1 | C0CNMED4 ; WV/CCDCCR/SMH/gpl - CCR/CCD PROCESSING FOR MEDICATIONS - Inpatient Meds/Unit Dose ;10/13/08 ; 5/10/12 2:54pm
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2 | ;;1.2;CCD/CCR GENERATION UTILITIES;;Oct 30, 2012;Build 50
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3 | ; Copyright 2008 WorldVistA.
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4 | ;
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5 | ; This program is free software: you can redistribute it and/or modify
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6 | ; it under the terms of the GNU Affero General Public License as
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7 | ; published by the Free Software Foundation, either version 3 of the
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8 | ; License, or (at your option) any later version.
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9 | ;
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10 | ; This program is distributed in the hope that it will be useful,
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11 | ; but WITHOUT ANY WARRANTY; without even the implied warranty of
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12 | ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
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13 | ; GNU Affero General Public License for more details.
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14 | ;
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15 | ; You should have received a copy of the GNU Affero General Public License
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16 | ; along with this program. If not, see <http://www.gnu.org/licenses/>.
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17 | ;
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18 | W "NO ENTRY FROM TOP",!
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19 | Q
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20 | ;
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21 | EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
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22 | ;
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23 | ; this routine has be adapted to retrieve meds from GET^NHINV by gpl 6/2011
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24 | ;
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25 | ; MINXML is the Input XML Template, passed by name
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26 | ; DFN is Patient IEN
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27 | ; OUTXML is the resultant XML.
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28 | ;
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29 | ; MEDS is return array from API.
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30 | ; MED is holds each array element from MEDS, one medicine
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31 | ; MAP is a mapping variable map (store result) for each med
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32 | ;
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33 | ; Inpatient Meds will be extracted using this routine and and the one following.
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34 | ; Inpatient Meds Unit Dose is going to be C0CMED4
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35 | ; Inpatient Meds IVs is going to be C0CMED5
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36 | ;
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37 | ; We will use two Pharmacy ReEnginnering API's:
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38 | ; PSS431^PSS55(DFN,PO,PSDATE,PEDATE,LIST) - provides most info
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39 | ; PSS432^PSS55(DFN,PO,LIST) - provides schedule info
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40 | ; For more information, see the PRE documentation at:
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41 | ; http://www.va.gov/vdl/documents/Clinical/Pharm-Inpatient_Med/phar_1_api_r0807.pdf
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42 | ;
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43 | ; Med data is stored in Unit Dose multiple of file 55, pharmacy patient
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44 | ;
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45 | N MEDS,MAP
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46 | ;K ^TMP($J)
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47 | ;D PSS431^PSS55(DFN,,,,"UD") ; Output is in ^TMP($J,"UD",*)
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48 | ;I ^TMP($J,"UD",0)'>0 S @OUTXML@(0)=0 QUIT ; No Meds - Quit
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49 | ;; Otherwise, we go on...
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50 | D EN^C0CNHIN(.MEDS,DFN,"MED;") ; gpl get the NHIN Array of meds
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51 | I '$D(MEDS) Q ; no meds
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52 | N ZI S ZI=""
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53 | N ZCOUNT S ZCOUNT=0
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54 | F S ZI=$O(MEDS("med",ZI)) Q:ZI="" D ; for each returned med
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55 | . I $G(MEDS("med",ZI,"vaType@value"))="I" S ZCOUNT=ZCOUNT+1
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56 | IF ZCOUNT=0 Q ; no inpatient meds
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57 | ;M MEDS=^TMP($J,"UD")
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58 | ;I DEBUG ZWR MEDS
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59 | S MEDMAP=$NA(^TMP("C0CCCR",$J,"MEDMAP"))
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60 | ;N MEDCOUNT S MEDCOUNT=@MEDMAP@(0) ; We already have meds in the array
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61 | S C0CMFLAG=$$GET^C0CPARMS("MEDALL")_"^"_$$GET^C0CPARMS("MEDLIMIT")_"^"_$$GET^C0CPARMS("MEDACTIVE")_"^"_$$GET^C0CPARMS("MEDPENDING") ;SETTING FLAG
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62 | N I S I=0
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63 | F S I=$O(MEDS("med",I)) Q:'I D ; For each medication
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64 | . ;OHUM/RUT 3120507 ;STATUS VALIDATION FOR INPATIENT
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65 | . I ($P(C0CMFLAG,"^",1)'=1) D
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66 | . . I ($P(C0CMFLAG,"^",3)=1)&(MEDS("med",I,"vaStatus@value")'="ACTIVE") D
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67 | . . . K MEDS("med",I) Q
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68 | . . I ($P(C0CMFLAG,"^",4)=1)&(MEDS("med",I,"vaStatus@value")'="PENDING") D
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69 | . . . K MEDS("med",I) Q
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70 | . ;OHUM/RUT
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71 | . N MED M MED=MEDS("med",I)
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72 | . I $G(MED("vaType@value"))'="I" Q ; not inpatient
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73 | . S MEDCOUNT=MEDCOUNT+1
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74 | . S @MEDMAP@(0)=MEDCOUNT ; Update MedMap array counter
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75 | . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
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76 | . ;N RXIEN S RXIEN=MED(.01) ; Order Number
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77 | . N RXIEN S RXIEN=$G(MED("orderID@value")) ; ien of the med
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78 | . I DEBUG W "RXIEN IS ",RXIEN,!
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79 | . I DEBUG W "MAP= ",MAP,!
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80 | . S @MAP@("MEDOBJECTID")="MED_INPATIENT_UD"_RXIEN
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81 | . S @MAP@("MEDISSUEDATETXT")="Order Date"
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82 | . ;S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(27),U),"DT")
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83 | . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($G(MED("start@value")),"DT")
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84 | . S @MAP@("MEDLASTFILLDATETXT")="" ; For Outpatient
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85 | . S @MAP@("MEDLASTFILLDATE")="" ; For Outpatient
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86 | . S @MAP@("MEDRXNOTXT")="" ; For Outpatient
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87 | . S @MAP@("MEDRXNO")="" ; For Outpatient
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88 | . S @MAP@("MEDTYPETEXT")="Medication"
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89 | . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
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90 | . ;S @MAP@("MEDSTATUSTEXT")="ACTIVE"
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91 | . N C0CMST S C0CMST=$G(MED("vaStatus@value")) ; need to filter status
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92 | . I C0CMST="EXPIRED" S C0CMST="Prior History No Longer Active"
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93 | . I C0CMST="ACTIVE" S C0CMST="Active" ;
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94 | . S @MAP@("MEDSTATUSTEXT")=C0CMST
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95 | . ;S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(1),U)
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96 | . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$G(MED("orderingProvider@code"))
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97 | . ;S @MAP@("MEDPRODUCTNAMETEXT")=MED("DDRUG",1,.01)
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98 | . S @MAP@("MEDPRODUCTNAMETEXT")=$G(MED("name@value"))
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99 | . ; NDC is field 31 in the drug file.
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100 | . ; The actual drug entry in the drug file is not necessarily supplied.
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101 | . ; It' node 1, internal form.
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102 | . ;N MEDIEN S MEDIEN=MED(1,"I")
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103 | . ;S @MAP@("MEDPRODUCTNAMECODEVALUE")=$S($L(MEDIEN):$$GET1^DIQ(50,MEDIEN,31,"E"),1:"")
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104 | . N ZVUID S ZVUID=$G(MED("products.product.vaProduct@vuid")) ; VUID
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105 | . N ZC,ZCD,ZCDS,ZCDSV ; CODE,CODE SYSTEM,CODE VERSION
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106 | . D ;
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107 | . . S ZC=$$CODE^C0CUTIL(ZVUID)
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108 | . . S ZCD=$P(ZC,"^",1) ; CODE TO USE
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109 | . . S ZCDS=$P(ZC,"^",2) ; CODING SYSTEM - RXNORM OR VUID
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110 | . . S ZCDSV=$P(ZC,"^",3) ; CODING SYSTEM VERSION
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111 | . ;N ZRXNORM S ZRXNORM=""
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112 | . ;S ZRXNORM=$$RXNCUI3^C0PLKUP(ZVUID)
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113 | . S @MAP@("MEDPRODUCTNAMECODEVALUE")=ZCD
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114 | . ;S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=$S($L(MEDIEN):"NDC",1:"")
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115 | . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=ZCDS
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116 | . ;S @MAP@("MEDPRODUCTNAMECODEVERSION")=$S($L(MEDIEN):"none",1:"")
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117 | . S @MAP@("MEDPRODUCTNAMECODEVERSION")=ZCDSV
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118 | . S @MAP@("MEDBRANDNAMETEXT")=""
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119 | . S @MAP@("MEDPRODUCTNAMETEXT")=$G(MED("name@value"))_" "_ZCDS_": "_ZCD
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120 | . ;I $L(MEDIEN) D DOSE^PSS50(MEDIEN,,,,,"DOSE")
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121 | . ;I $L(MEDIEN) N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
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122 | . ;S @MAP@("MEDSTRENGTHVALUE")=$S($L(MEDIEN):DOSEDATA(901),1:"")
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123 | . S @MAP@("MEDSTRENGTHVALUE")=$G(MED("doses.dose@dose"))
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124 | . ;S @MAP@("MEDSTRENGTHUNIT")=$S($P(DOSEDATA(902),U,2),1:"")
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125 | . S @MAP@("MEDSTRENGTHUNIT")=$G(MED("doses.dose@units"))
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126 | . ; Units, concentration, etc, come from another call
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127 | . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
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128 | . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
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129 | . ; NDF Entry IEN, and VA Product Name
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130 | . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
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131 | . ; Documented in the same manual.
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132 | . ;N NDFDATA,CONCDATA
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133 | . ;I $L(MEDIEN) D
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134 | . ;. D NDF^PSS50(MEDIEN,,,,,"CONC")
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135 | . ;. M NDFDATA=^TMP($J,"CONC",MEDIEN)
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136 | . ;. N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
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137 | . ;. N VAPROD S VAPROD=$P(NDFDATA(22),U)
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138 | . ;. ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
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139 | . ;. ; and this will crash the call. So...
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140 | . ;. I NDFIEN="" S CONCDATA=""
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141 | . ;. E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
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142 | . ;E S (NDFDATA,CONCDATA)="" ; This line is defensive programming to prevent undef errors.
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143 | . ;S @MAP@("MEDFORMTEXT")=$S($L(MEDIEN):$P(CONCDATA,U,1),1:"")
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144 | . S @MAP@("MEDFORMTEXT")=$G(MED("form@value"))
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145 | . ;S @MAP@("MEDCONCVALUE")=$S($L(MEDIEN):$P(CONCDATA,U,3),1:"")
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146 | . S @MAP@("MEDCONCVALUE")=$G(MED("doses.dose@dose"))
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147 | . ;S @MAP@("MEDCONCUNIT")=$S($L(MEDIEN):$P(CONCDATA,U,4),1:"")
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148 | . S @MAP@("MEDCONCUNIT")=$G(MED("doses.does@units"))
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149 | . ;S @MAP@("MEDQUANTITYVALUE")="" ; not provided for in Non-VA meds.
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150 | . S @MAP@("MEDQUANTITYVALUE")=$G(MED("doses.dose@unitsPerDose")) ;
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151 | . ; Oddly, there is no easy place to find the dispense unit.
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152 | . ; It's not included in the original call, so we have to go to the drug file.
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153 | . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT")
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154 | . ; Node 14.5 is the Dispense Unit
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155 | . ;I $L(MEDIEN) D
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156 | . ;. D DATA^PSS50(MEDIEN,,,,,"QTY")
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157 | . ;. N QTYDATA M QTYDATA=^TMP($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 | . S @MAP@("MEDQUANTITYUNIT")=$G(MED("dose.dose@unitsPerDose"))
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161 | . ;
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162 | . ; --- START OF DIRECTIONS ---
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163 | . ; Dosage is field 2, route is 3, schedule is 4
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164 | . ; These are all free text fields, and don't point to any files
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165 | . ; For that reason, I will use the field I never used before:
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166 | . ; MEDDIRECTIONDESCRIPTIONTEXT
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167 | . ;S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=MED(2,"E")_" "_MED(3,"E")_" "_MED(4,"E")
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168 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=$G(MED("sig"))
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169 | . ; $G(MED("products.product.vaProduct@name"))
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170 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEINDICATOR")="4" ; means look in description text. See E2369-05.
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171 | . S @MAP@("M","DIRECTIONS",1,"MEDDELIVERYMETHOD")=""
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172 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEVALUE")=""
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173 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEUNIT")=""
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174 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEVALUE")=""
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175 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEUNIT")=""
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176 | . S @MAP@("M","DIRECTIONS",1,"MEDVEHICLETEXT")=""
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177 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONROUTETEXT")=""
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178 | . S @MAP@("M","DIRECTIONS",1,"MEDFREQUENCYVALUE")=""
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179 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALVALUE")=""
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180 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALUNIT")=""
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181 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONVALUE")=""
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182 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONUNIT")=""
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183 | . S @MAP@("M","DIRECTIONS",1,"MEDPRNFLAG")=""
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184 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMOBJECTID")=""
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185 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMTYPETXT")=""
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186 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMDESCRIPTION")=""
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187 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODEVALUE")=""
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188 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGSYSTEM")=""
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189 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGVERSION")=""
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190 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMSOURCEACTORID")=""
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191 | . S @MAP@("M","DIRECTIONS",1,"MEDSTOPINDICATOR")=""
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192 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRSEQ")=""
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193 | . S @MAP@("M","DIRECTIONS",1,"MEDMULDIRMOD")=""
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194 | . ;
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195 | . ; --- END OF DIRECTIONS ---
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196 | . ;
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197 | . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105"
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198 | . ;S @MAP@("MEDPTINSTRUCTIONS")=MED(10,1) ; WP Field
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199 | . S @MAP@("MEDPTINSTRUCTIONS")=""
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200 | . ;S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MED(14,1) ; WP Field
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201 | . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=""
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202 | . S @MAP@("MEDRFNO")=""
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203 | . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
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204 | . K @RESULT
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205 | . D MAP^C0CXPATH(MINXML,MAP,RESULT)
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206 | . ; D PARY^C0CXPATH(RESULT)
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207 | . ; MAPPING DIRECTIONS
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208 | . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
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209 | . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
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210 | . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
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211 | . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
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212 | . ; N MDZ1,MDZNA
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213 | . N DIRCNT S DIRCNT=1 ; THERE ARE ALWAYS DIRECTIONS
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214 | . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
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215 | . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
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216 | . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
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217 | . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
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218 | . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
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219 | . D:MEDCOUNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
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220 | . D:MEDCOUNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML
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221 | N MEDTMP,MEDI
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222 | D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
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223 | I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
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224 | . W "MEDICATION MISSING ",!
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225 | . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
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226 | Q
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227 | ;
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