| 1 | PSULRHL1 ;HCIOFO/BH/RDC - Process real time HL7 Lab messages ; 8/1/07 11:26am
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| 2 |  ;;4.0;PHARMACY BENEFITS MANAGEMENT;**3,11**;MARCH, 2005;Build 8
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| 3 |  ;
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| 4 |  ; DBIA 3565 to subscribe to the LR7O ALL EVSEND RESULTS protocol
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| 5 |  ; DBIA 998 to dig through ^DPT(i,"LR" go get the ien to file #63
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| 6 |  ; DBIA 91-A to dig through ^LAB(60 to get the name of the test
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| 7 |  ; DBIA 3630 to call the HL7 PID builder
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| 8 |  ; DBIA 4727 to call EN^HLOCNRT
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| 9 |  ; DBIA 3646 to call API: $$EMPL^DGSEC4
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| 10 |  ; DBIA 4658 to call API: $$TSTRES^LRRPU
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| 11 |  ;
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| 12 |  ; This program is called when a lab test is verified. If it is for a
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| 13 |  ; chemistry test, and not for an employee, an HL7 message will be
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| 14 |  ; created and sent to the CMOP-NAT server.
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| 15 |  ;
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| 16 |  ;
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| 17 | HL7 ; Entry point for PBM processing - triggered by lab protocol 
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| 18 |  ; LR7O ALL EVSEND RESULTS.
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| 19 |  ;
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| 20 |  N ARR,FIRST,LRDFN,PSUEXT,PSUHLFS,PSUHLECH,PSUHLCS
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| 21 |  ;
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| 22 |  ;  OREMSG is the pointer reference to the global that contains the
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| 23 |  ;  lab data and is passed in by the LR7O ALL EVSEND RESULTS protocol.
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| 24 |  ;  
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| 25 |  I '$D(@OREMSG) Q
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| 26 |  ;
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| 27 |  ; Get Lab parameters
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| 28 |  ;
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| 29 |  D INIT^HLFNC2("PSU-SITE-DRIVER",.PSUHL)
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| 30 |  ;
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| 31 |  ; Set up CS delimeter for the Pharmacy message
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| 32 |  ;
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| 33 |  S PSUHL("CS")=$E(PSUHL("ECH"),1)
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| 34 |  ;
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| 35 |  ; Set up segment processing parameters 
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| 36 |  ;
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| 37 |  S PSUEXT("PSUBUF")=$NA(^TMP("HLS",$J))
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| 38 |  S PSUEXT("PSUPTR")=0
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| 39 |  ;
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| 40 |  ; Get the delimiters that the passed in lab data is using
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| 41 |  ;
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| 42 |  D PARAMS
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| 43 |  S PSUHLECH=$G(ARR("PSUHLECH"),"^~\&")
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| 44 |  S PSUHLCS=$E(PSUHLECH,1)
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| 45 |  ;
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| 46 |  ; Quit if no DFN
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| 47 |  ;
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| 48 |  I '$D(ARR) Q
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| 49 |  I ARR("DFN")=0!(ARR("DFN")="") Q
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| 50 |  ;
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| 51 |  ; Quit if patient is an employee
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| 52 |  ;
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| 53 |  I $$EMPL^DGSEC4(ARR("DFN"),"PS") Q
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| 54 |  ;
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| 55 |  ; Get Lab's equivalent of a DFN (LRDFN)
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| 56 |  ;
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| 57 |  S LRDFN=$P(^DPT(ARR("DFN"),"LR"),"^")  ; DBIA 998 to get file #63 ien
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| 58 |  ;
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| 59 |  ; Loop through the lab data 
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| 60 |  ;
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| 61 |  S FIRST=1
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| 62 |  D LOOP
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| 63 |  ;
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| 64 |  ; Generate an HL7 if data exists to be sent
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| 65 |  ;
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| 66 |  I 'FIRST D GENERATE
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| 67 |  ;
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| 68 |  K PSUHL,ERR,OPTNS,ERR
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| 69 |  ;
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| 70 |  Q
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| 71 |  ;
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| 72 | LOOP ;
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| 73 |  N CNT,LRIDT,LRSS,PREV1,PREV2,QUIT1,QUIT2,REC,REC1,REC2,SEG,SEG1,SEG2,STR1
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| 74 |  K ^TMP("HLS",$J)
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| 75 |  S CNT=0
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| 76 |  F  Q:CNT=""  S CNT=$O(@OREMSG@(CNT)) Q:'CNT  D
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| 77 |  . S REC=@OREMSG@(CNT)
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| 78 |  . S REC=$$STRING(REC,CNT)
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| 79 |  . S SEG=$P(REC,PSUHLFS,1)
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| 80 |  . I SEG'="ORC" Q
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| 81 |  . S STR1=$P(REC,PSUHLFS,4)
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| 82 |  . S STR1=$P(STR1,PSUHLCS,1)
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| 83 |  . S LRSS=$P(STR1,";",4)
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| 84 |  . ;
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| 85 |  . ; Quit if data is not for Chemistry
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| 86 |  . ;
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| 87 |  . I LRSS'="CH" Q
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| 88 |  . S LRIDT=$P(STR1,";",5)
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| 89 |  . S QUIT1=0
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| 90 |  . F  Q:QUIT1!(CNT="")  S PREV1=CNT,CNT=$O(@OREMSG@(CNT)) Q:'CNT  D
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| 91 |  . . S REC1=@OREMSG@(CNT)
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| 92 |  . . S REC1=$$STRING(REC1,CNT)
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| 93 |  . . S SEG1=$P(REC1,PSUHLFS,1)
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| 94 |  . . I SEG1="ORC" S CNT=PREV1,QUIT1=1 Q
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| 95 |  . . I SEG1'="OBR" Q
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| 96 |  . . ; If this is the first OBR being processed i.e. this is valid 
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| 97 |  . . ; chemistry data set the PID segment
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| 98 |  . . I FIRST D PID S FIRST=0
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| 99 |  . . D OBR(REC1)
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| 100 |  . . S QUIT2=0
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| 101 |  . . F  Q:QUIT2  S PREV2=CNT,CNT=$O(@OREMSG@(CNT)) Q:'CNT  D
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| 102 |  . . . S REC2=@OREMSG@(CNT)
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| 103 |  . . . S REC2=$$STRING(REC2,CNT)
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| 104 |  . . . S SEG2=$P(REC2,PSUHLFS,1)
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| 105 |  . . . I SEG2="OBR"!(SEG2="ORC") S CNT=PREV2,QUIT2=1 Q
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| 106 |  . . . I SEG2'="OBX" Q
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| 107 |  . . . D OBX(REC2)
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| 108 |  Q
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| 109 |  ;
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| 110 | PID ;  Create the PID segment using the standard builder
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| 111 |  ;
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| 112 |  N K1,NEWSEG,SEG
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| 113 |  S SEG="SEG"
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| 114 |  D BLDPID^VAFCQRY(ARR("DFN"),1,"1,2,3",.SEG,.PSUHL,.ERR)
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| 115 |  ;
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| 116 |  ; Loop through the returned array just in case the data is spread over
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| 117 |  ; more than one node
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| 118 |  ;
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| 119 |  S K1="",NEWSEG=""
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| 120 |  F  S K1=$O(SEG(K1)) Q:'K1  D
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| 121 |  . S NEWSEG=NEWSEG_SEG(K1)
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| 122 |  ;
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| 123 |  ; Set the data string into the PBM HL7 array
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| 124 |  ;
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| 125 |  D SETSEG(NEWSEG)
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| 126 |  ;
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| 127 |  Q
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| 128 |  ;
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| 129 | OBR(REC) ;  Re-forms lab OBR to only send required data
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| 130 |  ;
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| 131 |  N OBRSEG,SITE,SPECDATE
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| 132 |  S OBRSEG="OBR"
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| 133 |  S SPECDATE=$P(REC,PSUHLFS,8)
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| 134 |  S SITE=$P(REC,PSUHLFS,16)
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| 135 |  S SITE=$TR(SITE,PSUHLCS,PSUHL("CS"))
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| 136 |  ;
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| 137 |  ; Create new OBR Segment and pass to SETSEG
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| 138 |  ;
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| 139 |  S $P(OBRSEG,PSUHL("FS"),8)=SPECDATE
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| 140 |  S $P(OBRSEG,PSUHL("FS"),16)=SITE
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| 141 |  ;
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| 142 |  ; Set the data string into the PBM HL7 array
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| 143 |  ;
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| 144 |  D SETSEG(OBRSEG)
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| 145 |  ;
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| 146 |  Q
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| 147 |  ;
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| 148 | OBX(REC) ;  Reforms lab OBX to only send the data needed
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| 149 |  N CODES,HRANGE,LABS,LNAME,LR60,LRANGE,LRDN,LOINC,LOINCS,P2,P3,P12,RANGE,RES,RESULTS,SEG,UNITS
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| 150 |  ;
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| 151 |  S P2=$P(REC,PSUHLFS,2)
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| 152 |  S P3=$P(REC,PSUHLFS,3)
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| 153 |  S P12=$P(REC,PSUHLFS,12)
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| 154 |  S RESULTS=$P(REC,PSUHLFS,6)
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| 155 |  S UNITS=$P(REC,PSUHLFS,7)
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| 156 |  S LABS=$P(REC,PSUHLFS,4)
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| 157 |  S LR60=$P(LABS,"^",4)
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| 158 |  I LR60']"" Q
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| 159 |  S LRDN=$G(^LAB(60,LR60,0))
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| 160 |  S LRDN=$P($P(LRDN,"^",5),";",2)   ;  DBIA 91 for data name
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| 161 |  ;
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| 162 |  ; Make the call to LRRPU to get the LOINC code for this test
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| 163 |  ;
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| 164 |  I LRDN']"" Q
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| 165 |  S RES=$$TSTRES^LRRPU(LRDFN,LRSS,LRIDT,LRDN,LR60,1)
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| 166 |  ;
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| 167 |  S CODES=$P(RES,U,8),LOINCS=$P(CODES,"!",3)
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| 168 |  S LOINC=$P(LOINCS,";",1),LNAME=$P(LOINCS,";",2)
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| 169 |  S LRANGE=$P(RES,U,3),HRANGE=$P(RES,U,4)
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| 170 |  S RANGE=LRANGE_"-"_HRANGE I RANGE="-" S RANGE=""
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| 171 |  ;
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| 172 |  ; Use the Pharmacy HL7 delimeters
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| 173 |  ;
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| 174 |  S LABS=$TR(LABS,PSUHLCS,PSUHL("CS"))
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| 175 |  ;
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| 176 |  ; Add LOINC to the list of Labs if it exists
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| 177 |  ;
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| 178 |  I LOINC'="" D
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| 179 |  . ;
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| 180 |  . ; Append the LOINC data using the pharmacy delimiters
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| 181 |  . S LABS=LABS_PSUHL("CS")_LOINC_PSUHL("CS")_LNAME_PSUHL("CS")_"99LN"
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| 182 |  ;
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| 183 |  ; Put the data in the string
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| 184 |  ;
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| 185 |  S SEG="OBX"
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| 186 |  S $P(SEG,PSUHL("FS"),2)=P2
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| 187 |  S $P(SEG,PSUHL("FS"),3)=P3
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| 188 |  S $P(SEG,PSUHL("FS"),4)=LABS
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| 189 |  S $P(SEG,PSUHL("FS"),6)=RESULTS
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| 190 |  S $P(SEG,PSUHL("FS"),7)=UNITS
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| 191 |  S $P(SEG,PSUHL("FS"),8)=RANGE
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| 192 |  S $P(SEG,PSUHL("FS"),12)=P12
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| 193 |  ;
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| 194 |  ; Put the string into the PBM HL7 global
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| 195 |  ;
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| 196 |  D SETSEG(SEG)
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| 197 |  ;
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| 198 |  Q
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| 199 |  ;
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| 200 | STRING(HLSTR,CNT) ;  Loops through sub nodes to create a full data string
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| 201 |  N J
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| 202 |  S J=""
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| 203 |  F  S J=$O(@OREMSG@(CNT,J))  Q:J=""  S HLSTR=HLSTR_@OREMSG@(CNT,J)
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| 204 |  Q HLSTR
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| 205 |  ;
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| 206 | PARAMS ; Get the delimiters used in the lab data
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| 207 |  ;
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| 208 |  N CNT,ID,QUIT,REC,RES
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| 209 |  K ARR
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| 210 |  S (QUIT,CNT)=0,RES=""
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| 211 |  F  S CNT=$O(@OREMSG@(CNT)) Q:'CNT!(QUIT=2)  D
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| 212 |  . S REC=@OREMSG@(CNT)
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| 213 |  . I $E(REC,1,3)="MSH" D  Q
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| 214 |  . . S PSUHLFS=$E(REC,4,4)
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| 215 |  . . S ARR("PSUHLECH")=$P(REC,PSUHLFS,2),QUIT=QUIT+1
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| 216 |  . I $P(REC,PSUHLFS,1)="PID" D  Q
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| 217 |  . . S ARR("DFN")=$P(REC,PSUHLFS,4)
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| 218 |  . . S QUIT=QUIT+1
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| 219 |  Q
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| 220 |  ;
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| 221 | GENERATE ; Generate HL7 message
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| 222 |  ;
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| 223 |  ; D GENERATE^HLMA("PSU-SITE-DRIVER","GM",1,.RESULT,"",.OPTNS)
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| 224 |  S OPTNS("QUEUE")="PBM LAB"
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| 225 |  S RESULT=$$EN^HLOCNRT("PSU-SITE-DRIVER","GM",.OPTNS)
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| 226 |  I +RESULT'=RESULT D
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| 227 |  . S ^XTMP("PBM/HLO",DT,$J)=RESULT
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| 228 |  K ^TMP("HLS",$J)
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| 229 |  Q
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| 230 |  ;
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| 231 |  ;
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| 232 | SETSEG(SEG) ;
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| 233 |  ;
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| 234 |  ;***** STORES THE SEGMENT INTO THE ^TMP("HLS",$J) BUFFER
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| 235 |  ;
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| 236 |  ; SEG           HL7 segment
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| 237 |  ;
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| 238 |  ; The SETSEG procedure stores the HL7 segment into the
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| 239 |  ; standard HL7 buffer ^TMP("HLS",$J). The <TAB>, <CR> and <LF>
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| 240 |  ; characters are replaced with spaces. Long segments are split among 
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| 241 |  ; sub-nodes of the main segment node.
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| 242 |  ;
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| 243 |  ; The PSUEXT array must be initialized before
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| 244 |  ; calling this function.
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| 245 |  ;
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| 246 |  N I1,I2,MAXLEN,NODE,PTR,PTR1,SID,SL
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| 247 |  S NODE=PSUEXT("PSUBUF"),PTR=$G(PSUEXT("PSUPTR"))+1
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| 248 |  S SL=$L(SEG),MAXLEN=245  K @NODE@(PTR)
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| 249 |  ;--- Store the segment
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| 250 |  S @NODE@(PTR)=$TR($E(SEG,1,MAXLEN),$C(9,10,13),"   ")
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| 251 |  ;
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| 252 |  ;--- Split the segment into sub-nodes if necessary
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| 253 |  D:SL>MAXLEN
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| 254 |  . S I2=MAXLEN
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| 255 |  . F PTR1=1:1  S I1=I2+1,I2=I1+MAXLEN-1  Q:I1>SL  D
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| 256 |  . . S @NODE@(PTR,PTR1)=$TR($E(SEG,I1,I2),$C(9,10,13),"   ")
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| 257 |  ;--- Save the pointer
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| 258 |  S PSUEXT("PSUPTR")=PTR
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| 259 |  Q
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