1 | C0CMED3 ; WV/CCDCCR/SMH - Meds: Non-VA/Outside Meds for Vista
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2 | ;;1.0;C0C;;May 19, 2009;
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3 | ;;Last Modified: Sun Jan 11 05:45:03 UTC 2009
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4 | ; Copyright 2009 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 (passed by value)
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28 | ; OUTXML is the resultant XML (passed by name)
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29 | ; MEDCOUNT is the number of Meds extracted so far (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 | ; Non-VA meds don't have an API. They are stored in file 55, subfile 52.2
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36 | ; Discontinued meds are indicated by the presence of a value in fields
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37 | ; 5 or 6 (STATUS 1 or 2, and DISCONTINUED DATE)
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38 | ; Will use Fileman API GETS^DIQ
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39 | ;
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40 | N MEDS,MAP
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41 | K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!!
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42 | N NVA
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43 | D GETS^DIQ(55,DFN,"52.2*","IE","NVA") ; Output in NVA in FDA array format.
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44 | ; If NVA does not exist, then patient has no non-VA meds
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45 | I $D(NVA)=0 S @OUTXML@(0)=0 QUIT
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46 | ; Otherwise, we go on...
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47 | M MEDS=NVA(55.05)
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48 | ; We are done with NVA
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49 | K NVA
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50 | ;
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51 | I DEBUG ZWRITE MEDS
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52 | N FDAIEN S FDAIEN=0 ; For use in $Order in the MEDS array.
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53 | N MEDFIRST S MEDFIRST=1 ; FLAG FOR FIRST MED PROCESSED HERE
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54 | F S FDAIEN=$O(MEDS(FDAIEN)) Q:FDAIEN="" D ; FOR EACH MEDICATION IN THE LIST
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55 | . N MED M MED=MEDS(FDAIEN)
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56 | . I MED(5,"I")!MED(6,"I") QUIT ; If disconinued, we don't want to pull it.
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57 | . S MEDCOUNT=MEDCOUNT+1
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58 | . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
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59 | . N RXIEN S RXIEN=$P(FDAIEN,",") ; First piece of FDAIEN is the number of the med for this patient
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60 | . I DEBUG W "RXIEN IS ",RXIEN,!
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61 | . I DEBUG W "MAP= ",MAP,!
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62 | . S @MAP@("MEDOBJECTID")="MED_OUTSIDE"_MEDCOUNT ; MEDCOUNT FOR ID
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63 | . S @MAP@("MEDISSUEDATETXT")="Documented 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(MED(11,"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")="ACTIVE" ; nearest status for pending meds
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74 | . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_MED(12,"I")
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75 | . S @MAP@("MEDPRODUCTNAMETEXT")=MED(.01,"E")
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76 | . ; NDC is field 31 in the drug file.
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77 | . ; The actual drug entry in the drug file (MEDIEN) is not necessarily supplied.
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78 | . ; It' node 1, internal form.
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79 | . N MEDIEN S MEDIEN=MED(1,"I")
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80 | . I +MEDIEN D ; start of if/else block
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81 | . . ; 12/30/08: I will be using RxNorm for coding...
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82 | . . ; 176.001 is the file for Concepts; 176.003 is the file for
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83 | . . ; sources (i.e. for RxNorm Version)
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84 | . . ;
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85 | . . ; We need the VUID first for the National Drug File entry first
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86 | . . ; We get the VUID of the drug, by looking up the VA Product entry
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87 | . . ; (file 50.68) using the call NDF^PSS50, returned in node 22.
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88 | . . ; Field 99.99 is the VUID.
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89 | . . ;
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90 | . . ; We use the VUID to look up the RxNorm in file 176.001; same idea.
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91 | . . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
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92 | . . ; $$GET1^DIQ.
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93 | . . ;
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94 | . . ; I get the RxNorm name and version from the RxNorm Sources (file
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95 | . . ; 176.003), by searching for "RXNORM", then get the data.
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96 | . . ; NDF^PSS50 ONLY EXISTS ON VISTA
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97 | . . N NDFDATA,NDFIEN,VAPROD
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98 | . . S NDFIEN=""
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99 | . . I '$$RPMS^C0CUTIL() D
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100 | . . . D NDF^PSS50(MEDIEN,,,,,"NDF")
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101 | . . . ;N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
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102 | . . . ;N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
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103 | . . . ;N VAPROD S VAPROD=$P(NDFDATA(22),U)
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104 | . . . M NDFDATA=^TMP($J,"NDF",MEDIEN)
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105 | . . . S NDFIEN=$P(NDFDATA(20),U)
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106 | . . . S VAPROD=$P(NDFDATA(22),U)
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107 | . . ;
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108 | . . ; NDFIEN is not necessarily defined; it won't be if the drug
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109 | . . ; is not matched to the national drug file (e.g. if the drug is
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110 | . . ; new on the market, compounded, or is a fake drug [blue pill].
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111 | . . ; To protect against failure, I will put an if/else block
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112 | . . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
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113 | . . I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
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114 | . . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99)
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115 | . . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID")
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116 | . . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01)
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117 | . . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM")
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118 | . . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
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119 | . . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
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120 | . . ;
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121 | . . E S (RXNORM,RXNNAME,RXNVER)=""
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122 | . . ; End if/else block
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123 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
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124 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
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125 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
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126 | . . ;
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127 | . . S @MAP@("MEDBRANDNAMETEXT")=""
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128 | . . ; DOSE^PSS50 ONLY ESISTS ON VISTA
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129 | . . I '$$RPMS^C0CUTIL() D
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130 | . . . D DOSE^PSS50(MEDIEN,,,,,"DOSE")
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131 | . . . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
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132 | . . . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901)
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133 | . . . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2)
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134 | . . E S @MAP@("MEDSTRENGTHVALUE")="" S @MAP@("MEDSTRENGTHUNIT")=""
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135 | . . ; Units, concentration, etc, come from another call
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136 | . . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
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137 | . . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
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138 | . . ; NDF Entry IEN, and VA Product Name
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139 | . . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
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140 | . . ; Documented in the same manual; executed above.
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141 | . . ;
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142 | . . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
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143 | . . ; and this will crash the call. So...
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144 | . . I NDFIEN="" S CONCDATA=""
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145 | . . E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
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146 | . . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1)
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147 | . . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3)
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148 | . . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4)
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149 | . . S @MAP@("MEDQUANTITYVALUE")="" ; not provided for in Non-VA meds.
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150 | . . ; Oddly, there is no easy place to find the dispense unit.
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151 | . . ; It's not included in the original call, so we have to go to the drug file.
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152 | . . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT")
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153 | . . ; Node 14.5 is the Dispense Unit
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154 | . . ; PSS50 ONLY EXISTS ON VISTA
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155 | . . I '$$RPMS^C0CUTIL() D
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156 | . . . D DATA^PSS50(MEDIEN,,,,,"QTY")
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157 | . . . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN)
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158 | . . . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5)
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159 | . . E S @MAP@("MEDQUANTITYUNIT")=""
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160 | . E D
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161 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")=""
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162 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=""
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163 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")=""
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164 | . . S @MAP@("MEDBRANDNAMETEXT")=""
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165 | . . S @MAP@("MEDSTRENGTHVALUE")=""
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166 | . . S @MAP@("MEDSTRENGTHUNIT")=""
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167 | . . S @MAP@("MEDFORMTEXT")=""
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168 | . . S @MAP@("MEDCONCVALUE")=""
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169 | . . S @MAP@("MEDCONCUNIT")=""
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170 | . . S @MAP@("MEDSIZETEXT")=""
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171 | . . S @MAP@("MEDQUANTITYVALUE")=""
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172 | . . S @MAP@("MEDQUANTITYUNIT")=""
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173 | . ; End If/Else
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174 | . ; --- START OF DIRECTIONS ---
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175 | . ; Dosage is field 2, route is 3, schedule is 4
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176 | . ; These are all free text fields, and don't point to any files
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177 | . ; For that reason, I will use the field I never used before:
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178 | . ; MEDDIRECTIONDESCRIPTIONTEXT
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179 | . S DIRCNT=1 ; THERE IS ONLY ONE DIRECTION FOR OUTSIDE MEDS
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180 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=MED(2,"E")_" "_MED(3,"E")_" "_MED(4,"E")
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181 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEINDICATOR")="4" ; means look in description text. See E2369-05.
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182 | . S @MAP@("M","DIRECTIONS",1,"MEDDELIVERYMETHOD")=""
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183 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEVALUE")=""
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184 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEUNIT")=""
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185 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEVALUE")=""
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186 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEUNIT")=""
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187 | . S @MAP@("M","DIRECTIONS",1,"MEDVEHICLETEXT")=""
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188 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONROUTETEXT")=""
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189 | . S @MAP@("M","DIRECTIONS",1,"MEDFREQUENCYVALUE")=""
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190 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALVALUE")=""
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191 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALUNIT")=""
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192 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONVALUE")=""
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193 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONUNIT")=""
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194 | . S @MAP@("M","DIRECTIONS",1,"MEDPRNFLAG")=""
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195 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMOBJECTID")=""
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196 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMTYPETXT")=""
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197 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMDESCRIPTION")=""
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198 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODEVALUE")=""
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199 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGSYSTEM")=""
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200 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGVERSION")=""
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201 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMSOURCEACTORID")=""
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202 | . S @MAP@("M","DIRECTIONS",1,"MEDSTOPINDICATOR")=""
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203 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRSEQ")=""
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204 | . S @MAP@("M","DIRECTIONS",1,"MEDMULDIRMOD")=""
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205 | . ;
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206 | . ; --- END OF DIRECTIONS ---
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207 | . ;
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208 | . S @MAP@("MEDRFNO")=""
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209 | . I $D(MED(14,1)) D ;
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210 | . . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MED(14,1) ; WP Field
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211 | . E S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=""
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212 | . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
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213 | . K @RESULT
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214 | . D MAP^C0CXPATH(MINXML,MAP,RESULT)
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215 | . ; D PARY^C0CXPATH(RESULT)
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216 | . ; MAPPING DIRECTIONS
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217 | . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
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218 | . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
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219 | . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
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220 | . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
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221 | . N MDZ1,MDZNA
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222 | . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
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223 | . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
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224 | . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
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225 | . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
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226 | . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
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227 | . ;
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228 | . ; MAP PATIENT INSTRUCTIONS - HAVE TO DO THIS AFTER MAPPING DIRECTIONS DUE TO XML SCHEMA VALIDATION
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229 | . N MEDINT1,INTXML1 S INTXML1="MENINT1" ; VARIABLE AND NAME VARIABLE TEMPLATE
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230 | . N MEDINT2,INTXML2 S INTXML2="MEDINT2" ; VARIABLE AND NAME VARIABLE RESULT
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231 | . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/PatientInstructions",INTXML1)
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232 | . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/PatientInstructions")
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233 | . N MDI1
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234 | . S MDI1=$NA(@MAP@("I"))
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235 | . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105"
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236 | . I $D(MED(10,1)) D ;
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237 | . . S @MAP@("I","MEDPTINSTRUCTIONS")=$P(MED(10,1)," ",1) ; WP Field
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238 | . E S @MAP@("I","MEDPTINSTRUCTIONS")=""
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239 | . D MAP^C0CXPATH(INTXML1,MDI1,INTXML2)
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240 | . D INSERT^C0CXPATH(RESULT,INTXML2,"//Medications/Medication")
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241 | . ;
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242 | . ; FLAG HAS TO BE RESET OUTSIDE THE IF STATMENT.
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243 | . ;I MEDFIRST D ;
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244 | . ;. S MEDFIRST=0 ; RESET FIRST FLAG
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245 | . ;. D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
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246 | . ;D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER XML
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247 | . D:MEDFIRST CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
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248 | . D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML
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249 | . I MEDFIRST S MEDFIRST=0
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250 | N MEDTMP,MEDI
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251 | D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
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252 | I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
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253 | . W "MEDICATION MISSING ",!
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254 | . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
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255 | N ZI
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256 | S ZI=$NA(^TMP("C0CCCR",$J,"MEDMAP"))
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257 | M ^TMP("C0CRIM","VARS",DFN,"MEDS")=@ZI ; PERSIST MEDS VARIABLES
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258 | Q
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259 | ;
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