source: ccr/branches/ohum/p/C0CMED1.m@ 1333

Last change on this file since 1333 was 1333, checked in by George Lilly, 13 years ago

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1C0CMED1 ; WV/CCDCCR/SMH - CCR/CCD PROCESSING FOR MEDICATIONS ;01/10/09
2 ;;1.0;C0C;;May 19, 2009;Build 1
3 ;;Last modified Sat Jan 10 21:42:27 PST 2009
4 ; Copyright 2009 WorldVistA. Licensed under the terms of the GNU
5 ; General Public License See attached copy of the License.
6 ;
7 ; This program is free software; you can redistribute it and/or modify
8 ; it under the terms of the GNU General Public License as published by
9 ; the Free Software Foundation; either version 2 of the License, or
10 ; (at your option) any later version.
11 ;
12 ; This program is distributed in the hope that it will be useful,
13 ; but WITHOUT ANY WARRANTY; without even the implied warranty of
14 ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
15 ; GNU General Public License for more details.
16 ;
17 ; You should have received a copy of the GNU General Public License along
18 ; with this program; if not, write to the Free Software Foundation, Inc.,
19 ; 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
20 ;
21 W "NO ENTRY FROM TOP",!
22 Q
23 ;
24EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT,FLAGS) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
25 ;
26 ; INXML AND OUTXML ARE PASSED BY NAME SO GLOBALS CAN BE USED
27 ; INXML WILL CONTAIN ONLY THE MEDICATIONS SECTION OF THE OVERALL TEMPLATE
28 ;
29 ; MEDS is return array from RPC.
30 ; MAP is a mapping variable map (store result) for each med
31 ; MED is holds each array element from MEDS(J), one medicine
32 ; MEDCOUNT is a counter passed by Reference.
33 ; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool)
34 ; FLAGS are set-up in C0CMED.
35 ;
36 ; RX^PSO52API is a Pharmacy Re-Enginnering (PRE) API to get all
37 ; med data available.
38 ; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf
39 ; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS).
40 ; D PARY^C0CXPATH(MINXML)
41 N MEDS,MAP
42 K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!!
43 N ALL S ALL=+FLAGS
44 N ACTIVE S ACTIVE=$P(FLAGS,U,3)
45 ; Below, X1 is today; X2 is the number of days we want to go back
46 ; X is the result of this calculation using C^%DTC.
47 N X,X1,X2
48 S X1=DT
49 S X2=-$P($P(FLAGS,U,2),"-",2)
50 D C^%DTC
51 ; I discovered that I shouldn't put an ending date (last parameter)
52 ; because it seems that it will get meds whose beginning is after X but
53 ; whose exipriation is before the ending date.
54 D RX^PSO52API(DFN,"CCDCCR","","","",X,"")
55 M MEDS=^TMP($J,"CCDCCR",DFN)
56 ; @(0) contains the number of meds or -1^NO DATA FOUND
57 ; If it is -1, we quit.
58 I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 Q
59 ZWRITE:$G(DEBUG) MEDS
60 N RXIEN S RXIEN=0
61 F S RXIEN=$O(MEDS(RXIEN)) Q:$G(RXIEN)="" D ; FOR EACH MEDICATION IN THE LIST
62 . N MED M MED=MEDS(RXIEN)
63 . I 'ALL,ACTIVE,$P(MED(100),U,2)'="ACTIVE" QUIT
64 . S MEDCOUNT=MEDCOUNT+1
65 . W:$G(DEBUG) "RXIEN IS ",RXIEN,!
66 . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
67 . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED
68 . W:$G(DEBUG) "MAP= ",MAP,!
69 . S @MAP@("MEDOBJECTID")="MED"_MEDCOUNT ; MEDCOUNT FOR ID
70 . ; S @MAP@("MEDOBJECTID")="MED"_MED(.01) ;Rx Number
71 . S @MAP@("MEDISSUEDATETXT")="Issue Date"
72 . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(1),U))
73 . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
74 . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P($G(MED(101)),U))
75 . S @MAP@("MEDRXNOTXT")="Prescription Number"
76 . S @MAP@("MEDRXNO")=MED(.01)
77 . S @MAP@("MEDTYPETEXT")="Medication"
78 . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
79 . S @MAP@("MEDSTATUSTEXT")=$P(MED(100),U,2)
80 . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(4),U)
81 . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(6),U,2)
82 . ; 12/30/08: I will be using RxNorm for coding...
83 . ; 176.001 is the file for Concepts; 176.003 is the file for
84 . ; sources (i.e. for RxNorm Version)
85 . ;
86 . ; We need the VUID first for the National Drug File entry first
87 . ; We get the VUID of the drug, by looking up the VA Product entry
88 . ; (file 50.68) using the call NDF^PSS50, returned in node 22.
89 . ; Field 99.99 is the VUID.
90 . ;
91 . ; We use the VUID to look up the RxNorm in file 176.001; same idea.
92 . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
93 . ; $$GET1^DIQ.
94 . ;
95 . ; I get the RxNorm name and version from the RxNorm Sources (file
96 . ; 176.003), by searching for "RXNORM", then get the data.
97 . N MEDIEN S MEDIEN=$P(MED(6),U)
98 . D NDF^PSS50(MEDIEN,,,,,"NDF")
99 . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
100 . N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
101 . N VAPROD S VAPROD=$P(NDFDATA(22),U)
102 . ;
103 . ; NDFIEN is not necessarily defined; it won't be if the drug
104 . ; is not matched to the national drug file (e.g. if the drug is
105 . ; new on the market, compounded, or is a fake drug [blue pill].
106 . ; To protect against failure, I will put an if/else block
107 . ;
108 . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
109 . I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
110 . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99)
111 . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID")
112 . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01)
113 . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM")
114 . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
115 . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
116 . ;
117 . E S (RXNORM,RXNNAME,RXNVER)=""
118 . ; End if/else block
119 . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
120 . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
121 . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
122 . ;
123 . S @MAP@("MEDBRANDNAMETEXT")=MED(6.5)
124 . D DOSE^PSS50(MEDIEN,,,,,"DOSE")
125 . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
126 . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901)
127 . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2)
128 . ; Units, concentration, etc, come from another call
129 . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
130 . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
131 . ; NDF Entry IEN, and VA Product IEN
132 . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
133 . ; These have been collected above.
134 . N CONCDATA
135 . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
136 . ; and this will crash the call. So...
137 . I NDFIEN="" S CONCDATA=""
138 . E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
139 . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1)
140 . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3)
141 . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4)
142 . S @MAP@("MEDQUANTITYVALUE")=MED(7)
143 . ; Oddly, there is no easy place to find the dispense unit.
144 . ; It's not included in the original call, so we have to go to the drug file.
145 . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT")
146 . ; Node 14.5 is the Dispense Unit
147 . D DATA^PSS50(MEDIEN,,,,,"QTY")
148 . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN)
149 . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5)
150 . ;
151 . ; --- START OF DIRECTIONS ---
152 . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but...
153 . ; we want the compoenents.
154 . ; It's in node 6 of ^PSRX(IEN)
155 . ; So, here we go again
156 . ; ^PSRX(D0,6,D1,0)= (#.01) DOSAGE ORDERED [1F] ^ (#1) DISPENSE UNITS PER DOSE
157 . ; ==>[2N] ^ (#2) UNITS [3P:50.607] ^ (#3) NOUN [4F] ^ (#4)
158 . ; ==>DURATION [5F] ^ (#5) CONJUNCTION [6S] ^ (#6) ROUTE
159 . ; ==>[7P:51.2] ^ (#7) SCHEDULE [8F] ^ (#8) VERB [9F] ^
160 . ;
161 . N DIRNUM S DIRNUM=0 ; Sigline number
162 . S DIRCNT=0 ; COUNT OF MULTIPLE DIRECTIONS
163 . F S DIRNUM=$O(^PSRX(RXIEN,6,DIRNUM)) Q:DIRNUM="" D
164 . . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
165 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
166 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
167 . . N SIGDATA S SIGDATA=^PSRX(RXIEN,6,DIRNUM,0)
168 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$P(SIGDATA,U,9)
169 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$P(SIGDATA,U,1)
170 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT")
171 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient
172 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient
173 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient
174 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$$GET1^DIQ(51.2,$P(SIGDATA,U,7),.01)
175 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$P(SIGDATA,U,8)
176 . . ; Invervals... again another call.
177 . . ; In the wisdom of the original programmers, the schedule is a free text field
178 . . ; However, it gets translated by a call to the administration schedule file
179 . . ; to see if that schedule exists.
180 . . ; That's the same thing I am going to do.
181 . . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ).
182 . . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO--
183 . . ; I looked), PSSFT is the name, and list is the ^TMP name to store the data in.
184 . . ; So...
185 . . D AP^PSS51P1("PSJ",$P(SIGDATA,U,8),,,"SCHEDULE")
186 . . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE")
187 . . N INTERVAL
188 . . I $P(SCHEDATA(0),U)=-1 S INTERVAL=""
189 . . E D
190 . . . N SUB S SUB=$O(SCHEDATA(0))
191 . . . S INTERVAL=SCHEDATA(SUB,2)
192 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
193 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
194 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$P(SIGDATA,U,5)
195 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
196 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$P(SIGDATA,U,8)["PRN"
197 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")=""
198 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
199 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
200 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
201 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
202 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
203 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
204 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")=""
205 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
206 . . N DIRMOD S DIRMOD=$P(SIGDATA,U,6)
207 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$S(DIRMOD="T":"THEN",DIRMOD="A":"AND",DIRMOD="X":"EXCEPT",1:"")
208 . ;
209 . ; --- END OF DIRECTIONS ---
210 . ;
211 . ; ^PSRX(22,"INS1",1,0)="FOR BLOOD PRESSURE"
212 . S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"INS1",1,0))
213 . ; ^PSRX(22,"PRC",1,0)="Pharmacist: you must obey my command"
214 . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PRC",1,0))
215 . S @MAP@("MEDRFNO")=MED(9)
216 . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
217 . K @RESULT
218 . D MAP^C0CXPATH(MINXML,MAP,RESULT)
219 . ; MAPPING DIRECTIONS
220 . N DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
221 . N DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
222 . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
223 . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
224 . ; N MDZ1,MDZNA
225 . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
226 . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
227 . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
228 . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
229 . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
230 . I MEDCOUNT=1 D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
231 . E D INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER XML
232 N MEDTMP,MEDI
233 D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
234 I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
235 . W "MEDICATION MISSING ",!
236 . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
237 Q
238 ;
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