| [1331] | 1 | C0CCCD ; CCDCCR/GPL - CCD MAIN PROCESSING; 6/6/08
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| 2 | ;;1.0;C0C;;May 19, 2009;Build 38
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| 3 | ;Copyright 2008,2009 George Lilly, University of Minnesota.
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| 4 | ;Licensed under the terms of the GNU General Public License.
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| 5 | ;See attached copy of the License.
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| 6 | ;
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| 7 | ;This program is free software; you can redistribute it and/or modify
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| 8 | ;it under the terms of the GNU General Public License as published by
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| 9 | ;the Free Software Foundation; either version 2 of the License, or
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| 10 | ;(at your option) any later version.
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| 11 | ;
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| 12 | ;This program is distributed in the hope that it will be useful,
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| 13 | ;but WITHOUT ANY WARRANTY; without even the implied warranty of
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| 14 | ;MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
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| 15 | ;GNU General Public License for more details.
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| 16 | ;
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| 17 | ;You should have received a copy of the GNU General Public License along
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| 18 | ;with this program; if not, write to the Free Software Foundation, Inc.,
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| 19 | ;51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
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| 20 | ;
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| 21 | ; EXPORT A CCR
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| 22 | ;
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| 23 | EXPORT ; EXPORT ENTRY POINT FOR CCR
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| 24 | ; Select a patient.
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| 25 | S DIC=2,DIC(0)="AEMQ" D ^DIC
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| 26 | I Y<1 Q ; EXIT
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| 27 | S DFN=$P(Y,U,1) ; SET THE PATIENT
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| 28 | D XPAT(DFN,"","") ; EXPORT TO A FILE
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| 29 | Q
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| 30 | ;
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| 31 | XPAT(DFN,DIR,FN) ; EXPORT ONE PATIENT TO A FILE
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| 32 | ; DIR IS THE DIRECTORY, DEFAULTS IF NULL TO ^TMP("C0CCCR","ODIR")
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| 33 | ; FN IS FILE NAME, DEFAULTS IF NULL
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| 34 | ; N CCDGLO
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| 35 | D CCDRPC(.CCDGLO,DFN,"CCD","","","")
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| 36 | S OARY=$NA(^TMP("C0CCCR",$J,DFN,"CCD",1))
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| 37 | S ONAM=FN
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| 38 | I FN="" S ONAM="PAT_"_DFN_"_CCD_V1.xml"
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| 39 | S ODIRGLB=$NA(^TMP("C0CCCR","ODIR"))
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| 40 | I '$D(@ODIRGLB) D ; IF NOT ODIR HAS BEEN SET
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| 41 | . S @ODIRGLB="/home/glilly/CCROUT"
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| 42 | . ;S @ODIRGLB="/home/cedwards/"
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| 43 | . ;S @ODIRGLB="/opt/wv/p/"
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| 44 | S ODIR=DIR
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| 45 | I DIR="" S ODIR=@ODIRGLB
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| 46 | N ZY
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| 47 | S ZY=$$OUTPUT^C0CXPATH(OARY,ONAM,ODIR)
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| 48 | W $P(ZY,U,2)
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| 49 | Q
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| 50 | ;
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| 51 | CCDRPC(CCRGRTN,DFN,CCRPART,TIME1,TIME2,HDRARY) ;RPC ENTRY POINT FOR CCR OUTPUT
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| 52 | ; CCRGRTN IS RETURN ARRAY PASSED BY NAME
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| 53 | ; DFN IS PATIENT IEN
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| 54 | ; CCRPART IS "CCR" FOR ENTIRE CCR, OR SECTION NAME FOR A PART
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| 55 | ; OF THE CCR BODY.. PARTS INCLUDE "PROBLEMS" "VITALS" ETC
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| 56 | ; TIME1 IS STARTING TIME TO INCLUDE - NULL MEANS ALL
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| 57 | ; TIME2 IS ENDING TIME TO INCLUDE TIME IS FILEMAN TIME
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| 58 | ; - NULL MEANS NOW
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| 59 | ; HDRARY IS THE HEADER ARRAY DEFINING THE "FROM" AND
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| 60 | ; "TO" VARIABLES
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| 61 | ; IF NULL WILL DEFAULT TO "FROM" ORGANIZATION AND "TO" DFN
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| 62 | I '$D(DEBUG) S DEBUG=0
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| 63 | N CCD S CCD=0 ; FLAG FOR PROCESSING A CCD
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| 64 | I CCRPART="CCD" S CCD=1 ; WE ARE PROCESSING A CCD
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| 65 | S TGLOBAL=$NA(^TMP("C0CCCR",$J,"TEMPLATE")) ; GLOBAL FOR STORING TEMPLATE
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| 66 | I CCD S CCDGLO=$NA(^TMP("C0CCCR",$J,DFN,"CCD")) ; GLOBAL FOR THE CCD
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| 67 | E S CCDGLO=$NA(^TMP("C0CCCR",$J,DFN,"CCR")) ; GLOBAL FOR BUILDING THE CCR
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| 68 | S ACTGLO=$NA(^TMP("C0CCCR",$J,DFN,"ACTORS")) ; GLOBAL FOR ALL ACTORS
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| 69 | ; TO GET PART OF THE CCR RETURNED, PASS CCRPART="PROBLEMS" ETC
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| 70 | S CCRGRTN=$NA(^TMP("C0CCCR",$J,DFN,CCRPART)) ; RTN GLO NM OF PART OR ALL
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| 71 | I CCD D LOAD^C0CCCD1(TGLOBAL) ; LOAD THE CCR TEMPLATE
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| 72 | E D LOAD^C0CCCR0(TGLOBAL) ; LOAD THE CCR TEMPLATE
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| 73 | D CP^C0CXPATH(TGLOBAL,CCDGLO) ; COPY THE TEMPLATE TO CCR GLOBAL
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| 74 | N CAPSAVE,CAPSAVE2 ; FOR HOLDING THE CCD ROOT LINES
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| 75 | S CAPSAVE=@TGLOBAL@(3) ; SAVE THE CCD ROOT
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| 76 | S CAPSAVE2=@TGLOBAL@(@TGLOBAL@(0)) ; SAVE LAST LINE OF CCD
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| 77 | S @CCDGLO@(3)="<ContinuityOfCareRecord>" ; CAP WITH CCR ROOT
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| 78 | S @TGLOBAL@(3)=@CCDGLO@(3) ; CAP THE TEMPLATE TOO
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| 79 | S @CCDGLO@(@CCDGLO@(0))="</ContinuityOfCareRecord>" ; FINISH CAP
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| 80 | S @TGLOBAL@(@TGLOBAL@(0))="</ContinuityOfCareRecord>" ; FINISH CAP TEMP
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| 81 | ;
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| 82 | ; DELETE THE BODY, ACTORS AND SIGNATURES SECTIONS FROM GLOBAL
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| 83 | ; THESE WILL BE POPULATED AFTER CALLS TO THE XPATH ROUTINES
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| 84 | D REPLACE^C0CXPATH(CCDGLO,"","//ContinuityOfCareRecord/Body")
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| 85 | D REPLACE^C0CXPATH(CCDGLO,"","//ContinuityOfCareRecord/Actors")
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| 86 | I 'CCD D REPLACE^C0CXPATH(CCDGLO,"","//ContinuityOfCareRecord/Signatures")
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| 87 | I DEBUG F I=1:1:@CCDGLO@(0) W @CCDGLO@(I),!
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| 88 | ;
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| 89 | I 'CCD D HDRMAP(CCDGLO,DFN,HDRARY) ; MAP HEADER VARIABLES
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| 90 | ; MAPPING THE PATIENT PORTION OF THE CDA HEADER
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| 91 | S ZZX="//ContinuityOfCareRecord/recordTarget/patientRole/patient"
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| 92 | D QUERY^C0CXPATH(CCDGLO,ZZX,"ACTT1")
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| 93 | D PATIENT^C0CACTOR("ACTT1",DFN,"ACTORPATIENT_"_DFN,"ACTT2") ; MAP PATIENT
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| 94 | I DEBUG D PARY^C0CXPATH("ACTT2")
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| 95 | D REPLACE^C0CXPATH(CCDGLO,"ACTT2",ZZX)
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| 96 | I DEBUG D PARY^C0CXPATH(CCDGLO)
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| 97 | K ACTT1 K ACCT2
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| 98 | ; MAPPING THE PROVIDER ORGANIZATION,AUTHOR,INFORMANT,CUSTODIAN CDA HEADER
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| 99 | ; FOR NOW, THEY ARE ALL THE SAME AND RESOLVE TO ORGANIZATION
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| 100 | D ORG^C0CACTOR(CCDGLO,DFN,"ACTORPATIENTORGANIZATION","ACTT2") ; MAP ORG
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| 101 | D CP^C0CXPATH("ACTT2",CCDGLO)
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| 102 | ;
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| 103 | K ^TMP("C0CCCR",$J,"CCRSTEP") ; KILL GLOBAL PRIOR TO ADDING TO IT
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| 104 | S CCRXTAB=$NA(^TMP("C0CCCR",$J,"CCRSTEP")) ; GLOBAL TO STORE CCR STEPS
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| 105 | D INITSTPS(CCRXTAB) ; INITIALIZED CCR PROCESSING STEPS
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| 106 | N I,XI,TAG,RTN,CALL,XPATH,IXML,OXML,INXML,CCRBLD
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| 107 | F I=1:1:@CCRXTAB@(0) D ; PROCESS THE CCR BODY SECTIONS
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| 108 | . S XI=@CCRXTAB@(I) ; CALL COPONENTS TO PARSE
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| 109 | . S RTN=$P(XI,";",2) ; NAME OF ROUTINE TO CALL
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| 110 | . S TAG=$P(XI,";",1) ; LABEL INSIDE ROUTINE TO CALL
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| 111 | . S XPATH=$P(XI,";",3) ; XPATH TO XML TO PASS TO ROUTINE
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| 112 | . D QUERY^C0CXPATH(TGLOBAL,XPATH,"INXML") ; EXTRACT XML TO PASS
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| 113 | . S IXML="INXML"
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| 114 | . I CCD D SHAVE(IXML) ; REMOVE ALL BUT REPEATING PARTS OF TEMPLATE SECTION
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| 115 | . S OXML=$P(XI,";",4) ; ARRAY FOR SECTION VALUES
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| 116 | . ; W OXML,!
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| 117 | . S CALL="D "_TAG_"^"_RTN_"(IXML,DFN,OXML)" ; SETUP THE CALL
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| 118 | . W "RUNNING ",CALL,!
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| 119 | . X CALL
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| 120 | . I @OXML@(0)'=0 D ; THERE IS A RESULT
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| 121 | . . I CCD D QUERY^C0CXPATH(TGLOBAL,XPATH,"ITMP") ; XML TO UNSHAVE WITH
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| 122 | . . I CCD D UNSHAVE("ITMP",OXML)
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| 123 | . . I CCD D UNMARK^C0CXPATH(OXML) ; REMOVE THE CCR MARKUP FROM SECTION
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| 124 | . ; NOW INSERT THE RESULTS IN THE CCR BUFFER
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| 125 | . D INSERT^C0CXPATH(CCDGLO,OXML,"//ContinuityOfCareRecord/Body")
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| 126 | . I DEBUG F C0CI=1:1:@OXML@(0) W @OXML@(C0CI),!
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| 127 | ; NEED TO ADD BACK IN ACTOR PROCESSING AFTER WE FIGURE OUT LINKAGE
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| 128 | ; D ACTLST^C0CCCR(CCDGLO,ACTGLO) ; GEN THE ACTOR LIST
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| 129 | ; D QUERY^C0CXPATH(TGLOBAL,"//ContinuityOfCareRecord/Actors","ACTT")
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| 130 | ; D EXTRACT^C0CACTOR("ACTT",ACTGLO,"ACTT2")
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| 131 | ; D INSINNER^C0CXPATH(CCDGLO,"ACTT2","//ContinuityOfCareRecord/Actors")
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| 132 | N I,J,DONE S DONE=0
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| 133 | F I=0:0 D Q:DONE ; DELETE UNTIL ALL EMPTY ELEMENTS ARE GONE
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| 134 | . S J=$$TRIM^C0CXPATH(CCDGLO) ; DELETE EMPTY ELEMENTS
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| 135 | . W "TRIMMED",J,!
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| 136 | . I J=0 S DONE=1 ; DONE WHEN TRIM RETURNS FALSE
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| 137 | I CCD D ; TURN THE BODY INTO A CCD COMPONENT
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| 138 | . N I
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| 139 | . F I=1:1:@CCDGLO@(0) D ; SEARCH THROUGH THE ENTIRE ARRAY
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| 140 | . . I @CCDGLO@(I)["<Body>" D ; REPLACE BODY MARKUP
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| 141 | . . . S @CCDGLO@(I)="<component><structuredBody>" ; WITH CCD EQ
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| 142 | . . I @CCDGLO@(I)["</Body>" D ; REPLACE BODY MARKUP
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| 143 | . . . S @CCDGLO@(I)="</structuredBody></component>"
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| 144 | S @CCDGLO@(3)=CAPSAVE ; UNCAP - TURN IT BACK INTO A CCD
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| 145 | S @CCDGLO@(@CCDGLO@(0))=CAPSAVE2 ; UNCAP LAST LINE
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| 146 | Q
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| 147 | ;
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| 148 | INITSTPS(TAB) ; INITIALIZE CCR PROCESSING STEPS
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| 149 | ; TAB IS PASSED BY NAME
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| 150 | W "TAB= ",TAB,!
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| 151 | ; ORDER FOR CCR IS PROBLEMS,FAMILYHISTORY,SOCIALHISTORY,MEDICATIONS,VITALSIGNS,RESULTS,HEALTHCAREPROVIDERS
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| 152 | D PUSH^C0CXPATH(TAB,"EXTRACT;C0CPROBS;//ContinuityOfCareRecord/Body/Problems;^TMP(""C0CCCR"",$J,DFN,""PROBLEMS"")")
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| 153 | ;D PUSH^C0CXPATH(TAB,"EXTRACT;C0CMED;//ContinuityOfCareRecord/Body/Medications;^TMP(""C0CCCR"",$J,DFN,""MEDICATIONS"")")
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| 154 | I 'CCD D PUSH^C0CXPATH(TAB,"EXTRACT;C0CVITAL;//ContinuityOfCareRecord/Body/VitalSigns;^TMP(""C0CCCR"",$J,DFN,""VITALS"")")
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| 155 | Q
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| 156 | ;
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| 157 | SHAVE(SHXML) ; REMOVES THE 2-6 AND N-1 AND N-2 LINES FROM A COMPONENT
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| 158 | ; NEEDED TO EXPOSE THE REPEATING PARTS FOR GENERATION
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| 159 | N SHTMP,SHBLD ; TEMP ARRAY AND BUILD LIST
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| 160 | W SHXML,!
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| 161 | W @SHXML@(1),!
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| 162 | D QUEUE^C0CXPATH("SHBLD",SHXML,1,1) ; THE FIRST LINE IS NEEDED
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| 163 | D QUEUE^C0CXPATH("SHBLD",SHXML,7,@SHXML@(0)-3) ; REPEATING PART
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| 164 | D QUEUE^C0CXPATH("SHBLD",SHXML,@SHXML@(0),@SHXML@(0)) ; LAST LINE
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| 165 | D PARY^C0CXPATH("SHBLD") ; PRINT BUILD LIST
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| 166 | D BUILD^C0CXPATH("SHBLD","SHTMP") ; BUILD EDITED SECTION
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| 167 | D CP^C0CXPATH("SHTMP",SHXML) ; COPY RESULT TO PASSED ARRAY
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| 168 | Q
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| 169 | ;
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| 170 | UNSHAVE(ORIGXML,SHXML) ; REPLACES THE 2-6 AND N-1 AND N-2 LINES FROM TEMPLATE
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| 171 | ; NEEDED TO RESTORM FIXED TOP AND BOTTOM OF THE COMPONENT XML
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| 172 | N SHTMP,SHBLD ; TEMP ARRAY AND BUILD LIST
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| 173 | W SHXML,!
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| 174 | W @SHXML@(1),!
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| 175 | D QUEUE^C0CXPATH("SHBLD",ORIGXML,1,6) ; FIRST 6 LINES OF TEMPLATE
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| 176 | D QUEUE^C0CXPATH("SHBLD",SHXML,2,@SHXML@(0)-1) ; INS ALL BUT FIRST/LAST
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| 177 | D QUEUE^C0CXPATH("SHBLD",ORIGXML,@ORIGXML@(0)-2,@ORIGXML@(0)) ; FROM TEMP
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| 178 | D PARY^C0CXPATH("SHBLD") ; PRINT BUILD LIST
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| 179 | D BUILD^C0CXPATH("SHBLD","SHTMP") ; BUILD EDITED SECTION
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| 180 | D CP^C0CXPATH("SHTMP",SHXML) ; COPY RESULT TO PASSED ARRAY
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| 181 | Q
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| 182 | ;
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| 183 | HDRMAP(CXML,DFN,IHDR) ; MAP HEADER VARIABLES: FROM, TO ECT
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| 184 | N VMAP S VMAP=$NA(^TMP("C0CCCR",$J,DFN,"HEADER"))
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| 185 | ; K @VMAP
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| 186 | S @VMAP@("DATETIME")=$$FMDTOUTC^C0CUTIL($$NOW^XLFDT,"DT")
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| 187 | I IHDR="" D ; HEADER ARRAY IS NOT PROVIDED, USE DEFAULTS
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| 188 | . S @VMAP@("ACTORPATIENT")="ACTORPATIENT_"_DFN
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| 189 | . S @VMAP@("ACTORFROM")="ACTORORGANIZATION_"_DUZ ; FROM DUZ - ???
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| 190 | . S @VMAP@("ACTORFROM2")="ACTORSYSTEM_1" ; SECOND FROM IS THE SYSTEM
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| 191 | . S @VMAP@("ACTORTO")="ACTORPATIENT_"_DFN ; FOR TEST PURPOSES
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| 192 | . S @VMAP@("PURPOSEDESCRIPTION")="CEND PHR" ; FOR TEST PURPOSES
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| 193 | . S @VMAP@("ACTORTOTEXT")="Patient" ; FOR TEST PURPOSES
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| 194 | . ; THIS IS THE USE CASE FOR THE PHR WHERE "TO" IS THE PATIENT
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| 195 | I IHDR'="" D ; HEADER VALUES ARE PROVIDED
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| 196 | . D CP^C0CXPATH(IHDR,VMAP) ; COPY HEADER VARIABLES TO MAP ARRAY
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| 197 | N CTMP
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| 198 | D MAP^C0CXPATH(CXML,VMAP,"CTMP")
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| 199 | D CP^C0CXPATH("CTMP",CXML)
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| 200 | Q
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| 201 | ;
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| 202 | ACTLST(AXML,ACTRTN) ; RETURN THE ACTOR LIST FOR THE XML IN AXML
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| 203 | ; AXML AND ACTRTN ARE PASSED BY NAME
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| 204 | ; EACH ACTOR RECORD HAS 3 PARTS - IE IF OBJECTID=ACTORPATIENT_2
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| 205 | ; P1= OBJECTID - ACTORPATIENT_2
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| 206 | ; P2= OBJECT TYPE - PATIENT OR PROVIDER OR SOFTWARE
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| 207 | ;OR INSTITUTION
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| 208 | ; OR PERSON(IN PATIENT FILE IE NOK)
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| 209 | ; P3= IEN RECORD NUMBER FOR ACTOR - 2
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| 210 | N I,J,K,L
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| 211 | K @ACTRTN ; CLEAR RETURN ARRAY
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| 212 | F I=1:1:@AXML@(0) D ; SCAN ALL LINES
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| 213 | . I @AXML@(I)?.E1"<ActorID>".E D ; THERE IS AN ACTOR THIS LINE
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| 214 | . . S J=$P($P(@AXML@(I),"<ActorID>",2),"</ActorID>",1)
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| 215 | . . W "<ActorID>=>",J,!
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| 216 | . . I J'="" S K(J)="" ; HASHING ACTOR
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| 217 | . . ; TO GET RID OF DUPLICATES
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| 218 | S I="" ; GOING TO $O THROUGH THE HASH
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| 219 | F J=0:0 D Q:$O(K(I))="" ;
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| 220 | . S I=$O(K(I)) ; WALK THROUGH THE HASH OF ACTORS
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| 221 | . S $P(L,U,1)=I ; FIRST PIECE IS THE OBJECT ID
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| 222 | . S $P(L,U,2)=$P($P(I,"ACTOR",2),"_",1) ; ACTOR TYPE
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| 223 | . S $P(L,U,3)=$P(I,"_",2) ; IEN RECORD NUMBER FOR ACTOR
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| 224 | . D PUSH^C0CXPATH(ACTRTN,L) ; ADD THE ACTOR TO THE RETURN ARRAY
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| 225 | Q
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| 226 | ;
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| 227 | TEST ; RUN ALL THE TEST CASES
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| 228 | D TESTALL^C0CUNIT("C0CCCR")
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| 229 | Q
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| 230 | ;
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| 231 | ZTEST(WHICH) ; RUN ONE SET OF TESTS
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| 232 | N ZTMP
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| 233 | D ZLOAD^C0CUNIT("ZTMP","C0CCCR")
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| 234 | D ZTEST^C0CUNIT(.ZTMP,WHICH)
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| 235 | Q
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| 236 | ;
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| 237 | TLIST ; LIST THE TESTS
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| 238 | N ZTMP
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| 239 | D ZLOAD^C0CUNIT("ZTMP","C0CCCR")
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| 240 | D TLIST^C0CUNIT(.ZTMP)
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| 241 | Q
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| 242 | ;
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| 243 | ;;><TEST>
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| 244 | ;;><PROBLEMS>
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| 245 | ;;>>>K C0C S C0C=""
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| 246 | ;;>>>D CCRRPC^C0CCCR(.C0C,"2","PROBLEMS","","","")
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| 247 | ;;>>?@C0C@(@C0C@(0))["</Problems>"
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| 248 | ;;><VITALS>
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| 249 | ;;>>>K C0C S C0C=""
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| 250 | ;;>>>D CCRRPC^C0CCCR(.C0C,"2","VITALS","","","")
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| 251 | ;;>>?@C0C@(@C0C@(0))["</VitalSigns>"
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| 252 | ;;><CCR>
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| 253 | ;;>>>K C0C S C0C=""
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| 254 | ;;>>>D CCRRPC^C0CCCR(.C0C,"2","CCR","","","")
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| 255 | ;;>>?@C0C@(@C0C@(0))["</ContinuityOfCareRecord>"
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| 256 | ;;><ACTLST>
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| 257 | ;;>>>K C0C S C0C=""
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| 258 | ;;>>>D CCRRPC^C0CCCR(.C0C,"2","CCR","","","")
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| 259 | ;;>>>D ACTLST^C0CCCR(C0C,"ACTTEST")
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| 260 | ;;><ACTORS>
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| 261 | ;;>>>D ZTEST^C0CCCR("ACTLST")
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| 262 | ;;>>>D QUERY^C0CXPATH(TGLOBAL,"//ContinuityOfCareRecord/Actors","G2")
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| 263 | ;;>>>D EXTRACT^C0CACTOR("G2","ACTTEST","G3")
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| 264 | ;;>>?G3(G3(0))["</Actors>"
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| 265 | ;;><TRIM>
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| 266 | ;;>>>D ZTEST^C0CCCR("CCR")
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| 267 | ;;>>>W $$TRIM^C0CXPATH(CCDGLO)
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| 268 | ;;><CCD>
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| 269 | ;;>>>K C0C S C0C=""
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| 270 | ;;>>>D CCRRPC^C0CCCR(.C0C,"2","CCD","","","")
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| 271 | ;;>>?@C0C@(@C0C@(0))["</ContinuityOfCareRecord>"
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| 272 | ;;></TEST>
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