VistA-ePrescribing/p/C0PRECON.m

236 lines
10 KiB
Mathematica

C0PRECON ; VEN/SMH - Utilities for Medication Reconciliation; 5/8/12 4:34pm
;;1.0;C0P;;Apr 25, 2012;Build 103
;Copyright 2009 Sam Habiel. 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.
Q
;
GETMEDS(C0PDUZ,C0PDFN,ZRTN) ; Public Proc
; Retreives meds from WebService, matches them against VistA,
; compares them with current meds, saves into Non-Va multiple in file 55
; (pharmacy patient)
;
; Input:
; - C0PDUZ: DUZ
; - C0PDFN: DFN
;
I $G(^TMP("C0PNOPULLBACK")) Q ; TURNS OFF PULLBACK PROCESSING
; FOR TESTING NEW CROP OPTIONS - KEEPS VISTA ERX DRUGS INTACT AND ADDS NO
; NEW DRUGS
N C0PWSMEDS
D SOAP^C0PWS1("C0PWSMEDS","GETMEDS",C0PDUZ,C0PDFN) ; soap call for WS meds
I C0PWSMEDS(1,"Status")'="OK" Q ; bad return from ws call
N CURRENTMEDS
D GET^C0PCUR(.CURRENTMEDS,C0PDFN) ; current meds in VistA
N ZDUPS ; ARRAY TO KEEP TRACK OF DUPLICATES SO THAT WE CAN
; DISCONTINUE ERX MEDS THAT ARE NOT IN THE WEB SERVICE LIST
N I
FOR I=1:1:C0PWSMEDS(1,"RowCount") DO
. N MEDTOADD M MEDTOADD=C0PWSMEDS(I)
. N DUPID S DUPID=$$DUP(MEDTOADD("DrugID"),.CURRENTMEDS) ; check for dups
. N MEDTXT S MEDTXT=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID"))
. I 'DUPID S DUPID=$$FREMAT(MEDTXT,.CURRENTMEDS) ;check
. ; for free text drug match gpl
. I DUPID S ZDUPS(DUPID,I)="" ; INDEX BY CURRENT MED NUMBER
. I DUPID D ; if indeed duplicate, check if WS Drug is newer drug
. . N RXDATENOTIME
. . S RXDATENOTIME=$P($$FMDATE(MEDTOADD("PrescriptionDate")),".")
. . I RXDATENOTIME>CURRENTMEDS(DUPID,"START") D ; if newer
. . . ;D DC^C0PNVA(C0PDFN,$P(CURRENTMEDS(DUPID,0),U)) ;dc old one
. . . D DC^C0PNVA(C0PDFN,CURRENTMEDS(DUPID,"NVAIEN")) ; gpl
. . . D ADD(.MEDTOADD,C0PDFN,C0PDUZ) ; add new one
. . E ; do nothing here: Current med in Vista is newer or equivalent one
. E D ADD(.MEDTOADD,C0PDFN,C0PDUZ) ; not a duplicate med
; NOW LOOK THROUGH CURRENT MEDS TO SEE WHICH NEED TO BE DISCONTINUED
S I=""
F S I=$O(CURRENTMEDS(I)) Q:I="" D ; FOR EACH CURRENT MED
. I $O(ZDUPS(I,""))="" D ; DUPLICATE DRUG NOT FOUND
. . I $P(CURRENTMEDS(I,0),U,9)'="ACTIVE" Q ; might be discontinued
. . S ZT=$$DRUGNAM^C0PLKUP(.CURRENTMEDS,I)
. . I ZT="" S ZT=$P(CURRENTMEDS(I,0),U,2)
. . N ZN S ZN=$P($G(CURRENTMEDS(I,0)),U,1)
. . S ZT=ZN_" "_ZT
. . ;S ZT=$P(CURRENTMEDS(I,0),U,1)_" "_$P(CURRENTMEDS(I,0),U,2)
. . I ZN["N;" D ; DISCONTINUE THE NONVA MED
. . . I $G(CURRENTMEDS(I,"COMMENTS",1))["Received from E-Rx Web Service" D ;
. . . . D DC^C0PNVA(C0PDFN,CURRENTMEDS(I,"NVAIEN")) ;dc the med
. . . . S ZT="Discontinued "_ZT
. . E S ZT="Can't Discontinue "_ZT
. . D MAPERR(.ZRTN,"DRUGS",ZT)
QUIT
ADD(MEDTOADD,C0PDFN,C0PDUZ) ; Private Proc - Add med to VistA
; Input:
; - MEDTOADD: WebService Drug information, by Reference
; - C0PDFN: DFN, by Value
; - C0PDUZ: DUZ, By Value
; Output:
; - None
N DRUGS S DRUGS=$$DRUG2^C0PLKUP(MEDTOADD("DrugID"))
N ZR,ZII ; GPL NEED TO FIND A NON-ZERO MATCH
F ZII=1:1:10 S ZR=$P(DRUGS,U,ZII) Q:ZR>0 ; $$DRUG2 RETURNS a^b^c FOR MATCHES
S DRUGS=ZR ; WE WANT THE FIRST NON-ZERO MATCH
I +DRUGS=0 DO QUIT
. D SENDMSG(.MEDTOADD,C0PDFN)
. D NFADD(.MEDTOADD,C0PDFN,C0PDUZ)
. N ZT
. S ZT="Error Mapping Drug: "_MEDTOADD("DrugName")_" ID: "_MEDTOADD("DrugID")
. D MAPERR(.ZRTN,"DRUGS",ZT) ; CALL ERROR ROUTINE TO RECORD NO MATCH FOR DRUG
N DRUG S DRUG=+DRUGS ; grab the first entry; as good as any for now
N ORDIEN S ORDIEN=$$GET1^DIQ(50,DRUG,"PHARMACY ORDERABLE ITEM","I")
N DOSAGE S DOSAGE=MEDTOADD("DosageNumberDescription")_" "_MEDTOADD("DosageForm")
; ****** ADDED BY GPL 10/5/10 TO ALWAYS CAPTURE FDB NAME IN SIG
N MEDTXT S MEDTXT=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID"))
I MEDTXT="" S MEDTXT=MEDTOADD("DrugName") ; drug not found condition gpl
S DOSAGE=MEDTXT_"| "_MEDTOADD("DosageNumberDescription")_" "_MEDTOADD("DosageForm") ; | delimiter added by gpl 2/5/2010
; ****** END MOD
N ROUTE S ROUTE=MEDTOADD("Route")
N SCHEDULE S SCHEDULE=MEDTOADD("DosageFrequencyDescription")
I MEDTOADD("TakeAsNeeded")="Y" S SCHEDULE=SCHEDULE_" PRN" ; Vista stores PRN in schedule
N START S START=$$FMDATE(MEDTOADD("PrescriptionDate"))
N COMMENT
S COMMENT(1)="Received from E-Rx Web Service" ;todo: move to dialog file
S COMMENT(2)="Order Guid: "_$G(MEDTOADD("OrderGuid"))
S COMMENT(3)="Physician Name: "_$G(MEDTOADD("PhysicianName"))
S COMMENT(4)="Prescription Date: "_$G(MEDTOADD("PrescriptionDate"))
S COMMENT(5)="Prescription Guid: "_$G(MEDTOADD("PrescriptionGuid"))
S COMMENT(6)="Notes: "_$G(MEDTOADD("PrescriptionNotes"))
; add codes for Certification and Free Txt repair processing - gpl
S COMMENT(7)=$$CODES^C0PLKUP(MEDTOADD("DrugID")) ;
D FILE^C0PNVA(C0PDFN,ORDIEN,DRUG,DOSAGE,ROUTE,SCHEDULE,START,C0PDUZ,.COMMENT)
QUIT
MAPERR(ZRTN,ZTYP,ZTXT) ; ZTYP IS THE TYPE OF MAPPING ERROR
; (IE DRUGS OR ALLERGY)
; ZRTN IS PASSED BY REFERENCE AND IS THE ARRAY OF ERROR MESSAGES
; THIS ROUTINE ADDS THE ERROR MESSAGE TO THE END OF THE ARRAY
; ZTXT IS THE ERROR MESSAGE
;
N ZI
I $G(^TMP("C0PDEBUG"))="" Q ; ONLY SHOW MAPPING ERRORS ON DEBUG
I '$D(ZRTN) S ZI=1
E S ZI=$O(ZRTN(""),-1)+1 ;ONE PASSED THE END OF ZRTN
S ZRTN(ZI)=ZTXT
Q
;
FMDATE(C0PD) ; Public $$ - Get fileman date from dates formatted like 11/7/09 10:22:34 PM
; Input: Date like 11/7/09 10:22:34 PM
; Output: Timson date precise up to seconds
S $E(C0PD,$F(C0PD," ")-1)="@" ; put @ b/n date and time for fm
N %DT S %DT="TS" ; seconds are required
N X,Y
S X=C0PD D ^%DT
I Y<0 D ^%ZTER ; Problem converting date... wake up programmer
QUIT Y
;
DUP(FDBDRUGID,CURRENTMEDS) ; Private $$ - Is Drug already documented for patient?
; Input:
; FDBDRUGID By Value
; CURRENTMEDS By Reference
; Output:
; "" if no duplicate
; CURRENTMEDS ien if duplicate
N DRUGS S DRUGS=$$DRUG2^C0PLKUP(FDBDRUGID)
; add a check for the CODES in Comment(6) - to update if not there
N C0PCODES S C0PCODES=$$CODES^C0PLKUP(FDBDRUGID)
N I S I=""
N FOUND S FOUND=0
F Q:FOUND=1 S I=$O(CURRENTMEDS(I)) Q:I="" D ; loop through current meds
. I '$D(CURRENTMEDS(I,"DRUG")) QUIT ; continue if no drug id
. I $G(CURRENTMEDS(I,"COMMENTS",1))'["Received from E-Rx Web Service" Q ;
. ; DON'T MATCH ON DRUGS THAT ARE NOT ERX
. ; check for CODES in COMMENTS(6)
. I $G(CURRENTMEDS(I,"COMMENTS",6))'=C0PCODES D ; add codes
. . ;S ^PS(55,C0PDFN,"NVA",I,1,7,0)=C0PCODES ; right into the global
. I $P(CURRENTMEDS(I,0),U,9)'["ACTIVE" QUIT ; quit if not active
. I ("^"_DRUGS_"^")[("^"_CURRENTMEDS(I,"DRUG")_"^") S FOUND=1
QUIT I ; entry if Found, "" if not found
;
FREMAT(FDBDNAME,CURRENTMEDS,ZMED) ;MATCH A FREE TEXT DRUG EXTRINSIC
; THE DRUG ID HAS BEEN STORED IN THE COMMENT OF EACH ERX NONVA DRUG
; ZMED IS WHICH DRUG IN CURRENTMEDS WHICH IS PASSED BY REF
; FDBDNAME IS THE DRUG NAME AND IS PASSED BY VALUE ; GPL
N I S I=""
; add a check for the CODES in Comment(6) - to update if not there
N C0PCODES S C0PCODES=$$CODES^C0PLKUP(MEDTOADD("DrugID"))
N FOUND S FOUND=0
F Q:FOUND=1 S I=$O(CURRENTMEDS(I)) Q:I="" D ; loop through current meds
. I $D(CURRENTMEDS(I,"DRUG")) QUIT ; SKIP OVER MAPPED DRUGS
. I $P(CURRENTMEDS(I,0),U,9)'["ACTIVE" QUIT ; quit if not active
. I FDBDNAME=$$DRUGNAM^C0PLKUP(.CURRENTMEDS,I) S FOUND=1
I FOUND=1 D ;
. S ZT="Drug Dup Found: "_MEDTOADD("DrugName")_" ID: "_MEDTOADD("DrugID")
. ; check for CODES in COMMENTS(6)
. I $G(CURRENTMEDS(I,"COMMENTS",6))'=C0PCODES D ; add codes
. . ;S ^PS(55,C0PDFN,"NVA",I,1,7,0)=C0PCODES ; right into the global
. D MAPERR(.ZRTN,"DRUGS",ZT) ; CALL ERROR ROUTINE TO RECORD NO MATCH FOR DRUG
Q I ; entry if Found, "" if not found
;
SENDMSG(MEDTOADD,C0PDFN) ; Private EP - Send Bulletin saying drug not found
; Input:
; - MEDTOADD: WS Med entry By Reference
; - C0PDFN: DFN by Value
; Output:
; - None
; info: tested 12/14/09
; todo: move this to a background call - it takes too long!
N DUZ ; remove old value to make the postmaster the sender
N XMDUZ S XMDUZ="E-Rx WebService" ; supposed sender
N XMTEXT ; unused
N XMY ; unused
N XMBTMP ; unused
N XMDF ; unused
N XMDT ; unused - will send message now
N XMYBLOB ; unused
N XMB
S XMB="C0P EXTERNAL DRUG NOT FOUND" ; bulletin name
S (XMB(1),XMB(5))=$$GET1^DIQ(2,C0PDFN,"PRIMARY LONG ID") ; chart #
S (XMB(2),XMB(3))=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID")) ; drug not matched
S XMB(4)=$$GET1^DIQ(2,C0PDFN,.01) ; patient name
D ^XMB
QUIT
;
NFADD(MEDTOADD,C0PDFN,C0PDUZ) ; Private Proc - Add free text med to VistA
; Input:
; - MEDTOADD: WebService Drug information, by Reference
; - C0PDFN: DFN, by Value
; - C0PDUZ: DUZ, By Value
; Output:
; - None
; info: tested 12/16/09
; Stores med along side dosage in dosage field as free text
N ORDIEN S ORDIEN=$$FIND1^DIC(50.7,"","QX","FREE TXT DRUG","B") ; todo: change to a parameter
N DOSAGE
N MEDTXT S MEDTXT=$$FULLNAME^C0PLKUP(MEDTOADD("DrugID"))
I MEDTXT="" S MEDTXT=MEDTOADD("DrugName") ; drug not found condition gpl
S DOSAGE=MEDTXT_"| "_MEDTOADD("DosageNumberDescription")_" "_MEDTOADD("DosageForm") ; | delimiter added by gpl 2/5/2010
N ROUTE S ROUTE=MEDTOADD("Route")
N SCHEDULE S SCHEDULE=MEDTOADD("DosageFrequencyDescription")
I MEDTOADD("TakeAsNeeded")="Y" S SCHEDULE=SCHEDULE_" PRN" ;
N START S START=$$FMDATE(MEDTOADD("PrescriptionDate"))
N COMMENT
S COMMENT(1)="Received from E-Rx Web Service" ;todo: move to dialog file
S COMMENT(2)="Order Guid: "_$G(MEDTOADD("OrderGuid"))
S COMMENT(3)="Physician Name: "_$G(MEDTOADD("PhysicianName"))
S COMMENT(4)="Prescription Date: "_$G(MEDTOADD("PrescriptionDate"))
S COMMENT(5)="Prescription Guid: "_$G(MEDTOADD("PrescriptionGuid"))
S COMMENT(6)="Notes: "_$G(MEDTOADD("PrescriptionNotes"))
; add codes for Certification and Free Txt repair processing - gpl
S COMMENT(7)=$$CODES^C0PLKUP(MEDTOADD("DrugID")) ;
D FILE^C0PNVA(C0PDFN,ORDIEN,"",DOSAGE,ROUTE,SCHEDULE,START,C0PDUZ,.COMMENT)
;N COMMENT ;added DrugID to comment 1/27/2010 gpl
;S COMMENT="Received from E-Rx Web Service (DrugID:"_MEDTOADD("DrugID")_")"
;D FILE^C0PNVA(C0PDFN,ORDIEN,"",DOSAGE,ROUTE,SCHEDULE,START,C0PDUZ,COMMENT)
QUIT