C0CMED3 ; WV/CCDCCR/SMH - Meds: Non-VA/Outside Meds for Vista ;;1.0;C0C;;May 19, 2009; ;;Last Modified: Sun Jan 11 05:45:03 UTC 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) ; Extract medications into provided xml template ; ; MINXML is the Input XML Template, (passed by name) ; DFN is Patient IEN (passed by value) ; OUTXML is the resultant XML (passed by name) ; MEDCOUNT is the number of Meds extracted so far (passed by reference) ; ; 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, one medicine ; ; Non-VA meds don't have an API. They are stored in file 55, subfile 52.2 ; Discontinued meds are indicated by the presence of a value in fields ; 5 or 6 (STATUS 1 or 2, and DISCONTINUED DATE) ; Will use Fileman API GETS^DIQ ; N MEDS,MAP K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!! N NVA D GETS^DIQ(55,DFN,"52.2*","IE","NVA") ; Output in NVA in FDA array format. ; If NVA does not exist, then patient has no non-VA meds I $D(NVA)=0 S @OUTXML@(0)=0 QUIT ; Otherwise, we go on... M MEDS=NVA(55.05) ; We are done with NVA K NVA ; I DEBUG ZWRITE MEDS N FDAIEN S FDAIEN=0 ; For use in $Order in the MEDS array. N MEDFIRST S MEDFIRST=1 ; FLAG FOR FIRST MED PROCESSED HERE F S FDAIEN=$O(MEDS(FDAIEN)) Q:FDAIEN="" D ; FOR EACH MEDICATION IN THE LIST . N MED M MED=MEDS(FDAIEN) . I MED(5,"I")!MED(6,"I") QUIT ; If disconinued, we don't want to pull it. . S MEDCOUNT=MEDCOUNT+1 . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT)) . N RXIEN S RXIEN=$P(FDAIEN,",") ; First piece of FDAIEN is the number of the med for this patient . I DEBUG W "RXIEN IS ",RXIEN,! . I DEBUG W "MAP= ",MAP,! . S @MAP@("MEDOBJECTID")="MED_OUTSIDE"_MEDCOUNT ; MEDCOUNT FOR ID . S @MAP@("MEDISSUEDATETXT")="Documented Date" . ; Field 6 is "Effective date", and we pull it in timson format w/ I . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL(MED(11,"I"),"DT") . ; Med never filled; next 4 fields are not applicable. . S @MAP@("MEDLASTFILLDATETXT")="" . S @MAP@("MEDLASTFILLDATE")="" . S @MAP@("MEDRXNOTXT")="" . S @MAP@("MEDRXNO")="" . S @MAP@("MEDTYPETEXT")="Medication" . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses . S @MAP@("MEDSTATUSTEXT")="ACTIVE" ; nearest status for pending meds . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_MED(12,"I") . S @MAP@("MEDPRODUCTNAMETEXT")=MED(.01,"E") . ; NDC is field 31 in the drug file. . ; The actual drug entry in the drug file (MEDIEN) is not necessarily supplied. . ; It' node 1, internal form. . N MEDIEN S MEDIEN=MED(1,"I") . I +MEDIEN D ; start of if/else block . . ; 12/30/08: I will be using RxNorm for coding... . . ; 176.001 is the file for Concepts; 176.003 is the file for . . ; sources (i.e. for RxNorm Version) . . ; . . ; We need the VUID first for the National Drug File entry first . . ; We get the VUID of the drug, by looking up the VA Product entry . . ; (file 50.68) using the call NDF^PSS50, returned in node 22. . . ; Field 99.99 is the VUID. . . ; . . ; We use the VUID to look up the RxNorm in file 176.001; same idea. . . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by . . ; $$GET1^DIQ. . . ; . . ; I get the RxNorm name and version from the RxNorm Sources (file . . ; 176.003), by searching for "RXNORM", then get the data. . . ; NDF^PSS50 ONLY EXISTS ON VISTA . . N NDFDATA,NDFIEN,VAPROD . . S NDFIEN="" . . I '$$RPMS^C0CUTIL() D . . . 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=$P(NDFDATA(22),U) . . . M NDFDATA=^TMP($J,"NDF",MEDIEN) . . . S NDFIEN=$P(NDFDATA(20),U) . . . S VAPROD=$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")="" . . ; DOSE^PSS50 ONLY ESISTS ON VISTA . . I '$$RPMS^C0CUTIL() D . . . D DOSE^PSS50(MEDIEN,,,,,"DOSE") . . . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN) . . . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901) . . . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2) . . E S @MAP@("MEDSTRENGTHVALUE")="" S @MAP@("MEDSTRENGTHUNIT")="" . . ; Units, concentration, etc, come from another call . . ; $$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; executed above. . . ; . . ; 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=$$CPRS^PSNAPIS(NDFIEN,VAPROD) . . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1) . . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3) . . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4) . . S @MAP@("MEDQUANTITYVALUE")="" ; not provided for in Non-VA meds. . . ; Oddly, there is no easy place to find the dispense unit. . . ; It's not included in the original call, so we have to go to the drug file. . . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT") . . ; Node 14.5 is the Dispense Unit . . ; PSS50 ONLY EXISTS ON VISTA . . I '$$RPMS^C0CUTIL() D . . . D DATA^PSS50(MEDIEN,,,,,"QTY") . . . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN) . . . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5) . . E S @MAP@("MEDQUANTITYUNIT")="" . E D . . S @MAP@("MEDPRODUCTNAMECODEVALUE")="" . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")="" . . S @MAP@("MEDPRODUCTNAMECODEVERSION")="" . . S @MAP@("MEDBRANDNAMETEXT")="" . . S @MAP@("MEDSTRENGTHVALUE")="" . . S @MAP@("MEDSTRENGTHUNIT")="" . . S @MAP@("MEDFORMTEXT")="" . . S @MAP@("MEDCONCVALUE")="" . . S @MAP@("MEDCONCUNIT")="" . . S @MAP@("MEDSIZETEXT")="" . . S @MAP@("MEDQUANTITYVALUE")="" . . S @MAP@("MEDQUANTITYUNIT")="" . ; End If/Else . ; --- 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 DIRCNT=1 ; THERE IS ONLY ONE DIRECTION FOR OUTSIDE MEDS . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=MED(2,"E")_" "_MED(3,"E")_" "_MED(4,"E") . 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@("MEDRFNO")="" . I $D(MED(14,1)) D ; . . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MED(14,1) ; WP Field . E S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")="" . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED")) . K @RESULT . D MAP^C0CXPATH(MINXML,MAP,RESULT) . ; D PARY^C0CXPATH(RESULT) . ; MAPPING DIRECTIONS . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1) . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions") . N MDZ1,MDZNA . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1)) . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2) . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication") . ; . ; MAP PATIENT INSTRUCTIONS - HAVE TO DO THIS AFTER MAPPING DIRECTIONS DUE TO XML SCHEMA VALIDATION . N MEDINT1,INTXML1 S INTXML1="MENINT1" ; VARIABLE AND NAME VARIABLE TEMPLATE . N MEDINT2,INTXML2 S INTXML2="MEDINT2" ; VARIABLE AND NAME VARIABLE RESULT . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/PatientInstructions",INTXML1) . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/PatientInstructions") . N MDI1 . S MDI1=$NA(@MAP@("I")) . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105" . I $D(MED(10,1)) D ; . . S @MAP@("I","MEDPTINSTRUCTIONS")=$P(MED(10,1)," ",1) ; WP Field . E S @MAP@("I","MEDPTINSTRUCTIONS")="" . D MAP^C0CXPATH(INTXML1,MDI1,INTXML2) . D INSERT^C0CXPATH(RESULT,INTXML2,"//Medications/Medication") . ; . ; FLAG HAS TO BE RESET OUTSIDE THE IF STATMENT. . ;I MEDFIRST D ; . ;. S MEDFIRST=0 ; RESET FIRST FLAG . ;. D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy . ;D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER XML . D:MEDFIRST CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy . D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML . I MEDFIRST S MEDFIRST=0 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),! N ZI S ZI=$NA(^TMP("C0CCCR",$J,"MEDMAP")) M ^TMP("C0CRIM","VARS",DFN,"MEDS")=@ZI ; PERSIST MEDS VARIABLES Q ;