| 1 | RORHL17 ;HOIFO/BH,SG - HL7 PROBLEM LIST: OBR,OBX ; 1/23/06 2:22pm | 
|---|
| 2 | ;;1.5;CLINICAL CASE REGISTRIES;;Feb 17, 2006 | 
|---|
| 3 | ; | 
|---|
| 4 | ; This routine uses the following IAs: | 
|---|
| 5 | ; | 
|---|
| 6 | ; #2308         Access to PROBLEM file #9000011 (controlled) | 
|---|
| 7 | ; #2644         $$MOD^GMPLUTL3 (controlled) | 
|---|
| 8 | ; #3990         $$CODEC^ICDCODE (supported) | 
|---|
| 9 | ; #4743         GET^GMPLWP (controlled) | 
|---|
| 10 | ; | 
|---|
| 11 | Q | 
|---|
| 12 | ; | 
|---|
| 13 | ;***** SEARCHES FOR Problem List DATA | 
|---|
| 14 | ; | 
|---|
| 15 | ; RORDFN        IEN of the patient in the PATIENT file (#2) | 
|---|
| 16 | ; | 
|---|
| 17 | ; .DXDTS        Reference to a local variable where the | 
|---|
| 18 | ;               data extraction time frames are stored. | 
|---|
| 19 | ; | 
|---|
| 20 | ; Return Values: | 
|---|
| 21 | ;       <0  Error code | 
|---|
| 22 | ;        0  Ok | 
|---|
| 23 | ;       >0  Non-fatal error(s) | 
|---|
| 24 | ; | 
|---|
| 25 | ; | 
|---|
| 26 | EN1(RORDFN,DXDTS) ; | 
|---|
| 27 | N CS,DFN,GMRVSTR,IDX,PROBIEN,RC,RORARR,RORBUF,RORENDT,RORMSG,RORSTDT,RORTMP,TMP | 
|---|
| 28 | S (ERRCNT,RC)=0 | 
|---|
| 29 | D ECH^RORHL7(.CS) | 
|---|
| 30 | S RORTMP=$$ALLOC^RORTMP() | 
|---|
| 31 | ; | 
|---|
| 32 | S IDX=0 | 
|---|
| 33 | F  S IDX=$O(DXDTS(16,IDX))  Q:IDX'>0  D  Q:RC<0 | 
|---|
| 34 | . S RORSTDT=$P(DXDTS(16,IDX),U),RORENDT=$P(DXDTS(16,IDX),U,2) | 
|---|
| 35 | . ;--- Check to see is any problems have been entered/modified | 
|---|
| 36 | . ;--- during the data extraction time frame | 
|---|
| 37 | . S MDATE=$$MOD^GMPLUTL3(RORDFN) | 
|---|
| 38 | . Q:(MDATE<RORSTDT)!(MDATE'<RORENDT) | 
|---|
| 39 | . ;--- Find newly entered problems or modified problems | 
|---|
| 40 | . S PROBIEN="" | 
|---|
| 41 | . F  S PROBIEN=$O(^AUPNPROB("AC",RORDFN,PROBIEN)) Q:'PROBIEN  D | 
|---|
| 42 | . . S TMP=$$LOAD(.RORARR,PROBIEN)  Q:TMP="S" | 
|---|
| 43 | . . S:TMP>0 ERRCNT=ERRCNT+TMP | 
|---|
| 44 | . . ;--- | 
|---|
| 45 | . . S TMP=$$OBR(.RORARR) | 
|---|
| 46 | . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
|---|
| 47 | . . S TMP=$$OBX(.RORARR) | 
|---|
| 48 | . . I TMP  Q:TMP<0  S ERRCNT=ERRCNT+TMP | 
|---|
| 49 | ; | 
|---|
| 50 | D FREE^RORTMP(RORTMP) | 
|---|
| 51 | Q $S(RC<0:RC,1:ERRCNT) | 
|---|
| 52 | ; | 
|---|
| 53 | ;***** VALIDATES THE DATE | 
|---|
| 54 | CHECK(DATE) ; | 
|---|
| 55 | Q:DATE'>0 "" | 
|---|
| 56 | Q:$E(DATE,1,3)>$E(DT,1,3) "" | 
|---|
| 57 | S:$E(DATE,4,5)="00" $E(DATE,4,5)="01" | 
|---|
| 58 | S:$E(DATE,6,7)="00" $E(DATE,6,7)="01" | 
|---|
| 59 | Q $$FM2HL^RORHL7(DATE) | 
|---|
| 60 | ; | 
|---|
| 61 | ;I $E(DATE,1,2)="20",$E(DATE,3,4)>$E(DT,2,3) Q "" | 
|---|
| 62 | ; | 
|---|
| 63 | ;***** | 
|---|
| 64 | LOAD(RORARR,PROBIEN) ; | 
|---|
| 65 | N CNT,ERRCNT,IENS,MDATE,NOTE,REC,REC1,SUB3,SUB5,STAT | 
|---|
| 66 | K RORARR,@RORTMP  S ERRCNT=0 | 
|---|
| 67 | ; | 
|---|
| 68 | S REC=$G(^AUPNPROB(PROBIEN,0)) | 
|---|
| 69 | S REC1=$G(^AUPNPROB(PROBIEN,1)) | 
|---|
| 70 | S MDATE=$P(REC,U,3) | 
|---|
| 71 | Q:(MDATE<RORSTDT)!(MDATE'<RORENDT) "S" | 
|---|
| 72 | ; | 
|---|
| 73 | S RORARR("OBR","FACIL")=$P(REC,U,6) | 
|---|
| 74 | S RORARR("OBR","NMBR")=$P(REC,U,7) | 
|---|
| 75 | S RORARR("OBR","COND")=$P(REC1,U,2) | 
|---|
| 76 | S RORARR("OBR","DE")=$$FMTHL7^XLFDT($P(REC,U,8)) | 
|---|
| 77 | S RORARR("OBR","DOO")=$$CHECK($P(REC,U,13)) | 
|---|
| 78 | S RORARR("OBR","DR")=$$CHECK($P(REC1,U,7)) | 
|---|
| 79 | ; | 
|---|
| 80 | S DIAG=$$CODEC^ICDCODE(+$P(REC,U)) | 
|---|
| 81 | S:DIAG<0 DIAG="" | 
|---|
| 82 | ; | 
|---|
| 83 | S RORARR("OBR","DIAG")=DIAG | 
|---|
| 84 | S RORARR("OBR","DR")=$$FMTHL7^XLFDT($P(REC1,U,9)) | 
|---|
| 85 | S RORARR("OBR","RP")=$P(REC1,U,4) | 
|---|
| 86 | S RORARR("OBR","DLM")=$$FMTHL7^XLFDT(MDATE) | 
|---|
| 87 | S RORARR("OBR","ST")=$P(REC,U,12) | 
|---|
| 88 | ; | 
|---|
| 89 | S RORARR("OBX","PR")=$$GET1^DIQ(9000011,PROBIEN,.05,"E") | 
|---|
| 90 | S RORARR("OBX","PROB")=$$GET1^DIQ(9000011,PROBIEN,1.01,"E") | 
|---|
| 91 | ; | 
|---|
| 92 | I $D(ROREXT("PATCH","GMPL*2*30"))  D | 
|---|
| 93 | . D GET^GMPLWP(RORTMP,PROBIEN) | 
|---|
| 94 | E  I $D(^AUPNPROB(PROBIEN,11))>1  D | 
|---|
| 95 | . S SUB3=0,CNT=0 | 
|---|
| 96 | . F  S SUB3=$O(^AUPNPROB(PROBIEN,11,SUB3))  Q:'SUB3  D | 
|---|
| 97 | . . S SUB5=0 | 
|---|
| 98 | . . F  S SUB5=$O(^AUPNPROB(PROBIEN,11,SUB3,11,SUB5))  Q:'SUB5  D | 
|---|
| 99 | . . . S IENS=SUB5_","_SUB3_","_PROBIEN_"," | 
|---|
| 100 | . . . S NOTE=$$GET1^DIQ(9000011.1111,IENS,.03,,,"RORMSG") | 
|---|
| 101 | . . . S CNT=CNT+1,@RORTMP@(CNT)=NOTE | 
|---|
| 102 | ; | 
|---|
| 103 | Q ERRCNT | 
|---|
| 104 | ; | 
|---|
| 105 | ;***** PROBLEM LIST OBR SEGMENT BUILDER | 
|---|
| 106 | ; | 
|---|
| 107 | ; Return Values: | 
|---|
| 108 | ;       <0  Error code | 
|---|
| 109 | ;        0  Ok | 
|---|
| 110 | ;       >0  Non-fatal error(s) | 
|---|
| 111 | ; | 
|---|
| 112 | OBR(RORARR) ; | 
|---|
| 113 | N CLASS,CS,ERRCNT,PRV,RC,RORMSG,RORSEG,TMP,TMP1 | 
|---|
| 114 | S (ERRCNT,RC)=0 | 
|---|
| 115 | D ECH^RORHL7(.CS) | 
|---|
| 116 | ; | 
|---|
| 117 | ;--- Initialize the segment | 
|---|
| 118 | S RORSEG(0)="OBR" | 
|---|
| 119 | ; | 
|---|
| 120 | ;--- OBR-3 - Filler Order Number | 
|---|
| 121 | S RORSEG(3)=RORARR("OBR","FACIL")_RORARR("OBR","NMBR") | 
|---|
| 122 | ; | 
|---|
| 123 | ;--- OBR-4 - Problem List CPT Code | 
|---|
| 124 | S RORSEG(4)="90125"_CS_"HOSPITAL CARE,NEW, INTERMED."_CS_"C4" | 
|---|
| 125 | ; | 
|---|
| 126 | ;--- OBR-6 - Requested Date/time (Date Entered) | 
|---|
| 127 | S RORSEG(6)=RORARR("OBR","DE") | 
|---|
| 128 | ; | 
|---|
| 129 | ;--- OBR-7 - Observation Date/Time (Date Appeared) | 
|---|
| 130 | S RORSEG(7)=RORARR("OBR","DOO") | 
|---|
| 131 | ; | 
|---|
| 132 | ;--- OBR-8 - Observation End Date/Time (Date Resolved/Inactivated) | 
|---|
| 133 | S RORSEG(8)=RORARR("OBR","DR") | 
|---|
| 134 | ; | 
|---|
| 135 | ;--- OBR-13 -  Relevant Clinical Info. (Diagnosis Code) | 
|---|
| 136 | S RORSEG(13)=RORARR("OBR","DIAG") | 
|---|
| 137 | ; | 
|---|
| 138 | ;--- OBR-14 - Specimen Received Date/time (Date Resolved/Inactivated) | 
|---|
| 139 | S RORSEG(14)=RORARR("OBR","DR") | 
|---|
| 140 | ; | 
|---|
| 141 | ;--- OBR-16 - Ordering Provider | 
|---|
| 142 | S PRV=RORARR("OBR","RP") | 
|---|
| 143 | S TMP=$$GET1^DIQ(200,PRV_",",53.5,"E",,"RORMSG") | 
|---|
| 144 | I $G(DIERR)  D  S ERRCNT=ERRCNT+1 | 
|---|
| 145 | . D DBS^RORERR("RORMSG",-99,,RORDFN,200,PRV_",") | 
|---|
| 146 | E  S $P(PRV,CS,13)=$$ESCAPE^RORHL7(TMP) | 
|---|
| 147 | S RORSEG(16)=PRV | 
|---|
| 148 | ; | 
|---|
| 149 | ;--- OBR-20 - Filler Field 1 (Condition of the Record) | 
|---|
| 150 | S RORSEG(20)=RORARR("OBR","COND") | 
|---|
| 151 | ; | 
|---|
| 152 | ;--- OBR-22 - Results Rpt/Status Change Date/time  (Last Modified) | 
|---|
| 153 | S RORSEG(22)=RORARR("OBR","DLM") | 
|---|
| 154 | ; | 
|---|
| 155 | ;--- OBR-24 - Diagnostic Service ID | 
|---|
| 156 | S RORSEG(24)="TX" | 
|---|
| 157 | ; | 
|---|
| 158 | ;--- OBR-25 - Result Status (Status of the Problem) | 
|---|
| 159 | S TMP1=RORARR("OBR","ST") | 
|---|
| 160 | S TMP=$S(TMP1="A":"F",TMP1="I":"R",1:"") | 
|---|
| 161 | S RORSEG(25)=TMP | 
|---|
| 162 | ; | 
|---|
| 163 | ;--- OBR-44 - Division | 
|---|
| 164 | S RORSEG(44)=$$SITE^RORUTL03(CS) | 
|---|
| 165 | ; | 
|---|
| 166 | ;--- Store the segment | 
|---|
| 167 | D ADDSEG^RORHL7(.RORSEG) | 
|---|
| 168 | Q ERRCNT | 
|---|
| 169 | ; | 
|---|
| 170 | ;***** PROBLEM LIST OBX SEGMENT(S) BUILDER | 
|---|
| 171 | ; | 
|---|
| 172 | ; Return Values: | 
|---|
| 173 | ;       <0  Error code | 
|---|
| 174 | ;        0  Ok | 
|---|
| 175 | ;       >0  Non-fatal error(s) | 
|---|
| 176 | ; | 
|---|
| 177 | OBX(RORARR) ; | 
|---|
| 178 | N BR,CS,ERRCNT,NDX,OBX3,RC | 
|---|
| 179 | S (ERRCNT,RC)=0 | 
|---|
| 180 | D ECH^RORHL7(.CS) | 
|---|
| 181 | S BR=$E(HLECH,3)_".br"_$E(HLECH,3) | 
|---|
| 182 | ; | 
|---|
| 183 | I $D(RORARR("OBX","PR")) D | 
|---|
| 184 | . S OBX3="PRVN"_CS_"Provider Narrative"_CS_"VA080" | 
|---|
| 185 | . D SETOBX(OBX3,"",$$ESCAPE^RORHL7(RORARR("OBX","PR"))) | 
|---|
| 186 | ; | 
|---|
| 187 | I $D(RORARR("OBX","PROB")) D | 
|---|
| 188 | . S OBX3="EXPR"_CS_"Expression"_CS_"VA080" | 
|---|
| 189 | . D SETOBX(OBX3,"",$$ESCAPE^RORHL7(RORARR("OBX","PROB"))) | 
|---|
| 190 | ; | 
|---|
| 191 | S OBX3="NOTE"_CS_"Note Narrative"_CS_"VA080" | 
|---|
| 192 | D SETOBXWP^RORHLUT1(RORTMP,OBX3) | 
|---|
| 193 | ; | 
|---|
| 194 | Q ERRCNT | 
|---|
| 195 | ; | 
|---|
| 196 | ;*** CREATES AND STORES THE OBX SEGMENT | 
|---|
| 197 | SETOBX(OBX3,OBX4,OBX5) ; | 
|---|
| 198 | N RORSEG | 
|---|
| 199 | ;--- Initialize the segment | 
|---|
| 200 | S RORSEG(0)="OBX" | 
|---|
| 201 | ;--- OBX-2 | 
|---|
| 202 | S RORSEG(2)="FT" | 
|---|
| 203 | ;--- OBX-3 | 
|---|
| 204 | S RORSEG(3)=OBX3 | 
|---|
| 205 | ;--- OBX-4 | 
|---|
| 206 | S:$G(OBX4)'="" RORSEG(4)=OBX4 | 
|---|
| 207 | ;--- OBX-5 | 
|---|
| 208 | S RORSEG(5)=OBX5 | 
|---|
| 209 | ;--- OBX-11 | 
|---|
| 210 | S RORSEG(11)="F" | 
|---|
| 211 | ;--- Store the segment | 
|---|
| 212 | D ADDSEG^RORHL7(.RORSEG) | 
|---|
| 213 | Q | 
|---|