C0PRECON ; VEN/SMH - Utilities for Medication Reconciliation; 5/8/12 4:34pm ;;1.0;C0P;;Apr 25, 2012;Build 103 ;Copyright 2009 Sam Habiel. 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. Q ; GETMEDS(C0PDUZ,C0PDFN,ZRTN) ; Public Proc ; Retreives meds from WebService, matches them against VistA, ; compares them with current meds, saves into Non-Va multiple in file 55 ; (pharmacy patient) ; ; Input: ; - C0PDUZ: DUZ ; - C0PDFN: DFN ; I $G(^TMP("C0PNOPULLBACK")) Q ; TURNS OFF PULLBACK PROCESSING ; FOR TESTING NEW CROP OPTIONS - KEEPS VISTA ERX DRUGS INTACT AND ADDS NO ; NEW DRUGS N C0PWSMEDS D SOAP^C0PWS1("C0PWSMEDS","GETMEDS",C0PDUZ,C0PDFN) ; soap call for WS meds I C0PWSMEDS(1,"Status")'="OK" Q ; bad return from ws call N CURRENTMEDS D GET^C0PCUR(.CURRENTMEDS,C0PDFN) ; current meds in VistA N ZDUPS ; ARRAY TO KEEP TRACK OF DUPLICATES SO THAT WE CAN ; DISCONTINUE ERX MEDS THAT ARE NOT IN THE WEB SERVICE LIST N I FOR I=1:1:C0PWSMEDS(1,"RowCount") DO . N MEDTOADD M MEDTOADD=C0PWSMEDS(I) . N DUPID S DUPID=$$DUP(MEDTOADD("DrugID"),.CURRENTMEDS) ; check for dups . N MEDTXT S MEDTXT=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID")) . I 'DUPID S DUPID=$$FREMAT(MEDTXT,.CURRENTMEDS) ;check . ; for free text drug match gpl . I DUPID S ZDUPS(DUPID,I)="" ; INDEX BY CURRENT MED NUMBER . I DUPID D ; if indeed duplicate, check if WS Drug is newer drug . . N RXDATENOTIME . . S RXDATENOTIME=$P($$FMDATE(MEDTOADD("PrescriptionDate")),".") . . I RXDATENOTIME>CURRENTMEDS(DUPID,"START") D ; if newer . . . ;D DC^C0PNVA(C0PDFN,$P(CURRENTMEDS(DUPID,0),U)) ;dc old one . . . D DC^C0PNVA(C0PDFN,CURRENTMEDS(DUPID,"NVAIEN")) ; gpl . . . D ADD(.MEDTOADD,C0PDFN,C0PDUZ) ; add new one . . E ; do nothing here: Current med in Vista is newer or equivalent one . E D ADD(.MEDTOADD,C0PDFN,C0PDUZ) ; not a duplicate med ; NOW LOOK THROUGH CURRENT MEDS TO SEE WHICH NEED TO BE DISCONTINUED S I="" F S I=$O(CURRENTMEDS(I)) Q:I="" D ; FOR EACH CURRENT MED . I $O(ZDUPS(I,""))="" D ; DUPLICATE DRUG NOT FOUND . . I $P(CURRENTMEDS(I,0),U,9)'="ACTIVE" Q ; might be discontinued . . S ZT=$$DRUGNAM^C0PLKUP(.CURRENTMEDS,I) . . I ZT="" S ZT=$P(CURRENTMEDS(I,0),U,2) . . N ZN S ZN=$P($G(CURRENTMEDS(I,0)),U,1) . . S ZT=ZN_" "_ZT . . ;S ZT=$P(CURRENTMEDS(I,0),U,1)_" "_$P(CURRENTMEDS(I,0),U,2) . . I ZN["N;" D ; DISCONTINUE THE NONVA MED . . . I $G(CURRENTMEDS(I,"COMMENTS",1))["Received from E-Rx Web Service" D ; . . . . D DC^C0PNVA(C0PDFN,CURRENTMEDS(I,"NVAIEN")) ;dc the med . . . . S ZT="Discontinued "_ZT . . E S ZT="Can't Discontinue "_ZT . . D MAPERR(.ZRTN,"DRUGS",ZT) QUIT ADD(MEDTOADD,C0PDFN,C0PDUZ) ; Private Proc - Add med to VistA ; Input: ; - MEDTOADD: WebService Drug information, by Reference ; - C0PDFN: DFN, by Value ; - C0PDUZ: DUZ, By Value ; Output: ; - None N DRUGS S DRUGS=$$DRUG2^C0PLKUP(MEDTOADD("DrugID")) N ZR,ZII ; GPL NEED TO FIND A NON-ZERO MATCH F ZII=1:1:10 S ZR=$P(DRUGS,U,ZII) Q:ZR>0 ; $$DRUG2 RETURNS a^b^c FOR MATCHES S DRUGS=ZR ; WE WANT THE FIRST NON-ZERO MATCH I +DRUGS=0 DO QUIT . D SENDMSG(.MEDTOADD,C0PDFN) . D NFADD(.MEDTOADD,C0PDFN,C0PDUZ) . N ZT . S ZT="Error Mapping Drug: "_MEDTOADD("DrugName")_" ID: "_MEDTOADD("DrugID") . D MAPERR(.ZRTN,"DRUGS",ZT) ; CALL ERROR ROUTINE TO RECORD NO MATCH FOR DRUG N DRUG S DRUG=+DRUGS ; grab the first entry; as good as any for now N ORDIEN S ORDIEN=$$GET1^DIQ(50,DRUG,"PHARMACY ORDERABLE ITEM","I") N DOSAGE S DOSAGE=MEDTOADD("DosageNumberDescription")_" "_MEDTOADD("DosageForm") ; ****** ADDED BY GPL 10/5/10 TO ALWAYS CAPTURE FDB NAME IN SIG N MEDTXT S MEDTXT=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID")) I MEDTXT="" S MEDTXT=MEDTOADD("DrugName") ; drug not found condition gpl S DOSAGE=MEDTXT_"| "_MEDTOADD("DosageNumberDescription")_" "_MEDTOADD("DosageForm") ; | delimiter added by gpl 2/5/2010 ; ****** END MOD N ROUTE S ROUTE=MEDTOADD("Route") N SCHEDULE S SCHEDULE=MEDTOADD("DosageFrequencyDescription") I MEDTOADD("TakeAsNeeded")="Y" S SCHEDULE=SCHEDULE_" PRN" ; Vista stores PRN in schedule N START S START=$$FMDATE(MEDTOADD("PrescriptionDate")) N COMMENT S COMMENT(1)="Received from E-Rx Web Service" ;todo: move to dialog file S COMMENT(2)="Order Guid: "_$G(MEDTOADD("OrderGuid")) S COMMENT(3)="Physician Name: "_$G(MEDTOADD("PhysicianName")) S COMMENT(4)="Prescription Date: "_$G(MEDTOADD("PrescriptionDate")) S COMMENT(5)="Prescription Guid: "_$G(MEDTOADD("PrescriptionGuid")) S COMMENT(6)="Notes: "_$G(MEDTOADD("PrescriptionNotes")) ; add codes for Certification and Free Txt repair processing - gpl S COMMENT(7)=$$CODES^C0PLKUP(MEDTOADD("DrugID")) ; D FILE^C0PNVA(C0PDFN,ORDIEN,DRUG,DOSAGE,ROUTE,SCHEDULE,START,C0PDUZ,.COMMENT) QUIT MAPERR(ZRTN,ZTYP,ZTXT) ; ZTYP IS THE TYPE OF MAPPING ERROR ; (IE DRUGS OR ALLERGY) ; ZRTN IS PASSED BY REFERENCE AND IS THE ARRAY OF ERROR MESSAGES ; THIS ROUTINE ADDS THE ERROR MESSAGE TO THE END OF THE ARRAY ; ZTXT IS THE ERROR MESSAGE ; N ZI I $G(^TMP("C0PDEBUG"))="" Q ; ONLY SHOW MAPPING ERRORS ON DEBUG I '$D(ZRTN) S ZI=1 E S ZI=$O(ZRTN(""),-1)+1 ;ONE PASSED THE END OF ZRTN S ZRTN(ZI)=ZTXT Q ; FMDATE(C0PD) ; Public $$ - Get fileman date from dates formatted like 11/7/09 10:22:34 PM ; Input: Date like 11/7/09 10:22:34 PM ; Output: Timson date precise up to seconds S $E(C0PD,$F(C0PD," ")-1)="@" ; put @ b/n date and time for fm N %DT S %DT="TS" ; seconds are required N X,Y S X=C0PD D ^%DT I Y<0 D ^%ZTER ; Problem converting date... wake up programmer QUIT Y ; DUP(FDBDRUGID,CURRENTMEDS) ; Private $$ - Is Drug already documented for patient? ; Input: ; FDBDRUGID By Value ; CURRENTMEDS By Reference ; Output: ; "" if no duplicate ; CURRENTMEDS ien if duplicate N DRUGS S DRUGS=$$DRUG2^C0PLKUP(FDBDRUGID) ; add a check for the CODES in Comment(6) - to update if not there N C0PCODES S C0PCODES=$$CODES^C0PLKUP(FDBDRUGID) N I S I="" N FOUND S FOUND=0 F Q:FOUND=1 S I=$O(CURRENTMEDS(I)) Q:I="" D ; loop through current meds . I '$D(CURRENTMEDS(I,"DRUG")) QUIT ; continue if no drug id . I $G(CURRENTMEDS(I,"COMMENTS",1))'["Received from E-Rx Web Service" Q ; . ; DON'T MATCH ON DRUGS THAT ARE NOT ERX . ; check for CODES in COMMENTS(6) . I $G(CURRENTMEDS(I,"COMMENTS",6))'=C0PCODES D ; add codes . . ;S ^PS(55,C0PDFN,"NVA",I,1,7,0)=C0PCODES ; right into the global . I $P(CURRENTMEDS(I,0),U,9)'["ACTIVE" QUIT ; quit if not active . I ("^"_DRUGS_"^")[("^"_CURRENTMEDS(I,"DRUG")_"^") S FOUND=1 QUIT I ; entry if Found, "" if not found ; FREMAT(FDBDNAME,CURRENTMEDS,ZMED) ;MATCH A FREE TEXT DRUG EXTRINSIC ; THE DRUG ID HAS BEEN STORED IN THE COMMENT OF EACH ERX NONVA DRUG ; ZMED IS WHICH DRUG IN CURRENTMEDS WHICH IS PASSED BY REF ; FDBDNAME IS THE DRUG NAME AND IS PASSED BY VALUE ; GPL N I S I="" ; add a check for the CODES in Comment(6) - to update if not there N C0PCODES S C0PCODES=$$CODES^C0PLKUP(MEDTOADD("DrugID")) N FOUND S FOUND=0 F Q:FOUND=1 S I=$O(CURRENTMEDS(I)) Q:I="" D ; loop through current meds . I $D(CURRENTMEDS(I,"DRUG")) QUIT ; SKIP OVER MAPPED DRUGS . I $P(CURRENTMEDS(I,0),U,9)'["ACTIVE" QUIT ; quit if not active . I FDBDNAME=$$DRUGNAM^C0PLKUP(.CURRENTMEDS,I) S FOUND=1 I FOUND=1 D ; . S ZT="Drug Dup Found: "_MEDTOADD("DrugName")_" ID: "_MEDTOADD("DrugID") . ; check for CODES in COMMENTS(6) . I $G(CURRENTMEDS(I,"COMMENTS",6))'=C0PCODES D ; add codes . . ;S ^PS(55,C0PDFN,"NVA",I,1,7,0)=C0PCODES ; right into the global . D MAPERR(.ZRTN,"DRUGS",ZT) ; CALL ERROR ROUTINE TO RECORD NO MATCH FOR DRUG Q I ; entry if Found, "" if not found ; SENDMSG(MEDTOADD,C0PDFN) ; Private EP - Send Bulletin saying drug not found ; Input: ; - MEDTOADD: WS Med entry By Reference ; - C0PDFN: DFN by Value ; Output: ; - None ; info: tested 12/14/09 ; todo: move this to a background call - it takes too long! N DUZ ; remove old value to make the postmaster the sender N XMDUZ S XMDUZ="E-Rx WebService" ; supposed sender N XMTEXT ; unused N XMY ; unused N XMBTMP ; unused N XMDF ; unused N XMDT ; unused - will send message now N XMYBLOB ; unused N XMB S XMB="C0P EXTERNAL DRUG NOT FOUND" ; bulletin name S (XMB(1),XMB(5))=$$GET1^DIQ(2,C0PDFN,"PRIMARY LONG ID") ; chart # S (XMB(2),XMB(3))=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID")) ; drug not matched S XMB(4)=$$GET1^DIQ(2,C0PDFN,.01) ; patient name D ^XMB QUIT ; NFADD(MEDTOADD,C0PDFN,C0PDUZ) ; Private Proc - Add free text med to VistA ; Input: ; - MEDTOADD: WebService Drug information, by Reference ; - C0PDFN: DFN, by Value ; - C0PDUZ: DUZ, By Value ; Output: ; - None ; info: tested 12/16/09 ; Stores med along side dosage in dosage field as free text N ORDIEN S ORDIEN=$$FIND1^DIC(50.7,"","QX","FREE TXT DRUG","B") ; todo: change to a parameter N DOSAGE N MEDTXT S MEDTXT=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID")) I MEDTXT="" S MEDTXT=MEDTOADD("DrugName") ; drug not found condition gpl S DOSAGE=MEDTXT_"| "_MEDTOADD("DosageNumberDescription")_" "_MEDTOADD("DosageForm") ; | delimiter added by gpl 2/5/2010 N ROUTE S ROUTE=MEDTOADD("Route") N SCHEDULE S SCHEDULE=MEDTOADD("DosageFrequencyDescription") I MEDTOADD("TakeAsNeeded")="Y" S SCHEDULE=SCHEDULE_" PRN" ; N START S START=$$FMDATE(MEDTOADD("PrescriptionDate")) N COMMENT S COMMENT(1)="Received from E-Rx Web Service" ;todo: move to dialog file S COMMENT(2)="Order Guid: "_$G(MEDTOADD("OrderGuid")) S COMMENT(3)="Physician Name: "_$G(MEDTOADD("PhysicianName")) S COMMENT(4)="Prescription Date: "_$G(MEDTOADD("PrescriptionDate")) S COMMENT(5)="Prescription Guid: "_$G(MEDTOADD("PrescriptionGuid")) S COMMENT(6)="Notes: "_$G(MEDTOADD("PrescriptionNotes")) ; add codes for Certification and Free Txt repair processing - gpl S COMMENT(7)=$$CODES^C0PLKUP(MEDTOADD("DrugID")) ; D FILE^C0PNVA(C0PDFN,ORDIEN,"",DOSAGE,ROUTE,SCHEDULE,START,C0PDUZ,.COMMENT) ;N COMMENT ;added DrugID to comment 1/27/2010 gpl ;S COMMENT="Received from E-Rx Web Service (DrugID:"_MEDTOADD("DrugID")_")" ;D FILE^C0PNVA(C0PDFN,ORDIEN,"",DOSAGE,ROUTE,SCHEDULE,START,C0PDUZ,COMMENT) QUIT