C0CALERT ; CCDCCR/CKU/GPL - CCR/CCD PROCESSING FOR ALERTS ; 09/11/08 ;;0.1;CCDCCR;;SEP 11,2008; ;Copyright 2008,2009 George Lilly, University of Minnesota and others. ;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(ALTXML,DFN,ALTOUTXML) ; EXTRACT ALERTS INTO PROVIDED XML TEMPLATE ; ; ALTXML AND ALTOUTXML ARE PASSED BY NAME SO GLOBALS CAN BE USED ; ; GET ADVERSE REACTIONS AND ALLERGIES ; N GMRA,GMRAL ; FOR DEBUGGING, DON'T NEW THESE VARIABLES S GMRA="0^0^111" D EN1^GMRADPT I $G(GMRAL)'=1 D Q ; NO ALLERGIES FOUND THUS *QUIT* . S @ALTOUTXML@(0)=0 ; DEFINE MAPPING N ALTTVMAP,ALTVMAP,ALTTARYTMP,ALTARYTMP S ALTTVMAP=$NA(^TMP("C0CCCR",$J,"ALERTS")) S ALTTARYTMP=$NA(^TMP("C0CCCR",$J,"ALERTSARYTMP")) K @ALTTVMAP,@ALTTARYTMP N ALTTMP,ALTCNT S ALTG=$NA(GMRAL),ALTCNT=1 S ALTTMP="" ; F S ALTTMP=$O(@ALTG@(ALTTMP)) Q:ALTTMP="" D ; CHANGED TO $O BY GPL . W "ALTTMP="_ALTTMP,! . ; I $QS(ALTTMP,2)="S" W !,"S FOUND",! Q . S ALTVMAP=$NA(@ALTTVMAP@(ALTCNT)) . K @ALTVMAP . S @ALTVMAP@("ALERTOBJECTID")="ALERT"_ALTCNT . N A1 S A1=@ALTG@(ALTTMP) ; ALL THE PIECES . N A2 S A2=$$GET1^DIQ(120.8,ALTTMP,"MECHANISM","I") ; MECHANISM . N A3 S A3=$P(A1,U,5) ; ADVERSE FLAG . N ADT S ADT="Patient has an " ; X $ZINT H 5 . S ADT=ADT_$S(A2="P":"ADVERSE",A2="A":"ALLERGIC",1:"UNKNOWN") . S ADT=ADT_" reaction to "_$P(@ALTG@(ALTTMP),U,2)_"." . S @ALTVMAP@("ALERTDESCRIPTIONTEXT")=ADT . N ADTY S ADTY=$S(A2="P":"Adverse Reaction",A2="A":"Allergy",1:"") ; . S @ALTVMAP@("ALERTTYPE")=ADTY ; type of allergy . N ALTCDE ; SNOMED CODE THE THE ALERT . S ALTCDE=$S(A2="P":"282100009",A2="A":"418634005",1:"") ; IF NOT ADVERSE, IT IS ALLERGIC . S @ALTVMAP@("ALERTCODEVALUE")=ALTCDE ; . ; WILL USE 418634005 FOR ALLERGIC REACTION TO A SUBSTANCE . ; AND 282100009 FOR ADVERSE REACTION TO A SUBSTANCE . I ALTCDE'="" D ; IF THERE IS A CODE . . S @ALTVMAP@("ALERTCODESYSTEM")="SNOMED CT" . . S @ALTVMAP@("ALERTCODESYSTEMVERSION")="2008" . E D ; SET TO NULL . . S @ALTVMAP@("ALERTCODESYSTEM")="" . . S @ALTVMAP@("ALERTCODESYSTEMVERSION")="" . S @ALTVMAP@("ALERTSTATUSTEXT")="" ; WHERE DO WE GET THIS? . N ALTPROV S ALTPROV=$P(^GMR(120.8,ALTTMP,0),U,5) ; SOURCE PROVIDER IEN . I ALTPROV'="" D ; PROVIDER PROVIDEED . . S @ALTVMAP@("ALERTSOURCEID")="ACTORPROVIDER_"_ALTPROV . E S @ALTVMAP@("ALERTSOURCEID")="" ; SOURCE NULL - SHOULD NOT HAPPEN . W "RUNNING ALERTS, PROVIDER: ",@ALTVMAP@("ALERTSOURCEID"),! . N ACGL1,ACGFI,ACIEN,ACVUID,ACNM,ACTMP . S ACGL1=$P(@ALTG@(ALTTMP),U,9) ; ADDRESS OF THE REACTANT XX;GLB(YY.Z, . S ACGFI=$$PRSGLB($P(ACGL1,";",2)) ; FILE NUMBER . S ACIEN=$P(ACGL1,";",1) ; IEN OF REACTANT . S ACVUID=$$GET1^DIQ(ACGFI,ACIEN,"VUID") ; VUID OF THE REACTANT . S @ALTVMAP@("ALERTAGENTPRODUCTOBJECTID")="PRODUCT_"_ACIEN ; IE OF REACTANT . S @ALTVMAP@("ALERTAGENTPRODUCTSOURCEID")="" ; WHERE DO WE GET THIS? . S ACNM=$P(@ALTG@(ALTTMP),U,2) ; REACTANT . S @ALTVMAP@("ALERTAGENTPRODUCTNAMETEXT")=ACNM . S @ALTVMAP@("ALERTAGENTPRODUCTCODEVALUE")=ACVUID . I ACVUID'="" D ; IF VUID IS NOT NULL . . S @ALTVMAP@("ALERTAGENTPRODUCTCODESYSTEM")="VUID" . E D ; IF REACTANT CODE VALUE IS NULL . . I $G(DUZ("AG"))="I" D ; IF WE ARE RUNNING ON RPMS . . . S ACTMP=$O(^C0CCODES(176.112,"C",ACNM,0)) ; . . . W "RPMS NAME FOUND",ACNM," ",ACTMP,! . . S @ALTVMAP@("ALERTAGENTPRODUCTCODESYSTEM")="" . . S @ALTVMAP@("ALERTAGENTPRODUCTCODEVALUE")="" . ; REACTIONS - THIS SHOULD BE MULTIPLE, IS SINGLE NOW . N ARTMP,ARIEN,ARDES,ARVUID . S (ARTMP,ARDES,ARVUID)="" . I $D(@ALTG@(ALTTMP,"S",1)) D ; IF REACTION EXISTS . . S ARTMP=@ALTG@(ALTTMP,"S",1) . . W "REACTION:",ARTMP,! . . S ARIEN=$P(ARTMP,";",2) . . S ARDES=$P(ARTMP,";",1) . . S ARVUID=$$GET1^DIQ(120.83,ARIEN,"VUID") . S @ALTVMAP@("ALERTREACTIOINDESCRIPTIONTEXT")=ARDES . I ARVUID'="" D ; IF REACTION VUID IS NOT NULL . . S @ALTVMAP@("ALERTREACTIONCODEVALUE")=ARVUID . . S @ALTVMAP@("ALERTREACTIONCODESYSTEM")="VUID" . E D ; IF IT IS NULL DON'T SET CODE SYSTEM . . S @ALTVMAP@("ALERTREACTIONCODEVALUE")="" . . S @ALTVMAP@("ALERTREACTIONCODESYSTEM")="" . S ALTARYTMP=$NA(@ALTTARYTMP@(ALTCNT)) . ; NOW GO TO THE GLOBAL TO GET THE DATE/TIME AND BETTER DESCRIPTION . N C0CG1,C0CT ; ARRAY FOR VALUES FROM GLOBAL . D GETN1^C0CRNF("C0CG1",120.8,DFN,"B") ;GET VALUES BY NAME . S C0CT=$$ZVALUEI^C0CRNF("ORIGINATION DATE/TIME","C0CG1") . S @ALTVMAP@("ALERTDATETIME")=$$FMDTOUTC^C0CUTIL(C0CT) . K @ALTARYTMP . D MAP^C0CXPATH(ALTXML,ALTVMAP,ALTARYTMP) . I ALTCNT=1 D CP^C0CXPATH(ALTARYTMP,ALTOUTXML) . I ALTCNT>1 D INSINNER^C0CXPATH(ALTOUTXML,ALTARYTMP) . S ALTCNT=ALTCNT+1 S @ALTTVMAP@(0)=ALTCNT-1 ; RECORD THE NUMBER OF ALERTS Q PRSGLB(INGLB) ; EXTRINSIC TO PARSE GLOBALS AND RETURN THE FILE NUMBER ; INGLB IS OF THE FORM: PSNDF(50.6, ; RETURN 50.6 Q $P($P(INGLB,"(",2),",",1) ;