C0CMED4 ; WV/CCDCCR/SMH/gpl - CCR/CCD PROCESSING FOR MEDICATIONS - Inpatient Meds/Unit Dose ;10/13/08 ;;0.1;CCDCCR;;; ; Copyright 2008 WorldVistA. Licensed under the terms of the GNU ; General Public License See attached copy of the License. ; ; This program is free software; you can redistribute it and/or modify ; it under the terms of the GNU General Public License as published by ; the Free Software Foundation; either version 2 of the License, or ; (at your option) any later version. ; ; This program is distributed in the hope that it will be useful, ; but WITHOUT ANY WARRANTY; without even the implied warranty of ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the ; GNU General Public License for more details. ; ; You should have received a copy of the GNU General Public License along ; with this program; if not, write to the Free Software Foundation, Inc., ; 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA. ; W "NO ENTRY FROM TOP",! Q ; EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE ; ; this routine has be adapted to retrieve meds from GET^NHINV by gpl 6/2011 ; ; MINXML is the Input XML Template, passed by name ; DFN is Patient IEN ; OUTXML is the resultant XML. ; ; MEDS is return array from API. ; MED is holds each array element from MEDS, one medicine ; MAP is a mapping variable map (store result) for each med ; ; Inpatient Meds will be extracted using this routine and and the one following. ; Inpatient Meds Unit Dose is going to be C0CMED4 ; Inpatient Meds IVs is going to be C0CMED5 ; ; We will use two Pharmacy ReEnginnering API's: ; PSS431^PSS55(DFN,PO,PSDATE,PEDATE,LIST) - provides most info ; PSS432^PSS55(DFN,PO,LIST) - provides schedule info ; For more information, see the PRE documentation at: ; http://www.va.gov/vdl/documents/Clinical/Pharm-Inpatient_Med/phar_1_api_r0807.pdf ; ; Med data is stored in Unit Dose multiple of file 55, pharmacy patient ; N MEDS,MAP ;K ^TMP($J) ;D PSS431^PSS55(DFN,,,,"UD") ; Output is in ^TMP($J,"UD",*) ;I ^TMP($J,"UD",0)'>0 S @OUTXML@(0)=0 QUIT ; No Meds - Quit ;; Otherwise, we go on... D EN^C0CNHIN(.MEDS,DFN,"MED;") ; gpl get the NHIN Array of meds I '$D(MEDS) Q ; no meds N ZI S ZI="" N ZCOUNT S ZCOUNT=0 F S ZI=$O(MEDS("med",ZI)) Q:ZI="" D ; for each returned med . I $G(MEDS("med",ZI,"vaType@value"))="I" S ZCOUNT=ZCOUNT+1 IF ZCOUNT=0 Q ; no inpatient meds ;M MEDS=^TMP($J,"UD") I DEBUG ZWR MEDS S MEDMAP=$NA(^TMP("C0CCCR",$J,"MEDMAP")) ;N MEDCOUNT S MEDCOUNT=@MEDMAP@(0) ; We already have meds in the array N I S I=0 F S I=$O(MEDS("med",I)) Q:'I D ; For each medication . N MED M MED=MEDS("med",I) . I $G(MED("vaType@value"))'="I" Q ; not inpatient . S MEDCOUNT=MEDCOUNT+1 . S @MEDMAP@(0)=MEDCOUNT ; Update MedMap array counter . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT)) . ;N RXIEN S RXIEN=MED(.01) ; Order Number . N RXIEN S RXIEN=$G(MED("orderID@value")) ; ien of the med . I DEBUG W "RXIEN IS ",RXIEN,! . I DEBUG W "MAP= ",MAP,! . S @MAP@("MEDOBJECTID")="MED_INPATIENT_UD"_RXIEN . S @MAP@("MEDISSUEDATETXT")="Order Date" . ;S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(27),U),"DT") . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($G(MED("start@value")),"DT") . S @MAP@("MEDLASTFILLDATETXT")="" ; For Outpatient . S @MAP@("MEDLASTFILLDATE")="" ; For Outpatient . S @MAP@("MEDRXNOTXT")="" ; For Outpatient . S @MAP@("MEDRXNO")="" ; For Outpatient . S @MAP@("MEDTYPETEXT")="Medication" . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses . ;S @MAP@("MEDSTATUSTEXT")="ACTIVE" . N C0CMST S C0CMST=$G(MED("vaStatus@value")) ; need to filter status . I C0CMST="EXPIRED" S C0CMST="Prior History No Longer Active" . I C0CMST="ACTIVE" S C0CMST="Active" ; . S @MAP@("MEDSTATUSTEXT")=C0CMST . ;S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(1),U) . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$G(MED("orderingProvider@code")) . ;S @MAP@("MEDPRODUCTNAMETEXT")=MED("DDRUG",1,.01) . S @MAP@("MEDPRODUCTNAMETEXT")=$G(MED("name@value")) . ; NDC is field 31 in the drug file. . ; The actual drug entry in the drug file is not necessarily supplied. . ; It' node 1, internal form. . ;N MEDIEN S MEDIEN=MED(1,"I") . ;S @MAP@("MEDPRODUCTNAMECODEVALUE")=$S($L(MEDIEN):$$GET1^DIQ(50,MEDIEN,31,"E"),1:"") . N ZVUID S ZVUID=$G(MED("products.product.vaProduct@vuid")) ; VUID . N ZC,ZCD,ZCDS,ZCDSV ; CODE,CODE SYSTEM,CODE VERSION . D ; . . S ZC=$$CODE^C0CUTIL(ZVUID) . . S ZCD=$P(ZC,"^",1) ; CODE TO USE . . S ZCDS=$P(ZC,"^",2) ; CODING SYSTEM - RXNORM OR VUID . . S ZCDSV=$P(ZC,"^",3) ; CODING SYSTEM VERSION . ;N ZRXNORM S ZRXNORM="" . ;S ZRXNORM=$$RXNCUI3^C0PLKUP(ZVUID) . S @MAP@("MEDPRODUCTNAMECODEVALUE")=ZCD . ;S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=$S($L(MEDIEN):"NDC",1:"") . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=ZCDS . ;S @MAP@("MEDPRODUCTNAMECODEVERSION")=$S($L(MEDIEN):"none",1:"") . S @MAP@("MEDPRODUCTNAMECODEVERSION")=ZCDSV . S @MAP@("MEDBRANDNAMETEXT")="" . S @MAP@("MEDPRODUCTNAMETEXT")=$G(MED("name@value"))_" "_ZCDS_": "_ZCD . ;I $L(MEDIEN) D DOSE^PSS50(MEDIEN,,,,,"DOSE") . ;I $L(MEDIEN) N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN) . ;S @MAP@("MEDSTRENGTHVALUE")=$S($L(MEDIEN):DOSEDATA(901),1:"") . S @MAP@("MEDSTRENGTHVALUE")=$G(MED("doses.dose@dose")) . ;S @MAP@("MEDSTRENGTHUNIT")=$S($P(DOSEDATA(902),U,2),1:"") . S @MAP@("MEDSTRENGTHUNIT")=$G(MED("doses.dose@units")) . ; Units, concentration, etc, come from another call . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters . ; NDF Entry IEN, and VA Product Name . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT") . ; Documented in the same manual. . ;N NDFDATA,CONCDATA . ;I $L(MEDIEN) D . ;. D NDF^PSS50(MEDIEN,,,,,"CONC") . ;. M NDFDATA=^TMP($J,"CONC",MEDIEN) . ;. N NDFIEN S NDFIEN=$P(NDFDATA(20),U) . ;. N VAPROD S VAPROD=$P(NDFDATA(22),U) . ;. ; If a drug was not matched to NDF, then the NDFIEN is gonna be "" . ;. ; and this will crash the call. So... . ;. I NDFIEN="" S CONCDATA="" . ;. E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD) . ;E S (NDFDATA,CONCDATA)="" ; This line is defensive programming to prevent undef errors. . ;S @MAP@("MEDFORMTEXT")=$S($L(MEDIEN):$P(CONCDATA,U,1),1:"") . S @MAP@("MEDFORMTEXT")=$G(MED("form@value")) . ;S @MAP@("MEDCONCVALUE")=$S($L(MEDIEN):$P(CONCDATA,U,3),1:"") . S @MAP@("MEDCONCVALUE")=$G(MED("doses.dose@dose")) . ;S @MAP@("MEDCONCUNIT")=$S($L(MEDIEN):$P(CONCDATA,U,4),1:"") . S @MAP@("MEDCONCUNIT")=$G(MED("doses.does@units")) . ;S @MAP@("MEDQUANTITYVALUE")="" ; not provided for in Non-VA meds. . S @MAP@("MEDQUANTITYVALUE")=$G(MED("doses.dose@unitsPerDose")) ; . ; Oddly, there is no easy place to find the dispense unit. . ; It's not included in the original call, so we have to go to the drug file. . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT") . ; Node 14.5 is the Dispense Unit . ;I $L(MEDIEN) D . ;. D DATA^PSS50(MEDIEN,,,,,"QTY") . ;. N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN) . ;. S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5) . ;E S @MAP@("MEDQUANTITYUNIT")="" . S @MAP@("MEDQUANTITYUNIT")=$G(MED("dose.dose@unitsPerDose")) . ; . ; --- START OF DIRECTIONS --- . ; Dosage is field 2, route is 3, schedule is 4 . ; These are all free text fields, and don't point to any files . ; For that reason, I will use the field I never used before: . ; MEDDIRECTIONDESCRIPTIONTEXT . ;S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=MED(2,"E")_" "_MED(3,"E")_" "_MED(4,"E") . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=$G(MED("sig")) . ; $G(MED("products.product.vaProduct@name")) . S @MAP@("M","DIRECTIONS",1,"MEDDOSEINDICATOR")="4" ; means look in description text. See E2369-05. . S @MAP@("M","DIRECTIONS",1,"MEDDELIVERYMETHOD")="" . S @MAP@("M","DIRECTIONS",1,"MEDDOSEVALUE")="" . S @MAP@("M","DIRECTIONS",1,"MEDDOSEUNIT")="" . S @MAP@("M","DIRECTIONS",1,"MEDRATEVALUE")="" . S @MAP@("M","DIRECTIONS",1,"MEDRATEUNIT")="" . S @MAP@("M","DIRECTIONS",1,"MEDVEHICLETEXT")="" . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONROUTETEXT")="" . S @MAP@("M","DIRECTIONS",1,"MEDFREQUENCYVALUE")="" . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALVALUE")="" . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALUNIT")="" . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONVALUE")="" . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONUNIT")="" . S @MAP@("M","DIRECTIONS",1,"MEDPRNFLAG")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMOBJECTID")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMTYPETXT")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMDESCRIPTION")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODEVALUE")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGSYSTEM")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGVERSION")="" . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMSOURCEACTORID")="" . S @MAP@("M","DIRECTIONS",1,"MEDSTOPINDICATOR")="" . S @MAP@("M","DIRECTIONS",1,"MEDDIRSEQ")="" . S @MAP@("M","DIRECTIONS",1,"MEDMULDIRMOD")="" . ; . ; --- END OF DIRECTIONS --- . ; . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105" . ;S @MAP@("MEDPTINSTRUCTIONS")=MED(10,1) ; WP Field . S @MAP@("MEDPTINSTRUCTIONS")="" . ;S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MED(14,1) ; WP Field . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")="" . S @MAP@("MEDRFNO")="" . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED")) . K @RESULT . D MAP^C0CXPATH(MINXML,MAP,RESULT) . ; D PARY^C0CXPATH(RESULT) . ; MAPPING DIRECTIONS . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1) . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions") . ; N MDZ1,MDZNA . N DIRCNT S DIRCNT=1 ; THERE ARE ALWAYS DIRECTIONS . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1)) . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2) . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication") . D:MEDCOUNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy . D:MEDCOUNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML N MEDTMP,MEDI D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@ . W "MEDICATION MISSING ",! . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),! Q ;