©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
GMPLUTL ; SLC/MKB/KER -- PL Utilities ;11/29/11 09:04
;;2.0;Problem List;**3,6,8,10,16,26,35,39,36**;Aug 25, 1994;Build 65
;
; External References
; DBIA 348 ^DPT(
; DBIA 3990 $$ICDDX^ICDCODE
; DBIA 10006 ^VA(200
;
ACTIVE(GMPDFN,GMPL) ; Returns list of Active Problems for a Patient
;
; GMPDFN Pointer to Patient
; GMPL Array in which the problems will be
; returned, passed by reference
;
; GMPL(#,0) Problem file (#9000011) IEN
; GMPL(#,1) Piece 1: Pointer to Problem (Lexicon file #757.01)
; 2: Provider Narrative
; NOTE: the provider narrative may be different
; from the Lexicon term in file 757.01
; GMPL(#,2) Piece 1: Pointer to ICD Diagnosis (file #80)
; 2: ICD-9 Code
; GMPL(#,3) Piece 1: Internal Date of Onset
; 2: External Date of Onset 00/00/00
; GMPL(#,4) Piece 1: Abbreviated Service Connection
; SC^Service Connected
; NSC^Not Service Connected
; null
; 2: Full text Service Connection
; GMPL(#,5) Piece 1: Abbreviated Exposure
; Full text Exposure
; AO^Agent Orange
; IR^Radiation
; EC^Evn Contaminants
; HNC^Head/Neck Cancer
; MST^Mil Sexual Trauma
; CV^Combat Vet
; SHD^SHAD
; null
;
N I,IFN,CNT,GMPL0,GMPL1,SP,NUM,ONSET,GMPLIST,GMPLVIEW,GMPARAM,GMPTOTAL
Q:$G(GMPDFN)'>0 S CNT=0,SP=""
S GMPARAM("QUIET")=1,GMPARAM("REV")=$P($G(^GMPL(125.99,1,0)),U,5)="R"
S GMPLVIEW("ACT")="A",GMPLVIEW("PROV")=0,GMPLVIEW("VIEW")=""
D GETPLIST^GMPLMGR1(.GMPLIST,.GMPTOTAL,.GMPLVIEW)
F NUM=0:0 S NUM=$O(GMPLIST(NUM)) Q:NUM'>0 D
. S IFN=+GMPLIST(NUM) Q:IFN'>0
. S GMPL0=$G(^AUPNPROB(IFN,0)),GMPL1=$G(^(1)),CNT=CNT+1,GMPL(CNT,0)=IFN
. S GMPL(CNT,1)=+GMPL1_U_$$PROBTEXT^GMPLX(IFN)
. S GMPL(CNT,2)=+GMPL0_U_$P($$ICDDX^ICDCODE(+GMPL0),U,2),ONSET=$P(GMPL0,U,13)
. S GMPL(CNT,3)=$S(ONSET:ONSET_U_$$EXTDT^GMPLX(ONSET),1:"")
. S GMPL(CNT,4)=$S(+$P(GMPL1,U,10):"SC^SERVICE-CONNECTED",$P(GMPL1,U,10)=0:"NSC^NOT SERVICE-CONNECTED",1:"")
. F I=11,12,13,15,16,17,18 S:$P(GMPL1,U,I) SP=$S(I=11:"A",I=12:"I",I=13:"P",I=15:"H",16:"M",17:"C",1:"S")
. S GMPL(CNT,5)=$S(SP="A":"AO^AGENT ORANGE",SP="I":"IR^RADIATION",SP="P":"EC^ENV CONTAMINANTS",SP="H":"HNC^HEAD AND/OR NECK CANCER",SP="M":"MST^MILIARY SEXUAL TRAUMA",SP="C":"CV^COMBAT VET",SP="S":"SHD^SHAD",1:"")
S GMPL(0)=CNT
Q
;
CREATE(PL,PLY) ; Creates a new problem
;
; Input array, passed by reference
; Required
; PL("PATIENT") Pointer to Patient #2
; PL("NARRATIVE") Text as entered by provider
; PL("PROVIDER") Pointer to provider #200
; Optional
; PL("DIAGNOSIS") Pointer to ICD-9 #80
; PL("LEXICON") Pointer to Lexicon #757.01
; PL("STATUS") A = Active I = Inactive
; PL("ONSET") Internal Date of Onset
; PL("RECORDED") Internal Date Recorded
; PL("RESOLVED") Internal Date Problem was Resolved
; PL("COMMENT") Comment text, up to 60 characters
; PL("LOCATION") Pointer to Hospital Location
; PL("SC") Service Connected 1 = Yes 0 = No
; PL("AO") Agent Orange 1 = Yes 0 = No
; PL("IR") Radiation 1 = Yes 0 = No
; PL("EC") Env Contamination 1 = Yes 0 = No
; PL("HNC") Head/Neck Cancer 1 = Yes 0 = No
; PL("MST") Mil Sexual Trauma 1 = Yes 0 = No
; PL("CV") Combat Vet 1 = Yes 0 = No
; PL("SHD") Shipboard Hazard & Defense 1=Yes 0=No
;
; Output, passed by reference
; PLY Equivalent of Fileman Y, DA
; PLY(0) Equivalent of Fileman Y(0)
;
N GMPI,GMPQUIT,GMPVAMC,GMPVA,GMPFLD,GMPSC,GMPAGTOR,GMPION,GMPGULF
N GMPHNC,GMPMST,GMPCV,GMPSHD,DA,GMPDFN,GMPROV
K PLY S PLY=-1,PLY(0)=""
S GMPVAMC=+$G(DUZ(2)),GMPVA=$S($G(DUZ("AG"))="V":1,1:0)
I '$L($G(PL("NARRATIVE"))) S PLY(0)="Missing problem narrative" Q
I '$D(^DPT(+$G(PL("PATIENT")),0)) S PLY(0)="Invalid patient" Q
I '$D(^VA(200,+$G(PL("PROVIDER")),0)) S PLY(0)="Invalid provider" Q
S GMPDFN=+PL("PATIENT"),(GMPSC,GMPAGTOR,GMPION,GMPGULF,GMPHNC,GMPMST,GMPCV,GMPSHD)=0
D:GMPVA VADPT^GMPLX1(GMPDFN)
F GMPI="DIAGNOSI","LEXICON","DUPLICAT","LOCATION","STATUS" D @(GMPI_"^GMPLUTL1") Q:$D(GMPQUIT)
Q:$D(GMPQUIT)
F GMPI="ONSET","RESOLVED","RECORDED","SC","AO","IR","EC","HNC","MST","CV","SHD" D @(GMPI_"^GMPLUTL1") Q:$D(GMPQUIT)
Q:$D(GMPQUIT)
CR1 ; Ok to Create
I $S(PL("LEXICON")=1:1,PL("LEXICON")="":1,1:0),(PL("NARRATIVE")["SNOMED CT") D FIXLEX(.PL)
S GMPFLD(.01)=PL("DIAGNOSIS")_U_$S(PL("NARRATIVE")["(ICD-9-CM":$P($P(PL("NARRATIVE"),"ICD-9-CM ",2),")"),1:"")
S GMPFLD(1.01)=PL("LEXICON")
S GMPFLD(.05)=U_$E(PL("NARRATIVE"),1,80)
S (GMPROV,GMPFLD(1.04),GMPFLD(1.05))=+PL("PROVIDER")
S GMPFLD(1.06)=$$SERVICE^GMPLX1(+PL("PROVIDER"))
S GMPFLD(.13)=PL("ONSET"),GMPFLD(1.09)=PL("RECORDED")
S GMPFLD(1.02)=$S('$P(^GMPL(125.99,1,0),U,2):"P",$G(GMPLUSER):"P",1:"T")
S GMPFLD(.12)=PL("STATUS"),GMPFLD(1.14)="",GMPFLD(1.07)=PL("RESOLVED")
S GMPFLD(10,0)=0,GMPFLD(1.03)=$G(DUZ),GMPFLD(1.08)=PL("LOCATION")
S:$L($G(PL("COMMENT"))) GMPFLD(10,"NEW",1)=$E(PL("COMMENT"),1,60)
S GMPFLD(1.1)=PL("SC"),GMPFLD(1.11)=PL("AO"),GMPFLD(1.12)=PL("IR")
S GMPFLD(1.13)=PL("EC"),GMPFLD(1.15)=$G(PL("HNC")),GMPFLD(1.16)=$G(PL("MST"))
S GMPFLD(1.17)=$G(PL("CV")),GMPFLD(1.18)=$G(PL("SHD"))
D NEW^GMPLSAVE S PLY=DA
CRQ ; Quit Create
Q
;
FIXLEX(PL) ; Fix Lexicon expression pointer value for SNOMED Concepts
N SCT,LEXS,ICDS
S SCT=+$P(PL("NARRATIVE"),"SNOMED CT ",2) I +SCT'>0 Q
D EN^LEXCODE(SCT) I '$D(LEXS("SCT",1)) Q
S PL("NARRATIVE")=$P(PL("NARRATIVE")," (")
S PL("LEXICON")=$P(LEXS("SCT",1),U)_U_PL("NARRATIVE")_" (SNOMED CT "_SCT_")"
S ICDS=$$GETDX(SCT)
S:($L(ICDS,"/")>1)&(ICDS'=$P($G(PL("DIAGNOSIS")),U,2)) $P(PL("DIAGNOSIS"),U,2)=ICDS
Q
;
GETDX(CODE) ; Get ICD associated with SNOMED CT Code
N LEX,ORI,ORY S ORY=0
S ORY=$$GETASSN^LEXTRAN1(CODE,"SCT2ICD")
I $S(+ORY'>0:1,+$P(ORY,U,2)'>0:1,+LEX'>0:1,1:0) S ORY=799.9 G GETDXX
S (ORI,ORY)=0
F S ORI=$O(LEX(ORI)) Q:+ORI'>0 D
. N ICD
. S ICD=$O(LEX(ORI,""))
. I ICD]"" S ORY=$S(ORY'=0:ORY_"/",1:"")_ICD
I ORY'["." S ORY=ORY_"."
GETDXX Q ORY
;
UPDATE(PL,PLY) ; Update a Problem/Create if Not Found
;
; Input array, passed by reference
; Required
; PL("PROBLEM") Pointer to Problem #9000011
; PL("PROVIDER") Pointer to provider #200
;
; Optional
; PL("NARRATIVE") Text as entered by provider
; PL("DIAGNOSIS") Pointer to ICD-9 #80
; PL("LEXICON") Pointer to Lexicon #757.01
; PL("STATUS") A = Active I = Inactive
; PL("ONSET") Internal Date of Onset
; PL("RECORDED") Internal Date Recorded
; PL("RESOLVED") Internal Date Problem was Resolved
; PL("COMMENT") Comment text, up to 60 characters
; PL("LOCATION") Pointer to Hospital Location
; PL("SC") Service Connected 1 = Yes 0 = No
; PL("AO") Agent Orange 1 = Yes 0 = No
; PL("IR") Radiation 1 = Yes 0 = No
; PL("EC") Env Contamination 1 = Yes 0 = No
; PL("HNC") Head/Neck Cancer 1 = Yes 0 = No
; PL("MST") Mil Sexual Trauma 1 = Yes 0 = No
; PL("CV") Combat Veteran 1 = Yes 0 = No
; PL("SHD") SHAD 1 = Yes 0 = No
;
; Output, passed by reference
; PLY Equivalent of Fileman Y, DA
; PLY(0) Equivalent of Fileman Y(0)
;
N GMPORIG,GMPFLD,FLD,ITEMS,SUB,GMPI,DIFFRENT,GMPIFN,GMPVAMC,GMPVA,GMPROV,GMPQUIT,GMPDFN
S GMPVAMC=+$G(DUZ(2)),GMPVA=$S($G(DUZ("AG"))="V":1,1:0),PLY=-1,PLY(0)=""
S GMPIFN=$G(PL("PROBLEM")) I GMPIFN="" D CREATE(.PL,.PLY) Q
I '$D(^AUPNPROB(GMPIFN,0)) S PLY(0)="Invalid problem" Q
I '$D(^VA(200,+$G(PL("PROVIDER")),0)) S PLY(0)="Invalid provider" Q
S GMPROV=+$G(PL("PROVIDER")),GMPDFN=+$P(^AUPNPROB(GMPIFN,0),U,2)
D GETFLDS^GMPLEDT3(GMPIFN) I '$D(GMPFLD) S PLY(0)="Invalid problem" Q
I +$G(PL("PATIENT")),+PL("PATIENT")'=GMPDFN S PLY(0)="Patient does not match for this problem" Q
I $L($G(PL("RECORDED"))) S PLY(0)="Date Recorded is not editable" Q
S (GMPSC,GMPAGTOR,GMPION,GMPGULF)=0 D:GMPVA VADPT^GMPLX1(GMPDFN)
S ITEMS="LEXICON^DIAGNOSIS^LOCATION^STATUS^ONSET^RESOLVED^SC^AO^IR^EC^HNC^MST^CV^SHD",FLD="1.01^.01^1.08^.12^.13^1.07^1.1^1.11^1.12^1.13^1.15^1.16^1.17^1.18"
F GMPI=1:1 S SUB=$P(ITEMS,U,GMPI) Q:SUB="" D Q:$D(GMPQUIT)
. I '$L($G(PL(SUB))) S PL(SUB)=$P(GMPFLD($P(FLD,U,GMPI)),U) Q
. I SUB="STATUS",PL(SUB)="@" S GMPQUIT=1,PLY(0)="Cannot delete problem status" Q
. I PL(SUB)'="@" D @($E(SUB,1,8)_"^GMPLUTL1") Q:$D(GMPQUIT)
. S GMPFLD($P(FLD,U,GMPI))=$S(PL(SUB)="@":"",1:PL(SUB)),DIFFRENT=1
Q:$D(GMPQUIT)
I +GMPFLD(1.07),GMPFLD(1.07)<GMPFLD(.13) S PLY(0)="Date Resolved cannot be prior to Date of Onset" Q
I +GMPFLD(1.09),GMPFLD(1.09)<GMPFLD(.13) S PLY(0)="Date Recorded cannot be prior to Date of Onset" Q
S:$L($G(PL("NARRATIVE"))) GMPFLD(.05)=U_PL("NARRATIVE"),DIFFRENT=1
S:$L($G(PL("COMMENT"))) GMPFLD(10,"NEW",1)=$E(PL("COMMENT"),1,60),DIFFRENT=1
D:$D(DIFFRENT) EN^GMPLSAVE S PLY=GMPIFN,PLY(0)=""
Q