- GMTSLRME ; SLC/JER,KER - Microbiology Extract Routine ; 08/27/2002
- ;;2.7;Health Summary;**25,28,37,56**;Oct 20, 1995
- ;
- ; External References
- ; DBIA 67 ^LAB(60
- ; DBIA 525 ^LR(
- ; DBIA 531 ^LRO(68
- ; DBIA 10006 ^DIC
- ; DBIA 10007 MIX^DIC1
- ; DBIA 2056 $$GET1^DIQ
- ; DBIA 10015 EN^DIQ1
- ;
- XTRCT ; Extract
- N ACC,CDT,SS,CS,X,DIC,DIQ,DA,DR,MICRO,LOC,RDT,MICCOM K ^TMP("LRM",$J)
- S X=$P(^LR(LRDFN,"MI",IX,0),U),RDT=$P(^(0),U,3),ACC=$P(^(0),U,6),LOC=$P(^(0),U,8) D REGDTM4^GMTSU S CDT=X K X
- D LABTEST($P(^LR(LRDFN,"MI",IX,0),U),ACC)
- ; Get External format of site/specimen
- ; collection sample, and comment
- S DIC=63,DIQ="MICRO",DIQ(0)="E",DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)=".05;.055;.99"
- D EN^DIQ1
- S SS=MICRO(63.05,IX,.05,"E")
- S CS=MICRO(63.05,IX,.055,"E"),MICCOM=MICRO(63.05,IX,.99,"E")
- S ^TMP("LRM",$J,0)=CDT_U_ACC_U_SS I $D(EXPAND) S ^TMP("LRM",$J,0)=^TMP("LRM",$J,0)_U_RDT_U_LOC
- S $P(^TMP("LRM",$J,0),U,6)=CS_U_MICCOM
- D ABXLEV,BACT,GRAM,STER,PARA^GMTSLRMX,MYCO^GMTSLRMX,TB^GMTSLRMX,VIRO^GMTSLRMX
- Q
- BACT ; Get Bacteriology Work-up
- N DA,DIC,DIQ,DR,STATUS,ISO,ORG,RMK,COM,SMEAR
- ; Work up
- I $D(^LR(LRDFN,"MI",IX,1)) D
- . S DIC=63,DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)="11.5;11.51;11.57;11.58",DIQ="STATUS"
- . S DIQ(0)="E" D EN^DIQ1
- . ; Include Status, sputum screen, and urine screen
- . S ^TMP("LRM",$J,"BACT",0)=$E($P(STATUS(63.05,IX,11.5,"E")," ",1),1,6)_U_STATUS(63.05,IX,11.58,"E")_U_STATUS(63.05,IX,11.57,"E")
- . ; Include sterility control
- . S ^TMP("LRM",$J,"BSTER",0)=STATUS(63.05,IX,11.51,"E")
- S ISO=0 F S ISO=$O(^LR(LRDFN,"MI",IX,3,ISO)) Q:+ISO'>0 D
- . D ORGNSM S ^TMP("LRM",$J,"BACT",ISO)=$S($D(EXPAND):ISO_";"_ORG,1:ORG)
- . I $O(^LR(LRDFN,"MI",IX,3,ISO,1)) D ANTIBX
- . ; Get Comment
- . S COM=0
- . F S COM=$O(^LR(LRDFN,"MI",IX,3,ISO,1,COM)) Q:COM'>0 S ^TMP("LRM",$J,"BACT",ISO,"COM",COM)=^(COM,0)
- ; Bacteriology smear/prep
- S SMEAR=0
- F S SMEAR=$O(^LR(LRDFN,"MI",IX,25,SMEAR)) Q:SMEAR'>0 S ^TMP("LRM",$J,"BACT","SMEAR",SMEAR)=^(SMEAR,0)
- ; Get Remark
- S RMK=0
- F S RMK=$O(^LR(LRDFN,"MI",IX,4,RMK)) Q:RMK="" S ^TMP("LRM",$J,"BACT","R",RMK)=^(RMK,0)
- Q
- ORGNSM ; Get Organism
- N QTY
- S ORG=+^LR(LRDFN,"MI",IX,3,ISO,0),QTY=$P(^(0),U,2)
- S ORG=$$GET1^DIQ(61.2,ORG,.01,"I")
- S ORG=ORG_U_QTY
- Q
- ANTIBX ; Get Antibitiotic susceptibility results on demand
- N ABX S ABX=1
- F S ABX=$O(^LR(LRDFN,"MI",IX,3,ISO,ABX)) Q:ABX=""!(ABX'<3) D ABXSET
- Q
- ABXSET ; Antibiotic Susceptability Data
- ; Separate out by Susceptable, Intermediate, and Resistant
- N FOUND,GMTSR,GMABX,ABXI,ABXNM,ABXN
- S ABXI=$$ABXI(ABX),ABXNM=$$ABXNM(ABXI),ABXN=ABX_";"_ABXNM
- I $P(ABXN,";",2)']"" S $P(ABXN,";",2)="UNKNOWN"
- I ("A"[$P(^LR(LRDFN,"MI",IX,3,ISO,ABX),U,3)) D
- . S GMABX=$G(^LR(LRDFN,"MI",IX,3,ISO,ABX))
- . ; Check for interpreted result (S, I, or R) first
- . S FOUND=0
- . S GMTSR=$P(GMABX,U,2) D SAVE Q:FOUND
- . ; If not found then check reported result (S,I, or R)
- . S GMTSR=$P(GMABX,U) D SAVE Q:FOUND
- . ; Neither interpreted nor reported result equaled
- . ; S, I, or R so we'll store it in the "other" list
- . ; provided that reported and interpreted are both
- . ; not null
- . S:$P(GMABX,U)'=""&($P(GMABX,U,2)'="") ^TMP("LRM",$J,"BACT",ISO,"SUSC","O",$P($P(ABXN,U),";",2))=ABXN_U_GMABX
- Q
- ABXI(X) ; Antibiotic Susceptability IEN
- S X=$G(X) Q:'$L(X) 0 N DIC,DTOUT,DUOUT,Y S DIC="^LAB(62.06,",D="AD",DIC(0)="" D MIX^DIC1 S X=+($G(Y)) S:X'>0 X=0 Q X
- ABXNM(X) ; Antibiotic Susceptability Name
- S X=$G(X) Q:+X'>0 "" S X=$$GET1^DIQ(62.06,+X,.01) Q X
- ABXLEV ; Get Serum antibiotic level
- Q:'$D(^LR(LRDFN,"MI",IX,14)) N GMI S GMI=0
- F S GMI=$O(^LR(LRDFN,"MI",IX,14,GMI)) Q:GMI'>0 S ^TMP("LRM",$J,"CABXL",GMI)=$G(^(GMI,0))
- Q
- STER ; Get sterility results if they exist
- N RESULT,STER S STER=0
- F S STER=$O(^LR(LRDFN,"MI",IX,31,STER)) Q:STER'>0 D
- . S DIQ(0)="E",DIC=63,DA=LRDFN,DA(63.05)=IX,DR=5,DR(63.05)=11.52
- . S DR(63.292)=.01,DIQ="RESULT"
- . S DA(63.292)=STER
- . D EN^DIQ1
- . S ^TMP("LRM",$J,"BSTER",STER)=RESULT(63.292,STER,.01,"E")
- Q
- GRAM ; Get Gram Stain Results
- N ISO Q:'$D(^LR(LRDFN,"MI",IX,2)) S ISO=0
- F S ISO=$O(^LR(LRDFN,"MI",IX,2,ISO)) Q:ISO="" S ^TMP("LRM",$J,"GRAM",ISO)=^(ISO,0)
- Q
- LABTEST(SDT,LRACC) ; Get lab test names and results
- N X,Y,LRAA,LRAN,LRAD,LRBRR,LRTSTS,LRTS
- S LRAD=+$E(SDT)_$P(LRACC," ",2)_"0000",X=$P(LRACC," "),DIC=68,DIC(0)="M"
- Q:'$L(X) D ^DIC S LRAA=+Y,LRAN=+$P(LRACC," ",3)
- S LRBRR=0
- F S LRBRR=+$O(^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR)) Q:LRBRR'>0 D
- . S LRTS=+^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR,0),LRTS(1)=$P(^(0),U,5)
- . Q:"BO"'[$P($G(^LAB(60,LRTS,0)),U,3)
- . S LRTSTS=$S($D(^LAB(60,LRTS,0)):$P(^(0),U),1:"deleted test")
- . ; Lab test name and results in print order
- . S ^TMP("LRM",$J,0,"TEST",$S($D(^LAB(60,LRTS,.1)):$P(^(.1),U,6),1:"")_","_U_LRBRR)=LRTSTS_U_LRTS(1)
- Q
- SAVE ; If result = S, I, or R then save
- I $S(GMTSR="I":1,GMTSR="R":1,GMTSR="S":1,1:0) S ^TMP("LRM",$J,"BACT",ISO,"SUSC",GMTSR,$P($P(ABXN,U),";",2))=ABXN_U_GMABX S FOUND=1
- Q
- GMTSLRME ; SLC/JER,KER - Microbiology Extract Routine ; 08/27/2002
- +1 ;;2.7;Health Summary;**25,28,37,56**;Oct 20, 1995
- +2 ;
- +3 ; External References
- +4 ; DBIA 67 ^LAB(60
- +5 ; DBIA 525 ^LR(
- +6 ; DBIA 531 ^LRO(68
- +7 ; DBIA 10006 ^DIC
- +8 ; DBIA 10007 MIX^DIC1
- +9 ; DBIA 2056 $$GET1^DIQ
- +10 ; DBIA 10015 EN^DIQ1
- +11 ;
- XTRCT ; Extract
- +1 NEW ACC,CDT,SS,CS,X,DIC,DIQ,DA,DR,MICRO,LOC,RDT,MICCOM
- KILL ^TMP("LRM",$JOB)
- +2 SET X=$PIECE(^LR(LRDFN,"MI",IX,0),U)
- SET RDT=$PIECE(^(0),U,3)
- SET ACC=$PIECE(^(0),U,6)
- SET LOC=$PIECE(^(0),U,8)
- DO REGDTM4^GMTSU
- SET CDT=X
- KILL X
- +3 DO LABTEST($PIECE(^LR(LRDFN,"MI",IX,0),U),ACC)
- +4 ; Get External format of site/specimen
- +5 ; collection sample, and comment
- +6 SET DIC=63
- SET DIQ="MICRO"
- SET DIQ(0)="E"
- SET DA=LRDFN
- SET DA(63.05)=IX
- SET DR=5
- SET DR(63.05)=".05;.055;.99"
- +7 DO EN^DIQ1
- +8 SET SS=MICRO(63.05,IX,.05,"E")
- +9 SET CS=MICRO(63.05,IX,.055,"E")
- SET MICCOM=MICRO(63.05,IX,.99,"E")
- +10 SET ^TMP("LRM",$JOB,0)=CDT_U_ACC_U_SS
- IF $DATA(EXPAND)
- SET ^TMP("LRM",$JOB,0)=^TMP("LRM",$JOB,0)_U_RDT_U_LOC
- +11 SET $PIECE(^TMP("LRM",$JOB,0),U,6)=CS_U_MICCOM
- +12 DO ABXLEV
- DO BACT
- DO GRAM
- DO STER
- DO PARA^GMTSLRMX
- DO MYCO^GMTSLRMX
- DO TB^GMTSLRMX
- DO VIRO^GMTSLRMX
- +13 QUIT
- BACT ; Get Bacteriology Work-up
- +1 NEW DA,DIC,DIQ,DR,STATUS,ISO,ORG,RMK,COM,SMEAR
- +2 ; Work up
- +3 IF $DATA(^LR(LRDFN,"MI",IX,1))
- Begin DoDot:1
- +4 SET DIC=63
- SET DA=LRDFN
- SET DA(63.05)=IX
- SET DR=5
- SET DR(63.05)="11.5;11.51;11.57;11.58"
- SET DIQ="STATUS"
- +5 SET DIQ(0)="E"
- DO EN^DIQ1
- +6 ; Include Status, sputum screen, and urine screen
- +7 SET ^TMP("LRM",$JOB,"BACT",0)=$EXTRACT($PIECE(STATUS(63.05,IX,11.5,"E")," ",1),1,6)_U_STATUS(63.05,IX,11.58,"E")_U_STATUS(63.05,IX,11.57,"E")
- +8 ; Include sterility control
- +9 SET ^TMP("LRM",$JOB,"BSTER",0)=STATUS(63.05,IX,11.51,"E")
- End DoDot:1
- +10 SET ISO=0
- FOR
- SET ISO=$ORDER(^LR(LRDFN,"MI",IX,3,ISO))
- IF +ISO'>0
- QUIT
- Begin DoDot:1
- +11 DO ORGNSM
- SET ^TMP("LRM",$JOB,"BACT",ISO)=$SELECT($DATA(EXPAND):ISO_";"_ORG,1:ORG)
- +12 IF $ORDER(^LR(LRDFN,"MI",IX,3,ISO,1))
- DO ANTIBX
- +13 ; Get Comment
- +14 SET COM=0
- +15 FOR
- SET COM=$ORDER(^LR(LRDFN,"MI",IX,3,ISO,1,COM))
- IF COM'>0
- QUIT
- SET ^TMP("LRM",$JOB,"BACT",ISO,"COM",COM)=^(COM,0)
- End DoDot:1
- +16 ; Bacteriology smear/prep
- +17 SET SMEAR=0
- +18 FOR
- SET SMEAR=$ORDER(^LR(LRDFN,"MI",IX,25,SMEAR))
- IF SMEAR'>0
- QUIT
- SET ^TMP("LRM",$JOB,"BACT","SMEAR",SMEAR)=^(SMEAR,0)
- +19 ; Get Remark
- +20 SET RMK=0
- +21 FOR
- SET RMK=$ORDER(^LR(LRDFN,"MI",IX,4,RMK))
- IF RMK=""
- QUIT
- SET ^TMP("LRM",$JOB,"BACT","R",RMK)=^(RMK,0)
- +22 QUIT
- ORGNSM ; Get Organism
- +1 NEW QTY
- +2 SET ORG=+^LR(LRDFN,"MI",IX,3,ISO,0)
- SET QTY=$PIECE(^(0),U,2)
- +3 SET ORG=$$GET1^DIQ(61.2,ORG,.01,"I")
- +4 SET ORG=ORG_U_QTY
- +5 QUIT
- ANTIBX ; Get Antibitiotic susceptibility results on demand
- +1 NEW ABX
- SET ABX=1
- +2 FOR
- SET ABX=$ORDER(^LR(LRDFN,"MI",IX,3,ISO,ABX))
- IF ABX=""!(ABX'<3)
- QUIT
- DO ABXSET
- +3 QUIT
- ABXSET ; Antibiotic Susceptability Data
- +1 ; Separate out by Susceptable, Intermediate, and Resistant
- +2 NEW FOUND,GMTSR,GMABX,ABXI,ABXNM,ABXN
- +3 SET ABXI=$$ABXI(ABX)
- SET ABXNM=$$ABXNM(ABXI)
- SET ABXN=ABX_";"_ABXNM
- +4 IF $PIECE(ABXN,";",2)']""
- SET $PIECE(ABXN,";",2)="UNKNOWN"
- +5 IF ("A"[$PIECE(^LR(LRDFN,"MI",IX,3,ISO,ABX),U,3))
- Begin DoDot:1
- +6 SET GMABX=$GET(^LR(LRDFN,"MI",IX,3,ISO,ABX))
- +7 ; Check for interpreted result (S, I, or R) first
- +8 SET FOUND=0
- +9 SET GMTSR=$PIECE(GMABX,U,2)
- DO SAVE
- IF FOUND
- QUIT
- +10 ; If not found then check reported result (S,I, or R)
- +11 SET GMTSR=$PIECE(GMABX,U)
- DO SAVE
- IF FOUND
- QUIT
- +12 ; Neither interpreted nor reported result equaled
- +13 ; S, I, or R so we'll store it in the "other" list
- +14 ; provided that reported and interpreted are both
- +15 ; not null
- +16 IF $PIECE(GMABX,U)'=""&($PIECE(GMABX,U,2)'="")
- SET ^TMP("LRM",$JOB,"BACT",ISO,"SUSC","O",$PIECE($PIECE(ABXN,U),";",2))=ABXN_U_GMABX
- End DoDot:1
- +17 QUIT
- ABXI(X) ; Antibiotic Susceptability IEN
- +1 SET X=$GET(X)
- IF '$LENGTH(X)
- QUIT 0
- NEW DIC,DTOUT,DUOUT,Y
- SET DIC="^LAB(62.06,"
- SET D="AD"
- SET DIC(0)=""
- DO MIX^DIC1
- SET X=+($GET(Y))
- IF X'>0
- SET X=0
- QUIT X
- ABXNM(X) ; Antibiotic Susceptability Name
- +1 SET X=$GET(X)
- IF +X'>0
- QUIT ""
- SET X=$$GET1^DIQ(62.06,+X,.01)
- QUIT X
- ABXLEV ; Get Serum antibiotic level
- +1 IF '$DATA(^LR(LRDFN,"MI",IX,14))
- QUIT
- NEW GMI
- SET GMI=0
- +2 FOR
- SET GMI=$ORDER(^LR(LRDFN,"MI",IX,14,GMI))
- IF GMI'>0
- QUIT
- SET ^TMP("LRM",$JOB,"CABXL",GMI)=$GET(^(GMI,0))
- +3 QUIT
- STER ; Get sterility results if they exist
- +1 NEW RESULT,STER
- SET STER=0
- +2 FOR
- SET STER=$ORDER(^LR(LRDFN,"MI",IX,31,STER))
- IF STER'>0
- QUIT
- Begin DoDot:1
- +3 SET DIQ(0)="E"
- SET DIC=63
- SET DA=LRDFN
- SET DA(63.05)=IX
- SET DR=5
- SET DR(63.05)=11.52
- +4 SET DR(63.292)=.01
- SET DIQ="RESULT"
- +5 SET DA(63.292)=STER
- +6 DO EN^DIQ1
- +7 SET ^TMP("LRM",$JOB,"BSTER",STER)=RESULT(63.292,STER,.01,"E")
- End DoDot:1
- +8 QUIT
- GRAM ; Get Gram Stain Results
- +1 NEW ISO
- IF '$DATA(^LR(LRDFN,"MI",IX,2))
- QUIT
- SET ISO=0
- +2 FOR
- SET ISO=$ORDER(^LR(LRDFN,"MI",IX,2,ISO))
- IF ISO=""
- QUIT
- SET ^TMP("LRM",$JOB,"GRAM",ISO)=^(ISO,0)
- +3 QUIT
- LABTEST(SDT,LRACC) ; Get lab test names and results
- +1 NEW X,Y,LRAA,LRAN,LRAD,LRBRR,LRTSTS,LRTS
- +2 SET LRAD=+$EXTRACT(SDT)_$PIECE(LRACC," ",2)_"0000"
- SET X=$PIECE(LRACC," ")
- SET DIC=68
- SET DIC(0)="M"
- +3 IF '$LENGTH(X)
- QUIT
- DO ^DIC
- SET LRAA=+Y
- SET LRAN=+$PIECE(LRACC," ",3)
- +4 SET LRBRR=0
- +5 FOR
- SET LRBRR=+$ORDER(^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR))
- IF LRBRR'>0
- QUIT
- Begin DoDot:1
- +6 SET LRTS=+^LRO(68,LRAA,1,LRAD,1,LRAN,4,LRBRR,0)
- SET LRTS(1)=$PIECE(^(0),U,5)
- +7 IF "BO"'[$PIECE($GET(^LAB(60,LRTS,0)),U,3)
- QUIT
- +8 SET LRTSTS=$SELECT($DATA(^LAB(60,LRTS,0)):$PIECE(^(0),U),1:"deleted test")
- +9 ; Lab test name and results in print order
- +10 SET ^TMP("LRM",$JOB,0,"TEST",$SELECT($DATA(^LAB(60,LRTS,.1)):$PIECE(^(.1),U,6),1:"")_","_U_LRBRR)=LRTSTS_U_LRTS(1)
- End DoDot:1
- +11 QUIT
- SAVE ; If result = S, I, or R then save
- +1 IF $SELECT(GMTSR="I":1,GMTSR="R":1,GMTSR="S":1,1:0)
- SET ^TMP("LRM",$JOB,"BACT",ISO,"SUSC",GMTSR,$PIECE($PIECE(ABXN,U),";",2))=ABXN_U_GMABX
- SET FOUND=1
- +2 QUIT