[613] | 1 | LA7VORM ;DALOI/DLR - LAB ORM (Order) message PROCESSOR ; April 13, 2004
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| 2 | ;;5.2;AUTOMATED LAB INSTRUMENTS;**27,42,46,64**;Sep 27, 1994
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| 3 | IN ;
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| 4 | D ORM^LA7VHL
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| 5 | Q
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| 6 | ;
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| 7 | OBR ;;OBR
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| 8 | N LA760,LA76205,LA7629,LA7ACC,LA7CEDT,LA7CSCS,LA7CSNM,LA7CSTY,LA7DCODE,LA7HSITE,LA7I,LA7NCS,LA7OTST,LA7OTSTN,LA7PF1,LA7PF2,LA7RCI,LA7SPCS,LA7SPNM,LA7SPTY,LA7USID,LA7X,LA7Y,RTST,RTSTN
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| 9 | ;
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| 10 | ; OBR Set ID
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| 11 | S LA7SOBR=$$P^LA7VHLU(.LA7SEG,2,LA7FS)
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| 12 | ;
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| 13 | ; Placer order number
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| 14 | S LA7SID=$$P^LA7VHLU(.LA7SEG,3,LA7FS)
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| 15 | ;
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| 16 | ; Universal service ID
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| 17 | S LA7USID=$$P^LA7VHLU(.LA7SEG,5,LA7FS)
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| 18 | S LA7OTSTN=$P(LA7USID,LA7CS)
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| 19 | I LA7OTSTN="" D Q
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| 20 | . N LA7X
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| 21 | . S LA7X="PID-"_LA7SPID_"/OBR-"_LA7SOBR
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| 22 | . D CREATE^LA7LOG(26)
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| 23 | ;
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| 24 | S LA7OTST=$$UNESC^LA7VHLU3($P(LA7USID,LA7CS,2),LA7FS_LA7ECH)
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| 25 | S LA7NCS=$P(LA7USID,LA7CS,3) ; Name of coding system
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| 26 | S RTSTN=$P(LA7USID,LA7CS,4)
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| 27 | S RTST=$$UNESC^LA7VHLU3($P(LA7USID,LA7CS,5),LA7FS_LA7ECH)
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| 28 | ;
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| 29 | ; No ORC segment
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| 30 | I LA7SEQ<20 D Q
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| 31 | . D CREATE^LA7LOG(29)
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| 32 | ;
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| 33 | ; Missing patient name
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| 34 | I $G(LA7PNM)="" D Q
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| 35 | . D CREATE^LA7LOG(30)
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| 36 | ;
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| 37 | ; Non-VA system, not using NLT codes/file #60 tests
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| 38 | I LA7NCS'="99VA64" D
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| 39 | . I RTSTN="" S RTSTN=LA7OTST
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| 40 | . I RTST="" S RTST=LA7OTSTN
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| 41 | ;
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| 42 | ; Specimen collection date/time
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| 43 | S LA7CDT=$$HL7TFM^XLFDT($P($$P^LA7VHLU(.LA7SEG,8,LA7FS),LA7CS),"L")
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| 44 | ;
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| 45 | ; Specimen end collection date/time (timed collection)
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| 46 | S LA7CEDT=$$HL7TFM^XLFDT($P($$P^LA7VHLU(.LA7SEG,9,LA7FS),LA7CS),"L")
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| 47 | ;
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| 48 | ; Collection volume
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| 49 | S LA7VOL=""
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| 50 | S LA7X=$$P^LA7VHLU(.LA7SEG,10,LA7FS)
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| 51 | I $L($P(LA7X,LA7CS)) D
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| 52 | . S $P(LA7VOL,"^")=$P(LA7X,LA7CS) ; volume
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| 53 | . S $P(LA7VOL,"^",2)=$P(LA7X,LA7CS,2) ; volume units
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| 54 | . S $P(LA7VOL,"^",3)=$P(LA7X,LA7CS,3) ; volume coding system
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| 55 | ;
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| 56 | ; Specimen action code
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| 57 | S LA7X=$$P^LA7VHLU(.LA7SEG,12,LA7FS),LA7SAC=""
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| 58 | I LA7X="A" S LA7SAC="Add ordered tests to the existing specimen"
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| 59 | I LA7X="G" S LA7SAC="Generated order; reflex order"
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| 60 | ;
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| 61 | ; Danger code
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| 62 | S LA7X=$P($$P^LA7VHLU(.LA7SEG,13,LA7FS),LA7CS,2)
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| 63 | S LA7DCODE=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH)
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| 64 | I LA7DCODE]"" D
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| 65 | . S LA7DCODE=$$TRIM^XLFSTR(LA7DCODE,"RL"," ")
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| 66 | . S LA7DCODE="Danger Code - "_LA7DCODE
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| 67 | ;
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| 68 | ; Relevant clinical information
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| 69 | S LA7X=$$P^LA7VHLU(.LA7SEG,14,LA7FS)
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| 70 | S LA7RCI=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH)
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| 71 | I LA7RCI]"" D
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| 72 | . S LA7RCI=$$TRIM^XLFSTR(LA7RCI,"RL"," ")
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| 73 | . S LA7RCI="Relevant clinical information - "_LA7RCI
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| 74 | ;
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| 75 | ; Specimen source - specimen code - name of specimen coding system
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| 76 | ; If no primary then try alternate
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| 77 | S LA7X=$$P^LA7VHLU(.LA7SEG,16,LA7FS)
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| 78 | S LA7SPTY=$P($P(LA7X,LA7CS),$E(LA7ECH,4))
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| 79 | S LA7SPNM=$P($P(LA7X,LA7CS),$E(LA7ECH,4),2)
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| 80 | S LA7SPCS=$P($P(LA7X,LA7CS),$E(LA7ECH,4),3)
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| 81 | I LA7SPTY="" D
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| 82 | . S LA7SPTY=$P($P(LA7X,LA7CS),$E(LA7ECH,4),4)
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| 83 | . S LA7SPNM=$P($P(LA7X,LA7CS),$E(LA7ECH,4),5)
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| 84 | . S LA7SPCS=$P($P(LA7X,LA7CS),$E(LA7ECH,4),6)
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| 85 | ;
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| 86 | ; Collection sample from body site
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| 87 | S LA7CSTY=$P($P(LA7X,LA7CS,4),$E(LA7ECH,4))
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| 88 | S LA7CSNM=$P($P(LA7X,LA7CS,4),$E(LA7ECH,4),2)
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| 89 | S LA7CSCS=$P($P(LA7X,LA7CS,4),$E(LA7ECH,4),3)
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| 90 | ;
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| 91 | ; Placer's ordering provider (last name, first name, mi [id])
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| 92 | ; Only process if LA7POP from ORC-12 is blank.
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| 93 | I LA7POP="" D
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| 94 | . S LA7X=$$P^LA7VHLU(.LA7SEG,17,LA7FS)
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| 95 | . S LA7POP=$$XCNTFM^LA7VHLU4(LA7X,LA7ECH)
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| 96 | . I LA7POP="^^" S LA7POP=""
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| 97 | ;
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| 98 | ; Specimen urgency
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| 99 | S LA7UR=$P($$P^LA7VHLU(.LA7SEG,28,LA7FS),LA7CS,6)
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| 100 | ; If no urgency see if it came in ORC-7
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| 101 | I LA7UR="" S LA7UR=$G(LA7OUR)
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| 102 | ;
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| 103 | ; Look for receiving facility in OBR, then use receiving facility from MSH
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| 104 | S LA7X=$P($$P^LA7VHLU(.LA7SEG,35,LA7FS),LA7CS,7)
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| 105 | S LA7HSITE=$$FINDSITE^LA7VHLU2(LA7X,1,1)
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| 106 | I LA7HSITE'>0 S LA7HSITE=$$FINDSITE^LA7VHLU2(LA7RFAC,1,0)
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| 107 | ;
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| 108 | ; Find an "active" shipping configuration for this pair.
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| 109 | S LA7629=0
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| 110 | I LA7CSITE,LA7HSITE D
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| 111 | . N LA7X
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| 112 | . S LA7X=0
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| 113 | . F S LA7X=$O(^LAHM(62.9,"CH",LA7CSITE,LA7HSITE,LA7X)) Q:'LA7X I $P($G(^LAHM(62.9,LA7X,0)),"^",4) S LA7629=LA7X Q
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| 114 | ; Log error and quit if no active shipping configuration identified
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| 115 | I 'LA7629 D Q
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| 116 | . D CREATE^LA7LOG(39)
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| 117 | ;
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| 118 | S LA7Y=$$DTTO^LA7SMU2(LA7629,LA7OTSTN,LA7SPTY,LA7NCS,LA7SPCS,LA7UR,LA7CSTY_"^"_LA7CSNM_"^"_LA7CSCS)
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| 119 | S LA760=$P(LA7Y,"^"),LA761=$P(LA7Y,"^",2),LA762=$P(LA7Y,"^",3),LA76205=$P(LA7Y,"^",4)
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| 120 | I $P(LA7Y,"^",5)'="" S LA7OTSTN=$P(LA7Y,"^",5),LA7OTST=$P(LA7Y,"^",6)
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| 121 | F LA7I=1:1:4 I '$P(LA7Y,"^",LA7I) D
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| 122 | . I LA7I=3,LA760,"MISPCYEM"[$P(^LAB(60,LA760,0),"^",4) Q
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| 123 | . S LA7X="No local "_$P("lab test^topography^collection sample^urgency","^",LA7I)_" mapped."
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| 124 | . N LA7I,LA7Y
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| 125 | . D CREATE^LA7LOG(47)
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| 126 | ;
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| 127 | ; Placer fields 1 & 2
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| 128 | S LA7X=$$P^LA7VHLU(.LA7SEG,19,LA7FS)
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| 129 | I LA7X'="",LA7X[LA7CS S LA7X=$TR(LA7X,LA7CS,"^")
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| 130 | S LA7PF1=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH)
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| 131 | S LA7X=$$P^LA7VHLU(.LA7SEG,20,LA7FS)
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| 132 | I LA7X'="",LA7X[LA7CS S LA7X=$TR(LA7X,LA7CS,"^")
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| 133 | S LA7PF2=$$UNESC^LA7VHLU3(LA7X,LA7FS_LA7ECH)
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| 134 | S LA7ACC=$P(LA7PF2,"^",6)
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| 135 | ;
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| 136 | ; New order - add to LAB PENDING ORDERS file #69.6
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| 137 | I LA7OTYPE="NW" D NW
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| 138 | ;
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| 139 | Q
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| 140 | ;
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| 141 | NW ; Create new order in LAB PENDING ORDERS file #69.6
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| 142 | ;
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| 143 | N FDA,I,LA76964,LA7DIE,LA7I,LA7IEN,LA7PATID,LA7SSITE,LA7STAT,LA7WP
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| 144 | ;
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| 145 | ; Get lock on 69.6
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| 146 | L +^LRO(69.6,0):99999
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| 147 | I '$T D Q
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| 148 | . D CREATE^LA7LOG(31)
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| 149 | ;
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| 150 | S LA7696=$O(^LRO(69.6,"AD",$S($P(LA7SM,"^",2)'="":$P(LA7SM,"^",2),1:0),LA7SID,0))
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| 151 | ;
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| 152 | ; Find "In-Transit" status in #64.061
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| 153 | S LA7STAT=$$FIND1^DIC(64.061,"","OMX","In-Transit","","I $P(^LAB(64.061,Y,0),U,7)=""U""")
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| 154 | ;
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| 155 | ; Create entry in LAB PENDING ORDER ENTRY file, log error if not added
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| 156 | I $G(LA7696)'>0 D
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| 157 | . S FDA(1,69.6,"+1,",.01)=LA7PNM
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| 158 | . S FDA(1,69.6,"+1,",6)=LA7STAT
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| 159 | . D UPDATE^DIE("","FDA(1)","LA7IEN","LA7DIE(1)")
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| 160 | . S LA7696=LA7IEN(1)
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| 161 | . I LA7696<1 D CREATE^LA7LOG(32)
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| 162 | ;
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| 163 | L -^LRO(69.6,0)
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| 164 | I LA7696<1 Q
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| 165 | ;
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| 166 | L +^LRO(69.6,LA7696):99999
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| 167 | I '$T D Q ;cannot get lock on ENTRY in 69.6
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| 168 | . D CREATE^LA7LOG(33)
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| 169 | ;
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| 170 | ; Prevent duplication of tests
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| 171 | I $D(^LRO(69.6,LA7696,2,"C",LA7OTSTN)) D UNLOCK Q
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| 172 | ;
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| 173 | ; Determine entry in INSTITUTION file (#4) that's the sending site.
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| 174 | S LA7SSITE=$$FINDSITE^LA7VHLU2(LA7SFAC,2,0)
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| 175 | ;
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| 176 | ; Patient id to store with order
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| 177 | S LA7PATID=LA7SSN
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| 178 | I LA7PATID="" D
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| 179 | . S LA7PATID=$P($G(LA7PTID3(1)),$E(LA7ECH))
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| 180 | . I LA7PATID'="" Q
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| 181 | . I LA7PTID4'="" S LA7PATID=$P($P(LA7PTID4,$E(LA7ECH,2)),$E(LA7ECH))
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| 182 | . I LA7PATID'="" Q
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| 183 | . I LA7PTID2'="" S LA7PATID=$P(LA7PTID2,$E(LA7ECH))
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| 184 | ;
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| 185 | S FDA(2,69.6,LA7696_",",.01)=LA7PNM
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| 186 | S FDA(2,69.6,LA7696_",",.02)=LA7SEX
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| 187 | S FDA(2,69.6,LA7696_",",.03)=LA7DOB
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| 188 | I $G(LA7PRACE)'="" S FDA(2,69.6,LA7696_",",.06)=LA7PRACE
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| 189 | S FDA(2,69.6,LA7696_",",.09)=LA7PATID
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| 190 | S FDA(2,69.6,LA7696_",",1)=LA7SSITE
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| 191 | S FDA(2,69.6,LA7696_",",2)=LA7CSITE
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| 192 | S FDA(2,69.6,LA7696_",",3)=LA7SID
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| 193 | S FDA(2,69.6,LA7696_",",3.2)=LA7ACC
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| 194 | I LA761 S FDA(2,69.6,LA7696_",",4)=LA761
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| 195 | I LA762 S FDA(2,69.6,LA7696_",",5)=LA762
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| 196 | S FDA(2,69.6,LA7696_",",10)=LA7ORDT
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| 197 | S FDA(2,69.6,LA7696_",",11)=LA7CDT
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| 198 | S FDA(2,69.6,LA7696_",",11.1)=LA7CEDT
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| 199 | S FDA(2,69.6,LA7696_",",14)=LA7MEDT
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| 200 | S FDA(2,69.6,LA7696_",",17)=LA7MID
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| 201 | I $P(LA7SM,"^",2)'="" S LA7X=$P(LA7SM,"^",2)
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| 202 | E S LA7X=LA7SFAC_"-"_$E($$FMTHL7^XLFDT(LA7MEDT),1,8)
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| 203 | S FDA(2,69.6,LA7696_",",18)=LA7X
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| 204 | S FDA(2,69.6,LA7696_",",700)=LA7FS_LA7ECH
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| 205 | I LA7PTID3'="" S FDA(2,69.6,LA7696_",",700.02)=LA7PTID3
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| 206 | I LA7PTID4'="" S FDA(2,69.6,LA7696_",",700.04)=LA7PTID4
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| 207 | D FILE^DIE("","FDA(2)","LA7DIE(2)")
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| 208 | ;
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| 209 | ; Add test to order
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| 210 | S FDA(3,69.64,"+2,"_LA7696_",",.01)=LA7OTST
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| 211 | S FDA(3,69.64,"+2,"_LA7696_",",1)=LA7OTSTN
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| 212 | S FDA(3,69.64,"+2,"_LA7696_",",2)=RTST
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| 213 | S FDA(3,69.64,"+2,"_LA7696_",",3)=RTSTN
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| 214 | S FDA(3,69.64,"+2,"_LA7696_",",4)=LA7UR
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| 215 | I LA760 S FDA(3,69.64,"+2,"_LA7696_",",11)=LA760
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| 216 | I LA76205 S FDA(3,69.64,"+2,"_LA7696_",",12)=LA76205
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| 217 | I $P(LA7POP,"^",3)'="" S FDA(3,69.64,"+2,"_LA7696_",",13)=$P(LA7POP,"^",3)
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| 218 | I LA7USID'="" S FDA(3,69.64,"+2,"_LA7696_",",700.04)=LA7USID
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| 219 | I LA7PF1'="" S FDA(3,69.64,"+2,"_LA7696_",",700.18)=LA7PF1
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| 220 | I LA7PF2'="" S FDA(3,69.64,"+2,"_LA7696_",",700.19)=LA7PF2
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| 221 | D UPDATE^DIE("","FDA(3)","LA76964","LA7DIE(3)")
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| 222 | ;
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| 223 | ; If no test status - set to In-transit.
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| 224 | I $G(LA76964(2)),$P($G(^LRO(69.6,LA7696,2,LA76964(2),0)),"^",6)="" D
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| 225 | . S FDA(4,69.64,LA76964(2)_","_LA7696_",",5)=LA7STAT
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| 226 | . D FILE^DIE("","FDA(4)","LA7DIE(4)")
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| 227 | ;
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| 228 | ; Check for comments to store with order.
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| 229 | ; Begin sections with <space> to avoid FM word wrap.
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| 230 | S LA7I=1
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| 231 | I 'LA760 S LA7WP(LA7I,0)="For test "_LA7OTST
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| 232 | E S LA7WP(LA7I,0)="For test "_$$GET1^DIQ(60,LA760_",",.01)
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| 233 | ;
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| 234 | I LA7SAC'="" S LA7I=LA7I+1,LA7WP(LA7I,0)=" "_LA7SAC
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| 235 | ;
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| 236 | I LA7DCODE'="" F I=1:250:$L(LA7DCODE) S LA7I=LA7I+1,LA7WP(LA7I,0)=$S(I=1:" ",1:"")_$E(LA7DCODE,I,I+249)
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| 237 | ;
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| 238 | I LA7RCI'="" F I=1:250:$L(LA7RCI) S LA7I=LA7I+1,LA7WP(LA7I,0)=$S(I=1:" ",1:"")_$E(LA7RCI,I,I+249)
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| 239 | ;
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| 240 | I LA760,"MISPCYEM"[$P(^LAB(60,LA760,0),"^",4) D
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| 241 | . S LA7I=LA7I+1,LA7WP(LA7I,0)=" Specimen source: "_LA7SPNM_" ["_LA7SPCS_": "_LA7SPTY_"]"
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| 242 | . S LA7I=LA7I+1,LA7WP(LA7I,0)=" Collection sample: "_LA7CSNM_" ["_LA7CSCS_": "_LA7CSTY_"]"
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| 243 | ;
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| 244 | I $O(LA7WP(1)) D WP^DIE(69.6,LA7696_",",99,"A","LA7WP","LA7DIE(99)")
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| 245 | ;
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| 246 | D CLEAN^DILF
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| 247 | D UNLOCK
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| 248 | Q
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| 249 | ;
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| 250 | UNLOCK ; unlock entry in file #69.6
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| 251 | L -^LRO(69.6,LA7696)
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| 252 | Q
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