LA7VORM3 ;DALOI/JMC - LAB ORM (Order) message builder cont'd ;Nov 21, 2008
;;5.2;AUTOMATED LAB INSTRUMENTS;**46,64,74**;Sep 27, 1994;Build 229
;
;
OBR ;Observation Request segment for Lab Order
N LA760,LA761,LA764,LA7ALT,LA7DATA,LA7DUR,LA7DURU,LA7I,LA7IDT,LA7NLT,LA7SNM,LA7X,LA7Y,LRACC,LRIDT,LRSB,LRSS,OBR,SPC
;
S LA760=+$P(LA762801(0),"^",2)
S LA764=+$P($G(^LAB(60,LA760,64)),"^")
S LA7NLT=$P($G(^LAM(LA764,0)),"^",2)
;
S LRSS=$P($G(^LRO(68,LRAA,0)),"^",2)
S (LA7IDT,LRIDT)=$P($G(^LRO(68,LRAA,1,LRAD,1,LRAN,3)),"^",5)
;
S OBR(0)="OBR"
S OBR(1)=$$OBR1^LA7VOBR(.LA7OBRSN) ;initialize OBR segment
;
; Remote UID
S OBR(2)=$$OBR2^LA7VOBR(LA7UID,LA7FS,LA7ECH)
;
; Universal service ID - check for non-VA code system
S LA7X=""
I $P(LA762801(5),"^")]"" S LA7X=$P(LA762801(5),"^",1)_"^"_$P(LA762801(5),"^",2)_"^"_$P(LA762801(5),"^",5)
S OBR(4)=$$OBR4^LA7VOBR(LA7NLT,LA760,LA7X,LA7FS,LA7ECH)
;
; Collection D/T - only send date if d/t is inexact (2nd piece)
K LA7X
S LA7X=$P(LA76802(3),"^") S:$P(LA76802(3),"^",2) LA7X=$P(LA7X,".")
S OBR(7)=$$OBR7^LA7VOBR(LA7X)
;
; Collection end date/time
I $P(LA762801(2),U,4)=1 D
. S OBR(8)=$$OBR8^LA7VOBR($P(LA762801(2),U,5))
;
; Collection volume
I $P(LA762801(2),U)=1 D
. S OBR(9)=$$OBR9^LA7VOBR($P(LA762801(2),"^",2),$P(LA762801(2),"^",3),LA7FS,LA7ECH)
;
; Specimen action code
S OBR(11)=$$OBR11^LA7VOBR($S(LA7NVAF=1:"I",1:"P"))
;
; Infection warning - patient info
S OBR(12)=$$OBR12^LA7VOBR(LRDFN,LA7FS,LA7ECH)
;
; Relevant clinical information
I LA762801(.1)'="" S OBR(13)=$$OBR13^LA7VOBR(LA762801(.1),LA7FS,LA7ECH)
;
; Lab Arrival Time
S OBR(14)=$$OBR14^LA7VOBR($P(LA76802(3),"^",3))
;
; Specimen source - handle non-HL7 coding system
S LA7X="",LA7SNM=1,LA761=+$P(LA762801(0),"^",3)
;
; Uncomment to have LEDI send old specimen codes (local CHCS codes) to CHCS for LDSI Phase I "CH" subscript tests
;I LA7NVAF=1,$P($G(^LRO(68,LRAA,0)),"^",2)="CH" S LA7SNM=0
; Uncomment to have LEDI send old specimen codes to VistA.
I LA7NVAF=0 S LA7SNM=1.1
; Uncomment to send SMOMED CT codes only to other LEDI VA sites when they have SNOMED CT installed.
;I LA7NVAF=0 S LA7SNM=2
;
; If multiple different specimens then OBR-15 always indicates XXX for AP subscripts - specimen is communicated in OBX segments.
I LRSS?1(1"SP",1"CY",1"EM") D
. S LA7I=0
. F S LA7I=$O(^LR(LRDFN,LRSS,LRIDT,.1,LA7I)) Q:'LA7I D Q:'LA7I
. . S LA7Y=$P(^LR(LRDFN,LRSS,LRIDT,.1,LA7I,0),"^",6)
. . I 'LA761,LA7Y S LA761=LA7Y
. . I LA761,LA7Y,(LA761'=LA7Y) S (LA761,LA7I)=0
;
; Non-HL7 specimen code system.
I $P(LA762801(5),"^",3)'="" D
. F I=3,4 S $P(LA7X,"^",I-2)=$P(LA762801(5),"^",I)
. S $P(LA7X,"^",3)=$P(LA762801(5),"^",6)
;
; Collection sample code
I $P(LA762801(5),"^",7)'="" F I=7,8,9 S $P(LA7X,"^",I-2)=$P(LA762801(5),"^",I)
;
; Check for alternate SNOMED CT codes on specimen and collection sample
I LA762801("SCT")'="" F I=1,2 S $P(LA7X,"^",I+7)=$P(LA762801("SCT"),"^",I)
;
S OBR(15)=$$OBR15^LA7VOBR(LA761,+$P(LA76802(5),"^",2),LA7X,LA7FS,LA7ECH,$S(LA7NVAF'=1:$P(LA762801(0),"^",7),1:""),LA7SNM)
;
; Ordering provider
K LA7X
S LA7X=$$FNDOLOC^LA7VHLU2(LA7UID)
S OBR(16)=$$ORC12^LA7VORC($P(LA76802(0),"^",8),$P(LA7X,"^",3),LA7FS,LA7ECH,2)
;
; Placer's field #1 (HOST site)
S OBR(18)="LA7V HOST "_SITE
;
; Placer's field #2
K LA7X
S LA7X(3)=LRAA,LA7X(4)=LRAD,LA7X(5)=LRAN,LA7X(6)=$P(^LRO(68,LRAA,1,LRAD,1,LRAN,.2),U),LA7X(7)=LA7UID
S LA7X(8)=$G(^TMP("LA7ITEM",$J,LA7UID,LA762801))
S OBR(19)=$$OBR19^LA7VOBR(.LA7X,LA7FS,LA7ECH)
;
; Test duration
S (LA7DUR,LA7DURU)=""
I $P(LA762801(2),"^",4) D
. S LA7DUR=$P(LA762801(2),"^",6) ; collection duration
. S LA7DURU=$P(LA762801(2),"^",7) ; duration units
;
; Test urgency
S LA76205=+$$GET1^DIQ(68.04,LA760_","_LRAN_","_LRAD_","_LRAA_",",1,"I")
S OBR(27)=$$OBR27^LA7VOBR(LA7DUR,LA7DURU,LA76205,LA7FS,LA7ECH)
;
; If sending to another VA then build OBR-34
I 'LA7NVAF S $P(OBR(34),HLCOMP,7)=$P($G(LA7V("HOST")),U)
;
D BUILDSEG^LA7VHLU(.OBR,.LA7DATA,LA7FS)
D FILESEG^LA7VHLU(GBL,.LA7DATA)
D FILE6249^LA7VHLU(LA76249,.LA7DATA)
;
; Send specimen source as NTE comment to DoD
I LA7NVAF=1,LRSS="MI" D NTE
;
Q
;
OBX ; Build OBX segments with required info if any.
;
N LA74,LA7DUR,LA7DURU
;
; Collecting facility
S LA74=$P(LA7629(0),"^",2)
S LA7OBXSN=0
;
; Patient height
I $P(LA762801(1),"^") D PTHT^LA7VORM2($P(LA762801(1),"^",2),$P(LA762801(1),"^",3),$P(LA762801(1),"^",7),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
;
; Patient weight
I $P(LA762801(1),"^",4) D PTWT^LA7VORM2($P(LA762801(1),"^",5),$P(LA762801(1),"^",6),$P(LA762801(1),"^",8),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
;
; Collection duration
S (LA7DUR,LA7DURU)=""
I $P(LA762801(2),"^",4) D
. S LA7DUR=$P(LA762801(2),"^",6) ; collection duration
. S LA7DURU=$P(LA762801(2),"^",7) ; duration units
. D SPDUR^LA7VORM2($P(LA762801(2),"^",6),$P(LA762801(2),"^",7),$P(LA762801(2),"^",12),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
;
; Collection volume
I $P(LA762801(2),"^",2) D
. D SPCV^LA7VORM2($P(LA762801(2),"^",2),$P(LA762801(2),"^",3),$P(LA762801(2),"^",11),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
;
; Specimen weight
I $P(LA762801(2),"^",8) D SPWT^LA7VORM2($P(LA762801(2),"^",9),$P(LA762801(2),"^",10),LA7DUR_LA7DURU,$P(LA762801(2),"^",13),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
;
; Check for anatomic/surgical path subscripts
I "SPCYAUEM"[$P($G(^LRO(68,LRAA,0)),"^",2) D AP
;
Q
;
;
AP ; Observation/Result segment for Lab AP Results sent with Order Message
;
N LA7DATA,LA7IDT,LRIDT,LRSB,LRSS
S LRSS=$P($G(^LRO(68,LRAA,0)),"^",2)
S (LA7IDT,LRIDT)=$P($G(^LRO(68,LRAA,1,LRAD,1,LRAN,3)),"^",5)
D APORM^LA7VORU2
Q
;
;
NTE ; Build NTE segment for MI subscript test with specimen source as comment
;
N LA7CMTYP,LA7NTESN,LA7SOC,LA7TXT
;
; Source of comment - handle other system's special codes, i.e. DOD-CHCS
S LA7SOC=$S($G(LA7NVAF)=1:"RQ",1:"L")
;
S LA7NTESN=0,LA7CMTYP=""
S LA7TXT="Specimen Source: "_$$GET1^DIQ(61,+$P(LA762801(0),"^",3)_",",.01)
S LA7TXT=$$TRIM^XLFSTR(LA7TXT,"R"," ")
D NTE^LA7VORU1
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HLA7VORM3 6254 printed Sep 23, 2025@19:16:59 Page 2
LA7VORM3 ;DALOI/JMC - LAB ORM (Order) message builder cont'd ;Nov 21, 2008
+1 ;;5.2;AUTOMATED LAB INSTRUMENTS;**46,64,74**;Sep 27, 1994;Build 229
+2 ;
+3 ;
OBR ;Observation Request segment for Lab Order
+1 NEW LA760,LA761,LA764,LA7ALT,LA7DATA,LA7DUR,LA7DURU,LA7I,LA7IDT,LA7NLT,LA7SNM,LA7X,LA7Y,LRACC,LRIDT,LRSB,LRSS,OBR,SPC
+2 ;
+3 SET LA760=+$PIECE(LA762801(0),"^",2)
+4 SET LA764=+$PIECE($GET(^LAB(60,LA760,64)),"^")
+5 SET LA7NLT=$PIECE($GET(^LAM(LA764,0)),"^",2)
+6 ;
+7 SET LRSS=$PIECE($GET(^LRO(68,LRAA,0)),"^",2)
+8 SET (LA7IDT,LRIDT)=$PIECE($GET(^LRO(68,LRAA,1,LRAD,1,LRAN,3)),"^",5)
+9 ;
+10 SET OBR(0)="OBR"
+11 ;initialize OBR segment
SET OBR(1)=$$OBR1^LA7VOBR(.LA7OBRSN)
+12 ;
+13 ; Remote UID
+14 SET OBR(2)=$$OBR2^LA7VOBR(LA7UID,LA7FS,LA7ECH)
+15 ;
+16 ; Universal service ID - check for non-VA code system
+17 SET LA7X=""
+18 IF $PIECE(LA762801(5),"^")]""
SET LA7X=$PIECE(LA762801(5),"^",1)_"^"_$PIECE(LA762801(5),"^",2)_"^"_$PIECE(LA762801(5),"^",5)
+19 SET OBR(4)=$$OBR4^LA7VOBR(LA7NLT,LA760,LA7X,LA7FS,LA7ECH)
+20 ;
+21 ; Collection D/T - only send date if d/t is inexact (2nd piece)
+22 KILL LA7X
+23 SET LA7X=$PIECE(LA76802(3),"^")
if $PIECE(LA76802(3),"^",2)
SET LA7X=$PIECE(LA7X,".")
+24 SET OBR(7)=$$OBR7^LA7VOBR(LA7X)
+25 ;
+26 ; Collection end date/time
+27 IF $PIECE(LA762801(2),U,4)=1
Begin DoDot:1
+28 SET OBR(8)=$$OBR8^LA7VOBR($PIECE(LA762801(2),U,5))
End DoDot:1
+29 ;
+30 ; Collection volume
+31 IF $PIECE(LA762801(2),U)=1
Begin DoDot:1
+32 SET OBR(9)=$$OBR9^LA7VOBR($PIECE(LA762801(2),"^",2),$PIECE(LA762801(2),"^",3),LA7FS,LA7ECH)
End DoDot:1
+33 ;
+34 ; Specimen action code
+35 SET OBR(11)=$$OBR11^LA7VOBR($SELECT(LA7NVAF=1:"I",1:"P"))
+36 ;
+37 ; Infection warning - patient info
+38 SET OBR(12)=$$OBR12^LA7VOBR(LRDFN,LA7FS,LA7ECH)
+39 ;
+40 ; Relevant clinical information
+41 IF LA762801(.1)'=""
SET OBR(13)=$$OBR13^LA7VOBR(LA762801(.1),LA7FS,LA7ECH)
+42 ;
+43 ; Lab Arrival Time
+44 SET OBR(14)=$$OBR14^LA7VOBR($PIECE(LA76802(3),"^",3))
+45 ;
+46 ; Specimen source - handle non-HL7 coding system
+47 SET LA7X=""
SET LA7SNM=1
SET LA761=+$PIECE(LA762801(0),"^",3)
+48 ;
+49 ; Uncomment to have LEDI send old specimen codes (local CHCS codes) to CHCS for LDSI Phase I "CH" subscript tests
+50 ;I LA7NVAF=1,$P($G(^LRO(68,LRAA,0)),"^",2)="CH" S LA7SNM=0
+51 ; Uncomment to have LEDI send old specimen codes to VistA.
+52 IF LA7NVAF=0
SET LA7SNM=1.1
+53 ; Uncomment to send SMOMED CT codes only to other LEDI VA sites when they have SNOMED CT installed.
+54 ;I LA7NVAF=0 S LA7SNM=2
+55 ;
+56 ; If multiple different specimens then OBR-15 always indicates XXX for AP subscripts - specimen is communicated in OBX segments.
+57 IF LRSS?1(1"SP",1"CY",1"EM")
Begin DoDot:1
+58 SET LA7I=0
+59 FOR
SET LA7I=$ORDER(^LR(LRDFN,LRSS,LRIDT,.1,LA7I))
if 'LA7I
QUIT
Begin DoDot:2
+60 SET LA7Y=$PIECE(^LR(LRDFN,LRSS,LRIDT,.1,LA7I,0),"^",6)
+61 IF 'LA761
IF LA7Y
SET LA761=LA7Y
+62 IF LA761
IF LA7Y
IF (LA761'=LA7Y)
SET (LA761,LA7I)=0
End DoDot:2
if 'LA7I
QUIT
End DoDot:1
+63 ;
+64 ; Non-HL7 specimen code system.
+65 IF $PIECE(LA762801(5),"^",3)'=""
Begin DoDot:1
+66 FOR I=3,4
SET $PIECE(LA7X,"^",I-2)=$PIECE(LA762801(5),"^",I)
+67 SET $PIECE(LA7X,"^",3)=$PIECE(LA762801(5),"^",6)
End DoDot:1
+68 ;
+69 ; Collection sample code
+70 IF $PIECE(LA762801(5),"^",7)'=""
FOR I=7,8,9
SET $PIECE(LA7X,"^",I-2)=$PIECE(LA762801(5),"^",I)
+71 ;
+72 ; Check for alternate SNOMED CT codes on specimen and collection sample
+73 IF LA762801("SCT")'=""
FOR I=1,2
SET $PIECE(LA7X,"^",I+7)=$PIECE(LA762801("SCT"),"^",I)
+74 ;
+75 SET OBR(15)=$$OBR15^LA7VOBR(LA761,+$PIECE(LA76802(5),"^",2),LA7X,LA7FS,LA7ECH,$SELECT(LA7NVAF'=1:$PIECE(LA762801(0),"^",7),1:""),LA7SNM)
+76 ;
+77 ; Ordering provider
+78 KILL LA7X
+79 SET LA7X=$$FNDOLOC^LA7VHLU2(LA7UID)
+80 SET OBR(16)=$$ORC12^LA7VORC($PIECE(LA76802(0),"^",8),$PIECE(LA7X,"^",3),LA7FS,LA7ECH,2)
+81 ;
+82 ; Placer's field #1 (HOST site)
+83 SET OBR(18)="LA7V HOST "_SITE
+84 ;
+85 ; Placer's field #2
+86 KILL LA7X
+87 SET LA7X(3)=LRAA
SET LA7X(4)=LRAD
SET LA7X(5)=LRAN
SET LA7X(6)=$PIECE(^LRO(68,LRAA,1,LRAD,1,LRAN,.2),U)
SET LA7X(7)=LA7UID
+88 SET LA7X(8)=$GET(^TMP("LA7ITEM",$JOB,LA7UID,LA762801))
+89 SET OBR(19)=$$OBR19^LA7VOBR(.LA7X,LA7FS,LA7ECH)
+90 ;
+91 ; Test duration
+92 SET (LA7DUR,LA7DURU)=""
+93 IF $PIECE(LA762801(2),"^",4)
Begin DoDot:1
+94 ; collection duration
SET LA7DUR=$PIECE(LA762801(2),"^",6)
+95 ; duration units
SET LA7DURU=$PIECE(LA762801(2),"^",7)
End DoDot:1
+96 ;
+97 ; Test urgency
+98 SET LA76205=+$$GET1^DIQ(68.04,LA760_","_LRAN_","_LRAD_","_LRAA_",",1,"I")
+99 SET OBR(27)=$$OBR27^LA7VOBR(LA7DUR,LA7DURU,LA76205,LA7FS,LA7ECH)
+100 ;
+101 ; If sending to another VA then build OBR-34
+102 IF 'LA7NVAF
SET $PIECE(OBR(34),HLCOMP,7)=$PIECE($GET(LA7V("HOST")),U)
+103 ;
+104 DO BUILDSEG^LA7VHLU(.OBR,.LA7DATA,LA7FS)
+105 DO FILESEG^LA7VHLU(GBL,.LA7DATA)
+106 DO FILE6249^LA7VHLU(LA76249,.LA7DATA)
+107 ;
+108 ; Send specimen source as NTE comment to DoD
+109 IF LA7NVAF=1
IF LRSS="MI"
DO NTE
+110 ;
+111 QUIT
+112 ;
OBX ; Build OBX segments with required info if any.
+1 ;
+2 NEW LA74,LA7DUR,LA7DURU
+3 ;
+4 ; Collecting facility
+5 SET LA74=$PIECE(LA7629(0),"^",2)
+6 SET LA7OBXSN=0
+7 ;
+8 ; Patient height
+9 IF $PIECE(LA762801(1),"^")
DO PTHT^LA7VORM2($PIECE(LA762801(1),"^",2),$PIECE(LA762801(1),"^",3),$PIECE(LA762801(1),"^",7),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
+10 ;
+11 ; Patient weight
+12 IF $PIECE(LA762801(1),"^",4)
DO PTWT^LA7VORM2($PIECE(LA762801(1),"^",5),$PIECE(LA762801(1),"^",6),$PIECE(LA762801(1),"^",8),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
+13 ;
+14 ; Collection duration
+15 SET (LA7DUR,LA7DURU)=""
+16 IF $PIECE(LA762801(2),"^",4)
Begin DoDot:1
+17 ; collection duration
SET LA7DUR=$PIECE(LA762801(2),"^",6)
+18 ; duration units
SET LA7DURU=$PIECE(LA762801(2),"^",7)
+19 DO SPDUR^LA7VORM2($PIECE(LA762801(2),"^",6),$PIECE(LA762801(2),"^",7),$PIECE(LA762801(2),"^",12),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
End DoDot:1
+20 ;
+21 ; Collection volume
+22 IF $PIECE(LA762801(2),"^",2)
Begin DoDot:1
+23 DO SPCV^LA7VORM2($PIECE(LA762801(2),"^",2),$PIECE(LA762801(2),"^",3),$PIECE(LA762801(2),"^",11),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
End DoDot:1
+24 ;
+25 ; Specimen weight
+26 IF $PIECE(LA762801(2),"^",8)
DO SPWT^LA7VORM2($PIECE(LA762801(2),"^",9),$PIECE(LA762801(2),"^",10),LA7DUR_LA7DURU,$PIECE(LA762801(2),"^",13),LA74,.LA7OBXSN,.LRI,LA7FS,LA7ECH,LA76249)
+27 ;
+28 ; Check for anatomic/surgical path subscripts
+29 IF "SPCYAUEM"[$PIECE($GET(^LRO(68,LRAA,0)),"^",2)
DO AP
+30 ;
+31 QUIT
+32 ;
+33 ;
AP ; Observation/Result segment for Lab AP Results sent with Order Message
+1 ;
+2 NEW LA7DATA,LA7IDT,LRIDT,LRSB,LRSS
+3 SET LRSS=$PIECE($GET(^LRO(68,LRAA,0)),"^",2)
+4 SET (LA7IDT,LRIDT)=$PIECE($GET(^LRO(68,LRAA,1,LRAD,1,LRAN,3)),"^",5)
+5 DO APORM^LA7VORU2
+6 QUIT
+7 ;
+8 ;
NTE ; Build NTE segment for MI subscript test with specimen source as comment
+1 ;
+2 NEW LA7CMTYP,LA7NTESN,LA7SOC,LA7TXT
+3 ;
+4 ; Source of comment - handle other system's special codes, i.e. DOD-CHCS
+5 SET LA7SOC=$SELECT($GET(LA7NVAF)=1:"RQ",1:"L")
+6 ;
+7 SET LA7NTESN=0
SET LA7CMTYP=""
+8 SET LA7TXT="Specimen Source: "_$$GET1^DIQ(61,+$PIECE(LA762801(0),"^",3)_",",.01)
+9 SET LA7TXT=$$TRIM^XLFSTR(LA7TXT,"R"," ")
+10 DO NTE^LA7VORU1
+11 QUIT
