- PSODGDG1 ;BHAM ISC/SAB - DRUG INTERACTION PROCESSOR ; 02/25/94 9:14
- ;;7.0;OUTPATIENT PHARMACY;;DEC 1997
- G PROC^PSODGDG2
- PROCESS ;verification
- Q:$P(^PSRX(PSONV,"STA"),"^")=13
- W @IOF,!,$P(^DPT(DFN,0),"^"),?40,"ID#:"_VA("PID")_" RX #"_$P(INT,"^") D CUTDATE^PSOFUNC:'$G(PSODTCUT),^PSOBUILD:'+$G(PSOZVER),^PSODSPL
- S DIR("?",1)="Answer 'YES' if you DO want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
- S DIR("?",2)=" 'NO' if you DON'T want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,",DIR("?")=" or 'P' to review medication profile."
- W $C(7),$C(7) S DIR("A",1)="",DIR("A",2)="***"_$S($P(SER,"^",4)=1:"CRITICAL",1:"SIGNIFICANT")_"*** "_"Drug Interaction with RX #"_$P(^PSRX($P($P(MED,",",INA),"^"),0),"^"),DIR("A",3)=" Drug: "_$P($G(^PSDRUG($P(^(0),"^",6),0)),"^")
- S DIR(0)="SA^1:YES;0:NO;P:PROFILE",DIR("A")="Do you want to "_$S($P(SER,"^",4)=1:"Continue? ",1:"Intervene? "),DIR("B")="Y" D ^DIR I Y="P" W ! K Y G PROCESS
- I 'Y,$P(SER,"^",4)=1 S PSVERFLG=1
- I Y,$P(SER,"^",4)=1 S PSORX("INTERVENE")=1 K DIR,DTOUT,DIRUT,DIROUT,DUOUT D CRI Q
- I Y,$P(SER,"^",4)=2 S PSORX("INTERVENE")=2,DA=IFN D INV
- K DIR,DTOUT,DIRUT,DIROUT,DUOUT Q
- Q
- CRI ;new interactions
- K DIR I $P(RX,"^",15)=4 D CRITN Q
- S DIR("A",1)="",DIR("A",2)="Do you want to Process or Cancel medication?",DIR("A")="Rx #"_$P(INT,"^")_" DRUG: "_$P(^PSDRUG($P(INT,"^",6),0),"^")_": ",DIR(0)="SA^1:PROCESS;0:CANCEL MEDICATION",DIR("B")="PROCESS"
- K ANSDIR
- S DIR("?",1)="Enter '1' or 'P' to Activate medication",DIR("?")=" '^' to EXIT Process",DIR("?",2)=" '0' or 'C' to Cancel Medication" D ^DIR K DIR
- I $D(DIRUT) S PSVERFLG=1 Q
- S ANSDIR=Y
- D SIG^XUSESIG I X1="" S PSVERFLG=1 K ANSDIR Q
- I 'ANSDIR D
- .D NOOR^PSOCAN4 I $D(DIRUT) D UPOUT Q
- .S DA=IFN D RXV S DA=IFN D INV S DA=IFN D PSDEL,DEL
- I ANSDIR S DA=IFN D INV S DA=IFN I 'PSVERFLG,'$P(MED,",",(INA+1)) D ^PSODGDG2 S $P(^PSRX(IFN,"STA"),"^")=1 S ZONE=IFN D ONE
- K DIK,DTOUT,DIRUT,DIROUT,DUOUT,LST,ANSDIR,PSONOOR Q
- CRITN ;multiple interactions
- S PSOTHER=$P($P(MED,",",INA),"^")
- K DIR S DIR("A",1)="",DIR("A",2)="Do you want to: ",DIR("A",3)=" 1. Cancel Rx #"_$P(INT,"^")_" DRUG: "_$P(^PSDRUG($P(INT,"^",6),0),"^")
- S DIR("A",4)=" 2. Cancel Rx #"_$P(RX,"^")_" DRUG: "_$P(^PSDRUG($P(RX,"^",6),0),"^"),DIR("A",5)=" 3. Cancel Both 1 and 2",DIR("A")=" 5. Leave Both Pending (do nothing) ?: ",DIR("A",6)=" 4. Activate Both 1 and 2"
- S DIR(0)="SA^1:1 to be Canceled;2:2 to be Canceled;3:Cancel BOTH 1 and 2;4:ACTIVATE 1 and 2;5:DO NOTHING TO 1 and 2"
- S DIR("?",1)="Enter '1' to Cancel Rx #"_$P(INT,"^")_" DRUG: "_$P(^PSDRUG($P(INT,"^",6),0),"^"),DIR("?",2)=" '2' to Cancel Rx #"_$P(RX,"^")_" DRUG: "_$P(^PSDRUG($P(RX,"^",6),0),"^")
- S DIR("?",3)=" '3' or 'B' to Cancel Both 1 and 2",DIR("?",4)=" '4' or 'A' to Activate both RXs",DIR("?")=" '5' or 'D' to do nothing/leave both RXs in a Pending Status" D ^DIR K DIR I Y["^"!(Y=5)!($D(DIRUT)) S PSVERFLG=1 G CRIZ
- S PSAN=Y D SIG^XUSESIG I X1="" K PSAN S PSVERFLG=1 G CRIZ
- I PSAN=1 D D KILL Q
- .D NOOR^PSOCAN4 I $D(DIRUT) D UPOUT,KILL K PSONORR,PSORX("INTERVENE") Q
- .S DA=IFN D RXV
- .S DA=IFN D PSDEL,DEL
- .S:$G(PSOSD) PSOSD=PSOSD-1 S DA=IFN D INV S DA=$P(MED,",",INA) S DA=PSOTHER
- .D INV S DA=PSOTHER S $P(^PSRX(PSOTHER,"STA"),"^")=1,ZONE=PSOTHER
- .D ONE K PSONOOR
- I PSAN=2 D D KILL K PSONOOR Q
- .D NOOR^PSOCAN4 I $D(DIRUT) D UPOUT,KILL K PSONOOR,PSORX("INTERVENE") Q
- .S DA=$P(MED,",",INA) D PSDEL,DEL
- .K PSONOOR S:$G(PSOSD) PSOSD=PSOSD-1 S DA=$P(MED,",",INA)
- .D INV S DA=IFN D INV S DA=IFN
- .I 'PSVERFLG,'$P(MED,",",(INA+1)) D ^PSODGDG2 S DA=IFN,$P(^PSRX(DA,"STA"),"^")=1 S ZONE=DA D ONE
- I PSAN=3 D D KILL K PSONOOR Q
- .D NOOR^PSOCAN4 I $D(DIRUT) D UPOUT,KILL K PSONOOR,PSORX("INTERVENE") Q
- .F DA=$P(MED,",",INA),IFN S PSHOLDDA=DA D PSDEL,DEL S DA=PSHOLDDA D INV K DTOUT,DIROUT,DIRUT,DUOUT,PSAN,PSHOLDDA
- I $G(PSAN)=4 S LST=1,PPL="" D
- .S DA=$P(MED,",",INA) D INV S $P(^PSRX(PSOTHER,"STA"),"^")=1 S ZONE=PSOTHER S PSOTHER(PSOTHER)=PSOTHER D ONE
- .S DA=IFN D INV I 'PSVERFLG,'$P(MED,",",(INA+1)) D ^PSODGDG2 S DA=IFN,$P(^PSRX(DA,"STA"),"^")=1 S ZONE=DA D ONE
- .S:$G(PSOSD) PSOSD=PSOSD-2
- D KILL
- CRIZ ;
- Q
- RXV S DIK="^PS(52.4," D ^DIK Q
- INV D EN1^PSORXI(.DA) Q
- PSDEL Q:$G(STAT)']""
- S STA="ACTIVE^NON-VERIFIED^R^HOLD^NON-VERIFIED^ACTIVE^^^^^^ACTIVE^DISCONTINUE^^DISCONTINUE^DISCONTINUE^HOLD",STAT=$P(STA,"^",$P(^PSRX(DA,"STA"),"^")+1)
- I $P($G(PSOSD(STAT,$P(^PSDRUG($P(^PSRX(DA,0),"^",6),0),"^"))),"^")=DA K PSOSD(STAT,$P(^PSDRUG($P(^PSRX(DA,0),"^",6),0),"^"))
- E K PSOSD(STAT,$P(^PSDRUG($P(^PSRX(DA,0),"^",6),0),"^")_"^"_DA)
- Q
- DEL W !!,"Canceling Rx: "_$P($G(^PSRX(DA,0)),"^")_" "_"Drug: "_$P($G(^PSDRUG($P(^PSRX(DA,0),"^",6),0)),"^"),! D ENQ^PSORXDL Q
- Q
- ONE S STA="ACTIVE^NON-VERIFIED^R^HOLD^NON-VERIFIED^ACTIVE^^^^^^ACTIVE^DISCONTINUE^^DISCONTINUE^DISCONTINUE^HOLD",STAT=$P(STA,"^",$P(^PSRX(ZONE,"STA"),"^")+1)
- I $P($G(PSOSD(STAT,$P(^PSDRUG($P(^PSRX(ZONE,0),"^",6),0),"^"))),"^")=ZONE S $P(PSOSD(STAT,$P(^PSDRUG($P(^PSRX(ZONE,0),"^",6),0),"^")),"^",2)=1
- E I $G(PSOSD(STAT,$P(^PSDRUG($P(^PSRX(ZONE,0),"^",6),0),"^")_"^"_ZONE)) S $P(PSOSD(STAT,$P(^PSDRUG($P(^PSRX(ZONE,0),"^",6),0),"^")_"^"_ZONE),"^",2)=1
- K ZONE,STA,STAT Q
- KILL K DIR,DIK,DTOUT,DIROUT,DIRUT,DUOUT,LST,PPL,PSAN Q
- ;
- UPOUT W " ACTION NOT TAKEN!",! K DIR S DIR(0)="E",DIR("A")="Press Return to Continue" D ^DIR K DIR S PSVERFLG=1 Q
- PSODGDG1 ;BHAM ISC/SAB - DRUG INTERACTION PROCESSOR ; 02/25/94 9:14
- +1 ;;7.0;OUTPATIENT PHARMACY;;DEC 1997
- +2 GOTO PROC^PSODGDG2
- PROCESS ;verification
- +1 IF $PIECE(^PSRX(PSONV,"STA"),"^")=13
- QUIT
- +2 WRITE @IOF,!,$PIECE(^DPT(DFN,0),"^"),?40,"ID#:"_VA("PID")_" RX #"_$PIECE(INT,"^")
- IF '$GET(PSODTCUT)
- DO CUTDATE^PSOFUNC
- IF '+$GET(PSOZVER)
- DO ^PSOBUILD
- DO ^PSODSPL
- +3 SET DIR("?",1)="Answer 'YES' if you DO want to "_$SELECT($PIECE(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
- +4 SET DIR("?",2)=" 'NO' if you DON'T want to "_$SELECT($PIECE(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
- SET DIR("?")=" or 'P' to review medication profile."
- +5 WRITE $CHAR(7),$CHAR(7)
- SET DIR("A",1)=""
- SET DIR("A",2)="***"_$SELECT($PIECE(SER,"^",4)=1:"CRITICAL",1:"SIGNIFICANT")_"*** "_"Drug Interaction with RX #"_$PIECE(^PSRX($PIECE($PIECE(MED,",",INA),"^"),0),"^")
- SET DIR("A",3)=" Drug: "_$PIECE($GET(^PSDRUG($PIECE(^(0),"^",6),0)),"^")
- +6 SET DIR(0)="SA^1:YES;0:NO;P:PROFILE"
- SET DIR("A")="Do you want to "_$SELECT($PIECE(SER,"^",4)=1:"Continue? ",1:"Intervene? ")
- SET DIR("B")="Y"
- DO ^DIR
- IF Y="P"
- WRITE !
- KILL Y
- GOTO PROCESS
- +7 IF 'Y
- IF $PIECE(SER,"^",4)=1
- SET PSVERFLG=1
- +8 IF Y
- IF $PIECE(SER,"^",4)=1
- SET PSORX("INTERVENE")=1
- KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
- DO CRI
- QUIT
- +9 IF Y
- IF $PIECE(SER,"^",4)=2
- SET PSORX("INTERVENE")=2
- SET DA=IFN
- DO INV
- +10 KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
- QUIT
- +11 QUIT
- CRI ;new interactions
- +1 KILL DIR
- IF $PIECE(RX,"^",15)=4
- DO CRITN
- QUIT
- +2 SET DIR("A",1)=""
- SET DIR("A",2)="Do you want to Process or Cancel medication?"
- SET DIR("A")="Rx #"_$PIECE(INT,"^")_" DRUG: "_$PIECE(^PSDRUG($PIECE(INT,"^",6),0),"^")_": "
- SET DIR(0)="SA^1:PROCESS;0:CANCEL MEDICATION"
- SET DIR("B")="PROCESS"
- +3 KILL ANSDIR
- +4 SET DIR("?",1)="Enter '1' or 'P' to Activate medication"
- SET DIR("?")=" '^' to EXIT Process"
- SET DIR("?",2)=" '0' or 'C' to Cancel Medication"
- DO ^DIR
- KILL DIR
- +5 IF $DATA(DIRUT)
- SET PSVERFLG=1
- QUIT
- +6 SET ANSDIR=Y
- +7 DO SIG^XUSESIG
- IF X1=""
- SET PSVERFLG=1
- KILL ANSDIR
- QUIT
- +8 IF 'ANSDIR
- Begin DoDot:1
- +9 DO NOOR^PSOCAN4
- IF $DATA(DIRUT)
- DO UPOUT
- QUIT
- +10 SET DA=IFN
- DO RXV
- SET DA=IFN
- DO INV
- SET DA=IFN
- DO PSDEL
- DO DEL
- End DoDot:1
- +11 IF ANSDIR
- SET DA=IFN
- DO INV
- SET DA=IFN
- IF 'PSVERFLG
- IF '$PIECE(MED,",",(INA+1))
- DO ^PSODGDG2
- SET $PIECE(^PSRX(IFN,"STA"),"^")=1
- SET ZONE=IFN
- DO ONE
- +12 KILL DIK,DTOUT,DIRUT,DIROUT,DUOUT,LST,ANSDIR,PSONOOR
- QUIT
- CRITN ;multiple interactions
- +1 SET PSOTHER=$PIECE($PIECE(MED,",",INA),"^")
- +2 KILL DIR
- SET DIR("A",1)=""
- SET DIR("A",2)="Do you want to: "
- SET DIR("A",3)=" 1. Cancel Rx #"_$PIECE(INT,"^")_" DRUG: "_$PIECE(^PSDRUG($PIECE(INT,"^",6),0),"^")
- +3 SET DIR("A",4)=" 2. Cancel Rx #"_$PIECE(RX,"^")_" DRUG: "_$PIECE(^PSDRUG($PIECE(RX,"^",6),0),"^")
- SET DIR("A",5)=" 3. Cancel Both 1 and 2"
- SET DIR("A")=" 5. Leave Both Pending (do nothing) ?: "
- SET DIR("A",6)=" 4. Activate Both 1 and 2"
- +4 SET DIR(0)="SA^1:1 to be Canceled;2:2 to be Canceled;3:Cancel BOTH 1 and 2;4:ACTIVATE 1 and 2;5:DO NOTHING TO 1 and 2"
- +5 SET DIR("?",1)="Enter '1' to Cancel Rx #"_$PIECE(INT,"^")_" DRUG: "_$PIECE(^PSDRUG($PIECE(INT,"^",6),0),"^")
- SET DIR("?",2)=" '2' to Cancel Rx #"_$PIECE(RX,"^")_" DRUG: "_$PIECE(^PSDRUG($PIECE(RX,"^",6),0),"^")
- +6 SET DIR("?",3)=" '3' or 'B' to Cancel Both 1 and 2"
- SET DIR("?",4)=" '4' or 'A' to Activate both RXs"
- SET DIR("?")=" '5' or 'D' to do nothing/leave both RXs in a Pending Status"
- DO ^DIR
- KILL DIR
- IF Y["^"!(Y=5)!($DATA(DIRUT))
- SET PSVERFLG=1
- GOTO CRIZ
- +7 SET PSAN=Y
- DO SIG^XUSESIG
- IF X1=""
- KILL PSAN
- SET PSVERFLG=1
- GOTO CRIZ
- +8 IF PSAN=1
- Begin DoDot:1
- +9 DO NOOR^PSOCAN4
- IF $DATA(DIRUT)
- DO UPOUT
- DO KILL
- KILL PSONORR,PSORX("INTERVENE")
- QUIT
- +10 SET DA=IFN
- DO RXV
- +11 SET DA=IFN
- DO PSDEL
- DO DEL
- +12 IF $GET(PSOSD)
- SET PSOSD=PSOSD-1
- SET DA=IFN
- DO INV
- SET DA=$PIECE(MED,",",INA)
- SET DA=PSOTHER
- +13 DO INV
- SET DA=PSOTHER
- SET $PIECE(^PSRX(PSOTHER,"STA"),"^")=1
- SET ZONE=PSOTHER
- +14 DO ONE
- KILL PSONOOR
- End DoDot:1
- DO KILL
- QUIT
- +15 IF PSAN=2
- Begin DoDot:1
- +16 DO NOOR^PSOCAN4
- IF $DATA(DIRUT)
- DO UPOUT
- DO KILL
- KILL PSONOOR,PSORX("INTERVENE")
- QUIT
- +17 SET DA=$PIECE(MED,",",INA)
- DO PSDEL
- DO DEL
- +18 KILL PSONOOR
- IF $GET(PSOSD)
- SET PSOSD=PSOSD-1
- SET DA=$PIECE(MED,",",INA)
- +19 DO INV
- SET DA=IFN
- DO INV
- SET DA=IFN
- +20 IF 'PSVERFLG
- IF '$PIECE(MED,",",(INA+1))
- DO ^PSODGDG2
- SET DA=IFN
- SET $PIECE(^PSRX(DA,"STA"),"^")=1
- SET ZONE=DA
- DO ONE
- End DoDot:1
- DO KILL
- KILL PSONOOR
- QUIT
- +21 IF PSAN=3
- Begin DoDot:1
- +22 DO NOOR^PSOCAN4
- IF $DATA(DIRUT)
- DO UPOUT
- DO KILL
- KILL PSONOOR,PSORX("INTERVENE")
- QUIT
- +23 FOR DA=$PIECE(MED,",",INA),IFN
- SET PSHOLDDA=DA
- DO PSDEL
- DO DEL
- SET DA=PSHOLDDA
- DO INV
- KILL DTOUT,DIROUT,DIRUT,DUOUT,PSAN,PSHOLDDA
- End DoDot:1
- DO KILL
- KILL PSONOOR
- QUIT
- +24 IF $GET(PSAN)=4
- SET LST=1
- SET PPL=""
- Begin DoDot:1
- +25 SET DA=$PIECE(MED,",",INA)
- DO INV
- SET $PIECE(^PSRX(PSOTHER,"STA"),"^")=1
- SET ZONE=PSOTHER
- SET PSOTHER(PSOTHER)=PSOTHER
- DO ONE
- +26 SET DA=IFN
- DO INV
- IF 'PSVERFLG
- IF '$PIECE(MED,",",(INA+1))
- DO ^PSODGDG2
- SET DA=IFN
- SET $PIECE(^PSRX(DA,"STA"),"^")=1
- SET ZONE=DA
- DO ONE
- +27 IF $GET(PSOSD)
- SET PSOSD=PSOSD-2
- End DoDot:1
- +28 DO KILL
- CRIZ ;
- +1 QUIT
- RXV SET DIK="^PS(52.4,"
- DO ^DIK
- QUIT
- INV DO EN1^PSORXI(.DA)
- QUIT
- PSDEL IF $GET(STAT)']""
- QUIT
- +1 SET STA="ACTIVE^NON-VERIFIED^R^HOLD^NON-VERIFIED^ACTIVE^^^^^^ACTIVE^DISCONTINUE^^DISCONTINUE^DISCONTINUE^HOLD"
- SET STAT=$PIECE(STA,"^",$PIECE(^PSRX(DA,"STA"),"^")+1)
- +2 IF $PIECE($GET(PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(DA,0),"^",6),0),"^"))),"^")=DA
- KILL PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(DA,0),"^",6),0),"^"))
- +3 IF '$TEST
- KILL PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(DA,0),"^",6),0),"^")_"^"_DA)
- +4 QUIT
- DEL WRITE !!,"Canceling Rx: "_$PIECE($GET(^PSRX(DA,0)),"^")_" "_"Drug: "_$PIECE($GET(^PSDRUG($PIECE(^PSRX(DA,0),"^",6),0)),"^"),!
- DO ENQ^PSORXDL
- QUIT
- +1 QUIT
- ONE SET STA="ACTIVE^NON-VERIFIED^R^HOLD^NON-VERIFIED^ACTIVE^^^^^^ACTIVE^DISCONTINUE^^DISCONTINUE^DISCONTINUE^HOLD"
- SET STAT=$PIECE(STA,"^",$PIECE(^PSRX(ZONE,"STA"),"^")+1)
- +1 IF $PIECE($GET(PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(ZONE,0),"^",6),0),"^"))),"^")=ZONE
- SET $PIECE(PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(ZONE,0),"^",6),0),"^")),"^",2)=1
- +2 IF '$TEST
- IF $GET(PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(ZONE,0),"^",6),0),"^")_"^"_ZONE))
- SET $PIECE(PSOSD(STAT,$PIECE(^PSDRUG($PIECE(^PSRX(ZONE,0),"^",6),0),"^")_"^"_ZONE),"^",2)=1
- +3 KILL ZONE,STA,STAT
- QUIT
- KILL KILL DIR,DIK,DTOUT,DIROUT,DIRUT,DUOUT,LST,PPL,PSAN
- QUIT
- +1 ;
- UPOUT WRITE " ACTION NOT TAKEN!",!
- KILL DIR
- SET DIR(0)="E"
- SET DIR("A")="Press Return to Continue"
- DO ^DIR
- KILL DIR
- SET PSVERFLG=1
- QUIT