| [613] | 1 | LA7VOBX3 ;DALOI/JMC - LAB OBX Segment message builder (MI subscripts) cont'd ; 5/26/00
 | 
|---|
 | 2 |  ;;5.2;AUTOMATED LAB INSTRUMENTS;**46,64**;Sep 27, 1994
 | 
|---|
 | 3 |  ;
 | 
|---|
 | 4 | MI ; Build OBX segments for results that are microbiology subscript.
 | 
|---|
 | 5 |  ; Called by LA7VOBX
 | 
|---|
 | 6 |  ;
 | 
|---|
 | 7 |  N I,LA761,LA76305,LA7ALT,LA7ALTCS,LA7CODE,LA7DIV,LA7IENS,LA7LOINC,LA7NLT,LA7OBX,LA7ORS,LA7PARNT,LA7SAVID,LA7SUBFL,LA7VAL,LA7VERP
 | 
|---|
 | 8 |  ;
 | 
|---|
 | 9 |  I $P(LRIDT,",",2) S LRIDT(2)=$P(LRIDT,",",2),LRIDT(3)=$P(LRIDT,",",3),LRIDT=$P(LRIDT,",")
 | 
|---|
 | 10 |  ;
 | 
|---|
 | 11 |  I '$D(^LR(LRDFN,LRSS,LRIDT)) Q
 | 
|---|
 | 12 |  ;
 | 
|---|
 | 13 |  F I=0,1,5,8,11,16 S LA76305(I)=$G(^LR(LRDFN,LRSS,LRIDT,I))
 | 
|---|
 | 14 |  ;
 | 
|---|
 | 15 |  S (LA7ALT,LA7ALTCS,LA7CODE,LA7ID,LA7LOINC,LA7NLT,LA7ORS,LA7SAVID,LA7SUBFL,LA7VAL,LA7VERP)=""
 | 
|---|
 | 16 |  ;
 | 
|---|
 | 17 |  ; Specimen topography
 | 
|---|
 | 18 |  S LA761=$P(LA76305(0),"^",5)
 | 
|---|
 | 19 |  ; Default codes
 | 
|---|
 | 20 |  S LA7CODE=$$DEFCODE^LA7VHLU5(LRSS,LRSB,LA7CODE,LA761)
 | 
|---|
 | 21 |  ;
 | 
|---|
 | 22 |  ; Gram stain
 | 
|---|
 | 23 |  I LRSB=11.6 D
 | 
|---|
 | 24 |  . N LA7ERR
 | 
|---|
 | 25 |  . S LA7VERP=$P(LA76305(1),"^",3)
 | 
|---|
 | 26 |  . S LA7ORS=$P(LA76305(1),"^",2)
 | 
|---|
 | 27 |  . S LA7OBX(2)=$$OBX2^LA7VOBX(63.05,11.6)
 | 
|---|
 | 28 |  . S LA7IENS=LRIDT(2)_","_LRIDT_","_LRDFN_","
 | 
|---|
 | 29 |  . S LA7VAL=$$GET1^DIQ(63.29,LA7IENS,.01,"","LA7ERR")
 | 
|---|
 | 30 |  . ; Setup DoD special coding system
 | 
|---|
 | 31 |  . I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MG"
 | 
|---|
 | 32 |  ;
 | 
|---|
 | 33 |  ; Micro organism
 | 
|---|
 | 34 |  I $P(LRSB,",")=12 D
 | 
|---|
 | 35 |  . S LA7VERP=$P(LA76305(1),"^",3)
 | 
|---|
 | 36 |  . S LA7ORS=$P(LA76305(1),"^",2)
 | 
|---|
 | 37 |  . S LA7SUBFL=63.3
 | 
|---|
 | 38 |  . ; Working on colony count
 | 
|---|
 | 39 |  . I $P(LRSB,",",2)=1 D CC Q
 | 
|---|
 | 40 |  . ; Working on organism
 | 
|---|
 | 41 |  . I $G(LRIDT(3))="" D ORG Q
 | 
|---|
 | 42 |  . ; Working on susceptibilities
 | 
|---|
 | 43 |  . I $P(LA76305(1),"^",4) S LA7VERP=$P(LA76305(1),"^",4)
 | 
|---|
 | 44 |  . D MIC
 | 
|---|
 | 45 |  ;
 | 
|---|
 | 46 |  ; Parasite organism
 | 
|---|
 | 47 |  I $P(LRSB,",")=16 D
 | 
|---|
 | 48 |  . S LA7ORS=$P(LA76305(5),"^",2)
 | 
|---|
 | 49 |  . S LA7VERP=$P(LA76305(5),"^",3)
 | 
|---|
 | 50 |  . ; Working on organism
 | 
|---|
 | 51 |  . S LA7SUBFL=63.34 D ORG
 | 
|---|
 | 52 |  ;
 | 
|---|
 | 53 |  ; Mycology organism
 | 
|---|
 | 54 |  I $P(LRSB,",")=20 D
 | 
|---|
 | 55 |  . S LA7ORS=$P(LA76305(8),"^",2)
 | 
|---|
 | 56 |  . S LA7VERP=$P(LA76305(8),"^",3)
 | 
|---|
 | 57 |  . S LA7SUBFL=63.37
 | 
|---|
 | 58 |  . ; Working on colony count
 | 
|---|
 | 59 |  . I $P(LRSB,",",2)=1 D CC Q
 | 
|---|
 | 60 |  . ; Working on organism
 | 
|---|
 | 61 |  . D ORG
 | 
|---|
 | 62 |  ;
 | 
|---|
 | 63 |  ; Acid Fast stain
 | 
|---|
 | 64 |  I LRSB=24 D
 | 
|---|
 | 65 |  . N LA7ERR
 | 
|---|
 | 66 |  . S LA7VERP=$P(LA76305(11),"^",3)
 | 
|---|
 | 67 |  . S LA7ORS=$P(LA76305(11),"^",2)
 | 
|---|
 | 68 |  . S LA7OBX(2)=$$OBX2^LA7VOBX(63.05,24)
 | 
|---|
 | 69 |  . S LA7IENS=LRIDT_","_LRDFN_","
 | 
|---|
 | 70 |  . S LA7VAL=$$GET1^DIQ(63.05,LA7IENS,24,"","LA7ERR")
 | 
|---|
 | 71 |  ;
 | 
|---|
 | 72 |  ; Acid Fast stain quantity
 | 
|---|
 | 73 |  I LRSB=25 D
 | 
|---|
 | 74 |  . N LA7ERR
 | 
|---|
 | 75 |  . S LA7VERP=$P(LA76305(11),"^",3)
 | 
|---|
 | 76 |  . S LA7ORS=$P(LA76305(11),"^",2)
 | 
|---|
 | 77 |  . S LA7OBX(2)=$$OBX2^LA7VOBX(63.05,25)
 | 
|---|
 | 78 |  . S LA7IENS=LRIDT_","_LRDFN_","
 | 
|---|
 | 79 |  . S LA7VAL=$$GET1^DIQ(63.05,LA7IENS,25,"","LA7ERR")
 | 
|---|
 | 80 |  ;
 | 
|---|
 | 81 |  ; TB organism
 | 
|---|
 | 82 |  I $P(LRSB,",")=26 D
 | 
|---|
 | 83 |  . S LA7ORS=$P(LA76305(11),"^",2)
 | 
|---|
 | 84 |  . S LA7VERP=$P(LA76305(11),"^",5)
 | 
|---|
 | 85 |  . S LA7SUBFL=63.39
 | 
|---|
 | 86 |  . ; Working on organism
 | 
|---|
 | 87 |  . I $G(LRIDT(3))="" D ORG Q
 | 
|---|
 | 88 |  . ; Working on susceptibilities
 | 
|---|
 | 89 |  . D MIC
 | 
|---|
 | 90 |  ;
 | 
|---|
 | 91 |  ; Virology virus
 | 
|---|
 | 92 |  I $P(LRSB,",")=36 D
 | 
|---|
 | 93 |  . S LA7ORS=$P(LA76305(16),"^",2)
 | 
|---|
 | 94 |  . S LA7VERP=$P(LA76305(16),"^",3)
 | 
|---|
 | 95 |  . ; Working on virus
 | 
|---|
 | 96 |  . S LA7SUBFL=63.43
 | 
|---|
 | 97 |  . D ORG
 | 
|---|
 | 98 |  ;
 | 
|---|
 | 99 |  D GEN
 | 
|---|
 | 100 |  ;
 | 
|---|
 | 101 |  Q
 | 
|---|
 | 102 |  ;
 | 
|---|
 | 103 |  ;
 | 
|---|
 | 104 | CC ; Organism's Colony count
 | 
|---|
 | 105 |  ; If "CFU/ml" found then move units to OBX-6 (Units).
 | 
|---|
 | 106 |  N LA7X
 | 
|---|
 | 107 |  ;
 | 
|---|
 | 108 |  S LA7ID=$P(LRSB,",")_"-"_LRIDT(2)
 | 
|---|
 | 109 |  S LA7IENS=LRIDT(2)_","_LRIDT_","_LRDFN_","
 | 
|---|
 | 110 |  S LA7OBX(2)=$$OBX2^LA7VOBX(LA7SUBFL,1)
 | 
|---|
 | 111 |  S LA7VAL=$$GET1^DIQ(LA7SUBFL,LA7IENS,1)
 | 
|---|
 | 112 |  S LA7X=$$UP^XLFSTR(LA7VAL)
 | 
|---|
 | 113 |  I LA7X["CFU/ML" D
 | 
|---|
 | 114 |  . S LA7OBX(6)="CFU/ml"
 | 
|---|
 | 115 |  . S LA7X("CFU/ml")="",LA7X("CFU/ML")=""
 | 
|---|
 | 116 |  . S LA7VAL=$$REPLACE^XLFSTR(LA7VAL,.LA7X)
 | 
|---|
 | 117 |  ;
 | 
|---|
 | 118 |  ; Setup DoD special coding system
 | 
|---|
 | 119 |  I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MC"
 | 
|---|
 | 120 |  ;
 | 
|---|
 | 121 |  Q
 | 
|---|
 | 122 |  ;
 | 
|---|
 | 123 |  ;
 | 
|---|
 | 124 | ORG ; Organism
 | 
|---|
 | 125 |  ;
 | 
|---|
 | 126 |  S LA7ID=LRSB_"-"_LRIDT(2)
 | 
|---|
 | 127 |  S LA7OBX(2)=$$OBX2^LA7VOBX(LA7SUBFL,.01)
 | 
|---|
 | 128 |  S LA7IENS=LRIDT(2)_","_LRIDT_","_LRDFN_","
 | 
|---|
 | 129 |  S LA7VAL=$$GET1^DIQ(LA7SUBFL,LA7IENS,.01)
 | 
|---|
 | 130 |  ;
 | 
|---|
 | 131 |  ; Check for Snomed coding
 | 
|---|
 | 132 |  S X=$$GET1^DIQ(LA7SUBFL,LA7IENS,".01:2")
 | 
|---|
 | 133 |  I X'="" S LA7VAL=X_"^"_LA7VAL_"^SNM"
 | 
|---|
 | 134 |  ;
 | 
|---|
 | 135 |  S LA7OBX(8)=$$OBX8^LA7VOBX("A")
 | 
|---|
 | 136 |  ;
 | 
|---|
 | 137 |  ; Setup DoD special coding system
 | 
|---|
 | 138 |  I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MO"
 | 
|---|
 | 139 |  ;
 | 
|---|
 | 140 |  ; Set flag to save sub-id for parent-child relationship
 | 
|---|
 | 141 |  S LA7SAVID=1
 | 
|---|
 | 142 |  Q
 | 
|---|
 | 143 |  ;
 | 
|---|
 | 144 |  ;
 | 
|---|
 | 145 | MIC ; Organism's susceptibilities
 | 
|---|
 | 146 |  ;
 | 
|---|
 | 147 |  N LA7IENS,LA7SUB
 | 
|---|
 | 148 |  ;
 | 
|---|
 | 149 |  ; Bact or TB organism
 | 
|---|
 | 150 |  S LA7SUB=$S($P(LRSB,",")=12:3,1:12)
 | 
|---|
 | 151 |  ;
 | 
|---|
 | 152 |  ;S LA7X=$O(^LAB(62.06,"AD",LRIDT(3),0)) Q:'LA7X
 | 
|---|
 | 153 |  S LA7OBX(2)=$$OBX2^LA7VOBX(62.06,.01)
 | 
|---|
 | 154 |  ;
 | 
|---|
 | 155 |  S LA7X=$G(^LR(LRDFN,"MI",LRIDT,LA7SUB,LRIDT(2),LRIDT(3)))
 | 
|---|
 | 156 |  S LA7VAL=$P(LA7X,"^")
 | 
|---|
 | 157 |  I LA7VAL'="" D
 | 
|---|
 | 158 |  . I "SIR"[$E(LA7VAL) S LA7OBX(8)=$$OBX8^LA7VOBX($E(LA7VAL)) Q
 | 
|---|
 | 159 |  . I "SIR"[$E($P(LA7X,"^",2)) S LA7OBX(8)=$$OBX8^LA7VOBX($E($P(LA7X,"^",2))) Q
 | 
|---|
 | 160 |  ;
 | 
|---|
 | 161 |  ; Determine access screen for this susceptibility
 | 
|---|
 | 162 |  I $P(LA7X,"^",3)="" S $P(LA7X,"^",3)="A"
 | 
|---|
 | 163 |  S LA7OBX(13)=$$OBX13^LA7VOBX($P(LA7X,"^",3),"MIS",LA7FS,LA7ECH)
 | 
|---|
 | 164 |  ;
 | 
|---|
 | 165 |  ; Setup DoD special coding system
 | 
|---|
 | 166 |  I LA7NVAF=1,$P(LA7CODE,"!",2) S LA7ALTCS="99VA64MS"
 | 
|---|
 | 167 |  ;
 | 
|---|
 | 168 |  Q
 | 
|---|
 | 169 |  ;
 | 
|---|
 | 170 |  ;
 | 
|---|
 | 171 | GEN ; Fields common to all MI OBX segments.
 | 
|---|
 | 172 |  ;
 | 
|---|
 | 173 |  ; Initialize OBX segment
 | 
|---|
 | 174 |  S LA7OBX(0)="OBX"
 | 
|---|
 | 175 |  S LA7OBX(1)=$$OBX1^LA7VOBX(.LA7OBXSN)
 | 
|---|
 | 176 |  ;
 | 
|---|
 | 177 |  S LA7OBX(3)=$$OBX3^LA7VOBX($P(LA7CODE,"!",2),$P(LA7CODE,"!",3),LA7ALT,LA7FS,LA7ECH)
 | 
|---|
 | 178 |  ;
 | 
|---|
 | 179 |  ; Change normal coding system for DoD special
 | 
|---|
 | 180 |  I LA7NVAF=1,LA7ALTCS'="" D
 | 
|---|
 | 181 |  . F I=3,6 I $P(LA7OBX(3),$E(LA7ECH,1),I)="99VA64" S $P(LA7OBX(3),$E(LA7ECH,1),I)=LA7ALTCS Q
 | 
|---|
 | 182 |  ;
 | 
|---|
 | 183 |  ; Test value
 | 
|---|
 | 184 |  S LA7OBX(5)=$$OBX5^LA7VOBX(LA7VAL,LA7OBX(2),LA7FS,LA7ECH)
 | 
|---|
 | 185 |  ;
 | 
|---|
 | 186 |  ; Set sub-id and save for constructing parents
 | 
|---|
 | 187 |  I LA7ID'="" D
 | 
|---|
 | 188 |  . S LA7OBX(4)=$$OBX4^LA7VOBX(LA7ID,LA7FS,LA7ECH)
 | 
|---|
 | 189 |  . I LA7SAVID F I=1:1:3 S LA7ID(LA7ID,I)=LA7OBX(I+2)
 | 
|---|
 | 190 |  ;
 | 
|---|
 | 191 |  ; Order result status - "P"artial, "F"inal , "A"mended results
 | 
|---|
 | 192 |  ; If no status from individual components then use status from zeroth node.
 | 
|---|
 | 193 |  ; If no release date then pending else final
 | 
|---|
 | 194 |  ; If amended, overrides all other status
 | 
|---|
 | 195 |  I LA7ORS="" S LA7ORS=$S('$P(LA76305(0),"^",3):"P",1:"F")
 | 
|---|
 | 196 |  I $P(LA76305(0),"^",9) S LA7ORS="A"
 | 
|---|
 | 197 |  S LA7OBX(11)=$$OBX11^LA7VOBX(LA7ORS)
 | 
|---|
 | 198 |  ;
 | 
|---|
 | 199 |  S LA7DIV=""
 | 
|---|
 | 200 |  I $$DIV4^XUSER(.LA7DIV,$P(LA76305(0),"^",4)) S LA7DIV=$O(LA7DIV(0))
 | 
|---|
 | 201 |  ;
 | 
|---|
 | 202 |  ; Observation date/time - collection date/time per HL7 standard
 | 
|---|
 | 203 |  I $P(LA76305(0),"^") S LA7OBX(14)=$$OBX14^LA7VOBX($P(LA76305(0),"^"))
 | 
|---|
 | 204 |  ;
 | 
|---|
 | 205 |  ; Facility that performed the testing
 | 
|---|
 | 206 |  S LA7OBX(15)=$$OBX15^LA7VOBX(LA7DIV,LA7FS,LA7ECH)
 | 
|---|
 | 207 |  ;
 | 
|---|
 | 208 |  ; Person that verified the test
 | 
|---|
 | 209 |  I $P(LA76305(0),"^",4) S LA7VERP=$P(LA76305(0),"^",4)
 | 
|---|
 | 210 |  I LA7VERP S LA7OBX(16)=$$OBX16^LA7VOBX(LA7VERP,LA7DIV,LA7FS,LA7ECH)
 | 
|---|
 | 211 |  ;
 | 
|---|
 | 212 |  D BUILDSEG^LA7VHLU(.LA7OBX,.LA7ARRAY,LA7FS)
 | 
|---|
 | 213 |  ;
 | 
|---|
 | 214 |  Q
 | 
|---|