PSBVDLVL ;BIRMINGHAM/EFC-BCMA VIRTUAL DUE LIST FUNCTIONS ;Mar 2004 ;;3.0;BAR CODE MED ADMIN;**6,3,12,11,13,32**;Mar 2004;Build 32 ;Per VHA Directive 2004-038 (or future revisions regarding same), this routine should not be modified. ; ; ; Reference/IA ; $$GET^XPAR/2263 ; EN(RESULTS,DFN,PSBXOR,PSBTYPE,PSBADMIN,PSBTAB,PSBUID,PSBASTS,PSBORSTS,PSBRMV) ; ; ; RPC: PSB VALIDATE ORDER ; ; Description: Final check of order against an actual administration ; date/time used immediately after scanned med has been ; validated to be a good un-administered order. ; K PSBTST N PSBFLAG I PSBRMV="I" D GETOHIST^PSBRPC2(.PSBTST,DFN,PSBXOR_PSBTYPE) S I=0 F S I=$O(PSBTST(I)) Q:I="" I $P(PSBTST(I),U,5)="I" S RESULTS(0)=1,RESULTS(1)="-2^" K PSBTST Q K PSBOKAY D CLEAN^PSBVT,PSJ1^PSBVT(DFN,PSBXOR_PSBTYPE) S PSB=0 S RESULTS(0)=1,RESULTS(1)="-1^***Unable to determine administration" ; Default Flag will be overwritten by anything D NOW^%DTC I ((PSBOSTS="A")!(PSBOSTS="R"))&(PSBOSP<%) S PSBOSTS="E" I PSBORSTS'=PSBOSTS,((PSBSCHT'="O")&(PSBOSTS'="E")) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-2^ORDER STATUS MISMATCH" Q I ((PSBTAB="UDTAB")!(PSBTAB="PBTAB")),((PSBRMV="RM")!(PSBRMV="N")) D Q .S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^OKAY TO REMOVE" ; patch removal does not follow rest of validte rules .I PSBASTS="" Q ;status is not given - don't check for missmatch .I $D(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN)) S X=$O(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN,"")) I $P($G(^PSB(53.79,+X,0)),U,9)'=PSBASTS S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-2^Admin status mismatch" I PSBTYPE="V",PSBSCHT'="P",((PSBUID="")!(PSBUID["WS")) S RESULTS(0)=1,RESULTS(1)="0^Okay to administer" Q:PSBTAB="IVTAB" I PSBTYPE="V",PSBUID'="" D Q:PSBTAB="IVTAB" ; validate IV bags Piggybacks have additional tests .S PSB=0,PSBSUID=PSBUID D EN^PSBPOIV(DFN,PSBXOR_PSBTYPE) .S X="" F S X=$O(^TMP("PSBAR",$J,X)) Q:X="" D ..I PSBSUID'=X Q ..S PSBUIDS=^TMP("PSBAR",$J,X) ..I $P(PSBUIDS,U,2)="I"!($P(PSBUIDS,U,2)="S") S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Okay to administer" Q ; is infusing or stopped ..I $P(PSBUIDS,U,1)="I" S Y=$P(^TMP("PSBAR",$J,"I"),U,2) D DD^%DT S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=$P(^TMP("PSBAR",$J,"I"),U,3,99)_" "_Y Q ..I $P(PSBUIDS,U,1)["W" S PSBWS=$P(PSBUIDS,U,1) F PSBWM=2:1 Q:$P(PSBWS,";",PSBWM)="" D ...S Y=$P(^TMP("PSBAR",$J,"W",$P(PSBWS,";",PSBWM)),U,2) D DD^%DT S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=$P(^TMP("PSBAR",$J,"W",$P(PSBWS,";",PSBWM)),U,3,99)_" "_Y ..S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Okay to administer" .K ^TMP("PSBAR",$J) ; ; no IV orders ; D NOW^%DTC I PSBOSTS="H" S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Order is on Provider Hold" Q I PSBSCHT'="O"&(%<($$FMADD^XLFDT(PSBOST,"","",$$GET^XPAR("ALL","PSB ADMIN BEFORE")*-1))) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-1^Order Not Active" Q I PSBSCHT'="O"&(%>PSBOSP) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-1^Order Not Active" Q I (PSBSCHT="C")!((PSBSCHT="P")&(PSBDOSEF="PATCH")) D .S PSBOKAY="0^Okay to administer" .I PSBASTS["*UNKNOWN*" S PSBOKAY="-1^This administration has *UNKNOWN* status" Q .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q .S PSBFLAG=0 I PSBRMV="M"!(PSBRMV="H")!(PSBRMV="R") S PSBFLAG=1 .I $D(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE)) D Q:X ..S X=0,PSBLADT=$O(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE,""),-1),PSBLAIEN=$O(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE,PSBLADT,""),-1) ..I $P($G(^PSB(53.79,PSBLAIEN,0)),U,9)="G",$P($G(^PSB(53.79,PSBLAIEN,.5,1,0)),U,4)="PATCH",PSBFLAG=0 S X=1,PSBOKAY="-1^Previous patch has not been removed" Q .I $D(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN)) D Q:+PSBOKAY<0 ..S X=$O(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN,"")) ..L +^PSB(53.79,+X):1 ..I L -^PSB(53.79,+X) ..E S PSBOKAY="-1^The "_$$GET1^DIQ(53.79,+X_",",.13)_" administration is being edited by another" Q ..I $G(PSBASTS)]"" D Q:+PSBOKAY<0 ...I $P($G(^PSB(53.79,+X,0)),U,9)="" Q ...I $P($G(^PSB(53.79,+X,0)),U,9)'=PSBASTS S PSBOKAY="-2^Admin status mismatch" Q .; Minutes before .S PSBWIN1=$$GET^XPAR("DIV","PSB ADMIN BEFORE")*-1 .; Minutes After .S PSBWIN2=$$GET^XPAR("DIV","PSB ADMIN AFTER") .D NOW^%DTC S PSBMIN=$$DIFF^PSBUTL(PSBADMIN,%) .; PENDING A PC SOLUTION! .I PSBMINPSBWIN2 S PSBOKAY="1^Admin is "_(PSBMIN)_" minutes after the scheduled administration time" Q .S PSBOKAY="0^Okay to administer" ; Validate a PRN Order D:(PSBSCHT="P") .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q .I (+($G(PSBOKAY))<0)&(PSBDOSEF="PATCH") Q ;A Patch may have to be removed. .S PSBOKAY="1^" .; Get Last Four Givens .S PSBDT="" .F S PSBDT=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,PSBDT),-1) Q:PSBDT="" D ..S PSBDA="" ..F S PSBDA=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,PSBDT,PSBDA),-1) Q:'PSBDA D ...S (PSBCNT1,PSBCNT2,PSBCNT3)=0 ...S PSBLADT=$$GET1^DIQ(53.79,PSBDA_",",.06,"I") ...S PSBSTUS=$$GET1^DIQ(53.79,PSBDA_",",.09) ...S:PSBSTUS="" PSBSTUS="U" ...S PSBSCH=$$GET1^DIQ(53.79,PSBDA_",",.12) ...S PSBRSN=$$GET1^DIQ(53.79,PSBDA_",",.21) ...S PSBINJ=$$GET1^DIQ(53.79,PSBDA_",",.16) ...Q:$P(^PSB(53.79,PSBDA,0),U,9)="N" ...F PSBZ=.5,.6,.7 F PSBY=0:0 S PSBY=$O(^PSB(53.79,PSBDA,PSBZ,PSBY)) Q:'PSBY D ....Q:'$D(^PSB(53.79,PSBDA,PSBZ,PSBY)) ....S PSBDD=$S(PSBZ=.5:53.795,PSBZ=.6:53.796,1:53.797) ....S PSBUNIT=$$GET1^DIQ(PSBDD,PSBY_","_PSBDA_",",.03) ....S PSBUNFR=$$GET1^DIQ(PSBDD,PSBY_","_PSBDA_",",.04) ....I PSBZ=.5 S PSBCNT1=PSBCNT1+1 ....I PSBZ=.6 S PSBCNT2=PSBCNT2+1 ....I PSBZ=.7 S PSBCNT3=PSBCNT3+1 ...;Units given or free text not to display for multiple dispense drugs or additives and solution ...I (PSBCNT1>1)!(PSBCNT2>0)!(PSBCNT3>0) S (PSBUNIT,PSBUNFR)="" ...S X=PSBLADT_U ...S X=X_PSBSTUS_U_PSBSCH_U_$G(PSBRSN)_U_$G(PSBINJ)_U_$G(PSBUNIT)_U_$G(PSBUNFR) ...S PSBOKAY($O(PSBOKAY(""),-1)+1)=3_U_X ...S:$D(PSBOKAY(4)) PSBDT=0 .S X1=$$LASTG^PSBCSUTL(DFN,+PSBOIT) I X1>0 S PSBOKAY($O(PSBOKAY(""),-1)+1)=4_U_X1 ; Validate a One-Time Order D:PSBSCHT="O" .S (PSBGVN,X,Y)="" .F S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X),-1) Q:'X F S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X,Y),-1) Q:'Y I $P(^PSB(53.79,Y,.1),U)=PSBONX,"G"[$P(^PSB(53.79,Y,0),U,9) S PSBGVN=1,(X,Y)=0 .I PSBGVN S PSBOKAY="-1^Dose Already on medication Log" Q .; One Time are automatically expired so we don't check STATUS here .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q .S PSBOKAY="0^Okay to administer" ; Validate an On Call Order D:PSBSCHT="OC" .S PSBOKAY="0^Okay to administer" .S (PSBGVN,X,Y)="" .F S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X),-1) Q:'X F S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X,Y),-1) Q:'Y I $P(^PSB(53.79,Y,.1),U)=PSBONX,"G"[$P(^PSB(53.79,Y,0),U,9) S PSBGVN=1,(X,Y)=0 .I PSBGVN&('$$GET^XPAR("DIV","PSB ADMIN MULTIPLE ONCALL")) S PSBOKAY="-1^Dose Already on medication Log" Q .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q .I PSBGVN&($$GET^XPAR("DIV","PSB ADMIN MULTIPLE ONCALL"))&(PSBDOSEF="PATCH") S PSBOKAY="-1^Previous patch has not been removed" Q .S PSBOKAY="0^Okay to administer" ; D:+PSBOKAY'<0 .N PSBDIFF,Y .D:(PSBSCHT="C")!(PSBSCHT="OC"&('$G(PSBGVN))) ..; On-call or cont and not on the log. ..S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,""),-1) ..;Check for the status of the medication and insert status in the text ..I Y]"" S X=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,Y,""),-1),PSBSTUS=$P(^PSB(53.79,X,0),U,9) ..S:Y']"" PSBSTUS="" ..I PSBSTUS="N" D Q:$G(PSBQUIT) ...S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,Y,X),-1) ...D:X']"" ....S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,Y),-1) I Y']"" S PSBQUIT=1 Q ....S X=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,Y,""),-1),PSBSTUS=$P(^PSB(53.79,X,0),U,9) ..S PSBDIFF=$$FMDIFF^XLFDT($$NOW^XLFDT(),Y,2) ..Q:PSBDIFF>7200 ; Greater than 2 hours ..I (PSBSTUS="G")!(PSBSTUS="H")!(PSBSTUS="R")!(PSBSTUS="RM") D ...S PSBSTUS=$$GET1^DIQ(53.79,X_",",.09) ...I PSBSTUS'="" D ....S Y="1^*** NOTICE, "_PSBOITX_" was "_PSBSTUS_" "_(PSBDIFF\60)_" minutes ago." ....I +PSBOKAY=1 S PSBOKAY(1)=Y ....E S PSBOKAY=Y ; S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=PSBOKAY F X=1:1 Q:'$D(PSBOKAY(X)) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=PSBOKAY(X) Q ;