121 lines
7.9 KiB
Mathematica
121 lines
7.9 KiB
Mathematica
PSODGDGI ;BIR/SAB - drug drug interaction checker ;4/14/93
|
|
;;7.0;OUTPATIENT PHARMACY;**10,27,48,130,144,132,188,207,243**;DEC 1997;Build 22
|
|
;External reference to ^PS(56 supported by DBIA 2229
|
|
;External reference to ^PSDRUG supported by DBIA 221
|
|
;External references PSOL and PSOUL^PSSLOCK supported by DBIA 2789
|
|
;External reference to DDIEX^PSNAPIS supported by DBIA 2574
|
|
;External references to ^ORRDI1 supported by DBIA 4659
|
|
;External reference ^XTMP("ORRDI" supported by DBIA 4660
|
|
Q:$$DDIEX^PSNAPIS($P(PSODRUG("NDF"),"A"),$P(PSODRUG("NDF"),"A",2))
|
|
N PSOICT S (CRIT,DRG,LSI,DGI,DGS,SER,SERS,STA,PSOICT)=""
|
|
F S STA=$O(PSOSD(STA)) Q:STA=""!($G(PSORX("DFLG"))) F S DRG=$O(PSOSD(STA,DRG)) Q:DRG=""!($G(PSORX("DFLG"))) I $P(PSOSD(STA,DRG),"^",2)<10 D
|
|
.Q:$P(PSOSD(STA,DRG),"^",7)']""
|
|
.S NDF=$P(PSOSD(STA,DRG),"^",7)
|
|
.;New logic to Loop All interactions and filter-up a critical if it exists
|
|
.S IT=0,PSOICT=""
|
|
.F S IT=$O(^PS(56,"APD",NDF,PSODRUG("NDF"),IT)) Q:'IT D
|
|
..Q:$$DDIEX^PSNAPIS($P(NDF,"A"),$P(NDF,"A",2))
|
|
..Q:$P(^PS(56,IT,0),"^",7)&($P(^PS(56,IT,0),"^",7)<DT)
|
|
..I 'PSOICT S PSOICT=IT Q
|
|
..I $P($G(^PS(56,IT,0)),"^",4)=1 S PSOICT=IT Q
|
|
..Q
|
|
.I 'PSOICT Q
|
|
.S IT=PSOICT
|
|
.I STA="ZNONVA" S DNM=DRG W ! D NVA^PSODRDU1 K DNM,IT,PSOICT Q
|
|
.D BLD Q:+$G(PSORX("DFLG"))
|
|
.Q
|
|
I '$D(^XUSEC("PSORPH",DUZ)),$G(DGI)]"" S:+CRIT PSONEW("STATUS")=4 W $C(7),!,"DRUG INTERACTION WITH RX #s: "_LSI,! K LSI,DRG,IT,NDF,PSOICT
|
|
K IT
|
|
; CHECK FOR REMOTE DRUG INTERACTIONS
|
|
I +$G(PSORX("DFLG")) Q
|
|
I $T(HAVEHDR^ORRDI1)']"" Q
|
|
I '$$HAVEHDR^ORRDI1 Q
|
|
I $D(^XTMP("ORRDI","OUTAGE INFO","DOWN")) D Q
|
|
.I $T(REMOTE^PSORX1)]"" Q
|
|
.W !,"Remote data not available - Only local order checks processed." D PAUSE^PSOORRD2
|
|
I $P($G(^XTMP("ORRDI","PSOO",PSODFN,0)),"^",3)<0 W !,"Remote data not available - Only local order checks processed." D PAUSE^PSOORRD2 Q
|
|
I $D(^TMP($J,"DI"_PSODFN)) K ^TMP($J,"DI") M ^TMP($J,"DI")=^TMP($J,"DI"_PSODFN) D DRGINT^PSOORRD2
|
|
K ^TMP($J,"DI"_PSODFN),^TMP($J,"DI")
|
|
Q
|
|
TECH ;add tech entry to RX VERIFY file (#52.4)
|
|
I +CRIT S PSODI=1,DIC="^PS(52.4,",DLAYGO=52.4,DIC(0)="L",(DINUM,X)=PSOX("IRXN"),DIC("DR")="1////"_PSODFN_";2////"_DUZ_";4///"_DT_";7///"_1_";7.1///"_SER_";7.2///"_DGI K DD,DO D FILE^DICN K DD,DO
|
|
S:$G(DGS)'="" $P(^PSRX(PSOX("IRXN"),"DRI"),"^")=SERS,$P(^PSRX(PSOX("IRXN"),"DRI"),"^",2)=DGS K PSODI,CRIT,DIC,DLAYGO,DINUM,DGI,DGS,SER,SERS Q
|
|
BLD I $D(^XUSEC("PSORPH",DUZ)) S PSORX("PHARM")=DUZ D PHARM Q
|
|
S LSI=$P(^PSRX(+PSOSD(STA,DRG),0),"^")_"/"_$P(^PSDRUG($P(^(0),"^",6),0),"^")_","_LSI,DGI=$P(PSOSD(STA,DRG),"^")_","_DGI,SER=IT_","_SER I $P(PSOSD(STA,DRG),"^",9),$P(^PS(56,IT,0),"^",4)=1 S $P(^PSRX(+PSOSD(STA,DRG),"STA"),"^")=4
|
|
I $P(^PS(56,IT,0),"^",4)=2 S SERS=IT_","_SERS,DGS=$P(PSOSD(STA,DRG),"^")_","_DGS
|
|
S:$P(^PS(56,IT,0),"^",4)=1 CRIT=1 Q
|
|
PHARM ;pharmacist verification of drug interaction
|
|
D PSOL^PSSLOCK($P(PSOSD(STA,DRG),"^")) I '$G(PSOMSG) D K PSOMSG S DIR(0)="E",DIR("A")="Press Return to Continue" D ^DIR K DIR S PSORX("DFLG")=1 Q
|
|
.I $P($G(PSOMSG),"^",2)'="" W !!,$P(PSOMSG,"^",2) D Q
|
|
..W !,"Rx: "_$P($G(^PSRX($P(PSOSD(STA,DRG),"^"),0)),"^")_" Drug: "_$P($G(^PSDRUG(+$P($G(^(0)),"^",6),0)),"^")
|
|
..W !,"which interacts with the drug you are entering!",!
|
|
.W !!,"Another person is editing Rx "_$P($G(^PSRX($P(PSOSD(STA,DRG),"^"),0)),"^")_",",!,"which interacts with the drug you are entering!",!
|
|
S PSODGRLX=$P(PSOSD(STA,DRG),"^")
|
|
S SER=^PS(56,IT,0),DIR("?",1)="Answer 'YES' if you DO want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
|
|
S DIR("?")=" 'NO' if you DON'T want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
|
|
W $C(7),$C(7) S DIR("A",1)="***"_$S($P(SER,"^",4)=1:"CRITICAL",1:"SIGNIFICANT")_"*** "_"Drug Interaction with RX #"_$P(^PSRX($P(PSOSD(STA,DRG),"^"),0),"^"),DIR("A",2)="DRUG: "_$P(DRG,"^")
|
|
S DIR(0)="SA^1:YES;0:NO",DIR("A")="Do you want to "_$S($P(SER,"^",4)=1:"Continue? ",1:"Intervene? "),DIR("B")="Y" D ^DIR
|
|
I 'Y,$P(SER,"^",4)=1 S PSORX("DFLG")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT
|
|
I Y,$P(SER,"^",4)=1 S PSORX("INTERVENE")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT G CRI Q
|
|
I 'Y,$P(SER,"^",4)=2 K DIR,DTOUT,DIRUT,DIROUT,DUOUT D ULRX Q
|
|
I Y,$P(SER,"^",4)=2 S PSORX("INTERVENE")=2,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT
|
|
D ULRX
|
|
Q
|
|
CRI ;process new drug interactions entered by pharmacist
|
|
K DIR G:$P(PSOSD(STA,DRG),"^",9) CRITN S DIR("A",1)="",DIR("A",2)="Do you want to Process medication",DIR("A")=PSODRUG("NAME")_": ",DIR(0)="SA^1:PROCESS;0:ABORT ORDER ENTRY",DIR("B")="P"
|
|
S DIR("?",1)="Enter '1' or 'P' to Activate medication",DIR("?")=" '0' or 'A' to Abort Order Entry process" D ^DIR K X1,DIR I 'Y S PSORX("DFLG")=1,DGI="" K DTOUT,DIRUT,DIROUT,DUOUT,PSORX("INTERVENE") D ULRX Q
|
|
I $P(SER,"^",4)=1 D
|
|
.D SIG^XUSESIG I X1="" K PSORX("INTERVENE") S PSORX("DFLG")=1 Q
|
|
.S PSORX("INTERVENE")=$P(SER,"^",4)
|
|
K DUOUT,DTOUT,DIRUT,DIROUT D ULRX Q
|
|
CRITN ;process multiple new drug interactions
|
|
K X1,DIR S DIR("A",1)="",DIR("A",2)="Do you want to: ",DIR("A",3)=" 1. Delete NEW medication "_PSODRUG("NAME"),DIR("A",4)=" 2. Cancel ACTIVE New Rx #"_$P(^PSRX($P(PSOSD(STA,DRG),"^"),0),"^")_" DRUG: "_$P(DRG,"^")
|
|
S DIR("A",5)=" 3. Delete 1 and Cancel 2",DIR("A")=" 4. Continue ?: ",DIR(0)="SA^1:NEW MEDICATION;2:ACTIVE New Rx "_$P(DRG,"^")_";3:BOTH;4:CONTINUE"
|
|
S DIR("?",1)="Enter '1' or 'N' to Delete New Medication and Dispense Rx #"_$P(^PSRX(+PSOSD(STA,DRG),0),"^")
|
|
S DIR("?",2)=" '2' or 'A' to Cancel Active Rx #"_$P(^PSRX(+PSOSD(STA,DRG),0),"^")_" and Dispense New Rx"
|
|
S DIR("?",3)=" '3' or 'B' to Delete 1 and Cancel 2",DIR("?")=" '4' or 'C' to do nothing to either Rx" D ^DIR K DIR
|
|
I Y=1 S PSORX("DFLG")=1,DGI="",PSHLDDRG=PSODRUG("IEN") D D ULRX Q
|
|
.I $G(PSORXED) D Q
|
|
..D NOOR^PSOCAN4 I $D(DIRUT) W $C(7)," ACTION NOT TAKEN!",! S PSORX("DFLG")=1 K PSORX("INTERVENE") Q
|
|
..S DA=$P(PSOLST(ORN),"^",2) D MESS,ENQ^PSORXDL,FULL^VALM1
|
|
..K PSOSD($P(PSOLST(ORN),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT S:$G(PSOSD) PSOSD=PSOSD-1 S ZONE=1
|
|
.S PSODRUG("IEN")=$P(^PSRX($P(PSOSD(STA,DRG),"^"),0),"^",6) D FULL^VALM1,^PSORXI
|
|
.S PSODRUG("IEN")=PSHLDDRG,VALMBCK="R"
|
|
.K DTOUT,DIRUT,DIROUT,DUOUT,PSHLDDRG
|
|
.I $G(OR0) D
|
|
..D NOOR^PSOCAN4 I $D(DIRUT) D Q
|
|
...W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
|
|
..D DC^PSOORFI2
|
|
I Y=2 S (DA,PSOHOLDA)=+PSOSD(STA,DRG) D D ULRX Q
|
|
.D NOOR^PSOCAN4 I $D(DIRUT) D Q
|
|
..W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
|
|
.D MESS,ENQ^PSORXDL
|
|
.S DA=PSOHOLDA D FULL^VALM1,EN1^PSORXI(.DA),PPL
|
|
.K PSOSD(STA,DRG),DTOUT,DIROUT,DIRUT,DUOUT,PSOHOLDA
|
|
.S:$G(PSOSD) PSOSD=PSOSD-1 S VALMBCK="R"
|
|
I Y=3 S (DA,PSOHOLDA)=+PSOSD(STA,DRG) D S VALMBCK="R"
|
|
.D NOOR^PSOCAN4 I $D(DIRUT) D Q
|
|
..W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
|
|
.S:$G(PSOSD) PSOSD=PSOSD-1 S PSORX("DFLG")=1 D MESS,ENQ^PSORXDL
|
|
.I $G(OR0) D DC^PSOORFI2
|
|
.S DA=PSOHOLDA D FULL^VALM1,EN1^PSORXI(.DA),PPL K PSOSD(STA,DRG),PSOHOLDA
|
|
.I $G(PSORXED) D
|
|
..S DA=$P(PSOLST(ORN),"^",2) D MESS,ENQ^PSORXDL,FULL^VALM1
|
|
..K PSOSD($P(PSOLST(ORN),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT S:$G(PSOSD) PSOSD=PSOSD-1 S ZONE=1
|
|
K DTOUT,DIROUT,DIRUT,DUOUT
|
|
D ULRX
|
|
Q
|
|
MESS W !!,"Canceling Rx: "_$P($G(^PSRX(DA,0)),"^")_" "_"Drug: "_$P($G(^PSDRUG($P(^PSRX(DA,0),"^",6),0)),"^"),! Q
|
|
PPL F PSOSL=0:0 S PSOSL=$O(PSORX("PSOL",PSOSL)) Q:'PSOSL S PSOX2=PSOSL
|
|
I $G(PSOX2) D
|
|
.F PSOSL=0:1:PSOX2 S PSOSL=$O(PSORX("PSOL",PSOSL)) Q:'PSOSL F ENT=1:1:$L(PSORX("PSOL",PSOSL),",") I $P(PSORX("PSOL",PSOSL),",",ENT)=$P(PSOSD(STA,DRG),"^") S PSOL(PSOSL,ENT)=""
|
|
.F PSOL=0:0 S PSOL=$O(PSOL(PSOL)) Q:'PSOL F ENT=0:0 S ENT=$O(PSOL(PSOL,ENT)) Q:'ENT D
|
|
..I ENT=1,'$P(PSORX("PSOL",PSOL),",",2) K PSORX("PSOL",PSOL) Q
|
|
..I ENT=1,$P(PSORX("PSOL",PSOL),",",2) S PSORX("PSOL",PSOL)=$P(PSORX("PSOL",PSOL),",",2,99) Q
|
|
..S PSORX("PSOL",PSOL)=$P(PSORX("PSOL",PSOL),",",1,ENT-1)_","_$P(PSORX("PSOL",PSOL),",",ENT+1,99)
|
|
K PSOX2,PSOSL,PSOL,ENT Q
|
|
ULRX ;
|
|
I '$G(PSODGRLX) Q
|
|
D PSOUL^PSSLOCK(PSODGRLX) K PSODGRLX
|
|
Q
|