C0CMED1 ; WV/CCDCCR/SMH - CCR/CCD PROCESSING FOR MEDICATIONS ;01/10/09 ;;0.1;CCDCCR;;JUL 16,2008; ;;Last modified Sat Jan 10 21:42:27 PST 2009 ; Copyright 2009 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,FLAGS) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE ; ; INXML AND OUTXML ARE PASSED BY NAME SO GLOBALS CAN BE USED ; INXML WILL CONTAIN ONLY THE MEDICATIONS SECTION OF THE OVERALL TEMPLATE ; ; MEDS is return array from RPC. ; MAP is a mapping variable map (store result) for each med ; MED is holds each array element from MEDS(J), one medicine ; MEDCOUNT is a counter passed by Reference. ; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool) ; FLAGS are set-up in C0CMED. ; ; RX^PSO52API is a Pharmacy Re-Enginnering (PRE) API to get all ; med data available. ; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf ; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS). ; D PARY^C0CXPATH(MINXML) N MEDS,MAP K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!! N ALL S ALL=+FLAGS N ACTIVE S ACTIVE=$P(FLAGS,U,3) ; Below, X1 is today; X2 is the number of days we want to go back ; X is the result of this calculation using C^%DTC. N X,X1,X2 S X1=DT S X2=-$P($P(FLAGS,U,2),"-",2) D C^%DTC ; I discovered that I shouldn't put an ending date (last parameter) ; because it seems that it will get meds whose beginning is after X but ; whose exipriation is before the ending date. D RX^PSO52API(DFN,"CCDCCR","","","",X,"") M MEDS=^TMP($J,"CCDCCR",DFN) ; @(0) contains the number of meds or -1^NO DATA FOUND ; If it is -1, we quit. I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 QUIT ZWRITE:$G(DEBUG) MEDS N RXIEN S RXIEN=0 F S RXIEN=$O(MEDS(RXIEN)) Q:RXIEN="" D ; FOR EACH MEDICATION IN THE LIST . N MED M MED=MEDS(RXIEN) . I 'ALL,ACTIVE,$P(MED(100),U,2)'="ACTIVE" QUIT . S MEDCOUNT=MEDCOUNT+1 . W:$G(DEBUG) "RXIEN IS ",RXIEN,! . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT)) . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED . W:$G(DEBUG) "MAP= ",MAP,! . S @MAP@("MEDOBJECTID")="MED"_MEDCOUNT ; MEDCOUNT FOR ID . ; S @MAP@("MEDOBJECTID")="MED"_MED(.01) ;Rx Number . S @MAP@("MEDISSUEDATETXT")="Issue Date" . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(1),U)) . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date" . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MED(101),U)) . S @MAP@("MEDRXNOTXT")="Prescription Number" . S @MAP@("MEDRXNO")=MED(.01) . S @MAP@("MEDTYPETEXT")="Medication" . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses . S @MAP@("MEDSTATUSTEXT")=$P(MED(100),U,2) . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(4),U) . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(6),U,2) . ; 12/30/08: I will be using RxNorm for coding... . ; 176.001 is the file for Concepts; 176.003 is the file for . ; sources (i.e. for RxNorm Version) . ; . ; We need the VUID first for the National Drug File entry first . ; We get the VUID of the drug, by looking up the VA Product entry . ; (file 50.68) using the call NDF^PSS50, returned in node 22. . ; Field 99.99 is the VUID. . ; . ; We use the VUID to look up the RxNorm in file 176.001; same idea. . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by . ; $$GET1^DIQ. . ; . ; I get the RxNorm name and version from the RxNorm Sources (file . ; 176.003), by searching for "RXNORM", then get the data. . N MEDIEN S MEDIEN=$P(MED(6),U) . D NDF^PSS50(MEDIEN,,,,,"NDF") . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN) . N NDFIEN S NDFIEN=$P(NDFDATA(20),U) . N VAPROD S VAPROD=$P(NDFDATA(22),U) . ; . ; NDFIEN is not necessarily defined; it won't be if the drug . ; is not matched to the national drug file (e.g. if the drug is . ; new on the market, compounded, or is a fake drug [blue pill]. . ; To protect against failure, I will put an if/else block . ; . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER . I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet. . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99) . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID") . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01) . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM") . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6) . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7) . ; . E S (RXNORM,RXNNAME,RXNVER)="" . ; End if/else block . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER . ; . S @MAP@("MEDBRANDNAMETEXT")=MED(6.5) . D DOSE^PSS50(MEDIEN,,,,,"DOSE") . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN) . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901) . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2) . ; Units, concentration, etc, come from another call . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters . ; NDF Entry IEN, and VA Product IEN . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT") . ; These have been collected above. . N CONCDATA . ; If a drug was not matched to NDF, then the NDFIEN is gonna be "" . ; and this will crash the call. So... . I NDFIEN="" S CONCDATA="" . E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD) . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1) . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3) . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4) . S @MAP@("MEDQUANTITYVALUE")=MED(7) . ; Oddly, there is no easy place to find the dispense unit. . ; It's not included in the original call, so we have to go to the drug file. . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT") . ; Node 14.5 is the Dispense Unit . D DATA^PSS50(MEDIEN,,,,,"QTY") . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN) . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5) . ; . ; --- START OF DIRECTIONS --- . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but... . ; we want the compoenents. . ; It's in node 6 of ^PSRX(IEN) . ; So, here we go again . ; ^PSRX(D0,6,D1,0)= (#.01) DOSAGE ORDERED [1F] ^ (#1) DISPENSE UNITS PER DOSE . ; ==>[2N] ^ (#2) UNITS [3P:50.607] ^ (#3) NOUN [4F] ^ (#4) . ; ==>DURATION [5F] ^ (#5) CONJUNCTION [6S] ^ (#6) ROUTE . ; ==>[7P:51.2] ^ (#7) SCHEDULE [8F] ^ (#8) VERB [9F] ^ . ; . N DIRNUM S DIRNUM=0 ; Sigline number . S DIRCNT=0 ; COUNT OF MULTIPLE DIRECTIONS . F S DIRNUM=$O(^PSRX(RXIEN,6,DIRNUM)) Q:DIRNUM="" D . . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05. . . N SIGDATA S SIGDATA=^PSRX(RXIEN,6,DIRNUM,0) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$P(SIGDATA,U,9) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$P(SIGDATA,U,1) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT") . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$$GET1^DIQ(51.2,$P(SIGDATA,U,7),.01) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$P(SIGDATA,U,8) . . ; Invervals... again another call. . . ; In the wisdom of the original programmers, the schedule is a free text field . . ; However, it gets translated by a call to the administration schedule file . . ; to see if that schedule exists. . . ; That's the same thing I am going to do. . . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ). . . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO-- . . ; I looked), PSSFT is the name, and list is the ^TMP name to store the data in. . . ; So... . . D AP^PSS51P1("PSJ",$P(SIGDATA,U,8),,,"SCHEDULE") . . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE") . . N INTERVAL . . I $P(SCHEDATA(0),U)=-1 S INTERVAL="" . . E D . . . N SUB S SUB=$O(SCHEDATA(0)) . . . S INTERVAL=SCHEDATA(SUB,2) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$P(SIGDATA,U,5) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$P(SIGDATA,U,8)["PRN" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM . . N DIRMOD S DIRMOD=$P(SIGDATA,U,6) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$S(DIRMOD="T":"THEN",DIRMOD="A":"AND",DIRMOD="X":"EXCEPT",1:"") . ; . ; --- END OF DIRECTIONS --- . ; . ; ^PSRX(22,"INS1",1,0)="FOR BLOOD PRESSURE" . S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"INS1",1,0)) . ; ^PSRX(22,"PRC",1,0)="Pharmacist: you must obey my command" . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PRC",1,0)) . S @MAP@("MEDRFNO")=MED(9) . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED")) . K @RESULT . D MAP^C0CXPATH(MINXML,MAP,RESULT) . ; MAPPING DIRECTIONS . N DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE . N 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 . 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") . I MEDCOUNT=1 D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy . E D INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER 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 ;