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