VistA-FOIAVistA/r/ORDER_ENTRY_RESULTS_REPORTI.../ORKCHK4.m

109 lines
4.6 KiB
Mathematica

ORKCHK4 ; slc/CLA - Support routine called by ORKCHK to do SELECT mode order checks ;3/6/97 9:35
;;3.0;ORDER ENTRY/RESULTS REPORTING;**6,32,74,87,94,123,162,190,249**;Dec 17, 1997
Q
;
EN(ORKS,ORKDFN,ORKA,ORENT,ORKTMODE) ;perform order checking for orderable item selection
Q:$$GET^XPAR("DIV^SYS^PKG","ORK SYSTEM ENABLE/DISABLE",1,"I")="D"
;
N OI,ORKDG,HL7,ODT,ORNUM,HL7NPTR,HL7NTXT,HL7NCOD,HL7LPTR,HL7LTXT,HL7LCOD
N ORKMSG,ORKT,ORKTXT
;
S OI=$P(ORKA,"|"),ORKDG=$P(ORKA,"|",2)
S HL7=$P(ORKA,"|",3),ODT=$P(ORKA,"|",4),ORNUM=$P(ORKA,"|",5)
S HL7NPTR=$P(HL7,U),HL7NTXT=$P(HL7,U,2),HL7NCOD=$P(HL7,U,3)
S HL7LPTR=$P(HL7,U,4),HL7LTXT=$P(HL7,U,5),HL7LCOD=$P(HL7,U,6)
;
I $E(ORKDG,1,2)="PS" D PHARM
I $E(ORKDG,1,2)'="PS" D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"SELECT")
Q
;
PHARM ;process pharmacy order checks:
N ORPSPKG,ORPSA,ORKDD
N ORCRITN,ORCRITF,ORCRITD,ORSIGN,ORSIGF,ORSIGD,ORDUPN,ORDUPF,ORDUPD,ORDUPCN,ORDUPCF,ORDUPCD
;
D PARAMS("CRITICAL DRUG INTERACTION",.ORCRITN,.ORCRITF,.ORCRITD)
D PARAMS("SIGNIFICANT DRUG INTERACTION",.ORSIGN,.ORSIGF,.ORSIGD)
D PARAMS("DUPLICATE DRUG ORDER",.ORDUPN,.ORDUPF,.ORDUPD)
D PARAMS("DUPLICATE DRUG CLASS ORDER",.ORDUPCN,.ORDUPCF,.ORDUPCD)
;
;dispense drug selected:
I $L($G(HL7LPTR)),($G(HL7LCOD)="99PSD") D
.D RXOCS
.D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"SELECT")
;
;dispense drug NOT selected, split OI into dispense drugs:
I '$L($G(HL7LPTR)) D
.S ORPSPKG=$E(ORKDG,3)
.I ORPSPKG="H" S ORPSPKG="X" ;change to "X" if "H"erbal/non-VA med
.I "IOX"[ORPSPKG D OI2DD(.ORPSA,OI,ORPSPKG)
.S ORKDD=0 F S ORKDD=$O(ORPSA(ORKDD)) Q:'ORKDD D
..S HL7LTXT=ORPSA(ORKDD)
..S HL7NPTR=$P(ORKDD,";",2)
..S HL7LPTR=+ORKDD
..S HL7LCOD="99PSD",HL7NCOD="99NDF"
..S $P(HL7,U)=HL7NPTR,$P(HL7,U,3)=HL7NCOD
..S $P(HL7,U,4)=HL7LPTR,$P(HL7,U,5)=HL7LTXT,$P(HL7,U,6)=HL7LCOD
..S $P(ORKA,"|",3)=HL7 ;set these for MLM OCX call
..D RXOCS
..D MLM^ORKCHK2(.ORKS,ORKDFN,ORKA,ORENT,"SELECT")
Q
;
RXOCS ;drug-drug interaction, duplicate drug order, duplicate drug class
Q:ORCRITF_ORSIGF_ORDUPF_ORDUPCF'["E" ;quit if none are "E"nabled
N ORKRX,ORPSNUM
D CHECK^ORKPS(.ORKRX,ORKDFN,HL7LPTR,OI,ORKDG)
N CHK,XX S CHK=0,XX=""
F S CHK=$O(ORKRX(CHK)) Q:'CHK D
.S XX=ORKRX(CHK)
.;
.;critical drug interaction:
.I $P(XX,U)="DI",$P(XX,U,5)="CRITICAL" D ;,(ORKTMODE'="ALL") D
..Q:ORCRITF="D"
..S ORPSNUM=$P(XX,U,8) ;get the associated order number
..I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]"
..E S ORKTXT=$P(XX,U,3)
..S ORKMSG=$P(XX,U,5)_" drug-drug interaction: "_$P(XX,U,6)_" & "_$P(XX,U,7)
..S ORKS("ORK",ORCRITD_","_$G(ORNUM)_","_ORPSNUM_","_$E(ORKMSG,1,225))=ORNUM_U_ORCRITN_U_ORCRITD_U_ORKMSG_" ("_ORKTXT_")"_U_$G(ORPSNUM)
.;
.;significant drug interaction:
.I $P(XX,U)="DI",$P(XX,U,5)="SIGNIFICANT" D ;,(ORKTMODE'="ALL") D
..Q:ORSIGF="D"
..S ORPSNUM=$P(XX,U,8) ;get the associated order number
..I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]"
..E S ORKTXT=$P(XX,U,3)
..S ORKMSG=$P(XX,U,5)_" drug-drug interaction: "_$P(XX,U,6)_" & "_$P(XX,U,7)
..S ORKS("ORK",ORSIGD_","_$G(ORNUM)_","_ORPSNUM_","_$E(ORKMSG,1,225))=ORNUM_U_ORSIGN_U_ORSIGD_U_ORKMSG_" ("_ORKTXT_")"_U_$G(ORPSNUM)
.;
.;duplicate drug:
.I $P(XX,U)="DD" D ;,(ORKTMODE'="ALL") D
..Q:ORDUPF="D"
..S ORPSNUM=$P(XX,U,4) ;get the associated order number
..I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]"
..E S ORKTXT=$P(XX,U,3)
..S ORKMSG="Duplicate drug order: "_ORKTXT
..S ORKS("ORK",ORDUPD_","_$G(ORNUM)_","_ORPSNUM_",Duplicate drug order: "_$P(XX,U,3))=ORNUM_U_ORDUPN_U_ORDUPD_U_ORKMSG_U_$G(ORPSNUM)
.;
.;duplicate class:
.I $P(XX,U)="DC" D ;,(ORKTMODE'="ALL") D
..Q:ORDUPCF="D"
..S ORPSNUM=$P(XX,U,6) ;get the associated order number
..I $L(ORPSNUM),$G(^OR(100,+ORPSNUM,0)) S ORKT=$$FULLTEXT^ORQOR1(+ORPSNUM),ORKTXT=$P(ORKT,U)_" ["_$P(ORKT,U,2)_"]"
..E S ORKTXT=$P(XX,U,5)
..S ORKMSG="Duplicate drug class order: "_$P(XX,U,3)
..S ORKS("ORK",ORDUPCD_","_$G(ORNUM)_","_ORPSNUM_","_$E(ORKMSG,1,225))=ORNUM_U_ORDUPCN_U_ORDUPCD_U_ORKMSG_" ("_ORKTXT_")"_U_$G(ORPSNUM)
Q
;
OI2DD(ORPSA,OROI,ORPSPKG) ;rtn dispense drugs for a PS OI
N PSOI
Q:'$D(^ORD(101.43,OROI,0))
S PSOI=$P($P(^ORD(101.43,OROI,0),U,2),";")
Q:+$G(PSOI)<1
D DRG^PSSUTIL1(.ORPSA,PSOI,ORPSPKG)
Q
;
PARAMS(ORKNAME,ORKNUM,ORKFLAG,ORKDNGR) ; get parameter values for an order chk
S ORKNUM=0,ORKNUM=$O(^ORD(100.8,"B",ORKNAME,ORKNUM))
S ORKFLAG=$$GET^XPAR(ORENT,"ORK PROCESSING FLAG",ORKNUM,"I")
S ORKDNGR=$$GET^XPAR("DIV^SYS^PKG","ORK CLINICAL DANGER LEVEL",ORKNUM,"I")
Q