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Routine: DGSEC4

DGSEC4.m

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DGSEC4 ;ALB/MM,JAP - Utilities for record access & sensitive record processing;10/6/99 ; 10/26/05 12:46pm

 ;;5.3;Registration;**249,281,391,471,684,699,1004,1005,1009,1011,1013,1015**;Aug 13, 1993;Build 21

 ;

 ;IHS/ANMC/LJF  8/31/2001 changed warning message text

 ;              1/04/2002 if in log as non-sensitive, track anyway

 ;IHS/ITSC/WAR  3/17/2005 Fix dealing with calls from other apps/pkgs

 ;IHS/OIT/LJF  11/03/2005 PATCH 1004 moved message code to IHS routine

 ;             01/06/2006 PATCH 1005 accounted for tracking all patients (IHS feature)

 ;             08/31/2007 PATCH 1008 added code for user with restircted access to some patients

 ;Line tags OWNREC & SENS moved from DGSEC in DG*5.3*249 when DGSEC 

 ;reached the maximum routine size.

 ;

PTSEC(RESULT,DFN,DGMSG,DGOPT) ;RPC/API entry point for patient sensitive & record access checks

 ;Output array (Required)

 ;    RESULT(1)= -1-RPC/API failed

 ;                  Required variable not defined

 ;                0-No display/action required

 ;                  Not accessing own, employee, or sensitive record

 ;                1-Display warning message

 ;                  Sensitive and DG SENSITIVITY key holder

 ;                  or Employee and DG SECURITY OFFICER key holder

 ;                2-Display warning message/require OK to continue

 ;                  Sensitive and not a DG SENSITIVITY key holder

 ;                  Employee and not a DG SECURITY OFFICER key holder

 ;                3-Access to record denied

 ;                  Accessing own record

 ;                4-Access to Patient (#2) file records denied

 ;                  SSN not defined

 ;   RESULT(2-10) = error or display messages

 ;

 ;Input parameters: DFN = Patient file entry (Required)

 ;                  DGMSG = If 1, generate message (optional)

 ;                  DGOPT  = Option name^Menu text (Optional)

 ;

 K RESULT

 I $G(DFN)="" D  Q

 .S RESULT(1)=-1

 .S RESULT(2)="Required variable missing."

 ;

 ;IHS/OIT/LJF 08/31/2007 PATCH 1008

 ;S DGMSG=$G(DGMSG)

 S DGMSG=$G(DGMSG,1)

 I $$STATUS^BDGSPT2(DUZ,DFN,1)["RESTRICTED ACCESS" D  Q

 .S RESULT(1)=5 Q:DGMSG'=1

 .S RESULT(2)="Sorry, you are restricted from accessing this patient's record."

 .S RESULT(3)="If you have questions, please contact your HIM department."

 ;end of PATCH 1008 code

 ;

 S DGMSG=$G(DGMSG)

 D OWNREC(.RESULT,DFN,$G(DUZ),DGMSG)

 I RESULT(1)=1 S RESULT(1)=3 Q

 I RESULT(1)=2 S RESULT(1)=4 Q

 K RESULT

 D SENS(.RESULT,DFN,$G(DUZ))

 ;

 ;IHS/OIT/LJF 01/06/2006 PATCH 1005 account for tracking all patients

 ;I RESULT(1)=1 D

 I (RESULT(1)=1)!(RESULT(1)=0) D

 .I (RESULT(1)=0)&($$GET1^DIQ(43,1,9999999.01)'="YES")&('$P($G(^DGSL(38.1,+DFN,0)),U,2)) Q  ;cmi/maw 1/26/2010 PATCH 1011

 .;

 .I $G(DUZ)="" D  Q

 ..;DUZ must be defined to access sensitive record & update DG Security log

 ..S RESULT(1)=-1

 ..S RESULT(2)="Your user code is undefined.  This must be defined to access a restricted patient record."

 .D SETLOG1^DGSEC(DFN,DUZ,,$G(DGOPT))

 Q

NOTICE(RESULT,DFN,DGOPT,ACTION) ;RPC/API entry point for log entry and message generation

 ;Input parameters:  

 ;  DFN    = Patient file DFN

 ;  DGOPT  = Option name^Menu text (Optional)

 ;  ACTION = 1 - Set DG Security Log entry, 2 - Generate mail 

 ;           message, 3 - Both (Optional - Defaults to both)

 ;

 ;Output:  RESULT = 1 - DG Security Log updated and/or Sensitive Record msg sent (Determined by ACTION value)

 ;                  0 - Required variable undefined

 ;

 I $G(DFN)="" S RESULT=0 Q

 I $G(DUZ)="" S RESULT=0 Q

 S DGOPT=$G(DGOPT)

 I $G(ACTION)="" S ACTION=3

 I ACTION'=1 D BULTIN1^DGSEC(DFN,DUZ,DGOPT)

 I ACTION'=2 D SETLOG1^DGSEC(DFN,DUZ,,DGOPT)

 S RESULT=1

 Q

 ;

OWNREC(DGREC,DFN,DGDUZ,DGMSG,DGNEWPT,DGPTSSN) ;Determine if user accessing his/her own Patient file (#2) record

 ;Input:

 ; DGREC - Array name passed by reference

 ; DFN - Patient (#2) file IEN

 ; DGDUZ - New Person (#200) file IEN (Not required. If not sent will return 0.)

 ; DGMSG - If 1, generate message (Optional) Will default to 1

 ; DGNEWPT - Set to 1 when adding a new entry to the Patient file

 ; DGPTSSN - new patient's SSN

 ;   DGNEWPT & DGPTSSN parameters only defined if DPTLK is adding

 ;   a new Patient (#2) file entry  

 ;

 ;Output:

 ; DGREC(1)=0 - Not attempting to access own Patient (#2) file record, 

 ;            DUZ not defined, RESTRICT PATIENT RECORD ACCESS parameter

 ;            in MAS Parameters (#43) file not set to yes, or user holds

 ;            DG RECORD ACCESS security key.

 ;         =1 - Attempting to access own Patient file record

 ;         =2 - SSN undefined

 ;         =-1 - Required variable not defined.

 ; Other nodes in array will contain error message text.

 ;

 ;DFN required

 I '$D(DFN),($G(DGNEWPT)'=1) D  Q

 .S DGREC(1)=-1

 .S DGREC(2)="DFN not defined."

 S DGREC(1)=0

 ;Check if parameter is on

 I +$P($G(^DG(43,1,"REC")),U)=0 Q

 N DGNPSSN

 ;I $D(DUZ)=0 Q

 I (+$G(DGDUZ))<1 Q

 ;Check if user holds security key

 I $D(^XUSEC("DG RECORD ACCESS",DGDUZ)) Q

 I $G(DGMSG)="" S DGMSG=1

 N DGNPERR

 ; quit if user is a proxy user, i.e., not a real person

 I $$ACTIVE^XUSAP(DGDUZ),$$USERTYPE^XUSAP(DGDUZ,"CONNECTOR PROXY")!($$USERTYPE^XUSAP(DGDUZ,"APPLICATION PROXY")) Q

 S DGNPSSN=$$GET1^DIQ(200,DGDUZ_",",9,"I","","DGNPERR")

 I 'DGNPSSN D  Q

 .S DGREC(1)=2

 .S DGREC(2)="Your SSN is missing from the NEW PERSON file.  Contact your ADP Coordinator."

 .;Only send message if parameter set to 1

 .I DGMSG=1 D MSG(DGDUZ)

 I +$G(DGNEWPT)'=1 S DGPTSSN=$P($G(^DPT(DFN,0)),U,9)

 I +$G(DGNEWPT)=1 S DGPTSSN=$TR(DGPTSSN,"-","")

 I DGNPSSN=DGPTSSN D  Q

 .S DGREC(1)=1

 .S DGREC(2)="Security regulations prohibit computer access to your own medical record."

 Q

MSG(DGDUZ) ;Send Missing SSN in New Person file message to mailgroup

 ;Input:  DGDUZ - New Person (#200) file IEN (Required)

 ;

 N DGNPERR,DGNPNAME,DGTEXT,XMCHAN,XMDUZ,XMSUB,XMTEXT,XMY,XMZ

 S DGNPNAME=$$GET1^DIQ(200,DGDUZ_",",.01,"","DGNPERR")

 S XMSUB="MISSING SSN IN NEW PERSON FILE"

 S DGTEXT(1)="The following NEW PERSON record does not contain a Social Security Number."

 S DGTEXT(2)="This is required to access PATIENT file entries."

 S DGTEXT(3)=""

 S DGTEXT(4)=$S(DGNPNAME'="":DGNPNAME,1:"UNKNOWN")

 S DGTEXT(5)="NEW PERSON (#200) File Internal Entry Number (DUZ):  "_+DGDUZ

 S DGTEXT(6)=""

 S DGTEXT(7)="This message has been sent to DG MISSING NEW PERSON SSN mail group."

 S DGTEXT(8)="Please take appropriate action."

 S XMTEXT="DGTEXT("

 S XMDUZ=$S(DGNPNAME'="":DGNPNAME,1:.5)

 S XMY("G.DG MISSING NEW PERSON SSN")=""

 S XMCHAN=1

 D ^XMD

 Q

SENS(DGSENS,DFN,DGDUZ,DDS,DGSENFLG) ;Determine if sensitive record

 ;Input:

 ;  DGSENS - Array name passed by reference

 ;  DFN - Patient (#2) file IEN (Required)

 ;  DGDUZ - New Person (#200) file IEN

 ;  DDS - Screenman variable

 ;  DGSENFLG - If defined, patient record sensitivity not checked

 ;

 ;Output:

 ;  DGSENS(1)=0 - Record is not sensitive or DGSENFLG set

 ;           =1 - Sensitive record and user holds DG SENSITIVITY key

 ;              - Employee and user holds DG SECURITY OFFICER key

 ;           =2 - Sensitive record and user does not hold key

 ;              - Employee and user does not hold key

 ;           =-1 - Required input variable not defined

 ;  If 1, 2 or -1, array will contain error/display message

 ;

 N DGMSG,DGA1,DG1,DGDATE,DGLNE,DGT,DGTIME,DGEMPLEE

 ;Patient file DFN must be defined.

 I '$D(DFN) D  Q 

 .S DGSENS(1)=-1

 .S DGSENS(2)="DFN not defined."

 S DGSENS(1)=0

AUDIT I DFN>0,$$GET^XPAR("ALL","DI AUDIT PATIENT LOOKUPS") D ACCESSED^DIET(2,DFN)  ;ihs/cmi/maw 3/7/2011 added for certification via Medsphere

 I $D(DGSENFLG) Q

 ;Determine if patient is employee

 S DGEMPLEE=$$EMPL(DFN)

 ;Quit if not an employee & not found in DG Security Log file

 I 'DGEMPLEE,('$D(^DGSL(38.1,+DFN,0))) Q

 ;Quit if not an employee and not flagged as sensitive

 I 'DGEMPLEE,($P($G(^DGSL(38.1,+DFN,0)),U,2)'=1) Q

 ;DUZ & user name must be defined

 S DGMSG=$S('$G(DGDUZ):"user code",'$D(^VA(200,DGDUZ,0)):"user name",1:"")

 I DGMSG'="" D  Q

 .S DGSENS(1)=-1

 .S DGSENS(2)="Your "_DGMSG_" is undefined.  This must be defined to access"

 .S DGSENS(3)=" a restricted patient record."

 S DGSENS(1)=1

 ;Inpatient check - no longer used (kept for future reference)

 ;D H^DGUTL S DGT=DGTIME D ^DGPMSTAT

 S DGSENS(2)="***WARNING***"

 I $G(DDS)'="" S DGSENS(2)=DGSENS(2)_"  ***RESTRICTED RECORD***"

 I $G(DDS)="" S DGSENS(3)="***RESTRICTED RECORD***"

 I DGEMPLEE,('$D(^XUSEC("DG SECURITY OFFICER",+$G(DGDUZ)))) D  Q

 .S DGSENS(1)=2

 .D PRIV

 I '$D(^XUSEC("DG SENSITIVITY",+$G(DGDUZ))) D

 .S DGSENS(1)=2

 .D PRIV

 Q

PRIV ;Privacy Act statement for DGSENS array

 S $P(DGLNE,"* ",38)=""

 I $G(DDS)="" S DGSENS(4)=DGLNE

 ;S DGSENS(5)="* This record is protected by the Privacy Act of 1974 and the Health    *"

 ;S DGSENS(6)="* Insurance Portability and Accountability Act of 1996. If you elect    *"

 ;S DGSENS(7)="* to proceed, you will be required to prove you have a need to know.    *"

 ;S DGSENS(8)="* Accessing this patient is tracked, and your station Security Officer  *"

 ;S DGSENS(9)="* will contact you for your justification.                              *"

 ;IHS/OIT/LJF 11/03/2005 PATCH 1004 call IHS rtn to build message array

 D MSG^BDGSECU

 ;S DGSENS(5)="* This record is protected by the Privacy Act of 1974. If you elect     *"

 ;S DGSENS(6)="* to proceed, you will be required to prove you have a need to know.    *"

 ;

 ;IHS/ANMC/LJF 8/31/2001 changed message text         

 ;S DGSENS(7)="* Accessing this patient is tracked, and your station Security Officer  *"

 ;S DGSENS(8)="* will contact you for your justification.                              *"

 ;S DGSENS(7)="* Accessing this patient is tracked.  The assigned Sensitive Patient    *"

 ;S DGSENS(8)="* Tracking monitor will contact you for your justification.             *"

 ;IHS/ANMC/LJF 8/31/2001 end of mods

 ;IHS/OIT/LJF 11/03/2005 end of new mod

 ;

 I $G(DDS)="" S DGSENS(10)=DGLNE

 Q

EMPL(DFN,DGCHELIG) ;Does patient have any eligibility codes equal to

 ;                EMPLOYEE

 ;Input:

 ;       DFN - Patient (#2) file IEN (required).

 ;  DGCHELIG - Flags to determine mode of execution (optional).

 ;             Value of the parameter can contain any combination

 ;             of the following characters:

 ;               "P" - check primary eligibility code

 ;               "S" - check secondary eligibility codes

 ;

 ;             If this parameter is either not defined or set to an

 ;             illegal value, the value of "PS" will be assumed.

 ;Output:

 ;         1 - Patient has EMPLOYEE as an eligibility code

 ;         0 - Patient doesn't have EMPLOYEE as an eligibility code

 ;

 ;Notes: EMPLOYEE is entry 14 in the MAS ELIGIBILITY CODE file (#8.1)

 N DGELIG,DGEMPLEE

 S DGEMPLEE=0

 I $G(DGCHELIG)'["P",$G(DGCHELIG)'["S" S DGCHELIG="PS"

 ;Check primary eligibility

 I DGCHELIG["P" D

 .S DGELIG=+$G(^DPT(DFN,.36))

 .I $D(^DIC(8,"D",14,DGELIG)) S DGEMPLEE=1

 ;Check secondary eligibilities (if needed)

 I DGCHELIG["S",'DGEMPLEE D

 .S DGELIG=0

 .F  S DGELIG=+$O(^DPT("AEL",DFN,DGELIG)) Q:'DGELIG  I $D(^DIC(8,"D",14,DGELIG)) S DGEMPLEE=1 Q

 Q DGEMPLEE