source: ccr/branches/ohum/p/C0CMED1.m@ 1499

Last change on this file since 1499 was 1433, checked in by Sam Habiel, 13 years ago

Update based on OHUM's latest routines
File size: 11.3 KB
Line 
1C0CMED1 ; WV/CCDCCR/SMH - CCR/CCD PROCESSING FOR MEDICATIONS ;01/10/09
2 ;;1.2;C0C;;May 11, 2012;Build 47
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 N PENDING S PENDING=$P(FLAGS,U,4) ;OHUM/RUT 3120504 ADDED FOR VALIDATION OF PENDING MEDICATIONS
46 ; Below, X1 is today; X2 is the number of days we want to go back
47 ; X is the result of this calculation using C^%DTC.
48 N X,X1,X2
49 S X1=DT
50 S X2=-$P($P(FLAGS,U,2),"-",2)
51 D C^%DTC
52 ; I discovered that I shouldn't put an ending date (last parameter)
53 ; because it seems that it will get meds whose beginning is after X but
54 ; whose exipriation is before the ending date.
55 D RX^PSO52API(DFN,"CCDCCR","","","",X,"")
56 M MEDS=^TMP($J,"CCDCCR",DFN)
57 ; @(0) contains the number of meds or -1^NO DATA FOUND
58 ; If it is -1, we quit.
59 I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 Q
60 ZWRITE:$G(DEBUG) MEDS
61 N RXIEN S RXIEN=0
62 F S RXIEN=$O(MEDS(RXIEN)) Q:$G(RXIEN)="" D ; FOR EACH MEDICATION IN THE LIST
63 . N MED M MED=MEDS(RXIEN)
64 . I 'ALL,ACTIVE,$P(MED(100),U,2)'="ACTIVE" QUIT
65 . I 'ALL,PENDING,$P(MED(100),U,2)'="PENDING" QUIT ;OHUM/RUT 3120504 ADDED FOR VALIDATION OF PENDING MEDICATIONS
66 . S MEDCOUNT=MEDCOUNT+1
67 . W:$G(DEBUG) "RXIEN IS ",RXIEN,!
68 . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
69 . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED
70 . W:$G(DEBUG) "MAP= ",MAP,!
71 . S @MAP@("MEDOBJECTID")="MED"_MEDCOUNT ; MEDCOUNT FOR ID
72 . ; S @MAP@("MEDOBJECTID")="MED"_MED(.01) ;Rx Number
73 . S @MAP@("MEDISSUEDATETXT")="Issue Date"
74 . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(1),U))
75 . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
76 . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P($G(MED(101)),U))
77 . S @MAP@("MEDRXNOTXT")="Prescription Number"
78 . S @MAP@("MEDRXNO")=MED(.01)
79 . S @MAP@("MEDTYPETEXT")="Medication"
80 . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
81 . S @MAP@("MEDSTATUSTEXT")=$P(MED(100),U,2)
82 . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(4),U)
83 . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(6),U,2)
84 . ; 12/30/08: I will be using RxNorm for coding...
85 . ; 176.001 is the file for Concepts; 176.003 is the file for
86 . ; sources (i.e. for RxNorm Version)
87 . ;
88 . ; We need the VUID first for the National Drug File entry first
89 . ; We get the VUID of the drug, by looking up the VA Product entry
90 . ; (file 50.68) using the call NDF^PSS50, returned in node 22.
91 . ; Field 99.99 is the VUID.
92 . ;
93 . ; We use the VUID to look up the RxNorm in file 176.001; same idea.
94 . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
95 . ; $$GET1^DIQ.
96 . ;
97 . ; I get the RxNorm name and version from the RxNorm Sources (file
98 . ; 176.003), by searching for "RXNORM", then get the data.
99 . N MEDIEN S MEDIEN=$P(MED(6),U)
100 . D NDF^PSS50(MEDIEN,,,,,"NDF")
101 . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
102 . N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
103 . N VAPROD S VAPROD=$P(NDFDATA(22),U)
104 . ;
105 . ; NDFIEN is not necessarily defined; it won't be if the drug
106 . ; is not matched to the national drug file (e.g. if the drug is
107 . ; new on the market, compounded, or is a fake drug [blue pill].
108 . ; To protect against failure, I will put an if/else block
109 . ;
110 . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
111 . I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
112 . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99)
113 . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID")
114 . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01)
115 . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM")
116 . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
117 . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
118 . ;
119 . E S (RXNORM,RXNNAME,RXNVER)=""
120 . ; End if/else block
121 . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
122 . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
123 . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
124 . ;
125 . S @MAP@("MEDBRANDNAMETEXT")=MED(6.5)
126 . D DOSE^PSS50(MEDIEN,,,,,"DOSE")
127 . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
128 . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901)
129 . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2)
130 . ; Units, concentration, etc, come from another call
131 . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
132 . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
133 . ; NDF Entry IEN, and VA Product IEN
134 . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
135 . ; These have been collected above.
136 . N CONCDATA
137 . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
138 . ; and this will crash the call. So...
139 . I NDFIEN="" S CONCDATA=""
140 . E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
141 . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1)
142 . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3)
143 . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4)
144 . S @MAP@("MEDQUANTITYVALUE")=MED(7)
145 . ; Oddly, there is no easy place to find the dispense unit.
146 . ; It's not included in the original call, so we have to go to the drug file.
147 . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT")
148 . ; Node 14.5 is the Dispense Unit
149 . D DATA^PSS50(MEDIEN,,,,,"QTY")
150 . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN)
151 . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5)
152 . ;
153 . ; --- START OF DIRECTIONS ---
154 . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but...
155 . ; we want the compoenents.
156 . ; It's in node 6 of ^PSRX(IEN)
157 . ; So, here we go again
158 . ; ^PSRX(D0,6,D1,0)= (#.01) DOSAGE ORDERED [1F] ^ (#1) DISPENSE UNITS PER DOSE
159 . ; ==>[2N] ^ (#2) UNITS [3P:50.607] ^ (#3) NOUN [4F] ^ (#4)
160 . ; ==>DURATION [5F] ^ (#5) CONJUNCTION [6S] ^ (#6) ROUTE
161 . ; ==>[7P:51.2] ^ (#7) SCHEDULE [8F] ^ (#8) VERB [9F] ^
162 . ;
163 . N DIRNUM S DIRNUM=0 ; Sigline number
164 . S DIRCNT=0 ; COUNT OF MULTIPLE DIRECTIONS
165 . F S DIRNUM=$O(^PSRX(RXIEN,6,DIRNUM)) Q:DIRNUM="" D
166 . . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
167 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
168 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
169 . . N SIGDATA S SIGDATA=^PSRX(RXIEN,6,DIRNUM,0)
170 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$P(SIGDATA,U,9)
171 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$P(SIGDATA,U,1)
172 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT")
173 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient
174 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient
175 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient
176 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$$GET1^DIQ(51.2,$P(SIGDATA,U,7),.01)
177 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$P(SIGDATA,U,8)
178 . . ; Invervals... again another call.
179 . . ; In the wisdom of the original programmers, the schedule is a free text field
180 . . ; However, it gets translated by a call to the administration schedule file
181 . . ; to see if that schedule exists.
182 . . ; That's the same thing I am going to do.
183 . . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ).
184 . . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO--
185 . . ; I looked), PSSFT is the name, and list is the ^TMP name to store the data in.
186 . . ; So...
187 . . D AP^PSS51P1("PSJ",$P(SIGDATA,U,8),,,"SCHEDULE")
188 . . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE")
189 . . N INTERVAL
190 . . I $P(SCHEDATA(0),U)=-1 S INTERVAL=""
191 . . E D
192 . . . N SUB S SUB=$O(SCHEDATA(0))
193 . . . S INTERVAL=SCHEDATA(SUB,2)
194 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
195 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
196 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$P(SIGDATA,U,5)
197 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
198 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$P(SIGDATA,U,8)["PRN"
199 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")=""
200 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
201 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
202 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
203 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
204 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
205 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
206 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")=""
207 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
208 . . N DIRMOD S DIRMOD=$P(SIGDATA,U,6)
209 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$S(DIRMOD="T":"THEN",DIRMOD="A":"AND",DIRMOD="X":"EXCEPT",1:"")
210 . ;
211 . ; --- END OF DIRECTIONS ---
212 . ;
213 . ; ^PSRX(22,"INS1",1,0)="FOR BLOOD PRESSURE"
214 . S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"INS1",1,0))
215 . ; ^PSRX(22,"PRC",1,0)="Pharmacist: you must obey my command"
216 . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PRC",1,0))
217 . S @MAP@("MEDRFNO")=MED(9)
218 . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
219 . K @RESULT
220 . D MAP^C0CXPATH(MINXML,MAP,RESULT)
221 . ; MAPPING DIRECTIONS
222 . N DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
223 . N DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
224 . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
225 . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
226 . ; N MDZ1,MDZNA
227 . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
228 . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
229 . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
230 . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
231 . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
232 . I MEDCOUNT=1 D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
233 . E D INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER XML
234 N MEDTMP,MEDI
235 D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
236 I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
237 . W "MEDICATION MISSING ",!
238 . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
239 Q
240 ;
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