[613] | 1 | LA7VIN5 ;DALOI/JMC - Process Incoming UI Msgs, continued ; 01/14/99
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| 2 | ;;5.2;AUTOMATED LAB INSTRUMENTS;**46,64**;Sep 27, 1994
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| 3 | ; This routine is a continuation of LA7VIN1 and is only called from there.
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| 4 | ; It is called to process OBX segments for "CH" subscript tests.
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| 5 | Q
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| 6 | ;
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| 7 | OBX ;
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| 8 | ;
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| 9 | N LA76241,LA76304,LA7EII,LA7I,LA7LIMIT,LA7OBM,LA7SUBFL,LA7TEST,LA7TREEN,LA7UNITS,LA7VAL,LA7VTYP,LA7X,LA7XFORM,LA7Y
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| 10 | ;
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| 11 | K LA7RMK,^TMP("LA7TREE",$J)
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| 12 | ;
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| 13 | S LA7SUBFL=63.04
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| 14 | ;
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| 15 | ; OBX Set ID
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| 16 | S LA7SOBX=$$P^LA7VHLU(.LA7SEG,2,LA7FS)
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| 17 | ;
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| 18 | ; Value type - type of data from Table 0125
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| 19 | S LA7VTYP=$P($$P^LA7VHLU(.LA7SEG,3,LA7FS),LA7CS)
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| 20 | ;
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| 21 | ; Determine test result codes - check for primary and alternate codes
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| 22 | ; For DoD/CHCS interface - do NOT process test codes using 99LRT as coding system per DoD/July 2002.
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| 23 | S LA7X=$$P^LA7VHLU(.LA7SEG,4,LA7FS),(LA7RNLT,LA7RLNC)=""
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| 24 | S LA7TEST=$P(LA7X,LA7CS)
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| 25 | S LA7TEST(0)=$$UNESC^LA7VHLU3($P(LA7X,LA7CS,2),LA7FS_LA7ECH)
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| 26 | I LA7TEST(0)["^" S LA7TEST(0)=$TR(LA7TEST(0),"^","~")
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| 27 | S LA7TEST(0,1)=$P(LA7X,LA7CS,3)
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| 28 | S LA7TEST(2)=$P(LA7X,LA7CS,4)
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| 29 | S LA7TEST(2,0)=$$UNESC^LA7VHLU3($P(LA7X,LA7CS,5),LA7FS_LA7ECH)
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| 30 | I LA7TEST(2,0)["^" S LA7TEST(2,0)=$TR(LA7TEST(2,0),"^","~")
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| 31 | S LA7TEST(2,1)=$P(LA7X,LA7CS,6)
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| 32 | F I=3,6 D
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| 33 | . S LA7Y=$P(LA7X,LA7CS,I-2)
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| 34 | . I $P(LA7X,LA7CS,I)="LN" D Q
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| 35 | . . I $$GET1^DIQ(95.3,+LA7Y_",",.01)=LA7Y S LA7RLNC=+LA7Y
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| 36 | . I $P(LA7X,LA7CS,I)="99VA64" D Q
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| 37 | . . I $$FIND1^DIC(64,"","OMX",LA7Y) S LA7RNLT=LA7Y
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| 38 | . I $P(LA7X,LA7CS,I)="99LRT" D Q
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| 39 | . . I LA7TEST(0)="",LA7TEST(2,0)'="" S LA7TEST(0)=LA7TEST(2,0)
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| 40 | . . I LA7TEST(2,0)="",LA7TEST(0)'="" S LA7TEST(2,0)=LA7TEST(0)
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| 41 | . . I I=3 S (LA7TEST,LA7TEST(0),LA7TEST(0,1))="" Q
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| 42 | . . I I=6 S (LA7TEST(2),LA7TEST(2,0),LA7TEST(2,1))="" Q
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| 43 | I LA7TEST="",LA7TEST(2)'="" D
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| 44 | . S LA7TEST=LA7TEST(2),LA7TEST(0)=LA7TEST(2,0),LA7TEST(0,1)=LA7TEST(2,1)
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| 45 | . S (LA7TEST(2),LA7TEST(2,0),LA7TEST(2,1))=""
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| 46 | ;
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| 47 | ; No test code in message
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| 48 | I LA7TEST="",LA7TEST(2)="" D Q
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| 49 | . N LA7OBX
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| 50 | . S LA7OBX=LA7SEG(0)
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| 51 | . D CREATE^LA7LOG(15)
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| 52 | ;
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| 53 | ; Test code not found in auto inst file, also check alternate codes,
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| 54 | ; and log error if none found.
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| 55 | I LA7MTYP="ORU" D Q:LA7TEST=""
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| 56 | . I LA7TEST'="",$D(^LAB(62.4,LA7624,3,"AC",LA7TEST)) Q
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| 57 | . I LA7TEST(2)'="",$D(^LAB(62.4,LA7624,3,"AC",LA7TEST(2))) D Q
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| 58 | . . S LA7TEST=LA7TEST(2),LA7TEST(0)=LA7TEST(2,0),LA7TEST(0,1)=LA7TEST(2,1)
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| 59 | . D CREATE^LA7LOG(16) S LA7TEST=""
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| 60 | ;
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| 61 | ; Units - trim leading/trailing spaces
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| 62 | S LA7UNITS=$$P^LA7VHLU(.LA7SEG,7,LA7FS)
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| 63 | I LA7UNITS]"" S LA7UNITS=$$TRIM^XLFSTR(LA7UNITS,"LR"," ")
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| 64 | ;
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| 65 | ; Observation result status - Table 0085
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| 66 | S LA7ORS=$$P^LA7VHLU(.LA7SEG,12,LA7FS)
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| 67 | ;
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| 68 | ; Responsible observer
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| 69 | S LA7RO=$$XCNTFM^LA7VHLU4($$P^LA7VHLU(.LA7SEG,17,LA7FS),LA7ECH)
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| 70 | ;
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| 71 | ; Observation method
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| 72 | S LA7X=$$P^LA7VHLU(.LA7SEG,18,LA7FS),LA7OBM=""
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| 73 | I $P(LA7X,LA7CS,3)="99VA64_2" S LA7OBM=$P($P(LA7X,LA7CS,1),".",2)
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| 74 | ;
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| 75 | ; Equipment instance identifier
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| 76 | S LA7EII=$$P^LA7VHLU(.LA7SEG,19,LA7FS)
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| 77 | I LA7EII'="" D
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| 78 | . S LA7EII=$$UNESC^LA7VHLU3(LA7EII,LA7FS_LA7ECH)
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| 79 | . S LA7EII=$TR(LA7EII,"^",";")
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| 80 | ;
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| 81 | ; Process ORU message results for all tests which use this test code.
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| 82 | I LA7MTYP="ORU" D Q
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| 83 | . S LA76241=0
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| 84 | . F S LA76241=$O(^LAB(62.4,LA7624,3,"AC",LA7TEST,LA76241)) Q:'LA76241 D PROCESS
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| 85 | ;
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| 86 | I LA7MTYP="ORM",$G(LA7696)>0 D ORESULTS^LA7VIN5A
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| 87 | ;
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| 88 | Q
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| 89 | ;
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| 90 | ;
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| 91 | PROCESS ; Process results for a given test code
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| 92 | S LA7VAL=$$P^LA7VHLU(.LA7SEG,6,LA7FS)
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| 93 | I LA7VTYP="CE",$P(LA7VAL,LA7CS,2)'="" S LA7VAL=$P(LA7VAL,LA7CS,2)
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| 94 | E S LA7VAL=$P(LA7VAL,LA7CS)
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| 95 | ;
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| 96 | F LA7I=0,1,2 S LA76241(LA7I)=$G(^LAB(62.4,LA7624,3,LA76241,LA7I))
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| 97 | ;
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| 98 | ; Chem test fields incorrect
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| 99 | I (LA76241(0)="")!(LA76241(1)="") D Q
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| 100 | . D CREATE^LA7LOG(18)
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| 101 | ;
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| 102 | ; Setup LA7RMK(0) variable in case comments (NTE) sent with test results.
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| 103 | S LA7RMK(0,+LA76241(0))=+$P(LA76241(2),"^",7)_"^"_$P(LA76241(2),"^",8)
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| 104 | ;
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| 105 | S LA76304=+$P(LA76241(1),"(",2) ;lab data field
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| 106 | ; No dataname for this result
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| 107 | I LA76304'>1 D Q
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| 108 | . D CREATE^LA7LOG(18)
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| 109 | ;
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| 110 | ; Set flag for new results alert
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| 111 | I "CDW"'[LA7ORS S ^TMP("LA7-ORU",$J,LA76248,LA76249)=""
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| 112 | ;
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| 113 | ; Set flag to send amended results bulletin
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| 114 | I "CDW"[LA7ORS D
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| 115 | . S LA7I=$O(^TMP("LA7 AMENDED RESULTS",$J,""),-1),LA7I=LA7I+1
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| 116 | . S X=LA7LWL_"^"_LA7ISQN_"^"_LA76304_"^"_LA76248_"^"_LA76249_"^"_LA7ORS_"^"_LA7TEST_"^"_$S(LA7TEST(0)'="":LA7TEST(0),1:LA7TEST(2,0))_"^"_$$P^LA7VHLU(.LA7SEG,9,LA7FS)
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| 117 | . S ^TMP("LA7 AMENDED RESULTS",$J,LA7I)=X
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| 118 | . I LA7UID'="" S ^LAH("LA7 AMENDED RESULTS",LA7UID,LA76304,LA7LWL,LA7ISQN)=X
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| 119 | ;
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| 120 | ; NOTE - this array can be set from inside PARAM 1
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| 121 | K LA7XFORM
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| 122 | ; execute PARAM 1 if not a LEDI interface
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| 123 | I LA7INTYP'=10 X $P(LA76241(0),"^",2)
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| 124 | I $P(LA76241(2),"^",3)=0 Q
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| 125 | I $P(LA76241(2),"^",3)=2,"CFUX"'[LA7ORS Q
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| 126 | ;
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| 127 | ; No value found
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| 128 | I LA7VAL="" D Q
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| 129 | . D CREATE^LA7LOG(17)
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| 130 | ;
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| 131 | ; Transform result based on fields in file 62.4
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| 132 | D XFORM^LA7VIN5A
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| 133 | Q:LA7VAL=""
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| 134 | ;
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| 135 | ; Check if result passes input transform on data name
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| 136 | D CHKDIE^LA7VIN5A
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| 137 | Q:LA7VAL=""
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| 138 | ;
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| 139 | ; Set flag to not store comments if it wasn't explicitly ordered.
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| 140 | I $G(LA7LIMIT)=1 D
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| 141 | . N LA76804
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| 142 | . K LA7LIMIT,LA7TREEN,^TMP("LA7TREE",$J)
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| 143 | . ; Store all tests accessioned in ^TMP
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| 144 | . S LA76804=0
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| 145 | . F S LA76804=$O(^LRO(68,LA7AA,1,LA7AD,1,LA7AN,4,LA76804)) Q:'LA76804 D UNWIND^LA7UTIL(LA76804)
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| 146 | . I '$D(^TMP("LA7TREE",$J,+LA76241(0))) S LA7LIMIT=1 ;wasn't ordered
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| 147 | I $G(LA7LIMIT) D Q
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| 148 | . S $P(LA7RMK(0,+LA76241(0)),"^",1)=0
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| 149 | . K LA7LIMIT,^TMP("LA7TREE",$J)
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| 150 | K ^TMP("LA7TREE",$J)
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| 151 | ;
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| 152 | ; Check point of care interface for matching specimen type
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| 153 | ; for this test in #62.4
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| 154 | I LA7INTYP>19,LA7INTYP<30 D Q:'LA761
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| 155 | . N LA70070
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| 156 | . S LA761="",LA7X=$P(LA76241(2),"^",13) Q:'LA7X
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| 157 | . S LA70070=$$GET1^DIQ(61,LA7X_",","LEDI HL7:HL7 ABBR")
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| 158 | . I LA70070=LA7SPEC S LA761=LA7X
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| 159 | ;
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| 160 | ; Set data node=test value
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| 161 | S $P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^")=LA7VAL
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| 162 | ;
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| 163 | ; Store reference ranges
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| 164 | D REFRNG^LA7VIN5A($$P^LA7VHLU(.LA7SEG,8,LA7FS))
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| 165 | ;
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| 166 | ; Store order/result codes/observation method
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| 167 | S LA7X=$P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",3)
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| 168 | I LA7ONLT S $P(LA7X,"!",1)=LA7ONLT
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| 169 | I LA7RNLT S $P(LA7X,"!",2)=LA7RNLT
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| 170 | I LA7RLNC S $P(LA7X,"!",3)=LA7RLNC
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| 171 | I LA7OBM S $P(LA7X,"!",4)=LA7OBM
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| 172 | S $P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",3)=LA7X
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| 173 | ;
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| 174 | ; Store abnormal flags
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| 175 | D ABFLAG^LA7VIN5A($$P^LA7VHLU(.LA7SEG,9,LA7FS))
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| 176 | ;
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| 177 | ; Store units
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| 178 | I LA7UNITS'="" D
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| 179 | . S LA7X=$P($G(^LAH(LA7LWL,1,LA7ISQN,LA76304)),"^",5)
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| 180 | . S $P(LA7X,"!",7)=LA7UNITS
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| 181 | . S $P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",5)=LA7X
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| 182 | ;
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| 183 | ; Store responsible observer on POC interfaces
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| 184 | I LA7RO'="",LA7INTYP>19,LA7INTYP<30 D
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| 185 | . I $P(LA7RO,"^",2) S $P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",4)=$P(LA7RO,"^",2)
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| 186 | ;
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| 187 | ; Store specimen type
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| 188 | I $G(LA761) D
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| 189 | . S X=$P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",5)
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| 190 | . S $P(X,"!")=LA761
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| 191 | . S $P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",5)=X
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| 192 | ;
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| 193 | ; Store where test was performed.
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| 194 | D PRDID^LA7VIN5A($$P^LA7VHLU(.LA7SEG,16,LA7FS),LA7SFAC,LA7CS)
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| 195 | ;
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| 196 | ; Store equipment instance identifier
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| 197 | I LA7EII'="" D EII^LA7VIN5A
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| 198 | ;
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| 199 | ; If results for LEDI interface (LA7INTYP=10) and site keeps file #60
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| 200 | ; in sync with reference lab then compare message's units and normals
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| 201 | ; with site's to detect changes(LA7FLAG=1) and notify site.
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| 202 | I LA7INTYP=10,$G(LA761),$G(^LAB(60,+$P(LA76241(0),"^"),1,LA761,.1)) D
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| 203 | . N LA760,LA7FLAG,LA7I,LA7Y,LA7X
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| 204 | . S LA760=+$P(LA76241(0),"^"),LA7Y=^LAB(60,LA760,1,LA761,0),LA7FLAG=0
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| 205 | . S LA7X=$P(^LAH(LA7LWL,1,LA7ISQN,LA76304),"^",5)
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| 206 | . I $P(LA7Y,"^",7)'=$P(LA7X,"!",7) S LA7FLAG=1
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| 207 | . I 'LA7FLAG,$P(LA7Y,"^",2)=$P(LA7X,"!",2),$P(LA7Y,"^",3)=$P(LA7X,"!",3) Q
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| 208 | . I 'LA7FLAG D
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| 209 | . . N AGE,DOB,PNM,SEX
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| 210 | . . N LRDPF,LRNG,LRNGS,LRNG2,LRNG3,LRNG4,LRNG5,LRTREA,LRWRD,LRX,LRY
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| 211 | . . I $G(LRDFN) D DEM^LRX,KVAR^VADPT
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| 212 | . . S LRNG=LA7Y D NORM^LRVER5
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| 213 | . . S LA7Y=$TR(LRNG,$C(34),""),LA7X=$TR(LA7X,$C(34),"")
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| 214 | . . I $P(LA7Y,"^",2)=$P(LA7X,"!",2),$P(LA7Y,"^",3)=$P(LA7X,"!",3) Q
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| 215 | . . S LA7FLAG=1
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| 216 | . I 'LA7FLAG Q
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| 217 | . S LA7I=$O(^TMP("LA7 UNITS/NORMALS CHANGED",$J,""),-1),LA7I=LA7I+1
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| 218 | . S X=LA7LWL_"^"_LA7ISQN_"^"_LA76304_"^"_LA76248_"^"_LA76249_"^"_LA7ORS_"^"_LA7TEST_"^"_$S(LA7TEST(0)'="":LA7TEST(0),1:LA7TEST(2,0))_"^"_$$P^LA7VHLU(.LA7SEG,9,LA7FS)_"^"_LA760
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| 219 | . S ^TMP("LA7 UNITS/NORMALS CHANGED",$J,LA7I)=X
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| 220 | ;
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| 221 | ; If LEDI interface and order status change store which results
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| 222 | ; associated with ordered test. Used to determine if order status
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| 223 | ; changed bulletin needs to be generated.
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| 224 | I LA7INTYP=10,LA7SAC?1(1"A",1"G") D
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| 225 | . S LA7I=$G(LA7SAC(0)) Q:'LA7I
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| 226 | . S ^TMP("LA7 ORDER STATUS",$J,LA7I,+LA76241(0))=""
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| 227 | Q
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