| 1 | ORDV05E ; slc/jdl - Microbiology Extract Routine ;6/13/01  11:49
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| 2 |  ;;3.0;ORDER ENTRY/RESULTS REPORTING;**109,208**;Dec 17, 1997
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| 3 |  ;;Called from ORDV05, return ^TMP("ORM",$J in GCPR format
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| 4 |  ;;For Bacteriology,Sterility,Gram stain
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| 5 | GET ;Extract data from LR global
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| 6 |  N I,IX,IXO,PNM,AGE,SEX,LRDFN,ALL,FORMAT,DONE,OUTCNT
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| 7 |  S LRDFN="",ALL=1,FORMAT=0,DONE=0,OUTCNT=1 ;Parameters required by MI^LR7OGMM
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| 8 |  D DEMO^LR7OGU(DFN,.LRDFN,.PNM,.AGE,.SEX) ;Demograph required by LR7OGMM
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| 9 |  I '$G(LRDFN) Q
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| 10 |  S ^TMP("OR7OG",$J,"G")=DFN_U_PNM_U_LRDFN_U_AGE_U_SEX_"^8"
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| 11 |  S IX=GMTS1
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| 12 |  F IXO=1:1:GMTSNDM S IX=$O(^LR(LRDFN,"MI",IX)) Q:'IX!(IX>GMTS2)  D XTRCT
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| 13 |  Q
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| 14 | XTRCT N ACC,CDT,SS,CS,X,X0,DIC,DIQ,DA,DR,MICRO,LOC,RDT,MICCOM,RPT
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| 15 |  S RPT=IX,X0=^LR(LRDFN,"MI",IX,0),X=$P(X0,U),RDT=$P(X0,U,3),ACC=$P(X0,U,6),LOC=$P(X0,U,8)
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| 16 |  Q:'X  Q:'$P(X0,"^",5)
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| 17 |  S CDT=$$REGDTM4^ORDVU(X)
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| 18 |  D LABTEST(X,ACC)
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| 19 |  ; External format of site/specimen, collection sample, and comment
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| 20 |  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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| 21 |  D EN^DIQ1
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| 22 |  S SS=MICRO(63.05,IX,.05,"E"),CS=MICRO(63.05,IX,.055,"E"),MICCOM=MICRO(63.05,IX,.99,"E")
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| 23 |  S ^TMP("ORM",$J,RPT,SS)=CDT_U_ACC_U_CS_U_SS_U_LRTSTS
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| 24 |  S ^TMP("ORM",$J,RPT,SS,"IMP")=MICCOM
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| 25 |  D ABXLEV,BACT,GRAM,STER,PARA^ORDV05X,MYCO^ORDV05X,TB^ORDV05X,VIRO^ORDV05X
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| 26 |  D MI^ORDV05T(LRDFN,IX,ALL,.OUTCNT,FORMAT,.DONE)
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| 27 |  I $D(^TMP("OR7OGX",$J,"OUTPUT"))>0 M ^TMP("ORM",$J,RPT,SS,"REPORT")=^TMP("OR7OGX",$J,"OUTPUT")
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| 28 |  K ^TMP("OR7OGX",$J,"OUTPUT")
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| 29 |  K LRTSTS
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| 30 |  Q
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| 31 | BACT ; Get Bacteriology Work-up
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| 32 |  N DA,DIC,DIQ,DR,STATUS,ISO,ORG,RMK,COM,SMEAR,ORGIEN
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| 33 |  I $D(^LR(LRDFN,"MI",IX,1)) D
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| 34 |  . S DIC=63,DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)="11.5",DIQ="STATUS"
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| 35 |  . S DIQ(0)="E" D EN^DIQ1
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| 36 |  . S ^TMP("ORM",$J,RPT,SS)=^TMP("ORM",$J,RPT,SS)_U_STATUS(63.05,IX,11.5,"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 |  . S ORGIEN=+^LR(LRDFN,"MI",IX,3,ISO,0)
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| 39 |  . D ORGNSM
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| 40 |  . S ^TMP("ORM",$J,RPT,SS,"RPT",ORGIEN)="B"_U_$S($D(EXPAND):ISO_";"_ORG,1:ORG)
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| 41 |  . I $O(^LR(LRDFN,"MI",IX,3,ISO,1)) D ANTIBX
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| 42 |  ; Bacteriology smear/prep
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| 43 |  S SMEAR=0
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| 44 |  F  S SMEAR=$O(^LR(LRDFN,"MI",IX,25,SMEAR)) Q:SMEAR'>0  S ^TMP("ORM",$J,RPT,SS,"IMP","BACT","SMEAR",SMEAR)=^(SMEAR,0)
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| 45 |  ; remark
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| 46 |  S RMK=0
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| 47 |  F  S RMK=$O(^LR(LRDFN,"MI",IX,4,RMK)) Q:RMK=""  S ^TMP("ORM",$J,RPT,SS,"IMP","BACT","RMK",RMK)=^(RMK,0)
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| 48 |  Q
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| 49 | ORGNSM N QTY
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| 50 |  S QTY=$P(^(0),U,2)
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| 51 |  S ORG=$$GET1^DIQ(61.2,ORGIEN,.01,"I")
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| 52 |  S ORG=ORG_U_QTY
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| 53 |  Q
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| 54 | ANTIBX ; Get Antibitiotic susceptibility results on demand
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| 55 |  N ABX S ABX=1
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| 56 |  F  S ABX=$O(^LR(LRDFN,"MI",IX,3,ISO,ABX)) Q:ABX=""!(ABX'<3)  D ABXSET
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| 57 |  Q
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| 58 | ABXSET ; Set Antibiotic Susceptability data, when appropriate
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| 59 |  ; Separate out by Susceptable, Intermediate, and Resistant
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| 60 |  N FOUND,GMTSR,GMABX,ABXI,ABXNM,ABXN
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| 61 |  S ABXI=$$ABXI(ABX),ABXNM=$$ABXNM(ABXI),ABXN=ABX_";"_ABXNM
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| 62 |  I $P(ABXN,";",2)']"" S $P(ABXN,";",2)="UNKNOWN"
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| 63 |  I ("A"[$P(^LR(LRDFN,"MI",IX,3,ISO,ABX),U,3)) D
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| 64 |  . S GMABX=$G(^LR(LRDFN,"MI",IX,3,ISO,ABX))
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| 65 |  . ;Check for interpreted result being S, I, or R first
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| 66 |  . S FOUND=0
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| 67 |  . S GMTSR=$P(GMABX,U,2) D SAVE Q:FOUND
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| 68 |  . ;If not found then check reported result for S, I, or R
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| 69 |  . S GMTSR=$P(GMABX,U) D SAVE Q:FOUND
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| 70 |  Q
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| 71 | ABXI(X) ; Antibiotic Susceptability IEN
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| 72 |  S X=$G(X) Q:'$L(X) 0 N D,DIC,DTOUT,DUOUT,Y S DIC="^LAB(62.06,",D="AD",DIC(0)="" D MIX^DIC1 S X=+($G(Y)) S:X'>0 X=0 Q X
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| 73 | ABXNM(X) ; Antibiotic Susceptability Name
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| 74 |  S X=$G(X) Q:+X'>0 "" S X=$$GET1^DIQ(62.06,+X,.01) Q X
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| 75 | ABXLEV ; Get Serum antibiotic level
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| 76 |  Q:'$D(^LR(LRDFN,"MI",IX,14))  N GMI S GMI=0
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| 77 |  F  S GMI=$O(^LR(LRDFN,"MI",IX,14,GMI)) Q:GMI'>0  S ^TMP("ORM",$J,"CABXL",GMI)=$G(^(GMI,0))
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| 78 |  Q
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| 79 | STER ; Get sterility results if they exist
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| 80 |  N RESULT,STER
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| 81 |  S STER=0
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| 82 |  F  S STER=$O(^LR(LRDFN,"MI",IX,31,STER)) Q:STER'>0  D
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| 83 |  . S DIQ(0)="E",DIC=63,DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)=11.52
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| 84 |  . S DR(63.292)=.01,DIQ="RESULT"
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| 85 |  . S DA(63.292)=STER
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| 86 |  . D EN^DIQ1
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| 87 |  . S ^TMP("ORM",$J,RPT,SS,"IMP","BSTER",STER)=RESULT(63.292,STER,.01,"E")
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| 88 |  Q
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| 89 | GRAM ; Get Gram Stain Results
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| 90 |  N ISO
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| 91 |  Q:'$D(^LR(LRDFN,"MI",IX,2))
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| 92 |  S ISO=0
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| 93 |  F  S ISO=$O(^LR(LRDFN,"MI",IX,2,ISO)) Q:ISO=""  S ^TMP("ORM",$J,RPT,SS,"IMP","GRAM",ISO)=^(ISO,0)
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| 94 |  Q
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| 95 | LABTEST(SDT,LRACC) ;Get lab test names and results
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| 96 |  N X,Y,LRAA,LRAN,LRAD,LRBRR,LRTS
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| 97 |  K LRTSTS
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| 98 |  S LRTSTS="UNKNOWN"
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| 99 |  S LRAD=+$E(SDT)_$P(LRACC," ",2)_"0000",X=$P(LRACC," "),DIC=68,DIC(0)="M"
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| 100 |  Q:'$L(X)  D ^DIC S LRAA=+Y,LRAN=+$P(LRACC," ",3)
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| 101 |  S LRBRR=0
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| 102 |  F  S LRBRR=+$O(^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR)) Q:LRBRR'>0  D
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| 103 |  . S LRTS=+^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR,0),LRTS(1)=$P(^(0),U,5)
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| 104 |  . Q:"BO"'[$P($G(^LAB(60,LRTS,0)),U,3)
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| 105 |  . S LRTSTS=$S($D(^LAB(60,LRTS,0)):$P(^(0),U),1:"deleted test")
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| 106 |  Q
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| 107 | SAVE ;If result = S, I, or R then save
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| 108 |  I $S(GMTSR="I":1,GMTSR="R":1,GMTSR="S":1,1:0) S ^TMP("ORM",$J,RPT,SS,"RPT",ORGIEN,ABX)=ABXNM_U_GMABX S FOUND=1
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| 109 |  Q
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