| 1 | PSOQMCAL ; SEA/HAM3 PMI - PHARMACY MEDICATION INSTRUCTION ; 30 Nov 2007  7:55 AM
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| 2 |  ;;7.0;OUTPATIENT PHARMACY;**294**;DEC 1997;Build 13
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| 3 |  ;
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| 4 |  ;Reference to CKP^GMTSUP supported by DBIA 4231
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| 5 |  ;Reference to COVER^ORWPS supported by DBIA 4954
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| 6 |  ;Credit to Herb Morriss and Al Hernandez for the original design
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| 7 |  ;Puget Sound Health Care System, Seattle WA
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| 8 | EN N PSOQPEND,DAYSEP,DRUGHDR1,DRUGHDR2,DRUGSEP,INSTSEP1,INSTSEP2,INSTSEP3
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| 9 |  N EMPTYLN,PRETYPE,SUPTYPE,ADDR,AL,ALFLAG,ARLDASH
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| 10 |  N ARLDATE,ARLDFN,ARLDOB,ARLNAME,ARLSITE,ARLSN
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| 11 |  N BLANKLN,BLNKLN,DRUG1,FOOD,GMRAL,IDRUG,ISIG,ITYPE
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| 12 |  N NVA,NONE,PAGE,PGWIDTH,PGLENGTH,PHONE
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| 13 |  N RXIEN,SIGCNT,SIGPOS,XPOS1,XPOS2,XPOS3,XPOS4
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| 14 |  N FN,HP,IA,RPTDATE,TYPE,WP,ST,SUPCNT,SUPDRUG,X,X1,X2,ADDRFL
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| 15 |  N DIWF,DIWL,DIWR,INSTSEP1,INSTSEP2,INSTSEP3,DRUGHDR1,DRUGHDR2,DRUGSEP
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| 16 |  S PGWIDTH=IOM-5,PGLENGTH=IOSL-9
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| 17 |  Q:PGWIDTH<48  ;ensure that the IOM variable is wide enough
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| 18 |  S RPTDATE=$$FMTE^XLFDT($$NOW^XLFDT,"1D")
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| 19 |  S XPOS1=(PGWIDTH-26)\2  ;title
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| 20 |  S XPOS2=PGWIDTH-6       ;page number
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| 21 |  S XPOS3=(PGWIDTH-29)\2  ;site
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| 22 |  S XPOS4=(PGWIDTH-53)\2  ;refill info
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| 23 |  S BLANKLN="",$P(BLNKLN," ",PGWIDTH)=" "
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| 24 |  S EMPTYLN="!,""|"_$E(BLNKLN,1,PGWIDTH-2)_"|"""
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| 25 |  S DAYSEP="|       |       |       |       |"
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| 26 |  S DRUGHDR1="|                 |MORNING| NOON  |EVENING|BEDTIME|       COMMENTS"
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| 27 |  S DRUGHDR1=DRUGHDR1_$E(BLNKLN,$L(DRUGHDR1),PGWIDTH-2)_"|"
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| 28 |  S DRUGHDR2="|                 "_DAYSEP
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| 29 |  S DRUGHDR2=DRUGHDR2_$E(BLNKLN,$L(DRUGHDR2),PGWIDTH-2)_"|"
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| 30 |  S $P(DRUGSEP,"~",PGWIDTH-2)="~"
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| 31 |  S DRUGSEP="|"_DRUGSEP_"|"
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| 32 |  S $P(INSTSEP1,"-",PGWIDTH-2)="-"
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| 33 |  S INSTSEP1="|"_INSTSEP1_"|"
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| 34 |  S INSTSEP2="| UNITS PER DOSE: "_DAYSEP
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| 35 |  S INSTSEP2=INSTSEP2_$E(BLNKLN,$L(INSTSEP2),PGWIDTH-2)_"|"
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| 36 |  S INSTSEP3="|                 "_DAYSEP
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| 37 |  S INSTSEP3=INSTSEP3_$E(BLNKLN,$L(INSTSEP3),PGWIDTH-2)_"|"
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| 38 |  S X1=DT,X2=-45 D C^%DTC S ARLDATE=X
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| 39 | 1 ;Patient
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| 40 |  S ARLDFN=""
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| 41 |  F IA=1:1 S ARLDFN=$P(ARLPAT,";",IA) Q:ARLDFN=""  D
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| 42 |  . S PAGE=1
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| 43 |  . D HD,SHOW(ARLDFN)
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| 44 |  Q
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| 45 | SHOW(PTIEN) ;
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| 46 |  N LIST,NVA
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| 47 |  D COVER^ORWPS(.LIST,PTIEN)
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| 48 |  D GETOPORD(.LIST)
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| 49 |  D GETRXDAT(.LIST)
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| 50 |  S SUPTYPE=0,PRETYPE="D"
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| 51 |  S ITYPE="@"
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| 52 |  F  S ITYPE=$O(LIST(ITYPE)) Q:ITYPE]"ZZZ"  Q:ITYPE=""  D
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| 53 |  . I PRETYPE'=ITYPE D
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| 54 |  . . W !,DRUGSEP
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| 55 |  . . W @EMPTYLN
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| 56 |  . . W !,"|","SUPPLY ITEMS:"_$E(BLNKLN,14,PGWIDTH-2)_"|"
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| 57 |  . . S PRETYPE=ITYPE
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| 58 |  . . I (ITYPE="S")&(SUPTYPE=0) D
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| 59 |  . . . S SUPTYPE=1,SUPCNT=0,SUPDRUG=""
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| 60 |  . . . F  S SUPDRUG=$O(LIST(ITYPE,SUPDRUG)) Q:SUPDRUG=""  D
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| 61 |  . . . . S SUPCNT=SUPCNT+1
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| 62 |  . . . I $Y>(PGLENGTH-SUPCNT) W !,DRUGSEP,@IOF D HD3
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| 63 |  . S IDRUG=""
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| 64 |  . F  S IDRUG=$O(LIST(ITYPE,IDRUG)) Q:IDRUG=""  D
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| 65 |  . . I 'SUPTYPE D
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| 66 |  . . S SIGCNT=0,SIGPOS=""
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| 67 |  . . F  S SIGPOS=$O(LIST(ITYPE,IDRUG,SIGPOS)) Q:SIGPOS=""  D
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| 68 |  . . . S SIGCNT=SIGCNT+1
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| 69 |  . . I $Y>(PGLENGTH-SIGCNT) W !,DRUGSEP,@IOF D HD3
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| 70 |  . . W:'SUPTYPE !,DRUGSEP,@EMPTYLN
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| 71 |  . . W !,"|",IDRUG_$E(BLNKLN,$L(IDRUG),PGWIDTH-3)_"|"
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| 72 |  . . Q:SUPTYPE
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| 73 |  . . S ISIG=0
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| 74 |  . . F  S ISIG=$O(LIST(ITYPE,IDRUG,ISIG)) Q:ISIG<1  D
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| 75 |  . . . W !,"|     ",LIST(ITYPE,IDRUG,ISIG),$E(BLNKLN,$L(LIST(ITYPE,IDRUG,ISIG)),PGWIDTH-8),"|"
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| 76 |  . . W !,INSTSEP1,!,INSTSEP2 W:'$G(PSOQHS) !,INSTSEP3
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| 77 | NVA ;NVA MEDS ADDED 5/6/05
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| 78 |  I $D(NVA) D
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| 79 |  . N NVACNT,NVADRUG
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| 80 |  . W !,DRUGSEP
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| 81 |  . W @EMPTYLN
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| 82 |  . W !,"|","NON-VA Medications:"_$E(BLNKLN,20,PGWIDTH-2)_"|"
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| 83 |  . W @EMPTYLN
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| 84 |  . S NVACNT=0
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| 85 |  . S NVADRUG=""
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| 86 |  . F  S NVADRUG=$O(NVA(NVADRUG)) Q:NVADRUG=""  D
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| 87 |  . . S NVACNT=NVACNT+1
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| 88 |  . . I $Y>(PGLENGTH-NVACNT) W !,DRUGSEP,@IOF D HD3
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| 89 |  . . W !,"|",NVADRUG_$E(BLNKLN,$L(NVADRUG),PGWIDTH-3)_"|"
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| 90 |  K NVACNT,NVADRUG
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| 91 |  W !,INSTSEP1
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| 92 |  D
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| 93 |  . Q:'$G(PSOQPEND)
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| 94 |  . W !!,"Any medication items listed as ""pending"" are those that have just been" D PGE Q:$D(GMTSQIT)
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| 95 |  . W !,"written by your provider(s).  These medication orders will be reviewed" D PGE Q:$D(GMTSQIT)
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| 96 |  . W !,"by your pharmacist, prior to the prescription(s) being dispensed.  When" D PGE Q:$D(GMTSQIT)
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| 97 |  . W !,"you receive your new prescription(s), by mail or from the pharmacy window," D PGE Q:$D(GMTSQIT)
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| 98 |  . W !,"be sure to follow the instructions on the prescription label.  If you" D PGE Q:$D(GMTSQIT)
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| 99 |  . W !,"have any question about your medication, please call your provider or " D PGE Q:$D(GMTSQIT)
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| 100 |  . W !,"your pharmacist." D PGE Q:$D(GMTSQIT)
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| 101 |  Q
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| 102 | PGE D:$G(PSOQHS) CKP^GMTSUP
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| 103 |  Q
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| 104 | GETOPORD(ORDLIST) ;
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| 105 |  N LISTIEN,KILLORD
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| 106 |  S LISTIEN=0
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| 107 |  F  S LISTIEN=$O(ORDLIST(LISTIEN)) Q:LISTIEN<1  D
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| 108 |  . S KILLORD=$$IPORD(ORDLIST(LISTIEN))
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| 109 |  . I 'KILLORD S KILLORD=$$CKSTATUS(ORDLIST(LISTIEN)) D
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| 110 |  . K:KILLORD ORDLIST(LISTIEN)
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| 111 |  Q
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| 112 | IPORD(LISTNODE) ;
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| 113 |  N RETURN,PKG
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| 114 |  S RETURN=0
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| 115 |  S PKG=$P($P(LISTNODE,"^",1),";",2)
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| 116 |  I "UI"[PKG S RETURN=1
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| 117 |  I $P(LISTNODE,"^",1)["N;" D
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| 118 |  . S:$P(LISTNODE,"^",4)="ACTIVE" NVA($P(LISTNODE,"^",2),+LISTNODE)=LISTNODE
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| 119 |  . S RETURN=1
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| 120 |  Q RETURN
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| 121 | CKSTATUS(LISTNODE) ;
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| 122 |  N RETURN,RXIEN
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| 123 |  S RETURN=0 ; ASSUME ACTIVE AND NOT PASS MED
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| 124 |  S:$P(LISTNODE,"^",4)["DISCONTINUED" RETURN=1
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| 125 |  S:$P(LISTNODE,"^",4)["EXPIRED" RETURN=1
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| 126 |  Q RETURN
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| 127 | GETRXDAT(RXS) ;
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| 128 |  N RXSIEN,DRUGNAME,FSIG,RXTYPE
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| 129 |  S RXSIEN=0
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| 130 |  F  S RXSIEN=$O(RXS(RXSIEN)) Q:RXSIEN<1  D
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| 131 |  . I $P(RXS(RXSIEN),";")["P" D GETPEND(RXSIEN) S PSOQPEND=1 Q  ;-> 
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| 132 |  . S RXIEN=+RXS(RXSIEN)
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| 133 |  . S DRUGNAME=$$ZZ^PSOSUTL(RXIEN)
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| 134 |  . D FSIG^PSOUTLA("R",RXIEN,PGWIDTH-8)
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| 135 |  . S RXTYPE=$$GETTYPE(RXIEN)
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| 136 |  . M RXS(RXTYPE,DRUGNAME)=FSIG
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| 137 |  . N PSOQSUB
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| 138 |  . S PSOQSUB=$O(RXS(RXTYPE,DRUGNAME,":"),-1)+1
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| 139 |  . S RXS(RXTYPE,DRUGNAME,PSOQSUB)=$$REFILLS^PSOQ0076(RXIEN)_" refill(s) remaining prior to "_$$FMTE^XLFDT($$EXPDATE^PSOQ0076(RXIEN))
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| 140 |  Q
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| 141 | GETPEND(RXSIEN) ;RMS/HINES 8-16-07 ADD PENDING RX'S
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| 142 |  N PSOQPDN,PSOQDIND,PSOQOIND,PSOQ100,PSOQSIND,PSOQSCT,PSOQRAW,SUB
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| 143 |  S PSOQ100=$P(RXS(RXSIEN),U,3) Q:'+PSOQ100
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| 144 |  S PSOQOIND=$O(^OR(100,PSOQ100,4.5,"ID","ORDERABLE",0)) Q:'+PSOQOIND
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| 145 |  S PSOQPDN=$P($G(^ORD(101.43,+$G(^OR(100,PSOQ100,4.5,PSOQOIND,1)),0)),U)
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| 146 |  S PSOQDIND=$O(^OR(100,PSOQ100,4.5,"ID","DRUG",0)) D
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| 147 |  . Q:'+PSOQDIND
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| 148 |  . S PSOQPDN=$P($G(^PSDRUG(+$G(^OR(100,PSOQ100,4.5,PSOQDIND,1)),0)),U)
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| 149 |  S PSOQSIND=$O(^OR(100,PSOQ100,8,":"),-1) Q:'+PSOQSIND
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| 150 |  F PSOQSCT=2:1:$O(^OR(100,PSOQ100,8,PSOQSIND,.1,":"),-1) D
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| 151 |  . S PSOQRAW=$G(^OR(100,PSOQ100,8,PSOQSIND,.1,PSOQSCT,0))
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| 152 |  . N WORDS,COUNT,LINE,NEXTWORD
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| 153 |  . S WORDS=$L(PSOQRAW," "),SUB=$G(SUB,0)+1
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| 154 |  . F COUNT=1:1:WORDS D
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| 155 |  .. S NEXTWORD=$P(PSOQRAW," ",COUNT)
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| 156 |  .. Q:NEXTWORD=""
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| 157 |  .. S LINE=$G(LINE)_NEXTWORD_" "
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| 158 |  .. I $L($G(LINE))>65&(COUNT'=WORDS) K LINE S SUB=SUB+1
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| 159 |  .. S RXS("D","**PENDING**"_PSOQPDN,SUB)=$G(RXS("D","**PENDING**"_PSOQPDN,SUB))_NEXTWORD_" "
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| 160 |  Q
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| 161 | GETTYPE(IEN52) ;
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| 162 |  N RETURN,CLASS
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| 163 |  S RETURN="D"
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| 164 |  S CLASS=$$GETCLASS(IEN52)
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| 165 |  S:$E(CLASS,1,1)="X" RETURN="S"
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| 166 |  S:$E(CLASS,1,2)="DX" RETURN="S"
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| 167 |  Q RETURN
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| 168 | GETCLASS(IENRX) ;
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| 169 |  N RETURN,NODE0RX,IENDRUG,NODE0DRG,NODEND50,IENCLASS,NODE0CLS,VACLASS
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| 170 |  S RETURN=""
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| 171 |  S NODE0RX=$G(^PSRX(IENRX,0))
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| 172 |  S IENDRUG=$P(NODE0RX,"^",6)
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| 173 |  Q:+IENDRUG=0 RETURN
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| 174 |  S NODE0DRG=$G(^PSDRUG(IENDRUG,0))
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| 175 |  S NODEND50=$G(^PSDRUG(IENDRUG,"ND"))
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| 176 |  S IENCLASS=$P(NODEND50,"^",6)
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| 177 |  Q:+IENCLASS=0 RETURN
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| 178 |  S NODE0CLS=$G(^PS(50.605,IENCLASS,0))
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| 179 |  S VACLASS=$P(NODE0CLS,"^",1)
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| 180 |  S RETURN=VACLASS
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| 181 |  Q RETURN
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| 182 | HD ;
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| 183 |  S FN=ARLDFN
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| 184 |  S ARLNAME=$E($P(^DPT(ARLDFN,0),"^",1),1,28)
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| 185 |  S ARLSN=$P(^(0),"^",9),ARLDOB=$P(^(0),"^",3)
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| 186 |  S PHONE=$S($D(^DPT(ARLDFN,.13)):^(.13),1:"")
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| 187 |  S HP=$P(PHONE,"^",1),WP=$P(PHONE,"^",2)
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| 188 |  S ADDR=$S($D(^DPT(ARLDFN,.11)):^(.11),1:"")
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| 189 |  I $D(^DPT(ARLDFN,.121)),$P(^(.121),"^",9)="Y" D
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| 190 |  . S X=$S($P(^(.121),"^",8):$P(^(.121),"^",8),1:9999999)
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| 191 |  . I DT'<$P(^(.121),"^",7),DT'>X D
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| 192 |  . . S ADDR=^(.121)
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| 193 |  . . S ADDRFL="(temporary)"
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| 194 |  . . S HP=$P(ADDR,"^",10)
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| 195 |  S ST=$S($D(^DIC(5,+$P(ADDR,"^",5),0)):$P(^(0),"^",2),1:"UNKNOWN")
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| 196 |  S ADDR(4)=$P(ADDR,"^",4)_", "_ST_"  "_$P(ADDR,"^",6)
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| 197 |  S ADDR(3)=$P(ADDR,"^",3),ADDR(2)=$P(ADDR,"^",2),ADDR(1)=$P(ADDR,"^",1)
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| 198 |  I ADDR(2)']"" D
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| 199 |  . S ADDR(2)=ADDR(3)
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| 200 |  . S ADDR(3)=""
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| 201 | HD1 ; Header for 1st page
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| 202 |  S ARLSITE=^PS(59,PSOSITE,0)
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| 203 |  D PGE Q:$D(GMTSQIT)
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| 204 |  W !,"Date: ",RPTDATE,?XPOS1,"PATIENT MEDICATION INFORMATION"
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| 205 |  I $D(PAGE) D
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| 206 |  . W ?XPOS2,"Page: ",PAGE
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| 207 |  . S PAGE=PAGE+1
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| 208 |  W !,?XPOS4,"PRINTED BY THE VA MEDICAL CENTER AT: "_$P($G(^DIC(4,+$G(^PS(59,PSOSITE,"INI")),0)),U,1)
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| 209 |  W !,?XPOS4,"FOR PRESCRIPTION REFILLS CALL ("_$P(ARLSITE,U,3)_") "_$P(ARLSITE,U,4)
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| 210 | HD2 W !!,"Name: ",$E(ARLNAME,1,40)," - ",$E(ARLSN,6,9)
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| 211 |  W ?30," PHARMACY - ",$P(ARLSITE,"^",7)," DIVISION (",$P(ARLSITE,"^",3),"-",$P(ARLSITE,"^",4),")",!
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| 212 |  W !,INSTSEP1,!,DRUGHDR1 ;!,DRUGHDR2
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| 213 |  Q
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| 214 | HD3 ;Header for subsequent pages
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| 215 |  W !,"Date: ",RPTDATE,?XPOS1,"PATIENT MEDICATION INFORMATION"
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| 216 |  I $D(PAGE) W ?XPOS2,"Page: ",PAGE S PAGE=PAGE+1
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| 217 |  W !,?XPOS4,"PRINTED BY THE VA MEDICAL CENTER AT: "_$P($G(^DIC(4,+$G(^PS(59,PSOSITE,"INI")),0)),U,1)
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| 218 |  W !,?XPOS4,"FOR PRESCRIPTION REFILLS CALL ("_$P(ARLSITE,U,3)_") "_$P(ARLSITE,U,4),!
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| 219 |  W !?1,"Name: ",$E(ARLNAME,1,40)," - ",$E(ARLSN,6,9)
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| 220 |  W ?30," PHARMACY - ",$P(ARLSITE,"^",7)," DIVISION (",$P(ARLSITE,"^",3),"-",$P(ARLSITE,"^",4),")",!
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| 221 |  W !,INSTSEP1
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| 222 |  W:$G(SUPCNT)&'$G(NVACNT) !,"|","SUPPLY ITEMS:"_$E(BLNKLN,14,PGWIDTH-2)_"|",@EMPTYLN
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| 223 |  W:$G(NVACNT) @EMPTYLN,!,"|","NON-VA Medications:"_$E(BLNKLN,20,PGWIDTH-2)_"|",@EMPTYLN
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| 224 |  W:'$G(NVACNT)&'$G(SUPCNT) !,DRUGHDR1
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| 225 |  Q
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| 226 | RE ;Allergies
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| 227 |  S ARLDASH="",$P(ARLDASH,"=",$E(BLNKLN,1,PGWIDTH-10))=ARLDASH W !,ARLDASH,!!
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| 228 |  S NONE="NO INFORMATION (COMPLETE SECTION BELOW)",ALFLAG=0 D ALL
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| 229 |  W "REACTIONS/ALLERGIES currently on file : ",$S($D(GMRAL):"",1:NONE) Q:'$D(GMRAL)
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| 230 |  S X=DRUG1_FOOD,DIWL=5,DIWR=PGWIDTH-5,DIWF="W" D ^DIWP,^DIWW
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| 231 |  Q
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| 232 | ALL ;Gets allergy info
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| 233 |  K GMRA,GMRAL
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| 234 |  N IFN,DATA,VER,ARLEND
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| 235 |  S ARLEND=0,DFN=ARLDFN,GMRA="0^0^011" D ^GMRADPT S (DRUG1,FOOD)=""
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| 236 |  I $D(GMRAL),GMRAL=0 S DRUG1="NO KNOWN ALLERGIES"
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| 237 |  I $D(GMRAL),GMRAL=1 S IFN="" F  S IFN=$O(GMRAL(IFN)) Q:IFN=""!(ARLEND)  S DATA=GMRAL(IFN),AL=$P(DATA,U,2),TYPE=$P(DATA,U,3),VER=$S($P(DATA,U,4)=1:"V",1:"NV") D
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| 238 |  .I $L(DRUG1)>300 S DRUG1="TOO MANY TO LIST",ARLEND=1
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| 239 |  .S:TYPE="D" DRUG1=AL_" ("_VER_"),"_DRUG1
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| 240 |  .S:TYPE="F" FOOD="Food Allergies on File"
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| 241 |  Q
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