source: ccr/trunk/p/CCRMEDS6.m@ 392

Last change on this file since 392 was 374, checked in by Sam Habiel, 16 years ago

I can finally extract a correct RxNorm code from the NDC. Whole routine still untested, but should work.

File size: 15.0 KB
Line 
1CCRMEDS6 ; WV/CCDCCR/SMH - Meds from RPMS: Outpatient Meds;01/10/09
2 ;;0.1;CCDCCR;;JUL 16,2008;
3 ; Copyright 2008 WorldVistA. Licensed under the terms of the GNU
4 ; General Public License See attached copy of the License.
5 ;
6 ; This program is free software; you can redistribute it and/or modify
7 ; it under the terms of the GNU General Public License as published by
8 ; the Free Software Foundation; either version 2 of the License, or
9 ; (at your option) any later version.
10 ;
11 ; This program is distributed in the hope that it will be useful,
12 ; but WITHOUT ANY WARRANTY; without even the implied warranty of
13 ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
14 ; GNU General Public License for more details.
15 ;
16 ; You should have received a copy of the GNU General Public License along
17 ; with this program; if not, write to the Free Software Foundation, Inc.,
18 ; 51 Franklin Street, Fifth Floor, Boston, MA 02110-1301 USA.
19 ;
20 W "NO ENTRY FROM TOP",!
21 Q
22 ;
23EXTRACT(MINXML,DFN,OUTXML) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
24 ;
25 ; MINXML and OUTXML are passed by name so globals can be used
26 ; MINXML will contain only the medications skeleton of the overall template
27 ;
28 ; MEDS is return array from RPC.
29 ; MAP is a mapping variable map (store result) for each med
30 ; MED is holds each array element from MEDS(J), one medicine
31 ; J is a counter.
32 ;
33 ; GETRXS^BEHORXFN(ARRAYNAME,DFN,DAYS) will be the the API used.
34 ; This API has been developed by Medsphere for IHS for getting
35 ; Medications from RPMS. It has most of what we need.
36 ; API written by Doug Martin when he worked for Medsphere (thanks Doug!)
37 ; -- ARRAYNAME is passed by name (required)
38 ; -- DFN is passed by value (required)
39 ; -- DAYS is passed by value (optional; if not passed defaults to 365)
40 ;
41 ; Return:
42 ; ~Type^PharmID^Drug^InfRate^StopDt^RefRem^TotDose^UnitDose^OrderID
43 ; ^Status^LastFill^Chronic^Issued^Rx #^Provider^
44 ; Status Reason^DEA Handling
45 ;
46 N MEDS,MEDS1,MAP
47 D GETRXS^BEHORXFN("MEDS1",DFN,365) ; Days hard set to 365
48 ; If MEDS1 is not defined, then no meds
49 I '$D(MEDS1) S @OUTXML@(0)=0 QUIT
50 I DEBUG ZWR MEDS1,MINXML
51 N MEDCNT S MEDCNT=0 ; Med Count
52 ; The next line is a super line. It goes through the array return
53 ; and if the first characters are ~OP, it grabs the line.
54 ; This means that line is for a dispensed Outpatient Med.
55 ; That line has the metadata about the med that I need.
56 ; The next lines, however many, are the med and the sig.
57 ; I won't be using those because I have to get the sig parsed exactly.
58 N J S J="" F S J=$O(MEDS1(J)) Q:J="" I $E(MEDS1(J),1,3)="~OP" S MEDCNT=MEDCNT+1 S MEDS(MEDCNT)=MEDS1(J)
59 K MEDS1
60 S MEDMAP=$NA(^TMP("GPLCCR",$J,"MEDMAP")) ; this is the variable map
61 S @MEDMAP@(0)=0 ; Initial count of meds
62 S MEDCNT="" ; Initialize for $Order
63 F S MEDCNT=$O(MEDS(MEDCNT)) Q:MEDCNT="" D ; for each medication in the list
64 . I DEBUG W "MEDCNT IS ",MEDCNT,!
65 . S MAP=$NA(^TMP("GPLCCR",$J,"MEDMAP",MEDCNT))
66 . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN CCRMEDS
67 . S @MEDMAP@(0)=@MEDMAP@(0)+1 ; increment total meds in var array
68 . I DEBUG W "MAP= ",MAP,!
69 . S @MAP@("MEDOBJECTID")="MED"_MEDCNT ; MEDCNT FOR ID
70 . S @MAP@("MEDISSUEDATETXT")="Issue Date"
71 . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^CCRUTIL($P(MEDS(MEDCNT),U,13))
72 . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
73 . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^CCRUTIL($P(MEDS(MEDCNT),U,11))
74 . S @MAP@("MEDRXNOTXT")="Prescription Number"
75 . S @MAP@("MEDRXNO")=$P(MEDS(MEDCNT),U,14)
76 . S @MAP@("MEDTYPETEXT")="Medication"
77 . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
78 . S @MAP@("MEDSTATUSTEXT")=$P(MEDS(MEDCNT),U,10)
79 . ; Provider only provided in API as text, not DUZ.
80 . ; We need to get DUZ from filman file 52 (Prescription)
81 . ; Field 4; IEN is Piece 2 of Meds stripped of trailing characters.
82 . ; Note that I will use RXIEN several times later
83 . N RXIEN S RXIEN=+$P(MEDS(MEDCNT),U,2)
84 . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52,RXIEN,4,"I")
85 . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MEDS(MEDCNT),U,3)
86 . ; --- RxNorm Stuff
87 . ; 176.001 is the file for Concepts; 176.003 is the file for
88 . ; sources (i.e. for RxNorm Version)
89 . ;
90 . ; I use 176.001 for the Vista version of this routine (files 1-3)
91 . ; Since IHS does not have VUID's, I will be getting RxNorm codes
92 . ; using NDCs. My specially crafted index (sounds evil) named "NDC"
93 . ; is in file 176.002. The file is called RxNorm NDC to VUID.
94 . ; Except that I don't need the VUID, but it's there if I need it.
95 . ;
96 . ; We obviously need the NDC. That is easily obtained from the prescription.
97 . ; Field 27 in file 52
98 . N NDC S NDC=$$GET1^DIQ(52,RXIEN,27,"I")
99 . ; I discovered that file 176.002 might give you two codes for the NDC
100 . ; One for the Clinical Drug, and one for the ingredient.
101 . ; So the plan is to get the two RxNorm codes, and then find from
102 . ; file 176.001 which one is the Clinical Drug.
103 . ; ... I refactored this into GETRXN
104 . N RXNORM,SRCIEN,RXNNAME,RXNVER
105 . I +NDC,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
106 . . S RXNORM=$$GETRXN(NDC)
107 . . S SRCIEN=$$FIND1^DIC(176.003,,,"RXNORM","B")
108 . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
109 . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
110 . ;
111 . E S (RXNORM,RXNNAME,RXNVER)=""
112 . ; End if/else block
113 . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
114 . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
115 . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
116 . ; --- End RxNorm section
117 . ;
118 . ; Brand name is 52 field 6.5
119 . S @MAP@("MEDBRANDNAMETEXT")=$$GET1^DIQ(52,RXIEN,6.5)
120 . ;
121 . ; Next I need Med Form (tab, cap etc), strength (250mg)
122 . ; concentration for liquids (250mg/mL)
123 . ; Since IHS does not have any of the new calls that
124 . ; Vista has, I will be doing a crosswalk:
125 . ; File 52, field 6 is Drug IEN in file 50
126 . ; File 50, field 22 is VA Product IEN in file 50.68
127 . ; In file 50.68, I will get the following:
128 . ; -- 1: Dosage Form
129 . ; -- 2: Strength
130 . ; -- 3: Units
131 . ; -- 8: Dispense Units
132 . ; -- Conc is 2 concatenated with 3
133 . ;
134 . ; *** If Drug is not matched to NDF, then VA Product will be "" ***
135 . ;
136 . N MEDIEN S MEDIEN=$$GET1^DIQ(52,RXIEN,6,"I") ; Drug IEN in 50
137 . N VAPROD S VAPROD=$$GET1^DIQ(50,MEDIEN,22,"I") ; VA Product in file 50.68
138 . I +VAPROD D
139 . . S @MAP@("MEDSTRENGTHVALUE")=$$GET1^DIQ(50.68,VAPROD,2)
140 . . S @MAP@("MEDSTRENGTHUNIT")=$$GET1^DIQ(50.68,VAPROD,3)
141 . . S @MAP@("MEDFORMTEXT")=$$GET1^DIQ(50.68,VAPROD,1)
142 . . S @MAP@("MEDCONCVALUE")=@MAP@("MEDSTRENGTHVALUE")
143 . . S @MAP@("MEDCONCUNIT")=@MAP@("MEDSTRENGTHUNIT")
144 . E D
145 . . S @MAP@("MEDSTRENGTHVALUE")=""
146 . . S @MAP@("MEDSTRENGTHUNIT")=""
147 . . S @MAP@("MEDFORMTEXT")=""
148 . . S @MAP@("MEDCONCVALUE")=""
149 . . S @MAP@("MEDCONCUNIT")=""
150 . ; End Strengh/Conc stuff
151 . ;
152 . ; Quantity is in the prescription, field 7
153 . S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52,RXIEN,7)
154 . ; Dispense unit is in the drug file, field 14.5
155 . S @MAP@("MEDQUANTITYUNIT")=$$GET1^DIQ(50,MEDIEN,14.5)
156 . ;
157 . ; --- START OF DIRECTIONS ---
158 . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but...
159 . ; we want the components.
160 . ; It's in multiple 113 in the Prescription File (52)
161 . ; #.01 DOSAGE ORDERED [1F] "20"
162 . ; #1 DISPENSE UNITS PER DOSE [2N] "1"
163 . ; #2 UNITS [3P:50.607] "MG"
164 . ; #3 NOUN [4F] "TABLET"
165 . ; #4 DURATION [5F] "10D"
166 . ; #5 CONJUNCTION [6S] "AND"
167 . ; #6 ROUTE [7P:51.2] "ORAL"
168 . ; #7 SCHEDULE [8F] "BID"
169 . ; #8 VERB [9F] "TAKE"
170 . ;
171 . ; Will use GETS^DIQ to get fields.
172 . ; Data comes out like this:
173 . ; SAMINS(52.0113,"1,23,",.01)=20
174 . ; SAMINS(52.0113,"1,23,",1)=1
175 . ; SAMINS(52.0113,"1,23,",2)="MG"
176 . ; SAMINS(52.0113,"1,23,",3)="TABLET"
177 . ; SAMINS(52.0113,"1,23,",4)="5D"
178 . ; SAMINS(52.0113,"1,23,",5)="THEN"
179 . ;
180 . N RAWDATA
181 . D GETS^DIQ(52,RXIEN,"113*",,"RAWDATA","DIERR")
182 . D:$D(DIERR) ^%ZTER ; Log if there's an error in retrieving sig field
183 . ; none the less, continue; some parts are retrievable.
184 . N FMSIG M FMSIG=RAWDATA(52.0113) ; Merge into subfile...
185 . K RAWDATA
186 . N FMSIGNUM S FMSIGNUM="" ; Sigline number in fileman.
187 . ; FMSIGNUM gets outputted as "IEN,RXIEN,".
188 . ; DIRCNT is the proper Sigline numer.
189 . ; SIGDATA is the simplfied array.
190 . F S FMSIGNUM=$O(FMSIG(FMSIGNUM)) Q:FMSIGNUM="" D
191 . . N DIRCNT S DIRCNT=$P(FMSIGNUM,",")
192 . . N SIGDATA M SIGDATA=FMSIG(FMSIGNUM)
193 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
194 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
195 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$G(SIGDATA(8))
196 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$G(SIGDATA(.01))
197 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=$G(SIGDATA(2))
198 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient
199 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient
200 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient
201 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$G(SIGDATA(6))
202 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$G(SIGDATA(7))
203 . . ; Invervals... again another call.
204 . . ; In the wisdom of the original programmers, the schedule is a free text field
205 . . ; However, it gets translated by a call to the administration schedule file
206 . . ; to see if that schedule exists.
207 . . ; That's the same thing I am going to do.
208 . . ; Search B index of 51.1 (Admin Schedule) with schedule
209 . . ; First, remove "PRN" if it exists (don't ask, that's how the file
210 . . ; works; I wouldn't do it that way).
211 . . N SCHNOPRN S SCHNOPRN=$G(SIGDATA(7))
212 . . I SCHNOPRN["PRN" S SCHNOPRN=$E(SCHNOPRN,1,$F(SCHNOPRN,"PRN")-5)
213 . . ; Super call below:
214 . . ; 1=File 51.1 3=Field 2 (Frequency in Minutes)
215 . . ; 4=Packed format, Exact Match 5=Lookup Value
216 . . ; 6=# of entries to return 7=Index 10=Return Array
217 . . ;
218 . . ; I do not account for the fact that two schedules can be
219 . . ; spelled identically (ie duplicate entry). In that case,
220 . . ; I get the first. That's just a bad pharmacy pkg maintainer.
221 . . N C0C515
222 . . D FIND^DIC(51.1,,"@;2","PX",SCHNOPRN,1,"B",,,"C0C515")
223 . . N INTERVAL S INTERVAL="" ; Default
224 . . ; If there are entries found, get it
225 . . I +$G(C0C515("DILIST",0)) S INTERVAL=$P(C0C515("DILIST",1,0),U,2)
226 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
227 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
228 . . ; Duration is 10M minutes, 10H hours, 10D for Days
229 . . ; 10W for weeks, 10L for months. I smell $Select
230 . . ; But we don't need to do that if there isn't a duration
231 . . I +$G(SIGDATA(4)) D
232 . . . N DURUNIT S DURUNIT=$E(SIGDATA(4),$L(SIGDATA(4))) ; get last char
233 . . . N DURTXT S DURTXT=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"Days")
234 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=+SIGDATA(4)
235 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=DURTXT
236 . . E D
237 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=""
238 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
239 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$G(SIGDATA(4))["PRN"
240 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" ; when avail
241 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
242 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
243 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
244 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
245 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
246 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
247 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; not stored
248 . . ; Another confusing line; I am pretty bad:
249 . . ; If there is another entry in the FMSIG array (i.e. another line
250 . . ; in the sig), set the direction count indicator.
251 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")="" ; Default
252 . . S:+$O(FMSIG(FMSIGNUM)) @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRCNT
253 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$G(SIGDATA(5))
254 . ;
255 . ; --- END OF DIRECTIONS ---
256 . ;
257 . ; Med instructions is a WP field, thus the acrobatics
258 . ; Notice buffer overflow protection set at 10,000 chars
259 . ; -- 1. Med Patient Instructions
260 . N MEDPTIN1 S MEDPTIN1=$$GET1^DIQ(52,RXIEN,115,,"MEDPTIN1")
261 . N MEDPTIN2,J S (MEDPTIN2,J)=""
262 . I $L(MEDPTIN1) F S J=$O(@MEDPTIN1@(J)) Q:J="" Q:$L(MEDPTIN2)>10000 S MEDPTIN2=MEDPTIN2_@MEDPTIN1@(J)_" "
263 . S @MAP@("MEDPTINSTRUCTIONS")=MEDPTIN2
264 . K J
265 . ; -- 2. Med Provider Instructions
266 . N MEDPVIN1 S MEDPVIN1=$$GET1^DIQ(52,RXIEN,39,,"MEDPVIN1")
267 . N MEDPVIN2,J S (MEDPVIN2,J)=""
268 . I $L(MEDPVIN1) F S J=$O(@MEDPVIN1@(J)) Q:J="" Q:$L(MEDPVIN2)>10000 S MEDPVIN2=MEDPVIN2_@MEDPVIN1@(J)_" "
269 . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MEDPVIN2
270 . ;
271 . ; Remaining refills
272 . S @MAP@("MEDRFNO")=$P(MEDS(MEDCNT),U,6)
273 . ; ------ END OF MAPPING
274 . ;
275 . ; ------ BEGIN XML INSERTION
276 . N RESULT S RESULT=$NA(^TMP("GPLCCR",$J,"MAPPED"))
277 . K @RESULT
278 . D MAP^GPLXPATH(MINXML,MAP,RESULT)
279 . ; D PARY^GPLXPATH(RESULT)
280 . ; MAPPING DIRECTIONS
281 . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
282 . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
283 . D QUERY^GPLXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
284 . D REPLACE^GPLXPATH(RESULT,"","//Medications/Medication/Directions")
285 . ; N MDZ1,MDZNA
286 . N DIRCNT S DIRCNT=""
287 . I +$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; IF THERE ARE DIRCTIONS
288 . . F DIRCNT=$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; FOR EACH DIRECTION
289 . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",DIRCNT))
290 . . . D MAP^GPLXPATH(DIRXML1,MDZNA,DIRXML2)
291 . . . D INSERT^GPLXPATH(RESULT,DIRXML2,"//Medications/Medication")
292 . D:MEDCNT=1 CP^GPLXPATH(RESULT,OUTXML) ; First one is a copy
293 . D:MEDCNT>1 INSINNER^GPLXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML
294 N MEDTMP,MEDI
295 D MISSING^GPLXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
296 I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
297 . W "MEDICATION MISSING ",!
298 . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
299 Q
300 ;
301GETRXN(NDC) ; Extrinsic Function; PUBLIC; NDC to RxNorm
302 ;; Get RxNorm Concept Number for a Given NDC
303 ;
304 S NDC=$TR(NDC,"-") ; Remove dashes
305 N RXNORM,C0CZRXN,DIERR
306 D FIND^DIC(176.002,,"@;.01","PX",NDC,"*","NDC",,,"C0CZRXN","DIERR")
307 I $D(DIERR) D ^%ZTER BREAK
308 S RXNORM(0)=+C0CZRXN("DILIST",0) ; RxNorm(0) will be # of entries
309 N I S I=0
310 F S I=$O(C0CZRXN("DILIST",I)) Q:I="" S RXNORM(I)=$P(C0CZRXN("DILIST",I,0),U,2)
311 ; At this point, RxNorm(0) is # of entries; RxNorm(1...) are the entries
312 ; If RxNorm(0) is 1, then we only have one entry, and that's it.
313 I RXNORM(0)=1 QUIT RXNORM(1) ; RETURN RXNORM(1)
314 ; Otherwise, we need to find out which one is the semantic
315 ; clinical drug. I built an index on 176.001 (RxNorm Concepts)
316 ; for that purpose.
317 I RXNORM(0)>1 D
318 . S I=0
319 . F S I=$O(RXNORM(I)) Q:I="" D Q:$G(RXNORM)
320 . . N RXNIEN S RXNIEN=$$FIND1^DIC(176.001,,,RXNORM(I),"SCD")
321 . . I +$G(RXNIEN)=0 QUIT ; try the next entry...
322 . . E S RXNORM=RXNORM(I) QUIT ; We found the right code
323 QUIT +$G(RXNORM) ; RETURN RXNORM; if we couldn't find a clnical drug, return with 0
324
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