 35 | D DEM^VADPT ; demo into VADM() | 
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| 36 | I '$G(VAERR),VADM(3)]"" D | 
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| 37 | . S MAG7WRK(IXPID,7,1,1,1)=$P(VADM(3),"^")+17000000 ; DOB | 
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| 38 | . Q | 
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| 39 | ; | 
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| 40 | ; ================================================ | 
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| 41 | ; load address information into HL7 PID segment | 
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| 42 | S DIQUIET=1 | 
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| 43 | D ADD^VADPT ; address & phone into VAPA() | 
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| 44 | I '$G(VAERR) D | 
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| 45 | . S MAG7WRK(IXPID,10,1,2,1)=$P(VADM(8),"^",2) ; race | 
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| 46 | . S MAG7WRK(IXPID,11,1,1,1)=VAPA(1) ; street address 1st line | 
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| 47 | . S MAG7WRK(IXPID,11,1,2,1)=VAPA(2)_$S(VAPA(3)="":"",1:", "_VAPA(3)) ; lns 2-3 | 
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| 48 | . S MAG7WRK(IXPID,11,1,3,1)=VAPA(4) ; city | 
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| 49 | . S MAG7WRK(IXPID,11,1,4,1)=VAPA(5) ; 2-letter state | 
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| 50 | . S MAG7WRK(IXPID,11,1,5,1)=VAPA(6) ; ZIP | 
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| 51 | . ; phone | 
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| 52 | . S MAG7WRK(IXPID,13,1,1,1)=VAPA(8) | 
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| 53 | . S MAG7WRK(IXPID,13,1,2,1)="PRN" ; phone | 
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| 54 | . Q | 
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| 55 | Q | 
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| 56 | ; | 
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| 57 | ADDVSDG ; SUBROUTINE - called by ADDDTA^MAGDHL7 | 
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| 58 | ; Add visit and diagnosis info for DICOM Gateway. | 
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| 59 | ; | 
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| 60 | N DIQUIET ; ------ FileMan verbose/silent variable | 
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| 61 | N I,IX,IX1 ; ----- scratch index vars | 
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| 62 | N IXPID,IXPV1 ; -- indices to PID, PV1 segs in MAG7WRK array | 
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| 63 | N IXDG1,IXOBR ; -- indices to DG1, OBR segs in MAG7WRK array | 
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| 64 | N IXVAEL ; ------- index of entries in VAEL() | 
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| 65 | N VAIN,VAEL ; ---- VADPT return arrays | 
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| 66 | N MAGPHYNM ; ----- physician name | 
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| 67 | N ELCODE ; ------- eligibility code | 
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| 68 | ; | 
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| 69 | ; ==================================================== | 
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| 70 | ; Get patient DFN and retrieve inpatient data. | 
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| 71 | S IXPID=$O(MAG7WRK("B","PID","")) I 'IXPID Q | 
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| 72 | S DFN=MAG7WRK(IXPID,3,1,1,1) I 'DFN Q | 
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| 73 | S DIQUIET=1 | 
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| 74 | D INP^VADPT Q:VAERR  ; inpatient data in VAIN() | 
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| 75 | D ELIG^VADPT Q:VAERR  ; eligibility data in VAEL() | 
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| 76 | D PV1ADD($S($G(VAIN(1))]"":"IN",1:"OUT")) | 
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| 77 | ; add pregnancy status and modalities if not already part of order | 
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| 78 | ; message | 
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| 79 | I $G(MAG7WRK(1,9,1,1,1))="ORM" D | 
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| 80 | . S IXOBR=$O(MAG7WRK("B","OBR","")) | 
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| 81 | . I IXOBR D PV1RAD ; pregnancy status & modality info from Radiology | 
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| 82 | . Q | 
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| 83 | Q | 
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| 84 | ; | 
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| 85 | PV1ADD(XPTSTA) ; SUBROUTINE - called by ADDVSDG | 
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| 86 | ; Get the index of the PV1 segment - create one for the order message | 
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| 87 | ; if we need to. | 
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| 88 | ; | 
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| 89 | ; input:  XPTSTA        patient status { IN | OUT } | 
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| 90 | ; | 
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| 91 | ; Expects:  VAEL()      eligibility array from ELIG^VADPT | 
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| 92 | ;           VAIN()      inpatient data array from INP^VADPT | 
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| 93 | ; | 
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| 94 | N FSTAT ; -- status flag returned by MAG7UDR | 
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| 95 | N IXSEG ; -- segment index in message | 
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| 96 | N IXPRED ; -- index to predecessor segment | 
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| 97 | N IXSUCC ; -- index to successor segment | 
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| 98 | ; | 
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| 99 | S IXPV1=$O(MAG7WRK("B","PV1","")) | 
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| 100 | I 'IXPV1 Q:MAG7WRK(1,9,1,1,1)'="ORM"  D | 
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| 101 | . S (IXSEG,IXPRED)=$O(MAG7WRK("B","PID","")) Q:'IXSEG | 
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| 102 | . F  S IXSEG=$O(MAG7WRK(IXSEG)) Q:"^PD1^NTE^"'[("^"_$G(MAG7WRK(IXSEG,0))_"^")  S IXPRED=IXSEG | 
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| 103 | . S IXSUCC=$O(MAG7WRK(IXPRED)),IXPV1=$S(IXSUCC:IXPRED+IXSUCC/2,1:IXPRED+1) | 
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| 104 | . S MAG7WRK(IXPV1,0)="PV1" | 
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| 105 | . Q | 
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| 106 | ; | 
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| 107 | ; pt status | 
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| 108 | I XPTSTA="OUT" D  ; if op, just status for now | 
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| 109 | . S MAG7WRK(IXPV1,2,1,1,1)="O" | 
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| 110 | . Q | 
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| 111 | E  I XPTSTA'="IN" D  ; not applicable | 
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| 112 | . S MAG7WRK(IXPV1,2,1,1,1)="N" | 
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| 113 | . Q | 
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| 114 | E  D  ; get visit information too | 
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| 115 | . S MAG7WRK(IXPV1,2,1,1,1)="I" ; -- class - always inpatient | 
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| 116 | . ; location | 
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| 117 | . ;    point of care <--- ward -- needs to be a triplet for Pete's DICOM msg | 
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| 118 | . S MAG7WRK(IXPV1,3,1,1,1)=$P(VAIN(4),U) | 
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| 119 | . S MAG7WRK(IXPV1,3,1,1,2)=$P(VAIN(4),U,2) | 
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| 120 | . S MAG7WRK(IXPV1,3,1,1,3)="VISTA42" | 
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| 121 | . S MAG7WRK(IXPV1,3,1,2,1)=$P(VAIN(5),"-") ; -------- room | 
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| 122 | . S MAG7WRK(IXPV1,3,1,3,1)=$P(VAIN(5),"-",2) ; ------ bed | 
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| 123 | . ; add segment for admitting dx to ADT and ORM messages | 
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| 124 | . I $G(VAIN(9))]"" D DG1DGADM^MAG7RSD | 
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| 125 | . Q | 
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| 126 | ; | 
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| 127 | ; add PV1 fields and ROL segments for the attending and referring DRs | 
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| 128 | S FSTAT=$$PRCTADD^MAG7UDR($NA(MAG7WRK(IXPV1,7)),"ATT") ; attending DR | 
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| 129 | I $G(MAG7WRK(IXPV1,7,1,1,1)),$G(MAG7WRK(1,9,1,1,1))="ADT" D | 
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| 130 | . D ROLADD^MAG7RSR($NA(MAG7WRK(IXPV1,7,1)),"AT") | 
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| 131 | . Q | 
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| 132 | S FSTAT=$$PRCTADD^MAG7UDR($NA(MAG7WRK(IXPV1,8)),"REF") ; referring DR | 
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| 133 | I $G(MAG7WRK(IXPV1,8,1,1,1)),$G(MAG7WRK(1,9,1,1,1))="ADT" D | 
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| 134 | . D ROLADD^MAG7RSR($NA(MAG7WRK(IXPV1,8,1)),"RP") | 
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| 135 | . Q | 
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| 136 | I $D(VAEL) D  ; add VIP flag if applicable and not yet present | 
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| 137 | . S VAEL(1,0)=VAEL(1) ; for easy array navigation | 
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| 138 | . S IXVAEL="" | 
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| 139 | . F  Q:$D(IXPV1(16))  S IXVAEL=$O(VAEL(1,IXVAEL)) Q:IXVAEL=""  D | 
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| 140 | . . S ELCODE=$P($G(VAEL(1,IXVAEL)),"^") | 
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| 141 | . . I "^6^15^"[("^"_ELCODE_"^") S IXPV1(16,1,1,1,1)=ELCODE | 
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| 142 | . . Q | 
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| 143 | . Q | 
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| 144 | Q | 
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| 145 | ; | 
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| 146 | PV1RAD ; SUBROUTINE - called by ADDVSDG | 
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| 147 | ; Add "pregnant" to Ambulatory Status if patient is pregnant. | 
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| 148 | ; Add modalities to Diagnostic Service Section ID. | 
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| 149 | ; | 
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| 150 | ; Expects:  MAG7WRK()     HL7 message array | 
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| 151 | ;           IXOBR         Index of OBR segment on MAG7WRK() | 
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| 152 | ;           IXPV1         Index of PV1 segment on MAG7WRK() | 
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| 153 | ; | 
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| 154 | N RADPT2 ; ------- FileMan date of rad order | 
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| 155 | N RADPT3 ; ------- index of order under date on Rad/NM pt file | 
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| 156 | N RADPT0 ; ------- data for order on Rad/NM pt file | 
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| 157 | N RAOIEN ; ------- index of order on Rad/NM order file | 
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| 158 | N RAO0 ; --------- data for order on Rad/NM order file | 
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| 159 | N PROCIEN ; ------ ien of procedure on Rad/NM procedure file | 
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| 160 | N PROCMOD ; ------ ien of modality on Rad/NM procedure file | 
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| 161 | N MODIEN ; ------- ien of modality on modality defined terms file | 
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| 162 | N MODTERM ; ------ term for the modality | 
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| 163 | N PREGSTAT ; ----- pregnancy status on order | 
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| 164 | N REPIX ; -------- repetition index | 
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| 165 | N EDTA ; --------- element data | 
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| 166 | N AAMBMSG ; ------ ambulatory status array (from message data) | 
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| 167 | N AMODMSG ; ------ modality array (from message data) | 
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| 168 | ; | 
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| 169 | ; get data from Rad/NM pt and order files | 
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| 170 | S RADPT2=$P(MAG7WRK(IXOBR,3,1,1,1),"-") | 
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| 171 | S RADPT3=$P(MAG7WRK(IXOBR,3,1,1,1),"-",2) | 
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| 172 | S RADPT0=$G(^RADPT(DFN,"DT",RADPT2,"P",RADPT3,0)) | 
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| 173 | S RAOIEN=$P(RADPT0,"^",11) ; IEN for ^RAO(75.1) | 
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| 174 | S RAO0="" I RAOIEN S RAO0=$G(^RAO(75.1,RAOIEN,0)) | 
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| 175 | ; | 
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| 176 | ; add "pregnant" to ambulatory status if needed | 
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| 177 | ;   get data from message | 
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| 178 | S REPIX="" | 
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| 179 | F  S REPIX=$O(MAG7WRK(IXPV1,15,REPIX)) Q:'REPIX  D | 
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| 180 | . S EDTA=$G(MAG7WRK(IXPV1,15,REPIX,1,1)) I EDTA]"" S AAMBMSG(EDTA)="" | 
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| 181 | . Q | 
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| 182 | ;   get data from Radiology and add to message if needed and not present | 
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| 183 | S PREGSTAT=$P(RAO0,"^",13) I PREGSTAT="" S PREGSTAT="u" | 
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| 184 | I '$D(AAMBMSG("B6")),PREGSTAT="y" D | 
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| 185 | . S MAG7WRK(IXPV1,15,$O(MAG7WRK(IXPV1,15," "),-1)+1,1,1)="B6" | 
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| 186 | . Q | 
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| 187 | ; | 
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| 188 | ; add modalities to Diagnostic Service Section ID | 
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| 189 | ;   get data from message | 
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| 190 | F  S REPIX=$O(MAG7WRK(IXOBR,24,REPIX)) Q:'REPIX  D | 
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| 191 | . S EDTA=$G(MAG7WRK(IXOBR,24,REPIX,1,1)) I EDTA]"" S AMODMSG(EDTA)="" | 
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| 192 | . Q | 
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| 193 | ;   get data from Radiology and add to message if needed and not present | 
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| 194 | S PROCIEN=$P(RADPT0,U,2) | 
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| 195 | I PROCIEN D | 
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| 196 | . S PROCMOD=0 | 
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| 197 | . F  S PROCMOD=$O(^RAMIS(71,PROCIEN,"MDL",PROCMOD)) Q:'PROCMOD  D | 
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| 198 | . . S MODIEN=$P($G(^RAMIS(71,PROCIEN,"MDL",PROCMOD,0)),U) | 
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| 199 | . . I MODIEN,$D(^RAMIS(73.1,MODIEN,0)) D | 
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| 200 | . . . S MODTERM=$P($G(^RAMIS(73.1,MODIEN,0)),U) | 
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| 201 | . . . I MODTERM]"",'$D(AMODMSG(MODTERM)) D | 
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| 202 | . . . . S MAG7WRK(IXOBR,24,$O(MAG7WRK(IXOBR,24," "),-1)+1,1,1)=MODTERM | 
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| 203 | . . . . Q | 
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| 204 | . . . Q | 
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| 205 | . . Q | 
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| 206 | . Q | 
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| 207 | Q | 
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