PSODGDGP ;BIR/SAB - drug drug interaction checker ;4/14/93
;;7.0;OUTPATIENT PHARMACY;**251,387,379,391,372,416,370**;DEC 1997;Build 14
;External reference to ^PSDRUG supported by DBIA 221
;External references PSOUL^PSSLOCK supported by DBIA 2789
;External references to ^ORRDI1 supported by DBIA 4659
;External reference ^XTMP("ORRDI" supported by DBIA 4660
;External reference to $$DS^PSSDSAPI supported by DBIA 5425
N DRG,PSOREMOT S (CRIT,DRG,LSI,DGI,DGS,SER,SERS,STA,PSOICT)="",PSOREMOT=0
D BLD Q:+$G(PSORX("DFLG"))!($G(PSODLQT))
I '$D(^XUSEC("PSORPH",DUZ)),$G(DGI)]"" S:$G(CRIT) PSONEW("STATUS")=4 W $C(7),!,"DRUG INTERACTON WITH RX #s: "_LSI,!
I '$D(^XUSEC("PSORPH",DUZ)),(","_$G(^TMP("PSOSER",$J,0))_",")[(",1,") S:$D(^TMP("PSODGI",$J,0)) PSONEW("STATUS")=4
K DRG,NDF,PSOICT,IT,LSI
I +$G(PSORX("DFLG")) Q
I +$G(PSODRUG("NDF"))'=0 D
.I $T(HAVEHDR^ORRDI1)']"" Q
.I '$$HAVEHDR^ORRDI1 Q
.;D HD^PSODDPR2():(($Y+5)>IOSL)
.I $P($G(^XTMP("ORRDI","PSOO",PSODFN,0)),"^",3)<0 W !!,"Remote data not available - Only local order checks processed.",!! S PSOREMOT=1 D HD^PSODDPR2():(($Y+5)>IOSL) 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($J,"DI")
I '$D(^XUSEC("PSORPH",DUZ)),$G(PSOREMOT)!($G(DGI)]"") K DIR S DIR(0)="E",DIR("?")="Press Return to continue",DIR("A")="Press Return to Continue..." D ^DIR K DIR,DUOUT,DTOUT
Q
TECH ;add tech entry to RX VERIFY file (#52.4); called from new order/copy/renew
I $$DS^PSSDSAPI,+$G(^TMP("PSODOSF",$J,0)) S ^PS(52.4,PSOXIRXN,1)=^TMP("PSODOSF",$J,0)
Q:'$D(^TMP("PSODGI",$J,0))
S $P(^PSRX(PSOXIRXN,"DRI"),"^")=^TMP("PSOSER",$J,0)_"^"_^TMP("PSODGI",$J,0)
S $P(^PS(52.4,PSOXIRXN,0),"^",8)=1,$P(^PS(52.4,PSOXIRXN,0),"^",9)=^TMP("PSOSER",$J,0),$P(^PS(52.4,PSOXIRXN,0),"^",10)=^TMP("PSODGI",$J,0)
Q
TECH2(PSOXIRXN,PSODFN,DUZ,PSOX) ;
I $D(PSOX("NOPSDRPH")) G T3
Q:$D(^XUSEC("PSORPH",DUZ))
T3 ;
; The only time PSOX("NOPSDRPH) key is defined equal to 1 is for controlled substances and the user doesn't hold
; the PSDRPH key.
N PSODWARN,PSOSIGNIF,PSOINTSV,PSOTLBL S (PSODWARN,PSOSIGNIF,PSOTLBL,PSOINTSV)=0
S:$$DS^PSSDSAPI&(+$G(^TMP("PSODOSF",$J,0))) PSODWARN=1 ;dosing drug warning
I $D(^TMP("PSOSER",$J,0)) S PSOINTSV=$G(^TMP("PSOSER",$J,0)) S:PSOINTSV[1 PSODWARN=1 S:PSOINTSV[2 PSOSIGNIF=1 ;critical and significant drug interaction drug warnings
;
; When verification is OFF and there's a significant drug interaction or the user doesn't hold the PSDRPH key,
; set file 52 "DRI" node for the significant drug interactions but don't quit. When the verification switch is off, the bottle label and the tech warning
; a tech warning label and the bottle label must print when significant interactions are present. However if the
; the PSOX("NOPSDRPH") variable is defined, no labels are allowed to print and processing should continue on.
;
I '$G(PSORX("VERIFY")),'PSODWARN&($G(PSOSIGNIF)) D Q:'$D(PSOX("NOPSDRPH")) PSOTLBL ;don't set 52.4 when verification is off and only significiant interaction
.S $P(^PSRX(PSOXIRXN,"DRI"),"^")=^TMP("PSOSER",$J,0)
.S $P(^PSRX(PSOXIRXN,"DRI"),"^",2)=^TMP("PSODGI",$J,0)
.I '$P(PSOPAR,"^",2) S PSOTLBL=1
;
; If verification is ON, set file 52.4. If there are critical drug interactions or dose warnings, the fields to
; indicate these must be set and a tech warning label should print. If the PSOX("NOPSDRPH") variable is present,
; file 52.4 should be set (along with any drug interaction and dose warning data) and the technician warning label
; should print (PSOTLBL=2)
;
I ($D(PSOX("NOPSDRPH")))!($G(PSODWARN))!($G(PSORX("VERIFY"))) D
.K DIC,DLAYGO,DINUM,DIADD,X,DD,DO S DIC="^PS(52.4,",DLAYGO=52.4,DINUM=PSOXIRXN,DIC(0)="ML",X=PSOXIRXN
.D FILE^DICN K DD,DO,DIC,DLAYGO,DINUM S ^PS(52.4,PSOXIRXN,0)=PSOXIRXN_"^"_PSODFN_"^"_DUZ_"^"_"^"_$E(PSOX("LOGIN DATE"),1,7)_"^"_PSOXIRXN_"^"_PSOX("STOP DATE")
.I '$D(PSOX("NOPSDRPH")) Q:PSOINTSV'[1&('PSODWARN)
.D TECH
;
I $D(^PS(52.4,PSOXIRXN)) K DIK,DA S DIK="^PS(52.4,",DA=PSOX("IRXN") D IX^DIK K DIK,DA
I '$G(PSORX("VERIFY")) S:(PSOX("STATUS")=4!$G(PSODWARN)) PSOTLBL=1 ;verification off, dose warn or drug interaction, print technician warning label
I $G(PSORX("VERIFY")) S PSOTLBL=$S('$G(PSODWARN)&('$G(PSOSIGNIF)):2,'$G(PSODWARN)&($G(PSOSIGNIF)):2,$G(PSODWARN):1,1:0)
;
; If the PSOX("NOPSDRPH") variable is present and regardless of the verification switch, labels cannot be
; printed (i.e. PSOTLBL=2). A technician warning label will be printed if drug interactions or dose warnings are
; present.
I $D(PSOX("NOPSDRPH")) S PSOTLBL=2
Q PSOTLBL
;
BLD I $D(^XUSEC("PSORPH",DUZ)) D PHARM Q ;*370
BLD2 ;
Q:$P(ON,";")'="O"
S LSI=$P(^PSRX($P(ON,";",2),0),"^")_"/"_$P(^PSDRUG($P(^PSRX($P(ON,";",2),0),"^",6),0),"^")_","_LSI
I '$D(^TMP("PSODGI",$J,0)) D
. S ^TMP("PSODGI",$J,0)=$P(ON,";",2)_","_$G(^TMP("PSODGI",$J,0)),^TMP("PSOSER",$J,0)=IT_","_$G(^TMP("PSOSER",$J,0))
I ^TMP("PSODGI",$J,0)'[$P(ON,";",2) D
.S ^TMP("PSODGI",$J,0)=$P(ON,";",2)_","_$G(^TMP("PSODGI",$J,0))
.S ^TMP("PSOSER",$J,0)=IT_","_$G(^TMP("PSOSER",$J,0))
I IT=2 S ^TMP("PSOSERS",$J,0)=IT_","_$G(^TMP("PSOSERS",$J,0)),^TMP("PSODGS",$J,0)=$P(ON,";",2)_","_$G(^TMP("PSODGS",$J,0))
S:IT=1 ^TMP("PSOTDD",$J,1)=1
Q
PHARM ;pharmacist verification of drug interaction
S PSODGRLX=$P(ON,";",2)
S DIR("?",1)="Answer 'YES' if you DO want to "_$S(IT=1:"continue processing",1:"enter an intervention for")_" this medication,"
S DIR("?")=" 'NO' if you DON'T want to "_$S(IT=1:"continue processing",1:"enter an intervention for")_" this medication,"
W ! S DIR(0)="SA^1:YES;0:NO",DIR("A")="Do you want to "_$S(IT=1:"Continue? ",1:"Intervene? "),DIR("B")="Y" D ^DIR
I 'Y,IT=1 S PSODLQT=1,DGI="" S:'$G(PSORXED)&('$G(PSOREINS)) PSORX("DFLG")=1 S:$G(PSORXED)!($G(PSOREINS)) PSOQUIT=1 K DIR,DTOUT,DIRUT,DIROUT,DUOUT Q
I Y,IT=1 S PSORX("INTERVENE")=1,DGI="" K DIR,DTOUT,DIRUT,DIROUT,DUOUT G CRI Q
I 'Y,IT=2 S:$G(DIRUT) (PSODLQT,PSOQUIT)=1 K DIR,DTOUT,DIRUT,DIROUT,DUOUT D ULRX Q
I Y,IT=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:$P(PSOSD(STA,DRG),"^",9) CRITN
S DIR("A",1)="",DIR("A",2)="Do you want to Process medication",DIR("A")=PSODRUG("NAME")_": ",DIR(0)="SA^1:PROCESS;0:ABORT ORDER ENTRY",DIR("B")="P"
S DIR("?",1)="Enter '1' or 'P' to Process medication",DIR("?")=" '^' to EXIT",DIR("?",2)=" '0' or 'A' to Abort Order Entry process" D ^DIR K X1,DIR I 'Y S PSORX("DFLG")=1,DGI="" K DTOUT,DIRUT,DIROUT,DUOUT,PSORX("INTERVENE") D ULRX Q
I IT=1 D
.S PSORX("INTERVENE")=IT
.D SIG^XUSESIG I X1="" K PSORX("INTERVENE") S PSORX("DFLG")=1 Q
K DUOUT,DTOUT,DIRUT,DIROUT D ULRX Q
CRITN ;process multiple new drug interactions
K X1,DIR S DIR("A",1)="",DIR("A",2)="Do you want to: ",DIR("A",3)=" 1. Delete NEW medication "_PSODRUG("NAME"),DIR("A",4)=" 2. Cancel ACTIVE New Rx #"_$P(^PSRX($P(ON,";",2),0),"^")_" DRUG: "_DRG
S DIR("A",5)=" 3. Delete 1 and Cancel 2",DIR("A")=" 4. Continue ?: ",DIR(0)="SA^1:NEW MEDICATION;2:ACTIVE New Rx "_DRG_";3:BOTH;4:CONTINUE"
S DIR("?",1)="Enter '1' or 'N' to Delete New Medication and Dispense Rx #"_$P(^PSRX($P(ON,";",2),0),"^")
S DIR("?",2)=" '2' or 'A' to Cancel Active Rx #"_$P(^PSRX($P(ON,";",2),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(ON,";",2) D MESS,ENQ^PSORXDL,FULL^VALM1
..K PSOSD($P(PSOLST($P(ON,";",2)),"^",3),PSODRUG("NAME")),DTOUT,DIROUT,DIRUT,DUOUT S:$G(PSOSD) PSOSD=PSOSD-1 S ZONE=1
.S PSODRUG("IEN")=$P(^PSRX($P(ON,";",2),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 $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
..D DC^PSOORFI2
I Y=2 S (DA,PSOHOLDA)=$P(ON,";",2) D D ULRX Q
.D NOOR^PSOCAN4 I $D(DIRUT) D Q
..W $C(7)," ACTION NOT TAKEN!",! K PSORX("INTERVENE") S PSORX("DFLG")=1
.D MESS,ENQ^PSORXDL
.S DA=PSOHOLDA D FULL^VALM1,EN1^PSORXI(.DA),PPL
.K DTOUT,DIROUT,DIRUT,DUOUT,PSOHOLDA
.S:$G(PSOSD) PSOSD=PSOSD-1 S VALMBCK="R"
I Y=3 S (DA,PSOHOLDA)=$P(ON,";",2) 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 PSOHOLDA
.I $G(PSORXED) D
..S DA=$P(ON,";",2) D MESS,ENQ^PSORXDL,FULL^VALM1
..K 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(ON,";",2) 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
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HPSODGDGP 9852 printed Dec 13, 2024@02:26:58 Page 2
PSODGDGP ;BIR/SAB - drug drug interaction checker ;4/14/93
+1 ;;7.0;OUTPATIENT PHARMACY;**251,387,379,391,372,416,370**;DEC 1997;Build 14
+2 ;External reference to ^PSDRUG supported by DBIA 221
+3 ;External references PSOUL^PSSLOCK supported by DBIA 2789
+4 ;External references to ^ORRDI1 supported by DBIA 4659
+5 ;External reference ^XTMP("ORRDI" supported by DBIA 4660
+6 ;External reference to $$DS^PSSDSAPI supported by DBIA 5425
+7 NEW DRG,PSOREMOT
SET (CRIT,DRG,LSI,DGI,DGS,SER,SERS,STA,PSOICT)=""
SET PSOREMOT=0
+8 DO BLD
if +$GET(PSORX("DFLG"))!($GET(PSODLQT))
QUIT
+9 IF '$DATA(^XUSEC("PSORPH",DUZ))
IF $GET(DGI)]""
if $GET(CRIT)
SET PSONEW("STATUS")=4
WRITE $CHAR(7),!,"DRUG INTERACTON WITH RX #s: "_LSI,!
+10 IF '$DATA(^XUSEC("PSORPH",DUZ))
IF (","_$GET(^TMP("PSOSER",$JOB,0))_",")[(",1,")
if $DATA(^TMP("PSODGI",$JOB,0))
SET PSONEW("STATUS")=4
+11 KILL DRG,NDF,PSOICT,IT,LSI
+12 IF +$GET(PSORX("DFLG"))
QUIT
+13 IF +$GET(PSODRUG("NDF"))'=0
Begin DoDot:1
+14 IF $TEXT(HAVEHDR^ORRDI1)']""
QUIT
+15 IF '$$HAVEHDR^ORRDI1
QUIT
+16 ;D HD^PSODDPR2():(($Y+5)>IOSL)
+17 IF $PIECE($GET(^XTMP("ORRDI","PSOO",PSODFN,0)),"^",3)<0
WRITE !!,"Remote data not available - Only local order checks processed.",!!
SET PSOREMOT=1
if (($Y+5)>IOSL)
DO HD^PSODDPR2()
QUIT
+18 IF $DATA(^TMP($JOB,"DI"_PSODFN))
KILL ^TMP($JOB,"DI")
MERGE ^TMP($JOB,"DI")=^TMP($JOB,"DI"_PSODFN)
DO DRGINT^PSOORRD2
+19 KILL ^TMP($JOB,"DI"_PSODFN),^TMP($JOB,"DI")
End DoDot:1
+20 IF '$DATA(^XUSEC("PSORPH",DUZ))
IF $GET(PSOREMOT)!($GET(DGI)]"")
KILL DIR
SET DIR(0)="E"
SET DIR("?")="Press Return to continue"
SET DIR("A")="Press Return to Continue..."
DO ^DIR
KILL DIR,DUOUT,DTOUT
+21 QUIT
TECH ;add tech entry to RX VERIFY file (#52.4); called from new order/copy/renew
+1 IF $$DS^PSSDSAPI
IF +$GET(^TMP("PSODOSF",$JOB,0))
SET ^PS(52.4,PSOXIRXN,1)=^TMP("PSODOSF",$JOB,0)
+2 if '$DATA(^TMP("PSODGI",$JOB,0))
QUIT
+3 SET $PIECE(^PSRX(PSOXIRXN,"DRI"),"^")=^TMP("PSOSER",$JOB,0)_"^"_^TMP("PSODGI",$JOB,0)
+4 SET $PIECE(^PS(52.4,PSOXIRXN,0),"^",8)=1
SET $PIECE(^PS(52.4,PSOXIRXN,0),"^",9)=^TMP("PSOSER",$JOB,0)
SET $PIECE(^PS(52.4,PSOXIRXN,0),"^",10)=^TMP("PSODGI",$JOB,0)
+5 QUIT
TECH2(PSOXIRXN,PSODFN,DUZ,PSOX) ;
+1 IF $DATA(PSOX("NOPSDRPH"))
GOTO T3
+2 if $DATA(^XUSEC("PSORPH",DUZ))
QUIT
T3 ;
+1 ; The only time PSOX("NOPSDRPH) key is defined equal to 1 is for controlled substances and the user doesn't hold
+2 ; the PSDRPH key.
+3 NEW PSODWARN,PSOSIGNIF,PSOINTSV,PSOTLBL
SET (PSODWARN,PSOSIGNIF,PSOTLBL,PSOINTSV)=0
+4 ;dosing drug warning
if $$DS^PSSDSAPI&(+$GET(^TMP("PSODOSF",$JOB,0)))
SET PSODWARN=1
+5 ;critical and significant drug interaction drug warnings
IF $DATA(^TMP("PSOSER",$JOB,0))
SET PSOINTSV=$GET(^TMP("PSOSER",$JOB,0))
if PSOINTSV[1
SET PSODWARN=1
if PSOINTSV[2
SET PSOSIGNIF=1
+6 ;
+7 ; When verification is OFF and there's a significant drug interaction or the user doesn't hold the PSDRPH key,
+8 ; set file 52 "DRI" node for the significant drug interactions but don't quit. When the verification switch is off, the bottle label and the tech warning
+9 ; a tech warning label and the bottle label must print when significant interactions are present. However if the
+10 ; the PSOX("NOPSDRPH") variable is defined, no labels are allowed to print and processing should continue on.
+11 ;
+12 ;don't set 52.4 when verification is off and only significiant interaction
IF '$GET(PSORX("VERIFY"))
IF 'PSODWARN&($GET(PSOSIGNIF))
Begin DoDot:1
+13 SET $PIECE(^PSRX(PSOXIRXN,"DRI"),"^")=^TMP("PSOSER",$JOB,0)
+14 SET $PIECE(^PSRX(PSOXIRXN,"DRI"),"^",2)=^TMP("PSODGI",$JOB,0)
+15 IF '$PIECE(PSOPAR,"^",2)
SET PSOTLBL=1
End DoDot:1
if '$DATA(PSOX("NOPSDRPH"))
QUIT PSOTLBL
+16 ;
+17 ; If verification is ON, set file 52.4. If there are critical drug interactions or dose warnings, the fields to
+18 ; indicate these must be set and a tech warning label should print. If the PSOX("NOPSDRPH") variable is present,
+19 ; file 52.4 should be set (along with any drug interaction and dose warning data) and the technician warning label
+20 ; should print (PSOTLBL=2)
+21 ;
+22 IF ($DATA(PSOX("NOPSDRPH")))!($GET(PSODWARN))!($GET(PSORX("VERIFY")))
Begin DoDot:1
+23 KILL DIC,DLAYGO,DINUM,DIADD,X,DD,DO
SET DIC="^PS(52.4,"
SET DLAYGO=52.4
SET DINUM=PSOXIRXN
SET DIC(0)="ML"
SET X=PSOXIRXN
+24 DO FILE^DICN
KILL DD,DO,DIC,DLAYGO,DINUM
SET ^PS(52.4,PSOXIRXN,0)=PSOXIRXN_"^"_PSODFN_"^"_DUZ_"^"_"^"_$EXTRACT(PSOX("LOGIN DATE"),1,7)_"^"_PSOXIRXN_"^"_PSOX("STOP DATE")
+25 IF '$DATA(PSOX("NOPSDRPH"))
if PSOINTSV'[1&('PSODWARN)
QUIT
+26 DO TECH
End DoDot:1
+27 ;
+28 IF $DATA(^PS(52.4,PSOXIRXN))
KILL DIK,DA
SET DIK="^PS(52.4,"
SET DA=PSOX("IRXN")
DO IX^DIK
KILL DIK,DA
+29 ;verification off, dose warn or drug interaction, print technician warning label
IF '$GET(PSORX("VERIFY"))
if (PSOX("STATUS")=4!$GET(PSODWARN))
SET PSOTLBL=1
+30 IF $GET(PSORX("VERIFY"))
SET PSOTLBL=$SELECT('$GET(PSODWARN)&('$GET(PSOSIGNIF)):2,'$GET(PSODWARN)&($GET(PSOSIGNIF)):2,$GET(PSODWARN):1,1:0)
+31 ;
+32 ; If the PSOX("NOPSDRPH") variable is present and regardless of the verification switch, labels cannot be
+33 ; printed (i.e. PSOTLBL=2). A technician warning label will be printed if drug interactions or dose warnings are
+34 ; present.
+35 IF $DATA(PSOX("NOPSDRPH"))
SET PSOTLBL=2
+36 QUIT PSOTLBL
+37 ;
BLD ;*370
IF $DATA(^XUSEC("PSORPH",DUZ))
DO PHARM
QUIT
BLD2 ;
+1 if $PIECE(ON,";")'="O"
QUIT
+2 SET LSI=$PIECE(^PSRX($PIECE(ON,";",2),0),"^")_"/"_$PIECE(^PSDRUG($PIECE(^PSRX($PIECE(ON,";",2),0),"^",6),0),"^")_","_LSI
+3 IF '$DATA(^TMP("PSODGI",$JOB,0))
Begin DoDot:1
+4 SET ^TMP("PSODGI",$JOB,0)=$PIECE(ON,";",2)_","_$GET(^TMP("PSODGI",$JOB,0))
SET ^TMP("PSOSER",$JOB,0)=IT_","_$GET(^TMP("PSOSER",$JOB,0))
End DoDot:1
+5 IF ^TMP("PSODGI",$JOB,0)'[$PIECE(ON,";",2)
Begin DoDot:1
+6 SET ^TMP("PSODGI",$JOB,0)=$PIECE(ON,";",2)_","_$GET(^TMP("PSODGI",$JOB,0))
+7 SET ^TMP("PSOSER",$JOB,0)=IT_","_$GET(^TMP("PSOSER",$JOB,0))
End DoDot:1
+8 IF IT=2
SET ^TMP("PSOSERS",$JOB,0)=IT_","_$GET(^TMP("PSOSERS",$JOB,0))
SET ^TMP("PSODGS",$JOB,0)=$PIECE(ON,";",2)_","_$GET(^TMP("PSODGS",$JOB,0))
+9 if IT=1
SET ^TMP("PSOTDD",$JOB,1)=1
+10 QUIT
PHARM ;pharmacist verification of drug interaction
+1 SET PSODGRLX=$PIECE(ON,";",2)
+2 SET DIR("?",1)="Answer 'YES' if you DO want to "_$SELECT(IT=1:"continue processing",1:"enter an intervention for")_" this medication,"
+3 SET DIR("?")=" 'NO' if you DON'T want to "_$SELECT(IT=1:"continue processing",1:"enter an intervention for")_" this medication,"
+4 WRITE !
SET DIR(0)="SA^1:YES;0:NO"
SET DIR("A")="Do you want to "_$SELECT(IT=1:"Continue? ",1:"Intervene? ")
SET DIR("B")="Y"
DO ^DIR
+5 IF 'Y
IF IT=1
SET PSODLQT=1
SET DGI=""
if '$GET(PSORXED)&('$GET(PSOREINS))
SET PSORX("DFLG")=1
if $GET(PSORXED)!($GET(PSOREINS))
SET PSOQUIT=1
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
QUIT
+6 IF Y
IF IT=1
SET PSORX("INTERVENE")=1
SET DGI=""
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
GOTO CRI
QUIT
+7 IF 'Y
IF IT=2
if $GET(DIRUT)
SET (PSODLQT,PSOQUIT)=1
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
DO ULRX
QUIT
+8 IF Y
IF IT=2
SET PSORX("INTERVENE")=2
SET DGI=""
KILL DIR,DTOUT,DIRUT,DIROUT,DUOUT
+9 DO ULRX
+10 QUIT
CRI ;process new drug interactions entered by pharmacist
+1 ;G:$P(PSOSD(STA,DRG),"^",9) CRITN
KILL DIR
+2 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"
+3 SET DIR("?",1)="Enter '1' or 'P' to Process medication"
SET DIR("?")=" '^' to EXIT"
SET DIR("?",2)=" '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
+4 IF IT=1
Begin DoDot:1
+5 SET PSORX("INTERVENE")=IT
+6 DO SIG^XUSESIG
IF X1=""
KILL PSORX("INTERVENE")
SET PSORX("DFLG")=1
QUIT
End DoDot:1
+7 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(ON,";",2),0),"^")_" DRUG: "_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 "_DRG_";3:BOTH;4:CONTINUE"
+3 SET DIR("?",1)="Enter '1' or 'N' to Delete New Medication and Dispense Rx #"_$PIECE(^PSRX($PIECE(ON,";",2),0),"^")
+4 SET DIR("?",2)=" '2' or 'A' to Cancel Active Rx #"_$PIECE(^PSRX($PIECE(ON,";",2),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(ON,";",2)
DO MESS
DO ENQ^PSORXDL
DO FULL^VALM1
+10 KILL PSOSD($PIECE(PSOLST($PIECE(ON,";",2)),"^",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(ON,";",2),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 $CHAR(7)," ACTION NOT TAKEN!",!
KILL PSORX("INTERVENE")
SET PSORX("DFLG")=1
End DoDot:3
QUIT
+17 DO DC^PSOORFI2
End DoDot:2
End DoDot:1
DO ULRX
QUIT
+18 IF Y=2
SET (DA,PSOHOLDA)=$PIECE(ON,";",2)
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 DTOUT,DIROUT,DIRUT,DUOUT,PSOHOLDA
+24 if $GET(PSOSD)
SET PSOSD=PSOSD-1
SET VALMBCK="R"
End DoDot:1
DO ULRX
QUIT
+25 IF Y=3
SET (DA,PSOHOLDA)=$PIECE(ON,";",2)
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 PSOHOLDA
+31 IF $GET(PSORXED)
Begin DoDot:2
+32 SET DA=$PIECE(ON,";",2)
DO MESS
DO ENQ^PSORXDL
DO FULL^VALM1
+33 KILL 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(ON,";",2)
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
