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Routine: ORMEVNT

ORMEVNT.m

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  1. ORMEVNT ;SLC/MKB-Trigger HL7 msg off MAS events ; 6/8/10 9:49am
  1. ;;3.0;ORDER ENTRY/RESULTS REPORTING;**24,45,70,79,141,165,177,186,195,278,243,324**;Dec 17, 1997;Build 2
  1. ;;Per VHA Directive 2004-038, this routine should not be modified.
  1. ;
  1. EN1 ; -- tasked entry point
  1. Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5) ;skip lodger mvts
  1. N ZTDESC,ZTIO,ZTRTN,ZTDTH,ZTSAVE,ZTSK,I
  1. S ZTDESC="Auto-DC and/or Release orders on MAS movement",ZTIO=""
  1. S ZTRTN="EN^ORMEVNT",ZTDTH=$H,ZTSAVE("^UTILITY(""DGPM"",$J,")=""
  1. F I="DFN","DGPMDA","DGPMA","DGPMP","DGPMT" S ZTSAVE(I)=""
  1. D ^%ZTLOAD ;D EN^ORYDGPM
  1. Q
  1. ;
  1. EN ; -- main entry point
  1. S:$D(ZTQUEUED) ZTREQ="@"
  1. Q:'$G(DFN) Q:$D(DGPMPC) Q:DGPMT=4!(DGPMT=5)
  1. I '$G(DGPMP) S ^XTMP("OREVENT",DFN,DGPMDA,0)=DT_U_$$FMADD^XLFDT(DT,2)_U_"Event process flag" ;195
  1. I $G(DGPMP),$D(^XTMP("OREVENT",DFN,DGPMDA)) D EN1 Q ;195 edits processed after new JEH
  1. N XQORQUIT,XQORPOP,DTOUT,DUOUT,DIRUT,DIROUT ;protect protocol context
  1. N VAIP,DONE,ORVP,ORWARD,ORTS,ORL,ORDIV,ORLAST,X,Y,I,ORCURRNT,OREVENT,ORDCRULE,ORACT,ORPRINT
  1. S VAIP("E")=DGPMDA D IN5^VADPT M ORVP=VAIP I '$G(DGPMA) D Q ;deleted
  1. . N LAST,OREVT S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1
  1. . S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0))
  1. . D ACTLOG^OREVNTX(OREVT,"DL")
  1. A ;
  1. S ORVP=+DFN_";DPT(",ORTS=+$G(^DPT(DFN,.103)),ORWARD=$G(^(.1))
  1. S ORWARD=$S($L(ORWARD):+$O(^DIC(42,"B",ORWARD,0)),1:0)
  1. S ORL=$S(ORWARD:+$G(^DIC(42,ORWARD,44))_";SC(",1:""),ORDIV=$$DIV(+ORL)
  1. S ORLAST("TS")=$$PREVTS,X=+VAIP(15,4) F I="WD","LOC","DIV" S ORLAST(I)=""
  1. S:X ORLAST("WD")=X,Y=+$G(^DIC(42,X,44)),ORLAST("LOC")=Y_";SC(",ORLAST("DIV")=$$DIV(Y)
  1. N OREVNTLK S OREVNTLK="" ;JEH
  1. S ORCURRNT=$$CURRENT,OREVENT=$$PATEVT,ORACT=$S($G(DGPMP):"ED",1:"NW") ; Lock
  1. I OREVENT=-1 D EN1 Q ;195 Can't lock, retry
  1. S OREVNTLK=OREVENT ; save routine copy of ifn JEH
  1. I $G(DGPMP),$D(^ORE(100.2,"ADT",DGPMDA)) D ;edited
  1. . N LAST,OREVT,DA,X,I S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1) Q:LAST<1
  1. . S OREVT=+$O(^ORE(100.2,"ADT",DGPMDA,LAST,0)),DA=+$O(^(OREVT,0))
  1. . S X=$G(^ORE(100.2,OREVT,10,DA,0)) ;last activity on movement
  1. . I $P(X,U,5)=+$G(VAIP(4)),$P(X,U,6)=+$G(VAIP(8)),$P(X,U,7)=+$G(VAIP(5)) S DONE=1 Q ;no change
  1. . I 'OREVENT D ACTLOG^OREVNTX(OREVT,"ED",$$TYPE(DGPMT),1) S DONE=1
  1. I $G(DONE) D FINISHED Q ; unlock and clean up before quit IFNjeh
  1. B ;
  1. I '$G(DGPMP),ORCURRNT D ;new mvt - autoDC
  1. . I $D(^ORE(100.2,"ADT",DGPMDA)) D Q:$G(DONE) ;ReEntered
  1. .. N LAST,OREVT S DONE=0
  1. .. S LAST=+$O(^ORE(100.2,"ADT",DGPMDA,""),-1),OREVT=+$O(^(LAST,0))
  1. .. Q:+ORVP'=+$G(^ORE(100.2,OREVT,0)) ;diff pat -> diff mvt
  1. .. S ORACT="RE",DONE=1 Q:OREVENT ;log on new event instead
  1. .. D ACTLOG^OREVNTX(OREVT,ORACT,$$TYPE(DGPMT),1)
  1. . I DGPMT=3 D COMP("ALG") ;keep until GMRA*4*15 gets out
  1. . S ORDCRULE=$$DCEVT D:ORDCRULE AUTODC^ORMEVNT1(ORDCRULE,$P(DGPMA,U))
  1. . I DGPMT=1!(DGPMT=2&("^13^40^"[("^"_$P(DGPMA,U,18)_"^"))) I $G(^XTMP("ORDCOBS-"_+ORVP,0)) D REINST ;186 TO ASIH tran mvmt
  1. C ;
  1. I OREVENT D ;release delayed orders, complete event
  1. . D RELEASE^ORMEVNT1(OREVENT),DONE^OREVNTX(OREVENT,$P(DGPMA,U),DGPMDA)
  1. . I '$G(VAIP(1)) M VAIP=ORVP ;reset for ACTLOG use
  1. . D ACTLOG^OREVNTX(OREVENT,ORACT,$$TYPE(DGPMT),1)
  1. . I DGPMT=1,'$P($G(^ORE(100.2,+OREVENT,0)),U,3) S $P(^(0),U,3)=DGPMDA
  1. . ;D UNLEVT^ORX2(OREVENT)
  1. I $O(ORPRINT(0)),$G(ORL) D PRINTS^ORWD1(.ORPRINT,+ORL)
  1. I DGPMT=3,ORCURRNT,'$G(DGPMP) D DISCH ;lapse remaining events
  1. I '$G(DFN),$G(ORVP) S DFN=+ORVP ;just in case
  1. FINISHED ; unlock and clean up JEH
  1. D:$G(OREVNTLK) UNLEVT^ORX2(OREVNTLK) K ^XTMP("OREVENT",DFN,DGPMDA) ;195
  1. Q
  1. ;
  1. CURRENT() ; -- Returns 1 or 0, if DGPMDA is the latest movement
  1. N Y,LAST,LASTYPE,LASTDT S Y=0
  1. S LAST=+VAIP(14),LASTDT=+VAIP(14,1),LASTYPE=+VAIP(14,2)
  1. ; VAIP(14) = last physical movement for the admission
  1. I DGPMT=6 D G CQ
  1. . N CA,IDT I LAST,LASTDT>+VAIP(3) Q ;last physical mvt
  1. . S CA=+VAIP(13),IDT=9999999.9999999-VAIP(3)
  1. . I '$O(^DGPM("ATS",DFN,CA,IDT),-1) S Y=1 Q ;last TS mvt
  1. I DGPMT=3 D ;get last mvt overall
  1. . N VAIP,Y S VAIP("D")="LAST" D IN5^VADPT
  1. . S LAST=+VAIP(14),LASTYPE=+VAIP(14,2) ;reset
  1. I LAST=DGPMDA S Y=1 G CQ ;primary mvt
  1. I $D(^UTILITY("DGPM",$J,LASTYPE,LAST)) S Y=1 ;secondary mvt
  1. CQ Q Y
  1. ;
  1. PREVTS() ; -- Returns previous treating specialty
  1. N TS,TSP,CA,ID,LAST,Y
  1. S TS=+$O(^UTILITY("DGPM",$J,6,0)),TSP=$G(^(TS,"P"))
  1. I $G(TSP) S Y=+$P(TSP,U,9) G PRVQ ;edited TS mvt
  1. ; look for TS mvt since last phys mvt
  1. S CA=$P(DGPMA,U,14),ID=9999999.9999999-DGPMA
  1. S LAST=+$O(^DGPM("ATS",DFN,CA,ID)),Y=$S(LAST:+$O(^(LAST,0)),1:+VAIP(15,6))
  1. PRVQ Q Y
  1. ;
  1. TYPE(X) ; -- Return type of event from MAS code
  1. N Y S Y=$S(X=1:"A",X=2:"T",X=3:"D",X=6:"S",1:"")
  1. Q Y
  1. ;
  1. DIV(LOC) ; -- Return Institution file #4 ptr for LOC
  1. N X0,Y S X0=$G(^SC(+LOC,0))
  1. S Y=$S($P(X0,U,4):$P(X0,U,4),$P(X0,U,15):$$SITE^VASITE(DT,$P(X0,U,15)),1:+$G(DUZ(2)))
  1. Q Y
  1. ;
  1. PATEVT() ; -- Find match to new data in Patient Event file
  1. N TYPE,MVTYPE,EVT,IFN,X0,Y S Y="" G:'$G(ORCURRNT) PTQ
  1. S TYPE=$S(DGPMT=1:"A",DGPMT=3:"D",DGPMT=2!(DGPMT=6):"T",1:""),EVT=0
  1. S MVTYPE=$P(DGPMA,U,18),TYPE(1)="",MVTYPE(1)=""
  1. I DGPMT=2,MVTYPE=13 S TYPE(1)="A",MVTYPE(1)=40 ;To ASIH
  1. I DGPMT=3,MVTYPE=41 S TYPE(1)="T",MVTYPE(1)=14 ;From ASIH
  1. I DGPMT'=3,$$GET1^DIQ(45.7,+$G(ORTS)_",","SPECIALTY:SERVICE")="NHCU" S TYPE(1)=$S(TYPE="A":"T",1:"A") ;DBIA #1154
  1. F S EVT=+$O(^ORE(100.2,"AE",DFN,EVT)) Q:EVT<1 S IFN=+$O(^(EVT,0)) D Q:Y
  1. . Q:$$LAPSED^OREVNTX(+IFN) Q:$P($G(^ORE(100.2,IFN,1)),U,5)
  1. . S X0=$G(^ORD(100.5,EVT,0)) Q:$P(X0,U,3)'=ORDIV
  1. . I $P(X0,U,2)'=TYPE,$P(X0,U,2)'=TYPE(1) Q ;Xaction type
  1. . I $P(X0,U,7),$P(X0,U,7)'=MVTYPE,$P(X0,U,7)'=MVTYPE(1) Q ;Mvt type
  1. . I $O(^ORD(100.5,EVT,"TS",0)) Q:'$D(^("B",ORTS)) Q:ORTS=ORLAST("TS")&(ORDIV=ORLAST("DIV"))
  1. . I $O(^ORD(100.5,EVT,"LOC",0)) Q:'$D(^("B",ORWARD)) Q:ORWARD=ORLAST("WD")
  1. . S Y=+IFN ;ok
  1. I Y S:'$$LCKEVT^ORX2(Y) Y=-1 ;195 Lock event if possible
  1. PTQ Q Y
  1. ;
  1. DCEVT() ; -- Find match to event in AutoDC Rules file for [new] ORDIV,ORTS,ORL
  1. N MVTYPE,DIV,XFER,ORY,EXC,OBS
  1. S OBS=$S(DGPMT=3:$$MVT^DGPMOBS(DGPMDA),1:0) ;observation mvt
  1. S MVTYPE=+$P(DGPMA,U,18) S:MVTYPE=41 MVTYPE=14 S:MVTYPE=40 MVTYPE=13 ;ASIH- 186
  1. S XFER=$S(DGPMT=2:1,DGPMT=6:1,MVTYPE'=14:0,OBS:0,1:1)
  1. I DGPMT=2,MVTYPE=13,$G(^XTMP("ORDCOBS-"_+ORVP,"READMIT")) S ORY=0 K ^XTMP("ORDCOBS-"_+ORVP,"READMIT") G DCQ ;186 Obs readmit from ASIH don't auto-dc
  1. I XFER,ORLAST("TS")'=ORTS,$D(^ORD(100.6,"AC",ORDIV,20)) S MVTYPE=20 ;TS
  1. S DIV=ORDIV I DGPMT=3,MVTYPE'=14 S DIV=ORLAST("DIV") ;discharge
  1. ;*324 Replace ORDIV with DIV
  1. S ORY=+$O(^ORD(100.6,"AC",DIV,MVTYPE,0)) K:ORY<1&(DGPMT=3)&(OBS) ^XTMP("ORDCOBS-"_+ORVP) G:ORY<1 DCQ ;186, If obs, no active rule, no reinstate
  1. I MVTYPE=20,$D(^ORD(100.6,ORY,4,ORLAST("TS"),1,ORTS))!(ORTS=ORLAST("TS")) S ORY=0 G DCQ
  1. I MVTYPE=4 D G DCQ ;ck Div and Loc multiples
  1. . I ORLAST("DIV")'=ORDIV S:'$D(^ORD(100.6,ORY,6,ORLAST("DIV"))) ORY=0 Q
  1. . N OLD,INCL S INCL=0 ;ck incl loc's
  1. . F OLD=+ORLAST("LOC"),"ALL" I $D(^ORD(100.6,ORY,5,"ADC",OLD,+ORL))!$D(^("ALL")) S INCL=1 Q
  1. . S:'INCL ORY=0
  1. I DGPMT=3,OBS D ;readmitting from observation?
  1. . N TORY
  1. . S TORY=ORY
  1. . S EXC=+$P($G(^ORD(100.6,ORY,0)),U,6) S:EXC=2 ORY=0 ;ignore rule
  1. . I EXC=1,'$D(ZTQUEUED),$$READMIT S ORY=0
  1. . I ORY=0 D DCGEN^ORMEVNT2,TIMER^ORMEVNT2 S:"^14^41^"[("^"_$P(DGPMA,U,18)_"^") ^XTMP("ORDCOBS-"_+ORVP,"READMIT")=1 ;177,186
  1. . K:ORY ^XTMP("ORDCOBS-"_+ORVP) ;have rule -> dc, don't reinstate meds
  1. DCQ Q ORY
  1. ;
  1. READMIT() ; -- Return 1 or 0, if patient is being readmitted
  1. N X,Y,DIR
  1. S DIR(0)="YA",DIR("A")="Will the patient be re-admitted immediately? "
  1. S DIR("?")="Enter YES if the patient is to be admitted to the hospital immediately following this discharge from observation."
  1. D ^DIR S:$D(DTOUT)!$D(DUOUT) Y="^"
  1. Q Y
  1. ;
  1. COMP(ORDG) ; -- Complete orders on event [Keep until GMRA*4*15]
  1. N ORI,ORLIST,ORIFN,OREDT
  1. I 'ORDG S:ORDG?1.U ORDG=+$O(^ORD(100.98,"B",ORDG,0)) Q:ORDG'>0
  1. D EN^ORQ1(ORVP,ORDG,2) S ORI=0,OREDT=$P(DGPMA,U)
  1. F S ORI=$O(^TMP("ORR",$J,ORLIST,ORI)) Q:ORI'>0 S ORIFN=^(ORI) D STATUS^ORCSAVE2(+ORIFN,2) S:$G(OREDT) $P(^OR(100,+ORIFN,3),U)=OREDT,$P(^(6),U,6)=OREDT
  1. Q
  1. ;
  1. LOC(NODE) ; -- Returns [new] patient location from NODE
  1. N X,Y S X=$P($G(NODE),U,6)
  1. I X'>0 S X=$P($G(^DPT(+ORVP,.1)),U) S:$L(X) X=$O(^DIC(42,"B",X,0))
  1. S Y=+$G(^DIC(42,+X,44))_";SC("
  1. Q Y
  1. ;
  1. DISCH ; -- Lapse/cancel outstanding events on discharge
  1. D DISCH^ORMEVNT2 ;195 Code moved to ORMEVNT2 for space considerations
  1. Q
  1. ;
  1. XTMP ; -- Save ORIFN to possibly reinstate on admission
  1. ; Also uses ORVP, DGPMDA
  1. Q:'$G(DGPMDA) Q:'$G(ORIFN) Q:'$G(ORVP)
  1. N ORNOW S ORNOW=+$$NOW^XLFDT
  1. I $G(^XTMP("ORDCOBS-"_+ORVP,0)),+^(0)<ORNOW K ^XTMP("ORDCOBS-"_+ORVP)
  1. I '$G(^XTMP("ORDCOBS-"_+ORVP,0)) D
  1. . N ORNOW1H S ORNOW1H=$$FMADD^XLFDT(ORNOW,,1)
  1. . S ^XTMP("ORDCOBS-"_+ORVP,0)=ORNOW1H_U_ORNOW_"^InptMeds AutoDC'd on Discharge from Observation"
  1. S ^XTMP("ORDCOBS-"_+ORVP,+ORIFN)=$G(^OR(100,+ORIFN,4))
  1. S ^XTMP("ORDCOBS-"_+ORVP,"DISCHARGE")=DGPMDA
  1. Q
  1. ;
  1. REINST ; -- Reinstate meds from observation
  1. I '$L($T(ENR^PSJOERI)) K ^XTMP("ORDCOBS-"_+ORVP) Q ;DBIA 3598
  1. N ORIDT,ORLASTDC,X0,ORIFN,PSIFN
  1. S ORIDT=+$O(^DGPM("ATID3",+ORVP,0)) S:DGPMT=2 ORIDT=$O(^DGPM("ATID3",+ORVP,ORIDT)) Q:ORIDT<1 S ORLASTDC=+$O(^(ORIDT,0)) ;186 If reinstating for transfer TO ASIH then skip pseudo discharge for WHILE ASIH
  1. Q:$G(^XTMP("ORDCOBS-"_+ORVP,"DISCHARGE"))'=ORLASTDC S X0=$G(^(0))
  1. I $P(X0,U)<$$NOW^XLFDT K ^XTMP("ORDCOBS-"_+ORVP) Q ;readmit after one hour 177
  1. S ORIFN=0 F S ORIFN=+$O(^XTMP("ORDCOBS-"_+ORVP,ORIFN)) Q:ORIFN<1 S PSIFN=$G(^(ORIFN)) D:PSIFN ENR^PSJOERI(+ORVP,PSIFN,+ORWARD) ;DBIA 3598
  1. K ^XTMP("ORDCOBS-"_+ORVP)
  1. Q
  1. ;
  1. ; -- Moved code:
  1. EXP(ORDER,ORSTOP) G EXP^ORMEVNT1
  1. ACTIVE(ORDER,ORSTRT) G ACT^ORMEVNT1
  1. PURGE(ORDER) G PUR^ORMEVNT1