1 | PSBVDLVL ;BIRMINGHAM/EFC-BCMA VIRTUAL DUE LIST FUNCTIONS ;Mar 2004
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2 | ;;3.0;BAR CODE MED ADMIN;**6,3,12,11,13,32**;Mar 2004;Build 32
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3 | ;Per VHA Directive 2004-038 (or future revisions regarding same), this routine should not be modified.
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4 | ;
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5 | ;
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6 | ; Reference/IA
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7 | ; $$GET^XPAR/2263
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8 | ;
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9 | EN(RESULTS,DFN,PSBXOR,PSBTYPE,PSBADMIN,PSBTAB,PSBUID,PSBASTS,PSBORSTS,PSBRMV) ;
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10 | ;
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11 | ; RPC: PSB VALIDATE ORDER
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12 | ;
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13 | ; Description: Final check of order against an actual administration
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14 | ; date/time used immediately after scanned med has been
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15 | ; validated to be a good un-administered order.
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16 | ;
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17 | K PSBTST
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18 | N PSBFLAG
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19 | I PSBRMV="I" D GETOHIST^PSBRPC2(.PSBTST,DFN,PSBXOR_PSBTYPE) S I=0 F S I=$O(PSBTST(I)) Q:I="" I $P(PSBTST(I),U,5)="I" S RESULTS(0)=1,RESULTS(1)="-2^" K PSBTST Q
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20 | K PSBOKAY D CLEAN^PSBVT,PSJ1^PSBVT(DFN,PSBXOR_PSBTYPE) S PSB=0
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21 | S RESULTS(0)=1,RESULTS(1)="-1^***Unable to determine administration" ; Default Flag will be overwritten by anything
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22 | D NOW^%DTC
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23 | I ((PSBOSTS="A")!(PSBOSTS="R"))&(PSBOSP<%) S PSBOSTS="E"
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24 | I PSBORSTS'=PSBOSTS,((PSBSCHT'="O")&(PSBOSTS'="E")) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-2^ORDER STATUS MISMATCH" Q
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25 | I ((PSBTAB="UDTAB")!(PSBTAB="PBTAB")),((PSBRMV="RM")!(PSBRMV="N")) D Q
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26 | .S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^OKAY TO REMOVE" ; patch removal does not follow rest of validte rules
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27 | .I PSBASTS="" Q ;status is not given - don't check for missmatch
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28 | .I $D(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN)) S X=$O(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN,"")) I $P($G(^PSB(53.79,+X,0)),U,9)'=PSBASTS S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-2^Admin status mismatch"
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29 | I PSBTYPE="V",PSBSCHT'="P",((PSBUID="")!(PSBUID["WS")) S RESULTS(0)=1,RESULTS(1)="0^Okay to administer" Q:PSBTAB="IVTAB"
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30 | I PSBTYPE="V",PSBUID'="" D Q:PSBTAB="IVTAB" ; validate IV bags Piggybacks have additional tests
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31 | .S PSB=0,PSBSUID=PSBUID D EN^PSBPOIV(DFN,PSBXOR_PSBTYPE)
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32 | .S X="" F S X=$O(^TMP("PSBAR",$J,X)) Q:X="" D
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33 | ..I PSBSUID'=X Q
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34 | ..S PSBUIDS=^TMP("PSBAR",$J,X)
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35 | ..I $P(PSBUIDS,U,2)="I"!($P(PSBUIDS,U,2)="S") S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Okay to administer" Q ; is infusing or stopped
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36 | ..I $P(PSBUIDS,U,1)="I" S Y=$P(^TMP("PSBAR",$J,"I"),U,2) D DD^%DT S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=$P(^TMP("PSBAR",$J,"I"),U,3,99)_" "_Y Q
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37 | ..I $P(PSBUIDS,U,1)["W" S PSBWS=$P(PSBUIDS,U,1) F PSBWM=2:1 Q:$P(PSBWS,";",PSBWM)="" D
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38 | ...S Y=$P(^TMP("PSBAR",$J,"W",$P(PSBWS,";",PSBWM)),U,2) D DD^%DT S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=$P(^TMP("PSBAR",$J,"W",$P(PSBWS,";",PSBWM)),U,3,99)_" "_Y
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39 | ..S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Okay to administer"
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40 | .K ^TMP("PSBAR",$J)
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41 | ;
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42 | ; no IV orders
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43 | ;
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44 | D NOW^%DTC
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45 | I PSBOSTS="H" S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="0^Order is on Provider Hold" Q
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46 | I PSBSCHT'="O"&(%<($$FMADD^XLFDT(PSBOST,"","",$$GET^XPAR("ALL","PSB ADMIN BEFORE")*-1))) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-1^Order Not Active" Q
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47 | I PSBSCHT'="O"&(%>PSBOSP) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)="-1^Order Not Active" Q
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48 | I (PSBSCHT="C")!((PSBSCHT="P")&(PSBDOSEF="PATCH")) D
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49 | .S PSBOKAY="0^Okay to administer"
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50 | .I PSBASTS["*UNKNOWN*" S PSBOKAY="-1^This administration has *UNKNOWN* status" Q
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51 | .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q
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52 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q
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53 | .S PSBFLAG=0 I PSBRMV="M"!(PSBRMV="H")!(PSBRMV="R") S PSBFLAG=1
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54 | .I $D(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE)) D Q:X
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55 | ..S X=0,PSBLADT=$O(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE,""),-1),PSBLAIEN=$O(^PSB(53.79,"AORDX",DFN,PSBXOR_PSBTYPE,PSBLADT,""),-1)
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56 | ..I $P($G(^PSB(53.79,PSBLAIEN,0)),U,9)="G",$P($G(^PSB(53.79,PSBLAIEN,.5,1,0)),U,4)="PATCH",PSBFLAG=0 S X=1,PSBOKAY="-1^Previous patch has not been removed" Q
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57 | .I $D(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN)) D Q:+PSBOKAY<0
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58 | ..S X=$O(^PSB(53.79,"AORD",DFN,PSBXOR_PSBTYPE,+PSBADMIN,""))
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59 | ..L +^PSB(53.79,+X):1
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60 | ..I L -^PSB(53.79,+X)
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61 | ..E S PSBOKAY="-1^The "_$$GET1^DIQ(53.79,+X_",",.13)_" administration is being edited by another" Q
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62 | ..I $G(PSBASTS)]"" D Q:+PSBOKAY<0
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63 | ...I $P($G(^PSB(53.79,+X,0)),U,9)="" Q
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64 | ...I $P($G(^PSB(53.79,+X,0)),U,9)'=PSBASTS S PSBOKAY="-2^Admin status mismatch" Q
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65 | .; Minutes before
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66 | .S PSBWIN1=$$GET^XPAR("DIV","PSB ADMIN BEFORE")*-1
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67 | .; Minutes After
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68 | .S PSBWIN2=$$GET^XPAR("DIV","PSB ADMIN AFTER")
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69 | .D NOW^%DTC S PSBMIN=$$DIFF^PSBUTL(PSBADMIN,%)
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70 | .; PENDING A PC SOLUTION!
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71 | .I PSBMIN<PSBWIN1 S PSBOKAY="1^Admin is "_(PSBMIN*-1)_" minutes before the scheduled administration time" Q
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72 | .I PSBMIN>PSBWIN2 S PSBOKAY="1^Admin is "_(PSBMIN)_" minutes after the scheduled administration time" Q
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73 | .S PSBOKAY="0^Okay to administer"
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74 | ; Validate a PRN Order
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75 | D:(PSBSCHT="P")
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76 | .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q
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77 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q
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78 | .I (+($G(PSBOKAY))<0)&(PSBDOSEF="PATCH") Q ;A Patch may have to be removed.
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79 | .S PSBOKAY="1^"
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80 | .; Get Last Four Givens
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81 | .S PSBDT=""
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82 | .F S PSBDT=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,PSBDT),-1) Q:PSBDT="" D
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83 | ..S PSBDA=""
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84 | ..F S PSBDA=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,PSBDT,PSBDA),-1) Q:'PSBDA D
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85 | ...S (PSBCNT1,PSBCNT2,PSBCNT3)=0
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86 | ...S PSBLADT=$$GET1^DIQ(53.79,PSBDA_",",.06,"I")
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87 | ...S PSBSTUS=$$GET1^DIQ(53.79,PSBDA_",",.09)
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88 | ...S:PSBSTUS="" PSBSTUS="U"
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89 | ...S PSBSCH=$$GET1^DIQ(53.79,PSBDA_",",.12)
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90 | ...S PSBRSN=$$GET1^DIQ(53.79,PSBDA_",",.21)
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91 | ...S PSBINJ=$$GET1^DIQ(53.79,PSBDA_",",.16)
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92 | ...Q:$P(^PSB(53.79,PSBDA,0),U,9)="N"
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93 | ...F PSBZ=.5,.6,.7 F PSBY=0:0 S PSBY=$O(^PSB(53.79,PSBDA,PSBZ,PSBY)) Q:'PSBY D
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94 | ....Q:'$D(^PSB(53.79,PSBDA,PSBZ,PSBY))
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95 | ....S PSBDD=$S(PSBZ=.5:53.795,PSBZ=.6:53.796,1:53.797)
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96 | ....S PSBUNIT=$$GET1^DIQ(PSBDD,PSBY_","_PSBDA_",",.03)
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97 | ....S PSBUNFR=$$GET1^DIQ(PSBDD,PSBY_","_PSBDA_",",.04)
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98 | ....I PSBZ=.5 S PSBCNT1=PSBCNT1+1
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99 | ....I PSBZ=.6 S PSBCNT2=PSBCNT2+1
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100 | ....I PSBZ=.7 S PSBCNT3=PSBCNT3+1
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101 | ...;Units given or free text not to display for multiple dispense drugs or additives and solution
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102 | ...I (PSBCNT1>1)!(PSBCNT2>0)!(PSBCNT3>0) S (PSBUNIT,PSBUNFR)=""
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103 | ...S X=PSBLADT_U
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104 | ...S X=X_PSBSTUS_U_PSBSCH_U_$G(PSBRSN)_U_$G(PSBINJ)_U_$G(PSBUNIT)_U_$G(PSBUNFR)
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105 | ...S PSBOKAY($O(PSBOKAY(""),-1)+1)=3_U_X
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106 | ...S:$D(PSBOKAY(4)) PSBDT=0
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107 | .S X1=$$LASTG^PSBCSUTL(DFN,+PSBOIT) I X1>0 S PSBOKAY($O(PSBOKAY(""),-1)+1)=4_U_X1
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108 | ; Validate a One-Time Order
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109 | D:PSBSCHT="O"
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110 | .S (PSBGVN,X,Y)=""
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111 | .F S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X),-1) Q:'X F S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X,Y),-1) Q:'Y I $P(^PSB(53.79,Y,.1),U)=PSBONX,"G"[$P(^PSB(53.79,Y,0),U,9) S PSBGVN=1,(X,Y)=0
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112 | .I PSBGVN S PSBOKAY="-1^Dose Already on medication Log" Q
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113 | .; One Time are automatically expired so we don't check STATUS here
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114 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q
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115 | .S PSBOKAY="0^Okay to administer"
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116 | ; Validate an On Call Order
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117 | D:PSBSCHT="OC"
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118 | .S PSBOKAY="0^Okay to administer"
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119 | .S (PSBGVN,X,Y)=""
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120 | .F S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X),-1) Q:'X F S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,X,Y),-1) Q:'Y I $P(^PSB(53.79,Y,.1),U)=PSBONX,"G"[$P(^PSB(53.79,Y,0),U,9) S PSBGVN=1,(X,Y)=0
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121 | .I PSBGVN&('$$GET^XPAR("DIV","PSB ADMIN MULTIPLE ONCALL")) S PSBOKAY="-1^Dose Already on medication Log" Q
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122 | .I PSBOSTS'="A",PSBOSTS'="R",PSBOSTS'="O" S PSBOKAY="-1^Order Not Active" Q
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123 | .I PSBNGF S PSBOKAY="-1^marked DO NOT GIVE" Q
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124 | .I PSBGVN&($$GET^XPAR("DIV","PSB ADMIN MULTIPLE ONCALL"))&(PSBDOSEF="PATCH") S PSBOKAY="-1^Previous patch has not been removed" Q
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125 | .S PSBOKAY="0^Okay to administer"
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126 | ;
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127 | D:+PSBOKAY'<0
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128 | .N PSBDIFF,Y
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129 | .D:(PSBSCHT="C")!(PSBSCHT="OC"&('$G(PSBGVN)))
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130 | ..; On-call or cont and not on the log.
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131 | ..S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,""),-1)
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132 | ..;Check for the status of the medication and insert status in the text
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133 | ..I Y]"" S X=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,Y,""),-1),PSBSTUS=$P(^PSB(53.79,X,0),U,9)
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134 | ..S:Y']"" PSBSTUS=""
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135 | ..I PSBSTUS="N" D Q:$G(PSBQUIT)
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136 | ...S X=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,Y,X),-1)
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137 | ...D:X']""
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138 | ....S Y=$O(^PSB(53.79,"AOIP",DFN,PSBOIT,Y),-1) I Y']"" S PSBQUIT=1 Q
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139 | ....S X=$O(^PSB(53.79,"AOIP",DFN,+PSBOIT,Y,""),-1),PSBSTUS=$P(^PSB(53.79,X,0),U,9)
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140 | ..S PSBDIFF=$$FMDIFF^XLFDT($$NOW^XLFDT(),Y,2)
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141 | ..Q:PSBDIFF>7200 ; Greater than 2 hours
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142 | ..I (PSBSTUS="G")!(PSBSTUS="H")!(PSBSTUS="R")!(PSBSTUS="RM") D
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143 | ...S PSBSTUS=$$GET1^DIQ(53.79,X_",",.09)
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144 | ...I PSBSTUS'="" D
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145 | ....S Y="1^*** NOTICE, "_PSBOITX_" was "_PSBSTUS_" "_(PSBDIFF\60)_" minutes ago."
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146 | ....I +PSBOKAY=1 S PSBOKAY(1)=Y
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147 | ....E S PSBOKAY=Y
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148 | ;
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149 | S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=PSBOKAY
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150 | F X=1:1 Q:'$D(PSBOKAY(X)) S PSB=PSB+1,RESULTS(0)=PSB,RESULTS(PSB)=PSBOKAY(X)
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151 | Q
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152 | ;
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