maintenance:

	title: FORM_FUNC_DISPLAY_ANTIBIOTIC_GUIDELINES;;
	mlmname:  FORM_FUNC_DISPLAY_ANTIBIOTIC_GUIDELINES;;
	arden: version 2.5;;
	version:  15.1;;
	institution:  St Clair Hospital;;
	author:  Juliet Law, Allscripts ;;
	specialist:  ;;
	date:  2016-05-05;;
	validation:  testing;;

library:
      purpose:  Functional MLM to display antibiotic guideline information on order sets
				;;

	explanation:  This MLM will be a functional call from Order set MLMs when needing to display antibiotic / allergy guideline information

					Change history 
					05.05.2016	JML	Created.
					06.09.2017	JML CSR 35272: Added guidelines for Sepsis Unknown Source Antibiotic order sets
					02.13.2018	JML CSR 25885: Replaced gentamicin with amikacin on GU antibiotics order sets
    
 

	;;
	keywords: Called MLMs, display, fields
	;;
knowledge:
	type: data-driven;;
	data:

  			// This MLM is passed three arguments, of types 
        	// communication_type, form_type and client info object respectively.

			(
			this_communication,   	// Communication object
			this_form,				// Form object
			client_info_obj		//Arden ClientInfo object	
			) := argument;

			standard_libs := mlm {{{SINGLE-QUOTE}}}std_include_libs{{{SINGLE-QUOTE}}};
			include standard_libs;

			using "ObjectsPlusXA.SCM.Forms";
			using namespace "ObjectsPlusXA.SunriseClinicalManager.Forms";

			ClientGuid := this_communication.ClientGUID;
			ChartGuid := this_communication.ChartGUID;
			ClientVisitGuid := this_communication.ClientVisitGUID;
			PrimaryObjdetail:=this_communication.PrimaryObj;
			OrderSetName := PrimaryObjdetail.OrderSetName;

			field_list:= this_form.fields;
			CallingEvent := this_communication.CallingEvent;
			CallingField := this_communication.CallingFieldName;

			/*******************Make Changes To Spelling And Flags In This Section*******************/

			/* Set to True if a decision.log is needed.*/
			log_execution_info := False;

			SP := " ";
			SP2 := SP||SP;
			
			CR := 13 formatted with "%c";
    		LF := 10 formatted with "%c";
   			CRLF:= CR||LF;
			TAB := 9 formatted with "%c";

			//Retrieve fields
			Allergy_Info := first of ( field_list WHERE field_list.DataItemName = "NUR_GenAdditionalTxt" AND field_list.Control_MultiFieldOccNum = 1 );
			Antibiotic_Info := first of ( field_list WHERE field_list.DataItemName = "NUR_GenAdditionalTxt" AND field_list.Control_MultiFieldOccNum = 2 );

			allergy_msg := "Note: Simple rash, nausea or vomiting does not exclude the use of Cephalosporins.";
			allergy_msg := allergy_msg || CRLF || "Avoid cephalosporin only if PCN reaction was immediate hypersensitivity (i.e. hives, anaphylaxis, pharyngeal edema, neutropenia, fever).";

			Allergy_Info.Value := allergy_msg; 

			wt_based_msg := CRLF || "";

			if ( OrderSetName = "Pneumonia Antibiotic" ) then
				wt_based_msg := "Ceftriaxone 1 gm (< 80 kg)" || TAB || "Vancomycin Loading Dose 25 mg/kg ABW x1";
				wt_based_msg := wt_based_msg || CRLF || "Ceftriaxone 2 gm (>= 80 kg)" || TAB || SP2  || "then Vancomycin 20 mg/kg ABW IV q12hr (CrCl > 60 ml/min) OR q24hr (CrCl 30-60 ml/min)";
				wt_based_msg := wt_based_msg || CRLF || TAB || TAB || TAB || SP2 || "  OR X 1 (CrCl < 30 ml/min)";
				wt_based_msg := wt_based_msg || CRLF || "Tobramycin 5 mg/kg ABW X 1";
				wt_based_msg := wt_based_msg || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight;";
			endif;
			if ( OrderSetName = "Pneumonia Antibiotic ED" ) then
				wt_based_msg := "Ceftriaxone 1 gm (< 80 kg)" || TAB || "Vancomycin Loading Dose 25 mg/kg ABW x1" || TAB || "Tobramycin 5 mg/kg ABW X 1";
				wt_based_msg := wt_based_msg || CRLF || "Ceftriaxone 2 gm (>= 80 kg)";
				wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
			endif;

			if ( OrderSetName = "Sepsis Unknown Source Antibiotic ED" ) then
				wt_based_msg := "Vancomycin Loading Dose 25 mg/kg ABW x1";
				wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
			endif;
			if ( OrderSetName = "Sepsis Unknown Source Antibiotic" ) then
				wt_based_msg := "Vancomycin Loading Dose 25 mg/kg ABW x1";
				wt_based_msg := wt_based_msg || CRLF || SP2 || SP2 || "then Vancomycin 20 mg/kg ABW IV q12hr (CrCl > 60 ml/min) OR q24hr (CrCl 30-60 ml/min)";
				wt_based_msg := wt_based_msg || CRLF || TAB || SP2 || "  OR X 1 (CrCl < 30 ml/min)";
				wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight;";
			endif;

			if ( OrderSetName IN ("Genitourinary Antibiotic", "Genitourinary Antibiotic ED") ) then
				wt_based_msg := "Ceftriaxone 1 gm (< 80 kg)" || TAB || "Amikacin 7.5 mg/kg ABW X 1";
				wt_based_msg := wt_based_msg || CRLF || "Ceftriaxone 2 gm (>= 80 kg)";
				wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
			endif;

			if ( OrderSetName IN ("IntraAbdominal Antibiotic", "IntraAbdominal Antibiotic ED") ) then
				wt_based_msg := "Cefazolin 1 gm (< 80 kg)";
				wt_based_msg := wt_based_msg || CRLF || "Cefazolin 2 gm (>= 80 kg)";
			endif;

			if ( OrderSetName = "Skin Antibiotic Inpatient" ) then
				wt_based_msg := "Cefazolin 1 gm (< 80 kg)" || TAB || "Vancomycin Loading Dose 25 mg/kg ABW X 1";
				wt_based_msg := wt_based_msg || CRLF || "Cefazolin 2 gm (>= 80 kg)"  || TAB || SP2 || "then Vancomycin 20 mg/kg ABW IV q12hr (CrCl > 60 ml/min) OR q24hr (CrCl 30-60 ml/min)";
				wt_based_msg := wt_based_msg || CRLF || TAB || TAB || TAB || SP2 || "  OR X 1 (CrCl < 30 ml/min)";
				wt_based_msg := wt_based_msg || CRLF || "Clindamycin 600 mg IV q6hr (< 80 kg)";
				wt_based_msg := wt_based_msg || CRLF || "Clindamycin 900 mg IV q8hr (>= 80 kg)";
			endif;
			if ( OrderSetName = "Skin Antibiotic Inpatient ED" ) then
				wt_based_msg := "Cefazolin 1 gm (< 80 kg)" || TAB || "Vancomycin Loading Dose 25 mg/kg ABW X 1" || TAB || "Clindamycin 600 mg IV STAT (< 80 kg)";
				wt_based_msg := wt_based_msg || CRLF || "Cefazolin 2 gm (>= 80 kg)" || TAB || TAB || TAB || TAB || TAB || TAB || "Clindamycin 900 mg IV STAT (>= 80 kg)";
				wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
			endif;

			if ( OrderSetName IN ("Skin Antibiotic Outpatient", "Skin Antibiotic Outpatient ED") ) then
				wt_based_msg := "Cephalexin 500 mg PO (<= 110 kg)";
				wt_based_msg := wt_based_msg || CRLF || "Cephalexin 1000 mg PO (> 110 kg)";
			endif;

			Antibiotic_Info.Value := wt_based_msg;

	;;
	evoke:  // No evoke statement
	;;
	logic:  

		conclude True;
	;;
	action:
        // This MLM returns two parameters, of types communication_type and form_type respectively.
		return this_communication, this_form;
	;;
Urgency: 50;;
end: