source: FOIAVistA/trunk/r/ORDER_ENTRY_RESULTS_REPORTING-OR-OCX--ORRC--ORRJ/ORCACT01.m@ 1397

Last change on this file since 1397 was 628, checked in by George Lilly, 15 years ago

initial load of FOIAVistA 6/30/08 version

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1ORCACT01 ;SLC/MKB-Validate order actions cont ;5/6/04 20:39
2 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**94,116,134,141,163,187,190,213**;Dec 17, 1997
3 ;
4ES ; -- sign [on chart]
5 I ORDSTS=11,VER<3,PKG'="OR" S ERROR="This order cannot be released and must be discontinued!" Q
6 N X I ACTSTS=11!(ACTSTS=10) D Q:$L($G(ERROR))
7 . I $P(ORA0,U,2)="DC",$$DONE^ORCACT0 D CANCEL^ORCSEND(+IFN),UNOTIF^ORCSIGN S OREBUILD=1 Q
8 . S X=$$DISABLED^ORCACT0 I X S ERROR=$P(X,U,2) Q
9 I ACTION="OC",$G(DG)="NV RX" S:MEDPARM<2 ERROR="You are not authorized to release non-VA med orders!" Q
10 S X=$P(ORA0,U,4) I X=3 S:ACTSTS'=11&(ACTSTS'=10) ERROR="This order does not require a signature!" Q
11 I X'=2 S ERROR="This order has been signed!" Q
12 I DG="O RX",ACTION'="ES",ACTION'="DS",$G(NATR)'="I" S ERROR="Outpatient meds may not be released without a clinician's signature!" Q
13 I (ACTION="ES"!(ACTION="DS")),$D(^XUSEC("ORELSE",DUZ)),$P(OR0,U,16)'<2 S ERROR="You are not privileged to sign this order!" Q
14 I ACTION="OC" S:MEDPARM<2 ERROR="You are not authorized to release med orders!" Q
15 I ACTION="RS" D Q:$D(ERROR) Q:$G(NATR)'="I"
16 . Q:ACTSTS=11 Q:ACTSTS=10 ;unreleased - ok
17 . S ERROR="This order has already been released!"
18ES1 I PKG="PS" D ;authorized to write meds?
19 . N TYPE,OI,PSOI,DEAFLG,PKI
20 . S X=$G(^VA(200,DUZ,"PS"))
21 . I '$P(X,U) S ERROR="You are not authorized to sign med orders!" Q
22 . I $P(X,U,4),$$NOW^XLFDT>$P(X,U,4) S ERROR="You are no longer authorized to sign med orders!" Q
23 . Q:DG="IV RX" Q:$P(ORA0,U,2)="DC" ;don't need to ck DEA#
24 . S OI=+$$VALUE^ORX8(+IFN,"ORDERABLE")
25 . S PSOI=+$P($G(^ORD(101.43,OI,0)),U,2) Q:PSOI'>0
26 . S TYPE=$S($P(DG," ")="O":"O",1:"I"),DEAFLG=$$OIDEA^PSSUTLA1(PSOI,TYPE)
27 . I DEAFLG>0,'$L($$DEA^XUSER()) S ERROR="You must have a valid DEA# or VA# to sign this order!" Q
28 . D PKISITE^ORWOR(.PKI)
29 . I $G(PKI),ACTION="RS",DEAFLG=1 S ERROR="This order cannot be released without a Digital Signature" Q
30 Q
31 ;
32XFR ; -- transfer to inpt/outpt [IFN=order to be transferred]
33 N OI,PS I DG="TPN" S ERROR="TPN orders may not be copied!" Q
34 I $$INACTIVE S ERROR="Orders for inactive orderables may not be transferred; please enter a new order!" Q
35 S OI=+$O(^OR(100,+IFN,.1,"B",0)),ORPS=$G(^ORD(101.43,OI,"PS"))
36 I DG="UD RX",'$P(ORPS,U,2) S ERROR="This drug may not be ordered for an outpatient!" Q
37 I DG="O RX" D Q:$L($G(ERROR))
38 . I '$P(ORPS,U) S ERROR="This drug may not be ordered for an inpatient!" Q
39 . D:$O(^OR(100,+IFN,4.5,"ID","MISC",0)) DOSES^ORCACT02(+IFN)
40 Q
41 ;
42RW ; -- rewrite/copy
43 I ACTSTS=12 S ERROR="Orders that have been dc'd due to editing may not be copied!" Q
44 I DG="NV RX" S ERROR="Non-VA Med orders cannot be copied!" Q
45 I DG="TPN" S ERROR="TPN orders may not be rewritten!" Q
46 I DG="UD RX",$$NTBG(+IFN) S ERROR="This order has been marked 'Not to be Given' and may not be rewritten!" Q
47 I $$INACTIVE S ERROR="Orders for inactive orderables may not be copied; please enter a new order!" Q
48 I PKG="PS",'$$MEDOK S ERROR="This drug may not be ordered!" Q
49 I DG="O RX",$O(^OR(100,+IFN,4.5,"ID","MISC",0)) D DOSES^ORCACT02(+IFN) ;old form
50 Q
51 ;
52RN ; -- renew
53 I PKG'="PS",PKG'="OR" S ERROR="This order may not be renewed!" Q
54 I (ORDSTS=11)!(ORDSTS=10) S ERROR="This order has not been released to the service." Q
55 I ACTSTS=12 S ERROR="Orders that have been dc'd due to editing may not be renewed!" Q
56 I $P(OR3,U,6) S ERROR="This order has already been "_$S($P($G(^OR(100,+$P(OR3,U,6),3)),U,11)=1:"changed!",1:"renewed!") Q
57 I PKG="OR" D Q ;Generic orders
58 . I $$INACTIVE S ERROR="Orders for inactive orderables may not be renewed!" Q
59 . I DG="ADT" S ERROR="M.A.S. orders may not be renewed!" Q
60 . I "^1^2^6^7^"[(U_ORDSTS_U) Q ;ok
61 . S ERROR="This order may not be renewed!"
62 I (PKG="PS"),$$INACTIVE S ERROR="Orders for inactive orderables may not be renewed!" Q
63 I '$$MEDOK S ERROR="This drug may not be ordered!" Q
64RN1 N PSIFN S PSIFN=$G(^OR(100,+IFN,4))
65 I PSIFN<1,'$O(^OR(100,+IFN,2,0)) S ERROR="Missing or invalid order number!" Q
66 I DG="O RX" D Q ;Outpt Meds
67 . N ORZ,ORD S ORZ=$L($T(RENEW^PSORENW),",")
68 . I ORZ>1 S ORD=+$$VALUE^ORX8(+IFN,"DRUG"),X=$$RENEW^PSORENW(PSIFN,ORD)
69 . S:ORZ'>1 X=$$RENEW^PSORENW(PSIFN) I X<1 S ERROR=$P(X,U,2) Q
70 . S X=+$P(X,U,2) D:X RESET(+IFN,X)
71 . I $O(^OR(100,+IFN,4.5,"ID","MISC",0)) D DOSES^ORCACT02(+IFN) ;old format
72 I DG="UD RX",$$NTBG(+IFN) S ERROR="This order has been marked 'Not to be Given' and may not be renewed!" Q
73 I ORDSTS=7,'$$IV,$P(OR0,U,9)<$$FMADD^XLFDT(DT,-4) S ERROR="Inpatient med orders may not be renewed more than 4 days after expiration!" Q
74 I ORDSTS'=6,ORDSTS'=7 S ERROR="This order may not be renewed!" Q
75RN2 I $O(^OR(100,+IFN,2,0))!$P(OR3,U,9) D Q:$D(ERROR)!'PSIFN
76 . I $P(OR3,U,9),$$VALUE^ORX8(+IFN,"SCHEDULE",1,"E")="NOW" S ERROR="One-time NOW orders may not be renewed!" Q
77 . N DAD,ORD3,I,Y S DAD=$S($P(OR3,U,9):+$P(OR3,U,9),1:+IFN),Y=0
78 . S ORD3=$G(^OR(100,DAD,3)) I $P(ORD3,U,6) S ERROR="This complex order has already been renewed!" Q
79 . I $P(ORD3,U,3)'=6 S ERROR="This complex order is not active and may not be renewed!" Q
80 . I '$$AND^ORX8(DAD) S ERROR="Complex orders with sequential doses may not be renewed!" Q
81 . S I=0 F S I=+$O(^OR(100,DAD,2,I)) Q:I<1 D Q:Y
82 .. I I=+$O(^OR(100,DAD,2,0)),$$VALUE^ORX8(I,"SCHEDULE",1,"E")="NOW",$$VALUE^ORX8(DAD,"NOW") Q ;ignore NOW orders
83 .. I $P($G(^OR(100,I,3)),U,3)'=6 S Y=1,ERROR="Complex orders with terminated doses may not be renewed!" Q
84 .. I PSIFN<1 S X=$$ACTIVE^PSJORREN(+ORVP,$G(^OR(100,I,4))) I +X'=1 S ERROR="This order may not be renewed: "_$S(+X>1:"Inactive orderable item",1:$P(X,U,2)) Q
85 ;I DG="TPN" S ERROR="TPN orders may not be renewed!" Q
86 S X=$$ACTIVE^PSJORREN(+ORVP,PSIFN) Q:+X=1 ;Ok
87 I +X>1,$P(X,U,2) D RESET(+IFN,+$P(X,U,2)) Q ;replace OI
88 S ERROR="This order may not be renewed: "_$P(X,U,2)
89 Q
90 ;
91XX ; -- edit/change--
92 I PKG="RA",ORDSTS'=11,ORDSTS'=10 S ERROR="Orders released to Radiology cannot be changed!" Q
93 I PKG="LR",ORDSTS'=11,ORDSTS'=10 S ERROR="Orders released to Lab cannot be changed!" Q
94 I PKG="FH",ORDSTS'=11,ORDSTS'=10 S ERROR="Orders released to Dietetics cannot be changed!" Q
95 I PKG="GMRC",ORDSTS'=11,ORDSTS'=10 S ERROR="Orders released to Consults cannot be changed!" Q
96 I DG="TPN" S ERROR="TPN orders may not be changed!" Q
97 I ORDSTS=3 S ERROR="Orders on hold may not be changed!" Q
98 I DG="UD RX",$$NTBG(+IFN) S ERROR="This order has been marked 'Not to be Given' and may not be changed!" Q
99 I $O(^OR(100,+IFN,2,0)) S ERROR="Complex orders may not be changed!" Q
100 I $P(OR3,U,9) D Q:$D(ERROR)
101 . Q:$$VALUE^ORX8(+IFN,"SCHEDULE",1,"E")="NOW" ;NOW ok
102 . Q:'$O(^OR(100,+$P(OR3,U,9),4.5,"ID","CONJ",0)) ;no conj=1dose/ok
103 . S ERROR="Complex orders may not be changed!" Q
104 I $P(OR3,U,6) S ERROR="This order may not be changed - a "_$S($P($G(^OR(100,+$P(OR3,U,6),3)),U,11)=1:"change",1:"renewal")_" order already exists!" Q
105 I $P(OR3,U,11)=2 D Q:$D(ERROR)
106 . I (ORDSTS=10!(ORDSTS=11)),DG'="O RX" S ERROR="Unreleased renewals may not be changed!" Q
107 . I PKG="PS",ORDSTS=5 S ERROR="Pending renewals may not be changed!" Q
108 I $$INACTIVE S ERROR="Orders for inactive orderables may not be changed; please enter a new order!" Q
109 I PKG="PS",'$$MEDOK S ERROR="This drug may not be ordered!" Q
110 I DG="O RX",$O(^OR(100,+IFN,4.5,"ID","MISC",0)) D DOSES^ORCACT02(+IFN) ;old form
111 Q
112 ;
113INACTIVE() ; -- Returns 1 or 0, if OI is now inactive
114 N I,OI,PREOI,PREOIX,X,Y,ORNOW,DD,PSOI S Y=0,ORNOW=$$NOW^XLFDT
115 S I=0 F S I=+$O(^OR(100,+IFN,4.5,"ID","ORDERABLE",I)) Q:I'>0 D Q:Y
116 . S OI=+$G(^OR(100,+IFN,4.5,I,1))
117 . I OI S X=$G(^ORD(101.43,OI,.1)) I X,X<ORNOW S Y=1
118 I Y,PKG="PS",DG'="IV RX" D ;replacement OI?
119 . S I=+$O(^OR(100,+IFN,4.5,"ID","DRUG",0)) Q:I'>0 ;first
120 . S DD=+$G(^OR(100,+IFN,4.5,I,1)) Q:DD'>0 Q:$G(OI)'>0
121 . S PSOI=+$P($G(^ORD(101.43,OI,0)),U,2),X=$$ITEM^PSSUTIL1(PSOI,DD)
122 . Q:X'>0 S X=+$O(^ORD(101.43,"ID",+$P(X,U,2)_";99PSP",0)) Q:X'>0
123 . I $G(^ORD(101.43,X,.1)),$G(^(.1))<ORNOW Q ;make sure new OI is active
124 . S I=+$O(^OR(100,+IFN,4.5,"ID","ORDERABLE",0))
125 . IF I D
126 . . S PREOI=$G(^OR(100,+IFN,4.5,I,1))
127 . . S PREOIX=$O(^OR(100,+IFN,.1,"B",PREOI,0))
128 . . K ^OR(100,+IFN,.1,"B",PREOI,PREOIX)
129 . . S ^OR(100,+IFN,.1,"B",X,PREOIX)=""
130 . . S ^OR(100,+IFN,.1,PREOIX,0)=X
131 . . S ^OR(100,+IFN,4.5,I,1)=X
132 . . S Y=0 ;reset
133 Q Y
134 ;
135MEDOK() ; -- Returns 1 or 0, if med OI usage=Y
136 N Y,OI,ORPS,X S Y=1,X=$P(OR0,U,12)
137 I (DG="SPLY")!(DG="O RX")!(DG="I RX")!(DG="UD RX") D
138 . S OI=+$O(^OR(100,+IFN,4.5,"ID","ORDERABLE",0))
139 . S OI=+$G(^OR(100,+IFN,4.5,OI,1))
140 . S ORPS=$G(^ORD(101.43,OI,"PS"))
141 I DG="SPLY",'$P(ORPS,U,5) S Y=0
142 I DG="O RX",'(X="O"&$P(ORPS,U,2)),'(X="I"&($P(ORPS,U)=2)) S Y=0
143 I DG="I RX"!(DG="UD RX"),'$P(ORPS,U) S Y=0
144 I DG="IV RX" D
145 . N I,X0,X1 S I=0
146 . F S I=+$O(^OR(100,+IFN,4.5,"ID","ORDERABLE",I)) Q:I<1 D Q:Y<1
147 .. S X0=$G(^OR(100,+IFN,4.5,I,0)),X1=+$G(^(1))
148 .. I $P($G(^ORD(101.41,+$P(X0,U,2),0)),U)["ADDITIVE" S:'$P($G(^ORD(101.43,X1,"PS")),U,4) Y=0 Q
149 .. S:'$P($G(^ORD(101.43,X1,"PS")),U,3) Y=0
150 Q Y
151 ;
152IV() ; -- IV order, either Inpt or Fluid?
153 I DG="IV RX" Q 1
154 N I,OI,X S I=+$O(^OR(100,IFN,4.5,"ID","ORDERABLE",0))
155 S OI=+$G(^OR(100,IFN,4.5,+I,1)),X=$P($G(^ORD(101.43,+OI,"PS")),U)
156 Q (X>1)
157 ;
158NTBG(ORIFN) ; -- Inpt order marked as 'Not to be Given'?
159 N PSIFN,Y,ORI,ORCH S Y=""
160 S PSIFN=$G(^OR(100,+ORIFN,4)) I PSIFN>0 Q $$ENNG^PSJORUT2(+ORVP,PSIFN)
161 S ORI=0 F S ORI=$O(^OR(100,+ORIFN,2,ORI)) Q:ORI'>0 S ORCH=+$G(^(ORI,0)),PSIFN=$G(^OR(100,ORCH,4)) I PSIFN>0 S Y=$$ENNG^PSJORUT2(+ORVP,PSIFN) Q:Y
162 Q Y
163 ;
164RESET(IFN,NEWOI) ; -- Update OI if changed before renewing
165 Q:'$G(IFN) Q:'$D(^OR(100,+IFN,0)) Q:'$G(NEWOI)
166 N I,ORIT S ORIT=+$O(^ORD(101.43,"ID",NEWOI_";99PSP",0)) Q:ORIT'>0
167 S I=$O(^OR(100,+IFN,4.5,"ID","ORDERABLE",0))
168 S:I ^OR(100,+IFN,4.5,I,1)=ORIT
169 Q
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