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

Last change on this file since 1800 was 623, checked in by George Lilly, 15 years ago

revised back to 6/30/08 version
File size: 9.1 KB
Line 
1ORMEVNT ;SLC/MKB-Trigger HL7 msg off MAS events ;3/31/04 09:21
2 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**24,45,70,79,141,165,177,186,195**;Dec 17, 1997
3 ;
4EN1 ; -- tasked entry point
5 Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5) ;skip lodger mvts
6 N ZTDESC,ZTIO,ZTRTN,ZTDTH,ZTSAVE,ZTSK,I
7 S ZTDESC="Auto-DC and/or Release orders on MAS movement",ZTIO=""
8 S ZTRTN="EN^ORMEVNT",ZTDTH=$H,ZTSAVE("^UTILITY(""DGPM"",$J,")=""
9 F I="DFN","DGPMDA","DGPMA","DGPMP","DGPMT" S ZTSAVE(I)=""
10 D ^%ZTLOAD ;D EN^ORYDGPM
11 Q
12 ;
13EN ; -- main entry point
14 S:$D(ZTQUEUED) ZTREQ="@"
15 Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5)
16 I '$G(DGPMP) S ^XTMP("OREVENT",DFN,DGPMDA,0)=DT_U_$$FMADD^XLFDT(DT,2)_U_"Event process flag" ;195
17 I $G(DGPMP),$D(^XTMP("OREVENT",DFN,DGPMDA)) D EN1 ;195 edits processed after new
18 N XQORQUIT,XQORPOP,DTOUT,DUOUT,DIRUT,DIROUT ;protect protocol context
19 N VAIP,DONE,ORVP,ORWARD,ORTS,ORL,ORDIV,ORLAST,X,Y,I,ORCURRNT,OREVENT,ORDCRULE,ORACT,ORPRINT
20 S VAIP("E")=DGPMDA D IN5^VADPT M ORVP=VAIP I '$G(DGPMA) D Q ;deleted
21 . N LAST,OREVT S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1
22 . S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0))
23 . D ACTLOG^OREVNTX(OREVT,"DL")
24A ;
25 S ORVP=+DFN_";DPT(",ORTS=+$G(^DPT(DFN,.103)),ORWARD=$G(^(.1))
26 S ORWARD=$S($L(ORWARD):+$O(^DIC(42,"B",ORWARD,0)),1:0)
27 S ORL=$S(ORWARD:+$G(^DIC(42,ORWARD,44))_";SC(",1:""),ORDIV=$$DIV(+ORL)
28 S ORLAST("TS")=$$PREVTS,X=+VAIP(15,4) F I="WD","LOC","DIV" S ORLAST(I)=""
29 S:X ORLAST("WD")=X,Y=+$G(^DIC(42,X,44)),ORLAST("LOC")=Y_";SC(",ORLAST("DIV")=$$DIV(Y)
30 S ORCURRNT=$$CURRENT,OREVENT=$$PATEVT,ORACT=$S($G(DGPMP):"ED",1:"NW")
31 I OREVENT=-1 D EN1 Q ;195 Can't lock, retry
32 I $G(DGPMP),$D(^ORE(100.2,"ADT",DGPMDA)) D Q:$G(DONE) ;edited
33 . N LAST,OREVT,DA,X,I S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1
34 . S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0)),DA=+$O(^(OREVT,0))
35 . S X=$G(^ORE(100.2,OREVT,10,DA,0)) ;last activity on movement
36 . I $P(X,U,5)=+$G(VAIP(4)),$P(X,U,6)=+$G(VAIP(8)),$P(X,U,7)=+$G(VAIP(5)) S DONE=1 Q ;no change
37 . I 'OREVENT D ACTLOG^OREVNTX(OREVT,"ED",$$TYPE(DGPMT),1) S DONE=1
38B ;
39 I '$G(DGPMP),ORCURRNT D ;new mvt - autoDC
40 . I $D(^ORE(100.2,"ADT",DGPMDA)) D Q:$G(DONE) ;ReEntered
41 .. N LAST,OREVT S DONE=0
42 .. S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1),OREVT=+$O(^(LAST,0))
43 .. Q:+ORVP'=+$G(^ORE(100.2,OREVT,0)) ;diff pat -> diff mvt
44 .. S ORACT="RE",DONE=1 Q:OREVENT ;log on new event instead
45 .. D ACTLOG^OREVNTX(OREVT,ORACT,$$TYPE(DGPMT),1)
46 . I DGPMT=3 D COMP("ALG") ;keep until GMRA*4*15 gets out
47 . S ORDCRULE=$$DCEVT D:ORDCRULE AUTODC^ORMEVNT1(ORDCRULE,$P(DGPMA,U))
48 . I DGPMT=1!(DGPMT=2&("^13^40^"[("^"_$P(DGPMA,U,18)_"^"))) I $G(^XTMP("ORDCOBS-"_+ORVP,0)) D REINST ;186 TO ASIH tran mvmt
49C ;
50 I OREVENT D ;release delayed orders, complete event
51 . D RELEASE^ORMEVNT1(OREVENT),DONE^OREVNTX(OREVENT,$P(DGPMA,U),DGPMDA)
52 . I '$G(VAIP(1)) M VAIP=ORVP ;reset for ACTLOG use
53 . D ACTLOG^OREVNTX(OREVENT,ORACT,$$TYPE(DGPMT),1)
54 . I DGPMT=1,'$P($G(^ORE(100.2,+OREVENT,0)),U,3) S $P(^(0),U,3)=DGPMDA
55 . ;D UNLEVT^ORX2(OREVENT)
56 I $O(ORPRINT(0)),$G(ORL) D PRINTS^ORWD1(.ORPRINT,+ORL)
57 I DGPMT=3,ORCURRNT,'$G(DGPMP) D DISCH ;lapse remaining events
58 I '$G(DFN),$G(ORVP) S DFN=+ORVP ;just in case
59 D:$G(OREVENT) UNLEVT^ORX2(OREVENT) K ^XTMP("OREVENT",DFN,DGPMDA) ;195
60 Q
61 ;
62CURRENT() ; -- Returns 1 or 0, if DGPMDA is the latest movement
63 N Y,LAST,LASTYPE,LASTDT S Y=0
64 S LAST=+VAIP(14),LASTDT=+VAIP(14,1),LASTYPE=+VAIP(14,2)
65 ; VAIP(14) = last physical movement for the admission
66 I DGPMT=6 D G CQ
67 . N CA,IDT I LAST,LASTDT>+VAIP(3) Q ;last physical mvt
68 . S CA=+VAIP(13),IDT=9999999.9999999-VAIP(3)
69 . I '$O(^DGPM("ATS",DFN,CA,IDT),-1) S Y=1 Q ;last TS mvt
70 I DGPMT=3 D ;get last mvt overall
71 . N VAIP,Y S VAIP("D")="LAST" D IN5^VADPT
72 . S LAST=+VAIP(14),LASTYPE=+VAIP(14,2) ;reset
73 I LAST=DGPMDA S Y=1 G CQ ;primary mvt
74 I $D(^UTILITY("DGPM",$J,LASTYPE,LAST)) S Y=1 ;secondary mvt
75CQ Q Y
76 ;
77PREVTS() ; -- Returns previous treating specialty
78 N TS,TSP,CA,ID,LAST,Y
79 S TS=+$O(^UTILITY("DGPM",$J,6,0)),TSP=$G(^(TS,"P"))
80 I $G(TSP) S Y=+$P(TSP,U,9) G PRVQ ;edited TS mvt
81 ; look for TS mvt since last phys mvt
82 S CA=$P(DGPMA,U,14),ID=9999999.9999999-DGPMA
83 S LAST=+$O(^DGPM("ATS",DFN,CA,ID)),Y=$S(LAST:+$O(^(LAST,0)),1:+VAIP(15,6))
84PRVQ Q Y
85 ;
86TYPE(X) ; -- Return type of event from MAS code
87 N Y S Y=$S(X=1:"A",X=2:"T",X=3:"D",X=6:"S",1:"")
88 Q Y
89 ;
90DIV(LOC) ; -- Return Institution file #4 ptr for LOC
91 N X0,Y S X0=$G(^SC(+LOC,0))
92 S Y=$S($P(X0,U,4):$P(X0,U,4),$P(X0,U,15):$$SITE^VASITE(DT,$P(X0,U,15)),1:+$G(DUZ(2)))
93 Q Y
94 ;
95PATEVT() ; -- Find match to new data in Patient Event file
96 N TYPE,MVTYPE,EVT,IFN,X0,Y S Y="" G:'$G(ORCURRNT) PTQ
97 S TYPE=$S(DGPMT=1:"A",DGPMT=3:"D",DGPMT=2!(DGPMT=6):"T",1:""),EVT=0
98 S MVTYPE=$P(DGPMA,U,18),TYPE(1)="",MVTYPE(1)=""
99 I DGPMT=2,MVTYPE=13 S TYPE(1)="A",MVTYPE(1)=40 ;To ASIH
100 I DGPMT=3,MVTYPE=41 S TYPE(1)="T",MVTYPE(1)=14 ;From ASIH
101 I DGPMT'=3,$$GET1^DIQ(45.7,+$G(ORTS)_",","SPECIALTY:SERVICE")="NHCU" S TYPE(1)=$S(TYPE="A":"T",1:"A") ;DBIA #1154
102 F S EVT=+$O(^ORE(100.2,"AE",DFN,EVT)) Q:EVT<1 S IFN=+$O(^(EVT,0)) D Q:Y
103 . Q:$$LAPSED^OREVNTX(+IFN) Q:$P($G(^ORE(100.2,IFN,1)),U,5)
104 . S X0=$G(^ORD(100.5,EVT,0)) Q:$P(X0,U,3)'=ORDIV
105 . I $P(X0,U,2)'=TYPE,$P(X0,U,2)'=TYPE(1) Q ;Xaction type
106 . I $P(X0,U,7),$P(X0,U,7)'=MVTYPE,$P(X0,U,7)'=MVTYPE(1) Q ;Mvt type
107 . I $O(^ORD(100.5,EVT,"TS",0)) Q:'$D(^("B",ORTS)) Q:ORTS=ORLAST("TS")&(ORDIV=ORLAST("DIV"))
108 . I $O(^ORD(100.5,EVT,"LOC",0)) Q:'$D(^("B",ORWARD)) Q:ORWARD=ORLAST("WD")
109 . S Y=+IFN ;ok
110 I Y S:'$$LCKEVT^ORX2(Y) Y=-1 ;195 Lock event if possible
111PTQ Q Y
112 ;
113DCEVT() ; -- Find match to event in AutoDC Rules file for [new] ORDIV,ORTS,ORL
114 N MVTYPE,DIV,XFER,ORY,EXC,OBS
115 S OBS=$S(DGPMT=3:$$MVT^DGPMOBS(DGPMDA),1:0) ;observation mvt
116 S MVTYPE=+$P(DGPMA,U,18) S:MVTYPE=41 MVTYPE=14 S:MVTYPE=40 MVTYPE=13 ;ASIH- 186
117 S XFER=$S(DGPMT=2:1,DGPMT=6:1,MVTYPE'=14:0,OBS:0,1:1)
118 I DGPMT=2,MVTYPE=13,$G(^XTMP("ORDCOBS-"_+ORVP,"READMIT")) S ORY=0 K ^XTMP("ORDCOBS-"_+ORVP,"READMIT") G DCQ ;186 Obs readmit from ASIH don't auto-dc
119 I XFER,ORLAST("TS")'=ORTS,$D(^ORD(100.6,"AC",ORDIV,20)) S MVTYPE=20 ;TS
120 S DIV=ORDIV I DGPMT=3,MVTYPE'=14 S DIV=ORLAST("DIV") ;discharge
121 S ORY=+$O(^ORD(100.6,"AC",ORDIV,MVTYPE,0)) K:ORY<1&(DGPMT=3)&(OBS) ^XTMP("ORDCOBS-"_+ORVP) G:ORY<1 DCQ ;186, If obs, no active rule, no reinstate
122 I MVTYPE=20,$D(^ORD(100.6,ORY,4,ORLAST("TS"),1,ORTS))!(ORTS=ORLAST("TS")) S ORY=0 G DCQ
123 I MVTYPE=4 D G DCQ ;ck Div and Loc multiples
124 . I ORLAST("DIV")'=ORDIV S:'$D(^ORD(100.6,ORY,6,ORLAST("DIV"))) ORY=0 Q
125 . N OLD,INCL S INCL=0 ;ck incl loc's
126 . F OLD=+ORLAST("LOC"),"ALL" I $D(^ORD(100.6,ORY,5,"ADC",OLD,+ORL))!$D(^("ALL")) S INCL=1 Q
127 . S:'INCL ORY=0
128 I DGPMT=3,OBS D ;readmitting from observation?
129 . N TORY
130 . S TORY=ORY
131 . S EXC=+$P($G(^ORD(100.6,ORY,0)),U,6) S:EXC=2 ORY=0 ;ignore rule
132 . I EXC=1,'$D(ZTQUEUED),$$READMIT S ORY=0
133 . I ORY=0 D DCGEN^ORMEVNT2,TIMER^ORMEVNT2 S:"^14^41^"[("^"_$P(DGPMA,U,18)_"^") ^XTMP("ORDCOBS-"_+ORVP,"READMIT")=1 ;177,186
134 . K:ORY ^XTMP("ORDCOBS-"_+ORVP) ;have rule -> dc, don't reinstate meds
135DCQ Q ORY
136 ;
137READMIT() ; -- Return 1 or 0, if patient is being readmitted
138 N X,Y,DIR
139 S DIR(0)="YA",DIR("A")="Will the patient be re-admitted immediately? "
140 S DIR("?")="Enter YES if the patient is to be admitted to the hospital immediately following this discharge from observation."
141 D ^DIR S:$D(DTOUT)!$D(DUOUT) Y="^"
142 Q Y
143 ;
144COMP(ORDG) ; -- Complete orders on event [Keep until GMRA*4*15]
145 N ORI,ORLIST,ORIFN,OREDT
146 I 'ORDG S:ORDG?1.U ORDG=+$O(^ORD(100.98,"B",ORDG,0)) Q:ORDG'>0
147 D EN^ORQ1(ORVP,ORDG,2) S ORI=0,OREDT=$P(DGPMA,U)
148 F S ORI=$O(^TMP("ORR",$J,ORLIST,ORI)) Q:ORI'>0 S ORIFN=^(ORI) D STATUS^ORCSAVE2(+ORIFN,2) S:$G(OREDT) $P(^OR(100,+ORIFN,3),U)=OREDT,$P(^(6),U,6)=OREDT
149 Q
150 ;
151LOC(NODE) ; -- Returns [new] patient location from NODE
152 N X,Y S X=$P($G(NODE),U,6)
153 I X'>0 S X=$P($G(^DPT(+ORVP,.1)),U) S:$L(X) X=$O(^DIC(42,"B",X,0))
154 S Y=+$G(^DIC(42,+X,44))_";SC("
155 Q Y
156 ;
157DISCH ; -- Lapse/cancel outstanding events on discharge
158 D DISCH^ORMEVNT2 ;195 Code moved to ORMEVNT2 for space considerations
159 Q
160 ;
161XTMP ; -- Save ORIFN to possibly reinstate on admission
162 ; Also uses ORVP, DGPMDA
163 Q:'$G(DGPMDA) Q:'$G(ORIFN) Q:'$G(ORVP)
164 N ORNOW S ORNOW=+$$NOW^XLFDT
165 I $G(^XTMP("ORDCOBS-"_+ORVP,0)),+^(0)<ORNOW K ^XTMP("ORDCOBS-"_+ORVP)
166 I '$G(^XTMP("ORDCOBS-"_+ORVP,0)) D
167 . N ORNOW1H S ORNOW1H=$$FMADD^XLFDT(ORNOW,,1)
168 . S ^XTMP("ORDCOBS-"_+ORVP,0)=ORNOW1H_U_ORNOW_"^InptMeds AutoDC'd on Discharge from Observation"
169 S ^XTMP("ORDCOBS-"_+ORVP,+ORIFN)=$G(^OR(100,+ORIFN,4))
170 S ^XTMP("ORDCOBS-"_+ORVP,"DISCHARGE")=DGPMDA
171 Q
172 ;
173REINST ; -- Reinstate meds from observation
174 I '$L($T(ENR^PSJOERI)) K ^XTMP("ORDCOBS-"_+ORVP) Q
175 N ORIDT,ORLASTDC,X0,ORIFN,PSIFN
176 S ORIDT=+$O(^DGPM("ATID3",+ORVP,0)) S:DGPMT=2 ORIDT=$O(^DGPM("ATID3",+ORVP,ORIDT)) Q:ORIDT<1 S ORLASTDC=+$O(^(ORIDT,0)) ;186 If reinstating for transfer TO ASIH then skip pseudo discharge for WHILE ASIH
177 Q:$G(^XTMP("ORDCOBS-"_+ORVP,"DISCHARGE"))'=ORLASTDC S X0=$G(^(0))
178 I $P(X0,U)<$$NOW^XLFDT K ^XTMP("ORDCOBS-"_+ORVP) Q ;readmit after one hour 177
179 S ORIFN=0 F S ORIFN=+$O(^XTMP("ORDCOBS-"_+ORVP,ORIFN)) Q:ORIFN<1 S PSIFN=$G(^(ORIFN)) D:PSIFN ENR^PSJOERI(+ORVP,PSIFN,+ORWARD)
180 K ^XTMP("ORDCOBS-"_+ORVP)
181 Q
182 ;
183 ; -- Moved code:
184EXP(ORDER,ORSTOP) G EXP^ORMEVNT1
185ACTIVE(ORDER,ORSTRT) G ACT^ORMEVNT1
186PURGE(ORDER) G PUR^ORMEVNT1
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