252 lines
11 KiB
Plaintext
252 lines
11 KiB
Plaintext
maintenance:
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title: Intravenous Infliximab Physician Orders;;
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mlmname: FORM_Set_Infliximab_Dosing;;
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arden: version 2.5;;
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version: 16.30;;
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institution: St Clair Hospital;;
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author: Teresa Spicuzza, Allscripts ext 7448;;
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specialist: Teresa Spicuzza, Allscripts ext 7448;;
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date: 2018-11-07;;
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validation: testing;;
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library:
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purpose: Used for Intravenous Infliximab (Remicade) or Infliximab-dyyb (Inflectra) Physician Order Set.
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;;
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explanation: This MLM is called from the Intravenous Infliximab (Remicade) or Infliximab-dyyb (Inflectra) Physician Order Set
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Change history
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11.07.2018 TMS CSR 36315: Initial build
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01.25.2019 TMS CSR 36315: Removed hard stop when no infliximab is entered
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;;
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keywords: Called MLMs, Infliximab, Remicade, Infliximab-dyyb, Inflectra)
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;;
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knowledge:
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type: data-driven;;
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data:
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// This MLM is passed three arguments, of types
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// communication_type, form_type and client info object respectively.
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(this_communication, // Communication object
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this_form, // Form object
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client_info_obj //Arden ClientInfo object
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) := argument;
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/*******************Make Changes To Spelling And Flags In This Section*******************/
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/* Set to true if a decision.log is needed.*/
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log_execution_info := FALSE;
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standard_libs := MLM {{{SINGLE-QUOTE}}}std_include_libs{{{SINGLE-QUOTE}}};
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include standard_libs;
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/***************************************************************************************/
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// Initialize error message
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error_message:="";
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// Assigns fields passed in the Form object to the Field object
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field_list:= this_form.fields;
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CallingEvent := this_communication.CallingEvent;
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CallingField := this_communication.CallingFieldName;
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CR := 13 formatted with "%c";
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LF := 10 formatted with "%c";
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CRLF:= CR||LF;
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TAB := 9 formatted with "%c";
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MgPerKg:= last of (field_list where field_list.DataItemName = "PRX_DosePerKg" and field_List.Control_MultiFieldOccNum = 1);
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FixedDose:= last of (field_list where field_list.DataItemName = "DosageLow" and field_List.Control_MultiFieldOccNum = 1);
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OrderedDose := last of (field_list where field_list.DataItemName = "DosageLow" and field_List.Control_MultiFieldOccNum = 2);
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CalcDose:= last of (field_list where field_list.DataItemName = "DosageLow" and field_List.Control_MultiFieldOccNum = 2);
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TitrateButton:= last of (field_list where field_list.DataItemName = "PRX_Generic_CB" and field_List.Control_MultiFieldOccNum = 1);
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DosingInfo:= last of (field_list where field_list.DataItemName = "MultiOrderInline" and field_List.Control_MultiFieldOccNum = 3);
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OrderGrid:= last of (field_list where field_list.DataItemName = "MultiOrderGrid" and field_List.Control_MultiFieldOccNum = 1);
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OrderGrid_List := OrderGrid.Value;
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RateInfo := last of (field_list where field_list.DataItemName = "AdminInstructions" and field_List.Control_MultiFieldOccNum = 1);
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DosingInfo_List := DosingInfo.value;
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ReasonMessage := "Please select either Infliximab (Remicade)Order" ||CRLF || "or Infliximab-dyyb (Inflectra)Order to continue.";
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DoseInfo1:= last of (field_list where field_list.DataItemName = "PRX_Dosing_Info" and field_List.Control_MultiFieldOccNum = 1);
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DoseInfo2:= last of (field_list where field_list.DataItemName = "PRX_Dosing_Info" and field_List.Control_MultiFieldOccNum = 2);
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//OrderSetComplete := last of (field_list where field_list.DataItemName = "PRX_Generic_Text_Box" and field_List.Control_MultiFieldOccNum = 2);
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//OrderSetComplete.Control_Mandatory := True;
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EntryTime := (now as time) ;
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GiveMinute := extract minute EntryTime;
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GiveHour := extract hour EntryTime;
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StandardRate := "Infuse at 125 mL/hr over 2 hours";
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Remicade := first of (OrderGrid_List where OrderGrid_List.Name = "Infliximab:");
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Inflectra := first of (OrderGrid_List where OrderGrid_List.Name = "Infliximab-dyyb:");
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TitrateRate := "Infuse at 10 mL/hr for 15 minutes" || CRLF
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|| TAB || " 20 mL/hr for 15 minutes" || CRLF
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|| TAB || " 40 mL/hr for 15 minutes" || CRLF
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|| TAB || " 80 mL/hr for 15 minutes" || CRLF
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|| TAB || "150 mL/hr for 30 minutes" || CRLF
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|| TAB || "250 mL/hr Until the end of therapy";
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Info2 := "Titration recommended per provider’s order: "|| CRLF ||CRLF
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|| TAB ||"Infuse at: " || TAB ||" 10 mL/hr for 15 minutes, then" || TAB || TAB ||" 20 mL/hr for 15 minutes, then " || CRLF
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|| TAB ||TAB || " 40 mL/hr for 15 minutes, then " || TAB ||" 80 mL/hr for 15 minutes, then " || CRLF
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|| TAB ||TAB || "150 mL/hr for 30 minutes, then " || TAB || "250 mL/hr Until the end of therapy";
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Info1 := "Standard Infusion Rate:" || CRLF || CRLF
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|| TAB || "Infuse at 125 mL/hr over 2 hours";
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DoseInfo1.value := Info1;
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DoseInfo2.value := Info2;
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// Get patient weight
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comb_ht_wt_field := first of (field_list where field_list.DataItemName = "CombinedMeasurements");
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If exists comb_ht_wt_field then comb_ht_wt_val := comb_ht_wt_field.value;
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wt := comb_ht_wt_val.weight;
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weightvalue := (wt as number);
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needweight := false;
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Endif;
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If weightvalue is null or weightvalue = 0 then
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needweight := true;
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AlertingFixedDose := 1500;
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else
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AlertingFixedDose := ((wt as number) * 10) + 100;
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endif;
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If CallingEvent = "FieldChange" and CallingField = "CombinedMeasurements|1"
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and MgPerKg.value is not null
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and FixedDose.value is null then
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RawDose := (wt as number) * (MgPerKg.value as number);
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OrderedDose.value := int((RawDose + 5)/10) * 10;
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endif;
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DosingInfo_List.IsReadOnly := (true, true);
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If CallingEvent = "FieldChange" and CallingField = "PRX_DosePerKg|1" then
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If FixedDose.value is not null then
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dialogResult := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with "You have already entered a value for FIXED Dosing."
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||" \n\n Choose YES to continue with the entered FIXED Dose."
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||" \n\n Choose NO to continue with WEIGHT BASED Dosing." ,"Alert","YesNo" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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if((dialogResult as string) = "Yes") then
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MgPerKg.value := null;
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If (FixedDose.value as number) > (AlertingFixedDose as number) then
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dialogResult3 := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with " The dose you entered, " || FixedDose.value || " mg, is higher than the" || CRLF ||
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"recommended dosing for Infliximab. Please verify dose. ", "High Dose Alert","OK" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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endif;
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OrderedDose.value := FixedDose.value;
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elseif ((dialogResult as string) = "No") then
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FixedDose.value := null;
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endif;
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endif;
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If FixedDose.value is null then
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If Needweight = true then
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dialogResult2 := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with " Please enter a weight to"|| CRLF ||
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"calculate Weight Based Dosing.", "Alert","OK" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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Else
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If (MgPerKg.value as number) > 10 then
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dialogResult3 := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with " The dose you entered, " || MgPerKg.value || " mg/kg, is higher than the" || CRLF ||
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"recommended dosing for Infliximab. Please verify dose. ", "High Dose Alert","OK" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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endif;
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RawDose := (wt as number) * (MgPerKg.value as number);
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OrderedDose.value := int((RawDose + 5)/10) * 10;
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endif;
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endif;
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endif;
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If CallingEvent = "FieldChange" and CallingField = "DosageLow|1" then
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If MgPerKg.value is not null then
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dialogResult := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with "You have already entered a value for WEIGHT BASED Dosing."
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||" \n\n Choose YES to continue with WEIGHT BASED Dosing."
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||" \n\n Choose NO to continue with the entered FIXED Dose." ,"Alert","YesNo" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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if((dialogResult as string) = "Yes") then
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If Needweight = true then
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dialogResult2 := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with " Please enter a weight to"|| CRLF ||
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"calculate Weight Based Dosing.", "Alert","OK" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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Else
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If (MgPerKg.value as number) > 10 then
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dialogResult2 := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with " The dose you entered, " || MgPerKg.value || " mg/kg, is higher than the" || CRLF ||
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"recommended dosing for Infliximab. Please verify dose. ", "High Dose Alert","OK" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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endif; RawDose := (wt as number) * (MgPerKg.value as number);
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OrderedDose.value := int((RawDose + 5)/10) * 10;
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FixedDose.value := null;
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endif;
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elseif ((dialogResult as string) = "No") then
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MgPerKg.value := null;
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endif;
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endif;
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If MgPerKg.value is null then
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If (FixedDose.value as number) > (AlertingFixedDose as number) then
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dialogResult3 := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with " The dose you entered, " || FixedDose.value || " mg, is higher than the" || CRLF ||
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"recommended dosing for Infliximab. Please verify dose. ", "High Dose Alert","OK" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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endif;
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OrderedDose.value := FixedDose.value;
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endif;
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endif;
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If CallingEvent = "FieldChange" and CallingField = "PRX_Generic_CB|1" then
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If TitrateButton.value = true then
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RateInfo.value := TitrateRate;
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Else RateInfo.value := StandardRate;
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endif;
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endif;
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If CallingField = "MultiOrderGrid|1" then
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If Remicade.IsSelected = true then
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Inflectra.IsSelected := false;
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Inflectra.IsReadOnly := true;
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Elseif Inflectra.IsSelected = true then
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Remicade.IsSelected := false;
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Remicade.IsReadOnly := true;
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else
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Remicade.IsSelected := false;
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Remicade.IsReadOnly := false;
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Inflectra.IsSelected := false;
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Inflectra.IsReadOnly := false;
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endif;
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endif;
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If Remicade.IsSelected = False and Inflectra.IsSelected = False then
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hardstop := "no";
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// changed to remove hardstop as they enter pre med orders before the patient is arrived and weighed and then
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// go back into the order set to enter the infliximab. TMS 01/25/2019
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// hardstop := "yes";
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else hardstop := "no";
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endif;
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ReasonMessage := "Please select Infliximab (Remicade) or Infliximab-dyyb (Inflectra) to continue.";
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If callingevent = "FormClose" then
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If hardstop = "yes" then //Present user with message box and stop order set from being submitted.
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this_communication.DisplayForm := "yes";
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this_communication.Message := ReasonMessage;
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this_communication.MessageType := "Error";
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else
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Med_Order_Mgt := mlm {{{SINGLE-QUOTE}}}FORM_SET_Rx_Medication_Order_Mgt{{{SINGLE-QUOTE}}};
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(this_communication, this_form) := call Med_Order_Mgt with this_communication, this_form, client_info_obj;
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endif;
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endif;
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;;
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evoke: // No evoke statement
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;;
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logic:
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conclude true;
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;;
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action:
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// This MLM returns two parameters, of types communication_type and form_type respectively.
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return this_communication, this_form;
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;;
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end:
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