BDMDF1A ; IHS/CMI/LAB -IHS -CUMULATIVE REPORT 14 Dec 2016 11:59 AM ;
;;2.0;DIABETES MANAGEMENT SYSTEM;**11**;JUN 14, 2007;Build 30
;
NUMMEDS ;
I $Y>(BDMIOSL-10) D HEADER Q:BDMQUIT
W !!?2,"Number of diabetes meds currently prescribed"
W !?3,"One med",?49,$$C($P(V,U,17)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,17))
W !?3,"Two meds",?49,$$C($P(V,U,18)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,18))
W !?3,"Three meds",?49,$$C($P(V,U,19)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,19))
W !?3,"Four or more meds",?49,$$C($P(V,U,20)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,20))
ACE ;
I $Y>(BDMIOSL-5) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(110)) W !!,$P(V,U)
W !?3,"In patients with known hypertension [3]",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,5)),?73,$$P($P(V,U,5),$P(V,U,7))
W !?3,"In patients age 18+ with CKD [1]",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,4)),?73,$$P($P(V,U,4),$P(V,U,8)) ;,!?10,"urine albumin excretion**"
ASPIRIN ;
I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(100)) W !!,$P(V,U)
W !?3,"In patients with diagnosed CVD",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
;
STATIN ;
I $Y>(BDMIOSL-18) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(115)) W !!,$P(V,U)
W !?3,"Yes*",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,4)),?73,$$P($P(V,U,4),$P(V,U,6))
W !?3,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,7))
W !!?3,"In patients with diagnosed CVD: "
W !?6,"Yes*",?49,$$C($P(V,U,22)),?61,$$C($P(V,U,21)),?73,$$P($P(V,U,21),$P(V,U,22))
W !?6,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,17)),?61,$$C($P(V,U,16)),?73,$$P($P(V,U,16),$P(V,U,17))
W !!?3,"In patients aged 40-75: "
W !?6,"Yes*",?49,$$C($P(V,U,19)),?61,$$C($P(V,U,8)),?73,$$P($P(V,U,8),$P(V,U,19))
W !?6,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,20)),?61,$$C($P(V,U,23)),?73,$$P($P(V,U,23),$P(V,U,20))
W !!?3,"In patients with diagnosed CVD and/or aged 40-75:"
W !?6,"Yes*",?49,$$C($P(V,U,26)),?61,$$C($P(V,U,25)),?73,$$P($P(V,U,25),$P(V,U,26))
W !?6,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,27)),?61,$$C($P(V,U,24)),?73,$$P($P(V,U,24),$P(V,U,27))
W !!?2,"*Excludes patients with an allergy, intolerance, or contraindication."
EXAMS ;
I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(120)) W !!,$P(V,U) ;,?69,"(% refused)"
W !?3,"Foot exam - comprehensive",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,6))," )"
W !?3,"Eye exam - dilated or retinal imaging",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
W !?3,"Dental exam",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
;
EDUC ;
I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(130)) W !!,$P(V,U) ;,?69,"(% refused)"
W !?3,"Nutrition - by any provider (RD and/or other)",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
W !?3,"Nutrition - by RD",?49,$$C($P(V,U,10)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,10)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
W !?3,"Physical activity",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
W !?3,"Other",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,9))," )"
W !?3,"Any of above topics",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,6))
IMM ;
I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(140)) W !!,$P(V,U)
W !?3,"Influenza vaccine during Audit period",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?11,"Refused - Influenza vaccine",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,6))
W !?3,"Pneumococcal vaccine - ever",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
W !?11,"Refused - Pneumococcal",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,7))
W !?3,"Td/Tdap/DT - past 10 years",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
W !?11,"Refused - Td/Tdap/DT",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,8))
W !?3,"Tdap - ever",?49,$$C($P(V,U,12)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,12))
W !?11,"Refused - Tdap",?49,$$C($P(V,U,13)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,13))
S C=$P(V,U,2)-$P(V,U,11)
W !?3,"Hepatitis B 3-dose series complete - ever",?49,$$C($P(V,U,9)),?61,$$C(C),?73,$$P(C,$P(V,U,9))
W !?11,"Refused - Hepatitis B",?49,$$C($P(V,U,10)),?61,$$C(C),?73,$$P(C,$P(V,U,10))
W !?11,"Immune - Hepatitis B",?49,$$C($P(V,U,11)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,11))
DEP ;
I $Y>(BDMIOSL-6) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(300)) W !!,"Depression An Active Problem"
W !?3,"Yes",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
S Z=$P(V,U,2)-$P(V,U,3)
W !?3,"No",?49,$$C(Z),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),Z)
;screening
I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(301))
W !!?3,"In patients without active depression, screened"
W !?3,"for depression during the audit period:"
W !?13,"Screened",?49,$$C($P(V,U,3)),?61,$$C(Z),?73,$$P($P(V,U,2),$P(V,U,3))
W !?13,"Not screened",?49,$$C($P(V,U,4)),?61,$$C(Z),?73,$$P($P(V,U,2),$P(V,U,4))
;
LIPID ;
I $Y>(BDMIOSL-2) D HEADER Q:BDMQUIT
W !!,"Lipid Evaluation - Note these results are presented as population level CVD"
W !,"risk markers and should not be considered treatment targets for individual"
W !,"patients."
;
LDL ;
I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(190))
S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
W !!?3,"LDL cholesterol",?49,$$C(T),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),T)
W !?7,"LDL <100 mg/dl",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?7,"LDL 100-189 mg/dl",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
;W !?7,"LDL 130-189 mg/dl",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
W !?7,"LDL >=190",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,6))
W !?7,"Not tested or no valid result",?49,$$C($P(V,U,7)+$P(V,U,8)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,7)+$P(V,U,8))
HDL ;
I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(195))
S T=$P(V,U,2)+$P(V,U,6) ;TOTAL PTS
S S=$P(V,U,3)+$P(V,U,4)+$P(V,U,7)+$P(V,U,8)
W !!?3,"HDL cholesterol",?49,$$C(S),?61,$$C(T),?73,$$P(T,S)
W !?7,"In females"
W !?7,"HDL <50 mg/dl",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?7,"HDL >=50 mg/dl",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
W !?7,"Not tested or no valid result",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
W !!?7,"In males"
W !?7,"HDL <40 mg/dl",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,7))
W !?7,"HDL >=40 mg/dl",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,8))
W !?7,"Not tested or no valid result",?49,$$C($P(V,U,9)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,9))
TRIG ;
I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(200))
S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,8)+$P(V,U,9)
W !!?3,"Triglycerides [4]",?49,$$C(T),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),T)
W !?7,"TG <150 mg/dl",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?7,"TG 150-499 mg/dl",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,8))
W !?7,"TG 500-999 mg/dl",?49,$$C($P(V,U,9)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,9))
W !?7,"TG >=1000 mg/dl",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
W !?7,"Not tested or no valid result",?49,$$C($P(V,U,5)+$P(V,U,7)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5)+$P(V,U,7))
;
GFR ;
I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(175)) S T=$P(V,U,5)
W !!,"Kidney Evaluation"
W !?3,"eGFR to assess kidney function",?49,$$C($P(V,U,5)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,5)),!?3,"(In age 18 and above)"
W !,?7,"eGFR >= 60 ml/min",?49,$$C($P(V,U,6)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,6))
W !,?7,"eGFR 30-59 ml/min",?49,$$C($P(V,U,7)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,7))
W !,?7,"eGFR 15-29 ml/min",?49,$$C($P(V,U,8)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,8))
W !,?7,"eGFR < 15 ml/min",?49,$$C($P(V,U,9)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,9))
W !,?7,"eGFR Not tested or no valid result",?49,$$C($P(V,U,10)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,10))
URIN ;
I $Y>(BDMIOSL-15) D HEADER Q:BDMQUIT
W !
S V=$G(BDMCUML(145))
W !?3,"Urine Albumin:Creatinine Ratio (UACR) to assess kidney damage"
W !?7,"Yes",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?7,"No",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
W !!?3,"In patients with UACR:"
W !?7,"Urine albumin excretion - Normal <30 mg/g",?49,$$C($P(V,U,12)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,12))
W !?7,"Urine albumin excretion - Increased",!?10,"30-300 mg/g",?49,$$C($P(V,U,13)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,13))
W !?10,">300 mg/g",?49,$$C($P(V,U,14)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,14))
;W !!?3,"In patients age 18 and above ",!?10,"with eGFR =>30, UACR done",?49,$$C($P(V,U,21)),?61,$$C($P(V,U,20)),?73,$$P($P(V,U,20),$P(V,U,21))
I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(270))
W !!?3,"In patients age 18 and above,",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3)),!?3,"eGFR and UACR done"
;
CVD ;
;I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
;S V=$G(BDMCUML(250)) W !!,$P(V,U)
;W !?3,"Diagnosed CVD",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
TBC ;
I $Y>(BDMIOSL-10) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(70)) W !!,$P(V,U)
W !!?3,"TB Test done ever (skin or blood)",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?6,"If test done, skin test",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,4))
W !?6,"If test done, blood test",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,5))
W !?3,"If TB test done, positive result",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,6))
W !?3,"If positive TB test, treatment",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,7)),!?6,"completed"
W !?3,"If negative TB test, test done after",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,9)),?73,$$P($P(V,U,9),$P(V,U,8)),!?6,"DM diagnosis"
;
COMBINED ;
I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
S V=$G(BDMCUML(260)) W !!,$P(V,U)
W !?3,"Patients age >= 40 meeting ALL of the ",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
W !?3,"following criteria: A1C <8.0, Statin prescribed*, ",!?3,"and mean BP <140/<90"
W !?3,"*Excludes patients with a statin allergy, intolerance, or contraindication"
SDM ;
I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
W !!,"[1] CKD: eGFR <60 or UACR =>30"
W !,"[2] Comorbid conditions counted are: active depression, current tobacco use,",!,"severely obese (BMI 40 or higher), diagnosed hypertension, diagnosed CVD,",!,"CKD (eGFR<60 or uACR>=30), hepatitis C, and retinopathy."
W !,"[3] Known hypertension: Has hypertension listed as an active problem, or ",!,"three visits with a diagnosis of hypertension ever (prior to the end ",!,"of the Audit period)."
W !,"[4] For triglycerides: >150 is a marker of CVD risk, not a treatment",!,"target; >1000 is a risk marker for pancreatitis."
W !
Q
EXIT ;
I $E(IOST)="C",IO=IO(0) W ! S DIR(0)="EO",DIR("A")="End of report. Press ENTER" D ^DIR K DIR S:$D(DUOUT) DIRUT=1
Q
CALC(N,O) ;ENTRY POINT
;O is old
NEW Z
I O=0!(N=0) Q "**"
NEW X,X2,X3
S X=N,X2=1,X3=0 D COMMA^%DTC S N=X
S X=O,X2=1,X3=0 D COMMA^%DTC S O=X
S Z=(((N-O)/O)*100),Z=$FN(Z,"+,",1)
Q Z
P(D,N) ;return %
I 'D Q ""
I 'N Q " 0%"
NEW X S X=N/D,X=X*100,X=$J(X,3,0)
Q X_"%"
C(X,X2,X3) ;
I '$G(X2) S X2=0
I '$G(X3) S X3=6
D COMMA^%DTC
Q X
D HEADER^BDMDF14
CTR(X,Y) ;EP - Center X in a field Y wide.
Q $J("",$S($D(Y):Y,1:IOM)-$L(X)\2)_X
;----------
USR() ;EP -
Q $S($G(DUZ):$S($D(^VA(200,DUZ,0)):$P(^(0),U),1:"UNKNOWN"),1:"DUZ UNDEFINED OR 0")
;----------
LOC() ;EP - Return location name from file 4 based on DUZ(2).
Q $S($G(DUZ(2)):$S($D(^DIC(4,DUZ(2),0)):$P(^(0),U),1:"UNKNOWN"),1:"DUZ(2) UNDEFINED OR 0")
;----------
BDMDF1A ; IHS/CMI/LAB -IHS -CUMULATIVE REPORT 14 Dec 2016 11:59 AM ;
+1 ;;2.0;DIABETES MANAGEMENT SYSTEM;**11**;JUN 14, 2007;Build 30
+2 ;
NUMMEDS ;
+1 IF $Y>(BDMIOSL-10)
DO HEADER
IF BDMQUIT
QUIT
+2 WRITE !!?2,"Number of diabetes meds currently prescribed"
+3 WRITE !?3,"One med",?49,$$C($PIECE(V,U,17)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,17))
+4 WRITE !?3,"Two meds",?49,$$C($PIECE(V,U,18)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,18))
+5 WRITE !?3,"Three meds",?49,$$C($PIECE(V,U,19)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,19))
+6 WRITE !?3,"Four or more meds",?49,$$C($PIECE(V,U,20)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,20))
ACE ;
+1 IF $Y>(BDMIOSL-5)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(110))
WRITE !!,$PIECE(V,U)
+3 WRITE !?3,"In patients with known hypertension [3]",?49,$$C($PIECE(V,U,7)),?61,$$C($PIECE(V,U,5)),?73,$$P($PIECE(V,U,5),$PIECE(V,U,7))
+4 ;,!?10,"urine albumin excretion**"
WRITE !?3,"In patients age 18+ with CKD [1]",?49,$$C($PIECE(V,U,8)),?61,$$C($PIECE(V,U,4)),?73,$$P($PIECE(V,U,4),$PIECE(V,U,8))
ASPIRIN ;
+1 IF $Y>(BDMIOSL-4)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(100))
WRITE !!,$PIECE(V,U)
+3 WRITE !?3,"In patients with diagnosed CVD",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 ;
STATIN ;
+1 IF $Y>(BDMIOSL-18)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(115))
WRITE !!,$PIECE(V,U)
+3 WRITE !?3,"Yes*",?49,$$C($PIECE(V,U,6)),?61,$$C($PIECE(V,U,4)),?73,$$P($PIECE(V,U,4),$PIECE(V,U,6))
+4 WRITE !?3,"Allergy, intolerance, or contraindication",?49,$$C($PIECE(V,U,7)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,7))
+5 WRITE !!?3,"In patients with diagnosed CVD: "
+6 WRITE !?6,"Yes*",?49,$$C($PIECE(V,U,22)),?61,$$C($PIECE(V,U,21)),?73,$$P($PIECE(V,U,21),$PIECE(V,U,22))
+7 WRITE !?6,"Allergy, intolerance, or contraindication",?49,$$C($PIECE(V,U,17)),?61,$$C($PIECE(V,U,16)),?73,$$P($PIECE(V,U,16),$PIECE(V,U,17))
+8 WRITE !!?3,"In patients aged 40-75: "
+9 WRITE !?6,"Yes*",?49,$$C($PIECE(V,U,19)),?61,$$C($PIECE(V,U,8)),?73,$$P($PIECE(V,U,8),$PIECE(V,U,19))
+10 WRITE !?6,"Allergy, intolerance, or contraindication",?49,$$C($PIECE(V,U,20)),?61,$$C($PIECE(V,U,23)),?73,$$P($PIECE(V,U,23),$PIECE(V,U,20))
+11 WRITE !!?3,"In patients with diagnosed CVD and/or aged 40-75:"
+12 WRITE !?6,"Yes*",?49,$$C($PIECE(V,U,26)),?61,$$C($PIECE(V,U,25)),?73,$$P($PIECE(V,U,25),$PIECE(V,U,26))
+13 WRITE !?6,"Allergy, intolerance, or contraindication",?49,$$C($PIECE(V,U,27)),?61,$$C($PIECE(V,U,24)),?73,$$P($PIECE(V,U,24),$PIECE(V,U,27))
+14 WRITE !!?2,"*Excludes patients with an allergy, intolerance, or contraindication."
EXAMS ;
+1 IF $Y>(BDMIOSL-7)
DO HEADER
IF BDMQUIT
QUIT
+2 ;,?69,"(% refused)"
SET V=$GET(BDMCUML(120))
WRITE !!,$PIECE(V,U)
+3 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,6))," )"
WRITE !?3,"Foot exam - comprehensive",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
WRITE !?3,"Eye exam - dilated or retinal imaging",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+5 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
WRITE !?3,"Dental exam",?49,$$C($PIECE(V,U,5)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,5))
+6 ;
EDUC ;
+1 IF $Y>(BDMIOSL-8)
DO HEADER
IF BDMQUIT
QUIT
+2 ;,?69,"(% refused)"
SET V=$GET(BDMCUML(130))
WRITE !!,$PIECE(V,U)
+3 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
WRITE !?3,"Nutrition - by any provider (RD and/or other)",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
WRITE !?3,"Nutrition - by RD",?49,$$C($PIECE(V,U,10)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,10))
+5 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
WRITE !?3,"Physical activity",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+6 ;,?71,"( ",$$P($P(V,U,2),$P(V,U,9))," )"
WRITE !?3,"Other",?49,$$C($PIECE(V,U,5)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,5))
+7 WRITE !?3,"Any of above topics",?49,$$C($PIECE(V,U,6)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,6))
IMM ;
+1 IF $Y>(BDMIOSL-7)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(140))
WRITE !!,$PIECE(V,U)
+3 WRITE !?3,"Influenza vaccine during Audit period",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 WRITE !?11,"Refused - Influenza vaccine",?49,$$C($PIECE(V,U,6)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,6))
+5 WRITE !?3,"Pneumococcal vaccine - ever",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+6 WRITE !?11,"Refused - Pneumococcal",?49,$$C($PIECE(V,U,7)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,7))
+7 WRITE !?3,"Td/Tdap/DT - past 10 years",?49,$$C($PIECE(V,U,5)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,5))
+8 WRITE !?11,"Refused - Td/Tdap/DT",?49,$$C($PIECE(V,U,8)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,8))
+9 WRITE !?3,"Tdap - ever",?49,$$C($PIECE(V,U,12)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,12))
+10 WRITE !?11,"Refused - Tdap",?49,$$C($PIECE(V,U,13)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,13))
+11 SET C=$PIECE(V,U,2)-$PIECE(V,U,11)
+12 WRITE !?3,"Hepatitis B 3-dose series complete - ever",?49,$$C($PIECE(V,U,9)),?61,$$C(C),?73,$$P(C,$PIECE(V,U,9))
+13 WRITE !?11,"Refused - Hepatitis B",?49,$$C($PIECE(V,U,10)),?61,$$C(C),?73,$$P(C,$PIECE(V,U,10))
+14 WRITE !?11,"Immune - Hepatitis B",?49,$$C($PIECE(V,U,11)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,11))
DEP ;
+1 IF $Y>(BDMIOSL-6)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(300))
WRITE !!,"Depression An Active Problem"
+3 WRITE !?3,"Yes",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 SET Z=$PIECE(V,U,2)-$PIECE(V,U,3)
+5 WRITE !?3,"No",?49,$$C(Z),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),Z)
+6 ;screening
+7 IF $Y>(BDMIOSL-8)
DO HEADER
IF BDMQUIT
QUIT
+8 SET V=$GET(BDMCUML(301))
+9 WRITE !!?3,"In patients without active depression, screened"
+10 WRITE !?3,"for depression during the audit period:"
+11 WRITE !?13,"Screened",?49,$$C($PIECE(V,U,3)),?61,$$C(Z),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+12 WRITE !?13,"Not screened",?49,$$C($PIECE(V,U,4)),?61,$$C(Z),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+13 ;
LIPID ;
+1 IF $Y>(BDMIOSL-2)
DO HEADER
IF BDMQUIT
QUIT
+2 WRITE !!,"Lipid Evaluation - Note these results are presented as population level CVD"
+3 WRITE !,"risk markers and should not be considered treatment targets for individual"
+4 WRITE !,"patients."
+5 ;
LDL ;
+1 IF $Y>(BDMIOSL-9)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(190))
+3 SET T=$PIECE(V,U,3)+$PIECE(V,U,4)+$PIECE(V,U,5)+$PIECE(V,U,6)
+4 WRITE !!?3,"LDL cholesterol",?49,$$C(T),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),T)
+5 WRITE !?7,"LDL <100 mg/dl",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+6 WRITE !?7,"LDL 100-189 mg/dl",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+7 ;W !?7,"LDL 130-189 mg/dl",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
+8 WRITE !?7,"LDL >=190",?49,$$C($PIECE(V,U,6)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,6))
+9 WRITE !?7,"Not tested or no valid result",?49,$$C($PIECE(V,U,7)+$PIECE(V,U,8)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,7)+$PIECE(V,U,8))
HDL ;
+1 IF $Y>(BDMIOSL-8)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(195))
+3 ;TOTAL PTS
SET T=$PIECE(V,U,2)+$PIECE(V,U,6)
+4 SET S=$PIECE(V,U,3)+$PIECE(V,U,4)+$PIECE(V,U,7)+$PIECE(V,U,8)
+5 WRITE !!?3,"HDL cholesterol",?49,$$C(S),?61,$$C(T),?73,$$P(T,S)
+6 WRITE !?7,"In females"
+7 WRITE !?7,"HDL <50 mg/dl",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+8 WRITE !?7,"HDL >=50 mg/dl",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+9 WRITE !?7,"Not tested or no valid result",?49,$$C($PIECE(V,U,5)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,5))
+10 WRITE !!?7,"In males"
+11 WRITE !?7,"HDL <40 mg/dl",?49,$$C($PIECE(V,U,7)),?61,$$C($PIECE(V,U,6)),?73,$$P($PIECE(V,U,6),$PIECE(V,U,7))
+12 WRITE !?7,"HDL >=40 mg/dl",?49,$$C($PIECE(V,U,8)),?61,$$C($PIECE(V,U,6)),?73,$$P($PIECE(V,U,6),$PIECE(V,U,8))
+13 WRITE !?7,"Not tested or no valid result",?49,$$C($PIECE(V,U,9)),?61,$$C($PIECE(V,U,6)),?73,$$P($PIECE(V,U,6),$PIECE(V,U,9))
TRIG ;
+1 IF $Y>(BDMIOSL-7)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(200))
+3 SET T=$PIECE(V,U,3)+$PIECE(V,U,4)+$PIECE(V,U,8)+$PIECE(V,U,9)
+4 WRITE !!?3,"Triglycerides [4]",?49,$$C(T),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),T)
+5 WRITE !?7,"TG <150 mg/dl",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+6 WRITE !?7,"TG 150-499 mg/dl",?49,$$C($PIECE(V,U,8)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,8))
+7 WRITE !?7,"TG 500-999 mg/dl",?49,$$C($PIECE(V,U,9)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,9))
+8 WRITE !?7,"TG >=1000 mg/dl",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+9 WRITE !?7,"Not tested or no valid result",?49,$$C($PIECE(V,U,5)+$PIECE(V,U,7)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,5)+$PIECE(V,U,7))
+10 ;
GFR ;
+1 IF $Y>(BDMIOSL-9)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(175))
SET T=$PIECE(V,U,5)
+3 WRITE !!,"Kidney Evaluation"
+4 WRITE !?3,"eGFR to assess kidney function",?49,$$C($PIECE(V,U,5)),?61,$$C($PIECE(BDMCUML(175),U,2)),?73,$$P($PIECE(BDMCUML(175),U,2),$PIECE(V,U,5)),!?3,"(In age 18 and above)"
+5 WRITE !,?7,"eGFR >= 60 ml/min",?49,$$C($PIECE(V,U,6)),?61,$$C($PIECE(BDMCUML(175),U,2)),?73,$$P($PIECE(BDMCUML(175),U,2),$PIECE(V,U,6))
+6 WRITE !,?7,"eGFR 30-59 ml/min",?49,$$C($PIECE(V,U,7)),?61,$$C($PIECE(BDMCUML(175),U,2)),?73,$$P($PIECE(BDMCUML(175),U,2),$PIECE(V,U,7))
+7 WRITE !,?7,"eGFR 15-29 ml/min",?49,$$C($PIECE(V,U,8)),?61,$$C($PIECE(BDMCUML(175),U,2)),?73,$$P($PIECE(BDMCUML(175),U,2),$PIECE(V,U,8))
+8 WRITE !,?7,"eGFR < 15 ml/min",?49,$$C($PIECE(V,U,9)),?61,$$C($PIECE(BDMCUML(175),U,2)),?73,$$P($PIECE(BDMCUML(175),U,2),$PIECE(V,U,9))
+9 WRITE !,?7,"eGFR Not tested or no valid result",?49,$$C($PIECE(V,U,10)),?61,$$C($PIECE(BDMCUML(175),U,2)),?73,$$P($PIECE(BDMCUML(175),U,2),$PIECE(V,U,10))
URIN ;
+1 IF $Y>(BDMIOSL-15)
DO HEADER
IF BDMQUIT
QUIT
+2 WRITE !
+3 SET V=$GET(BDMCUML(145))
+4 WRITE !?3,"Urine Albumin:Creatinine Ratio (UACR) to assess kidney damage"
+5 WRITE !?7,"Yes",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+6 WRITE !?7,"No",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,4))
+7 WRITE !!?3,"In patients with UACR:"
+8 WRITE !?7,"Urine albumin excretion - Normal <30 mg/g",?49,$$C($PIECE(V,U,12)),?61,$$C($PIECE(V,U,3)),?73,$$P($PIECE(V,U,3),$PIECE(V,U,12))
+9 WRITE !?7,"Urine albumin excretion - Increased",!?10,"30-300 mg/g",?49,$$C($PIECE(V,U,13)),?61,$$C($PIECE(V,U,3)),?73,$$P($PIECE(V,U,3),$PIECE(V,U,13))
+10 WRITE !?10,">300 mg/g",?49,$$C($PIECE(V,U,14)),?61,$$C($PIECE(V,U,3)),?73,$$P($PIECE(V,U,3),$PIECE(V,U,14))
+11 ;W !!?3,"In patients age 18 and above ",!?10,"with eGFR =>30, UACR done",?49,$$C($P(V,U,21)),?61,$$C($P(V,U,20)),?73,$$P($P(V,U,20),$P(V,U,21))
+12 IF $Y>(BDMIOSL-4)
DO HEADER
IF BDMQUIT
QUIT
+13 SET V=$GET(BDMCUML(270))
+14 WRITE !!?3,"In patients age 18 and above,",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3)),!?3,"eGFR and UACR done"
+15 ;
CVD ;
+1 ;I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
+2 ;S V=$G(BDMCUML(250)) W !!,$P(V,U)
+3 ;W !?3,"Diagnosed CVD",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
TBC ;
+1 IF $Y>(BDMIOSL-10)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(70))
WRITE !!,$PIECE(V,U)
+3 WRITE !!?3,"TB Test done ever (skin or blood)",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 WRITE !?6,"If test done, skin test",?49,$$C($PIECE(V,U,4)),?61,$$C($PIECE(V,U,3)),?73,$$P($PIECE(V,U,3),$PIECE(V,U,4))
+5 WRITE !?6,"If test done, blood test",?49,$$C($PIECE(V,U,5)),?61,$$C($PIECE(V,U,3)),?73,$$P($PIECE(V,U,3),$PIECE(V,U,5))
+6 WRITE !?3,"If TB test done, positive result",?49,$$C($PIECE(V,U,6)),?61,$$C($PIECE(V,U,3)),?73,$$P($PIECE(V,U,3),$PIECE(V,U,6))
+7 WRITE !?3,"If positive TB test, treatment",?49,$$C($PIECE(V,U,7)),?61,$$C($PIECE(V,U,6)),?73,$$P($PIECE(V,U,6),$PIECE(V,U,7)),!?6,"completed"
+8 WRITE !?3,"If negative TB test, test done after",?49,$$C($PIECE(V,U,8)),?61,$$C($PIECE(V,U,9)),?73,$$P($PIECE(V,U,9),$PIECE(V,U,8)),!?6,"DM diagnosis"
+9 ;
COMBINED ;
+1 IF $Y>(BDMIOSL-8)
DO HEADER
IF BDMQUIT
QUIT
+2 SET V=$GET(BDMCUML(260))
WRITE !!,$PIECE(V,U)
+3 WRITE !?3,"Patients age >= 40 meeting ALL of the ",?49,$$C($PIECE(V,U,3)),?61,$$C($PIECE(V,U,2)),?73,$$P($PIECE(V,U,2),$PIECE(V,U,3))
+4 WRITE !?3,"following criteria: A1C <8.0, Statin prescribed*, ",!?3,"and mean BP <140/<90"
+5 WRITE !?3,"*Excludes patients with a statin allergy, intolerance, or contraindication"
SDM ;
+1 IF $Y>(BDMIOSL-8)
DO HEADER
IF BDMQUIT
QUIT
+2 WRITE !!,"[1] CKD: eGFR <60 or UACR =>30"
+3 WRITE !,"[2] Comorbid conditions counted are: active depression, current tobacco use,",!,"severely obese (BMI 40 or higher), diagnosed hypertension, diagnosed CVD,",!,"CKD (eGFR<60 or uACR>=30), hepatitis C, and retinopathy."
+4 WRITE !,"[3] Known hypertension: Has hypertension listed as an active problem, or ",!,"three visits with a diagnosis of hypertension ever (prior to the end ",!,"of the Audit period)."
+5 WRITE !,"[4] For triglycerides: >150 is a marker of CVD risk, not a treatment",!,"target; >1000 is a risk marker for pancreatitis."
+6 WRITE !
+7 QUIT
EXIT ;
+1 IF $EXTRACT(IOST)="C"
IF IO=IO(0)
WRITE !
SET DIR(0)="EO"
SET DIR("A")="End of report. Press ENTER"
DO ^DIR
KILL DIR
IF $DATA(DUOUT)
SET DIRUT=1
+2 QUIT
CALC(N,O) ;ENTRY POINT
+1 ;O is old
+2 NEW Z
+3 IF O=0!(N=0)
QUIT "**"
+4 NEW X,X2,X3
+5 SET X=N
SET X2=1
SET X3=0
DO COMMA^%DTC
SET N=X
+6 SET X=O
SET X2=1
SET X3=0
DO COMMA^%DTC
SET O=X
+7 SET Z=(((N-O)/O)*100)
SET Z=$FNUMBER(Z,"+,",1)
+8 QUIT Z
P(D,N) ;return %
+1 IF 'D
QUIT ""
+2 IF 'N
QUIT " 0%"
+3 NEW X
SET X=N/D
SET X=X*100
SET X=$JUSTIFY(X,3,0)
+4 QUIT X_"%"
C(X,X2,X3) ;
+1 IF '$GET(X2)
SET X2=0
+2 IF '$GET(X3)
SET X3=6
+3 DO COMMA^%DTC
+4 QUIT X
+1 DO HEADER^BDMDF14
CTR(X,Y) ;EP - Center X in a field Y wide.
+1 QUIT $JUSTIFY("",$SELECT($DATA(Y):Y,1:IOM)-$LENGTH(X)\2)_X
+2 ;----------
USR() ;EP -
+1 QUIT $SELECT($GET(DUZ):$SELECT($DATA(^VA(200,DUZ,0)):$PIECE(^(0),U),1:"UNKNOWN"),1:"DUZ UNDEFINED OR 0")
+2 ;----------
LOC() ;EP - Return location name from file 4 based on DUZ(2).
+1 QUIT $SELECT($GET(DUZ(2)):$SELECT($DATA(^DIC(4,DUZ(2),0)):$PIECE(^(0),U),1:"UNKNOWN"),1:"DUZ(2) UNDEFINED OR 0")
+2 ;----------
