PSBOMT ;BIRMINGHAM/TEJ-BCMA MEDICATION THERAPY REPORT ;Mar 2004 ;;3.0;BAR CODE MED ADMIN;**32**;Mar 2004;Build 32 ;Per VHA Directive 2004-038 (or future revisions regarding same), this routine should not be modified. ; ; Reference/IA ; File 50.7/2880 ; File 52.6/436 ; File 52.7/437 ; File 200/10060 ; EN^PSJBCMA1/2829 ; IEN^PSN50P65/4543 ; DRGIEN^PSS50P7/4662 ; VAC^PSS50/4533 ; ^PSDRUG(/221 EN ; N PSBHDR,PSBORDS,PSBORD,PSBOIP N TMP K TMP("PSBOIS",$J),TMP("VA CLASS",$J),TMP("PSBADDS",$J),TMP("PSBSOLS",$J),PSBLGD,PSBOIL,PSBDDL,PSBSOLL,PSBADDL S PSBCLSS=0,PSBCFLG=0 S PSBXDFN=$P(PSBRPT(.1),U,2) S PSBSTRT=$P(PSBRPT(.1),U,6)+$P(PSBRPT(.1),U,7),PSBSTOP=$P(PSBRPT(.1),U,8)+$P(PSBRPT(.1),U,9) K PSBOCRIT F Y=1:1:4 I $P(PSBRPT(.2),U,Y) S PSBOCRIT=$G(PSBOCRIT,"")_$P("C^P^OC^O",U,Y)_"^" D NOW^%DTC S (Y,PSBNOWX)=% D DD^%DT S PSBDTTM=$E(Y,1,18) S:+PSBSTRT'>0 PSBSTRT=$$FMADD^XLFDT(X,-1) S:+PSBSTOP'>0 PSBSTOP=$P(%,".") I $D(PSBRPT(.2)) I $P(PSBRPT(.2),U,8) S PSBCFLG=1 I $D(PSBRPT(2)) F XD=$O(PSBRPT(2,0)):1:$O(PSBRPT(2,"B"),-1) S PSBRPT(2,XD,0)=$TR(PSBRPT(2,XD,0),"~",U) D:$P(PSBRPT(2,XD,0),U)="MT" .I $P(PSBRPT(2,XD,0),U,2)="OIT" D Q ..S PSBSRCHL="ORDERABLE ITEM SEARCH LIST:",PSBOIL(+$P(PSBRPT(2,XD,0),U,3))="" ..S PSB=$P(PSBRPT(2,XD,0),U,3) F X=1:1:$L(PSB,",") Q:$P(PSB,",",X)="" S (TMP("PSBOIS",$J,$P(PSB,",",X)),PSBOIP("OIP",$P(PSB,",",X)))="" .I $P(PSBRPT(2,XD,0),U,2)="ADD" D Q ..S PSBSRCHL="IV MEDICATION SEARCH LIST:" ..I $D(^PSDRUG("A526",$P(PSBRPT(2,XD,0),U,3))) S X2=$O(^PSDRUG("A526",$P(PSBRPT(2,XD,0),U,3),"")) S PSBADDL(X2)="",TMP("PSBOIS",$J,$$OFROMA(X2))="" .I $P(PSBRPT(2,XD,0),U,2)="SOL" D Q ..S PSBSRCHL="IV MEDICATION SEARCH LIST:" ..I $D(^PSDRUG("A527",$P(PSBRPT(2,XD,0),U,3))) S X2=$O(^PSDRUG("A527",$P(PSBRPT(2,XD,0),U,3),"")) S PSBSOLL(X2)="",TMP("PSBOIS",$J,$$OFROMS(X2))="" .I $P(PSBRPT(2,XD,0),U,2)="DD" D K PSBDRGS Q ..S PSBSRCHL="DISPENSED DRUG SEARCH LIST:",PSBDDL($P(PSBRPT(2,XD,0),U,3))="" ..K PSBDRGS S PSBDRGS="" D OILST^PSBRPCMO(.PSBDRGS,$P(PSBRPT(2,XD,0),U,3),"UD") ..F X2=PSBDRGS(0):1:$O(PSBDRGS(""),-1) I +PSBDRGS(1)'<0 S TMP("PSBOIS",$J,$P(PSBDRGS(X2),U,4))="" .I $P(PSBRPT(2,XD,0),U,2)="VAC" D ..S PSBSRCHL="VA DRUG CLASS SEARCH LIST:" ..S PSBCLS=$P(PSBRPT(2,XD,0),U,3) D GETCLSS(PSBCLS) K PSBDDRG("VAC") M TMP("VA CLASS",$J,PSBCLS,"DDRG")=PSBDDRG K PSBDDRG ..S PSBCLSS=1 M PSBOIP("OIP")=TMP("PSBOIS",$J) D OUT(PSBXDFN,PSBSTRT,PSBSTOP) Q OUT(PSBXDFN,PSBSTRT,PSBSTOP) ; D:PSBCLSS GETOIS ; POSSBLE CLASS ITEMS VIA AVAIL ORDERS D GETADSO^PSBOMT1 ; ALL ADDS AND SOLS D FINDIENS^PSBOMT1 ; FIND ALL MED LOG ENTRS D PREOUT ; WRIT TO GLOBL D WRITEOT D CLEANSUM^PSBOMT1 D CLEANALL^PSBOMT1 Q GETOIS ; K ^TMP("PSJ",$J),PSBTMP D EN^PSJBCMA(PSBXDFN,PSBSTRT) Q:^TMP("PSJ",$J,1,0)<0 M PSBTMP=^TMP("PSJ",$J) K ^TMP("PSJ",$J) S X=0 F S X=$O(PSBTMP(X)) Q:+X=0 D .Q:$G(PSBOCRIT,"")'[$P(PSBTMP(X,1),U,2)_"^" .S PSBORDN=$P(PSBTMP(X,0),U,3) S PSBORDS(PSBORDN)="" .I $D(PSBTMP(X,700)) D Q ..F XX=1:1:PSBTMP(X,700,0) D ...S PSBCLS="" F S PSBCLS=$O(TMP("VA CLASS",$J,PSBCLS)) Q:+PSBCLS=0 D ....I '$D(TMP("VA CLASS",$J,PSBCLS,"DDRG",$P(PSBTMP(X,700,XX,0),U))) Q ....S PSBORDS(PSBORDN,"DD",$P(PSBTMP(X,700,XX,0),U))="" ....S PSBORDS(PSBORDN,"OIP",$P(PSBTMP(X,3),U))="" ..M PSBOIP("OIP")=PSBORDS(PSBORDN,"OIP") .I $D(PSBTMP(X,850)) M PSBORDS(PSBORDN,"ADD")=PSBTMP(X,850) D ..F XX=1:1:PSBORDS(PSBORDN,"ADD",0) S PSBORDS(PSBORDN,"OIP",$$OFROMA($P(PSBORDS(PSBORDN,"ADD",XX,0),U)))="" ..M PSBOIP("OIP")=PSBORDS(PSBORDN,"OIP") .I $D(PSBTMP(X,950)) M PSBORDS(PSBORDN,"SOL")=PSBTMP(X,950) D ..F XX=1:1:PSBORDS(PSBORDN,"SOL",0) S PSBORDS(PSBORDN,"OIP",$$OFROMS($P(PSBORDS(PSBORDN,"SOL",XX,0),U)))="" ..M PSBOIP("OIP")=PSBORDS(PSBORDN,"OIP") K PSBTMP M TMP("PSBOIS",$J)=PSBOIP("OIP") Q OFROMA(PSBADD) ;OITEM FROM AN ADDITIVE S X1=$$GET1^DIQ(52.6,PSBADD_",",15,"I") I PSBCLSS D .S X2=$$GETDRN(X1) .S PSBCLS="" K X3 F Q:$D(X3) S PSBCLS=$O(TMP("VA CLASS",$J,PSBCLS)) Q:+PSBCLS=0 D ..I $D(TMP("VA CLASS",$J,PSBCLS,"DDRG",X2)) S X3=X1 .I '$D(X3) S X3=0 Q $G(X3,X1) OFROMS(PSBSOL) ;OITEM FROM A SOLUTION S X1=$$GET1^DIQ(52.7,PSBSOL_",",9,"I") I PSBCLSS D .S X2=$$GETDRN(X1) .S PSBCLS="" K X3 F Q:$D(X3) S PSBCLS=$O(TMP("VA CLASS",$J,PSBCLS)) Q:+PSBCLS=0 D ..I $D(TMP("VA CLASS",$J,PSBCLS,"DDRG",X2)) S X3=X1 .I '$D(X3) S X3=0 Q $G(X3,X1) PREOUT ; K PSBUNK S XDT="" F S XDT=$O(TMP("PSBIENS",$J,XDT),-1) Q:XDT="" S XIEN="",XIEN=$O(TMP("PSBIENS",$J,XDT,XIEN)) D .Q:$$NONSTS(PSBXDFN,XIEN) .S PSBIEN=XIEN .S PSBIENS=PSBIEN_"," .D OUTPUT Q OUTPUT ; S PSBSPC=$J("",80) S W=$E($$GET1^DIQ(53.79,PSBIENS,.02)_PSBSPC,1,20)_" " S W=W_$S($P(^PSB(53.79,PSBIEN,0),U,9)="":"?? ",1:$E($P(^PSB(53.79,PSBIEN,0),U,9)_" ",1,2)_" ") S:$P(^PSB(53.79,PSBIEN,0),U,9)="" PSBUNK=1 S W=W_$E($P($G(^PSB(53.79,PSBIEN,.1)),U,2)_PSBSPC,1,2)_" " S W=W_$E($E($$GET1^DIQ(53.79,PSBIENS,.06),1,18)_PSBSPC,1,21)_" " S W=W_$E($$GET1^DIQ(53.79,PSBIENS,"ACTION BY:INITIAL")_PSBSPC,1,10)_" ",PSBLGD("INITIALS",$$GET1^DIQ(53.79,PSBIENS,"ACTION BY","I"))="" S W=W_$$GET1^DIQ(53.79,PSBIENS,.16) D ADD(W) K PSBV F PSBNODE=.5,.6,.7 D .S PSBDD=$S(PSBNODE=.5:53.795,PSBNODE=.6:53.796,1:53.797) .F PSBY=0:0 S PSBY=$O(^PSB(53.79,PSBIEN,PSBNODE,PSBY)) Q:'PSBY D ..I $$GET1^DIQ(53.79,PSBIENS,.11)["V" S PSBV=1 ..D WRAPMEDS($$GET1^DIQ(PSBDD,PSBY_","_PSBIENS,.01),$$GET1^DIQ(PSBDD,PSBY_","_PSBIENS,.03),$$GET1^DIQ(PSBDD,PSBY_","_PSBIENS,.02),$$GET1^DIQ(PSBDD,PSBY_","_PSBIENS,.04)) I PSBCFLG=1 D COMNTS D ADD("") Q COMNTS ; N Z,CNT S Z="",CNT=0 I $D(^PSB(53.79,PSBIEN,.3,0)) D .D ADD("") .D ADD($J("",44)_"Comments: "_$$MAKELINE^PSBOMT1("-",78)) .S XT="" F S XT=$O(^PSB(53.79,PSBIEN,.3,XT)) Q:XT="" I XT'=0 D ..D:CNT=1 ADD("") ..S Y=$P(^PSB(53.79,PSBIEN,.3,XT,0),"^",3) D DD^%DT S XBR=Y ..S Z=XBR_" "_$P(^VA(200,$P(^PSB(53.79,PSBIEN,.3,XT,0),"^",2),0),"^",2) ..D WRAP($P(^PSB(53.79,PSBIEN,.3,XT,0),"^",1),Z,PSBIEN) ..S CNT=1 .D ADD($J("",54)_$$MAKELINE^PSBOMT1("-",78)) Q WRAPMEDS(MED,UG,UO,UOA) ; ;THIS WILL CREATE UPTO 3 LINES S MED=$E(MED_$J("",40),1,40) N UGWRAP,ORWRAP S (CNTX,UOA1,UOA16,UOA31)="" I +$G(UG)?1"."1.N S UG=0_+UG I +$G(UO)?1"."1.N S UO=0_+UO I $G(PSBV,0) S UO="NA" F CNT=1:15:45 D .D PARSE^PSBOMT1(UOA,CNT) .S UGWRAP=$E(UG,CNT,(CNT+7)),UOWRAP=$E(UO,CNT,(CNT+7)) .I CNT=1 D ADD($J("",55)_MED_" "_$$PAD^PSBOMT1(UOWRAP,8)_" "_$$PAD^PSBOMT1(UGWRAP,8)_" "_$$PAD^PSBOMT1(UOA1,15)) .I (CNT>1),($L(UGWRAP)>0!$L(@("UOA"_CNT))>0) D ADD($J("",94)_$$PAD^PSBOMT1(UOWRAP,8)_" "_$$PAD^PSBOMT1(UGWRAP,8)_" "_$$PAD^PSBOMT1(@("UOA"_CNT),15)) Q HEADA ; W ! W "Location",?21,"St Sch Administration Date",?50,"By",?61,"Injection Site",?96,"Units",?104,"Units",?113,"Units of" W !,?55,"Medication & Dosage",?96,"Ordered",?104,"Given",?113,"Administration" W ! W $$MAKELINE^PSBOMT1("-",132) Q NONSTS(PSBX,PSBY) ; D CLEAN^PSBVT,PSJ1^PSBVT(PSBX,$$GET1^DIQ(53.79,PSBY_",","ORDER REFERENCE NUMBER","I")) Q PSBOCRIT'[PSBSCHT_"^" WRITEOT ; D HDR^PSBOMT1 D MEDS D PT^PSBOHDR(PSBXDFN,.PSBHDR),HEADA I '$D(TMP("PSBIENS",$J)) D ADD("<<<< NO HISTORY FOUND FOR THIS TIME FRAME >>>>") S EX="" F S EX=$O(^TMP("PSB",$J,EX)) Q:EX="" D .I $Y>(IOSL-5) D ..W $$PTFTR^PSBOHDR() ..D PT^PSBOHDR(PSBXDFN,.PSBHDR),HEADA .W !,$G(^TMP("PSB",$J,EX)) D:$D(TMP("PSBIENS",$J)) LEGEND^PSBOMT1 D FTR^PSBOMT1 Q MEDS ; N MED,XA,XB S MED="",XB=$O(PSBHDR(""),-1)+1 S PSBHDR(XB)=PSBSRCHL I PSBCLSS S XA=0 K PSBGOT F S XA=$O(TMP("VA CLASS",$J,XA)) Q:+XA=0 D .K ^TMP($J,"PSBLIST") D IEN^PSN50P65(XA,"??","PSBLIST") .I ^TMP($J,"PSBLIST",0)>0 S MED=^TMP($J,"PSBLIST",XA,1) Q:$D(PSBGOT(MED)) K ^TMP($J,"PSBLIST") .I $L(PSBHDR(XB)_" "_$G(MED," * NO DATA FOUND * "))+3>IOM D Q ..S XB=XB+1,PSBHDR(XB)=" / "_MED S PSBGOT(MED)="" .S PSBHDR(XB)=PSBHDR(XB)_$S(($L(PSBHDR(XB),":")=2)&($P(PSBHDR(XB),":",2)=""):" ",1:" / ")_MED,PSBGOT(MED)="" I $D(PSBOIL) S XA="" K PSBGOT F S XA=$O(PSBOIL(XA)) Q:XA="" D .S MED=$$GET1^DIQ(50.7,XA,.01) Q:$D(PSBGOT(MED)) S PSBGOT(MED)="" .I $L(PSBHDR(XB)_" / "_MED)+3>IOM D Q ..S XB=XB+1,PSBHDR(XB)=" / "_MED .S PSBHDR(XB)=PSBHDR(XB)_$S(($L(PSBHDR(XB),":")=2)&($P(PSBHDR(XB),":",2)=""):" ",1:" / ")_MED I $D(PSBADDL) S XA="" K PSBGOT F S XA=$O(PSBADDL(XA)) Q:XA="" D .S MED=$$GET1^DIQ(52.6,XA,.01) Q:$D(PSBGOT(MED)) S PSBGOT(MED)="" .I $L(PSBHDR(XB)_" / "_MED)+3>IOM D Q ..S XB=XB+1,PSBHDR(XB)=" / "_MED .S PSBHDR(XB)=PSBHDR(XB)_$S(($L(PSBHDR(XB),":")=2)&($P(PSBHDR(XB),":",2)=""):" ",1:" / ")_MED I $D(PSBSOLL) S XA="" K PSBGOT F S XA=$O(PSBSOLL(XA)) Q:XA="" D .S MED=$$GET1^DIQ(52.7,XA,.01) Q:$D(PSBGOT(MED)) S PSBGOT(MED)="" .I $L(PSBHDR(XB)_" / "_MED)+3>IOM D Q ..S XB=XB+1,PSBHDR(XB)=" / "_MED .S PSBHDR(XB)=PSBHDR(XB)_$S(($L(PSBHDR(XB),":")=2)&($P(PSBHDR(XB),":",2)=""):" ",1:" / ")_MED I $D(PSBDDL) S XA="" F S XA=$O(PSBDDL(XA)) Q:XA="" D .S MED=$$GET1^DIQ(50,XA,.01) .I $L(PSBHDR(XB)_" / "_MED)+3>IOM D Q ..S XB=XB+1,PSBHDR(XB)=" / "_MED .S PSBHDR(XB)=PSBHDR(XB)_$S(($L(PSBHDR(XB),":")=2)&($P(PSBHDR(XB),":",2)=""):" ",1:" / ")_MED Q WRAP(SIZE,ZP,BRIEN) ; D ADD($J("",55)_ZP) D ADD($J("",55)_$E(SIZE,1,75)) I $L(SIZE)>75 D ADD($J("",55)_$E(SIZE,76,150)) Q ADD(XE) ; S ^TMP("PSB",$J,$O(^TMP("PSB",$J,""),-1)+1)=XE Q GETDRN(IEN1) ; ; Get the Drug IEN (p50) via OI IEN (p50.7) K ^TMP($J,"PSBLIST") D DRGIEN^PSS50P7(IEN1,,"PSBLIST") S DN=$O(^TMP($J,"PSBLIST",0)) K ^TMP($J,"PSBLIST") Q DN GETCLSS(IEN1) ; ; Get the Items w/i VA Class K ^TMP($J,"PSBLIST") D VAC^PSS50(IEN1,,,"PSBLIST") M PSBDDRG=^TMP($J,"PSBLIST") K ^TMP($J,"PSBLIST") Q