ORALWORD ; SLC/JMH - Utilities for Checking if an order can be ordered ;Apr 21, 2021@10:02:50
;;3.0;ORDER ENTRY/RESULTS REPORTING;**243,427,405,499**;Dec 17, 1997;Build 165
;External reference $$CL^YSCLTST2 controlled by DBIA 4556
;External reference $$OVERRIDE^YSCLTST2 controlled by DBIA 4556
;Reference to ^DIQ supported by DBIA #2056
;Reference to ^PSS50 supported by DBIA #4533
;Reference to $$DEA^XUSER supported by DBIA #2343
;
ALLWORD(ORY,DFN,ORX,ORTYPE,PROV) ;
N OROI,ORYS,QOIEN,QPIEN,ORCLOZ,QOAA,DPKG
S OROI=0
;
;ORTYPE used to determine the type of data coming into the call
;ORYTPE="E" existing order, ORX equal the IEN from file 100 (used with
;copy,edit functionality)
;ORTYPE="Q" Quick Order, ORX equal the IEN from file 101.41
;ORTYPE="N" New order, ORX equal the IEN from file 101.41
;
I ORTYPE="E" S OROI=$G(^OR(100,ORX,.1,1,0)) N ORTXT D TEXT^ORQ12(.ORTXT,ORX) ; ajb added N and TEXT call
I ORTYPE="Q" D
.S QPIEN=$O(^ORD(101.41,"AB","OR GTX ORDERABLE ITEM","")) Q:QPIEN'>0
.S QOIEN=$O(^ORD(101.41,ORX,6,"D",QPIEN,"")) Q:QOIEN'>0
.S OROI=$G(^ORD(101.41,ORX,6,QOIEN,1))
.S QOAA=$P($G(^ORD(101.41,ORX,5)),U,8)
I ORTYPE="N" S OROI=ORX
Q:OROI'>0
; patch 499
N ORZIPOK S ORZIPOK=1 D I 'ORZIPOK Q
. I $G(DLGIEN) S DPKG=$P($G(^ORD(101.41,+DLGIEN,0)),U) I $L(DPKG),(DPKG'["PSO") Q
. D ZIP^ORWDPS11(.ORZIPOK,OROI,"PSO",DFN) I 'ORZIPOK D
. . N COUNT,ORY0 S COUNT=+$O(ORY(""),-1)+1,ORY(COUNT)=$P(ORZIPOK,"^",2)
. . S ORY0="Order Not Placed - Missing Patient Address"
. . S ORY(0)=$S($L($G(ORY(0))):$G(ORY(0))_" | "_ORY0,1:ORY0)
;
S ORY=0
;checks if the orderable item (OROI) is a clozapine med
; if not returns ORY=0
S ORCLOZ=$$ISCLOZ(OROI),ORY=ORY_U_ORCLOZ,ORY(0)=U_ORCLOZ
Q:'ORCLOZ
N ORQUIT
S ORQUIT=0
I '$G(PROV) S PROV=DUZ
I $G(PROV) D ; ajb v32 *405
. N ORDEA,ORKEY S (ORDEA,ORKEY)=0
. I '$L($$DEA^XUSER(,PROV)) S ORDEA=1
. I '$D(^XUSEC("YSCL AUTHORIZED",PROV)) S ORKEY=1
. I +ORDEA!+ORKEY D
. . S ORQUIT=1,ORY=1
. . S ORY(1)="Warning: This CLOZAPINE order will NOT be "_$S(ORTYPE="E":"transferred.",1:"placed.")
. . S ORY(2)=""
. . I +$D(ORTXT) S ORY(3)="" D
. . . N X S X=0 F S X=$O(ORTXT(X)) Q:'+X S ORY(3)=ORY(3)_ORTXT(X)
. . S:$G(ORY(3))'="" ORY(4)=""
. . S ORY(5)="You are NOT authorized to place CLOZAPINE orders."
. . S ORY(6)=""
. . S ORY(7)="Reason: "_$S(+ORDEA&+ORKEY:"You do not have a DEA# and missing key YSCL AUTHORIZED.",+ORDEA:"You do not have a DEA#.",1:"You are missing key YSCL AUTHORIZED.")
. . S ORY(8)=""
. . S ORY(9)="Contact your Pharmacy for more information about the authorization requirements for ordering CLOZAPINE."
. . N ORMSG D GETWP^XPAR(.ORMSG,"SYS","OR CPRS CLOZAPINE CUSTOM MSG")
. . I +$D(ORMSG) S ORMSG=0 F S ORMSG=$O(ORMSG(ORMSG)) Q:'+ORMSG S ORY(8+ORMSG)=ORMSG(ORMSG,0) ; replace ORY(9) with custom message line(s)
. . ;S ORY(1)="*** You are not authorized to place Clozapine orders."
. . ;S ORY(2)="You must have a DEA#. Please contact your"
. . ;S ORY(3)="CAC or IRM for more information. ***"
. . ;S ORY(1)="*** You are not authorized to place Clozapine orders."
. . ;S ORY(2)="You must hold key YSCL AUTHORIZED. Please contact your"
. . ;S ORY(3)="CAC or IRM for more information on this key. ***"
Q:ORQUIT
; if is a cloz med , check if patient (DFN) can have a clozapine med
S ORYS=$$CL^YSCLTST2(DFN)
; if yes returns ORY=0
I +ORYS>0 D BEFQUIT Q
; if no
; returns
; ORY=1
; ORY(0)=CAPTION FOR DIALOG BOX
; ORY(1-N)=MESSAGE TO DISPLAY
S ORY=1_U_ORCLOZ,ORY(0)="Problem Ordering Clozapine Related Medication"_U_ORCLOZ
;patient not in clozapine patient program
;; START NCC REMEDIATION >> 427*RJS
I +ORYS<0 D Q
.S ORY(1)="*** This patient is not registered in the clozapine treatment "
.S ORY(2)="program or has been discontinued from the program. A new"
.S ORY(3)="registration number must be assigned. If this is not an emergency,"
.S ORY(4)="contact the NCCC. For emergency registration during non-NCCC duty"
.S ORY(5)="hours, a written order to the pharmacist can be used to process a"
.S ORY(6)="registration override. ***"
;problem with lab tests
I +ORYS=0 D Q
.I $$OVERRIDE^YSCLTST2(DFN) S ORY=0_U_ORCLOZ,ORY(0)=U_ORCLOZ D BEFQUIT Q ;override allowed
.I +$P(ORYS,"^",2),$P(ORYS,"^",4)<1000 D
..N COUNT S COUNT=0
..S COUNT=COUNT+1,ORY(COUNT)="*** This clozapine drug may not be dispensed to the patient at this "
..S COUNT=COUNT+1,ORY(COUNT)="time based on the available lab tests related to the clozapine "
..S COUNT=COUNT+1,ORY(COUNT)="treatment program. Please contact the NCCC to request an override in"
..S COUNT=COUNT+1,ORY(COUNT)="order to proceed with dispensing this drug. ***"
..D DISPRSLT
.I '$P(ORYS,U,2),$P(ORYS,U,4) D
..N COUNT S COUNT=0
..S COUNT=COUNT+1,ORY(COUNT)="*** Permission to dispense clozapine has been denied based on the available"
..S COUNT=COUNT+1,ORY(COUNT)="lab tests related to the clozapine treatment program.***"
..S COUNT=COUNT+1,ORY(COUNT)=""
..S COUNT=COUNT+1,ORY(COUNT)="The latest lab test results drawn in the past 7 days have ANC results but no"
..S COUNT=COUNT+1,ORY(COUNT)="matching WBC. Redo the lab tests or contact the NCCC for a National Override"
..S COUNT=COUNT+1,ORY(COUNT)="to dispense clozapine with no matching WBC results."
..D DISPRSLT
.I '+$P(ORYS,"^",4) D MSG
Q
MSG ;
N COUNT S COUNT=0
S COUNT=COUNT+1,ORY(COUNT)="*** Permission to dispense clozapine has been denied based on the"
S COUNT=COUNT+1,ORY(COUNT)="available lab tests related to the clozapine treatment program. ***"
S COUNT=COUNT+1,ORY(COUNT)=""
I $P($G(X0),U)["PSJ" D DISPRSLT S COUNT=COUNT+1,ORY(COUNT)=""
S COUNT=COUNT+1,ORY(COUNT)="For a National Override to dispense at the patient's normal"
S COUNT=COUNT+1,ORY(COUNT)="frequency, contact the NCCC."
S COUNT=COUNT+1,ORY(COUNT)=""
D:$D(X0) ;; NCC REMEDIATION << 427 RTW Special Conditions selections for outpatient and inpatient RTW
.I $P(X0,U,1)["PSO" D
..S COUNT=COUNT+1,ORY(COUNT)="A local emergency override for an Outpatient can be approved for:"
..S COUNT=COUNT+1,ORY(COUNT)="(1) weather-related conditions, (2) mail order delays of clozapine,"
..S COUNT=COUNT+1,ORY(COUNT)="or (3) inpatient going on leave."
..S COUNT=COUNT+1,ORY(COUNT)=""
..S COUNT=COUNT+1,ORY(COUNT)="For an Outpatient Special Conditions Local Override, a written prescription from"
..S COUNT=COUNT+1,ORY(COUNT)="the provider with documentation to the pharmacist is required to dispense"
..S COUNT=COUNT+1,ORY(COUNT)="a one-time emergency 4-day supply."
.I $P(X0,U,1)["PSJ" D
..S COUNT=COUNT+1,ORY(COUNT)="A local emergency override for an Inpatient can be approved for:"
..S COUNT=COUNT+1,ORY(COUNT)="IP Order Override with Outside Lab Results"
..S COUNT=COUNT+1,ORY(COUNT)=""
..S COUNT=COUNT+1,ORY(COUNT)="For a Special Conditions Local Override, a written order from"
..S COUNT=COUNT+1,ORY(COUNT)="the provider with documentation to the pharmacist is required to"
..S COUNT=COUNT+1,ORY(COUNT)="dispense a one-time 4-day supply."
..S COUNT=COUNT+1,ORY(COUNT)=""
..S COUNT=COUNT+1,ORY(COUNT)="The provider must record the ANC from another facility including date/time in both the Provider Progress Note and Comment field in CPRS."
Q
DISPRSLT ; Display Lab Tests
S COUNT=COUNT+1,ORY(COUNT)="Related Lab Test(s)"
S COUNT=COUNT+1,ORY(COUNT)="==================="
I $L($P(ORYS,U,3)) S COUNT=COUNT+1,ORY(COUNT)="WBC: "_($P(ORYS,U,2)/1000)_" K/cmm"
E S COUNT=COUNT+1,ORY(COUNT)="WBC: NO TEST RESULTS FOUND"
I $L($P(ORYS,U,5)) S COUNT=COUNT+1,ORY(COUNT)="ANC: "_($P(ORYS,U,4)/1000)_" K/cmm"
E S COUNT=COUNT+1,ORY(COUNT)="ANC: NO TEST RESULTS FOUND"
S COUNT=COUNT+1,ORY(COUNT)="Date/Time of last tests: "_$$DATE^ORU($P(ORYS,U,6))
Q
;; END NCC REMEDIATION << 427*RTW
BEFQUIT ;
Q:'$G(QOAA)
N QODS,QORF,ORMAX,ORCLPAT
S QODS=$O(^ORD(101.41,"AB","OR GTX DAYS SUPPLY","")) Q:QODS'>0
S QODS=$O(^ORD(101.41,ORX,6,"D",QODS,"")) Q:QOIEN'>0
S QODS=$G(^ORD(101.41,ORX,6,QODS,1))
S QORF=$O(^ORD(101.41,"AB","OR GTX REFILLS","")) Q:QORF'>0
S QORF=$O(^ORD(101.41,ORX,6,"D",QORF,"")) Q:QOIEN'>0
S QORF=$G(^ORD(101.41,ORX,6,QORF,1))
S QORF=QORF+1
S ORCLPAT=$P(ORYS,U,7)
S ORMAX=$S(ORYS="M":28,ORYS="B":14,ORYS="W":7,1:90)
I QORF*QODS>ORMAX D
.K ORY
.S ORY=1_U_ORCLOZ,ORY(0)="Problem Ordering Clozapine Related Medication"_U_ORCLOZ
.S ORY(1)="*** This patient is only allowed an order with a maximum Days Supply of "_ORMAX_"."
.S ORY(2)="This includes the amounts added by any refills entered in with the order also."
Q
ISCLOZ(OROI) ;
N ORPSOI,ORPSDRUG,ISCLOZ
S ORPSOI=$$GET1^DIQ(101.43,OROI,2)
I $P(ORPSOI,";",2)'="99PSP" Q 0
K ^TMP($J,"ORCLOZ")
D ASP^PSS50(+ORPSOI,,,"ORCLOZ")
S (ORPSDRUG,ISCLOZ)=0
F S ORPSDRUG=$O(^TMP($J,"ORCLOZ",ORPSDRUG)) Q:'ORPSDRUG D Q:ISCLOZ
.K ^TMP($J,"ORCLOZ2")
.D CLOZ^PSS50(ORPSDRUG,,,,,"ORCLOZ2")
.I $G(^TMP($J,"ORCLOZ2",ORPSDRUG,"CLOZ",0))>0 S ISCLOZ=1
K ^TMP($J,"ORCLOZ"),^TMP($J,"ORCLOZ2")
Q ISCLOZ
ALLWRN(ORY,ORN,REFILLS) ;allow order to be renewed
;ORN is the order number
;REFILLS is the number of refills to be included with the renewed order
N ORDS,ORQT,ORUPD,ORSCH,ORDUR,ORDFN,ORDRG,OROI,ORMAXDS,ORMAXQT,ORCLOZ,ORREF,ORMAXREF
;default return 1 (ORY=1 means allow renew)
S ORY=1
;get DFN (ORDFN)
S ORDFN=+$P(^OR(100,ORN,0),U,2)
Q:'ORDFN
;get if order is a clozapine order (ORCLOZ)
S OROI=$G(^OR(100,ORN,.1,1,0)) Q:'OROI
S ORCLOZ=$$ISCLOZ(OROI)
;quit if order is not clozapine
I 'ORCLOZ Q
;get schedule from order (ORSCH)
S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","SCHEDULE",0)),1))
;get units per dose from order (ORUPD)
S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","DOSE",0)),1))
S ORSCH=$P(ORSCH,"&",3)
;get duration from order (ORDUR)
I '$O(^OR(100,ORN,4.5,"ID","DURATION",0)) S ORDUR="~^"
E S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","DURATION",0)),1))
;get days supply from order (ORDS)
S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","SUPPLY",0)),1))
;get drug (ptr50) from order (ORDRG)
S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","DRUG",0)),1))
;get refills from order (ORREF)
S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","REFILLS",0)),1))
;get quantity from order (ORQT)
S ORSCH=$G(^OR(100,ORN,4.5,$O(^OR(100,ORN,4.5,"ID","QTY",0)),1))
;get max days supply for order (ORMAXDS)
S ORMAXDS=$$DEFSPLY^ORWDPS1(ORDFN)
;if ds from order is > max ds return 0 (ORY=0)
I ORDS>ORMAXDS D Q
.S ORY=0
.S ORY(0)="Problem Renewing Clozapine Related Medication"_U_ORCLOZ
.S ORY(1)="The Days Supply set for this order is greater than the Max Days Supply"
.S ORY(2)=" allowed for this patient."
;get max quantity for order (ORMAXQT)
D DAY2QTY^ORWDPS2(.ORMAXQT,ORDS,ORUPD,ORSCH,ORDUR,ORDFN,ORDRG)
;if qt from order is > max qt return 0 (ORY=0)
I ORQT>ORMAXQT D Q
.S ORY=0
.S ORY(0)="Problem Renewing Clozapine Related Medication"_U_ORCLOZ
.S ORY(1)="The Quantity set for this order is greater than the Max Quantity"
.S ORY(2)=" allowed for this patient."
;get max refills for order (ORMAXREF)
D MAXREF^ORWDPS2(.ORMAXREF,ORDFN,ORDRG,ORDS,OROI,1)
;if refill from order is > max refills return 0 (ORY=0)
I ORREF>ORMAXREF D Q
.S ORY=0
.S ORY(0)="Problem Renewing Clozapine Related Medication"_U_ORCLOZ
.S ORY(1)="The Refills field set for this order is greater than the Refills"
.S ORY(2)=" allowed for this patient with the order having a Days Supply "
.S ORY(3)=" of "_ORDS_"."
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HORALWORD 11655 printed Oct 16, 2024@18:27:32 Page 2
ORALWORD ; SLC/JMH - Utilities for Checking if an order can be ordered ;Apr 21, 2021@10:02:50
+1 ;;3.0;ORDER ENTRY/RESULTS REPORTING;**243,427,405,499**;Dec 17, 1997;Build 165
+2 ;External reference $$CL^YSCLTST2 controlled by DBIA 4556
+3 ;External reference $$OVERRIDE^YSCLTST2 controlled by DBIA 4556
+4 ;Reference to ^DIQ supported by DBIA #2056
+5 ;Reference to ^PSS50 supported by DBIA #4533
+6 ;Reference to $$DEA^XUSER supported by DBIA #2343
+7 ;
ALLWORD(ORY,DFN,ORX,ORTYPE,PROV) ;
+1 NEW OROI,ORYS,QOIEN,QPIEN,ORCLOZ,QOAA,DPKG
+2 SET OROI=0
+3 ;
+4 ;ORTYPE used to determine the type of data coming into the call
+5 ;ORYTPE="E" existing order, ORX equal the IEN from file 100 (used with
+6 ;copy,edit functionality)
+7 ;ORTYPE="Q" Quick Order, ORX equal the IEN from file 101.41
+8 ;ORTYPE="N" New order, ORX equal the IEN from file 101.41
+9 ;
+10 ; ajb added N and TEXT call
IF ORTYPE="E"
SET OROI=$GET(^OR(100,ORX,.1,1,0))
NEW ORTXT
DO TEXT^ORQ12(.ORTXT,ORX)
+11 IF ORTYPE="Q"
Begin DoDot:1
+12 SET QPIEN=$ORDER(^ORD(101.41,"AB","OR GTX ORDERABLE ITEM",""))
if QPIEN'>0
QUIT
+13 SET QOIEN=$ORDER(^ORD(101.41,ORX,6,"D",QPIEN,""))
if QOIEN'>0
QUIT
+14 SET OROI=$GET(^ORD(101.41,ORX,6,QOIEN,1))
+15 SET QOAA=$PIECE($GET(^ORD(101.41,ORX,5)),U,8)
End DoDot:1
+16 IF ORTYPE="N"
SET OROI=ORX
+17 if OROI'>0
QUIT
+18 ; patch 499
+19 NEW ORZIPOK
SET ORZIPOK=1
Begin DoDot:1
+20 IF $GET(DLGIEN)
SET DPKG=$PIECE($GET(^ORD(101.41,+DLGIEN,0)),U)
IF $LENGTH(DPKG)
IF (DPKG'["PSO")
QUIT
+21 DO ZIP^ORWDPS11(.ORZIPOK,OROI,"PSO",DFN)
IF 'ORZIPOK
Begin DoDot:2
+22 NEW COUNT,ORY0
SET COUNT=+$ORDER(ORY(""),-1)+1
SET ORY(COUNT)=$PIECE(ORZIPOK,"^",2)
+23 SET ORY0="Order Not Placed - Missing Patient Address"
+24 SET ORY(0)=$SELECT($LENGTH($GET(ORY(0))):$GET(ORY(0))_" | "_ORY0,1:ORY0)
End DoDot:2
End DoDot:1
IF 'ORZIPOK
QUIT
+25 ;
+26 SET ORY=0
+27 ;checks if the orderable item (OROI) is a clozapine med
+28 ; if not returns ORY=0
+29 SET ORCLOZ=$$ISCLOZ(OROI)
SET ORY=ORY_U_ORCLOZ
SET ORY(0)=U_ORCLOZ
+30 if 'ORCLOZ
QUIT
+31 NEW ORQUIT
+32 SET ORQUIT=0
+33 IF '$GET(PROV)
SET PROV=DUZ
+34 ; ajb v32 *405
IF $GET(PROV)
Begin DoDot:1
+35 NEW ORDEA,ORKEY
SET (ORDEA,ORKEY)=0
+36 IF '$LENGTH($$DEA^XUSER(,PROV))
SET ORDEA=1
+37 IF '$DATA(^XUSEC("YSCL AUTHORIZED",PROV))
SET ORKEY=1
+38 IF +ORDEA!+ORKEY
Begin DoDot:2
+39 SET ORQUIT=1
SET ORY=1
+40 SET ORY(1)="Warning: This CLOZAPINE order will NOT be "_$SELECT(ORTYPE="E":"transferred.",1:"placed.")
+41 SET ORY(2)=""
+42 IF +$DATA(ORTXT)
SET ORY(3)=""
Begin DoDot:3
+43 NEW X
SET X=0
FOR
SET X=$ORDER(ORTXT(X))
if '+X
QUIT
SET ORY(3)=ORY(3)_ORTXT(X)
End DoDot:3
+44 if $GET(ORY(3))'=""
SET ORY(4)=""
+45 SET ORY(5)="You are NOT authorized to place CLOZAPINE orders."
+46 SET ORY(6)=""
+47 SET ORY(7)="Reason: "_$SELECT(+ORDEA&+ORKEY:"You do not have a DEA# and missing key YSCL AUTHORIZED.",+ORDEA:"You do not have a DEA#.",1:"You are missing key YSCL AUTHORIZED.")
+48 SET ORY(8)=""
+49 SET ORY(9)="Contact your Pharmacy for more information about the authorization requirements for ordering CLOZAPINE."
+50 NEW ORMSG
DO GETWP^XPAR(.ORMSG,"SYS","OR CPRS CLOZAPINE CUSTOM MSG")
+51 ; replace ORY(9) with custom message line(s)
IF +$DATA(ORMSG)
SET ORMSG=0
FOR
SET ORMSG=$ORDER(ORMSG(ORMSG))
if '+ORMSG
QUIT
SET ORY(8+ORMSG)=ORMSG(ORMSG,0)
+52 ;S ORY(1)="*** You are not authorized to place Clozapine orders."
+53 ;S ORY(2)="You must have a DEA#. Please contact your"
+54 ;S ORY(3)="CAC or IRM for more information. ***"
+55 ;S ORY(1)="*** You are not authorized to place Clozapine orders."
+56 ;S ORY(2)="You must hold key YSCL AUTHORIZED. Please contact your"
+57 ;S ORY(3)="CAC or IRM for more information on this key. ***"
End DoDot:2
End DoDot:1
+58 if ORQUIT
QUIT
+59 ; if is a cloz med , check if patient (DFN) can have a clozapine med
+60 SET ORYS=$$CL^YSCLTST2(DFN)
+61 ; if yes returns ORY=0
+62 IF +ORYS>0
DO BEFQUIT
QUIT
+63 ; if no
+64 ; returns
+65 ; ORY=1
+66 ; ORY(0)=CAPTION FOR DIALOG BOX
+67 ; ORY(1-N)=MESSAGE TO DISPLAY
+68 SET ORY=1_U_ORCLOZ
SET ORY(0)="Problem Ordering Clozapine Related Medication"_U_ORCLOZ
+69 ;patient not in clozapine patient program
+70 ;; START NCC REMEDIATION >> 427*RJS
+71 IF +ORYS<0
Begin DoDot:1
+72 SET ORY(1)="*** This patient is not registered in the clozapine treatment "
+73 SET ORY(2)="program or has been discontinued from the program. A new"
+74 SET ORY(3)="registration number must be assigned. If this is not an emergency,"
+75 SET ORY(4)="contact the NCCC. For emergency registration during non-NCCC duty"
+76 SET ORY(5)="hours, a written order to the pharmacist can be used to process a"
+77 SET ORY(6)="registration override. ***"
End DoDot:1
QUIT
+78 ;problem with lab tests
+79 IF +ORYS=0
Begin DoDot:1
+80 ;override allowed
IF $$OVERRIDE^YSCLTST2(DFN)
SET ORY=0_U_ORCLOZ
SET ORY(0)=U_ORCLOZ
DO BEFQUIT
QUIT
+81 IF +$PIECE(ORYS,"^",2)
IF $PIECE(ORYS,"^",4)<1000
Begin DoDot:2
+82 NEW COUNT
SET COUNT=0
+83 SET COUNT=COUNT+1
SET ORY(COUNT)="*** This clozapine drug may not be dispensed to the patient at this "
+84 SET COUNT=COUNT+1
SET ORY(COUNT)="time based on the available lab tests related to the clozapine "
+85 SET COUNT=COUNT+1
SET ORY(COUNT)="treatment program. Please contact the NCCC to request an override in"
+86 SET COUNT=COUNT+1
SET ORY(COUNT)="order to proceed with dispensing this drug. ***"
+87 DO DISPRSLT
End DoDot:2
+88 IF '$PIECE(ORYS,U,2)
IF $PIECE(ORYS,U,4)
Begin DoDot:2
+89 NEW COUNT
SET COUNT=0
+90 SET COUNT=COUNT+1
SET ORY(COUNT)="*** Permission to dispense clozapine has been denied based on the available"
+91 SET COUNT=COUNT+1
SET ORY(COUNT)="lab tests related to the clozapine treatment program.***"
+92 SET COUNT=COUNT+1
SET ORY(COUNT)=""
+93 SET COUNT=COUNT+1
SET ORY(COUNT)="The latest lab test results drawn in the past 7 days have ANC results but no"
+94 SET COUNT=COUNT+1
SET ORY(COUNT)="matching WBC. Redo the lab tests or contact the NCCC for a National Override"
+95 SET COUNT=COUNT+1
SET ORY(COUNT)="to dispense clozapine with no matching WBC results."
+96 DO DISPRSLT
End DoDot:2
+97 IF '+$PIECE(ORYS,"^",4)
DO MSG
End DoDot:1
QUIT
+98 QUIT
MSG ;
+1 NEW COUNT
SET COUNT=0
+2 SET COUNT=COUNT+1
SET ORY(COUNT)="*** Permission to dispense clozapine has been denied based on the"
+3 SET COUNT=COUNT+1
SET ORY(COUNT)="available lab tests related to the clozapine treatment program. ***"
+4 SET COUNT=COUNT+1
SET ORY(COUNT)=""
+5 IF $PIECE($GET(X0),U)["PSJ"
DO DISPRSLT
SET COUNT=COUNT+1
SET ORY(COUNT)=""
+6 SET COUNT=COUNT+1
SET ORY(COUNT)="For a National Override to dispense at the patient's normal"
+7 SET COUNT=COUNT+1
SET ORY(COUNT)="frequency, contact the NCCC."
+8 SET COUNT=COUNT+1
SET ORY(COUNT)=""
+9 ;; NCC REMEDIATION << 427 RTW Special Conditions selections for outpatient and inpatient RTW
if $DATA(X0)
Begin DoDot:1
+10 IF $PIECE(X0,U,1)["PSO"
Begin DoDot:2
+11 SET COUNT=COUNT+1
SET ORY(COUNT)="A local emergency override for an Outpatient can be approved for:"
+12 SET COUNT=COUNT+1
SET ORY(COUNT)="(1) weather-related conditions, (2) mail order delays of clozapine,"
+13 SET COUNT=COUNT+1
SET ORY(COUNT)="or (3) inpatient going on leave."
+14 SET COUNT=COUNT+1
SET ORY(COUNT)=""
+15 SET COUNT=COUNT+1
SET ORY(COUNT)="For an Outpatient Special Conditions Local Override, a written prescription from"
+16 SET COUNT=COUNT+1
SET ORY(COUNT)="the provider with documentation to the pharmacist is required to dispense"
+17 SET COUNT=COUNT+1
SET ORY(COUNT)="a one-time emergency 4-day supply."
End DoDot:2
+18 IF $PIECE(X0,U,1)["PSJ"
Begin DoDot:2
+19 SET COUNT=COUNT+1
SET ORY(COUNT)="A local emergency override for an Inpatient can be approved for:"
+20 SET COUNT=COUNT+1
SET ORY(COUNT)="IP Order Override with Outside Lab Results"
+21 SET COUNT=COUNT+1
SET ORY(COUNT)=""
+22 SET COUNT=COUNT+1
SET ORY(COUNT)="For a Special Conditions Local Override, a written order from"
+23 SET COUNT=COUNT+1
SET ORY(COUNT)="the provider with documentation to the pharmacist is required to"
+24 SET COUNT=COUNT+1
SET ORY(COUNT)="dispense a one-time 4-day supply."
+25 SET COUNT=COUNT+1
SET ORY(COUNT)=""
+26 SET COUNT=COUNT+1
SET ORY(COUNT)="The provider must record the ANC from another facility including date/time in both the Provider Progress Note and Comment field in CPRS."
End DoDot:2
End DoDot:1
+27 QUIT
DISPRSLT ; Display Lab Tests
+1 SET COUNT=COUNT+1
SET ORY(COUNT)="Related Lab Test(s)"
+2 SET COUNT=COUNT+1
SET ORY(COUNT)="==================="
+3 IF $LENGTH($PIECE(ORYS,U,3))
SET COUNT=COUNT+1
SET ORY(COUNT)="WBC: "_($PIECE(ORYS,U,2)/1000)_" K/cmm"
+4 IF '$TEST
SET COUNT=COUNT+1
SET ORY(COUNT)="WBC: NO TEST RESULTS FOUND"
+5 IF $LENGTH($PIECE(ORYS,U,5))
SET COUNT=COUNT+1
SET ORY(COUNT)="ANC: "_($PIECE(ORYS,U,4)/1000)_" K/cmm"
+6 IF '$TEST
SET COUNT=COUNT+1
SET ORY(COUNT)="ANC: NO TEST RESULTS FOUND"
+7 SET COUNT=COUNT+1
SET ORY(COUNT)="Date/Time of last tests: "_$$DATE^ORU($PIECE(ORYS,U,6))
+8 QUIT
+9 ;; END NCC REMEDIATION << 427*RTW
BEFQUIT ;
+1 if '$GET(QOAA)
QUIT
+2 NEW QODS,QORF,ORMAX,ORCLPAT
+3 SET QODS=$ORDER(^ORD(101.41,"AB","OR GTX DAYS SUPPLY",""))
if QODS'>0
QUIT
+4 SET QODS=$ORDER(^ORD(101.41,ORX,6,"D",QODS,""))
if QOIEN'>0
QUIT
+5 SET QODS=$GET(^ORD(101.41,ORX,6,QODS,1))
+6 SET QORF=$ORDER(^ORD(101.41,"AB","OR GTX REFILLS",""))
if QORF'>0
QUIT
+7 SET QORF=$ORDER(^ORD(101.41,ORX,6,"D",QORF,""))
if QOIEN'>0
QUIT
+8 SET QORF=$GET(^ORD(101.41,ORX,6,QORF,1))
+9 SET QORF=QORF+1
+10 SET ORCLPAT=$PIECE(ORYS,U,7)
+11 SET ORMAX=$SELECT(ORYS="M":28,ORYS="B":14,ORYS="W":7,1:90)
+12 IF QORF*QODS>ORMAX
Begin DoDot:1
+13 KILL ORY
+14 SET ORY=1_U_ORCLOZ
SET ORY(0)="Problem Ordering Clozapine Related Medication"_U_ORCLOZ
+15 SET ORY(1)="*** This patient is only allowed an order with a maximum Days Supply of "_ORMAX_"."
+16 SET ORY(2)="This includes the amounts added by any refills entered in with the order also."
End DoDot:1
+17 QUIT
ISCLOZ(OROI) ;
+1 NEW ORPSOI,ORPSDRUG,ISCLOZ
+2 SET ORPSOI=$$GET1^DIQ(101.43,OROI,2)
+3 IF $PIECE(ORPSOI,";",2)'="99PSP"
QUIT 0
+4 KILL ^TMP($JOB,"ORCLOZ")
+5 DO ASP^PSS50(+ORPSOI,,,"ORCLOZ")
+6 SET (ORPSDRUG,ISCLOZ)=0
+7 FOR
SET ORPSDRUG=$ORDER(^TMP($JOB,"ORCLOZ",ORPSDRUG))
if 'ORPSDRUG
QUIT
Begin DoDot:1
+8 KILL ^TMP($JOB,"ORCLOZ2")
+9 DO CLOZ^PSS50(ORPSDRUG,,,,,"ORCLOZ2")
+10 IF $GET(^TMP($JOB,"ORCLOZ2",ORPSDRUG,"CLOZ",0))>0
SET ISCLOZ=1
End DoDot:1
if ISCLOZ
QUIT
+11 KILL ^TMP($JOB,"ORCLOZ"),^TMP($JOB,"ORCLOZ2")
+12 QUIT ISCLOZ
ALLWRN(ORY,ORN,REFILLS) ;allow order to be renewed
+1 ;ORN is the order number
+2 ;REFILLS is the number of refills to be included with the renewed order
+3 NEW ORDS,ORQT,ORUPD,ORSCH,ORDUR,ORDFN,ORDRG,OROI,ORMAXDS,ORMAXQT,ORCLOZ,ORREF,ORMAXREF
+4 ;default return 1 (ORY=1 means allow renew)
+5 SET ORY=1
+6 ;get DFN (ORDFN)
+7 SET ORDFN=+$PIECE(^OR(100,ORN,0),U,2)
+8 if 'ORDFN
QUIT
+9 ;get if order is a clozapine order (ORCLOZ)
+10 SET OROI=$GET(^OR(100,ORN,.1,1,0))
if 'OROI
QUIT
+11 SET ORCLOZ=$$ISCLOZ(OROI)
+12 ;quit if order is not clozapine
+13 IF 'ORCLOZ
QUIT
+14 ;get schedule from order (ORSCH)
+15 SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","SCHEDULE",0)),1))
+16 ;get units per dose from order (ORUPD)
+17 SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","DOSE",0)),1))
+18 SET ORSCH=$PIECE(ORSCH,"&",3)
+19 ;get duration from order (ORDUR)
+20 IF '$ORDER(^OR(100,ORN,4.5,"ID","DURATION",0))
SET ORDUR="~^"
+21 IF '$TEST
SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","DURATION",0)),1))
+22 ;get days supply from order (ORDS)
+23 SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","SUPPLY",0)),1))
+24 ;get drug (ptr50) from order (ORDRG)
+25 SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","DRUG",0)),1))
+26 ;get refills from order (ORREF)
+27 SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","REFILLS",0)),1))
+28 ;get quantity from order (ORQT)
+29 SET ORSCH=$GET(^OR(100,ORN,4.5,$ORDER(^OR(100,ORN,4.5,"ID","QTY",0)),1))
+30 ;get max days supply for order (ORMAXDS)
+31 SET ORMAXDS=$$DEFSPLY^ORWDPS1(ORDFN)
+32 ;if ds from order is > max ds return 0 (ORY=0)
+33 IF ORDS>ORMAXDS
Begin DoDot:1
+34 SET ORY=0
+35 SET ORY(0)="Problem Renewing Clozapine Related Medication"_U_ORCLOZ
+36 SET ORY(1)="The Days Supply set for this order is greater than the Max Days Supply"
+37 SET ORY(2)=" allowed for this patient."
End DoDot:1
QUIT
+38 ;get max quantity for order (ORMAXQT)
+39 DO DAY2QTY^ORWDPS2(.ORMAXQT,ORDS,ORUPD,ORSCH,ORDUR,ORDFN,ORDRG)
+40 ;if qt from order is > max qt return 0 (ORY=0)
+41 IF ORQT>ORMAXQT
Begin DoDot:1
+42 SET ORY=0
+43 SET ORY(0)="Problem Renewing Clozapine Related Medication"_U_ORCLOZ
+44 SET ORY(1)="The Quantity set for this order is greater than the Max Quantity"
+45 SET ORY(2)=" allowed for this patient."
End DoDot:1
QUIT
+46 ;get max refills for order (ORMAXREF)
+47 DO MAXREF^ORWDPS2(.ORMAXREF,ORDFN,ORDRG,ORDS,OROI,1)
+48 ;if refill from order is > max refills return 0 (ORY=0)
+49 IF ORREF>ORMAXREF
Begin DoDot:1
+50 SET ORY=0
+51 SET ORY(0)="Problem Renewing Clozapine Related Medication"_U_ORCLOZ
+52 SET ORY(1)="The Refills field set for this order is greater than the Refills"
+53 SET ORY(2)=" allowed for this patient with the order having a Days Supply "
+54 SET ORY(3)=" of "_ORDS_"."
End DoDot:1
QUIT
+55 QUIT
