OCXOZ0G ;SLC/RJS,CLA - Order Check Scan ;DEC 27,2007 at 06:00 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**32,221**;Dec 17,1997 ;; ;;ORDER CHECK EXPERT version 1.01 released OCT 29,1998 ; ; *************************************************************** ; ** Warning: This routine is automatically generated by the ** ; ** Rule Compiler (^OCXOCMP) and ANY changes to this routine ** ; ** will be lost the next time the rule compiler executes. ** ; *************************************************************** ; Q ; CHK490 ; Look through the current environment for valid Event/Elements for this patient. ; Called from CHK454+17^OCXOZ0F. ; Q:$G(OCXOERR) ; ; Local CHK490 Variables ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC) ; OCXDF(58) ---> Data Field: ABNORMAL RENAL BIOCHEM RESULTS (FREE TEXT) ; ; Local Extrinsic Functions ; ABREN( -----------> DETERMINE IF RENAL LAB RESULTS ARE ABNORMAL HIGH OR LOW ; FILE(DFN,133, ----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: NO CREAT RESULTS W/IN X DAYS) ; S OCXDF(58)=$P($$ABREN(OCXDF(37)),"^",2),OCXOERR=$$FILE(DFN,133,"58,154") Q:OCXOERR Q ; CHK505 ; Look through the current environment for valid Event/Elements for this patient. ; Called from CHK362+15^OCXOZ0D. ; Q:$G(OCXOERR) ; ; Local CHK505 Variables ; OCXDF(37) ---> Data Field: PATIENT IEN (NUMERIC) ; OCXDF(74) ---> Data Field: VA DRUG CLASS (FREE TEXT) ; OCXDF(158) --> Data Field: DUPLICATE OPIOID MEDICATIONS TEXT (FREE TEXT) ; ; Local Extrinsic Functions ; LIST( ------------> IN LIST OPERATOR ; OPIOID( ----------> OPIOID MEDICATIONS ; I $$LIST(OCXDF(74),"OPIOID ANALGESICS,OPIOID ANTAGONIST ANALGESICS") S OCXDF(37)=$G(DFN) I $L(OCXDF(37)) S OCXDF(158)=$P($$OPIOID(OCXDF(37)),"^",2) D CHK509 Q ; CHK509 ; Look through the current environment for valid Event/Elements for this patient. ; Called from CHK505+14. ; Q:$G(OCXOERR) ; ; Local Extrinsic Functions ; FILE(DFN,139, ----> FILE DATA IN PATIENT ACTIVE DATA FILE (Event/Element: OPIOID MED ORDER) ; S OCXOERR=$$FILE(DFN,139,"158") Q:OCXOERR Q ; EL24 ; Examine every rule that involves Element #24 [HL7 LAB TEST RESULTS CRITICAL] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R3R1A^OCXOZ0I ; Check Relation #1 in Rule #3 'CRITICAL LAB RESULTS' Q ; EL105 ; Examine every rule that involves Element #105 [HL7 LAB ORDER RESULTS CRITICAL] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R3R2A^OCXOZ0J ; Check Relation #2 in Rule #3 'CRITICAL LAB RESULTS' Q ; EL44 ; Examine every rule that involves Element #44 [ORDER FLAGGED] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R5R1A^OCXOZ0J ; Check Relation #1 in Rule #5 'ORDER FLAGGED FOR CLARIFICATION' Q ; EL134 ; Examine every rule that involves Element #134 [ORDER UNFLAGGED] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R5R2A^OCXOZ0K ; Check Relation #2 in Rule #5 'ORDER FLAGGED FOR CLARIFICATION' Q ; EL45 ; Examine every rule that involves Element #45 [ORDER REQUIRES CHART SIGNATURE] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R6R1A^OCXOZ0K ; Check Relation #1 in Rule #6 'ORDER REQUIRES CHART SIGNATURE' Q ; EL21 ; Examine every rule that involves Element #21 [PATIENT ADMISSION] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R7R1A^OCXOZ0K ; Check Relation #1 in Rule #7 'PATIENT ADMISSION' Q ; EL31 ; Examine every rule that involves Element #31 [RADIOLOGY ORDER CANCELLED] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R11R1A^OCXOZ0L ; Check Relation #1 in Rule #11 'IMAGING REQUEST CANCELLED/HELD' Q ; EL100 ; Examine every rule that involves Element #100 [CANCELED BY NON-ORIG ORDERING PROVIDER] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R11R1A^OCXOZ0L ; Check Relation #1 in Rule #11 'IMAGING REQUEST CANCELLED/HELD' D R11R2A^OCXOZ0L ; Check Relation #2 in Rule #11 'IMAGING REQUEST CANCELLED/HELD' D R11R3A^OCXOZ0M ; Check Relation #3 in Rule #11 'IMAGING REQUEST CANCELLED/HELD' D R35R1A^OCXOZ0Q ; Check Relation #1 in Rule #35 'LAB ORDER CANCELLED' Q ; EL30 ; Examine every rule that involves Element #30 [RADIOLOGY ORDER PUT ON-HOLD] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R11R2A^OCXOZ0L ; Check Relation #2 in Rule #11 'IMAGING REQUEST CANCELLED/HELD' Q ; EL32 ; Examine every rule that involves Element #32 [RADIOLOGY ORDER DISCONTINUED] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R11R3A^OCXOZ0M ; Check Relation #3 in Rule #11 'IMAGING REQUEST CANCELLED/HELD' Q ; EL46 ; Examine every rule that involves Element #46 [SERVICE ORDER REQUIRES CHART SIGNATURE] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R16R1A^OCXOZ0M ; Check Relation #1 in Rule #16 'SERVICE ORDER REQUIRES CHART SIGNATURE' Q ; EL76 ; Examine every rule that involves Element #76 [STAT LAB RESULT] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R18R1A^OCXOZ0M ; Check Relation #1 in Rule #18 'STAT RESULTS AVAILABLE' Q ; EL75 ; Examine every rule that involves Element #75 [STAT IMAGING RESULT] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R18R2A^OCXOZ0N ; Check Relation #2 in Rule #18 'STAT RESULTS AVAILABLE' Q ; EL110 ; Examine every rule that involves Element #110 [STAT CONSULT RESULT] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R18R3A^OCXOZ0N ; Check Relation #3 in Rule #18 'STAT RESULTS AVAILABLE' Q ; EL56 ; Examine every rule that involves Element #56 [PATIENT DISCHARGE] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R19R1A^OCXOZ0N ; Check Relation #1 in Rule #19 'PATIENT DISCHARGE' Q ; EL47 ; Examine every rule that involves Element #47 [ORDER REQUIRES CO-SIGNATURE] ; Called from SCAN+9^OCXOZ01. ; Q:$G(OCXOERR) ; D R22R1A^OCXOZ0O ; Check Relation #1 in Rule #22 'ORDER REQUIRES CO-SIGNATURE' Q ; ABREN(DFN) ; Compiler Function: DETERMINE IF RENAL LAB RESULTS ARE ABNORMAL HIGH OR LOW ; N OCXFLAG,OCXVAL,OCXLIST,OCXTEST,UNAV,OCXTLIST,OCXTERM,OCXSLIST,OCXSPEC S (OCXLIST,OCXTLIST)="",UNAV="0^" S OCXSLIST="" Q:'$$TERMLKUP("SERUM SPECIMEN",.OCXSLIST) UNAV F OCXTERM="SERUM CREATININE","SERUM UREA NITROGEN" D Q:($L(OCXLIST)>130) .Q:'$$TERMLKUP(OCXTERM,.OCXTLIST) .S OCXTEST=0 F S OCXTEST=$O(OCXTLIST(OCXTEST)) Q:'OCXTEST D Q:($L(OCXLIST)>130) ..S OCXSPEC=0 F S OCXSPEC=$O(OCXSLIST(OCXSPEC)) Q:'OCXSPEC D Q:($L(OCXLIST)>130) ...S OCXVAL=$$LOCL^ORQQLR1(DFN,OCXTEST,OCXSPEC),OCXFLAG=$P(OCXVAL,U,5) ...I $L(OCXVAL),((OCXFLAG["H")!(OCXFLAG["L")) D ....N OCXY S OCXY="" ....S OCXY=$P(OCXVAL,U,2)_": "_$P(OCXVAL,U,3)_" "_$P(OCXVAL,U,4) ....S OCXY=OCXY_" "_$S($L(OCXFLAG):"["_OCXFLAG_"]",1:"") ....S OCXY=OCXY_" "_$$FMTE^XLFDT($P(OCXVAL,U,7),"2P") ....S:$L(OCXLIST) OCXLIST=OCXLIST_" " S OCXLIST=OCXLIST_OCXY Q:'$L(OCXLIST) UNAV Q 1_U_OCXLIST ; ; FILE(DFN,OCXELE,OCXDFL) ; This Local Extrinsic Function logs a validated event/element. ; N OCXTIMN,OCXTIML,OCXTIMT1,OCXTIMT2,OCXDATA,OCXPC,OCXPC,OCXVAL,OCXSUB,OCXDFI S DFN=+$G(DFN),OCXELE=+$G(OCXELE) ; Q:'DFN 1 Q:'OCXELE 1 K OCXDATA ; S OCXDATA(DFN,OCXELE)=1 F OCXPC=1:1:$L(OCXDFL,",") S OCXDFI=$P(OCXDFL,",",OCXPC) I OCXDFI D .S OCXVAL=$G(OCXDF(+OCXDFI)),OCXDATA(DFN,OCXELE,+OCXDFI)=OCXVAL ; M ^TMP("OCXCHK",$J,DFN)=OCXDATA(DFN) ; Q 0 ; LIST(DATA,LIST) ; IS THE DATA FIELD IN THE LIST ; S:'($E(LIST,1)=",") LIST=","_LIST S:'($E(LIST,$L(LIST))=",") LIST=LIST_"," S DATA=","_DATA_"," Q (LIST[DATA) ; OPIOID(ORPT) ;determine if pat is receiving opioid med ; rtn 1^opioid drug 1, opioid drug 2, opioid drug3, ... N ORDG,ORTN,ORNUM,ORDI,ORDCLAS,ORDERS,ORTEXT,DUP,DUPI,DUPJ,DUPLEN S ORDG=0,ORTN=0,DUPI=0,DUPLEN=20 K ^TMP("ORR",$J) S ORDG=$O(^ORD(100.98,"B","RX",ORDG)) D EN^ORQ1(ORPT_";DPT(",ORDG,2,"","","",0,0) N J,HOR,SEQ,X S J=1,HOR=0,SEQ=0 S HOR=$O(^TMP("ORR",$J,HOR)) Q:+HOR<1 ORTN F S SEQ=$O(^TMP("ORR",$J,HOR,SEQ)) Q:+SEQ<1 D .S X=^TMP("ORR",$J,HOR,SEQ) .S ORNUM=+$P(X,";") .Q:ORNUM=+$G(ORIFN) ;quit if dup med order # = current order # .S ORDI=$$VALUE^ORCSAVE2(ORNUM,"DRUG") .I +$G(ORDI)>0 D ..S ORDCLAS=$P(^PSDRUG(ORDI,0),U,2) ;va drug class ..I ($G(ORDCLAS)="CN101")!($G(ORDCLAS)="CN102") D ;opioid classes ...S ORTEXT=$$FULLTEXT^ORQOR1(ORNUM) ...S ORTEXT=$P(ORTEXT,U)_" ["_$P(ORTEXT,U,2)_"]" ...S DUPI=DUPI+1,DUP(DUPI)=" ["_DUPI_"] "_ORTEXT ...S ORTN=1 I DUPI>0 D .S DUPLEN=$P(215/DUPI,".") .F DUPJ=1:1:DUPI D ..I DUPJ=1 S ORDERS=$E(DUP(DUPJ),1,DUPLEN) ..E S ORDERS=ORDERS_", "_$E(DUP(DUPJ),1,DUPLEN) K ^TMP("ORR",$J) Q ORTN_U_$G(ORDERS) ; TERMLKUP(OCXTERM,OCXLIST) ; Q $$TERM^OCXOZ01(OCXTERM,.OCXLIST) ;