150 lines
6.8 KiB
Plaintext
150 lines
6.8 KiB
Plaintext
maintenance:
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title: FORM_FUNC_DISPLAY_ANTIBIOTIC_GUIDELINES;;
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mlmname: FORM_FUNC_DISPLAY_ANTIBIOTIC_GUIDELINES;;
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arden: version 2.5;;
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version: 15.1;;
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institution: St Clair Hospital;;
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author: Juliet Law, Allscripts ;;
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specialist: ;;
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date: 2016-05-05;;
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validation: testing;;
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library:
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purpose: Functional MLM to display antibiotic guideline information on order sets
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;;
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explanation: This MLM will be a functional call from Order set MLMs when needing to display antibiotic / allergy guideline information
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Change history
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05.05.2016 JML Created.
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06.09.2017 JML CSR 35272: Added guidelines for Sepsis Unknown Source Antibiotic order sets
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02.13.2018 JML CSR 25885: Replaced gentamicin with amikacin on GU antibiotics order sets
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;;
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keywords: Called MLMs, display, fields
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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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(
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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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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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ClientGuid := this_communication.ClientGUID;
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ChartGuid := this_communication.ChartGUID;
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ClientVisitGuid := this_communication.ClientVisitGUID;
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PrimaryObjdetail:=this_communication.PrimaryObj;
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OrderSetName := PrimaryObjdetail.OrderSetName;
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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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/*******************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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SP := " ";
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SP2 := SP||SP;
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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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//Retrieve fields
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Allergy_Info := first of ( field_list WHERE field_list.DataItemName = "NUR_GenAdditionalTxt" AND field_list.Control_MultiFieldOccNum = 1 );
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Antibiotic_Info := first of ( field_list WHERE field_list.DataItemName = "NUR_GenAdditionalTxt" AND field_list.Control_MultiFieldOccNum = 2 );
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allergy_msg := "Note: Simple rash, nausea or vomiting does not exclude the use of Cephalosporins.";
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allergy_msg := allergy_msg || CRLF || "Avoid cephalosporin only if PCN reaction was immediate hypersensitivity (i.e. hives, anaphylaxis, pharyngeal edema, neutropenia, fever).";
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Allergy_Info.Value := allergy_msg;
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wt_based_msg := CRLF || "";
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if ( OrderSetName = "Pneumonia Antibiotic" ) then
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wt_based_msg := "Ceftriaxone 1 gm (< 80 kg)" || TAB || "Vancomycin Loading Dose 25 mg/kg ABW x1";
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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)";
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wt_based_msg := wt_based_msg || CRLF || TAB || TAB || TAB || SP2 || " OR X 1 (CrCl < 30 ml/min)";
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wt_based_msg := wt_based_msg || CRLF || "Tobramycin 5 mg/kg ABW X 1";
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wt_based_msg := wt_based_msg || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight;";
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endif;
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if ( OrderSetName = "Pneumonia Antibiotic ED" ) then
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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";
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wt_based_msg := wt_based_msg || CRLF || "Ceftriaxone 2 gm (>= 80 kg)";
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wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
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endif;
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if ( OrderSetName = "Sepsis Unknown Source Antibiotic ED" ) then
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wt_based_msg := "Vancomycin Loading Dose 25 mg/kg ABW x1";
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wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
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endif;
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if ( OrderSetName = "Sepsis Unknown Source Antibiotic" ) then
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wt_based_msg := "Vancomycin Loading Dose 25 mg/kg ABW x1";
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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)";
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wt_based_msg := wt_based_msg || CRLF || TAB || SP2 || " OR X 1 (CrCl < 30 ml/min)";
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wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight;";
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endif;
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if ( OrderSetName IN ("Genitourinary Antibiotic", "Genitourinary Antibiotic ED") ) then
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wt_based_msg := "Ceftriaxone 1 gm (< 80 kg)" || TAB || "Amikacin 7.5 mg/kg ABW X 1";
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wt_based_msg := wt_based_msg || CRLF || "Ceftriaxone 2 gm (>= 80 kg)";
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wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
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endif;
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if ( OrderSetName IN ("IntraAbdominal Antibiotic", "IntraAbdominal Antibiotic ED") ) then
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wt_based_msg := "Cefazolin 1 gm (< 80 kg)";
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wt_based_msg := wt_based_msg || CRLF || "Cefazolin 2 gm (>= 80 kg)";
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endif;
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if ( OrderSetName = "Skin Antibiotic Inpatient" ) then
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wt_based_msg := "Cefazolin 1 gm (< 80 kg)" || TAB || "Vancomycin Loading Dose 25 mg/kg ABW X 1";
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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)";
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wt_based_msg := wt_based_msg || CRLF || TAB || TAB || TAB || SP2 || " OR X 1 (CrCl < 30 ml/min)";
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wt_based_msg := wt_based_msg || CRLF || "Clindamycin 600 mg IV q6hr (< 80 kg)";
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wt_based_msg := wt_based_msg || CRLF || "Clindamycin 900 mg IV q8hr (>= 80 kg)";
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endif;
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if ( OrderSetName = "Skin Antibiotic Inpatient ED" ) then
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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)";
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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)";
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wt_based_msg := wt_based_msg || CRLF || CRLF || "ABW (Adjusted Body Weight) = (Total Body Weight - Ideal Body Weight) x 0.4 + Ideal Body Weight";
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endif;
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if ( OrderSetName IN ("Skin Antibiotic Outpatient", "Skin Antibiotic Outpatient ED") ) then
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wt_based_msg := "Cephalexin 500 mg PO (<= 110 kg)";
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wt_based_msg := wt_based_msg || CRLF || "Cephalexin 1000 mg PO (> 110 kg)";
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endif;
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Antibiotic_Info.Value := wt_based_msg;
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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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Urgency: 50;;
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end:
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