| 1 | CCRMEDS3 ; WV/CCDCCR/SMH - Meds: Non-VA/Outside Meds for Vista | 
|---|
| 2 | ;;0.1;CCDCCR;;; | 
|---|
| 3 | ;;Last Modified: Sun Jan 11 05:45:03 UTC 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 | ; | 
|---|
| 24 | EXTRACT(MINXML,DFN,OUTXML) ; Extract medications into provided xml template | 
|---|
| 25 | ; | 
|---|
| 26 | ; MINXML is the Input XML Template, passed by name | 
|---|
| 27 | ; DFN is Patient IEN | 
|---|
| 28 | ; OUTXML is the resultant XML. | 
|---|
| 29 | ; | 
|---|
| 30 | ; MEDS is return array from RPC. | 
|---|
| 31 | ; MAP is a mapping variable map (store result) for each med | 
|---|
| 32 | ; MED is holds each array element from MEDS, one medicine | 
|---|
| 33 | ; | 
|---|
| 34 | ; Non-VA meds don't have an API. They are stored in file 55, subfile 52.2 | 
|---|
| 35 | ; Discontinued meds are indicated by the presence of a value in fields | 
|---|
| 36 | ; 5 or 6 (STATUS 1 or 2, and DISCONTINUED DATE) | 
|---|
| 37 | ; Will use Fileman API GETS^DIQ | 
|---|
| 38 | ; | 
|---|
| 39 | N MEDS,MAP | 
|---|
| 40 | K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!! | 
|---|
| 41 | K NVA | 
|---|
| 42 | D GETS^DIQ(55,DFN,"52.2*","IE","NVA") ; Output in NVA in FDA array format. | 
|---|
| 43 | ; If NVA does not exist, then patient has no non-VA meds | 
|---|
| 44 | I $D(NVA)=0 S @OUTXML@(0)=0 QUIT | 
|---|
| 45 | ; Otherwise, we go on... | 
|---|
| 46 | M MEDS=NVA(55.05) | 
|---|
| 47 | ; We are done with NVA | 
|---|
| 48 | K NVA | 
|---|
| 49 | ; | 
|---|
| 50 | I DEBUG ZWR MEDS | 
|---|
| 51 | N FDAIEN S FDAIEN=0 ; For use in $Order in the MEDS array. | 
|---|
| 52 | S MEDMAP=$NA(^TMP("GPLCCR",$J,"MEDMAP")) | 
|---|
| 53 | N MEDCOUNT S MEDCOUNT=@MEDMAP@(0) ; We already have meds in the array | 
|---|
| 54 | N MEDFIRST S MEDFIRST=1 ; FLAG FOR FIRST MED PROCESSED HERE | 
|---|
| 55 | F  S FDAIEN=$O(MEDS(FDAIEN)) Q:FDAIEN=""  D  ; FOR EACH MEDICATION IN THE LIST | 
|---|
| 56 | . N MED M MED=MEDS(FDAIEN) | 
|---|
| 57 | . I MED(5,"I")!MED(6,"I") QUIT  ; If disconinued, we don't want to pull it. | 
|---|
| 58 | . S MEDCOUNT=MEDCOUNT+1 | 
|---|
| 59 | . S MAP=$NA(^TMP("GPLCCR",$J,"MEDMAP",MEDCOUNT)) | 
|---|
| 60 | . S @MEDMAP@(0)=@MEDMAP@(0)+1 ; INCREMENT TOTAL MEDS IN VAR ARRAY | 
|---|
| 61 | . N RXIEN S RXIEN=$P(FDAIEN,",") ; First piece of FDAIEN is the number of the med for this patient | 
|---|
| 62 | . I DEBUG W "RXIEN IS ",RXIEN,! | 
|---|
| 63 | . I DEBUG W "MAP= ",MAP,! | 
|---|
| 64 | . S @MAP@("MEDOBJECTID")="MED_OUTSIDE"_MEDCOUNT ; MEDCOUNT FOR ID | 
|---|
| 65 | . S @MAP@("MEDISSUEDATETXT")="Documented Date" | 
|---|
| 66 | . ; Field 6 is "Effective date", and we pull it in timson format w/ I | 
|---|
| 67 | . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^CCRUTIL(MED(11,"I"),"DT") | 
|---|
| 68 | . ; Med never filled; next 4 fields are not applicable. | 
|---|
| 69 | . S @MAP@("MEDLASTFILLDATETXT")="" | 
|---|
| 70 | . S @MAP@("MEDLASTFILLDATE")="" | 
|---|
| 71 | . S @MAP@("MEDRXNOTXT")="" | 
|---|
| 72 | . S @MAP@("MEDRXNO")="" | 
|---|
| 73 | . S @MAP@("MEDTYPETEXT")="Medication" | 
|---|
| 74 | . S @MAP@("MEDDETAILUNADORNED")=""  ; Leave blank, field has its uses | 
|---|
| 75 | . S @MAP@("MEDSTATUSTEXT")="ACTIVE" ; nearest status for pending meds | 
|---|
| 76 | . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_MED(12,"I") | 
|---|
| 77 | . S @MAP@("MEDPRODUCTNAMETEXT")=MED(.01,"E") | 
|---|
| 78 | . ; NDC is field 31 in the drug file. | 
|---|
| 79 | . ; The actual drug entry in the drug file (MEDIEN) is not necessarily supplied. | 
|---|
| 80 | . ; It' node 1, internal form. | 
|---|
| 81 | . N MEDIEN S MEDIEN=MED(1,"I") | 
|---|
| 82 | . I +MEDIEN D  ; start of if/else block | 
|---|
| 83 | . . ; 12/30/08: I will be using RxNorm for coding... | 
|---|
| 84 | . . ; 176.001 is the file for Concepts; 176.003 is the file for | 
|---|
| 85 | . . ; sources (i.e. for RxNorm Version) | 
|---|
| 86 | . . ; | 
|---|
| 87 | . . ; We need the VUID first for the National Drug File entry first | 
|---|
| 88 | . . ; We get the VUID of the drug, by looking up the VA Product entry | 
|---|
| 89 | . . ; (file 50.68) using the call NDF^PSS50, returned in node 22. | 
|---|
| 90 | . . ; Field 99.99 is the VUID. | 
|---|
| 91 | . . ; | 
|---|
| 92 | . . ; We use the VUID to look up the RxNorm in file 176.001; same idea. | 
|---|
| 93 | . . ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by | 
|---|
| 94 | . . ; $$GET1^DIQ. | 
|---|
| 95 | . . ; | 
|---|
| 96 | . . ; I get the RxNorm name and version from the RxNorm Sources (file | 
|---|
| 97 | . . ; 176.003), by searching for "RXNORM", then get the data. | 
|---|
| 98 | . . D NDF^PSS50(MEDIEN,,,,,"NDF") | 
|---|
| 99 | . . N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN) | 
|---|
| 100 | . . N NDFIEN S NDFIEN=$P(NDFDATA(20),U) | 
|---|
| 101 | . . N VAPROD S VAPROD=$P(NDFDATA(22),U) | 
|---|
| 102 | . . ; | 
|---|
| 103 | . . ; NDFIEN is not necessarily defined; it won't be if the drug | 
|---|
| 104 | . . ; is not matched to the national drug file (e.g. if the drug is | 
|---|
| 105 | . . ; new on the market, compounded, or is a fake drug [blue pill]. | 
|---|
| 106 | . . ; To protect against failure, I will put an if/else block | 
|---|
| 107 | . . N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER | 
|---|
| 108 | . . I NDFIEN,$D(^C0CRXN) D  ; $Data is for Systems that don't have our RxNorm file yet. | 
|---|
| 109 | . . . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99) | 
|---|
| 110 | . . . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID") | 
|---|
| 111 | . . . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01) | 
|---|
| 112 | . . . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM") | 
|---|
| 113 | . . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6) | 
|---|
| 114 | . . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7) | 
|---|
| 115 | . . ; | 
|---|
| 116 | . . E  S (RXNORM,RXNNAME,RXNVER)="" | 
|---|
| 117 | . . ; End if/else block | 
|---|
| 118 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM | 
|---|
| 119 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME | 
|---|
| 120 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER | 
|---|
| 121 | . . ; | 
|---|
| 122 | . . S @MAP@("MEDBRANDNAMETEXT")="" | 
|---|
| 123 | . . D DOSE^PSS50(MEDIEN,,,,,"DOSE") | 
|---|
| 124 | . . N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN) | 
|---|
| 125 | . . S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901) | 
|---|
| 126 | . . S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2) | 
|---|
| 127 | . . ; Units, concentration, etc, come from another call | 
|---|
| 128 | . . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit | 
|---|
| 129 | . . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters | 
|---|
| 130 | . . ; NDF Entry IEN, and VA Product Name | 
|---|
| 131 | . . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT") | 
|---|
| 132 | . . ; Documented in the same manual; executed above. | 
|---|
| 133 | . . ; | 
|---|
| 134 | . . ; If a drug was not matched to NDF, then the NDFIEN is gonna be "" | 
|---|
| 135 | . . ; and this will crash the call. So... | 
|---|
| 136 | . . I NDFIEN="" S CONCDATA="" | 
|---|
| 137 | . . E  S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD) | 
|---|
| 138 | . . S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1) | 
|---|
| 139 | . . S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3) | 
|---|
| 140 | . . S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4) | 
|---|
| 141 | . . S @MAP@("MEDQUANTITYVALUE")=""  ; not provided for in Non-VA meds. | 
|---|
| 142 | . . ; Oddly, there is no easy place to find the dispense unit. | 
|---|
| 143 | . . ; It's not included in the original call, so we have to go to the drug file. | 
|---|
| 144 | . . ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT") | 
|---|
| 145 | . . ; Node 14.5 is the Dispense Unit | 
|---|
| 146 | . . D DATA^PSS50(MEDIEN,,,,,"QTY") | 
|---|
| 147 | . . N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN) | 
|---|
| 148 | . . S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5) | 
|---|
| 149 | . E  D | 
|---|
| 150 | . . S @MAP@("MEDPRODUCTNAMECODEVALUE")="" | 
|---|
| 151 | . . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")="" | 
|---|
| 152 | . . S @MAP@("MEDPRODUCTNAMECODEVERSION")="" | 
|---|
| 153 | . . S @MAP@("MEDBRANDNAMETEXT")="" | 
|---|
| 154 | . . S @MAP@("MEDSTRENGTHVALUE")="" | 
|---|
| 155 | . . S @MAP@("MEDSTRENGTHUNIT")="" | 
|---|
| 156 | . . S @MAP@("MEDFORMTEXT")="" | 
|---|
| 157 | . . S @MAP@("MEDCONCVALUE")="" | 
|---|
| 158 | . . S @MAP@("MEDCONCUNIT")="" | 
|---|
| 159 | . . S @MAP@("MEDSIZETEXT")="" | 
|---|
| 160 | . . S @MAP@("MEDQUANTITYVALUE")="" | 
|---|
| 161 | . . S @MAP@("MEDQUANTITYUNIT")="" | 
|---|
| 162 | . ; End If/Else | 
|---|
| 163 | . ; --- START OF DIRECTIONS --- | 
|---|
| 164 | . ; Dosage is field 2, route is 3, schedule is 4 | 
|---|
| 165 | . ; These are all free text fields, and don't point to any files | 
|---|
| 166 | . ; For that reason, I will use the field I never used before: | 
|---|
| 167 | . ; MEDDIRECTIONDESCRIPTIONTEXT | 
|---|
| 168 | . S DIRCNT=1 ; THERE IS ONLY ONE DIRECTION FOR OUTSIDE MEDS | 
|---|
| 169 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONDESCRIPTIONTEXT")=MED(2,"E")_" "_MED(3,"E")_" "_MED(4,"E") | 
|---|
| 170 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEINDICATOR")="4"  ; means look in description text. See E2369-05. | 
|---|
| 171 | . S @MAP@("M","DIRECTIONS",1,"MEDDELIVERYMETHOD")="" | 
|---|
| 172 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEVALUE")="" | 
|---|
| 173 | . S @MAP@("M","DIRECTIONS",1,"MEDDOSEUNIT")="" | 
|---|
| 174 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEVALUE")="" | 
|---|
| 175 | . S @MAP@("M","DIRECTIONS",1,"MEDRATEUNIT")="" | 
|---|
| 176 | . S @MAP@("M","DIRECTIONS",1,"MEDVEHICLETEXT")="" | 
|---|
| 177 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRECTIONROUTETEXT")="" | 
|---|
| 178 | . S @MAP@("M","DIRECTIONS",1,"MEDFREQUENCYVALUE")="" | 
|---|
| 179 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALVALUE")="" | 
|---|
| 180 | . S @MAP@("M","DIRECTIONS",1,"MEDINTERVALUNIT")="" | 
|---|
| 181 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONVALUE")="" | 
|---|
| 182 | . S @MAP@("M","DIRECTIONS",1,"MEDDURATIONUNIT")="" | 
|---|
| 183 | . S @MAP@("M","DIRECTIONS",1,"MEDPRNFLAG")="" | 
|---|
| 184 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMOBJECTID")="" | 
|---|
| 185 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMTYPETXT")="" | 
|---|
| 186 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMDESCRIPTION")="" | 
|---|
| 187 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODEVALUE")="" | 
|---|
| 188 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGSYSTEM")="" | 
|---|
| 189 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMCODINGVERSION")="" | 
|---|
| 190 | . S @MAP@("M","DIRECTIONS",1,"MEDPROBLEMSOURCEACTORID")="" | 
|---|
| 191 | . S @MAP@("M","DIRECTIONS",1,"MEDSTOPINDICATOR")="" | 
|---|
| 192 | . S @MAP@("M","DIRECTIONS",1,"MEDDIRSEQ")="" | 
|---|
| 193 | . S @MAP@("M","DIRECTIONS",1,"MEDMULDIRMOD")="" | 
|---|
| 194 | . ; | 
|---|
| 195 | . ; --- END OF DIRECTIONS --- | 
|---|
| 196 | . ; | 
|---|
| 197 | . ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105" | 
|---|
| 198 | . I $D(MED(10,1)) D  ; | 
|---|
| 199 | . . S @MAP@("MEDPTINSTRUCTIONS")=MED(10,1) ; WP Field | 
|---|
| 200 | . E  S @MAP@("MEDPTINSTRUCTIONS")="" | 
|---|
| 201 | . I $D(MED(14,1)) D  ; | 
|---|
| 202 | . . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MED(14,1) ; WP Field | 
|---|
| 203 | . E  S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")="" | 
|---|
| 204 | . S @MAP@("MEDRFNO")="" | 
|---|
| 205 | . N RESULT S RESULT=$NA(^TMP("GPLCCR",$J,"MAPPED")) | 
|---|
| 206 | . K @RESULT | 
|---|
| 207 | . D MAP^GPLXPATH(MINXML,MAP,RESULT) | 
|---|
| 208 | . ; D PARY^GPLXPATH(RESULT) | 
|---|
| 209 | . ; MAPPING DIRECTIONS | 
|---|
| 210 | . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE | 
|---|
| 211 | . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT | 
|---|
| 212 | . D QUERY^GPLXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1) | 
|---|
| 213 | . D REPLACE^GPLXPATH(RESULT,"","//Medications/Medication/Directions") | 
|---|
| 214 | . ; N MDZ1,MDZNA | 
|---|
| 215 | . I DIRCNT>0 D  ; IF THERE ARE DIRCTIONS | 
|---|
| 216 | . . F MDZ1=1:1:DIRCNT  D  ; FOR EACH DIRECTION | 
|---|
| 217 | . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1)) | 
|---|
| 218 | . . . D MAP^GPLXPATH(DIRXML1,MDZNA,DIRXML2) | 
|---|
| 219 | . . . D INSERT^GPLXPATH(RESULT,DIRXML2,"//Medications/Medication") | 
|---|
| 220 | . I MEDFIRST D  ; | 
|---|
| 221 | . . S MEDFIRST=0 ; RESET FIRST FLAG | 
|---|
| 222 | . . D CP^GPLXPATH(RESULT,OUTXML) ; First one is a copy | 
|---|
| 223 | . D:'MEDFIRST INSINNER^GPLXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER XML | 
|---|
| 224 | N MEDTMP,MEDI | 
|---|
| 225 | D MISSING^GPLXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS | 
|---|
| 226 | I MEDTMP(0)>0 D  ; IF THERE ARE MISSING VARS - MARKED AS @@X@@ | 
|---|
| 227 | . W "MEDICATION MISSING ",! | 
|---|
| 228 | . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),! | 
|---|
| 229 | Q | 
|---|
| 230 | ; | 
|---|