| [613] | 1 | GMRAFX3 ;SLC/DAN Update existing entries to new reactant ;6/28/06 10:23
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| 2 | ;;4.0;Adverse Reaction Tracking;**17,19,23,20**;Mar 29, 1996;Build 1
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| 3 | ;DBIA SECTION
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| 4 | ;10018 - DIE
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| 5 | ;2056 - DIQ
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| 6 | ;3154 - ORQ1
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| 7 | ;4134 - ORCHECK
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| 8 | ;4135 - ORKCHK
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| 9 | ;10026 - DIR
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| 10 | ;
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| 11 | UIE ;Update individual entries
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| 12 | N DFN,GMRAOUT,GMRAING,GMRADRCL,DIE,DA,DR,AIFN,SIGN,TIME,SUB,ORX,GMRAORX,GMRAOC,GI,FND,COM,SIEN,DIR,Y
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| 13 | S GMRADONE=0 ;Flag to keep track of updated entries
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| 14 | S DFN=$P($G(^GMR(120.8,GMRAPA,0)),U) Q:'+DFN
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| 15 | W !!,"For patient ",$$GET1^DIQ(2,DFN_",",.01),!
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| 16 | I $D(GMRAAR) D
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| 17 | .S DIR(0)="Y",DIR("A")="Use reactant "_GMRAAR(0),DIR("B")="Y" D ^DIR
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| 18 | .K:'Y GMRAAR
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| 19 | .Q
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| 20 | I '$D(GMRAAR) D ^GMRAFX2 I $D(GMRAAR) D RUSURE(.GMRASURE) ;20 Get new reactant
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| 21 | I '$D(GMRAAR)!('$G(GMRASURE)) K GMRAAR Q ;20 stop if no reactant selected or if user doesn't want to use selected reactant
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| 22 | S GMRAOUT=0
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| 23 | I $$DUP W !,"Patient already has an active allergy for this reactant.",!,"Duplicate not allowed.",! D WAIT Q
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| 24 | I $$DUPCHK^GMRAPES0(GMRAAR(0),DFN,GMRAPA) Q ;Checks to see if reactant previously entered in error.
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| 25 | ;Update reactant, allergy and signed off fields
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| 26 | S DIE="^GMR(120.8,",DA=GMRAPA,DR=".02////"_GMRAAR(0)_";1////^S X=GMRAAR"_";3.1////"_GMRAAR("O")_";15///1" D ^DIE
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| 27 | I $D(^GMR(120.85,"C",GMRAPA)) D ;Observed reaction, need to update data
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| 28 | .S AIFN=0
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| 29 | .F S AIFN=$O(^GMR(120.85,"C",GMRAPA,AIFN)) Q:'+AIFN D
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| 30 | ..S SIEN=$O(^GMR(120.85,AIFN,3,"B",$P(^XTMP("GMRAFX",LTYPE,"IDX",+NMBR),"^"),0)) Q:'+SIEN ;Was previous reactant stored as "suspected agent"
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| 31 | ..S DA(1)=AIFN,DA=SIEN
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| 32 | ..S DIE="^GMR(120.85,DA(1),3,",DR=".01////^S X=GMRAAR(0)" D ^DIE ;Update suspected agent to new value
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| 33 | D DELMUL(2),DELMUL(3) ;Delete drug ingredient/drug classes multiples
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| 34 | I GMRAAR("O")["D" D UPDATE^GMRAPES1 ;If reactant type is Drug then add appropriate ingredients and classes
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| 35 | S GMRADONE=1 ;Update complete
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| 36 | S COM="Updated using clean up process. Changed reactant from "_$P(^XTMP("GMRAFX",LTYPE,"IDX",+NMBR),"^",2)_$S(LTYPE="FREE":" (free text) ",LTYPE="ING":" (ingredient) ",1:" (drug class) ")_"to "_GMRAAR(0)_"(file - "_$P(GMRAAR,";",2)_")"
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| 37 | D ADCOM^GMRAFX(GMRAPA,"O",COM) ;Add a comment for this update
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| 38 | ;Do order checking here - compare existing orders against new allergy information.
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| 39 | W !,"Performing order checking..."
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| 40 | K ^TMP("ORR",$J),GMRAOC,ORX
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| 41 | D EN^ORQ1(DFN_";DPT(") ;Retrieve active orders
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| 42 | S TIME=$O(^TMP("ORR",$J,0))
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| 43 | I '^TMP("ORR",$J,TIME,"TOT") W "patient has no active orders." Q ;20 No orders found
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| 44 | S SUB=0 F S SUB=$O(^TMP("ORR",$J,TIME,SUB)) Q:'+SUB D
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| 45 | .D BLD^ORCHECK(+^TMP("ORR",$J,TIME,SUB)) ;Get "order" information in order checking format
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| 46 | M GMRAORX=ORX K ORX ;19
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| 47 | D EN^ORKCHK(.GMRAOC,DFN,.GMRAORX,"ACCEPT")
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| 48 | S GI=0,FND=0 F S GI=$O(GMRAOC(GI)) Q:'+GI D
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| 49 | .Q:$P(GMRAOC(GI),U,2)'=3 ;Quit if not allergy related
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| 50 | .Q:$D(^OR(100,$P(GMRAOC(GI),U),9,"B",3)) ;23 If order check exists can't be for this data
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| 51 | .W !,"Patient has a(n) ",$P($$STATUS^ORQOR2($P(GMRAOC(GI),U)),U,2)," order for",$P($P(GMRAOC(GI),U,4),":",2),", order #",$P(GMRAOC(GI),U)
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| 52 | .S FND=1
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| 53 | W:'FND "No problems found"
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| 54 | D WAIT
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| 55 | Q
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| 56 | ;
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| 57 | DELMUL(FIELD) ;Delete multiple FIELD from GMR ALLERGY file
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| 58 | N MIEN,DA,DIE,DR
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| 59 | S MIEN=0 F S MIEN=$O(^GMR(120.8,GMRAPA,FIELD,MIEN)) Q:'+MIEN D
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| 60 | .S DA(1)=GMRAPA,DA=MIEN
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| 61 | .S DIE="^GMR(120.8,DA(1),FIELD,",DR=".01///@" D ^DIE ;Delete entry
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| 62 | Q
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| 63 | ;
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| 64 | DUP() ;Function returns true (1) if selected reactant is a duplicate
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| 65 | N LOOP,FND
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| 66 | S LOOP=0,FND=0
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| 67 | F S LOOP=$O(^GMR(120.8,"B",DFN,LOOP)) Q:'+LOOP!(FND) D
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| 68 | .I $P(^GMR(120.8,LOOP,0),U,3)=GMRAAR&('$D(^GMR(120.8,LOOP,"ER"))) S FND=1
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| 69 | Q FND
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| 70 | ;
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| 71 | WAIT ;Issues press enter to return prompt
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| 72 | N DIR
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| 73 | S DIR(0)="E",DIR("A")="Press enter to continue" D ^DIR
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| 74 | Q
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| 75 | ;
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| 76 | GETNUM(ACTION) ; -- Return numbers to act on, if action chosen first
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| 77 | N X,Y,DIR,MAX
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| 78 | S MAX=$S($D(^TMP($J,LTYPE,"IDX2")):$G(^TMP($J,LTYPE,"IDX2",0)),1:$G(VALMCNT)) Q:MAX'>0 ""
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| 79 | I ACTION="DET" W !!,"Please choose only one entry for the detailed display."
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| 80 | S DIR(0)="LAO^1:"_MAX,DIR("A")="Select Entries from list: "
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| 81 | S DIR("?")="Enter the items you wish to act on, as a range or list of numbers."
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| 82 | D ^DIR S:$D(DTOUT) Y="^"
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| 83 | I $D(Y(1)) W !,">>>Too many entries selected, try using smaller ranges" H 2 S Y="^"
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| 84 | I $L($G(Y),",")>2,ACTION="DET" W !,">>You may only choose ONE group for detailed display." H 2 S Y="^"
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| 85 | Q Y
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| 86 | ;
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| 87 | UPDATE ;Update display to account for changes to the list
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| 88 | N CNT,SP1,SP2,SP3
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| 89 | I VALMAR["GMRADET" N VALMAR S VALMAR="^XTMP(""GMRAFX"",LTYPE)"
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| 90 | S CNT=^XTMP("GMRAFX",LTYPE,"GMRAR",$P(ENTRY,U),$P(ENTRY,U,2))-1
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| 91 | S ^XTMP("GMRAFX",LTYPE,"GMRAR",$P(ENTRY,U),$P(ENTRY,U,2))=CNT K ^($P(ENTRY,U,2),GMRAJ)
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| 92 | S SP1=4-$L(+NUM),SP2=40-$L($P(ENTRY,U)),SP3=$S(CNT:16-$L(CNT)\2,1:2)
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| 93 | D SET^VALM10(+NUM,+NUM_$$REPEAT^XLFSTR(" ",SP1)_$P(ENTRY,U,2)_$$REPEAT^XLFSTR(" ",(SP2+SP3))_$S(CNT:CNT,1:"** FIXED **"))
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| 94 | Q
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| 95 | ;
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| 96 | LOCK(ENTRY) ;Lock entry in 120.8
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| 97 | N LOCK
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| 98 | S LOCK=1
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| 99 | L +^XTMP("GMRAFX",LTYPE,"IDX",ENTRY):1
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| 100 | I '$T D FULL^VALM1 S VALMBCK="R" W !,"The ",$P(^XTMP("GMRAFX",LTYPE,"IDX",ENTRY),U)," group is being edited by another user" D WAIT S LOCK=0
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| 101 | Q LOCK
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| 102 | ;
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| 103 | AR ;Add/edit patient reactions
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| 104 | N LCV,DFN,SUB
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| 105 | S VALMBCK="R" D FULL^VALM1
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| 106 | W !!,"You should use this option to add NEW reactions only. If you mark"
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| 107 | W !,"existing entries as entered in error from within this option it will"
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| 108 | W !,"not update the utility's display until the list is rebuilt upon re-entry"
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| 109 | W !,"of this option. This could cause confusion as the list will no longer"
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| 110 | W !,"be accurate.",!
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| 111 | I '$G(NMBR2) D WAIT,EN1^GMRAPEM0 Q
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| 112 | F LCV=1:1:$L(NMBR2,",")-1 S SUB=$P(NMBR2,",",LCV) S DFN=+$P($G(^GMR(120.8,+$P($G(^TMP($J,LTYPE,"IDX2",SUB)),U,2),0)),U) I DFN W !!,"Now working with patient ",$$GET1^DIQ(2,DFN,.01),! D WAIT D EN2^GMRAPEM0
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| 113 | Q
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| 114 | ;
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| 115 | DSPREACT ;Display detailed information about the reactant
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| 116 | N DIC,DA,GMRAI,STOP,NUM2,DIR,Y
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| 117 | S VALMBCK="R" D FULL^VALM1
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| 118 | I '$G(NMBR2) S NMBR2=$$GETNUM("") Q:'+NMBR2
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| 119 | F GMRAI=1:1:($L(NMBR2,",")-1) D Q:$G(STOP)
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| 120 | .S NUM2=$P(NMBR2,",",GMRAI)
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| 121 | .S DA=$P(^TMP($J,LTYPE,"IDX2",NUM2),U,2) Q:'DA
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| 122 | .S DIC="^GMR(120.8,"
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| 123 | .W ! D EN^DIQ
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| 124 | .S DIR(0)="E",DIR("A")="Press return to continue or '^' to stop" D ^DIR
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| 125 | .S:$D(DIRUT) STOP=1
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| 126 | .Q
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| 127 | Q
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| 128 | ;
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| 129 | GETTYPE(LTYPE) ;Function determines which list to work with
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| 130 | N DIR,X,Y
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| 131 | S DIR(0)="SO^1:Free Text;2:Ingredient;3:Drug Class"
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| 132 | S DIR("A")="Select the list you wish to work with"
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| 133 | D ^DIR K DIR
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| 134 | S LTYPE=$S(Y=1:"FREE",Y=2:"ING",Y=3:"DRUG",1:0)
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| 135 | Q LTYPE
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| 136 | ;
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| 137 | EIE ;Mark individual entry as entered in error
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| 138 | N DIE,DA,DR,Y,DIK,DFN,OROLD,VAIN,X,GMRAOUT
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| 139 | S DIE="^GMR(120.8,",DA=GMRAPA,DR="15///1;22///1;23///NOW;24////"_$G(DUZ,.5) ;20
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| 140 | D ^DIE ;Entered in error on date/time by user
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| 141 | D ADCOM^GMRAFX(GMRAPA,"E","Marked Entered in Error during clean up process")
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| 142 | I $$NKASCR^GMRANKA($P(^GMR(120.8,GMRAPA,0),U)) D
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| 143 | .S DIK="^GMR(120.86,",DA=$P(^GMR(120.8,GMRAPA,0),U)
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| 144 | .D ^DIK ;If patient's last allergy marked as entered in error then delete assessment
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| 145 | .W !!,"**NOTE: By marking this reaction as entered in error, ",$$GET1^DIQ(2,DA,.01,"E"),!,"no longer has an assessment on file. You may reassess this patient",!
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| 146 | .W "now by answering the following prompt or hit return to do it later.",!
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| 147 | .D NKAASK^GMRANKA(DA)
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| 148 | S GMRAPA(0)=$G(^GMR(120.8,GMRAPA,0)) Q:GMRAPA(0)=""
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| 149 | S GMRAOUT=0
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| 150 | D EN1^GMRAEAB ;Sends entered in error bulletin to appropriate mail groups
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| 151 | S DFN=$P(GMRAPA(0),U)
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| 152 | D INP^VADPT S X=$$FIND1^DIC(101,,"BX","GMRA ENTERED IN ERROR")_";ORD(101," ;19
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| 153 | D:X EN^XQOR ;Process protocols hanging off of "entered in error" protocol
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| 154 | Q
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| 155 | ;
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| 156 | RUSURE(GMRASURE) ;20 Make sure selection from ingredient or drug class file is ok
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| 157 | ;entire section added in patch 20
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| 158 | N DIR,Y,X
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| 159 | S GMRASURE=1
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| 160 | I $G(GMRAAR)["50.416"!($G(GMRAAR)["50.605") D
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| 161 | .S DIR("A")="Are you sure you want to use this reactant"
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| 162 | .S DIR("A",1)="You are about to update the entry with a selection from"
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| 163 | .S DIR("A",2)="the "_$S($G(GMRAAR)["50.416":"INGREDIENT",1:"VA DRUG CLASS")_" file. By doing that you are"
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| 164 | .S DIR("A",3)="limiting the information available for order checking."
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| 165 | .S DIR("A",4)=""
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| 166 | .S DIR("A",5)="In general, it is better to choose from one of the drug related files"
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| 167 | .S DIR("A",6)="as that ensures that drug class and ingredient information are part"
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| 168 | .S DIR("A",7)="of the patient's allergy definition and will provide better allergy"
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| 169 | .S DIR("A",8)="order checking."
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| 170 | .S DIR("A",9)=""
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| 171 | .S DIR(0)="Y",DIR("B")="NO"
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| 172 | .D ^DIR S GMRASURE=+Y
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| 173 | Q
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