ORKCHK5 ; slc/CLA - Support routine called by ORKCHK to do ACCEPT mode order checks ;3/6/97 9:35 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**6,32,74,94,123,190**;Dec 17, 1997 Q ; EN(ORKS,ORKDFN,ORKA,ORENT,ORKTMODE) ;perform order checking for orderable item acceptance Q:$$GET^XPAR("DIV^SYS^PKG","ORK SYSTEM ENABLE/DISABLE",1,"I")="D" ; N OI,ORKDG,HL7,ODT,ORNUM,HL7NPTR,HL7NTXT,HL7NCOD,HL7LPTR,HL7LTXT,HL7LCOD N OCN,DNGR,ORKMSG,ORKPDATA,ORKOCNUM ; S OI=$P(ORKA,"|"),ORKDG=$P(ORKA,"|",2),HL7=$P(ORKA,"|",3) S ODT=$P(ORKA,"|",4),ORNUM=$P(ORKA,"|",5),ORKPDATA=$P(ORKA,"|",6) S HL7NPTR=$P(HL7,U),HL7NTXT=$P(HL7,U,2),HL7NCOD=$P(HL7,U,3) S HL7LPTR=$P(HL7,U,4),HL7LTXT=$P(HL7,U,5),HL7LCOD=$P(HL7,U,6) I ORKDG="GMRC",'$L(ODT) S ODT=$$NOW^XLFDT ;def consult order d/t is now ; I $E(ORKDG,1,2)="PS" D PHARM I $E(ORKDG,1,2)'="PS",($E(ORKDG,1,2)'="LR"),($L($G(OI))),($L($G(ODT))),(ORKTMODE'="ALL") D DUPOR I $E(ORKDG,1,2)="LR",($L($G(OI))),($L($G(ODT))),(ORKTMODE'="ALL") D .D DUPLAB .D LABFREQ I $E(ORKDG,1,2)'="PS" D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"ACCEPT") Q ; PHARM ;process pharmacy order checks: N ORPSPKG,ORPSA,ORKDD N ORALLRN,ORALLRF,ORALLRD D PARAMS("ALLERGY-DRUG INTERACTION",.ORALLRN,.ORALLRF,.ORALLRD) ; ;dispense drug selected: I $L($G(HL7LPTR)),($G(HL7LCOD)="99PSD") D .D RXOCS .D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"ACCEPT") ; ;dispense drug NOT selected, split OI into dispense drugs: I '$L($G(HL7LPTR)) D .S ORPSPKG=$E(ORKDG,3) .I ORPSPKG="H" S ORPSPKG="X" ;change to "X" if "H"erbal/non-VA med .I "IOX"[ORPSPKG D OI2DD(.ORPSA,OI,ORPSPKG) .S ORKDD=0 F S ORKDD=$O(ORPSA(ORKDD)) Q:'ORKDD D ..S HL7LTXT=ORPSA(ORKDD) ..S HL7NPTR=$P(ORKDD,";",2) ..S HL7LPTR=+ORKDD ..S HL7LCOD="99PSD",HL7NCOD="99NDF" ..S $P(HL7,U)=HL7NPTR,$P(HL7,U,3)=HL7NCOD ..S $P(HL7,U,4)=HL7LPTR,$P(HL7,U,5)=HL7LTXT,$P(HL7,U,6)=HL7LCOD ..S $P(ORKA,"|",3)=HL7 ;set these for MLM OCX call ..D RXOCS ..D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"ACCEPT") Q ; RXOCS ;drug-allergy interaction Q:ORALLRF="D" N ORKAL I $L($G(HL7NPTR)),($G(HL7NCOD)="99NDF") D .D RXN^ORQQAL(.ORKAL,ORKDFN,"DR",HL7NPTR,$G(HL7LPTR)) I (ORKAL>0) D ..Q:$L($P(ORKAL,U,2))<1 ..S ORKMSG="Previous adverse reaction to: "_$P(ORKAL,U,2) ..S ORKS("ORK",ORALLRD_","_$G(ORNUM)_","_$E(ORKMSG,1,225))=ORNUM_U_ORALLRN_U_ORALLRD_U_ORKMSG Q ; OI2DD(ORPSA,OROI,ORPSPKG) ;rtn dispense drugs for a PS OI N PSOI Q:'$D(^ORD(101.43,OROI,0)) S PSOI=$P($P(^ORD(101.43,OROI,0),U,2),";") Q:+$G(PSOI)<1 D DRG^PSSUTIL1(.ORPSA,PSOI,ORPSPKG) Q ; DUPOR ;duplicate orders for non-pharmacy and non-lab: S OCN=0,OCN=$O(^ORD(100.8,"B","DUPLICATE ORDER",OCN)) Q:+$G(OCN)<1 Q:$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",OCN,"I")="D" N ORKOR S ORKOR=0 D DUP^ORKOR(.ORKOR,ORKDFN,OI,ODT,ORKDG) I (ORKOR>0) D .S ORKOCNUM=+$P(ORKOR,U) .S DNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",OCN,"I") .S ORKMSG="Duplicate order: "_$P(ORKOR,U,2) .S ORKS("ORK",DNGR_","_$G(ORNUM)_","_ORKOCNUM_","_$E(ORKMSG,1,225))=ORNUM_U_OCN_U_DNGR_U_ORKMSG_U_ORKOCNUM Q ; DUPLAB ;duplicate laboratory orders: N ORKLR,OCI S ORKLR=0,OCI="" S OCN=0,OCN=$O(^ORD(100.8,"B","DUPLICATE ORDER",OCN)) Q:+$G(OCN)<1 Q:$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",OCN,"I")="D" S DNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",OCN,"I") D DUP^ORKLR(.ORKLR,OI,ORKDFN,ODT,ORKPDATA) F S OCI=$O(ORKLR(OCI)) Q:OCI="" D .S ORKOCNUM=+$P(ORKLR(OCI),U) .S ORKMSG="Duplicate order: "_$P(ORKLR(OCI),U,2) .S ORKS("ORK",DNGR_","_$G(ORNUM)_","_ORKOCNUM_","_$E(ORKMSG,1,225))=ORNUM_U_OCN_U_DNGR_U_ORKMSG_U_ORKOCNUM Q ; LABFREQ ;lab order frequency restrictions: N ORKLR,OCI S ORKLR=0,OCI="" S OCN=0,OCN=$O(^ORD(100.8,"B","LAB ORDER FREQ RESTRICTIONS",OCN)) Q:+$G(OCN)<1 Q:$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",OCN,"I")="D" S DNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",OCN,"I") D ORFREQ^ORKLR2(.ORKLR,OI,ORKDFN_";DPT(",ODT,ORKPDATA) S OCI="" F S OCI=$O(ORKLR(OCI)) Q:OCI="" D .S ORKMSG=$P(ORKLR(OCI),U,2) .S ORKS("ORK",DNGR_","_$G(ORNUM)_","_$E(ORKMSG,1,225))=ORNUM_U_OCN_U_DNGR_U_ORKMSG Q ; PARAMS(ORKNAME,ORKNUM,ORKFLAG,ORKDNGR) ; get parameter values for an order chk S ORKNUM=0,ORKNUM=$O(^ORD(100.8,"B",ORKNAME,ORKNUM)) S ORKFLAG=$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",ORKNUM,"I") S ORKDNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",ORKNUM,"I") Q