| [613] | 1 | RORHL17 ;HOIFO/BH,SG - HL7 PROBLEM LIST: OBR,OBX ; 1/23/06 2:22pm | 
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|  | 2 | ;;1.5;CLINICAL CASE REGISTRIES;;Feb 17, 2006 | 
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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 | ; #2308         Access to PROBLEM file #9000011 (controlled) | 
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|  | 7 | ; #2644         $$MOD^GMPLUTL3 (controlled) | 
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|  | 8 | ; #3990         $$CODEC^ICDCODE (supported) | 
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|  | 9 | ; #4743         GET^GMPLWP (controlled) | 
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|  | 10 | ; | 
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|  | 11 | Q | 
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|  | 12 | ; | 
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|  | 13 | ;***** SEARCHES FOR Problem List DATA | 
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|  | 14 | ; | 
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|  | 15 | ; RORDFN        IEN of the patient in the PATIENT file (#2) | 
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|  | 16 | ; | 
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|  | 17 | ; .DXDTS        Reference to a local variable where the | 
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|  | 18 | ;               data extraction time frames are stored. | 
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|  | 19 | ; | 
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|  | 20 | ; Return Values: | 
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|  | 21 | ;       <0  Error code | 
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|  | 22 | ;        0  Ok | 
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|  | 23 | ;       >0  Non-fatal error(s) | 
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|  | 24 | ; | 
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|  | 25 | ; | 
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|  | 26 | EN1(RORDFN,DXDTS) ; | 
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|  | 27 | N CS,DFN,GMRVSTR,IDX,PROBIEN,RC,RORARR,RORBUF,RORENDT,RORMSG,RORSTDT,RORTMP,TMP | 
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|  | 28 | S (ERRCNT,RC)=0 | 
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|  | 29 | D ECH^RORHL7(.CS) | 
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|  | 30 | S RORTMP=$$ALLOC^RORTMP() | 
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|  | 31 | ; | 
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|  | 32 | S IDX=0 | 
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|  | 33 | F  S IDX=$O(DXDTS(16,IDX))  Q:IDX'>0  D  Q:RC<0 | 
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|  | 34 | . S RORSTDT=$P(DXDTS(16,IDX),U),RORENDT=$P(DXDTS(16,IDX),U,2) | 
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|  | 35 | . ;--- Check to see is any problems have been entered/modified | 
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|  | 36 | . ;--- during the data extraction time frame | 
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|  | 37 | . S MDATE=$$MOD^GMPLUTL3(RORDFN) | 
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|  | 38 | . Q:(MDATE<RORSTDT)!(MDATE'<RORENDT) | 
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|  | 39 | . ;--- Find newly entered problems or modified problems | 
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|  | 40 | . S PROBIEN="" | 
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|  | 41 | . F  S PROBIEN=$O(^AUPNPROB("AC",RORDFN,PROBIEN)) Q:'PROBIEN  D | 
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|  | 42 | . . S TMP=$$LOAD(.RORARR,PROBIEN)  Q:TMP="S" | 
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|  | 43 | . . S:TMP>0 ERRCNT=ERRCNT+TMP | 
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|  | 44 | . . ;--- | 
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|  | 45 | . . S TMP=$$OBR(.RORARR) | 
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|  | 46 | . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
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|  | 47 | . . S TMP=$$OBX(.RORARR) | 
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|  | 48 | . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
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|  | 49 | ; | 
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|  | 50 | D FREE^RORTMP(RORTMP) | 
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|  | 51 | Q $S(RC<0:RC,1:ERRCNT) | 
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|  | 52 | ; | 
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|  | 53 | ;***** VALIDATES THE DATE | 
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|  | 54 | CHECK(DATE) ; | 
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|  | 55 | Q:DATE'>0 "" | 
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|  | 56 | Q:$E(DATE,1,3)>$E(DT,1,3) "" | 
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|  | 57 | S:$E(DATE,4,5)="00" $E(DATE,4,5)="01" | 
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|  | 58 | S:$E(DATE,6,7)="00" $E(DATE,6,7)="01" | 
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|  | 59 | Q $$FM2HL^RORHL7(DATE) | 
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|  | 60 | ; | 
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|  | 61 | ;I $E(DATE,1,2)="20",$E(DATE,3,4)>$E(DT,2,3) Q "" | 
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|  | 62 | ; | 
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|  | 63 | ;***** | 
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|  | 64 | LOAD(RORARR,PROBIEN) ; | 
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|  | 65 | N CNT,ERRCNT,IENS,MDATE,NOTE,REC,REC1,SUB3,SUB5,STAT | 
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|  | 66 | K RORARR,@RORTMP  S ERRCNT=0 | 
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|  | 67 | ; | 
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|  | 68 | S REC=$G(^AUPNPROB(PROBIEN,0)) | 
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|  | 69 | S REC1=$G(^AUPNPROB(PROBIEN,1)) | 
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|  | 70 | S MDATE=$P(REC,U,3) | 
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|  | 71 | Q:(MDATE<RORSTDT)!(MDATE'<RORENDT) "S" | 
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|  | 72 | ; | 
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|  | 73 | S RORARR("OBR","FACIL")=$P(REC,U,6) | 
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|  | 74 | S RORARR("OBR","NMBR")=$P(REC,U,7) | 
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|  | 75 | S RORARR("OBR","COND")=$P(REC1,U,2) | 
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|  | 76 | S RORARR("OBR","DE")=$$FMTHL7^XLFDT($P(REC,U,8)) | 
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|  | 77 | S RORARR("OBR","DOO")=$$CHECK($P(REC,U,13)) | 
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|  | 78 | S RORARR("OBR","DR")=$$CHECK($P(REC1,U,7)) | 
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|  | 79 | ; | 
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|  | 80 | S DIAG=$$CODEC^ICDCODE(+$P(REC,U)) | 
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|  | 81 | S:DIAG<0 DIAG="" | 
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|  | 82 | ; | 
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|  | 83 | S RORARR("OBR","DIAG")=DIAG | 
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|  | 84 | S RORARR("OBR","DR")=$$FMTHL7^XLFDT($P(REC1,U,9)) | 
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|  | 85 | S RORARR("OBR","RP")=$P(REC1,U,4) | 
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|  | 86 | S RORARR("OBR","DLM")=$$FMTHL7^XLFDT(MDATE) | 
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|  | 87 | S RORARR("OBR","ST")=$P(REC,U,12) | 
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|  | 88 | ; | 
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|  | 89 | S RORARR("OBX","PR")=$$GET1^DIQ(9000011,PROBIEN,.05,"E") | 
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|  | 90 | S RORARR("OBX","PROB")=$$GET1^DIQ(9000011,PROBIEN,1.01,"E") | 
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|  | 91 | ; | 
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|  | 92 | I $D(ROREXT("PATCH","GMPL*2*30"))  D | 
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|  | 93 | . D GET^GMPLWP(RORTMP,PROBIEN) | 
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|  | 94 | E  I $D(^AUPNPROB(PROBIEN,11))>1  D | 
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|  | 95 | . S SUB3=0,CNT=0 | 
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|  | 96 | . F  S SUB3=$O(^AUPNPROB(PROBIEN,11,SUB3))  Q:'SUB3  D | 
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|  | 97 | . . S SUB5=0 | 
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|  | 98 | . . F  S SUB5=$O(^AUPNPROB(PROBIEN,11,SUB3,11,SUB5))  Q:'SUB5  D | 
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|  | 99 | . . . S IENS=SUB5_","_SUB3_","_PROBIEN_"," | 
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|  | 100 | . . . S NOTE=$$GET1^DIQ(9000011.1111,IENS,.03,,,"RORMSG") | 
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|  | 101 | . . . S CNT=CNT+1,@RORTMP@(CNT)=NOTE | 
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|  | 102 | ; | 
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|  | 103 | Q ERRCNT | 
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|  | 104 | ; | 
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|  | 105 | ;***** PROBLEM LIST OBR SEGMENT BUILDER | 
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|  | 106 | ; | 
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|  | 107 | ; Return Values: | 
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|  | 108 | ;       <0  Error code | 
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|  | 109 | ;        0  Ok | 
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|  | 110 | ;       >0  Non-fatal error(s) | 
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|  | 111 | ; | 
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|  | 112 | OBR(RORARR) ; | 
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|  | 113 | N CLASS,CS,ERRCNT,PRV,RC,RORMSG,RORSEG,TMP,TMP1 | 
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|  | 114 | S (ERRCNT,RC)=0 | 
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|  | 115 | D ECH^RORHL7(.CS) | 
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|  | 116 | ; | 
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|  | 117 | ;--- Initialize the segment | 
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|  | 118 | S RORSEG(0)="OBR" | 
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|  | 119 | ; | 
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|  | 120 | ;--- OBR-3 - Filler Order Number | 
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|  | 121 | S RORSEG(3)=RORARR("OBR","FACIL")_RORARR("OBR","NMBR") | 
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|  | 122 | ; | 
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|  | 123 | ;--- OBR-4 - Problem List CPT Code | 
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|  | 124 | S RORSEG(4)="90125"_CS_"HOSPITAL CARE,NEW, INTERMED."_CS_"C4" | 
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|  | 125 | ; | 
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|  | 126 | ;--- OBR-6 - Requested Date/time (Date Entered) | 
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|  | 127 | S RORSEG(6)=RORARR("OBR","DE") | 
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|  | 128 | ; | 
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|  | 129 | ;--- OBR-7 - Observation Date/Time (Date Appeared) | 
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|  | 130 | S RORSEG(7)=RORARR("OBR","DOO") | 
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|  | 131 | ; | 
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|  | 132 | ;--- OBR-8 - Observation End Date/Time (Date Resolved/Inactivated) | 
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|  | 133 | S RORSEG(8)=RORARR("OBR","DR") | 
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|  | 134 | ; | 
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|  | 135 | ;--- OBR-13 -  Relevant Clinical Info. (Diagnosis Code) | 
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|  | 136 | S RORSEG(13)=RORARR("OBR","DIAG") | 
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|  | 137 | ; | 
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|  | 138 | ;--- OBR-14 - Specimen Received Date/time (Date Resolved/Inactivated) | 
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|  | 139 | S RORSEG(14)=RORARR("OBR","DR") | 
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|  | 140 | ; | 
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|  | 141 | ;--- OBR-16 - Ordering Provider | 
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|  | 142 | S PRV=RORARR("OBR","RP") | 
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|  | 143 | S TMP=$$GET1^DIQ(200,PRV_",",53.5,"E",,"RORMSG") | 
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|  | 144 | I $G(DIERR)  D  S ERRCNT=ERRCNT+1 | 
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|  | 145 | . D DBS^RORERR("RORMSG",-99,,RORDFN,200,PRV_",") | 
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|  | 146 | E  S $P(PRV,CS,13)=$$ESCAPE^RORHL7(TMP) | 
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|  | 147 | S RORSEG(16)=PRV | 
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|  | 148 | ; | 
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|  | 149 | ;--- OBR-20 - Filler Field 1 (Condition of the Record) | 
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|  | 150 | S RORSEG(20)=RORARR("OBR","COND") | 
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|  | 151 | ; | 
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|  | 152 | ;--- OBR-22 - Results Rpt/Status Change Date/time  (Last Modified) | 
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|  | 153 | S RORSEG(22)=RORARR("OBR","DLM") | 
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|  | 154 | ; | 
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|  | 155 | ;--- OBR-24 - Diagnostic Service ID | 
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|  | 156 | S RORSEG(24)="TX" | 
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|  | 157 | ; | 
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|  | 158 | ;--- OBR-25 - Result Status (Status of the Problem) | 
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|  | 159 | S TMP1=RORARR("OBR","ST") | 
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|  | 160 | S TMP=$S(TMP1="A":"F",TMP1="I":"R",1:"") | 
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|  | 161 | S RORSEG(25)=TMP | 
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|  | 162 | ; | 
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|  | 163 | ;--- OBR-44 - Division | 
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|  | 164 | S RORSEG(44)=$$SITE^RORUTL03(CS) | 
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|  | 165 | ; | 
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|  | 166 | ;--- Store the segment | 
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|  | 167 | D ADDSEG^RORHL7(.RORSEG) | 
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|  | 168 | Q ERRCNT | 
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|  | 169 | ; | 
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|  | 170 | ;***** PROBLEM LIST OBX SEGMENT(S) BUILDER | 
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|  | 171 | ; | 
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|  | 172 | ; Return Values: | 
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|  | 173 | ;       <0  Error code | 
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|  | 174 | ;        0  Ok | 
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|  | 175 | ;       >0  Non-fatal error(s) | 
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|  | 176 | ; | 
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|  | 177 | OBX(RORARR) ; | 
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|  | 178 | N BR,CS,ERRCNT,NDX,OBX3,RC | 
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|  | 179 | S (ERRCNT,RC)=0 | 
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|  | 180 | D ECH^RORHL7(.CS) | 
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|  | 181 | S BR=$E(HLECH,3)_".br"_$E(HLECH,3) | 
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|  | 182 | ; | 
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|  | 183 | I $D(RORARR("OBX","PR")) D | 
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|  | 184 | . S OBX3="PRVN"_CS_"Provider Narrative"_CS_"VA080" | 
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|  | 185 | . D SETOBX(OBX3,"",$$ESCAPE^RORHL7(RORARR("OBX","PR"))) | 
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|  | 186 | ; | 
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|  | 187 | I $D(RORARR("OBX","PROB")) D | 
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|  | 188 | . S OBX3="EXPR"_CS_"Expression"_CS_"VA080" | 
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|  | 189 | . D SETOBX(OBX3,"",$$ESCAPE^RORHL7(RORARR("OBX","PROB"))) | 
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|  | 190 | ; | 
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|  | 191 | S OBX3="NOTE"_CS_"Note Narrative"_CS_"VA080" | 
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|  | 192 | D SETOBXWP^RORHLUT1(RORTMP,OBX3) | 
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|  | 193 | ; | 
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|  | 194 | Q ERRCNT | 
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|  | 195 | ; | 
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|  | 196 | ;*** CREATES AND STORES THE OBX SEGMENT | 
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|  | 197 | SETOBX(OBX3,OBX4,OBX5) ; | 
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|  | 198 | N RORSEG | 
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|  | 199 | ;--- Initialize the segment | 
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|  | 200 | S RORSEG(0)="OBX" | 
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|  | 201 | ;--- OBX-2 | 
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|  | 202 | S RORSEG(2)="FT" | 
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|  | 203 | ;--- OBX-3 | 
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|  | 204 | S RORSEG(3)=OBX3 | 
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|  | 205 | ;--- OBX-4 | 
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|  | 206 | S:$G(OBX4)'="" RORSEG(4)=OBX4 | 
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|  | 207 | ;--- OBX-5 | 
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|  | 208 | S RORSEG(5)=OBX5 | 
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|  | 209 | ;--- OBX-11 | 
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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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