ORKCHK6 ; slc/CLA - Support routine called by ORKCHK to do SESSION mode order checks ;3/6/97 9:35 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**6,32,74,87,94,123,162,190,249**;Dec 17, 1997 Q ; EN(ORKS,ORKDFN,ORKA,ORENT,ORKTMODE) ;perform order checking for entire ordering session 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 ORKMSG,ORKDGI,ORKT,ORKTXT,ORKPDATA ; 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) ; S:ORKDG="PSJ" ORKDG="PSI" I $E(ORKDG,1,2)="PS" D PHARM I $E(ORKDG,1,2)'="PS" D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"SESSION") Q ; PHARM ;process pharmacy order checks: N ORPSPKG,ORPSA,ORKDD N ORCRITN,ORCRITF,ORCRITD,ORSIGN,ORSIGF,ORSIGD,ORDUPN,ORDUPF,ORDUPD,ORDUPC,ORDUPCF,ORDUPCD ; D PARAMS("CRITICAL DRUG INTERACTION",.ORCRITN,.ORCRITF,.ORCRITD) D PARAMS("SIGNIFICANT DRUG INTERACTION",.ORSIGN,.ORSIGF,.ORSIGD) D PARAMS("DUPLICATE DRUG ORDER",.ORDUPN,.ORDUPF,.ORDUPD) D PARAMS("DUPLICATE DRUG CLASS ORDER",.ORDUPCN,.ORDUPCF,.ORDUPCD) ; ;dispense drug selected: I $L($G(HL7LPTR)),($G(HL7LCOD)="99PSD") D .D RXOCS .D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"SESSION") ; ;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,"SESSION") Q ; RXOCS ;drug-drug interaction, duplicate drug order, duplicate drug class Q:ORCRITF_ORSIGF_ORDUPF_ORDUPCF'["E" ;quit if none are "E"nabled N ORKRX,ORPSNUM I $L($G(HL7LPTR)),($G(HL7LCOD)="99PSD") D .D CHKSESS^ORKPS(.ORKRX,ORKDFN,HL7LPTR,OI,ORKPDATA,ORKDG) .N CHK,XX S CHK=0,XX="" .F S CHK=$O(ORKRX(CHK)) Q:'CHK D ..S XX=ORKRX(CHK) ..; ..;critical drug interaction: ..I $P(XX,U)="DI",$P(XX,U,5)="CRITICAL" D ...Q:ORCRITF="D" ...S ORPSNUM=$P(XX,U,8) ;get the associated order number ...I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]" ...E S ORKTXT=$P(XX,U,3) ...S ORKMSG=$P(XX,U,5)_" drug-drug interaction: "_$P(XX,U,6)_" & "_$P(XX,U,7) ...S ORKS("ORK",ORCRITD_","_$G(ORNUM)_","_ORPSNUM_","_$E(ORKMSG,1,225))=ORNUM_U_ORCRITN_U_ORCRITD_U_ORKMSG_" ("_ORKTXT_")"_U_$G(ORPSNUM) ..; ..;significant drug interaction: ..I $P(XX,U)="DI",$P(XX,U,5)="SIGNIFICANT" D ...Q:ORSIGF="D" ...S ORPSNUM=$P(XX,U,8) ;get the associated order number ...I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]" ...E S ORKTXT=$P(XX,U,3) ...S ORKMSG=$P(XX,U,5)_" drug-drug interaction: "_$P(XX,U,6)_" & "_$P(XX,U,7) ...S ORKS("ORK",ORSIGD_","_$G(ORNUM)_","_ORPSNUM_","_$E(ORKMSG,1,225))=ORNUM_U_ORSIGN_U_ORSIGD_U_ORKMSG_" ("_ORKTXT_")"_U_$G(ORPSNUM) ..; ..;duplicate drug: ..I $P(XX,U)="DD" D ...Q:ORDUPF="D" ...S ORPSNUM=$P(XX,U,4) ;get the associated order number ...I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]" ...E S ORKTXT=$P(XX,U,3) ...S ORKMSG="Duplicate drug order: "_ORKTXT ...S ORKS("ORK",ORDUPD_","_$G(ORNUM)_","_ORPSNUM_",Duplicate drug order: "_$P(XX,U,3))=ORNUM_U_ORDUPN_U_ORDUPD_U_ORKMSG_U_$G(ORPSNUM) ..; ..;duplicate class: ..I $P(XX,U)="DC" D ...Q:ORDUPCF="D" ...S ORPSNUM=$P(XX,U,6) ;get the associated order number ...I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]" ...E S ORKTXT=$P(XX,U,5) ...S ORKMSG="Duplicate drug class order: "_$P(XX,U,3) ...S ORKS("ORK",ORDUPCD_","_$G(ORNUM)_","_ORPSNUM_","_$E(ORKMSG,1,225))=ORNUM_U_ORDUPCN_U_ORDUPCD_U_ORKMSG_" ("_ORKTXT_")"_U_$G(ORPSNUM) Q ; OI2DD(ORPSA,OROI,ORPSPKG) ;rtn dispense drugs for a PS OI N PSOI Q:'$D(^ORD(101.43,OROI,0)) S PSOI=$P($P(^ORD(101.43,OROI,0),U,2),";") Q:+$G(PSOI)<1 D DRG^PSSUTIL1(.ORPSA,PSOI,ORPSPKG) Q ; PARAMS(ORKNAME,ORKNUM,ORKFLAG,ORKDNGR) ; get parameter values for an order chk S ORKNUM=0,ORKNUM=$O(^ORD(100.8,"B",ORKNAME,ORKNUM)) S ORKFLAG=$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",ORKNUM,"I") S ORKDNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",ORKNUM,"I") Q