VistA-WorldVistAEHR/r/OUTPATIENT_PHARMACY-PSO-APS.../PSODRG.m

155 lines
6.7 KiB
Mathematica

PSODRG ;IHS/DSD/JCM-ORDER ENTRY DRUG SELECTION ;03/30/93
;;7.0;OUTPATIENT PHARMACY;**20,23,36,53,54,46,112,139,207,148,243,268,208**;DEC 1997;Build 41
; Modified from FOIA VISTA,
; Copyright (C) 2007 WorldVistA
;
; This program is free software; you can redistribute it and/or modify
; it under the terms of the GNU General Public License as published by
; the Free Software Foundation; either version 2 of the License, or
; (at your option) any later version.
;
; This program is distributed in the hope that it will be useful,
; but WITHOUT ANY WARRANTY; without even the implied warranty of
; MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the
; GNU General Public License for more details.
;
; You should have received a copy of the GNU General Public License
; along with this program; if not, write to the Free Software
; Foundation, Inc., 51 Franklin St, Fifth Floor, Boston, MA 02110-1301 USA
;Reference ^PSDRUG supported by DBIA 221
;Reference ^PS(50.7 supported by DBIA 2223
;Reference to PSSDIN supported by DBIA 3166
;Reference to $$NDCFMT^PSSNDCUT supported by IA 4707
;----------------------------------------------------------
START ;
S (PSONEW("DFLG"),PSONEW("FIELD"),PSODRG("QFLG"))=0
D @($S(+$G(PSOEDIT)=1&('$D(DA)):"SELECT^PSODRGN",1:"SELECT"))
G:$G(PSORXED("DFLG")) END ; Select Drug
I $G(PSORX("EDIT")),$G(PSOY),$G(PSODRUG("IEN"))=+PSOY D G:$G(PSORXED("DFLG")) END
. N NDC D NDC(+$G(PSORXED("IRXN")),0,+PSOY,.NDC) I $G(NDC)="^" S PSORXED("DFLG")=1 Q
. I $G(NDC)'="" S (PSODRUG("NDC"),PSORXED("FLD",27))=NDC
;
I $G(PSORX("EDIT"))]"",'PSONEW("FIELD") D TRADE
G:PSONEW("DFLG")!(PSODRG("QFLG"))!($G(PSORXED("DFLG"))) END
D SET ; Set various drug information
D NFI ; Display dispense drug/orderable item text
D:'$G(PSOEDIT) POST I $G(PSORX("DFLG")) S PSONEW("DFLG")=1 K:'$G(PSORX("EDIT")) PSORX("DFLG") ; Do any post selection action
END ;D EOJ
Q
;------------------------------------------------------------
;
SELECT ;
K:'$G(PSORXED) CLOZPAT
K DIC,X,Y,PSODRUG("TRADE NAME"),PSODRUG("NDC"),PSODRUG("DAW") S:$G(POERR)&($P($G(OR0),"^",9)) Y=$P(^PSDRUG($P(OR0,"^",9),0),"^")
I $G(PSODRUG("IEN"))]"" S Y=PSODRUG("NAME"),PSONEW("OLD VAL")=PSODRUG("IEN")
W !,"DRUG: "_$S($G(Y)]"":Y_"// ",1:"") R X:$S($D(DTIME):DTIME,1:300) I '$T S DTOUT=1
I X="",$G(Y)]"" S:Y X=Y S:'X X=$G(PSODRUG("IEN")) S:X X="`"_X
G:X="" SELECT
I X?1."?" W !!,"Answer with DRUG NUMBER, or GENERIC NAME, or VA PRODUCT NAME, or",!,"NATIONAL DRUG CLASS, or SYNONYM" G SELECT
I $G(PSORXED),X["^" S PSORXED("DFLG")=1 G SELECTX
I X="^"!(X["^^")!($D(DTOUT)) S PSONEW("DFLG")=1 G SELECTX
I '$G(POERR),X[U,$L(X)>1 S PSODIR("FLD")=PSONEW("FLD") D JUMP^PSODIR1 S:$G(PSODIR("FIELD")) PSONEW("FIELD")=PSODIR("FIELD") K PSODIR S PSODRG("QFLG")=1 G SELECTX
S DIC=50,DIC(0)="EMQZVT",DIC("T")="",D="B^C^VAPN^VAC"
S DIC("S")="I $S('$D(^PSDRUG(+Y,""I"")):1,'^(""I""):1,DT'>^(""I""):1,1:0),$S($P($G(^PSDRUG(+Y,2)),""^"",3)'[""O"":0,1:1),$D(^PSDRUG(""ASP"",+$G(^(2)),+Y))"
D MIX^DIC1 K DIC,D
I $D(DTOUT) S PSONEW("DFLG")=1 G SELECTX
I $D(DUOUT) K DUOUT G SELECT
I Y<0 G SELECT
S:$G(PSONEW("OLD VAL"))=+Y&('$G(PSOEDIT)) PSODRG("QFLG")=1
K PSOY S PSOY=Y,PSOY(0)=Y(0)
I $P(PSOY(0),"^")="OTHER DRUG"!($P(PSOY(0),"^")="OUTSIDE DRUG") D TRADE
SELECTX K X,Y,DTOUT,DUOUT,PSONEW("OLD VAL")
Q
;
NDC(RX,RFL,DRG,NDC) ; Editing NDC for ECME Released Rx's
S NDC=$S($G(NDC)'="":$G(NDC),1:$$GETNDC^PSONDCUT(RX,.RFL))
I $$STATUS^PSOBPSUT(RX,RFL)="" Q
I '$$RXRLDT^PSOBPSUT(RX,RFL) Q
;
S NDC=$S($G(NDC)'="":$G(NDC),1:$$GETNDC^PSONDCUT(RX,.RFL))
D NDCEDT^PSONDCUT(RX,.RFL,$G(DRG),$G(PSOSITE),.NDC)
Q
;
TRADE ;
K DIR,DIC,DA,X,Y
S DIR(0)="52,6.5" S:$G(PSOTRN)]"" DIR("B")=$G(PSOTRN) D ^DIR K DIR,DIC
I X="@" S Y=X K DIRUT
I $D(DIRUT) S:$D(DUOUT)!$D(DTOUT)&('$D(PSORX("EDIT"))) PSONEW("DFLG")=1 G TRADEX
S PSODRUG("TRADE NAME")=Y
TRADEX I $G(PSORXED("DFLG")),$D(DIRUT) S PSORXED("DFLG")=1
K DIRUT,DTOUT,DUOUT,X,Y,DA,DR,DIE
Q
SET ;
N STAT S PSODRUG("IEN")=+PSOY,PSODRUG("VA CLASS")=$P(PSOY(0),"^",2)
S PSODRUG("NAME")=$P(PSOY(0),"^")
S:+$G(^PSDRUG(+PSOY,2)) PSODRUG("OI")=+$G(^(2)),PSODRUG("OIN")=$P(^PS(50.7,+$G(^(2)),0),"^")
S PSODRUG("NDF")=$S($G(^PSDRUG(+PSOY,"ND"))]"":+^("ND")_"A"_$P(^("ND"),"^",3),1:0)
S PSODRUG("MAXDOSE")=$P(PSOY(0),"^",4),PSODRUG("DEA")=$P(PSOY(0),"^",3)
S PSODRUG("CLN")=$S($D(^PSDRUG(+PSOY,"ND")):+$P(^("ND"),"^",6),1:0)
S PSODRUG("SIG")=$P(PSOY(0),"^",5)
I $G(PSODRUG("NDC"))="" S PSODRUG("NDC")=$$GETNDC^PSSNDCUT(+PSOY,$G(PSOSITE))
S PSODRUG("DAW")=+$$GET1^DIQ(50,+PSOY,81)
S PSODRUG("STKLVL")=$G(^PSDRUG(+PSOY,660.1))
G:$G(^PSDRUG(+PSOY,660))']"" SETX
S PSOX1=$G(^PSDRUG(+PSOY,660))
S PSODRUG("COST")=$P($G(PSOX1),"^",6)
S PSODRUG("UNIT")=$P($G(PSOX1),"^",8)
S PSODRUG("EXPIRATION DATE")=$P($G(PSOX1),"^",9)
SETX K PSOX1,PSOY
Q
NFI ;display restriction/guidelines
D EN^PSSDIN(PSODRUG("OI"),PSODRUG("IEN")) S NFI=$$PROMPT^PSSDIN
I NFI]"","ODY"[NFI D TD^PSONFI
K NFI Q
POST ;order checks
I $G(PSOAFYN)="Y" G POSTX ;vfam - VOE
K PSORX("INTERVENE") N STAT,SIG,PTR,NDF,VAP S PSORX("DFLG")=0
D ^PSOBUILD
D @$S($G(COPY):"^PSOCPDUP",1:"^PSODRDUP") ; Set PSORX("DFLG")=1 if process to stop
Q:$G(PSORX("DFLG"))
W:$G(PSOFIN)']"" !,"Now doing drug interaction and allergy checks. Please wait...",!
D ^PSODGDGI
I $G(PSORX("INTERVENE"))]"" D FULL^VALM1,^PSORXI S VALMBCK="R"
G:PSORX("DFLG") POSTX
D:$P($G(^PSDRUG(PSODRUG("IEN"),"CLOZ1")),"^")]"" CLOZ G:PSORX("DFLG") POSTX
K PSORX("INTERVENE")
S PSONOAL="" D ALLERGY^PSOORUT2 D:PSONOAL'="" NOALRGY K PSONOAL
G:PSORX("DFLG") POSTX
I $D(PSODRUG("NDF")) S NDF=$P(PSODRUG("NDF"),"A"),VAP=$P(PSODRUG("NDF"),"A",2),PTR=NDF_"."_VAP
I $G(NDF) D CHK^PSODGAL(PSODFN,"DR",PTR) K NDF,VAP,PTR
I $P($G(PSODRUG("NDF")),"A")=0 D CHK1^PSODGAL(PSODFN)
I $D(PSODRUG("VA CLASS")) D CLASS^PSODGAL(PSODFN)
POSTX ;
K ^TMP($J,"DI"_PSODFN),^TMP($J,"DI")
K PSORX("INTERVENE"),DA
Q
;
EOJ ;
K PSODRG
Q
;
CLOZ ;
S ANQRTN=$P(^PSDRUG(PSODRUG("IEN"),"CLOZ1"),"^"),ANQX=0
S P(5)=PSODRUG("IEN"),DFN=PSODFN,X=ANQRTN
X ^%ZOSF("TEST") I D @("^"_ANQRTN) S:$G(ANQX) PSORX("DFLG")=1
K P(5),ANQRTN,ANQX,X
Q
;
EN(DRG) ;returns lab test identified for clozapine order checking
K LAB I $P($G(^PSDRUG(DRG,"CLOZ1")),"^")'="PSOCLO1" S LAB("NOT")=0 Q
I $P($G(^PSDRUG(DRG,"CLOZ1")),"^")="PSOCLO1" D
.S (CNT,I)=0 F S I=$O(^PSDRUG(DRG,"CLOZ2",I)) Q:'I S CNT=$G(CNT)+1
.I CNT'=2 S LAB("BAD TEST")=0 K CNT Q
.K CNT F I=0:0 S I=$O(^PSDRUG(DRG,"CLOZ2",I)) Q:'I D
..S LABT=$S($P(^PSDRUG(DRG,"CLOZ2",I,0),"^",4)=1:"WBC",1:"ANC"),LAB(LABT)=$P(^PSDRUG(DRG,"CLOZ2",I,0),"^")_"^"_$P(^(0),"^",3)_"^"_$P(^(0),"^",4)
K LABT,I
Q
NOALRGY ;
W $C(7),!,"There is no allergy assessment on file for this patient."
W !,"You will be prompted to intervene if you continue with this prescription"
K DIR
S DIR(0)="SA^1:YES;0:NO",DIR("A")="Do you want to Continue?: ",DIR("B")="N" D ^DIR
I 'Y S PSORX("DFLG")=1 Q
D ^PSORXI
Q