222 lines
9.7 KiB
Plaintext
222 lines
9.7 KiB
Plaintext
maintenance:
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title: Sedative Orders with Dose Reduction;;
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mlmname: FORM_Set_Rx_Sedative_Orders;;
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arden: version 2.5;;
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version: 5.50;;
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institution: St Clair Hospital;;
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author: Teresa Spicuzza, Allscripts ;;
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specialist: Teresa Spicuzza, Allscripts;;
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date: 2011-07-22;;
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validation: testing;;
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library:
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purpose: Used for Dose Reduction of Sedative Orders in patients over 65 years of age (Changed to 18 years of age)
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;;
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explanation: This MLM is called from ...
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Change history
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05.07.2013 TMS Change made to reduce age from 65 to 18 per Med Exec for Leapfrog project. Added yes/no
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decision box for "if physician has order for do not substitute" CSR 31334
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06.11.2015 BB Change made to Lunesta, to reduce the 2mg selection to 1mg. So now when 3mg or 2mg Lunesta
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is selected, the 1mg is automatically selected. CSR#33494
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03.29.2016 TMS Changes made to remove logic for Eszopiclone 3mg Tab and Zolpidem CR 12.5mg Tab which are
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being removed from the formulary. CSR 34225
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;;
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keywords: Called MLMs, Sedatives
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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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standard_libs := mlm {{{SINGLE-QUOTE}}}std_include_libs{{{SINGLE-QUOTE}}};
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include standard_libs;
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using "ObjectsPlusXA.SCM.Forms";
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using namespace "ObjectsPlusXA.SunriseClinicalManager.Forms";
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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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comm_obj := this_communication.primaryobj;
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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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/***************************************************************************************/
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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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ClientGuid := this_communication.ClientGUID;
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CallingSet := comm_obj.OrderSetName;
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Info_fld := last of (field_list where field_list.DataItemName = "PRX_NoteComment0"
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and field_List.Control_MultiFieldOccNum = 1);
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Override_fld := last of (field_list where field_list.DataItemName = "PRX_DosageOverride"
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and field_list.Control_MultiFieldOccNum = 2);
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Substitute_fld := last of (field_list where field_list.DataItemName = "PRX_NoteComment2"
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and field_list.Control_MultiFieldOccNum = 1);
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message18 := "Lower dose substituted by approval of Medical Executive Committee.";
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message65 := "Lower dose substituted by approval of Medical Executive Committee; patient is 65 years or older";
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nomessage := " ";
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messageDoNotSub := Override_fld.Label;
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SedativeOrders := last of (field_list where field_list.DataItemName = "MultiOrderGrid"
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and field_List.Control_MultiFieldOccNum = 1);
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SedativeOrders_List := SedativeOrders.Value;
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Found_Zolpidem5Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem 5mg Tab");
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Found_Zolpidem10Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem 10mg Tab");
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Found_Zolpidem5Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem 5mg Tab");
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Found_Zolpidem10Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem 10mg Tab");
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Found_Zolpidem6CRPrn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem CR 6.25mg Tab");
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Found_Zolpidem12CRPrn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem CR 12.5mg Tab");
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Found_Zolpidem6CRSch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem CR 6.25mg Tab");
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Found_Zolpidem12CRSch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Zolpidem CR 12.5mg Tab");
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Found_Temazepam7Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Temazepam 7.5mg Cap");
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Found_Temazepam15Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Temazepam 15mg Cap");
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Found_Temazepam30Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Temazepam 30mg Cap");
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Found_Temazepam7Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Temazepam 7.5mg Cap");
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Found_Temazepam15Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Temazepam 15mg Cap");
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Found_Temazepam30Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Temazepam 30mg Cap");
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Found_Eszopiclone1Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Eszopiclone 1mg Tab");
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Found_Eszopiclone2Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Eszopiclone 2mg Tab");
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// Found_Eszopiclone3Prn := first of (SedativeOrders_List where SedativeOrders_List.Name = "Eszopiclone 3mg Tab");
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Found_Eszopiclone1Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Eszopiclone 1mg Tab");
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Found_Eszopiclone2Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Eszopiclone 2mg Tab");
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// Found_Eszopiclone3Sch := last of (SedativeOrders_List where SedativeOrders_List.Name = "Eszopiclone 3mg Tab");
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if exists (client_info_obj) then
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(birthdate,dobM,dobD,dobY) := read last {ClientInfo: BirthDate, BirthMonthNum, BirthDayNum, BirthYearNum
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REFERENCING client_info_obj};
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endif;
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patientAge := (NOW - birthdate) / (1 year);
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if (patientAge > 17.99) then
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if (CallingField = "MultiOrderGrid|1") then
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if (Override_fld.value = false) then
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if (Found_Zolpidem10Prn.IsSelected = true) then
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SedativeOrders_List.IsSelected := (true, false, false, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Zolpidem10Sch.IsSelected = true) then
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SedativeOrders_List.IsSelected := (false, false, true, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Zolpidem12CRPrn.IsSelected = true) then
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SedativeOrders_List.IsSelected := (true, false, false, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Zolpidem12CRSch.IsSelected = true) then
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SedativeOrders_List.IsSelected := (false, false, true, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Temazepam30Prn.IsSelected = true) then
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SedativeOrders_List.IsSelected := (false, true, false, false, false, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Temazepam30Sch.IsSelected = true) then
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SedativeOrders_List.IsSelected := (false, false, false, false, true, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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//[BB CSR33494]
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elseif (Found_Eszopiclone2Prn.IsSelected = true) then
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SedativeOrders_List.IsSelected := (true, false, false, false); //(true, false, false, false, false, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Eszopiclone2Sch.IsSelected = true) then
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SedativeOrders_List.IsSelected := (false, false, true, false); //(false, false, false, true, false, false);
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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//[BB CSR33494 END]
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/*
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elseif (Found_Eszopiclone3Prn.IsSelected = true) then
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SedativeOrders_List.IsSelected := (true, false, false, false, false, false); //(false, true, false, false, false, false); //[BB mod]
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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elseif (Found_Eszopiclone3Sch.IsSelected = true) then
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SedativeOrders_List.IsSelected := (false, false, false, true, false, false); //(false, false, false, false, true, false); //[BB mod]
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Info_fld.Value := message18;
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Substitute_fld.Value := message18;
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*/
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else
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Info_fld.Value := nomessage;
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Substitute_fld.Value := nomessage;
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endif;
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endif; //Override_fld.value = false
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endif; //CallingField = "MultiOrderGrid|1"
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if (CallingField = "PRX_DosageOverride|2") then
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If Override_fld.value = True then
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messagetext:="You have chosen to override the Medical Executive Committee "
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|| "approved protocol to lower sedative/hypnotic doses in ALL patients over 18 years "
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|| "old. \n\n Do you have a physician order to override the automatic "
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|| "substitution that states Do Not Substitute the Lower Dose? \n\n If you have an "
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|| "order, click YES below.";
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dialogResult := call {{{SINGLE-QUOTE}}}MessageBox{{{SINGLE-QUOTE}}}.Show with Messagetext ,"Alert","YesNo" as {{{SINGLE-QUOTE}}}MessageBoxButtons{{{SINGLE-QUOTE}}};
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if((dialogResult as string) = "Yes") then
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Info_fld.Value := nomessage;
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Substitute_fld.Value := messageDoNotSub;
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if (count(SedativeOrders_List) = 4) then
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SedativeOrders_List.IsSelected := (false, false, false, false);
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else
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SedativeOrders_List.IsSelected := (false, false, false, false, false, false);
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endif;
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endif;
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if((dialogResult as string) = "No") then
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Override_fld.Value := false;
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endif;
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else
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Substitute_fld.Value := nomessage;
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if (count(SedativeOrders_List) = 4) then
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SedativeOrders_List.IsSelected := (false, false, false, false);
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else
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SedativeOrders_List.IsSelected := (false, false, false, false, false, false);
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endif;
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endif; //CallingField = "PRX_DosageOverride|2"
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endif; //patientAge > 17.99
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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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