1 | C0XPT3 ;ISI/MLS,VEN/SMH -- MEDS IMPORT ;2013-05-06 4:35 PM
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2 | ;;1.0;FILEMAN TRIPLE STORE;;Jun 26,2012;Build 29
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3 | ; (C) Sam Habiel 2013
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4 | ; Proprietary code. Stay out!
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5 | ;
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6 | MEDS(G,DFN) ; Private Proc; Extract Medication Data from a Patient's Graph
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7 | ; G - Patient Graph, DFN - you should know this
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8 | K ^TMP($J,"MEDS")
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9 | D ONETYPE^C0XGET3($NA(^TMP($J,"MEDS")),G,"sp:Medication")
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10 | ;
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11 | ; PRIVATE TO SAM -- PRIVATE TO SAM -- PRIVATE TO SAM
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12 | ; Delete the old drugs for this patient
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13 | N DIK,DA
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14 | S DIK="^PS(55,",DA=DFN D ^DIK ; bye bye
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15 | S DIK="^PSRX(" F DA=0:0 S DA=$O(^PSRX(DA)) Q:'DA D:$P(^(DA,0),U,2)=DFN ^DIK
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16 | S DIK="^OR(100," F DA=0:0 S DA=$O(^OR(100,DA)) Q:'DA D:+$P(^(DA,0),U,2)=DFN ^DIK
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17 | ; PRIVATE TO SAM -- PRIVATE TO SAM -- PRIVATE TO SAM
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18 | ;
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19 | ; For each medication (C0XI = COUNTER; S = Medication Node as Subject)
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20 | N C0XI,S F C0XI=0:0 S C0XI=$O(^TMP($J,"MEDS",C0XI)) Q:'C0XI S S=^(C0XI) DO MED1(G,S,DFN)
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21 | K ^TMP($J,"MEDS")
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22 | QUIT
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23 | ;
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24 | MED1(G,S,DFN) ; Private Procedure; Process each medication in Graph.
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25 | ; G = Graph; S = Medication Description ID as subject.
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26 | ;
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27 | ; 1. Start Date; obtain and then conv to fileman format
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28 | N STARTDT S STARTDT=$$GSPO1^C0XGET3(G,S,"sp:startDate") ; Duh! Start Date.
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29 | D
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30 | . N %DT,X,Y S X=STARTDT D ^%DT S STARTDT=Y ; New stack level for variables.
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31 | ;
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32 | ;DEBUG.ASSERT that STARTDT is greater than 1900
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33 | I STARTDT'>2000000 S $EC=",U1,"
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34 | ;
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35 | ; 2. Frequency
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36 | N FVALUE S FVALUE=$$GSPO1^C0XGET3(G,S,"sp:frequency.sp:value")
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37 | N FUNIT S FUNIT=$$GSPO1^C0XGET3(G,S,"sp:frequency.sp:unit")
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38 | ;
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39 | ; 3. Dose Quantity
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40 | ; Get value, get unit and strip the braces out.
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41 | N DOSE S DOSE=$$GSPO1^C0XGET3(G,S,"sp:quantity.sp:value")
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42 | N DUNIT S DUNIT=$$GSPO1^C0XGET3(G,S,"sp:quantity.sp:unit"),DUNIT=$TR(DUNIT,"{}")
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43 | ;
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44 | ; 4. Instructions
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45 | N INST S INST=$$GSPO1^C0XGET3(G,S,"sp:instructions")
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46 | ;
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47 | ; 5. Drug Name and Code
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48 | N RXN S RXN=$$GSPO1^C0XGET3(G,S,"sp:drugName.sp:code"),RXN=$P(RXN,"/",$L(RXN,"/")) ; RxNorm Code
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49 | N DN S DN=$$GSPO1^C0XGET3(G,S,"sp:drugName.dcterms:title") ; Drug Name
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50 | ;
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51 | W S," ",FVALUE_FUNIT," ",DOSE," ",DUNIT," ",INST," ",DN," ",RXN,!
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52 | ;
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53 | ; 6. Get Fill Dates
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54 | N FULF ; Fulfillments
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55 | D GSPO^C0XGET3($NA(FULF),G,S,"sp:fulfillment")
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56 | ;
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57 | N FILLS ; Fills array. Contains every time a drug was dispensed.
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58 | N FILL S FILL="" F S FILL=$O(FULF(FILL)) Q:FILL="" D
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59 | . N S S S=FULF(FILL) ; New subject; subsumes above one in this loop
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60 | . ;
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61 | . ; Dispense Date
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62 | . N FILLDATE S FILLDATE=$$GSPO1^C0XGET3(G,S,"dcterms:date")
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63 | . D
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64 | . . N %DT,X,Y S X=FILLDATE D ^%DT S FILLDATE=Y
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65 | . I FILLDATE<2000000 W $EC=",U1," ; Converstion error
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66 | . ;
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67 | . S FILLS=$G(FILLS)+1 ; Counter for number of dispenses
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68 | . S FILLS(RXN,FILLDATE,"sp:dispenseDaysSupply")=$$GSPO1^C0XGET3(G,S,"sp:dispenseDaysSupply") ; Self Explanatory?
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69 | . ;
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70 | . ; Get quantity value and unit
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71 | . S FILLS(RXN,FILLDATE,"sp:quantityDispensed.sp:value")=$$GSPO1^C0XGET3(G,S,"sp:quantityDispensed.sp:value")
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72 | . S FILLS(RXN,FILLDATE,"sp:quantityDispensed.sp:unit")=$TR($$GSPO1^C0XGET3(G,S,"sp:quantityDispensed.sp:unit"),"{}")
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73 | ;
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74 | ; ZWRITE:$D(FILLS) FILLS
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75 | ;
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76 | ; Prepare to add drug to patient record
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77 | D
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78 | . N FILDT,FILQTY,FILDAYS
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79 | . S FILDT=$O(FILLS(RXN,"")) ; Get first fill.
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80 | . I FILDT S FILQTY=FILLS(RXN,FILDT,"sp:quantityDispensed.sp:value"),FILDAYS=FILLS(RXN,FILDT,"sp:dispenseDaysSupply") ; extract fill data
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81 | . E S (FILQTY,FILDAYS)="",FILDT=STARTDT ; Technically, the drug is invalid since there is no fill. But this is a kludge.
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82 | . D PREP(DFN,RXN,INST,FILDT,FILQTY,FILDAYS,.FILLS) ; Add drug to patient record
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83 | ;
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84 | QUIT
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85 | ;
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86 | PREP(DFN,RXN,INST,FILDT,FILQTY,FILDAYS,FILLS) ; Private EP to add drug to patient record
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87 | ; - DFN
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88 | ; - RXN - RxNorm CUI
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89 | ; - INST - Instructions (1 tablet daily etc)
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90 | ; - FILDT - Earliest Fill Date
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91 | ; - FILQTY - Fill quantity of earliest fill date, used as default
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92 | ; - FILDAYS - Days Supply
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93 | ; - FILLS - Array specificed above - ByRef
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94 | ;
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95 | ; TODO:
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96 | ; 3. Don't file a med twice! Check ^PXRMINDX to make sure it aint there first
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97 | ; 6. Coded sig (FVALUE, FUNIT, DOSE, DUNIT) - goes into SIG1 multiple and Med Instructions multiple
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98 | ; 7. Fill label log section of Rx? Maybe not - goes into Label Date/Time multiple
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99 | ; 8. ICD Diangosis multiple if we have the data
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100 | ;
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101 | I '$$EXIST^C0CRXNLK(RXN) S $EC=",U1," ; Invalid RxNorm code passed.
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102 | ;
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103 | N ORZPT,PSODFN S (ORZPT,PSODFN)=DFN ;"" ;POINTER TO PATIENT FILE (#2)
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104 | N PNTSTAT S PNTSTAT=20 ; NON-VA ;RX PATIENT STATUS FILE (#53)
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105 | N PROV S PROV=$$NP^C0XPT0() ;NEW PERSON FILE (#200)
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106 | I $$ISBRAND^C0CRXNLK(RXN) S RXN=$$BR2GEN^C0CRXNLK(RXN) ; Get Generic Drug for Brand
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107 | N LOCALDRUG S LOCALDRUG=+$$RXN2MEDS^C0CRXNLK(RXN)
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108 | ; I 'LOCALDRUG S LOCALDRUG=$$ADDDRUG^C0CRXNAD(RXN)
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109 | I LOCALDRUG N DIK,DA S DIK="^PSDRUG(",DA=LOCALDRUG D ^DIK
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110 | S LOCALDRUG=$$ADDDRUG^C0CRXNAD(RXN)
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111 | W "(debug) Local Drug IEN: "_LOCALDRUG,!
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112 | N PSODRUG S PSODRUG=LOCALDRUG ;POINTER TO DRUG FILE (#50) ; TODO: HARDCODED; RXN
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113 | S PSODRUG("DEA")=$P($G(^PSDRUG(PSODRUG,0)),U,3)
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114 | N QTY S QTY=FILQTY ; NUMBER ;0;7 NUMBER (Required)
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115 | N DAYSUPLY S DAYSUPLY=FILDAYS ;NUMBER ; 0;8 NUMBER (Required);
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116 | N REFIL S REFIL=$S($G(FILLS):FILLS-1,1:0) ;NUMBER ; 0;9 NUMBER (Required) ; # of dispenses - 1, if there are any
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117 | N ORDCONV S ORDCONV=1 ;'1' FOR ORDER CONVERTED;'2' FOR EXPIRATION TO CPRS;
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118 | N COPIES S COPIES=1 ;NUMBER
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119 | N MLWIND S MLWIND="W" ; Mail/Window: 'M' or 'W'
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120 | N ENTERBY S ENTERBY=.5 ;NEW PERSON FILE (#200) - POSTMASTER
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121 | N UNITPRICE S UNITPRICE=$P(^PSDRUG(PSODRUG,660),U,6) ;0.009 ;"" ;NUMBER
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122 | N PSOSITE S PSOSITE=$O(^PS(59,0)) ; OUTPATIENT SITE FILE (#59); get first one
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123 | N %,LOGDT D NOW^%DTC S LOGDT=% ;LOGIN DATE ; 2;1 DATE (Required)
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124 | N FILLDT S FILLDT=FILDT ;DATE; First fill date from our data.
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125 | N ISSDT S ISSDT=FILLDT ;DATE
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126 | N DISPDT S DISPDT=ISSDT ;DATE
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127 | N X D
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128 | . N X1,X2
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129 | . S X1=DISPDT,X2=180 D C^%DTC ;Default expiration of T+180
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130 | N EXPIRDT S EXPIRDT=X ;
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131 | N PORDITM S PORDITM=$P($G(^PSDRUG(PSODRUG,2)),U,1) ;PHARMACY ORDERABLE ITEM FILE (#50.7)
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132 | N STATUS S STATUS=0 ;STA;1 SET (Required) ; '0' FOR ACTIVE;
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133 | N TRNSTYP S TRNSTYP=1 ; IB ACTION TYPE FILE (#350.1)
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134 | N LDISPDT S LDISPDT=FILLDT ; 3;1 DATE
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135 | N REASON S REASON="E" ;Activity log ; SET ([E]dit)
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136 | N INIT S INIT=.5 ;NEW PERSON FILE (#200)
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137 | N SIG S SIG=INST ;#51,.01
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138 | ;
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139 | CREATE ; fall through
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140 | ;
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141 | N PSONEW
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142 | D AUTO^PSONRXN ;RX auto number
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143 | I $G(PSONEW("RX #"))="" S $EC=",U1," ; Auto-numbering not turned on!
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144 | N RXNUM S RXNUM=PSONEW("RX #") ; Rx Number, again...
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145 | ;
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146 | L +^PSRX(0):0 ; Lock zero node while we get the record.
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147 | N PSOIEN S PSOIEN=$O(^PSRX(" "),-1)+1 ; Next available IEN
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148 | I $D(^PSRX(PSOIEN)) S $EC=",U1," ; Next number not available. File issue.
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149 | S $P(^PSRX(0),U,3)=PSOIEN ; Reset next available number.
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150 | S $P(^PSRX(PSOIEN,0),"^",1)=RXNUM ; 0;1 FREE TEXT (Required)
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151 | L +^PSRX(PSOIEN):0 ; Lock record node
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152 | L -^PSRX(0) ; Unlock zero node, we now got it
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153 | ;
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154 | S $P(^PSRX(PSOIEN,0),"^",13)=ISSDT ; 0;13 DATE (Required)
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155 | S $P(^PSRX(PSOIEN,0),"^",2)=ORZPT ;POINTER TO PATIENT FILE (#2)
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156 | S $P(^PSRX(PSOIEN,0),"^",3)=PNTSTAT ;RX PATIENT STATUS FILE (#53)
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157 | S $P(^PSRX(PSOIEN,0),"^",4)=PROV ;NEW PERSON FILE (#200)
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158 | S $P(^PSRX(PSOIEN,0),"^",5)=$$HL^C0XPT0() ; Outpatient ; LOC ;HOSPITAL LOCATION FILE (#44); Default smart location
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159 | S $P(^PSRX(PSOIEN,0),"^",6)=PSODRUG ;POINTER TO DRUG FILE (#50)
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160 | S $P(^PSRX(PSOIEN,0),"^",7)=QTY ;NUMBER ;0;7 NUMBER (Required)
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161 | S $P(^PSRX(PSOIEN,0),"^",8)=DAYSUPLY ;NUMBER ; 0;8 NUMBER (Required)
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162 | S $P(^PSRX(PSOIEN,0),"^",9)=REFIL ;NUMBER ; 0;9 NUMBER (Required)
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163 | S $P(^PSRX(PSOIEN,0),"^",11)=MLWIND ;'M' or 'W'
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164 | S $P(^PSRX(PSOIEN,0),"^",16)=ENTERBY ;NEW PERSON FILE (#200)
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165 | S $P(^PSRX(PSOIEN,0),"^",17)=UNITPRICE ;NUMBER
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166 | S $P(^PSRX(PSOIEN,0),"^",18)=COPIES ;COPIES
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167 | ;
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168 | S $P(^PSRX(PSOIEN,2),"^",1)=LOGDT ;LOGIN DATE ; 2;1 DATE (Required)
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169 | S $P(^PSRX(PSOIEN,2),"^",2)=FILLDT ;FILL DATE
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170 | ;S $P(^PSRX(PSOIEN,2),"^",3)=PHARMACIST ; "" ; PHARMACIST ;2;3 POINTER TO NEW PERSON FILE (#200)
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171 | ;S $P(^PSRX(PSOIEN,2),"^",4)="" ; LOT # 2;4 FREE TEXT
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172 | S $P(^PSRX(PSOIEN,2),"^",5)=DISPDT ; DISPENSED DATE 2;5 DATE (Required)
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173 | S $P(^PSRX(PSOIEN,2),"^",6)=EXPIRDT ;"" ; EXPIRATION DATE
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174 | S $P(^PSRX(PSOIEN,2),"^",9)=PSOSITE ;2;9 POINTER TO OUTPATIENT SITE FILE (#59)
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175 | ;
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176 | S $P(^PSRX(PSOIEN,3),U,1)=DISPDT ;LAST DISPENSED DATE 3;1 DATE
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177 | S $P(^PSRX(PSOIEN,3),U,7)="Imported from Smart" ; REMARKS FT
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178 | ;
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179 | S $P(^PSRX(PSOIEN,"EPH"),U,1)=0 ; DAW Code
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180 | ;
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181 | N C0XFILL S C0XFILL=""
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182 | N C0XREFCT S C0XREFCT=0
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183 | F S C0XFILL=$O(FILLS(RXN,C0XFILL)) Q:C0XFILL="" D
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184 | . S ^PSRX(PSOIEN,"A",0)="^52.3DA"_U_(C0XREFCT+1)_U_(C0XREFCT+1)
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185 | . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",1)=LOGDT ;DATE
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186 | . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",2)="N" ;SET ; Dispensed using external interface
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187 | . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",3)=INIT ;NEW PERSON FILE (#200)
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188 | . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",4)=0 ;NUMBER - RX REFERENCE
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189 | . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",5)="Imported from Smart"
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190 | . ;
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191 | . Q:C0XFILL=FILDT ; Don't add refill data for first fill!
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192 | . ;
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193 | . ; Increment counter
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194 | . S C0XREFCT=C0XREFCT+1
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195 | . ;
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196 | . S ^PSRX(PSOIEN,1,0)="^52.1DA"_U_(C0XREFCT)_U_(C0XREFCT)
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197 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",1)=C0XFILL ; REFILL DATE [D]
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198 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",2)=MLWIND ; MAIL/WINDOW [RS]
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199 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",3)="Imported from Smart" ; REMARKS [F]
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200 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",4)=FILLS(RXN,C0XFILL,"sp:quantityDispensed.sp:value") ; QTY [RNJ12,2X]
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201 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",5)=.5 ; PHARMACIST NAME [*P200']
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202 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",6)="" ; LOT [F]
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203 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",7)=.5 ; CLERK CODE [RP200']
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204 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",8)="" ; LOGIN DATE [D]
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205 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",9)="" ; DIVISION [RP59']
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206 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",17)=PROV ; PROVIDER [R*P200X'I]
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207 | . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",19)=C0XFILL ; DISPENSED DATE [RD]
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208 | ;
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209 | S ^PSRX(PSOIEN,"OR1")=PORDITM ;PHARMACY ORDERABLE ITEM FILE (#50.7)
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210 | S $P(^PSRX(PSOIEN,"OR1"),U,5)=.5 ; Finishing Person
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211 | S $P(^PSRX(PSOIEN,"OR1"),U,8)=$$NOW^XLFDT() ; Finish Date/Time; seconds required.
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212 | ;
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213 | ;
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214 | S $P(^PSRX(PSOIEN,"SIG"),"^",1)=SIG ;SIG;1 FREE TEXT (Required) medication instruction DIC(51)
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215 | S $P(^PSRX(PSOIEN,"SIG"),"^",2)=0 ;OERR SIG (SET: 0 for NO; 1 for YES)
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216 | ;
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217 | S $P(^PSRX(PSOIEN,"STA"),"^",1)=STATUS ;STA;1 SET (Required) ; '0' FOR ACTIVE;
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218 | ;
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219 | ;S ^PSRX(PSOIEN,"IB")=TRNSTYP ;COPAY TRANSACTION TYPE IB ACTION TYPE FILE (#350.1)
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220 | S ^PSRX(PSOIEN,"TYPE")=0 ;TYPE OF RX TYPE;1 NUMBER
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221 | ;
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222 | D OERR(PSOIEN),F55,F52(PSOIEN),F525
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223 | ;
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224 | L -PSRX(PSOIEN) ; Unlock record
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225 | Q
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226 | ;
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227 | OERR(PSOIEN) ;UPDATES OR1 NODE
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228 | ;THE SECOND PIECE IS KILLED BEFORE MAKING THE CALL
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229 | S $P(^PSRX(PSOIEN,"OR1"),"^",2)=""
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230 | N PSXRXIEN,STAT,PSSTAT,COMM,PSNOO
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231 | S PSXRXIEN=PSOIEN,STAT="SN",PSSTAT="CM",COMM="",PSNOO="W"
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232 | D EN^PSOHLSN1(PSXRXIEN,STAT,PSSTAT,COMM,PSNOO)
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233 | QUIT
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234 | F55 ; - File data into ^PS(55)
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235 | ;S PSODFN=DFN
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236 | S:'$D(^PS(55,PSODFN,"P",0)) ^(0)="^55.03PA^^"
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237 | F PSOX1=$P(^PS(55,PSODFN,"P",0),"^",3):1 Q:'$D(^PS(55,PSODFN,"P",PSOX1))
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238 | S ^PS(55,PSODFN,"P",PSOX1,0)=PSOIEN,$P(^PS(55,PSODFN,"P",0),"^",3,4)=PSOX1_"^"_($P(^PS(55,PSODFN,"P",0),"^",4)+1)
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239 | S:$P($G(^PSRX(PSOIEN,2)),"^",6) ^PS(55,PSODFN,"P","A",$P($G(^PSRX(PSOIEN,2)),"^",6),PSOIEN)=""
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240 | K PSOX1
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241 | Q
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242 | F52(PSOIEN) ;; - Re-indexing file 52 entry
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243 | N DIK,DA S DIK="^PSRX(",DA=PSOIEN D IX1^DIK K DIK
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244 | Q
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245 | ;
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246 | F525 ;UPDATE SUSPENSE FILE
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247 | Q:$G(^PSRX(PSOIEN,"STA"))'=5
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248 | S DA=PSOIEN,X=PSOIEN,FDT=$P($G(^PSRX(PSOIEN,2)),"^",2),TYPE=$P($G(^PSRX(PSOIEN,0)),"^",11)
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249 | S DIC="^PS(52.5,",DIC(0)="L",DLAYGO=52.5,DIC("DR")=".02///"_FDT_";.03////"_$P(^PSRX(PSOIEN,0),"^",2)_";.04////"_TYPE_";.05///0;.06////"_DIV_";2///0" K DD,D0 D FILE^DICN K DD,D0
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250 | Q
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