source: ccr/trunk/p/CCRMEDS1.m@ 338

Last change on this file since 338 was 322, checked in by George Lilly, 16 years ago

More work on CCRMED6 (RPMS Med Processing)

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1CCRMEDS1 ; WV/CCDCCR/SMH - CCR/CCD PROCESSING FOR MEDICATIONS ;01/10/09
2 ;;0.1;CCDCCR;;JUL 16,2008;
3 ;;Last modified Sat Jan 10 21:42:27 PST 2009
4 ; Copyright 2009 WorldVistA. Licensed under the terms of the GNU
5 ; General Public License See attached copy of the License.
6 ;
7 ; This program is free software; you can redistribute it and/or modify
8 ; it under the terms of the GNU General Public License as published by
9 ; the Free Software Foundation; either version 2 of the License, or
10 ; (at your option) any later version.
11 ;
12 ; This program is distributed in the hope that it will be useful,
13 ; but WITHOUT ANY WARRANTY; without even the implied warranty of
14 ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
15 ; GNU General Public License for more details.
16 ;
17 ; You should have received a copy of the GNU General Public License along
18 ; with this program; if not, write to the Free Software Foundation, Inc.,
19 ; 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
20 ;
21 W "NO ENTRY FROM TOP",!
22 Q
23 ;
24EXTRACT(MINXML,DFN,OUTXML) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
25 ;
26 ; INXML AND OUTXML ARE PASSED BY NAME SO GLOBALS CAN BE USED
27 ; INXML WILL CONTAIN ONLY THE MEDICATIONS SECTION OF THE OVERALL TEMPLATE
28 ;
29 ; MEDS is return array from RPC.
30 ; MAP is a mapping variable map (store result) for each med
31 ; MED is holds each array element from MEDS(J), one medicine
32 ; J is a counter.
33 ;
34 ; RX^PSO52API is a Pharmacy Re-Enginnering (PRE) API to get all
35 ; med data available.
36 ; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf
37 ; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS).
38 ; D PARY^GPLXPATH(MINXML)
39 N MEDS,MAP
40 K ^TMP($J)
41 D RX^PSO52API(DFN,"CCDCCR")
42 M MEDS=^TMP($J,"CCDCCR",DFN)
43 ; @(0) contains the number of meds or -1^NO DATA FOUND
44 ; If it is -1, we quit.
45 I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 QUIT
46 I DEBUG ZWR MEDS
47 N RXIEN S RXIEN=0
48 N MEDCOUNT S MEDCOUNT=0
49 S MEDMAP=$NA(^TMP("GPLCCR",$J,"MEDMAP")) ; THIS IS THE VARIABLE MAP
50 S MEDCOUNT=@MEDMAP@(0) ; ACCOUNT FOR MEDS ALREADY IN ARRAY
51 F S RXIEN=$O(MEDS(RXIEN)) Q:RXIEN="" D ; FOR EACH MEDICATION IN THE LIST
52 . S MEDCOUNT=MEDCOUNT+1
53 . I DEBUG W "RXIEN IS ",RXIEN,!
54 . S MAP=$NA(^TMP("GPLCCR",$J,"MEDMAP",MEDCOUNT))
55 . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN CCRMEDS
56 . S @MEDMAP@(0)=@MEDMAP@(0)+1 ; INCREMENT TOTAL MEDS IN VAR ARRAY
57 . I DEBUG W "MAP= ",MAP,!
58 . N MED M MED=MEDS(RXIEN) ; PULL OUT MEDICATION FROM
59 . S @MAP@("MEDOBJECTID")="MED"_MEDCOUNT ; MEDCOUNT FOR ID
60 . ; S @MAP@("MEDOBJECTID")="MED"_MED(.01) ;Rx Number
61 . S @MAP@("MEDISSUEDATETXT")="Issue Date"
62 . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^CCRUTIL($P(MED(1),U))
63 . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
64 . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^CCRUTIL($P(MED(101),U))
65 . S @MAP@("MEDRXNOTXT")="Prescription Number"
66 . S @MAP@("MEDRXNO")=MED(.01)
67 . S @MAP@("MEDTYPETEXT")="Medication"
68 . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
69 . S @MAP@("MEDSTATUSTEXT")=$P(MED(100),U,2)
70 . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(4),U)
71 . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(6),U,2)
72 . ; 12/30/08: I will be using RxNorm for coding...
73 . ; 176.001 is the file for Concepts; 176.003 is the file for
74 . ; sources (i.e. for RxNorm Version)
75 . ;
76 . ; We need the VUID first for the National Drug File entry first
77 . ; We get the VUID of the drug, by looking up the VA Product entry
78 . ; (file 50.68) using the call NDF^PSS50, returned in node 22.
79 . ; Field 99.99 is the VUID.
80 . ;
81 . ; We use the VUID to look up the RxNorm in file 176.001; same idea.
82 . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
83 . ; $$GET1^DIQ.
84 . ;
85 . ; I get the RxNorm name and version from the RxNorm Sources (file
86 . ; 176.003), by searching for "RXNORM", then get the data.
87 . N MEDIEN S MEDIEN=$P(MED(6),U)
88 . D NDF^PSS50(MEDIEN,,,,,"NDF")
89 . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
90 . N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
91 . N VAPROD S VAPROD=$P(NDFDATA(22),U)
92 . ;
93 . ; NDFIEN is not necessarily defined; it won't be if the drug
94 . ; is not matched to the national drug file (e.g. if the drug is
95 . ; new on the market, compounded, or is a fake drug [blue pill].
96 . ; To protect against failure, I will put an if/else block
97 . ;
98 . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
99 . I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
100 . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99)
101 . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID")
102 . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01)
103 . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM")
104 . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
105 . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
106 . ;
107 . E S (RXNORM,RXNNAME,RXNVER)=""
108 . ; End if/else block
109 . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
110 . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
111 . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
112 . ;
113 . S @MAP@("MEDBRANDNAMETEXT")=MED(6.5)
114 . D DOSE^PSS50(MEDIEN,,,,,"DOSE")
115 . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
116 . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901)
117 . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2)
118 . ; Units, concentration, etc, come from another call
119 . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
120 . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
121 . ; NDF Entry IEN, and VA Product IEN
122 . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
123 . ; These have been collected above.
124 . N CONCDATA
125 . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
126 . ; and this will crash the call. So...
127 . I NDFIEN="" S CONCDATA=""
128 . E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
129 . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1)
130 . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3)
131 . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4)
132 . S @MAP@("MEDQUANTITYVALUE")=MED(7)
133 . ; Oddly, there is no easy place to find the dispense unit.
134 . ; It's not included in the original call, so we have to go to the drug file.
135 . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT")
136 . ; Node 14.5 is the Dispense Unit
137 . D DATA^PSS50(MEDIEN,,,,,"QTY")
138 . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN)
139 . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5)
140 . ;
141 . ; --- START OF DIRECTIONS ---
142 . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but...
143 . ; we want the compoenents.
144 . ; It's in node 6 of ^PSRX(IEN)
145 . ; So, here we go again
146 . ; ^PSRX(D0,6,D1,0)= (#.01) DOSAGE ORDERED [1F] ^ (#1) DISPENSE UNITS PER DOSE
147 . ; ==>[2N] ^ (#2) UNITS [3P:50.607] ^ (#3) NOUN [4F] ^ (#4)
148 . ; ==>DURATION [5F] ^ (#5) CONJUNCTION [6S] ^ (#6) ROUTE
149 . ; ==>[7P:51.2] ^ (#7) SCHEDULE [8F] ^ (#8) VERB [9F] ^
150 . ;
151 . N DIRNUM S DIRNUM=0 ; Sigline number
152 . S DIRCNT=0 ; COUNT OF MULTIPLE DIRECTIONS
153 . F S DIRNUM=$O(^PSRX(RXIEN,6,DIRNUM)) Q:DIRNUM="" D
154 . . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
155 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
156 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
157 . . N SIGDATA S SIGDATA=^PSRX(RXIEN,6,DIRNUM,0)
158 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$P(SIGDATA,U,9)
159 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$P(SIGDATA,U,1)
160 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT")
161 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient
162 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient
163 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient
164 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$$GET1^DIQ(51.2,$P(SIGDATA,U,7),.01)
165 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$P(SIGDATA,U,8)
166 . . ; Invervals... again another call.
167 . . ; In the wisdom of the original programmers, the schedule is a free text field
168 . . ; However, it gets translated by a call to the administration schedule file
169 . . ; to see if that schedule exists.
170 . . ; That's the same thing I am going to do.
171 . . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ).
172 . . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO--
173 . . ; I looked), PSSFT is the name, and list is the ^TMP name to store the data in.
174 . . ; So...
175 . . D AP^PSS51P1("PSJ",$P(SIGDATA,U,8),,,"SCHEDULE")
176 . . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE")
177 . . N INTERVAL
178 . . I $P(SCHEDATA(0),U)=-1 S INTERVAL=""
179 . . E D
180 . . . N SUB S SUB=$O(SCHEDATA(0))
181 . . . S INTERVAL=SCHEDATA(SUB,2)
182 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
183 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
184 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$P(SIGDATA,U,5)
185 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
186 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$P(SIGDATA,U,8)["PRN"
187 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")=""
188 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
189 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
190 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
191 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
192 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
193 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
194 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")=""
195 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
196 . . N DIRMOD S DIRMOD=$P(SIGDATA,U,6)
197 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$S(DIRMOD="T":"THEN",DIRMOD="A":"AND",DIRMOD="X":"EXCEPT",1:"")
198 . ;
199 . ; --- END OF DIRECTIONS ---
200 . ;
201 . ; ^PSRX(22,"INS1",1,0)="FOR BLOOD PRESSURE"
202 . S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"INS1",1,0))
203 . ; ^PSRX(22,"PRC",1,0)="Pharmacist: you must obey my command"
204 . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PRC",1,0))
205 . S @MAP@("MEDRFNO")=MED(9)
206 . N RESULT S RESULT=$NA(^TMP("GPLCCR",$J,"MAPPED"))
207 . K @RESULT
208 . D MAP^GPLXPATH(MINXML,MAP,RESULT)
209 . ; D PARY^GPLXPATH(RESULT)
210 . ; MAPPING DIRECTIONS
211 . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
212 . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
213 . D QUERY^GPLXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
214 . D REPLACE^GPLXPATH(RESULT,"","//Medications/Medication/Directions")
215 . ; N MDZ1,MDZNA
216 . I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
217 . . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
218 . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
219 . . . D MAP^GPLXPATH(DIRXML1,MDZNA,DIRXML2)
220 . . . D INSERT^GPLXPATH(RESULT,DIRXML2,"//Medications/Medication")
221 . D:MEDCOUNT=1 CP^GPLXPATH(RESULT,OUTXML) ; First one is a copy
222 . D:MEDCOUNT>1 INSINNER^GPLXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML
223 N MEDTMP,MEDI
224 D MISSING^GPLXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
225 I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
226 . W "MEDICATION MISSING ",!
227 . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
228 Q
229 ;
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