ORQQAL ; slc/CLA,JFR - Functions which return patient allergy data ;6/8/06 14:11 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**9,85,162,190,216,232**;Dec 17, 1997;Build 19 LIST(ORAY,ORPT) ; RETURN PATIENT'S ALLERGY/ADVERSE REACTION INFO: ; null:no allergy assessment, 0:no known allergies, 1:pt has allergies ; if 1 also get: allergen/reactant^reaction/symptom^severity^allergy ien N I,J,K S I=1,J=0,K=0 D EN1^GMRAOR1(ORPT,"GMRARXN") I $G(GMRARXN)="" S ORAY(I)="^No Allergy Assessment" I $G(GMRARXN)=0 S ORAY(I)="^No Known Allergies" I $G(GMRARXN)=1 F S J=$O(GMRARXN(J)) Q:J="" S ORAY(I)=$P(GMRARXN(J),"^",3)_"^"_$P(GMRARXN(J),"^")_"^"_$P(GMRARXN(J),"^",2) D SIGNS S I=I+1 S:'$D(ORAY(1)) ORAY(1)="^No allergies found." K GMRARXN Q SIGNS S K=0,N=0 F S K=$O(GMRARXN(J,"S",K)) Q:K'>0 D .I N=0 S ORAY(I)=ORAY(I)_"^"_$P(GMRARXN(J,"S",K),";") .E S ORAY(I)=ORAY(I)_";"_$P(GMRARXN(J,"S",K),";") .S N=N+1 Q LRPT(ORAY,ORPT) ; RETURN PT'S ALLERGY/ADVERSE REACTION INFO IN REPORT FORMAT: ; null:no allergy assessment, 0:no known allergies, 1:pt has allergies ; if 1 also get: allergen/reactant^reaction/symptom^severity^allergy ien N I,J,K,SEVER,CR,GMRAIDT ;216 S CR=$CHAR(13) S I=1,J=0,K=0,SEVER="",GMRAIDT=1 ;216 D EN1^GMRAOR1(ORPT,"GMRARXN") I $G(GMRARXN)="" S ORAY(I)="No Allergy Assessment" I $G(GMRARXN)=0 S ORAY(I)="No Known Allergies" I $G(GMRARXN)=1 F S J=$O(GMRARXN(J)) Q:J="" D .S SEVER=$P(GMRARXN(J),U,2) .S ORAY(I)=$P(GMRARXN(J),U)_" "_$S($L($G(SEVER)):"[Severity: "_SEVER_"]",1:""),I=I+1 .S K=0,N=0 F S K=$O(GMRARXN(J,"S",K)) Q:K'>0 D ..I N=0 S ORAY(I)=" Signs/symptoms: "_$P(GMRARXN(J,"S",K),";") ..E S ORAY(I)=" "_$P(GMRARXN(J,"S",K),";") ..I $P(GMRARXN(J,"S",K),";",2) S ORAY(I)=ORAY(I)_" ("_$$FMTE^XLFDT($P(GMRARXN(J,"S",K),";",2),2)_")" ;216 ..S N=N+1,I=I+1 .S ORAY(I)=" ",I=I+1 S:'$D(ORAY(1)) ORAY(1)="No allergies found." K GMRARXN Q RXN(ORAY,ORPT,SRC,NDF,PSDRUG) ; RETURN TRUE OR FALSE IF PATIENT IS ALLERGIC TO AGENT ; SRC: ALLERGEN SOURCE (CM=CONTRAST MEDIA, DR=DRUG) ; NDF: IF SRC=DR, NDF=Nat'l Drug File ien ELSE NDF="" ; PSDRUG:IF SRC=DR, PSDRUG=(local) Drug file ien ELSE PSDRUG="" S ORAY=$$ORCHK^GMRAOR(ORPT,SRC,NDF) I SRC="DR",ORAY=1 D ;drug ingredient allergy found .S I=1,J=0 F S J=$O(GMRAING(J)) Q:J="" D ..I I=1 S ORAY=ORAY_U_GMRAING(J) ..E S ORAY=ORAY_";"_GMRAING(J) ..S I=I+1 I SRC="DR",ORAY=2 D ;drug class allergy found .S CL="",I=1,J=0 F S J=$O(GMRADRCL(J)) Q:J="" D ..; per test sites 3/17/04 - no oc for pt allergy to entire HERBS class: ..Q:$P(GMRADRCL(J),U)="HA000" ..I I=1 S ORAY=ORAY_U_$P(GMRADRCL(J),U,2) ..E S CL=$P(GMRADRCL(J),U,2) I ORAY'[CL S ORAY=ORAY_";"_CL ..S I=I+1 I SRC="DR",(+$G(ORAY)<1) D MEDCLASS(.ORAY,ORPT,PSDRUG) K I,J,GMRADRCL,GMRAING,CL Q MEDCLASS(ORAY,DFN,PSDRUG) ;check for allergens with medications in same VA drug class N ORVACLS,CL,X,I,RET,TYP S TYP="DR" Q:+$G(PSDRUG)<1 S ORVACLS=$P(^PSDRUG(PSDRUG,0),U,2) Q:$L(ORVACLS)<4 Q:$G(ORVACLS)="HA000" ;don't process herbal drug class for order checks S CL=$S($E(ORVACLS,1,4)="CN10":5,1:4) ;look at 5 chars if ANALGESICS D GETDATA^GMRAOR(DFN) Q:'$D(^TMP("GMRAOC",$J,"APC")) S I="" F S I=$O(^TMP("GMRAOC",$J,"APC",I)) Q:'$L(I) D .I $E(I,1,CL)=$E(ORVACLS,1,CL) S X=I I $L($G(X)) D .N IEN,NAME .D IEN^PSN50P65(,X,"ORQQAL") .S IEN=$O(^TMP($J,"ORQQAL","B",X,0)) .I 'IEN S ORAY="2"_U_X Q .S NAME=$G(^TMP($J,"ORQQAL",IEN,1)) .I '$L(NAME) S ORAY="2"_U_X Q .S ORAY="2"_U_NAME_": ("_$G(^TMP("GMRAOC",$J,"APC",X))_")" K ^TMP("GMRAOC",$J) Q DETAIL(ORAY,DFN,ALLR,ID) ; RETURN DETAILED ALLERGY INFO FOR SPECIFIED ALLERGIC REACTION: D EN1^GMRAOR2(ALLR,"GMRACT") N CR,OX,OH S CR=$CHAR(13),I=1 S ORAY(I)=" Causative agent: "_$P(GMRACT,U),I=I+1 S ORAY(I)=" Nature of Reaction: "_$S($P(GMRACT,U,6)="ALLERGY":"Allergy",$P(GMRACT,U,6)="PHARMACOLOGIC":"Adverse Reaction",$P(GMRACT,U,6)="UNKNOWN":"Unknown",1:""),I=I+1 ;216 S ORAY(I)=" ",I=I+1 I $D(GMRACT("S",1)) D SYMP I $D(GMRACT("V",1)) D CLAS S ORAY(I)=" Originator: "_$P(GMRACT,U,2)_$S($L($P(GMRACT,U,3)):" ("_$P(GMRACT,U,3)_")",1:""),I=I+1 ;216 S ORAY(I)=" Originated: "_$P(GMRACT,U,10),I=I+1 ;216 I $D(GMRACT("O",1)) D OBS S ORAY(I)=" Verified: "_$S($P(GMRACT,U,4)="VERIFIED":$P(GMRACT,U,8),1:"No"),I=I+1 ;216 S ORAY(I)="Observed/Historical: "_$S($P(GMRACT,U,5)="OBSERVED":"Observed",$P(GMRACT,U,5)="HISTORICAL":"Historical",1:""),I=I+1 I $D(GMRACT("C",1)) D COM K GMRACT Q SYMP S K=0,N=0 F S K=$O(GMRACT("S",K)) Q:K'>0 D .I N=0 S ORAY(I)=" Signs/symptoms: "_GMRACT("S",K),I=I+1 .E S ORAY(I)=" "_GMRACT("S",K),I=I+1 .S N=N+1 S ORAY(I)=" ",I=I+1 K N,K Q CLAS S K=0,N=0 F S K=$O(GMRACT("V",K)) Q:K'>0 D .I N=0 S ORAY(I)=" Drug Classes: "_$P(GMRACT("V",K),U,2),I=I+1 .E S ORAY(I)=" "_$P(GMRACT("V",K),U,2),I=I+1 .S N=N+1 S ORAY(I)=" ",I=I+1 K N,K Q OBS S K=0,N=0 F S K=$O(GMRACT("O",K)) Q:K'>0 D .I N=0 D ..S Y=$P(GMRACT("O",K),U) D DD^%DT ..S ORAY(I)=" Obs dates/severity: "_Y_" "_$P(GMRACT("O",K),U,2),I=I+1 .E D ..S Y=$P(GMRACT("O",K),U) D DD^%DT ..S ORAY(I)=" "_Y_" "_$P(GMRACT("O",K),U,2),I=I+1 .S N=N+1 S ORAY(I)=" ",I=I+1 K N,K,Y Q COM S K=0,N=0,ORAY(I)=" ",I=I+1 F S K=$O(GMRACT("C",K)) Q:K'>0 D .I N=0 S ORAY(I)="Comments:",I=I+1 .S Y=$P(GMRACT("C",K),U) D DD^%DT .S ORAY(I)=" "_Y_" by "_$P(GMRACT("C",K),U,2),I=I+1 .I $D(GMRACT("C",K,1,0)) S L=0 F S L=$O(GMRACT("C",K,L)) Q:L'>0 D ..S ORAY(I)=GMRACT("C",K,L,0),I=I+1 .S N=N+1 S ORAY(I)=" ",I=I+1 K N,K,L,Y Q