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Routine: APSQDGDG

APSQDGDG.m

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  1. APSQDGDG ;IHS/ASDS/ENM/POC - DRUG/DRUG INTERACTION CHECKER  
  1.  ;;6.0;IHS PHARMACY MODIFICATIONS;**3**;FEB 20, 2001
  1.  ;;6.0;OUTPATIENT PHARMACY;**1,52,118,128,131**;09/03/97
  1.  ;NOTE: THIS ROUTINE IS A MODIFIED COPY OF THE ORIGINAL VA PSODGDG
  1.  S EN="INVEN" D ^APSQSHOW
  1.  D EN^APSQDGDG
  1.  K AZOSD
  1.  Q
  1. EN ;CHANGED PSOSD TO AZOSD IHS/OKCAO/POC 
  1.  ;W !,"Checking for Drug/Drug Interactions !",!
  1.  ;IF '(PSODRUG("NDF")?1.N1"A"1.N),PSODRUG("DEA")'["S" W !,*7,*7,$S(PSODRUG("NAME")="OUTSIDE DRUG":"THIS DRUG",1:PSODRUG("NAME"))," CANNOT BE CHECKED FOR INTERACTIONS.  IT HAS NO ENTRY IN NATIONAL DRUG FILE!!" ;WARN OF NO NDF IHS/OKCAO/POC 12/20/97
  1.  Q:'(PSODRUG("NDF")?1.N1"A"1.N)  ;STOP SINCE CANT CHECK IHS/OKCAO/POC
  1.  ;S (CRIT,DRG,LSI,DGI,DGS,SER,SERS)="" F  S DRG=$O(AZOSD(DRG)) Q:(DRG="")!($G(PSORX("DFLG")))  I $P(AZOSD(DRG),"^",2)<10 D  ;ADDED THE Q:$G WHEN STOP AT CRITICAL AND DELETE DRUG SO WONT LOOP THRU OTHER INTERACTIONS IHS/OKCAO/POC 12/3/97
  1.  S (CRIT,DRG,LSI,DGI,DGS,SER,SERS)="" F  S DRG=$O(AZOSD(DRG)) Q:(DRG="")!($G(PSORX("DFLG")))  D  ;ADDED THE Q:$G WHEN STOP AT CRITICAL AND DELETE DRUG SO WONT LOOP THRU OTHER INTERACTIONS IHS/OKCAO/POC 12/3/97 GOT RID OF I ... <10
  1.  .;S NDF=$P(AZOSD(DRG),"^",7),IT=$O(^PS(56,"APD",NDF,PSODRUG("NDF"),0)) I IT D BLD  Q:+$G(PSORX("DFLG"))
  1.  .;S NDF=$P(AZOSD(DRG),"^",7) W:'(NDF?1.N1"A"1.N) !,*7,*7,DRG," CANNOT BE CHECKED FOR INTERACTIONS WITH ",PSODRUG("NAME"),".  ",DRG," HAS NO ENTRY IN NATIONAL DRUG FILE!!" S IT=$O(^PS(56,"APD",NDF,PSODRUG("NDF"),0)) I IT D BLD  Q:+$G(PSORX("DFLG"))  ;ADDED FOR EACH DRUG WITH NO NDF ENTRY IHS/OKCAO/POC 12/20/97
  1.  .S NDF=$P(AZOSD(DRG),"^",7)
  1.  .;S PSOZDEA=$P(^PSDRUG($P(^PSRX($P(AZOSD(DRG),U),0),U,6),0),U,3)
  1.  .S PSOZDEA=$P(^PSDRUG(ARRDRIEN,0),U,3) ;SINCE NO ENTRY IN PSRX FILE
  1.  .I '(NDF?1.N1"A"1.N),PSOZDEA'["S" W !!,*7,*7,DRG," CANNOT BE CHECKED FOR INTERACTIONS WITH ",PSODRUG("NAME"),".  ",DRG," HAS NO ENTRY IN NATIONAL DRUG FILE!!",! ;DONT LOOK AT SUPPLY ITEMS
  1.  .S IT=$O(^PS(56,"APD",NDF,PSODRUG("NDF"),0)) I IT D BLD Q:+$G(PSORX("DFLG"))  ;ADDED FOR EACH DRUG WITH NO NDF ENTRY IHS/OKCAO/POC 12/20/97
  1.  I '$D(^XUSEC("PSORPH",DUZ)),$G(DGI)]"" S:+CRIT PSONEW("STATUS")=4 W *7,!,"DRUG INTERACTON WITH RX #s: "_LSI,! K LSI,DRG,IT,NDF
  1.  Q
  1. TECH ;add tech entry to RX VERIFY file (#52.4)
  1.  I +CRIT S PSODI=1,(DIC,DLAYGO)="^PS(52.4,",DIC(0)="L",(DINUM,X)=PSOX("IRXN"),DIC("DR")="1////"_PSODFN_";2////"_DUZ_";4///"_DT_";7///"_1_";7.1///"_SER_";7.2///"_DGI K DD,DO D FILE^DICN
  1.  S:$G(DGS)'="" $P(^PSRX(PSOX("IRXN"),"DRI"),"^")=SERS,$P(^PSRX(PSOX("IRXN"),"DRI"),"^",2)=DGS  K PSODI,CRIT,DIC,DLAYGO,DINUM,DGI,DGS,SER,SERS Q
  1. BLD I $D(^XUSEC("PSORPH",DUZ)) S PSORX("PHARM")=DUZ D PHARM Q
  1.  ;S LSI=$P(^PSRX(+AZOSD(DRG),0),"^")_"/"_$P(^PSDRUG($P(^(0),"^",6),0),"^")_","_LSI,DGI=$P(AZOSD(DRG),"^")_","_DGI,SER=IT_","_SER I $P(AZOSD(DRG),"^",9),$P(^PS(56,IT,0),"^",4)=1 S $P(^PSRX(+AZOSD(DRG),0),"^",15)=4
  1.  S LSI="--"_"/"_$P(^PSDRUG(ARRDRIEN,0),"^")_","_LSI,DGI=""_","_DGI,SER=IT_","_SER
  1.  S:$P(^PS(56,IT,0),"^",4)=1 CRIT=1 Q
  1. PHARM ;pharmacist verification of drug interaction
  1.  S SER=^PS(56,IT,0),DIR("?",1)="Answer 'YES' if you DO want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
  1.  S DIR("?")="       'NO' if you DON'T want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
  1.  W *7,*7 S DIR("A",1)="***"_$S($P(SER,"^",4)=1:"CRITICAL",1:"SIGNIFICANT")_"*** "_"Drug Interaction with DRUG "_DRG
  1.  S DIR(0)="SA^1:YES;0:NO",DIR("A")="Do you want to "_$S($P(SER,"^",4)=1:"Continue? ",1:"Intervene? "),DIR("B")="N" D ^DIR
  1.  I 'Y,$P(SER,"^",4)=1 S PSORX("DFLG")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT
  1.  I Y,$P(SER,"^",4)=1 S PSORX("INTERVENE")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT G CRI Q
  1.  I 'Y,$P(SER,"^",4)=2 K DIR,DTOUT,DIRUT,DIROUT,DUOUT Q
  1.  I Y,$P(SER,"^",4)=2 S PSORX("INTERVENE")=2,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT D ^PSORXI K PSORX("INTERVENE") ;ADDED IHS/OKCAO/POC 12/3/97
  1.  Q
  1. CRI ;process new drug interactions entered by pharmacist
  1.  ;K DIR G:$P(AZOSD(DRG),"^",9) CRITN S DIR("A",1)="",DIR("A",2)="Do you want to Process medication",DIR("A")=PSODRUG("NAME")_": ",DIR(0)="SA^1:PROCESS;0:ABORT ORDER ENTRY",DIR("B")="P"
  1.  K DIR S DIR("A",1)="",DIR("A",2)="Do you want to Process medication",DIR("A")=PSODRUG("NAME")_": ",DIR(0)="SA^1:PROCESS;0:ABORT ORDER ENTRY",DIR("B")="P" ;ALWAYS DO AN INTERVENTION IHS/OKCAO/POC 11/19/97
  1.  S DIR("?",1)="Enter '1' or 'P' to Activate medication",DIR("?")="      '0' or 'A' to Abort Order Entry process" D ^DIR K X1,DIR I 'Y S PSORX("DFLG")=1,DGI="" K DTOUT,DIRUT,DIROUT,DUOUT,PSORX("INTERVENE") Q
  1.  I $P(SER,"^",4)=1 D
  1.  .D SIG^XUSESIG I X1="" K PSORX("INTERVENE") S PSORX("DFLG")=1 Q
  1.  .S PSORX("INTERVENE")=$P(SER,"^",4)
  1.  .D ^PSORXI K PSORX("INTERVENE") ;IHS/OKCAO/POC 12/3/97
  1.  K DUOUT,DTOUT,DIRUT,DIROUT Q
  1. CRITN ;process multiple new drug interactions
  1.  ;IT DOESNT WORK ??
  1.  K X1,DIR S DIR("A",1)="",DIR("A",2)="Do you want to Delete: ",DIR("A",3)=" 1.  NEW medication "_PSODRUG("NAME"),DIR("A",4)=" 2.  ACTIVE New Rx #"_$P(^PSRX($P(AZOSD(DRG),"^"),0),"^")_" DRUG: "_DRG
  1.  S DIR("A",5)=" 3.  Both 1 and 2",DIR("A")=" 4.  Continue ?: ",DIR(0)="SA^1:NEW MEDICATION;2:ACTIVE New RX #"_DGI_" "_DRG_";3:BOTH;4:CONTINUE"
  1.  S DIR("?",1)="Enter '1' or 'N' to Delete New Medication and Activate RX #"_$P(^PSRX(+AZOSD(DRG),0),"^"),DIR("?",2)="      '2' or 'A' to Delete Active RX #"_$P(^PSRX(+AZOSD(DRG),0),"^")_" and Abort New Order Entry"
  1.  S DIR("?",3)="      '3' or 'B' to Delete Both",DIR("?")="      '4' or 'C' to do nothing to either RX" D ^DIR K DIR
  1.  I Y=1 S PSORX("DFLG")=1,DGI="",PSHLDDRG=PSODRUG("IEN") S PSODRUG("IEN")=$P(^PSRX($P(AZOSD(DRG),"^"),0),"^",6) D ^PSORXI S PSODRUG("IEN")=PSHLDDRG K DTOUT,DIRUT,DIROUT,DUOUT,PSHLDDRG Q
  1.  I Y=2 S (DA,PSOHOLDA)=+AZOSD(DRG) D MESS,ENQ^PSORXDL S DA=PSOHOLDA D EN1^PSORXI(.DA),PPL K AZOSD(DRG),DTOUT,DIROUT,DIRUT,DUOUT,PSOHOLDA S AZOSD=AZOSD-1 Q
  1.  I Y=3 S (DA,PSOHOLDA)=+AZOSD(DRG) S AZOSD=AZOSD-1,PSORX("DFLG")=1 D MESS,ENQ^PSORXDL S DA=PSOHOLDA D EN1^PSORXI(.DA),PPL K AZOSD(DRG),PSOHOLDA
  1.  K DTOUT,DIROUT,DIRUT,DUOUT
  1.  Q
  1. MESS W !!,"Deleting Rx: ",$P($G(^PSRX(DA,0)),"^"),"   ","Drug: ",$P($G(^PSDRUG($P(^PSRX(DA,0),"^",6),0)),"^"),! Q
  1. PPL F PSOSL=0:0 S PSOSL=$O(PSORX("PSOL",PSOSL)) Q:'PSOSL  S PSOX2=PSOSL
  1.  I $G(PSOX2) D
  1.  .F PSOSL=0:1:PSOX2 S PSOSL=$O(PSORX("PSOL",PSOSL)) Q:'PSOSL  F ENT=1:1:$L(PSORX("PSOL",PSOSL),",") I $P(PSORX("PSOL",PSOSL),",",ENT)=$P(AZOSD(DRG),"^") S PSOL(PSOSL,ENT)=""
  1.  .F PSOL=0:0 S PSOL=$O(PSOL(PSOL)) Q:'PSOL  F ENT=0:0 S ENT=$O(PSOL(PSOL,ENT)) Q:'ENT  D
  1.  ..I ENT=1,'$P(PSORX("PSOL",PSOL),",",2) K PSORX("PSOL",PSOL) Q
  1.  ..I ENT=1,$P(PSORX("PSOL",PSOL),",",2) S PSORX("PSOL",PSOL)=$P(PSORX("PSOL",PSOL),",",2,99) Q
  1.  ..S PSORX("PSOL",PSOL)=$P(PSORX("PSOL",PSOL),",",1,ENT-1)_","_$P(PSORX("PSOL",PSOL),",",ENT+1,99)
  1.  K PSOX2,PSOSL,PSOL,ENT Q