| [613] | 1 | MAGDHWC ;WOIFO/PMK - Capture Consult/Procedure Request data ; 24 Jan 2006 11:50 AM
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| 2 | ;;3.0;IMAGING;**10,51,46**;16-February-2007;;Build 1023
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| 3 | ;; Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;; +---------------------------------------------------------------+
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| 5 | ;; | Property of the US Government. |
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| 6 | ;; | No permission to copy or redistribute this software is given. |
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| 7 | ;; | Use of unreleased versions of this software requires the user |
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| 8 | ;; | to execute a written test agreement with the VistA Imaging |
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| 9 | ;; | Development Office of the Department of Veterans Affairs, |
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| 10 | ;; | telephone (301) 734-0100. |
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| 11 | ;; | The Food and Drug Administration classifies this software as |
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| 12 | ;; | a medical device. As such, it may not be changed in any way. |
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| 13 | ;; | Modifications to this software may result in an adulterated |
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| 14 | ;; | medical device under 21CFR820, the use of which is considered |
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| 15 | ;; | to be a violation of US Federal Statutes. |
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| 16 | ;; +---------------------------------------------------------------+
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| 17 | ;;
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| 18 | ENTRY ;
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| 19 | ; determine the kind of message and branch appropriately
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| 20 | N %,APTSCHED,CONSULT,DATETIME,DEL,DEL2,DEL3,DEL4,DEL5,DFN
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| 21 | N DIVISION,FILLER1,FWDFROM,FMDATE,FMDATETM,GMRCIEN,HL,HL7,HL7ORC,HL7REC
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| 22 | N I,IGNORE,ITYPCODE,ITYPNAME,IGNORE,MSGTYPE,OBXSEGNO,ORIGSERV,SERVICE,X,Y,Z
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| 23 | I $D(GMRCMSG) M HL7=GMRCMSG
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| 24 | E I $D(XQORHSTK(0)) M HL7=XQORHSTK(0)
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| 25 | E Q ; can't find HL7 data to handle this!
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| 26 | S HL7REC=HL7(1)
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| 27 | S DEL=$E(HL7REC,4),X=$P(HL7REC,DEL,2)
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| 28 | F I=1:1:$L(X) S @("DEL"_(I+1))=$E(X,I)
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| 29 | D NOW^%DTC S FMDATE=%\1,FMDATETM=%
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| 30 | ;
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| 31 | ; find PID segment and get the DFN
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| 32 | S I=0 I '$$FINDSEG^MAGDHW0(.HL7,"PID",.I,.X) Q ; no PID segment
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| 33 | S DFN=$P(X,DEL,3)
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| 34 | ;
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| 35 | ; find ORC segment and get GMRCIEN
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| 36 | S I=0 I '$$FINDSEG^MAGDHW0(.HL7,"ORC",.I,.HL7ORC) Q ; no ORC segment
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| 37 | S GMRCIEN=+$P(HL7ORC,DEL,3) ; GMRC request is in ^GMR(123,GMRCIEN,...)
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| 38 | ;
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| 39 | D ^MAGDTR01 ; update the Read/Unread list with the data from the HL7 message
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| 40 | ;
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| 41 | S IGNORE=1 ; decide if service is one that requires HL7->DICOM gateway
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| 42 | ;
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| 43 | ; find ORC segment and check for an "OK" order control value
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| 44 | I $P(HL7ORC,DEL)="OK" D Q ; generate message by ^MAGDHWS
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| 45 | . S SERVICE=$$GET1^DIQ(123,GMRCIEN,1,"I")
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| 46 | . D SERVICE ; send this transaction to the DICOM gateway?
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| 47 | . I 'IGNORE D
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| 48 | . . D INIT^MAGDHW0 ; initialize variables
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| 49 | . . S DATETIME=""
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| 50 | . . D MESSAGE^MAGDHWS("O") ; indicates new order
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| 51 | . . Q
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| 52 | . Q
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| 53 | ;
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| 54 | I " CA CR DR OC OD "[(" "_$P(HL7ORC,DEL)_" ") D Q ; Discontinued order
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| 55 | . S SERVICE=$$GET1^DIQ(123,GMRCIEN,1,"I")
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| 56 | . D SERVICE ; send this transaction to the DICOM gateway?
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| 57 | . I 'IGNORE D
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| 58 | . . D INIT^MAGDHW0 ; initialize variables
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| 59 | . . S DATETIME=""
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| 60 | . . D MESSAGE^MAGDHWS("C") ; Cancelled/Discontinued order
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| 61 | . . Q
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| 62 | . Q
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| 63 | ;
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| 64 | ; check for a FORWARD in the ORC segment
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| 65 | I $P($P(HL7ORC,DEL,16),DEL2,5)="FORWARD" D
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| 66 | . ; get previous service from REQUEST PROCESSING ACTIVITY
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| 67 | . S FWDFROM=$$FWDFROM^MAGDGMRC(GMRCIEN) ; FORWARDED FROM service
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| 68 | . S Y=0 I FWDFROM S Y=$G(^MAG(2006.5831,FWDFROM,0))
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| 69 | . I Y D ; forwarded from location was one in the service group
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| 70 | . . N DIVISION,Z
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| 71 | . . ; original service request probably was sent to DICOM Gateway
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| 72 | . . S ORIGSERV=DEL2_DEL2_DEL2_FWDFROM_DEL2
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| 73 | . . S ORIGSERV=ORIGSERV_$S(FWDFROM:$$GET1^DIQ(123.5,FWDFROM,.01),1:"")
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| 74 | . . S ORIGSERV=ORIGSERV_DEL2_"99CON"
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| 75 | . . D DIVISION(Y)
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| 76 | . . S Z=$P(Y,"^",2)
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| 77 | . . S ITYPNAME=$P(^MAG(2005.84,Z,0),"^",1)
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| 78 | . . S ITYPCODE=$P(^MAG(2005.84,Z,2),"^",1)
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| 79 | . . S ORIGSERV=ORIGSERV_DEL_ITYPCODE_DEL2_ITYPNAME_DEL2_DIVISION
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| 80 | . . S (ITYPCODE,ITYPNAME)="" ; may need them nulled in ZSV^MAGDHWA
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| 81 | . . S IGNORE=0
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| 82 | . . Q
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| 83 | . Q
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| 84 | ;
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| 85 | ; find ZSV segment and requested service - check if appropriate
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| 86 | S I=0 I '$$FINDSEG^MAGDHW0(.HL7,"ZSV",.I,.X) Q ; no ZSV segment
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| 87 | S SERVICE=$P($P(X,DEL),DEL2,4)
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| 88 | D SERVICE ; send this transaction to the DICOM gateway?
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| 89 | I IGNORE Q ; just ignore HL7 message, don't send it to DICOM gateway
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| 90 | ;
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| 91 | S Z=$P(HL7ORC,DEL,1) ; Order Control
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| 92 | S Y=$P(HL7ORC,DEL,5) ; Order Status
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| 93 | I Z="SC" S MSGTYPE="RECEIVED" ; received
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| 94 | E I Z="RE" D ; result
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| 95 | . I Y="A" S MSGTYPE="PARTIAL RESULT" ; unsigned TIU note
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| 96 | . E I Y="CM" D ; check for a new unsigned note
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| 97 | . . I $$UNSIGNED^MAGDGMRC(GMRCIEN) D
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| 98 | . . . S MSGTYPE="PARTIAL RESULT" ; unsigned TIU note
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| 99 | . . . S FILLER1="GMRC-NEW UNSIGNED RESULT"
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| 100 | . . . Q
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| 101 | . . E S MSGTYPE="COMPLETE RESULT" ; signed TIU note
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| 102 | . . Q
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| 103 | . Q
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| 104 | E S MSGTYPE="UNKNOWN"
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| 105 | D MSH^MAGDHWA,PID^MAGDHWA,ORC^MAGDHWA,OBR^MAGDHWA,ZSV^MAGDHWA
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| 106 | I '$$OBX() D ; get OBX segment from database
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| 107 | . S I=$O(HL7(""),-1)+1 S I=$$OBX^MAGDHWS(I)
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| 108 | . Q
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| 109 | E D ; process existing OBX segment
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| 110 | . D OBX1
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| 111 | . Q
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| 112 | D ALLERGY^MAGDHWA,POSTINGS^MAGDHWA
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| 113 | D OUTPUT^MAGDHW0
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| 114 | Q
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| 115 | ;
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| 116 | SERVICE ; check if the service is in the DICOM Clinical Service dictionary
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| 117 | N Y
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| 118 | I SERVICE D ; ignore SERVICE if it is null
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| 119 | . S Y=$G(^MAG(2006.5831,SERVICE,0))
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| 120 | . S DIVISION=DEL2
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| 121 | . I Y D ; new service is of interest to DICOM Gateway
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| 122 | . . D DIVISION(Y)
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| 123 | . . S Z=$P(Y,"^",2)
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| 124 | . . S ITYPNAME=$P(^MAG(2005.84,Z,0),"^",1)
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| 125 | . . S ITYPCODE=$P(^MAG(2005.84,Z,2),"^",1)
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| 126 | . . S IGNORE=0
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| 127 | . . D APPOINT
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| 128 | . . Q
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| 129 | . Q
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| 130 | Q
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| 131 | ;
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| 132 | DIVISION(Y) ;
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| 133 | S DIVISION=$P(Y,"^",3)
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| 134 | S DIVISION=DIVISION_DEL2_$S(DIVISION:$$GET1^DIQ(4,DIVISION,.01),1:"")
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| 135 | Q
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| 136 | ;
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| 137 | APPOINT ; quite often the appointment is entered before the order is entered
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| 138 | ; if this is the case, see if we can find the corresponding appointment
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| 139 | N CLINIC,HIT,I,LOCIEN,ORDERIEN,VASD,XE,XI
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| 140 | ; look for appointments for today or later - don't need VASD parameters
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| 141 | D SDA^VADPT ; get the list of the appointments
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| 142 | ; first check the order record for the patient location
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| 143 | ; it might be the clinic for the appointment
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| 144 | S HIT=0 ; indicator for finding an appointment match
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| 145 | S ORDERIEN=$$GET1^DIQ(123,GMRCIEN,.03,"I")
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| 146 | S LOCIEN=$S(ORDERIEN:$$GET1^DIQ(100,ORDERIEN,6,"I"),1:"")
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| 147 | I LOCIEN?1N.N1";SC(" D
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| 148 | . S CLINIC=+LOCIEN
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| 149 | . I $$ISCLINIC^MAGDGMRC(SERVICE,CLINIC) D
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| 150 | . . S I=0 F S I=$O(^UTILITY("VASD",$J,I)) Q:'I Q:HIT D
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| 151 | . . . S XI=^UTILITY("VASD",$J,I,"I"),XE=^("E")
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| 152 | . . . ; check if there is an appointment in this clinic
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| 153 | . . . I CLINIC=$P(XI,"^",2) D APPOINT1 ; select first apt. in clinic
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| 154 | . . . Q
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| 155 | . . Q
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| 156 | . Q
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| 157 | I 'HIT D ; no appointment for the pt. location, look for other clinics
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| 158 | . S I=0 F S I=$O(^UTILITY("VASD",$J,I)) Q:'I Q:HIT D
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| 159 | . . S XI=^UTILITY("VASD",$J,I,"I"),XE=^("E")
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| 160 | . . S CLINIC=$P(XI,"^",2)
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| 161 | . . I $$ISCLINIC^MAGDGMRC(SERVICE,CLINIC) D APPOINT1
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| 162 | . . Q
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| 163 | . Q
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| 164 | K ^UTILITY("VASD",$J)
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| 165 | Q
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| 166 | ;
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| 167 | APPOINT1 ; fill the appointment schedule array
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| 168 | S APTSCHED("FM DATETIME")=$P(XI,"^")
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| 169 | S APTSCHED("CLINIC IEN")=CLINIC
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| 170 | S APTSCHED("DATETIME")=$P(XE,"^")
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| 171 | S APTSCHED("CLINIC NAME")=$P(XE,"^",2)
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| 172 | S HIT=1 ; to exit loop
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| 173 | Q
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| 174 | ;
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| 175 | OBX() ; find OBX segments to determine the highest value of OBXSEGNO
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| 176 | N I,X
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| 177 | S OBXSEGNO=0
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| 178 | S I=0 F D Q:I="" ; $o through HL7 message - quit when at end
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| 179 | . I $$FINDSEG^MAGDHW0(.HL7,"OBX",.I,.X) S OBXSEGNO=$P(X,DEL,1)
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| 180 | . Q
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| 181 | Q OBXSEGNO
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| 182 | ;
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| 183 | OBX1 ; if there are second level OBX data, add OBX segment prefix
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| 184 | N I,J
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| 185 | ; add additional OBX segments to convey the Reason for the Request
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| 186 | ; more than one, so can't use "I $$FINDSEG^MAGDHW0(.HL7,"OBX",.I) D "
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| 187 | S I="" F S I=$O(HL7(I)) Q:I="" I $P(HL7(I),DEL)="OBX" D
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| 188 | . I '$D(HL7(I,1)) Q ; no additional OBX segments needed
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| 189 | . S X=$P(HL7(I),DEL,1,5) ; copy pieces 1-5 to other segments
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| 190 | . S J="" F S J=$O(HL7(I,J)) Q:'J S HL7(I,J)=X_DEL_HL7(I,J)
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| 191 | . Q
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| 192 | Q
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