Changeset 1413 for pharmacy-utils


Ignore:
Timestamp:
Apr 17, 2012, 11:15:23 AM (12 years ago)
Author:
Sam Habiel
Message:

updated README

Location:
pharmacy-utils/drug-file-cleanup
Files:
2 edited

Legend:

Unmodified
Added
Removed

  • pharmacy-utils/drug-file-cleanup/README.txt

    r1410 r1413  
    2020Workflow (using KIDS):
    2121 ; On the Origin System:
    22  ; - Create a KIDS build that calls the follwing:
    23  ;  1. This Routine Name to call from top is the Environment Check for the Build
    24  ;  2. TRAN is the Pre-Transport Routine for your originating system drug data
    25  ;  3. PRE is the Pre-Init for the Destination System
    26  ;  4. POST is the Post-Init for the Destination System
     22 ; - Create a KIDS build that calls the following:
     23 ;  1. This Routine Name to call from top is the Environment Check for the
     24 ;     Build
     25 ;  2. PRE is the Pre-Init for the Destination System
     26 ;  3. POST is the Post-Init for the Destination System
     27 ;  4. TRAN is the Pre-Transport Routine for your originating system drug data
    2728 ; - Generate the KIDS Build. The file will have all the Drug Data from the
    2829 ;   Origin System.
     30 ;
    2931 ; On the Destination System:
    3032 ; - Install the KIDS Build
    … …  
    3941into a destination system.
    4042
    41                           --- KIDS TEXT ----
     43                          --- END KIDS TEXT ----
    4244License is AGPL.
    4345
    … …  
    4547
    4648Limitations/Ideas for Future Development:
    47 - Not sure if the MEDICATION ROUTES should be transmitted or not. While additions are allowed, they are by my experience uncommon.
    48 - Many reference files (e.g. PACKAGE SIZE or DRUG UNITS) are not part of the NDF, yet they are not user modifiable. Yet, they are referenced almost exclusively from the National Drug Files; which means that they cannot be changed without corrupting the NDF data. I am trying to find documentation to say that they are standard.
    49 
    50 Remarks on Broken Pointers in Destination Systems as a result of using this package:
    51 Because many files point to the Pharmacy Orderable Item and Drug files, you practically cannot use this package on a database that contains pharmacy data since all data will be corrupted.
    52 When installing a new drug and pharmacy orderable item file, the following may be broken:
     49- Not sure if the MEDICATION ROUTES should be transmitted or not. While
     50  additions are allowed, they are by my experience uncommon.
     51- Many reference files (e.g. PACKAGE SIZE or DRUG UNITS) are not part of the
     52  NDF, yet they are not user modifiable. Yet, they are referenced almost
     53  exclusively from the National Drug Files; which means that they cannot be
     54  changed without corrupting the NDF data. I am trying to find documentation
     55  to say that they are standard.
     56- If the Administration Schedules from the originating system and destination
     57  system don't match, you need to either change the schedules on the orderable
     58  items, or make the schedules on the destination system the same as the
     59  ones from incoming drug file, otherwise, the problems you run into is this:
     60  - Orders do not calculate frequency correctly if the schedule is not present
     61    in the destination system. This means that the proper number of pills
     62    cannot be calculated.
     63  - In Outpatient Pharmacy, Schedules do not expand into patient readable
     64    instructions
     65- If the National Drug Files are not up to date in the destination system,
     66  there will be some broken pointers. All you have to do is update the NDF with
     67  the latest patches.
     68- If some drugs are linked with lab tests, these need to be re-linked.
     69  Preferably, these should be removed prior to transporting the drug file.
     70
     71
     72Remarks on Broken Pointers in Destination Systems as a result of using this
     73package:
     74Because many files point to the Pharmacy Orderable Item and Drug files, you
     75practically cannot use this package on a database that contains patient-
     76specific pharmacy data since all data will be corrupted.
     77
     78When installing a new drug and pharmacy orderable item file, the following may
     79be broken:
    5380For Drug File:
    5481- LAB TEST MONITOR field.
    … …  
    6794- MEDICATION ROUTES (additions are allowed, not deletions)
    6895
    69 The National Drug Files are Standardized. However, a system may be out of date. If you do not have the latest National Drug Files, you have will broken pointers if the source of your drug files has a more recent National Drug File. For best results, the source system and the destination system should have a commensurate NDF patch level.
    70 
    71 To check for broken pointer, use the VERIFY FIELDs option in Fileman.
     96The National Drug Files are Standardized. However, a system may be out of date.
     97If you do not have the latest National Drug Files, you have will broken
     98pointers if the source of your drug files has a more recent National Drug File.
     99For best results, the source system and the destination system should have a
     100commensurate NDF patch level.
     101
     102To check for broken pointers, use the VERIFY FIELDs option in Fileman.
    72103Here is an example of a drug file from a patched system installed on a system
    73104that is not patched:
    … …  
    107138==============================================================================
    108139
    109 See detailed analysis below.
    110 
    111     File/Package: PHARM ORD ITEM                                     Date: APR 12,2012
    112 
    113   FILE (#)                                            POINTER           (#) FILE
    114    POINTER FIELD                                       TYPE           POINTER FIELD              FILE POINTED TO
    115 ------------------------------------------------------------------------------------------------------------------------------------
    116           L=Laygo      S=File not in set      N=Normal Ref.      C=Xref.
    117           *=Truncated      m=Multiple           v=Variable Pointer
    118 
    119                                                                   -------------------------------
    120   DRUG (#50)                                                      |                             |
    121     PHARMACY ORDERABLE ITEM ........................  (N S C L)-> |  50.7 PHARMACY ORDERABLE I* |
    122   PRESCRIPTION (#52)                                              |                             |
    123     PHARMACY ORDERABLE ITEM ........................  (N S )->    |   DOSAGE FORM               |-> DOSAGE FORM (file locked down)
    124   PENDING OUTPATIENT O (#52.41)                                   |                             |
    125     PHARMACY ORDERABLE ITEM ........................  (N S )->    |   MED ROUTE                 |-> MEDICATION ROUTES (addable)
    126   IV ADDITIVES (#52.6)                                            |                             |
    127     PHARMACY ORDERABLE ITEM ........................  (N S C )->  | m DIVISION/SI:DIVISION/SI*  |-> OUTPATIENT SITE (not used)
    128   IV SOLUTIONS (#52.7)                                            |                             |
    129     PHARMACY ORDERABLE ITEM ........................  (N S C L)-> | m OI-DRUG TEX:OI-DRUG TEX*  |-> DRUG TEXT (used -- included)
    130   NON-VERIFIED ORDERS (#53.1)                                     |                             |
    131     ORDERABLE ITEM .................................  (N S )->    |                             |
    132   UNIT DOSE ORDER SET (#53.22)                                    |                             |
    133     ORDERABLE ITEM .................................  (N S )->    |                             |
    134   PICK LIST (#53.52)                                              |                             |
    135     PATIENT:ORDER:ORDERABLE ITEM ...................  (N S )->    |                             |
    136   BCMA MEDICATION LOG (#53.79)                                    |                             |
    137     ADMINISTRATION MEDICATION ......................  (N S )->    |                             |
    138   PHARMACY PATIENT (#55.01)                                       |                             |
    139     IV:ORDERABLE ITEM ..............................  (N S )->    |                             |
    140     NON-VA MEDS:ORDERABLE ITEM .....................  (N S )->    |                             |
    141     UNIT DOSE:ORDERABLE ITEM .......................  (N S )->    |                             |
    142                                                                   -------------------------------
     140Below you will find the pointer relations of all the files that are transmitted in this KIDS build.
     141
    143142    File/Package: DRUG                                               Date: APR 12,2012
    144143
    … …  
    277276                                                                  -------------------------------
    278277
     278    File/Package: PHARM ORD ITEM                                     Date: APR 12,2012
     279
     280  FILE (#)                                            POINTER           (#) FILE
     281   POINTER FIELD                                       TYPE           POINTER FIELD              FILE POINTED TO
     282------------------------------------------------------------------------------------------------------------------------------------
     283          L=Laygo      S=File not in set      N=Normal Ref.      C=Xref.
     284          *=Truncated      m=Multiple           v=Variable Pointer
     285
     286                                                                  -------------------------------
     287  DRUG (#50)                                                      |                             |
     288    PHARMACY ORDERABLE ITEM ........................  (N S C L)-> |  50.7 PHARMACY ORDERABLE I* |
     289  PRESCRIPTION (#52)                                              |                             |
     290    PHARMACY ORDERABLE ITEM ........................  (N S )->    |   DOSAGE FORM               |-> DOSAGE FORM (file locked down)
     291  PENDING OUTPATIENT O (#52.41)                                   |                             |
     292    PHARMACY ORDERABLE ITEM ........................  (N S )->    |   MED ROUTE                 |-> MEDICATION ROUTES (addable)
     293  IV ADDITIVES (#52.6)                                            |                             |
     294    PHARMACY ORDERABLE ITEM ........................  (N S C )->  | m DIVISION/SI:DIVISION/SI*  |-> OUTPATIENT SITE (not used)
     295  IV SOLUTIONS (#52.7)                                            |                             |
     296    PHARMACY ORDERABLE ITEM ........................  (N S C L)-> | m OI-DRUG TEX:OI-DRUG TEX*  |-> DRUG TEXT (used -- included)
     297  NON-VERIFIED ORDERS (#53.1)                                     |                             |
     298    ORDERABLE ITEM .................................  (N S )->    |                             |
     299  UNIT DOSE ORDER SET (#53.22)                                    |                             |
     300    ORDERABLE ITEM .................................  (N S )->    |                             |
     301  PICK LIST (#53.52)                                              |                             |
     302    PATIENT:ORDER:ORDERABLE ITEM ...................  (N S )->    |                             |
     303  BCMA MEDICATION LOG (#53.79)                                    |                             |
     304    ADMINISTRATION MEDICATION ......................  (N S )->    |                             |
     305  PHARMACY PATIENT (#55.01)                                       |                             |
     306    IV:ORDERABLE ITEM ..............................  (N S )->    |                             |
     307    NON-VA MEDS:ORDERABLE ITEM .....................  (N S )->    |                             |
     308    UNIT DOSE:ORDERABLE ITEM .......................  (N S )->    |                             |
     309                                                                  -------------------------------
     310
     311    File/Package: DRUG TEXT                                          Date: APR 16,2012
     312
     313  FILE (#)                                            POINTER           (#) FILE
     314   POINTER FIELD                                       TYPE           POINTER FIELD              FILE POINTED TO
     315------------------------------------------------------------------------------------------------------------------------------------
     316          L=Laygo      S=File not in set      N=Normal Ref.      C=Xref.
     317          *=Truncated      m=Multiple           v=Variable Pointer
     318
     319                                                                  -------------------------------
     320  DRUG (#50.037)                                                  |                             |
     321    DRUG TEXT ENTRY ................................  (N S C )->  |  51.7 DRUG TEXT             |
     322  PHARMACY ORDERABLE I (#50.76)                                   |                             |
     323    OI-DRUG TEXT ENTRY .............................  (N S )->    |                             |
     324                                                                  -------------------------------
     325
     326    File/Package: IV FILES                                           Date: APR 16,2012
     327
     328  FILE (#)                                            POINTER           (#) FILE
     329   POINTER FIELD                                       TYPE           POINTER FIELD              FILE POINTED TO
     330------------------------------------------------------------------------------------------------------------------------------------
     331          L=Laygo      S=File not in set      N=Normal Ref.      C=Xref.
     332          *=Truncated      m=Multiple           v=Variable Pointer
     333
     334                                                                  -------------------------------
     335  IV ADDITIVES (#52.62)                                           |                             |
     336    ELECTROYLTES:ELECTROLYTE .......................  (N )->      |  50.4 DRUG ELECTROLYTES     |
     337  IV SOLUTIONS (#52.702)                                          |                             |
     338    ELECTROLYTES ...................................  (N )->      |                             |
     339                                                                  -------------------------------
     340                                                                  -------------------------------
     341  IV CATEGORY (#50.2)                                             |                             |
     342    IV DRUG v ........................................(N S L)->   |  52.6 IV ADDITIVES          |
     343    IV DRUG v ........................................(N S L)->   |   GENERIC DRUG              |-> DRUG
     344  NON-VERIFIED ORDERS (#53.157)                                   |                             |
     345    ADDITIVE .......................................  (N S C )->  |   PHARMACY ORDERABLE ITEM   |-> PHARMACY ORDERABLE ITEM
     346  BCMA MISSING DOSE RE (#53.686)                                  |                             |
     347    ADDITIVES ......................................  (N S C )->  |   *PRIMARY DRUG             |-> PRIMARY DRUG
     348  BCMA UNABLE TO SCAN  (#53.7711)                                 |                             |
     349    ADDITIVE .......................................  (N S C )->  |   QUICK CODE:USUAL IV SO*   |-> IV SOLUTIONS
     350  BCMA MEDICATION LOG (#53.796)                                   |                             |
     351    ADDITIVES ......................................  (N S C )->  |   QUICK CODE:MED ROUTE      |-> MEDICATION ROUTES
     352  PHARMACY PATIENT (#55.02)                                       |                             |
     353    IV:ADDITIVE ....................................  (N S )->    | m ELECTROYLTES:ELECTROLYTE  |-> DRUG ELECTROLYTES
     354    BCMA ID:ADDITIVE ...............................  (N S )->    |                             |
     355  PHARMACY QUICK ORDER (#57.17)                                   |                             |
     356    ADDITIVE .......................................  (N S )->    |                             |
     357                                                                  -------------------------------
     358                                                                  -------------------------------
     359  IV CATEGORY (#50.2)                                             |                             |
     360    IV DRUG v ........................................(N S L)->   |  52.7 IV SOLUTIONS          |
     361    IV DRUG v ........................................(N S L)->   |   GENERIC DRUG              |-> DRUG
     362  IV ADDITIVES (#52.61)                                           |                             |
     363    QUICK CODE:USUAL IV SOLUTION ...................  (N )->      |   PHARMACY ORDERABLE ITEM   |-> PHARMACY ORDERABLE ITEM
     364  NON-VERIFIED ORDERS (#53.158)                                   |                             |
     365    SOLUTION .......................................  (N S C )->  |   *PRIMARY DRUG             |-> PRIMARY DRUG
     366  BCMA MISSING DOSE RE (#53.687)                                  |                             |
     367    SOLUTIONS ......................................  (N S C )->  | m ELECTROLYTES:ELECTROLYTES |-> DRUG ELECTROLYTES
     368  BCMA UNABLE TO SCAN  (#53.7712)                                 |                             |
     369    SOLUTIONS ......................................  (N S C )->  |                             |
     370  BCMA MEDICATION LOG (#53.797)                                   |                             |
     371    SOLUTIONS ......................................  (N S C )->  |                             |
     372  PHARMACY PATIENT (#55.1058)                                     |                             |
     373    BCMA ID:SOLUTION ...............................  (N S )->    |                             |
     374    IV:SOLUTION ....................................  (N S )->    |                             |
     375  PHARMACY QUICK ORDER (#57.18)                                   |                             |
     376    SOLUTION .......................................  (N S )->    |                             |
     377                                                                  -------------------------------
     378

  • pharmacy-utils/drug-file-cleanup/VWPSSXPD.m

    r1410 r1413  
    1 VWPSSXPD ; VW/SMH - Update the Drug File and friends... ; 4/16/12 12:15pm
     1VWPSSXPD ; VW/SMH - Update the Drug File and friends... ; 4/16/12 3:24pm
    22 ;;1.0;WorldVista Modifications;;;Build 5
    33 ; (C) Sam Habiel
    … …  
    2525 ; Workflow (using KIDS):
    2626 ; On the Origin System:
    27  ; - Create a KIDS build that calls the follwing:
     27 ; - Create a KIDS build that calls the following:
    2828 ;  1. This Routine Name to call from top is the Environment Check for the Build
    2929 ;  2. TRAN is the Pre-Transport Routine for your originating system drug data
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