1 | RAHLRPT ;HISC/CAH AISC/SAW-Compiles HL7 'ORU' Message Type ; 4/26/01 10:40am
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2 | ;;5.0;Radiology/Nuclear Medicine;**2,12,10,25,81,80,84**;Mar 16, 1998;Build 13
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3 | EN ; Called from RA RPT and RA RPT 2.3 protocol entry action
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4 | ; Input variables:
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5 | ; RADFN=file 2 IEN (DFN)
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6 | ; RADTI=file 70 Exam subrecord IEN (reverse date/time)
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7 | ; RACNI=file 70 Case subrecord IEN
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8 | ; RARPT=file 74 Report IEN
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9 | ; RASSS=List of Subscribers passed into GENERATE^HLMA will be set into HLP array.
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10 | ; Output variables:
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11 | ; HLA("HLS", array containing HL7 msg
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12 | ; RATELREL = 1 Indicates that the text: 'Released for local dictation by National Teleradiology'
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13 | ; has been included in Impression or Report section
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14 | ; RATELX = Text used as indication of Release for local dictation... if not set use defauld above...
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15 | ; RATELE = 1 If RANOSEND is Teleradiology type vendor
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16 | ;
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17 | ;Integration Agreements
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18 | ;----------------------
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19 | ;$$GET1^DIQ(2056); ^DIWP(10011); $$HLDATE/$$HLNAME^HLFNC(10106)
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20 | ;GENERATE^HLMA(2164); DEM^VADPT(10061); $$FMTHL7^XLFDT(10103)
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21 | ;$$PATCH^XPDUTL(10141); $$VERSION^XPDUTL(10141)
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22 | ;
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23 | N RASET,RACN0,RATELE,RATELREL,RATELX
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24 | D INIT^RAHLRPTT ;Patch 84
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25 | I +$P(RACN0,U,25)=2 D Q ; printset
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26 | .; loop through all cases in set and create message
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27 | .S RASET=1
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28 | .N RACNI,RAII S RAII=0
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29 | .F S RAII=$O(^RADPT(RADFN,"DT",RADTI,"P",RAII)) Q:RAII'>0 D
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30 | .. Q:$P(^RADPT(RADFN,"DT",RADTI,"P",RAII,0),U,25)'=2
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31 | .. S RACNI=RAII
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32 | .. D NEW
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33 | NEW ; new variables
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34 | S:$D(ZTQUEUED) ZTREQ="@" ; delete task from task global
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35 | N DFN,DIWF,DIWL,DIWR,RACPT,RACPTNDE,RADTECN,RADTE0,RADTV,RAI,RAN,RAOBR4,RAPRCNDE,RAPROC,RAPROCIT,RAPRV,RARPT0
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36 | N VADM,VAERR,X,X1,X2,XX2,Y,X0,OBR36,EID,HL,INT,HLQ,HLFS,HLECH,HLA,RAN K RAVADM
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37 | D INIT^RAHLRU ;initialize HL7 variables
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38 | Q:+$G(HL)=15 ;no known client(item) linked to the event driver protocol
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39 | Q:$O(HL(""))="" ;failed return from INIT^HLFNC2 (called by INIT^RAHLRU)
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40 | ;
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41 | ;** branch to new HL7 logic when the HL7 version surpasses 2.3 **
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42 | I HL("VER")>2.3,($T(^RAHLRPT1))'="" D EN^RAHLRPT1(RADFN,RADTI,RACNI,RAEID),EXIT Q
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43 | ;** branch to new HL7 logic when the HL7 version surpasses 2.3 **
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44 | ;
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45 | S DFN=RADFN D DEM^VADPT
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46 | I VADM(1)']"" S HLP("ERRTEXT")="Invalid Patient Identifier" G EXIT
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47 | S RAN=0
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48 | S RAVADM(3)=$S($E(+VADM(3),6,7)="00":"",1:+VADM(3)) ; NOTE: Check
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49 | ; for an inexact date of birth. If inexact, pass null for DOB in
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50 | ; the 'PID' segment. Some COTS systems can't handle inexact DOB's.
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51 | D SETUP^RAHLRPTT,PID^RAHLRPTT,OBR,OBXPRC,OBXIMP,OBXDIA,OBXRPT,OBXMOD,OBXTCM
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52 | EXIT ; set HL7 message type & return to RA RPT protocol
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53 | ;For P84 see if this is a >>Released for local reading<< type report and if yes resend the ORM (^RAHLRS1)...
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54 | I $G(RATELREL) D RESEND^RAHLRPTT(RADFN,RADTI,RACNI) Q ;P84 resend in the case that report released from Telerad
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55 | S HL("MTN")="ORU"
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56 | N HLEID,HLARYTYP,HLFORMAT,HLMTIEN,HLP
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57 | S HLEID=RAEID,HLARYTYP="LM",HLFORMAT=1,HLMTIEN="",HLP("PRIORITY")="I"
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58 | M:$D(RASSS) HLP=RASSS
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59 | D:$D(RASSSX(HLEID)) GETHLP^RAHLRS1(HLEID,.HLP,"RASSSX")
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60 | D GENERATE^HLMA(HLEID,HLARYTYP,HLFORMAT,.HLRESLT,HLMTIEN,.HLP)
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61 | K RAVADM
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62 | Q
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63 | ;
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64 | OBR ;Compile 'OBR' Segment
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65 | S RAOBR4=$P(RACPTNDE,U)_$E(HLECH)_$P(RACPTNDE,U,2)_$E(HLECH)_"C4"_$E(HLECH)_+RAPROC_$E(HLECH)_$P(RAPRCNDE,U)_$E(HLECH)_"99RAP"
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66 | ; Replace above with following when Imaging can cope with ESC chars
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67 | ; S RAOBR4=$P(RACPTNDE,U)_$E(HLECH)_$$ESCAPE^RAHLRU($P(RACPTNDE,U,2))_$E(HLECH)_"C4"_$E(HLECH)_+RAPROC_$E(HLECH)_$$ESCAPE^RAHLRU($P(RAPRCNDE,U))_$E(HLECH)_"99RAP"
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68 | ; Have to use LOCAL code if Broad Procedure - no CPT code
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69 | I $P(RAOBR4,$E(HLECH))=""!($P(RAOBR4,$E(HLECH),2)="") S $P(RAOBR4,$E(HLECH),1,3)=$P(RAOBR4,$E(HLECH),4,5)_$E(HLECH)_"LOCAL"
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70 | S X1="OBR"_HLFS_HLFS_HLFS_RADTI_"-"_RACNI_$E(HLECH)_RADTECN_$E(HLECH)_"L"_HLFS_RAOBR4_HLFS_HLFS_HLFS_RADTE0_HLFS_HLQ_HLFS_HLQ_HLFS_HLFS_HLFS_HLFS_HLFS,Y=$$HLDATE^HLFNC($P(RARPT0,"^",6)) S X1=X1_Y_HLFS_HLFS
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71 | S RAPRV=$$GET1^DIQ(200,+$P(RACN0,"^",14),.01)
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72 | S Y=$$HLNAME^HLFNC(RAPRV) S X1=X1_$S(Y]"":+$P(RACN0,"^",14)_$E(HLECH)_Y,1:"")
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73 | S $P(X1,HLFS,19)=$S($D(^DIC(42,+$P(RACN0,"^",6),0)):$P(^(0),"^"),$D(^SC(+$P(RACN0,"^",8),0)):$P(^(0),"^"),1:"Unknown")
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74 | ; PCE 21 -> ien file #79.1~name of img loc~stn #~stn name
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75 | N RACN00,RA20 S RACN00=$G(^RADPT(RADFN,"DT",RADTI,0))
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76 | S RA20=+$G(^RA(79.1,+$P(RACN00,U,4),0))
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77 | S $P(X1,HLFS,21)=$P(RACN00,"^",4)_$E(HLECH)_$P($G(^SC(RA20,0)),"^")_$E(HLECH)_$P(RACN00,"^",3)_$E(HLECH)_$P($G(^DIC(4,$P(RACN00,U,3),0)),"^")
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78 | S $P(X1,HLFS,21)=$P(X1,HLFS,21)
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79 | ; Replace above with following when Imaging can cope with ESC chars
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80 | ; S $P(X1,HLFS,21)=$$ESCAPE^RAHLRU($P(X1,HLFS,21))
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81 | ;
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82 | S OBR36=9999999.9999-RADTI
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83 | S $P(X1,HLFS,37)=$$FMTHL7^XLFDT(OBR36)
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84 | ;
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85 | S RADTV=HLDT1 I $P(RARPT0,"^",5)="V",$P(RARPT0,"^",7) K RADTV S RADTV=$$HLDATE^HLFNC($P(RARPT0,"^",7))
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86 | S $P(X1,HLFS,23)=RADTV,$P(X1,HLFS,26)=$S($P(RARPT0,"^",5)="V":"F",1:"R")
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87 | ;Principal Result Interpreter = Verifying Physician
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88 | S $P(X1,HLFS,33)="" I $P(RARPT0,"^",9) D
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89 | .S X2=$$GET1^DIQ(200,$P(RARPT0,"^",9),.01) Q:X2']""
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90 | .S Y=$$HLNAME^HLFNC(X2) Q:Y']""
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91 | .S $P(X1,HLFS,33)=$P(RARPT0,"^",9)_$E(HLECH)_Y
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92 | ;Assistant Result Interpreter = Primary Interpreting Staff OR Resident
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93 | S $P(X1,HLFS,34)="" I $P(RACN0,"^",15) D
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94 | .S X2=$$GET1^DIQ(200,$P(RACN0,"^",15),.01) Q:X2']""
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95 | .S Y=$$HLNAME^HLFNC(X2) Q:Y']""
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96 | .S $P(X1,HLFS,34)=$P(RACN0,"^",15)_$E(HLECH)_Y
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97 | I $P(RACN0,"^",12) D
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98 | .S X2=$$GET1^DIQ(200,$P(RACN0,"^",12),.01) Q:X2']""
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99 | .S Y=$$HLNAME^HLFNC(X2) Q:Y']""
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100 | .S $P(X1,HLFS,34)=$P(RACN0,"^",12)_$E(HLECH)_Y
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101 | ;Technician = Technologist
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102 | S $P(X1,HLFS,35)="" I $O(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"TC",0)) D
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103 | .S X2=$O(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"TC",0)) I X2']"" Q
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104 | .S X2=$P($G(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"TC",X2,0)),"^",1) I X2']"" Q
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105 | .S XX2=$$GET1^DIQ(200,X2,.01) Q:XX2']""
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106 | .S Y=$$HLNAME^HLFNC(XX2) I Y']"" Q
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107 | .S $P(X1,HLFS,35)=X2_$E(HLECH)_Y
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108 | ;Transcriptionist
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109 | S $P(X1,HLFS,36)="" I $G(^RARPT(RARPT,"T")) D
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110 | .S X2=$$GET1^DIQ(200,$P(^RARPT(RARPT,"T"),"^",1),.01) I X2']"" Q
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111 | .S Y=$$HLNAME^HLFNC(X2) I Y']"" Q
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112 | .S $P(X1,HLFS,36)=^RARPT(RARPT,"T")_$E(HLECH)_Y
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113 | ;
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114 | ; if long str, break so 2nd str begins with separator to avoid abend
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115 | N RAPART I $L(X1)>245 F RAPART=5:1:18 S RAPART(1)=$P(X1,HLFS,1,RAPART),RAPART(2)=$P(X1,HLFS,RAPART+1,99) Q:$L(RAPART(1))<245&($L(RAPART(2))<245)&($P(RAPART(2),HLFS)="")
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116 | I $D(RAPART) K:RAPART=18 RAPART ;if RAPART reaches 18, then something's wrong, so kill RAPART to allow abend due "string too long"
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117 | S RAN=RAN+1
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118 | I $D(RAPART) S HLA("HLS",RAN)=$P(RAPART(1),HLFS)_HLFS,HLA("HLS",RAN,1)=$P(RAPART(1),HLFS,2,99)_HLFS,HLA("HLS",RAN,2)=RAPART(2) K RAPART Q
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119 | S HLA("HLS",RAN)=X1
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120 | Q
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121 | OBXDIA ;Compile 'OBX' Segment for Diagnostic Code
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122 | S RAI=$P($G(^RA(78.3,+$P(RACN0,"^",13),0)),"^") I RAI]"" D
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123 | .S RAN=RAN+1
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124 | .I $$PATCH^XPDUTL("MAG*2.5*1")!(+$$VERSION^XPDUTL("MAG")>2.5) D
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125 | ..S HLA("HLS",RAN)="OBX"_HLFS_HLFS_"CE"_HLFS_"D"_$E(HLECH)_"DIAGNOSTIC CODE"_$E(HLECH)_"L"_HLFS_HLFS_+$P(RACN0,"^",13)_$E(HLECH)_RAI_$E(HLECH)_"L"
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126 | ..; Replace above with following when Imaging can cope with ESC chars
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127 | ..; S HLA("HLS",RAN)="OBX"_HLFS_HLFS_"CE"_HLFS_"D"_$E(HLECH)_"DIAGNOSTIC CODE"_$E(HLECH)_"L"_HLFS_HLFS_+$P(RACN0,"^",13)_$E(HLECH)_$$ESCAPE^RAHLRU(RAI)_$E(HLECH)_"L"
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128 | .E D
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129 | ..S HLA("HLS",RAN)="OBX"_HLFS_HLFS_"ST"_HLFS_"D"_$E(HLECH)_"DIAGNOSTIC CODE"_$E(HLECH)_"L"_HLFS_HLFS_RAI
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130 | .D OBX11^RAHLRU
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131 | Q:'$O(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"DX",0)) ;any secondary dx
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132 | S X2=0
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133 | OBXDIA2 S X2=$O(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"DX",X2)) Q:'X2
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134 | S Y=+^(X2,0),X=$P($G(^RA(78.3,+Y,0)),U)
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135 | I X]"" D
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136 | .S RAN=RAN+1
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137 | .I $$PATCH^XPDUTL("MAG*2.5*1")!(+$$VERSION^XPDUTL("MAG")>2.5) D
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138 | ..S HLA("HLS",RAN)="OBX"_HLFS_HLFS_"CE"_HLFS_"D"_$E(HLECH)_"DIAGNOSTIC CODE"_$E(HLECH)_"L"_HLFS_HLFS_Y_$E(HLECH)_X_$E(HLECH)_"L"
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139 | ..; Replace above with following when Imaging can cope with ESC chars
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140 | ..; S HLA("HLS",RAN)="OBX"_HLFS_HLFS_"CE"_HLFS_"D"_$E(HLECH)_"DIAGNOSTIC CODE"_$E(HLECH)_"L"_HLFS_HLFS_Y_$E(HLECH)_$$ESCAPE^RAHLRU(X)_$E(HLECH)_"L"
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141 | .E D
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142 | ..S HLA("HLS",RAN)="OBX"_HLFS_HLFS_"ST"_HLFS_"D"_$E(HLECH)_"DIAGNOSTIC CODE"_$E(HLECH)_"L"_HLFS_HLFS_X
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143 | .D OBX11^RAHLRU
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144 | G OBXDIA2
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145 | ;
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146 | OBXIMP ;Compile 'OBX' segment for Impression
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147 | I '$O(^RARPT(RARPT,"I",0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"I"_$E(HLECH)_"IMPRESSION"_$E(HLECH)_"L"_HLFS_HLFS_"None Entered" D OBX11^RAHLRU Q
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148 | K ^UTILITY($J,"W") S DIWF="",DIWR=80,DIWL=1
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149 | F RAI=0:0 S RAI=$O(^RARPT(RARPT,"I",RAI)) Q:'RAI I $D(^(RAI,0)) S X=^(0) D RATELREL,^DIWP
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150 | F RAI=0:0 S RAI=$O(^UTILITY($J,"W",DIWL,RAI)) Q:'RAI I $D(^(RAI,0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"I"_$E(HLECH)_"IMPRESSION"_$E(HLECH)_"L"_HLFS_HLFS_^(0) D OBX11^RAHLRU
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151 | Q
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152 | OBXMOD ;Compile 'OBX' Segment for Modifiers
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153 | S RAN=RAN+1 D OBXMOD^RAHLRU
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154 | Q
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155 | OBXPRC ;Compile 'OBX' Segment for Procedure
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156 | S RAN=RAN+1 D OBXPRC^RAHLRU
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157 | Q
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158 | OBXTCM ;Compile 'OBX' Segment for Tech Comments
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159 | D OBXTCM^RAHLRU
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160 | Q
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161 | OBXRPT ;Compile 'OBX' Segment for Radiology Report Text
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162 | I '$O(^RARPT(RARPT,"R",0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"R"_$E(HLECH)_"REPORT"_$E(HLECH)_"L"_HLFS_HLFS_"None Entered" D OBX11^RAHLRU Q
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163 | K ^UTILITY($J,"W") S DIWF="",DIWR=80,DIWL=1
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164 | F RAI=0:0 S RAI=$O(^RARPT(RARPT,"R",RAI)) Q:'RAI I $D(^(RAI,0)) S X=^(0) D RATELREL,^DIWP
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165 | F RAI=0:0 S RAI=$O(^UTILITY($J,"W",DIWL,RAI)) Q:'RAI I $D(^(RAI,0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"R"_$E(HLECH)_"REPORT"_$E(HLECH)_"L"_HLFS_HLFS_^(0) D OBX11^RAHLRU
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166 | ; Replace above with following when Imaging can cope with ESC chars
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167 | ; F RAI=0:0 S RAI=$O(^UTILITY($J,"W",DIWL,RAI)) Q:'RAI I $D(^(RAI,0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"R"_$E(HLECH)_"REPORT"_$E(HLECH)_"L"_HLFS_HLFS_$$ESCAPE^RAHLRU(^(0)) D OBX11^RAHLRU
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168 | Q
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169 | RATELREL ;Release the study for local reading
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170 | I $G(RATELE),X[$G(RATELX) S RATELREL=1 Q
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171 | ;
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