C0C7VORU ;WV/JMC - Builder of HL7 Lab Results OBR/OBX/NTE based on RPMS V LAB file ;Jun 16, 2009 ;;5.2;AUTOMATED LAB INSTRUMENTS;;Sep 27, 1994;Build 1 ; EN(LA) ; called from C0CVLAB ; variables ; LA("HUID") - Host Unique ID from the local ACCESSION file (#68) ; LA("SITE") - Ordering site IEN in the INSTITUTION file (#4) ; LA("RUID") - Remote sites Unique ID from ACCESSION file (#68) ; LA("ORD") - Free text ordered test name from WKLD CODE file (#64) ; LA("NLT") - National Laboratory test code from WKLD CODE file (#64) ; LA("LRIDT") - Inverse date/time the lab arrival time (accession date/time) ; LA("SUB") - test subscript defined in LABORATORY TEST file (#60) ; LA("LRDFN") - IEN in LAB DATA file (#63) ; LA("ORD"), LA("NLT"), and LA("SUB") are sent for specific lab results. ; LA("AUTO-INST") - Auto-Instrument ; N LA763,LA7NLT,LA7NVAF,LA7X,PRIMARY ; S PRIMARY=$$PRIM^VASITE(DT),LA("AUTO-INST")="" I $G(PRIMARY)'="" D . S PRIMARY=$$SITE^VASITE(DT,PRIMARY) . S PRIMARY=$P(PRIMARY,U,3) . S LA("AUTO-INST")="LA7V HOST "_PRIMARY ; I '$O(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),0)) D Q . ; need to add error logging when no entry in 63. ; ; Get zeroth node of entry in #63. S LA763(0)=$G(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),0)) S LA7NLT=$G(LA("NLT")) ; S LA7NVAF=$$NVAF^LA7VHLU2(+LA("SITE")) S LA7NTESN=0 D ORC ; I $G(LA("SUB"))="CH" D CH ;I $G(LA("SUB"))="MI" D MI^LA7VORU1 ;I "SPCYEM"[$G(LA("SUB")) D AP^LA7VORU2 Q ; ; CH ; Build segments for "CH" subscript ; D OBR D NTE S LA7OBXSN=0 D OBX ; Q ; ; ORC ; Build ORC segment ; N LA763,LA7696,LA7DATA,LA7SM,LA7X,LA7Y,ORC ; S LA763(0)=$G(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),0)) ; S ORC(0)="ORC" ; ; Order control S ORC(1)=$$ORC1^LA7VORC("RE") ; ; Remote UID S ORC(2)=$$ORC2^LA7VORC(LA("RUID"),LA7FS,LA7ECH) ; ; Host UID S ORC(3)=$$ORC3^LA7VORC(LA("HUID"),LA7FS,LA7ECH) ; ; Return shipping manifest if found S LA7SM="",LA7696=0 I LA("SITE")'="",LA("RUID")'="" S LA7696=$O(^LRO(69.6,"RST",LA("SITE"),LA("RUID"),0)) I LA7696 S LA7SM=$P($G(^LRO(69.6,LA7696,0)),U,14) I LA7SM'="" S ORC(4)=$$ORC4^LA7VORC(LA7SM,LA7FS,LA7ECH) ; ; Order status ; DoD/CHCS requires ORC-5 valued otherwise will not process message I LA7NVAF=1 S ORC(5)=$$ORC5^LA7VORC("CM",LA7FS,LA7ECH) ; ; Ordering provider S (LA7X,LA7Y)="" ; "CH" subscript stores requesting provider and requesting div/location. I LA("SUB")="CH" D . N LA7J . S LA7J=$P(LA763(0),"^",13) . I $P(LA7J,";",2)="SC(" S LA7Y=$$GET1^DIQ(44,$P(LA7J,";")_",",3,"I") . I $P(LA7J,";",2)="DIC(4," S LA7Y=$P(LA7J,";") . S LA7X=$P(LA763(0),"^",10) ; ; Other subscripts only store requesting provider I "CYEMMISP"[LA("SUB") S LA7X=$P(LA763(0),"^",7) ; Get default institution from MailMan Site Parameters file I LA7Y="" S LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") S ORC(12)=$$ORC12^LA7VORC(LA7X,LA7Y,LA7FS,LA7ECH) ; ; Entering organization S ORC(17)=$$ORC17^LA7VORC(LA7Y,LA7FS,LA7ECH) ; D BUILDSEG^LA7VHLU(.ORC,.LA7DATA,LA7FS) D FILESEG^LA7VHLU(GBL,.LA7DATA) ; ; Check for flag to only build message but do not file I '$G(LA7NOMSG) D FILE6249^LA7VHLU(LA76249P,.LA7DATA) ; Q ; ; OBR ;Observation Request segment for Lab Order ; N LA761,LA762,LA7DATA,LA7PLOBR,LA7X,LA7Y,OBR ; ; Retrieve placer's OBR information stored in #69.6 D RETOBR^LA7VHLU(LA("SITE"),LA("RUID"),LA("NLT"),.LA7PLOBR) ; ; Initialize OBR segment S OBR(0)="OBR" S OBR(1)=$$OBR1^LA7VOBR(.LA7OBRSN) ; ; Remote UID S OBR(2)=$$OBR2^LA7VOBR(LA("RUID"),LA7FS,LA7ECH) ; ; Host UID S OBR(3)=$$OBR3^LA7VOBR(LA("HUID"),LA7FS,LA7ECH) ; ; Universal service ID, build from info stored in #69.6 S LA7X="" I $G(LA7PLOBR("OBR-4"))'="" S OBR(4)=$$CNVFLD^LA7VHLU3(LA7PLOBR("OBR-4"),LA7PLOBR("ECH"),LA7ECH) E S OBR(4)=$$OBR4^LA7VOBR(LA7NLT,"",LA7X,LA7FS,LA7ECH) ; ; Collection D/T S OBR(7)=$$OBR7^LA7VOBR($P(LA763(0),U)) ; ; Specimen action code ; If no OBR from PENDING ORDER file (#69.6) then assume added test. I $G(LA7INTYP)=10,$G(LA7PLOBR("OBR-4"))="" S OBR(11)=$$OBR11^LA7VOBR("A") ; ; Infection Warning S OBR(12)=$$OBR12^LA7VOBR(LRDFN,LA7FS,LA7ECH) ; ; Lab Arrival Time ; "CH" subscript does not store lab arrival time, use collection time. ; Other subscripts do store lab arrival time (date/time received). I "CYEMMISP"[LA("SUB") S OBR(14)=$$OBR14^LA7VOBR($P(LA763(0),"^",10)) I LA("SUB")="CH" S OBR(14)=$$OBR14^LA7VOBR($P(LA763(0),"^")) ; ; Specimen source S (LA761,LA762)="" I "CHMI"[LA("SUB") D . S LA761=$P(LA763(0),U,5) . I LA761="" D CREATE^LA7LOG(27) . I LA("SUB")="MI" S LA762=$P(LA763(0),U,11) S OBR(15)=$$OBR15^LA7VOBR(LA761,LA762,"",LA7FS,LA7ECH) ; ; Ordering provider S (LA7X,LA7Y)="" ; "CH" subscript stores requesting provider and requesting div/location. I LA("SUB")="CH" D . N LA7J . S LA7J=$P(LA763(0),"^",13) . I $P(LA7J,";",2)="SC(" S LA7Y=$$GET1^DIQ(44,$P(LA7J,";")_",",3,"I") . I $P(LA7J,";",2)="DIC(4," S LA7Y=$P(LA7J,";") . S LA7X=$P(LA763(0),"^",10) ; ; Other subscripts only store requesting provider I "CYEMMISP"[LA("SUB") S LA7X=$P(LA763(0),"^",7) ; Get default institution from MailMan Site Parameters file I LA7Y="" S LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") S OBR(16)=$$ORC12^LA7VORC(LA7X,LA7Y,LA7FS,LA7ECH) ; ; Placer Field #1 (remote auto-inst) ; Build from info stored in #69.6 I $G(LA7PLOBR("OBR-18"))'="" D . S OBR(18)=$$CHKDATA^LA7VHLU3(LA7PLOBR("OBR-18"),LA7FS_LA7ECH) ; Else build "auto instrument" if sending to VA facility I $G(LA7PLOBR("OBR-18"))="",'LA7NVAF D . N LA7X . S LA7X(1)=LA("AUTO-INST") . S OBR(18)=$$OBR18^LA7VOBR(.LA7X,LA7FS,LA7ECH) ; ; Placer Field #2 I $G(LA7PLOBR("OBR-19"))'="" D . S OBR(19)=$$CHKDATA^LA7VHLU3(LA7PLOBR("OBR-19"),LA7FS_LA7ECH) ; Else build collecting UID if sending to VA facility I $G(LA7PLOBR("OBR-19"))="",'LA7NVAF,LA("RUID")'="" D . K LA7X . S LA7X(7)=LA("RUID") . S OBR(19)=$$OBR19^LA7VOBR(.LA7X,LA7FS,LA7ECH) ; ; Filler Field #1 ; Send file #63 ien info - used by HDR to track patient/specimen K LA7X S LA7X(1)=LA("LRDFN") S LA7X(2)=LA("SUB") S LA7X(3)=LA("LRIDT") S OBR(20)=$$OBR20^LA7VOBR(.LA7X,LA7FS,LA7ECH) ; ; Date Report Completed I $P(LA763(0),"^",3) S OBR(22)=$$OBR22^LA7VOBR($P(LA763(0),"^",3)) ; ; Diagnostic service id S OBR(24)=$$OBR24^LA7VOBR(LA("SUB")_"^"_$G(LRSB)) ; ; Parent Result and Parent I $D(LA7PARNT) D . S OBR(26)=$$OBR26^LA7VOBR(LA7PARNT(1),LA7PARNT(2),LA7PARNT(3),LA7FS,LA7ECH) . S OBR(29)=$$OBR29^LA7VOBR(LA("RUID"),LA("HUID"),LA7FS,LA7ECH) ; ; Principle result interpreter ; Get default institution from MailMan Site Parameters file I "CYEMMISP"[LA("SUB") D . I LA("SUB")="MI" S LA7X=$P(LA763(0),"^",4) . E S LA7X=$P(LA763(0),"^",2) . S LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") . S OBR(32)=$$OBR32^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) ; ; Assistant result interpreter ; Get default institution from MailMan Site Parameters file I "EMSP"[LA("SUB") D . S LA7X=$P(LA763(0),"^",4),LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") . S OBR(33)=$$OBR33^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) ; ; Technician ; Get default institution from MailMan Site Parameters file I "CYEM"[LA("SUB") D . S LA7X=$P(LA763(0),"^",4),LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") . S OBR(34)=$$OBR34^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) ; ; Typist - VistA stores as free text ; Get default institution from MailMan Site Parameters file I "CYEMSP"[LA("SUB") D . S LA7X=$P(LA763(0),"^",9),LA7Y=$$GET1^DIQ(4.3,"1,",217,"I") . S OBR(35)=$$OBR35^LA7VOBR(LA7X,LA7Y,LA7FS,LA7ECH) ; D BUILDSEG^LA7VHLU(.OBR,.LA7DATA,LA7FS) D FILESEG^LA7VHLU(GBL,.LA7DATA) ; ; Check for flag to only build message but do not file I '$G(LA7NOMSG) D FILE6249^LA7VHLU(LA76249,.LA7DATA) ; Q ; ; OBX ;Observation/Result segment for Lab Results ; N LA7953,LA7DATA,LA7VT,LA7VTIEN,LA7X ; S LA7VTIEN=0 F S LA7VTIEN=$O(^LAHM(62.49,LA(62.49),1,LA7VTIEN)) Q:'LA7VTIEN D . S LA7VT=$P(^LAHM(62.49,LA(62.49),1,LA7VTIEN,0),"^",1,2) . ; Build OBX segment . K LA7DATA . D OBX^LA7VOBX(LA("LRDFN"),LA("SUB"),LA("LRIDT"),$P(LA7VT,"^",1,2),.LA7DATA,.LA7OBXSN,LA7FS,LA7ECH,$G(LA7NVAF)) . ; If OBX failed to build then don't store . I '$D(LA7DATA) Q . ; . D FILESEG^LA7VHLU(GBL,.LA7DATA) . I '$G(LA7NOMSG) D FILE6249^LA7VHLU(LA76249,.LA7DATA) . ; . ; Send performing lab comment and interpretation from file #60 . S LA7NTESN=0 . I LA7NVAF=1 D PLC^LA7VORUA . D INTRP^LA7VORUA . ; . ; Mark result as sent - set to 1, if corrected results set to 2 . I LA("SUB")="CH" D . . I $P(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),$P(LA7VT,"^")),"^",10)>1 Q . . S $P(^LR(LA("LRDFN"),LA("SUB"),LA("LRIDT"),$P(LA7VT,"^")),"^",10)=$S($P(LA7VT,"^",2)="C":2,1:1) ; Q ; ; NTE ; Build NTE segment ; D NTE^LA7VORUA Q