1 | ORKCHK5 ; slc/CLA - Support routine called by ORKCHK to do ACCEPT mode order checks ;3/6/97 9:35
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2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**6,32,74,94,123,190**;Dec 17, 1997
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3 | Q
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4 | ;
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5 | EN(ORKS,ORKDFN,ORKA,ORENT,ORKTMODE) ;perform order checking for orderable item acceptance
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6 | Q:$$GET^XPAR("DIV^SYS^PKG","ORK SYSTEM ENABLE/DISABLE",1,"I")="D"
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7 | ;
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8 | N OI,ORKDG,HL7,ODT,ORNUM,HL7NPTR,HL7NTXT,HL7NCOD,HL7LPTR,HL7LTXT,HL7LCOD
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9 | N OCN,DNGR,ORKMSG,ORKPDATA,ORKOCNUM
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10 | ;
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11 | S OI=$P(ORKA,"|"),ORKDG=$P(ORKA,"|",2),HL7=$P(ORKA,"|",3)
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12 | S ODT=$P(ORKA,"|",4),ORNUM=$P(ORKA,"|",5),ORKPDATA=$P(ORKA,"|",6)
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13 | S HL7NPTR=$P(HL7,U),HL7NTXT=$P(HL7,U,2),HL7NCOD=$P(HL7,U,3)
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14 | S HL7LPTR=$P(HL7,U,4),HL7LTXT=$P(HL7,U,5),HL7LCOD=$P(HL7,U,6)
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15 | I ORKDG="GMRC",'$L(ODT) S ODT=$$NOW^XLFDT ;def consult order d/t is now
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16 | ;
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17 | I $E(ORKDG,1,2)="PS" D PHARM
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18 | I $E(ORKDG,1,2)'="PS",($E(ORKDG,1,2)'="LR"),($L($G(OI))),($L($G(ODT))),(ORKTMODE'="ALL") D DUPOR
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19 | I $E(ORKDG,1,2)="LR",($L($G(OI))),($L($G(ODT))),(ORKTMODE'="ALL") D
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20 | .D DUPLAB
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21 | .D LABFREQ
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22 | I $E(ORKDG,1,2)'="PS" D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"ACCEPT")
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23 | Q
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24 | ;
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25 | PHARM ;process pharmacy order checks:
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26 | N ORPSPKG,ORPSA,ORKDD
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27 | N ORALLRN,ORALLRF,ORALLRD
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28 | D PARAMS("ALLERGY-DRUG INTERACTION",.ORALLRN,.ORALLRF,.ORALLRD)
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29 | ;
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30 | ;dispense drug selected:
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31 | I $L($G(HL7LPTR)),($G(HL7LCOD)="99PSD") D
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32 | .D RXOCS
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33 | .D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"ACCEPT")
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34 | ;
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35 | ;dispense drug NOT selected, split OI into dispense drugs:
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36 | I '$L($G(HL7LPTR)) D
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37 | .S ORPSPKG=$E(ORKDG,3)
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38 | .I ORPSPKG="H" S ORPSPKG="X" ;change to "X" if "H"erbal/non-VA med
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39 | .I "IOX"[ORPSPKG D OI2DD(.ORPSA,OI,ORPSPKG)
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40 | .S ORKDD=0 F S ORKDD=$O(ORPSA(ORKDD)) Q:'ORKDD D
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41 | ..S HL7LTXT=ORPSA(ORKDD)
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42 | ..S HL7NPTR=$P(ORKDD,";",2)
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43 | ..S HL7LPTR=+ORKDD
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44 | ..S HL7LCOD="99PSD",HL7NCOD="99NDF"
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45 | ..S $P(HL7,U)=HL7NPTR,$P(HL7,U,3)=HL7NCOD
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46 | ..S $P(HL7,U,4)=HL7LPTR,$P(HL7,U,5)=HL7LTXT,$P(HL7,U,6)=HL7LCOD
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47 | ..S $P(ORKA,"|",3)=HL7 ;set these for MLM OCX call
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48 | ..D RXOCS
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49 | ..D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"ACCEPT")
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50 | Q
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51 | ;
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52 | RXOCS ;drug-allergy interaction
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53 | Q:ORALLRF="D"
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54 | N ORKAL
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55 | I $L($G(HL7NPTR)),($G(HL7NCOD)="99NDF") D
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56 | .D RXN^ORQQAL(.ORKAL,ORKDFN,"DR",HL7NPTR,$G(HL7LPTR)) I (ORKAL>0) D
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57 | ..Q:$L($P(ORKAL,U,2))<1
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58 | ..S ORKMSG="Previous adverse reaction to: "_$P(ORKAL,U,2)
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59 | ..S ORKS("ORK",ORALLRD_","_$G(ORNUM)_","_$E(ORKMSG,1,225))=ORNUM_U_ORALLRN_U_ORALLRD_U_ORKMSG
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60 | Q
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61 | ;
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62 | OI2DD(ORPSA,OROI,ORPSPKG) ;rtn dispense drugs for a PS OI
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63 | N PSOI
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64 | Q:'$D(^ORD(101.43,OROI,0))
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65 | S PSOI=$P($P(^ORD(101.43,OROI,0),U,2),";")
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66 | Q:+$G(PSOI)<1
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67 | D DRG^PSSUTIL1(.ORPSA,PSOI,ORPSPKG)
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68 | Q
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69 | ;
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70 | DUPOR ;duplicate orders for non-pharmacy and non-lab:
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71 | S OCN=0,OCN=$O(^ORD(100.8,"B","DUPLICATE ORDER",OCN))
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72 | Q:+$G(OCN)<1
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73 | Q:$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",OCN,"I")="D"
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74 | N ORKOR S ORKOR=0
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75 | D DUP^ORKOR(.ORKOR,ORKDFN,OI,ODT,ORKDG) I (ORKOR>0) D
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76 | .S ORKOCNUM=+$P(ORKOR,U)
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77 | .S DNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",OCN,"I")
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78 | .S ORKMSG="Duplicate order: "_$P(ORKOR,U,2)
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79 | .S ORKS("ORK",DNGR_","_$G(ORNUM)_","_ORKOCNUM_","_$E(ORKMSG,1,225))=ORNUM_U_OCN_U_DNGR_U_ORKMSG_U_ORKOCNUM
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80 | Q
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81 | ;
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82 | DUPLAB ;duplicate laboratory orders:
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83 | N ORKLR,OCI
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84 | S ORKLR=0,OCI=""
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85 | S OCN=0,OCN=$O(^ORD(100.8,"B","DUPLICATE ORDER",OCN))
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86 | Q:+$G(OCN)<1
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87 | Q:$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",OCN,"I")="D"
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88 | S DNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",OCN,"I")
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89 | D DUP^ORKLR(.ORKLR,OI,ORKDFN,ODT,ORKPDATA)
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90 | F S OCI=$O(ORKLR(OCI)) Q:OCI="" D
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91 | .S ORKOCNUM=+$P(ORKLR(OCI),U)
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92 | .S ORKMSG="Duplicate order: "_$P(ORKLR(OCI),U,2)
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93 | .S ORKS("ORK",DNGR_","_$G(ORNUM)_","_ORKOCNUM_","_$E(ORKMSG,1,225))=ORNUM_U_OCN_U_DNGR_U_ORKMSG_U_ORKOCNUM
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94 | Q
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95 | ;
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96 | LABFREQ ;lab order frequency restrictions:
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97 | N ORKLR,OCI
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98 | S ORKLR=0,OCI=""
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99 | S OCN=0,OCN=$O(^ORD(100.8,"B","LAB ORDER FREQ RESTRICTIONS",OCN))
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100 | Q:+$G(OCN)<1
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101 | Q:$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",OCN,"I")="D"
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102 | S DNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",OCN,"I")
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103 | D ORFREQ^ORKLR2(.ORKLR,OI,ORKDFN_";DPT(",ODT,ORKPDATA)
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104 | S OCI="" F S OCI=$O(ORKLR(OCI)) Q:OCI="" D
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105 | .S ORKMSG=$P(ORKLR(OCI),U,2)
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106 | .S ORKS("ORK",DNGR_","_$G(ORNUM)_","_$E(ORKMSG,1,225))=ORNUM_U_OCN_U_DNGR_U_ORKMSG
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107 | Q
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108 | ;
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109 | PARAMS(ORKNAME,ORKNUM,ORKFLAG,ORKDNGR) ; get parameter values for an order chk
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110 | S ORKNUM=0,ORKNUM=$O(^ORD(100.8,"B",ORKNAME,ORKNUM))
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111 | S ORKFLAG=$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",ORKNUM,"I")
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112 | S ORKDNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",ORKNUM,"I")
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113 | Q
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