[623] | 1 | OCXOZ0A ;SLC/RJS,CLA - Order Check Scan ;DEC 27,2007 at 06:00
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| 2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**32,221**;Dec 17,1997
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| 3 | ;; ;;ORDER CHECK EXPERT version 1.01 released OCT 29,1998
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| 4 | ;
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| 5 | ; ***************************************************************
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| 6 | ; ** Warning: This routine is automatically generated by the **
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| 7 | ; ** Rule Compiler (^OCXOCMP) and ANY changes to this routine **
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| 8 | ; ** will be lost the next time the rule compiler executes. **
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| 9 | ; ***************************************************************
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| 10 | ;
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| 11 | Q
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| 12 | ;
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| 13 | CHK217 ; Look through the current environment for valid Event/Elements for this patient.
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| 14 | ; Called from CHK201+16^OCXOZ09.
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| 15 | ;
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| 16 | Q:$G(OCXOERR)
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| 17 | ;
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| 18 | ; Local CHK217 Variables
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| 19 | ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC)
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| 20 | ; OCXDF(67) ---> Data Field: CONTRAST MEDIA CODE (FREE TEXT)
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| 21 | ; OCXDF(70) ---> Data Field: RECENT BARIUM STUDY TEXT (FREE TEXT)
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| 22 | ; OCXDF(121) --> Data Field: RECENT BARIUM STUDY ORDER STATUS (FREE TEXT)
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| 23 | ;
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| 24 | ; Local Extrinsic Functions
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| 25 | ; FILE(DFN,67, -----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: RECENT BARIUM STUDY ORDERED)
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| 26 | ; RECBAR( ----------> RECENT BARIUM STUDY
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| 27 | ; RECBARST( --------> RECENT BARIUM ORDER STATUS
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| 28 | ;
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| 29 | I $L(OCXDF(67)),(OCXDF(67)["B") S OCXDF(70)=$P($$RECBAR(OCXDF(37),48),"^",3),OCXDF(121)=$P($$RECBARST(OCXDF(37),48),"^",2),OCXOERR=$$FILE(DFN,67,"70,121") Q:OCXOERR
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| 30 | Q
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| 31 | ;
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| 32 | CHK227 ; Look through the current environment for valid Event/Elements for this patient.
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| 33 | ; Called from CHK163+14^OCXOZ07.
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| 34 | ;
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| 35 | Q:$G(OCXOERR)
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| 36 | ;
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| 37 | ; Local CHK227 Variables
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| 38 | ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC)
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| 39 | ; OCXDF(43) ---> Data Field: OI NATIONAL ID (FREE TEXT)
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| 40 | ; OCXDF(74) ---> Data Field: VA DRUG CLASS (FREE TEXT)
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| 41 | ;
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| 42 | ; Local Extrinsic Functions
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| 43 | ;
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| 44 | S OCXDF(74)=$P($$ENVAC^PSJORUT2(OCXDF(43)),"^",2) I $L(OCXDF(74)),(OCXDF(74)="AMINOGLYCOSIDES") S OCXDF(37)=$G(DFN) I $L(OCXDF(37)) D CHK232
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| 45 | Q
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| 46 | ;
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| 47 | CHK232 ; Look through the current environment for valid Event/Elements for this patient.
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| 48 | ; Called from CHK227+12.
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| 49 | ;
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| 50 | Q:$G(OCXOERR)
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| 51 | ;
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| 52 | ; Local CHK232 Variables
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| 53 | ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC)
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| 54 | ; OCXDF(64) ---> Data Field: FORMATTED RENAL LAB RESULTS (FREE TEXT)
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| 55 | ; OCXDF(76) ---> Data Field: CREATININE CLEARANCE (ESTIM) VALUE (NUMERIC)
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| 56 | ;
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| 57 | ; Local Extrinsic Functions
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| 58 | ; CRCL( ------------> CREATININE CLEARANCE (ESTIMATED/CALCULATED)
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| 59 | ; FILE(DFN,71, -----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: AMINOGLYCOSIDE ORDER SESSION)
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| 60 | ; FLAB( ------------> FORMATTED LAB RESULTS
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| 61 | ;
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| 62 | S OCXDF(64)=$$FLAB(OCXDF(37),"SERUM CREATININE^SERUM UREA NITROGEN","SERUM SPECIMEN"),OCXDF(76)=$P($$CRCL(OCXDF(37)),"^",2),OCXOERR=$$FILE(DFN,71,"64,76") Q:OCXOERR
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| 63 | Q
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| 64 | ;
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| 65 | CHK236 ; Look through the current environment for valid Event/Elements for this patient.
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| 66 | ; Called from CHK199+10^OCXOZ09.
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| 67 | ;
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| 68 | Q:$G(OCXOERR)
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| 69 | ;
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| 70 | ; Local CHK236 Variables
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| 71 | ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC)
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| 72 | ; OCXDF(67) ---> Data Field: CONTRAST MEDIA CODE (FREE TEXT)
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| 73 | ; OCXDF(73) ---> Data Field: ORDERABLE ITEM IEN (NUMERIC)
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| 74 | ; OCXDF(78) ---> Data Field: PATIENT TOO BIG FOR SCANNER FLAG (BOOLEAN)
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| 75 | ;
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| 76 | ; Local Extrinsic Functions
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| 77 | ; CLIST( -----------> STRING CONTAINS ONE OF A LIST OF VALUES
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| 78 | ; CTMRI( -----------> CT MRI PHYSICAL LIMITS
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| 79 | ; FILE(DFN,106, ----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: RADIOLOGY PROCEDURE CONTAINS NON-BARIUM CONTRAST MEDIA)
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| 80 | ;
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| 81 | S OCXDF(37)=$G(DFN) I $L(OCXDF(37)) S OCXDF(78)=$P($$CTMRI(OCXDF(37),OCXDF(73)),"^",1) I $L(OCXDF(78)),(OCXDF(78)) D CHK241^OCXOZ0B
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| 82 | S OCXDF(67)=$$CM^ORQQRA(OCXDF(73)) I $L(OCXDF(67)),$$CLIST(OCXDF(67),"M,I,N") S OCXOERR=$$FILE(DFN,106,"") Q:OCXOERR
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| 83 | Q
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| 84 | ;
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| 85 | CLIST(DATA,LIST) ; DOES THE DATA FIELD CONTAIN AN ELEMENT IN THE LIST
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| 86 | ;
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| 87 | N PC F PC=1:1:$L(LIST,","),0 I PC,$L($P(LIST,",",PC)),(DATA[$P(LIST,",",PC)) Q
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| 88 | Q ''PC
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| 89 | ;
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| 90 | CRCL(DFN) ; Compiler Function: CREATININE CLEARANCE (ESTIMATED/CALCULATED)
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| 91 | ;
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| 92 | N HT,AGE,SEX,SCR,SCRD,CRCL,LRWKLD,RSLT,ORW,ORH,PSCR
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| 93 | N HTGT60,ABW,IBW,BWRATIO,BWDIFF,LOWBW,ADJBW
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| 94 | S RSLT="0^<Unavailable>"
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| 95 | S PSCR="^^^^^^0"
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| 96 | D VITAL^ORQQVI("WEIGHT","WT",DFN,.ORW,0,"",$$NOW^XLFDT)
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| 97 | Q:'$D(ORW) RSLT
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| 98 | S ABW=$P(ORW(1),U,3) Q:+$G(ABW)<1 RSLT
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| 99 | S ABW=ABW/2.2 ;ABW (actual body weight) in kg
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| 100 | D VITAL^ORQQVI("HEIGHT","HT",DFN,.ORH,0,"",$$NOW^XLFDT)
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| 101 | Q:'$D(ORH) RSLT
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| 102 | S HT=$P(ORH(1),U,3) Q:+$G(HT)<1 RSLT
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| 103 | S AGE=$$AGE^ORQPTQ4(DFN) Q:'AGE RSLT
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| 104 | S SEX=$P($$SEX^ORQPTQ4(DFN),U,1) Q:'$L(SEX) RSLT
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| 105 | S OCXTL="" Q:'$$TERMLKUP^ORB31(.OCXTL,"SERUM CREATININE") RSLT
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| 106 | S OCXTLS="" Q:'$$TERMLKUP^ORB31(.OCXTLS,"SERUM SPECIMEN") RSLT
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| 107 | S SCR="",OCXT=0 F S OCXT=$O(OCXTL(OCXT)) Q:'OCXT D
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| 108 | .S OCXTS=0 F S OCXTS=$O(OCXTLS(OCXTS)) Q:'OCXTS D
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| 109 | ..S SCR=$$LOCL^ORQQLR1(DFN,$P(OCXTL(OCXT),U),$P(OCXTLS(OCXTS),U))
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| 110 | ..I $P(SCR,U,7)>$P(PSCR,U,7) S PSCR=SCR
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| 111 | S SCR=PSCR,SCRV=$P(SCR,U,3) Q:+$G(SCRV)<.01 RSLT
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| 112 | S SCRD=$P(SCR,U,7) Q:'$L(SCRD) RSLT
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| 113 | ;
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| 114 | S HTGT60=$S(HT>60:(HT-60)*2.3,1:0) ;if ht > 60 inches
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| 115 | I HTGT60>0 D
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| 116 | .S IBW=$S(SEX="M":50+HTGT60,1:45.5+HTGT60) ;Ideal Body Weight
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| 117 | .S BWRATIO=(ABW/IBW) ;body weight ratio
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| 118 | .S BWDIFF=$S(ABW>IBW:ABW-IBW,1:0)
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| 119 | .S LOWBW=$S(IBW<ABW:IBW,1:ABW)
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| 120 | .I BWRATIO>1.3,(BWDIFF>0) S ADJBW=((0.3*BWDIFF)+IBW)
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| 121 | .E S ADJBW=LOWBW
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| 122 | I +$G(ADJBW)<1 D
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| 123 | .S ADJBW=ABW
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| 124 | S CRCL=(((140-AGE)*ADJBW)/(SCRV*72))
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| 125 | ;
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| 126 | S:SEX="M" RSLT=SCRD_U_$J(CRCL,1,1)
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| 127 | S:SEX="F" RSLT=SCRD_U_$J((CRCL*.85),1,1)
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| 128 | Q RSLT
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| 129 | ;
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| 130 | CTMRI(DFN,OCXOI) ; Compiler Function: CT MRI PHYSICAL LIMITS
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| 131 | ;
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| 132 | N OCXDEV,OCXWTP,OCXHTP,OCXWTL,OCXHTL
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| 133 | S OCXDEV=$$TYPE^ORKRA(OCXOI)
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| 134 | Q:'((OCXDEV="MRI")!(OCXDEV="CT")) 0_U
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| 135 | S OCXWTP=$P($$WT^ORQPTQ4(DFN),U,2),OCXHTP=$P($$HT^ORQPTQ4(DFN),U,2)
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| 136 | I (OCXDEV="CT") S OCXWTL=$$GET^XPAR("ALL","ORK CT LIMIT WT",1,"Q"),OCXHTL=$$GET^XPAR("ALL","ORK CT LIMIT HT",1,"Q")
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| 137 | I (OCXDEV="CT"),(OCXWTL),(OCXWTP>OCXWTL) Q 1_U_"too heavy"_U_"CT scanner"
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| 138 | I (OCXDEV="CT"),(OCXHTL),(OCXHTP>OCXHTL) Q 1_U_"too tall"_U_"CT scanner"
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| 139 | I (OCXDEV="MRI") S OCXWTL=$$GET^XPAR("ALL","ORK MRI LIMIT WT",1,"Q"),OCXHTL=$$GET^XPAR("ALL","ORK MRI LIMIT HT",1,"Q")
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| 140 | I (OCXDEV="MRI"),(OCXWTL),(OCXWTP>OCXWTL) Q 1_U_"too heavy"_U_"MRI scanner"
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| 141 | I (OCXDEV="MRI"),(OCXHTL),(OCXHTP>OCXHTL) Q 1_U_"too tall"_U_"MRI scanner"
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| 142 | Q 0_U
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| 143 | ;
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| 144 | FILE(DFN,OCXELE,OCXDFL) ; This Local Extrinsic Function logs a validated event/element.
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| 145 | ;
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| 146 | N OCXTIMN,OCXTIML,OCXTIMT1,OCXTIMT2,OCXDATA,OCXPC,OCXPC,OCXVAL,OCXSUB,OCXDFI
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| 147 | S DFN=+$G(DFN),OCXELE=+$G(OCXELE)
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| 148 | ;
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| 149 | Q:'DFN 1 Q:'OCXELE 1 K OCXDATA
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| 150 | ;
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| 151 | S OCXDATA(DFN,OCXELE)=1
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| 152 | F OCXPC=1:1:$L(OCXDFL,",") S OCXDFI=$P(OCXDFL,",",OCXPC) I OCXDFI D
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| 153 | .S OCXVAL=$G(OCXDF(+OCXDFI)),OCXDATA(DFN,OCXELE,+OCXDFI)=OCXVAL
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| 154 | ;
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| 155 | M ^TMP("OCXCHK",$J,DFN)=OCXDATA(DFN)
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| 156 | ;
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| 157 | Q 0
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| 158 | ;
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| 159 | FLAB(DFN,OCXLIST,OCXSPEC) ; Compiler Function: FORMATTED LAB RESULTS
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| 160 | ;
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| 161 | Q:'$G(DFN) "<Patient Not Specified>"
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| 162 | Q:'$L($G(OCXLIST)) "<Lab Tests Not Specified>"
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| 163 | N OCXLAB,OCXOUT,OCXPC,OCXSL,SPEC S OCXOUT="",SPEC=""
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| 164 | I $L($G(OCXSPEC)) S OCXSL=$$TERMLKUP(OCXSPEC,.OCXSL)
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| 165 | F OCXPC=1:1:$L(OCXLIST,U) S OCXLAB=$P(OCXLIST,U,OCXPC) I $L(OCXLAB) D
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| 166 | .N OCXX,OCXY,X,Y,DIC,TEST,SPEC,OCXTL,OCXA,OCXR
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| 167 | .S OCXTL="" Q:'$$TERMLKUP(OCXLAB,.OCXTL)
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| 168 | .S OCXX="",TEST=0 F S TEST=$O(OCXTL(TEST)) Q:'TEST D
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| 169 | ..I $L($G(OCXSL)) D
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| 170 | ...S SPEC=0 F S SPEC=$O(OCXSL(SPEC)) Q:'SPEC D
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| 171 | ....S OCXX=$$LOCL^ORQQLR1(DFN,TEST,SPEC) I $L(OCXX) D
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| 172 | .....S OCXA($P(OCXX,U,7))=OCXX
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| 173 | ..I '$L($G(OCXSL)) S OCXX=$$LOCL^ORQQLR1(DFN,TEST,"")
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| 174 | ..Q:'$L(OCXX)
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| 175 | .I $D(OCXA) S OCXR="",OCXR=$O(OCXA(OCXR),-1),OCXX=OCXA(OCXR)
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| 176 | .I $L(OCXX) D
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| 177 | ..S OCXY=$P(OCXX,U,2)_": "_$P(OCXX,U,3)_" "_$P(OCXX,U,4)
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| 178 | ..S OCXY=OCXY_" "_$S($L($P(OCXX,U,5)):"["_$P(OCXX,U,5)_"]",1:"")
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| 179 | ..I $L($P(OCXX,U,7)) S OCXY=OCXY_" "_$$FMTE^XLFDT($P(OCXX,U,7),"2P")
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| 180 | .S:$L(OCXOUT) OCXOUT=OCXOUT_" " S OCXOUT=OCXOUT_$G(OCXY)
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| 181 | Q:'$L(OCXOUT) "<Results Not Found>" Q OCXOUT
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| 182 | ;
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| 183 | RECBAR(DFN,HOURS) ; Compiler Function: RECENT BARIUM STUDY
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| 184 | ;
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| 185 | Q:'$G(DFN) 0 Q:'$G(HOURS) 0 N OUT S OUT=$$RECENTBA^ORKRA(DFN,HOURS) Q:'$L(OUT) 0 Q 1_U_OUT
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| 186 | ;
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| 187 | ;
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| 188 | RECBARST(DFN,HOURS) ; Compiler Function: RECENT BARIUM ORDER STATUS
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| 189 | ;
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| 190 | Q:'$G(DFN) 0 Q:'$G(HOURS) 0
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| 191 | N ORDER S ORDER=$P($$RECENTBA^ORKRA(DFN,HOURS),U) Q:'$L(ORDER) 0
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| 192 | N STATUS S STATUS=$P($$STATUS^ORQOR2(ORDER),U,2) Q:'$L(STATUS) 0
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| 193 | Q 1_U_STATUS
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| 194 | ;
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| 195 | TERMLKUP(OCXTERM,OCXLIST) ;
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| 196 | Q $$TERM^OCXOZ01(OCXTERM,.OCXLIST)
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| 197 | ;
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