ORMEVNT ;SLC/MKB-Trigger HL7 msg off MAS events ;3/31/04 09:21 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**24,45,70,79,141,165,177,186,195**;Dec 17, 1997 ; EN1 ; -- tasked entry point Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5) ;skip lodger mvts N ZTDESC,ZTIO,ZTRTN,ZTDTH,ZTSAVE,ZTSK,I S ZTDESC="Auto-DC and/or Release orders on MAS movement",ZTIO="" S ZTRTN="EN^ORMEVNT",ZTDTH=$H,ZTSAVE("^UTILITY(""DGPM"",$J,")="" F I="DFN","DGPMDA","DGPMA","DGPMP","DGPMT" S ZTSAVE(I)="" D ^%ZTLOAD ;D EN^ORYDGPM Q ; EN ; -- main entry point S:$D(ZTQUEUED) ZTREQ="@" Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5) I '$G(DGPMP) S ^XTMP("OREVENT",DFN,DGPMDA,0)=DT_U_$$FMADD^XLFDT(DT,2)_U_"Event process flag" ;195 I $G(DGPMP),$D(^XTMP("OREVENT",DFN,DGPMDA)) D EN1 ;195 edits processed after new N XQORQUIT,XQORPOP,DTOUT,DUOUT,DIRUT,DIROUT ;protect protocol context N VAIP,DONE,ORVP,ORWARD,ORTS,ORL,ORDIV,ORLAST,X,Y,I,ORCURRNT,OREVENT,ORDCRULE,ORACT,ORPRINT S VAIP("E")=DGPMDA D IN5^VADPT M ORVP=VAIP I '$G(DGPMA) D Q ;deleted . N LAST,OREVT S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1 . S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0)) . D ACTLOG^OREVNTX(OREVT,"DL") A ; S ORVP=+DFN_";DPT(",ORTS=+$G(^DPT(DFN,.103)),ORWARD=$G(^(.1)) S ORWARD=$S($L(ORWARD):+$O(^DIC(42,"B",ORWARD,0)),1:0) S ORL=$S(ORWARD:+$G(^DIC(42,ORWARD,44))_";SC(",1:""),ORDIV=$$DIV(+ORL) S ORLAST("TS")=$$PREVTS,X=+VAIP(15,4) F I="WD","LOC","DIV" S ORLAST(I)="" S:X ORLAST("WD")=X,Y=+$G(^DIC(42,X,44)),ORLAST("LOC")=Y_";SC(",ORLAST("DIV")=$$DIV(Y) S ORCURRNT=$$CURRENT,OREVENT=$$PATEVT,ORACT=$S($G(DGPMP):"ED",1:"NW") I OREVENT=-1 D EN1 Q ;195 Can't lock, retry I $G(DGPMP),$D(^ORE(100.2,"ADT",DGPMDA)) D Q:$G(DONE) ;edited . N LAST,OREVT,DA,X,I S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1 . S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0)),DA=+$O(^(OREVT,0)) . S X=$G(^ORE(100.2,OREVT,10,DA,0)) ;last activity on movement . I $P(X,U,5)=+$G(VAIP(4)),$P(X,U,6)=+$G(VAIP(8)),$P(X,U,7)=+$G(VAIP(5)) S DONE=1 Q ;no change . I 'OREVENT D ACTLOG^OREVNTX(OREVT,"ED",$$TYPE(DGPMT),1) S DONE=1 B ; I '$G(DGPMP),ORCURRNT D ;new mvt - autoDC . I $D(^ORE(100.2,"ADT",DGPMDA)) D Q:$G(DONE) ;ReEntered .. N LAST,OREVT S DONE=0 .. S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1),OREVT=+$O(^(LAST,0)) .. Q:+ORVP'=+$G(^ORE(100.2,OREVT,0)) ;diff pat -> diff mvt .. S ORACT="RE",DONE=1 Q:OREVENT ;log on new event instead .. D ACTLOG^OREVNTX(OREVT,ORACT,$$TYPE(DGPMT),1) . I DGPMT=3 D COMP("ALG") ;keep until GMRA*4*15 gets out . S ORDCRULE=$$DCEVT D:ORDCRULE AUTODC^ORMEVNT1(ORDCRULE,$P(DGPMA,U)) . I DGPMT=1!(DGPMT=2&("^13^40^"[("^"_$P(DGPMA,U,18)_"^"))) I $G(^XTMP("ORDCOBS-"_+ORVP,0)) D REINST ;186 TO ASIH tran mvmt C ; I OREVENT D ;release delayed orders, complete event . D RELEASE^ORMEVNT1(OREVENT),DONE^OREVNTX(OREVENT,$P(DGPMA,U),DGPMDA) . I '$G(VAIP(1)) M VAIP=ORVP ;reset for ACTLOG use . D ACTLOG^OREVNTX(OREVENT,ORACT,$$TYPE(DGPMT),1) . I DGPMT=1,'$P($G(^ORE(100.2,+OREVENT,0)),U,3) S $P(^(0),U,3)=DGPMDA . ;D UNLEVT^ORX2(OREVENT) I $O(ORPRINT(0)),$G(ORL) D PRINTS^ORWD1(.ORPRINT,+ORL) I DGPMT=3,ORCURRNT,'$G(DGPMP) D DISCH ;lapse remaining events I '$G(DFN),$G(ORVP) S DFN=+ORVP ;just in case D:$G(OREVENT) UNLEVT^ORX2(OREVENT) K ^XTMP("OREVENT",DFN,DGPMDA) ;195 Q ; CURRENT() ; -- Returns 1 or 0, if DGPMDA is the latest movement N Y,LAST,LASTYPE,LASTDT S Y=0 S LAST=+VAIP(14),LASTDT=+VAIP(14,1),LASTYPE=+VAIP(14,2) ; VAIP(14) = last physical movement for the admission I DGPMT=6 D G CQ . N CA,IDT I LAST,LASTDT>+VAIP(3) Q ;last physical mvt . S CA=+VAIP(13),IDT=9999999.9999999-VAIP(3) . I '$O(^DGPM("ATS",DFN,CA,IDT),-1) S Y=1 Q ;last TS mvt I DGPMT=3 D ;get last mvt overall . N VAIP,Y S VAIP("D")="LAST" D IN5^VADPT . S LAST=+VAIP(14),LASTYPE=+VAIP(14,2) ;reset I LAST=DGPMDA S Y=1 G CQ ;primary mvt I $D(^UTILITY("DGPM",$J,LASTYPE,LAST)) S Y=1 ;secondary mvt CQ Q Y ; PREVTS() ; -- Returns previous treating specialty N TS,TSP,CA,ID,LAST,Y S TS=+$O(^UTILITY("DGPM",$J,6,0)),TSP=$G(^(TS,"P")) I $G(TSP) S Y=+$P(TSP,U,9) G PRVQ ;edited TS mvt ; look for TS mvt since last phys mvt S CA=$P(DGPMA,U,14),ID=9999999.9999999-DGPMA S LAST=+$O(^DGPM("ATS",DFN,CA,ID)),Y=$S(LAST:+$O(^(LAST,0)),1:+VAIP(15,6)) PRVQ Q Y ; TYPE(X) ; -- Return type of event from MAS code N Y S Y=$S(X=1:"A",X=2:"T",X=3:"D",X=6:"S",1:"") Q Y ; DIV(LOC) ; -- Return Institution file #4 ptr for LOC N X0,Y S X0=$G(^SC(+LOC,0)) S Y=$S($P(X0,U,4):$P(X0,U,4),$P(X0,U,15):$$SITE^VASITE(DT,$P(X0,U,15)),1:+$G(DUZ(2))) Q Y ; PATEVT() ; -- Find match to new data in Patient Event file N TYPE,MVTYPE,EVT,IFN,X0,Y S Y="" G:'$G(ORCURRNT) PTQ S TYPE=$S(DGPMT=1:"A",DGPMT=3:"D",DGPMT=2!(DGPMT=6):"T",1:""),EVT=0 S MVTYPE=$P(DGPMA,U,18),TYPE(1)="",MVTYPE(1)="" I DGPMT=2,MVTYPE=13 S TYPE(1)="A",MVTYPE(1)=40 ;To ASIH I DGPMT=3,MVTYPE=41 S TYPE(1)="T",MVTYPE(1)=14 ;From ASIH I DGPMT'=3,$$GET1^DIQ(45.7,+$G(ORTS)_",","SPECIALTY:SERVICE")="NHCU" S TYPE(1)=$S(TYPE="A":"T",1:"A") ;DBIA #1154 F S EVT=+$O(^ORE(100.2,"AE",DFN,EVT)) Q:EVT<1 S IFN=+$O(^(EVT,0)) D Q:Y . Q:$$LAPSED^OREVNTX(+IFN) Q:$P($G(^ORE(100.2,IFN,1)),U,5) . S X0=$G(^ORD(100.5,EVT,0)) Q:$P(X0,U,3)'=ORDIV . I $P(X0,U,2)'=TYPE,$P(X0,U,2)'=TYPE(1) Q ;Xaction type . I $P(X0,U,7),$P(X0,U,7)'=MVTYPE,$P(X0,U,7)'=MVTYPE(1) Q ;Mvt type . I $O(^ORD(100.5,EVT,"TS",0)) Q:'$D(^("B",ORTS)) Q:ORTS=ORLAST("TS")&(ORDIV=ORLAST("DIV")) . I $O(^ORD(100.5,EVT,"LOC",0)) Q:'$D(^("B",ORWARD)) Q:ORWARD=ORLAST("WD") . S Y=+IFN ;ok I Y S:'$$LCKEVT^ORX2(Y) Y=-1 ;195 Lock event if possible PTQ Q Y ; DCEVT() ; -- Find match to event in AutoDC Rules file for [new] ORDIV,ORTS,ORL N MVTYPE,DIV,XFER,ORY,EXC,OBS S OBS=$S(DGPMT=3:$$MVT^DGPMOBS(DGPMDA),1:0) ;observation mvt S MVTYPE=+$P(DGPMA,U,18) S:MVTYPE=41 MVTYPE=14 S:MVTYPE=40 MVTYPE=13 ;ASIH- 186 S XFER=$S(DGPMT=2:1,DGPMT=6:1,MVTYPE'=14:0,OBS:0,1:1) I DGPMT=2,MVTYPE=13,$G(^XTMP("ORDCOBS-"_+ORVP,"READMIT")) S ORY=0 K ^XTMP("ORDCOBS-"_+ORVP,"READMIT") G DCQ ;186 Obs readmit from ASIH don't auto-dc I XFER,ORLAST("TS")'=ORTS,$D(^ORD(100.6,"AC",ORDIV,20)) S MVTYPE=20 ;TS S DIV=ORDIV I DGPMT=3,MVTYPE'=14 S DIV=ORLAST("DIV") ;discharge S ORY=+$O(^ORD(100.6,"AC",ORDIV,MVTYPE,0)) K:ORY<1&(DGPMT=3)&(OBS) ^XTMP("ORDCOBS-"_+ORVP) G:ORY<1 DCQ ;186, If obs, no active rule, no reinstate I MVTYPE=20,$D(^ORD(100.6,ORY,4,ORLAST("TS"),1,ORTS))!(ORTS=ORLAST("TS")) S ORY=0 G DCQ I MVTYPE=4 D G DCQ ;ck Div and Loc multiples . I ORLAST("DIV")'=ORDIV S:'$D(^ORD(100.6,ORY,6,ORLAST("DIV"))) ORY=0 Q . N OLD,INCL S INCL=0 ;ck incl loc's . F OLD=+ORLAST("LOC"),"ALL" I $D(^ORD(100.6,ORY,5,"ADC",OLD,+ORL))!$D(^("ALL")) S INCL=1 Q . S:'INCL ORY=0 I DGPMT=3,OBS D ;readmitting from observation? . N TORY . S TORY=ORY . S EXC=+$P($G(^ORD(100.6,ORY,0)),U,6) S:EXC=2 ORY=0 ;ignore rule . I EXC=1,'$D(ZTQUEUED),$$READMIT S ORY=0 . I ORY=0 D DCGEN^ORMEVNT2,TIMER^ORMEVNT2 S:"^14^41^"[("^"_$P(DGPMA,U,18)_"^") ^XTMP("ORDCOBS-"_+ORVP,"READMIT")=1 ;177,186 . K:ORY ^XTMP("ORDCOBS-"_+ORVP) ;have rule -> dc, don't reinstate meds DCQ Q ORY ; READMIT() ; -- Return 1 or 0, if patient is being readmitted N X,Y,DIR S DIR(0)="YA",DIR("A")="Will the patient be re-admitted immediately? " S DIR("?")="Enter YES if the patient is to be admitted to the hospital immediately following this discharge from observation." D ^DIR S:$D(DTOUT)!$D(DUOUT) Y="^" Q Y ; COMP(ORDG) ; -- Complete orders on event [Keep until GMRA*4*15] N ORI,ORLIST,ORIFN,OREDT I 'ORDG S:ORDG?1.U ORDG=+$O(^ORD(100.98,"B",ORDG,0)) Q:ORDG'>0 D EN^ORQ1(ORVP,ORDG,2) S ORI=0,OREDT=$P(DGPMA,U) F S ORI=$O(^TMP("ORR",$J,ORLIST,ORI)) Q:ORI'>0 S ORIFN=^(ORI) D STATUS^ORCSAVE2(+ORIFN,2) S:$G(OREDT) $P(^OR(100,+ORIFN,3),U)=OREDT,$P(^(6),U,6)=OREDT Q ; LOC(NODE) ; -- Returns [new] patient location from NODE N X,Y S X=$P($G(NODE),U,6) I X'>0 S X=$P($G(^DPT(+ORVP,.1)),U) S:$L(X) X=$O(^DIC(42,"B",X,0)) S Y=+$G(^DIC(42,+X,44))_";SC(" Q Y ; DISCH ; -- Lapse/cancel outstanding events on discharge D DISCH^ORMEVNT2 ;195 Code moved to ORMEVNT2 for space considerations Q ; XTMP ; -- Save ORIFN to possibly reinstate on admission ; Also uses ORVP, DGPMDA Q:'$G(DGPMDA) Q:'$G(ORIFN) Q:'$G(ORVP) N ORNOW S ORNOW=+$$NOW^XLFDT I $G(^XTMP("ORDCOBS-"_+ORVP,0)),+^(0)