ORMBLDPS ;SLC/MKB-Build outgoing Pharmacy ORM msgs ;11:26 AM 2 Apr 2001 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**7,38,54,86,97,94,116,129,141,190,195,237,254**;Dec 17, 1997 PTR(NAME) ; -- Returns ptr value of prompt in Dialog file Q +$O(^ORD(101.41,"AB",$E("OR GTX "_NAME,1,63),0)) ; NVA ; -- new Non-VA Meds order N NVA S NVA=1 OUT ; -- new Outpt Meds order ; fall through to UD: same msg, +3 fields UD ; -- new Inpt (Unit Dose) Meds order N OI,DRUG,INSTR,DOSE,ROUTE,SCHED,DUR,URG,PROVCOMM,PI,DISPENSE,X,Y,I,J,K,L,QT1,QT2,QT3,QT4,QT6,QT9,CONJ,ORC,SC,OUTPT S OUTPT=$S($P(OR0,U,12)="O":1,1:0) ;outpt flag S X=$G(^OR(100,IFN,8,1,0)) I $P(X,U,5),$P(X,U,5)'=$P(X,U,3) S $P(ORMSG(4),"|",13)=$P(X,U,5) ; Send signer instead of orderer if different S OI=$$PTR("ORDERABLE ITEM"),DRUG=$$PTR("DISPENSE DRUG") S INSTR=$$PTR("INSTRUCTIONS"),SCHED=$$PTR("SCHEDULE") S DUR=$$PTR("DURATION"),URG=$$PTR("URGENCY"),DOSE=$$PTR("DOSE") S ROUTE=$$PTR("ROUTE"),PROVCOMM=$$PTR("WORD PROCESSING 1") S PI=$$PTR("PATIENT INSTRUCTIONS"),CONJ=$$PTR("AND/THEN") S J=1,ORC(J)=$P(ORMSG(4),"|",1,7)_"|" I +$G(NVA)=1 G NVA1 UD1 S I=0 F S I=$O(ORDIALOG(INSTR,I)) Q:I'>0 D . S QT2=$G(ORDIALOG(SCHED,I)),QT3=$$HL7DUR,X=$G(ORDIALOG(DOSE,I)) . ;S QT1=$S($L(X):$P(X,"&",1,4)_"&"_$P(X,"&",6),1:"") . S QT1=$S($L(X):$P(X,"&",1,6),1:"") . S QT6=$P($G(^ORD(101.42,+$G(ORDIALOG(URG,I)),0)),U,2) . S QT9=$G(ORDIALOG(CONJ,I))_"~" S:$E(QT9)="T" QT9="S~" . S J=J+1,ORC(J)=QT1_U_QT2_U_QT3_"^^^"_QT6_"^^"_$$INSTR_U_QT9 ; NVA1 I +$G(NVA)=1 D . S I=1 ;only one dosage possible for non-va meds . S QT2=$G(ORDIALOG(SCHED,I)),QT3=$$HL7DUR,X=$G(ORDIALOG(DOSE,I)) . S QT1=$S($L(X):$P(X,"&",1,6),1:"") . S QT6=$P($G(^ORD(101.42,+$G(ORDIALOG(URG,I)),0)),U,2) . S QT9=$G(ORDIALOG(CONJ,I))_"~" S:$E(QT9)="T" QT9="S~" . S J=J+1,ORC(J)=QT1_U_QT2_U_QT3_"^^^"_QT6_"^^"_$$INSTR_U_QT9 ; I $L($P(OR0,U,8)) S $P(ORC(2),U,4)=$$FMTHL7^XLFDT($P(OR0,U,8)) S:J<2 J=2 S J=J+1,ORC(J)="|"_$P(ORMSG(4),"|",9,999),ORC=J,X="ORMSG(4)",ORMSG(4)="",I=0 F J=1:1:ORC S Y=ORC(J) D ;add to ORMSG(4) . I $L(@X)+$L(Y)'>245 S @X=@X_Y . E S L=245-$L(@X),@X=@X_$E(Y,1,L),I=I+1,X="ORMSG(4,"_I_")",@X=$E(Y,L+1,$L(Y)) I $G(ORDIALOG(DRUG,1)) S X=$$ENDCM^PSJORUTL(ORDIALOG(DRUG,1)),DISPENSE=$P(X,U,3)_"^^99NDF^"_ORDIALOG(DRUG,1)_"^^99PSD" S ORMSG(5)="RXO|"_$$USID^ORMBLD($G(ORDIALOG(OI,1)))_"|||||||||"_$G(DISPENSE) UD2 I $G(OUTPT) D . N QTY,REFS,DSPY . S QTY=$$PTR("QUANTITY"),REFS=$$PTR("REFILLS"),DSPY=$$PTR("DAYS SUPPLY") . S ORMSG(5)=ORMSG(5)_"|"_$G(ORDIALOG(QTY,1))_"||"_$G(ORDIALOG(REFS,1))_"||||D"_$G(ORDIALOG(DSPY,1)) S I=5 I $L($G(ORDIALOG(PROVCOMM,1))) D . S J=$O(^TMP("ORWORD",$J,PROVCOMM,1,0)) Q:'J . S I=6,ORMSG(6)="NTE|6|P|"_$G(^TMP("ORWORD",$J,PROVCOMM,1,J,0)) . S K=0 F S J=$O(^TMP("ORWORD",$J,PROVCOMM,1,J)) Q:J'>0 S K=K+1,ORMSG(6,K)=$G(^(J,0)) I $G(OUTPT),$L($G(ORDIALOG(PI,1))) D . S J=$O(^TMP("ORWORD",$J,PI,1,0)) Q:'J . S I=I+1,ORMSG(I)="NTE|7|P|"_$G(^TMP("ORWORD",$J,PI,1,J,0)) . S K=0 F S J=$O(^TMP("ORWORD",$J,PI,1,J)) Q:J'>0 S K=K+1,ORMSG(I,K)=$G(^(J,0)) UD3 S J=0 F S J=$O(ORDIALOG(ROUTE,J)) Q:J'>0 S I=I+1,ORMSG(I)=$$RXR($G(ORDIALOG(ROUTE,J))) I $D(^OR(100,IFN,9)) D ORDCHKS S I=I+1,ORMSG(I)=$$ZRX(IFN) I $G(OUTPT) D ;add SC data . N OR5 S OR5=$G(^OR(100,IFN,5)) . I $L(OR5),OR5'?5"^" S I=I+1,ORMSG(I)="ZSC|"_$TR(OR5,"^","|") Q . S SC=$$PTR("SERVICE CONNECTED") S:$D(ORDIALOG(SC,1)) I=I+1,ORMSG(I)="ZSC|"_$S(ORDIALOG(SC,1):"SC",1:"NSC") ; Create DG1 & ZCL segment(s) for Billing Awareness (BA) Project D DG1^ORWDBA3($G(IFN),"I",I) I $P(^ORD(100.98,$P(OR0,U,11),0),U)="NON-VA MEDICATIONS" D . S I=I+1 D ZRN(IFN,.ORMSG,I) Q ; INSTR() ; -- Return text instructions for QT-8, instance I N Y S Y=$P($G(ORDIALOG(DOSE,I)),"&",5) I $G(ORDIALOG(DRUG,1)),$L(Y) Q Y S Y=$G(ORDIALOG(INSTR,I)) I $G(OUTPT) D . N UNITS,UNT S UNITS=$$PTR("FREE TEXT"),UNT=$G(ORDIALOG(UNITS,I)) . S:$L(UNT) Y=Y_" "_UNT ;old format Q Y ; HL7DUR() ; -- Returns HL7 form of duration X N X,X1,X2,Y S X=$G(ORDIALOG(DUR,I)) S X1=+$G(X),Y="" G:X1'>0 HDQ S X2=$$UP^XLFSTR($P(X,X1,2)) S:$E(X2)=" " X2=$E(X2,2,99) S Y=$S($E(X2,1,2)="MO":"L",'$L(X2):"D",1:$E(X2))_X1 HDQ Q Y ; IV ; -- new IV Meds order N SOLN,VOL,ADDS,STR,UNITS,RATE,URG,WP,QT,I,X1,X2,INST N IVLIMIT ; duratioin or total volume for IV order S IVLIMIT=$$PTR("DURATION") S RATE=$$PTR("INFUSION RATE"),ADDS=$$PTR("ADDITIVE") S STR=$$PTR("STRENGTH PSIV"),UNITS=$$PTR("UNITS") S WP=$$PTR("WORD PROCESSING 1"),VOL=$$PTR("VOLUME") S SOLN=$$PTR("ORDERABLE ITEM"),URG=+$G(ORDIALOG($$PTR("URGENCY"),1)) S QT=U_$G(ORDIALOG(+$$PTR("SCHEDULE"),1))_"^^^^" S:URG QT=QT_$P($G(^ORD(101.42,URG,0)),U,2) S $P(ORMSG(4),"|",8)=QT S X=$G(^OR(100,IFN,8,1,0)) I $P(X,U,5),$P(X,U,5)'=$P(X,U,3) S $P(ORMSG(4),"|",13)=$P(X,U,5) ; Send signer instead of orderer if different S RATE=$G(ORDIALOG(RATE,1)) S:$E(RATE,$L(RATE))=" " RATE=$E(RATE,1,($L(RATE)-1)) S ORMSG(5)="RXO|^^^PS-1^IV^99OTH|"_RATE ;strip any trailing spaces S IVLIMIT=$G(ORDIALOG(IVLIMIT,1)) I $L(IVLIMIT) S IVLIMIT=$$HL7IVLMT(IVLIMIT),ORMSG(5)="RXO|^^"_IVLIMIT_"^PS-1^IV^99OTH|"_RATE S I=5 I $L($G(ORDIALOG(WP,1))) D . N J,K S J=$O(^TMP("ORWORD",$J,WP,1,0)) Q:'J . S I=6,ORMSG(6)="NTE|6|P|"_$G(^TMP("ORWORD",$J,WP,1,J,0)) . S K=0 F S J=$O(^TMP("ORWORD",$J,WP,1,J)) Q:J'>0 S K=K+1,ORMSG(6,K)=^(J,0) IV1 S INST=0 F S INST=$O(ORDIALOG(SOLN,INST)) Q:INST'>0 D . S X1="B",X2=+$G(ORDIALOG(SOLN,INST)) . I $P($G(^ORD(101.43,X2,"PS")),U,4) S X1=X1_"A" ;pre-mix . S I=I+1,ORMSG(I)="RXC|"_X1_"|"_$$USID^ORMBLD(X2)_"|"_$G(ORDIALOG(VOL,INST))_"|"_$$HL7UNIT("ML") I $O(ORDIALOG(ADDS,0)) D . S INST=0 F S INST=$O(ORDIALOG(ADDS,INST)) Q:INST'>0 D . . S X1=$G(ORDIALOG(ADDS,INST)),X2=$G(ORDIALOG(UNITS,INST)) . . S I=I+1,ORMSG(I)="RXC|A|"_$$USID^ORMBLD(X1)_"|"_$G(ORDIALOG(STR,INST))_"|"_$$HL7UNIT(X2) I $D(^OR(100,IFN,9)) D ORDCHKS S I=I+1,ORMSG(I)=$$ZRX(IFN) ; Create DG1 & ZCL segment(s) for Billing Awareness (BA) Project D DG1^ORWDBA3($G(IFN),"I",I) Q ; RXR(ROUTE) ; -- Returns RXR segment N NAME S NAME=$$GET1^DIQ(51.2,+ROUTE_",",.01) Q "RXR|^^^"_+ROUTE_U_NAME_"^99PSR" ; ZRX(IFN) ; -- Returns ZRX segment N NATURE,TYPE,ORIG,PSORIG,ZRX S TYPE=$P($G(^OR(100,IFN,3)),U,11),NATURE=$P($G(^(8,1,0)),U,12) S:NATURE NATURE=$P($G(^ORD(100.02,+NATURE,0)),U,2) ;code S PSORIG="" I (TYPE=1)!(TYPE=2) D . S ORIG=$P($G(^OR(100,IFN,3)),U,5),PSORIG=$G(^OR(100,+ORIG,4)) . I PSORIG'>0 S PSORIG="",TYPE=0 ;edit of unreleased order S ZRX="ZRX|"_PSORIG_"|"_NATURE_"|"_$S(TYPE=1:"E",TYPE=2:"R",1:"N") I $G(OUTPT) S ZRX=ZRX_"|"_$G(ORDIALOG($$PTR("ROUTING"),1))_$S($L($P($G(^OR(100,ORIFN,8,1,2)),"^",3)):"|||1",1:"") Q ZRX ; ZRN(IFN,ORMSG,I) ; -- Set ZRN segment N ST,ZRN,J,K,TXT S ORMSG(I)="ZRN|N|" S ST=$$PTR("STATEMENTS") I $L($G(ORDIALOG(ST,1))) D . S J=$O(^TMP("ORWORD",$J,ST,1,0)) Q:'J . S K=0,TXT=$G(^TMP("ORWORD",$J,ST,1,J,0)) . I $L(TXT) S K=K+1,ORMSG(I,K)=TXT . F S J=$O(^TMP("ORWORD",$J,ST,1,J)) Q:J'>0 S TXT=$G(^(J,0)) D . . I $L(TXT) S K=K+1,ORMSG(I,K)=TXT Q ; ORDCHKS ; -- Include order checks in OBX segments N OC,X,X1 S OC=0 F S OC=$O(^OR(100,IFN,9,OC)) Q:OC'>0 S X=$G(^(OC,0)),X1=$G(^(1)) D . S I=I+1,ORMSG(I)="OBX|"_OC_"|TX|^^^"_+X_"^^99OCX||"_$S($L(X1):X1,1:$P(X,U,3))_"|||||||||"_$$FMTHL7^XLFDT($P(X,U,6))_"||"_$P(X,U,5) . I $L($P(X,U,4)) S I=I+1,ORMSG(I)="NTE|"_OC_"|P|"_$P(X,U,4) Q ; HL7UNIT(X) ; -- Return coded element for volume/strength units N I,UNIT,Y F I=1:1:$L(X) I $E(X,I)?1A Q ; first letter S UNIT=$$UP^XLFSTR($E(X,I,$L(X))),Y="" F I=1:1:13 S X=$P("ML^LITER^MCG^MG^GM^UNITS^IU^MEQ^MM^MU^THOUU^MG-PE^NANOGRAM","^",I) I UNIT=X S Y="^^^PSIV-"_I_U_UNIT_"^99OTH" Q Q Y ; HL7TIME(X) ; -- Return HL7 formatted duration N I,Y S Y="" F I=1:1:$L(X) I $E(X,I)?1A S Y=$$UP^XLFSTR($E(X,I)) Q ; first letter S Y=Y_+X Q Y ; VER(IFN) ; -- Send msg for nurse-verified orders N OR0,ORMSG S OR0=$G(^OR(100,+IFN,0)) Q:$P(OR0,U,12)'="I" ;Inpt only S ORMSG(1)=$$MSH^ORMBLD("ORM","PS"),ORMSG(2)=$$PID^ORMBLD($P(OR0,U,2)) S ORMSG(3)=$$PV1^ORMBLD($P(OR0,U,2),$P(OR0,U,12),+$P(OR0,U,10)) S ORMSG(4)="ORC|ZV|"_IFN_"^OR|"_$G(^OR(100,+IFN,4))_"^PS||||||||"_DUZ_"||||"_$$FMTHL7^XLFDT($$NOW^XLFDT) D MSG^XQOR("OR EVSEND PS",.ORMSG) Q ; REF(IFN,ROUTING,CLINIC) ; -- Send msg for refill request N OR0,ORMSG S OR0=$G(^OR(100,+IFN,0)) Q:$P(OR0,U,12)'="O" S:'$G(CLINIC) CLINIC=$S($G(ORL):+ORL,1:+$P(OR0,U,10)) S ORMSG(1)=$$MSH^ORMBLD("ORM","PS"),ORMSG(2)=$$PID^ORMBLD($P(OR0,U,2)) S ORMSG(3)=$$PV1^ORMBLD($P(OR0,U,2),"O",CLINIC) S ORMSG(4)="ORC|ZF|"_IFN_"^OR|"_$G(^OR(100,+IFN,4))_"^PS|||||||"_DUZ_"||"_$G(ORNP)_"|||"_$$FMTHL7^XLFDT($$NOW^XLFDT) S ORMSG(5)="ZRX||||"_ROUTING D MSG^XQOR("OR EVSEND PS",.ORMSG) Q HL7IVLMT(STR) ; N VAL,UNIT,IVLMT,TVAL,LEN S (UNIT,IVLMT)="",VAL=0 I $E($$LOW^XLFSTR(STR))="f" D . S VAL=$P(STR," ",2) . S UNIT=$E($P(STR," ",3)) I $E($$LOW^XLFSTR(STR))="w" D . S TVAL=$P(STR," ",4) ;pull data in total example 0.5ml . S VAL=+TVAL ;this will strip out leading zero and alpha 00.5L becomes .5 or 05.5 becomes 5.5 . S LEN=$F(TVAL,VAL) ;get length up to alphas or trailing zeros . I $P(VAL,".")="" S VAL=0_VAL ;make sure decimal values have only one leading zero .5 becomes 0.5. . F S UNIT=$E(TVAL,LEN) Q:((UNIT'=0)&(UNIT'=".")) D ;get first alpha m or l . . S LEN=LEN+1 I $L(UNIT),$L(VAL) S IVLMT=$$LOW^XLFSTR(UNIT)_VAL Q IVLMT ;