1 | ORQQAL ; slc/CLA,JFR - Functions which return patient allergy data ;6/8/06 14:11
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2 | ;;3.0;ORDER ENTRY/RESULTS REPORTING;**9,85,162,190,216,232**;Dec 17, 1997;Build 19
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3 | LIST(ORAY,ORPT) ; RETURN PATIENT'S ALLERGY/ADVERSE REACTION INFO:
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4 | ; null:no allergy assessment, 0:no known allergies, 1:pt has allergies
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5 | ; if 1 also get: allergen/reactant^reaction/symptom^severity^allergy ien
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6 | N I,J,K
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7 | S I=1,J=0,K=0
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8 | D EN1^GMRAOR1(ORPT,"GMRARXN")
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9 | I $G(GMRARXN)="" S ORAY(I)="^No Allergy Assessment"
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10 | I $G(GMRARXN)=0 S ORAY(I)="^No Known Allergies"
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11 | I $G(GMRARXN)=1 F S J=$O(GMRARXN(J)) Q:J="" S ORAY(I)=$P(GMRARXN(J),"^",3)_"^"_$P(GMRARXN(J),"^")_"^"_$P(GMRARXN(J),"^",2) D SIGNS S I=I+1
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12 | S:'$D(ORAY(1)) ORAY(1)="^No allergies found."
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13 | K GMRARXN
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14 | Q
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15 | SIGNS S K=0,N=0 F S K=$O(GMRARXN(J,"S",K)) Q:K'>0 D
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16 | .I N=0 S ORAY(I)=ORAY(I)_"^"_$P(GMRARXN(J,"S",K),";")
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17 | .E S ORAY(I)=ORAY(I)_";"_$P(GMRARXN(J,"S",K),";")
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18 | .S N=N+1
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19 | Q
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20 | LRPT(ORAY,ORPT) ; RETURN PT'S ALLERGY/ADVERSE REACTION INFO IN REPORT FORMAT:
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21 | ; null:no allergy assessment, 0:no known allergies, 1:pt has allergies
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22 | ; if 1 also get: allergen/reactant^reaction/symptom^severity^allergy ien
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23 | N I,J,K,SEVER,CR,GMRAIDT ;216
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24 | S CR=$CHAR(13)
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25 | S I=1,J=0,K=0,SEVER="",GMRAIDT=1 ;216
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26 | D EN1^GMRAOR1(ORPT,"GMRARXN")
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27 | I $G(GMRARXN)="" S ORAY(I)="No Allergy Assessment"
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28 | I $G(GMRARXN)=0 S ORAY(I)="No Known Allergies"
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29 | I $G(GMRARXN)=1 F S J=$O(GMRARXN(J)) Q:J="" D
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30 | .S SEVER=$P(GMRARXN(J),U,2)
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31 | .S ORAY(I)=$P(GMRARXN(J),U)_" "_$S($L($G(SEVER)):"[Severity: "_SEVER_"]",1:""),I=I+1
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32 | .S K=0,N=0 F S K=$O(GMRARXN(J,"S",K)) Q:K'>0 D
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33 | ..I N=0 S ORAY(I)=" Signs/symptoms: "_$P(GMRARXN(J,"S",K),";")
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34 | ..E S ORAY(I)=" "_$P(GMRARXN(J,"S",K),";")
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35 | ..I $P(GMRARXN(J,"S",K),";",2) S ORAY(I)=ORAY(I)_" ("_$$FMTE^XLFDT($P(GMRARXN(J,"S",K),";",2),2)_")" ;216
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36 | ..S N=N+1,I=I+1
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37 | .S ORAY(I)=" ",I=I+1
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38 | S:'$D(ORAY(1)) ORAY(1)="No allergies found."
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39 | K GMRARXN
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40 | Q
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41 | RXN(ORAY,ORPT,SRC,NDF,PSDRUG) ; RETURN TRUE OR FALSE IF PATIENT IS ALLERGIC TO AGENT
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42 | ; SRC: ALLERGEN SOURCE (CM=CONTRAST MEDIA, DR=DRUG)
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43 | ; NDF: IF SRC=DR, NDF=Nat'l Drug File ien ELSE NDF=""
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44 | ; PSDRUG:IF SRC=DR, PSDRUG=(local) Drug file ien ELSE PSDRUG=""
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45 | S ORAY=$$ORCHK^GMRAOR(ORPT,SRC,NDF)
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46 | I SRC="DR",ORAY=1 D ;drug ingredient allergy found
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47 | .S I=1,J=0 F S J=$O(GMRAING(J)) Q:J="" D
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48 | ..I I=1 S ORAY=ORAY_U_GMRAING(J)
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49 | ..E S ORAY=ORAY_";"_GMRAING(J)
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50 | ..S I=I+1
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51 | I SRC="DR",ORAY=2 D ;drug class allergy found
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52 | .S CL="",I=1,J=0 F S J=$O(GMRADRCL(J)) Q:J="" D
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53 | ..; per test sites 3/17/04 - no oc for pt allergy to entire HERBS class:
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54 | ..Q:$P(GMRADRCL(J),U)="HA000"
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55 | ..I I=1 S ORAY=ORAY_U_$P(GMRADRCL(J),U,2)
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56 | ..E S CL=$P(GMRADRCL(J),U,2) I ORAY'[CL S ORAY=ORAY_";"_CL
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57 | ..S I=I+1
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58 | I SRC="DR",(+$G(ORAY)<1) D MEDCLASS(.ORAY,ORPT,PSDRUG)
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59 | K I,J,GMRADRCL,GMRAING,CL
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60 | Q
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61 | MEDCLASS(ORAY,DFN,PSDRUG) ;check for allergens with medications in same VA drug class
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62 | N ORVACLS,CL,X,I,RET,TYP
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63 | S TYP="DR"
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64 | Q:+$G(PSDRUG)<1
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65 | S ORVACLS=$P(^PSDRUG(PSDRUG,0),U,2)
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66 | Q:$L(ORVACLS)<4
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67 | Q:$G(ORVACLS)="HA000" ;don't process herbal drug class for order checks
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68 | S CL=$S($E(ORVACLS,1,4)="CN10":5,1:4) ;look at 5 chars if ANALGESICS
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69 | D GETDATA^GMRAOR(DFN)
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70 | Q:'$D(^TMP("GMRAOC",$J,"APC"))
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71 | S I="" F S I=$O(^TMP("GMRAOC",$J,"APC",I)) Q:'$L(I) D
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72 | .I $E(I,1,CL)=$E(ORVACLS,1,CL) S X=I
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73 | I $L($G(X)) D
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74 | .N IEN,NAME
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75 | .D IEN^PSN50P65(,X,"ORQQAL")
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76 | .S IEN=$O(^TMP($J,"ORQQAL","B",X,0))
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77 | .I 'IEN S ORAY="2"_U_X Q
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78 | .S NAME=$G(^TMP($J,"ORQQAL",IEN,1))
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79 | .I '$L(NAME) S ORAY="2"_U_X Q
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80 | .S ORAY="2"_U_NAME_": ("_$G(^TMP("GMRAOC",$J,"APC",X))_")"
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81 | K ^TMP("GMRAOC",$J)
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82 | Q
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83 | DETAIL(ORAY,DFN,ALLR,ID) ; RETURN DETAILED ALLERGY INFO FOR SPECIFIED ALLERGIC REACTION:
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84 | D EN1^GMRAOR2(ALLR,"GMRACT")
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85 | N CR,OX,OH S CR=$CHAR(13),I=1
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86 | S ORAY(I)=" Causative agent: "_$P(GMRACT,U),I=I+1
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87 | 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
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88 | S ORAY(I)=" ",I=I+1
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89 | I $D(GMRACT("S",1)) D SYMP
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90 | I $D(GMRACT("V",1)) D CLAS
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91 | S ORAY(I)=" Originator: "_$P(GMRACT,U,2)_$S($L($P(GMRACT,U,3)):" ("_$P(GMRACT,U,3)_")",1:""),I=I+1 ;216
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92 | S ORAY(I)=" Originated: "_$P(GMRACT,U,10),I=I+1 ;216
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93 | I $D(GMRACT("O",1)) D OBS
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94 | S ORAY(I)=" Verified: "_$S($P(GMRACT,U,4)="VERIFIED":$P(GMRACT,U,8),1:"No"),I=I+1 ;216
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95 | S ORAY(I)="Observed/Historical: "_$S($P(GMRACT,U,5)="OBSERVED":"Observed",$P(GMRACT,U,5)="HISTORICAL":"Historical",1:""),I=I+1
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96 | I $D(GMRACT("C",1)) D COM
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97 | K GMRACT
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98 | Q
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99 | SYMP S K=0,N=0 F S K=$O(GMRACT("S",K)) Q:K'>0 D
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100 | .I N=0 S ORAY(I)=" Signs/symptoms: "_GMRACT("S",K),I=I+1
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101 | .E S ORAY(I)=" "_GMRACT("S",K),I=I+1
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102 | .S N=N+1
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103 | S ORAY(I)=" ",I=I+1
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104 | K N,K
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105 | Q
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106 | CLAS S K=0,N=0 F S K=$O(GMRACT("V",K)) Q:K'>0 D
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107 | .I N=0 S ORAY(I)=" Drug Classes: "_$P(GMRACT("V",K),U,2),I=I+1
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108 | .E S ORAY(I)=" "_$P(GMRACT("V",K),U,2),I=I+1
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109 | .S N=N+1
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110 | S ORAY(I)=" ",I=I+1
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111 | K N,K
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112 | Q
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113 | OBS S K=0,N=0 F S K=$O(GMRACT("O",K)) Q:K'>0 D
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114 | .I N=0 D
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115 | ..S Y=$P(GMRACT("O",K),U) D DD^%DT
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116 | ..S ORAY(I)=" Obs dates/severity: "_Y_" "_$P(GMRACT("O",K),U,2),I=I+1
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117 | .E D
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118 | ..S Y=$P(GMRACT("O",K),U) D DD^%DT
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119 | ..S ORAY(I)=" "_Y_" "_$P(GMRACT("O",K),U,2),I=I+1
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120 | .S N=N+1
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121 | S ORAY(I)=" ",I=I+1
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122 | K N,K,Y
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123 | Q
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124 | COM S K=0,N=0,ORAY(I)=" ",I=I+1
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125 | F S K=$O(GMRACT("C",K)) Q:K'>0 D
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126 | .I N=0 S ORAY(I)="Comments:",I=I+1
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127 | .S Y=$P(GMRACT("C",K),U) D DD^%DT
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128 | .S ORAY(I)=" "_Y_" by "_$P(GMRACT("C",K),U,2),I=I+1
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129 | .I $D(GMRACT("C",K,1,0)) S L=0 F S L=$O(GMRACT("C",K,L)) Q:L'>0 D
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130 | ..S ORAY(I)=GMRACT("C",K,L,0),I=I+1
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131 | .S N=N+1
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132 | S ORAY(I)=" ",I=I+1
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133 | K N,K,L,Y
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134 | Q
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