Initial Checking with all 820 MLMs

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2020-02-02 00:54:01 -05:00
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maintenance:
title: Pneumovax Logic for the Progress Note;;
mlmname: DOC_FUNC_PNEUMOVAX_EPN;;
arden: version 5.0;;
version: 2.00;;
institution: St.Clair Hospital;;
author: Don Warnick;;
specialist: ;;
date: 2015-12-16;;
validation: testing;;
library:
purpose:
;;
explanation:
Change history
12.16.2015 DW CSR# 33655 Previnar - Created
;;
keywords:
;;
knowledge:
type: data-driven;;
data:
// RS ADD Message box
standard_libs := mlm {{{SINGLE-QUOTE}}}std_include_libs{{{SINGLE-QUOTE}}};
include standard_libs;
using "ObjectsPlusXA.SCM.Forms";
using namespace "ObjectsPlusXA.SunriseClinicalManager.Forms";
// Recieve arguments from the structured note
(thisDocumentCommunication) := argument;
// Extract interesting parts of the object model
(thisStructuredNoteDoc) := thisDocumentCommunication.DocumentConfigurationObj;
(thisParameters) := thisStructuredNoteDoc.ParametersList;
(thisObservations) := thisStructuredNoteDoc.ChartedObservationsList;
// Create prototypes for the object types we{{{SINGLE-QUOTE}}}ll need to instantiate
ObservationType := OBJECT [ObservationGUID, ClientDocumentGUID, ParameterGUID, DataType, ValueObj];
FreeTextValueType := OBJECT [Value];
DateValueType := OBJECT [Value];
ListValueType := OBJECT [ListGuid,ListItemsList, SuggestedTextValue];
ListValueListItemType := OBJECT [ListItemGUID, Value, IsSelected];
// Get the client and visit GUIDs
clientGuid := thisDocumentCommunication.ClientGUID;
visitGuid := thisDocumentCommunication.ClientVisitGUID;
chartGuid := thisDocumentCommunication.ChartGUID;
userGuid := thisDocumentCommunication.UserGUID;
// DOCUMENT OPENING SECTION
IF thisdocumentCommunication.EventType = "DocumentOpening" then
(OccCode, userName) := read last {" select OccupationCode, IDCode from CV3USER with (nolock) where guid = " || sql(userGuid) };
// if ( OccCode = "IT" AND userName = "jlaw" ) then
// break;
// endif;
// Search for a pneumococcal recommendation on a patient profile
recommendedvaccine := read last
{ " Select fsl.value "
|| " from CV3ObsCatalogMasterItem ocmi with (nolock) "
|| " join CV3ObservationDocument od with (nolock) on od.ObsMasterItemGUID = ocmi.GUID "
|| " join CV3ClientDocDetailCUR cdd with (nolock) on cdd.CLientDocumentGUID = od.OwnerGUID and cdd.ClientGUID = " || ClientGuid || " "
|| " join CV3ClientDocumentCUR cd with (nolock) on cd.GUID = cdd.ClientDocumentGUID AND cd.clientguid = cdd.ClientGUID and cd.ChartGUID = " || ChartGuid || " and cd.ClientVisitGUID = " || VisitGuid || " "
|| " left join SCMObsFSListValues fsl with (nolock) on fsl.ParentGUID = od.ObservationDocumentGUID AND fsl.ClientGUID = " || ClientGuid || " "
|| " where ocmi.name = {{{SINGLE-QUOTE}}}SCHCK_Pneumo vac recommend{{{SINGLE-QUOTE}}} and cd.DocumentName like {{{SINGLE-QUOTE}}}%profile%{{{SINGLE-QUOTE}}} "
|| " and cd.iscanceled = 0 and cdd.active = 1 and od.Active = 1 "
};
// Search for a pnumococcal vacccine resolution on an EPN. If one ia found the recommendation will not appear
recommendationaddressed := read last
{ " Select o.ValueText "
|| " from CV3ObsCatalogMasterItem ocmi with (nolock) "
|| " join CV3ObservationDocument od with (nolock) on od.ObsMasterItemGUID = ocmi.GUID "
|| " join CV3ClientDocDetailCUR cdd with (nolock) on cdd.CLientDocumentGUID = od.OwnerGUID and cdd.ClientGUID = " || ClientGuid || " "
|| " join CV3ClientDocumentCUR cd with (nolock) on cd.GUID = cdd.ClientDocumentGUID AND cd.clientguid = cdd.ClientGUID and cd.ChartGUID = " || ChartGuid || " and cd.ClientVisitGUID = " || VisitGuid || " "
|| " join CV3Observation o with (nolock) on o.GUID = od.ObservationGUID "
|| " where ocmi.name = {{{SINGLE-QUOTE}}}SCH_MDPN_Pneumo Ordered FT{{{SINGLE-QUOTE}}} and cd.DocumentName like {{{SINGLE-QUOTE}}}%progress%{{{SINGLE-QUOTE}}} and "
|| " cd.iscanceled = 0 and cdd.active = 1 and od.Active = 1 "
};
// Select the "Pneumococcal Expand" radio button - When selected, vaccine ordering observations are displayed
If exists recommendedvaccine and recommendedvaccine <> "no" and not exists recommendationaddressed then
this_parametername := first of (thisParameters where thisParameters.Name = "SCH_Pneumo_Expand");
this_currentObj := NEW ObservationType;
this_currentObj.ClientDocumentGUID:= thisStructuredNoteDoc.ClientDocumentGUID;
this_currentObj.ParameterGUID := this_parametername.ParameterGUID;
this_currentObj.DataType := "ListValue";
this_currentObj.ValueObj := New ListValueType;
this_currentObj.ValueObj.ListGUID:= this_parametername.ConfigurationObj.ListGUID;
listItems := ();
FOR item IN this_parametername.ConfigurationObj.ListItemsList DO
selectedItem := NEW ListValueListItemType;
selectedItem.ListItemGUID := item.ListItemGUID;
selectedItem.Value := item.Value;
selectedItem.IsSelected := true;
listItems := (listItems, selectedItem);
ENDDO;
this_currentobj.ValueObj.ListItemsList := listItems;
thisStructuredNoteDoc.ChartedObservationsList := (thisstructuredNoteDoc.ChartedObservationsList, this_currentObj);
endif;
// Display the recommended vaccine type (Pneumococcal or Prevnar) for the user
this_parametername := first of (thisParameters where thisParameters.Name = "SCH_MDPN_Pneumo Recommend FT");
this_currentObj := NEW ObservationType;
this_currentObj.ClientDocumentGUID:= thisStructuredNoteDoc.ClientDocumentGUID;
this_currentObj.ParameterGUID := this_parametername.ParameterGUID;
this_currentObj.DataType := "FreeTextValue";
this_currentObj.ValueObj := New FreeTextValueType;
this_currentObj.ValueObj.Value := recommendedvaccine;
thisStructuredNoteDoc.ChartedObservationsList := (thisstructuredNoteDoc.ChartedObservationsList, this_currentObj);
endif; // Docuement Open Section
// CHART OBSERVATION SECTION
IF thisdocumentCommunication.EventType = "ChartObservation" then
// Determine if the Order or Deferr button was selected
response := "";
theParameter := first of (thisparameters where thisparameters.Name = "SCH_MDPN_Pneumo Vaccine Order");
theObservation := first of (thisobservations where thisobservations.ParameterGUID = theParameter.ParameterGUID);
if true in (theObservation.ValueObj.ListItemsList.IsSelected where theObservation.ValueObj.ListItemsList.Value = "Order Vaccine")
then response := "Approved administration of ";
endif;
if true in (theObservation.ValueObj.ListItemsList.IsSelected where theObservation.ValueObj.ListItemsList.Value = "Defer Vaccine")
then response := "Deferred administration of pneumonia vaccine";
endif;
if response = "Approved administration of " then
// Determine which Vaccine is recommended
theParameter := first of (thisparameters where thisparameters.Name = "SCH_MDPN_Pneumo Recommend FT");
theObservation := first of (thisobservations where thisobservations.ParameterGUID = theParameter.ParameterGUID);
vaccinerecommendation:= theObservation.ValueObj;
response := response || vaccinerecommendation.Value;
endif;
// If the recommendation is addressed, store the response in a field to be saved to the note (to document the action and clear the recommendation)
if response <> "" then
// Populate the resonse field
this_parametername := first of (thisParameters where thisParameters.Name = "SCH_MDPN_Pneumo Ordered FT");
this_currentObj := NEW ObservationType;
this_currentObj.ClientDocumentGUID:= thisStructuredNoteDoc.ClientDocumentGUID;
this_currentObj.ParameterGUID := this_parametername.ParameterGUID;
this_currentObj.DataType := "FreeTextValue";
this_currentObj.ValueObj := New FreeTextValueType;
this_currentObj.ValueObj.Value := response;
thisStructuredNoteDoc.ChartedObservationsList := (thisstructuredNoteDoc.ChartedObservationsList, this_currentObj);
endif; // Recommendation is addressed ?
endif; // End of Observation Event section
// DOCUMENT CLOSING SECTION
IF thisdocumentCommunication.EventType = "DocumentClosing" then
(OccCode, userName) := read last {" select OccupationCode, IDCode from CV3USER with (nolock) where guid = " || sql(userGuid) };
// if ( OccCode = "IT" AND userName = "jlaw" ) then
// break;
// endif;
// Determine if Place Order button is set to "Yes"
theParameter := first of (thisparameters where thisparameters.Name = "SCH_MDPN_Pneumo Vaccine Order");
theObservation := first of (thisobservations where thisobservations.ParameterGUID = theParameter.ParameterGUID);
if true in (theObservation.ValueObj.ListItemsList.IsSelected where theObservation.ValueObj.ListItemsList.Value = "Order Vaccine")
then placeorder := "yes"; endif;
if true in (theObservation.ValueObj.ListItemsList.IsSelected where theObservation.ValueObj.ListItemsList.Value = "Defer Vaccine")
then placeorder := "no"; endif;
// Determine which Vaccine is recommended
theParameter := first of (thisparameters where thisparameters.Name = "SCH_MDPN_Pneumo Recommend FT");
theObservation := first of (thisobservations where thisobservations.ParameterGUID = theParameter.ParameterGUID);
vaccinerecommendation:= theObservation.ValueObj;
// Check for existing Pneumococcal Order on the account
(orderpresent) := read
{
" select o.name "
|| " from cv3ordercatalogmasteritem as ocmi with (nolock) "
|| " join cv3order as o with (nolock)on o.ordercatalogmasteritemguid = ocmi.guid "
|| " and o.ClientGUID = " || ClientGuid || " and o.ChartGUID = " || ChartGuid || " and o.ClientVisitGUID= " || VisitGuid || " "
|| " and o.name like {{{SINGLE-QUOTE}}}Pneumococcal%{{{SINGLE-QUOTE}}} and o.name like {{{SINGLE-QUOTE}}}%Vaccine Inj{{{SINGLE-QUOTE}}} "
|| " and o.OrderStatusLevelNum >= 15 and o.OrderStatusLevelNum not in (69, 70) "
};
orderpresent_found := count(orderpresent) As Number;
// If no existing order is found and Place Order button is "Yes" then create a new order
If placeorder = "yes" and orderpresent_found = 0 then
if vaccinerecommendation.value = "Pneumovax 23" then Catalog_Item_Name := "Pneumococcal Vaccine Inj"; Catalog_Item_Modifier := "0.5mL, IM, Once"; endif;
if vaccinerecommendation.value = "Prevnar 13" then Catalog_Item_Name := "Pneumococcal 13-Valent Vaccine Inj"; Catalog_Item_Modifier := "-"; endif;
SessionType := "Standard";
SessionReason := "";
RequestingSource := "";
user_IDType := "Edstan Number (physician)";
order_Creation_Reason := " ";
client_visit_obj := call {{{SINGLE-QUOTE}}}ClientVisit{{{SINGLE-QUOTE}}}.FindByPrimaryKey with ((thisdocumentCommunication.ClientVisitGUID as number) as {{{SINGLE-QUOTE}}}Int64{{{SINGLE-QUOTE}}}) ;
RequestingCareProvider_obj:= call {{{SINGLE-QUOTE}}}CareProvider{{{SINGLE-QUOTE}}}.FindByPrimaryKey with ((thisdocumentCommunication.UserGUID as number) as {{{SINGLE-QUOTE}}}Int64{{{SINGLE-QUOTE}}});
location_guid:= read last {"SELECT CurrentLocationGUID FROM CV3ClientVisit where ClientGUID = " || thisdocumentCommunication.ClientGUID};
location_obj:= call {{{SINGLE-QUOTE}}}Location{{{SINGLE-QUOTE}}}.FindByPrimaryKey with ((location_guid as number) as {{{SINGLE-QUOTE}}}Int64{{{SINGLE-QUOTE}}});
// Create a new MEDICATION order from a Pre-Filled item
try
Catalog_Item_Version := "";
Medication_catalog_item := call {{{SINGLE-QUOTE}}}OrderCatalogMasterItem{{{SINGLE-QUOTE}}}.FindByName with Catalog_Item_Name;
PreFilled_MedicationOrder_obj := call {{{SINGLE-QUOTE}}}MedicationOrder{{{SINGLE-QUOTE}}}.CreateMedicationOrder
with
client_visit_obj, // ClientVisit ObjectsPlus object
Medication_catalog_item, // OrderCatalogMasterItem ObjectsPlus object
Catalog_Item_Modifier, // string ItemNameModifier
Catalog_Item_Version, // string ItemNameModifierVersion
order_Creation_Reason, // string CreateReason
RequestingCareProvider_obj , // RequestedBy ObjectsPlus object
RequestingSource, // string RequestedBySource (must be in dictionary)
SessionType, // string SessionType
SessionReason, // string SessionReason
location_obj, // Location ReleaseLocGrpID
"Always" as {{{SINGLE-QUOTE}}}AvailabilityOverride{{{SINGLE-QUOTE}}}; // AvailabilityOverride eAvailabilityOverride
if ( Medication_catalog_item is NOT NULL ) then
void := call PreFilled_MedicationOrder_obj.Save;
void := call PreFilled_MedicationOrder_obj.Dispose;
void:= call Medication_catalog_item.Dispose;
Medication_catalog_item:= null;
endif;
endtry;
catch Exception ex error_occurred := true; error_message := "{{+R}}New prefilled medication order:{{-R}}\n" || ex.Message || "\n\n";
if ( Medication_catalog_item is NOT NULL ) then void:= call Medication_catalog_item.Dispose; Medication_catalog_item:= null; endif;
if ( PreFilled_MedicationOrder_obj is NOT NULL ) then void:= call PreFilled_MedicationOrder_obj.Dispose; PreFilled_MedicationOrder_obj:= null; endif;
Prefilled_MedicationOrder_dest := null;
endcatch;
if ( client_visit_obj is NOT NULL ) then void:= call client_visit_obj.Dispose; client_visit_obj:= null; endif;
if ( RequestingCareProvider_obj is NOT NULL ) then void:= call RequestingCareProvider_obj.Dispose; RequestingCareProvider_obj:= null; endif;
if ( location_obj is NOT NULL ) then void:= call location_obj.Dispose; location_obj:= null; endif;
endif; // End of Place Order = Yes section
endif; // End of Close Document
;;
evoke:
;;
logic: conclude true;
;;
action: return thisDocumentCommunication;
;;
Urgency: 50;;
end: