maintenance: title: Set Heparin NurseOrders;; mlmname: FORM_Set_Heparin_Cardiac_Init;; arden: version 2;; version: 4.50;; institution: St Clair Admissions;; author: Robert Spence, Eclipsys Corp Ext 7461;; specialist: Teresa Spicuzza, Eclipsys Corp ext 7448;; date: 2008-05-20;; validation: testing;; library: purpose: Used for medication grids that holds heparin in Cardiac heparin protocol order set ;; explanation: This MLM is called from the heparin in Cardiac heparin protocol order set, form: OS_CardiacCCMHeparin Change History 09.27.2010 TMS Added routine for Hold session date handling 04.26.2016 TMS Add call on form Close to Medication Order Management MLM CSR 33465 ;; keywords: Called MLMs, Cardiac hep protocol ;; 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; /*******************Make Changes To Spelling And Flags In This Section*******************/ /* Set to true if a decision.log is needed.*/ log_execution_info := FALSE; /***************************************************************************************/ // Use String parse str_parse := mlm {{{SINGLE-QUOTE}}}UTIL_STRING_PARSE{{{SINGLE-QUOTE}}}; // Initialize error message error_message:=""; // Assigns fields passed in the Form object to the Field object field_list:= this_form.fields; client_guid := this_communication.ClientGUID; visit_guid := this_communication.ClientVisitGUID; chart_guid := this_communication.ChartGuid; CallingEvent := this_communication.CallingEvent; CallingField := this_communication.CallingFieldName; ////////////// Labs_fld := last of (field_list where field_list.DataItemName = "MultiOrderCheckBox" and field_List.Control_MultiFieldOccNum = 1); Labs_List := Labs_fld.Value; //Find the three checkboxes that may need to be ordered with this protocol Found_CBC:= first of (Labs_list where Labs_list.Name = "CBC No Diff (Hemogram Only)"); Found_INR:= first of (Labs_list where Labs_list.Name = "Prothrombin/INR"); Found_APTT:= first of (Labs_list where Labs_list.Name = "APTT"); CheckAPTT:=False; CheckCBC:=False; CheckINR:=False; ///////////////////////// Lab_Daily := last of (field_list where field_list.DataItemName = "MultiOrderGrid" and field_List.Control_MultiFieldOccNum = 2); Lab_Daily_List := Lab_Daily.Value; Fnd_APTT := first of (Lab_Daily_List where Lab_Daily_List.Name = "APTT"); primreqdate:= last of (field_list where field_list.DataItemName = "RequestedDate" and field_List.Control_MultiFieldOccNum = 1); secreqdate:= last of (field_list where field_list.DataItemName = "RequestedDate" and field_List.Control_MultiFieldOccNum = 2); thirdreqdate:= last of (field_list where field_list.DataItemName = "RequestedDate" and field_List.Control_MultiFieldOccNum = 3); fourthreqdate:= last of (field_list where field_list.DataItemName = "RequestedDate" and field_List.Control_MultiFieldOccNum = 4); fifthreqdate:= last of (field_list where field_list.DataItemName = "RequestedDate" and field_List.Control_MultiFieldOccNum = 5); ED_Loc:= last of (field_list where field_list.DataItemName = "ED Location"); ////////////// Lab_Rem := last of (field_list where field_list.DataItemName = "MultiOrderGrid" and field_List.Control_MultiFieldOccNum = 1); Lab_Rem_List := Lab_Rem.Value; Fnd_Daily := first of (Lab_Rem_List where Lab_Rem_List.Name = "Daily Orders:"); /////////////////////// Mlt_Order_Line:= first of (field_list where field_list.DataItemName = "MultiOrderInline" and field_List.Control_MultiFieldOccNum = 1); Mlt_List := Mlt_Order_Line.Value; ///////////// Heps_Grid := last of (field_list where field_list.DataItemName = "MultiOrderGrid" and field_List.Control_MultiFieldOccNum = 4); Heps_List :=Heps_Grid.Value; Fnd_Hep_Con:= first of (Heps_List where Heps_List.Name = "Heparin 25,000 Units+ D5W 500ml"); Fnd_Hep_Inf:= first of (Heps_List where Heps_List.Name = "Heparin 25,000 Units+ 0.9% NaCl 500ml"); ///////////// prx_comment := last of (field_list where field_list.DataItemName = "PRX_NOTECOMMENT0"); //////////// Order_From := last of (field_list where field_list.DataItemName = "NUR_DateField"); Order_To := last of (field_list where field_list.DataItemName = "NUR_ToDate"); If CallingEvent = "FieldChange" Then If CallingField = "MultiOrderGrid|4" then If Fnd_Hep_Con.IsSelected = True then Fnd_Hep_Inf.IsReadOnly := True; Lab_Daily_List.IsReadOnly := (False,True,True,True,True,True); Lab_Daily_List.IsSelected := (Fnd_APTT.IsSelected,True,True,True,True,True); Fnd_Daily.IsReadOnly := True; Fnd_Daily.IsSelected := True; If Ed_Loc.Value matches pattern "ER%" then Mlt_List.IsSelected := (True,True,True,True,True,True,True,True); else Mlt_List.IsSelected := (True,True,True,True,True,True,True,False); endif; else Fnd_Hep_Inf.IsReadOnly := False; endif; If Fnd_Hep_Inf.IsSelected = True then Fnd_Hep_Con.IsReadOnly := True; Lab_Daily_List.IsReadOnly := (False,True,True,True,True,True); Lab_Daily_List.IsSelected := (Fnd_APTT.IsSelected,True,True,True,True,True); Fnd_Daily.IsReadOnly := True; Fnd_Daily.IsSelected := True; If Ed_Loc.Value matches pattern "ER%" then Mlt_List.IsSelected := (True,True,True,True,True,True,True,True); else Mlt_List.IsSelected := (True,True,True,True,True,True,True,False); endif; else Fnd_Hep_Con.IsReadOnly := False; endif; If (Fnd_Hep_Con.IsSelected = False) and (Fnd_Hep_Inf.IsSelected = False) then Lab_Daily_List.IsSelected := (Fnd_APTT.IsSelected,False,False,False,False,False); Fnd_Daily.IsSelected := False; Mlt_List.IsSelected := (False,False,False,False,False,False,False,False); endif; ElseIf CallingField = "RequestedDate|1" then //Set the four remaining order set date fields based on the starting date yr := extract year now; mn := extract month now; if mn < 10 then mn := "0" || mn; endif; dd := extract day now; if dd < 10 then dd := "0" || dd; endif; today:= yr || "-" || mn || "-" || dd || "T00:00:00"; tomorrow := (today as time) +1 day; tom_list := call str_parse with tomorrow, " "; tom_dte := first(tom_list); lesstomorrow := primreqdate.value < tomorrow; If lesstomorrow = true then this_communication.DisplayForm := "Yes"; this_communication.Message := "You may not enter a date earlier than tomorrow (" || tom_dte || ")" ; this_communication.MessageType := "Error"; primreqdate.value := tomorrow; endif; startdate:= primreqdate.value; Order_From.value := primreqdate.value; secreqdate.value := startdate + 2 days; thirdreqdate.value := startdate + 4 days; fourthreqdate.value := startdate + 6 days; fifthreqdate.value := startdate + 8 days; Order_To.value := fifthreqdate.value; prx_comment.value:= primreqdate.value || "," || secreqdate.value || "," || thirdreqdate.value || "," || fourthreqdate.value || "," || fifthreqdate.value; endif; //Calling Field elseif CallingEvent = "FormOpen" then //Retrieve Patient{{{SINGLE-QUOTE}}}s Current Location LocName:= read last {"SELECT currentlocation " || " FROM cv3clientvisit " || " WHERE ClientGUID = " || SQL(client_guid ) || " And GUID = " || SQL(visit_guid)}; Ed_Loc.Value := LocName; Mlt_List.IsReadOnly := (True,True,True,True,True,True,True,True); If Ed_Loc.Value matches pattern "ER%" then Mlt_List.IsSelected := (True,True,True,True,True,True,True,True); else Mlt_List.IsSelected := (True,True,True,True,True,True,True,False); endif; Fnd_Hep_Inf.IsReadOnly := True; Lab_Daily_List.IsReadOnly := (False,True,True,True,True,True); Fnd_Daily.IsReadOnly := True; Fnd_Daily.IsSelected := True; // Hold Session - Date handling. Instead of date (T is found) or(T+(#) is found) PlusLocation := FIND "+" IN STRING primreqdate.value; TLocation := FIND "T" IN STRING primreqdate.value; If TLocation = 1 and PlusLocation = 0 then primreqdate.value := (now as time); endif; If PlusLocation > 0 then PlusDays := SUBSTRING 1 CHARACTERS STARTING AT LENGTH OF primreqdate.value FROM primreqdate.value ; primreqdate.value := (now as time) +(PlusDays as number) day; endif; startdate:= primreqdate.value; Order_From.value := primreqdate.value; secreqdate.value := startdate + 2 days; thirdreqdate.value := startdate + 4 days; fourthreqdate.value := startdate + 6 days; fifthreqdate.value := startdate + 8 days; Order_To.value := fifthreqdate.value; prx_comment.value:= primreqdate.value || "," || secreqdate.value || "," || thirdreqdate.value || "," || fourthreqdate.value || "," || fifthreqdate.value; elseif CallingEvent = "FormClose" then If (Fnd_Hep_Con.IsSelected = True) or (Fnd_Hep_Inf.IsSelected = True) then If (Found_CBC.IsSelected =false) or (Found_INR.IsSelected = false) or (Found_APTT.IsSelected= false) then If Found_CBC.ISSelected = False then CBC_Val := read last {"Select top 1 o.Name" || " From cv3order as o with (nolock) " || " join cv3ordercatalogmasteritem as ocmi with (nolock) " || " on ocmi.guid = o.ordercatalogmasteritemguid " || " and ocmi.active = 1 " || " and ocmi.name in ({{{SINGLE-QUOTE}}}CBC (Includes Diff){{{SINGLE-QUOTE}}},{{{SINGLE-QUOTE}}}CBC No Diff (Hemogram Only){{{SINGLE-QUOTE}}},{{{SINGLE-QUOTE}}}CBC with Manual Diff{{{SINGLE-QUOTE}}}) " || " where o.clientguid = " || SQL(client_guid) || " and o.chartguid = " || SQL(chart_guid) || " and o.requesteddtm >= (DATEADD(hour, -24, getdate())) " || " and o.requesteddtm <= getdate() " || " and o.OrderStatusLevelNum > 15 " || " and o.OrderStatusLevelNum not in (69, 70) " || " order by o.requesteddtm desc " }; If exists CBC_Val then CheckCBC:=False; else CheckCBC:=True; Found_CBC.ISSelected :=True; endif; endif; // Now for INR If Found_INR.ISSelected = False then INR_Val := read last {"Select top 1 o.Name" || " From cv3order as o with (nolock) " || " join cv3ordercatalogmasteritem as ocmi with (nolock) " || " on ocmi.guid = o.ordercatalogmasteritemguid " || " and ocmi.active = 1 " || " and ocmi.name in ({{{SINGLE-QUOTE}}}Prothrombin/INR{{{SINGLE-QUOTE}}}) " || " where o.clientguid = " || SQL(client_guid) || " and o.chartguid = " || SQL(chart_guid) || " and o.requesteddtm >= (DATEADD(hour, -24, getdate())) " || " and o.requesteddtm <= getdate() " || " and o.OrderStatusLevelNum > 15 " || " and o.OrderStatusLevelNum not in (69, 70) " || " order by o.requesteddtm desc " }; If exists INR_Val then CheckINR:=False; else Found_INR.ISSelected :=True; CheckINR:=True; endif; endif; // Now for APTT If Found_APTT.ISSelected = False then APTT_Val := read last {"Select top 1 o.Name" || " From cv3order as o with (nolock) " || " join cv3ordercatalogmasteritem as ocmi with (nolock) " || " on ocmi.guid = o.ordercatalogmasteritemguid " || " and ocmi.active = 1 " || " and ocmi.name in ({{{SINGLE-QUOTE}}}APTT{{{SINGLE-QUOTE}}}) " || " where o.clientguid = " || SQL(client_guid) || " and o.chartguid = " || SQL(chart_guid) || " and o.requesteddtm >= (DATEADD(hour, -24, getdate())) " || " and o.requesteddtm <= getdate() " || " and o.OrderStatusLevelNum > 15 " || " and o.OrderStatusLevelNum not in (69, 70) " || " order by o.requesteddtm desc " }; If exists APTT_Val then CheckAPTT:=False; else Found_APTT.ISSelected :=True; CheckAPTT:=True; endif; endif; endif; ////////////////////// // Now find if there are already CBC{{{SINGLE-QUOTE}}}s ordered in the future... // Reset the check boxes if they are. formlist := call str_parse with prx_comment.value, ","; end_date := fifthreqdate.value + 1 day; CBC_daily_dates :=(); CBC_daily_dates := read {"Select distinct top 20 convert(char(6),o.requesteddtm,110) +convert(char(4), o.requesteddtm,20) + {{{SINGLE-QUOTE}}} 00:00:00{{{SINGLE-QUOTE}}}" || " From cv3order as o with (nolock) " || " join cv3ordercatalogmasteritem as ocmi with (nolock) " || " on ocmi.guid = o.ordercatalogmasteritemguid " || " and ocmi.active = 1 " || " and ocmi.name in ({{{SINGLE-QUOTE}}}CBC (Includes Diff){{{SINGLE-QUOTE}}},{{{SINGLE-QUOTE}}}CBC No Diff (Hemogram Only){{{SINGLE-QUOTE}}},{{{SINGLE-QUOTE}}}CBC with Manual Diff{{{SINGLE-QUOTE}}}) " || " where o.clientguid = " || SQL(client_guid) || " and o.chartguid = " || SQL(chart_guid) || " and o.requesteddtm >= " || SQL(primreqdate.value) || " and o.requesteddtm < " || SQL(end_date) || " and o.OrderStatusLevelNum > 15 " || " and o.OrderStatusLevelNum not in (69, 70) " || " and o.orderstatuscode <> {{{SINGLE-QUOTE}}}MASTR{{{SINGLE-QUOTE}}} "}; If exist(CBC_daily_dates) then Reset_CBC_Grid:= (); singledate := ""; index_list := 1 seqto (count formlist) ; for J in index_list do singledate := formlist[J]; Reset_CBC_Grid:= Reset_CBC_Grid, singledate not in CBC_daily_dates; enddo; Lab_Daily_List.IsSelected := (Fnd_APTT.IsSelected,Reset_CBC_Grid); endif; //If exist else this_communication.DisplayForm := "Yes"; this_communication.Message := "Please Select a Heparin Infusion Order.\n\n" || " 500ml D5W (Standard Concentration)\n" || " or \n" || " 500ml 0.9% NaCl (If Specifically Requested By Physician)"; this_communication.MessageType := "Error"; endif; // 1 of 2 heparin boxes checked Med_Order_Mgt := mlm {{{SINGLE-QUOTE}}}FORM_SET_Rx_Medication_Order_Mgt{{{SINGLE-QUOTE}}}; (this_communication, this_form) := call Med_Order_Mgt with this_communication, this_form, client_info_obj; endif; ;; 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; ;; end: