source: WorldVistAEHR/trunk/r/ORDER_ENTRY_RESULTS_REPORTING-OR-OCX--ORRC--ORRJ/ORKPS.m@ 1800

ORKPS ; slc/CLA - Order checking support procedures for medications ;12/15/97 [8/10/05 3:20pm]

 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**6,32,74,94,123,141,190,232**;Dec 17, 1997;Build 19

 Q

CHECK(YY,DFN,MED,OI,ORKDG) ; return drug order checks

 ;YY:    returned array of data

 ;DFN:   patient id

 ;MED:   drug ien [file #50]

 ;OI:    orderable item ien [file #101.43

 ;ORKDG: display group (should be PSI, PSIV, PSO or PSH)

 ; returned info: varies for ^TMP($J x-ref - refer to listings below

 K ^TMP($J,"DI"),^TMP($J,"DD"),^TMP($J,"DC")

 N ORDFN S ORDFN=DFN

 D EN^PSOORDRG(DFN,MED)

 D PROCESS^ORKPS1(OI,ORDFN,ORKDG)

 K ^TMP($J,"DI"),^TMP($J,"DD"),^TMP($J,"DC")

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CHKSESS(YY,DFN,MED,OI,ORKPDATA,ORKDG) ; return drug order checks for session

 N ORKDGI,ORKDRUG,ORKDRUGA,ORKORN,HOR,SEQ,CNT,CNTX,ORKOI

 N ORKFLG,ORSESS,ORPSPKG,ORPSA,ORKDD,ORSNUM,ORNUM,DUPX,DUPORN

 N ORDFN S ORDFN=DFN

 S ORKFLG=0

 S ORNUM=$P(ORKA,"|",5)

 ;

 ;get other session med orders:

 I $D(^TMP("ORKA",$J)) D

 .S CNT=^TMP("ORKA",$J) F CNTX=1:1:CNT D

 ..S ORSESS=$G(^TMP("ORKA",$J,CNTX))

 ..Q:'$L(ORSESS)

 ..S ORPSPKG=$P(ORSESS,"|",2)

 ..Q:'$L(ORPSPKG)

 ..Q:$E(ORPSPKG,1,2)'="PS"

 ..S ORSNUM=$P(ORSESS,"|",5)

 ..S ORKOI=$P(ORSESS,"|")

 ..;quit if same order/oi:

 ..Q:((+$G(ORNUM)=+$G(ORSNUM))&(+$G(OI)=+$G(ORKOI)))

 ..S:ORPSPKG="PSJ" ORPSPKG="PSI"

 ..S ORKDRUG=$P($P(ORSESS,"|",3),U,4)

 ..;

 ..;if no disp drug selected get disp drug(s) from OI:

 ..I +$G(ORKDRUG)<1,$L(ORKOI) D

 ...I "IOH"[$E(ORPSPKG,3) D OI2DD(.ORPSA,ORKOI,$E(ORPSPKG,3)) D

 ....S ORKDD=0 F  S ORKDD=$O(ORPSA(ORKDD)) Q:'ORKDD  D

 .....S ORKDRUG=+ORKDD

 .....S:+$G(ORKDRUG)>0 ORKDRUGA(ORKDRUG_";"_ORPSPKG_";"_ORSNUM)=ORSNUM

 ...K ORPSA  ;need to clean out between calls to OI2DD

 ..;

 ..Q:+$G(ORKDRUG)<1

 ..;if dispense drug selected add to array:

 ..S ORKDRUGA(ORKDRUG_";"_ORPSPKG_";"_ORSNUM)=ORSNUM

 ;

 ;get unsigned medication orders:

 S HOR=0,SEQ=0

 S HOR=$O(^TMP("ORR",$J,HOR)) I +$G(HOR)>0 D

 .F  S SEQ=$O(^TMP("ORR",$J,HOR,SEQ)) Q:+SEQ<1  D

 ..S ORKORN=+$P(^TMP("ORR",$J,HOR,SEQ),U),DUPORN=0

 ..Q:+$G(ORKORN)<1

 ..Q:+ORKORN=+ORNUM

 ..Q:$P(^OR(100,+ORKORN,8,$P(^OR(100,+ORKORN,8,0),U,3),0),U,2)="DC"

 ..Q:$P(^ORD(100.01,$P(^OR(100,+ORKORN,3),U,3),0),U)="DISCONTINUED"

 ..S ORKDRUG=$$VALUE^ORCSAVE2(+ORKORN,"DRUG") ;get disp drug for order

 ..;only process vs. unsigned med order if disp drug is assoc w/order:

 ..Q:+$G(ORKDRUG)<1

 ..S ORPSPKG=$$DGRX^ORQOR2(+ORKORN)

 ..S ORPSPKG=$S(ORPSPKG="UNIT DOSE MEDICATIONS":"PSI",ORPSPKG="OUTPATIENT MEDICATIONS":"PSO",ORPSPKG="IV MEDICATIONS":"PSIV",ORPSPKG="NON-VA MEDICATIONS":"PSH",1:"")

 ..S DUPX="" F  S DUPX=$O(ORKDRUGA(DUPX)) Q:'DUPX!(DUPORN=1)  D

 ...S:ORKORN=ORKDRUGA(DUPX) DUPORN=1

 ..Q:DUPORN=1  ;quit if already processed drug order

 ..S ORKDRUGA(+ORKDRUG_";"_ORPSPKG_";"_ORKORN)=ORKORN

 ;

 K ^TMP($J,"DI"),^TMP($J,"DD"),^TMP($J,"DC")

 I $D(ORKDRUGA) D DRGCHK^PSOORDRG(DFN,MED,.ORKDRUGA)

 ;I '$D(ORKDRUGA) D EN^PSOORDRG(DFN,MED)

 D PROCESS^ORKPS1(OI,ORDFN,ORKDG)

 K ^TMP($J,"DI"),^TMP($J,"DD"),^TMP($J,"DC")

 Q

TAKEMED(ORKDFN,ORKMED) ;extrinsic function returns med orderable item if any

 ;active med patient is taking contains any piece of ORKMED

 ;ORKDFN   patient DFN

 ;ORKMED   meds to check vs. active med list in format MED1^MED2^MED3...

 Q:'$L($G(ORKDFN)) "0^Patient not identified."

 Q:'$L($G(ORKMED)) "0^Medication not identified."

 N ORKARX,ORKY,ORI,ORJ,ORCNT,ORKMEDP,ORKRSLT

 D LIST^ORQQPS(.ORKY,ORKDFN,"","")

 Q:$P(ORKY(1),U)="" "0^No active meds found."

 S ORKRSLT="0^No matching meds found."

 S ORCNT=$L(ORKMED,U)

 S ORI=0 F  S ORI=$O(ORKY(ORI)) Q:ORI<1  D

 .S ORKARX=$P(ORKY(ORI),U,2)

 .F ORJ=1:1:ORCNT S ORKMEDP=$P(ORKMED,U,ORJ) D

 ..I $L(ORKMEDP),(ORKARX[ORKMEDP) S ORKRSLT="1^"_ORKARX

 Q ORKRSLT

SOLUT(OI) ;extrinsic function returns 1 (true) if the orderable item is

 ; a solution (IV Base)

 Q:+$G(OI)<1 ""

 N OITEXT

 S OITEXT=$G(^ORD(101.43,OI,0))

 Q:'$L(OITEXT) ""

 S OITEXT=$P(OITEXT,U)

 Q:$D(^ORD(101.43,"S.IVB RX",OITEXT)) 1

 Q ""

POLYRX(DFN) ;extrins funct rtns 1 if patient exceeds polypharmacy, 0 if not

 N ORSLT,ORENT,ORLOC,ORPAR,ORMEDS

 S ORSLT=0

 Q:'$L(DFN) ORSLT

 S VA200="" D OERR^VADPT

 S ORLOC=+$G(^DIC(42,+VAIN(4),44))

 K VA200,VAIN

 S ORENT=+$G(ORLOC)_";SC(^DIV^SYS^PKG"

 S ORPAR=$$GET^XPAR(ORENT,"ORK POLYPHARMACY",1,"I")

 S ORMEDS=$$NUMRX(DFN)

 I $G(ORMEDS)>$G(ORPAR) S ORSLT=1

 Q ORSLT

GLCREAT(DFN) ;extrinsic function returns patient's (DFN) most recent serum

 ; creatinine within # of days from parameter ORK GLUCOPHAGE CREATININE

 ; results format: test id^result units flag ref range collect d/t^result

 ; used by order check GLUCOPHAGE-LAB RESULTS

 N ORLOC,ORPAR,ORDAYS

 N BDT,CDT,ORY,ORX,ORZ,TEST,ORI,ORJ,CREARSLT,LABFILE,SPECFILE,SPECIMEN

 Q:'$L(DFN) "0^"

 S ORDAYS=$$GCDAYS(DFN)

 Q:'$L(ORDAYS) "0^"

 D NOW^%DTC

 S BDT=$$FMADD^XLFDT(%,"-"_ORDAYS,"","","")

 K %

 Q:'$L($G(BDT)) "0^"

 S LABFILE=$$TERMLKUP^ORB31(.ORY,"SERUM CREATININE")

 Q:'$D(ORY) "0^" ;no link between SERUM CREATININE and local lab test

 Q:$G(LABFILE)'=60 "0^"

 S SPECFILE=$$TERMLKUP^ORB31(.ORX,"SERUM SPECIMEN")

 Q:'$D(ORX) "0^" ;no link between SERUM SPECIMEN and local specimen

 Q:$G(SPECFILE)'=61 "0^"

 F ORI=1:1:ORY I +$G(CREARSLT)<1 D

 .S TEST=$P(ORY(ORI),U)

 .Q:+$G(TEST)<1

 .F ORJ=1:1:ORX I +$G(CREARSLT)<1 D

 ..S SPECIMEN=$P(ORX(ORJ),U)

 ..Q:+$G(SPECIMEN)<1

 ..S ORZ=$$LOCL^ORQQLR1(DFN,TEST,SPECIMEN)

 ..Q:'$L($G(ORZ))

 ..S CDT=$P(ORZ,U,7)

 ..I CDT'<BDT S CREARSLT=1

 Q:+$G(CREARSLT)<1 "0^"

 Q $P(ORZ,U)_U_$P(ORZ,U,3)_" "_$P(ORZ,U,4)_" "_$P(ORZ,U,5)_" ("_$P(ORZ,U,6)_")  "_$$FMTE^XLFDT(CDT,"2P")_U_$P(ORZ,U,3)

GCDAYS(DFN) ;extrinsic function to return number of days to look for 

 ; glucophage serum creatinine result

 Q:'$L(DFN) ""

 N ORLOC,ORENT,ORDAYS

 ;get patient's location flag (INPATIENT ONLY - outpt locations cannot be

 ;reliably determined, and many simultaneous outpt locations can occur):

 S VA200="" D OERR^VADPT

 S ORLOC=+$G(^DIC(42,+VAIN(4),44))

 K VA200,VAIN

 S ORENT=+$G(ORLOC)_";SC(^DIV^SYS^PKG"

 S ORDAYS=$$GET^XPAR(ORENT,"ORK GLUCOPHAGE CREATININE",1,"I")

 Q:$L(ORDAYS) ORDAYS

 Q ""

SUPPLY(OI) ;extrinsic function returns 1 (true) if the orderable item is

 ; a supply

 Q:+$G(OI)<1 ""

 N OITEXT

 S OITEXT=$G(^ORD(101.43,OI,0))

 Q:'$L(OITEXT) ""

 S OITEXT=$P(OITEXT,U)

 Q:$D(^ORD(101.43,"S.SPLY",OITEXT)) 1

 Q ""

NUMRX(DFN) ;extrinsic funct returns number of active meds patient is taking

 N NUMRX,ORPTYPE,ORX,ORY,ORS,ORNUM,ORPRENEW

 S NUMRX=0

 Q:+$G(DFN)<1 NUMRX

 ;

 ;check to determine if inpatient or outpatient:

 D ADM^VADPT2

 S ORPTYPE=$S(+$G(VADMVT)>0:"I",1:"O")

 ;

 K ^TMP("PS",$J)

 D OCL^PSOORRL(DFN,"","")  ;if no date range, returns active meds for pt

 N X

 S X=0

 F  S X=$O(^TMP("PS",$J,X)) Q:X<1  D

 .S ORX=$G(^TMP("PS",$J,X,0))

 .S ORY=$P(ORX,U)

 .S ORNUM=$P(ORX,U,8) ;order entry order number

 .S ORS=$P(ORX,U,9) ;medication status from pharmacy

 .S ORPRENEW=$P(ORX,U,14)  ;pending renewal flag (1: pending renewal)

 .Q:+ORX<1

 .Q:$P(ORY,";",2)'=ORPTYPE  ;quit if med is not pt type (inpt/outpt)

 .;quit if status is a non-active type:

 .Q:$G(ORS)="EXPIRED"

 .Q:$G(ORS)["DISCONTINUE"

 .Q:$G(ORS)="DELETED"

 .Q:+$G(ORPRENEW)>0

 .Q:$$SUPPLY($$OI^ORQOR2(ORNUM))=1  ;quit if a supply

 .S NUMRX=NUMRX+1

 K ^TMP("PS",$J)

 Q NUMRX

OI2DD(ORPSA,OROI,ORPSPKG)       ;rtn dispense drugs for a PS OI

 N PSOI

 Q:'$D(^ORD(101.43,OROI,0))

 S PSOI=$P($P(^ORD(101.43,OROI,0),U,2),";")

 Q:+$G(PSOI)<1

 S:ORPSPKG="H" ORPSPKG="X"  ;if non-va med need to pass api "X"

 D DRG^PSSUTIL1(.ORPSA,PSOI,ORPSPKG)

 Q