public static long InsertOrUpdateErxMedication(RxPat rxOld, RxPat rx, long rxCui, string strDrugName, string strGenericName, bool isProv, bool canInsertRx = true)
{
if (rxOld == null)
{
if (canInsertRx)
{
rx.IsNew = true; //Might not be necessary, but does not hurt.
rx.IsErxOld = false;
SecurityLogs.MakeLogEntry(Permissions.RxCreate, rx.PatNum, "eRx automatically created: " + rx.Drug);
RxPats.Insert(rx);
}
}
else //The prescription was already in our database. Update it.
{
rx.RxNum = rxOld.RxNum;
//Preserve the pharmacy on the existing prescription, in case the user set the value manually.
//We do not pull pharmacy back from eRx yet.
rx.PharmacyNum = rxOld.PharmacyNum;
if (rxOld.IsErxOld)
{
rx.IsErxOld = true;
rx.SendStatus = RxSendStatus.SentElect; //To maintain backward compatibility.
}
RxPats.Update(rx);
}
//If rxCui==0, then third party eRx option (DoseSpot, NewCrop, etc) did not provide an RxCui.
//Attempt to locate an RxCui using the other provided drug information. An RxCui is not required for our program.
//Meds missing an RxCui are not exported in CCD messages.
if (rxCui == 0 && strDrugName != "")
{
List <RxNorm> listRxNorms = RxNorms.GetListByCodeOrDesc(strDrugName, true, true); //Exact case insensitive match ignoring numbers.
if (listRxNorms.Count > 0)
{
rxCui = PIn.Long(listRxNorms[0].RxCui);
}
}
//If rxCui==0, then third party eRx option (DoseSpot, NewCrop, etc) did not provide an RxCui and we could not locate an RxCui by DrugName
//Try searching by GenericName.
if (rxCui == 0 && strGenericName != "")
{
List <RxNorm> listRxNorms = RxNorms.GetListByCodeOrDesc(strGenericName, true, true); //Exact case insensitive match ignoring numbers.
if (listRxNorms.Count > 0)
{
rxCui = PIn.Long(listRxNorms[0].RxCui);
}
}
//If rxCui==0, then third party eRx option (DoseSpot, NewCrop, etc) did not provide an RxCui and we could not
//locate an RxCui by DrugName or GenericName.
if (rxCui == 0)
{
//We may need to enhance in future to support more advanced RxNorm searches.
//For example: DrugName=Cafatine, DrugInfo=Cafatine 1 mg-100 mg Tab, GenericName=ergotamine-caffeine.
//This drug could not be found by DrugName nor GenericName, but could be found when the GenericName was split by non-alpha characters,
//then the words in the generic name were swapped.
//Namely, "caffeine ergotamine" is in the RxNorm table.
}
//MedicationNum of 0, because we do not want to bloat the medication list in OD.
//In this special situation, we instead set the MedDescript, RxCui and ErxGuid columns.
return(MedicationPats.InsertOrUpdateMedOrderForRx(rx, rxCui, isProv));
}
///<summary>For CPOE. Used for both manual rx and eRx through NewCrop. Creates or updates a medical order using the given prescription information.
///Since rxCui is not part of the prescription, it must be passed in as a separate parameter.
///If isProvOrder is true, then the medical order provNum will be set to the prescription provNum. If isProvOrder is false, then the medical order provNum will be set to 0.
///The MedDescript and ErxGuid will always be copied from the prescription to the medical order and the medical order MedicationNum will be set to 0.
///This method return the medOrderNum for the new/updated medicationPat. Unlike most medical orders this does not create an entry in the medical order table.</summary>
public static long InsertOrUpdateMedOrderForRx(RxPat rxPat, long rxCui, bool isProvOrder)
{
long medOrderNum;
MedicationPat medOrderOld = null;
if (!string.IsNullOrWhiteSpace(rxPat.ErxGuid)) //This check prevents an extra db call when making a new prescription manually inside OD.
{
medOrderOld = MedicationPats.GetMedicationOrderByErxIdAndPat(rxPat.ErxGuid, rxPat.PatNum);
}
MedicationPat medOrder = null; //The medication order corresponding to the prescription.
if (medOrderOld == null)
{
medOrder = new MedicationPat();
}
else
{
medOrder = medOrderOld.Clone(); //Maintain primary key and medicationnum for the update below.
}
medOrder.DateStart = rxPat.RxDate;
int numDays = PrefC.GetInt(PrefName.MedDefaultStopDays);
if (numDays != 0)
{
medOrder.DateStop = rxPat.RxDate.AddDays(numDays);
}
medOrder.MedDescript = rxPat.Drug;
medOrder.RxCui = rxCui;
if (rxCui != 0)
{
//The customer may not have a medication entered for this RxCui the first few times they get this particular medication back from eRx.
//Once the customer adds the medication to their medication list, then we can automatically attach the order to the medication.
//The reason we decided not to automatically create the medication if one does not already exist is because we do not want to
//accidentally bloat the medication list, if for example, the user has the medication entered but has not set the RxCui on it yet.
List <Medication> listMeds = Medications.GetAllMedsByRxCui(rxCui);
if (listMeds.Count > 0)
{
medOrder.MedicationNum = listMeds[0].MedicationNum;
}
}
medOrder.ErxGuid = rxPat.ErxGuid;
medOrder.PatNote = rxPat.Sig;
medOrder.PatNum = rxPat.PatNum;
if (isProvOrder)
{
medOrder.ProvNum = rxPat.ProvNum;
medOrder.IsCpoe = true;
}
if (medOrderOld == null)
{
medOrder.IsNew = true; //Might not be necessary, but does not hurt.
medOrderNum = MedicationPats.Insert(medOrder);
//If the ErxGuid has not been set, and it is a new medication, set the ErxGuid so that the medication can be sent to DoseSpot
if (Erx.IsManualRx(rxPat.ErxGuid))
{
try {
int medPatNumAsInt = (int)medOrderNum;
rxPat.ErxGuid = Erx.OpenDentalErxPrefix + medPatNumAsInt;
RxPats.Update(rxPat);
}
catch (Exception ex) {
//If we cannot downgrade a long to an int for the ErxGuid we can simply ignore trying to update the rxPat.
//This is because this medication would never be sent to eRx because we would attempt this downgrade again in the exact same manner.
ex.DoNothing();
}
}
}
else //The medication order was already in our database. Update it.
{
medOrder.MedicationPatNum = medOrderOld.MedicationPatNum;
MedicationPats.Update(medOrder, false); //Don't ErxGuid here, it was already purposefully set above.
medOrderNum = medOrder.MedicationPatNum;
}
return(medOrderNum);
}
