1 | ALPBHL1 ;OIFO-DALLAS MW,SED,KC - BCBU main HL7 message processor ;01/01/03
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2 | ;;3.0;BAR CODE MED ADMIN;**7,8**;Mar 2004
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3 | ;
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4 | S ALPBECH=HL("ECH")
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5 | S ALPBCS=$E(ALPBECH)
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6 | S ALPBFS=HL("FS")
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7 | S ALPBHREC=$S(+$G(HLMTIEN)>0:HLMTIEN,1:$G(HL("MID")))
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8 | ;
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9 | ; process the entire HL7 message's lines into local array...
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10 | F I=1:1 X HLNEXT Q:+$G(HLQUIT)'>0 D
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11 | .S ALPBSEG=$P(HLNODE,ALPBFS,1)
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12 | .; store patient ID and order segments in a special way...
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13 | .I ALPBSEG="PID"!(ALPBSEG="ORC")!(ALPBSEG="PV1")!(ALPBSEG="RXO") S ALPBMTXT(ALPBSEG)=HLNODE
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14 | .I ALPBSEG="AL1" S ALPBMTXT("AL1")=1
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15 | .S ALPBMTXT(I)=HLNODE
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16 | .; get any continuation lines...
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17 | .S J=0
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18 | .F S J=$O(HLNODE(J)) Q:'J S ALPBMTXT(I,J)=HLNODE(J)
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19 | .K ALPBSEG
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20 | ;
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21 | ; retrieve patient ID data from the PID segment...
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22 | S ALPBX=$G(ALPBMTXT("PID"))
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23 | I ALPBX'="" D
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24 | .D GETPID^ALPBUTL2(ALPBX,ALPBFS,ALPBCS,ALPBECH,.ALPBDATA)
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25 | .S ALPBPDFN=$G(ALPBDATA(1))
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26 | .S ALPBPNAM=$G(ALPBDATA(2))
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27 | .S ALPBPSSN=$G(ALPBDATA(3))
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28 | .S ALPBPDOB=$G(ALPBDATA(4))
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29 | .S ALPBPSEX=$G(ALPBDATA(5))
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30 | .K ALPBDATA
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31 | K ALPBX
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32 | ; we must have patient's SSN (ALPBPSSN) to process this message...
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33 | I $G(ALPBPSSN)="" D Q
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34 | .D ERRBLD^ALPBUTL1("PID","Invalid/missing SSN",.ALPBFERR)
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35 | .D ERRLOG^ALPBUTL1(0,0,ALPBHREC,"PID",$G(ALPBMTXT("PID"),"PID segment undefined"),.ALPBFERR)
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36 | .K ALPBFERR
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37 | .D CLEAN
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38 | K ALPBMTXT("PID")
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39 | ;
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40 | ; using patient's DFN, get BCBU record number...
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41 | S ALPBIEN=0
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42 | I $D(^ALPB(53.7,ALPBPDFN)) S ALPBIEN=ALPBPDFN
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43 | ; create new record?...
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44 | I ALPBIEN'>0 D
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45 | .S DIC="^ALPB(53.7,"
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46 | .S DIC(0)="LZ"
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47 | .S DINUM=ALPBPDFN
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48 | .S DLAYGO=53.7
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49 | .S X=ALPBPNAM
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50 | .D FILE^DICN
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51 | .K DIC,DINUM,DLAYGO
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52 | .S ALPBIEN=+Y
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53 | ; if ALPBIEN'>0 then patient record find or creation error...
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54 | I +ALPBIEN'>0 D Q
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55 | .D ERRBLD^ALPBUTL1("","Failed to find/create patient record",.ALPBFERR)
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56 | .D ERRLOG^ALPBUTL1(0,0,ALPBHREC,"",$G(ALPBPDFN,"DFN undefined")_"^"_$G(ALPBPNAM,"Name undefined")_"^"_$G(ALPBPSSN,"SSN undefined"),.ALPBFERR)
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57 | .K ALPBFERR
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58 | .D CLEAN
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59 | ;
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60 | ; check PV1 segment to see if this is a discharge movement. if so,
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61 | ; delete the patient's BCBU record and quit...
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62 | I $P($G(ALPBMTXT("PV1")),ALPBFS,37)'="" D Q
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63 | .D DELPT^ALPBUTL(+$G(ALPBIEN))
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64 | .D CLEAN
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65 | ;
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66 | ; file/update patient demographic data...
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67 | S ALPBFILE(53.7,ALPBIEN_",",.01)=ALPBPNAM
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68 | S ALPBFILE(53.7,ALPBIEN_",",1)=ALPBPSSN
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69 | S ALPBFILE(53.7,ALPBIEN_",",2)=ALPBPDOB
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70 | S ALPBFILE(53.7,ALPBIEN_",",3)=ALPBPSEX
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71 | D FILE^DIE("","ALPBFILE","ALPBFERR")
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72 | I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),0,$G(ALPBHREC),"PID","Demographics update failed",.ALPBFERR)
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73 | K ALPBFERR,ALPBFILE
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74 | ;
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75 | ; if the allergies flag is set (ALPBMTXT("AL1")), delete any
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76 | ; allergies on file (they will be rebuilt by this message)...
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77 | I +$G(ALPBMTXT("AL1")) D DELALG^ALPBUTL2(ALPBIEN)
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78 | ;
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79 | ; if there is no ORC (order) segment, process the rest of the
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80 | ; message and quit...
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81 | I $G(ALPBMTXT("ORC"))="" D PM Q
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82 | ;
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83 | ; retrieve order number and transaction date from ORC segment...
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84 | D GETORC^ALPBUTL2($G(ALPBMTXT("ORC")),$G(ALPBFS),$G(ALPBCS),.ALPBDATA)
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85 | S ALPBMLOG=$S($G(ALPBDATA(0))="ML":1,1:0)
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86 | S ALPBORDN=$G(ALPBDATA(1))
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87 | S ALPBORDT=$G(ALPBDATA(2))
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88 | S ALPBORDC=+$G(ALPBDATA(3))
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89 | ; ALPBOTYP="V" for IV, "U" for Unit Dose, or "P" for Pending
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90 | S ALPBOTYP=$G(ALPBDATA(4))
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91 | K ALPBDATA
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92 | ;
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93 | ; we must have an order number to process the order-specific data,
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94 | ; if we do not then log that error condition and quit...
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95 | I $G(ALPBORDN)="" D Q
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96 | .D ERRBLD^ALPBUTL1("","No order number in ORC segment",.ALPBFERR)
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97 | .D ERRLOG^ALPBUTL1(0,0,ALPBHREC,"ORC",$G(ALPBMTXT("ORC"),"ORC segment not defined"),.ALPBFERR)
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98 | .K ALPBFERR
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99 | .D CLEAN
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100 | K ALPBMTXT("ORC")
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101 | ;
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102 | ; using CPRS order number, check to see if the order is already on
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103 | ; file. if so, and status is PENDING delete the order record...
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104 | I ALPBORDC>0 D
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105 | .;LOOP Through. May have replaced orders so need to check all
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106 | .S ALPBI=0
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107 | .F S ALPBI=$O(^ALPB(53.7,ALPBIEN,2,"ACPRS",ALPBORDC,ALPBI)) Q:+ALPBI'>0 D
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108 | ..I $E($P($G(^ALPB(53.7,ALPBIEN,2,ALPBI,0)),"^",3),1,2)'="IP" Q
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109 | ..D DELORD^ALPBUTL(ALPBIEN,ALPBI)
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110 | K ALPBI
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111 | ;
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112 | ; existing order's record number?...
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113 | K ALPBOIEN
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114 | S ALPBOIEN=+$O(^ALPB(53.7,ALPBIEN,2,"B",ALPBORDN,0))
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115 | ; if this isn't a Med Log update, and this order is already on
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116 | ; file, delete its drug(s), additive(s) and/or solution(s) --
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117 | ; they will be rebuilt by the other segments in this message...
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118 | I +$G(ALPBMLOG)=0&(ALPBOIEN>0) D CLORD^ALPBUTL2(ALPBIEN,ALPBOIEN)
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119 | ; create new order record?...
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120 | I +$G(ALPBOIEN)=0 D
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121 | .S ALPBOIEN=+$O(^ALPB(53.7,ALPBIEN,2," "),-1)+1
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122 | .S ALPBFILE(53.702,"+"_ALPBOIEN_","_ALPBIEN_",",.01)=ALPBORDN
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123 | .; don't file a 0 (zero) CPRS order number...
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124 | .I ALPBORDC>0 S ALPBFILE(53.702,"+"_ALPBOIEN_","_ALPBIEN_",",1)=ALPBORDC
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125 | .S ALPBFILE(53.702,"+"_ALPBOIEN_","_ALPBIEN_",",3)=ALPBORDT
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126 | .S ALPBFILE(53.702,"+"_ALPBOIEN_","_ALPBIEN_",",6)=ALPBOTYP
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127 | .D UPDATE^DIE("","ALPBFILE","ALPBOIEN","ALPBFERR")
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128 | .I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(ALPBIEN,"0",ALPBHREC,"NEWORD","",.ALPBFERR)
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129 | .K ALPBFERR,ALPBFILE
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130 | ;
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131 | PM ; process the message segments...
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132 | S I=0
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133 | F S I=$O(ALPBMTXT(I)) Q:'I D
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134 | .S ALPBDATA=ALPBMTXT(I)
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135 | .S ALPBSEG=$P(ALPBDATA,ALPBFS)
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136 | .; allergies segment...
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137 | .I ALPBSEG="AL1" D
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138 | ..D AL1^ALPBHL1U(+$G(ALPBIEN),$G(ALPBDATA),$G(ALPBFS),$G(ALPBCS),.ALPBFERR)
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139 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"AL1",$G(ALPBDATA),.ALPBFERR)
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140 | ..K ALPBFERR
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141 | .; general order segment...
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142 | .I ALPBSEG="ORC" D
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143 | ..D ORC^ALPBHL1U(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBDATA),$G(ALPBMLOG),$G(ALPBFS),$G(ALPBCS),.ALPBFERR)
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144 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"ORC",$G(ALPBDATA),.ALPBFERR)
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145 | ..K ALPBFERR
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146 | .; patient movement/location segment...
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147 | .I ALPBSEG="PV1" D
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148 | ..D PV1^ALPBHL1U(+$G(ALPBIEN),$G(ALPBDATA),$G(ALPBFS),$G(ALPBCS),.ALPBFERR)
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149 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"PV1",$G(ALPBDATA),.ALPBFERR)
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150 | ..K ALPBFERR
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151 | .; IV orders segment...
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152 | .I ALPBSEG="RXC" D
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153 | ..D RXC^ALPBHL1U(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBDATA),$G(ALPBFS),$G(ALPBCS),.ALPBFERR)
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154 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"RXC",$G(ALPBDATA),.ALPBFERR)
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155 | ..K ALPBFERR
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156 | .; drug, additives and/or solutions segment...
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157 | .I ALPBSEG="RXE" D
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158 | ..I $G(ALPBDATA)="" Q
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159 | ..; if this is a Pending order, check to see if a drug is included in this RXE seg. if not, let's try to add the one that may be in the RXO seg...
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160 | ..I +$P($P(ALPBDATA,ALPBFS,3),ALPBCS,4)=0 S $P(ALPBDATA,ALPBFS,3)=$P($G(ALPBMTXT("RXO")),ALPBFS,2)
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161 | ..;chech for any continuation lines
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162 | ..S J=0 F S J=$O(ALPBMTXT(I,J)) Q:'J S ALPBDATA=ALPBDATA_ALPBMTXT(I,J)
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163 | ..D RXE^ALPBHL1U(+$G(ALPBIEN),+$G(ALPBOIEN),ALPBDATA,$G(ALPBFS),$G(ALPBCS),$G(ALPBECH),.ALPBFERR)
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164 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"RXE",ALPBDATA,.ALPBFERR)
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165 | ..K ALPBFERR
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166 | .; med route...
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167 | .I ALPBSEG="RXR" D
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168 | ..D RXR^ALPBHL1U(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBDATA),$G(ALPBFS),$G(ALPBCS),.ALBPFERR)
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169 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"RXR",$G(ALPBDATA),.ALPBFERR)
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170 | ..K ALPBFERR
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171 | .; provider comments, special instructions or other print info...
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172 | .I ALPBSEG="NTE" D
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173 | ..; NTE segments can be multiple-lines. set up an array (ALPBNTE(...)) to pass to the filer...
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174 | ..; the first node will be the one that contains the NTE segment identifier
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175 | ..S ALPBNTE(1)=ALPBDATA
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176 | ..S ALPBX=1
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177 | ..; loop from ALPBMTXT(I) to retrieve any continuation lines...
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178 | ..S J=0
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179 | ..F S J=$O(ALPBMTXT(I,J)) Q:'J D
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180 | ...S ALPBX=ALPBX+1
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181 | ...S ALPBNTE(ALPBX)=ALPBMTXT(I,J)
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182 | ..K ALPBX,J
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183 | ..D NTE^ALPBHL1U(+$G(ALPBIEN),+$G(ALPBOIEN),.ALPBNTE,$G(ALPBFS),$G(ALPBCS),.ALPBFERR)
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184 | ..I +$G(ALPBFERR("DIERR")) D ERRLOG^ALPBUTL1(+$G(ALPBIEN),+$G(ALPBOIEN),$G(ALPBHREC),"NTE",ALPBDATA,.ALPBFERR)
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185 | ..K ALPBFERR,ALPBNTE
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186 | .K ALPBDATA,ALPBSEG
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187 | ;
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188 | ; set RECORD LAST UPDATED field...
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189 | S ALPBLUPD=$$NOW^XLFDT()
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190 | I $G(^ALPB(53.7,+$G(ALPBIEN),0))'="" D
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191 | .S ALPBFILE(53.7,ALPBIEN_",",7)=ALPBLUPD
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192 | .D FILE^DIE("","ALPBFILE","ALPBFERR")
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193 | .K ALPBFERR,ALPBFILE
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194 | ;
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195 | ; update PARAMETER file with last update date...
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196 | S ALPBPARM=+$O(^ALPB(53.71,0))
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197 | I ALPBPARM>0 D
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198 | .S ALPBFILE(53.71,ALPBPARM_",",4)=ALPBLUPD
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199 | .D FILE^DIE("","ALPBFILE","ALPBFERR")
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200 | .K ALPBFERR,ALPBFILE
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201 | K ALPBLUPD,ALPBPARM
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202 | ;
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203 | CLEAN K ALPBCS,ALPBDATA,ALPBECH,ALPBFS,ALPBHREC,ALPBIEN,ALPBMLOG,ALPBMTXT
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204 | K ALPBOIEN,ALPBORDC,ALPBORDN,ALPBORDT,ALPBOTYP,ALPBPDFN,ALPBPDOB
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205 | K ALPBPNAM,ALPBPSEX,ALPBPSSN,ALPBSEG
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206 | Q
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