VistA-ccr/p/C0CMED2.m

267 lines
13 KiB
Mathematica

C0CMED2 ; WV/CCDCCR/SMH - CCR/CCD Meds - Pending for Vista
;;1.2;CCD/CCR GENERATION UTILITIES;;Oct 30, 2012;Build 50
;;Last Modified Sat Jan 10 21:41:14 PST 2009
; Copyright 2008 WorldVistA.
;
; This program is free software: you can redistribute it and/or modify
; it under the terms of the GNU Affero General Public License as
; published by the Free Software Foundation, either version 3 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 Affero General Public License for more details.
;
; You should have received a copy of the GNU Affero General Public License
; along with this program. If not, see <http://www.gnu.org/licenses/>.
;
W "NO ENTRY FROM TOP",!
Q
;
EXTRACT(MINXML,DFN,OUTXML,MEDCOUNT) ; EXTRACT MEDICATIONS INTO PROVIDED XML TEMPLATE
;
; MINXML is the Input XML Template, passed by name
; DFN is Patient IEN (by Value)
; OUTXML is the resultant XML (by Name)
; MEDCOUNT is the current count of extracted meds, passed by Reference
;
; 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, one medicine
;
; PEN^PSO5241 is a Pharmacy Re-Enginnering (PRE) API to get Pending
; meds data available.
; http://www.va.gov/vdl/documents/Clinical/Pharm-Outpatient_Pharmacy/phar_1_api_r0807.pdf
; Output of API is ^TMP($J,"SUBSCRIPT",DFN,RXIENS).
; File for pending meds is 52.41
; Unfortuantely, API does not supply us with any useful info beyond
; the IEN in 52.41, and the Med Name, and route.
; So, most of the info is going to get pulled from 52.41.
N MEDS,MAP
K ^TMP($J,"CCDCCR") ; PLEASE DON'T KILL ALL OF ^TMP($J) HERE!!!!
D PEN^PSO5241(DFN,"CCDCCR")
M MEDS=^TMP($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
N MEDFIRST S MEDFIRST=1 ; FLAG FOR FIRST MED IN THIS SECTION FOR MERGING
F S RXIEN=$O(MEDS(RXIEN)) Q:RXIEN="B" D ; FOR EACH MEDICATION IN THE LIST
. I $$GET1^DIQ(52.41,RXIEN,2,"I")="RF" QUIT ; Dont' want refill request as a "pending" order
. S MEDCOUNT=MEDCOUNT+1
. I DEBUG W "RXIEN IS ",RXIEN,!
. S MAP=$NA(^TMP("C0CCCR",$J,"MEDMAP",MEDCOUNT))
. ; K @MAP DON'T KILL MAP HERE, IT IS DONE IN C0CMED
. I DEBUG W "MAP= ",MAP,!
. N MED M MED=MEDS(RXIEN) ; PULL OUT MEDICATION FROM
. S @MAP@("MEDOBJECTID")="MED_PENDING"_MEDCOUNT ; MEDCOUNT FOR ID
. ; S @MAP@("MEDOBJECTID")="MED_PENDING"_MED(.01) ;Pending IEN
. S @MAP@("MEDISSUEDATETXT")="Issue Date"
. ; Field 6 is "Effective date", and we pull it in timson format w/ I
. S @MAP@("MEDISSUEDATE")=$$FMDTOUTC^C0CUTIL($$GET1^DIQ(52.41,RXIEN,6,"I"),"DT")
. ; Med never filled; next 4 fields are not applicable.
. S @MAP@("MEDLASTFILLDATETXT")=""
. S @MAP@("MEDLASTFILLDATE")=""
. S @MAP@("MEDRXNOTXT")=""
. S @MAP@("MEDRXNO")=""
. S @MAP@("MEDTYPETEXT")="Medication"
. S @MAP@("MEDDETAILUNADORNED")="" ; Leave blank, field has its uses
. S @MAP@("MEDSTATUSTEXT")="On Hold" ; nearest status for pending meds
. S @MAP@("MEDSOURCEACTORID")="ACTORPROVIDER_"_$$GET1^DIQ(52.41,RXIEN,5,"I")
. S @MAP@("MEDPRODUCTNAMETEXT")=$P(MED(11),U,2)
. ; NDC not supplied in API, but is rather trivial to obtain
. ; MED(11) piece 1 has the IEN of the drug (file 50)
. ; IEN is field 31 in the drug file.
. ;
. ; MEDIEN (node 11 in the returned output) might not necessarily be defined
. ; It is not defined when a dose in not chosen in CPRS. There is a long
. ; series of fields that depend on it. We will use If and Else to deal
. ; with that
. N MEDIEN S MEDIEN=$P(MED(11),U)
. I +MEDIEN>0 D ; start of if/else block
. . ; 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.
. . 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")=""
. . 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
. . ; $$CPRS^PSNAPIS which returns dosage-form^va class^strengh^unit
. . ; This call takes nodes 1 and 3 of ^PSDRUG(D0,"ND") as parameters
. . ; NDF Entry IEN, and VA Product Name
. . ; These can be obtained using NDF^PSS50 (IEN,,,,,"SUBSCRIPT")
. . ; Documented in the same manual; executed above.
. . N CONCDATA
. . ; If a drug was not matched to NDF, then the NDFIEN is gonna be ""
. . ; and this will crash the call. So...
. . I NDFIEN="" S CONCDATA=""
. . E S CONCDATA=$$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")=$$GET1^DIQ(52.41,RXIEN,12)
. . ; 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)
. E D
. . S @MAP@("MEDPRODUCTNAMECODEVALUE")=""
. . S @MAP@("MEDPRODUCTNAMECODINGINGSYSTEM")=""
. . S @MAP@("MEDPRODUCTNAMECODEVERSION")=""
. . S @MAP@("MEDBRANDNAMETEXT")=""
. . S @MAP@("MEDSTRENGTHVALUE")=""
. . S @MAP@("MEDSTRENGTHUNIT")=""
. . S @MAP@("MEDFORMTEXT")=""
. . S @MAP@("MEDCONCVALUE")=""
. . S @MAP@("MEDCONCUNIT")=""
. . S @MAP@("MEDSIZETEXT")=""
. . S @MAP@("MEDQUANTITYVALUE")=""
. . S @MAP@("MEDQUANTITYUNIT")=""
. ; end of if/else block
. ;
. ; --- START OF DIRECTIONS ---
. ; Sig data is not in any API. We obtain it using the IEN from
. ; the PEN API to file 52.41. It's in field 3, which is a multiple.
. ; I will be using FM call GETS^DIQ(FILE,IENS,FIELD,FLAGS,TARGET_ROOT)
. K FMSIG ; it's passed via the symbol table, so remove any leftovers from last call
. D GETS^DIQ(52.41,RXIEN,"3*",,"FMSIG")
. N FMSIGNUM S FMSIGNUM=0 ; Sigline number in fileman.
. ; FMSIGNUM gets outputted as "IEN,RXIEN,".
. ; DIRNUM will be first piece for IEN.
. ; DIRNUM is the proper Sigline numer.
. ; SIGDATA is the simplfied array. Subscripts are really field numbers
. ; in subfile 52.413.
. N DIRCNT S DIRCNT=0 ; COUNT OF DIRECTIONS
. F S FMSIGNUM=$O(FMSIG(52.413,FMSIGNUM)) Q:FMSIGNUM="" D
. . N DIRNUM S DIRNUM=$P(FMSIGNUM,",")
. . S DIRCNT=DIRCNT+1 ; INCREMENT DIRECTIONS COUNT
. . N SIGDATA M SIGDATA=FMSIG(52.413,FMSIGNUM)
. . ; If this is an order for a refill; it's not really a new order; move on to next
. . 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")=SIGDATA(13)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDOSEVALUE")=SIGDATA(8)
. . 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")=SIGDATA(10)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDFREQUENCYVALUE")=SIGDATA(1)
. . ; Invervals... again another call.
. . ; 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.
. . ; Also, freqency may have "PRN" in it, so strip that out
. . N FREQ S FREQ=SIGDATA(1)
. . I FREQ["PRN" S FREQ=$E(FREQ,1,$F(FREQ,"PRN")-5) ; 5 for $L("PRN") + 1 + sp
. . D AP^PSS51P1("PSJ",FREQ,,,"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"
. . ; Duration comes as M2,H2,D2,W2,L2 for 2 minutes,hours,days,weeks,months
. . N DUR S DUR=SIGDATA(2)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONVALUE")=$E(DUR,2,$L(DUR))
. . N DURUNIT S DURUNIT=$E(DUR)
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDURATIONUNIT")=$S(DURUNIT="M":"Minutes",DURUNIT="H":"Hours",DURUNIT="D":"Days",DURUNIT="W":"Weeks",DURUNIT="L":"Months",1:"")
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDPRNFLAG")=SIGDATA(1)["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")="" ; Vista doesn't have that field
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDDIRSEQ")=DIRNUM
. . S @MAP@("M","DIRECTIONS",DIRCNT,"MEDMULDIRMOD")=SIGDATA(6)
. ;
. ; --- END OF DIRECTIONS ---
. ;
. ; S @MAP@("MEDPTINSTRUCTIONS","F")="52.41^105"
. S @MAP@("MEDPTINSTRUCTIONS")=$G(^PSRX(RXIEN,"PI",1,0)) ;GPL
. ; W @MAP@("MEDPTINSTRUCTIONS"),!
. ; S @MAP@("MEDFULLFILLMENTINSTRUCTIONS","F")="52.41^9"
. S @MAP@("MEDFULLFILLMENTINSTRUCTIONS")=$G(^PSRX(RXIEN,"SIG1",1,0)) ;GPL
. ; W @MAP@("MEDFULLFILLMENTINSTRUCTIONS"),!
. S @MAP@("MEDRFNO")=$$GET1^DIQ(52.41,RXIEN,13)
. 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
. 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 MEDFIRST D ;
. . ;S MEDFIRST=0 ; RESET FIRST FLAG ;OHUM/RUT COMMENTED (1ST PENDING MEDICATION WAS GETTING DUPLICATED)
. . D CP^C0CXPATH(RESULT,OUTXML) ; First one is a copy
. D:'MEDFIRST INSINNER^C0CXPATH(OUTXML,RESULT) ; AFTER FIRST, INSERT INNER
. I MEDFIRST S MEDFIRST=0 ;OHUM/RUT ADDED
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 "Pending Medication MISSING ",!
. F MEDI=1:1:MEDTMP(0) W MEDTMP(MEDI),!
Q
;