C0XPT3 ;ISI/MLS,VEN/SMH -- MEDS IMPORT ;2013-05-06 4:35 PM ;;1.0;FILEMAN TRIPLE STORE;;Jun 26,2012;Build 29 ; (C) Sam Habiel 2013 ; Proprietary code. Stay out! ; MEDS(G,DFN) ; Private Proc; Extract Medication Data from a Patient's Graph ; G - Patient Graph, DFN - you should know this K ^TMP($J,"MEDS") D ONETYPE^C0XGET3($NA(^TMP($J,"MEDS")),G,"sp:Medication") ; ; PRIVATE TO SAM -- PRIVATE TO SAM -- PRIVATE TO SAM ; Delete the old drugs for this patient N DIK,DA S DIK="^PS(55,",DA=DFN D ^DIK ; bye bye S DIK="^PSRX(" F DA=0:0 S DA=$O(^PSRX(DA)) Q:'DA D:$P(^(DA,0),U,2)=DFN ^DIK S DIK="^OR(100," F DA=0:0 S DA=$O(^OR(100,DA)) Q:'DA D:+$P(^(DA,0),U,2)=DFN ^DIK ; PRIVATE TO SAM -- PRIVATE TO SAM -- PRIVATE TO SAM ; ; For each medication (C0XI = COUNTER; S = Medication Node as Subject) N C0XI,S F C0XI=0:0 S C0XI=$O(^TMP($J,"MEDS",C0XI)) Q:'C0XI S S=^(C0XI) DO MED1(G,S,DFN) K ^TMP($J,"MEDS") QUIT ; MED1(G,S,DFN) ; Private Procedure; Process each medication in Graph. ; G = Graph; S = Medication Description ID as subject. ; ; 1. Start Date; obtain and then conv to fileman format N STARTDT S STARTDT=$$GSPO1^C0XGET3(G,S,"sp:startDate") ; Duh! Start Date. D . N %DT,X,Y S X=STARTDT D ^%DT S STARTDT=Y ; New stack level for variables. ; ;DEBUG.ASSERT that STARTDT is greater than 1900 I STARTDT'>2000000 S $EC=",U1," ; ; 2. Frequency N FVALUE S FVALUE=$$GSPO1^C0XGET3(G,S,"sp:frequency.sp:value") N FUNIT S FUNIT=$$GSPO1^C0XGET3(G,S,"sp:frequency.sp:unit") ; ; 3. Dose Quantity ; Get value, get unit and strip the braces out. N DOSE S DOSE=$$GSPO1^C0XGET3(G,S,"sp:quantity.sp:value") N DUNIT S DUNIT=$$GSPO1^C0XGET3(G,S,"sp:quantity.sp:unit"),DUNIT=$TR(DUNIT,"{}") ; ; 4. Instructions N INST S INST=$$GSPO1^C0XGET3(G,S,"sp:instructions") ; ; 5. Drug Name and Code N RXN S RXN=$$GSPO1^C0XGET3(G,S,"sp:drugName.sp:code"),RXN=$P(RXN,"/",$L(RXN,"/")) ; RxNorm Code N DN S DN=$$GSPO1^C0XGET3(G,S,"sp:drugName.dcterms:title") ; Drug Name ; W S," ",FVALUE_FUNIT," ",DOSE," ",DUNIT," ",INST," ",DN," ",RXN,! ; ; 6. Get Fill Dates N FULF ; Fulfillments D GSPO^C0XGET3($NA(FULF),G,S,"sp:fulfillment") ; N FILLS ; Fills array. Contains every time a drug was dispensed. N FILL S FILL="" F S FILL=$O(FULF(FILL)) Q:FILL="" D . N S S S=FULF(FILL) ; New subject; subsumes above one in this loop . ; . ; Dispense Date . N FILLDATE S FILLDATE=$$GSPO1^C0XGET3(G,S,"dcterms:date") . D . . N %DT,X,Y S X=FILLDATE D ^%DT S FILLDATE=Y . I FILLDATE<2000000 W $EC=",U1," ; Converstion error . ; . S FILLS=$G(FILLS)+1 ; Counter for number of dispenses . S FILLS(RXN,FILLDATE,"sp:dispenseDaysSupply")=$$GSPO1^C0XGET3(G,S,"sp:dispenseDaysSupply") ; Self Explanatory? . ; . ; Get quantity value and unit . S FILLS(RXN,FILLDATE,"sp:quantityDispensed.sp:value")=$$GSPO1^C0XGET3(G,S,"sp:quantityDispensed.sp:value") . S FILLS(RXN,FILLDATE,"sp:quantityDispensed.sp:unit")=$TR($$GSPO1^C0XGET3(G,S,"sp:quantityDispensed.sp:unit"),"{}") ; ; ZWRITE:$D(FILLS) FILLS ; ; Prepare to add drug to patient record D . N FILDT,FILQTY,FILDAYS . S FILDT=$O(FILLS(RXN,"")) ; Get first fill. . I FILDT S FILQTY=FILLS(RXN,FILDT,"sp:quantityDispensed.sp:value"),FILDAYS=FILLS(RXN,FILDT,"sp:dispenseDaysSupply") ; extract fill data . E S (FILQTY,FILDAYS)="",FILDT=STARTDT ; Technically, the drug is invalid since there is no fill. But this is a kludge. . D PREP(DFN,RXN,INST,FILDT,FILQTY,FILDAYS,.FILLS) ; Add drug to patient record ; QUIT ; PREP(DFN,RXN,INST,FILDT,FILQTY,FILDAYS,FILLS) ; Private EP to add drug to patient record ; - DFN ; - RXN - RxNorm CUI ; - INST - Instructions (1 tablet daily etc) ; - FILDT - Earliest Fill Date ; - FILQTY - Fill quantity of earliest fill date, used as default ; - FILDAYS - Days Supply ; - FILLS - Array specificed above - ByRef ; ; TODO: ; 3. Don't file a med twice! Check ^PXRMINDX to make sure it aint there first ; 6. Coded sig (FVALUE, FUNIT, DOSE, DUNIT) - goes into SIG1 multiple and Med Instructions multiple ; 7. Fill label log section of Rx? Maybe not - goes into Label Date/Time multiple ; 8. ICD Diangosis multiple if we have the data ; I '$$EXIST^C0CRXNLK(RXN) S $EC=",U1," ; Invalid RxNorm code passed. ; N ORZPT,PSODFN S (ORZPT,PSODFN)=DFN ;"" ;POINTER TO PATIENT FILE (#2) N PNTSTAT S PNTSTAT=20 ; NON-VA ;RX PATIENT STATUS FILE (#53) N PROV S PROV=$$NP^C0XPT0() ;NEW PERSON FILE (#200) I $$ISBRAND^C0CRXNLK(RXN) S RXN=$$BR2GEN^C0CRXNLK(RXN) ; Get Generic Drug for Brand N LOCALDRUG S LOCALDRUG=+$$RXN2MEDS^C0CRXNLK(RXN) ; I 'LOCALDRUG S LOCALDRUG=$$ADDDRUG^C0CRXNAD(RXN) I LOCALDRUG N DIK,DA S DIK="^PSDRUG(",DA=LOCALDRUG D ^DIK S LOCALDRUG=$$ADDDRUG^C0CRXNAD(RXN) W "(debug) Local Drug IEN: "_LOCALDRUG,! N PSODRUG S PSODRUG=LOCALDRUG ;POINTER TO DRUG FILE (#50) ; TODO: HARDCODED; RXN S PSODRUG("DEA")=$P($G(^PSDRUG(PSODRUG,0)),U,3) N QTY S QTY=FILQTY ; NUMBER ;0;7 NUMBER (Required) N DAYSUPLY S DAYSUPLY=FILDAYS ;NUMBER ; 0;8 NUMBER (Required); N REFIL S REFIL=$S($G(FILLS):FILLS-1,1:0) ;NUMBER ; 0;9 NUMBER (Required) ; # of dispenses - 1, if there are any N ORDCONV S ORDCONV=1 ;'1' FOR ORDER CONVERTED;'2' FOR EXPIRATION TO CPRS; N COPIES S COPIES=1 ;NUMBER N MLWIND S MLWIND="W" ; Mail/Window: 'M' or 'W' N ENTERBY S ENTERBY=.5 ;NEW PERSON FILE (#200) - POSTMASTER N UNITPRICE S UNITPRICE=$P(^PSDRUG(PSODRUG,660),U,6) ;0.009 ;"" ;NUMBER N PSOSITE S PSOSITE=$O(^PS(59,0)) ; OUTPATIENT SITE FILE (#59); get first one N %,LOGDT D NOW^%DTC S LOGDT=% ;LOGIN DATE ; 2;1 DATE (Required) N FILLDT S FILLDT=FILDT ;DATE; First fill date from our data. N ISSDT S ISSDT=FILLDT ;DATE N DISPDT S DISPDT=ISSDT ;DATE N X D . N X1,X2 . S X1=DISPDT,X2=180 D C^%DTC ;Default expiration of T+180 N EXPIRDT S EXPIRDT=X ; N PORDITM S PORDITM=$P($G(^PSDRUG(PSODRUG,2)),U,1) ;PHARMACY ORDERABLE ITEM FILE (#50.7) N STATUS S STATUS=0 ;STA;1 SET (Required) ; '0' FOR ACTIVE; N TRNSTYP S TRNSTYP=1 ; IB ACTION TYPE FILE (#350.1) N LDISPDT S LDISPDT=FILLDT ; 3;1 DATE N REASON S REASON="E" ;Activity log ; SET ([E]dit) N INIT S INIT=.5 ;NEW PERSON FILE (#200) N SIG S SIG=INST ;#51,.01 ; CREATE ; fall through ; N PSONEW D AUTO^PSONRXN ;RX auto number I $G(PSONEW("RX #"))="" S $EC=",U1," ; Auto-numbering not turned on! N RXNUM S RXNUM=PSONEW("RX #") ; Rx Number, again... ; L +^PSRX(0):0 ; Lock zero node while we get the record. N PSOIEN S PSOIEN=$O(^PSRX(" "),-1)+1 ; Next available IEN I $D(^PSRX(PSOIEN)) S $EC=",U1," ; Next number not available. File issue. S $P(^PSRX(0),U,3)=PSOIEN ; Reset next available number. S $P(^PSRX(PSOIEN,0),"^",1)=RXNUM ; 0;1 FREE TEXT (Required) L +^PSRX(PSOIEN):0 ; Lock record node L -^PSRX(0) ; Unlock zero node, we now got it ; S $P(^PSRX(PSOIEN,0),"^",13)=ISSDT ; 0;13 DATE (Required) S $P(^PSRX(PSOIEN,0),"^",2)=ORZPT ;POINTER TO PATIENT FILE (#2) S $P(^PSRX(PSOIEN,0),"^",3)=PNTSTAT ;RX PATIENT STATUS FILE (#53) S $P(^PSRX(PSOIEN,0),"^",4)=PROV ;NEW PERSON FILE (#200) S $P(^PSRX(PSOIEN,0),"^",5)=$$HL^C0XPT0() ; Outpatient ; LOC ;HOSPITAL LOCATION FILE (#44); Default smart location S $P(^PSRX(PSOIEN,0),"^",6)=PSODRUG ;POINTER TO DRUG FILE (#50) S $P(^PSRX(PSOIEN,0),"^",7)=QTY ;NUMBER ;0;7 NUMBER (Required) S $P(^PSRX(PSOIEN,0),"^",8)=DAYSUPLY ;NUMBER ; 0;8 NUMBER (Required) S $P(^PSRX(PSOIEN,0),"^",9)=REFIL ;NUMBER ; 0;9 NUMBER (Required) S $P(^PSRX(PSOIEN,0),"^",11)=MLWIND ;'M' or 'W' S $P(^PSRX(PSOIEN,0),"^",16)=ENTERBY ;NEW PERSON FILE (#200) S $P(^PSRX(PSOIEN,0),"^",17)=UNITPRICE ;NUMBER S $P(^PSRX(PSOIEN,0),"^",18)=COPIES ;COPIES ; S $P(^PSRX(PSOIEN,2),"^",1)=LOGDT ;LOGIN DATE ; 2;1 DATE (Required) S $P(^PSRX(PSOIEN,2),"^",2)=FILLDT ;FILL DATE ;S $P(^PSRX(PSOIEN,2),"^",3)=PHARMACIST ; "" ; PHARMACIST ;2;3 POINTER TO NEW PERSON FILE (#200) ;S $P(^PSRX(PSOIEN,2),"^",4)="" ; LOT # 2;4 FREE TEXT S $P(^PSRX(PSOIEN,2),"^",5)=DISPDT ; DISPENSED DATE 2;5 DATE (Required) S $P(^PSRX(PSOIEN,2),"^",6)=EXPIRDT ;"" ; EXPIRATION DATE S $P(^PSRX(PSOIEN,2),"^",9)=PSOSITE ;2;9 POINTER TO OUTPATIENT SITE FILE (#59) ; S $P(^PSRX(PSOIEN,3),U,1)=DISPDT ;LAST DISPENSED DATE 3;1 DATE S $P(^PSRX(PSOIEN,3),U,7)="Imported from Smart" ; REMARKS FT ; S $P(^PSRX(PSOIEN,"EPH"),U,1)=0 ; DAW Code ; N C0XFILL S C0XFILL="" N C0XREFCT S C0XREFCT=0 F S C0XFILL=$O(FILLS(RXN,C0XFILL)) Q:C0XFILL="" D . S ^PSRX(PSOIEN,"A",0)="^52.3DA"_U_(C0XREFCT+1)_U_(C0XREFCT+1) . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",1)=LOGDT ;DATE . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",2)="N" ;SET ; Dispensed using external interface . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",3)=INIT ;NEW PERSON FILE (#200) . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",4)=0 ;NUMBER - RX REFERENCE . S $P(^PSRX(PSOIEN,"A",C0XREFCT+1,0),"^",5)="Imported from Smart" . ; . Q:C0XFILL=FILDT ; Don't add refill data for first fill! . ; . ; Increment counter . S C0XREFCT=C0XREFCT+1 . ; . S ^PSRX(PSOIEN,1,0)="^52.1DA"_U_(C0XREFCT)_U_(C0XREFCT) . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",1)=C0XFILL ; REFILL DATE [D] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",2)=MLWIND ; MAIL/WINDOW [RS] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",3)="Imported from Smart" ; REMARKS [F] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",4)=FILLS(RXN,C0XFILL,"sp:quantityDispensed.sp:value") ; QTY [RNJ12,2X] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",5)=.5 ; PHARMACIST NAME [*P200'] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",6)="" ; LOT [F] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",7)=.5 ; CLERK CODE [RP200'] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",8)="" ; LOGIN DATE [D] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",9)="" ; DIVISION [RP59'] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",17)=PROV ; PROVIDER [R*P200X'I] . S $P(^PSRX(PSOIEN,1,C0XREFCT,0),"^",19)=C0XFILL ; DISPENSED DATE [RD] ; S ^PSRX(PSOIEN,"OR1")=PORDITM ;PHARMACY ORDERABLE ITEM FILE (#50.7) S $P(^PSRX(PSOIEN,"OR1"),U,5)=.5 ; Finishing Person S $P(^PSRX(PSOIEN,"OR1"),U,8)=$$NOW^XLFDT() ; Finish Date/Time; seconds required. ; ; S $P(^PSRX(PSOIEN,"SIG"),"^",1)=SIG ;SIG;1 FREE TEXT (Required) medication instruction DIC(51) S $P(^PSRX(PSOIEN,"SIG"),"^",2)=0 ;OERR SIG (SET: 0 for NO; 1 for YES) ; S $P(^PSRX(PSOIEN,"STA"),"^",1)=STATUS ;STA;1 SET (Required) ; '0' FOR ACTIVE; ; ;S ^PSRX(PSOIEN,"IB")=TRNSTYP ;COPAY TRANSACTION TYPE IB ACTION TYPE FILE (#350.1) S ^PSRX(PSOIEN,"TYPE")=0 ;TYPE OF RX TYPE;1 NUMBER ; D OERR(PSOIEN),F55,F52(PSOIEN),F525 ; L -PSRX(PSOIEN) ; Unlock record Q ; OERR(PSOIEN) ;UPDATES OR1 NODE ;THE SECOND PIECE IS KILLED BEFORE MAKING THE CALL S $P(^PSRX(PSOIEN,"OR1"),"^",2)="" N PSXRXIEN,STAT,PSSTAT,COMM,PSNOO S PSXRXIEN=PSOIEN,STAT="SN",PSSTAT="CM",COMM="",PSNOO="W" D EN^PSOHLSN1(PSXRXIEN,STAT,PSSTAT,COMM,PSNOO) QUIT F55 ; - File data into ^PS(55) ;S PSODFN=DFN S:'$D(^PS(55,PSODFN,"P",0)) ^(0)="^55.03PA^^" F PSOX1=$P(^PS(55,PSODFN,"P",0),"^",3):1 Q:'$D(^PS(55,PSODFN,"P",PSOX1)) 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) S:$P($G(^PSRX(PSOIEN,2)),"^",6) ^PS(55,PSODFN,"P","A",$P($G(^PSRX(PSOIEN,2)),"^",6),PSOIEN)="" K PSOX1 Q F52(PSOIEN) ;; - Re-indexing file 52 entry N DIK,DA S DIK="^PSRX(",DA=PSOIEN D IX1^DIK K DIK Q ; F525 ;UPDATE SUSPENSE FILE Q:$G(^PSRX(PSOIEN,"STA"))'=5 S DA=PSOIEN,X=PSOIEN,FDT=$P($G(^PSRX(PSOIEN,2)),"^",2),TYPE=$P($G(^PSRX(PSOIEN,0)),"^",11) S DIC="^PS(52.5,",DIC(0)="L",DLAYGO=52.5,DIC("DR")=".02///"_FDT_";.03////"_$P(^PSRX(PSOIEN,0),"^",2)_";.04////"_TYPE_";.05///0;.06////"_DIV_";2///0" K DD,D0 D FILE^DICN K DD,D0 Q