101 lines
4.7 KiB
Mathematica
101 lines
4.7 KiB
Mathematica
PSOCLO1 ;BHAM ISC/SAB - clozaril rx lockout routine ; 20 Apr 1999 10:50 AM
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;;7.0;OUTPATIENT PHARMACY;**1,23,37,222**;DEC 1997;Build 12
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;External reference YSCLTST2 supported by DBIA 4556
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;External reference ^PS(55 supported by DBIA 2228
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;MH package will authorize dispensing of the Clozapine drugs
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K ANQDATA,ANQX,ANQNO,PSONEW("SAND"),^TMP($J,"PSO")
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N X,Y,%,%DT,J,ANQ,ANQD,ANQJ,ANQRE,DTOUT,DUOUT,DIR,DIRUT,PSOYS
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I '$D(^PS(55,DFN,"SAND")) W !!,"*** This patient has not been registered in the clozapine program ***" G END
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I $P(^PS(55,DFN,"SAND"),"^")="" W !!,"*** This patient has no clozapine registration number ***" G END
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I $P(^PS(55,DFN,"SAND"),"^",2)="D" D G END
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.W !!,"*** This patient has been discontinued from the clozapine treatment program ***"
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.W !,"*** and must have a new registration number assigned ***"
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S PSOYS=$$CL^YSCLTST2(DFN)
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G:+PSOYS<0 END
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S CLOZPAT=$P(PSOYS,"^",7),CLOZPAT=$S(CLOZPAT="M":2,CLOZPAT="B":1,1:0)
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G:$P(PSOYS,"^")=0 OV1
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D DSP G:+PSOYS=1 GDOSE
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S X=$S(CLOZPAT=2:84,CLOZPAT=1:42,1:21)
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D CL1^YSCLTST2(DFN,X)
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I $D(^TMP($J,"PSO")) G CHECK
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OV1 I $$OVERRIDE^YSCLTST2(DFN) S ANQRE=7 W !!,"Permission to dispense clozapine has been authorized by NCCC",! G OVRD
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D MSG4,MSG3,MH G QU
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Q
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CHECK ;
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S ANQRE=$S($P(PSOYS,"^",2)<3500:3,1:5)
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S ANQD(1)=9999999-$P(PSOYS,"^",6),X1=$P(PSOYS,"^",6),X2="-6" D C^%DTC S ANQD=(9999999-$P(X,"."))
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S ANQ(1)=$P(PSOYS,"^",2)_"^"_$P(PSOYS,"^",4) D
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.F ANQJ=2:1:4 S ANQD=$O(^TMP($J,"PSO",ANQD)) Q:'ANQD S ANQ(ANQJ)=^(ANQD),ANQD(ANQJ)=ANQD
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S ANQD=$O(ANQ(""),-1)
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I ANQD<2 W !,"*** No previous results to display ***",! G OVRD
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W !,"*** Last "_$S(ANQD=4:"Four ",ANQD=3:"Three ",1:"TWO ")_$P(PSOYS,"^",3)_" and ANC results were:"
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W !,?39,"WBC ANC",!
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F ANQJ=ANQD:-1:1 S ANQD=9999999-ANQD(ANQJ)_"0000" W ?5,$E(ANQD,4,5)_"/"_$E(ANQD,6,7)_"/"_($E(ANQD,1,3)+1700) W:ANQD["." "@",$E(ANQD,9,10),":",$E(ANQD,11,12) W ?29,"Results: "_$P(ANQ(ANQJ),"^")_" - "_$P(ANQ(ANQJ),"^",2),!
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OVRD ;
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I '$D(^XUSEC("PSOLOCKCLOZ",DUZ)) D G EXIT
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.S ANQX=1 W !,"You Are Not Authorized to Override! See Clozapine Manager with PSOLOCKCLOZ key."
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I ANQRE W !,"Override reason being: "_$P($T(@(ANQRE_"^PSOCLO1")),";;",2),!
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S DIR("A")="Do you want to override and issue this prescription",DIR(0)="Y",DIR("B")="N" D ^DIR K DIR I 'Y!($D(DIRUT)) S ANQX=1 G EXIT
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S DIC=200,DIC(0)="AEQM",DIC("A")="Approving member of the Clozapine team: ",DIC("S")="I $D(^XUSEC(""PSOLOCKCLOZ"",+Y)),+Y'=DUZ" D ^DIC K DIC S ANQD=+Y I Y<0 S ANQX=1 G EXIT
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S DIR(0)="52.52,5",DIR("A")="Remarks"
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D ^DIR K DIR G EXIT:$D(DIRUT)
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S ANQX=0,ANQDATA=DUZ_"^"_ANQD_"^"_ANQRE_"^"_X
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;
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GDOSE ; set variable to ask daily dose
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N PSOCD
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DOSE ;
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S DIR(0)="N^12.5:3000:1",DIR("A")="CLOZAPINE dosage (mg/day) ? " D ^DIR K DIR G EXIT:$D(DIRUT)
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S PSOCD=X
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I PSOCD#25=0,PSOCD'<12.5,PSOCD<900 G EXIT
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I PSOCD#12.5 S DIR(0)="Y",DIR("B")="NO",DIR("A")=PSOCD_" is an unusual dose. Are you sure " D ^DIR K DIR G EXIT:$D(DIRUT) I 'Y G DOSE
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I PSOCD>900 S DIR(0)="Y",DIR("A")="Recommended maximum daily dose is 900. Are you sure " D ^DIR K DIR G EXIT:$D(DIRUT) I 'Y G DOSE
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EXIT ;
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K ^TMP($J,"PSO")
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S:$D(DIRUT) ANQX=1
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I $G(ANQX) W !!,"No Prescription entered!" K ANQDATA
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E S PSONEW("SAND")=PSOCD_"^"_$P(PSOYS,"^",2)_"^"_($P($P(PSOYS,"^",6),"."))_"^"_$P(PSOYS,"^",4)
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D DIR
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Q
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MSG3 ;
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W !!,"A CBC/Differential including WBC and ANC Must Be Ordered and Monitored on a",!
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W "Twice weekly basis until the WBC STABILIZES above 3500/mm3 and ANC above",!
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W "2000/mm3 with no signs of infection.",!
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Q
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MSG4 ;
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W !!,"Permission to dispense clozapine has been denied. If the results of the latest"
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W !,"Lab Test drawn in the past 7 days show WBC>3000/mm3 and ANC>1500/mm3 and"
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W !,"you wish to dispense outside the FDA and VA protocol WBC/ANC limits, document"
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W !,"your request to Director of the VA National Clozapine Coordinating Center"
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W !,"(Phone: 214-857-0068 Fax: 214-857-0339) for a one-time override permission."
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Q
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MSG5 ;
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W !!,"Permission to dispense clozapine has been denied. Please contact the"
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W !,"Director of the VA National Clozapine Coordinating Center"
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W !,"(Phone: 214-857-0068 Fax: 214-857-0339)."
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Q
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MH ;
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W !,"Also make sure that the LAB tests, WBC and ANC are set up correctly in the"
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W !,"Mental Health package using the CLOZAPINE MULTI TEST LINK option."
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Q
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DSP ;
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W !,"*** Most recent "_$P(PSOYS,"^",3)_" and "_$P(PSOYS,"^",5)_" (ANC) results ***"
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W !," performed on "
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S Y=$P(PSOYS,"^",6) X ^DD("DD") W $P(Y,"@")_" are: "
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W !!,?5,$P(PSOYS,"^",3)_": "_$P(PSOYS,"^",2)
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W !,?5,"ANC: "_$P(PSOYS,"^",4),!
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Q
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DIR ;
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W !! K DIR S DIR(0)="E",DIR("A")="Press Return to Continue" D ^DIR K DIR,DTOUT,DUOUT,DIRUT
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Q
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END ;
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D MSG5
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QU S ANQX=1 D DIR
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Q
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1 ;;NO WBC IN LAST 7 DAYS
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2 ;;NO VERIFIED WBC
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3 ;;LAST WBC RESULT < 3500
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4 ;;3 SEQ. WBC DECREASE
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5 ;;LAST ANC RESULT < 2000
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6 ;;3 SEQ. ANC DECREASE
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7 ;;NCCC AUTHORIZED
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