[623] | 1 | ORMRA ; SLC/MKB - Process Radiology ORM msgs ;2/21/02 15:44 [3/4/04 10:43am]
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| 2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**3,53,92,110,136,153,174,195,228**;Dec 17, 1997
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| 3 | ;DBIA 2968 allows for reading ^DIC(34
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| 4 | EN ; -- entry point for RA messages
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| 5 | I '$L($T(@ORDCNTRL)) Q ;S ORERR="Invalid order control code" Q
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| 6 | I ORDCNTRL'="SN",ORDCNTRL'="ZP",'ORIFN!('$D(^OR(100,+ORIFN,0))) S ORERR="Invalid OE/RR order number" Q
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| 7 | S OREASON=$S($P(OREASON,U,6)="99RAR":$P(OREASON,U,5),1:$P(OREASON,U,2))
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| 8 | S:'ORDUZ ORDUZ=DUZ S:'ORLOG ORLOG=+$E($$NOW^XLFDT,1,12)
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| 9 | D @ORDCNTRL
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| 10 | Q
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| 11 | ;
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| 12 | ZP ; -- Purged
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| 13 | Q:'ORIFN Q:'$D(^OR(100,+ORIFN,0)) K ^OR(100,+ORIFN,4)
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| 14 | ; - Set status=lapsed, if still active
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| 15 | I "^3^5^6^8^"[(U_$P($G(^OR(100,+ORIFN,3)),U,3)_U) D STATUS^ORCSAVE2(ORIFN,14)
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| 16 | Q
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| 17 | ;
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| 18 | ZR ; -- Purged as requested [ack]
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| 19 | D DELETE^ORCSAVE2(+ORIFN)
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| 20 | Q
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| 21 | ;
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| 22 | ZU ; -- Unable to purge [ack]
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| 23 | S $P(^OR(100,+ORIFN,3),U)=$$NOW^XLFDT ; update Last Activity
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| 24 | Q
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| 25 | ;
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| 26 | OK ; -- Order accepted, RA order # assigned [ack]
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| 27 | N ORSTS,OBR S ^OR(100,+ORIFN,4)=PKGIFN,ORSTS=5 ; 5=pending
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| 28 | ; Ck if also scheduled, else quit
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| 29 | S OBR=$O(@ORMSG@(+ORC)) G:'OBR OKQ G:$E(@ORMSG@(OBR),1,3)'="OBR" OKQ
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| 30 | S ORSTRT=$$FMDATE^ORM($P(@ORMSG@(OBR),"|",37))
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| 31 | D:ORSTRT DATES^ORCSAVE2(+ORIFN,ORSTRT)
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| 32 | OKQ D STATUS^ORCSAVE2(ORIFN,ORSTS)
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| 33 | ;Save the Radiology pre-certification Account Reference in the PV1
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| 34 | ;segment of the HL7 message from the Radiology package to the Order
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| 35 | ;File (#100). Support for Patch OR*3.0*228
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| 36 | D PRECERT^ORWPFSS2
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| 37 | Q
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| 38 | ;
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| 39 | XX ; -- Change order
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| 40 | N ORDIALOG,ORDG,ORDA,ORX,ORP S:'$L(ORNATR) ORNATR="S"
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| 41 | D DLG Q:$D(ORERR) Q:'$D(ORDIALOG) S ORIFN=+ORIFN
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| 42 | S ORDA=$$ACTION^ORCSAVE("XX",ORIFN,ORNP,OREASON,ORLOG,ORDUZ)
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| 43 | I ORDA'>0 S ORERR="Cannot create new order action" Q
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| 44 | ; -Update sts of order to active, last action to dc/edit:
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| 45 | S ORX=+$P($G(^OR(100,ORIFN,3)),U,7)
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| 46 | S:$P($G(^OR(100,ORIFN,8,ORX,0)),U,15)="" $P(^(0),U,15)=12
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| 47 | S $P(^OR(100,ORIFN,3),U,7)=ORDA D STATUS^ORCSAVE2(ORIFN,6)
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| 48 | D RELEASE^ORCSAVE2(ORIFN,ORDA,ORLOG,ORDUZ,ORNATR)
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| 49 | ; -If unsigned edit, leave XX unsigned & mark ORX as Sig Not Req'd
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| 50 | S ORSIG=$S($P($G(^OR(100,ORIFN,8,ORX,0)),U,4)'=2:1,1:0)
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| 51 | D SIGSTS^ORCSAVE2(ORIFN,ORDA):ORSIG,SIGN^ORCSAVE2(ORIFN,,,5,ORX):'ORSIG
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| 52 | ; -Update responses, get/save new order text:
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| 53 | K ^OR(100,ORIFN,4.5) D RESPONSE^ORCSAVE,ORDTEXT^ORCSAVE1(ORIFN_";"_ORDA)
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| 54 | S $P(^OR(100,ORIFN,8,ORDA,0),U,14)=ORDA
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| 55 | I $G(ORL) S ORP(1)=+ORIFN_";"_ORDA_"^1" D PRINTS^ORWD1(.ORP,+ORL)
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| 56 | Q
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| 57 | ;
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| 58 | SN ; -- New backdoor order: return NA msg w/ORIFN, or DE msg
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| 59 | N ORDIALOG,ORDG,ORP K ^TMP("ORWORD",$J) S:'$L(ORNATR) ORNATR="W"
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| 60 | I ORDUZ,'$D(^VA(200,ORDUZ,0)) S ORERR="Invalid entering person" Q
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| 61 | I '$D(^VA(200,ORNP,0)) S ORERR="Missing or invalid ordering provider" Q
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| 62 | I '$G(ORL) S ORERR="Missing or invalid patient location" Q
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| 63 | D DLG Q:$D(ORERR) Q:'$D(ORDIALOG)
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| 64 | SNQ D EN^ORCSAVE K ^TMP("ORWORD",$J)
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| 65 | I '$G(ORIFN) S ORERR="Cannot create new order" Q
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| 66 | ;Save DG1 and ZCL segments of HL7 message from backdoor orders
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| 67 | D BDOSTR^ORWDBA3
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| 68 | ;Save the Rediology pre-certification Account Reference in the PV1
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| 69 | ;segment of the HL7 message from the Radiology package to the Order
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| 70 | ;File (#100). Support for Patch OR*3.0*228
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| 71 | D PRECERT^ORWPFSS2
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| 72 | D RELEASE^ORCSAVE2(ORIFN,1,ORLOG,ORDUZ,ORNATR),SIGSTS^ORCSAVE2(ORIFN,1)
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| 73 | D STATUS^ORCSAVE2(ORIFN,5) S ^OR(100,ORIFN,4)=PKGIFN
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| 74 | I $G(ORL) S ORP(1)=ORIFN_";1^1" D PRINTS^ORWD1(.ORP,+ORL) ; chart copy
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| 75 | Q
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| 76 | ;
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| 77 | DLG ; -- Build ORDIALOG() from msg
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| 78 | N OBR,OI,MODS,J,X,Y,ILOC,MODE,CH,CHI,OBX,NTE
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| 79 | S ORDIALOG=$O(^ORD(101.41,"AB","RA OERR EXAM",0))
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| 80 | D GETDLG1^ORCD(ORDIALOG)
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| 81 | S ORDIALOG($$PTR("CATEGORY"),1)=$G(ORCAT)
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| 82 | S ORDIALOG($$PTR("START DATE/TIME"),1)=ORSTRT
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| 83 | S ORDIALOG($$PTR("URGENCY"),1)=ORURG
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| 84 | S:$P(ORC,"|",12) ORDIALOG($$PTR("PROVIDER"),1)=+$P(ORC,"|",12)
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| 85 | D1 S OBR=$O(@ORMSG@(+ORC)) I 'OBR!($E($G(@ORMSG@(OBR)),1,3)'="OBR") S ORERR="Missing OBR segment" Q
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| 86 | S OI=$$ORDITEM^ORM($P(@ORMSG@(OBR),"|",5))
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| 87 | I 'OI S ORERR="Invalid procedure" Q
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| 88 | S ORDIALOG($$PTR("ORDERABLE ITEM"),1)=OI
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| 89 | S ORDG=$P($G(^ORD(101.43,+OI,"RA")),U,3) S:$L(ORDG) ORDG=+$O(^ORD(100.98,"B",ORDG,0)) I 'ORDG S ORDG=$P(^ORD(101.41,+ORDIALOG,0),U,5) ; Im Type
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| 90 | S MODS=$P(@ORMSG@(OBR),"|",19) I $L(MODS) D
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| 91 | . F J=1:1:$L(MODS,"~") S X=$P(MODS,"~",J) I $L(X) S Y=$O(^RAMIS(71.2,"B",X,0)) S:Y ORDIALOG($$PTR("MODIFIERS"),J)=Y
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| 92 | S ILOC=+$P(@ORMSG@(OBR),"|",20),MODE=$P(@ORMSG@(OBR),"|",31)
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| 93 | S:ILOC ORDIALOG($$PTR("IMAGING LOCATION"),1)=ILOC
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| 94 | S ORDIALOG($$PTR("MODE OF TRANSPORT"),1)=$S(MODE="WALK":"A",MODE="CART":"S",1:$E(MODE))
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| 95 | I ORDCNTRL="XX" S NTE=+$O(@ORMSG@(OBR)) I NTE,$E($G(@ORMSG@(NTE)),1,3)="NTE" S OREASON=$P(@ORMSG@(NTE),"|",4) ;Tech's Comments
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| 96 | D2 ; might the procedure be scheduled at this point ?? Not in spec
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| 97 | S CH=$$PTR("WORD PROCESSING 1"),CHI=0
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| 98 | S OBX=OBR F S OBX=$O(@ORMSG@(OBX)) Q:OBX'>0 S J=$E(@ORMSG@(OBX),1,3) Q:J="ORC" Q:J="MSH" I J="OBX" D
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| 99 | . N NAME,VALUE,X0 S VALUE=$P(@ORMSG@(OBX),"|",6)
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| 100 | . S NAME=$$UP^XLFSTR($P($P(@ORMSG@(OBX),"|",4),U,2))
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| 101 | . I NAME="CONTRACT/SHARING SOURCE" S X0=$G(^DIC(34,+VALUE,0)) S:$L(X0) ORDIALOG($$PTR(NAME),1)=+VALUE,ORDIALOG($$PTR("CATEGORY"),1)=$P(X0,U,2) Q
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| 102 | . I NAME="RESEARCH SOURCE" S ORDIALOG($$PTR(NAME),1)=VALUE,ORDIALOG($$PTR("CATEGORY"),1)="R" Q
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| 103 | . I NAME="PREGNANT" S ORDIALOG($$PTR(NAME),1)=VALUE Q
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| 104 | . I NAME="PRE-OP SCHEDULED DATE/TIME" S ORDIALOG($$PTR(NAME),1)=$$FMDATE^ORM(VALUE) Q
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| 105 | . S CHI=CHI+1,^TMP("ORWORD",$J,CH,1,CHI,0)=VALUE
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| 106 | S:CHI ^TMP("ORWORD",$J,CH,1,0)="^^"_CHI_U_CHI_U_DT_U,ORDIALOG(CH,1)="^TMP(""ORWORD"",$J,"_CH_",1)"
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| 107 | Q
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| 108 | ;
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| 109 | PTR(X) ; -- Returns ptr to prompt in Order Dialog file #101.41
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| 110 | Q +$O(^ORD(101.41,"AB",$E("OR GTX "_X,1,63),0))
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| 111 | ;
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| 112 | SC ; -- Status changed (scheduled, registered, or unverified)
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| 113 | N ORSTS,OBR,OR3 ;110
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| 114 | S ORSTS=$S(ORDSTS="ZR":6,ORDSTS="ZU":6,1:8),OR3=$G(^OR(100,+ORIFN,3)) ;110
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| 115 | G:ORSTS=6 SCQ ;136 Done if active, else get scheduled data
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| 116 | S OBR=$O(@ORMSG@(+ORC)) I 'OBR!($E($G(@ORMSG@(OBR)),1,3)'="OBR") S ORERR="Missing OBR segment" Q
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| 117 | S ORSTRT=$$FMDATE^ORM($P(@ORMSG@(OBR),"|",37))
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| 118 | D:ORSTRT DATES^ORCSAVE2(+ORIFN,ORSTRT)
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| 119 | I $P(OR3,U,3)=3,$P($G(^OR(100,+ORIFN,8,+$P(OR3,U,7),0)),U,2)="HD" D RL ;If status is hold and current action is hold then release. Added with 110
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| 120 | SCQ D STATUS^ORCSAVE2(ORIFN,ORSTS)
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| 121 | Q
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| 122 | ;
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| 123 | RE ; -- Completed, w/results
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| 124 | N I,SEG,OBX
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| 125 | D STATUS^ORCSAVE2(ORIFN,2)
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| 126 | S OBX="" D ;get Results D/T [from OBR]
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| 127 | . N DA,DR,DIE,X,Y,OBR
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| 128 | . S DA=+ORIFN,DIE="^OR(100,",OBR=+$O(@ORMSG@(+ORC)),X=""
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| 129 | . I OBR,$E($G(@ORMSG@(OBR)),1,3)="OBR" S X=$P(@ORMSG@(OBR),"|",23)
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| 130 | . S DR="71////"_$S(X:$$FMDATE^ORM(X),1:+$E($$NOW^XLFDT,1,12)) D ^DIE
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| 131 | S I=+ORC F S I=$O(@ORMSG@(I)) Q:I<1 S SEG=$G(@ORMSG@(I)) Q:$E(SEG,1,3)="ORC" I $E(SEG,1,3)="OBX" S OBX=I_U_SEG Q ;first one
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| 132 | S $P(^OR(100,+ORIFN,7),U,2)=$S($P(OBX,"|",9)="A":1,1:"")
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| 133 | S:'$G(ORNP) ORNP=+$P($G(^OR(100,+ORIFN,0)),U,4)
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| 134 | I $L($T(ADD^ORRCACK)) D ADD^ORRCACK(+ORIFN,ORNP) ;Ack stub for prov
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| 135 | Q
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| 136 | ;
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| 137 | OH ; -- Held
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| 138 | D UPDATE(3,"HD")
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| 139 | Q
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| 140 | ;
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| 141 | OC ; -- Cancelled/Unable to accept [ack]
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| 142 | UA ; -- Unable to accept [ack]
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| 143 | S:'$L(ORNATR) ORNATR="X" ;Rejected
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| 144 | S ^OR(100,+ORIFN,6)=$O(^ORD(100.02,"C",ORNATR,0))_U_U_ORLOG_U_U_OREASON
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| 145 | D STATUS^ORCSAVE2(ORIFN,13)
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| 146 | UD ; -- Unable to discontinue [ack]
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| 147 | N DA S DA=+$P(ORIFN,";",2) I DA D
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| 148 | . S $P(^OR(100,+ORIFN,8,DA,0),U,15)=13 ;Request rejected
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| 149 | . S:$L(OREASON) ^OR(100,+ORIFN,8,DA,1)=OREASON
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| 150 | Q
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| 151 | ;
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| 152 | OD ; -- Discontinued
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| 153 | S:$G(DGPMT) ORDUZ="" ;auto-dc on movement
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| 154 | S ^OR(100,+ORIFN,6)=$S($L(ORNATR):$O(^ORD(100.02,"C",ORNATR,0)),1:"")_U_ORDUZ_U_ORLOG_U_U_OREASON
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| 155 | D UPDATE(1,"DC")
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| 156 | Q
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| 157 | ;
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| 158 | DR ; -- Discontinued [ack]
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| 159 | D STATUS^ORCSAVE2(ORIFN,1)
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| 160 | Q
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| 161 | ;
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| 162 | UPDATE(ORSTS,ORACT) ; -- continue processing
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| 163 | N ORX,ORDA,ORP D:$G(ORSTS) STATUS^ORCSAVE2(ORIFN,ORSTS)
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| 164 | S ORX=$$CREATE^ORX1(ORNATR) D:ORX
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| 165 | . S ORDA=$$ACTION^ORCSAVE(ORACT,+ORIFN,ORNP,OREASON,ORLOG,ORDUZ)
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| 166 | . I ORDA'>0 S ORERR="Cannot create new order action" Q
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| 167 | . D RELEASE^ORCSAVE2(+ORIFN,ORDA,ORLOG,ORDUZ,ORNATR)
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| 168 | . D SIGSTS^ORCSAVE2(+ORIFN,ORDA)
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| 169 | . I $G(ORL) S ORP(1)=+ORIFN_";"_ORDA_"^1" D PRINTS^ORWD1(.ORP,+ORL)
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| 170 | . S $P(^OR(100,+ORIFN,3),U,7)=ORDA
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| 171 | I 'ORX D ;no new action created
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| 172 | . I ORACT="DC" S:'$$ACTV^ORX1(ORNATR) $P(^OR(100,+ORIFN,3),U,7)=0 Q
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| 173 | . S:ORACT="HD"&$L(OREASON) ^OR(100,+ORIFN,8,1,1)=OREASON ;pend/sch only
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| 174 | D:ORACT="DC" CANCEL^ORCSEND(+ORIFN)
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| 175 | Q
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| 176 | ;
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| 177 | RL ;Release hold --entire section added with patch 110
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| 178 | S ^OR(100,+ORIFN,8,$P(OR3,U,7),2)=ORLOG_"^"_ORDUZ ;Set release hold date/time and release hold user
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| 179 | S ORNATR=$S($L(ORNATR):ORNATR,1:$P(^OR(100,+ORIFN,8,$P(OR3,U,7),0),U,12)) ;set nature of order for release equal to nature of order for hold if it doesn't exist
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| 180 | I $G(ORSTS)="" S ORSTS=6
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| 181 | D UPDATE(ORSTS,"RL")
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| 182 | Q
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