ORCDPS1 ;SLC/MKB-Pharmacy dialog utilities ; 08 May 2002 2:12 PM ;;3.0;ORDER ENTRY/RESULTS REPORTING;**94,117,141,149,195,215**;Dec 17, 1997 ; ; DBIA 2418 START^PSSJORDF ^TMP("PSJMR",$J) ; DBIA 3166 EN^PSSDIN ^TMP("PSSDIN",$J) ; EN(TYPE) ; -- entry action for Meds dialogs S ORINPT=$$INPT^ORCD,ORCAT=$G(TYPE) I 'ORINPT,ORCAT="I" D IMOLOC^ORIMO(.ORINPT,+ORL,+ORVP) S:ORINPT<0 ORINPT=0 ;allow inpt meds at this location? I ORCAT="" D . I $G(ORENEW)!$G(OREWRITE)!$D(OREDIT),$L($P($G(OR0),U,12)) S ORCAT=$P(OR0,U,12) Q ;use value from order, via ORCACT4 . S ORCAT=$S(ORINPT:"I",1:"O") S ORDG=+$O(^ORD(100.98,"B",$S(ORCAT="I":"UD RX",1:"O RX"),0)) K ^TMP("PSJMR",$J),^TMP("PSJNOUN",$J),^TMP("PSJSCH",$J) I $G(ORENEW)!$G(OREWRITE)!$D(OREDIT)!$G(ORXFER) D Q:$G(ORQUIT) . I 'ORINPT,ORCAT="I" D Q:$G(ORQUIT) .. N OI S OI=+$O(^OR(100,+$G(ORIFN),.1,"B",0)) Q:OI<1 .. I '$O(^ORD(101.43,OI,9,"B","IVM RX",0)) S ORQUIT=1 W $C(7),!!,"This order may not be placed at this location!" Q . K ORDIALOG($$PTR("START DATE/TIME"),1) . K ORDIALOG($$PTR("NOW"),1) Q:ORCAT'="O" . I $G(OREDIT)!$G(OREWRITE) N PI S PI=$$PTR("PATIENT INSTRUCTIONS") K ORDIALOG(PI,1),^TMP("ORWORD",$J,PI) . I $D(OREDIT),'$O(ORDIALOG($$PTR^ORCD("OR GTX INSTRUCTIONS"),0)) K ^TMP("ORWORD",$J) I ORINPT,ORCAT="O" W $C(7),!!,"NOTE: This will create an outpatient prescription for an inpatient!",! Q ; EN1 ; -- setup Meds dialog for quick order editor using ORDG N DG S DG=$P($G(^ORD(100.98,+$G(ORDG),0)),U,3) I $P(DG," ")="O"!(DG="SPLY") S ORINPT=0,ORCAT="O" E S ORINPT=1,ORCAT="I" K ^TMP("PSJMR",$J),^TMP("PSJNOUN",$J),^TMP("PSJSCH",$J) Q ; ENOI ; -- setup OI prompt N D S D=$G(ORDIALOG(PROMPT,"D")) S:D="S.RX" ORDIALOG(PROMPT,"D")=$S(ORCAT="I":"S.UD RX",1:"S.O RX") I ORCAT="I",'ORINPT,D="S.UD RX" D ;limit to IV meds for outpt's . S ORDIALOG(PROMPT,"D")="S.IVM RX" ;ORDG=+$O(^ORD(100.98,"B","O RX",0)) . S ORDIALOG(PROMPT,"?")="Enter the IV medication you wish to order for this patient." Q ; DEA ; -- ck DEA# of ordering provider if SchedII drug Q:$G(ORTYPE)="Z" N DEAFLG,PSOI S PSOI=+$P($G(^ORD(101.43,+$G(Y),0)),U,2) Q:PSOI'>0 S DEAFLG=$$OIDEA^PSSUTLA1(PSOI,ORCAT) Q:DEAFLG'>0 ;ok I $G(ORNP),'$L($P($G(^VA(200,+ORNP,"PS")),U,2)),'$L($P($G(^("PS")),U,3)) W $C(7),!,$P($G(^(0)),U)_" must have a DEA# or VA# to order this drug!" K DONE Q I DEAFLG=1 W $C(7),!,"This order will require a wet signature!" Q ; CHANGED(X) ; -- Kill dependent values when prompt X changes N PROMPTS,NAME,PTR,P,I S PROMPTS=X I X="OI" D . S PROMPTS="INSTRUCTIONS^ROUTE^SCHEDULE^START DATE/TIME^DURATION^AND/THEN^DOSE^DISPENSE DRUG^SIG^PATIENT INSTRUCTIONS^DAYS SUPPLY^QUANTITY^REFILLS^SERVICE CONNECTED" . K ORDRUG,ORDOSE,OROUTE,ORSCH,ORSD,ORDSUP,ORQTY,ORQTYUNT,OREFILLS,ORCOPAY . K ^TMP("PSJINS",$J),^TMP("PSJMR",$J),^TMP("PSJNOUN",$J),^TMP("PSJSCH",$J) I X="DS" S PROMPTS="QUANTITY^REFILLS" K OREFILLS F P=1:1:$L(PROMPTS,U) S NAME=$P(PROMPTS,U,P) D . S PTR=$$PTR(NAME) Q:'PTR . S I=0 F S I=$O(ORDIALOG(PTR,I)) Q:I'>0 K ORDIALOG(PTR,I) . K ORDIALOG(PTR,"LIST"),^TMP("ORWORD",$J,PTR) Q ; ORDITM(OI) ; -- Check OI, get dependent info Q:OI'>0 ;quit - no value N ORPS,ORPSOI S ORPS=$G(^ORD(101.43,+OI,"PS")),ORPSOI=+$P($G(^(0)),U,2) S ORIV=$S($P(ORPS,U)=2:1,1:0) I $G(ORCAT)="O",'$P(ORPS,U,2) W $C(7),!,"This drug may not be used in an outpatient order." S ORQUIT=1 D WAIT Q I $G(ORCAT)="I" D Q:$G(ORQUIT) . I $G(ORINPT),'$P(ORPS,U) W $C(7),!,"This drug may not be used in an inpatient order." S ORQUIT=1 D WAIT Q . I '$G(ORINPT),'ORIV W $C(7),!,"This drug may not be ordered for an outpatient." S ORQUIT=1 D WAIT Q I $G(ORTYPE)="Q" D I $G(ORQUIT) D WAIT Q . N DEAFLG S DEAFLG=$$OIDEA^PSSUTLA1(ORPSOI,ORCAT) Q:DEAFLG'>0 ;ok . I $G(ORNP),'$L($P($G(^VA(200,+ORNP,"PS")),U,2)),'$L($P($G(^("PS")),U,3)) W $C(7),!,$P($G(^(0)),U)_" must have a DEA# or VA# to order this drug!" S ORQUIT=1 Q . I DEAFLG=1 W $C(7),!,"This order will require a wet signature!" OI1 ; -ck NF status I $P(ORPS,U,6),'$G(ORENEW) D ;alternative . W !!,"*** This medication is not in the formulary! ***" . N PSX,CNT,ORX,DIR,X,Y,DTOUT,DUOUT . D EN1^PSSUTIL1(.ORPSOI,ORCAT) I '$O(ORPSOI(0)) D Q .. W !," There are no formulary alternatives entered for this item." .. W !," Please consult with your pharmacy before ordering it." . S PSX=0,CNT=0 F S PSX=$O(ORPSOI(PSX)) Q:PSX'>0 D .. S ORX=+$O(^ORD(101.43,"ID",PSX_";99PSP",0)) Q:ORX'>0 .. S CNT=CNT+1,ORPSOI("OI",CNT)=ORX_U_PSX .. S DIR("A",CNT)=$J(CNT,3)_" "_$P($G(^ORD(101.43,ORX,0)),U) . S DIR(0)="NAO^1:"_CNT,DIR("A")="Select alternative (or to continue): " . S DIR("?")="The medication selected is not in the formulary; you may select one of the above listed alternatives instead, or press to continue processing this order." . Q:CNT'>0 W !," Formulary alternatives:" D ^DIR . I Y'>0 S:$D(DTOUT)!$D(DUOUT) ORQUIT=1 Q . D:OI'=+ORPSOI("OI",+Y) CHANGED("OI") ;reset parameters if different . S OI=+ORPSOI("OI",+Y),ORDIALOG(PROMPT,INST)=OI,OROI=OI . S ORPSOI=+$P(ORPSOI("OI",+Y),U,2) OI2 ; -get routes, doses [also called from NF^ORCDPS] D:'$D(^TMP("PSJMR",$J)) START^PSSJORDF(ORPSOI,$G(ORCAT)) ;DBIA 2418 I '$D(ORDOSE) D . D DOSE^PSSORUTL(.ORDOSE,ORPSOI,$S($G(ORCAT)="I":"U",1:"O"),+ORVP) . K:$G(ORDOSE(1))=-1 ORDOSE Q ; NFI(OI) ; -- Show NFI restrictions, if exist N PSOI,I,J,LCNT,MAX,X,STOP S PSOI=+$P($G(^ORD(101.43,+$G(OI),0)),U,2) D EN^PSSDIN(PSOI,"") Q:'$D(^TMP("PSSDIN",$J,"OI",PSOI)) ;DBIA 3166 S I=0,LCNT=0,MAX=$S($G(IOBM)&$G(IOTM):IOBM-IOTM+1,1:24) W ! F S I=$O(^TMP("PSSDIN",$J,"OI",PSOI,I)) Q:I'>0 D . S J=0 F S J=$O(^TMP("PSSDIN",$J,"OI",PSOI,I,J)) Q:J'>0 S X=$G(^(J)) D Q:$G(STOP) .. S LCNT=LCNT+1 I LCNT' to continue ..." R X:DTIME Q ; ROUTES ; -- Get med routes Q:$G(ORDIALOG(PROMPT,"LIST")) N I,X,CNT S (I,CNT)=0 F S I=$O(^TMP("PSJMR",$J,I)) Q:I'>0 S X=^(I),CNT=CNT+1,ORDIALOG(PROMPT,"LIST",CNT)=$P(X,U,3)_U_$P(X,U,1,2),ORDIALOG(PROMPT,"LIST","B",$P(X,U))=$P(X,U,3) S:$G(CNT) ORDIALOG(PROMPT,"LIST")=CNT S:$G(ORTYPE)'="Z" REQD=$S(ORCAT="I":1,$P($G(^ORD(101.43,+$G(OROI),"PS")),U,5):0,1:1) Q ; DEFRTE ; -- Get default route N INST1 S INST1=$O(ORDIALOG(PROMPT,0)) S:INST1'>0 INST1=INST I INST1=INST S Y=+$P($G(^TMP("PSJMR",$J,1)),U,3) K:Y'>0 Y Q S Y=+$G(ORDIALOG(PROMPT,INST1)) K:Y'>0 Y S:$G(Y) EDITONLY=1 Q ; CKSCH ; -- validate schedule [Called from P-S Action] N ORX S ORX=ORDIALOG(PROMPT,ORI) Q:ORX=$G(ORESET) K ORSD D EN^PSSGS0(.ORX,$G(ORCAT)) I $D(ORX) S ORDIALOG(PROMPT,ORI)=ORX D CHANGED("QUANTITY") Q ;ok W $C(7),!,"Enter a standard administration schedule" K DONE I $G(ORCAT)="I" W ".",! Q W " or one of your own,",!,"up to 70 characters and no more than 2 spaces.",! Q ; DEFCONJ ; -- Set default conjuction for previous instance [P-S Action] N LAST,DUR,CONJ S LAST=$O(ORDIALOG(PROMPT,ORI),-1) Q:LAST'>0 ;first instance S CONJ=$$PTR("AND/THEN") Q:$L($G(ORDIALOG(CONJ,LAST))) S DUR=$G(ORDIALOG($$PTR("DURATION"),LAST)) S ORDIALOG(CONJ,LAST)=$S(+DUR'>0:"A",1:"T") Q ; ENCONJ ; -- Get allowable values, if req'd for INST N P S P=$$PTR("INSTRUCTIONS") S REQD=$S($O(ORDIALOG(P,INST)):1,1:0) S ORDIALOG(PROMPT,"A")="And/then"_$S(ORCAT="O":"/except: ",1:": ") S $P(ORDIALOG(PROMPT,0),U,2)="A:AND;T:THEN;"_$S(ORCAT="O":"X:EXCEPT;",1:"") Q ; DSUP ; -- Get max/default days supply N ORX,Y S ORX("PATIENT")=+$G(ORVP),ORX("DRUG")=+$G(ORDRUG) D DSUP^PSOSIGDS(.ORX) S Y=+$G(ORX("DAYS SUPPLY")) S:Y'>0 Y=90 ;S $P(ORDIALOG(PROMPT,0),U,2)="1:"_Y ;max allowed I '$G(ORDIALOG(PROMPT,1)),$G(ORTYPE)'="Z" S ORDIALOG(PROMPT,1)=Y Q ; QTY() ; -- Return default quantity [Expects ORDSUP] N INSTR,DOSE,DUR,SCH,I,ORX,X,Y S Y="" I $G(ORDSUP)'>0!'$G(ORDRUG) G QTYQ ;need days supply, disp drug S INSTR=$$PTR("INSTRUCTIONS") S DOSE=$$PTR("DOSE"),CONJ=$$PTR("AND/THEN") S DUR=$$PTR("DURATION"),SCH=$$PTR("SCHEDULE") S I=0 F S I=$O(ORDIALOG(INSTR,I)) Q:I'>0 D Q:'$D(ORX) . S X=$P($G(ORDIALOG(DOSE,I)),"&",3) I X'>0 K ORX Q . S ORX("DOSE ORDERED",I)=X,ORX("SCHEDULE",I)=$G(ORDIALOG(SCH,I)) . S X=$G(ORDIALOG(DUR,I)),ORX("DURATION",I)=$$HL7DUR^ORMBLDPS . S ORX("CONJUNCTION",I)=$G(ORDIALOG(CONJ,I)) G:'$D(ORX) QTYQ ;no doses S ORX("PATIENT")=+$G(ORVP),ORX("DRUG")=+$G(ORDRUG) S ORX("DAYS SUPPLY")=+$G(ORDSUP) D QTYX^PSOSIG(.ORX) S Y=$G(ORX("QTY")) QTYQ Q Y ; MAXREFS ; -- Get max refills allowed [Entry Action] Q:$G(ORCAT)'="O" N ORX,X S ORX("ITEM")=+$P($G(^ORD(101.43,+$G(OROI),0)),U,2) S ORX("DRUG")=+$G(ORDRUG),ORX("PATIENT")=+$G(ORVP) I $G(OREVENT),$$TYPE^OREVNTX(OREVENT)="D" S ORX("DISCHARGE")=1 S ORX("DAYS SUPPLY")=$G(ORDSUP) D MAX^PSOSIGDS(.ORX) S OREFILLS=$G(ORX("MAX")),X=$G(ORDIALOG(PROMPT,INST)) I OREFILLS'>0 S ORDIALOG(PROMPT,INST)=0 W !,"No refills allowed." Q S $P(ORDIALOG(PROMPT,0),U,2)="0:"_OREFILLS S ORDIALOG(PROMPT,"A")="Refills (0-"_OREFILLS_"): " I X,X>OREFILLS S ORDIALOG(PROMPT,INST)=OREFILLS Q ; ASKSC() ; -- Return 1 or 0, if SC prompt should be asked I $$SC^PSOCP(+ORVP,+$G(ORDRUG)) Q 0 ;I $$RXST^IBARXEU(+ORVP)>0 Q 0 ;exempt from copay Q 1 ; PTR(X) ; -- Return ptr to prompt OR GTX X Q +$O(^ORD(101.41,"AB","OR GTX "_X,0)) ; EXIT ; -- exit action for Meds S:$G(ORXNP) ORNP=ORXNP K ORXNP,ORINPT,ORCAT,ORPKG,OROI,ORIV,ORDRUG,ORDOSE,OROUTE,ORSCH,ORSD,ORDSUP,OREFILLS,ORQTY,ORQTYUNT,ORCOPAY,PSJNOPC,ORCOMPLX K ^TMP("PSJMR",$J),^TMP("PSJNOUN",$J),^TMP("PSJSCH",$J) Q