VistA-ccr/p/C0CMED1.m

239 lines
11 KiB
Mathematica
Raw Normal View History

2009-03-29 16:19:05 -04:00
C0CMED1 ; WV/CCDCCR/SMH - CCR/CCD PROCESSING FOR MEDICATIONS ;01/10/09
2009-05-21 13:12:11 -04:00
;;1.0;C0C;;May 19, 2009;
;;Last modified Sat Jan 10 21:42:27 PST 2009
; Copyright 2009 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
;
2009-03-29 19:58:12 -04:00
EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT,FLAGS) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
2009-05-21 13:12:11 -04:00
;
; INXML AND OUTXML ARE PASSED BY NAME SO GLOBALS CAN BE USED
; INXML WILL CONTAIN ONLY THE MEDICATIONS SECTION OF THE OVERALL TEMPLATE
;
; 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
; MEDCOUNT is a counter passed by Reference.
; FLAGS are: MEDALL(bool)^MEDLIMIT(int)^MEDACTIVE(bool)^MEDPENDING(bool)
; FLAGS are set-up in C0CMED.
;
; RX^PSO52API is a Pharmacy Re-Enginnering (PRE) API to get all
; med data available.
; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf
; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS).
; D PARY^C0CXPATH(MINXML)
N MEDS,MAP
K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!!
N ALL S ALL=+FLAGS
N ACTIVE S ACTIVE=$P(FLAGS,U,3)
; Below, X1 is today; X2 is the number of days we want to go back
; X is the result of this calculation using C^%DTC.
N X,X1,X2
S X1=DT
S X2=-$P($P(FLAGS,U,2),"-",2)
D C^%DTC
; I discovered that I shouldn't put an ending date (last parameter)
; because it seems that it will get meds whose beginning is after X but
; whose exipriation is before the ending date.
D RX^PSO52API(DFN,"CCDCCR","","","",X,"")
M MEDS=^TMP($J,"CCDCCR",DFN)
; @(0) contains the number of meds or -1^NO DATA FOUND
; If it is -1, we quit.
I $P(MEDS(0),U)=-1 S @OUTXML@(0)=0 QUIT
ZWRITE:$G(DEBUG) MEDS
N RXIEN S RXIEN=0
F S RXIEN=$O(MEDS(RXIEN)) Q:RXIEN="" D ; FOR EACH MEDICATION IN THE LIST
. N MED M MED=MEDS(RXIEN)
. I 'ALL,ACTIVE,$P(MED(100),U,2)'="ACTIVE" QUIT
. S MEDCOUNT=MEDCOUNT+1
. W:$G(DEBUG) "RXIEN IS ",RXIEN,!
. S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
. ; K @MAP DO NOT KILL HERE, WAS CLEARED IN C0CMED
. W:$G(DEBUG) "MAP= ",MAP,!
. S @MAP@("MEDOBJECTID")="MED"_MEDCOUNT ; MEDCOUNT FOR ID
. ; S @MAP@("MEDOBJECTID")="MED"_MED(.01) ;Rx Number
. S @MAP@("MEDISSUEDATETXT")="Issue Date"
. S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($P(MED(1),U))
. S @MAP@("MEDLASTFILLDATETXT")="Last Fill Date"
. S @MAP@("MEDLASTFILLDATE")=$$FMDTOUTC^C0CUTIL($P(MED(101),U))
. S @MAP@("MEDRXNOTXT")="Prescription Number"
. S @MAP@("MEDRXNO")=MED(.01)
. S @MAP@("MEDTYPETEXT")="Medication"
. S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
. S @MAP@("MEDSTATUSTEXT")=$P(MED(100),U,2)
. S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$P(MED(4),U)
. S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(6),U,2)
. ; 12/30/08: I will be using RxNorm for coding...
. ; 176.001 is the file for Concepts; 176.003 is the file for
. ; sources (i.e. for RxNorm Version)
. ;
. ; We need the VUID first for the National Drug File entry first
. ; We get the VUID of the drug, by looking up the VA Product entry
. ; (file 50.68) using the call NDF^PSS50, returned in node 22.
. ; Field 99.99 is the VUID.
. ;
. ; We use the VUID to look up the RxNorm in file 176.001; same idea.
. ; Get IEN first using $$FIND1^DIC, then get the RxNorm number by
. ; $$GET1^DIQ.
. ;
. ; I get the RxNorm name and version from the RxNorm Sources (file
. ; 176.003), by searching for "RXNORM", then get the data.
. N MEDIEN S MEDIEN=$P(MED(6),U)
. D NDF^PSS50(MEDIEN,,,,,"NDF")
. N NDFDATA M NDFDATA=^TMP($J,"NDF",MEDIEN)
. N NDFIEN S NDFIEN=$P(NDFDATA(20),U)
. N VAPROD S VAPROD=$P(NDFDATA(22),U)
. ;
. ; NDFIEN is not necessarily defined; it won't be if the drug
. ; is not matched to the national drug file (e.g. if the drug is
. ; new on the market, compounded, or is a fake drug [blue pill].
. ; To protect against failure, I will put an if/else block
. ;
. N VUID,RXNIEN,RXNORM,SRCIEN,RXNNAME,RXNVER
. I NDFIEN,$D(^C0CRXN) D ; $Data is for Systems that don't have our RxNorm file yet.
. . S VUID=$$GET1^DIQ(50.68,VAPROD,99.99)
. . S RXNIEN=$$FIND1^DIC(176.001,,,VUID,"VUID")
. . S RXNORM=$$GET1^DIQ(176.001,RXNIEN,.01)
. . S SRCIEN=$$FIND1^DIC(176.003,,"B","RXNORM")
. . 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
. ;
. S @MAP@("MEDBRANDNAMETEXT")=MED(6.5)
. D DOSE^PSS50(MEDIEN,,,,,"DOSE")
. N DOSEDATA M DOSEDATA=^TMP($J,"DOSE",MEDIEN)
. S @MAP@("MEDSTRENGTHVALUE")=DOSEDATA(901)
. S @MAP@("MEDSTRENGTHUNIT")=$P(DOSEDATA(902),U,2)
. ; Units, concentration, etc, come from another call
. ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
. ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
. ; NDF Entry IEN, and VA Product IEN
. ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
. ; These have been collected above.
. N CONCDATA
. ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
. ; and this will crash the call. So...
. I NDFIEN="" S CONCDATA=""
. E S CONCDATA=$$CPRS^PSNAPIS(NDFIEN,VAPROD)
. S @MAP@("MEDFORMTEXT")=$P(CONCDATA,U,1)
. S @MAP@("MEDCONCVALUE")=$P(CONCDATA,U,3)
. S @MAP@("MEDCONCUNIT")=$P(CONCDATA,U,4)
. S @MAP@("MEDQUANTITYVALUE")=MED(7)
. ; Oddly, there is no easy place to find the dispense unit.
. ; It's not included in the original call, so we have to go to the drug file.
. ; That would be DATA^PSS50(IEN,,,,,"SUBSCRIPT")
. ; Node 14.5 is the Dispense Unit
. D DATA^PSS50(MEDIEN,,,,,"QTY")
. N QTYDATA M QTYDATA=^TMP($J,"QTY",MEDIEN)
. S @MAP@("MEDQUANTITYUNIT")=QTYDATA(14.5)
. ;
. ; --- START OF DIRECTIONS ---
. ; Sig data not in any API :-( Oh yes, you can get the whole thing, but...
. ; we want the compoenents.
. ; It's in node 6 of ^PSRX(IEN)
. ; So, here we go again
. ; ^PSRX(D0,6,D1,0)= (#.01) DOSAGE ORDERED [1F] ^ (#1) DISPENSE UNITS PER DOSE
. ; ==>[2N] ^ (#2) UNITS [3P:50.607] ^ (#3) NOUN [4F] ^ (#4)
. ; ==>DURATION [5F] ^ (#5) CONJUNCTION [6S] ^ (#6) ROUTE
. ; ==>[7P:51.2] ^ (#7) SCHEDULE [8F] ^ (#8) VERB [9F] ^
. ;
. N DIRNUM S DIRNUM=0 ; Sigline number
. S DIRCNT=0 ; COUNT OF MULTIPLE DIRECTIONS
. F S DIRNUM=$O(^PSRX(RXIEN,6,DIRNUM)) Q:DIRNUM="" D
. . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRECTIONDESCRIPTIONTEXT")="" ; This is reserved for systems not able to generate the sig in components.
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEINDICATOR")="1" ; means that we are specifying it. See E2369-05.
. . N SIGDATA S SIGDATA=^PSRX(RXIEN,6,DIRNUM,0)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDELIVERYMETHOD")=$P(SIGDATA,U,9)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=$P(SIGDATA,U,1)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEUNIT")=@MAP@("MEDCONCUNIT")
. . 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")=$$GET1^DIQ(51.2,$P(SIGDATA,U,7),.01)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=$P(SIGDATA,U,8)
. . ; 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.
. . ; The call is AP^PSS51P1(PSSPP,PSSFT,PSSWDIEN,PSSSTPY,LIST,PSSFREQ).
. . ; PSSPP is "PSJ" (for some reason, schedules are stored as PSJ, not PSO--
. . ; I looked), PSSFT is the name, and list is the ^TMP name to store the data in.
. . ; So...
. . D AP^PSS51P1("PSJ",$P(SIGDATA,U,8),,,"SCHEDULE")
. . N SCHEDATA M SCHEDATA=^TMP($J,"SCHEDULE")
. . N INTERVAL
. . I $P(SCHEDATA(0),U)=-1 S INTERVAL=""
. . E D
. . . N SUB S SUB=$O(SCHEDATA(0))
. . . S INTERVAL=SCHEDATA(SUB,2)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALVALUE")=INTERVAL
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDINTERVALUNIT")="Minute"
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$P(SIGDATA,U,5)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=""
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=$P(SIGDATA,U,8)["PRN"
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPROBLEMOBJECTID")=""
. . 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")=""
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
. . N DIRMOD S DIRMOD=$P(SIGDATA,U,6)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=$S(DIRMOD="T":"THEN",DIRMOD="A":"AND",DIRMOD="X":"EXCEPT",1:"")
. ;
. ; --- END OF DIRECTIONS ---
. ;
. ; ^PSRX(22,"INS1",1,0)="FOR BLOOD PRESSURE"
. S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"INS1",1,0))
. ; ^PSRX(22,"PRC",1,0)="Pharmacist: you must obey my command"
. S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PRC",1,0))
. S @MAP@("MEDRFNO")=MED(9)
. N RESULT S RESULT=$NA(^TMP("C0CCCR",$J,"MAPPED"))
. K @RESULT
. D MAP^C0CXPATH(MINXML,MAP,RESULT)
. ; MAPPING DIRECTIONS
. N DIRXML1 S DIRXML1="MEDDIR1" ; VARIABLE AND NAME VARIABLE TEMPLATE
. N 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
. I DIRCNT>0 D ; IF THERE ARE DIRCTIONS
. . F MDZ1=1:1:DIRCNT D ; FOR EACH DIRECTION
. . . S MDZNA=$NA(@MAP@("M","DIRECTIONS",MDZ1))
. . . D MAP^C0CXPATH(DIRXML1,MDZNA,DIRXML2)
. . . D INSERT^C0CXPATH(RESULT,DIRXML2,"//Medications/Medication")
. I MEDCOUNT=1 D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
. E D INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER 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
;