[1606] | 1 | C0XPT1 ; VEN/SMH - Obtain and Store Problems ;2013-02-19 11:55 AM
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| 2 | ;;1.1;FILEMAN TRIPLE STORE;;
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| 3 | ;
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| 4 | PROBLEMS(G,DFN) ; Private EP; Process Problems for a patient graph
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| 5 | ; Delete existing problems if they are present
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| 6 | ; PS: This is a risky operation if somebody points to the original data.
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| 7 | ; PS2: Another idea is just to quit here if Patient has problems already.
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| 8 | I $D(^AUPNPROB("AC",DFN)) DO ; Patient already has problems.
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| 9 | . N DIK S DIK="^AUPNPROB(" ; Global to kill
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| 10 | . N DA F DA=0:0 S DA=$O(^AUPNPROB("AC",DFN,DA)) Q:'DA D ^DIK ; Kill each entry
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| 11 | ;
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| 12 | ; Process incoming problems
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| 13 | N RETURN ; Local return variable. I don't expect a patient to have more than 50 problems.
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| 14 | D ONETYPE^C0XGET3($NA(RETURN),G,"sp:Problem") ; Get all problems for patient
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| 15 | N S F S=0:0 S S=$O(RETURN(S)) Q:'S D ; For each problem
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| 16 | . N PROBNM S PROBNM=$$GSPO1^C0XGET3(G,RETURN(S),"sp:problemName") ; Snomed-CT coding info
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| 17 | . N CODEURL S CODEURL=$$GSPO1^C0XGET3(G,PROBNM,"sp:code") ; Snomed-CT Code URL
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| 18 | . N TEXT S TEXT=$$GSPO1^C0XGET3(G,PROBNM,"dcterms:title") ; Snomed-CT Code description
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| 19 | . ;
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| 20 | . N CODE ; Actual Snomed code rather than URL
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| 21 | . S CODE=$P(CODEURL,"/",$L(CODEURL,"/")) ; Get last / piece
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| 22 | . N EXPIEN ; IEN in the EXPESSION file
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| 23 | . N LEXS ; Return from Lex call
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| 24 | . D EN^LEXCODE(CODE) ; Lex API
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| 25 | . S EXPIEN=$P(LEXS("SCT",1),U) ; First match on Snomed CT. Crash if isn't present.
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| 26 | . ;
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| 27 | . N STARTDT S STARTDT=$$GSPO1^C0XGET3(G,RETURN(S),"sp:startDate") ; Start Date
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| 28 | . N X,Y,%DT S X=STARTDT D ^%DT S STARTDT=Y ; Convert STARTDT to internal format
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| 29 | . D PROBADD(DFN,CODE,TEXT,EXPIEN,STARTDT) ; Add problem to VISTA.
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| 30 | QUIT
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| 31 | ;
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| 32 | PROBADD(DFN,CODE,TEXT,EXPIEN,STARTDT) ; Add a problem to a patient's record.
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| 33 | ; Input
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| 34 | ; DFN - you know what that is
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| 35 | ; CODE - SNOMED code; not used alas; for the future.
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| 36 | ; TEXT - SNOMED Text
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| 37 | ; EXPIEN - IEN of Snomed CT Expression in the Expressions File (757.01)
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| 38 | ; STARTDT - Internal Date of when the problem was first noted.
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| 39 | ;
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| 40 | ; Output:
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| 41 | ; NONE
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| 42 | ; Crash expected if code fails to add a problem.
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| 43 | ;
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| 44 | ;
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| 45 | ;
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| 46 | N GMPDFN S GMPDFN=DFN ; patient dfn
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| 47 | ;
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| 48 | ; Add unknown provider to database
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| 49 | N GMPPROV S GMPPROV=$$NP^C0XPT0() ;Smart Provider IEN
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| 50 | ;
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| 51 | N GMPVAMC S GMPVAMC=$$KSP^XUPARAM("INST") ; Problem Institution. Ideally, the external one. But we are taking a shortcut here.
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| 52 | ;
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| 53 | N GMPFLD ; Input array
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| 54 | S GMPFLD(".01")="" ;Code IEN - API will assign 799.9.
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| 55 | ; .02 field (Patient IEN) not used. Pass variable GMPDFN instead.
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| 56 | S GMPFLD(".03")=DT ;Date Last Modified
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| 57 | S GMPFLD(".05")="^"_TEXT ;Expression text
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| 58 | S GMPFLD(".08")=DT ; today's date (entry?)
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| 59 | S GMPFLD(".12")="A" ;Active/Inactive
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| 60 | S GMPFLD(".13")=STARTDT ;Onset date
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| 61 | S GMPFLD("1.01")=EXPIEN_U_TEXT ;^LEX(757.01 ien,descip
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| 62 | S GMPFLD("1.03")=GMPPROV ;Entered by
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| 63 | S GMPFLD("1.04")=GMPPROV ;Recording provider
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| 64 | S GMPFLD("1.05")=GMPPROV ;Responsible provider
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| 65 | S GMPFLD("1.06")="" ; SERVICE FILE - LEAVE BLANK(#49)
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| 66 | S GMPFLD("1.07")="" ; Date resolved
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| 67 | S GMPFLD("1.08")="" ; Clinic (#44)
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| 68 | S GMPFLD("1.09")=DT ;entry date
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| 69 | S GMPFLD("1.1")=0 ;Service Connected
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| 70 | S GMPFLD("1.11")=0 ;Agent Orange exposure
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| 71 | S GMPFLD("1.12")=0 ;Ionizing radiation exposure
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| 72 | S GMPFLD("1.13")=0 ;Persian Gulf exposure
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| 73 | S GMPFLD("1.14")="C" ;Accute/Chronic (A,C)
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| 74 | S GMPFLD("1.15")="" ;Head/neck cancer
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| 75 | S GMPFLD("1.16")="" ;Military sexual trauma
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| 76 | S GMPFLD("10",0)=0 ; Note. No note.
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| 77 | ;
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| 78 | ;
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| 79 | N DA ; Return variable
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| 80 | D NEW^GMPLSAVE ; API call
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| 81 | I '$D(DA) S $EC=",U1," ; Fail here if API fails.
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| 82 | QUIT
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| 83 | ;
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| 84 | ;
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