1 | C0CMED2 ; WV/CCDCCR/SMH - CCR/CCD Meds - Pending for Vista
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2 | ;;1.0;C0C;;May 19, 2009;
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3 | ;;Last Modified Sat Jan 10 21:41:14 PST 2009
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4 | ; Copyright 2008 WorldVistA. Licensed under the terms of the GNU
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5 | ; General Public License See attached copy of the License.
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6 | ;
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7 | ; This program is free software; you can redistribute it and/or modify
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8 | ; it under the terms of the GNU General Public License as published by
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9 | ; the Free Software Foundation; either version 2 of the License, or
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10 | ; (at your option) any later version.
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11 | ;
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12 | ; This program is distributed in the hope that it will be useful,
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13 | ; but WITHOUT ANY WARRANTY; without even the implied warranty of
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14 | ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
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15 | ; GNU General Public License for more details.
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16 | ;
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17 | ; You should have received a copy of the GNU General Public License along
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18 | ; with this program; if not, write to the Free Software Foundation, Inc.,
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19 | ; 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
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20 | ;
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21 | W "NO ENTRY FROM TOP",!
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22 | Q
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23 | ;
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24 | EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
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25 | ;
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26 | ; MINXML is the Input XML Template, passed by name
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27 | ; DFN is Patient IEN (by Value)
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28 | ; OUTXML is the resultant XML (by Name)
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29 | ; MEDCOUNT is the current count of extracted meds, passed by Reference
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30 | ;
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31 | ; MEDS is return array from RPC.
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32 | ; MAP is a mapping variable map (store result) for each med
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33 | ; MED is holds each array element from MEDS, one medicine
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34 | ;
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35 | ; PEN^PSO5241 is a Pharmacy Re-Enginnering (PRE) API to get Pending
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36 | ; meds data available.
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37 | ; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf
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38 | ; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS).
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39 | ; File for pending meds is 52.41
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40 | ; Unfortuantely, API does not supply us with any useful info beyond
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41 | ; the IEN in 52.41, and the Med Name, and route.
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42 | ; So, most of the info is going to get pulled from 52.41.
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43 | N MEDS,MAP
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44 | K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!!
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45 | D PEN^PSO5241(DFN,"CCDCCR")
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46 | M MEDS=^TMP($J,"CCDCCR",DFN)
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47 | ; @(0) contains the number of meds or -1^NO DATA FOUND
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48 | ; If it is -1, we quit.
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49 | I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 QUIT
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50 | ZWRITE:$G(DEBUG) MEDS
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51 | N RXIEN S RXIEN=0
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52 | N MEDFIRST S MEDFIRST=1 ; FLAG FOR FIRST MED IN THIS SECTION FOR MERGING
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53 | F S RXIEN=$O(MEDS(RXIEN)) Q:RXIEN="B" D ; FOR EACH MEDICATION IN THE LIST
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54 | . I $$GET1^DIQ(52.41,RXIEN,2,"I")="RF" QUIT ; Dont' want refill request as a "pending" order
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55 | . S MEDCOUNT=MEDCOUNT+1
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56 | . I DEBUG W "RXIEN IS ",RXIEN,!
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57 | . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
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58 | . ; K @MAP DON'T KILL MAP HERE, IT IS DONE IN C0CMED
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59 | . I DEBUG W "MAP= ",MAP,!
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60 | . N MED M MED=MEDS(RXIEN) ; PULL OUT MEDICATION FROM
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61 | . S @MAP@("MEDOBJECTID")="MED_PENDING"_MEDCOUNT ; MEDCOUNT FOR ID
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62 | . ; S @MAP@("MEDOBJECTID")="MED_PENDING"_MED(.01) ;Pending IEN
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63 | . S @MAP@("MEDISSUEDATETXT")="Issue Date"
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64 | . ; Field 6 is "Effective date", and we pull it in timson format w/ I
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65 | . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($$GET1^DIQ(52.41,RXIEN,6,"I"),"DT")
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66 | . ; Med never filled; next 4 fields are not applicable.
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67 | . S @MAP@("MEDLASTFILLDATETXT")=""
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68 | . S @MAP@("MEDLASTFILLDATE")=""
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69 | . S @MAP@("MEDRXNOTXT")=""
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70 | . S @MAP@("MEDRXNO")=""
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71 | . S @MAP@("MEDTYPETEXT")="Medication"
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72 | . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
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73 | . S @MAP@("MEDSTATUSTEXT")="On Hold" ; nearest status for pending meds
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74 | . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52.41,RXIEN,5,"I")
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75 | . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(11),U,2)
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76 | . ; NDC not supplied in API, but is rather trivial to obtain
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77 | . ; MED(11) piece 1 has the IEN of the drug (file 50)
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78 | . ; IEN is field 31 in the drug file.
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79 | . ;
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80 | . ; MEDIEN (node 11 in the returned output) might not necessarily be defined
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81 | . ; It is not defined when a dose in not chosen in CPRS. There is a long
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82 | . ; series of fields that depend on it. We will use If and Else to deal
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83 | . ; with that
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84 | . N MEDIEN S MEDIEN=$P(MED(11),U)
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85 | . I +MEDIEN>0 D ; start of if/else block
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86 | . . ; 12/30/08: I will be using RxNorm for coding...
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87 | . . ; 176.001 is the file for Concepts; 176.003 is the file for
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88 | . . ; sources (i.e. for RxNorm Version)
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89 | . . ;
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90 | . . ; We need the VUID first for the National Drug File entry first
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91 | . . ; We get the VUID of the drug, by looking up the VA Product entry
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92 | . . ; (file 50.68) using the call NDF^PSS50, returned in node 22.
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93 | . . ; Field 99.99 is the VUID.
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94 | . . ;
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95 | . . ; We use the VUID to look up the RxNorm in file 176.001; same idea.
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96 | . . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
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97 | . . ; $$GET1^DIQ.
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98 | . . ;
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99 | . . ; I get the RxNorm name and version from the RxNorm Sources (file
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100 | . . ; 176.003), by searching for "RXNORM", then get the data.
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101 | . . D NDF^PSS50(MEDIEN,,,,,"NDF")
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102 | . . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
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103 | . . N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
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104 | . . N VAPROD S VAPROD=$P(NDFDATA(22),U)
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105 | . . ;
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106 | . . ; NDFIEN is not necessarily defined; it won't be if the drug
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107 | . . ; is not matched to the national drug file (e.g. if the drug is
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108 | . . ; new on the market, compounded, or is a fake drug [blue pill].
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109 | . . ; To protect against failure, I will put an if/else block
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110 | . . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
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111 | . . I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
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112 | . . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99)
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113 | . . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID")
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114 | . . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01)
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115 | . . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM")
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116 | . . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
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117 | . . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
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118 | . . ;
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119 | . . E S (RXNORM,RXNNAME,RXNVER)=""
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120 | . . ; End if/else block
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121 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
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122 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
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123 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
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124 | . . ;
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125 | . . S @MAP@("MEDBRANDNAMETEXT")=""
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126 | . . D DOSE^PSS50(MEDIEN,,,,,"DOSE")
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127 | . . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
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128 | . . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901)
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129 | . . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2)
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130 | . . ; Units, concentration, etc, come from another call
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131 | . . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
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132 | . . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
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133 | . . ; NDF Entry IEN, and VA Product Name
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134 | . . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
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135 | . . ; Documented in the same manual; executed above.
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136 | . . N CONCDATA
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137 | . . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
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138 | . . ; and this will crash the call. So...
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139 | . . I NDFIEN="" S CONCDATA=""
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140 | . . E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
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141 | . . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1)
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142 | . . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3)
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143 | . . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4)
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144 | . . S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52.41,RXIEN,12)
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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 | . . D DATA^PSS50(MEDIEN,,,,,"QTY")
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150 | . . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN)
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151 | . . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5)
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152 | . E D
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153 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")=""
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154 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=""
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155 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")=""
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156 | . . S @MAP@("MEDBRANDNAMETEXT")=""
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157 | . . S @MAP@("MEDSTRENGTHVALUE")=""
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158 | . . S @MAP@("MEDSTRENGTHUNIT")=""
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159 | . . S @MAP@("MEDFORMTEXT")=""
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160 | . . S @MAP@("MEDCONCVALUE")=""
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161 | . . S @MAP@("MEDCONCUNIT")=""
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162 | . . S @MAP@("MEDSIZETEXT")=""
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163 | . . S @MAP@("MEDQUANTITYVALUE")=""
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164 | . . S @MAP@("MEDQUANTITYUNIT")=""
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165 | . ; end of if/else block
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166 | . ;
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167 | . ; --- START OF DIRECTIONS ---
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168 | . ; Sig data is not in any API. We obtain it using the IEN from
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169 | . ; the PEN API to file 52.41. It's in field 3, which is a multiple.
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170 | . ; I will be using FM call GETS^DIQ(FILE,IENS,FIELD,FLAGS,TARGET_ROOT)
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171 | . K FMSIG ; it's passed via the symbol table, so remove any leftovers from last call
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172 | . D GETS^DIQ(52.41,RXIEN,"3*",,"FMSIG")
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173 | . N FMSIGNUM S FMSIGNUM=0 ; Sigline number in fileman.
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174 | . ; FMSIGNUM gets outputted as "IEN,RXIEN,".
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175 | . ; DIRNUM will be first piece for IEN.
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176 | . ; DIRNUM is the proper Sigline numer.
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177 | . ; SIGDATA is the simplfied array. Subscripts are really field numbers
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178 | . ; in subfile 52.413.
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179 | . N DIRCNT S DIRCNT=0 ; COUNT OF DIRECTIONS
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180 | . F S FMSIGNUM=$O(FMSIG(52.413,FMSIGNUM)) Q:FMSIGNUM="" D
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181 | . . N DIRNUM S DIRNUM=$P(FMSIGNUM,",")
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182 | . . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
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183 | . . N SIGDATA M SIGDATA=FMSIG(52.413,FMSIGNUM)
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184 | . . ; If this is an order for a refill; it's not really a new order; move on to next
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185 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
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186 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
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187 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=SIGDATA(13)
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188 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=SIGDATA(8)
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189 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT")
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190 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient
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191 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient
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192 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient
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193 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=SIGDATA(10)
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194 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=SIGDATA(1)
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195 | . . ; Invervals... again another call.
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196 | . . ; The schedule is a free text field
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197 | . . ; However, it gets translated by a call to the administration
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198 | . . ; schedule file to see if that schedule exists.
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199 | . . ; That's the same thing I am going to do.
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200 | . . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ).
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201 | . . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO--
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202 | . . ; I looked), PSSFT is the name,
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203 | . . ; and list is the ^TMP name to store the data in.
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204 | . . ; Also, freqency may have "PRN" in it, so strip that out
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205 | . . N FREQ S FREQ=SIGDATA(1)
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206 | . . I FREQ["PRN" S FREQ=$E(FREQ,1,$F(FREQ,"PRN")-5) ; 5 for $L("PRN") + 1 + sp
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207 | . . D AP^PSS51P1("PSJ",FREQ,,,"SCHEDULE")
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208 | . . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE")
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209 | . . N INTERVAL
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210 | . . I $P(SCHEDATA(0),U)=-1 S INTERVAL=""
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211 | . . E D
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212 | . . . N SUB S SUB=$O(SCHEDATA(0))
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213 | . . . S INTERVAL=SCHEDATA(SUB,2)
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214 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
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215 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
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216 | . . ; Duration comes as M2,H2,D2,W2,L2 for 2 minutes,hours,days,weeks,months
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217 | . . N DUR S DUR=SIGDATA(2)
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218 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$E(DUR,2,$L(DUR))
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219 | . . N DURUNIT S DURUNIT=$E(DUR)
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220 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"")
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221 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=SIGDATA(1)["PRN"
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222 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")=""
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223 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
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224 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
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225 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
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226 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
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227 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
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228 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
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229 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; Vista doesn't have that field
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230 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
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231 | . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=SIGDATA(6)
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232 | . ;
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233 | . ; --- END OF DIRECTIONS ---
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234 | . ;
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235 | . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105"
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236 | . S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PI",1,0)) ;GPL
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237 | . ; W @MAP@("MEDPTINSTRUCTIONS"),!
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238 | . ; S @MAP@("MEDFULLFILLMENTINSTRUCTIONS","F")="52.41^9"
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239 | . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"SIG1",1,0)) ;GPL
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240 | . ; W @MAP@("MEDFULLFILLMENTINSTRUCTIONS"),!
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241 | . S @MAP@("MEDRFNO")=$$GET1^DIQ(52.41,RXIEN,13)
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242 | . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
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243 | . K @RESULT
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244 | . D MAP^C0CXPATH(MINXML,MAP,RESULT)
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245 | . ; D PARY^C0CXPATH(RESULT)
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246 | . ; MAPPING DIRECTIONS
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247 | . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
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248 | . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
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249 | . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
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250 | . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
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251 | . ; N MDZ1,MDZNA
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252 | . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
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253 | . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
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254 | . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
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255 | . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
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256 | . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
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257 | . I MEDFIRST D ;
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258 | . . S MEDFIRST=0 ; RESET FIRST FLAG
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259 | . . D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
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260 | . D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER
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261 | N MEDTMP,MEDI
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262 | D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
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263 | I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
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264 | . W "Pending Medication MISSING ",!
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265 | . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
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266 | Q
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267 | ;
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