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Routine: ORCDPSIV

ORCDPSIV.m

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  1. ORCDPSIV ;SLC/MKB-Pharmacy IV dialog utilities ;09/26/08
  1.  ;;3.0;ORDER ENTRY/RESULTS REPORTING;**4,38,48,158,195,243,296**;Dec 17, 1997;Build 19
  1.  ;Per VHA Directive 2004-038, this routine should not be modified.
  1. CKSCH ; -- validate schedule [Called from P-S Action]
  1.  N ORX S ORX=ORDIALOG(PROMPT,ORI) Q:ORX=$G(ORESET)  K ORSD
  1.  D EN^PSSGS0(.ORX,"I")
  1.  I $D(ORX) S ORDIALOG(PROMPT,ORI)=ORX Q
  1.  W $C(7),!,"Enter a standard schedule for administering this medication."
  1.  Q
  1. ISONETIM(SCH) ;
  1.  N DUR
  1.  I SCH="" Q 0
  1.  K ^TMP($J,"ORCDPSIV GETSCHTYP")
  1.  D ZERO^PSS51P1(,SCH,"PSJ","O","ORCDPSIV GETSCHTYP")
  1.  I +^TMP($J,"ORCDPSIV GETSCHTYP",0)>0 D  Q 1
  1.  .S DUR=$$PTR^ORCD("OR GTX DURATION")
  1.  .I $G(ORDIALOG(DUR,1))="" Q
  1.  .S ORDIALOG(DUR,1)=""
  1.  .W !,"IV Orders with a schedule type of one-time cannot have a duration."
  1.  .W !,"The duration has been deleted from this quick order." H 1
  1.  K ^TMP($J,"ORCDPSIV GETSCHTYP")
  1.  Q 0
  1.  ;
  1. PROVIDER ; -- Check provider, if authorized to write med orders
  1.  I $D(^XUSEC("OREMAS",DUZ)),'$$GET^XPAR("ALL","OR OREMAS MED ORDERS") W $C(7),!!,"OREMAS key holders may not enter medication orders." S ORQUIT=1 Q
  1.  N PS,NAME S PS=$G(^VA(200,+$G(ORNP),"PS")),NAME=$P($G(^(20)),U,2)
  1.  I '$L(NAME) S NAME=$P(^VA(200,+$G(ORNP),0),U)
  1.  I '$P(PS,U) W $C(7),!!,NAME_" is not authorized to write medication orders!" S ORQUIT=1
  1.  I $P(PS,U,4),$$NOW^XLFDT>$P(PS,U,4) W $C(7),!!,NAME_" is no longer authorized to write medication orders!" S ORQUIT=1
  1.  I $G(ORQUIT) W !,"You must select another provider to continue.",! S PS=$$MEDPROV I PS S ORXNP=ORNP,ORNP=PS K ORQUIT
  1.  Q
  1.  ;
  1. MEDPROV() ; -- Return ordering med provider
  1.  N X,Y,D,DIC
  1.  S DIC=200,DIC(0)="AEQ",DIC("A")="Select PROVIDER: ",D="AK.PROVIDER"
  1.  S DIC("S")="I $P($G(^(""PS"")),U),'$P(^(""PS""),U,4)!($P(^(""PS""),U,4)>$$NOW^XLFDT)"
  1.  D IX^DIC S:Y>0 Y=+Y I Y'>0 S Y="^"
  1.  Q Y
  1.  ;
  1. CHANGED(TYPE) ; -- Kill dependent values when OI changes
  1.  N PROMPTS,NAME,PTR,P,I
  1.  Q:'$L($G(TYPE))  S PROMPTS=""
  1.  S:TYPE="B" PROMPTS="VOLUME"
  1.  S:TYPE="A" PROMPTS="STRENGTH PSIV^UNITS"
  1.  S:TYPE="T" PROMPTS="INFUSION RATE^SCHEDULE"
  1.  F P=1:1:$L(PROMPTS,U) S NAME=$P(PROMPTS,U,P) D
  1.  . S PTR=$O(^ORD(101.41,"AB","OR GTX "_NAME,0)) Q:'PTR
  1.  . S I=0 F  S I=$O(ORDIALOG(PTR,I)) Q:I'>0  K ORDIALOG(PTR,I)
  1.  . K ORDIALOG(PTR,"LIST")
  1.  Q
  1.  ;
  1. INACTIVE(TYPE) ; -- Check OI inactive date
  1.  N OI,X,I,PSOI,DEA,EXIT S:$G(TYPE)'="A" TYPE="S"
  1.  S OI=+$G(ORDIALOG(PROMPT,INST)) Q:OI'>0
  1.  I $G(^ORD(101.43,OI,.1)),^(.1)'>$$NOW^XLFDT D  Q  ;inactive
  1.  . S X=$S(TYPE="A":"additive",1:"solution"),ORQUIT=1
  1.  . W $C(7),!,"This "_X_" may not be ordered anymore.  Please select another."
  1.  S I=$S(TYPE="A":4,1:3) I '$P($G(^ORD(101.43,OI,"PS")),U,I) D  Q
  1.  . S X=$S(TYPE="A":"an additive",1:"a solution"),ORQUIT=1
  1.  . W $C(7),!,"This item may not be ordered as "_X_"."
  1.  S EXIT=$$INPT^ORCD I EXIT=0 D ROUTECHK Q
  1.  Q:'$L($T(IVDEA^PSSUTIL1))  ;DBIA #3784
  1.  S PSOI=+$P($G(^ORD(101.43,OI,0)),U,2)
  1.  S DEA=$$IVDEA^PSSUTIL1(PSOI,TYPE) I DEA>0 D  Q:$G(ORQUIT)
  1.  . I $G(ORNP),'$L($P($G(^VA(200,+ORNP,"PS")),U,2)),'$L($P($G(^("PS")),U,3)) W $C(7),!,$P($G(^(0)),U)_" must have a DEA# or VA# to order this drug!" S ORQUIT=1 Q
  1.  . I DEA=1 W $C(7),!,"This order will require a wet signature!"
  1.  D ROUTECHK
  1.  Q
  1.  ;
  1. VOLUME ; -- get allowable volumes for solution
  1.  N PSOI,ORY,CNT,I,XORY K ORDIALOG(PROMPT,"LIST")
  1.  S PSOI=+$P($G(^ORD(101.43,+$$VAL^ORCD("SOLUTION",INST),0)),U,2)_"B"
  1.  D ENVOL^PSJORUT2(PSOI,.ORY) Q:'ORY
  1.  ;S (I,CNT)=0 F  S I=$O(ORY(I)) Q:I'>0  S CNT=CNT+1,ORDIALOG(PROMPT,"LIST",+ORY(I))=+ORY(I)
  1.  S (I,CNT)=0 F  S I=$O(ORY(I)) Q:I'>0  D
  1.  . S CNT=CNT+1
  1.  . S XORY(I)=+ORY(I) I XORY(I)<1,$E(XORY(I),1,2)'="0." S XORY(I)=0_XORY(I)
  1.  . S ORDIALOG(PROMPT,"LIST",XORY(I))=XORY(I)
  1.  S ORDIALOG(PROMPT,"LIST")=CNT_"^1"
  1.  Q
  1.  ;
  1. UNITS ; -- get allowable units for current additive
  1.  N PSOI,ORY,I,UNITS
  1.  S PSOI=+$P(^ORD(101.43,+ORDIALOG($$PTR^ORCD("OR GTX ADDITIVE"),INST),0),U,2)_"A"
  1.  D ENVOL^PSJORUT2(PSOI,.ORY)
  1.  S I=$O(ORY(0)) Q:'I  S UNITS=$P($G(ORY(I)),U,2)
  1.  S ORDIALOG($$PTR^ORCD("OR GTX UNITS"),INST)=UNITS
  1.  W !," (Units for this additive are "_UNITS_")"
  1.  Q
  1.  ;
  1. PREMIX() ; -- Returns 1 or 0, if IV base is a premix solution
  1.  N BASE,PS,I,Y
  1.  S BASE=$$PTR^ORCD("OR GTX ORDERABLE ITEM"),Y=0
  1.  S I=0 F  S I=$O(ORDIALOG(BASE,I)) Q:I'>0  D  Q:Y
  1.  . S PS=$G(^ORD(101.43,+$G(ORDIALOG(BASE,I)),"PS"))
  1.  . I $P(PS,U,3)&($P(PS,U,4)) S Y=1
  1.  Q Y
  1.  ;
  1. IVRTEENT ;
  1.  N ARRAY,DIR,RIEN,TROUTE
  1.  I ORTYPE'="Z" Q
  1.  S RIEN=$P($G(ORDIALOG("B","ROUTE")),U,2) Q:RIEN'>0
  1.  S EXIT=0,TROUTE=$G(ORDIALOG(RIEN,1)) Q:TROUTE'>0
  1.  I $$IVRTESCR(TROUTE)=1 Q
  1.  S ORDIALOG(RIEN,1)=""
  1.  W !!,"The selected route is not a valid route for this order."
  1.  W !,"Select a new route for this order from the list of routes below."
  1.  D RTEDISP(.ARRAY)
  1.  Q
  1.  ;
  1. BIVOI(ARRAY) ;
  1.  N CNT,NUM,OIIEN,OTYPE
  1.  S CNT=0
  1.  F OTYPE="SOLUTION","ADDITIVE" D
  1.  .S OIIEN=+$P($G(ORDIALOG("B",OTYPE)),U,2) I OIIEN>0 D
  1.  ..S NUM=0 F  S NUM=$O(ORDIALOG(OIIEN,NUM)) Q:NUM'>0  I +$G(ORDIALOG(OIIEN,NUM))>0 D
  1.  ...S CNT=CNT+1,ARRAY(CNT)=ORDIALOG(OIIEN,NUM)
  1.  Q
  1.  ;
  1. LVROUTES ;
  1.  N ARRAY,ROUTES
  1.  D BIVOI(.ARRAY)
  1.  D IVDOSFRM^ORWDPS33(.ROUTES,.ARRAY,0,1)
  1.  D RTEDISP(.ROUTES)
  1.  Q
  1.  ;
  1. RTEDISP(ROUTES) ;
  1.  N CNT
  1.  S CNT="" F  S CNT=$O(ROUTES(CNT)) Q:CNT'>0  D
  1.  .W !,$P($G(ROUTES(CNT)),U,2)
  1.  Q
  1.  ;
  1. IVRTESCR(Y) ;
  1.  N ARRAY,ROUTES,VALUE
  1.  D BIVOI(.ARRAY)
  1.  S VALUE=$$IVQOVAL^ORWDPS33(.ARRAY,Y) I VALUE'="" Q 1
  1.  Q 0
  1.  ;
  1. ROUTECHK ;
  1.  N CNT,IEN,ROUTE,VALUE
  1.  S RIEN=$P($G(ORDIALOG("B","ROUTE")),U,2) Q:RIEN'>0
  1.  S TROUTE=$G(ORDIALOG(RIEN,1)) Q:TROUTE'>0
  1.  I $$IVRTESCR(TROUTE)=1 Q
  1.  S ORDIALOG(RIEN,1)=""
  1.  W !!,"The route defined for this order is an invalid route."
  1.  W !,"You will need to define a new route for this order."
  1.  Q
  1.  ;
  1. ENRATE ; -- set display text, help based on IV TYPE
  1.  N X,MSG S X=$G(ORIVTYPE),MSG=""
  1.  S ORDIALOG(PROMPT,"A")=$S(X="I":"Infuse over time (min): ",1:"Infusion Rate (ml/hr): ")
  1.  S MSG="Enter the "_$S(X="I":"number of minutes over which to infuse this medication.",1:"infusion rate, as the number of ml/hr or Text@Number of Labels per day. ")
  1.  S ORDIALOG(PROMPT,"?")=MSG
  1.  I X="I" D
  1.  .N RATEI,RATEV,TIME,UNIT
  1.  .S RATEI=$P($G(ORDIALOG("B","INFUSION RATE")),U,2) Q:RATEI'>0
  1.  .S RATEV=$G(ORDIALOG(RATEI,1)) Q:'$L(RATEV)
  1.  .I RATEV'["INFUSE OVER" Q
  1.  .S TIME=$P(RATEV," ",3)
  1.  .S UNIT=$P(RATEV," ",4)
  1.  .I TIME["." Q
  1.  .I UNIT="Hours" S TIME=TIME*60
  1.  .S ORDIALOG(RATEI,1)=TIME
  1.  Q
  1.  ;
  1. INF ; -- input transform for INFUSION RATE
  1.  N ALPHA,CNT,EXIT,FAIL,LDEC,RDEC,TEMP
  1.  I $G(ORIVTYPE)="I" D  Q
  1.  .I X["." W !,"Infuse Over Time must be a whole number." K X Q
  1.  .I $L(X)>4 W !,"Infuse Over Time cannot exceed 4 characters for minutes." K X Q
  1.  .S FAIL=0
  1.  .F CNT=1:1:$L(X) D  I FAIL=1 Q
  1.  ..I ($A($E(X,CNT))<48)!($A($E(X,CNT))>58) S FAIL=1
  1.  .I FAIL=1 W !,"Infuse Over Time must be a whole number." K X Q
  1.  K:$L(X)<1!($L(X)>30)!(X["""")!($A(X)=45) X I '$D(X) Q
  1.  I $G(ORIVTYPE)="C" D  Q
  1.  .S TEMP=$E(X,($L(X)-5),$L(X))
  1.  .I X["@",$$UP^XLFSTR(TEMP)=" ML/HR" Q
  1.  .S ALPHA=0
  1.  .I X'["@",X'["." D  I ALPHA=1 K X Q
  1.  ..F CNT=1:1:$L(X) D  I ALPHA=1 Q
  1.  ...I ($A($E(X,CNT))<48)!($A($E(X,CNT))>58) S ALPHA=1
  1.  .S EXIT=0
  1.  .I X[".",X'["@" D  I EXIT=1 K X Q
  1.  ..S LDEC=$P(X,"."),RDEC=$P(X,".",2)
  1.  ..I LDEC="" W !,"Infusion Rate required a leading numeric value." S EXIT=1
  1.  ..I $L(RDEC)>1 W !,"Infusion Rate cannot exceed one decimal place." S EXIT=1
  1.  ..S ALPHA=0
  1.  ..F CNT=1:1:$L(LDEC) D  I ALPHA=1 S EXIT=1 Q
  1.  ...I ($A($E(LDEC,CNT))<48)!($A($E(LDEC,CNT))>58) S ALPHA=1
  1.  ..I $L(RDEC)=0 Q
  1.  ..F CNT=1:1:$L(RDEC) D  I ALPHA=1 S EXIT=1 Q
  1.  ...I ($A($E(RDEC,CNT))<48)!($A($E(RDEC,CNT))>58) S ALPHA=1
  1.  .D ORINF^PSIVSP Q
  1.  ; -- assume #minutes for now
  1.  K:(X'=+X)!(X<1)!(X>999) X ;range?
  1.  Q
  1.  ;
  1. VALIDAYS(X) ; -- Validate IV duration
  1.  N UNITS,X1,X2,Y,I
  1.  I X'?1.N." "1.A Q 0
  1.  S UNITS="^MIN^HOURS^DAYS^M^H^D^",(X1,X2)=""
  1.  F I=1:1:$L(X) S Y=$E(X,I) S:Y?1N X1=X1_Y S:Y?1A X2=X2_$$UP^XLFSTR(Y)
  1.  I 'X1 Q 0
  1.  I UNITS'[(U_X2_U) Q 0
  1.  Q 1
  1.  ;
  1. VALDURA(X) ;-- Validate IV duration/limitation
  1.  K:$L(X)<1!($L(X)>30)!(X["""")!($A(X)=45) X I '$D(X) Q
  1.  ;
  1. IVPSI ;INPUT-TRANSFORM
  1.  I $L(X)<1!($L(X)>30)!(X["""")!($A(X)=45) S X="" Q
  1.  I $L(X)>1,X[" " W !,"Spaces are not allow in the duration." K X Q
  1.  I $E(X)=0 W !,!,"Duration cannot start with a zero." K X Q
  1.  I X["." W !,!,"Invalid duration or total volume.",!,"Duration has to be integer value!" S X="" Q
  1.  S X=$$UP^XLFSTR(X)
  1.  I X["DOSES" D  Q
  1.  .I $G(ORIVTYPE)'="I" K X W !,"Continuous IV Orders cannot have DOSES as a duration." Q
  1.  .I +$P(X,"DOSES")<1,+$P(X,"DOSES")>200000 W !,"Invalid number of Doses.",! K X Q
  1.  I (X'?.N1.2A),(X'?.N1".".N1.2A) W !,!,"Invalid duration or total volume.",! S X="" Q
  1.  I (X?.N1A) D
  1.  . I (X["L")!(X["H")!(X["D") Q
  1.  . E  W !,!,"Invalid duration or total volume.",! S X="" Q
  1.  I (X?.N1".".N1A) D
  1.  . I X["L" Q
  1.  . E  W !,!,"Invalid duration or total volume.",!,"Duration has to be integer value!",! S X="" Q
  1.  I (X?.N2A)!(X?.N1".".N2A) D
  1.  . I (X["ML")!(X["CC") Q
  1.  . E  W !,!,"Invalid duration or total volume",! S X="" Q
  1.  I X="" K X
  1.  Q
  1.  ;
  1. IVPSI1 ; ASK ON CONDITION
  1.  N DURI,DURV
  1.  I $G(OROTSCH)=1 Q
  1.  S DURI=$P($G(ORDIALOG("B","LIMITATION")),U,2)
  1.  I DURI>0 S DURV=$G(ORDIALOG(DURI,1))
  1.  I $L(DURV)>1,$E(DURV)="f",DURV["doses" D
  1.  .S TEMPX=$P(DURV," ",5)_"DOSES"
  1.  .I TEMPX'="",TEMPX'=DURV S ORDIALOG(DURI,1)=TEMPX
  1.  N INT,IVTYPE,ONETIME,TYPE,SCH,SCHNAME
  1.  I $G(ORIVTYPE)'="I" D  G IVPS1X
  1.  .W !,!,"Enter the length of administrative time or total volume for IV fluid order followed by ML or CC for milliliters, L for liters, D for days, H for hours to set limitation."
  1.  .W !,"(Examples: 1500ML, 1000CC, 1L, 3D, or 72H)",!
  1.  W !,"This field is optional a value does not need to be entered."
  1.  W !,!,"Enter the length of administrative time or total volume for IV fluid order followed by ML or CC for milliliters, L for liters, D for days, H for hours or DOSES to set limitation."
  1.  W !,"(Examples: 1500ML, 1000CC, 1L, 3D, 72H, or 10DOSES)",!
  1. IVPS1X ;
  1.  W !,"This field is optional a value does not need to be entered."
  1.  I 1
  1.  Q