Changeset 1337 for ccr/branches/ohum/p/C0CMED6.m
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ccr/branches/ohum/p/C0CMED6.m
r1333 r1337 1 C0CMED6 ; WV/CCDCCR/SMH - Meds from RPMS: Outpatient Meds;01/10/092 ;;1.0;C0C;;May 19, 2009;Build 1 3 ; Copyright 2008 WorldVistA. Licensed under the terms of the GNU4 ; General Public License See attached copy of the License.5 ;6 ; This program is free software; you can redistribute it and/or modify7 ; it under the terms of the GNU General Public License as published by8 ; the Free Software Foundation; either version 2 of the License, or9 ; (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 of13 ; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the14 ; GNU General Public License for more details.15 ;16 ; You should have received a copy of the GNU General Public License along17 ; 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 Q22 ;23 EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT,FLAGS) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE24 ;25 ; MINXML and OUTXML are passed by name so globals can be used26 ; MINXML will contain only the medications skeleton of the overall template27 ; MEDCOUNT is a counter passed by Reference.28 ; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool)29 ; FLAGS are set-up in C0CMED.30 ;31 ; MEDS is return array from RPC.32 ; MAP is a mapping variable map (store result) for each med33 ; MED is holds each array element from MEDS(J), one medicine34 ; J is a counter.35 ;36 ; GETRXS^BEHORXFN(ARRAYNAME,DFN,DAYS) will be the the API used.37 ; This API has been developed by Medsphere for IHS for getting38 ; Medications from RPMS. It has most of what we need.39 ; API written by Doug Martin when he worked for Medsphere (thanks Doug!)40 ; -- ARRAYNAME is passed by name (required)41 ; -- DFN is passed by value (required)42 ; -- DAYS is passed by value (optional; if not passed defaults to 365)43 ;44 ; Return:45 ; ~Type^PharmID^Drug^InfRate^StopDt^RefRem^TotDose^UnitDose^OrderID46 ; ^Status^LastFill^Chronic^Issued^Rx #^Provider^47 ; Status Reason^DEA Handling48 ;49 N MEDS,MEDS1,MAP50 D GETRXS^BEHORXFN("MEDS1",DFN,$P($P(FLAGS,U,2),"-",2)) ; 2nd piece of FLAGS is # of days to retrieve, which comes in the form "T-360"51 N ALL S ALL=+FLAGS52 N ACTIVE S ACTIVE=$P(FLAGS,U,3)53 N PENDING S PENDING=$P(FLAGS,U,4)54 S @OUTXML@(0)=0 ;By default, no meds55 ; If MEDS1 is not defined, then no meds56 I '$D(MEDS1) QUIT57 I DEBUG ZWR MEDS1,MINXML58 N MEDCNT S MEDCNT=0 ; Med Count59 ; The next line is a super line. It goes through the array return60 ; and if the first characters are ~OP, it grabs the line.61 ; This means that line is for a dispensed Outpatient Med.62 ; That line has the metadata about the med that I need.63 ; The next lines, however many, are the med and the sig.64 ; I won't be using those because I have to get the sig parsed exactly.65 N J S J="" F S J=$O(MEDS1(J)) Q:J="" I $E(MEDS1(J),1,3)="~OP" S MEDCNT=MEDCNT+1 S MEDS(MEDCNT)=MEDS1(J)66 K MEDS167 S MEDCNT="" ; Initialize for $Order68 F S MEDCNT=$O(MEDS(MEDCNT)) Q:MEDCNT="" D ; for each medication in the list69 . I 'ALL,ACTIVE,$P(MEDS(MEDCNT),U,10)'="ACTIVE" QUIT70 . I 'ALL,PENDING,$P(MEDS(MEDCNT),U,10)'="PENDING" QUIT71 . I DEBUG W "MEDCNT IS ",MEDCNT,!72 . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCNT))73 . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED74 . I DEBUG W "MAP= ",MAP,!75 . S @MAP@("MEDOBJECTID")="MED"_MEDCNT ; MEDCNT FOR ID76 . S @MAP@("MEDISSUEDATETXT")="Issue Date"77 . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,15),"DT")78 . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"79 . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,11),"DT")80 . S @MAP@("MEDRXNOTXT")="Prescription Number"81 . S @MAP@("MEDRXNO")=$P(MEDS(MEDCNT),U,14)82 . S @MAP@("MEDTYPETEXT")="Medication"83 . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses84 . S @MAP@("MEDSTATUSTEXT")=$P(MEDS(MEDCNT),U,10)85 . ; Provider only provided in API as text, not DUZ.86 . ; We need to get DUZ from filman file 52 (Prescription)87 . ; Field 4; IEN is Piece 2 of Meds stripped of trailing characters.88 . ; Note that I will use RXIEN several times later89 . N RXIEN S RXIEN=+$P(MEDS(MEDCNT),U,2)90 . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52,RXIEN,4,"I")91 . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MEDS(MEDCNT),U,3)92 . ; --- RxNorm Stuff93 . ; 176.001 is the file for Concepts; 176.003 is the file for94 . ; sources (i.e. for RxNorm Version)95 . ;96 . ; I use 176.001 for the Vista version of this routine (files 1-3)97 . ; Since IHS does not have VUID's, I will be getting RxNorm codes98 . ; using NDCs. My specially crafted index (sounds evil) named "NDC"99 . ; is in file 176.002. The file is called RxNorm NDC to VUID.100 . ; Except that I don't need the VUID, but it's there if I need it.101 . ;102 . ; We obviously need the NDC. That is easily obtained from the prescription.103 . ; Field 27 in file 52104 . N NDC S NDC=$$GET1^DIQ(52,RXIEN,27,"I")105 . ; I discovered that file 176.002 might give you two codes for the NDC106 . ; One for the Clinical Drug, and one for the ingredient.107 . ; So the plan is to get the two RxNorm codes, and then find from108 . ; file 176.001 which one is the Clinical Drug.109 . ; ... I refactored this into GETRXN110 . N RXNORM,SRCIEN,RXNNAME,RXNVER111 . I +NDC,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.112 . . S RXNORM=$$GETRXN(NDC)113 . . S SRCIEN=$$FIND1^DIC(176.003,,,"RXNORM","B")114 . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)115 . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)116 . ;117 . E S (RXNORM,RXNNAME,RXNVER)=""118 . ; End if/else block119 . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM120 . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME121 . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER122 . ; --- End RxNorm section123 . ;124 . ; Brand name is 52 field 6.5125 . S @MAP@("MEDBRANDNAMETEXT")=$$GET1^DIQ(52,RXIEN,6.5)126 . ;127 . ; Next I need Med Form (tab, cap etc), strength (250mg)128 . ; concentration for liquids (250mg/mL)129 . ; Since IHS does not have any of the new calls that130 . ; Vista has, I will be doing a crosswalk:131 . ; File 52, field 6 is Drug IEN in file 50132 . ; File 50, field 22 is VA Product IEN in file 50.68133 . ; In file 50.68, I will get the following:134 . ; -- 1: Dosage Form135 . ; -- 2: Strength136 . ; -- 3: Units137 . ; -- 8: Dispense Units138 . ; -- Conc is 2 concatenated with 3139 . ;140 . ; *** If Drug is not matched to NDF, then VA Product will be "" ***141 . ;142 . N MEDIEN S MEDIEN=$$GET1^DIQ(52,RXIEN,6,"I") ; Drug IEN in 50143 . N VAPROD S VAPROD=$$GET1^DIQ(50,MEDIEN,22,"I") ; VA Product in file 50.68144 . I +VAPROD D145 . . S @MAP@("MEDSTRENGTHVALUE")=$$GET1^DIQ(50.68,VAPROD,2)146 . . S @MAP@("MEDSTRENGTHUNIT")=$$GET1^DIQ(50.68,VAPROD,3)147 . . S @MAP@("MEDFORMTEXT")=$$GET1^DIQ(50.68,VAPROD,1)148 . . S @MAP@("MEDCONCVALUE")=@MAP@("MEDSTRENGTHVALUE")149 . . S @MAP@("MEDCONCUNIT")=@MAP@("MEDSTRENGTHUNIT")150 . E D151 . . S @MAP@("MEDSTRENGTHVALUE")=""152 . . S @MAP@("MEDSTRENGTHUNIT")=""153 . . S @MAP@("MEDFORMTEXT")=""154 . . S @MAP@("MEDCONCVALUE")=""155 . . S @MAP@("MEDCONCUNIT")=""156 . ; End Strengh/Conc stuff157 . ;158 . ; Quantity is in the prescription, field 7159 . S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52,RXIEN,7)160 . ; Dispense unit is in the drug file, field 14.5161 . S @MAP@("MEDQUANTITYUNIT")=$$GET1^DIQ(50,MEDIEN,14.5)162 . ;163 . ; --- START OF DIRECTIONS ---164 . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but...165 . ; we want the components.166 . ; It's in multiple 113 in the Prescription File (52)167 . ; #.01 DOSAGE ORDERED [1F]"20"168 . ; #1 DISPENSE UNITS PER DOSE [2N]"1"169 . ; #2 UNITS [3P:50.607]"MG"170 . ; #3 NOUN [4F]"TABLET"171 . ; #4 DURATION [5F]"10D"172 . ; #5 CONJUNCTION [6S]"AND"173 . ; #6 ROUTE [7P:51.2]"ORAL"174 . ; #7 SCHEDULE [8F]"BID"175 . ; #8 VERB [9F]"TAKE"176 . ;177 . ; Will use GETS^DIQ to get fields.178 . ; Data comes out like this:179 . ; SAMINS(52.0113,"1,23,",.01)=20180 . ; SAMINS(52.0113,"1,23,",1)=1181 . ; SAMINS(52.0113,"1,23,",2)="MG"182 . ; SAMINS(52.0113,"1,23,",3)="TABLET"183 . ; SAMINS(52.0113,"1,23,",4)="5D"184 . ; SAMINS(52.0113,"1,23,",5)="THEN"185 . ;186 . N RAWDATA187 . D GETS^DIQ(52,RXIEN,"113*",,"RAWDATA","DIERR")188 . D:$D(DIERR) ^%ZTER ; Log if there's an error in retrieving sig field189 . ; none the less, continue; some parts are retrievable.190 . N FMSIG M FMSIG=RAWDATA(52.0113) ; Merge into subfile...191 . K RAWDATA192 . N FMSIGNUM S FMSIGNUM="" ; Sigline number in fileman.193 . ; FMSIGNUM gets outputted as "IEN,RXIEN,".194 . ; DIRCNT is the proper Sigline numer.195 . ; SIGDATA is the simplfied array.196 . F S FMSIGNUM=$O(FMSIG(FMSIGNUM)) Q:FMSIGNUM="" D197 . . N DIRCNT S DIRCNT=$P(FMSIGNUM,",")198 . . N SIGDATA M SIGDATA=FMSIG(FMSIGNUM)199 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.200 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.201 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$G(SIGDATA(8))202 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$G(SIGDATA(.01))203 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=$G(SIGDATA(2))204 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient205 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient206 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient207 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$G(SIGDATA(6))208 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$G(SIGDATA(7))209 . . ; Invervals... again another call.210 . . ; In the wisdom of the original programmers, the schedule is a free text field211 . . ; However, it gets translated by a call to the administration schedule file212 . . ; to see if that schedule exists.213 . . ; That's the same thing I am going to do.214 . . ; Search B index of 51.1 (Admin Schedule) with schedule215 . . ; First, remove "PRN" if it exists (don't ask, that's how the file216 . . ; works; I wouldn't do it that way).217 . . N SCHNOPRN S SCHNOPRN=$G(SIGDATA(7))218 . . I SCHNOPRN["PRN" S SCHNOPRN=$E(SCHNOPRN,1,$F(SCHNOPRN,"PRN")-5)219 . . ; Super call below:220 . . ; 1=File 51.1 3=Field 2 (Frequency in Minutes)221 . . ; 4=Packed format, Exact Match 5=Lookup Value222 . . ; 6=# of entries to return 7=Index 10=Return Array223 . . ;224 . . ; I do not account for the fact that two schedules can be225 . . ; spelled identically (ie duplicate entry). In that case,226 . . ; I get the first. That's just a bad pharmacy pkg maintainer.227 . . N C0C515228 . . D FIND^DIC(51.1,,"@;2","PX",SCHNOPRN,1,"B",,,"C0C515")229 . . N INTERVAL S INTERVAL="" ; Default230 . . ; If there are entries found, get it231 . . I +$G(C0C515("DILIST",0)) S INTERVAL=$P(C0C515("DILIST",1,0),U,2)232 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL233 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"234 . . ; Duration is 10M minutes, 10H hours, 10D for Days235 . . ; 10W for weeks, 10L for months. I smell $Select236 . . ; But we don't need to do that if there isn't a duration237 . . I +$G(SIGDATA(4)) D238 . . . N DURUNIT S DURUNIT=$E(SIGDATA(4),$L(SIGDATA(4))) ; get last char239 . . . N DURTXT S DURTXT=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"Days")240 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=+SIGDATA(4)241 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=DURTXT242 . . E D243 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=""244 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""245 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$G(SIGDATA(4))["PRN"246 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" ; when avail247 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""248 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""249 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""250 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""251 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""252 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""253 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; not stored254 . . ; Another confusing line; I am pretty bad:255 . . ; If there is another entry in the FMSIG array (i.e. another line256 . . ; in the sig), set the direction count indicator.257 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")="" ; Default258 . . S:+$O(FMSIG(FMSIGNUM)) @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRCNT259 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$G(SIGDATA(5))260 . ;261 . ; --- END OF DIRECTIONS ---262 . ;263 . ; Med instructions is a WP field, thus the acrobatics264 . ; Notice buffer overflow protection set at 10,000 chars265 . ; -- 1. Med Patient Instructions266 . N MEDPTIN1 S MEDPTIN1=$$GET1^DIQ(52,RXIEN,115,,"MEDPTIN1")267 . N MEDPTIN2,J S (MEDPTIN2,J)=""268 . I $L(MEDPTIN1) F S J=$O(@MEDPTIN1@(J)) Q:J="" Q:$L(MEDPTIN2)>10000 S MEDPTIN2=MEDPTIN2_@MEDPTIN1@(J)_" "269 . S @MAP@("MEDPTINSTRUCTIONS")=MEDPTIN2270 . K J271 . ; -- 2. Med Provider Instructions272 . N MEDPVIN1 S MEDPVIN1=$$GET1^DIQ(52,RXIEN,39,,"MEDPVIN1")273 . N MEDPVIN2,J S (MEDPVIN2,J)=""274 . I $L(MEDPVIN1) F S J=$O(@MEDPVIN1@(J)) Q:J="" Q:$L(MEDPVIN2)>10000 S MEDPVIN2=MEDPVIN2_@MEDPVIN1@(J)_" "275 . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MEDPVIN2276 . ;277 . ; Remaining refills278 . S @MAP@("MEDRFNO")=$P(MEDS(MEDCNT),U,6)279 . ; ------ END OF MAPPING280 . ;281 . ; ------ BEGIN XML INSERTION282 . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))283 . K @RESULT284 . D MAP^C0CXPATH(MINXML,MAP,RESULT)285 . ; D PARY^C0CXPATH(RESULT)286 . ; MAPPING DIRECTIONS287 . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE288 . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT289 . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)290 . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")291 . ; N MDZ1,MDZNA292 . N DIRCNT S DIRCNT=""293 . I +$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; IF THERE ARE DIRCTIONS294 . . F DIRCNT=$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; FOR EACH DIRECTION295 . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",DIRCNT))296 . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)297 . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")298 . D:MEDCNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy299 . D:MEDCNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML300 . S MEDCOUNT=MEDCNT301 N MEDTMP,MEDI302 D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS303 I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@304 . W "MEDICATION MISSING ",!305 . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!306 Q307 ;308 GETRXN(NDC) ; Extrinsic Function; PUBLIC; NDC to RxNorm309 ;; Get RxNorm Concept Number for a Given NDC310 ;311 S NDC=$TR(NDC,"-") ; Remove dashes312 N RXNORM,C0CZRXN,DIERR313 D FIND^DIC(176.002,,"@;.01","PX",NDC,"*","NDC",,,"C0CZRXN","DIERR")314 I $D(DIERR) D ^%ZTER BREAK315 S RXNORM(0)=+C0CZRXN("DILIST",0) ; RxNorm(0) will be # of entries316 N I S I=0317 F S I=$O(C0CZRXN("DILIST",I)) Q:I="" S RXNORM(I)=$P(C0CZRXN("DILIST",I,0),U,2)318 ; At this point, RxNorm(0) is # of entries; RxNorm(1...) are the entries319 ; If RxNorm(0) is 1, then we only have one entry, and that's it.320 I RXNORM(0)=1 QUIT RXNORM(1) ; RETURN RXNORM(1)321 ; Otherwise, we need to find out which one is the semantic322 ; clinical drug. I built an index on 176.001 (RxNorm Concepts)323 ; for that purpose.324 I RXNORM(0)>1 D325 . S I=0326 . F S I=$O(RXNORM(I)) Q:I="" D Q:$G(RXNORM)327 . . N RXNIEN S RXNIEN=$$FIND1^DIC(176.001,,,RXNORM(I),"SCD")328 . . I +$G(RXNIEN)=0 QUIT ; try the next entry...329 . . E S RXNORM=RXNORM(I) QUIT ; We found the right code330 QUIT +$G(RXNORM) ; RETURN RXNORM; if we couldn't find a clnical drug, return with 0331 1 C0CMED6 ; WV/CCDCCR/SMH - Meds from RPMS: Outpatient Meds;01/10/09 2 ;;1.0;C0C;;May 19, 2009; 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 ; 23 EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT,FLAGS) ; 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 ; MEDCOUNT is a counter passed by Reference. 28 ; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool) 29 ; FLAGS are set-up in C0CMED. 30 ; 31 ; MEDS is return array from RPC. 32 ; MAP is a mapping variable map (store result) for each med 33 ; MED is holds each array element from MEDS(J), one medicine 34 ; J is a counter. 35 ; 36 ; GETRXS^BEHORXFN(ARRAYNAME,DFN,DAYS) will be the the API used. 37 ; This API has been developed by Medsphere for IHS for getting 38 ; Medications from RPMS. It has most of what we need. 39 ; API written by Doug Martin when he worked for Medsphere (thanks Doug!) 40 ; -- ARRAYNAME is passed by name (required) 41 ; -- DFN is passed by value (required) 42 ; -- DAYS is passed by value (optional; if not passed defaults to 365) 43 ; 44 ; Return: 45 ; ~Type^PharmID^Drug^InfRate^StopDt^RefRem^TotDose^UnitDose^OrderID 46 ; ^Status^LastFill^Chronic^Issued^Rx #^Provider^ 47 ; Status Reason^DEA Handling 48 ; 49 N MEDS,MEDS1,MAP 50 D GETRXS^BEHORXFN("MEDS1",DFN,$P($P(FLAGS,U,2),"-",2)) ; 2nd piece of FLAGS is # of days to retrieve, which comes in the form "T-360" 51 N ALL S ALL=+FLAGS 52 N ACTIVE S ACTIVE=$P(FLAGS,U,3) 53 N PENDING S PENDING=$P(FLAGS,U,4) 54 S @OUTXML@(0)=0 ;By default, no meds 55 ; If MEDS1 is not defined, then no meds 56 I '$D(MEDS1) QUIT 57 I DEBUG ZWR MEDS1,MINXML 58 N MEDCNT S MEDCNT=0 ; Med Count 59 ; The next line is a super line. It goes through the array return 60 ; and if the first characters are ~OP, it grabs the line. 61 ; This means that line is for a dispensed Outpatient Med. 62 ; That line has the metadata about the med that I need. 63 ; The next lines, however many, are the med and the sig. 64 ; I won't be using those because I have to get the sig parsed exactly. 65 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) 66 K MEDS1 67 S MEDCNT="" ; Initialize for $Order 68 F S MEDCNT=$O(MEDS(MEDCNT)) Q:MEDCNT="" D ; for each medication in the list 69 . I 'ALL,ACTIVE,$P(MEDS(MEDCNT),U,10)'="ACTIVE" QUIT 70 . I 'ALL,PENDING,$P(MEDS(MEDCNT),U,10)'="PENDING" QUIT 71 . I DEBUG W "MEDCNT IS ",MEDCNT,! 72 . S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCNT)) 73 . ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED 74 . I DEBUG W "MAP= ",MAP,! 75 . S @MAP@("MEDOBJECTID")="MED"_MEDCNT ; MEDCNT FOR ID 76 . S @MAP@("MEDISSUEDATETXT")="Issue Date" 77 . S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,15),"DT") 78 . S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date" 79 . S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,11),"DT") 80 . S @MAP@("MEDRXNOTXT")="Prescription Number" 81 . S @MAP@("MEDRXNO")=$P(MEDS(MEDCNT),U,14) 82 . S @MAP@("MEDTYPETEXT")="Medication" 83 . S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses 84 . S @MAP@("MEDSTATUSTEXT")=$P(MEDS(MEDCNT),U,10) 85 . ; Provider only provided in API as text, not DUZ. 86 . ; We need to get DUZ from filman file 52 (Prescription) 87 . ; Field 4; IEN is Piece 2 of Meds stripped of trailing characters. 88 . ; Note that I will use RXIEN several times later 89 . N RXIEN S RXIEN=+$P(MEDS(MEDCNT),U,2) 90 . S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52,RXIEN,4,"I") 91 . S @MAP@("MEDPRODUCTNAMETEXT")=$P(MEDS(MEDCNT),U,3) 92 . ; --- RxNorm Stuff 93 . ; 176.001 is the file for Concepts; 176.003 is the file for 94 . ; sources (i.e. for RxNorm Version) 95 . ; 96 . ; I use 176.001 for the Vista version of this routine (files 1-3) 97 . ; Since IHS does not have VUID's, I will be getting RxNorm codes 98 . ; using NDCs. My specially crafted index (sounds evil) named "NDC" 99 . ; is in file 176.002. The file is called RxNorm NDC to VUID. 100 . ; Except that I don't need the VUID, but it's there if I need it. 101 . ; 102 . ; We obviously need the NDC. That is easily obtained from the prescription. 103 . ; Field 27 in file 52 104 . N NDC S NDC=$$GET1^DIQ(52,RXIEN,27,"I") 105 . ; I discovered that file 176.002 might give you two codes for the NDC 106 . ; One for the Clinical Drug, and one for the ingredient. 107 . ; So the plan is to get the two RxNorm codes, and then find from 108 . ; file 176.001 which one is the Clinical Drug. 109 . ; ... I refactored this into GETRXN 110 . N RXNORM,SRCIEN,RXNNAME,RXNVER 111 . I +NDC,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet. 112 . . S RXNORM=$$GETRXN(NDC) 113 . . S SRCIEN=$$FIND1^DIC(176.003,,,"RXNORM","B") 114 . . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6) 115 . . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7) 116 . ; 117 . E S (RXNORM,RXNNAME,RXNVER)="" 118 . ; End if/else block 119 . S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM 120 . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME 121 . S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER 122 . ; --- End RxNorm section 123 . ; 124 . ; Brand name is 52 field 6.5 125 . S @MAP@("MEDBRANDNAMETEXT")=$$GET1^DIQ(52,RXIEN,6.5) 126 . ; 127 . ; Next I need Med Form (tab, cap etc), strength (250mg) 128 . ; concentration for liquids (250mg/mL) 129 . ; Since IHS does not have any of the new calls that 130 . ; Vista has, I will be doing a crosswalk: 131 . ; File 52, field 6 is Drug IEN in file 50 132 . ; File 50, field 22 is VA Product IEN in file 50.68 133 . ; In file 50.68, I will get the following: 134 . ; -- 1: Dosage Form 135 . ; -- 2: Strength 136 . ; -- 3: Units 137 . ; -- 8: Dispense Units 138 . ; -- Conc is 2 concatenated with 3 139 . ; 140 . ; *** If Drug is not matched to NDF, then VA Product will be "" *** 141 . ; 142 . N MEDIEN S MEDIEN=$$GET1^DIQ(52,RXIEN,6,"I") ; Drug IEN in 50 143 . N VAPROD S VAPROD=$$GET1^DIQ(50,MEDIEN,22,"I") ; VA Product in file 50.68 144 . I +VAPROD D 145 . . S @MAP@("MEDSTRENGTHVALUE")=$$GET1^DIQ(50.68,VAPROD,2) 146 . . S @MAP@("MEDSTRENGTHUNIT")=$$GET1^DIQ(50.68,VAPROD,3) 147 . . S @MAP@("MEDFORMTEXT")=$$GET1^DIQ(50.68,VAPROD,1) 148 . . S @MAP@("MEDCONCVALUE")=@MAP@("MEDSTRENGTHVALUE") 149 . . S @MAP@("MEDCONCUNIT")=@MAP@("MEDSTRENGTHUNIT") 150 . E D 151 . . S @MAP@("MEDSTRENGTHVALUE")="" 152 . . S @MAP@("MEDSTRENGTHUNIT")="" 153 . . S @MAP@("MEDFORMTEXT")="" 154 . . S @MAP@("MEDCONCVALUE")="" 155 . . S @MAP@("MEDCONCUNIT")="" 156 . ; End Strengh/Conc stuff 157 . ; 158 . ; Quantity is in the prescription, field 7 159 . S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52,RXIEN,7) 160 . ; Dispense unit is in the drug file, field 14.5 161 . S @MAP@("MEDQUANTITYUNIT")=$$GET1^DIQ(50,MEDIEN,14.5) 162 . ; 163 . ; --- START OF DIRECTIONS --- 164 . ; Sig data not in any API :-( Oh yes, you can get the whole thing, but... 165 . ; we want the components. 166 . ; It's in multiple 113 in the Prescription File (52) 167 . ; #.01 DOSAGE ORDERED [1F] "20" 168 . ; #1 DISPENSE UNITS PER DOSE [2N] "1" 169 . ; #2 UNITS [3P:50.607] "MG" 170 . ; #3 NOUN [4F] "TABLET" 171 . ; #4 DURATION [5F] "10D" 172 . ; #5 CONJUNCTION [6S] "AND" 173 . ; #6 ROUTE [7P:51.2] "ORAL" 174 . ; #7 SCHEDULE [8F] "BID" 175 . ; #8 VERB [9F] "TAKE" 176 . ; 177 . ; Will use GETS^DIQ to get fields. 178 . ; Data comes out like this: 179 . ; SAMINS(52.0113,"1,23,",.01)=20 180 . ; SAMINS(52.0113,"1,23,",1)=1 181 . ; SAMINS(52.0113,"1,23,",2)="MG" 182 . ; SAMINS(52.0113,"1,23,",3)="TABLET" 183 . ; SAMINS(52.0113,"1,23,",4)="5D" 184 . ; SAMINS(52.0113,"1,23,",5)="THEN" 185 . ; 186 . N RAWDATA 187 . D GETS^DIQ(52,RXIEN,"113*",,"RAWDATA","DIERR") 188 . D:$D(DIERR) ^%ZTER ; Log if there's an error in retrieving sig field 189 . ; none the less, continue; some parts are retrievable. 190 . N FMSIG M FMSIG=RAWDATA(52.0113) ; Merge into subfile... 191 . K RAWDATA 192 . N FMSIGNUM S FMSIGNUM="" ; Sigline number in fileman. 193 . ; FMSIGNUM gets outputted as "IEN,RXIEN,". 194 . ; DIRCNT is the proper Sigline numer. 195 . ; SIGDATA is the simplfied array. 196 . F S FMSIGNUM=$O(FMSIG(FMSIGNUM)) Q:FMSIGNUM="" D 197 . . N DIRCNT S DIRCNT=$P(FMSIGNUM,",") 198 . . N SIGDATA M SIGDATA=FMSIG(FMSIGNUM) 199 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components. 200 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05. 201 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$G(SIGDATA(8)) 202 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$G(SIGDATA(.01)) 203 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=$G(SIGDATA(2)) 204 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")="" ; For inpatient 205 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")="" ; For inpatient 206 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")="" ; For inpatient 207 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$G(SIGDATA(6)) 208 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$G(SIGDATA(7)) 209 . . ; Invervals... again another call. 210 . . ; In the wisdom of the original programmers, the schedule is a free text field 211 . . ; However, it gets translated by a call to the administration schedule file 212 . . ; to see if that schedule exists. 213 . . ; That's the same thing I am going to do. 214 . . ; Search B index of 51.1 (Admin Schedule) with schedule 215 . . ; First, remove "PRN" if it exists (don't ask, that's how the file 216 . . ; works; I wouldn't do it that way). 217 . . N SCHNOPRN S SCHNOPRN=$G(SIGDATA(7)) 218 . . I SCHNOPRN["PRN" S SCHNOPRN=$E(SCHNOPRN,1,$F(SCHNOPRN,"PRN")-5) 219 . . ; Super call below: 220 . . ; 1=File 51.1 3=Field 2 (Frequency in Minutes) 221 . . ; 4=Packed format, Exact Match 5=Lookup Value 222 . . ; 6=# of entries to return 7=Index 10=Return Array 223 . . ; 224 . . ; I do not account for the fact that two schedules can be 225 . . ; spelled identically (ie duplicate entry). In that case, 226 . . ; I get the first. That's just a bad pharmacy pkg maintainer. 227 . . N C0C515 228 . . D FIND^DIC(51.1,,"@;2","PX",SCHNOPRN,1,"B",,,"C0C515") 229 . . N INTERVAL S INTERVAL="" ; Default 230 . . ; If there are entries found, get it 231 . . I +$G(C0C515("DILIST",0)) S INTERVAL=$P(C0C515("DILIST",1,0),U,2) 232 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL 233 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute" 234 . . ; Duration is 10M minutes, 10H hours, 10D for Days 235 . . ; 10W for weeks, 10L for months. I smell $Select 236 . . ; But we don't need to do that if there isn't a duration 237 . . I +$G(SIGDATA(4)) D 238 . . . N DURUNIT S DURUNIT=$E(SIGDATA(4),$L(SIGDATA(4))) ; get last char 239 . . . N DURTXT S DURTXT=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"Days") 240 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=+SIGDATA(4) 241 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=DURTXT 242 . . E D 243 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")="" 244 . . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")="" 245 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$G(SIGDATA(4))["PRN" 246 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" ; when avail 247 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")="" 248 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")="" 249 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")="" 250 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")="" 251 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")="" 252 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")="" 253 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; not stored 254 . . ; Another confusing line; I am pretty bad: 255 . . ; If there is another entry in the FMSIG array (i.e. another line 256 . . ; in the sig), set the direction count indicator. 257 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")="" ; Default 258 . . S:+$O(FMSIG(FMSIGNUM)) @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRCNT 259 . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$G(SIGDATA(5)) 260 . ; 261 . ; --- END OF DIRECTIONS --- 262 . ; 263 . ; Med instructions is a WP field, thus the acrobatics 264 . ; Notice buffer overflow protection set at 10,000 chars 265 . ; -- 1. Med Patient Instructions 266 . N MEDPTIN1 S MEDPTIN1=$$GET1^DIQ(52,RXIEN,115,,"MEDPTIN1") 267 . N MEDPTIN2,J S (MEDPTIN2,J)="" 268 . I $L(MEDPTIN1) F S J=$O(@MEDPTIN1@(J)) Q:J="" Q:$L(MEDPTIN2)>10000 S MEDPTIN2=MEDPTIN2_@MEDPTIN1@(J)_" " 269 . S @MAP@("MEDPTINSTRUCTIONS")=MEDPTIN2 270 . K J 271 . ; -- 2. Med Provider Instructions 272 . N MEDPVIN1 S MEDPVIN1=$$GET1^DIQ(52,RXIEN,39,,"MEDPVIN1") 273 . N MEDPVIN2,J S (MEDPVIN2,J)="" 274 . I $L(MEDPVIN1) F S J=$O(@MEDPVIN1@(J)) Q:J="" Q:$L(MEDPVIN2)>10000 S MEDPVIN2=MEDPVIN2_@MEDPVIN1@(J)_" " 275 . S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MEDPVIN2 276 . ; 277 . ; Remaining refills 278 . S @MAP@("MEDRFNO")=$P(MEDS(MEDCNT),U,6) 279 . ; ------ END OF MAPPING 280 . ; 281 . ; ------ BEGIN XML INSERTION 282 . N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED")) 283 . K @RESULT 284 . D MAP^C0CXPATH(MINXML,MAP,RESULT) 285 . ; D PARY^C0CXPATH(RESULT) 286 . ; MAPPING DIRECTIONS 287 . N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE 288 . N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT 289 . D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1) 290 . D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions") 291 . ; N MDZ1,MDZNA 292 . N DIRCNT S DIRCNT="" 293 . I +$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; IF THERE ARE DIRCTIONS 294 . . F DIRCNT=$O(@MAP@("M","DIRECTIONS",DIRCNT)) D ; FOR EACH DIRECTION 295 . . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",DIRCNT)) 296 . . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2) 297 . . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication") 298 . D:MEDCNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy 299 . D:MEDCNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML 300 . S MEDCOUNT=MEDCNT 301 N MEDTMP,MEDI 302 D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS 303 I MEDTMP(0)>0 D ; IF THERE ARE MISSING VARS - MARKED AS @@X@@ 304 . W "MEDICATION MISSING ",! 305 . F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),! 306 Q 307 ; 308 GETRXN(NDC) ; Extrinsic Function; PUBLIC; NDC to RxNorm 309 ;; Get RxNorm Concept Number for a Given NDC 310 ; 311 S NDC=$TR(NDC,"-") ; Remove dashes 312 N RXNORM,C0CZRXN,DIERR 313 D FIND^DIC(176.002,,"@;.01","PX",NDC,"*","NDC",,,"C0CZRXN","DIERR") 314 I $D(DIERR) D ^%ZTER BREAK 315 S RXNORM(0)=+C0CZRXN("DILIST",0) ; RxNorm(0) will be # of entries 316 N I S I=0 317 F S I=$O(C0CZRXN("DILIST",I)) Q:I="" S RXNORM(I)=$P(C0CZRXN("DILIST",I,0),U,2) 318 ; At this point, RxNorm(0) is # of entries; RxNorm(1...) are the entries 319 ; If RxNorm(0) is 1, then we only have one entry, and that's it. 320 I RXNORM(0)=1 QUIT RXNORM(1) ; RETURN RXNORM(1) 321 ; Otherwise, we need to find out which one is the semantic 322 ; clinical drug. I built an index on 176.001 (RxNorm Concepts) 323 ; for that purpose. 324 I RXNORM(0)>1 D 325 . S I=0 326 . F S I=$O(RXNORM(I)) Q:I="" D Q:$G(RXNORM) 327 . . N RXNIEN S RXNIEN=$$FIND1^DIC(176.001,,,RXNORM(I),"SCD") 328 . . I +$G(RXNIEN)=0 QUIT ; try the next entry... 329 . . E S RXNORM=RXNORM(I) QUIT ; We found the right code 330 QUIT +$G(RXNORM) ; RETURN RXNORM; if we couldn't find a clnical drug, return with 0 331
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