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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