| [1337] | 1 | C0CMED4         ; WV/CCDCCR/SMH/gpl - CCR/CCD PROCESSING FOR MEDICATIONS - Inpatient Meds/Unit Dose ;10/13/08 | 
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| [1342] | 2 | ;;0.1;CCDCCR;;;Build 2 | 
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| [1337] | 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) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE | 
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|  | 24 | ; | 
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|  | 25 | ; this routine has be adapted to retrieve meds from GET^NHINV by gpl 6/2011 | 
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|  | 26 | ; | 
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|  | 27 | ; MINXML is the Input XML Template, passed by name | 
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|  | 28 | ; DFN is Patient IEN | 
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|  | 29 | ; OUTXML is the resultant XML. | 
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|  | 30 | ; | 
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|  | 31 | ; MEDS is return array from API. | 
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|  | 32 | ; MED is holds each array element from MEDS, one medicine | 
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|  | 33 | ; MAP is a mapping variable map (store result) for each med | 
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|  | 34 | ; | 
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|  | 35 | ; Inpatient Meds will be extracted using this routine and and the one following. | 
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|  | 36 | ; Inpatient Meds Unit Dose is going to be C0CMED4 | 
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|  | 37 | ; Inpatient Meds IVs is going to be C0CMED5 | 
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|  | 38 | ; | 
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|  | 39 | ; We will use two Pharmacy ReEnginnering API's: | 
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|  | 40 | ; PSS431^PSS55(DFN,PO,PSDATE,PEDATE,LIST) - provides most info | 
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|  | 41 | ; PSS432^PSS55(DFN,PO,LIST) - provides schedule info | 
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|  | 42 | ; For more information, see the PRE documentation at: | 
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|  | 43 | ; http://www.va.gov/vdl/documents/Clinical/Pharm-Inpatient_Med/phar_1_api_r0807.pdf | 
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|  | 44 | ; | 
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|  | 45 | ; Med data is stored in Unit Dose multiple of file 55, pharmacy patient | 
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|  | 46 | ; | 
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|  | 47 | N MEDS,MAP | 
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|  | 48 | ;K ^TMP($J) | 
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|  | 49 | ;D PSS431^PSS55(DFN,,,,"UD") ; Output is in ^TMP($J,"UD",*) | 
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|  | 50 | ;I ^TMP($J,"UD",0)'>0 S @OUTXML@(0)=0 QUIT  ; No Meds - Quit | 
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|  | 51 | ;; Otherwise, we go on... | 
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|  | 52 | D EN^C0CNHIN(.MEDS,DFN,"MED;") ; gpl get the NHIN Array of meds | 
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|  | 53 | I '$D(MEDS) Q  ; no meds | 
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|  | 54 | N ZI S ZI="" | 
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|  | 55 | N ZCOUNT S ZCOUNT=0 | 
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|  | 56 | F  S ZI=$O(MEDS("med",ZI)) Q:ZI=""  D  ; for each returned med | 
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|  | 57 | . I $G(MEDS("med",ZI,"vaType@value"))="I" S ZCOUNT=ZCOUNT+1 | 
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|  | 58 | IF ZCOUNT=0 Q  ; no inpatient meds | 
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|  | 59 | ;M MEDS=^TMP($J,"UD") | 
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|  | 60 | I DEBUG ZWR MEDS | 
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|  | 61 | S MEDMAP=$NA(^TMP("C0CCCR",$J,"MEDMAP")) | 
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|  | 62 | ;N MEDCOUNT S MEDCOUNT=@MEDMAP@(0) ; We already have meds in the array | 
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|  | 63 | N I S I=0 | 
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|  | 64 | F  S I=$O(MEDS("med",I)) Q:'I  D  ; For each medication | 
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|  | 65 | . N MED M MED=MEDS("med",I) | 
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|  | 66 | . I $G(MED("vaType@value"))'="I" Q  ; not inpatient | 
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|  | 67 | . S MEDCOUNT=MEDCOUNT+1 | 
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|  | 68 | . S @MEDMAP@(0)=MEDCOUNT ; Update MedMap array counter | 
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|  | 69 | . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT)) | 
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|  | 70 | . ;N RXIEN S RXIEN=MED(.01) ; Order Number | 
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|  | 71 | . N RXIEN S RXIEN=$G(MED("orderID@value")) ; ien of the med | 
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|  | 72 | . I DEBUG W "RXIEN IS ",RXIEN,! | 
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|  | 73 | . I DEBUG W "MAP= ",MAP,! | 
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|  | 74 | . S @MAP@("MEDOBJECTID")="MED_INPATIENT_UD"_RXIEN | 
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|  | 75 | . S @MAP@("MEDISSUEDATETXT")="Order Date" | 
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|  | 76 | . ;S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(27),U),"DT") | 
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|  | 77 | . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($G(MED("start@value")),"DT") | 
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|  | 78 | . S @MAP@("MEDLASTFILLDATETXT")="" ; For Outpatient | 
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|  | 79 | . S @MAP@("MEDLASTFILLDATE")="" ; For Outpatient | 
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|  | 80 | . S @MAP@("MEDRXNOTXT")="" ; For Outpatient | 
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|  | 81 | . S @MAP@("MEDRXNO")="" ; For Outpatient | 
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|  | 82 | . S @MAP@("MEDTYPETEXT")="Medication" | 
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|  | 83 | . S @MAP@("MEDDETAILUNADORNED")=""  ; Leave blank, field has its uses | 
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|  | 84 | . ;S @MAP@("MEDSTATUSTEXT")="ACTIVE" | 
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|  | 85 | . N C0CMST S C0CMST=$G(MED("vaStatus@value")) ; need to filter status | 
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|  | 86 | . I C0CMST="EXPIRED" S C0CMST="Prior History No Longer Active" | 
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|  | 87 | . I C0CMST="ACTIVE" S C0CMST="Active" ; | 
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|  | 88 | . S @MAP@("MEDSTATUSTEXT")=C0CMST | 
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|  | 89 | . ;S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(1),U) | 
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|  | 90 | . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$G(MED("orderingProvider@code")) | 
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|  | 91 | . ;S @MAP@("MEDPRODUCTNAMETEXT")=MED("DDRUG",1,.01) | 
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|  | 92 | . S @MAP@("MEDPRODUCTNAMETEXT")=$G(MED("name@value")) | 
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|  | 93 | . ; NDC is field 31 in the drug file. | 
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|  | 94 | . ; The actual drug entry in the drug file is not necessarily supplied. | 
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|  | 95 | . ; It' node 1, internal form. | 
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|  | 96 | . ;N MEDIEN S MEDIEN=MED(1,"I") | 
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|  | 97 | . ;S @MAP@("MEDPRODUCTNAMECODEVALUE")=$S($L(MEDIEN):$$GET1^DIQ(50,MEDIEN,31,"E"),1:"") | 
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|  | 98 | . N ZVUID S ZVUID=$G(MED("products.product.vaProduct@vuid")) ; VUID | 
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|  | 99 | . N ZC,ZCD,ZCDS,ZCDSV ; CODE,CODE SYSTEM,CODE VERSION | 
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|  | 100 | . D  ; | 
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|  | 101 | . . S ZC=$$CODE^C0CUTIL(ZVUID) | 
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|  | 102 | . . S ZCD=$P(ZC,"^",1) ; CODE TO USE | 
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|  | 103 | . . S ZCDS=$P(ZC,"^",2) ; CODING SYSTEM - RXNORM OR VUID | 
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|  | 104 | . . S ZCDSV=$P(ZC,"^",3) ; CODING SYSTEM VERSION | 
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|  | 105 | . ;N ZRXNORM S ZRXNORM="" | 
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|  | 106 | . ;S ZRXNORM=$$RXNCUI3^C0PLKUP(ZVUID) | 
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|  | 107 | . S @MAP@("MEDPRODUCTNAMECODEVALUE")=ZCD | 
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|  | 108 | . ;S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=$S($L(MEDIEN):"NDC",1:"") | 
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|  | 109 | . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=ZCDS | 
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|  | 110 | . ;S @MAP@("MEDPRODUCTNAMECODEVERSION")=$S($L(MEDIEN):"none",1:"") | 
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|  | 111 | . S @MAP@("MEDPRODUCTNAMECODEVERSION")=ZCDSV | 
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|  | 112 | . S @MAP@("MEDBRANDNAMETEXT")="" | 
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|  | 113 | . S @MAP@("MEDPRODUCTNAMETEXT")=$G(MED("name@value"))_" "_ZCDS_": "_ZCD | 
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|  | 114 | . ;I $L(MEDIEN) D DOSE^PSS50(MEDIEN,,,,,"DOSE") | 
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|  | 115 | . ;I $L(MEDIEN) N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN) | 
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|  | 116 | . ;S @MAP@("MEDSTRENGTHVALUE")=$S($L(MEDIEN):DOSEDATA(901),1:"") | 
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|  | 117 | . S @MAP@("MEDSTRENGTHVALUE")=$G(MED("doses.dose@dose")) | 
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|  | 118 | . ;S @MAP@("MEDSTRENGTHUNIT")=$S($P(DOSEDATA(902),U,2),1:"") | 
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|  | 119 | . S @MAP@("MEDSTRENGTHUNIT")=$G(MED("doses.dose@units")) | 
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|  | 120 | . ; Units, concentration, etc, come from another call | 
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|  | 121 | . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit | 
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|  | 122 | . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters | 
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|  | 123 | . ; NDF Entry IEN, and VA Product Name | 
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|  | 124 | . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT") | 
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|  | 125 | . ; Documented in the same manual. | 
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|  | 126 | . ;N NDFDATA,CONCDATA | 
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|  | 127 | . ;I $L(MEDIEN) D | 
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|  | 128 | . ;. D NDF^PSS50(MEDIEN,,,,,"CONC") | 
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|  | 129 | . ;. M NDFDATA=^TMP($J,"CONC",MEDIEN) | 
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|  | 130 | . ;. N NDFIEN S NDFIEN=$P(NDFDATA(20),U) | 
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|  | 131 | . ;. N VAPROD S VAPROD=$P(NDFDATA(22),U) | 
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|  | 132 | . ;. ; If a drug was not matched to NDF, then the NDFIEN is gonna be "" | 
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|  | 133 | . ;. ; and this will crash the call. So... | 
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|  | 134 | . ;. I NDFIEN="" S CONCDATA="" | 
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|  | 135 | . ;. E  S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD) | 
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|  | 136 | . ;E  S (NDFDATA,CONCDATA)="" ; This line is defensive programming to prevent undef errors. | 
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|  | 137 | . ;S @MAP@("MEDFORMTEXT")=$S($L(MEDIEN):$P(CONCDATA,U,1),1:"") | 
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|  | 138 | . S @MAP@("MEDFORMTEXT")=$G(MED("form@value")) | 
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|  | 139 | . ;S @MAP@("MEDCONCVALUE")=$S($L(MEDIEN):$P(CONCDATA,U,3),1:"") | 
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|  | 140 | . S @MAP@("MEDCONCVALUE")=$G(MED("doses.dose@dose")) | 
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|  | 141 | . ;S @MAP@("MEDCONCUNIT")=$S($L(MEDIEN):$P(CONCDATA,U,4),1:"") | 
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|  | 142 | . S @MAP@("MEDCONCUNIT")=$G(MED("doses.does@units")) | 
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|  | 143 | . ;S @MAP@("MEDQUANTITYVALUE")=""  ; not provided for in Non-VA meds. | 
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|  | 144 | . S @MAP@("MEDQUANTITYVALUE")=$G(MED("doses.dose@unitsPerDose")) ; | 
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|  | 145 | . ; Oddly, there is no easy place to find the dispense unit. | 
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|  | 146 | . ; It's not included in the original call, so we have to go to the drug file. | 
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|  | 147 | . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT") | 
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|  | 148 | . ; Node 14.5 is the Dispense Unit | 
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|  | 149 | . ;I $L(MEDIEN) D | 
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|  | 150 | . ;. D DATA^PSS50(MEDIEN,,,,,"QTY") | 
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|  | 151 | . ;. N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN) | 
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|  | 152 | . ;. S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5) | 
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|  | 153 | . ;E  S @MAP@("MEDQUANTITYUNIT")="" | 
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|  | 154 | . S @MAP@("MEDQUANTITYUNIT")=$G(MED("dose.dose@unitsPerDose")) | 
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|  | 155 | . ; | 
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|  | 156 | . ; --- START OF DIRECTIONS --- | 
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|  | 157 | . ; Dosage is field 2, route is 3, schedule is 4 | 
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|  | 158 | . ; These are all free text fields, and don't point to any files | 
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|  | 159 | . ; For that reason, I will use the field I never used before: | 
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|  | 160 | . ; MEDDIRECTIONDESCRIPTIONTEXT | 
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|  | 161 | . ;S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=MED(2,"E")_" "_MED(3,"E")_" "_MED(4,"E") | 
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|  | 162 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=$G(MED("sig")) | 
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|  | 163 | . ; $G(MED("products.product.vaProduct@name")) | 
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|  | 164 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEINDICATOR")="4"  ; means look in description text. See E2369-05. | 
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|  | 165 | . S @MAP@("M","DIRECTIONS",1,"MEDDELIVERYMETHOD")="" | 
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|  | 166 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEVALUE")="" | 
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|  | 167 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEUNIT")="" | 
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|  | 168 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEVALUE")="" | 
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|  | 169 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEUNIT")="" | 
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|  | 170 | . S @MAP@("M","DIRECTIONS",1,"MEDVEHICLETEXT")="" | 
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|  | 171 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONROUTETEXT")="" | 
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|  | 172 | . S @MAP@("M","DIRECTIONS",1,"MEDFREQUENCYVALUE")="" | 
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|  | 173 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALVALUE")="" | 
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|  | 174 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALUNIT")="" | 
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|  | 175 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONVALUE")="" | 
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|  | 176 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONUNIT")="" | 
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|  | 177 | . S @MAP@("M","DIRECTIONS",1,"MEDPRNFLAG")="" | 
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|  | 178 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMOBJECTID")="" | 
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|  | 179 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMTYPETXT")="" | 
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|  | 180 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMDESCRIPTION")="" | 
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|  | 181 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODEVALUE")="" | 
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|  | 182 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGSYSTEM")="" | 
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|  | 183 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGVERSION")="" | 
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|  | 184 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMSOURCEACTORID")="" | 
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|  | 185 | . S @MAP@("M","DIRECTIONS",1,"MEDSTOPINDICATOR")="" | 
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|  | 186 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRSEQ")="" | 
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|  | 187 | . S @MAP@("M","DIRECTIONS",1,"MEDMULDIRMOD")="" | 
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|  | 188 | . ; | 
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|  | 189 | . ; --- END OF DIRECTIONS --- | 
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|  | 190 | . ; | 
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|  | 191 | . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105" | 
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|  | 192 | . ;S @MAP@("MEDPTINSTRUCTIONS")=MED(10,1) ; WP Field | 
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|  | 193 | . S @MAP@("MEDPTINSTRUCTIONS")="" | 
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|  | 194 | . ;S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MED(14,1) ; WP Field | 
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|  | 195 | . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")="" | 
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|  | 196 | . S @MAP@("MEDRFNO")="" | 
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|  | 197 | . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED")) | 
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|  | 198 | . K @RESULT | 
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|  | 199 | . D MAP^C0CXPATH(MINXML,MAP,RESULT) | 
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|  | 200 | . ; D PARY^C0CXPATH(RESULT) | 
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|  | 201 | . ; MAPPING DIRECTIONS | 
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|  | 202 | . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE | 
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|  | 203 | . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT | 
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|  | 204 | . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1) | 
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|  | 205 | . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions") | 
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|  | 206 | . ; N MDZ1,MDZNA | 
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|  | 207 | . N DIRCNT S DIRCNT=1 ; THERE ARE ALWAYS DIRECTIONS | 
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|  | 208 | . I DIRCNT>0 D  ; IF THERE ARE DIRCTIONS | 
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|  | 209 | . . F MDZ1=1:1:DIRCNT  D  ; FOR EACH DIRECTION | 
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|  | 210 | . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1)) | 
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|  | 211 | . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2) | 
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|  | 212 | . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication") | 
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|  | 213 | . D:MEDCOUNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy | 
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|  | 214 | . D:MEDCOUNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML | 
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|  | 215 | N MEDTMP,MEDI | 
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|  | 216 | D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS | 
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|  | 217 | I MEDTMP(0)>0 D  ; IF THERE ARE MISSING VARS - MARKED AS @@X@@ | 
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|  | 218 | . W "MEDICATION MISSING ",! | 
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|  | 219 | . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),! | 
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|  | 220 | Q | 
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|  | 221 | ; | 
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