| 1 | PSBVDLVL ;BIRMINGHAM/EFC-BCMA VIRTUAL DUE LIST FUNCTIONS ;Mar 2004 | 
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| 2 | ;;3.0;BAR CODE MED ADMIN;**6,3,12,11,13,32**;Mar 2004;Build 32 | 
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| 3 | ;Per VHA Directive 2004-038 (or future revisions regarding same), this routine should not be modified. | 
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| 4 | ; | 
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| 5 | ; | 
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| 6 | ; Reference/IA | 
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| 7 | ; $$GET^XPAR/2263 | 
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| 8 | ; | 
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| 9 | EN(RESULTS,DFN,PSBXOR,PSBTYPE,PSBADMIN,PSBTAB,PSBUID,PSBASTS,PSBORSTS,PSBRMV) ; | 
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| 10 | ; | 
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| 11 | ; RPC: PSB VALIDATE ORDER | 
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| 12 | ; | 
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| 13 | ; Description: Final check of order against an actual administration | 
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| 14 | ;              date/time used immediately after scanned med has been | 
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| 15 | ;              validated to be a good un-administered order. | 
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| 16 | ; | 
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| 17 | K PSBTST | 
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| 18 | N PSBFLAG | 
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| 19 | I PSBRMV="I" D GETOHIST^PSBRPC2(.PSBTST,DFN,PSBXOR_PSBTYPE) S I=0 F  S I=$O(PSBTST(I)) Q:I=""  I $P(PSBTST(I),U,5)="I" S RESULTS(0)=1,RESULTS(1)="-2^" K PSBTST Q | 
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| 20 | K PSBOKAY D CLEAN^PSBVT,PSJ1^PSBVT(DFN,PSBXOR_PSBTYPE) S PSB=0 | 
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| 21 | S RESULTS(0)=1,RESULTS(1)="-1^***Unable to determine administration" ; Default Flag will be overwritten by anything | 
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| 22 | D NOW^%DTC | 
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| 23 | I ((PSBOSTS="A")!(PSBOSTS="R"))&(PSBOSP<%) S PSBOSTS="E" | 
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| 24 | I PSBORSTS'=PSBOSTS,((PSBSCHT'="O")&(PSBOSTS'="E")) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-2^ORDER STATUS MISMATCH" Q | 
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| 25 | I ((PSBTAB="UDTAB")!(PSBTAB="PBTAB")),((PSBRMV="RM")!(PSBRMV="N")) D  Q | 
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| 26 | .S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^OKAY TO REMOVE"  ; patch removal does not follow rest of validte rules | 
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| 27 | .I PSBASTS="" Q  ;status is not given - don't check for missmatch | 
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| 28 | .I $D(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN)) S X=$O(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN,"")) I $P($G(^PSB(53.79,+X,0)),U,9)'=PSBASTS  S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-2^Admin status mismatch" | 
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| 29 | I PSBTYPE="V",PSBSCHT'="P",((PSBUID="")!(PSBUID["WS")) S RESULTS(0)=1,RESULTS(1)="0^Okay to administer" Q:PSBTAB="IVTAB" | 
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| 30 | I PSBTYPE="V",PSBUID'="" D  Q:PSBTAB="IVTAB"  ; validate IV bags Piggybacks have additional tests | 
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| 31 | .S PSB=0,PSBSUID=PSBUID D EN^PSBPOIV(DFN,PSBXOR_PSBTYPE) | 
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| 32 | .S X="" F  S X=$O(^TMP("PSBAR",$J,X)) Q:X=""  D | 
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| 33 | ..I PSBSUID'=X Q | 
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| 34 | ..S PSBUIDS=^TMP("PSBAR",$J,X) | 
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| 35 | ..I $P(PSBUIDS,U,2)="I"!($P(PSBUIDS,U,2)="S") S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Okay to administer" Q  ; is infusing or stopped | 
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| 36 | ..I $P(PSBUIDS,U,1)="I" S Y=$P(^TMP("PSBAR",$J,"I"),U,2) D DD^%DT S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=$P(^TMP("PSBAR",$J,"I"),U,3,99)_"  "_Y Q | 
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| 37 | ..I $P(PSBUIDS,U,1)["W" S PSBWS=$P(PSBUIDS,U,1) F PSBWM=2:1 Q:$P(PSBWS,";",PSBWM)=""  D | 
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| 38 | ...S Y=$P(^TMP("PSBAR",$J,"W",$P(PSBWS,";",PSBWM)),U,2) D DD^%DT S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=$P(^TMP("PSBAR",$J,"W",$P(PSBWS,";",PSBWM)),U,3,99)_" "_Y | 
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| 39 | ..S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Okay to administer" | 
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| 40 | .K ^TMP("PSBAR",$J) | 
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| 41 | ; | 
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| 42 | ; no IV orders | 
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| 43 | ; | 
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| 44 | D NOW^%DTC | 
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| 45 | I PSBOSTS="H" S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Order is on Provider Hold" Q | 
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| 46 | I PSBSCHT'="O"&(%<($$FMADD^XLFDT(PSBOST,"","",$$GET^XPAR("ALL","PSB ADMIN BEFORE")*-1))) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-1^Order Not Active" Q | 
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| 47 | I PSBSCHT'="O"&(%>PSBOSP) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-1^Order Not Active" Q | 
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| 48 | I (PSBSCHT="C")!((PSBSCHT="P")&(PSBDOSEF="PATCH")) D | 
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| 49 | .S PSBOKAY="0^Okay to administer" | 
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| 50 | .I PSBASTS["*UNKNOWN*" S PSBOKAY="-1^This administration has *UNKNOWN* status" Q | 
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| 51 | .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q | 
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| 52 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q | 
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| 53 | .S PSBFLAG=0 I PSBRMV="M"!(PSBRMV="H")!(PSBRMV="R") S PSBFLAG=1 | 
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| 54 | .I $D(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE)) D  Q:X | 
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| 55 | ..S X=0,PSBLADT=$O(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE,""),-1),PSBLAIEN=$O(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE,PSBLADT,""),-1) | 
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| 56 | ..I $P($G(^PSB(53.79,PSBLAIEN,0)),U,9)="G",$P($G(^PSB(53.79,PSBLAIEN,.5,1,0)),U,4)="PATCH",PSBFLAG=0 S X=1,PSBOKAY="-1^Previous patch has not been removed" Q | 
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| 57 | .I $D(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN)) D  Q:+PSBOKAY<0 | 
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| 58 | ..S X=$O(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN,"")) | 
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| 59 | ..L +^PSB(53.79,+X):1 | 
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| 60 | ..I  L -^PSB(53.79,+X) | 
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| 61 | ..E  S PSBOKAY="-1^The "_$$GET1^DIQ(53.79,+X_",",.13)_" administration is being edited by another" Q | 
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| 62 | ..I $G(PSBASTS)]"" D  Q:+PSBOKAY<0 | 
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| 63 | ...I $P($G(^PSB(53.79,+X,0)),U,9)="" Q | 
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| 64 | ...I $P($G(^PSB(53.79,+X,0)),U,9)'=PSBASTS S PSBOKAY="-2^Admin status mismatch" Q | 
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| 65 | .; Minutes before | 
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| 66 | .S PSBWIN1=$$GET^XPAR("DIV","PSB ADMIN BEFORE")*-1 | 
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| 67 | .; Minutes After | 
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| 68 | .S PSBWIN2=$$GET^XPAR("DIV","PSB ADMIN AFTER") | 
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| 69 | .D NOW^%DTC S PSBMIN=$$DIFF^PSBUTL(PSBADMIN,%) | 
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| 70 | .; PENDING A PC SOLUTION! | 
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| 71 | .I PSBMIN<PSBWIN1 S PSBOKAY="1^Admin is "_(PSBMIN*-1)_" minutes before the scheduled administration time" Q | 
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| 72 | .I PSBMIN>PSBWIN2 S PSBOKAY="1^Admin is "_(PSBMIN)_" minutes after the scheduled administration time" Q | 
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| 73 | .S PSBOKAY="0^Okay to administer" | 
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| 74 | ; Validate a PRN Order | 
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| 75 | D:(PSBSCHT="P") | 
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| 76 | .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q | 
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| 77 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q | 
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| 78 | .I (+($G(PSBOKAY))<0)&(PSBDOSEF="PATCH") Q  ;A Patch may have to be removed. | 
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| 79 | .S PSBOKAY="1^" | 
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| 80 | .; Get Last Four Givens | 
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| 81 | .S PSBDT="" | 
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| 82 | .F  S PSBDT=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,PSBDT),-1) Q:PSBDT=""  D | 
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| 83 | ..S PSBDA="" | 
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| 84 | ..F  S PSBDA=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,PSBDT,PSBDA),-1) Q:'PSBDA  D | 
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| 85 | ...S (PSBCNT1,PSBCNT2,PSBCNT3)=0 | 
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| 86 | ...S PSBLADT=$$GET1^DIQ(53.79,PSBDA_",",.06,"I") | 
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| 87 | ...S PSBSTUS=$$GET1^DIQ(53.79,PSBDA_",",.09) | 
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| 88 | ...S:PSBSTUS="" PSBSTUS="U" | 
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| 89 | ...S PSBSCH=$$GET1^DIQ(53.79,PSBDA_",",.12) | 
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| 90 | ...S PSBRSN=$$GET1^DIQ(53.79,PSBDA_",",.21) | 
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| 91 | ...S PSBINJ=$$GET1^DIQ(53.79,PSBDA_",",.16) | 
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| 92 | ...Q:$P(^PSB(53.79,PSBDA,0),U,9)="N" | 
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| 93 | ...F PSBZ=.5,.6,.7 F PSBY=0:0 S PSBY=$O(^PSB(53.79,PSBDA,PSBZ,PSBY)) Q:'PSBY  D | 
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| 94 | ....Q:'$D(^PSB(53.79,PSBDA,PSBZ,PSBY)) | 
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| 95 | ....S PSBDD=$S(PSBZ=.5:53.795,PSBZ=.6:53.796,1:53.797) | 
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| 96 | ....S PSBUNIT=$$GET1^DIQ(PSBDD,PSBY_","_PSBDA_",",.03) | 
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| 97 | ....S PSBUNFR=$$GET1^DIQ(PSBDD,PSBY_","_PSBDA_",",.04) | 
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| 98 | ....I PSBZ=.5 S PSBCNT1=PSBCNT1+1 | 
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| 99 | ....I PSBZ=.6 S PSBCNT2=PSBCNT2+1 | 
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| 100 | ....I PSBZ=.7 S PSBCNT3=PSBCNT3+1 | 
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| 101 | ...;Units given or free text not to display for multiple dispense drugs or additives and solution | 
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| 102 | ...I (PSBCNT1>1)!(PSBCNT2>0)!(PSBCNT3>0) S (PSBUNIT,PSBUNFR)="" | 
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| 103 | ...S X=PSBLADT_U | 
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| 104 | ...S X=X_PSBSTUS_U_PSBSCH_U_$G(PSBRSN)_U_$G(PSBINJ)_U_$G(PSBUNIT)_U_$G(PSBUNFR) | 
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| 105 | ...S PSBOKAY($O(PSBOKAY(""),-1)+1)=3_U_X | 
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| 106 | ...S:$D(PSBOKAY(4)) PSBDT=0 | 
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| 107 | .S X1=$$LASTG^PSBCSUTL(DFN,+PSBOIT) I X1>0 S PSBOKAY($O(PSBOKAY(""),-1)+1)=4_U_X1 | 
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| 108 | ; Validate a One-Time Order | 
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| 109 | D:PSBSCHT="O" | 
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| 110 | .S (PSBGVN,X,Y)="" | 
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| 111 | .F  S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X),-1)  Q:'X  F  S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X,Y),-1) Q:'Y  I $P(^PSB(53.79,Y,.1),U)=PSBONX,"G"[$P(^PSB(53.79,Y,0),U,9) S PSBGVN=1,(X,Y)=0 | 
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| 112 | .I PSBGVN S PSBOKAY="-1^Dose Already on medication Log" Q | 
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| 113 | .; One Time are automatically expired so we don't check STATUS here | 
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| 114 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q | 
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| 115 | .S PSBOKAY="0^Okay to administer" | 
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| 116 | ; Validate an On Call Order | 
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| 117 | D:PSBSCHT="OC" | 
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| 118 | .S PSBOKAY="0^Okay to administer" | 
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| 119 | .S (PSBGVN,X,Y)="" | 
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| 120 | .F  S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X),-1)  Q:'X  F  S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X,Y),-1) Q:'Y  I $P(^PSB(53.79,Y,.1),U)=PSBONX,"G"[$P(^PSB(53.79,Y,0),U,9) S PSBGVN=1,(X,Y)=0 | 
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| 121 | .I PSBGVN&('$$GET^XPAR("DIV","PSB ADMIN MULTIPLE ONCALL")) S PSBOKAY="-1^Dose Already on medication Log" Q | 
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| 122 | .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q | 
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| 123 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q | 
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| 124 | .I PSBGVN&($$GET^XPAR("DIV","PSB ADMIN MULTIPLE ONCALL"))&(PSBDOSEF="PATCH") S PSBOKAY="-1^Previous patch has not been removed" Q | 
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| 125 | .S PSBOKAY="0^Okay to administer" | 
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| 126 | ; | 
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| 127 | D:+PSBOKAY'<0 | 
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| 128 | .N PSBDIFF,Y | 
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| 129 | .D:(PSBSCHT="C")!(PSBSCHT="OC"&('$G(PSBGVN))) | 
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| 130 | ..; On-call or cont and not on the log. | 
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| 131 | ..S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,""),-1) | 
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| 132 | ..;Check for the status of the medication and insert status in the text | 
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| 133 | ..I Y]"" S X=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,Y,""),-1),PSBSTUS=$P(^PSB(53.79,X,0),U,9) | 
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| 134 | ..S:Y']"" PSBSTUS="" | 
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| 135 | ..I PSBSTUS="N" D  Q:$G(PSBQUIT) | 
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| 136 | ...S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,Y,X),-1) | 
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| 137 | ...D:X']"" | 
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| 138 | ....S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,Y),-1) I Y']"" S PSBQUIT=1 Q | 
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| 139 | ....S X=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,Y,""),-1),PSBSTUS=$P(^PSB(53.79,X,0),U,9) | 
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| 140 | ..S PSBDIFF=$$FMDIFF^XLFDT($$NOW^XLFDT(),Y,2) | 
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| 141 | ..Q:PSBDIFF>7200  ; Greater than 2 hours | 
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| 142 | ..I (PSBSTUS="G")!(PSBSTUS="H")!(PSBSTUS="R")!(PSBSTUS="RM") D | 
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| 143 | ...S PSBSTUS=$$GET1^DIQ(53.79,X_",",.09) | 
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| 144 | ...I PSBSTUS'="" D | 
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| 145 | ....S Y="1^*** NOTICE, "_PSBOITX_" was "_PSBSTUS_" "_(PSBDIFF\60)_" minutes ago." | 
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| 146 | ....I +PSBOKAY=1 S PSBOKAY(1)=Y | 
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| 147 | ....E  S PSBOKAY=Y | 
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| 148 | ; | 
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| 149 | S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=PSBOKAY | 
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| 150 | F X=1:1 Q:'$D(PSBOKAY(X))  S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=PSBOKAY(X) | 
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| 151 | Q | 
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| 152 | ; | 
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