| 1 | C0CMED6 ; WV/CCDCCR/SMH - Meds from RPMS: Outpatient Meds;01/10/09
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| 2 |  ;;1.0;C0C;;May 19, 2009;
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| 3 |  ; Copyright 2008 WorldVistA.  Licensed under the terms of the GNU
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| 4 |  ; General Public License See attached copy of the License.
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| 5 |  ;
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| 6 |  ; This program is free software; you can redistribute it and/or modify
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| 7 |  ; it under the terms of the GNU General Public License as published by
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| 8 |  ; the Free Software Foundation; either version 2 of the License, or
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| 9 |  ; (at your option) any later version.
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| 10 |  ;
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| 11 |  ; This program is distributed in the hope that it will be useful,
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| 12 |  ; but WITHOUT ANY WARRANTY; without even the implied warranty of
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| 13 |  ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE.  See the
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| 14 |  ; GNU General Public License for more details.
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| 15 |  ;
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| 16 |  ; You should have received a copy of the GNU General Public License along
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| 17 |  ; with this program; if not, write to the Free Software Foundation, Inc.,
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| 18 |  ; 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
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| 19 |  ;
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| 20 |  W "NO ENTRY FROM TOP",!
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| 21 |  Q
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| 22 |  ;
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| 23 | EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT,FLAGS)  ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
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| 24 |  ;
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| 25 |  ; MINXML and OUTXML are passed by name so globals can be used
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| 26 |  ; MINXML will contain only the medications skeleton of the overall template
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| 27 |  ; MEDCOUNT is a counter passed by Reference.
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| 28 |  ; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool)
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| 29 |  ; FLAGS are set-up in C0CMED.
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| 30 |  ;
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| 31 |  ; MEDS is return array from RPC.
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| 32 |  ; MAP is a mapping variable map (store result) for each med
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| 33 |  ; MED is holds each array element from MEDS(J), one medicine
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| 34 |  ; J is a counter.
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| 35 |  ;
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| 36 |  ; GETRXS^BEHORXFN(ARRAYNAME,DFN,DAYS) will be the the API used.
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| 37 |  ; This API has been developed by Medsphere for IHS for getting
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| 38 |  ; Medications from RPMS. It has most of what we need.
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| 39 |  ; API written by Doug Martin when he worked for Medsphere (thanks Doug!)
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| 40 |  ; -- ARRAYNAME is passed by name (required)
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| 41 |  ; -- DFN is passed by value (required)
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| 42 |  ; -- DAYS is passed by value (optional; if not passed defaults to 365)
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| 43 |  ; 
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| 44 |  ; Return:
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| 45 |  ; ~Type^PharmID^Drug^InfRate^StopDt^RefRem^TotDose^UnitDose^OrderID 
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| 46 |  ; ^Status^LastFill^Chronic^Issued^Rx #^Provider^ 
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| 47 |  ; Status Reason^DEA Handling
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| 48 |  ; 
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| 49 |  N MEDS,MEDS1,MAP
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| 50 |  D GETRXS^BEHORXFN("MEDS1",DFN,$P($P(FLAGS,U,2),"-",2)) ; 2nd piece of FLAGS is # of days to retrieve, which comes in the form "T-360"
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| 51 |  N ALL S ALL=+FLAGS
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| 52 |  N ACTIVE S ACTIVE=$P(FLAGS,U,3)
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| 53 |  N PENDING S PENDING=$P(FLAGS,U,4)
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| 54 |  S @OUTXML@(0)=0  ;By default, no meds
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| 55 |  ; If MEDS1 is not defined, then no meds
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| 56 |  I '$D(MEDS1) QUIT
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| 57 |  I DEBUG ZWR MEDS1,MINXML
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| 58 |  N MEDCNT S MEDCNT=0 ; Med Count
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| 59 |  ; The next line is a super line. It goes through the array return
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| 60 |  ; and if the first characters are ~OP, it grabs the line.
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| 61 |  ; This means that line is for a dispensed Outpatient Med.
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| 62 |  ; That line has the metadata about the med that I need.
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| 63 |  ; The next lines, however many, are the med and the sig.
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| 64 |  ; I won't be using those because I have to get the sig parsed exactly.
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| 65 |  N J S J="" F  S J=$O(MEDS1(J)) Q:J=""  I $E(MEDS1(J),1,3)="~OP" S MEDCNT=MEDCNT+1 S MEDS(MEDCNT)=MEDS1(J)
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| 66 |  K MEDS1
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| 67 |  S MEDCNT="" ; Initialize for $Order
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| 68 |  F  S MEDCNT=$O(MEDS(MEDCNT)) Q:MEDCNT=""  D  ; for each medication in the list
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| 69 |  . I 'ALL,ACTIVE,$P(MEDS(MEDCNT),U,10)'="ACTIVE" QUIT
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| 70 |  . I 'ALL,PENDING,$P(MEDS(MEDCNT),U,10)'="PENDING" QUIT
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| 71 |  . I DEBUG W "MEDCNT IS ",MEDCNT,!
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| 72 |  . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCNT))
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| 73 |  . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED
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| 74 |  . I DEBUG W "MAP= ",MAP,!
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| 75 |  . S @MAP@("MEDOBJECTID")="MED"_MEDCNT ; MEDCNT FOR ID
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| 76 |  . S @MAP@("MEDISSUEDATETXT")="Issue Date"
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| 77 |  . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,15),"DT")
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| 78 |  . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
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| 79 |  . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,11),"DT")
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| 80 |  . S @MAP@("MEDRXNOTXT")="Prescription Number"
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| 81 |  . S @MAP@("MEDRXNO")=$P(MEDS(MEDCNT),U,14)
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| 82 |  . S @MAP@("MEDTYPETEXT")="Medication"
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| 83 |  . S @MAP@("MEDDETAILUNADORNED")=""  ; Leave blank, field has its uses
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| 84 |  . S @MAP@("MEDSTATUSTEXT")=$P(MEDS(MEDCNT),U,10)
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| 85 |  . ; Provider only provided in API as text, not DUZ.
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| 86 |  . ; We need to get DUZ from filman file 52 (Prescription)
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| 87 |  . ; Field 4; IEN is Piece 2 of Meds stripped of trailing characters.
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| 88 |  . ; Note that I will use RXIEN several times later
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| 89 |  . N RXIEN S RXIEN=+$P(MEDS(MEDCNT),U,2)
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| 90 |  . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52,RXIEN,4,"I")
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| 91 |  . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MEDS(MEDCNT),U,3)
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| 92 |  . ; --- RxNorm Stuff 
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| 93 |  . ; 176.001 is the file for Concepts; 176.003 is the file for
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| 94 |  . ; sources (i.e. for RxNorm Version)
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| 95 |  . ; 
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| 96 |  . ; I use 176.001 for the Vista version of this routine (files 1-3)
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| 97 |  . ; Since IHS does not have VUID's, I will be getting RxNorm codes
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| 98 |  . ; using NDCs. My specially crafted index (sounds evil) named "NDC"
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| 99 |  . ; is in file 176.002. The file is called RxNorm NDC to VUID.
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| 100 |  . ; Except that I don't need the VUID, but it's there if I need it.
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| 101 |  . ; 
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| 102 |  . ; We obviously need the NDC. That is easily obtained from the prescription.
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| 103 |  . ; Field 27 in file 52
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| 104 |  . N NDC S NDC=$$GET1^DIQ(52,RXIEN,27,"I")
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| 105 |  . ; I discovered that file 176.002 might give you two codes for the NDC
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| 106 |  . ; One for the Clinical Drug, and one for the ingredient.
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| 107 |  . ; So the plan is to get the two RxNorm codes, and then find from
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| 108 |  . ; file 176.001 which one is the Clinical Drug.
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| 109 |  . ; ... I refactored this into GETRXN
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| 110 |  . N RXNORM,SRCIEN,RXNNAME,RXNVER
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| 111 |  . I +NDC,$D(^C0CRXN) D  ; $Data is for Systems that don't have our RxNorm file yet.
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| 112 |  . . S RXNORM=$$GETRXN(NDC)
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| 113 |  . . S SRCIEN=$$FIND1^DIC(176.003,,,"RXNORM","B")
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| 114 |  . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
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| 115 |  . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
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| 116 |  . ;
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| 117 |  . E  S (RXNORM,RXNNAME,RXNVER)=""
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| 118 |  . ; End if/else block
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| 119 |  . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
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| 120 |  . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
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| 121 |  . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
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| 122 |  . ; --- End RxNorm section
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| 123 |  . ;
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| 124 |  . ; Brand name is 52 field 6.5
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| 125 |  . S @MAP@("MEDBRANDNAMETEXT")=$$GET1^DIQ(52,RXIEN,6.5)
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| 126 |  . ;
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| 127 |  . ; Next I need Med Form (tab, cap etc), strength (250mg)
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| 128 |  . ; concentration for liquids (250mg/mL)
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| 129 |  . ; Since IHS does not have any of the new calls that 
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| 130 |  . ; Vista has, I will be doing a crosswalk:
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| 131 |  . ; File 52, field 6 is Drug IEN in file 50
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| 132 |  . ; File 50, field 22 is VA Product IEN in file 50.68
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| 133 |  . ; In file 50.68, I will get the following:
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| 134 |  . ; -- 1: Dosage Form
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| 135 |  . ; -- 2: Strength
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| 136 |  . ; -- 3: Units
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| 137 |  . ; -- 8: Dispense Units
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| 138 |  . ; -- Conc is 2 concatenated with 3
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| 139 |  . ; 
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| 140 |  . ; *** If Drug is not matched to NDF, then VA Product will be "" ***
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| 141 |  . ;
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| 142 |  . N MEDIEN S MEDIEN=$$GET1^DIQ(52,RXIEN,6,"I") ; Drug IEN in 50
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| 143 |  . N VAPROD S VAPROD=$$GET1^DIQ(50,MEDIEN,22,"I") ; VA Product in file 50.68
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| 144 |  . I +VAPROD D
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| 145 |  . . S @MAP@("MEDSTRENGTHVALUE")=$$GET1^DIQ(50.68,VAPROD,2)
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| 146 |  . . S @MAP@("MEDSTRENGTHUNIT")=$$GET1^DIQ(50.68,VAPROD,3)
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| 147 |  . . S @MAP@("MEDFORMTEXT")=$$GET1^DIQ(50.68,VAPROD,1)
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| 148 |  . . S @MAP@("MEDCONCVALUE")=@MAP@("MEDSTRENGTHVALUE")
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| 149 |  . . S @MAP@("MEDCONCUNIT")=@MAP@("MEDSTRENGTHUNIT")
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| 150 |  . E  D
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| 151 |  . . S @MAP@("MEDSTRENGTHVALUE")=""
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| 152 |  . . S @MAP@("MEDSTRENGTHUNIT")=""
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| 153 |  . . S @MAP@("MEDFORMTEXT")=""
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| 154 |  . . S @MAP@("MEDCONCVALUE")=""
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| 155 |  . . S @MAP@("MEDCONCUNIT")=""
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| 156 |  . ; End Strengh/Conc stuff
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| 157 |  . ;
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| 158 |  . ; Quantity is in the prescription, field 7
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| 159 |  . S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52,RXIEN,7)
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| 160 |  . ; Dispense unit is in the drug file, field 14.5
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| 161 |  . S @MAP@("MEDQUANTITYUNIT")=$$GET1^DIQ(50,MEDIEN,14.5)
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| 162 |  . ;
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| 163 |  . ; --- START OF DIRECTIONS ---
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| 164 |  . ; Sig data not in any API :-(  Oh yes, you can get the whole thing, but...
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| 165 |  . ; we want the components.
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| 166 |  . ; It's in multiple 113 in the Prescription File (52)
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| 167 |  . ; #.01 DOSAGE ORDERED [1F]                   "20"
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| 168 |  . ; #1 DISPENSE UNITS PER DOSE [2N]    "1"
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| 169 |  . ; #2 UNITS [3P:50.607]                               "MG"
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| 170 |  . ; #3 NOUN [4F]                                               "TABLET"
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| 171 |  . ; #4 DURATION [5F]                                   "10D"
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| 172 |  . ; #5 CONJUNCTION [6S]                                "AND"
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| 173 |  . ; #6 ROUTE [7P:51.2]                                 "ORAL"
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| 174 |  . ; #7 SCHEDULE [8F]                                   "BID"
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| 175 |  . ; #8 VERB [9F]                                               "TAKE"
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| 176 |  . ;
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| 177 |  . ; Will use GETS^DIQ to get fields.
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| 178 |  . ; Data comes out like this:
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| 179 |  . ; SAMINS(52.0113,"1,23,",.01)=20
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| 180 |  . ; SAMINS(52.0113,"1,23,",1)=1
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| 181 |  . ; SAMINS(52.0113,"1,23,",2)="MG"
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| 182 |  . ; SAMINS(52.0113,"1,23,",3)="TABLET"
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| 183 |  . ; SAMINS(52.0113,"1,23,",4)="5D"
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| 184 |  . ; SAMINS(52.0113,"1,23,",5)="THEN"
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| 185 |  . ;
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| 186 |  . N RAWDATA
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| 187 |  . D GETS^DIQ(52,RXIEN,"113*",,"RAWDATA","DIERR")
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| 188 |  . D:$D(DIERR) ^%ZTER  ; Log if there's an error in retrieving sig field
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| 189 |  . ; none the less, continue; some parts are retrievable.
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| 190 |  . N FMSIG M FMSIG=RAWDATA(52.0113) ; Merge into subfile...
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| 191 |  . K RAWDATA
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| 192 |  . N FMSIGNUM S FMSIGNUM="" ; Sigline number in fileman.
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| 193 |  . ; FMSIGNUM gets outputted as "IEN,RXIEN,".
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| 194 |  . ; DIRCNT is the proper Sigline numer.
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| 195 |  . ; SIGDATA is the simplfied array. 
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| 196 |  . F  S FMSIGNUM=$O(FMSIG(FMSIGNUM)) Q:FMSIGNUM=""  D
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| 197 |  . . N DIRCNT S DIRCNT=$P(FMSIGNUM,",")
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| 198 |  . . N SIGDATA M SIGDATA=FMSIG(FMSIGNUM)
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| 199 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")=""  ; This is reserved for systems not able to generate the sig in components.
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| 200 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1"  ; means that we are specifying it. See E2369-05.
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| 201 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$G(SIGDATA(8))
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| 202 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$G(SIGDATA(.01))
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| 203 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=$G(SIGDATA(2))
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| 204 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")=""  ; For inpatient
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| 205 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")=""  ; For inpatient
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| 206 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")=""  ; For inpatient
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| 207 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$G(SIGDATA(6))
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| 208 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$G(SIGDATA(7))
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| 209 |  . . ; Invervals... again another call.
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| 210 |  . . ; In the wisdom of the original programmers, the schedule is a free text field
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| 211 |  . . ; However, it gets translated by a call to the administration schedule file
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| 212 |  . . ; to see if that schedule exists.
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| 213 |  . . ; That's the same thing I am going to do.
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| 214 |  . . ; Search B index of 51.1 (Admin Schedule) with schedule
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| 215 |  . . ; First, remove "PRN" if it exists (don't ask, that's how the file
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| 216 |  . . ; works; I wouldn't do it that way).
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| 217 |  . . N SCHNOPRN S SCHNOPRN=$G(SIGDATA(7))
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| 218 |  . . I SCHNOPRN["PRN" S SCHNOPRN=$E(SCHNOPRN,1,$F(SCHNOPRN,"PRN")-5)
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| 219 |  . . ; Super call below:
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| 220 |  . . ; 1=File 51.1 3=Field 2 (Frequency in Minutes)
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| 221 |  . . ; 4=Packed format, Exact Match 5=Lookup Value
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| 222 |  . . ; 6=# of entries to return 7=Index 10=Return Array
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| 223 |  . . ; 
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| 224 |  . . ; I do not account for the fact that two schedules can be
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| 225 |  . . ; spelled identically (ie duplicate entry). In that case,
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| 226 |  . . ; I get the first. That's just a bad pharmacy pkg maintainer.
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| 227 |  . . N C0C515
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| 228 |  . . D FIND^DIC(51.1,,"@;2","PX",SCHNOPRN,1,"B",,,"C0C515")
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| 229 |  . . N INTERVAL S INTERVAL="" ; Default
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| 230 |  . . ; If there are entries found, get it
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| 231 |  . . I +$G(C0C515("DILIST",0)) S INTERVAL=$P(C0C515("DILIST",1,0),U,2) 
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| 232 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
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| 233 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
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| 234 |  . . ; Duration is 10M minutes, 10H hours, 10D for Days
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| 235 |  . . ; 10W for weeks, 10L for months. I smell $Select
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| 236 |  . . ; But we don't need to do that if there isn't a duration
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| 237 |  . . I +$G(SIGDATA(4)) D
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| 238 |  . . . N DURUNIT S DURUNIT=$E(SIGDATA(4),$L(SIGDATA(4))) ; get last char
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| 239 |  . . . N DURTXT S DURTXT=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"Days")
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| 240 |  . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=+SIGDATA(4)
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| 241 |  . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=DURTXT
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| 242 |  . . E  D
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| 243 |  . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=""
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| 244 |  . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
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| 245 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$G(SIGDATA(4))["PRN"
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| 246 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" ; when avail
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| 247 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
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| 248 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
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| 249 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
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| 250 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
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| 251 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
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| 252 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
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| 253 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; not stored
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| 254 |  . . ; Another confusing line; I am pretty bad:
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| 255 |  . . ; If there is another entry in the FMSIG array (i.e. another line
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| 256 |  . . ; in the sig), set the direction count indicator.
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| 257 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=""  ; Default
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| 258 |  . . S:+$O(FMSIG(FMSIGNUM)) @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRCNT
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| 259 |  . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$G(SIGDATA(5))
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| 260 |  . ;
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| 261 |  . ; --- END OF DIRECTIONS ---
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| 262 |  . ;
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| 263 |  . ; Med instructions is a WP field, thus the acrobatics
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| 264 |  . ; Notice buffer overflow protection set at 10,000 chars
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| 265 |  . ; -- 1. Med Patient Instructions
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| 266 |  . N MEDPTIN1 S MEDPTIN1=$$GET1^DIQ(52,RXIEN,115,,"MEDPTIN1")
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| 267 |  . N MEDPTIN2,J  S (MEDPTIN2,J)="" 
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| 268 |  . I $L(MEDPTIN1) F  S J=$O(@MEDPTIN1@(J)) Q:J=""  Q:$L(MEDPTIN2)>10000  S MEDPTIN2=MEDPTIN2_@MEDPTIN1@(J)_" "
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| 269 |  . S @MAP@("MEDPTINSTRUCTIONS")=MEDPTIN2
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| 270 |  . K J
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| 271 |  . ; -- 2. Med Provider Instructions
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| 272 |  . N MEDPVIN1 S MEDPVIN1=$$GET1^DIQ(52,RXIEN,39,,"MEDPVIN1")
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| 273 |  . N MEDPVIN2,J S (MEDPVIN2,J)=""
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| 274 |  . I $L(MEDPVIN1) F  S J=$O(@MEDPVIN1@(J)) Q:J=""  Q:$L(MEDPVIN2)>10000  S MEDPVIN2=MEDPVIN2_@MEDPVIN1@(J)_" "
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| 275 |  . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MEDPVIN2
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| 276 |  . ;
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| 277 |  . ; Remaining refills
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| 278 |  . S @MAP@("MEDRFNO")=$P(MEDS(MEDCNT),U,6)
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| 279 |  . ; ------ END OF MAPPING
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| 280 |  . ;
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| 281 |  . ; ------ BEGIN XML INSERTION
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| 282 |  . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
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| 283 |  . K @RESULT
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| 284 |  . D MAP^C0CXPATH(MINXML,MAP,RESULT)
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| 285 |  . ; D PARY^C0CXPATH(RESULT)
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| 286 |  . ; MAPPING DIRECTIONS
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| 287 |  . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
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| 288 |  . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
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| 289 |  . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
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| 290 |  . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
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| 291 |  . ; N MDZ1,MDZNA
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| 292 |  . N DIRCNT S DIRCNT=""
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| 293 |  . I +$O(@MAP@("M","DIRECTIONS",DIRCNT)) D  ; IF THERE ARE DIRCTIONS
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| 294 |  . . F DIRCNT=$O(@MAP@("M","DIRECTIONS",DIRCNT)) D  ; FOR EACH DIRECTION
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| 295 |  . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",DIRCNT))
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| 296 |  . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
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| 297 |  . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
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| 298 |  . D:MEDCNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
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| 299 |  . D:MEDCNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML
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| 300 |  . S MEDCOUNT=MEDCNT
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| 301 |  N MEDTMP,MEDI
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| 302 |  D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
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| 303 |  I MEDTMP(0)>0 D  ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
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| 304 |  . W "MEDICATION MISSING ",!
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| 305 |  . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
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| 306 |  Q
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| 307 |  ;
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| 308 | GETRXN(NDC)     ; Extrinsic Function; PUBLIC; NDC to RxNorm
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| 309 |  ;; Get RxNorm Concept Number for a Given NDC
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| 310 |  ;
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| 311 |  S NDC=$TR(NDC,"-")  ; Remove dashes
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| 312 |  N RXNORM,C0CZRXN,DIERR
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| 313 |  D FIND^DIC(176.002,,"@;.01","PX",NDC,"*","NDC",,,"C0CZRXN","DIERR")
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| 314 |  I $D(DIERR) D ^%ZTER BREAK
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| 315 |  S RXNORM(0)=+C0CZRXN("DILIST",0) ; RxNorm(0) will be # of entries
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| 316 |  N I S I=0
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| 317 |  F  S I=$O(C0CZRXN("DILIST",I)) Q:I=""  S RXNORM(I)=$P(C0CZRXN("DILIST",I,0),U,2)
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| 318 |  ; At this point, RxNorm(0) is # of entries; RxNorm(1...) are the entries
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| 319 |  ; If RxNorm(0) is 1, then we only have one entry, and that's it.
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| 320 |  I RXNORM(0)=1 QUIT RXNORM(1)  ; RETURN RXNORM(1)
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| 321 |  ; Otherwise, we need to find out which one is the semantic
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| 322 |  ; clinical drug. I built an index on 176.001 (RxNorm Concepts)
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| 323 |  ; for that purpose.
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| 324 |  I RXNORM(0)>1 D
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| 325 |  . S I=0
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| 326 |  . F  S I=$O(RXNORM(I)) Q:I=""  D  Q:$G(RXNORM)
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| 327 |  . . N RXNIEN S RXNIEN=$$FIND1^DIC(176.001,,,RXNORM(I),"SCD")
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| 328 |  . . I +$G(RXNIEN)=0 QUIT  ; try the next entry... 
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| 329 |  . . E  S RXNORM=RXNORM(I) QUIT  ; We found the right code
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| 330 |  QUIT +$G(RXNORM)  ; RETURN RXNORM; if we couldn't find a clnical drug, return with 0
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| 331 |  
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