1 | C0CMED2 ; WV/CCDCCR/SMH - CCR/CCD Meds - Pending for Vista
|
---|
2 | ;;1.2;C0C;;May 11, 2012;Build 46
|
---|
3 | ;;Last Modified Sat Jan 10 21:41:14 PST 2009
|
---|
4 | ; Copyright 2008 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 | ;
|
---|
24 | EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
|
---|
25 | ;
|
---|
26 | ; MINXML is the Input XML Template, passed by name
|
---|
27 | ; DFN is Patient IEN (by Value)
|
---|
28 | ; OUTXML is the resultant XML (by Name)
|
---|
29 | ; MEDCOUNT is the current count of extracted meds, passed by Reference
|
---|
30 | ;
|
---|
31 | ; MEDS is return array from RPC.
|
---|
32 | ; MAP is a mapping variable map (store result) for each med
|
---|
33 | ; MED is holds each array element from MEDS, one medicine
|
---|
34 | ;
|
---|
35 | ; PEN^PSO5241 is a Pharmacy Re-Enginnering (PRE) API to get Pending
|
---|
36 | ; meds data available.
|
---|
37 | ; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf
|
---|
38 | ; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS).
|
---|
39 | ; File for pending meds is 52.41
|
---|
40 | ; Unfortuantely, API does not supply us with any useful info beyond
|
---|
41 | ; the IEN in 52.41, and the Med Name, and route.
|
---|
42 | ; So, most of the info is going to get pulled from 52.41.
|
---|
43 | N MEDS,MAP
|
---|
44 | K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!!
|
---|
45 | D PEN^PSO5241(DFN,"CCDCCR")
|
---|
46 | M MEDS=^TMP($J,"CCDCCR",DFN)
|
---|
47 | ; @(0) contains the number of meds or -1^NO DATA FOUND
|
---|
48 | ; If it is -1, we quit.
|
---|
49 | I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 QUIT
|
---|
50 | ZWRITE:$G(DEBUG) MEDS
|
---|
51 | N RXIEN S RXIEN=0
|
---|
52 | N MEDFIRST S MEDFIRST=1 ; FLAG FOR FIRST MED IN THIS SECTION FOR MERGING
|
---|
53 | F S RXIEN=$O(MEDS(RXIEN)) Q:RXIEN="B" D ; FOR EACH MEDICATION IN THE LIST
|
---|
54 | . I $$GET1^DIQ(52.41,RXIEN,2,"I")="RF" QUIT ; Dont' want refill request as a "pending" order
|
---|
55 | . S MEDCOUNT=MEDCOUNT+1
|
---|
56 | . I DEBUG W "RXIEN IS ",RXIEN,!
|
---|
57 | . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
|
---|
58 | . ; K @MAP DON'T KILL MAP HERE, IT IS DONE IN C0CMED
|
---|
59 | . I DEBUG W "MAP= ",MAP,!
|
---|
60 | . N MED M MED=MEDS(RXIEN) ; PULL OUT MEDICATION FROM
|
---|
61 | . S @MAP@("MEDOBJECTID")="MED_PENDING"_MEDCOUNT ; MEDCOUNT FOR ID
|
---|
62 | . ; S @MAP@("MEDOBJECTID")="MED_PENDING"_MED(.01) ;Pending IEN
|
---|
63 | . S @MAP@("MEDISSUEDATETXT")="Issue Date"
|
---|
64 | . ; Field 6 is "Effective date", and we pull it in timson format w/ I
|
---|
65 | . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($$GET1^DIQ(52.41,RXIEN,6,"I"),"DT")
|
---|
66 | . ; Med never filled; next 4 fields are not applicable.
|
---|
67 | . S @MAP@("MEDLASTFILLDATETXT")=""
|
---|
68 | . S @MAP@("MEDLASTFILLDATE")=""
|
---|
69 | . S @MAP@("MEDRXNOTXT")=""
|
---|
70 | . S @MAP@("MEDRXNO")=""
|
---|
71 | . S @MAP@("MEDTYPETEXT")="Medication"
|
---|
72 | . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
|
---|
73 | . S @MAP@("MEDSTATUSTEXT")="On Hold" ; nearest status for pending meds
|
---|
74 | . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52.41,RXIEN,5,"I")
|
---|
75 | . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(11),U,2)
|
---|
76 | . ; NDC not supplied in API, but is rather trivial to obtain
|
---|
77 | . ; MED(11) piece 1 has the IEN of the drug (file 50)
|
---|
78 | . ; IEN is field 31 in the drug file.
|
---|
79 | . ;
|
---|
80 | . ; MEDIEN (node 11 in the returned output) might not necessarily be defined
|
---|
81 | . ; It is not defined when a dose in not chosen in CPRS. There is a long
|
---|
82 | . ; series of fields that depend on it. We will use If and Else to deal
|
---|
83 | . ; with that
|
---|
84 | . N MEDIEN S MEDIEN=$P(MED(11),U)
|
---|
85 | . I +MEDIEN>0 D ; start of if/else block
|
---|
86 | . . ; 12/30/08: I will be using RxNorm for coding...
|
---|
87 | . . ; 176.001 is the file for Concepts; 176.003 is the file for
|
---|
88 | . . ; sources (i.e. for RxNorm Version)
|
---|
89 | . . ;
|
---|
90 | . . ; We need the VUID first for the National Drug File entry first
|
---|
91 | . . ; We get the VUID of the drug, by looking up the VA Product entry
|
---|
92 | . . ; (file 50.68) using the call NDF^PSS50, returned in node 22.
|
---|
93 | . . ; Field 99.99 is the VUID.
|
---|
94 | . . ;
|
---|
95 | . . ; We use the VUID to look up the RxNorm in file 176.001; same idea.
|
---|
96 | . . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
|
---|
97 | . . ; $$GET1^DIQ.
|
---|
98 | . . ;
|
---|
99 | . . ; I get the RxNorm name and version from the RxNorm Sources (file
|
---|
100 | . . ; 176.003), by searching for "RXNORM", then get the data.
|
---|
101 | . . D NDF^PSS50(MEDIEN,,,,,"NDF")
|
---|
102 | . . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
|
---|
103 | . . N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
|
---|
104 | . . N VAPROD S VAPROD=$P(NDFDATA(22),U)
|
---|
105 | . . ;
|
---|
106 | . . ; NDFIEN is not necessarily defined; it won't be if the drug
|
---|
107 | . . ; is not matched to the national drug file (e.g. if the drug is
|
---|
108 | . . ; new on the market, compounded, or is a fake drug [blue pill].
|
---|
109 | . . ; To protect against failure, I will put an if/else block
|
---|
110 | . . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
|
---|
111 | . . I NDFIEN,$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")=""
|
---|
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 | . . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
|
---|
132 | . . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
|
---|
133 | . . ; NDF Entry IEN, and VA Product Name
|
---|
134 | . . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
|
---|
135 | . . ; Documented in the same manual; executed above.
|
---|
136 | . . N CONCDATA
|
---|
137 | . . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
|
---|
138 | . . ; and this will crash the call. So...
|
---|
139 | . . I NDFIEN="" S CONCDATA=""
|
---|
140 | . . E S CONCDATA=$$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")=$$GET1^DIQ(52.41,RXIEN,12)
|
---|
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 | . E D
|
---|
153 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")=""
|
---|
154 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=""
|
---|
155 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")=""
|
---|
156 | . . S @MAP@("MEDBRANDNAMETEXT")=""
|
---|
157 | . . S @MAP@("MEDSTRENGTHVALUE")=""
|
---|
158 | . . S @MAP@("MEDSTRENGTHUNIT")=""
|
---|
159 | . . S @MAP@("MEDFORMTEXT")=""
|
---|
160 | . . S @MAP@("MEDCONCVALUE")=""
|
---|
161 | . . S @MAP@("MEDCONCUNIT")=""
|
---|
162 | . . S @MAP@("MEDSIZETEXT")=""
|
---|
163 | . . S @MAP@("MEDQUANTITYVALUE")=""
|
---|
164 | . . S @MAP@("MEDQUANTITYUNIT")=""
|
---|
165 | . ; end of if/else block
|
---|
166 | . ;
|
---|
167 | . ; --- START OF DIRECTIONS ---
|
---|
168 | . ; Sig data is not in any API. We obtain it using the IEN from
|
---|
169 | . ; the PEN API to file 52.41. It's in field 3, which is a multiple.
|
---|
170 | . ; I will be using FM call GETS^DIQ(FILE,IENS,FIELD,FLAGS,TARGET_ROOT)
|
---|
171 | . K FMSIG ; it's passed via the symbol table, so remove any leftovers from last call
|
---|
172 | . D GETS^DIQ(52.41,RXIEN,"3*",,"FMSIG")
|
---|
173 | . N FMSIGNUM S FMSIGNUM=0 ; Sigline number in fileman.
|
---|
174 | . ; FMSIGNUM gets outputted as "IEN,RXIEN,".
|
---|
175 | . ; DIRNUM will be first piece for IEN.
|
---|
176 | . ; DIRNUM is the proper Sigline numer.
|
---|
177 | . ; SIGDATA is the simplfied array. Subscripts are really field numbers
|
---|
178 | . ; in subfile 52.413.
|
---|
179 | . N DIRCNT S DIRCNT=0 ; COUNT OF DIRECTIONS
|
---|
180 | . F S FMSIGNUM=$O(FMSIG(52.413,FMSIGNUM)) Q:FMSIGNUM="" D
|
---|
181 | . . N DIRNUM S DIRNUM=$P(FMSIGNUM,",")
|
---|
182 | . . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
|
---|
183 | . . N SIGDATA M SIGDATA=FMSIG(52.413,FMSIGNUM)
|
---|
184 | . . ; If this is an order for a refill; it's not really a new order; move on to next
|
---|
185 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
|
---|
186 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
|
---|
187 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=SIGDATA(13)
|
---|
188 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=SIGDATA(8)
|
---|
189 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT")
|
---|
190 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient
|
---|
191 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient
|
---|
192 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient
|
---|
193 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=SIGDATA(10)
|
---|
194 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=SIGDATA(1)
|
---|
195 | . . ; Invervals... again another call.
|
---|
196 | . . ; The schedule is a free text field
|
---|
197 | . . ; However, it gets translated by a call to the administration
|
---|
198 | . . ; schedule file to see if that schedule exists.
|
---|
199 | . . ; That's the same thing I am going to do.
|
---|
200 | . . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ).
|
---|
201 | . . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO--
|
---|
202 | . . ; I looked), PSSFT is the name,
|
---|
203 | . . ; and list is the ^TMP name to store the data in.
|
---|
204 | . . ; Also, freqency may have "PRN" in it, so strip that out
|
---|
205 | . . N FREQ S FREQ=SIGDATA(1)
|
---|
206 | . . I FREQ["PRN" S FREQ=$E(FREQ,1,$F(FREQ,"PRN")-5) ; 5 for $L("PRN") + 1 + sp
|
---|
207 | . . D AP^PSS51P1("PSJ",FREQ,,,"SCHEDULE")
|
---|
208 | . . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE")
|
---|
209 | . . N INTERVAL
|
---|
210 | . . I $P(SCHEDATA(0),U)=-1 S INTERVAL=""
|
---|
211 | . . E D
|
---|
212 | . . . N SUB S SUB=$O(SCHEDATA(0))
|
---|
213 | . . . S INTERVAL=SCHEDATA(SUB,2)
|
---|
214 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
|
---|
215 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
|
---|
216 | . . ; Duration comes as M2,H2,D2,W2,L2 for 2 minutes,hours,days,weeks,months
|
---|
217 | . . N DUR S DUR=SIGDATA(2)
|
---|
218 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$E(DUR,2,$L(DUR))
|
---|
219 | . . N DURUNIT S DURUNIT=$E(DUR)
|
---|
220 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"")
|
---|
221 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=SIGDATA(1)["PRN"
|
---|
222 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")=""
|
---|
223 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
|
---|
224 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
|
---|
225 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
|
---|
226 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
|
---|
227 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
|
---|
228 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
|
---|
229 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; Vista doesn't have that field
|
---|
230 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
|
---|
231 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=SIGDATA(6)
|
---|
232 | . ;
|
---|
233 | . ; --- END OF DIRECTIONS ---
|
---|
234 | . ;
|
---|
235 | . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105"
|
---|
236 | . S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PI",1,0)) ;GPL
|
---|
237 | . ; W @MAP@("MEDPTINSTRUCTIONS"),!
|
---|
238 | . ; S @MAP@("MEDFULLFILLMENTINSTRUCTIONS","F")="52.41^9"
|
---|
239 | . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"SIG1",1,0)) ;GPL
|
---|
240 | . ; W @MAP@("MEDFULLFILLMENTINSTRUCTIONS"),!
|
---|
241 | . S @MAP@("MEDRFNO")=$$GET1^DIQ(52.41,RXIEN,13)
|
---|
242 | . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
|
---|
243 | . K @RESULT
|
---|
244 | . D MAP^C0CXPATH(MINXML,MAP,RESULT)
|
---|
245 | . ; D PARY^C0CXPATH(RESULT)
|
---|
246 | . ; MAPPING DIRECTIONS
|
---|
247 | . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
|
---|
248 | . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
|
---|
249 | . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
|
---|
250 | . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
|
---|
251 | . ; N MDZ1,MDZNA
|
---|
252 | . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
|
---|
253 | . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
|
---|
254 | . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
|
---|
255 | . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
|
---|
256 | . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
|
---|
257 | . I MEDFIRST D ;
|
---|
258 | . . S MEDFIRST=0 ; RESET FIRST FLAG
|
---|
259 | . . D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
|
---|
260 | . D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER
|
---|
261 | N MEDTMP,MEDI
|
---|
262 | D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
|
---|
263 | I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
|
---|
264 | . W "Pending Medication MISSING ",!
|
---|
265 | . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
|
---|
266 | Q
|
---|
267 | ;
|
---|