- BDMD016 ; IHS/CMI/LAB - 2010 DIABETES AUDIT ;
- ;;2.0;DIABETES MANAGEMENT SYSTEM;**3**;JUN 14, 2007
- ;
- ;cmi/anch/maw 9/12/2007 code set versioning in TOBACCO1,ASAPOV
- ;
- TBCODE(P,EDATE,R) ;EP
- NEW BDMJ,BDMI,X,BDMR
- S BDMJ=""
- ;return computed TB Status Code
- S X=$$TBTX^BDMD012(P)
- I $E(X)=1 Q 1
- I $E(X) Q 2
- S BDMR=$$PPD^BDMD018(P,EDATE)
- I $E($P(BDMR,"||",2))=1 D Q BDMJ
- .I $$TBTX^BDMD012(P)["TX COMPLETE" S BDMJ=1 Q
- .S BDMJ=2
- .Q
- I $E($P(BDMR,"||",2))=2 S BDMJ=4 D Q BDMJ
- .I $$DODX(P,R,"I")="" S BDMJ=6 Q
- .S D=$$DODX(P,R,"I"),E=$$PPD^BDMD018(P,EDATE,"I") S BDMJ=$S(D>E:4,1:3)
- .Q
- I $E(BDMR)=4 S BDMJ=5
- I $E(BDMR)=3 S BDMJ=7
- I $E($P(BDMR,"||",2))=3 S BDMJ=7
- I $E($P(BDMR,"||",2))=4 S BDMJ=5
- Q BDMJ
- ;;
- 1 ;;PPD +, treatment complete
- 2 ;;PPD +, not treated/treatment incomplete or unknown treatment
- 3 ;;PPD -, placed on or after date of DM dx
- 4 ;;PPD -, placed before date of DM dx
- 5 ;;PPD Status unknown
- 6 ;;PPD -, date of DX or PPD date unknown
- 7 ;;PPD Refused
- BI() ;
- Q $S($O(^AUTTIMM(0))>100:1,1:0)
- SYSMEAN(P,BDATE,EDATE) ;EP
- NEW X S X=$$BPS^BDMD013(P,BDATE,EDATE,"I")
- I X="" Q ""
- NEW Y,C,Z S C=0 F Y=1:1:3 I $P(X,";",Y)]"" S C=C+1
- I C<2 Q ""
- S Z=C
- S C=0 F Y=1:1:3 S C=$P($P(X,";",Y),"/")+C
- Q C\Z
- DIAMEAN(P,BDATE,EDATE) ;EP
- NEW X S X=$$BPS^BDMD013(P,BDATE,EDATE,"I")
- I X="" Q ""
- NEW Y,C,Z S C=0 F Y=1:1:3 I $P(X,";",Y)]"" S C=C+1
- I C<2 Q ""
- S Z=C
- S C=0 F Y=1:1:3 S C=$P($P(X,";",Y),"/",2)+C
- Q C\Z
- PPDDATE(P,EDATE) ;EP
- NEW X S X=$$LASTNP^BDMD018(P,EDATE)
- Q X
- XLIPID(P,BDATE,EDATE) ;EP
- NEW X,BDM,E,G,S,O
- S (S,O,G)="",X=P_"^MEDS [DM AUDIT LIPID LOWERING DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) S O=1
- K BDM
- S X=P_"^MEDS [DM AUDIT STATIN DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) S S=1
- I S,O Q "3 Both"
- I S Q "1 Statin"
- I O Q "2 Other"
- ;refusal
- S G=0
- NEW T S T=$O(^ATXAX("B","DM AUDIT LIPID LOWERING DRUGS",0))
- I 'T G LIPIDN
- S X=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD017(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- I G Q "5 Refused or Adverse Rxn"
- LIPIDN ;
- NEW T S T=$O(^ATXAX("B","DM AUDIT STATIN DRUGS",0))
- I 'T G LIPIDA
- S (X,G)=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD017(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- I G Q "5 Refused or Adverse Rxn"
- LIPIDA ;
- ;check patient allergies file for any with va drug class CV350
- S X=EDATE,%DT="P" D ^%DT S B=Y
- S X=0,G="" F S X=$O(^GMR(120.8,"B",P,X)) Q:X'=+X D
- .Q:$P($P($G(^GMR(120.8,X,0)),U,4),".")>B ;entered after discharge date
- .S C=$O(^PS(50.605,"B","CV350",0))
- .S N=$P($G(^GMR(120.8,X,0)),U,2),N=$$UP^XLFSTR(N)
- .I C,$D(^GMR(120.8,X,3,"B",C)) S G="5 Refused/Adverse Rxn (Allergy Tracking)"
- I G]"" Q G
- Q "4 None"
- ;
- REFMEDL(P,BDATE,EDATE) ;EP
- NEW T,T1,T2,T3,T4,T5,T6,T7,T8,A,G,B,Y,X,I,Z,E
- S T=$O(^ATXAX("B","DM AUDIT STATIN DRUGS",0))
- S T1=$O(^ATXAX("B","DM AUDIT FIBRATE DRUGS",0))
- S T2=$O(^ATXAX("B","DM AUDIT NIACIN DRUGS",0))
- S T3=$O(^ATXAX("B","DM AUDIT BILE ACID DRUGS",0))
- S T4=$O(^ATXAX("B","DM AUDIT GLITAZONE DRUGS",0))
- S T5=$O(^ATXAX("B","DM AUDIT EZETIMIBE DRUGS",0)) ;cmi/maw 12/18/2007 DM2010
- S T6=$O(^ATXAX("B","DM AUDIT FISH OIL DRUGS",0)) ;cmi/maw 12/18/2007 DM2010
- S T7=$O(^ATXAX("B","DM AUDIT LOVAZA DRUGS",0))
- S G=0
- NEW %DT S X=BDATE,%DT="P" D ^%DT S B=Y
- S X=EDATE,%DT="P" D ^%DT S E=Y
- S G=""
- S I=0 F S I=$O(^AUPNPREF("AA",BDMPD,50,I)) Q:I'=+I!(G) D
- .S A=0
- .I T,$D(^ATXAX(T,21,"B",I)) S A=1
- .I T1,$D(^ATXAX(T1,21,"B",I)) S A=1
- .I T2,$D(^ATXAX(T2,21,"B",I)) S A=1
- .I T3,$D(^ATXAX(T3,21,"B",I)) S A=1
- .I T4,$D(^ATXAX(T4,21,"B",I)) S A=1
- .I T5,$D(^ATXAX(T5,21,"B",I)) S A=1 ;cmi/maw 12/18/2010 DM2010
- .I T6,$D(^ATXAX(T6,21,"B",I)) S A=1 ;cmi/maw 12/18/2010 DM2010
- .I T7,$D(^ATXAX(T7,21,"B",I)) S A=1
- .Q:'A
- .S X=0 F S X=$O(^AUPNPREF("AA",BDMPD,50,I,X)) Q:X'=+X!(G) D
- ..S Y=0 F S Y=$O(^AUPNPREF("AA",BDMPD,50,I,X,Y)) Q:Y'=+Y S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) I $P(^AUPNPREF(Y,0),U,7)="R" S G=1
- Q G
- STATIN(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT STATIN DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- FIBRATE(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT FIBRATE DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- NIACIN(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT NIACIN DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- BILE(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT BILE ACID DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- EZET(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT EZETIMIBE DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- FISHOIL(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT FISH OIL DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- LOVAZA(P,BDATE,EDATE) ;EP
- NEW X,BDM,E
- S X=P_"^LAST MEDS [DM AUDIT LOVAZA DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "X"
- Q ""
- ;
- ACE(P,BDATE,EDATE) ;EP
- NEW X,BDM,E,X,Y,%DT,BD,G
- S X=P_"^MEDS [DM AUDIT ACE INHIBITORS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "1 Yes "_$P(BDM(1),U,3)_" "_$$FMTE^XLFDT($P(BDM(1),U))
- ;go through all v meds until 9999999-D and find all drugs with class CV800 or CV805
- NEW D,%DT K %DT S X=BDATE,%DT="P" D ^%DT S D=Y
- NEW V,I,%
- K %DT S X=EDATE,%DT="P" D ^%DT S E=Y
- S %=""
- S I=9999999-E,I=I-1 F S I=$O(^AUPNVMED("AA",P,I)) Q:I'=+I!(%)!(I>(9999999-D)) D
- .S V=0 F S V=$O(^AUPNVMED("AA",P,I,V)) Q:V'=+V S G=$P(^AUPNVMED(V,0),U) I $P($G(^PSDRUG(G,0)),U,2)="CV800"!($P($G(^PSDRUG(G,0)),U,2)="CV805") S %=$P($P(^AUPNVSIT($P(^AUPNVMED(V,0),U,3),0),U),".")_U_G
- I %]"" Q "1 Yes "_$P(^PSDRUG($P(%,U,2),0),U)_" "_$$FMTE^XLFDT($P(%,U,1))
- ;refusals
- NEW T S T=$O(^ATXAX("B","DM AUDIT ACE INHIBITORS",0))
- I 'T Q "2 No"
- S (G,X)=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD017(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- I G,$P(G,U,2)'="N" Q "3 Refused or adverse reaction"
- Q "2 No"_$S(G:" - Not Medically Indicated",1:"")
- ;
- SELF(P,BDATE,EDATE) ;EP
- NEW T,BDM,E,X,%DT,Y,ED,BD
- S X=EDATE,%DT="P" D ^%DT S ED=Y
- S X=BDATE,%DT="P" D ^%DT S BD=Y
- S E=$$LASTHF^BDMD019(P,"DIABETES SELF MONITORING",BD,ED,"F")
- I E]"" Q $S(E["YES":"Yes",E["NO":"No",E["REFUSED":"Refused",1:"")
- S X=P_"^MEDS [DM AUDIT SELF MONITOR DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) Q "Yes"
- Q "No"
- SDM(P,BDATE,EDATE) ;EP
- NEW T,BDM,E,X,%DT,Y,ED,BD
- S X=EDATE,%DT="P" D ^%DT S ED=Y
- S X=BDATE,%DT="P" D ^%DT S BD=Y
- S E=$$LASTHF^BDMD019(P,"STAGED DIABETES MANAGEMENT",BD,ED)
- I E Q "Yes"
- S T=$O(^ATXAX("B","DM AUDIT SDM PROVIDERS",0))
- I 'T Q ""
- S %=P_"^ALL DX [SURVEILLANCE DIABETES;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
- ;check to see if one of the providers was the primary prov
- NEW X,V,G,P,P1 S (G,X)=0 F S X=$O(BDM(X)) Q:X'=+X!(G) S V=$P(BDM(X),U,5) D
- .S P=0 F S P=$O(^AUPNVPRV("AD",V,P)) Q:P'=+P!(G) S P1=$P(^AUPNVPRV(P,0),U) I $D(^ATXAX(T,21,"B",P1)) S G=1
- .Q
- Q $S(G:"Yes",1:"No")
- ;
- ASPIRIN(P,BDATE,EDATE) ;EP
- NEW X,BDM,E,A,N,G
- S (A,B,G,N)=""
- S X=P_"^MEDS [DM AUDIT ASPIRIN DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) S A=1
- K BDM S X=P_"^MEDS [DM AUDIT ANTI-PLATELET DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
- I $D(BDM(1)) S N=1
- I A!(N) Q "1 Aspirin/Antiplatelet Rx"
- ;refusal oR NMI
- S G=0
- NEW T S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- I 'T G ANTI
- S X=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD017(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- I G,$P(G,U,2)'="N" Q "3 Refused"
- I G Q "2 None - Not Medically Indicated"
- ANTI ;
- NEW T S T=$O(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))
- I 'T G AR
- S (X,G)=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD017(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- I G Q "3 Refused or adverse reaction"
- AR ;NOW CHECK FOR ADVERSE REACTION/ALLERGY
- S X=EDATE,%DT="P" D ^%DT S E=Y
- D ASAALLEG(P,E,.BDMSAAL) ;return text of aspirin allergy if found
- I $D(BDMSAAL(1)) Q "3 Refused or adverse reaction "_BDMSAAL(1)_" (Allergy Tracking)"
- Q "2 None"
- ;
- ;
- THERAPY(P,BD,EDATE) ;EP - therapy code for epi
- I '$G(P) Q ""
- NEW STR,TNAME,X,Y,%DT,HO
- S STR="",TNAME="",HO=""
- S X=$$INSULIN^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_2_U,HO=1
- S X=$$SULF^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_3_U,HO=1
- S X=$$SULFLIKE^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_4_U,HO=1
- S X=$$MET^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_5_U,HO=1
- S X=$$ACAR^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_6_U,HO=1
- S X=$$TROG^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_7_U,HO=1
- S X=$$INCR^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_8_U,HO=1
- S X=$$DPP4^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_9_U,HO=1
- S X=$$AMYLIN^BDMD012(P,BD,EDATE)
- I X]"" S STR=STR_10_U,HO=1
- I HO Q STR
- S X=$$REFMED^BDMD012(P,BD,EDATE)
- I X Q "R"
- Q 1
- ;
- DIETONLY(P,BD,EDATE) ;EP - diet and exercise for audit export
- NEW STR,TNAME,X,Y,%DT
- S STR="",TNAME=""
- S X=$$INSULIN^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$SULF^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$SULFLIKE^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$MET^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$ACAR^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$TROG^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$INCR^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$DPP4^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$AMYLIN^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$REFMED^BDMD012(P,BD,EDATE)
- I X Q 2
- Q 1
- ;
- REFMEDE(P,BD,EDATE) ;EP - diet and exercise for audit export
- NEW STR,TNAME,X,Y,%DT
- S STR="",TNAME=""
- S X=$$INSULIN^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$SULF^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$SULFLIKE^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$MET^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$ACAR^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$TROG^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$INCR^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$DPP4^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$AMYLIN^BDMD012(P,BD,EDATE)
- I X]"" Q 2
- S X=$$REFMED^BDMD012(P,BD,EDATE)
- I X Q 1
- Q 2
- ;
- REFMEDLE(P,BD,EDATE) ;EP - ANY REFUSAL?
- NEW STR,TNAME,X,Y,%DT
- S STR="",TNAME=""
- S X=$$STATIN^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$FIBRATE^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$NIACIN^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$BILE^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$EZET^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$FISHOIL^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$LOVAZA^BDMD016(P,BD,EDATE)
- I X]"" Q 2
- S X=$$REFMEDL^BDMD016(P,BD,EDATE)
- I X Q 1
- Q 2
- ;
- TYPE(P,R,EDATE) ;EP return type 1 or 2 for epi file
- I '$G(P) Q ""
- NEW TYPE S TYPE=""
- I $G(R) S TYPE=$$CMSFDX^BDMD013(P,R,"DX")
- I TYPE="NIDDM" Q 2
- I TYPE["TYPE II" Q 2
- I TYPE="IDDM" Q 1
- I TYPE["2" Q 2
- I TYPE["1" Q 1
- S TYPE="" NEW X,I,C S X=$$PLDMDXS^BDMD013(P)
- F I=1:1 S C=$P(X,";",I) Q:C=""!(TYPE]"") I $E(C,6)=0!($E(C,6)=2) S TYPE=2
- I TYPE]"" Q TYPE
- F I=1:1 S C=$P(X,";",I) Q:C=""!(TYPE]"") I $E(C,6)=1!($E(C,6)=3) S TYPE=1
- I TYPE]"" Q TYPE
- S X=$$LASTDMDX^BDMD013(P,EDATE)
- I X[2 Q 2
- I X[1 Q 1
- Q ""
- ;
- DURDM(P,R,EDATE) ;EP
- I '$G(P) Q ""
- NEW Y S Y=$$DODX(P,R,"I")
- I Y="" Q ""
- I 'Y Q ""
- I Y>EDATE Q ""
- Q $P(($$FMDIFF^XLFDT(EDATE,Y,1)\365.25),".")
- ;
- DODX(P,R,F) ;EP - date of dx for epi file
- I $G(F)="" S F="E"
- NEW DATE,EARLY
- S DATE="",EARLY=9999999
- I $G(R) S DATE=$$CMSFDX^BDMD013(P,R,"ID")
- I DATE S EARLY=DATE
- S DATE=$$PLDMDOO^BDMD013(P,"I")
- I DATE,DATE<EARLY S EARLY=DATE
- I EARLY=9999999 S EARLY=""
- Q $S(F="I":$$DI(EARLY),1:$$D(EARLY))
- ;
- D(D) ;
- I D="" Q ""
- Q $S($E(D,4,5)="00":"07",1:$E(D,4,5))_"/"_$S($E(D,6,7)="00":"01",1:$E(D,6,7))_"/"_(1700+$E(D,1,3))
- ;
- DI(D) ;EP
- I D="" Q ""
- Q $E(D,1,3)_$S($E(D,4,5)="00":"07",1:$E(D,4,5))_$S($E(D,6,7)="00":"01",1:$E(D,6,7))
- ;;
- ASAALLEG(P,BDMD,BDMY) ;does patient have an aspirin allergy
- ;get all povs with 995.0-995.3 with ecode of e935.3 up to discharge date
- NEW ED,BD,BDMG,BDMC,X,Y,Z,N
- ;BDMD is discharge date
- S BDMC=0 K BDMY
- ;S ED=$$FMADD^XLFDT(BDMD,-365)
- ASAPOV ;
- K BDMG S Y="BDMG(",X=P_"^ALL DX [BDM ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(BDMD) S E=$$START1^APCLDF(X,Y)
- S X=0 F S X=$O(BDMG(X)) Q:X'=+X S Y=+$P(BDMG(X),U,4) D
- .S N=$$VAL^XBDIQ1(9000010.07,Y,.04),N=$$UP^XLFSTR(N)
- .I N["ASPIRIN"!(N["ASA") S BDMC=BDMC+1,BDMY(BDMC)="POV: "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_"] "_N
- .;S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$P($G(^ICD9(Z,0)),U)="E935.3" S BDMC=BDMC+1,BDMY(BDMC)="POV "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_" + E935.3] "_N ;cmi/anch/maw 9/12/2007 orig line
- .S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$P($$ICDDX^ICDCODE(Z),U,2)="E935.3" S BDMC=BDMC+1,BDMY(BDMC)="POV "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_" + E935.3] "_N ;cmi/anch/maw 9/12/2007 csv
- .Q
- K BDMG S Y="BDMG(",X=P_"^ALL DX V14.8;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(BDMD) S E=$$START1^APCLDF(X,Y)
- S X=0 F S X=$O(BDMG(X)) Q:X'=+X S Y=+$P(BDMG(X),U,4) D
- .S N=$$VAL^XBDIQ1(9000010.07,Y,.04),N=$$UP^XLFSTR(N)
- .I N["ASPIRIN"!(N["ASA") S BDMC=BDMC+1,BDMY(BDMC)="POV: "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_"] "_N
- .Q
- ;now check problem list for these codes
- S T="",T=$O(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
- S X=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X D
- .;S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($G(^ICD9(I,0)),U) ;cmi/anch/maw 9/12/2007 orig line
- .S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($$ICDDX^ICDCODE(I),U,2) ;cmi/anch/maw 9/12/2007 csv
- .S N=$$VAL^XBDIQ1(9000011,X,.05),N=$$UP^XLFSTR(N)
- .Q:$P(^AUPNPROB(X,0),U,8)>BDMD ;added after discharge date
- .I Y="V14.8"!($$ICD^ATXCHK(I,T,9)),N["ASPIRIN"!(N["ASA") S BDMC=BDMC+1,BDMY(BDMC)="PROBLEM LIST: "_$$FMTE^XLFDT($P(^AUPNPROB(X,0),U,8))_" ["_Y_"] "_N
- .Q
- ;now check allergy tracking
- S X=0 F S X=$O(^GMR(120.8,"B",P,X)) Q:X'=+X D
- .Q:$P($P($G(^GMR(120.8,X,0)),U,4),".")>BDMD ;entered after AUDIT date
- .S N=$P($G(^GMR(120.8,X,0)),U,2),N=$$UP^XLFSTR(N)
- .I N["ASPIRIN" S BDMC=BDMC+1,BDMY(BDMC)="ALLERGY TRACKING: "_$$FMTE^XLFDT($P(^GMR(120.8,X,0),U,4))_" "_N Q
- .S C=$O(^PS(50.605,"B","CN103",0))
- .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
- .S C=$O(^PS(50.605,"B","BL100",0))
- .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
- .S C=$O(^PS(50.605,"B","BL110",0))
- .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
- .S C=$O(^PS(50.605,"B","BL117",0))
- .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
- .Q
- Q
- BDMD016 ; IHS/CMI/LAB - 2010 DIABETES AUDIT ;
- +1 ;;2.0;DIABETES MANAGEMENT SYSTEM;**3**;JUN 14, 2007
- +2 ;
- +3 ;cmi/anch/maw 9/12/2007 code set versioning in TOBACCO1,ASAPOV
- +4 ;
- TBCODE(P,EDATE,R) ;EP
- +1 NEW BDMJ,BDMI,X,BDMR
- +2 SET BDMJ=""
- +3 ;return computed TB Status Code
- +4 SET X=$$TBTX^BDMD012(P)
- +5 IF $EXTRACT(X)=1
- QUIT 1
- +6 IF $EXTRACT(X)
- QUIT 2
- +7 SET BDMR=$$PPD^BDMD018(P,EDATE)
- +8 IF $EXTRACT($PIECE(BDMR,"||",2))=1
- Begin DoDot:1
- +9 IF $$TBTX^BDMD012(P)["TX COMPLETE"
- SET BDMJ=1
- QUIT
- +10 SET BDMJ=2
- +11 QUIT
- End DoDot:1
- QUIT BDMJ
- +12 IF $EXTRACT($PIECE(BDMR,"||",2))=2
- SET BDMJ=4
- Begin DoDot:1
- +13 IF $$DODX(P,R,"I")=""
- SET BDMJ=6
- QUIT
- +14 SET D=$$DODX(P,R,"I")
- SET E=$$PPD^BDMD018(P,EDATE,"I")
- SET BDMJ=$SELECT(D>E:4,1:3)
- +15 QUIT
- End DoDot:1
- QUIT BDMJ
- +16 IF $EXTRACT(BDMR)=4
- SET BDMJ=5
- +17 IF $EXTRACT(BDMR)=3
- SET BDMJ=7
- +18 IF $EXTRACT($PIECE(BDMR,"||",2))=3
- SET BDMJ=7
- +19 IF $EXTRACT($PIECE(BDMR,"||",2))=4
- SET BDMJ=5
- +20 QUIT BDMJ
- +21 ;;
- 1 ;;PPD +, treatment complete
- 2 ;;PPD +, not treated/treatment incomplete or unknown treatment
- 3 ;;PPD -, placed on or after date of DM dx
- 4 ;;PPD -, placed before date of DM dx
- 5 ;;PPD Status unknown
- 6 ;;PPD -, date of DX or PPD date unknown
- 7 ;;PPD Refused
- BI() ;
- +1 QUIT $SELECT($ORDER(^AUTTIMM(0))>100:1,1:0)
- SYSMEAN(P,BDATE,EDATE) ;EP
- +1 NEW X
- SET X=$$BPS^BDMD013(P,BDATE,EDATE,"I")
- +2 IF X=""
- QUIT ""
- +3 NEW Y,C,Z
- SET C=0
- FOR Y=1:1:3
- IF $PIECE(X,";",Y)]""
- SET C=C+1
- +4 IF C<2
- QUIT ""
- +5 SET Z=C
- +6 SET C=0
- FOR Y=1:1:3
- SET C=$PIECE($PIECE(X,";",Y),"/")+C
- +7 QUIT C\Z
- DIAMEAN(P,BDATE,EDATE) ;EP
- +1 NEW X
- SET X=$$BPS^BDMD013(P,BDATE,EDATE,"I")
- +2 IF X=""
- QUIT ""
- +3 NEW Y,C,Z
- SET C=0
- FOR Y=1:1:3
- IF $PIECE(X,";",Y)]""
- SET C=C+1
- +4 IF C<2
- QUIT ""
- +5 SET Z=C
- +6 SET C=0
- FOR Y=1:1:3
- SET C=$PIECE($PIECE(X,";",Y),"/",2)+C
- +7 QUIT C\Z
- PPDDATE(P,EDATE) ;EP
- +1 NEW X
- SET X=$$LASTNP^BDMD018(P,EDATE)
- +2 QUIT X
- XLIPID(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E,G,S,O
- +2 SET (S,O,G)=""
- SET X=P_"^MEDS [DM AUDIT LIPID LOWERING DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- SET O=1
- +4 KILL BDM
- +5 SET X=P_"^MEDS [DM AUDIT STATIN DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +6 IF $DATA(BDM(1))
- SET S=1
- +7 IF S
- IF O
- QUIT "3 Both"
- +8 IF S
- QUIT "1 Statin"
- +9 IF O
- QUIT "2 Other"
- +10 ;refusal
- +11 SET G=0
- +12 NEW T
- SET T=$ORDER(^ATXAX("B","DM AUDIT LIPID LOWERING DRUGS",0))
- +13 IF 'T
- GOTO LIPIDN
- +14 SET X=0
- FOR
- SET X=$ORDER(^ATXAX(T,21,X))
- IF X'=+X!(G)
- QUIT
- SET G=$$REFUSAL^BDMD017(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- +15 IF G
- QUIT "5 Refused or Adverse Rxn"
- LIPIDN ;
- +1 NEW T
- SET T=$ORDER(^ATXAX("B","DM AUDIT STATIN DRUGS",0))
- +2 IF 'T
- GOTO LIPIDA
- +3 SET (X,G)=0
- FOR
- SET X=$ORDER(^ATXAX(T,21,X))
- IF X'=+X!(G)
- QUIT
- SET G=$$REFUSAL^BDMD017(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- +4 IF G
- QUIT "5 Refused or Adverse Rxn"
- LIPIDA ;
- +1 ;check patient allergies file for any with va drug class CV350
- +2 SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET B=Y
- +3 SET X=0
- SET G=""
- FOR
- SET X=$ORDER(^GMR(120.8,"B",P,X))
- IF X'=+X
- QUIT
- Begin DoDot:1
- +4 ;entered after discharge date
- IF $PIECE($PIECE($GET(^GMR(120.8,X,0)),U,4),".")>B
- QUIT
- +5 SET C=$ORDER(^PS(50.605,"B","CV350",0))
- +6 SET N=$PIECE($GET(^GMR(120.8,X,0)),U,2)
- SET N=$$UP^XLFSTR(N)
- +7 IF C
- IF $DATA(^GMR(120.8,X,3,"B",C))
- SET G="5 Refused/Adverse Rxn (Allergy Tracking)"
- End DoDot:1
- +8 IF G]""
- QUIT G
- +9 QUIT "4 None"
- +10 ;
- REFMEDL(P,BDATE,EDATE) ;EP
- +1 NEW T,T1,T2,T3,T4,T5,T6,T7,T8,A,G,B,Y,X,I,Z,E
- +2 SET T=$ORDER(^ATXAX("B","DM AUDIT STATIN DRUGS",0))
- +3 SET T1=$ORDER(^ATXAX("B","DM AUDIT FIBRATE DRUGS",0))
- +4 SET T2=$ORDER(^ATXAX("B","DM AUDIT NIACIN DRUGS",0))
- +5 SET T3=$ORDER(^ATXAX("B","DM AUDIT BILE ACID DRUGS",0))
- +6 SET T4=$ORDER(^ATXAX("B","DM AUDIT GLITAZONE DRUGS",0))
- +7 ;cmi/maw 12/18/2007 DM2010
- SET T5=$ORDER(^ATXAX("B","DM AUDIT EZETIMIBE DRUGS",0))
- +8 ;cmi/maw 12/18/2007 DM2010
- SET T6=$ORDER(^ATXAX("B","DM AUDIT FISH OIL DRUGS",0))
- +9 SET T7=$ORDER(^ATXAX("B","DM AUDIT LOVAZA DRUGS",0))
- +10 SET G=0
- +11 NEW %DT
- SET X=BDATE
- SET %DT="P"
- DO ^%DT
- SET B=Y
- +12 SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET E=Y
- +13 SET G=""
- +14 SET I=0
- FOR
- SET I=$ORDER(^AUPNPREF("AA",BDMPD,50,I))
- IF I'=+I!(G)
- QUIT
- Begin DoDot:1
- +15 SET A=0
- +16 IF T
- IF $DATA(^ATXAX(T,21,"B",I))
- SET A=1
- +17 IF T1
- IF $DATA(^ATXAX(T1,21,"B",I))
- SET A=1
- +18 IF T2
- IF $DATA(^ATXAX(T2,21,"B",I))
- SET A=1
- +19 IF T3
- IF $DATA(^ATXAX(T3,21,"B",I))
- SET A=1
- +20 IF T4
- IF $DATA(^ATXAX(T4,21,"B",I))
- SET A=1
- +21 ;cmi/maw 12/18/2010 DM2010
- IF T5
- IF $DATA(^ATXAX(T5,21,"B",I))
- SET A=1
- +22 ;cmi/maw 12/18/2010 DM2010
- IF T6
- IF $DATA(^ATXAX(T6,21,"B",I))
- SET A=1
- +23 IF T7
- IF $DATA(^ATXAX(T7,21,"B",I))
- SET A=1
- +24 IF 'A
- QUIT
- +25 SET X=0
- FOR
- SET X=$ORDER(^AUPNPREF("AA",BDMPD,50,I,X))
- IF X'=+X!(G)
- QUIT
- Begin DoDot:2
- +26 SET Y=0
- FOR
- SET Y=$ORDER(^AUPNPREF("AA",BDMPD,50,I,X,Y))
- IF Y'=+Y
- QUIT
- SET D=$PIECE(^AUPNPREF(Y,0),U,3)
- IF D'<B&(D'>E)
- IF $PIECE(^AUPNPREF(Y,0),U,7)="R"
- SET G=1
- End DoDot:2
- End DoDot:1
- +27 QUIT G
- STATIN(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT STATIN DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- FIBRATE(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT FIBRATE DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- NIACIN(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT NIACIN DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- BILE(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT BILE ACID DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- EZET(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT EZETIMIBE DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- FISHOIL(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT FISH OIL DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- LOVAZA(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E
- +2 SET X=P_"^LAST MEDS [DM AUDIT LOVAZA DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "X"
- +4 QUIT ""
- +5 ;
- ACE(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E,X,Y,%DT,BD,G
- +2 SET X=P_"^MEDS [DM AUDIT ACE INHIBITORS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +3 IF $DATA(BDM(1))
- QUIT "1 Yes "_$PIECE(BDM(1),U,3)_" "_$$FMTE^XLFDT($PIECE(BDM(1),U))
- +4 ;go through all v meds until 9999999-D and find all drugs with class CV800 or CV805
- +5 NEW D,%DT
- KILL %DT
- SET X=BDATE
- SET %DT="P"
- DO ^%DT
- SET D=Y
- +6 NEW V,I,%
- +7 KILL %DT
- SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET E=Y
- +8 SET %=""
- +9 SET I=9999999-E
- SET I=I-1
- FOR
- SET I=$ORDER(^AUPNVMED("AA",P,I))
- IF I'=+I!(%)!(I>(9999999-D))
- QUIT
- Begin DoDot:1
- +10 SET V=0
- FOR
- SET V=$ORDER(^AUPNVMED("AA",P,I,V))
- IF V'=+V
- QUIT
- SET G=$PIECE(^AUPNVMED(V,0),U)
- IF $PIECE($GET(^PSDRUG(G,0)),U,2)="CV800"!($PIECE($GET(^PSDRUG(G,0)),U,2)="CV805")
- SET %=$PIECE($PIECE(^AUPNVSIT($PIECE(^AUPNVMED(V,0),U,3),0),U),".")_U_G
- End DoDot:1
- +11 IF %]""
- QUIT "1 Yes "_$PIECE(^PSDRUG($PIECE(%,U,2),0),U)_" "_$$FMTE^XLFDT($PIECE(%,U,1))
- +12 ;refusals
- +13 NEW T
- SET T=$ORDER(^ATXAX("B","DM AUDIT ACE INHIBITORS",0))
- +14 IF 'T
- QUIT "2 No"
- +15 SET (G,X)=0
- FOR
- SET X=$ORDER(^ATXAX(T,21,X))
- IF X'=+X!(G)
- QUIT
- SET G=$$REFUSAL^BDMD017(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- +16 IF G
- IF $PIECE(G,U,2)'="N"
- QUIT "3 Refused or adverse reaction"
- +17 QUIT "2 No"_$SELECT(G:" - Not Medically Indicated",1:"")
- +18 ;
- SELF(P,BDATE,EDATE) ;EP
- +1 NEW T,BDM,E,X,%DT,Y,ED,BD
- +2 SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET ED=Y
- +3 SET X=BDATE
- SET %DT="P"
- DO ^%DT
- SET BD=Y
- +4 SET E=$$LASTHF^BDMD019(P,"DIABETES SELF MONITORING",BD,ED,"F")
- +5 IF E]""
- QUIT $SELECT(E["YES":"Yes",E["NO":"No",E["REFUSED":"Refused",1:"")
- +6 SET X=P_"^MEDS [DM AUDIT SELF MONITOR DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +7 IF $DATA(BDM(1))
- QUIT "Yes"
- +8 QUIT "No"
- SDM(P,BDATE,EDATE) ;EP
- +1 NEW T,BDM,E,X,%DT,Y,ED,BD
- +2 SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET ED=Y
- +3 SET X=BDATE
- SET %DT="P"
- DO ^%DT
- SET BD=Y
- +4 SET E=$$LASTHF^BDMD019(P,"STAGED DIABETES MANAGEMENT",BD,ED)
- +5 IF E
- QUIT "Yes"
- +6 SET T=$ORDER(^ATXAX("B","DM AUDIT SDM PROVIDERS",0))
- +7 IF 'T
- QUIT ""
- +8 SET %=P_"^ALL DX [SURVEILLANCE DIABETES;DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(%,"BDM(")
- +9 ;check to see if one of the providers was the primary prov
- +10 NEW X,V,G,P,P1
- SET (G,X)=0
- FOR
- SET X=$ORDER(BDM(X))
- IF X'=+X!(G)
- QUIT
- SET V=$PIECE(BDM(X),U,5)
- Begin DoDot:1
- +11 SET P=0
- FOR
- SET P=$ORDER(^AUPNVPRV("AD",V,P))
- IF P'=+P!(G)
- QUIT
- SET P1=$PIECE(^AUPNVPRV(P,0),U)
- IF $DATA(^ATXAX(T,21,"B",P1))
- SET G=1
- +12 QUIT
- End DoDot:1
- +13 QUIT $SELECT(G:"Yes",1:"No")
- +14 ;
- ASPIRIN(P,BDATE,EDATE) ;EP
- +1 NEW X,BDM,E,A,N,G
- +2 SET (A,B,G,N)=""
- +3 SET X=P_"^MEDS [DM AUDIT ASPIRIN DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +4 IF $DATA(BDM(1))
- SET A=1
- +5 KILL BDM
- SET X=P_"^MEDS [DM AUDIT ANTI-PLATELET DRUGS"_";DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,"BDM(")
- +6 IF $DATA(BDM(1))
- SET N=1
- +7 IF A!(N)
- QUIT "1 Aspirin/Antiplatelet Rx"
- +8 ;refusal oR NMI
- +9 SET G=0
- +10 NEW T
- SET T=$ORDER(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- +11 IF 'T
- GOTO ANTI
- +12 SET X=0
- FOR
- SET X=$ORDER(^ATXAX(T,21,X))
- IF X'=+X!(G)
- QUIT
- SET G=$$REFUSAL^BDMD017(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- +13 IF G
- IF $PIECE(G,U,2)'="N"
- QUIT "3 Refused"
- +14 IF G
- QUIT "2 None - Not Medically Indicated"
- ANTI ;
- +1 NEW T
- SET T=$ORDER(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))
- +2 IF 'T
- GOTO AR
- +3 SET (X,G)=0
- FOR
- SET X=$ORDER(^ATXAX(T,21,X))
- IF X'=+X!(G)
- QUIT
- SET G=$$REFUSAL^BDMD017(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)
- +4 IF G
- QUIT "3 Refused or adverse reaction"
- AR ;NOW CHECK FOR ADVERSE REACTION/ALLERGY
- +1 SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET E=Y
- +2 ;return text of aspirin allergy if found
- DO ASAALLEG(P,E,.BDMSAAL)
- +3 IF $DATA(BDMSAAL(1))
- QUIT "3 Refused or adverse reaction "_BDMSAAL(1)_" (Allergy Tracking)"
- +4 QUIT "2 None"
- +5 ;
- +6 ;
- THERAPY(P,BD,EDATE) ;EP - therapy code for epi
- +1 IF '$GET(P)
- QUIT ""
- +2 NEW STR,TNAME,X,Y,%DT,HO
- +3 SET STR=""
- SET TNAME=""
- SET HO=""
- +4 SET X=$$INSULIN^BDMD012(P,BD,EDATE)
- +5 IF X]""
- SET STR=STR_2_U
- SET HO=1
- +6 SET X=$$SULF^BDMD012(P,BD,EDATE)
- +7 IF X]""
- SET STR=STR_3_U
- SET HO=1
- +8 SET X=$$SULFLIKE^BDMD012(P,BD,EDATE)
- +9 IF X]""
- SET STR=STR_4_U
- SET HO=1
- +10 SET X=$$MET^BDMD012(P,BD,EDATE)
- +11 IF X]""
- SET STR=STR_5_U
- SET HO=1
- +12 SET X=$$ACAR^BDMD012(P,BD,EDATE)
- +13 IF X]""
- SET STR=STR_6_U
- SET HO=1
- +14 SET X=$$TROG^BDMD012(P,BD,EDATE)
- +15 IF X]""
- SET STR=STR_7_U
- SET HO=1
- +16 SET X=$$INCR^BDMD012(P,BD,EDATE)
- +17 IF X]""
- SET STR=STR_8_U
- SET HO=1
- +18 SET X=$$DPP4^BDMD012(P,BD,EDATE)
- +19 IF X]""
- SET STR=STR_9_U
- SET HO=1
- +20 SET X=$$AMYLIN^BDMD012(P,BD,EDATE)
- +21 IF X]""
- SET STR=STR_10_U
- SET HO=1
- +22 IF HO
- QUIT STR
- +23 SET X=$$REFMED^BDMD012(P,BD,EDATE)
- +24 IF X
- QUIT "R"
- +25 QUIT 1
- +26 ;
- DIETONLY(P,BD,EDATE) ;EP - diet and exercise for audit export
- +1 NEW STR,TNAME,X,Y,%DT
- +2 SET STR=""
- SET TNAME=""
- +3 SET X=$$INSULIN^BDMD012(P,BD,EDATE)
- +4 IF X]""
- QUIT 2
- +5 SET X=$$SULF^BDMD012(P,BD,EDATE)
- +6 IF X]""
- QUIT 2
- +7 SET X=$$SULFLIKE^BDMD012(P,BD,EDATE)
- +8 IF X]""
- QUIT 2
- +9 SET X=$$MET^BDMD012(P,BD,EDATE)
- +10 IF X]""
- QUIT 2
- +11 SET X=$$ACAR^BDMD012(P,BD,EDATE)
- +12 IF X]""
- QUIT 2
- +13 SET X=$$TROG^BDMD012(P,BD,EDATE)
- +14 IF X]""
- QUIT 2
- +15 SET X=$$INCR^BDMD012(P,BD,EDATE)
- +16 IF X]""
- QUIT 2
- +17 SET X=$$DPP4^BDMD012(P,BD,EDATE)
- +18 IF X]""
- QUIT 2
- +19 SET X=$$AMYLIN^BDMD012(P,BD,EDATE)
- +20 IF X]""
- QUIT 2
- +21 SET X=$$REFMED^BDMD012(P,BD,EDATE)
- +22 IF X
- QUIT 2
- +23 QUIT 1
- +24 ;
- REFMEDE(P,BD,EDATE) ;EP - diet and exercise for audit export
- +1 NEW STR,TNAME,X,Y,%DT
- +2 SET STR=""
- SET TNAME=""
- +3 SET X=$$INSULIN^BDMD012(P,BD,EDATE)
- +4 IF X]""
- QUIT 2
- +5 SET X=$$SULF^BDMD012(P,BD,EDATE)
- +6 IF X]""
- QUIT 2
- +7 SET X=$$SULFLIKE^BDMD012(P,BD,EDATE)
- +8 IF X]""
- QUIT 2
- +9 SET X=$$MET^BDMD012(P,BD,EDATE)
- +10 IF X]""
- QUIT 2
- +11 SET X=$$ACAR^BDMD012(P,BD,EDATE)
- +12 IF X]""
- QUIT 2
- +13 SET X=$$TROG^BDMD012(P,BD,EDATE)
- +14 IF X]""
- QUIT 2
- +15 SET X=$$INCR^BDMD012(P,BD,EDATE)
- +16 IF X]""
- QUIT 2
- +17 SET X=$$DPP4^BDMD012(P,BD,EDATE)
- +18 IF X]""
- QUIT 2
- +19 SET X=$$AMYLIN^BDMD012(P,BD,EDATE)
- +20 IF X]""
- QUIT 2
- +21 SET X=$$REFMED^BDMD012(P,BD,EDATE)
- +22 IF X
- QUIT 1
- +23 QUIT 2
- +24 ;
- REFMEDLE(P,BD,EDATE) ;EP - ANY REFUSAL?
- +1 NEW STR,TNAME,X,Y,%DT
- +2 SET STR=""
- SET TNAME=""
- +3 SET X=$$STATIN^BDMD016(P,BD,EDATE)
- +4 IF X]""
- QUIT 2
- +5 SET X=$$FIBRATE^BDMD016(P,BD,EDATE)
- +6 IF X]""
- QUIT 2
- +7 SET X=$$NIACIN^BDMD016(P,BD,EDATE)
- +8 IF X]""
- QUIT 2
- +9 SET X=$$BILE^BDMD016(P,BD,EDATE)
- +10 IF X]""
- QUIT 2
- +11 SET X=$$EZET^BDMD016(P,BD,EDATE)
- +12 IF X]""
- QUIT 2
- +13 SET X=$$FISHOIL^BDMD016(P,BD,EDATE)
- +14 IF X]""
- QUIT 2
- +15 SET X=$$LOVAZA^BDMD016(P,BD,EDATE)
- +16 IF X]""
- QUIT 2
- +17 SET X=$$REFMEDL^BDMD016(P,BD,EDATE)
- +18 IF X
- QUIT 1
- +19 QUIT 2
- +20 ;
- TYPE(P,R,EDATE) ;EP return type 1 or 2 for epi file
- +1 IF '$GET(P)
- QUIT ""
- +2 NEW TYPE
- SET TYPE=""
- +3 IF $GET(R)
- SET TYPE=$$CMSFDX^BDMD013(P,R,"DX")
- +4 IF TYPE="NIDDM"
- QUIT 2
- +5 IF TYPE["TYPE II"
- QUIT 2
- +6 IF TYPE="IDDM"
- QUIT 1
- +7 IF TYPE["2"
- QUIT 2
- +8 IF TYPE["1"
- QUIT 1
- +9 SET TYPE=""
- NEW X,I,C
- SET X=$$PLDMDXS^BDMD013(P)
- +10 FOR I=1:1
- SET C=$PIECE(X,";",I)
- IF C=""!(TYPE]"")
- QUIT
- IF $EXTRACT(C,6)=0!($EXTRACT(C,6)=2)
- SET TYPE=2
- +11 IF TYPE]""
- QUIT TYPE
- +12 FOR I=1:1
- SET C=$PIECE(X,";",I)
- IF C=""!(TYPE]"")
- QUIT
- IF $EXTRACT(C,6)=1!($EXTRACT(C,6)=3)
- SET TYPE=1
- +13 IF TYPE]""
- QUIT TYPE
- +14 SET X=$$LASTDMDX^BDMD013(P,EDATE)
- +15 IF X[2
- QUIT 2
- +16 IF X[1
- QUIT 1
- +17 QUIT ""
- +18 ;
- DURDM(P,R,EDATE) ;EP
- +1 IF '$GET(P)
- QUIT ""
- +2 NEW Y
- SET Y=$$DODX(P,R,"I")
- +3 IF Y=""
- QUIT ""
- +4 IF 'Y
- QUIT ""
- +5 IF Y>EDATE
- QUIT ""
- +6 QUIT $PIECE(($$FMDIFF^XLFDT(EDATE,Y,1)\365.25),".")
- +7 ;
- DODX(P,R,F) ;EP - date of dx for epi file
- +1 IF $GET(F)=""
- SET F="E"
- +2 NEW DATE,EARLY
- +3 SET DATE=""
- SET EARLY=9999999
- +4 IF $GET(R)
- SET DATE=$$CMSFDX^BDMD013(P,R,"ID")
- +5 IF DATE
- SET EARLY=DATE
- +6 SET DATE=$$PLDMDOO^BDMD013(P,"I")
- +7 IF DATE
- IF DATE<EARLY
- SET EARLY=DATE
- +8 IF EARLY=9999999
- SET EARLY=""
- +9 QUIT $SELECT(F="I":$$DI(EARLY),1:$$D(EARLY))
- +10 ;
- D(D) ;
- +1 IF D=""
- QUIT ""
- +2 QUIT $SELECT($EXTRACT(D,4,5)="00":"07",1:$EXTRACT(D,4,5))_"/"_$SELECT($EXTRACT(D,6,7)="00":"01",1:$EXTRACT(D,6,7))_"/"_(1700+$EXTRACT(D,1,3))
- +3 ;
DI(D) ;EP
+1 IF D=""
QUIT ""
+2 QUIT $EXTRACT(D,1,3)_$SELECT($EXTRACT(D,4,5)="00":"07",1:$EXTRACT(D,4,5))_$SELECT($EXTRACT(D,6,7)="00":"01",1:$EXTRACT(D,6,7))
+3 ;;
ASAALLEG(P,BDMD,BDMY) ;does patient have an aspirin allergy
+1 ;get all povs with 995.0-995.3 with ecode of e935.3 up to discharge date
+2 NEW ED,BD,BDMG,BDMC,X,Y,Z,N
+3 ;BDMD is discharge date
+4 SET BDMC=0
KILL BDMY
+5 ;S ED=$$FMADD^XLFDT(BDMD,-365)
ASAPOV ;
+1 KILL BDMG
SET Y="BDMG("
SET X=P_"^ALL DX [BDM ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(BDMD)
SET E=$$START1^APCLDF(X,Y)
+2 SET X=0
FOR
SET X=$ORDER(BDMG(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BDMG(X),U,4)
Begin DoDot:1
+3 SET N=$$VAL^XBDIQ1(9000010.07,Y,.04)
SET N=$$UP^XLFSTR(N)
+4 IF N["ASPIRIN"!(N["ASA")
SET BDMC=BDMC+1
SET BDMY(BDMC)="POV: "_$$FMTE^XLFDT($PIECE(BDMG(X),U))_" ["_$PIECE(BDMG(X),U,2)_"] "_N
+5 ;S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$P($G(^ICD9(Z,0)),U)="E935.3" S BDMC=BDMC+1,BDMY(BDMC)="POV "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_" + E935.3] "_N ;cmi/anch/maw 9/12/2007 orig line
+6 ;cmi/anch/maw 9/12/2007 csv
SET Z=$PIECE(^AUPNVPOV(Y,0),U,9)
IF Z]""
IF $PIECE($$ICDDX^ICDCODE(Z),U,2)="E935.3"
SET BDMC=BDMC+1
SET BDMY(BDMC)="POV "_$$FMTE^XLFDT($PIECE(BDMG(X),U))_" ["_$PIECE(BDMG(X),U,2)_" + E935.3] "_N
+7 QUIT
End DoDot:1
+8 KILL BDMG
SET Y="BDMG("
SET X=P_"^ALL DX V14.8;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(BDMD)
SET E=$$START1^APCLDF(X,Y)
+9 SET X=0
FOR
SET X=$ORDER(BDMG(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BDMG(X),U,4)
Begin DoDot:1
+10 SET N=$$VAL^XBDIQ1(9000010.07,Y,.04)
SET N=$$UP^XLFSTR(N)
+11 IF N["ASPIRIN"!(N["ASA")
SET BDMC=BDMC+1
SET BDMY(BDMC)="POV: "_$$FMTE^XLFDT($PIECE(BDMG(X),U))_" ["_$PIECE(BDMG(X),U,2)_"] "_N
+12 QUIT
End DoDot:1
+13 ;now check problem list for these codes
+14 SET T=""
SET T=$ORDER(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
+15 SET X=0
FOR
SET X=$ORDER(^AUPNPROB("AC",P,X))
IF X'=+X
QUIT
Begin DoDot:1
+16 ;S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($G(^ICD9(I,0)),U) ;cmi/anch/maw 9/12/2007 orig line
+17 ;cmi/anch/maw 9/12/2007 csv
SET I=$PIECE($GET(^AUPNPROB(X,0)),U)
SET Y=$PIECE($$ICDDX^ICDCODE(I),U,2)
+18 SET N=$$VAL^XBDIQ1(9000011,X,.05)
SET N=$$UP^XLFSTR(N)
+19 ;added after discharge date
IF $PIECE(^AUPNPROB(X,0),U,8)>BDMD
QUIT
+20 IF Y="V14.8"!($$ICD^ATXCHK(I,T,9))
IF N["ASPIRIN"!(N["ASA")
SET BDMC=BDMC+1
SET BDMY(BDMC)="PROBLEM LIST: "_$$FMTE^XLFDT($PIECE(^AUPNPROB(X,0),U,8))_" ["_Y_"] "_N
+21 QUIT
End DoDot:1
+22 ;now check allergy tracking
+23 SET X=0
FOR
SET X=$ORDER(^GMR(120.8,"B",P,X))
IF X'=+X
QUIT
Begin DoDot:1
+24 ;entered after AUDIT date
IF $PIECE($PIECE($GET(^GMR(120.8,X,0)),U,4),".")>BDMD
QUIT
+25 SET N=$PIECE($GET(^GMR(120.8,X,0)),U,2)
SET N=$$UP^XLFSTR(N)
+26 IF N["ASPIRIN"
SET BDMC=BDMC+1
SET BDMY(BDMC)="ALLERGY TRACKING: "_$$FMTE^XLFDT($PIECE(^GMR(120.8,X,0),U,4))_" "_N
QUIT
+27 SET C=$ORDER(^PS(50.605,"B","CN103",0))
+28 IF C
IF $DATA(^GMR(120.8,X,3,"B",C))
SET G="Refused/Adverse Rxn"
QUIT
+29 SET C=$ORDER(^PS(50.605,"B","BL100",0))
+30 IF C
IF $DATA(^GMR(120.8,X,3,"B",C))
SET G="Refused/Adverse Rxn"
QUIT
+31 SET C=$ORDER(^PS(50.605,"B","BL110",0))
+32 IF C
IF $DATA(^GMR(120.8,X,3,"B",C))
SET G="Refused/Adverse Rxn"
QUIT
+33 SET C=$ORDER(^PS(50.605,"B","BL117",0))
+34 IF C
IF $DATA(^GMR(120.8,X,3,"B",C))
SET G="Refused/Adverse Rxn"
QUIT
+35 QUIT
End DoDot:1
+36 QUIT