BDMD616.m

BDMD616 ; IHS/CMI/LAB - 2006 DIABETES AUDIT ;

 ;;2.0;DIABETES MANAGEMENT SYSTEM;**2**;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^BDMD612(P)

 I X]"",X["TX COMPLETE" Q 1

 I X]"" Q 2

 S BDMR=$$PPD^BDMD618(P,EDATE)

 I BDMR["POS" D  Q BDMJ

 .I $$TBTX^BDMD612(P)["TX COMPLETE" S BDMJ=1 Q

 .S BDMJ=2

 .Q

 I BDMR["NEG" S BDMJ=4 D  Q BDMJ

 .I $$DODX(P,R,"I")="" S BDMJ=6 Q

 .S D=$$DODX(P,R,"I"),E=$$PPD^BDMD618(P,EDATE,"I") S BDMJ=$S(D>E:4,1:3)

 .Q

 I BDMR["Unknown" S BDMJ=5

 I BDMR["Refus" S BDMJ=7

 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^BDMD613(P,BDATE,EDATE,"I")

 I X="" Q ""

 NEW Y,C S C=0 F Y=1:1:3 I $P(X,";",Y)]"" S C=C+1

 I C'=3 Q ""

 S C=0 F Y=1:1:3 S C=$P($P(X,";",Y),"/")+C

 Q C\3

 Q ""

DIAMEAN(P,BDATE,EDATE) ;EP

 NEW X S X=$$BPS^BDMD613(P,BDATE,EDATE,"I")

 I X="" Q ""

 NEW Y,C S C=0 F Y=1:1:3 I $P(X,";",Y)]"" S C=C+1

 I C'=3 Q ""

 S C=0 F Y=1:1:3 S C=$P($P(X,";",Y),"/",2)+C

 Q C\3

PPDDATE(P,EDATE) ;EP

 NEW X S X=$$LASTNP^BDMD618(P,EDATE)

 Q X

LIPID(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 "Both"

 I S Q "Statin"

 I O Q "Other"

 ;refusal

 S G=0

 NEW T S T=$O(^ATXAX("B","DM AUDIT LIPID LOWERING DRUGS",0))

 I 'T Q "None"

 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  S G=$$REFUSAL^BDMD617(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 I G Q "Refused or Adverse Rxn"

 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^BDMD617(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 I G Q "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 N["ASPIRIN" S BDMC=BDMC+1,BDMY(BDMC)="ALLERGY TRACKING:  "_$$FMTE^XLFDT($P(^GMR(120.8,X,0),U,4))_"  "_N

 .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn"

 .;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

 I G]"" Q G

 Q "None"

 ;

 ;

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 "Yes"

 ;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,%

 S %=""

 S I=0 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),".")

 I %]"" Q "Yes"

 ;refusals

 NEW T S T=$O(^ATXAX("B","DM AUDIT ACE INHIBITORS",0))

 I 'T Q "No"

 S (G,X)=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  S G=$$REFUSAL^BDMD617(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 I G,$P(G,U,2)'="N" Q "Refused"

 Q "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^BDMD619(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^BDMD619(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=2 Q "Both"

 I A!(N) Q "Aspirin/Antiplatelet Rx"

 ;I N Q "Other"

 ;refusal oR NMI

 S G=0

 NEW T S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))

 I 'T Q "None"

 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  S G=$$REFUSAL^BDMD617(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 I G,$P(G,U,2)'="N" Q "Refused"

 I G Q "None - Not Medically Indicated"

 NEW T S T=$O(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))

 I 'T Q "None"

 S (X,G)=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  S G=$$REFUSAL^BDMD617(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 ;I G,$P(G,U,2)'="N" Q "Refused"

 I G Q "Refused or adverse rxn"

 ;NOW CHECK FOR ADVERSE REACTION/ALLERGY

 S X=BDATE,%DT="P" D ^%DT S B=Y

 D ASAALLEG(P,E,.BDMSAAL) ;return text of aspirin allergy if found

 I $D(BDMSAAL(1)) Q "Refused or adverse rxn "_BDMSAAL(1)

 Q "None"

 ;

TOBACCO(P,EDATE) ;EP

 I '$G(P) Q ""

 NEW BDMTOB,BDM,X,E

 D TOBACCO0

 I $D(BDMTOB) Q BDMTOB

 ;D TOBACCO3

 ;I $D(BDMTOB) Q BDMTOB

 D TOBACCO1 ;check Problem file for tobacco use

 I $D(BDMTOB) Q BDMTOB

 D TOBACCO2 ;check POVs for tobacco use

 I $D(BDMTOB) Q BDMTOB

 S X=$$DENT(P,BDMRBD,BDMRED)

 I X]"" Q X

 Q "3  Not Documented "

TOBACCO0 ;check for tobacco documented in health factors

 K BDM S X=P_"^LAST HEALTH [DM AUDIT TOBACCO HLTH FACTORS"_";DURING "_$$DOB^AUPNPAT(P)_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(") Q:E  I $D(BDM(1)) D  ;S BDMTOBN=$O(BDMTOB("")),BDMTOB=BDMTOB(BDMTOBN)

 . I $P(BDM(1),U,3)["CURRENT"!($P(BDM(1),U,3)["CESS") S BDMTOB="1  Current User" Q

 . S BDMTOB="2  Not a Current User "

 .Q

 Q

TOBACCO3 ;lookup in health status

 S %=$O(^ATXAX("B","DM AUDIT TOBACCO HLTH FACTORS",0))

 Q:'%

 S X=0 K Y F  S X=$O(^AUPNHF("AA",P,X)) Q:X'=+X  I $D(^ATXAX(%,21,"B",X)) S D=$O(^AUPNHF("AA",P,X,0)),Y(9999999-D)=X

 Q:'$D(Y)

 S X=$O(Y(0))

 S Y=Y(X)

 S Y=$P(^AUTTHF(Y,0),U)

 S BDMTOB=Y

 I Y["CURRENT"!(Y["CESS") S BDMTOB="1  Current User" Q

 S BDMTOB="2  Not a Current User"

 Q

TOBACCO1 ;check problem file for tobacco use

 K BDM S X=P_"^PROBLEMS [DM AUDIT PROBLEM SMOKING DXS" S E=$$START1^APCLDF(X,"BDM(") Q:E  I $D(BDM(1)) D

 . ;I $P(^ICD9($P(BDM(1),U,2),0),U,1)=305.13 S BDMTOB="2  Not a Current User"_" - "_$E($P(^AUTNPOV($P(^AUPNPROB(+$P(BDM(1),U,4),0),U,5),0),U),1,30) Q  ;cmi/anch/maw 9/12/2007 orig line

 . I $P($$ICDDX^ICDCODE($P(BDM(1),U,2)),U,2)=305.13 S BDMTOB="2  Not a Current User"_" - "_$E($P(^AUTNPOV($P(^AUPNPROB(+$P(BDM(1),U,4),0),U,5),0),U),1,30) Q  ;cmi/anch/maw 9/12/2007 csv

 . S BDMTOB="1  Current user - "_$E($P(^AUTNPOV($P(^AUPNPROB(+$P(BDM(1),U,4),0),U,5),0),U),1,30)

 .Q

 Q

TOBACCO2 ;check pov file for TOBACCO USE DOC

 NEW D,%DT

 S %DT="P",X=EDATE D ^%DT S D=Y

 NEW BDATE S BDATE=$$FMADD^XLFDT(D,-365),BDATE=$$FMTE^XLFDT(BDATE)

 K BDM S X=P_"^LAST DX [DM AUDIT SMOKING RELATED DXS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(") Q:E  I $D(BDM(1)) D

 . I $P(BDM(1),U,2)=305.13 S BDMTOB="2  Not a Current User"_" - "_$E($P(^AUTNPOV($P(^AUPNVPOV(+$P(BDM(1),U,4),0),U,4),0),U),1,30) Q

 . S BDMTOB="1  Current user"_" - "_$E($P(^AUTNPOV($P(^AUPNVPOV(+$P(BDM(1),U,4),0),U,4),0),U),1,30)

 .Q

 Q

DENT(P,BDATE,EDATE) ;EP

 K ^TMP($J,"A")

 S A="^TMP($J,""A"",",B=P_"^ALL VISITS;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE),E=$$START1^APCLDF(B,A)

 I '$D(^TMP($J,"A",1)) Q ""

 S X=0,G="" F  S X=$O(^TMP($J,"A",X)) Q:X'=+X!(G)  S V=$P(^TMP($J,"A",X),U,5) D

 .Q:'$D(^AUPNVSIT(V,0))

 .Q:'$P(^AUPNVSIT(V,0),U,9)

 .Q:$P(^AUPNVSIT(V,0),U,11)

 .S Z=0 F  S Z=$O(^AUPNVDEN("AD",V,Z)) Q:Z'=+Z!(G)  S B=$P($G(^AUPNVDEN(Z,0)),U) I B S B=$P($G(^AUTTADA(B,0)),U) I B=1320 S G="1  Current user - Ada Code 1320 "

 .Q

 Q G

 ;

THERAPY(P,BD,EDATE) ;EP - therapy code for epi

 I '$G(P) Q ""

 NEW STR,TNAME,X,Y,%DT

 S STR="",TNAME=""

 S X=$$INSULIN^BDMD612(P,BD,EDATE)

 I X]"" S STR=STR_"2"

 S X=$$SULF^BDMD612(P,BD,EDATE)

 I X]"" S STR=STR_3

 S X=$$MET^BDMD612(P,BD,EDATE)

 I X]"" S STR=STR_4

 S X=$$ACAR^BDMD612(P,BD,EDATE)

 I X]"" S STR=STR_5

 S X=$$TROG^BDMD612(P,BD,EDATE)

 I X]"" S STR=STR_"6"

 I STR]"" Q STR

 S X=$$REFMED^BDMD612(P,BD,EDATE)

 I X Q 9

 Q 1

 ;

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^BDMD613(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^BDMD613(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^BDMD613(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 ""

 ;W !,$$HRN^AUPNPAT(P,DUZ(2)),"^",Y,"^",($$FMDIFF^XLFDT(EDATE,Y,1)\365)

 Q ($$FMDIFF^XLFDT(EDATE,Y,1)\365)

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^BDMD613(P,R,"ID")

 I DATE S EARLY=DATE

 S DATE=$$PLDMDOO^BDMD613(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 discharge 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

BDMD616   ; IHS/CMI/LAB - 2006 DIABETES AUDIT ;

 +1       ;;2.0;DIABETES MANAGEMENT SYSTEM;**2**;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^BDMD612(P)

 +5        IF X]""

               IF X["TX COMPLETE"

                   QUIT 1

 +6        IF X]""

               QUIT 2

 +7        SET BDMR=$$PPD^BDMD618(P,EDATE)

 +8        IF BDMR["POS"

               Begin DoDot:1

 +9                IF $$TBTX^BDMD612(P)["TX COMPLETE"

                       SET BDMJ=1

                       QUIT 

 +10               SET BDMJ=2

 +11               QUIT 

               End DoDot:1

               QUIT BDMJ

 +12       IF BDMR["NEG"

               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^BDMD618(P,EDATE,"I")

                   SET BDMJ=$SELECT(D>E:4,1:3)

 +15               QUIT 

               End DoDot:1

               QUIT BDMJ

 +16       IF BDMR["Unknown"

               SET BDMJ=5

 +17       IF BDMR["Refus"

               SET BDMJ=7

 +18       QUIT BDMJ

 +19      ;;

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^BDMD613(P,BDATE,EDATE,"I")

 +2        IF X=""

               QUIT ""

 +3        NEW Y,C

           SET C=0

           FOR Y=1:1:3

               IF $PIECE(X,";",Y)]""

                   SET C=C+1

 +4        IF C'=3

               QUIT ""

 +5        SET C=0

           FOR Y=1:1:3

               SET C=$PIECE($PIECE(X,";",Y),"/")+C

 +6        QUIT C\3

 +7        QUIT ""

DIAMEAN(P,BDATE,EDATE) ;EP

 +1        NEW X

           SET X=$$BPS^BDMD613(P,BDATE,EDATE,"I")

 +2        IF X=""

               QUIT ""

 +3        NEW Y,C

           SET C=0

           FOR Y=1:1:3

               IF $PIECE(X,";",Y)]""

                   SET C=C+1

 +4        IF C'=3

               QUIT ""

 +5        SET C=0

           FOR Y=1:1:3

               SET C=$PIECE($PIECE(X,";",Y),"/",2)+C

 +6        QUIT C\3

PPDDATE(P,EDATE) ;EP

 +1        NEW X

           SET X=$$LASTNP^BDMD618(P,EDATE)

 +2        QUIT X

LIPID(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 "Both"

 +8        IF S

               QUIT "Statin"

 +9        IF O

               QUIT "Other"

 +10      ;refusal

 +11       SET G=0

 +12       NEW T

           SET T=$ORDER(^ATXAX("B","DM AUDIT LIPID LOWERING DRUGS",0))

 +13       IF 'T

               QUIT "None"

 +14       SET X=0

           FOR 

               SET X=$ORDER(^ATXAX(T,21,X))

               IF X'=+X!(G)

                   QUIT 

               SET G=$$REFUSAL^BDMD617(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 +15       IF G

               QUIT "Refused or Adverse Rxn"

 +16       NEW T

           SET T=$ORDER(^ATXAX("B","DM AUDIT STATIN DRUGS",0))

 +17       IF 'T

               GOTO LIPIDA

 +18       SET (X,G)=0

           FOR 

               SET X=$ORDER(^ATXAX(T,21,X))

               IF X'=+X!(G)

                   QUIT 

               SET G=$$REFUSAL^BDMD617(P,50,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 +19       IF G

               QUIT "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       ;I N["ASPIRIN" S BDMC=BDMC+1,BDMY(BDMC)="ALLERGY TRACKING:  "_$$FMTE^XLFDT($P(^GMR(120.8,X,0),U,4))_"  "_N

 +8                IF C

                       IF $DATA(^GMR(120.8,X,3,"B",C))

                           SET G="Refused/Adverse Rxn"

 +9       ;S N=$P($G(^GMR(120.8,X,0)),U,2),N=$$UP^XLFSTR(N)

 +10      ;I N["ASPIRIN" S BDMC=BDMC+1,BDMY(BDMC)="ALLERGY TRACKING:  "_$$FMTE^XLFDT($P(^GMR(120.8,X,0),U,4))_"  "_N

               End DoDot:1

 +11       IF G]""

               QUIT G

 +12       QUIT "None"

 +13      ;

 +14      ;

ACE(P,BDATE,EDATE) ;EP

 +1        NEW X,BDM,E,X,Y,%DT,BD,G