C0CMED6 ; WV/CCDCCR/SMH - Meds from RPMS: Outpatient Meds;01/10/09 ;;0.1;CCDCCR;;JUL 16,2008; ; Copyright 2008 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,FLAGS) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE ; ; MINXML and OUTXML are passed by name so globals can be used ; MINXML will contain only the medications skeleton of the overall template ; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool) ; FLAGS are set-up in C0CMED. ; ; 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 ; J is a counter. ; ; GETRXS^BEHORXFN(ARRAYNAME,DFN,DAYS) will be the the API used. ; This API has been developed by Medsphere for IHS for getting ; Medications from RPMS. It has most of what we need. ; API written by Doug Martin when he worked for Medsphere (thanks Doug!) ; -- ARRAYNAME is passed by name (required) ; -- DFN is passed by value (required) ; -- DAYS is passed by value (optional; if not passed defaults to 365) ; ; Return: ; ~Type^PharmID^Drug^InfRate^StopDt^RefRem^TotDose^UnitDose^OrderID ; ^Status^LastFill^Chronic^Issued^Rx #^Provider^ ; Status Reason^DEA Handling ; N MEDS,MEDS1,MAP D GETRXS^BEHORXFN("MEDS1",DFN,$P($P(FLAGS,U,2),"-",2)) ; 2nd piece of FLAGS is # of days to retrieve, which comes in the form "T-360" N ALL S ALL=+FLAGS N ACTIVE S ACTIVE=$P(FLAGS,U,3) N PENDING S PENDING=$P(FLAGS,U,4) S @OUTXML@(0)=0 ;By default, no meds ; If MEDS1 is not defined, then no meds I '$D(MEDS1) QUIT I DEBUG ZWR MEDS1,MINXML N MEDCNT S MEDCNT=0 ; Med Count ; The next line is a super line. It goes through the array return ; and if the first characters are ~OP, it grabs the line. ; This means that line is for a dispensed Outpatient Med. ; That line has the metadata about the med that I need. ; The next lines, however many, are the med and the sig. ; I won't be using those because I have to get the sig parsed exactly. N J S J="" F S J=$O(MEDS1(J)) Q:J="" I $E(MEDS1(J),1,3)="~OP" S MEDCNT=MEDCNT+1 S MEDS(MEDCNT)=MEDS1(J) K MEDS1 S MEDCNT="" ; Initialize for $Order F S MEDCNT=$O(MEDS(MEDCNT)) Q:MEDCNT="" D ; for each medication in the list . I 'ALL,ACTIVE,$P(MEDS(MEDCNT),U,10)'="ACTIVE" QUIT . I 'ALL,PENDING,$P(MEDS(MEDCNT),U,10)'="PENDING" QUIT . I DEBUG W "MEDCNT IS ",MEDCNT,! . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCNT)) . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED . I DEBUG W "MAP= ",MAP,! . S @MAP@("MEDOBJECTID")="MED"_MEDCNT ; MEDCNT FOR ID . S @MAP@("MEDISSUEDATETXT")="Issue Date" . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,13)) . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date" . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,11)) . S @MAP@("MEDRXNOTXT")="Prescription Number" . S @MAP@("MEDRXNO")=$P(MEDS(MEDCNT),U,14) . S @MAP@("MEDTYPETEXT")="Medication" . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses . S @MAP@("MEDSTATUSTEXT")=$P(MEDS(MEDCNT),U,10) . ; Provider only provided in API as text, not DUZ. . ; We need to get DUZ from filman file 52 (Prescription) . ; Field 4; IEN is Piece 2 of Meds stripped of trailing characters. . ; Note that I will use RXIEN several times later . N RXIEN S RXIEN=+$P(MEDS(MEDCNT),U,2) . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52,RXIEN,4,"I") . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MEDS(MEDCNT),U,3) . ; --- RxNorm Stuff . ; 176.001 is the file for Concepts; 176.003 is the file for . ; sources (i.e. for RxNorm Version) . ; . ; I use 176.001 for the Vista version of this routine (files 1-3) . ; Since IHS does not have VUID's, I will be getting RxNorm codes . ; using NDCs. My specially crafted index (sounds evil) named "NDC" . ; is in file 176.002. The file is called RxNorm NDC to VUID. . ; Except that I don't need the VUID, but it's there if I need it. . ; . ; We obviously need the NDC. That is easily obtained from the prescription. . ; Field 27 in file 52 . N NDC S NDC=$$GET1^DIQ(52,RXIEN,27,"I") . ; I discovered that file 176.002 might give you two codes for the NDC . ; One for the Clinical Drug, and one for the ingredient. . ; So the plan is to get the two RxNorm codes, and then find from . ; file 176.001 which one is the Clinical Drug. . ; ... I refactored this into GETRXN . N RXNORM,SRCIEN,RXNNAME,RXNVER . I +NDC,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet. . . S RXNORM=$$GETRXN(NDC) . . S SRCIEN=$$FIND1^DIC(176.003,,,"RXNORM","B") . . 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 . ; --- End RxNorm section . ; . ; Brand name is 52 field 6.5 . S @MAP@("MEDBRANDNAMETEXT")=$$GET1^DIQ(52,RXIEN,6.5) . ; . ; Next I need Med Form (tab, cap etc), strength (250mg) . ; concentration for liquids (250mg/mL) . ; Since IHS does not have any of the new calls that . ; Vista has, I will be doing a crosswalk: . ; File 52, field 6 is Drug IEN in file 50 . ; File 50, field 22 is VA Product IEN in file 50.68 . ; In file 50.68, I will get the following: . ; -- 1: Dosage Form . ; -- 2: Strength . ; -- 3: Units . ; -- 8: Dispense Units . ; -- Conc is 2 concatenated with 3 . ; . ; *** If Drug is not matched to NDF, then VA Product will be "" *** . ; . N MEDIEN S MEDIEN=$$GET1^DIQ(52,RXIEN,6,"I") ; Drug IEN in 50 . N VAPROD S VAPROD=$$GET1^DIQ(50,MEDIEN,22,"I") ; VA Product in file 50.68 . I +VAPROD D . . S @MAP@("MEDSTRENGTHVALUE")=$$GET1^DIQ(50.68,VAPROD,2) . . S @MAP@("MEDSTRENGTHUNIT")=$$GET1^DIQ(50.68,VAPROD,3) . . S @MAP@("MEDFORMTEXT")=$$GET1^DIQ(50.68,VAPROD,1) . . S @MAP@("MEDCONCVALUE")=@MAP@("MEDSTRENGTHVALUE") . . S @MAP@("MEDCONCUNIT")=@MAP@("MEDSTRENGTHUNIT") . E D . . S @MAP@("MEDSTRENGTHVALUE")="" . . S @MAP@("MEDSTRENGTHUNIT")="" . . S @MAP@("MEDFORMTEXT")="" . . S @MAP@("MEDCONCVALUE")="" . . S @MAP@("MEDCONCUNIT")="" . ; End Strengh/Conc stuff . ; . ; Quantity is in the prescription, field 7 . S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52,RXIEN,7) . ; Dispense unit is in the drug file, field 14.5 . S @MAP@("MEDQUANTITYUNIT")=$$GET1^DIQ(50,MEDIEN,14.5) . ; . ; --- START OF DIRECTIONS --- . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but... . ; we want the components. . ; It's in multiple 113 in the Prescription File (52) . ; #.01 DOSAGE ORDERED [1F] "20" . ; #1 DISPENSE UNITS PER DOSE [2N] "1" . ; #2 UNITS [3P:50.607] "MG" . ; #3 NOUN [4F] "TABLET" . ; #4 DURATION [5F] "10D" . ; #5 CONJUNCTION [6S] "AND" . ; #6 ROUTE [7P:51.2] "ORAL" . ; #7 SCHEDULE [8F] "BID" . ; #8 VERB [9F] "TAKE" . ; . ; Will use GETS^DIQ to get fields. . ; Data comes out like this: . ; SAMINS(52.0113,"1,23,",.01)=20 . ; SAMINS(52.0113,"1,23,",1)=1 . ; SAMINS(52.0113,"1,23,",2)="MG" . ; SAMINS(52.0113,"1,23,",3)="TABLET" . ; SAMINS(52.0113,"1,23,",4)="5D" . ; SAMINS(52.0113,"1,23,",5)="THEN" . ; . N RAWDATA . D GETS^DIQ(52,RXIEN,"113*",,"RAWDATA","DIERR") . D:$D(DIERR) ^%ZTER ; Log if there's an error in retrieving sig field . ; none the less, continue; some parts are retrievable. . N FMSIG M FMSIG=RAWDATA(52.0113) ; Merge into subfile... . K RAWDATA . N FMSIGNUM S FMSIGNUM="" ; Sigline number in fileman. . ; FMSIGNUM gets outputted as "IEN,RXIEN,". . ; DIRCNT is the proper Sigline numer. . ; SIGDATA is the simplfied array. . F S FMSIGNUM=$O(FMSIG(FMSIGNUM)) Q:FMSIGNUM="" D . . N DIRCNT S DIRCNT=$P(FMSIGNUM,",") . . N SIGDATA M SIGDATA=FMSIG(FMSIGNUM) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$G(SIGDATA(8)) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$G(SIGDATA(.01)) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=$G(SIGDATA(2)) . . 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")=$G(SIGDATA(6)) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$G(SIGDATA(7)) . . ; 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. . . ; Search B index of 51.1 (Admin Schedule) with schedule . . ; First, remove "PRN" if it exists (don't ask, that's how the file . . ; works; I wouldn't do it that way). . . N SCHNOPRN S SCHNOPRN=$G(SIGDATA(7)) . . I SCHNOPRN["PRN" S SCHNOPRN=$E(SCHNOPRN,1,$F(SCHNOPRN,"PRN")-5) . . ; Super call below: . . ; 1=File 51.1 3=Field 2 (Frequency in Minutes) . . ; 4=Packed format, Exact Match 5=Lookup Value . . ; 6=# of entries to return 7=Index 10=Return Array . . ; . . ; I do not account for the fact that two schedules can be . . ; spelled identically (ie duplicate entry). In that case, . . ; I get the first. That's just a bad pharmacy pkg maintainer. . . N C0C515 . . D FIND^DIC(51.1,,"@;2","PX",SCHNOPRN,1,"B",,,"C0C515") . . N INTERVAL S INTERVAL="" ; Default . . ; If there are entries found, get it . . I +$G(C0C515("DILIST",0)) S INTERVAL=$P(C0C515("DILIST",1,0),U,2) . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute" . . ; Duration is 10M minutes, 10H hours, 10D for Days . . ; 10W for weeks, 10L for months. I smell $Select . . ; But we don't need to do that if there isn't a duration . . I +$G(SIGDATA(4)) D . . . N DURUNIT S DURUNIT=$E(SIGDATA(4),$L(SIGDATA(4))) ; get last char . . . N DURTXT S DURTXT=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"Days") . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=+SIGDATA(4) . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=DURTXT . . E D . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")="" . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")="" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$G(SIGDATA(4))["PRN" . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" ; when avail . . 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")="" ; not stored . . ; Another confusing line; I am pretty bad: . . ; If there is another entry in the FMSIG array (i.e. another line . . ; in the sig), set the direction count indicator. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")="" ; Default . . S:+$O(FMSIG(FMSIGNUM)) @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRCNT . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$G(SIGDATA(5)) . ; . ; --- END OF DIRECTIONS --- . ; . ; Med instructions is a WP field, thus the acrobatics . ; Notice buffer overflow protection set at 10,000 chars . ; -- 1. Med Patient Instructions . N MEDPTIN1 S MEDPTIN1=$$GET1^DIQ(52,RXIEN,115,,"MEDPTIN1") . N MEDPTIN2,J S (MEDPTIN2,J)="" . I $L(MEDPTIN1) F S J=$O(@MEDPTIN1@(J)) Q:J="" Q:$L(MEDPTIN2)>10000 S MEDPTIN2=MEDPTIN2_@MEDPTIN1@(J)_" " . S @MAP@("MEDPTINSTRUCTIONS")=MEDPTIN2 . K J . ; -- 2. Med Provider Instructions . N MEDPVIN1 S MEDPVIN1=$$GET1^DIQ(52,RXIEN,39,,"MEDPVIN1") . N MEDPVIN2,J S (MEDPVIN2,J)="" . I $L(MEDPVIN1) F S J=$O(@MEDPVIN1@(J)) Q:J="" Q:$L(MEDPVIN2)>10000 S MEDPVIN2=MEDPVIN2_@MEDPVIN1@(J)_" " . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MEDPVIN2 . ; . ; Remaining refills . S @MAP@("MEDRFNO")=$P(MEDS(MEDCNT),U,6) . ; ------ END OF MAPPING . ; . ; ------ BEGIN XML INSERTION . 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 . N DIRCNT S DIRCNT="" . I +$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; IF THERE ARE DIRCTIONS . . F DIRCNT=$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; FOR EACH DIRECTION . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",DIRCNT)) . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2) . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication") . D:MEDCNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy . D:MEDCNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML N MEDTMP,MEDI D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@ . W "MEDICATION MISSING ",! . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),! Q ; GETRXN(NDC) ; Extrinsic Function; PUBLIC; NDC to RxNorm ;; Get RxNorm Concept Number for a Given NDC ; S NDC=$TR(NDC,"-") ; Remove dashes N RXNORM,C0CZRXN,DIERR D FIND^DIC(176.002,,"@;.01","PX",NDC,"*","NDC",,,"C0CZRXN","DIERR") I $D(DIERR) D ^%ZTER BREAK S RXNORM(0)=+C0CZRXN("DILIST",0) ; RxNorm(0) will be # of entries N I S I=0 F S I=$O(C0CZRXN("DILIST",I)) Q:I="" S RXNORM(I)=$P(C0CZRXN("DILIST",I,0),U,2) ; At this point, RxNorm(0) is # of entries; RxNorm(1...) are the entries ; If RxNorm(0) is 1, then we only have one entry, and that's it. I RXNORM(0)=1 QUIT RXNORM(1) ; RETURN RXNORM(1) ; Otherwise, we need to find out which one is the semantic ; clinical drug. I built an index on 176.001 (RxNorm Concepts) ; for that purpose. I RXNORM(0)>1 D . S I=0 . F S I=$O(RXNORM(I)) Q:I="" D Q:$G(RXNORM) . . N RXNIEN S RXNIEN=$$FIND1^DIC(176.001,,,RXNORM(I),"SCD") . . I +$G(RXNIEN)=0 QUIT ; try the next entry... . . E S RXNORM=RXNORM(I) QUIT ; We found the right code QUIT +$G(RXNORM) ; RETURN RXNORM; if we couldn't find a clnical drug, return with 0