GMRAUTL2 ;SLC/DAN - New style index utilities, update utility for 120.8 ;11/20/12 08:09
;;4.0;Adverse Reaction Tracking;**23,36,41,45,47**;Mar 29, 1996;Build 21
;DBIA Section
;%ZTLOAD - 10063
;DIE - 10018
;FILE^DIE - 2053
;UPDATE^DIE - 2053
;DIQ - 2056
;ORCHECK - 4859
;ORKCHK - 4135
;ORQOR2 - 3458
;ORX8 - 2467
;PSN50P41 - 4531
;PSN50P65 - 4543
;XLFDT - 10103
;XTID - 4631
;
N GMRAI,GMRAC,ENTRY
Q:$G(X1(1))=$G(X2(1)) ;Entry unchanged
S ENTRY=DA(1)_";GMRD(120.82,"_"^"_$P(^GMRD(120.82,DA(1),0),"^")
I $G(X1(1))>0,$G(X2(1))>0 S:$G(GMRAT)="ING" GMRAI("D",X1(1))="",GMRAI("A",X2(1))="" S:$G(GMRAT)="CLASS" GMRAC("D",X1(1))="",GMRAC("A",X2(1))="" ;Edited existing entry
I $G(X1(1))>0,$G(X2(1))="" S:$G(GMRAT)="ING" GMRAI("D",X1(1))="" S:$G(GMRAT)="CLASS" GMRAC("D",X1(1))="" ;Entry deleted
I $G(X1(1))="",$G(X2(1))>0 S:$G(GMRAT)="ING" GMRAI("A",X2(1))="" S:$G(GMRAT)="CLASS" GMRAC("A",X2(1))="" ;New entry
D QUP ;Queue updating of existing entries and order checking
Q
;
QUP ;Queue the update
N ZTRTN,ZTIO,ZTDTH,ZTDESC,ZTSAVE
S ZTRTN="UPDATE^GMRAUTL2(ENTRY,.GMRAI,.GMRAC)",ZTIO="GMRA UPDATE RESOURCE",ZTDTH=$H,ZTDESC="Update existing allergies",ZTSAVE("*")="" D ^%ZTLOAD Q
;
UPDATE(ENTRY,ING,CLASS) ;Update existing entries in 120.8 with new information.
;Entry is IEN;File reference^Text of file entry - 6;GMRD(120.82,^STRAWBERRIES
;ING - Array of ingredients - "A",IEN for those to be added and "D",IEN for those to be deleted
;CLASS - Array of drug classes - "A",IEN for those to be added and "D",IEN for those to be deleted
;
N ALLERGY,POINTER,ACTION,SUB,SUBI,SUBC,DFN,GMRAS,GMRACOM,UPDATED
S ALLERGY=$P(ENTRY,"^",2) Q:ALLERGY=""
S POINTER=$P(ENTRY,"^") Q:POINTER=""
S SUB=0 F S SUB=$O(^GMR(120.8,"C",ALLERGY,SUB)) Q:'+SUB D
.S DFN=$P(^GMR(120.8,SUB,0),U)
.Q:$$DECEASED^GMRAFX(DFN) ;Don't update if patient is deceased
.Q:$P(^GMR(120.8,SUB,0),"^",3)'=POINTER ;Same text name but not the same entry
.Q:$G(^GMR(120.8,SUB,"ER"))>0 ;Entered in error
.S GMRACOM=0
.F ACTION="A","D" D
..S SUBI=0 F S SUBI=$O(ING(ACTION,SUBI)) Q:'+SUBI D
...I ACTION="A" D ADD("I",SUB,SUBI,.GMRAS) I $G(GMRAS) S ING(ACTION,SUBI)=1,GMRACOM=1,UPDATED(DFN)=""
...I ACTION="D" D DEL("I",SUB,SUBI,.GMRAS) I $G(GMRAS) S ING(ACTION,SUBI)=1,GMRACOM=1
..S SUBC=0 F S SUBC=$O(CLASS(ACTION,SUBC)) Q:'+SUBC D
...I ACTION="A" D ADD("C",SUB,SUBC,.GMRAS) I $G(GMRAS) S CLASS(ACTION,SUBC)=1,UPDATED(DFN)="",GMRACOM=1
...I ACTION="D" D DEL("C",SUB,SUBC,.GMRAS) I $G(GMRAS) S GMRACOM=1,CLASS(ACTION,SUBC)=1
.I $G(GMRACOM) D ADDCOM
I $D(UPDATED) D CHKORD ;New order checks now?
Q
;
ADD(TYPE,ALENT,SUBENT,GMRAS) ;Adds entry to appropriate multiple
N FILE,FDA,EM
S GMRAS=1
I $D(^GMR(120.8,ALENT,$S(TYPE="I":2,1:3),"B",SUBENT)) S GMRAS=0 Q ;Entry already exists
L +^GMR(120.8,ALENT):20 I '$T Q
S FILE=$S(TYPE="I":120.802,1:120.803)
S FDA(FILE,"+1,"_ALENT_",",.01)=SUBENT
D UPDATE^DIE("","FDA",,"EM")
L -^GMR(120.8,ALENT)
Q
;
DEL(TYPE,ALENT,SUBENT,GMRAS) ;Delete entry from multiple
N FILE,FDA,EM,ENTRY
S GMRAS=1
I '$D(^GMR(120.8,ALENT,$S(TYPE="I":2,1:3),"B",SUBENT)) S GMRAS=0 Q ;No entry to delete
L +^GMR(120.8,ALENT):20 I '$T Q
S ENTRY=$O(^GMR(120.8,ALENT,$S(TYPE="I":2,1:3),"B",SUBENT,0)) Q:'+ENTRY
S FILE=$S(TYPE="I":120.802,1:120.803)
S FDA(FILE,ENTRY_","_ALENT_",",.01)="@"
D FILE^DIE("","FDA","EM")
L -^GMR(120.8,ALENT)
Q
;
CHKORD ;Check for orders that are now in conflict with existing allergy data
N TIME,GMRAOC,ORX,SUB,GMRAORX,GI,CNT,DFN
Q:'+$G(DUZ) ;Don't check if no valid user to send data to
K ^TMP("ORR",$J),^TMP($J,"ERR")
S DFN=0 F S DFN=$O(UPDATED(DFN)) Q:'+DFN D
.D EN^ORQ1(DFN_";DPT(") ;Retrieve active orders
.S TIME=$O(^TMP("ORR",$J,0))
.Q:'^TMP("ORR",$J,TIME,"TOT") ;No orders found
.S SUB=0 F S SUB=$O(^TMP("ORR",$J,TIME,SUB)) Q:'+SUB D
..D BLD^ORCHECK(+^TMP("ORR",$J,TIME,SUB)) ;Get "order" information in order checking format
.M GMRAORX=ORX K ORX,GMRAOC
.N ORDODSG S ORDODSG=0
.D EN^ORKCHK(.GMRAOC,DFN,.GMRAORX,"ACCEPT",,.ORDODSG)
.S GI=0,CNT=0 F S GI=$O(GMRAOC(GI)) Q:'+GI D
..Q:$P(GMRAOC(GI),U,2)'=3 ;Quit if not allergy related
..;Q:$D(^OR(100,$P(GMRAOC(GI),U),9,"B",3)) ;Quit if existing allergy order check, can't be for this new information
..Q:$$ANYARTOC^GMRAUTL2($P(GMRAOC(GI),U)) ;Quit if existing allergy order check, can't be for this new information
..S CNT=CNT+1,^TMP($J,"ERR",DFN,CNT)=$P($$STATUS^ORQOR2($P(GMRAOC(GI),U)),U,2)_" order for "_$P($$OI^ORX8($P(GMRAOC(GI),U)),U,2)_",order #"_$P(GMRAOC(GI),U)
.K GMRAORX ;Remove previous list of orders
D MAIL K ^TMP("ORR",$J),^TMP($J,"ERR")
Q
;
ANYARTOC(GMRAIFN) ;check order to see if there are any allergy order checks
N GMRARET,GMRAI
S GMRARET=0
K ^TMP($J,"GMRAOC")
D OCAPI^ORCHECK(+GMRAIFN,"GMRAOC")
S GMRAI=0 F S GMRAI=$O(^TMP($J,"GMRAOC",GMRAI)) Q:'GMRAI I $G(^TMP($J,"GMRAOC",GMRAI,"OC NUMBER"))=3 S GMRARET=1
K ^TMP($J,"GMRAOC")
Q GMRARET
ADDCOM ;Add comment to updated allergy indicating changes
D ADDCOM^GMRAUTL3 ;41 Moved section due to space considerations
Q
;
MAIL ;Send message containing potential order checks to user.
N XMSUB,XMTEXT,XMDUZ,XMY,XMZ,CNT,SUB,ERR,TYPE,NUM
Q:'$D(^TMP($J,"ERR")) ;Nothing to report
K ^TMP($J,"TEXT"),^TMP($J,"GMRAINFO") ;41 Clear out storage area
S XMDUZ="Allergy auto-update program"
S XMY($G(DUZ,.5))="" ;Send to user who initiated change or postmaster
S XMY("G.GMRA REQUEST NEW REACTANT")="" ;Include mail group to be sure someone gets this message
S CNT=1
S ^TMP($J,"TEXT",CNT)="The "_$P(ENTRY,U,2)_" reactant was updated.",CNT=CNT+1
S ^TMP($J,"TEXT",CNT)="The following drug classes and/or drug ingredients were added:",CNT=CNT+1,^TMP($J,"TEXT",CNT)="",CNT=CNT+1
F TYPE="GMRAI","GMRAC" D
.I $D(@(TYPE)) D
..S ^TMP($J,"TEXT",CNT)=$S(TYPE="GMRAI":"Ingredients",1:"Classes")_": ",CNT=CNT+1
..S NUM=0 F S NUM=$O(@TYPE@("A",NUM)) Q:'+NUM S ^TMP($J,"TEXT",CNT)=$G(^TMP($J,"TEXT",CNT))_$S($L($G(^TMP($J,"TEXT",CNT))):",",1:"") D ;41 added call for data in structure below
...I TYPE="GMRAI" D ZERO^PSN50P41(NUM,,$$DT^XLFDT,"GMRAINFO") ;41 ingredient call
...I TYPE="GMRAC" D C^PSN50P65(NUM,,"GMRAINFO") ;41 drug class call
...S ^TMP($J,"TEXT",CNT)=^TMP($J,"TEXT",CNT)_$G(^TMP($J,"GMRAINFO",NUM,.01)) ;41 add data
..S CNT=CNT+1,^TMP($J,"TEXT",CNT)="",CNT=CNT+1
S ^TMP($J,"TEXT",CNT)="As a result of the update the following patients have drug-allergy",CNT=CNT+1
S ^TMP($J,"TEXT",CNT)="interactions that need to be reviewed to ensure the patient's safety.",CNT=CNT+1
S SUB=0 F S SUB=$O(^TMP($J,"ERR",SUB)) Q:'+SUB D
.S ^TMP($J,"TEXT",CNT)="",CNT=CNT+1
.S ^TMP($J,"TEXT",CNT)=$$GET1^DIQ(2,SUB_",",.01),CNT=CNT+1
.S ERR=0 F S ERR=$O(^TMP($J,"ERR",SUB,ERR)) Q:'+ERR S ^TMP($J,"TEXT",CNT)=" "_^TMP($J,"ERR",SUB,ERR),CNT=CNT+1
S XMTEXT="^TMP($J,""TEXT"",",XMSUB="Potential order checks from allergy update"
D ^XMD
K ^TMP($J,"TEXT")
Q
;
TOP10 ;Check top 10 reactions after push of file 120.83
N SUB,REAC,REACNO,ARRAY,SUBNM,REACNM,GMRATXT,XMSUB,XMTEXT,XMDUZ,XMY,DIFROM,CNT
I '$L($T(SCREEN^XTID)) Q ;No screening code so quit
S SUB=0 F S SUB=$O(^GMRD(120.84,SUB)) Q:'+SUB I $D(^GMRD(120.84,SUB,1)) D
.S REAC=0 F S REAC=$O(^GMRD(120.84,SUB,1,REAC)) Q:'+REAC D
..S REACNO=$P(^GMRD(120.84,SUB,1,REAC,0),U) Q:'+REACNO
..I $$SCREEN^XTID(120.83,.01,REACNO_",") D
...S SUBNM=$P(^GMRD(120.84,SUB,0),U),REACNM=$P(^GMRD(120.83,REACNO,0),U)
...S ARRAY(SUBNM,REACNM)=""
I $D(ARRAY) D
.S XMDUZ="Data Standardization update of file 120.83",XMY("G.GMRA REQUEST NEW REACTANT")=""
.S GMRATXT(1)="The signs/symptoms file has been automatically updated. You're receiving"
.S GMRATXT(2)="this message because one or more signs/symptoms was inactivated during this"
.S GMRATXT(3)="update and the term(s) appear in your top ten list and must be replaced."
.S GMRATXT(4)="Below you will find the name of the site parameter and the terms that are now"
.S GMRATXT(5)="inactive for that entry. Use the Enter/Edit Site Parameters [GMRA SITE FILE]"
.S GMRATXT(6)="option to find and replace these terms."
.S GMRATXT(7)=""
.S CNT=7
.S SUB="" F S SUB=$O(ARRAY(SUB)) Q:SUB="" S CNT=CNT+1,GMRATXT(CNT)="Site parameter: "_SUB D S CNT=CNT+1,GMRATXT(CNT)=""
..S REAC="" F S REAC=$O(ARRAY(SUB,REAC)) Q:REAC="" S CNT=CNT+1,GMRATXT(CNT)="Term: "_REAC
.S XMTEXT="GMRATXT(",XMSUB="Signs/symptoms require updating"
.D ^XMD
Q
;
QREACT ;Queue name update, called from "AC" xref in file 120.82. Entire section added in patch 23
N OTERM,NTERM,ZTRTN,ZTDTH,ZTIO,ZTDESC
Q:X1(1)=""!(X2(1)="") ;Entry is new or has been deleted, no updating required
Q:X1(1)=X2(1) ;Entry has been updated to same value, no updating required
S OTERM=X1(1),NTERM=X2(1)
S ZTRTN="REACT^GMRAUTL2",ZTIO="GMRA UPDATE RESOURCE",ZTDTH=$H,ZTDESC="UPDATE REACTANT FIELD IN 120.8",ZTSAVE("*")="" D ^%ZTLOAD
Q
;
REACT ;Update REACTANT field with name from 120.82. Section added with patch 23
N IEN,FDA,EM,DFN
S IEN=0 F S IEN=$O(^GMR(120.8,"C",OTERM,IEN)) Q:'+IEN D
.S DFN=$P(^GMR(120.8,IEN,0),U)
.Q:$$DECEASED^GMRAFX(DFN) ;Don't update if patient is deceased
.Q:+$G(^GMR(120.8,IEN,"ER")) ;Don't update if entered in error
.L +^GMR(120.8,IEN):20 I '$T Q
.S FDA(120.8,IEN_",",.02)=NTERM
.D FILE^DIE("","FDA","EM")
.L -^GMR(120.8,IEN)
Q
;
QTYPE ;Queue allergy type updates, section added in 36
N ENTRY,ZTRTN,ZTIO,ZTDTH,ZTDESC,ZTSAVE
S ENTRY=DA_";GMRD(120.82,"_"^"_$P(^GMRD(120.82,DA,0),"^")
Q:X1(1)=""!(X2(1)="")
Q:X1(1)=X2(1)
S ZTRTN="TYPE^GMRAUTL2",ZTIO="",ZTDTH=$H,ZTDESC="Allergy type updates",ZTSAVE("*")="" D ^%ZTLOAD
Q
;
TYPE ;Find related entries in 120.8 and update, section added in 36
N ALLERGY,POINTER,DFN,SUB,DR,DIE,DA
S ALLERGY=$P(ENTRY,"^",2) Q:ALLERGY=""
S POINTER=$P(ENTRY,"^") Q:POINTER=""
S SUB=0 F S SUB=$O(^GMR(120.8,"C",ALLERGY,SUB)) Q:'+SUB D
.Q:$P(^GMR(120.8,SUB,0),"^",3)'=POINTER ;Same text name but not the same entry
.S DFN=$P(^GMR(120.8,SUB,0),U)
.Q:$$DECEASED^GMRAFX(DFN) ;Don't update if patient is deceased
.Q:$G(^GMR(120.8,SUB,"ER"))>0 ;Entered in error
.S DR="3.1///"_X2(1),DIE=120.8,DA=SUB D ^DIE ;Update allergy type
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HGMRAUTL2 10353 printed Mar 13, 2025@20:45:20 Page 2
GMRAUTL2 ;SLC/DAN - New style index utilities, update utility for 120.8 ;11/20/12 08:09
+1 ;;4.0;Adverse Reaction Tracking;**23,36,41,45,47**;Mar 29, 1996;Build 21
+2 ;DBIA Section
+3 ;%ZTLOAD - 10063
+4 ;DIE - 10018
+5 ;FILE^DIE - 2053
+6 ;UPDATE^DIE - 2053
+7 ;DIQ - 2056
+8 ;ORCHECK - 4859
+9 ;ORKCHK - 4135
+10 ;ORQOR2 - 3458
+11 ;ORX8 - 2467
+12 ;PSN50P41 - 4531
+13 ;PSN50P65 - 4543
+14 ;XLFDT - 10103
+15 ;XTID - 4631
+16 ;
+17 NEW GMRAI,GMRAC,ENTRY
+18 ;Entry unchanged
if $GET(X1(1))=$GET(X2(1))
QUIT
+19 SET ENTRY=DA(1)_";GMRD(120.82,"_"^"_$PIECE(^GMRD(120.82,DA(1),0),"^")
+20 ;Edited existing entry
IF $GET(X1(1))>0
IF $GET(X2(1))>0
if $GET(GMRAT)="ING"
SET GMRAI("D",X1(1))=""
SET GMRAI("A",X2(1))=""
if $GET(GMRAT)="CLASS"
SET GMRAC("D",X1(1))=""
SET GMRAC("A",X2(1))=""
+21 ;Entry deleted
IF $GET(X1(1))>0
IF $GET(X2(1))=""
if $GET(GMRAT)="ING"
SET GMRAI("D",X1(1))=""
if $GET(GMRAT)="CLASS"
SET GMRAC("D",X1(1))=""
+22 ;New entry
IF $GET(X1(1))=""
IF $GET(X2(1))>0
if $GET(GMRAT)="ING"
SET GMRAI("A",X2(1))=""
if $GET(GMRAT)="CLASS"
SET GMRAC("A",X2(1))=""
+23 ;Queue updating of existing entries and order checking
DO QUP
+24 QUIT
+25 ;
QUP ;Queue the update
+1 NEW ZTRTN,ZTIO,ZTDTH,ZTDESC,ZTSAVE
+2 SET ZTRTN="UPDATE^GMRAUTL2(ENTRY,.GMRAI,.GMRAC)"
SET ZTIO="GMRA UPDATE RESOURCE"
SET ZTDTH=$HOROLOG
SET ZTDESC="Update existing allergies"
SET ZTSAVE("*")=""
DO ^%ZTLOAD
QUIT
+3 ;
UPDATE(ENTRY,ING,CLASS) ;Update existing entries in 120.8 with new information.
+1 ;Entry is IEN;File reference^Text of file entry - 6;GMRD(120.82,^STRAWBERRIES
+2 ;ING - Array of ingredients - "A",IEN for those to be added and "D",IEN for those to be deleted
+3 ;CLASS - Array of drug classes - "A",IEN for those to be added and "D",IEN for those to be deleted
+4 ;
+5 NEW ALLERGY,POINTER,ACTION,SUB,SUBI,SUBC,DFN,GMRAS,GMRACOM,UPDATED
+6 SET ALLERGY=$PIECE(ENTRY,"^",2)
if ALLERGY=""
QUIT
+7 SET POINTER=$PIECE(ENTRY,"^")
if POINTER=""
QUIT
+8 SET SUB=0
FOR
SET SUB=$ORDER(^GMR(120.8,"C",ALLERGY,SUB))
if '+SUB
QUIT
Begin DoDot:1
+9 SET DFN=$PIECE(^GMR(120.8,SUB,0),U)
+10 ;Don't update if patient is deceased
if $$DECEASED^GMRAFX(DFN)
QUIT
+11 ;Same text name but not the same entry
if $PIECE(^GMR(120.8,SUB,0),"^",3)'=POINTER
QUIT
+12 ;Entered in error
if $GET(^GMR(120.8,SUB,"ER"))>0
QUIT
+13 SET GMRACOM=0
+14 FOR ACTION="A","D"
Begin DoDot:2
+15 SET SUBI=0
FOR
SET SUBI=$ORDER(ING(ACTION,SUBI))
if '+SUBI
QUIT
Begin DoDot:3
+16 IF ACTION="A"
DO ADD("I",SUB,SUBI,.GMRAS)
IF $GET(GMRAS)
SET ING(ACTION,SUBI)=1
SET GMRACOM=1
SET UPDATED(DFN)=""
+17 IF ACTION="D"
DO DEL("I",SUB,SUBI,.GMRAS)
IF $GET(GMRAS)
SET ING(ACTION,SUBI)=1
SET GMRACOM=1
End DoDot:3
+18 SET SUBC=0
FOR
SET SUBC=$ORDER(CLASS(ACTION,SUBC))
if '+SUBC
QUIT
Begin DoDot:3
+19 IF ACTION="A"
DO ADD("C",SUB,SUBC,.GMRAS)
IF $GET(GMRAS)
SET CLASS(ACTION,SUBC)=1
SET UPDATED(DFN)=""
SET GMRACOM=1
+20 IF ACTION="D"
DO DEL("C",SUB,SUBC,.GMRAS)
IF $GET(GMRAS)
SET GMRACOM=1
SET CLASS(ACTION,SUBC)=1
End DoDot:3
End DoDot:2
+21 IF $GET(GMRACOM)
DO ADDCOM
End DoDot:1
+22 ;New order checks now?
IF $DATA(UPDATED)
DO CHKORD
+23 QUIT
+24 ;
ADD(TYPE,ALENT,SUBENT,GMRAS) ;Adds entry to appropriate multiple
+1 NEW FILE,FDA,EM
+2 SET GMRAS=1
+3 ;Entry already exists
IF $DATA(^GMR(120.8,ALENT,$SELECT(TYPE="I":2,1:3),"B",SUBENT))
SET GMRAS=0
QUIT
+4 LOCK +^GMR(120.8,ALENT):20
IF '$TEST
QUIT
+5 SET FILE=$SELECT(TYPE="I":120.802,1:120.803)
+6 SET FDA(FILE,"+1,"_ALENT_",",.01)=SUBENT
+7 DO UPDATE^DIE("","FDA",,"EM")
+8 LOCK -^GMR(120.8,ALENT)
+9 QUIT
+10 ;
DEL(TYPE,ALENT,SUBENT,GMRAS) ;Delete entry from multiple
+1 NEW FILE,FDA,EM,ENTRY
+2 SET GMRAS=1
+3 ;No entry to delete
IF '$DATA(^GMR(120.8,ALENT,$SELECT(TYPE="I":2,1:3),"B",SUBENT))
SET GMRAS=0
QUIT
+4 LOCK +^GMR(120.8,ALENT):20
IF '$TEST
QUIT
+5 SET ENTRY=$ORDER(^GMR(120.8,ALENT,$SELECT(TYPE="I":2,1:3),"B",SUBENT,0))
if '+ENTRY
QUIT
+6 SET FILE=$SELECT(TYPE="I":120.802,1:120.803)
+7 SET FDA(FILE,ENTRY_","_ALENT_",",.01)="@"
+8 DO FILE^DIE("","FDA","EM")
+9 LOCK -^GMR(120.8,ALENT)
+10 QUIT
+11 ;
CHKORD ;Check for orders that are now in conflict with existing allergy data
+1 NEW TIME,GMRAOC,ORX,SUB,GMRAORX,GI,CNT,DFN
+2 ;Don't check if no valid user to send data to
if '+$GET(DUZ)
QUIT
+3 KILL ^TMP("ORR",$JOB),^TMP($JOB,"ERR")
+4 SET DFN=0
FOR
SET DFN=$ORDER(UPDATED(DFN))
if '+DFN
QUIT
Begin DoDot:1
+5 ;Retrieve active orders
DO EN^ORQ1(DFN_";DPT(")
+6 SET TIME=$ORDER(^TMP("ORR",$JOB,0))
+7 ;No orders found
if '^TMP("ORR",$JOB,TIME,"TOT")
QUIT
+8 SET SUB=0
FOR
SET SUB=$ORDER(^TMP("ORR",$JOB,TIME,SUB))
if '+SUB
QUIT
Begin DoDot:2
+9 ;Get "order" information in order checking format
DO BLD^ORCHECK(+^TMP("ORR",$JOB,TIME,SUB))
End DoDot:2
+10 MERGE GMRAORX=ORX
KILL ORX,GMRAOC
+11 NEW ORDODSG
SET ORDODSG=0
+12 DO EN^ORKCHK(.GMRAOC,DFN,.GMRAORX,"ACCEPT",,.ORDODSG)
+13 SET GI=0
SET CNT=0
FOR
SET GI=$ORDER(GMRAOC(GI))
if '+GI
QUIT
Begin DoDot:2
+14 ;Quit if not allergy related
if $PIECE(GMRAOC(GI),U,2)'=3
QUIT
+15 ;Q:$D(^OR(100,$P(GMRAOC(GI),U),9,"B",3)) ;Quit if existing allergy order check, can't be for this new information
+16 ;Quit if existing allergy order check, can't be for this new information
if $$ANYARTOC^GMRAUTL2($PIECE(GMRAOC(GI),U))
QUIT
+17 SET CNT=CNT+1
SET ^TMP($JOB,"ERR",DFN,CNT)=$PIECE($$STATUS^ORQOR2($PIECE(GMRAOC(GI),U)),U,2)_" order for "_$PIECE($$OI^ORX8($PIECE(GMRAOC(GI),U)),U,2)_",order #"_$PIECE(GMRAOC(GI),U)
End DoDot:2
+18 ;Remove previous list of orders
KILL GMRAORX
End DoDot:1
+19 DO MAIL
KILL ^TMP("ORR",$JOB),^TMP($JOB,"ERR")
+20 QUIT
+21 ;
ANYARTOC(GMRAIFN) ;check order to see if there are any allergy order checks
+1 NEW GMRARET,GMRAI
+2 SET GMRARET=0
+3 KILL ^TMP($JOB,"GMRAOC")
+4 DO OCAPI^ORCHECK(+GMRAIFN,"GMRAOC")
+5 SET GMRAI=0
FOR
SET GMRAI=$ORDER(^TMP($JOB,"GMRAOC",GMRAI))
if 'GMRAI
QUIT
IF $GET(^TMP($JOB,"GMRAOC",GMRAI,"OC NUMBER"))=3
SET GMRARET=1
+6 KILL ^TMP($JOB,"GMRAOC")
+7 QUIT GMRARET
ADDCOM ;Add comment to updated allergy indicating changes
+1 ;41 Moved section due to space considerations
DO ADDCOM^GMRAUTL3
+2 QUIT
+3 ;
MAIL ;Send message containing potential order checks to user.
+1 NEW XMSUB,XMTEXT,XMDUZ,XMY,XMZ,CNT,SUB,ERR,TYPE,NUM
+2 ;Nothing to report
if '$DATA(^TMP($JOB,"ERR"))
QUIT
+3 ;41 Clear out storage area
KILL ^TMP($JOB,"TEXT"),^TMP($JOB,"GMRAINFO")
+4 SET XMDUZ="Allergy auto-update program"
+5 ;Send to user who initiated change or postmaster
SET XMY($GET(DUZ,.5))=""
+6 ;Include mail group to be sure someone gets this message
SET XMY("G.GMRA REQUEST NEW REACTANT")=""
+7 SET CNT=1
+8 SET ^TMP($JOB,"TEXT",CNT)="The "_$PIECE(ENTRY,U,2)_" reactant was updated."
SET CNT=CNT+1
+9 SET ^TMP($JOB,"TEXT",CNT)="The following drug classes and/or drug ingredients were added:"
SET CNT=CNT+1
SET ^TMP($JOB,"TEXT",CNT)=""
SET CNT=CNT+1
+10 FOR TYPE="GMRAI","GMRAC"
Begin DoDot:1
+11 IF $DATA(@(TYPE))
Begin DoDot:2
+12 SET ^TMP($JOB,"TEXT",CNT)=$SELECT(TYPE="GMRAI":"Ingredients",1:"Classes")_": "
SET CNT=CNT+1
+13 ;41 added call for data in structure below
SET NUM=0
FOR
SET NUM=$ORDER(@TYPE@("A",NUM))
if '+NUM
QUIT
SET ^TMP($JOB,"TEXT",CNT)=$GET(^TMP($JOB,"TEXT",CNT))_$SELECT($LENGTH($GET(^TMP($JOB,"TEXT",CNT))):",",1:"")
Begin DoDot:3
+14 ;41 ingredient call
IF TYPE="GMRAI"
DO ZERO^PSN50P41(NUM,,$$DT^XLFDT,"GMRAINFO")
+15 ;41 drug class call
IF TYPE="GMRAC"
DO C^PSN50P65(NUM,,"GMRAINFO")
+16 ;41 add data
SET ^TMP($JOB,"TEXT",CNT)=^TMP($JOB,"TEXT",CNT)_$GET(^TMP($JOB,"GMRAINFO",NUM,.01))
End DoDot:3
+17 SET CNT=CNT+1
SET ^TMP($JOB,"TEXT",CNT)=""
SET CNT=CNT+1
End DoDot:2
End DoDot:1
+18 SET ^TMP($JOB,"TEXT",CNT)="As a result of the update the following patients have drug-allergy"
SET CNT=CNT+1
+19 SET ^TMP($JOB,"TEXT",CNT)="interactions that need to be reviewed to ensure the patient's safety."
SET CNT=CNT+1
+20 SET SUB=0
FOR
SET SUB=$ORDER(^TMP($JOB,"ERR",SUB))
if '+SUB
QUIT
Begin DoDot:1
+21 SET ^TMP($JOB,"TEXT",CNT)=""
SET CNT=CNT+1
+22 SET ^TMP($JOB,"TEXT",CNT)=$$GET1^DIQ(2,SUB_",",.01)
SET CNT=CNT+1
+23 SET ERR=0
FOR
SET ERR=$ORDER(^TMP($JOB,"ERR",SUB,ERR))
if '+ERR
QUIT
SET ^TMP($JOB,"TEXT",CNT)=" "_^TMP($JOB,"ERR",SUB,ERR)
SET CNT=CNT+1
End DoDot:1
+24 SET XMTEXT="^TMP($J,""TEXT"","
SET XMSUB="Potential order checks from allergy update"
+25 DO ^XMD
+26 KILL ^TMP($JOB,"TEXT")
+27 QUIT
+28 ;
TOP10 ;Check top 10 reactions after push of file 120.83
+1 NEW SUB,REAC,REACNO,ARRAY,SUBNM,REACNM,GMRATXT,XMSUB,XMTEXT,XMDUZ,XMY,DIFROM,CNT
+2 ;No screening code so quit
IF '$LENGTH($TEXT(SCREEN^XTID))
QUIT
+3 SET SUB=0
FOR
SET SUB=$ORDER(^GMRD(120.84,SUB))
if '+SUB
QUIT
IF $DATA(^GMRD(120.84,SUB,1))
Begin DoDot:1
+4 SET REAC=0
FOR
SET REAC=$ORDER(^GMRD(120.84,SUB,1,REAC))
if '+REAC
QUIT
Begin DoDot:2
+5 SET REACNO=$PIECE(^GMRD(120.84,SUB,1,REAC,0),U)
if '+REACNO
QUIT
+6 IF $$SCREEN^XTID(120.83,.01,REACNO_",")
Begin DoDot:3
+7 SET SUBNM=$PIECE(^GMRD(120.84,SUB,0),U)
SET REACNM=$PIECE(^GMRD(120.83,REACNO,0),U)
+8 SET ARRAY(SUBNM,REACNM)=""
End DoDot:3
End DoDot:2
End DoDot:1
+9 IF $DATA(ARRAY)
Begin DoDot:1
+10 SET XMDUZ="Data Standardization update of file 120.83"
SET XMY("G.GMRA REQUEST NEW REACTANT")=""
+11 SET GMRATXT(1)="The signs/symptoms file has been automatically updated. You're receiving"
+12 SET GMRATXT(2)="this message because one or more signs/symptoms was inactivated during this"
+13 SET GMRATXT(3)="update and the term(s) appear in your top ten list and must be replaced."
+14 SET GMRATXT(4)="Below you will find the name of the site parameter and the terms that are now"
+15 SET GMRATXT(5)="inactive for that entry. Use the Enter/Edit Site Parameters [GMRA SITE FILE]"
+16 SET GMRATXT(6)="option to find and replace these terms."
+17 SET GMRATXT(7)=""
+18 SET CNT=7
+19 SET SUB=""
FOR
SET SUB=$ORDER(ARRAY(SUB))
if SUB=""
QUIT
SET CNT=CNT+1
SET GMRATXT(CNT)="Site parameter: "_SUB
Begin DoDot:2
+20 SET REAC=""
FOR
SET REAC=$ORDER(ARRAY(SUB,REAC))
if REAC=""
QUIT
SET CNT=CNT+1
SET GMRATXT(CNT)="Term: "_REAC
End DoDot:2
SET CNT=CNT+1
SET GMRATXT(CNT)=""
+21 SET XMTEXT="GMRATXT("
SET XMSUB="Signs/symptoms require updating"
+22 DO ^XMD
End DoDot:1
+23 QUIT
+24 ;
QREACT ;Queue name update, called from "AC" xref in file 120.82. Entire section added in patch 23
+1 NEW OTERM,NTERM,ZTRTN,ZTDTH,ZTIO,ZTDESC
+2 ;Entry is new or has been deleted, no updating required
if X1(1)=""!(X2(1)="")
QUIT
+3 ;Entry has been updated to same value, no updating required
if X1(1)=X2(1)
QUIT
+4 SET OTERM=X1(1)
SET NTERM=X2(1)
+5 SET ZTRTN="REACT^GMRAUTL2"
SET ZTIO="GMRA UPDATE RESOURCE"
SET ZTDTH=$HOROLOG
SET ZTDESC="UPDATE REACTANT FIELD IN 120.8"
SET ZTSAVE("*")=""
DO ^%ZTLOAD
+6 QUIT
+7 ;
REACT ;Update REACTANT field with name from 120.82. Section added with patch 23
+1 NEW IEN,FDA,EM,DFN
+2 SET IEN=0
FOR
SET IEN=$ORDER(^GMR(120.8,"C",OTERM,IEN))
if '+IEN
QUIT
Begin DoDot:1
+3 SET DFN=$PIECE(^GMR(120.8,IEN,0),U)
+4 ;Don't update if patient is deceased
if $$DECEASED^GMRAFX(DFN)
QUIT
+5 ;Don't update if entered in error
if +$GET(^GMR(120.8,IEN,"ER"))
QUIT
+6 LOCK +^GMR(120.8,IEN):20
IF '$TEST
QUIT
+7 SET FDA(120.8,IEN_",",.02)=NTERM
+8 DO FILE^DIE("","FDA","EM")
+9 LOCK -^GMR(120.8,IEN)
End DoDot:1
+10 QUIT
+11 ;
QTYPE ;Queue allergy type updates, section added in 36
+1 NEW ENTRY,ZTRTN,ZTIO,ZTDTH,ZTDESC,ZTSAVE
+2 SET ENTRY=DA_";GMRD(120.82,"_"^"_$PIECE(^GMRD(120.82,DA,0),"^")
+3 if X1(1)=""!(X2(1)="")
QUIT
+4 if X1(1)=X2(1)
QUIT
+5 SET ZTRTN="TYPE^GMRAUTL2"
SET ZTIO=""
SET ZTDTH=$HOROLOG
SET ZTDESC="Allergy type updates"
SET ZTSAVE("*")=""
DO ^%ZTLOAD
+6 QUIT
+7 ;
TYPE ;Find related entries in 120.8 and update, section added in 36
+1 NEW ALLERGY,POINTER,DFN,SUB,DR,DIE,DA
+2 SET ALLERGY=$PIECE(ENTRY,"^",2)
if ALLERGY=""
QUIT
+3 SET POINTER=$PIECE(ENTRY,"^")
if POINTER=""
QUIT
+4 SET SUB=0
FOR
SET SUB=$ORDER(^GMR(120.8,"C",ALLERGY,SUB))
if '+SUB
QUIT
Begin DoDot:1
+5 ;Same text name but not the same entry
if $PIECE(^GMR(120.8,SUB,0),"^",3)'=POINTER
QUIT
+6 SET DFN=$PIECE(^GMR(120.8,SUB,0),U)
+7 ;Don't update if patient is deceased
if $$DECEASED^GMRAFX(DFN)
QUIT
+8 ;Entered in error
if $GET(^GMR(120.8,SUB,"ER"))>0
QUIT
+9 ;Update allergy type
SET DR="3.1///"_X2(1)
SET DIE=120.8
SET DA=SUB
DO ^DIE
End DoDot:1
+10 QUIT
