1 | WVSNOMED ;HIOFO/FT-IS LAB TEST A PAP SMEAR? ;2/12/04 14:37
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2 | ;;1.0;WOMEN'S HEALTH;**16**;Sep 30, 1998
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3 | ;
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4 | ; This routine uses the following IAs:
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5 | ; #1362 - ^ORB3 (controlled)
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6 | ; #525 - ^LR references (controlled)
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7 | ; #4298 - ^LR references (private)
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8 | ; #10035 - ^DPT( references (supported)
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9 | ; #10070 - ^XMD (supported)
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10 | ; #10141 - ^XPDUTL (supported)
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11 | ;
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12 | SNOMED() ; Check lab test for SNOMED codes that indicate if pap smear.
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13 | ; LRDFN,LRI,LRSS must be defined.
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14 | ; Returns: 0 - lab test is not a pap smear
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15 | ; 1 - lab test is a pap smear
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16 | ;
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17 | N WVPAP,WVPIEN,WVPIEN1,WVSNOMED,WVTOP
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18 | ; WVTOP array identifies SNOMED codes (IENS) used for pap smears
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19 | S WVTOP(0)=0
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20 | S WVPIEN=$$PAPIEN^WVRPCPR()
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21 | I 'WVPIEN Q 0 ;pap smear procedure entry not found
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22 | S WVPIEN1=0
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23 | F S WVPIEN1=$O(^WV(790.2,WVPIEN,2,WVPIEN1)) Q:'WVPIEN1 D
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24 | .S WVSNOMED=$P($G(^WV(790.2,WVPIEN,2,WVPIEN1,0)),U,1)
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25 | .Q:'WVSNOMED
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26 | .S WVTOP(0)=WVTOP(0)+1
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27 | .S WVTOP(WVSNOMED)=""
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28 | .Q
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29 | I WVTOP(0)=0 Q 0 ;no SNOMED codes identified
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30 | K WVTOP(0)
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31 | S WVPAP=0
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32 | I LRSS="CY" S WVPAP=$$CY()
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33 | I LRSS="SP" S WVPAP=$$SP()
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34 | Q WVPAP
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35 | ;
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36 | CY() ; Check SNOMED codes used by cytology entry
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37 | N WVFLAG,WVLOOP,WVLOOP1,WVSNOMED
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38 | S (WVFLAG,WVLOOP)=0
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39 | ; check topography multiple
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40 | F S WVLOOP=$O(^LR(LRDFN,"CY",LRI,2,WVLOOP)) Q:'WVLOOP!(WVFLAG=1) D
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41 | .S WVSNOMED=+$P($G(^LR(LRDFN,"CY",LRI,2,WVLOOP,0)),U,1)
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42 | .Q:'WVSNOMED
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43 | .I $D(WVTOP(WVSNOMED)) S WVFLAG=1
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44 | .Q
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45 | Q WVFLAG
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46 | ;
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47 | SP() ; Check SNOMED codes used by surgical pathology entry
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48 | N WVFLAG,WVLOOP,WVLOOP1,WVSNOMED
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49 | ; check topography multiple
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50 | S (WVFLAG,WVLOOP)=0
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51 | F S WVLOOP=$O(^LR(LRDFN,"SP",LRI,2,WVLOOP)) Q:'WVLOOP!(WVFLAG=1) D
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52 | .S WVSNOMED=+$P($G(^LR(LRDFN,"SP",LRI,2,WVLOOP,0)),U,1)
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53 | .Q:'WVSNOMED
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54 | .I $D(WVTOP(WVSNOMED)) S WVFLAG=1
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55 | .Q
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56 | Q WVFLAG
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57 | ;
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58 | ADD ; Add pap smear to FILE 790.1
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59 | N WV7901,WVDR,WVPIEN,WVERR
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60 | S WVERR=0
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61 | I '$D(^WV(790,DFN,0)) D ;add patient to File 790, if not there
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62 | .D AUTOADD^WVPATE(DFN,DUZ(2),.WVERR)
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63 | .Q
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64 | Q:WVERR<0 ;quit if new patient could not be added to File 790
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65 | S WVPIEN=$$PAPIEN^WVRPCPR()
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66 | S WVDR=".02////"_DFN
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67 | S WVDR=WVDR_";.04////"_WVPIEN ;File 790.2 pointer
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68 | S:WVPROV]"" WVDR=WVDR_";.07////"_WVPROV ;provider
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69 | S WVDR=WVDR_";.1////"_$G(DUZ(2)) ;health care facility
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70 | S:WVLOC]"" WVDR=WVDR_";.11////"_WVLOC ;patient location
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71 | S WVDR=WVDR_";.12////"_WVDATE ;procedure date/time
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72 | S WVDR=WVDR_";.14////"_"o" ;status
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73 | S WVDR=WVDR_";.18////.5;.19////"_DT ;entering user and date
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74 | S WVDR=WVDR_";.34////"_$G(DUZ(2)) ;accessioning facility
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75 | S WVDR=WVDR_";2.17////"_WVLABAN ;lab accession#
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76 | S WVDR=WVDR_";2.18////"_LRDFN ;Lab Data file (#63) pointer
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77 | S WVDR=WVDR_";2.19////"_LRI ;Lab Data file inverse d/t
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78 | S WVDR=WVDR_";2.2////"_LRSS ;Lab Data file subscript (CY/SP)
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79 | ; add procedure to File 790.1
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80 | D NEW2^WVPROC(DFN,WVPIEN,WVDATE,WVDR,"","",.WVERR)
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81 | Q:'Y
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82 | S WV7901=+Y
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83 | I $$PATCH^XPDUTL("OR*3.0*210") D Q
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84 | .D CPRS^WVSNOMED(70,DFN,"",WVPROV,"Pap Smear results available.","")
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85 | .Q
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86 | D MAIL(DFN,WVLABAN,WVPROV,LRSS,WV7901)
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87 | Q
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88 | MAIL(DFN,WVLABAN,WVPROV,LRSS,WV7901) ; Send mail message to case manager
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89 | ; when pap smear added to FILE 790.1
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90 | ; Called from above
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91 | ; DFN -> Patient ien
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92 | ; WVLABAN -> Lab Accession# (e.g., CY 99 1)
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93 | ; WVPROV -> File 200 IEN (provider/requestor)
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94 | ; LRSS -> File 63 subscript (e.g., CY or SP)
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95 | ; WV7901 -> FILE 790.1 IEN
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96 | Q:'$G(DFN)!($G(WVLABAN)="")!($G(LRSS)="")
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97 | N WVCMGR,WVLOOP,WVMSG,XMDUZ,XMSUB,XMTEXT,XMY
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98 | S WVCMGR=+$$GET1^DIQ(790,DFN,.1,"I") ;get case manager
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99 | S:WVCMGR XMY(WVCMGR)=""
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100 | ; if no case manager, then get default case manager(s)
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101 | I 'WVCMGR S WVLOOP=0 F S WVLOOP=$O(^WV(790.02,WVLOOP)) Q:'WVLOOP D
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102 | .S WVCMGR=$$GET1^DIQ(790.02,WVLOOP,.02,"I")
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103 | .S:WVCMGR XMY(WVCMGR)=""
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104 | .Q
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105 | Q:$O(XMY(0))'>0 ;no case manager(s)
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106 | S XMDUZ=.5 ;message sender
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107 | S XMSUB="Pap Smear report verified for a WH patient"
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108 | S WVMSG(1)="A "_$S(LRSS="CY":"Cytology ",LRSS="SP":"Surgical Pathology ",1:"")_"lab test was verified for:"
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109 | S WVMSG(2)=" "
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110 | S WVMSG(3)=" Patient: "_$P($G(^DPT(DFN,0)),U,1)_" (SSN: "_$$SSN^WVUTL1(DFN)_")"
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111 | S WVMSG(4)=" WH Accession #: "_$P($G(^WV(790.1,+WV7901,0)),U,1)
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112 | S WVMSG(5)=" LAB Accession #: "_WVLABAN
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113 | S WVMSG(6)="Test Requestor/Provider: "_$S(+WVPROV:$$GET1^DIQ(200,+WVPROV,.01,"E"),1:"UNKNOWN")
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114 | S WVMSG(7)=" "
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115 | S WVMSG(8)="Please use CPRS to resolve the Clinical Reminder for this procedure and"
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116 | S WVMSG(9)="complete the result."
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117 | S XMTEXT="WVMSG("
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118 | D ^XMD
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119 | Q
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120 | ;
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121 | CPRS(WVORN,WVDFN,WVORDER,WVPROV,WVMSG,WVIEN) ; Generate a CPRS alert
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122 | ; WVORN - FILE 100.9 IEN
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123 | ; WVDFN - FILE 2 IEN
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124 | ; WVORDER - FILE 100 IEN (not currently used)
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125 | ; WVPROV - FILE 200 IEN
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126 | ; WVMSG - Free text message
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127 | ; WVIEN - IEN for a lab or radiology report (not currently used)
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128 | ;
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129 | Q:'$$PATCH^XPDUTL("OR*3.0*210") ;no pap & mam alerts
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130 | Q:'WVDFN
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131 | Q:'WVORN
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132 | I WVPROV]"" S WVARRAY(WVPROV)="" ;provider's IEN
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133 | S WVCMGR=$P($G(^WV(790,WVDFN,0)),U,10)
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134 | I WVCMGR]"" S WVARRAY(WVCMGR)="" ;women's health case manager's IEN
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135 | D EN^ORB3(WVORN,WVDFN,WVORDER,.WVARRAY,WVMSG,WVIEN)
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136 | K WVARRAY,WVCMGR
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137 | Q
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