PSODGDGI ;BIR/SAB - drug drug interaction checker ;05-Jun-2013 08:41;DU
;;7.0;OUTPATIENT PHARMACY;**10,27,48,130,144,132,188,207,243,274,1015**;DEC 1997;Build 62
;External reference to ^PS(56 supported by DBIA 2229
;External reference to ^PSDRUG supported by DBIA 221
;External references PSOL and PSOUL^PSSLOCK supported by DBIA 2789
;External reference to DDIEX^PSNAPIS supported by DBIA 2574
;External references to ^ORRDI1 supported by DBIA 4659
;External reference ^XTMP("ORRDI" supported by DBIA 4660
;IHS/MSC/MGH - Compound med modifications and check line label added
Q:$$DDIEX^PSNAPIS($P(PSODRUG("NDF"),"A"),$P(PSODRUG("NDF"),"A",2))
N PSOICT,CMP,TDRG,CMPDR,CDRG
S (CRIT,DRG,LSI,DGI,DGS,SER,SERS,STA,PSOICT)=""
F S STA=$O(PSOSD(STA)) Q:STA=""!($G(PSORX("DFLG"))) F S DRG=$O(PSOSD(STA,DRG)) Q:DRG=""!($G(PSORX("DFLG"))) I $P(PSOSD(STA,DRG),"^",2)<10 D
.;IHS/MSC/MGH check for compound medications
.S CMP=0
.S TDRG=$O(^PSDRUG("B",$P(DRG,U),""))
.I +TDRG S CMP=$P($G(^PSDRUG(TDRG,999999935)),U,1)
.I CMP=1 D
..N CMPDR,SAVE,CDRG,CNDF
..S CMPDR=0
..F S CMPDR=$O(^PSDRUG(TDRG,999999936,CMPDR)) Q:'+CMPDR D
...S CDRG=$P($G(^PSDRUG(TDRG,999999936,CMPDR,0)),U,1)
...S NDF=$S($G(^PSDRUG(CDRG,"ND"))]"":+^("ND")_"A"_$P(^("ND"),"^",3),1:0)
...D CHECK(NDF)
.E D
..Q:$P(PSOSD(STA,DRG),"^",7)']""
..S NDF=$P(PSOSD(STA,DRG),"^",7)
..D CHECK(NDF)
I '$D(^XUSEC("PSORPH",DUZ)),$G(DGI)]"" S:+CRIT PSONEW("STATUS")=4 W $C(7),!,"DRUG INTERACTION WITH RX #s: "_LSI,! K LSI,DRG,IT,NDF,PSOICT
K IT
; CHECK FOR REMOTE DRUG INTERACTIONS
I +$G(PSORX("DFLG")) Q
I $T(HAVEHDR^ORRDI1)']"" Q
I '$$HAVEHDR^ORRDI1 Q
I $D(^XTMP("ORRDI","OUTAGE INFO","DOWN")) D Q
.I $T(REMOTE^PSORX1)]"" Q
.W !,"Remote data not available - Only local order checks processed." D PAUSE^PSOORRD2
I $P($G(^XTMP("ORRDI","PSOO",PSODFN,0)),"^",3)<0 W !,"Remote data not available - Only local order checks processed." D PAUSE^PSOORRD2 Q
I $D(^TMP($J,"DI"_PSODFN)) K ^TMP($J,"DI") M ^TMP($J,"DI")=^TMP($J,"DI"_PSODFN) D DRGINT^PSOORRD2
K ^TMP($J,"DI"_PSODFN),^TMP($J,"DI")
Q
CHECK(NDF) ; check drug interations
;New logic to Loop All interactions and filter-up a critical if it exists
;Moved into separate subroutine to process multiples
S IT=0,PSOICT=""
F S IT=$O(^PS(56,"APD",NDF,PSODRUG("NDF"),IT)) Q:'IT D
.Q:$$DDIEX^PSNAPIS($P(NDF,"A"),$P(NDF,"A",2))
.Q:$P(^PS(56,IT,0),"^",7)&($P(^PS(56,IT,0),"^",7)<DT)
.I 'PSOICT S PSOICT=IT Q
.I $P($G(^PS(56,IT,0)),"^",4)=1 S PSOICT=IT Q
.Q
I 'PSOICT Q
S IT=PSOICT
I STA="ZNONVA" S DNM=DRG W ! D NVA^PSODRDU1 K DNM,IT,PSOICT Q
D BLD Q:+$G(PSORX("DFLG"))
Q
TECH ;add tech entry to RX VERIFY file (#52.4)
I +CRIT S PSODI=1,DIC="^PS(52.4,",DLAYGO=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 K DD,DO
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
BLD I $D(^XUSEC("PSORPH",DUZ)) D PHARM Q
S LSI=$P(^PSRX(+PSOSD(STA,DRG),0),"^")_"/"_$P(^PSDRUG($P(^(0),"^",6),0),"^")_","_LSI,DGI=$P(PSOSD(STA,DRG),"^")_","_DGI,SER=IT_","_SER I $P(PSOSD(STA,DRG),"^",9),$P(^PS(56,IT,0),"^",4)=1 S $P(^PSRX(+PSOSD(STA,DRG),"STA"),"^")=4
I $P(^PS(56,IT,0),"^",4)=2 S SERS=IT_","_SERS,DGS=$P(PSOSD(STA,DRG),"^")_","_DGS
S:$P(^PS(56,IT,0),"^",4)=1 CRIT=1 Q
PHARM ;pharmacist verification of drug interaction
D PSOL^PSSLOCK($P(PSOSD(STA,DRG),"^")) I '$G(PSOMSG) D K PSOMSG S DIR(0)="E",DIR("A")="Press Return to Continue" D ^DIR K DIR S PSORX("DFLG")=1 Q
.I $P($G(PSOMSG),"^",2)'="" W !!,$P(PSOMSG,"^",2) D Q
..W !,"Rx: "_$P($G(^PSRX($P(PSOSD(STA,DRG),"^"),0)),"^")_" Drug: "_$P($G(^PSDRUG(+$P($G(^(0)),"^",6),0)),"^")
..W !,"which interacts with the drug you are entering!",!
.W !!,"Another person is editing Rx "_$P($G(^PSRX($P(PSOSD(STA,DRG),"^"),0)),"^")_",",!,"which interacts with the drug you are entering!",!
S PSODGRLX=$P(PSOSD(STA,DRG),"^")
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,"
S DIR("?")=" 'NO' if you DON'T want to "_$S($P(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
W $C(7),$C(7) S DIR("A",1)="***"_$S($P(SER,"^",4)=1:"CRITICAL",1:"SIGNIFICANT")_"*** "_"Drug Interaction with RX #"_$P(^PSRX($P(PSOSD(STA,DRG),"^"),0),"^"),DIR("A",2)="DRUG: "_$P(DRG,"^")
S DIR(0)="SA^1:YES;0:NO",DIR("A")="Do you want to "_$S($P(SER,"^",4)=1:"Continue? ",1:"Intervene? "),DIR("B")="Y" D ^DIR
I 'Y,$P(SER,"^",4)=1 S PSORX("DFLG")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT
I Y,$P(SER,"^",4)=1 S PSORX("INTERVENE")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT G CRI Q
I 'Y,$P(SER,"^",4)=2 K DIR,DTOUT,DIRUT,DIROUT,DUOUT D ULRX Q
I Y,$P(SER,"^",4)=2 S PSORX("INTERVENE")=2,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT
D ULRX
Q
CRI ;process new drug interactions entered by pharmacist
K DIR G:$P(PSOSD(STA,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"
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") D ULRX Q
I $P(SER,"^",4)=1 D
.D SIG^XUSESIG I X1="" K PSORX("INTERVENE") S PSORX("DFLG")=1 Q
.S PSORX("INTERVENE")=$P(SER,"^",4)
K DUOUT,DTOUT,DIRUT,DIROUT D ULRX Q
CRITN ;process multiple new drug interactions
K X1,DIR S DIR("A",1)="",DIR("A",2)="Do you want to: ",DIR("A",3)=" 1. Delete NEW medication "_PSODRUG("NAME"),DIR("A",4)=" 2. Cancel ACTIVE New Rx #"_$P(^PSRX($P(PSOSD(STA,DRG),"^"),0),"^")_" DRUG: "_$P(DRG,"^")
S DIR("A",5)=" 3. Delete 1 and Cancel 2",DIR("A")=" 4. Continue ?: ",DIR(0)="SA^1:NEW MEDICATION;2:ACTIVE New Rx "_$P(DRG,"^")_";3:BOTH;4:CONTINUE"
S DIR("?",1)="Enter '1' or 'N' to Delete New Medication and Dispense Rx #"_$P(^PSRX(+PSOSD(STA,DRG),0),"^")
S DIR("?",2)=" '2' or 'A' to Cancel Active Rx #"_$P(^PSRX(+PSOSD(STA,DRG),0),"^")_" and Dispense New Rx"
S DIR("?",3)=" '3' or 'B' to Delete 1 and Cancel 2",DIR("?")=" '4' or 'C' to do nothing to either Rx" D ^DIR K DIR
I Y=1 S PSORX("DFLG")=1,DGI="",PSHLDDRG=PSODRUG("IEN") D D ULRX Q
.I $G(PSORXED) D Q
..D NOOR^PSOCAN4 I $D(DIRUT) W $C(7)," ACTION NOT TAKEN!",! S PSORX("DFLG")=1 K PSORX("INTERVENE") Q
..S DA=$P(PSOLST(ORN),"^",2) D MESS,ENQ^PSORXDL,FULL^VALM1
..K PSOSD($P(PSOLST(ORN),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT S:$G(PSOSD) PSOSD=PSOSD-1 S ZONE=1
.S PSODRUG("IEN")=$P(^PSRX($P(PSOSD(STA,DRG),"^"),0),"^",6) D FULL^VALM1,^PSORXI
.S PSODRUG("IEN")=PSHLDDRG,VALMBCK="R"
.K DTOUT,DIRUT,DIROUT,DUOUT,PSHLDDRG
.I $G(OR0) D
..D NOOR^PSOCAN4 I $D(DIRUT) D Q
...W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
..D DC^PSOORFI2
I Y=2 S (DA,PSOHOLDA)=+PSOSD(STA,DRG) D D ULRX Q
.D NOOR^PSOCAN4 I $D(DIRUT) D Q
..W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
.D MESS,ENQ^PSORXDL
.S DA=PSOHOLDA D FULL^VALM1,EN1^PSORXI(.DA),PPL
.K PSOSD(STA,DRG),DTOUT,DIROUT,DIRUT,DUOUT,PSOHOLDA
.S:$G(PSOSD) PSOSD=PSOSD-1 S VALMBCK="R"
I Y=3 S (DA,PSOHOLDA)=+PSOSD(STA,DRG) D S VALMBCK="R"
.D NOOR^PSOCAN4 I $D(DIRUT) D Q
..W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
.S:$G(PSOSD) PSOSD=PSOSD-1 S PSORX("DFLG")=1 D MESS,ENQ^PSORXDL
.I $G(OR0) D DC^PSOORFI2
.S DA=PSOHOLDA D FULL^VALM1,EN1^PSORXI(.DA),PPL K PSOSD(STA,DRG),PSOHOLDA
.I $G(PSORXED) D
..S DA=$P(PSOLST(ORN),"^",2) D MESS,ENQ^PSORXDL,FULL^VALM1
..K PSOSD($P(PSOLST(ORN),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT S:$G(PSOSD) PSOSD=PSOSD-1 S ZONE=1
K DTOUT,DIROUT,DIRUT,DUOUT
D ULRX
Q
MESS W !!,"Canceling Rx: "_$P($G(^PSRX(DA,0)),"^")_" "_"Drug: "_$P($G(^PSDRUG($P(^PSRX(DA,0),"^",6),0)),"^"),! Q
PPL F PSOSL=0:0 S PSOSL=$O(PSORX("PSOL",PSOSL)) Q:'PSOSL S PSOX2=PSOSL
I $G(PSOX2) D
.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(PSOSD(STA,DRG),"^") S PSOL(PSOSL,ENT)=""
.F PSOL=0:0 S PSOL=$O(PSOL(PSOL)) Q:'PSOL F ENT=0:0 S ENT=$O(PSOL(PSOL,ENT)) Q:'ENT D
..I ENT=1,'$P(PSORX("PSOL",PSOL),",",2) K PSORX("PSOL",PSOL) Q
..I ENT=1,$P(PSORX("PSOL",PSOL),",",2) S PSORX("PSOL",PSOL)=$P(PSORX("PSOL",PSOL),",",2,99) Q
..S PSORX("PSOL",PSOL)=$P(PSORX("PSOL",PSOL),",",1,ENT-1)_","_$P(PSORX("PSOL",PSOL),",",ENT+1,99)
K PSOX2,PSOSL,PSOL,ENT Q
ULRX ;
I '$G(PSODGRLX) Q
D PSOUL^PSSLOCK(PSODGRLX) K PSODGRLX
Q
PSODGDGI ;BIR/SAB - drug drug interaction checker ;05-Jun-2013 08:41;DU
+1 ;;7.0;OUTPATIENT PHARMACY;**10,27,48,130,144,132,188,207,243,274,1015**;DEC 1997;Build 62
+2 ;External reference to ^PS(56 supported by DBIA 2229
+3 ;External reference to ^PSDRUG supported by DBIA 221
+4 ;External references PSOL and PSOUL^PSSLOCK supported by DBIA 2789
+5 ;External reference to DDIEX^PSNAPIS supported by DBIA 2574
+6 ;External references to ^ORRDI1 supported by DBIA 4659
+7 ;External reference ^XTMP("ORRDI" supported by DBIA 4660
+8 ;IHS/MSC/MGH - Compound med modifications and check line label added
+9 IF $$DDIEX^PSNAPIS($PIECE(PSODRUG("NDF"),"A"),$PIECE(PSODRUG("NDF"),"A",2))
QUIT
+10 NEW PSOICT,CMP,TDRG,CMPDR,CDRG
+11 SET (CRIT,DRG,LSI,DGI,DGS,SER,SERS,STA,PSOICT)=""
+12 FOR
SET STA=$ORDER(PSOSD(STA))
IF STA=""!($GET(PSORX("DFLG")))
QUIT
FOR
SET DRG=$ORDER(PSOSD(STA,DRG))
IF DRG=""!($GET(PSORX("DFLG")))
QUIT
IF $PIECE(PSOSD(STA,DRG),"^",2)<10
Begin DoDot:1
+13 ;IHS/MSC/MGH check for compound medications
+14 SET CMP=0
+15 SET TDRG=$ORDER(^PSDRUG("B",$PIECE(DRG,U),""))
+16 IF +TDRG
SET CMP=$PIECE($GET(^PSDRUG(TDRG,999999935)),U,1)
+17 IF CMP=1
Begin DoDot:2
+18 NEW CMPDR,SAVE,CDRG,CNDF
+19 SET CMPDR=0
+20 FOR
SET CMPDR=$ORDER(^PSDRUG(TDRG,999999936,CMPDR))
IF '+CMPDR
QUIT
Begin DoDot:3
+21 SET CDRG=$PIECE($GET(^PSDRUG(TDRG,999999936,CMPDR,0)),U,1)
+22 SET NDF=$SELECT($GET(^PSDRUG(CDRG,"ND"))]"":+^("ND")_"A"_$PIECE(^("ND"),"^",3),1:0)
+23 DO CHECK(NDF)
End DoDot:3
End DoDot:2
+24 IF '$TEST
Begin DoDot:2
+25 IF $PIECE(PSOSD(STA,DRG),"^",7)']""
QUIT
+26 SET NDF=$PIECE(PSOSD(STA,DRG),"^",7)
+27 DO CHECK(NDF)
End DoDot:2
End DoDot:1
+28 IF '$DATA(^XUSEC("PSORPH",DUZ))
IF $GET(DGI)]""
IF +CRIT
SET PSONEW("STATUS")=4
WRITE $CHAR(7),!,"DRUG INTERACTION WITH RX #s: "_LSI,!
KILL LSI,DRG,IT,NDF,PSOICT
+29 KILL IT
+30 ; CHECK FOR REMOTE DRUG INTERACTIONS
+31 IF +$GET(PSORX("DFLG"))
QUIT
+32 IF $TEXT(HAVEHDR^ORRDI1)']""
QUIT
+33 IF '$$HAVEHDR^ORRDI1
QUIT
+34 IF $DATA(^XTMP("ORRDI","OUTAGE INFO","DOWN"))
Begin DoDot:1
+35 IF $TEXT(REMOTE^PSORX1)]""
QUIT
+36 WRITE !,"Remote data not available - Only local order checks processed."
DO PAUSE^PSOORRD2
End DoDot:1
QUIT
+37 IF $PIECE($GET(^XTMP("ORRDI","PSOO",PSODFN,0)),"^",3)<0
WRITE !,"Remote data not available - Only local order checks processed."
DO PAUSE^PSOORRD2
QUIT
+38 IF $DATA(^TMP($JOB,"DI"_PSODFN))
KILL ^TMP($JOB,"DI")
MERGE ^TMP($JOB,"DI")=^TMP($JOB,"DI"_PSODFN)
DO DRGINT^PSOORRD2
+39 KILL ^TMP($JOB,"DI"_PSODFN),^TMP($JOB,"DI")
+40 QUIT
CHECK(NDF) ; check drug interations
+1 ;New logic to Loop All interactions and filter-up a critical if it exists
+2 ;Moved into separate subroutine to process multiples
+3 SET IT=0
SET PSOICT=""
+4 FOR
SET IT=$ORDER(^PS(56,"APD",NDF,PSODRUG("NDF"),IT))
IF 'IT
QUIT
Begin DoDot:1
+5 IF $$DDIEX^PSNAPIS($PIECE(NDF,"A"),$PIECE(NDF,"A",2))
QUIT
+6 IF $PIECE(^PS(56,IT,0),"^",7)&($PIECE(^PS(56,IT,0),"^",7)<DT)
QUIT
+7 IF 'PSOICT
SET PSOICT=IT
QUIT
+8 IF $PIECE($GET(^PS(56,IT,0)),"^",4)=1
SET PSOICT=IT
QUIT
+9 QUIT
End DoDot:1
+10 IF 'PSOICT
QUIT
+11 SET IT=PSOICT
+12 IF STA="ZNONVA"
SET DNM=DRG
WRITE !
DO NVA^PSODRDU1
KILL DNM,IT,PSOICT
QUIT
+13 DO BLD
IF +$GET(PSORX("DFLG"))
QUIT
+14 QUIT
TECH ;add tech entry to RX VERIFY file (#52.4)
+1 IF +CRIT
SET PSODI=1
SET DIC="^PS(52.4,"
SET DLAYGO=52.4
SET DIC(0)="L"
SET (DINUM,X)=PSOX("IRXN")
SET DIC("DR")="1////"_PSODFN_";2////"_DUZ_";4///"_DT_";7///"_1_";7.1///"_SER_";7.2///"_DGI
KILL DD,DO
DO FILE^DICN
KILL DD,DO
+2 IF $GET(DGS)'=""
SET $PIECE(^PSRX(PSOX("IRXN"),"DRI"),"^")=SERS
SET $PIECE(^PSRX(PSOX("IRXN"),"DRI"),"^",2)=DGS
KILL PSODI,CRIT,DIC,DLAYGO,DINUM,DGI,DGS,SER,SERS
QUIT
BLD IF $DATA(^XUSEC("PSORPH",DUZ))
DO PHARM
QUIT
+1 SET LSI=$PIECE(^PSRX(+PSOSD(STA,DRG),0),"^")_"/"_$PIECE(^PSDRUG($PIECE(^(0),"^",6),0),"^")_","_LSI
SET DGI=$PIECE(PSOSD(STA,DRG),"^")_","_DGI
SET SER=IT_","_SER
IF $PIECE(PSOSD(STA,DRG),"^",9)
IF $PIECE(^PS(56,IT,0),"^",4)=1
SET $PIECE(^PSRX(+PSOSD(STA,DRG),"STA"),"^")=4
+2 IF $PIECE(^PS(56,IT,0),"^",4)=2
SET SERS=IT_","_SERS
SET DGS=$PIECE(PSOSD(STA,DRG),"^")_","_DGS
+3 IF $PIECE(^PS(56,IT,0),"^",4)=1
SET CRIT=1
QUIT
PHARM ;pharmacist verification of drug interaction
+1 DO PSOL^PSSLOCK($PIECE(PSOSD(STA,DRG),"^"))
IF '$GET(PSOMSG)
Begin DoDot:1
+2 IF $PIECE($GET(PSOMSG),"^",2)'=""
WRITE !!,$PIECE(PSOMSG,"^",2)
Begin DoDot:2
+3 WRITE !,"Rx: "_$PIECE($GET(^PSRX($PIECE(PSOSD(STA,DRG),"^"),0)),"^")_" Drug: "_$PIECE($GET(^PSDRUG(+$PIECE($GET(^(0)),"^",6),0)),"^")
+4 WRITE !,"which interacts with the drug you are entering!",!
End DoDot:2
QUIT
+5 WRITE !!,"Another person is editing Rx "_$PIECE($GET(^PSRX($PIECE(PSOSD(STA,DRG),"^"),0)),"^")_",",!,"which interacts with the drug you are entering!",!
End DoDot:1
KILL PSOMSG
SET DIR(0)="E"
SET DIR("A")="Press Return to Continue"
DO ^DIR
KILL DIR
SET PSORX("DFLG")=1
QUIT
+6 SET PSODGRLX=$PIECE(PSOSD(STA,DRG),"^")
+7 SET SER=^PS(56,IT,0)
SET DIR("?",1)="Answer 'YES' if you DO want to "_$SELECT($PIECE(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
+8 SET DIR("?")=" 'NO' if you DON'T want to "_$SELECT($PIECE(SER,"^",4)=1:"continue processing",1:"enter an intervention for")_" this medication,"
+9 WRITE $CHAR(7),$CHAR(7)
SET DIR("A",1)="***"_$SELECT($PIECE(SER,"^",4)=1:"CRITICAL",1:"SIGNIFICANT")_"*** "_"Drug Interaction with RX #"_$PIECE(^PSRX($PIECE(PSOSD(STA,DRG),"^"),0),"^")
SET DIR("A",2)="DRUG: "_$PIECE(DRG,"^")
+10 SET DIR(0)="SA^1:YES;0:NO"
SET DIR("A")="Do you want to "_$SELECT($PIECE(SER,"^",4)=1:"Continue? ",1:"Intervene? ")
SET DIR("B")="Y"
DO ^DIR
+11 IF 'Y
IF $PIECE(SER,"^",4)=1
SET PSORX("DFLG")=1
SET DGI=""
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
+12 IF Y
IF $PIECE(SER,"^",4)=1
SET PSORX("INTERVENE")=1
SET DGI=""
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
GOTO CRI
QUIT
+13 IF 'Y
IF $PIECE(SER,"^",4)=2
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
DO ULRX
QUIT
+14 IF Y
IF $PIECE(SER,"^",4)=2
SET PSORX("INTERVENE")=2
SET DGI=""
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
+15 DO ULRX
+16 QUIT
CRI ;process new drug interactions entered by pharmacist
+1 KILL DIR
IF $PIECE(PSOSD(STA,DRG),"^",9)
GOTO CRITN
SET DIR("A",1)=""
SET DIR("A",2)="Do you want to Process medication"
SET DIR("A")=PSODRUG("NAME")_": "
SET DIR(0)="SA^1:PROCESS;0:ABORT ORDER ENTRY"
SET DIR("B")="P"
+2 SET DIR("?",1)="Enter '1' or 'P' to Activate medication"
SET DIR("?")=" '0' or 'A' to Abort Order Entry process"
DO ^DIR
KILL X1,DIR
IF 'Y
SET PSORX("DFLG")=1
SET DGI=""
KILL DTOUT,DIRUT,DIROUT,DUOUT,PSORX("INTERVENE")
DO ULRX
QUIT
+3 IF $PIECE(SER,"^",4)=1
Begin DoDot:1
+4 DO SIG^XUSESIG
IF X1=""
KILL PSORX("INTERVENE")
SET PSORX("DFLG")=1
QUIT
+5 SET PSORX("INTERVENE")=$PIECE(SER,"^",4)
End DoDot:1
+6 KILL DUOUT,DTOUT,DIRUT,DIROUT
DO ULRX
QUIT
CRITN ;process multiple new drug interactions
+1 KILL X1,DIR
SET DIR("A",1)=""
SET DIR("A",2)="Do you want to: "
SET DIR("A",3)=" 1. Delete NEW medication "_PSODRUG("NAME")
SET DIR("A",4)=" 2. Cancel ACTIVE New Rx #"_$PIECE(^PSRX($PIECE(PSOSD(STA,DRG),"^"),0),"^")_" DRUG: "_$PIECE(DRG,"^")
+2 SET DIR("A",5)=" 3. Delete 1 and Cancel 2"
SET DIR("A")=" 4. Continue ?: "
SET DIR(0)="SA^1:NEW MEDICATION;2:ACTIVE New Rx "_$PIECE(DRG,"^")_";3:BOTH;4:CONTINUE"
+3 SET DIR("?",1)="Enter '1' or 'N' to Delete New Medication and Dispense Rx #"_$PIECE(^PSRX(+PSOSD(STA,DRG),0),"^")
+4 SET DIR("?",2)=" '2' or 'A' to Cancel Active Rx #"_$PIECE(^PSRX(+PSOSD(STA,DRG),0),"^")_" and Dispense New Rx"
+5 SET DIR("?",3)=" '3' or 'B' to Delete 1 and Cancel 2"
SET DIR("?")=" '4' or 'C' to do nothing to either Rx"
DO ^DIR
KILL DIR
+6 IF Y=1
SET PSORX("DFLG")=1
SET DGI=""
SET PSHLDDRG=PSODRUG("IEN")
Begin DoDot:1
+7 IF $GET(PSORXED)
Begin DoDot:2
+8 DO NOOR^PSOCAN4
IF $DATA(DIRUT)
WRITE $CHAR(7)," ACTION NOT TAKEN!",!
SET PSORX("DFLG")=1
KILL PSORX("INTERVENE")
QUIT
+9 SET DA=$PIECE(PSOLST(ORN),"^",2)
DO MESS
DO ENQ^PSORXDL
DO FULL^VALM1
+10 KILL PSOSD($PIECE(PSOLST(ORN),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT
IF $GET(PSOSD)
SET PSOSD=PSOSD-1
SET ZONE=1
End DoDot:2
QUIT
+11 SET PSODRUG("IEN")=$PIECE(^PSRX($PIECE(PSOSD(STA,DRG),"^"),0),"^",6)
DO FULL^VALM1
DO ^PSORXI
+12 SET PSODRUG("IEN")=PSHLDDRG
SET VALMBCK="R"
+13 KILL DTOUT,DIRUT,DIROUT,DUOUT,PSHLDDRG
+14 IF $GET(OR0)
Begin DoDot:2
+15 DO NOOR^PSOCAN4
IF $DATA(DIRUT)
Begin DoDot:3
+16 WRITE $CHAR(7)," ACTION NOT TAKEN!",!
KILL PSORX("INTERVENE")
SET PSORX("DFLG")=1
End DoDot:3
QUIT
+17 DO DC^PSOORFI2
End DoDot:2
End DoDot:1
DO ULRX
QUIT
+18 IF Y=2
SET (DA,PSOHOLDA)=+PSOSD(STA,DRG)
Begin DoDot:1
+19 DO NOOR^PSOCAN4
IF $DATA(DIRUT)
Begin DoDot:2
+20 WRITE $CHAR(7)," ACTION NOT TAKEN!",!
KILL PSORX("INTERVENE")
SET PSORX("DFLG")=1
End DoDot:2
QUIT
+21 DO MESS
DO ENQ^PSORXDL
+22 SET DA=PSOHOLDA
DO FULL^VALM1
DO EN1^PSORXI(.DA)
DO PPL
+23 KILL PSOSD(STA,DRG),DTOUT,DIROUT,DIRUT,DUOUT,PSOHOLDA
+24 IF $GET(PSOSD)
SET PSOSD=PSOSD-1
SET VALMBCK="R"
End DoDot:1
DO ULRX
QUIT
+25 IF Y=3
SET (DA,PSOHOLDA)=+PSOSD(STA,DRG)
Begin DoDot:1
+26 DO NOOR^PSOCAN4
IF $DATA(DIRUT)
Begin DoDot:2
+27 WRITE $CHAR(7)," ACTION NOT TAKEN!",!
KILL PSORX("INTERVENE")
SET PSORX("DFLG")=1
End DoDot:2
QUIT
+28 IF $GET(PSOSD)
SET PSOSD=PSOSD-1
SET PSORX("DFLG")=1
DO MESS
DO ENQ^PSORXDL
+29 IF $GET(OR0)
DO DC^PSOORFI2
+30 SET DA=PSOHOLDA
DO FULL^VALM1
DO EN1^PSORXI(.DA)
DO PPL
KILL PSOSD(STA,DRG),PSOHOLDA
+31 IF $GET(PSORXED)
Begin DoDot:2
+32 SET DA=$PIECE(PSOLST(ORN),"^",2)
DO MESS
DO ENQ^PSORXDL
DO FULL^VALM1
+33 KILL PSOSD($PIECE(PSOLST(ORN),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT
IF $GET(PSOSD)
SET PSOSD=PSOSD-1
SET ZONE=1
End DoDot:2
End DoDot:1
SET VALMBCK="R"
+34 KILL DTOUT,DIROUT,DIRUT,DUOUT
+35 DO ULRX
+36 QUIT
MESS WRITE !!,"Canceling Rx: "_$PIECE($GET(^PSRX(DA,0)),"^")_" "_"Drug: "_$PIECE($GET(^PSDRUG($PIECE(^PSRX(DA,0),"^",6),0)),"^"),!
QUIT
PPL FOR PSOSL=0:0
SET PSOSL=$ORDER(PSORX("PSOL",PSOSL))
IF 'PSOSL
QUIT
SET PSOX2=PSOSL
+1 IF $GET(PSOX2)
Begin DoDot:1
+2 FOR PSOSL=0:1:PSOX2
SET PSOSL=$ORDER(PSORX("PSOL",PSOSL))
IF 'PSOSL
QUIT
FOR ENT=1:1:$LENGTH(PSORX("PSOL",PSOSL),",")
IF $PIECE(PSORX("PSOL",PSOSL),",",ENT)=$PIECE(PSOSD(STA,DRG),"^")
SET PSOL(PSOSL,ENT)=""
+3 FOR PSOL=0:0
SET PSOL=$ORDER(PSOL(PSOL))
IF 'PSOL
QUIT
FOR ENT=0:0
SET ENT=$ORDER(PSOL(PSOL,ENT))
IF 'ENT
QUIT
Begin DoDot:2
+4 IF ENT=1
IF '$PIECE(PSORX("PSOL",PSOL),",",2)
KILL PSORX("PSOL",PSOL)
QUIT
+5 IF ENT=1
IF $PIECE(PSORX("PSOL",PSOL),",",2)
SET PSORX("PSOL",PSOL)=$PIECE(PSORX("PSOL",PSOL),",",2,99)
QUIT
+6 SET PSORX("PSOL",PSOL)=$PIECE(PSORX("PSOL",PSOL),",",1,ENT-1)_","_$PIECE(PSORX("PSOL",PSOL),",",ENT+1,99)
End DoDot:2
End DoDot:1
+7 KILL PSOX2,PSOSL,PSOL,ENT
QUIT
ULRX ;
+1 IF '$GET(PSODGRLX)
QUIT
+2 DO PSOUL^PSSLOCK(PSODGRLX)
KILL PSODGRLX
+3 QUIT
