VistA-ccr/p/C0CMED6.m

C0CMED6	; WV/CCDCCR/SMH - Meds from RPMS: Outpatient Meds;01/10/09
	;;0.1;CCDCCR;;JUL 16,2008;
	; Copyright 2008 WorldVistA.  Licensed under the terms of the GNU
	; General Public License See attached copy of the License.
	;
	; 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 Street, Fifth Floor, Boston, MA 02110-1301 USA.
	;
	W "NO ENTRY FROM TOP",!
	Q
	;
EXTRACT(MINXML,DFN,OUTXML,FLAGS)	 ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
	;
	; MINXML and OUTXML are passed by name so globals can be used
	; MINXML will contain only the medications skeleton of the overall template
	; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool)
	; FLAGS are set-up in C0CMED.
	;
	; MEDS is return array from RPC.
	; MAP is a mapping variable map (store result) for each med
	; MED is holds each array element from MEDS(J), one medicine
	; J is a counter.
	;
	; GETRXS^BEHORXFN(ARRAYNAME,DFN,DAYS) will be the the API used.
	; This API has been developed by Medsphere for IHS for getting
	; Medications from RPMS. It has most of what we need.
	; API written by Doug Martin when he worked for Medsphere (thanks Doug!)
	; -- ARRAYNAME is passed by name (required)
	; -- DFN is passed by value (required)
	; -- DAYS is passed by value (optional; if not passed defaults to 365)
	; 
	; Return:
	; ~Type^PharmID^Drug^InfRate^StopDt^RefRem^TotDose^UnitDose^OrderID 
	; ^Status^LastFill^Chronic^Issued^Rx #^Provider^ 
	; Status Reason^DEA Handling
	; 
	N MEDS,MEDS1,MAP
	D GETRXS^BEHORXFN("MEDS1",DFN,$P(FLAGS,U,2)) ; 2nd piece of FLAGS is # of days to retrieve
	N ALL S ALL=+FLAGS
	N ACTIVE S ACTIVE=$P(FLAGS,U,3)
	N PENDING S PENDING=$P(FLAGS,U,4)
	; If MEDS1 is not defined, then no meds
	I '$D(MEDS1) S @OUTXML@(0)=0 QUIT
	I DEBUG ZWR MEDS1,MINXML
	N MEDCNT S MEDCNT=0 ; Med Count
	; The next line is a super line. It goes through the array return
	; and if the first characters are ~OP, it grabs the line.
	; This means that line is for a dispensed Outpatient Med.
	; That line has the metadata about the med that I need.
	; The next lines, however many, are the med and the sig.
	; I won't be using those because I have to get the sig parsed exactly.
	N J S J="" F  S J=$O(MEDS1(J)) Q:J=""  I $E(MEDS1(J),1,3)="~OP" S MEDCNT=MEDCNT+1 S MEDS(MEDCNT)=MEDS1(J)
	K MEDS1
	S MEDCNT="" ; Initialize for $Order
	F  S MEDCNT=$O(MEDS(MEDCNT)) Q:MEDCNT=""  D  ; for each medication in the list
	. I 'ALL,ACTIVE,$P(MEDS(MEDCNT),U,10)'="ACTIVE" QUIT
	. I 'ALL,PENDING,$P(MEDS(MEDCNT),U,10)'="PENDING" QUIT
	. I DEBUG W "MEDCNT IS ",MEDCNT,!
	. S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCNT))
	. ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED
	. I DEBUG W "MAP= ",MAP,!
	. S @MAP@("MEDOBJECTID")="MED"_MEDCNT ; MEDCNT FOR ID
	. S @MAP@("MEDISSUEDATETXT")="Issue Date"
	. S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,13))
	. S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
	. S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MEDS(MEDCNT),U,11))
	. S @MAP@("MEDRXNOTXT")="Prescription Number"
	. S @MAP@("MEDRXNO")=$P(MEDS(MEDCNT),U,14)
	. S @MAP@("MEDTYPETEXT")="Medication"
	. S @MAP@("MEDDETAILUNADORNED")=""  ; Leave blank, field has its uses
	. S @MAP@("MEDSTATUSTEXT")=$P(MEDS(MEDCNT),U,10)
	. ; Provider only provided in API as text, not DUZ.
	. ; We need to get DUZ from filman file 52 (Prescription)
	. ; Field 4; IEN is Piece 2 of Meds stripped of trailing characters.
	. ; Note that I will use RXIEN several times later
	. N RXIEN S RXIEN=+$P(MEDS(MEDCNT),U,2)
	. S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52,RXIEN,4,"I")
	. S @MAP@("MEDPRODUCTNAMETEXT")=$P(MEDS(MEDCNT),U,3)
	. ; --- RxNorm Stuff 
	. ; 176.001 is the file for Concepts; 176.003 is the file for
	. ; sources (i.e. for RxNorm Version)
	. ; 
	. ; I use 176.001 for the Vista version of this routine (files 1-3)
	. ; Since IHS does not have VUID's, I will be getting RxNorm codes
	. ; using NDCs. My specially crafted index (sounds evil) named "NDC"
	. ; is in file 176.002. The file is called RxNorm NDC to VUID.
	. ; Except that I don't need the VUID, but it's there if I need it.
	. ; 
	. ; We obviously need the NDC. That is easily obtained from the prescription.
	. ; Field 27 in file 52
	. N NDC S NDC=$$GET1^DIQ(52,RXIEN,27,"I")
	. ; I discovered that file 176.002 might give you two codes for the NDC
	. ; One for the Clinical Drug, and one for the ingredient.
	. ; So the plan is to get the two RxNorm codes, and then find from
	. ; file 176.001 which one is the Clinical Drug.
	. ; ... I refactored this into GETRXN
	. N RXNORM,SRCIEN,RXNNAME,RXNVER
	. I +NDC,$D(^C0CRXN) D  ; $Data is for Systems that don't have our RxNorm file yet.
	. . S RXNORM=$$GETRXN(NDC)
	. . S SRCIEN=$$FIND1^DIC(176.003,,,"RXNORM","B")
	. . S RXNNAME=$$GET1^DIQ(176.003,SRCIEN,6)
	. . S RXNVER=$$GET1^DIQ(176.003,SRCIEN,7)
	. ;
	. E  S (RXNORM,RXNNAME,RXNVER)=""
	. ; End if/else block
	. S @MAP@("MEDPRODUCTNAMECODEVALUE")=RXNORM
	. S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=RXNNAME
	. S @MAP@("MEDPRODUCTNAMECODEVERSION")=RXNVER
	. ; --- End RxNorm section
	. ;
	. ; Brand name is 52 field 6.5
	. S @MAP@("MEDBRANDNAMETEXT")=$$GET1^DIQ(52,RXIEN,6.5)
	. ;
	. ; Next I need Med Form (tab, cap etc), strength (250mg)
	. ; concentration for liquids (250mg/mL)
	. ; Since IHS does not have any of the new calls that 
	. ; Vista has, I will be doing a crosswalk:
	. ; File 52, field 6 is Drug IEN in file 50
	. ; File 50, field 22 is VA Product IEN in file 50.68
	. ; In file 50.68, I will get the following:
	. ; -- 1: Dosage Form
	. ; -- 2: Strength
	. ; -- 3: Units
	. ; -- 8: Dispense Units
	. ; -- Conc is 2 concatenated with 3
	. ; 
	. ; *** If Drug is not matched to NDF, then VA Product will be "" ***
	. ;
	. N MEDIEN S MEDIEN=$$GET1^DIQ(52,RXIEN,6,"I") ; Drug IEN in 50
	. N VAPROD S VAPROD=$$GET1^DIQ(50,MEDIEN,22,"I") ; VA Product in file 50.68
	. I +VAPROD D
	. . S @MAP@("MEDSTRENGTHVALUE")=$$GET1^DIQ(50.68,VAPROD,2)
	. . S @MAP@("MEDSTRENGTHUNIT")=$$GET1^DIQ(50.68,VAPROD,3)
	. . S @MAP@("MEDFORMTEXT")=$$GET1^DIQ(50.68,VAPROD,1)
	. . S @MAP@("MEDCONCVALUE")=@MAP@("MEDSTRENGTHVALUE")
	. . S @MAP@("MEDCONCUNIT")=@MAP@("MEDSTRENGTHUNIT")
	. E  D
	. . S @MAP@("MEDSTRENGTHVALUE")=""
	. . S @MAP@("MEDSTRENGTHUNIT")=""
	. . S @MAP@("MEDFORMTEXT")=""
	. . S @MAP@("MEDCONCVALUE")=""
	. . S @MAP@("MEDCONCUNIT")=""
	. ; End Strengh/Conc stuff
	. ;
	. ; Quantity is in the prescription, field 7
	. S @MAP@("MEDQUANTITYVALUE")=$$GET1^DIQ(52,RXIEN,7)
	. ; Dispense unit is in the drug file, field 14.5
	. S @MAP@("MEDQUANTITYUNIT")=$$GET1^DIQ(50,MEDIEN,14.5)
	. ;
	. ; --- START OF DIRECTIONS ---
	. ; Sig data not in any API :-(  Oh yes, you can get the whole thing, but...
	. ; we want the components.
	. ; It's in multiple 113 in the Prescription File (52)
	. ; #.01 DOSAGE ORDERED [1F] 			"20"
	. ; #1 DISPENSE UNITS PER DOSE [2N] 	"1"
	. ; #2 UNITS [3P:50.607] 				"MG"
	. ; #3 NOUN [4F]						"TABLET"
	. ; #4 DURATION [5F] 					"10D"
	. ; #5 CONJUNCTION [6S] 				"AND"
	. ; #6 ROUTE [7P:51.2] 				"ORAL"
	. ; #7 SCHEDULE [8F] 					"BID"
	. ; #8 VERB [9F] 						"TAKE"
	. ;
	. ; Will use GETS^DIQ to get fields.
	. ; Data comes out like this:
	. ; SAMINS(52.0113,"1,23,",.01)=20
	. ; SAMINS(52.0113,"1,23,",1)=1
	. ; SAMINS(52.0113,"1,23,",2)="MG"
	. ; SAMINS(52.0113,"1,23,",3)="TABLET"
	. ; SAMINS(52.0113,"1,23,",4)="5D"
	. ; SAMINS(52.0113,"1,23,",5)="THEN"
	. ;
	. N RAWDATA
	. D GETS^DIQ(52,RXIEN,"113*",,"RAWDATA","DIERR")
	. D:$D(DIERR) ^%ZTER  ; Log if there's an error in retrieving sig field
	. ; none the less, continue; some parts are retrievable.
	. N FMSIG M FMSIG=RAWDATA(52.0113) ; Merge into subfile...
	. K RAWDATA
	. N FMSIGNUM S FMSIGNUM="" ; Sigline number in fileman.
	. ; FMSIGNUM gets outputted as "IEN,RXIEN,".
	. ; DIRCNT is the proper Sigline numer.
	. ; SIGDATA is the simplfied array. 
	. F  S FMSIGNUM=$O(FMSIG(FMSIGNUM)) Q:FMSIGNUM=""  D
	. . N DIRCNT S DIRCNT=$P(FMSIGNUM,",")
	. . N SIGDATA M SIGDATA=FMSIG(FMSIGNUM)
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")=""  ; This is reserved for systems not able to generate the sig in components.
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1"  ; means that we are specifying it. See E2369-05.
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$G(SIGDATA(8))
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$G(SIGDATA(.01))
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=$G(SIGDATA(2))
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEVALUE")=""  ; For inpatient
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDRATEUNIT")=""  ; For inpatient
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDVEHICLETEXT")=""  ; For inpatient
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONROUTETEXT")=$G(SIGDATA(6))
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$G(SIGDATA(7))
	. . ; Invervals... again another call.
	. . ; In the wisdom of the original programmers, the schedule is a free text field
	. . ; However, it gets translated by a call to the administration schedule file
	. . ; to see if that schedule exists.
	. . ; That's the same thing I am going to do.
	. . ; Search B index of 51.1 (Admin Schedule) with schedule
	. . ; First, remove "PRN" if it exists (don't ask, that's how the file
	. . ; works; I wouldn't do it that way).
	. . N SCHNOPRN S SCHNOPRN=$G(SIGDATA(7))
	. . I SCHNOPRN["PRN" S SCHNOPRN=$E(SCHNOPRN,1,$F(SCHNOPRN,"PRN")-5)
	. . ; Super call below:
	. . ; 1=File 51.1 3=Field 2 (Frequency in Minutes)
	. . ; 4=Packed format, Exact Match 5=Lookup Value
	. . ; 6=# of entries to return 7=Index 10=Return Array
	. . ; 
	. . ; I do not account for the fact that two schedules can be
	. . ; spelled identically (ie duplicate entry). In that case,
	. . ; I get the first. That's just a bad pharmacy pkg maintainer.
	. . N C0C515
	. . D FIND^DIC(51.1,,"@;2","PX",SCHNOPRN,1,"B",,,"C0C515")
	. . N INTERVAL S INTERVAL="" ; Default
	. . ; If there are entries found, get it
	. . I +$G(C0C515("DILIST",0)) S INTERVAL=$P(C0C515("DILIST",1,0),U,2) 
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
	. . ; Duration is 10M minutes, 10H hours, 10D for Days
	. . ; 10W for weeks, 10L for months. I smell $Select
	. . ; But we don't need to do that if there isn't a duration
	. . I +$G(SIGDATA(4)) D
	. . . N DURUNIT S DURUNIT=$E(SIGDATA(4),$L(SIGDATA(4))) ; get last char
	. . . N DURTXT S DURTXT=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"Days")
	. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=+SIGDATA(4)
	. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=DURTXT
	. . E  D
	. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=""
	. . . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$G(SIGDATA(4))["PRN"
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")="" ; when avail
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMTYPETXT")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMDESCRIPTION")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODEVALUE")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGSYSTEM")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMCODINGVERSION")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMSOURCEACTORID")=""
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDSTOPINDICATOR")="" ; not stored
	. . ; Another confusing line; I am pretty bad:
	. . ; If there is another entry in the FMSIG array (i.e. another line
	. . ; in the sig), set the direction count indicator.
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=""  ; Default
	. . S:+$O(FMSIG(FMSIGNUM)) @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRCNT
	. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$G(SIGDATA(5))
	. ;
	. ; --- END OF DIRECTIONS ---
	. ;
	. ; Med instructions is a WP field, thus the acrobatics
	. ; Notice buffer overflow protection set at 10,000 chars
	. ; -- 1. Med Patient Instructions
	. N MEDPTIN1 S MEDPTIN1=$$GET1^DIQ(52,RXIEN,115,,"MEDPTIN1")
	. N MEDPTIN2,J  S (MEDPTIN2,J)="" 
	. I $L(MEDPTIN1) F  S J=$O(@MEDPTIN1@(J)) Q:J=""  Q:$L(MEDPTIN2)>10000  S MEDPTIN2=MEDPTIN2_@MEDPTIN1@(J)_" "
	. S @MAP@("MEDPTINSTRUCTIONS")=MEDPTIN2
	. K J
	. ; -- 2. Med Provider Instructions
	. N MEDPVIN1 S MEDPVIN1=$$GET1^DIQ(52,RXIEN,39,,"MEDPVIN1")
	. N MEDPVIN2,J S (MEDPVIN2,J)=""
	. I $L(MEDPVIN1) F  S J=$O(@MEDPVIN1@(J)) Q:J=""  Q:$L(MEDPVIN2)>10000  S MEDPVIN2=MEDPVIN2_@MEDPVIN1@(J)_" "
	. S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=MEDPVIN2
	. ;
	. ; Remaining refills
	. S @MAP@("MEDRFNO")=$P(MEDS(MEDCNT),U,6)
	. ; ------ END OF MAPPING
	. ;
	. ; ------ BEGIN XML INSERTION
	. N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
	. K @RESULT
	. D MAP^C0CXPATH(MINXML,MAP,RESULT)
	. ; D PARY^C0CXPATH(RESULT)
	. ; MAPPING DIRECTIONS
	. N MEDDIR1,DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
	. N MEDDIR2,DIRXML2 S DIRXML2="MEDDIR2" ; VARIABLE AND NAME VARIABLE RESULT
	. D QUERY^C0CXPATH(MINXML,"//Medications/Medication/Directions",DIRXML1)
	. D REPLACE^C0CXPATH(RESULT,"","//Medications/Medication/Directions")
	. ; N MDZ1,MDZNA
	. N DIRCNT S DIRCNT=""
	. I +$O(@MAP@("M","DIRECTIONS",DIRCNT)) D  ; IF THERE ARE DIRCTIONS
	. . F DIRCNT=$O(@MAP@("M","DIRECTIONS",DIRCNT)) D  ; FOR EACH DIRECTION
	. . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",DIRCNT))
	. . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
	. . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
	. D:MEDCNT=1 CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
	. D:MEDCNT>1 INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER THE FIRST, INSERT INNER XML
	N MEDTMP,MEDI
	D MISSING^C0CXPATH(OUTXML,"MEDTMP") ; SEARCH XML FOR MISSING VARS
	I MEDTMP(0)>0 D  ; IF THERE ARE MISSING VARS - MARKED AS @@X@@
	. W "MEDICATION MISSING ",!
	. F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
	Q
	;
GETRXN(NDC)	; Extrinsic Function; PUBLIC; NDC to RxNorm
	;; Get RxNorm Concept Number for a Given NDC
	;
	S NDC=$TR(NDC,"-")  ; Remove dashes
	N RXNORM,C0CZRXN,DIERR
	D FIND^DIC(176.002,,"@;.01","PX",NDC,"*","NDC",,,"C0CZRXN","DIERR")
	I $D(DIERR) D ^%ZTER BREAK
	S RXNORM(0)=+C0CZRXN("DILIST",0) ; RxNorm(0) will be # of entries
	N I S I=0
	F  S I=$O(C0CZRXN("DILIST",I)) Q:I=""  S RXNORM(I)=$P(C0CZRXN("DILIST",I,0),U,2)
	; At this point, RxNorm(0) is # of entries; RxNorm(1...) are the entries
	; If RxNorm(0) is 1, then we only have one entry, and that's it.
	I RXNORM(0)=1 QUIT RXNORM(1)  ; RETURN RXNORM(1)
	; Otherwise, we need to find out which one is the semantic
	; clinical drug. I built an index on 176.001 (RxNorm Concepts)
	; for that purpose.
	I RXNORM(0)>1 D
	. S I=0
	. F  S I=$O(RXNORM(I)) Q:I=""  D  Q:$G(RXNORM)
	. . N RXNIEN S RXNIEN=$$FIND1^DIC(176.001,,,RXNORM(I),"SCD")
	. . I +$G(RXNIEN)=0 QUIT  ; try the next entry... 
	. . E  S RXNORM=RXNORM(I) QUIT  ; We found the right code
	QUIT +$G(RXNORM)  ; RETURN RXNORM; if we couldn't find a clnical drug, return with 0