| [613] | 1 | RORHL10 ;HOIFO/BH - HL7 SURGICAL PATHOLOGY DATA: 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 | ; #525          Read access to the multiple #63.08 (controlled) | 
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|  | 7 | ; #4343         $$SPATH^LA7UTL03 (controlled) | 
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|  | 8 | ; | 
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|  | 9 | Q | 
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|  | 10 | ; | 
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|  | 11 | ;***** SEARCHES FOR SURGICAL PATHOLOGY DATA | 
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|  | 12 | ; | 
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|  | 13 | ; RORDFN        IEN of the patient in the PATIENT file (#2) | 
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|  | 14 | ; | 
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|  | 15 | ; .DXDTS        Reference to a local variable where the | 
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|  | 16 | ;               data extraction time frames are stored. | 
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|  | 17 | ; | 
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|  | 18 | ; [CDSMODE]     Search the data by: | 
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|  | 19 | ;                 0  completion/result date (default) | 
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|  | 20 | ;                 1  specimen collection date | 
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|  | 21 | ; | 
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|  | 22 | ; Return Values: | 
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|  | 23 | ;       <0  Error code | 
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|  | 24 | ;        0  Ok | 
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|  | 25 | ;       >0  Non-fatal error(s) | 
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|  | 26 | ; | 
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|  | 27 | EN1(RORDFN,DXDTS,CDSMODE) ; | 
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|  | 28 | N ERRCNT,IDX,LRDFN,RC,RORENDT,RORSTDT | 
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|  | 29 | S (ERRCNT,RC)=0 | 
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|  | 30 | ; | 
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|  | 31 | S LRDFN=+$$LABREF^RORUTL18(RORDFN)  Q:LRDFN'>0 0 | 
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|  | 32 | ; | 
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|  | 33 | S IDX=0 | 
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|  | 34 | F  S IDX=$O(DXDTS(9,IDX))  Q:IDX'>0  D  Q:RC<0 | 
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|  | 35 | . S RORSTDT=$P(DXDTS(9,IDX),U),RORENDT=$P(DXDTS(9,IDX),U,2) | 
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|  | 36 | . ;--- | 
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|  | 37 | . S RC=$S($G(CDSMODE):$$CD(),1:$$RAD()) | 
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|  | 38 | . S:RC>0 ERRCNT=ERRCNT+RC | 
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|  | 39 | ; | 
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|  | 40 | Q $S(RC<0:RC,1:ERRCNT) | 
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|  | 41 | ; | 
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|  | 42 | ;***** SEARCHES BY SPECIMEN COLLECTION DATE | 
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|  | 43 | CD() ; | 
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|  | 44 | N ENDT,ERRCNT,IDT,STDT | 
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|  | 45 | S ERRCNT=0 | 
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|  | 46 | S STDT=9999999-RORSTDT | 
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|  | 47 | S ENDT=9999999-RORENDT | 
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|  | 48 | ;--- | 
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|  | 49 | S IDT=$O(^LR(LRDFN,"SP",STDT)) | 
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|  | 50 | F  S IDT=$O(^LR(LRDFN,"SP",IDT),-1)  Q:'IDT!(IDT'>ENDT)  D | 
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|  | 51 | . S:$$OBROBX(IDT,LRDFN) ERRCNT=ERRCNT+1 | 
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|  | 52 | Q ERRCNT | 
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|  | 53 | ; | 
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|  | 54 | ;***** SEARCHES BY COMPLETION (RESULT) DATE | 
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|  | 55 | RAD() ; | 
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|  | 56 | N ERRCNT,IDT,RCDT | 
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|  | 57 | S ERRCNT=0 | 
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|  | 58 | ;--- | 
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|  | 59 | S IDT=0 | 
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|  | 60 | F  S IDT=$O(^LR(LRDFN,"SP",IDT))  Q:IDT'>0  D | 
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|  | 61 | . S RCDT=$P($G(^LR(LRDFN,"SP",IDT,0)),U,3) | 
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|  | 62 | . I RCDT'<RORSTDT,RCDT<RORENDT  S:$$OBROBX(IDT,LRDFN) ERRCNT=ERRCNT+1 | 
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|  | 63 | Q ERRCNT | 
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|  | 64 | ; | 
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|  | 65 | ;***** CREATES OBR AND OBX SEGMENTS | 
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|  | 66 | OBROBX(RORIDT,LRDFN) ; | 
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|  | 67 | N ERRCNT,RC | 
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|  | 68 | S ERRCNT=0 | 
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|  | 69 | ;--- | 
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|  | 70 | S RC=$$OBR(RORIDT_","_LRDFN_",") | 
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|  | 71 | I RC  S ERRCNT=ERRCNT+1  Q:RC<0 RC | 
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|  | 72 | ;--- | 
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|  | 73 | S RC=$$OBX(LRDFN,RORIDT) | 
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|  | 74 | I RC  S ERRCNT=ERRCNT+1  Q:RC<0 RC | 
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|  | 75 | ;--- | 
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|  | 76 | Q ERRCNT | 
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|  | 77 | ; | 
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|  | 78 | ;***** OBR SEGMENT BUILDER | 
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|  | 79 | ; | 
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|  | 80 | ; RORIENS       IENS of SP Entry | 
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|  | 81 | ; | 
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|  | 82 | ; Return Values: | 
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|  | 83 | ;       <0  Error code | 
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|  | 84 | ;        0  Ok | 
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|  | 85 | ;       >0  Non-fatal error(s) | 
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|  | 86 | ; | 
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|  | 87 | OBR(RORIENS) ; | 
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|  | 88 | N CS,ERRCNT,FLDS,IEN,RC,RORMSG,ROROUT,RORSEG,TMP | 
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|  | 89 | S (ERRCNT,RC)=0 | 
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|  | 90 | D ECH^RORHL7(.CS) | 
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|  | 91 | ;--- Check the parameters | 
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|  | 92 | S:$E(RORIENS,$L(RORIENS))'="," RORIENS=RORIENS_"," | 
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|  | 93 | ; | 
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|  | 94 | ;--- Load the data (with a temporary fix for invalid | 
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|  | 95 | ;--- output transform of the .01 field - ROR*1*8) | 
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|  | 96 | D GETS^DIQ(63.08,RORIENS,".01","I","ROROUT","RORMSG") | 
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|  | 97 | I $G(DIERR)  D  S ERRCNT=ERRCNT+1 | 
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|  | 98 | . D DBS^RORERR("RORMSG",-9,,,63.08,RORIENS) | 
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|  | 99 | D GETS^DIQ(63.08,RORIENS,".03;.06;.07;.08","IE","ROROUT","RORMSG") | 
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|  | 100 | I $G(DIERR)  D  S ERRCNT=ERRCNT+1 | 
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|  | 101 | . D DBS^RORERR("RORMSG",-9,,,63.08,RORIENS) | 
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|  | 102 | ; | 
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|  | 103 | ;--- Initialize the segment | 
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|  | 104 | S RORSEG(0)="OBR" | 
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|  | 105 | ; | 
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|  | 106 | ;--- OBR-3 - Surgical Pathology Acc # | 
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|  | 107 | I $G(ROROUT(63.08,RORIENS,.06,"E"))=""  D  Q RC | 
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|  | 108 | . S RC=$$ERROR^RORERR(-95,,,,63.08,RORIENS,.06) | 
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|  | 109 | S RORSEG(3)=ROROUT(63.08,RORIENS,.06,"E") | 
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|  | 110 | ; | 
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|  | 111 | ;--- OBR-4 - SP CPT Code | 
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|  | 112 | S RORSEG(4)="88300"_CS_"LEVEL I - SURGICAL PAT"_CS_"C4" | 
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|  | 113 | ; | 
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|  | 114 | ;--- OBR-7 - Date/Time Specimen Taken | 
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|  | 115 | S TMP=$$FMTHL7^XLFDT($G(ROROUT(63.08,RORIENS,.01,"I"))) | 
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|  | 116 | Q:TMP'>0 $$ERROR^RORERR(-95,,,,63.08,RORIENS,.01) | 
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|  | 117 | S RORSEG(7)=TMP | 
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|  | 118 | ; | 
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|  | 119 | ;--- OBR-8 - Date Report Completed | 
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|  | 120 | S TMP=$G(ROROUT(63.08,RORIENS,.03,"I")) | 
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|  | 121 | S RORSEG(8)=$$FM2HL^RORHL7(TMP) | 
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|  | 122 | ; | 
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|  | 123 | ;--- OBR-16 - Surgeon/Physican | 
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|  | 124 | S RORSEG(16)=$G(ROROUT(63.08,RORIENS,.07,"I")) | 
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|  | 125 | ; | 
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|  | 126 | ;--- OBR-24 - Service Section ID | 
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|  | 127 | S RORSEG(24)="SP" | 
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|  | 128 | ; | 
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|  | 129 | ; OBR-44 - Divsion | 
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|  | 130 | S TMP=$G(ROROUT(63.08,RORIENS,.08,"I")) | 
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|  | 131 | S IEN=$S(TMP'="":+$O(^SC("B",TMP,0)),1:0) | 
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|  | 132 | S RORSEG(44)=$$DIV44^RORHLUT1(IEN,CS) | 
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|  | 133 | ; | 
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|  | 134 | ;--- Store the segment | 
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|  | 135 | D ADDSEG^RORHL7(.RORSEG) | 
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|  | 136 | Q ERRCNT | 
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|  | 137 | ; | 
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|  | 138 | ;***** OBX SEGMENT BUILDER | 
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|  | 139 | ; | 
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|  | 140 | ; LRDFN         Patient Lab DFN | 
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|  | 141 | ; RORIENS       IENS of SP Entry | 
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|  | 142 | ; | 
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|  | 143 | ; Return Values: | 
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|  | 144 | ;       <0  Error code | 
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|  | 145 | ;        0  Ok | 
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|  | 146 | ;       >0  Non-fatal error(s) | 
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|  | 147 | ; | 
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|  | 148 | OBX(LRDFN,RORIENS) ; | 
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|  | 149 | N CS,ERRCNT,RC,RORMSG,ROROUT,RORSEG,RORTMP,RPS,TMP | 
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|  | 150 | S (ERRCNT,RC)=0 | 
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|  | 151 | D ECH^RORHL7(.CS,,.RPS) | 
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|  | 152 | S RORTMP=$$ALLOC^RORTMP() | 
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|  | 153 | ;--- | 
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|  | 154 | I $$SPATH^LA7UTL03(LRDFN,RORIENS,RORTMP,"RORMSG")  D | 
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|  | 155 | . D SPECIMEN | 
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|  | 156 | . D SETOBXWP($$SEGID("BCH","Brief clinical History",CS),"CHIS") | 
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|  | 157 | . D SETOBXWP($$SEGID("PDIAG","Preoperative Diagnosis",CS),"PREDX") | 
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|  | 158 | . D SETOBXWP($$SEGID("OF","Operative Findings",CS),"OPERDX") | 
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|  | 159 | . S TMP=$$SEGID("POPDIAG","Postoperative Diagnosis",CS) | 
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|  | 160 | . D SETOBXWP(TMP,"POSTDX") | 
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|  | 161 | . D SETOBXWP($$SEGID("GDESC","Gross Decription",CS),"GROSSD") | 
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|  | 162 | . D SETOBXWP($$SEGID("MDESC","Microscopic Description",CS),"MICROD") | 
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|  | 163 | . S TMP=$$SEGID("SPDIAG","Surgical Pathology Diagnosis",CS) | 
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|  | 164 | . D SETOBXWP(TMP,"SURGP") | 
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|  | 165 | . D ICD(RPS) | 
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|  | 166 | E  D:$D(RORMSG)>1 | 
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|  | 167 | . N I,INFO  S TMP="" | 
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|  | 168 | . F I=1:1  S TMP=$O(RORMSG(TMP))  Q:TMP=""  S INFO(I)=RORMSG(TMP) | 
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|  | 169 | . S RC=$$ERROR^RORERR(-56,,.INFO,,0,"$$SPATH^LA7UTL03") | 
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|  | 170 | ;--- | 
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|  | 171 | D FREE^RORTMP(RORTMP) | 
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|  | 172 | Q $S(RC<0:RC,1:ERRCNT) | 
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|  | 173 | ; | 
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|  | 174 | ;***** MAKES SPECIMEN OBX | 
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|  | 175 | SPECIMEN ; | 
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|  | 176 | N INDEX,RORSPEC,SPECID | 
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|  | 177 | S INDEX="",SPECID=$$SEGID("SPEC","Specimen",CS) | 
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|  | 178 | F  S INDEX=$O(@RORTMP@("SPEC",INDEX))  Q:INDEX=""  D | 
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|  | 179 | . S RORSPEC=$G(@RORTMP@("SPEC",INDEX)) | 
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|  | 180 | . D:RORSPEC'="" SETOBX(SPECID,RORSPEC) | 
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|  | 181 | Q | 
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|  | 182 | ; | 
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|  | 183 | ;***** ICD-9 | 
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|  | 184 | ICD(RPS) ; | 
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|  | 185 | N CNT,ICDLST,INDEX,RORICD,TMP | 
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|  | 186 | S ICDID=$$SEGID("ICD9","ICD9",CS) | 
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|  | 187 | S (INDEX,RORICD)="",CNT=0 | 
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|  | 188 | F  S INDEX=$O(@RORTMP@("ICD9",INDEX))  Q:INDEX=""  D | 
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|  | 189 | . S TMP=$G(@RORTMP@("ICD9",INDEX)) | 
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|  | 190 | . S:TMP'="" CNT=CNT+1,$P(RORICD,RPS,CNT)=TMP | 
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|  | 191 | D:RORICD'="" SETOBX(ICDID,RORICD) | 
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|  | 192 | Q | 
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|  | 193 | ; | 
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|  | 194 | ;***** CONSTRUCTS SEGMENT IDENTIFIER | 
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|  | 195 | SEGID(CODE,NAME,CS) ; | 
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|  | 196 | Q CODE_CS_NAME_CS_"VA080" | 
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|  | 197 | ; | 
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|  | 198 | ;***** CREATE AND STORE THE OBX SEGMENTS | 
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|  | 199 | SETOBX(OBX3,OBX5) ; | 
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|  | 200 | N RORSEG | 
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|  | 201 | ;--- Initialize the segment | 
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|  | 202 | S RORSEG(0)="OBX" | 
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|  | 203 | ;--- OBX-2 - Value Type | 
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|  | 204 | S RORSEG(2)="FT" | 
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|  | 205 | ;--- OBX-3 - Observation Identifier | 
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|  | 206 | S RORSEG(3)=OBX3 | 
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|  | 207 | ;--- OBX-5 - Observation Value | 
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|  | 208 | S RORSEG(5)=$$ESCAPE^RORHL7(OBX5) | 
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|  | 209 | ;--- OBX-11 - Observation Result Status | 
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|  | 210 | S RORSEG(11)="F" | 
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|  | 211 | ;--- Store the segment | 
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|  | 212 | D ADDSEG^RORHL7(.RORSEG) | 
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|  | 213 | Q | 
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|  | 214 | ; | 
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|  | 215 | SETOBXWP(OBX3,SUBS) ; | 
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|  | 216 | N BR,CNT,I,I1,RORSEG,TMP | 
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|  | 217 | S BR=$E(HLECH,3)_".br"_$E(HLECH,3) | 
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|  | 218 | Q:$D(@RORTMP@(SUBS))<10 | 
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|  | 219 | ;--- Initialize the segment | 
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|  | 220 | S RORSEG(0)="OBX" | 
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|  | 221 | ;--- OBX-2 - Value Type | 
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|  | 222 | S RORSEG(2)="FT" | 
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|  | 223 | ;--- OBX-3 - Observation Identifier | 
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|  | 224 | S RORSEG(3)=OBX3 | 
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|  | 225 | ;--- OBX-5 - Observation Value | 
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|  | 226 | S I=$O(@RORTMP@(SUBS,"")),CNT=0 | 
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|  | 227 | F  Q:I=""  S I1=$O(@RORTMP@(SUBS,I))  D  S I=I1 | 
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|  | 228 | . S TMP=$$ESCAPE^RORHL7(@RORTMP@(SUBS,I)) | 
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|  | 229 | . S CNT=CNT+1,RORSEG(5,CNT)=$S(I1'="":TMP_BR,1:TMP) | 
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|  | 230 | ;--- OBX-11 - Observation Result Status | 
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|  | 231 | S RORSEG(11)="F" | 
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|  | 232 | ;--- Store the segment | 
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|  | 233 | D:$D(RORSEG(5)) ADDSEG^RORHL7(.RORSEG) | 
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|  | 234 | Q | 
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