| 1 | GMVVDEF1 ;BPOIFO/JG,HIOFO/FT - BUILD HL7 ORU^R01 MESSAGE FOR VITALS ; 20 Sep 2005 4:36 PM
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| 2 | ;;5.0;GEN. MED. REC. - VITALS;**5,8,12,17,11**;Oct 31, 2002
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| 3 | ;11/30/2005 KAM/BAY Remedy Calls 121661 and 122742 changes for HL7 message
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| 4 | VALID ;;VDEF HL7 MESSAGE BUILDER
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| 5 | ; Creates HL7 V2.4 ORU^R01 message for vitals
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| 6 | ;
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| 7 | ; This routine uses the following IAs:
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| 8 | ; #93 - FILE 44 references (controlled)
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| 9 | ; #557 - FILE 40.7 references (controlled)
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| 10 | ; #2432 - FILE 44 references (controlled)
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| 11 | ; #3630 - VAFCQRY calls (controlled)
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| 12 | ; #4248 - VDEFEL calls (controlled)
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| 13 | ; #4571 - VDEFREQ calls (controlled)
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| 14 | ; #10035 - DPT( references (supported)
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| 15 | ; #10040 - FILE 44 references (supported)
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| 16 | ; #10112 - VASITE calls (supported)
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| 17 | ;
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| 18 | ; This routine is called at tag EN as a Function by VDEFREQ1
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| 19 | ;
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| 20 | Q
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| 21 | ;
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| 22 | EN(EVIEN,KEY,VFLAG,OUT,MSHP) ; Entry point
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| 23 | ;
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| 24 | ; Inputs: EVIEN = IEN of VDEF Event in file 577
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| 25 | ; KEY - IEN of file to create message from
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| 26 | ; VFLAG - "V" for VistA HL7 destination (default)
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| 27 | ; OUT - target array, passed by reference
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| 28 | ; MSHP - Piece 4 contains message subtype
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| 29 | ;
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| 30 | ; Output: Two part string with parts separated by "^"
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| 31 | ; Part 1: "LM" - output in local array passed in "OUT" parameter
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| 32 | ; "GM" - output in ^TMP("HLS",$J)
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| 33 | ; Part 2: No longer used
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| 34 | ;
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| 35 | N DFN,HLFS,HLCM,HLSC,HLRP,HLES,HLQ,VTLDAT,UM,VTLTYP,DTE,DTP
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| 36 | N VTLERR,VAL,I,S,X,XX,Y,QUALS,HL7RC,PIDSEG,IEN1,SEQ,STOPCD,EIEVUID
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| 37 | N SEPF,SEPC,SEPR,SEPE,SEPS,VTLNAM,ARRAY,O2SUP,OUTX,ADD,VTLVUID
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| 38 | ;
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| 39 | ; Initialize stuff
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| 40 | K ^TMP("HLS",$J) S S=0,ARRAY="OUT("_"""HLS"""_",S)",TARGET="LM^"
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| 41 | ;
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| 42 | ; Set up HL7 delimiters
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| 43 | S HLCM=$E(VDEFHL("ECH")),HLRP=$E(VDEFHL("ECH"),2),HLSC=$E(VDEFHL("ECH"),4),HLES=$E(VDEFHL("ECH"),3)
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| 44 | S HLFS=VDEFHL("FS"),HLQ=VDEFHL("Q"),HL7RC=HLES_HLFS_HLCM_HLRP_HLSC
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| 45 | D SETDLMS^VDEFEL
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| 46 | ;
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| 47 | ; Get the vitals measurement record & patient ID
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| 48 | S VTLDAT=$$EN^GMVHDR(KEY)
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| 49 | I 'VTLDAT D ERR^VDEFREQ("Invalid data in file GMR(120.5) for IEN "_KEY) S ZTSTOP=1 G EXIT
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| 50 | S DFN=$P(VTLDAT,U,2),VTLTYP=$P(VTLDAT,U,7)
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| 51 | S VTLVUID=$$GET^GMVUID(120.51,.01,+VTLTYP_",") ;vital type vuid
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| 52 | S O2SUP=$P(VTLDAT,U,10),VTLERR=$P(VTLDAT,U,11)
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| 53 | S X=$P(VTLDAT,U,5) I +X'=X!(X<0) S $P(VTLDAT,U,5)=""
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| 54 | S STOPCD=""
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| 55 | I $P(VTLDAT,U,5)'="" D
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| 56 | . S STOPCD=$P($G(^SC($P(VTLDAT,U,5),0)),U,7) Q:STOPCD=""
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| 57 | . S STOPCD=$G(^DIC(40.7,STOPCD,0))
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| 58 | . S STOPCD=$$HL7RC($P(STOPCD,U,2))_";"_$$HL7RC($P(STOPCD,U))
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| 59 | ;
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| 60 | ; Build segments for message in OUTX, $P # = HL7 field #
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| 61 | ;
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| 62 | ; PID - Use MPI PID builder
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| 63 | PID K PIDSEG S OUTX="",S=1,SEQ=""
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| 64 | I $G(^DPT(DFN,0))="" D ERR^VDEFREQ("No entry in file DPT for DFN "_DFN) S ZTSTOP=1 G EXIT
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| 65 | D BLDPID^VAFCQRY(DFN,1,SEQ,.PIDSEG,.VDEFHL)
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| 66 | F I=2:1 Q:$G(PIDSEG(I))="" S PIDSEG(1,I-1)=PIDSEG(I) K PIDSEG(I)
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| 67 | M OUTX=PIDSEG(1) K PIDSEG D SAVE
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| 68 | ;
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| 69 | ; ORC
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| 70 | ORC S S=S+1,OUTX="RE"
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| 71 | ;
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| 72 | ; Filler ID
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| 73 | S X=KEY_HLCM_$$HL7RC($P(SITEPARM,U,6))_"_120.5",$P(OUTX,HLFS,3)=X
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| 74 | ;
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| 75 | ; Enterer's location
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| 76 | I $P(VTLDAT,U,5)'="" D
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| 77 | . S X=$G(^SC($P(VTLDAT,U,5),0)),VAL=$$HL7RC($P(X,U,2))_HLCM_$P(VTLDAT,U,5)
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| 78 | . S $P(VAL,HLCM,9)=$$HL7RC($P(X,U)),$P(OUTX,HLFS,13)=VAL
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| 79 | . I +$P(X,U,15) S X=$$SITE^VASITE($P(VTLDAT,U),$P(X,U,15)) S:X=-1 X=""
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| 80 | . E S X=""
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| 81 | . S VAL=$$HL7RC($P(X,U,3))_HLCM_$$HL7RC($P(X,U,2))_HLCM_"L",$P(OUTX,HLFS,17)=VAL
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| 82 | ; Parent Facility (Added 04/17/2006)
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| 83 | S $P(OUTX,HLFS,21)=$P($$SITE^VASITE(),"^",2)
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| 84 | ;
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| 85 | S VAL=$P(OUTX,HLFS,3),OUTX="ORC"_HLFS_OUTX D SAVE
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| 86 | ;
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| 87 | ; OBR
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| 88 | OBR S S=S+1,OUTX="",VTLNAM=$$HL7RC($P(^GMRD(120.51,VTLTYP,0),U))
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| 89 | S X=VTLVUID_HLCM_VTLNAM_HLCM_$$HL7RC("99VA120.51")
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| 90 | ;
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| 91 | ; Add filler ID from ORC-3 & Procedure name
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| 92 | S $P(OUTX,HLFS,3)=VAL,$P(OUTX,HLFS,4)=X
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| 93 | ;
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| 94 | ; Dates/times vital taken & entered
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| 95 | S DTP=$$HL7RC($$TS^VDEFEL($P(VTLDAT,U))),$P(OUTX,HLFS,7)=DTP
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| 96 | S DTE=$$HL7RC($$TS^VDEFEL($P(VTLDAT,U,4))),$P(OUTX,HLFS,8)=DTE
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| 97 | ;
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| 98 | ; Use date/time vital entered for results reported
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| 99 | S $P(OUTX,HLFS,22)=DTE
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| 100 | ;
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| 101 | ; Set result status to Final or Error if entered in error
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| 102 | S $P(OUTX,HLFS,25)=$E("FE",VTLERR'=""+1)
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| 103 | ;
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| 104 | ; Technician name
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| 105 | S XX=$$XCN200^VDEFEL($P(VTLDAT,U,6))
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| 106 | F II=2:1:7 S $P(XX,SEPC,II)=$$HL7RC($P(XX,SEPC,II))
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| 107 | S $P(OUTX,HLFS,34)=XX
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| 108 | S OUTX="OBR"_HLFS_OUTX D SAVE
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| 109 | ;
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| 110 | ; OBX 1 - Vital name
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| 111 | OBX1 S S=S+1,OUTX=HLFS_"ST"
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| 112 | ;
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| 113 | ; Observation ID - Vital name
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| 114 | S X=VTLVUID_HLCM_VTLNAM_HLCM_$$HL7RC("99VA120.51"),$P(OUTX,HLFS,3)=X
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| 115 | ;
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| 116 | ; Unit of measure
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| 117 | ; If vital not performed, set units to null
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| 118 | S UM=$$HL7RC($P(VTLDAT,U,9)) S:$F("Pass Refused Unavailable",$P(VTLDAT,U,8))>0 UM=""
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| 119 | S UM=UM_HLCM_UM_HLCM_"L"
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| 120 | ;
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| 121 | ; Set sub-id if O2 supplements to follow
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| 122 | S:O2SUP'="" $P(OUTX,HLFS,4)=1
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| 123 | S $P(OUTX,HLFS,5)=$$HL7RC($P(VTLDAT,U,8)),$P(OUTX,HLFS,6)=UM
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| 124 | ;
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| 125 | ; Set result status to Final or Wrong if errors entered
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| 126 | S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1)
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| 127 | S XX=$$XCN200^VDEFEL($P(VTLDAT,U,6))
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| 128 | F II=2:1:7 S $P(XX,SEPC,II)=$$HL7RC($P(XX,SEPC,II))
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| 129 | S $P(OUTX,HLFS,16)=XX
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| 130 | S OUTX="OBX"_HLFS_OUTX D SAVE
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| 131 | ;
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| 132 | ; OBX2 - O2 Supplement
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| 133 | OBX2 G QUALS:O2SUP="" S (VAL,UM)=""
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| 134 | S S=S+1,OUTX=HLFS_"ST"_HLFS_"O2 Supplement" D
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| 135 | . I O2SUP["%",O2SUP'["l/min" S VAL=+O2SUP,UM="%" Q
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| 136 | . I O2SUP'["%",O2SUP["l/min" S VAL=+O2SUP,UM="l/min"
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| 137 | . I O2SUP["%",O2SUP["l/min" S $P(VAL,U)=$P(O2SUP," "),$P(UM,U)="l/min",$P(VAL,U,2)=+$P(O2SUP," ",3),$P(UM,U,2)="%"
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| 138 | S X=$P(UM,U),X=X_HLCM_X_HLCM_"L",$P(UM,U)=X
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| 139 | I $P(UM,U,2)'="" S X=$P(UM,U,2),X=X_HLCM_X_HLCM_"L",$P(UM,U,2)=X
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| 140 | S $P(OUTX,HLFS,4)=2,$P(OUTX,HLFS,5)=$P(VAL,U,1),$P(OUTX,HLFS,6)=$P(UM,U)
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| 141 | ;
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| 142 | ; Set result status to Final or Wrong if errors entered
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| 143 | S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1)
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| 144 | S OUTX="OBX"_HLFS_OUTX,X=OUTX D SAVE
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| 145 | ; If more than one O2 supplement, add another OBX
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| 146 | ; Field offset in OUT is now +1 because OBX has been added
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| 147 | S OUTX=X I $P(VAL,U,2)'="" D
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| 148 | . S S=S+1,$P(OUTX,HLFS,5)=3,$P(OUTX,HLFS,6)=$P(VAL,U,2),$P(OUTX,HLFS,7)=$P(UM,U,2)
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| 149 | . D SAVE
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| 150 | ;
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| 151 | ; Qualifiers
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| 152 | QUALS S QUALS="",X=$O(^GMR(120.5,KEY,5,0)) G ERRS:X=""
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| 153 | S S=S+1,OUTX=HLFS_"CE"_HLFS_"Qualifiers"_HLFS_HLFS
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| 154 | ;
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| 155 | ; Get qualifiers
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| 156 | S IEN1=0 F S IEN1=$O(^GMR(120.5,KEY,5,IEN1)) Q:'+IEN1 D
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| 157 | . S X=^GMR(120.5,KEY,5,IEN1,0),VAL=$$HL7RC($P(^GMRD(120.52,X,0),U))
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| 158 | . S X=$$GET^GMVUID(120.52,.01,+X_",") ;qualifier vuid
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| 159 | . S VAL=X_HLCM_VAL_HLCM_$$HL7RC("99VA120.52"),QUALS=QUALS_VAL_HLRP
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| 160 | ;
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| 161 | ; Set result
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| 162 | S $P(OUTX,HLFS,5)=$E(QUALS,1,$L(QUALS)-1)
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| 163 | ;
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| 164 | ; Set result status to Final or Wrong if errors entered
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| 165 | S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1)
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| 166 | S OUTX="OBX"_HLFS_OUTX D SAVE
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| 167 | ;
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| 168 | ; Entered in Error
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| 169 | ERRS G ZSC:VTLERR="" S S=S+1,OUTX=HLFS_"CE"_HLFS_"Error Reasons"_HLFS_HLFS
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| 170 | ;
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| 171 | ; Error data reason(s)
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| 172 | S X=$P(VTLDAT,U,13),VAL=""
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| 173 | F I=1:1:$L(X,"~") D
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| 174 | .S Y=$P(X,"~",I)
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| 175 | .S EIEVUID=$$GET^GMVUID(120.506,.01,$P(Y,"-",1)) ;error vuid
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| 176 | .S VAL=VAL_$$HL7RC(EIEVUID)_HLCM_$$HL7RC($P(Y,"-",2))_HLCM_$$HL7RC("99VA8985.1")_HLRP
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| 177 | S VAL=$E(VAL,1,$L(VAL)-1),$P(OUTX,HLFS,5)=VAL
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| 178 | ;
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| 179 | ; Set result status to Final or Wrong if errors entered
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| 180 | S $P(OUTX,HLFS,11)=$E("FW",VTLERR'=""+1)
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| 181 | ;
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| 182 | ; Entered in error by technician
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| 183 | S XX=$$XCN200^VDEFEL($P(VTLDAT,U,12))
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| 184 | F II=2:1:7 S $P(XX,SEPC,II)=$$HL7RC($P(XX,SEPC,II))
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| 185 | S $P(OUTX,HLFS,16)=XX
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| 186 | S OUTX="OBX"_HLFS_OUTX D SAVE
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| 187 | ;
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| 188 | ; Stop Code & Name
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| 189 | ZSC G EXIT:STOPCD=""
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| 190 | S S=S+1,OUTX=HLFS_$P(STOPCD,";")_HLFS_$P(STOPCD,";",2)
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| 191 | S OUTX="ZSC"_HLFS_OUTX D SAVE
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| 192 | ;
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| 193 | ; Done building segments
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| 194 | EXIT Q TARGET
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| 195 | ;
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| 196 | ;
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| 197 | ; Place current string into message array.
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| 198 | ; Turn string into array if length >245.
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| 199 | ; Move local array to global if needed.
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| 200 | SAVE N I
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| 201 | I $P(OUTX,HLFS)'="PID",$L(OUTX)>245 D
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| 202 | . K ADD S ADD=$E(OUTX,1,245),OUTX=$E(OUTX,246,$L(OUTX))
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| 203 | . F I=1:1 S ADD(I)=$E(OUTX,1,245),OUTX=$E(OUTX,246,$L(OUTX)) Q:OUTX=""
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| 204 | . K OUTX M OUTX=ADD
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| 205 | M @ARRAY=OUTX
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| 206 | ;
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| 207 | ; Move local array to global if it's getting big.
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| 208 | I $P(TARGET,U)="LM",$S<16000 D
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| 209 | . K ^TMP("HLS",$J) M ^TMP("HLS",$J)=OUT("HLS") K OUT("HLS")
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| 210 | . S $P(TARGET,U)="GM",ARRAY="^TMP("_"""HLS"""_",$J,S)"
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| 211 | K OUTX,ADD
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| 212 | Q
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| 213 | ;
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| 214 | ; Replace any HL7 coding chars. in strings with HL7 escape sequence
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| 215 | ; Input: X = data string
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| 216 | HL7RC(X) N OCHR,RCHR,RCHRI,TYPE,I F TYPE="E","F","C","R","S" D
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| 217 | . S RCHRI=$S(TYPE="E":1,TYPE="F":2,TYPE="C":3,TYPE="R":4,TYPE="S":5)
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| 218 | . S OCHR=$E(HL7RC,RCHRI),RCHR=$E("EFSRT",RCHRI)
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| 219 | . Q:'$F(X,OCHR)
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| 220 | . F I=1:1 Q:$E(X,I)="" I $E(X,I)=OCHR S X=$E(X,1,I-1)_HLES_RCHR_HLES_$E(X,I+1,999),I=I+2
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| 221 | Q X
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