| 1 | C0CMED4         ; WV/CCDCCR/SMH/gpl - CCR/CCD PROCESSING FOR MEDICATIONS - Inpatient Meds/Unit Dose ;10/13/08
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| 2 |  ;;0.1;CCDCCR;;;
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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) ; 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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