1 | OCXOZ0G ;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 | CHK490 ; Look through the current environment for valid Event/Elements for this patient.
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14 | ; Called from CHK454+17^OCXOZ0F.
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15 | ;
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16 | Q:$G(OCXOERR)
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17 | ;
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18 | ; Local CHK490 Variables
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19 | ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC)
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20 | ; OCXDF(58) ---> Data Field: ABNORMAL RENAL BIOCHEM RESULTS (FREE TEXT)
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21 | ;
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22 | ; Local Extrinsic Functions
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23 | ; ABREN( -----------> DETERMINE IF RENAL LAB RESULTS ARE ABNORMAL HIGH OR LOW
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24 | ; FILE(DFN,133, ----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: NO CREAT RESULTS W/IN X DAYS)
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25 | ;
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26 | S OCXDF(58)=$P($$ABREN(OCXDF(37)),"^",2),OCXOERR=$$FILE(DFN,133,"58,154") Q:OCXOERR
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27 | Q
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28 | ;
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29 | CHK505 ; Look through the current environment for valid Event/Elements for this patient.
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30 | ; Called from CHK362+15^OCXOZ0D.
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31 | ;
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32 | Q:$G(OCXOERR)
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33 | ;
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34 | ; Local CHK505 Variables
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35 | ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC)
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36 | ; OCXDF(74) ---> Data Field: VA DRUG CLASS (FREE TEXT)
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37 | ; OCXDF(158) --> Data Field: DUPLICATE OPIOID MEDICATIONS TEXT (FREE TEXT)
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38 | ;
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39 | ; Local Extrinsic Functions
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40 | ; LIST( ------------> IN LIST OPERATOR
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41 | ; OPIOID( ----------> OPIOID MEDICATIONS
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42 | ;
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43 | I $$LIST(OCXDF(74),"OPIOID ANALGESICS,OPIOID ANTAGONIST ANALGESICS") S OCXDF(37)=$G(DFN) I $L(OCXDF(37)) S OCXDF(158)=$P($$OPIOID(OCXDF(37)),"^",2) D CHK509
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44 | Q
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45 | ;
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46 | CHK509 ; Look through the current environment for valid Event/Elements for this patient.
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47 | ; Called from CHK505+14.
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48 | ;
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49 | Q:$G(OCXOERR)
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50 | ;
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51 | ; Local Extrinsic Functions
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52 | ; FILE(DFN,139, ----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: OPIOID MED ORDER)
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53 | ;
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54 | S OCXOERR=$$FILE(DFN,139,"158") Q:OCXOERR
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55 | Q
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56 | ;
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57 | EL24 ; Examine every rule that involves Element #24 [HL7 LAB TEST RESULTS CRITICAL]
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58 | ; Called from SCAN+9^OCXOZ01.
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59 | ;
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60 | Q:$G(OCXOERR)
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61 | ;
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62 | D R3R1A^OCXOZ0I ; Check Relation #1 in Rule #3 'CRITICAL LAB RESULTS'
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63 | Q
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64 | ;
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65 | EL105 ; Examine every rule that involves Element #105 [HL7 LAB ORDER RESULTS CRITICAL]
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66 | ; Called from SCAN+9^OCXOZ01.
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67 | ;
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68 | Q:$G(OCXOERR)
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69 | ;
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70 | D R3R2A^OCXOZ0J ; Check Relation #2 in Rule #3 'CRITICAL LAB RESULTS'
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71 | Q
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72 | ;
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73 | EL44 ; Examine every rule that involves Element #44 [ORDER FLAGGED]
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74 | ; Called from SCAN+9^OCXOZ01.
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75 | ;
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76 | Q:$G(OCXOERR)
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77 | ;
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78 | D R5R1A^OCXOZ0J ; Check Relation #1 in Rule #5 'ORDER FLAGGED FOR CLARIFICATION'
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79 | Q
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80 | ;
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81 | EL134 ; Examine every rule that involves Element #134 [ORDER UNFLAGGED]
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82 | ; Called from SCAN+9^OCXOZ01.
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83 | ;
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84 | Q:$G(OCXOERR)
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85 | ;
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86 | D R5R2A^OCXOZ0K ; Check Relation #2 in Rule #5 'ORDER FLAGGED FOR CLARIFICATION'
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87 | Q
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88 | ;
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89 | EL45 ; Examine every rule that involves Element #45 [ORDER REQUIRES CHART SIGNATURE]
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90 | ; Called from SCAN+9^OCXOZ01.
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91 | ;
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92 | Q:$G(OCXOERR)
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93 | ;
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94 | D R6R1A^OCXOZ0K ; Check Relation #1 in Rule #6 'ORDER REQUIRES CHART SIGNATURE'
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95 | Q
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96 | ;
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97 | EL21 ; Examine every rule that involves Element #21 [PATIENT ADMISSION]
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98 | ; Called from SCAN+9^OCXOZ01.
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99 | ;
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100 | Q:$G(OCXOERR)
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101 | ;
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102 | D R7R1A^OCXOZ0K ; Check Relation #1 in Rule #7 'PATIENT ADMISSION'
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103 | Q
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104 | ;
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105 | EL31 ; Examine every rule that involves Element #31 [RADIOLOGY ORDER CANCELLED]
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106 | ; Called from SCAN+9^OCXOZ01.
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107 | ;
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108 | Q:$G(OCXOERR)
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109 | ;
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110 | D R11R1A^OCXOZ0L ; Check Relation #1 in Rule #11 'IMAGING REQUEST CANCELLED/HELD'
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111 | Q
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112 | ;
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113 | EL100 ; Examine every rule that involves Element #100 [CANCELED BY NON-ORIG ORDERING PROVIDER]
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114 | ; Called from SCAN+9^OCXOZ01.
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115 | ;
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116 | Q:$G(OCXOERR)
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117 | ;
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118 | D R11R1A^OCXOZ0L ; Check Relation #1 in Rule #11 'IMAGING REQUEST CANCELLED/HELD'
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119 | D R11R2A^OCXOZ0L ; Check Relation #2 in Rule #11 'IMAGING REQUEST CANCELLED/HELD'
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120 | D R11R3A^OCXOZ0M ; Check Relation #3 in Rule #11 'IMAGING REQUEST CANCELLED/HELD'
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121 | D R35R1A^OCXOZ0Q ; Check Relation #1 in Rule #35 'LAB ORDER CANCELLED'
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122 | Q
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123 | ;
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124 | EL30 ; Examine every rule that involves Element #30 [RADIOLOGY ORDER PUT ON-HOLD]
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125 | ; Called from SCAN+9^OCXOZ01.
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126 | ;
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127 | Q:$G(OCXOERR)
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128 | ;
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129 | D R11R2A^OCXOZ0L ; Check Relation #2 in Rule #11 'IMAGING REQUEST CANCELLED/HELD'
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130 | Q
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131 | ;
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132 | EL32 ; Examine every rule that involves Element #32 [RADIOLOGY ORDER DISCONTINUED]
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133 | ; Called from SCAN+9^OCXOZ01.
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134 | ;
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135 | Q:$G(OCXOERR)
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136 | ;
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137 | D R11R3A^OCXOZ0M ; Check Relation #3 in Rule #11 'IMAGING REQUEST CANCELLED/HELD'
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138 | Q
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139 | ;
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140 | EL46 ; Examine every rule that involves Element #46 [SERVICE ORDER REQUIRES CHART SIGNATURE]
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141 | ; Called from SCAN+9^OCXOZ01.
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142 | ;
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143 | Q:$G(OCXOERR)
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144 | ;
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145 | D R16R1A^OCXOZ0M ; Check Relation #1 in Rule #16 'SERVICE ORDER REQUIRES CHART SIGNATURE'
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146 | Q
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147 | ;
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148 | EL76 ; Examine every rule that involves Element #76 [STAT LAB RESULT]
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149 | ; Called from SCAN+9^OCXOZ01.
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150 | ;
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151 | Q:$G(OCXOERR)
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152 | ;
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153 | D R18R1A^OCXOZ0M ; Check Relation #1 in Rule #18 'STAT RESULTS AVAILABLE'
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154 | Q
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155 | ;
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156 | EL75 ; Examine every rule that involves Element #75 [STAT IMAGING RESULT]
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157 | ; Called from SCAN+9^OCXOZ01.
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158 | ;
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159 | Q:$G(OCXOERR)
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160 | ;
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161 | D R18R2A^OCXOZ0N ; Check Relation #2 in Rule #18 'STAT RESULTS AVAILABLE'
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162 | Q
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163 | ;
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164 | EL110 ; Examine every rule that involves Element #110 [STAT CONSULT RESULT]
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165 | ; Called from SCAN+9^OCXOZ01.
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166 | ;
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167 | Q:$G(OCXOERR)
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168 | ;
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169 | D R18R3A^OCXOZ0N ; Check Relation #3 in Rule #18 'STAT RESULTS AVAILABLE'
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170 | Q
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171 | ;
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172 | EL56 ; Examine every rule that involves Element #56 [PATIENT DISCHARGE]
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173 | ; Called from SCAN+9^OCXOZ01.
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174 | ;
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175 | Q:$G(OCXOERR)
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176 | ;
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177 | D R19R1A^OCXOZ0N ; Check Relation #1 in Rule #19 'PATIENT DISCHARGE'
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178 | Q
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179 | ;
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180 | EL47 ; Examine every rule that involves Element #47 [ORDER REQUIRES CO-SIGNATURE]
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181 | ; Called from SCAN+9^OCXOZ01.
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182 | ;
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183 | Q:$G(OCXOERR)
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184 | ;
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185 | D R22R1A^OCXOZ0O ; Check Relation #1 in Rule #22 'ORDER REQUIRES CO-SIGNATURE'
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186 | Q
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187 | ;
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188 | ABREN(DFN) ; Compiler Function: DETERMINE IF RENAL LAB RESULTS ARE ABNORMAL HIGH OR LOW
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189 | ;
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190 | N OCXFLAG,OCXVAL,OCXLIST,OCXTEST,UNAV,OCXTLIST,OCXTERM,OCXSLIST,OCXSPEC
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191 | S (OCXLIST,OCXTLIST)="",UNAV="0^<Unavailable>"
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192 | S OCXSLIST="" Q:'$$TERMLKUP("SERUM SPECIMEN",.OCXSLIST) UNAV
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193 | F OCXTERM="SERUM CREATININE","SERUM UREA NITROGEN" D Q:($L(OCXLIST)>130)
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194 | .Q:'$$TERMLKUP(OCXTERM,.OCXTLIST)
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195 | .S OCXTEST=0 F S OCXTEST=$O(OCXTLIST(OCXTEST)) Q:'OCXTEST D Q:($L(OCXLIST)>130)
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196 | ..S OCXSPEC=0 F S OCXSPEC=$O(OCXSLIST(OCXSPEC)) Q:'OCXSPEC D Q:($L(OCXLIST)>130)
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197 | ...S OCXVAL=$$LOCL^ORQQLR1(DFN,OCXTEST,OCXSPEC),OCXFLAG=$P(OCXVAL,U,5)
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198 | ...I $L(OCXVAL),((OCXFLAG["H")!(OCXFLAG["L")) D
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199 | ....N OCXY S OCXY=""
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200 | ....S OCXY=$P(OCXVAL,U,2)_": "_$P(OCXVAL,U,3)_" "_$P(OCXVAL,U,4)
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201 | ....S OCXY=OCXY_" "_$S($L(OCXFLAG):"["_OCXFLAG_"]",1:"")
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202 | ....S OCXY=OCXY_" "_$$FMTE^XLFDT($P(OCXVAL,U,7),"2P")
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203 | ....S:$L(OCXLIST) OCXLIST=OCXLIST_" " S OCXLIST=OCXLIST_OCXY
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204 | Q:'$L(OCXLIST) UNAV Q 1_U_OCXLIST
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205 | ;
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206 | ;
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207 | FILE(DFN,OCXELE,OCXDFL) ; This Local Extrinsic Function logs a validated event/element.
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208 | ;
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209 | N OCXTIMN,OCXTIML,OCXTIMT1,OCXTIMT2,OCXDATA,OCXPC,OCXPC,OCXVAL,OCXSUB,OCXDFI
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210 | S DFN=+$G(DFN),OCXELE=+$G(OCXELE)
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211 | ;
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212 | Q:'DFN 1 Q:'OCXELE 1 K OCXDATA
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213 | ;
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214 | S OCXDATA(DFN,OCXELE)=1
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215 | F OCXPC=1:1:$L(OCXDFL,",") S OCXDFI=$P(OCXDFL,",",OCXPC) I OCXDFI D
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216 | .S OCXVAL=$G(OCXDF(+OCXDFI)),OCXDATA(DFN,OCXELE,+OCXDFI)=OCXVAL
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217 | ;
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218 | M ^TMP("OCXCHK",$J,DFN)=OCXDATA(DFN)
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219 | ;
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220 | Q 0
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221 | ;
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222 | LIST(DATA,LIST) ; IS THE DATA FIELD IN THE LIST
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223 | ;
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224 | S:'($E(LIST,1)=",") LIST=","_LIST S:'($E(LIST,$L(LIST))=",") LIST=LIST_"," S DATA=","_DATA_","
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225 | Q (LIST[DATA)
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226 | ;
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227 | OPIOID(ORPT) ;determine if pat is receiving opioid med
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228 | ; rtn 1^opioid drug 1, opioid drug 2, opioid drug3, ...
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229 | N ORDG,ORTN,ORNUM,ORDI,ORDCLAS,ORDERS,ORTEXT,DUP,DUPI,DUPJ,DUPLEN
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230 | S ORDG=0,ORTN=0,DUPI=0,DUPLEN=20
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231 | K ^TMP("ORR",$J)
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232 | S ORDG=$O(^ORD(100.98,"B","RX",ORDG))
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233 | D EN^ORQ1(ORPT_";DPT(",ORDG,2,"","","",0,0)
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234 | N J,HOR,SEQ,X S J=1,HOR=0,SEQ=0
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235 | S HOR=$O(^TMP("ORR",$J,HOR)) Q:+HOR<1 ORTN
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236 | F S SEQ=$O(^TMP("ORR",$J,HOR,SEQ)) Q:+SEQ<1 D
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237 | .S X=^TMP("ORR",$J,HOR,SEQ)
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238 | .S ORNUM=+$P(X,";")
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239 | .Q:ORNUM=+$G(ORIFN) ;quit if dup med order # = current order #
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240 | .S ORDI=$$VALUE^ORCSAVE2(ORNUM,"DRUG")
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241 | .I +$G(ORDI)>0 D
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242 | ..S ORDCLAS=$P(^PSDRUG(ORDI,0),U,2) ;va drug class
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243 | ..I ($G(ORDCLAS)="CN101")!($G(ORDCLAS)="CN102") D ;opioid classes
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244 | ...S ORTEXT=$$FULLTEXT^ORQOR1(ORNUM)
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245 | ...S ORTEXT=$P(ORTEXT,U)_" ["_$P(ORTEXT,U,2)_"]"
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246 | ...S DUPI=DUPI+1,DUP(DUPI)=" ["_DUPI_"] "_ORTEXT
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247 | ...S ORTN=1
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248 | I DUPI>0 D
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249 | .S DUPLEN=$P(215/DUPI,".")
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250 | .F DUPJ=1:1:DUPI D
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251 | ..I DUPJ=1 S ORDERS=$E(DUP(DUPJ),1,DUPLEN)
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252 | ..E S ORDERS=ORDERS_", "_$E(DUP(DUPJ),1,DUPLEN)
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253 | K ^TMP("ORR",$J)
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254 | Q ORTN_U_$G(ORDERS)
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255 | ;
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256 | TERMLKUP(OCXTERM,OCXLIST) ;
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257 | Q $$TERM^OCXOZ01(OCXTERM,.OCXLIST)
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258 | ;
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