252 lines
8.5 KiB
Mathematica
252 lines
8.5 KiB
Mathematica
GMRAIAD1 ;BPOIFO/JG - BUILD HL7 ORU^R01 MESSAGE FOR ADVERSE REACTION - PART 1 ; 18 Feb 2005 2:54 PM
|
|
;;4.0;Adverse Reaction Tracking;**22,23**;Mar 29, 1996
|
|
VALID ;;VDEF HL7 MESSAGE BUILDER
|
|
; Creates HL7 V2.4 ORU^R01 message for allergy adverse reaction
|
|
;
|
|
; This routines uses the following IAs:
|
|
; #4248 - VDEFEL calls (controlled)
|
|
; #3630 - VAFCQRY calls (controlled)
|
|
; #2196 - ^PS(50.416,IEN,0) (controlled)
|
|
; #4571 - ERR^VDEFREQ (controlled)
|
|
;
|
|
; This routine is called at tag EN as a Function by VDEFREQ1
|
|
;
|
|
; This routine calls GMRAIAD2 for a portion of message
|
|
;
|
|
Q
|
|
;
|
|
EN(EVIEN,KEY,VFLAG,OUT,MSHP) ;
|
|
;
|
|
; Inputs: EVIEN = IEN of message in file 577
|
|
; KEY - IEN of file to create message from
|
|
; VFLAG - "V" for VistA HL7 destination (default)
|
|
; OUT - target array, passed by reference
|
|
; MSHP - Piece 4 contains message subtype
|
|
;
|
|
; Output: Two part string with parts separated by "^"
|
|
; Part 1: "LM" - output in local array passed in "OUT" parameter
|
|
; "GM" - output in ^TMP("HLS",$J)
|
|
; Part 2: No longer used
|
|
;
|
|
N DFN,HLFS,HLCM,HLSC,HLRP,HLES,HLQ,ALRDATA,DTE,DTP,ADD
|
|
N DATA,VAL,I,S,X,Y,Z,X1,X2,HL7RC,IEN,OUTX,LIKE,LIKERSP,GMRAPID,SEQ
|
|
N SEPF,SEPC,SEPR,SEPE,SEPS,ARRAY,PTC,CMP,GMRAHL
|
|
;
|
|
; Initialize stuff
|
|
K ^TMP("HLS",$J) S S=0,ARRAY="OUT("_"""HLS"""_",S)",TARGET="LM^"
|
|
M GMRAHL=VDEFHL
|
|
;
|
|
; Set up HL7 delimiters
|
|
S HLCM=$E(GMRAHL("ECH")),HLRP=$E(GMRAHL("ECH"),2),HLSC=$E(GMRAHL("ECH"),4),HLES=$E(GMRAHL("ECH"),3)
|
|
S HLFS=GMRAHL("FS"),HLQ=GMRAHL("Q"),HL7RC=HLES_HLFS_HLCM_HLRP_HLSC
|
|
D SETDLMS^VDEFEL
|
|
;
|
|
; Get allergy data & patient ID
|
|
S ALRDATA=$G(^GMR(120.85,KEY,0))
|
|
I ALRDATA="" D ERR^VDEFREQ("No data in file GMR(120.85) for IEN "_KEY) S ZTSTOP=1 G EXIT
|
|
S DFN=$P(ALRDATA,U,2)
|
|
I $G(^DPT(DFN,0))="" D ERR^VDEFREQ("No data in file DPT for DFN "_DFN) S ZTSTOP=1 G EXIT
|
|
;
|
|
; Build segments for message in OUT, $P # = HL7 field #
|
|
;
|
|
; PID - Use MPI PID builder
|
|
PID K GMRAPID S OUTX="",S=1,SEQ=""
|
|
D BLDPID^VAFCQRY(DFN,1,SEQ,.GMRAPID,.GMRAHL)
|
|
F I=2:1 Q:$G(GMRAPID(I))="" S GMRAPID(1,I-1)=GMRAPID(I) K GMRAPID(I)
|
|
M OUTX=GMRAPID(1) K GMRAPID D SAVE
|
|
;
|
|
; OBR
|
|
OBR S S=S+1,OUTX="",$P(OUTX,HLFS)=1,$P(OUTX,HLFS,25)="F"
|
|
S VAL=KEY_HLCM_$P(SITEPARM,U,6)_"_120.85",$P(OUTX,HLFS,3)=VAL
|
|
S $P(OUTX,HLFS,4)="ADVERSE REACTION REPORT"_HLCM_HLCM_"L"
|
|
;
|
|
;Date/time reaction occured
|
|
S $P(OUTX,HLFS,7)=$$TS^VDEFEL($P(ALRDATA,U,1))
|
|
;
|
|
; Entering User
|
|
S VAL=$$XCN200^VDEFEL($P(ALRDATA,U,19)),$P(VAL,HLCM,8)="ENT",$P(OUTX,HLFS,32)=VAL
|
|
;
|
|
; Observer (Witness)
|
|
S VAL=$$XCN200^VDEFEL($P(ALRDATA,U,13)),$P(VAL,HLCM,8)="OBS"
|
|
;
|
|
; Reporter
|
|
S X=$P($G(^GMR(120.85,KEY,"RPT")),U,1)
|
|
S X=HLCM_$P(X,",",1)_HLCM_$P($P(X,",",2)," ",1)_HLCM_$P($P(X,",",2)," ",2)
|
|
S $P(X,HLCM,8)="RPT",$P(OUTX,HLFS,34)=VAL_HLRP_X
|
|
;
|
|
; Related Reaction
|
|
S X=$P(ALRDATA,U,15)_HLCM_$P($G(^GMR(120.8,$P(ALRDATA,U,15),0)),U,2)_HLCM_"L"
|
|
S $P(OUTX,HLFS,47)=X
|
|
S OUTX="OBR"_HLFS_OUTX D SAVE
|
|
;
|
|
; OBX 1 - Symptoms
|
|
OBX1 S S=S+1,OUTX=1_HLFS_"CE"_HLFS_"SYMPTOM"_HLFS
|
|
;
|
|
; Get the reactions
|
|
S X=0,(Y,Z)="" F S X=$O(^GMR(120.85,KEY,2,X)) Q:X'?1N.N D
|
|
. S Y=^GMR(120.85,KEY,2,X,0),VAL=$P(Y,U,3)
|
|
. I $P(Y,U,2)'="" S Z=Z_$P(Y,U,2)_HLRP
|
|
. E S Z=Z_$P(^GMRD(120.83,+Y,0),U,1)_HLRP
|
|
S $P(OUTX,HLFS,5)=$E(Z,1,$L(Z)-1)
|
|
;
|
|
; Severity
|
|
S $P(OUTX,HLFS,8)=$$GET1^DIQ(120.85,KEY_",",14.5)
|
|
;
|
|
; Reaction entered by
|
|
S $P(OUTX,HLFS,16)=$$XCN200^VDEFEL(VAL)
|
|
S $P(OUTX,HLFS,11)="F"
|
|
S OUTX="OBX"_HLFS_OUTX D SAVE
|
|
;
|
|
; RXA/RXE/RXR/OBX Suspected Agent Group
|
|
G OBX2:$G(^GMR(120.85,KEY,3,1,0))="" S IEN=0
|
|
RXAGRP1 F S IEN=$O(^GMR(120.85,KEY,3,IEN)) Q:IEN'?1N.N D
|
|
. S S=S+1,OUTX="0"_HLFS_"1" K ALRDATA M ALRDATA=^GMR(120.85,KEY,3,IEN)
|
|
. ;
|
|
. ; RXA
|
|
. ; Start & Stop dates
|
|
. S VAL=$P($G(ALRDATA(1)),U) I VAL S $P(OUTX,HLFS,3)=$$TS^VDEFEL(VAL)
|
|
. S VAL=$P($G(ALRDATA(1)),U,2) I VAL S $P(OUTX,HLFS,4)=$$TS^VDEFEL(VAL)
|
|
. ;
|
|
. ; Suspected agent & daily dose
|
|
. S VAL=$P(ALRDATA(0),U),$P(OUTX,HLFS,5)=$$HL7RC(VAL)
|
|
. S VAL=$P(ALRDATA(0),U,2),$P(OUTX,HLFS,6)=$$HL7RC(VAL)
|
|
. ;
|
|
. ; Lot number, Exp. Date, Manufacturer
|
|
. S VAL=$P(ALRDATA(0),U,8) S:VAL $P(OUTX,HLFS,15)=$$HL7RC(VAL)
|
|
. S VAL=$P($G(ALRDATA(1)),U,3) I VAL S $P(OUTX,HLFS,16)=$$TS^VDEFEL(VAL)
|
|
. S VAL=$P(ALRDATA(0),U,7) S:VAL $P(OUTX,HLFS,17)=$$HL7RC(VAL)
|
|
. ;
|
|
. ; Indication for use
|
|
. S VAL=$P(ALRDATA(0),U,4) S:VAL $P(OUTX,HLFS,19)=$$HL7RC(VAL)
|
|
. ;
|
|
. ; Set into array
|
|
. S OUTX="RXA"_HLFS_OUTX D SAVE
|
|
. ;
|
|
. ; RXE
|
|
. S S=S+1,OUTX="",CMP=""
|
|
. ;
|
|
. ; Previous doses
|
|
. S $P(CMP,HLCM,1)=$$HL7RC($P(ALRDATA(0),U,9))
|
|
. ;
|
|
. ; Duration
|
|
. S X1=$P($G(ALRDATA(1)),U,2),X2=$P($G(ALRDATA(1)),U) D ^%DTC S:X="" X=0 S $P(CMP,HLCM,3)=X
|
|
. ;
|
|
. ; Last date given
|
|
. S VAL=$P(ALRDATA(0),U,10) I VAL S $P(CMP,HLCM,5)=$$TS^VDEFEL(VAL)
|
|
. S $P(OUTX,HLFS)=CMP,CMP=""
|
|
. ;
|
|
. ; Give codes
|
|
. S VAL=$P(ALRDATA(0),U),$P(CMP,HLCM,1)=$$HL7RC(VAL)
|
|
. S $P(CMP,HLCM,4)=$P($G(ALRDATA(1)),U,4),$P(CMP,HLCM,6)="NDC"
|
|
. S $P(OUTX,HLFS,2)=CMP,$P(OUTX,HLFS,3)=0
|
|
. ;
|
|
. ; SIG
|
|
. S $P(OUTX,HLFS,7)=$$HL7RC($P($G(ALRDATA(1)),U,5))
|
|
. ;
|
|
. ; Daily dose
|
|
. S $P(OUTX,HLFS,19)=$$HL7RC($P(ALRDATA(0),U,2))
|
|
. S OUTX="RXE"_HLFS_OUTX D SAVE
|
|
. ;
|
|
. ; RXR
|
|
. ; Route of administration
|
|
. S OUTX="",VAL=$P(ALRDATA(0),U,3) S:VAL="" VAL="UNKNOWN" S $P(OUTX,HLFS,1)=$$HL7RC(VAL)
|
|
. S S=S+1,OUTX="RXR"_HLFS_OUTX D SAVE
|
|
. ;
|
|
. ; OBX - LIKES
|
|
. S LIKERSP=$G(ALRDATA("LIKE")) I LIKERSP'="" F LIKE=1:1:6 D
|
|
. . S S=S+1,OUTX=1_HLFS_"CE"_HLFS
|
|
. . S VAL="LIKE "_LIKE_HLCM_$P($T(LIKEQ+(LIKE)),";",3),$P(OUTX,HLFS,3)=VAL
|
|
. . S X=$P(LIKERSP,U,LIKE),X=$S(X="y":"Y",X="n":"N",1:""),VAL=X_HLCM
|
|
. . S X=$S(X="Y":"YES",X="N":"NO",1:"")
|
|
. . S VAL=VAL_X_HLCM_"HL70136",$P(OUTX,HLFS,5)=VAL,$P(OUTX,HLFS,11)="F"
|
|
. . S OUTX="OBX"_HLFS_OUTX D SAVE
|
|
. . ;
|
|
. ; Likelihood
|
|
. S S=S+1,OUTX=1_HLFS_"CE"_HLFS_"LIKELIHOOD"
|
|
. S VAL=$P(LIKERSP,U,7) S:VAL="" VAL=5
|
|
. S X=VAL_HLCM_$P("REMOTE,POSSIBLE,PROBABLE,HIGHLY PROBABLE, ",",",VAL)
|
|
. S $P(OUTX,HLFS,5)=X,$P(OUTX,HLFS,11)="F"
|
|
. S OUTX="OBX"_HLFS_OUTX D SAVE
|
|
;
|
|
; OBX2 - Lab Results
|
|
OBX2 S X=$G(^GMR(120.85,KEY,4,0)) G CALL:X=""
|
|
S IEN=0 F S IEN=$O(^GMR(120.85,KEY,4,IEN)) Q:IEN'?1N.N D
|
|
. S S=S+1,OUTX=1_HLFS_"CE"_HLFS
|
|
. S X=^GMR(120.85,KEY,4,IEN,0),$P(OUTX,HLFS,3)=$$HL7RC($P(X,U,1))
|
|
. S $P(OUTX,HLFS,5)=$$HL7RC($P(X,U,2)),$P(OUTX,HLFS,11)="F"
|
|
. S $P(OUTX,HLFS,14)=$$TS^VDEFEL($P(X,U,3))
|
|
. S OUTX="OBX"_HLFS_OUTX D SAVE
|
|
;
|
|
; Call GMRAIAD2
|
|
CALL D ENTRY^GMRAIAD2
|
|
;
|
|
; OBX10 - IND/NDA Info
|
|
OBX10 S X=$G(^GMR(120.85,KEY,"MFR2")) G RXAGRP2:X=""
|
|
S S=S+1,OUTX=1_HLFS_"ST",$P(OUTX,HLFS,5)=$P(X,U,1)
|
|
S OUTX="OBX"_HLFS_OUTX D SAVE
|
|
;
|
|
; RXA/RXE Concommitant Drugs Group
|
|
RXAGRP2 S X=$G(^GMR(120.85,KEY,13,0)) G EXIT:X=""
|
|
S IEN=0 F S IEN=$O(^GMR(120.85,KEY,13,IEN)) Q:IEN'?1N.N D
|
|
. ;
|
|
. ; RXA
|
|
. S X=^GMR(120.85,KEY,13,IEN,0),S=S+1,OUTX=0_HLFS_1
|
|
. ;
|
|
. ; Start Date, Stop Date
|
|
. I $P(X,U,2)'="" S $P(OUTX,HLFS,3)=$$TS^VDEFEL($P(X,U,2))
|
|
. I $P(X,U,3)'="" S $P(OUTX,HLFS,4)=$$TS^VDEFEL($P(X,U,3))
|
|
. ;
|
|
. ; Drug Name
|
|
. S $P(OUTX,HLFS,5)=$$HL7RC($P(X,U,1)),$P(OUTX,HLFS,6)=0
|
|
. S OUTX="RXA"_HLFS_OUTX D SAVE
|
|
. ;
|
|
. ; RXE
|
|
. ; Stop Date
|
|
. S S=S+1,OUTX="",VAL=$$TS^VDEFEL($P(X,U,3))
|
|
. S Y="",$P(Y,HLCM,5)=VAL,$P(OUTX,HLFS,1)=Y
|
|
. ;
|
|
. ; Drug Name
|
|
. S $P(OUTX,HLFS,2)=$$HL7RC($P(X,U,1)),$P(OUTX,HLFS,3)=0
|
|
. ;
|
|
. ; SIG if known
|
|
. S $P(OUTX,HLFS,5)="UNK",$P(OUTX,HLFS,7)=$$HL7RC($P(X,U,5))
|
|
. S OUTX="RXE"_HLFS_OUTX D SAVE
|
|
;
|
|
; Done building segments
|
|
EXIT Q TARGET
|
|
;
|
|
;
|
|
; Place current string into message array
|
|
; Turn string into array if length >245.
|
|
; Move local array to global if needed
|
|
SAVE N I
|
|
I $P(OUTX,HLFS)'="PID",$L(OUTX)>245 D
|
|
. K ADD S ADD=$E(OUTX,1,245),OUTX=$E(OUTX,246,$L(OUTX))
|
|
. F I=1:1 S ADD(I)=$E(OUTX,1,245),OUTX=$E(OUTX,246,$L(OUTX)) Q:OUTX=""
|
|
. K OUTX M OUTX=ADD
|
|
M @ARRAY=OUTX
|
|
;
|
|
; Move local array to global if it's getting big.
|
|
I $P(TARGET,U)="LM",$S<16000 D
|
|
. K ^TMP("HLS",$J) M ^TMP("HLS",$J)=OUT("HLS") K OUT("HLS")
|
|
. S $P(TARGET,U)="GM",ARRAY="^TMP("_"""HLS"""_",$J,S)"
|
|
K OUTX,ADD
|
|
Q
|
|
;
|
|
; Replace any HL7 coding chars. in strings with HL7 escape sequence
|
|
; Input: X = data string
|
|
HL7RC(X) N OCHR,RCHR,RCHRI,TYPE,I F TYPE="E","F","C","R","S" D
|
|
. S RCHRI=$S(TYPE="E":1,TYPE="F":2,TYPE="C":3,TYPE="R":4,TYPE="S":5)
|
|
. S OCHR=$E(HL7RC,RCHRI),RCHR=$E("EFSRT",RCHRI)
|
|
. Q:'$F(X,OCHR)
|
|
. F I=1:1 Q:$E(X,I)="" I $E(X,I)=OCHR S X=$E(X,1,I-1)_HLES_RCHR_HLES_$E(X,I+1,999),I=I+2
|
|
Q X
|
|
;
|
|
LIKEQ ; LIKE set
|
|
;;1. Reaction normally occurs with this reactant?
|
|
;;2. Administration of the reactant was stopped?
|
|
;;3. Reaction stopped when the administration of the reactant was terminated?
|
|
;;4. Reactant was re-administered?
|
|
;;5. Reaction could be due to the patient current clinical condition?
|
|
;;6. Reaction reappeared after the reactant was re-administered?
|