source: WorldVistAEHR/trunk/r/INPATIENT_MEDICATIONS-PSJ-PSIV-PSG--PSGW/PSGSICHK.m@ 619

PSGSICHK        ;BIR/CML3-CHECKS SPECIAL INSTRUCTIONS ;17 Aug 98 / 8:33 AM
        ;;5.0; INPATIENT MEDICATIONS ;**3,9,26,29,44,49,59,110,139,146,160,175,201,185**;16 DEC 97;Build 6
        ;
        ; Reference to ^PS(50.605 is supported by DBIA 696.
        ; Reference to EN^PSOORDRG is supported by DBIA 2190.
        ; Reference to ^PSI(58.1 is supported by DBIA 2284.
        ; Reference to ^PSDRUG( is supported by DBIA 2192.
        ; Reference to ^PSD(58.8 is supported by DBIA 2283.
        ; Reference to ^PS(55 is supported by DBIA 2191.
        ; Reference to ^PS(51.2 is supported by DBIA 2178.
        ; Reference to ^PS(51 is supported by DBIA 2176.
        ; Reference to ^ORRDI1 is supported by DBIA 4659.
        ; Reference to ^XTMP("ORRDI" is supported by DBIA 4660.
        ; Reference to GETDATA^GMRAOR supported by DBIA 4847.
        ; Reference to ^TMP("GMRAOC" supported by DBIA 4848.
        ;
START   ;
        I $S(X'?.ANP:1,X["^":1,1:$L(X)>180) K X Q
        S Y="" F Y(1)=1:1:$L(X," ") S Y(2)=$P(X," ",Y(1)) I Y(2)]"" D CHK Q:'$D(X)
        I $D(X),Y]"",X'=$E(Y,1,$L(Y)-1) D EN^DDIOL("EXPANDS TO: ") W Y F Y(1)=1:1 S Y(2)=$P(Y," ",Y(1)) Q:Y(2)=""  D:$L(Y(2))+$X>78 EN^DDIOL(Y(2)_" ")
        Q
        ;
CHK     ;
        I $L(Y(2))<31,$D(^PS(51,+$O(^PS(51,"B",Y(2),0)),0)),$P(^(0),"^",2)]"",$P(^(0),"^",4) S Y(2)=$P(^(0),"^",2)
        I $L(Y)+$L(Y(2))>180 K X Q
        S Y=Y_Y(2)_" " Q
        ;
ENSET(X)        ; expands the SPECIAL INSTRUCTIONS field contained in X into Y
        N X1,X2,Y S Y=""
        ;BHW;PSJ*5*185;Modified Logic below to NOT strip spaces and allow existing logic to flow.
        ;             ;Removed code I X2]"" Before Set of Y and created argumentless DO structure.
        F X1=1:1:$L(X," ") S X2=$P(X," ",X1) D
        . I X2']"" S Y=Y_" " Q  ;if multiple spaces in text and were $P'ing through text, X2 will="" so just add space and continue
        . S Y=Y_$S($L(X2)>30:X2,'$D(^PS(51,+$O(^PS(51,"B",X2,0)),0)):X2,$P(^(0),"^",2)]""&$P(^(0),"^",4):$P(^(0),"^",2),1:X2)_" "
        . Q
        ;BHW;Modified stripping of spaces at end of string
        F X1=$L(Y):-1:0 Q:$E(Y,X1,X1)'=" "  S Y=$E(Y,1,X1-1)
        Q Y
        ;
END     ; used by DRUG (55.06,101 & 53.1,101) x-refs to warn user if patient is receiving or about to receive the drug just ordered
        Q:$D(PSJHLSKP)
        N Z,ZZ,STATUSNP I $G(PSJPWD)&($P($G(PSJSYSU),";")=3)&($G(PSGDRG)) I ($D(^PSI(58.1,"D",PSGDRG,PSJPWD)))!($D(^PSD(58.8,"D",PSGDRG,PSJPWD))) D EN^DDIOL("                         *** A WARD STOCK ITEM ***")
        D NOW^%DTC
        N PSJDCHK F Z=%:0 S Z=$O(^PS(55,+PSGP,5,"AUS",Z)) Q:'Z!$D(DUOUT)  F ZZ=0:0 S ZZ=$O(^PS(55,+PSGP,5,"AUS",Z,ZZ)) Q:'ZZ!$D(DUOUT)  I +$G(^PS(55,+PSGP,5,ZZ,.2))=PSGX D PDWCHK(+PSGP,ZZ_"U") S PSJDCHK=1
        F STATUSNP="N","P" F Z=0:0 S Z=$O(^PS(53.1,"AS",STATUSNP,+PSGP,Z)) Q:'Z!$D(DUOUT)  I +$G(^PS(53.1,+Z,.2))=PSGX D PDWCHK(+PSGP,Z_"P") S PSJDCHK=1
        I $D(PSJDCHK) N DIR D
        .S DIR(0)="Y",DIR("A")="Do you wish to continue entering this order",DIR("?",1)="Enter ""N"" if you wish to exit without creating a new order,"
        .S DIR("?")="or ""Y"" to continue with the order entry process." D ^DIR S:'Y Y=-1,X="^"
        K Z,ZZ
        Q
        ;
ENDDC(PSGP,PSJDD)       ; Perform Duplicate Drug, Duplicate Class,
        ; Drug-Drug interaction check, Drug-Allergy interaction check.
        N PSJLINE,Z,ZZ,PSJFST
        S (PSJLINE,PSJFST)=0
        I $G(PSJPWD)&($P($G(PSJSYSU),";")=3)&($G(PSJDD)) I ($D(^PSI(58.1,"D",PSJDD,PSJPWD)))!($D(^PSD(58.8,"D",PSJDD,PSJPWD))) W !?25,"*** A WARD STOCK ITEM ***"
        D EN^PSOORDRG(PSGP,PSJDD) K PSJPDRG N INTERVEN,PSJIREQ,PSJRXREQ S Y=1,(PSJIREQ,PSJRXREQ,INTERVEN,X)="" S DFN=PSGP
        I $T(HAVEHDR^ORRDI1)]"",$$HAVEHDR^ORRDI1,'$D(^XTMP("ORRDI","OUTAGE INFO","DOWN")) D
        . I $P($G(^XTMP("ORRDI","PSOO",PSGP,0)),"^",3)<0 W !,"Remote data not available - Only local order checks processed." D PAUSE^PSJLMUT1
        I $D(^TMP($J,"DD")) D ORDCHK^PSJLMUT1(PSGP,"DD",4)
        I $D(^TMP($J,"DC")) D ORDCHK^PSJLMUT1(PSGP,"DC",6)
IVSOL   ;*** Start order check for IV solution at this point.
        I '$D(PSJFST) N PSJFST S PSJFST=0
        I $D(^TMP($J,"DI")) S INTERVEN=1 D ORDCHK^PSJLMUT1(PSGP,"DI",8)
        ;*** Allergy/adverse reaction check.
        N PTR,X
        S PTR=$P($G(^PSDRUG(PSJDD,"ND")),U)_"."_$P($G(^PSDRUG(PSJDD,"ND")),U,3)
        K ^TMP("PSJDAI",$J) S PSJACK=$$ORCHK^GMRAOR(DFN,"DR",PTR) D:$G(PSJACK)=1
        .S ^TMP("PSJDAI",$J,0)=1
        .S I=0 F  S I=$O(GMRAING(I)) Q:'I  S ^TMP("PSJDAI",$J,I,0)=GMRAING(I)
        I $D(^TMP("PSJDAI",$J)) S PSJPDRG=1 D
        .W $C(7),!!,"A Drug-Allergy Reaction exists for this medication!",!!
        .W !?7,"Drug: "_$P($G(^PSDRUG(PSJDD,0)),"^") I $O(^TMP("PSJDAI",$J)) W !,"Ingredients: " D
        ..S I=0 F  S I=$O(^TMP("PSJDAI",$J,I)) Q:'I  W:$X+$L($G(^(I,0)))+2>IOM !?19 W:I=1 $G(^TMP("PSJDAI",$J,I,0)) W:I>1 ", ",$G(^TMP("PSJDAI",$J,I,0))
        .W !!
        K PSJACK,GMRAING,I,^TMP($J)
        D ALGCLASS
CONT    ; Ask user if they wish to continue in spite of an order check.
        Q:'$D(PSJPDRG)  N DIR S DIR(0)="Y",DIR("A")="Do you wish to continue entering this order",DIR("?",1)="Enter ""N"" if you wish to exit without creating a new order,"
        S DIR("?")="or ""Y"" to continue with the order entry process.",DIR("B")="NO" D ^DIR I 'Y S PSGORQF=1,X="^",COMQUIT=1 Q
        I 'INTERVEN!($P(PSJSYSU,";")'=3) Q
        NEW PSJY
        W:PSJIREQ !!,"This is a CRITICAL interaction, you must enter an intervention log to continue"
        S DIR(0)="Y",DIR("A")="Do you wish to log an intervention",DIR("?",1)="Enter ""N"" if you do not wish to log an intervention,",DIR("?")="or ""Y"" to log an intervention." D ^DIR S PSJY=Y D:Y ^PSJRXI
        I 'PSJY,PSJIREQ S PSGORQF=1,COMQUIT=1
        Q
        ;
ENDL    ; used by PSGTRAIN DRUG LOOK-UP option
        D ENCV^PSGSETU Q:$D(XQUIT)
        F  S DIC="^PSDRUG(",DIC(0)="AEIMOQZ",DIC("A")="Select DRUG: " W ! D ^DIC K DIC Q:+Y'>0  D SF
        D ENKV^PSGSETU K N5,ND,Q,Y Q
        ;
SF      ;
        S Y=+Y,ND=$G(^PSDRUG(Y,0)),PSGID=+$G(^("I")) I PSGID W !!,"THIS DRUG IS INACTIVE AS OF ",$E($$ENDTC^PSGMI(PSGID),1,8)
        W !!,$S($P(ND,"^",9):"NON-",1:""),"FORMULARY ITEM" W:$P(ND,"^",10)]"" !,$P(ND,"^",10)
        S ND=$P($G(^PSDRUG(Y,2)),"^",3)["U" W !,$P("NOT^","^",ND+1)," A UNIT DOSE DRUG" W ! S ND=$G(^(8)),N5=$G(^(8.5)) W !?2,"DAY (nD) or DOSE (nL) LIMIT: " I ND W $P(ND,"^")
        W !?10,"UNIT DOSE MED ROUTE: " I $P(ND,"^",2) W $S($D(^PS(51.2,$P(ND,"^",2),0)):$P(^(0),"^"),1:$P(ND,"^",2))
        ; NAKED REF below refers to ^PS(51.2, on line above.
        W !?6,"UNIT DOSE SCHEDULE TYPE: " I $P(ND,"^",3)]"" W $P($P(";"_$P(^(0),"^",3),";"_$P(ND,"^",3)_":",2),";")
        W !?11,"UNIT DOSE SCHEDULE: " I $P(ND,"^",4)]"" W $P(ND,"^",4)
        W !,"CORRESPONDING OUTPATIENT DRUG: " I $P(ND,"^",5) W $S('$D(^PSDRUG(+$P(ND,"^",5),0)):$P(ND,"^",5),$P(^(0),"^")]"":$P(^(0),"^"),1:$P(ND,"^",5))
        W !?17,"ATC MNEMONIC: " I $P(N5,"^",2)]"" W $P(N5,"^",2)
        W !?17,"ATC CANISTER: " F Q=0:0 S Q=$O(^PSDRUG(Y,212,Q)) Q:'Q  S ND=$G(^(Q,0)) I ND,$P(ND,"^",2) W ?31,$S('$D(^PS(57.5,+ND,0)):+ND_";PS(57.5,",$P(^(0),"^")]"":$P(^(0),"^"),1:+ND_";PS(57.5,"),?56,$P(ND,"^",2),!
        Q
        ;
OCHK    ; Add drugs in current order to ^TMP("ORDERS" and call order checker.
        ; Set PSJOCHK=1 so OP order check doesn't Kill array.
        ;
        K ^TMP($J,"ORDERS")
        N PSJOCHK S PSJOCHK=1
PDWCHK(DFN,ON)  ; Print Dup Drug order.
        N ND,ND0,ND2,X
        W:'$D(PSJDCHK) $C(7),$C(7),!!,"WARNING! THIS PATIENT HAS THE FOLLOWING ORDER(S) FOR THIS MEDICATION:",!!
        S ND=$$DRUGNAME^PSJLMUTL(DFN,ON)
        S F=$S(ON["P":"^PS(53.1,",1:"^PS(55,"_DFN_",5,"),ND0=$G(@(F_+ON_",0)")),ND2=$G(^(2)),X=$P(ND,U,2),X=$S(X=.2:$P($G(^(.2)),U,2),1:$G(^(.3)))
        W ?10,$P(ND,U),!,?13,"Give: ",X," ",$$ENMRN^PSGMI(+$P(ND0,U,3))," ",$P(ND2,U),!!
        Q
ALGCLASS        ; checks any Drug allergies or reactions to see if
        ;         the new drug is the same class
        ; this call can be removed by commenting out the call on IVSOL+16
        N PSJLIST,CT,CLS,CLCHK,CNT,PSJL,LIST,DCCNT,PSCLASS,LEN
        S PSCLASS=$P($G(^PSDRUG(PSJDD,0)),"^",2),LEN=4 I $E(PSCLASS,1,4)="CN10" S LEN=5 ;look at 5 chars if ANALGESICS
        I $T(GETDATA^GMRAOR)]"" G ALGC2
        S GMRA="0^0^111" D EN1^GMRADPT
        F PSJLIST=0:0 S PSJLIST=$O(GMRAL(PSJLIST)) Q:'PSJLIST  D
        .K PSJAGL D EN1^GMRAOR2(PSJLIST,"PSJAGL")
        .; is the allergy/reaction drug class first four digits the same as the
        .; the class for the drug being entered?
        .S (CT,CLS)="",DCCNT=0
        .I $D(PSJAGL("V")) D
        ..F  S DCCNT=$O(PSJAGL("V",DCCNT)) Q:'DCCNT  S:$E($P($G(PSJAGL("V",DCCNT)),"^"),1,LEN)=$E(PSCLASS,1,LEN) (PSJPDRG,CLCHK)=1,CNT=$S('$D(CNT):1,1:CNT+1),LIST(CNT)=$P($G(PSJAGL),"^")_"^"_$P($G(PSJAGL("V",DCCNT)),"^",2)
        D:$G(CLCHK)
        .W !!,$C(7),"A Drug-Allergy Reaction exists for this medication and/or class!"
        .F PSJL=0:0 S PSJL=$O(LIST(PSJL)) Q:'PSJL  D
        ..W !?6,"Drug: "_$P(LIST(PSJL),"^"),!,"Drug Class: "_$P(LIST(PSJL),"^",2),!
        Q
ALGC2   ;
        K GMRADRCL
        D GETDATA^GMRAOR(DFN) Q:'$D(^TMP("GMRAOC",$J,"APC"))
        N GMRACL,RET
        S RET=0,GMRACL="" F  S GMRACL=$O(^TMP("GMRAOC",$J,"APC",GMRACL)) Q:'$L(GMRACL)  D
        .N GMRANM,GMRALOC
        .S GMRALOC=^TMP("GMRAOC",$J,"APC",GMRACL)
        .S GMRANM=$P(^PS(50.605,+$O(^PS(50.605,"B",GMRACL,0)),0),U,2)
        .S GMRADRCL(GMRACL)=GMRACL_U_GMRANM_" ("_GMRALOC_")"
        .S RET=RET+1
        Q:'RET  K ^TMP("GMRAOC",$J)
        S CLCHK="",CT="" F  S CT=$O(GMRADRCL(CT)) Q:CT=""  D
        .I $E(PSCLASS,1,LEN)=$E(CT,1,LEN) S CLCHK=$G(CLCHK)+1,^TMP($J,"PSJDRCLS",CLCHK)=CT_" "_$P(GMRADRCL(CT),"^",2)
CLASSDSP        ;
        I '$D(^TMP($J,"PSJDRCLS")) Q
        W $C(7),!,"A Drug-Allergy Reaction exists for this medication and/or class!",!
        W !,"Drug: "_$P($G(^PSDRUG(PSJDD,0)),"^")
        S CT="" F  S CT=$O(^TMP($J,"PSJDRCLS",CT)) Q:CT=""  W !,"Drug Class: "_^TMP($J,"PSJDRCLS",CT)
        K ^TMP($J,"PSJDRCLS")
        S DIR("?",1)="Answer 'YES' if you DO want to enter a reaction for this medication,"
        S DIR("?")="       'NO' if you DON'T want to enter a reaction for this medication,"
        S DIR(0)="SA^1:YES;0:NO",DIR("A")="Do you want to Intervene? ",DIR("B")="Y" W ! D ^DIR
        I Y D ^PSJRXI
        I '$G(Y) K DIR,DTOUT,DIRUT,DIROUT,DUOUT,Y Q
        Q