1 | RORHL09 ;HOIFO/BH - HL7 OUTPATIENT DATA: PV1,OBR,OBX ; 3/13/06 9:24am
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2 | ;;1.5;CLINICAL CASE REGISTRIES;**1**;Feb 17, 2006;Build 24
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3 | ;
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4 | ; This routine uses the following IAs:
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5 | ;
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6 | ; #93 Get stop code from the file #44 (controlled)
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7 | ; #1889 Use of the ENCEVENT^PXKENC API
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8 | ; #1995 $$CODEC^ICPTCOD (supported)
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9 | ; #2309 Read access to the 'AA' x-ref in VISIT file (#9000010)
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10 | ; #3990 $$CODEC^ICDCODE (supported)
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11 | ; #10060 Read access to the file #200 (supported)
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12 | ; #2438 Access to the file #40.8 (field #1) (controlled)
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13 | ;
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14 | Q
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15 | ;
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16 | ;***** PROCESSES DIAGNOSIS CODES
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17 | DIAGS() ;
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18 | N DIAG,IEN,K5,OID,REC,TMP
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19 | S OID="OICD9"_RORCS_"Diagnosis"_RORCS_"VA080"
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20 | S K5=""
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21 | F S K5=$O(^TMP("PXKENC",$J,RORIEN,"POV",K5)) Q:K5="" D
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22 | . S REC=^TMP("PXKENC",$J,RORIEN,"POV",K5,0)
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23 | . S IEN=+$P(REC,U) Q:IEN'>0
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24 | . ;---
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25 | . S DIAG=$$CODEC^ICDCODE(IEN)
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26 | . D:DIAG'<0 SETOBX(OID,DIAG)
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27 | Q 0
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28 | ;
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29 | ;***** OUTPATIENT DATA SEGMENT BUILDER
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30 | ;
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31 | ; RORDFN DFN of Patient Record in File #2
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32 | ;
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33 | ; .DXDTS Reference to a local variable where the
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34 | ; data extraction time frames are stored.
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35 | ;
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36 | ; RORTY Set to either "PV1" or "OBR"
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37 | ;
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38 | ; The ^TMP("PXKENC",$J) and ^TMP("RORHL08",$J) global nodes are
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39 | ; used by this function.
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40 | ;
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41 | ; Return Values:
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42 | ; <0 Error Code
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43 | ; 0 Ok
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44 | ; >0 Non-fatal error(s)
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45 | ;
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46 | EN1(RORDFN,DXDTS,RORTY) ;
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47 | N ERRCNT,PIEN,PV1CNT,RC
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48 | S (ERRCNT,RC)=0
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49 | ;
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50 | ;--- PV1 Segments
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51 | I RORTY="PV1" K ^TMP("PXKENC",$J),^TMP("RORHL09",$J) D
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52 | . N IDX,INVDT,ROREND
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53 | . S (IDX,PV1CNT)=0
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54 | . F S IDX=$O(DXDTS(2,IDX)) Q:IDX'>0 D Q:RC<0
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55 | . . S INVDT=9999999-$$FMADD^XLFDT($P(DXDTS(2,IDX),U)\1,-1)
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56 | . . S ROREND=9999999-$P(DXDTS(2,IDX),U,2)
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57 | . . F S INVDT=$O(^AUPNVSIT("AA",RORDFN,INVDT),-1) Q:'INVDT!(INVDT'>ROREND) D
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58 | . . . S PIEN=""
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59 | . . . F S PIEN=$O(^AUPNVSIT("AA",RORDFN,INVDT,PIEN),-1) Q:'PIEN D
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60 | . . . . S TMP=$$PV1(PIEN,RORDFN)
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61 | . . . . I TMP Q:TMP<0 S ERRCNT=ERRCNT+TMP
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62 | . . . . ;--- Reference for the corresponding OBR segment
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63 | . . . . S:TMP'="S" PV1CNT=PV1CNT+1,^TMP("RORHL09",$J,PV1CNT)=PIEN
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64 | ;
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65 | ;--- OBR and OBX Segments
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66 | I RORTY="OBR" D K ^TMP("PXKENC",$J),^TMP("RORHL09",$J)
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67 | . S PV1CNT=0
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68 | . F S PV1CNT=$O(^TMP("RORHL09",$J,PV1CNT)) Q:PV1CNT'>0 D
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69 | . . S PIEN=+$G(^TMP("RORHL09",$J,PV1CNT)) Q:PIEN'>0
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70 | . . ;---
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71 | . . S TMP=$$OBR(PIEN,RORDFN)
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72 | . . I TMP Q:TMP<0 S ERRCNT=ERRCNT+TMP
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73 | . . ;---
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74 | . . S TMP=$$OBX(PIEN,RORDFN)
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75 | . . I TMP Q:TMP<0 S ERRCNT=ERRCNT+TMP
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76 | ;
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77 | ;--- Check for errors
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78 | Q $S(RC<0:RC,1:ERRCNT)
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79 | ;
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80 | ;***** OBR SEGMENT BUILDER (OUTPATIENT)
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81 | ;
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82 | ; RORIEN IEN of file #9000010
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83 | ; RORDFN DFN of Patient Record in File #2
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84 | ;
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85 | ; Return Values:
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86 | ; <0 Error Code
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87 | ; 0 Ok
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88 | ; >0 Non-fatal error(s)
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89 | ;
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90 | OBR(RORIEN,RORDFN) ;
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91 | N CS,ERRCNT,RC,RORSEG,STN,TMP,VST0
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92 | S (ERRCNT,RC)=0
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93 | D ECH^RORHL7(.CS)
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94 | ;
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95 | S VST0=$G(^TMP("PXKENC",$J,RORIEN,"VST",RORIEN,0))
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96 | ;
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97 | ;--- Initialize the segment
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98 | S RORSEG(0)="OBR"
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99 | ;
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100 | ;--- OBR-3 - Order Number (IEN in the VISIT file #9000010)
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101 | S RORSEG(3)=RORIEN
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102 | ;
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103 | ;--- OBR-4 - Universal Service ID
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104 | S RORSEG(4)="OP"_CS_"Outpatient"_CS_"C4"
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105 | ;
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106 | ;--- OBR-7 - Observation Date/Time (Visit Date/Time) *KEY*
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107 | S TMP=$$FMTHL7^XLFDT($P(VST0,U))
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108 | Q:TMP'>0 $$ERROR^RORERR(-100,,,,"No visit date","ENCEVENT^PXKENC")
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109 | S RORSEG(7)=TMP
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110 | ;
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111 | ;--- OBR-24 - Diagnostic Service ID
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112 | S RORSEG(24)="PHY"
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113 | ;
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114 | ;--- OBR-44 - Division
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115 | S RORSEG(44)=$$SITE^RORUTL03(CS)
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116 | S TMP=+$P(VST0,U,6) ; LOC. OF ENCOUNTER (.06)
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117 | I TMP>0 D
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118 | . S TMP=$$NS^XUAF4(TMP),STN=$P(TMP,U,2)
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119 | . S:STN'="" RORSEG(44)=STN_CS_$P(TMP,U)_CS_"99VA4"
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120 | ;
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121 | ;--- Store the segment
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122 | D ADDSEG^RORHL7(.RORSEG)
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123 | Q ERRCNT
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124 | ;
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125 | ;***** OBX SEGMENT BUILDER (OUTPATIENT)
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126 | ;
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127 | ; RORIEN IEN of file #9000010
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128 | ; RORDFN DFN of Patient Record in File #2
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129 | ;
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130 | ; Return Values:
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131 | ; <0 Error Code
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132 | ; 0 Ok
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133 | ; >0 Non-fatal error(s)
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134 | ;
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135 | OBX(RORIEN,RORDFN) ;
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136 | N ERRCNT,RC,RORCS,RORLST,RORMSG,RORSEG,TMP
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137 | S (ERRCNT,RC)=0
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138 | D ECH^RORHL7(.RORCS)
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139 | ;
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140 | ;--- Procedures
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141 | I $D(^TMP("PXKENC",$J,RORIEN,"CPT"))>1 D Q:RC<0 RC
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142 | . S RC=$$PROCS() S:RC ERRCNT=ERRCNT+1
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143 | ;--- Diagnosis codes
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144 | I $D(^TMP("PXKENC",$J,RORIEN,"POV"))>1 D Q:RC<0 RC
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145 | . S RC=$$DIAGS() S:RC ERRCNT=ERRCNT+1
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146 | ;
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147 | Q ERRCNT
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148 | ;
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149 | ;***** PROCESSES PROCEDURES
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150 | PROCS() ;
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151 | N CLASS,ERRCNT,IEN,K5,OID,PROC,PRV,REC,RORMSG,TMP
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152 | S ERRCNT=0
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153 | S OID="OCPT"_RORCS_"Procedures"_RORCS_"VA080"
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154 | S K5=""
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155 | F S K5=$O(^TMP("PXKENC",$J,RORIEN,"CPT",K5)) Q:K5="" D
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156 | . S REC=$G(^TMP("PXKENC",$J,RORIEN,"CPT",K5,0))
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157 | . S IEN=+$P(REC,U) Q:IEN'>0
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158 | . ;---
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159 | . S PROC=$$CODEC^ICPTCOD(IEN)
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160 | . Q:PROC<0
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161 | . ;---
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162 | . S PRV=+$P($G(^TMP("PXKENC",$J,RORIEN,"CPT",K5,12)),U,4)
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163 | . Q:PRV'>0
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164 | . ;---
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165 | . S $P(PRV,RORCS,13)=$$GET1^DIQ(200,PRV_",",53.5,"E",,"RORMSG")
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166 | . I $G(DIERR) D S ERRCNT=ERRCNT+1
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167 | . . D DBS^RORERR("RORMSG",-99,,RORDFN,200,+PRV_",")
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168 | . ;---
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169 | . D SETOBX(OID,PROC,PRV)
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170 | Q ERRCNT
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171 | ;
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172 | ;***** PV1 SEGMENT BUILDER (OUTPATIENT)
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173 | ;
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174 | ; RORIEN IEN in the file #9000010
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175 | ; RORDFN DFN of Patient Record in File #2
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176 | ;
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177 | ; Return Values:
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178 | ; <0 Error Code
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179 | ; 0 Ok
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180 | ; "S" No visit data
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181 | ; >0 Non-fatal error(s)
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182 | ;
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183 | PV1(RORIEN,RORDFN) ;
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184 | N BUF,CLASS,CS,ERRCNT,IENS,KK4,RC,REC,REP,RORCLIN,RORMSG,PRV,TMP,TMP1,VST0
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185 | S (ERRCNT,RC)=0
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186 | D ECH^RORHL7(.CS,,.REP)
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187 | ;
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188 | ;--- Get Visit Data
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189 | D ENCEVENT^PXKENC(RORIEN,1)
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190 | Q:$D(^TMP("PXKENC",$J,RORIEN))<10 "S"
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191 | S VST0=$G(^TMP("PXKENC",$J,RORIEN,"VST",RORIEN,0))
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192 | ;
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193 | ;--- Do not send visits with the following service categories: Daily
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194 | ;--- Hospitalization (D), Ancillary (X), Chart (C), Not Found (N),
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195 | ; (E), Event Historical, Hospitalization (H).
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196 | Q:"HEDXNC"[$P(VST0,U,7) "S"
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197 | ;
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198 | ;--- Initialize the segment
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199 | S RORSEG(0)="PV1"
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200 | ;
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201 | ;--- PV1-2 - Patient Class
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202 | S RORSEG(2)="O" ; O - Outpatient
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203 | ;
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204 | ;--- PV1-3 - Assigned Patient Location (Station Number and Stop Code)
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205 | S RORCLIN=+$P(VST0,U,22),BUF=""
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206 | I RORCLIN>0 D
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207 | . S IENS=RORCLIN_","
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208 | . S TMP=$$GET1^DIQ(44,IENS,3.5,"I") Q:TMP'>0
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209 | . S BUF=$$GET1^DIQ(40.8,TMP,1) Q:BUF="" ; Station Number
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210 | . S TMP=$$STOPCODE^RORUTL18(+RORCLIN)
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211 | . S $P(BUF,CS,6)=$S(TMP>0:TMP,1:"") ; Stop Code
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212 | Q:$P(BUF,CS,6)="" "S" ; Stop Code is required
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213 | S RORSEG(3)=BUF
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214 | ;
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215 | ; PV1-4 - Admission Type
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216 | S TMP=$P($G(^TMP("PXKENC",$J,RORIEN,"VST",RORIEN,150)),U,3)
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217 | S RORSEG(4)=TMP
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218 | ;
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219 | ;--- PV1-7 - Attending Physician (User IEN and Provider Class Name)
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220 | S (KK4,BUF)=""
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221 | F S KK4=$O(^TMP("PXKENC",$J,RORIEN,"PRV",KK4)) Q:KK4="" D
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222 | . S REC=$G(^TMP("PXKENC",$J,RORIEN,"PRV",KK4,0))
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223 | . S PRV=+$P(REC,U) Q:(PRV'>0)!($P(REC,U,4)'="P")
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224 | . S $P(PRV,CS,13)=$$GET1^DIQ(200,PRV_",",53.5,"E",,"RORMSG")
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225 | . I $G(DIERR) D S ERRCNT=ERRCNT+1
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226 | . . D DBS^RORERR("RORMSG",-99,,RORDFN,200,PRV_",")
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227 | . S BUF=BUF_REP_PRV
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228 | S RORSEG(7)=$P(BUF,REP,2,999)
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229 | ;
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230 | ;--- PV1-19 - Visit Number (IEN in the VISIT file #9000010) *KEY*
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231 | S RORSEG(19)=RORIEN
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232 | ;
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233 | ;--- PV1-44 - Admit Date/Time (Visit Date/Time) *KEY*
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234 | S TMP=$$FMTHL7^XLFDT($P(VST0,U))
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235 | I TMP'>0 D Q RC
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236 | . S RC=$$ERROR^RORERR(-100,,,,"No admission date","ENCEVENT^PXKENC")
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237 | S RORSEG(44)=TMP
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238 | ;
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239 | ;--- PV1-51 - Visit Indicator (Deleted Visit Indicator)
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240 | S TMP=$P(VST0,U,11)
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241 | S RORSEG(51)=$S(TMP'="":TMP,1:0)
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242 | ;
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243 | ;--- Store the segment
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244 | D ADDSEG^RORHL7(.RORSEG)
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245 | Q ERRCNT
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246 | ;
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247 | ;***** LOW-LEVEL SEGMENT BUILDER
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248 | ;
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249 | ; OBX3 Observation Identifier
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250 | ;
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251 | ; OBX5 Observation Value
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252 | ;
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253 | ; [OBX16] Procedure Provider and Provider Class Name
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254 | ;
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255 | SETOBX(OBX3,OBX5,OBX16) ;
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256 | N RORSEG
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257 | S RORSEG(0)="OBX"
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258 | ;--- OBX-2 Value Type
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259 | S RORSEG(2)="FT"
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260 | ;--- OBX-3 Observation Identifier
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261 | S RORSEG(3)=OBX3
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262 | ;--- OBX-5 Observation Value
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263 | S RORSEG(5)=OBX5
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264 | ;--- OBX-11 Observation Result Status
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265 | S RORSEG(11)="F"
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266 | ;--- OBX-16 Responsible Observer (Procedure Provider)
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267 | S:$G(OBX16)'="" RORSEG(16)=OBX16
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268 | ;--- Store the segment
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269 | D ADDSEG^RORHL7(.RORSEG)
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270 | Q
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