GMPLUTL ; SLC/MKB/KER/TC -- PL Utilities ;03/30/2020
;;2.0;Problem List;**3,6,8,10,16,26,35,39,36,42,40,50,53**;Aug 25, 1994;Build 159
;
; External References
; DBIA 348 ^DPT(
; ICR 5699 $$ICDDATA^ICDXCODE
; DBIA 10006 ^VA(200
;
ACTIVE(GMPDFN,GMPL) ; Returns list of Active Problems for a Patient
;
; GMPDFN Pointer to Patient
; GMPL Array in which the problems will be
; returned, passed by reference
;
; GMPL(#,0) Problem file (#9000011) IEN
; GMPL(#,1) Piece 1: Pointer to Problem (Lexicon file #757.01)
; 2: Provider Narrative
; NOTE: the provider narrative may be different
; from the Lexicon term in file 757.01
; GMPL(#,2) Piece 1: Pointer to ICD Diagnosis (file #80)
; 2: ICD-9/10 Code
; GMPL(#,3) Piece 1: Internal Date of Onset
; 2: External Date of Onset 00/00/00
; GMPL(#,4) Piece 1: Abbreviated Service Connection
; SC^Service Connected
; NSC^Not Service Connected
; null
; 2: Full text Service Connection
; GMPL(#,5) Piece 1: Abbreviated Exposure
; Full text Exposure
; AO^Agent Orange
; IR^Radiation
; EC^Evn Contaminants
; HNC^Head/Neck Cancer
; MST^Mil Sexual Trauma
; CV^Combat Vet
; SHD^SHAD
; null
;
N IFN,CNT,SP,NUM,GMPLIST,GMPLVIEW,GMPARAM,GMPTOTAL
Q:$G(GMPDFN)'>0 S CNT=0,SP=""
S GMPARAM("QUIET")=1,GMPARAM("REV")=$P($G(^GMPL(125.99,1,0)),U,5)="R"
S GMPLVIEW("ACT")="A",GMPLVIEW("PROV")=0,GMPLVIEW("VIEW")=""
D GETPLIST^GMPLMGR1(.GMPLIST,.GMPTOTAL,.GMPLVIEW)
F NUM=0:0 S NUM=$O(GMPLIST(NUM)) Q:NUM'>0 D
. N I,GMPL0,GMPL1,GMPL802,ICDC,GMPCSYS,GMPDT,ONSET
. S IFN=+GMPLIST(NUM) Q:IFN'>0
. S GMPL0=$G(^AUPNPROB(IFN,0)),GMPL1=$G(^(1)),GMPL802=$G(^(802)),CNT=CNT+1,GMPL(CNT,0)=IFN
. S GMPDT=$S(+$P(GMPL802,U,1):$P(GMPL802,U,1),1:$P(GMPL0,U,8)),GMPCSYS=$S($P(GMPL802,U,2)]"":$P(GMPL802,U,2),1:$$SAB^ICDEX($$CSI^ICDEX(80,+GMPL0),GMPDT))
. S ICDC=$P($$ICDDATA^ICDXCODE(GMPCSYS,+GMPL0,GMPDT,"I"),U,2)
. S GMPL(CNT,1)=+GMPL1_U_$$PROBTEXT^GMPLX(IFN)
. S GMPL(CNT,2)=+GMPL0_U_ICDC,ONSET=$P(GMPL0,U,13)
. S GMPL(CNT,3)=$S(ONSET:ONSET_U_$$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=$S(I=11:"A",I=12:"I",I=13:"P",I=15:"H",I=16:"M",I=17:"C",1:"S")
. S GMPL(CNT,5)=$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
; PL("DX_DATE_OF_INTEREST") For historical encounters (=Today's date) & all other encounters (=encounter date/time)
;
; 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
;ICR #6953
I $P($$PROVNARR^PXAPI(PL("NARRATIVE"),""),U,1)=-1 S PLY(0)="Invalid problem narrative" Q
I '$D(^DPT(+$G(PL("PATIENT")),0)) S PLY(0)="Invalid patient" Q
I '$D(^VA(200,+$G(PL("PROVIDER")),0)) S PLY(0)="Invalid provider" Q
S GMPDFN=+PL("PATIENT"),(GMPSC,GMPAGTOR,GMPION,GMPGULF,GMPHNC,GMPMST,GMPCV,GMPSHD)=0
S:'$L($G(PL("DX_DATE_OF_INTEREST"))) PL("DX_DATE_OF_INTEREST")=$$DT^XLFDT
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 $S(PL("LEXICON")=1:1,PL("LEXICON")="":1,$P(PL("LEXICON"),U,2)']"":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)=$$SERVICE^GMPLX1(+PL("PROVIDER"))
S GMPFLD(.13)=PL("ONSET"),GMPFLD(1.09)=PL("RECORDED")
S GMPFLD(1.02)=$S('$P(^GMPL(125.99,1,0),U,2):"P",$G(GMPLUSER):"P",1:"T")
S GMPFLD(.12)=PL("STATUS"),GMPFLD(1.14)="",GMPFLD(1.07)=PL("RESOLVED")
S GMPFLD(10,0)=0,GMPFLD(1.03)=$G(DUZ),GMPFLD(1.08)=PL("LOCATION")
S:$L($G(PL("COMMENT"))) GMPFLD(10,"NEW",1)=$E(PL("COMMENT"),1,60)
S GMPFLD(1.1)=PL("SC"),GMPFLD(1.11)=PL("AO"),GMPFLD(1.12)=PL("IR")
S GMPFLD(1.13)=PL("EC"),GMPFLD(1.15)=$G(PL("HNC")),GMPFLD(1.16)=$G(PL("MST"))
S GMPFLD(1.17)=$G(PL("CV")),GMPFLD(1.18)=$G(PL("SHD"))
S GMPFLD(80201)=$G(PL("DX_DATE_OF_INTEREST"))
D NEW^GMPLSAVE S PLY=DA
CRQ ; Quit Create
Q
;
FIXLEX(PL) ; Fix Lexicon expression pointer value for SNOMED Concepts
N SCT,LEXS,ICDS
S SCT=+$P(PL("NARRATIVE"),"SNOMED CT ",2) I +SCT'>0 Q
D EN^LEXCODE(SCT) I '$D(LEXS("SCT",1)) Q
S PL("NARRATIVE")=$P(PL("NARRATIVE")," (SNOMED CT")
S PL("LEXICON")=$P(LEXS("SCT",1),U)_U_PL("NARRATIVE")_" (SNOMED CT "_SCT_")"
S ICDS=$$GETDX(SCT,$G(PL("DX_DATE_OF_INTEREST")))
S:($L(ICDS,"/")>1)&(ICDS'=$P($G(PL("DIAGNOSIS")),U,2)) $P(PL("DIAGNOSIS"),U,2)=ICDS
Q
;
GETDX(CODE,GMPDT) ; Get ICD associated with SNOMED CT Code
N LEX,ORI,ORY,GMPIMPDT,GMPMPDEF S GMPDT=$G(GMPDT,$$DT^XLFDT)
S ORY=0,GMPIMPDT=$$IMPDATE^LEXU("10D")
S GMPMPDEF=$S(GMPDT<GMPIMPDT:"SCT2ICD",1:"SCT210D")
S ORY=$$GETASSN^LEXTRAN1(CODE,GMPMPDEF,GMPDT)
I $S(+ORY'>0:1,+$P(ORY,U,2)'>0:1,+LEX'>0:1,1:0) S ORY=$S(GMPDT<GMPIMPDT:"799.9",1:"R69.") 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
; PL("SCTC") SNOMED CT Concept Code
; PL("SCTD") SNOMED CT Designation Code
; PL("CODEDT") Date of interest for the primary ICD Diagnosis
; PL("CODESYS") Coding system of the primary ICD Diagnosis
; PL("DX_DATE_OF_INTEREST") For historical encounters (=Today's date) & all other encounters (=encounter date/time)
;
; 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
N GMPSC,GMPAGTOR,GMPION,GMPGULF
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:'$L($G(PL("DX_DATE_OF_INTEREST"))) PL("DX_DATE_OF_INTEREST")=$$DT^XLFDT
I '$L($G(PL("CODESYS"))),$L($G(PL("DIAGNOSIS"))) D
. S PL("CODESYS")=$$SAB^ICDEX($$CSI^ICDEX(80,+PL("DIAGNOSIS")),PL("DX_DATE_OF_INTEREST"))
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
I $P($G(PL("NARRATIVE")),U,1)=-1 S PLY(0)="Invalid Provider Narrative" 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
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HGMPLUTL 11221 printed Sep 23, 2025@20:06:37 Page 2
GMPLUTL ; SLC/MKB/KER/TC -- PL Utilities ;03/30/2020
+1 ;;2.0;Problem List;**3,6,8,10,16,26,35,39,36,42,40,50,53**;Aug 25, 1994;Build 159
+2 ;
+3 ; External References
+4 ; DBIA 348 ^DPT(
+5 ; ICR 5699 $$ICDDATA^ICDXCODE
+6 ; DBIA 10006 ^VA(200
+7 ;
ACTIVE(GMPDFN,GMPL) ; Returns list of Active Problems for a Patient
+1 ;
+2 ; GMPDFN Pointer to Patient
+3 ; GMPL Array in which the problems will be
+4 ; returned, passed by reference
+5 ;
+6 ; GMPL(#,0) Problem file (#9000011) IEN
+7 ; GMPL(#,1) Piece 1: Pointer to Problem (Lexicon file #757.01)
+8 ; 2: Provider Narrative
+9 ; NOTE: the provider narrative may be different
+10 ; from the Lexicon term in file 757.01
+11 ; GMPL(#,2) Piece 1: Pointer to ICD Diagnosis (file #80)
+12 ; 2: ICD-9/10 Code
+13 ; GMPL(#,3) Piece 1: Internal Date of Onset
+14 ; 2: External Date of Onset 00/00/00
+15 ; GMPL(#,4) Piece 1: Abbreviated Service Connection
+16 ; SC^Service Connected
+17 ; NSC^Not Service Connected
+18 ; null
+19 ; 2: Full text Service Connection
+20 ; GMPL(#,5) Piece 1: Abbreviated Exposure
+21 ; Full text Exposure
+22 ; AO^Agent Orange
+23 ; IR^Radiation
+24 ; EC^Evn Contaminants
+25 ; HNC^Head/Neck Cancer
+26 ; MST^Mil Sexual Trauma
+27 ; CV^Combat Vet
+28 ; SHD^SHAD
+29 ; null
+30 ;
+31 NEW IFN,CNT,SP,NUM,GMPLIST,GMPLVIEW,GMPARAM,GMPTOTAL
+32 if $GET(GMPDFN)'>0
QUIT
SET CNT=0
SET SP=""
+33 SET GMPARAM("QUIET")=1
SET GMPARAM("REV")=$PIECE($GET(^GMPL(125.99,1,0)),U,5)="R"
+34 SET GMPLVIEW("ACT")="A"
SET GMPLVIEW("PROV")=0
SET GMPLVIEW("VIEW")=""
+35 DO GETPLIST^GMPLMGR1(.GMPLIST,.GMPTOTAL,.GMPLVIEW)
+36 FOR NUM=0:0
SET NUM=$ORDER(GMPLIST(NUM))
if NUM'>0
QUIT
Begin DoDot:1
+37 NEW I,GMPL0,GMPL1,GMPL802,ICDC,GMPCSYS,GMPDT,ONSET
+38 SET IFN=+GMPLIST(NUM)
if IFN'>0
QUIT
+39 SET GMPL0=$GET(^AUPNPROB(IFN,0))
SET GMPL1=$GET(^(1))
SET GMPL802=$GET(^(802))
SET CNT=CNT+1
SET GMPL(CNT,0)=IFN
+40 SET GMPDT=$SELECT(+$PIECE(GMPL802,U,1):$PIECE(GMPL802,U,1),1:$PIECE(GMPL0,U,8))
SET GMPCSYS=$SELECT($PIECE(GMPL802,U,2)]"":$PIECE(GMPL802,U,2),1:$$SAB^ICDEX($$CSI^ICDEX(80,+GMPL0),GMPDT))
+41 SET ICDC=$PIECE($$ICDDATA^ICDXCODE(GMPCSYS,+GMPL0,GMPDT,"I"),U,2)
+42 SET GMPL(CNT,1)=+GMPL1_U_$$PROBTEXT^GMPLX(IFN)
+43 SET GMPL(CNT,2)=+GMPL0_U_ICDC
SET ONSET=$PIECE(GMPL0,U,13)
+44 SET GMPL(CNT,3)=$SELECT(ONSET:ONSET_U_$$EXTDT^GMPLX(ONSET),1:"")
+45 SET GMPL(CNT,4)=$SELECT(+$PIECE(GMPL1,U,10):"SC^SERVICE-CONNECTED",$PIECE(GMPL1,U,10)=0:"NSC^NOT SERVICE-CONNECTED",1:"")
+46 FOR I=11,12,13,15,16,17,18
if $PIECE(GMPL1,U,I)
SET SP=$SELECT(I=11:"A",I=12:"I",I=13:"P",I=15:"H",I=16:"M",I=17:"C",1:"S")
+47 SET GMPL(CNT,5)=$SELECT(SP="A":"AO^AGENT ORANGE",SP="I":"IR^RADIATION",SP="P":"EC^ENV CONTAMINANTS",SP="H":"HNC^HEAD AND/OR NECK CANCER",SP="M":"MST^MILIARY SEXUAL TRAUMA",SP="C":"CV^COMBAT VET",SP="S":"SHD^SHAD",1:"")
End DoDot:1
+48 SET GMPL(0)=CNT
+49 QUIT
+50 ;
CREATE(PL,PLY) ; Creates a new problem
+1 ;
+2 ; Input array, passed by reference
+3 ; Required
+4 ; PL("PATIENT") Pointer to Patient #2
+5 ; PL("NARRATIVE") Text as entered by provider
+6 ; PL("PROVIDER") Pointer to provider #200
+7 ; Optional
+8 ; PL("DIAGNOSIS") Pointer to ICD-9 #80
+9 ; PL("LEXICON") Pointer to Lexicon #757.01
+10 ; PL("STATUS") A = Active I = Inactive
+11 ; PL("ONSET") Internal Date of Onset
+12 ; PL("RECORDED") Internal Date Recorded
+13 ; PL("RESOLVED") Internal Date Problem was Resolved
+14 ; PL("COMMENT") Comment text, up to 60 characters
+15 ; PL("LOCATION") Pointer to Hospital Location
+16 ; PL("SC") Service Connected 1 = Yes 0 = No
+17 ; PL("AO") Agent Orange 1 = Yes 0 = No
+18 ; PL("IR") Radiation 1 = Yes 0 = No
+19 ; PL("EC") Env Contamination 1 = Yes 0 = No
+20 ; PL("HNC") Head/Neck Cancer 1 = Yes 0 = No
+21 ; PL("MST") Mil Sexual Trauma 1 = Yes 0 = No
+22 ; PL("CV") Combat Vet 1 = Yes 0 = No
+23 ; PL("SHD") Shipboard Hazard & Defense 1=Yes 0=No
+24 ; PL("DX_DATE_OF_INTEREST") For historical encounters (=Today's date) & all other encounters (=encounter date/time)
+25 ;
+26 ; Output, passed by reference
+27 ; PLY Equivalent of Fileman Y, DA
+28 ; PLY(0) Equivalent of Fileman Y(0)
+29 ;
+30 NEW GMPI,GMPQUIT,GMPVAMC,GMPVA,GMPFLD,GMPSC,GMPAGTOR,GMPION,GMPGULF
+31 NEW GMPHNC,GMPMST,GMPCV,GMPSHD,DA,GMPDFN,GMPROV
+32 KILL PLY
SET PLY=-1
SET PLY(0)=""
+33 SET GMPVAMC=+$GET(DUZ(2))
SET GMPVA=$SELECT($GET(DUZ("AG"))="V":1,1:0)
+34 IF '$LENGTH($GET(PL("NARRATIVE")))
SET PLY(0)="Missing problem narrative"
QUIT
+35 ;ICR #6953
+36 IF $PIECE($$PROVNARR^PXAPI(PL("NARRATIVE"),""),U,1)=-1
SET PLY(0)="Invalid problem narrative"
QUIT
+37 IF '$DATA(^DPT(+$GET(PL("PATIENT")),0))
SET PLY(0)="Invalid patient"
QUIT
+38 IF '$DATA(^VA(200,+$GET(PL("PROVIDER")),0))
SET PLY(0)="Invalid provider"
QUIT
+39 SET GMPDFN=+PL("PATIENT")
SET (GMPSC,GMPAGTOR,GMPION,GMPGULF,GMPHNC,GMPMST,GMPCV,GMPSHD)=0
+40 if '$LENGTH($GET(PL("DX_DATE_OF_INTEREST")))
SET PL("DX_DATE_OF_INTEREST")=$$DT^XLFDT
+41 if GMPVA
DO VADPT^GMPLX1(GMPDFN)
+42 FOR GMPI="DIAGNOSI","LEXICON","DUPLICAT","LOCATION","STATUS"
DO @(GMPI_"^GMPLUTL1")
if $DATA(GMPQUIT)
QUIT
+43 if $DATA(GMPQUIT)
QUIT
+44 FOR GMPI="ONSET","RESOLVED","RECORDED","SC","AO","IR","EC","HNC","MST","CV","SHD"
DO @(GMPI_"^GMPLUTL1")
if $DATA(GMPQUIT)
QUIT
+45 if $DATA(GMPQUIT)
QUIT
CR1 ; Ok to Create
+1 IF $SELECT(PL("LEXICON")=1:1,PL("LEXICON")="":1,$PIECE(PL("LEXICON"),U,2)']"":1,1:0)
IF (PL("NARRATIVE")["SNOMED CT")
DO FIXLEX(.PL)
+2 SET GMPFLD(.01)=PL("DIAGNOSIS")_U_$SELECT(PL("NARRATIVE")["(ICD-9-CM":$PIECE($PIECE(PL("NARRATIVE"),"ICD-9-CM ",2),")"),1:"")
+3 SET GMPFLD(1.01)=PL("LEXICON")
+4 SET GMPFLD(.05)=U_$EXTRACT(PL("NARRATIVE"),1,80)
+5 SET (GMPROV,GMPFLD(1.04),GMPFLD(1.05))=+PL("PROVIDER")
+6 SET GMPFLD(1.06)=$$SERVICE^GMPLX1(+PL("PROVIDER"))
+7 SET GMPFLD(.13)=PL("ONSET")
SET GMPFLD(1.09)=PL("RECORDED")
+8 SET GMPFLD(1.02)=$SELECT('$PIECE(^GMPL(125.99,1,0),U,2):"P",$GET(GMPLUSER):"P",1:"T")
+9 SET GMPFLD(.12)=PL("STATUS")
SET GMPFLD(1.14)=""
SET GMPFLD(1.07)=PL("RESOLVED")
+10 SET GMPFLD(10,0)=0
SET GMPFLD(1.03)=$GET(DUZ)
SET GMPFLD(1.08)=PL("LOCATION")
+11 if $LENGTH($GET(PL("COMMENT")))
SET GMPFLD(10,"NEW",1)=$EXTRACT(PL("COMMENT"),1,60)
+12 SET GMPFLD(1.1)=PL("SC")
SET GMPFLD(1.11)=PL("AO")
SET GMPFLD(1.12)=PL("IR")
+13 SET GMPFLD(1.13)=PL("EC")
SET GMPFLD(1.15)=$GET(PL("HNC"))
SET GMPFLD(1.16)=$GET(PL("MST"))
+14 SET GMPFLD(1.17)=$GET(PL("CV"))
SET GMPFLD(1.18)=$GET(PL("SHD"))
+15 SET GMPFLD(80201)=$GET(PL("DX_DATE_OF_INTEREST"))
+16 DO NEW^GMPLSAVE
SET PLY=DA
CRQ ; Quit Create
+1 QUIT
+2 ;
FIXLEX(PL) ; Fix Lexicon expression pointer value for SNOMED Concepts
+1 NEW SCT,LEXS,ICDS
+2 SET SCT=+$PIECE(PL("NARRATIVE"),"SNOMED CT ",2)
IF +SCT'>0
QUIT
+3 DO EN^LEXCODE(SCT)
IF '$DATA(LEXS("SCT",1))
QUIT
+4 SET PL("NARRATIVE")=$PIECE(PL("NARRATIVE")," (SNOMED CT")
+5 SET PL("LEXICON")=$PIECE(LEXS("SCT",1),U)_U_PL("NARRATIVE")_" (SNOMED CT "_SCT_")"
+6 SET ICDS=$$GETDX(SCT,$GET(PL("DX_DATE_OF_INTEREST")))
+7 if ($LENGTH(ICDS,"/")>1)&(ICDS'=$PIECE($GET(PL("DIAGNOSIS")),U,2))
SET $PIECE(PL("DIAGNOSIS"),U,2)=ICDS
+8 QUIT
+9 ;
GETDX(CODE,GMPDT) ; Get ICD associated with SNOMED CT Code
+1 NEW LEX,ORI,ORY,GMPIMPDT,GMPMPDEF
SET GMPDT=$GET(GMPDT,$$DT^XLFDT)
+2 SET ORY=0
SET GMPIMPDT=$$IMPDATE^LEXU("10D")
+3 SET GMPMPDEF=$SELECT(GMPDT<GMPIMPDT:"SCT2ICD",1:"SCT210D")
+4 SET ORY=$$GETASSN^LEXTRAN1(CODE,GMPMPDEF,GMPDT)
+5 IF $SELECT(+ORY'>0:1,+$PIECE(ORY,U,2)'>0:1,+LEX'>0:1,1:0)
SET ORY=$SELECT(GMPDT<GMPIMPDT:"799.9",1:"R69.")
GOTO GETDXX
+6 SET (ORI,ORY)=0
+7 FOR
SET ORI=$ORDER(LEX(ORI))
if +ORI'>0
QUIT
Begin DoDot:1
+8 NEW ICD
+9 SET ICD=$ORDER(LEX(ORI,""))
+10 IF ICD]""
SET ORY=$SELECT(ORY'=0:ORY_"/",1:"")_ICD
End DoDot:1
+11 IF ORY'["."
SET ORY=ORY_"."
GETDXX QUIT ORY
+1 ;
UPDATE(PL,PLY) ; Update a Problem/Create if Not Found
+1 ;
+2 ; Input array, passed by reference
+3 ; Required
+4 ; PL("PROBLEM") Pointer to Problem #9000011
+5 ; PL("PROVIDER") Pointer to provider #200
+6 ;
+7 ; Optional
+8 ; PL("NARRATIVE") Text as entered by provider
+9 ; PL("DIAGNOSIS") Pointer to ICD-9 #80
+10 ; PL("LEXICON") Pointer to Lexicon #757.01
+11 ; PL("STATUS") A = Active I = Inactive
+12 ; PL("ONSET") Internal Date of Onset
+13 ; PL("RECORDED") Internal Date Recorded
+14 ; PL("RESOLVED") Internal Date Problem was Resolved
+15 ; PL("COMMENT") Comment text, up to 60 characters
+16 ; PL("LOCATION") Pointer to Hospital Location
+17 ; PL("SC") Service Connected 1 = Yes 0 = No
+18 ; PL("AO") Agent Orange 1 = Yes 0 = No
+19 ; PL("IR") Radiation 1 = Yes 0 = No
+20 ; PL("EC") Env Contamination 1 = Yes 0 = No
+21 ; PL("HNC") Head/Neck Cancer 1 = Yes 0 = No
+22 ; PL("MST") Mil Sexual Trauma 1 = Yes 0 = No
+23 ; PL("CV") Combat Veteran 1 = Yes 0 = No
+24 ; PL("SHD") SHAD 1 = Yes 0 = No
+25 ; PL("SCTC") SNOMED CT Concept Code
+26 ; PL("SCTD") SNOMED CT Designation Code
+27 ; PL("CODEDT") Date of interest for the primary ICD Diagnosis
+28 ; PL("CODESYS") Coding system of the primary ICD Diagnosis
+29 ; PL("DX_DATE_OF_INTEREST") For historical encounters (=Today's date) & all other encounters (=encounter date/time)
+30 ;
+31 ; Output, passed by reference
+32 ; PLY Equivalent of Fileman Y, DA
+33 ; PLY(0) Equivalent of Fileman Y(0)
+34 ;
+35 NEW GMPORIG,GMPFLD,FLD,ITEMS,SUB,GMPI,DIFFRENT,GMPIFN,GMPVAMC,GMPVA,GMPROV,GMPQUIT,GMPDFN
+36 NEW GMPSC,GMPAGTOR,GMPION,GMPGULF
+37 SET GMPVAMC=+$GET(DUZ(2))
SET GMPVA=$SELECT($GET(DUZ("AG"))="V":1,1:0)
SET PLY=-1
SET PLY(0)=""
+38 SET GMPIFN=$GET(PL("PROBLEM"))
IF GMPIFN=""
DO CREATE(.PL,.PLY)
QUIT
+39 IF '$DATA(^AUPNPROB(GMPIFN,0))
SET PLY(0)="Invalid problem"
QUIT
+40 IF '$DATA(^VA(200,+$GET(PL("PROVIDER")),0))
SET PLY(0)="Invalid provider"
QUIT
+41 SET GMPROV=+$GET(PL("PROVIDER"))
SET GMPDFN=+$PIECE(^AUPNPROB(GMPIFN,0),U,2)
+42 DO GETFLDS^GMPLEDT3(GMPIFN)
IF '$DATA(GMPFLD)
SET PLY(0)="Invalid problem"
QUIT
+43 IF +$GET(PL("PATIENT"))
IF +PL("PATIENT")'=GMPDFN
SET PLY(0)="Patient does not match for this problem"
QUIT
+44 IF $LENGTH($GET(PL("RECORDED")))
SET PLY(0)="Date Recorded is not editable"
QUIT
+45 SET (GMPSC,GMPAGTOR,GMPION,GMPGULF)=0
if GMPVA
DO VADPT^GMPLX1(GMPDFN)
+46 if '$LENGTH($GET(PL("DX_DATE_OF_INTEREST")))
SET PL("DX_DATE_OF_INTEREST")=$$DT^XLFDT
+47 IF '$LENGTH($GET(PL("CODESYS")))
IF $LENGTH($GET(PL("DIAGNOSIS")))
Begin DoDot:1
+48 SET PL("CODESYS")=$$SAB^ICDEX($$CSI^ICDEX(80,+PL("DIAGNOSIS")),PL("DX_DATE_OF_INTEREST"))
End DoDot:1
+49 SET ITEMS="LEXICON^DIAGNOSIS^LOCATION^STATUS^ONSET^RESOLVED^SC^AO^IR^EC^HNC^MST^CV^SHD"
SET 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"
+50 FOR GMPI=1:1
SET SUB=$PIECE(ITEMS,U,GMPI)
if SUB=""
QUIT
Begin DoDot:1
+51 IF '$LENGTH($GET(PL(SUB)))
SET PL(SUB)=$PIECE(GMPFLD($PIECE(FLD,U,GMPI)),U)
QUIT
+52 IF SUB="STATUS"
IF PL(SUB)="@"
SET GMPQUIT=1
SET PLY(0)="Cannot delete problem status"
QUIT
+53 IF PL(SUB)'="@"
DO @($EXTRACT(SUB,1,8)_"^GMPLUTL1")
if $DATA(GMPQUIT)
QUIT
+54 SET GMPFLD($PIECE(FLD,U,GMPI))=$SELECT(PL(SUB)="@":"",1:PL(SUB))
SET DIFFRENT=1
End DoDot:1
if $DATA(GMPQUIT)
QUIT
+55 if $DATA(GMPQUIT)
QUIT
+56 IF +GMPFLD(1.07)
IF GMPFLD(1.07)<GMPFLD(.13)
SET PLY(0)="Date Resolved cannot be prior to Date of Onset"
QUIT
+57 IF +GMPFLD(1.09)
IF GMPFLD(1.09)<GMPFLD(.13)
SET PLY(0)="Date Recorded cannot be prior to Date of Onset"
QUIT
+58 IF $PIECE($GET(PL("NARRATIVE")),U,1)=-1
SET PLY(0)="Invalid Provider Narrative"
QUIT
+59 if $LENGTH($GET(PL("NARRATIVE")))
SET GMPFLD(.05)=U_PL("NARRATIVE")
SET DIFFRENT=1
+60 if $LENGTH($GET(PL("COMMENT")))
SET GMPFLD(10,"NEW",1)=$EXTRACT(PL("COMMENT"),1,60)
SET DIFFRENT=1
+61 if $DATA(DIFFRENT)
DO EN^GMPLSAVE
SET PLY=GMPIFN
SET PLY(0)=""
+62 QUIT
