1 | PSODRDU1 ;BIR/SAB - dup drug class checker for pending orders ;1/3/05 11:33am
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2 | ;;7.0;OUTPATIENT PHARMACY;**4,27,32,56,63,130,132,192**;DEC 1997
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3 | ;External reference to ^PSDRUG supported by DBIA 221
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4 | ;External reference to ^PS(50.606 supported by DBIA 2174
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5 | ;External reference to ^PS(51.2 supported by DBIA 2226
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6 | ;External reference to ^PS(50.7 supported by DBIA 2223
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7 | ;External reference to ^SC supported by DBIA 10040
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8 | ;External reference to ^PS(56 supported by DBIA 2229
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9 | ;External references PSOL and PSOUL^PSSLOCK supported by DBIA 2789
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10 | S RXREC=$P(PSOSD(STA,DNM),"^",10)
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11 | Q:'$D(^PS(52.41,RXREC,0))
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12 | Q:$P($G(^PS(52.41,RXREC,0)),"^",3)="RF"
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13 | I $G(ORD) D K FSIG Q
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14 | .D:ORD'=RXREC&($G(PSODRUG("NAME"))=$P(DNM,"^"))&('$D(^XUSEC("PSORPH",DUZ))) Q:$G(PSORX("DFLG"))
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15 | ..I $P($G(PSOPAR),"^",16) D DUP Q:$G(PSORX("DFLG"))
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16 | ..I $P($G(PSOPAR),"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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17 | ..I '$P(PSOPAR,"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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18 | .I $D(^XUSEC("PSORPH",DUZ)) D:ORD'=RXREC&($G(PSODRUG("NAME"))=$P(DNM,"^")) DUP Q:$G(PSORX("DFLG"))
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19 | .I $G(PSODRUG("VA CLASS"))]"",$E($G(PSODRUG("VA CLASS")),1,4)=$E($P($G(PSOSD(STA,DNM)),"^",5),1,4),$G(PSODRUG("NAME"))'=$P(DNM,"^"),ORD'=RXREC D CLS
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20 | ;backdoor orders
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21 | Q:'$P($G(^PS(52.41,RXREC,0)),"^",9)
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22 | D:PSODRUG("NAME")=$P(DNM,"^")&('$D(^XUSEC("PSORPH",DUZ))) I $G(PSORX("DFLG")) K FSIG Q
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23 | .I $P($G(PSOPAR),"^",16) D DUP Q:$G(PSORX("DFLG"))
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24 | .I $P($G(PSOPAR),"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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25 | .I '$P(PSOPAR,"^",2),'$P(PSOPAR,"^",16) D DUP Q:$G(PSORX("DFLG"))
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26 | D:PSODRUG("NAME")=$P(DNM,"^")&($D(^XUSEC("PSORPH",DUZ))) DUP Q:$G(PSORX("DFLG"))
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27 | I $G(PSODRUG("VA CLASS"))]"",$E($G(PSODRUG("VA CLASS")),1,4)=$E($P($G(PSOSD(STA,DNM)),"^",5),1,4),$G(PSODRUG("NAME"))'=$P(DNM,"^") D CLS
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28 | K FSIG Q
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29 | DUP S DUP=1 W !,PSONULN,!,$C(7),"DUPLICATE DRUG "_$P(DNM,"^")_" in a Pending Order"
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30 | S MSG="Discontinued During "_$S('$G(PSONV):"New Prescription Entry",1:"Verification")_" - Duplicate Drug."
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31 | DATA S DUPRX0=^PS(52.41,RXREC,0),RFLS=$P(DUPRX0,"^",11),ISSD=$P(DUPRX0,"^",6)
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32 | S RXRECLOD=RXREC
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33 | W !,"Orderable Item: "_$P(^PS(50.7,$P(DUPRX0,"^",8),0),"^")_" "_$P(^PS(50.606,$P(^(0),"^",2),0),"^")
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34 | W !,"Drug: "_$S($P(DUPRX0,"^",9):$P(^PSDRUG($P(DUPRX0,"^",9),0),"^"),1:"No Dispense Drug Selected")
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35 | W !,"Instructions: " S TY=2 D INST
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36 | D FSIG^PSOUTLA("P",RXREC,IOM-6)
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37 | W !,"SIG: " F I=0:0 S I=$O(FSIG(I)) Q:'I W FSIG(I),!?5
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38 | W !,"Routing: "_$S($P(DUPRX0,"^",17)="W":"WINDOW",1:"MAIL"),?30,"Quantity: "_$P(DUPRX0,"^",10),!,"# of Refills: "_$P(DUPRX0,"^",11)
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39 | W ?30,"Patient Status: SC",!,"Patient Location: "_$S($P(DUPRX0,"^",13):$P($G(^SC($P(DUPRX0,"^",13),0)),"^"),1:""),!,"Med Route: "_$P($G(^PS(51.2,+$P(DUPRX0,"^",15),0)),"^"),?30,"Provider: "_$P(^VA(200,$P(DUPRX0,"^",5),0),"^")
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40 | S Y=$P(DUPRX0,"^",6) X ^DD("DD") W !,"Issue Date: "_Y
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41 | W !,"Provider Comments: " S TY=3 D INST
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42 | W !,PSONULN,! I $P($G(^PS(53,+$P($G(PSORX("PATIENT STATUS")),"^"),0)),"^")["AUTH ABS"!($G(PSORX("PATIENT STATUS"))["AUTH ABS")&'$P(PSOPAR,"^",5) W !,"PATIENT ON AUTHORIZED ABSENCE!" K RXRECLOD Q
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43 | ASKCAN D PSOL^PSSLOCK(RXRECLOD_"S") I '$G(PSOMSG) D K PSOMSG,DIR,DUP,RXRECLOD S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR S PSORX("DFLG")=1 Q
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44 | .I $P($G(PSOMSG),"^",2)'="" W !!,$P(PSOMSG,"^",2),! Q
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45 | .W !!,"Another person is editing this pending order.",!
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46 | K PSOMSG S DIR("A")="Discontinue Pending Order",DIR(0)="Y",DIR("?")="Enter Y to Discontinue this pending order."
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47 | D ^DIR K DIR
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48 | I 'Y W $C(7)," -Pending Order was not discontinued..." S:$G(DUP) PSORX("DFLG")=1 K DUP,CLS D ULPN Q
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49 | S ACT="Discontinued while "_$S('$G(PSONV):"entering",1:"verifying")_" new RX"
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50 | W !!,"Duplicate "_$S($G(CLS):"Class",1:"Drug")_" will be discontinued after the acceptance of the new order.",! H 2
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51 | S ^TMP("PSORXDC",$J,RXREC,0)="P^"_RXREC_"^"_MSG
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52 | K CLS,DUP,PSOSD(STA,DNM) Q
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53 | CLS K DUP
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54 | I $E($G(PSODRUG("VA CLASS")),1,2)="HA",$E($P($G(PSOSD(STA,DNM)),"^",5),1,2)="HA" K CLS,DUP,PSOELSE Q
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55 | S MSG=" Discontinued During "_$S('$G(PSONV):"New Prescription Entry",1:"Verification")_" - Duplicate Class." W !,PSONULN
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56 | W !,$C(7),"*** SAME CLASS *** of drug in a Pending Order for "_$P(DNM,"^"),!,"Class: "_$G(PSODRUG("VA CLASS"))
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57 | S CLS=1 I $P($G(PSOPAR),"^",10) D DATA Q
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58 | E S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR,DTOUT,DUOUT,DIRUT
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59 | K CLS,DUP,PSOELSE Q
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60 | INST ;displays instruction and/or comments
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61 | S INST=0 F S INST=$O(^PS(52.41,RXREC,TY,INST)) Q:'INST S MIG=^PS(52.41,RXREC,TY,INST,0) D
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62 | .F SG=1:1:$L(MIG," ") W:$X+$L($P(MIG," ",SG)_" ")>IOM @$S(TY=3:"!?14",1:"!?19") W $P(MIG," ",SG)_" "
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63 | K INST,TY,MIG,SG
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64 | Q
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65 | ULPN ;
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66 | I '$G(RXRECLOD) Q
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67 | D PSOUL^PSSLOCK(RXRECLOD_"S") K RXRECLOD
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68 | Q
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69 | NVA ;displays duplicate drugs and classes for non-va meds
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70 | I $G(IT) D Q
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71 | .S SER=$P($G(^PS(56,IT,0)),"^",4)
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72 | .W "***"_$S(SER=1:"Critical",1:"Significant")_"*** Drug Interaction with a Non-VA Med Order.",!,"Drug: "_$P(DNM,"^")
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73 | .K DIR,DIRUT,DTOUT,DUOUT S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR,DIRUT,DTOUT,DUOUT
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74 | Q:'$D(^PS(55,PSODFN,"NVA",$P(PSOSD(STA,DNM),"^",10),0))
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75 | S IFN=$P(PSOSD(STA,DNM),"^",10),RXREC=IFN
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76 | I '$G(IT),$G(PSODRUG("NAME"))=$P(DNM,"^") D DSP Q
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77 | I '$G(IT),$G(PSODRUG("VA CLASS"))]"",$E($G(PSODRUG("VA CLASS")),1,4)=$E($P($G(PSOSD(STA,DNM)),"^",5),1,4),$G(PSODRUG("NAME"))'=$P(DNM,"^") D DSP
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78 | Q
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79 | DSP S $P(PSONULN,"-",79)="-"
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80 | W !,PSONULN,!,$C(7),"Duplicate Drug "_$S($G(PSODRUG("NAME"))=$P(DNM,"^"):$P(DNM,"^"),1:"Class "_$G(PSODRUG("VA CLASS")))_" in a Non-VA Med Order.",!
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81 | S DUPRX0=^PS(55,PSODFN,"NVA",RXREC,0)
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82 | W !,"Orderable Item: "_$P(^PS(50.7,$P(DUPRX0,"^"),0),"^")_" "_$P(^PS(50.606,$P(^(0),"^",2),0),"^")
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83 | W !,"Drug: "_$S($P(DUPRX0,"^",2):$P(^PSDRUG($P(DUPRX0,"^",2),0),"^"),1:"No Dispense Drug Selected")
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84 | W !,"Drug Class: "_$G(PSODRUG("VA CLASS"))
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85 | W !,"Dosage: "_$P(DUPRX0,"^",3)
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86 | W !,"Schedule: "_$P(DUPRX0,"^",5),?40,"Medication Route: "_$P(DUPRX0,"^",4)
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87 | W !,"Start Date: "_$$FMTE^XLFDT($P(DUPRX0,"^",9)),?40,"CPRS Order #: "_$P(DUPRX0,"^",8)
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88 | W !,"Documented By: "_$P(^VA(200,$P(DUPRX0,"^",11),0),"^")_" on "_$$FMTE^XLFDT($P(DUPRX0,"^",10))
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89 | F I=0:0 S I=$O(^PS(55,PSODFN,"NVA",IFN,"OCK",I)) Q:'I D W !
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90 | .S ORD1=$P(^PS(55,PSODFN,"NVA",IFN,"OCK",I,0),"^"),ORP=$P(^(0),"^",2)
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91 | .W !,"Order Check #"_I_": "
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92 | .K OCK,LEN I $L(ORD1)>70 S (LEN,IEN)=1 D
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93 | ..F SG=1:1:$L(ORD1) S:$L($G(OCK(IEN))_" "_$P(ORD1," ",SG))>75&($P(ORD1," ",SG)]"") IEN=IEN+1 S:$P(ORD1," ",SG)'="" OCK(IEN)=$G(OCK(IEN))_" "_$P(ORD1," ",SG)
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94 | ..F II=0:0 S II=$O(OCK(II)) Q:'II W !?5,OCK(II)
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95 | .W:'$G(LEN) ORD1 K LEN,SG,IEN,II,OCK,ORD1
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96 | .W !,"Overriding Provider: "_$S($G(ORP):$P(^VA(200,ORP,0),"^"),1:"")
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97 | .K ORP,OCK,REA W !,"Reason:" F SS=0:0 S SS=$O(^PS(55,PSODFN,"NVA",IFN,"OCK",I,"OVR",SS)) Q:'SS S REA(SS)=^PS(55,PSODFN,"NVA",IFN,"OCK",I,"OVR",SS,0)
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98 | .S IEN=1 F II=0:0 S II=$O(REA(II)) Q:'II D
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99 | ..F SG=1:1:$L(REA(II)) S:$L($G(OCK(IEN))_" "_$P(REA(II)," ",SG))>70&($P(REA(II)," ",SG)]"") IEN=IEN+1 S:$P(REA(II)," ",SG)'="" OCK(IEN)=$G(OCK(IEN))_" "_$P(REA(II)," ",SG)
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100 | ..K REA,IEN,SG F II=0:0 S II=$O(OCK(II)) Q:'II W OCK(II) I $O(OCK(II)) W !?5
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101 | .K OCK W !,"Statement/Explanation/Comments:" F SS=0:0 S SS=$O(^PS(55,PSODFN,"NVA",IFN,"DSC",SS)) Q:'SS S DSC(SS)=^PS(55,PSODFN,"NVA",IFN,"DSC",SS,0)
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102 | .S IEN=1 F II=0:0 S II=$O(DSC(II)) Q:'II D
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103 | ..F SG=1:1:$L(DSC(II)) S:$L($G(OCK(IEN))_" "_$P(DSC(II)," ",SG))>70&($P(DSC(II)," ",SG)]"") IEN=IEN+1 S:$P(DSC(II)," ",SG)'="" OCK(IEN)=$G(OCK(IEN))_" "_$P(DSC(II)," ",SG)
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104 | ..K IEN,DSC,SG F II=0:0 S II=$O(OCK(II)) Q:'II W !?5,OCK(II)
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105 | W !,PSONULN,!
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106 | K RX3,LSTFL,PSONULN,ISSD,J,LSTFD,PHYS,ST,TRM,DUPRX0,FL,FSIG,I,IFN,RFLS,RXREC,X,Y,IEN,DSC,REA,OCK,ORD1
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107 | K DIR,DIRUT,DTOUT,DUOUT S DIR(0)="E",DIR("A")="Press Return to continue" D ^DIR K DIR,DIRUT,DTOUT,DUOUT
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108 | Q
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