[613] | 1 | RAHLR ;HISC/CAH/BNT - Generate Common Order (ORM) Message ;11/10/99 10:42
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| 2 | ;;5.0;Radiology/Nuclear Medicine;**2,12,10,25,71,82,75,80,84**;Mar 16, 1998;Build 13
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| 3 | ;Generates msg whenever a case is registered or cancelled or examined
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| 4 | ; registered cancelled examined
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| 5 | ; Order control : NW CA XO
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| 6 | ; Order status : IP CA CM
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| 7 | ;02/14/2006 BAY/KAM RA*5*71 Add ability to update exam data to V/R
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| 8 | ;
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| 9 | ;Integration Agreements
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| 10 | ;----------------------
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| 11 | ;NOW^%DTC(10000); ^%ZTLOAD(10063); $$GET1^DIQ(2056); ^DIWP(10011)
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| 12 | ;$$HLDATE/$$HLNAME/$$M11^HLFNC(10106); INIT^HLFNC2(2161)
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| 13 | ;GENERATE^HLMA(2164); DEM^VADPT(10061); $$EN^VAFHLPID(263)
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| 14 | ;$$FMTHL7^XLFDT(10103)
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| 15 | ;
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| 16 | ;IA: 10039 global read .01 field WARD LOCATION (#42) file ^DIC(42,
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| 17 | ;IA: 10040 global read .01 field HOSPITAL LOCATION (#44) file ^SC(
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| 18 | ;
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| 19 | S:$D(HLNDAP) ZTSAVE("HLNDAP")="" S:$D(HLDAP) ZTSAVE("HLDAP")="" S:$D(RAEXMDUN) ZTSAVE("RAEXMDUN")=""
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| 20 | S:$D(RAEXEDT) ZTSAVE("RAEXEDT")=""
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| 21 | S ZTSAVE("RADFN")="",ZTSAVE("RADTI")="",ZTSAVE("RACNI")="",ZTIO="",ZTDTH=$H,ZTDESC="Rad/Nuc Med Compiling HL7 Common Order",ZTRTN="EN^RAHLR" D ^%ZTLOAD
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| 22 | K ZTDESC,ZTDTH,ZTIO,ZTRTN,ZTSAVE Q
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| 23 | EN ; Called from the RA REG & RA CANCEL & RA EXAMINED protocols
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| 24 | ; Input Variables:
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| 25 | ; RADFN=file 2 IEN (DFN)
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| 26 | ; RADTI=file 70 Exam subrec IEN (reverse date/time of exam)
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| 27 | ; RACNI=file 70 Case subrecord IEN
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| 28 | ; RAEID=ien of the event driver protocol (defined in RAHLRPC)
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| 29 | ; Output Variables:
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| 30 | ; HLA("HLS") array containing HL7 msg
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| 31 | ;
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| 32 | N EID,HL,INT,HLQ,HLFS,HLECH,HLA,HLCS,HLSCS,HLREP,HLECH
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| 33 | N DFN,DIWF,DIWL,DIWR,GMRAL,PI,RACANC,RACN0,RACPT,RACPTNDE,RADTE,RAI,RAN,RAOBR4,RAPRCNDE,RAPROC,RAPROCIT,RAPRV,RAX0,VA,VADM,VAERR,X,X0,Y,X1,OBR36
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| 34 | ;
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| 35 | D INIT ; initialize some HL7 variables
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| 36 | ;RAEXMDUN passed from EXM^RAHLRPC if conditions are met
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| 37 | Q:+$G(HL)=15 ;no known client(item) linked to the event driver protocol
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| 38 | Q:$O(HL(""))="" ;disabled server appl, or no server appl
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| 39 | ;** branch to new HL7 logic when the HL7 version surpasses 2.3 **
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| 40 | I HL("VER")>2.3,($T(^RAHLR1))'="" D EN^RAHLR1(RADFN,RADTI,RACNI,RAEID) Q
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| 41 | ;** branch to new HL7 logic when the HL7 version surpasses 2.3 **
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| 42 | S RACN0=$S($D(^RADPT(RADFN,"DT",RADTI,"P",RACNI,0)):^(0),1:"") Q:RACN0']""
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| 43 | ;Generate Message Text
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| 44 | S RAPROC=+$P(RACN0,U,2) I 'RAPROC Q ;If case entered via 'Enter Last Past Visit before DHCP option, and procedure 'OTHER' is inactive, RAPROC will be null and will cause bomb-out unless we quit here
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| 45 | S RAPROCIT=+$P($G(^RAMIS(71,RAPROC,0)),U,12),RAPROCIT=$P(^RA(79.2,RAPROCIT,0),U,1)
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| 46 | S (RADTE,OBR36)=9999999.9999-RADTI,RADTE=$E(RADTE,4,7)_$E(RADTE,2,3)_"-"_+RACN0,RACANC=$S($D(^RA(72,"AA",RAPROCIT,0,+$P(RACN0,"^",3))):1,1:0)
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| 47 | S RAPRCNDE=$G(^RAMIS(71,+RAPROC,0)),RACPT=+$P(RAPRCNDE,U,9),RACPTNDE=$$NAMCODE^RACPTMSC(RACPT,DT)
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| 48 | ;RA*5*82 RAEXEDT= Override the EXM conditions if Case edited
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| 49 | ;I $G(RAEXMDUN)=1,'$G(RAEXEDT),$P(RACN0,U,30)'="",'$G(RATELE) Q ;last chance to stop exm'd msg if it's already been sent RA*5*84 Is TELERAD ??
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| 50 | ;Compile 'PID' Segment
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| 51 | K VA,VADM,VAERR,RAVADM S DFN=RADFN D DEM^VADPT I VADM(1)']"" S HLP("ERRTEXT")="Invalid Patient Identifier" G EXIT
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| 52 | S RAVADM(3)=$S($E(+VADM(3),6,7)="00":"",1:+VADM(3)) ; NOTE: Check
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| 53 | ; for an inexact date of birth. If inexact, pass null for DOB in
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| 54 | ; the 'PID' segment. Some COTS systems can't handle inexact DOB's.
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| 55 | I HL("VER")']"2.2" D
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| 56 | .S HLA("HLS",1)="PID"_HLFS_HLFS_$G(VA("PID"))_HLFS_$$M11^HLFNC(RADFN)_HLFS_HLFS_$$HLNAME^HLFNC(VADM(1))_HLFS_HLFS_$$HLDATE^HLFNC(RAVADM(3))_HLFS_$S(VADM(5)]"":$S("MF"[$P(VADM(5),"^"):$P(VADM(5),"^"),1:"O"),1:"U")
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| 57 | .S:$P(VADM(2),"^")]"" $P(HLA("HLS",1),HLFS,20)=$P(VADM(2),"^")
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| 58 | I HL("VER")]"2.2" S HLA("HLS",1)=$$EN^VAFHLPID(DFN,"2,3,5,7,8,19,20")
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| 59 | K RAVADM
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| 60 | ;Compile 'ORC' Segment
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| 61 | S X0="" ;if exam-set or print-set, store parent name if order exists
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| 62 | I $P(RACN0,U,25) S X0=$P(RACN0,U,11),X0=$P($G(^RAO(75.1,+X0,0)),U,2),X0=$P($G(^RAMIS(71,+X0,0)),U),X0=$S(X0="":"ORIGINAL ORDER PURGED",1:X0),X0=$S($P(RACN0,U,25)=1:"EXAM",1:"PRINT")_"SET: "_X0
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| 63 | ; BNT - Added ORC4 Placer Group Number for Printset identification.
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| 64 | ; ORC4 is a combination of SSN with the order inverted date/time.
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| 65 | S RAORC4="" I $P($G(RACN0),U,25)=2 D
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| 66 | . S:$P(VADM(2),"^")]"" RAORC4=$P(VADM(2),"^")
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| 67 | . S RAORC4=$G(RAORC4)_RADTI
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| 68 | S HLA("HLS",2)="ORC"_HLFS_$S(RACANC:"CA",$G(RAEXMDUN)=1:"XO",1:"NW")_HLFS_HLFS_HLFS_RAORC4_HLFS_$S(RACANC:"CA",$G(RAEXMDUN)=1:"CM",1:"IP")_HLFS_HLFS_HLFS_X0_HLFS_HLDT1
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| 69 | K RAORC4
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| 70 | ;Compile 'OBR' Segment
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| 71 | S RAOBR4=$P(RACPTNDE,U)_$E(HLECH)_$P(RACPTNDE,U,2)_$E(HLECH)_"C4"_$E(HLECH)_+RAPROC_$E(HLECH)_$P(RAPRCNDE,U)_$E(HLECH)_"99RAP"
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| 72 | ; Replace above with following when Imaging can cope with ESC chars
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| 73 | ; S RAOBR4=$P(RACPTNDE,U)_$E(HLECH)_$$ESCAPE^RAHLRU($P(RACPTNDE,U,2))_$E(HLECH)_"C4"_$E(HLECH)_+RAPROC_$E(HLECH)_$$ESCAPE^RAHLRU($P(RAPRCNDE,U))_$E(HLECH)_"99RAP"
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| 74 | I $P(RACPTNDE,U)']"" S $P(RAOBR4,$E(HLECH),1,3)=$P(RAOBR4,$E(HLECH),4,5)_$E(HLECH)_"LOCAL"
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| 75 | ;OBR-7 change: from HLDT1 to $$HLDATE^HLFNC(9999999.9999-RADTI) d/t of registration
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| 76 | ;Driver of change: CareStream Health PACS. Agfa requires a timestamp down to the second
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| 77 | ;POC @ Boston is Maureen Sullivan
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| 78 | S HLA("HLS",3)="OBR"_HLFS_HLFS_RADTE_HLFS_RADTI_"-"_RACNI_$E(HLECH)_RADTE_$E(HLECH)_"L"_HLFS_RAOBR4_HLFS_HLFS_HLFS_$$HLDATE^HLFNC(9999999.9999-RADTI)
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| 79 | S HLA("HLS",3)=HLA("HLS",3)_HLFS_HLQ_HLFS_HLQ_HLFS_HLFS_HLFS_HLFS_HLFS_HLQ_HLFS_HLFS
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| 80 | S RAPRV=$$GET1^DIQ(200,+$P(RACN0,"^",14),.01)
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| 81 | S HLA("HLS",3)=HLA("HLS",3)_$S(RAPRV]"":+$P(RACN0,"^",14)_$E(HLECH)_$$HLNAME^HLFNC(RAPRV),1:"")
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| 82 | ;
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| 83 | N RACN00,RA20 S RACN00=$G(^RADPT(RADFN,"DT",RADTI,0))
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| 84 | ;Seg's fld 20 = pce 21 --> ien file #79.1~name of img loc~stn #~stn name
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| 85 | S RA20=+$G(^RA(79.1,+$P(RACN00,U,4),0))
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| 86 | S $P(HLA("HLS",3),HLFS,21)=$P(RACN00,U,4)_$E(HLECH)_$P($G(^SC(RA20,0)),U)_$E(HLECH)_$P(RACN00,U,3)_$E(HLECH)_$P($G(^DIC(4,+$P(RACN00,U,3),0)),U)
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| 87 | S $P(HLA("HLS",3),HLFS,21)=$P(HLA("HLS",3),HLFS,21)
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| 88 | ; Replace above with following when Imaging can cope with ESC chars
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| 89 | ; S $P(HLA("HLS",3),HLFS,21)=$$ESCAPE^RAHLRU($P(HLA("HLS",3),HLFS,21))
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| 90 | ;Seg's fld 21 = pce 22 --> abbrv I-type~Img type name
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| 91 | S RA20=$G(^RA(79.2,+$P(RACN00,U,2),0))
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| 92 | S $P(HLA("HLS",3),HLFS,22)=$P(RA20,U,3)_$E(HLECH)_$P(RA20,U)
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| 93 | S $P(HLA("HLS",3),HLFS,22)=$P(HLA("HLS",3),HLFS,22)
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| 94 | ; Replace above with following when Imaging can cope with ESC chars
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| 95 | ; S $P(HLA("HLS",3),HLFS,22)=$$ESCAPE^RAHLRU($P(HLA("HLS",3),HLFS,22))
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| 96 | ;
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| 97 | S $P(HLA("HLS",3),HLFS,23)=HLDT1,$P(HLA("HLS",3),HLFS,19)=$S($D(^DIC(42,+$P(RACN0,"^",6),0)):$P(^(0),"^"),$D(^SC(+$P(RACN0,"^",8),0)):$P(^(0),"^"),1:"Unknown")
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| 98 | ;
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| 99 | ; OBR-31.2 = Reason for Study P75
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| 100 | S $P(HLA("HLS",3),HLFS,32)=$E(HLECH)_$$ESCAPE^RAHLRU($P($G(^RAO(75.1,+$P(RACN0,"^",11),.1)),U))
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| 101 | ;
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| 102 | ; OBR-36 = Exam Date/Time
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| 103 | S $P(HLA("HLS",3),HLFS,37)=$$FMTHL7^XLFDT(OBR36)
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| 104 | ;
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| 105 | I 'RACANC S X=$P($G(^RAO(75.1,+$P(RACN0,"^",11),0)),"^",6),$P(HLA("HLS",3),HLFS,28)=$E(HLECH)_$E(HLECH)_$E(HLECH)_$E(HLECH)_$E(HLECH)_$TR(X,"129","SAR")
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| 106 | ; if long str, break so 2nd str begins with separator to avoid abend
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| 107 | I $L(HLA("HLS",3))>245 N RAPART,RA1 S RA1=HLA("HLS",3) F RAPART=5:1:15 S RAPART(1)=$P(RA1,HLFS,1,RAPART),RAPART(2)=$P(RA1,HLFS,RAPART+1,99) Q:$L(RAPART(1))<245&($L(RAPART(2))<245)&($P(RAPART(2),HLFS)="")
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| 108 | I $D(RAPART) K:RAPART=15 RAPART ;if RAPART reaches 15, then something's wrong so kill RAPART to allow abend due "string too long"
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| 109 | I $D(RAPART) S HLA("HLS",3)=$P(RAPART(1),HLFS)_HLFS,HLA("HLS",3,1)=$P(RAPART(1),HLFS,2,99)_HLFS,HLA("HLS",3,2)=RAPART(2) K RAPART,RA1
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| 110 | OBXPRC ;Compile 'OBX' Segment for Procedure
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| 111 | S RAN=4 D OBXPRC^RAHLRU
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| 112 | OBXMOD ;Compile 'OBX' Segment for two types of Modifiers
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| 113 | S RAN=5 D OBXMOD^RAHLRU
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| 114 | OBXHIST ;Compile 'OBX' Segment for Clinical History
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| 115 | I '$O(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"H",0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"H"_$E(HLECH)_"HISTORY"_$E(HLECH)_"L"_HLFS_HLFS_"None Entered" D OBX11^RAHLRU G ALLER
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| 116 | K ^UTILITY($J,"W") S DIWF="",DIWR=80,DIWL=1 F RAI=0:0 S RAI=$O(^RADPT(RADFN,"DT",RADTI,"P",RACNI,"H",RAI)) Q:'RAI I $D(^(RAI,0)) S X=^(0) D ^DIWP
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| 117 | F RAI=0:0 S RAI=$O(^UTILITY($J,"W",DIWL,RAI)) Q:'RAI I $D(^(RAI,0)) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"H"_$E(HLECH)_"HISTORY"_$E(HLECH)_"L"_HLFS_HLFS_^(0) D OBX11^RAHLRU
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| 118 | ALLER ;Compile 'OBX' Segment for Allergies
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| 119 | S DFN=RADFN D ALLERGY^RADEM S X="" I $D(GMRAL) S RAI=0 F S RAI=$O(PI(RAI)) Q:RAI'>0 S X0=PI(RAI) I X0]"" Q:($L(X)+$L(X0))>200 S X=X_X0_", "
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| 120 | I $L(X) S RAN=RAN+1,HLA("HLS",RAN)="OBX"_HLFS_HLFS_"TX"_HLFS_"A"_$E(HLECH)_"ALLERGIES"_$E(HLECH)_"L"_HLFS_HLFS_X D OBX11^RAHLRU
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| 121 | OBXTCM ;Compile 'OBX' Segment for Tech Comment
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| 122 | D OBXTCM^RAHLRU
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| 123 | EXIT ; set HL7 message type & return to protocol
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| 124 | K ^UTILITY($J,"W")
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| 125 | S HL("MTN")="ORM"
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| 126 | N HLEID,HLARYTYP,HLFORMAT,HLMTIEN,HLP
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| 127 | S HLEID=EID,HLARYTYP="LM",HLFORMAT=1,HLMTIEN="",HLP("PRIORITY")="I"
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| 128 | D:$D(RASSSX(HLEID)) GETHLP^RAHLRS1(HLEID,.HLP,"RASSSX")
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| 129 | D:$D(RASSSX1(HLEID)) GETHLP^RAHLRS1(HLEID,.HLP,"RASSSX1")
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| 130 | D GENERATE^HLMA(HLEID,HLARYTYP,HLFORMAT,.HLRESLT,HLMTIEN,.HLP)
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| 131 | Q
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| 132 | Q ;Entry Point to Process an ORR Message (Just a Quit Since No Processing is Required)
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| 133 | Q
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| 134 | INIT ; initialize HL7 variables
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| 135 | D NOW^%DTC S HLDT=%,HLDT1=$$HLDATE^HLFNC(%)
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| 136 | ;Note: HLDT1 is used for HL7 fields: ORC-9 & OBR-22
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| 137 | Q:'$G(RAEID) S EID=RAEID
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| 138 | S HL="HLS(""HLS"")",INT=1
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| 139 | D INIT^HLFNC2(EID,.HL,INT)
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| 140 | Q:'$D(HL("Q")) ;no server application defined
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| 141 | S HLQ=HL("Q")
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| 142 | S HLECH=HL("ECH")
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| 143 | S HLFS=HL("FS")
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| 144 | S HLCS=$E(HL("ECH"))
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| 145 | S HLSCS=$E(HL("ECH"),4)
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| 146 | S HLREP=$E(HL("ECH"),2)
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| 147 | Q
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