BDMP117.m

BDMP117 ; IHS/CMI/LAB - 2003 DIABETES AUDIT ;

 ;;2.0;DIABETES MANAGEMENT SYSTEM;**4**;JUN 14, 2007

DIETEDUC(P,BDATE,EDATE)  ;EP

 NEW D,BD,ED,X,Y,%DT,D,G,BDMVRD,V,BDM,RD,NRD

 S (RD,NRD)=""

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

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

 S D=9999999-ED,(RD,NRD)="" ;is this right???

 F  S D=$O(^AUPNVSIT("AA",P,D)) Q:D=""!(D>(9999999-BD))  D

 .S V=0 F  S V=$O(^AUPNVSIT("AA",P,D,V)) Q:V'=+V  D

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

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

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

 ..;Q:'$D(^AUPNVPOV("AD",V))

 ..;Q:'$D(^AUPNVPRV("AD",V))

 ..Q:$$DNKA(V)

 ..Q:$P(^AUPNVSIT(V,0),U,7)="C"

 ..Q:$$CLINIC^APCLV(V,"C")=52

 ..I $$PRIMPROV^APCLV(V,"D")=29 S BDMVRD(V)="" Q

 ..I $$PRIMPROV^APCLV(V,"D")="07" S BDMVRD(V)="" Q

 ..I $$PRIMPROV^APCLV(V,"D")="34" S BDMVRD(V)="" Q

 ..;now check povs for V65.3 and label as non-rd

 ..S X=0 F  S X=$O(^AUPNVPOV("AD",V,X)) Q:X'=+X  I $$VAL^XBDIQ1(9000010.07,X,.01)="V65.3" S NRD=1

 ..S X=0 F  S X=$O(^AUPNVCPT("AD",V,X)) Q:X'=+X  S Z=$$VAL^XBDIQ1(9000010.18,X,.01) I Z=97802!(Z=97803)!(Z=97804) S RD=1

 ..;now check for education topics

 ..S T=$O(^ATXAX("B","DM AUDIT DIET EDUC TOPICS",0))

 ..S X=0 F  S X=$O(^AUPNVPED("AD",V,X)) Q:X'=+X  S Y=$P($G(^AUPNVPED(X,0)),U) D

 ...I T,$D(^ATXAX(T,21,"B",Y)) S Z=$$PC(X) D  Q

 ....I Z="07"!(Z=29)!(Z=34) S RD=1 Q

 ....S NRD=1

 ...S J=$P(^AUTTEDT(Y,0),U,2) I $P(J,"-",2)="N"!($P(J,"-",2)="DT")!($P(J,"-")="MNT")!($P(J,"-",2)="MNT") S Z=$$PC(X) D  Q

 ....I Z="07"!(Z=29)!(Z=34) S RD=1 Q

 ....S NRD=1

 ..Q

 .Q

 I $D(BDMVRD) S RD=1 ;a RD visit so a hit

 S G=0

 I RD!(NRD) Q $S(RD+NRD=2:"Yes (RD & Non RD - Other)",RD:"Yes (RD)",1:"Yes (Non RD)")

 NEW T S T=$O(^ATXAX("B","DM AUDIT DIET EDUC TOPICS",0))

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

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

 S G=0

 S I=0 F  S I=$O(^AUPNPREF("AA",BDMPD,9999999.09,I)) Q:I'=+I!(G)  D

 .S A=0 I $D(^ATXAX(T,21,"B",I)) S A=1

 .S Z=$P($G(^AUTTEDT(I,0)),U,2) I $P(Z,"-",2)="N"!($P(Z,"-",2)="DT")!($P(Z,"-")="MNT")!($P(Z,"-",2)="MNT") S A=1

 .Q:'A

 .S X=0 F  S X=$O(^AUPNPREF("AA",BDMPD,9999999.09,I,X)) Q:X'=+X!(G)  D

 ..S Y=0 F  S Y=$O(^AUPNPREF("AA",BDMPD,9999999.09,I,X,Y)) Q:Y'=+Y  S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) S G=1_"^"_$P(^AUPNPREF(Y,0),U,7)

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

 Q "None"_$S(G:" - Not Medically Indicated",1:"")

PC(V) ;return provider discipline of educ provider

 I 'V Q ""

 NEW X S X=$P(^AUPNVPED(V,0),U,5)

 I 'X Q ""

 ;IHS/CMI/LAB patch 11 01/11/2002

 I $P(^DD(9000010.16,.05,0),U,2)[200 Q $$PROVCLSC^XBFUNC1(X)

 NEW A S A=$P(^DIC(6,X,0),U,4)

 I 'A Q ""

 Q $P($G(^DIC(7,A,9999999)),U)

EXEDUC(P,BDATE,EDATE) ;EP

 NEW BDM,X,E,%,G

 S X=P_"^EDUC [DM AUDIT EXERCISE EDUC TOPICS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")

 I $D(BDM(1)) Q "Yes"

 S G=0

 NEW T S T=$O(^ATXAX("B","DM AUDIT EXERCISE EDUC TOPICS",0))

 I 'T Q "No"

 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  S G=$$REFUSAL(P,9999999.09,$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:"")

OTHEDUC(P,BDATE,EDATE) ;EP

 NEW BDM,X,E,%

 S X=P_"^EDUC [DM AUDIT OTHER EDUC TOPICS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")

 I $D(BDM(1)) Q "Yes"

 S G=0

 NEW T S T=$O(^ATXAX("B","DM AUDIT OTHER EDUC TOPICS",0))

 I 'T Q "No"

 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  S G=$$REFUSAL(P,9999999.09,$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:"")

DFE(P,BDATE,EDATE) ;EP

 NEW BDM,%,E,C K BDM S %=P_"^LAST EXAM DIABETIC FOOT EXAM;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")

 I $D(BDM(1)) Q "Yes-Diabetic Foot Exam-"_$$FMTE^XLFDT($P(BDM(1),U))

 ;now check any clinic 65

 K BDM

 S %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")

 NEW X,Y,R S (X,Y)=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S R=$$PRIMPROV^APCLV($P(BDM(X),U,5),"D") I (R=33!(R=25)!(R=84)),'$$DNKA($P(BDM(X),U,5)) S Y=1

 I Y Q "Yes - Podiatrist Visit"

 S X=0,Y=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S C=$$CLINIC^APCLV($P(BDM(X),U,5),"C") I C=65!(C="B7"),'$$DNKA($P(BDM(X),U,5)) S Y=1

 I Y Q "Yes - Podiatry Clinic visit"

 NEW G S G=$$REFUSAL(P,9999999.15,$O(^AUTTEXAM("B","DIABETIC FOOT EXAM, COMPLETE",0)),BDATE,EDATE)

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

 Q "No"_$S(G:" - Not Medically Indicated",1:"")

ADA(V) ;any ada other than 9991

 I '$G(V) Q ""

 NEW X,Y,Z,G

 S G="",X=0 F  S X=$O(^AUPNVDEN("AD",V,X)) Q:X'=+X!(G)  S Y=$P($G(^AUPNVDEN(X,0)),U) I Y,$D(^AUTTADA(Y,0)),$P(^AUTTADA(Y,0),U)'=9991 S G=1

 Q G

DNKA(V) ;is this a DNKA visit?

 I '$G(V) Q ""

 NEW D,N S D=$$PRIMPOV^APCLV(V,"C")

 I D=".0860" Q 1

 S N=$$PRIMPOV^APCLV(V,"N")

 I $E(D)="V",N["DNKA" Q 1

 I $E(D)="V",N["DID NOT KEEP APPOINTMENT" Q 1

 I $E(D)="V",N["DID NOT KEEP APPT" Q 1

 Q 0

REFR(V) ;

 I '$G(V) Q ""

 NEW D,N S D=$$PRIMPOV^APCLV(V,"C")

 I D="367.89"!(D="367.9")!($E(D,1,5)=372.0)!($E(D,1,5)=372.1) Q 1

 Q 0

REFUSAL(P,F,I,B,E) ;EP

 I '$G(P) Q ""

 I '$G(F) Q ""

 I '$G(I) Q ""

 I $G(B)="" Q ""

 I $G(E)="" Q ""

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

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

 S (X,G)=0 F  S X=$O(^AUPNPREF("AA",P,F,I,X)) Q:X'=+X!(G)  S Y=0 F  S Y=$O(^AUPNPREF("AA",P,F,I,X,Y)) Q:Y'=+Y  S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) S G=1_"^"_$P(^AUPNPREF(Y,0),U,7)

 Q G

EYE(P,BDATE,EDATE) ;EP

 NEW BDM,%,E K BDM S %=P_"^LAST EXAM DIABETIC EYE EXAM;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")

 I $D(BDM(1)) Q "Yes-Diabetic Eye Exam-"_$$FMTE^XLFDT($P(BDM(1),U))

 K BDM NEW BD,ED,T

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

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

 S T=$O(^ICPT("B",92250,0)),T1=$O(^ICPT("B",92012,0)),T2=$O(^ICPT("B",92014,0)),T3=$O(^ICPT("B",92015,0)),T4=$O(^ICPT("B",92004,0)),T5=$O(^ICPT("B",92002,0))

 I T,$D(^AUPNVCPT("AA",P,T)) S %="" D  I %]"" Q %

 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T,E)) Q:E'=+E!(%]"")  D

 ..S D=9999999-E ;date done

 ..I D>ED Q

 ..I D<BD Q

 ..S %="Yes-Fundus Photography-"_$$FMTE^XLFDT(D)

 ..Q

 .Q

T1 ;

 I T1,$D(^AUPNVCPT("AA",P,T1)) S %="" D  I %]"" Q %

 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T1,E)) Q:E'=+E!(%]"")  D

 ..S D=9999999-E ;date done

 ..I D>ED Q

 ..I D<BD Q

 ..S %="Yes-Eye Exam/Est Pat-"_$$FMTE^XLFDT(D)

 ..Q

 .Q

T2 ;

 I T2,$D(^AUPNVCPT("AA",P,T2)) S %="" D  I %]"" Q %

 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T2,E)) Q:E'=+E!(%]"")  D

 ..S D=9999999-E ;date done

 ..I D>ED Q

 ..I D<BD Q

 ..S %="Yes-CPT 92014-"_$$FMTE^XLFDT(D)

 ..Q

 .Q

T3 ;

 I T3,$D(^AUPNVCPT("AA",P,T3)) S %="" D  I %]"" Q %

 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T3,E)) Q:E'=+E!(%]"")  D

 ..S D=9999999-E ;date done

 ..I D>ED Q

 ..I D<BD Q

 ..S %="Yes-CPT 92015-"_$$FMTE^XLFDT(D)

 ..Q

 .Q

T4 ;

 I T4,$D(^AUPNVCPT("AA",P,T4)) S %="" D  I %]"" Q %

 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T4,E)) Q:E'=+E!(%]"")  D

 ..S D=9999999-E ;date done

 ..I D>ED Q

 ..I D<BD Q

 ..S %="Yes-CPT 92004-"_$$FMTE^XLFDT(D)

 ..Q

 .Q

T5 ;

 I T5,$D(^AUPNVCPT("AA",P,T5)) S %="" D  I %]"" Q %

 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T5,E)) Q:E'=+E!(%]"")  D

 ..S D=9999999-E ;date done

 ..I D>ED Q

 ..I D<BD Q

 ..S %="Yes-CPT 92002-"_$$FMTE^XLFDT(D)

 ..Q

 .Q

 S %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")

 NEW X,Y,R S (X,Y)=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S R=$$PRIMPROV^APCLV($P(BDM(X),U,5),"D") I (R=24!(R=79)!(R="08")),'$$DNKA($P(BDM(X),U,5)),'$$REFR($P(BDM(X),U,5)) S Y=1

 I Y Q "Yes - Optometrist/Opthamalogist Visit"

 S X=0,Y=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S R=$$CLINIC^APCLV($P(BDM(X),U,5),"C") I (R=17!(R=18)!(R=64)!(R="A2")),'$$DNKA($P(BDM(X),U,5)),'$$REFR($P(BDM(X),U,5)) S Y=1

 I Y Q "Yes - Optometry/Opthamology Clinic visit"

 NEW G S G=$$REFUSAL(P,9999999.15,$O(^AUTTEXAM("B","DIABETIC EYE EXAM",0)),BDATE,EDATE)

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

 Q "No"_$S(G:" - Not Medically Indicated",1:"")

DENTAL(P,BDATE,EDATE) ;EP

 I '$G(P) Q ""

 NEW BDM,%,E

 K BDM

 S %=P_"^LAST EXAM DENTAL;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")

 S %=$P($G(BDM(1)),U)

 I %]"" Q "Yes-Dental Exam-"_$$FMTE^XLFDT(%)

 K BDM

 S %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")

 NEW X,Y S X=0,Y="" F  S X=$O(BDM(X)) Q:X'=+X!(Y]"")  I $$CLINIC^APCLV($P(BDM(X),U,5),"C")=56!($$CLINIC^APCLV($P(BDM(X),U,5),"C")="99"),$$ADA($P(BDM(X),U,5)),'$$DNKA($P(BDM(X),U,5)) S Y=$$FMTE^XLFDT($P(BDM(X),U))

 I Y]"" Q "Yes-Dental Clinic visit-"_Y

 S X=0,Y="" F  S X=$O(BDM(X)) Q:X'=+X!(Y]"")  I $$PRIMPROV^APCLV($P(BDM(X),U,5),"D")=52,$$ADA($P(BDM(X),U,5)),'$$DNKA($P(BDM(X),U,5)) S Y=$$FMTE^XLFDT($P(BDM(X),U))

 I Y]"" Q "Yes-Dentist Visit-"_$$FMTE^XLFDT(Y)

 S X=0,Y="" F  S X=$O(BDM(X)) Q:X'=+X!(Y]"")  I $$CLINIC^APCLV($P(BDM(X),U,5),"C")=56!($$CLINIC^APCLV($P(BDM(X),U,5),"C")="99"),'$$ADA($P(BDM(X),U,5)),$O(^AUPNVDEN("AD",$P(BDM(X),U,5),0)) S Y=1

 I Y Q "Refused"

 NEW G S G=$$REFUSAL(P,9999999.15,$O(^AUTTEXAM("B","DENTAL EXAM",0)),BDATE,EDATE)

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

 Q "No"_$S(G:" - Not Medically Indicated",1:"")

BDMP117   ; IHS/CMI/LAB - 2003 DIABETES AUDIT ;

 +1       ;;2.0;DIABETES MANAGEMENT SYSTEM;**4**;JUN 14, 2007

DIETEDUC(P,BDATE,EDATE) ;EP

 +1        NEW D,BD,ED,X,Y,%DT,D,G,BDMVRD,V,BDM,RD,NRD

 +2        SET (RD,NRD)=""

 +3        SET X=BDATE

           SET %DT="P"

           DO ^%DT

           SET BD=Y

 +4        SET X=EDATE

           SET %DT="P"

           DO ^%DT

           SET ED=Y

 +5       ;is this right???

           SET D=9999999-ED

           SET (RD,NRD)=""

 +6        FOR 

               SET D=$ORDER(^AUPNVSIT("AA",P,D))

               IF D=""!(D>(9999999-BD))

                   QUIT 

               Begin DoDot:1

 +7                SET V=0

                   FOR 

                       SET V=$ORDER(^AUPNVSIT("AA",P,D,V))

                       IF V'=+V

                           QUIT 

                       Begin DoDot:2

 +8                        IF '$DATA(^AUPNVSIT(V,0))

                               QUIT 

 +9                        IF $PIECE(^AUPNVSIT(V,0),U,11)

                               QUIT 

 +10                       IF '$PIECE(^AUPNVSIT(V,0),U,9)

                               QUIT 

 +11      ;Q:'$D(^AUPNVPOV("AD",V))

 +12      ;Q:'$D(^AUPNVPRV("AD",V))

 +13                       IF $$DNKA(V)

                               QUIT 

 +14                       IF $PIECE(^AUPNVSIT(V,0),U,7)="C"

                               QUIT 

 +15                       IF $$CLINIC^APCLV(V,"C")=52

                               QUIT 

 +16                       IF $$PRIMPROV^APCLV(V,"D")=29

                               SET BDMVRD(V)=""

                               QUIT 

 +17                       IF $$PRIMPROV^APCLV(V,"D")="07"

                               SET BDMVRD(V)=""

                               QUIT 

 +18                       IF $$PRIMPROV^APCLV(V,"D")="34"

                               SET BDMVRD(V)=""

                               QUIT 

 +19      ;now check povs for V65.3 and label as non-rd

 +20                       SET X=0

                           FOR 

                               SET X=$ORDER(^AUPNVPOV("AD",V,X))

                               IF X'=+X

                                   QUIT 

                               IF $$VAL^XBDIQ1(9000010.07,X,.01)="V65.3"

                                   SET NRD=1

 +21                       SET X=0

                           FOR 

                               SET X=$ORDER(^AUPNVCPT("AD",V,X))

                               IF X'=+X

                                   QUIT 

                               SET Z=$$VAL^XBDIQ1(9000010.18,X,.01)

                               IF Z=97802!(Z=97803)!(Z=97804)

                                   SET RD=1

 +22      ;now check for education topics

 +23                       SET T=$ORDER(^ATXAX("B","DM AUDIT DIET EDUC TOPICS",0))

 +24                       SET X=0

                           FOR 

                               SET X=$ORDER(^AUPNVPED("AD",V,X))

                               IF X'=+X

                                   QUIT 

                               SET Y=$PIECE($GET(^AUPNVPED(X,0)),U)

                               Begin DoDot:3

 +25                               IF T

                                       IF $DATA(^ATXAX(T,21,"B",Y))

                                           SET Z=$$PC(X)

                                           Begin DoDot:4

 +26                                           IF Z="07"!(Z=29)!(Z=34)

                                                   SET RD=1

                                                   QUIT 

 +27                                           SET NRD=1

                                           End DoDot:4

                                           QUIT 

 +28                               SET J=$PIECE(^AUTTEDT(Y,0),U,2)

                                   IF $PIECE(J,"-",2)="N"!($PIECE(J,"-",2)="DT")!($PIECE(J,"-")="MNT")!($PIECE(J,"-",2)="MNT")

                                       SET Z=$$PC(X)

                                       Begin DoDot:4

 +29                                       IF Z="07"!(Z=29)!(Z=34)

                                               SET RD=1

                                               QUIT 

 +30                                       SET NRD=1

                                       End DoDot:4

                                       QUIT 

                               End DoDot:3

 +31                       QUIT 

                       End DoDot:2

 +32               QUIT 

               End DoDot:1

 +33      ;a RD visit so a hit

           IF $DATA(BDMVRD)

               SET RD=1

 +34       SET G=0

 +35       IF RD!(NRD)

               QUIT $SELECT(RD+NRD=2:"Yes (RD & Non RD - Other)",RD:"Yes (RD)",1:"Yes (Non RD)")

 +36       NEW T

           SET T=$ORDER(^ATXAX("B","DM AUDIT DIET EDUC TOPICS",0))

 +37       NEW G,X,Y,%DT

           SET X=BDATE

           SET %DT="P"

           DO ^%DT

           SET B=Y

 +38       SET X=EDATE

           SET %DT="P"

           DO ^%DT

           SET E=Y

 +39       SET G=0

 +40       SET I=0

           FOR 

               SET I=$ORDER(^AUPNPREF("AA",BDMPD,9999999.09,I))

               IF I'=+I!(G)

                   QUIT 

               Begin DoDot:1

 +41               SET A=0

                   IF $DATA(^ATXAX(T,21,"B",I))

                       SET A=1

 +42               SET Z=$PIECE($GET(^AUTTEDT(I,0)),U,2)

                   IF $PIECE(Z,"-",2)="N"!($PIECE(Z,"-",2)="DT")!($PIECE(Z,"-")="MNT")!($PIECE(Z,"-",2)="MNT")

                       SET A=1

 +43               IF 'A

                       QUIT 

 +44               SET X=0

                   FOR 

                       SET X=$ORDER(^AUPNPREF("AA",BDMPD,9999999.09,I,X))

                       IF X'=+X!(G)

                           QUIT 

                       Begin DoDot:2

 +45                       SET Y=0

                           FOR 

                               SET Y=$ORDER(^AUPNPREF("AA",BDMPD,9999999.09,I,X,Y))

                               IF Y'=+Y

                                   QUIT 

                               SET D=$PIECE(^AUPNPREF(Y,0),U,3)

                               IF D'<B&(D'>E)

                                   SET G=1_"^"_$PIECE(^AUPNPREF(Y,0),U,7)

                       End DoDot:2

               End DoDot:1

 +46       IF G

               IF $PIECE(G,U,2)'="N"

                   QUIT "Refused"

 +47       QUIT "None"_$SELECT(G:" - Not Medically Indicated",1:"")

PC(V)     ;return provider discipline of educ provider

 +1        IF 'V

               QUIT ""

 +2        NEW X

           SET X=$PIECE(^AUPNVPED(V,0),U,5)

 +3        IF 'X

               QUIT ""

 +4       ;IHS/CMI/LAB patch 11 01/11/2002

 +5        IF $PIECE(^DD(9000010.16,.05,0),U,2)[200

               QUIT $$PROVCLSC^XBFUNC1(X)

 +6        NEW A

           SET A=$PIECE(^DIC(6,X,0),U,4)

 +7        IF 'A

               QUIT ""

 +8        QUIT $PIECE($GET(^DIC(7,A,9999999)),U)

EXEDUC(P,BDATE,EDATE) ;EP

 +1        NEW BDM,X,E,%,G

 +2        SET X=P_"^EDUC [DM AUDIT EXERCISE EDUC TOPICS;DURING "_BDATE_"-"_EDATE

           SET E=$$START1^APCLDF(X,"BDM(")

 +3        IF $DATA(BDM(1))

               QUIT "Yes"

 +4        SET G=0

 +5        NEW T

           SET T=$ORDER(^ATXAX("B","DM AUDIT EXERCISE EDUC TOPICS",0))

 +6        IF 'T

               QUIT "No"

 +7        SET X=0

           FOR 

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

               IF X'=+X!(G)

                   QUIT 

               SET G=$$REFUSAL(P,9999999.09,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 +8        IF G

               IF $PIECE(G,U,2)'="N"

                   QUIT "Refused"

 +9        QUIT "No"_$SELECT(G:" - Not Medically Indicated",1:"")

OTHEDUC(P,BDATE,EDATE) ;EP

 +1        NEW BDM,X,E,%

 +2        SET X=P_"^EDUC [DM AUDIT OTHER EDUC TOPICS;DURING "_BDATE_"-"_EDATE

           SET E=$$START1^APCLDF(X,"BDM(")

 +3        IF $DATA(BDM(1))

               QUIT "Yes"

 +4        SET G=0

 +5        NEW T

           SET T=$ORDER(^ATXAX("B","DM AUDIT OTHER EDUC TOPICS",0))

 +6        IF 'T

               QUIT "No"

 +7        SET X=0

           FOR 

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

               IF X'=+X!(G)

                   QUIT 

               SET G=$$REFUSAL(P,9999999.09,$PIECE(^ATXAX(T,21,X,0),U),BDATE,EDATE)

 +8        IF G

               IF $PIECE(G,U,2)'="N"

                   QUIT "Refused"

 +9        QUIT "No"_$SELECT(G:" - Not Medically Indicated",1:"")

DFE(P,BDATE,EDATE) ;EP

 +1        NEW BDM,%,E,C

           KILL BDM

           SET %=P_"^LAST EXAM DIABETIC FOOT EXAM;DURING "_BDATE_"-"_EDATE

           SET E=$$START1^APCLDF(%,"BDM(")

 +2        IF $DATA(BDM(1))

               QUIT "Yes-Diabetic Foot Exam-"_$$FMTE^XLFDT($PIECE(BDM(1),U))

 +3       ;now check any clinic 65

 +4        KILL BDM

 +5        SET %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE

           SET E=$$START1^APCLDF(%,"BDM(")

 +6        NEW X,Y,R

           SET (X,Y)=0

           FOR 

               SET X=$ORDER(BDM(X))

               IF X'=+X!(Y)

                   QUIT 

               SET R=$$PRIMPROV^APCLV($PIECE(BDM(X),U,5),"D")

               IF (R=33!(R=25)!(R=84))

                   IF '$$DNKA($PIECE(BDM(X),U,5))

                       SET Y=1

 +7        IF Y

               QUIT "Yes - Podiatrist Visit"

 +8        SET X=0

           SET Y=0

           FOR 

               SET X=$ORDER(BDM(X))

               IF X'=+X!(Y)

                   QUIT 

               SET C=$$CLINIC^APCLV($PIECE(BDM(X),U,5),"C")

               IF C=65!(C="B7")

                   IF '$$DNKA($PIECE(BDM(X),U,5))

                       SET Y=1

 +9        IF Y

               QUIT "Yes - Podiatry Clinic visit"

 +10       NEW G

           SET G=$$REFUSAL(P,9999999.15,$ORDER(^AUTTEXAM("B","DIABETIC FOOT EXAM, COMPLETE",0)),BDATE,EDATE)

 +11       IF G

               IF $PIECE(G,U,2)'="N"

                   QUIT "Refused"

 +12       QUIT "No"_$SELECT(G:" - Not Medically Indicated",1:"")

ADA(V)    ;any ada other than 9991

 +1        IF '$GET(V)

               QUIT ""

 +2        NEW X,Y,Z,G

 +3        SET G=""

           SET X=0

           FOR 

               SET X=$ORDER(^AUPNVDEN("AD",V,X))

               IF X'=+X!(G)

                   QUIT 

               SET Y=$PIECE($GET(^AUPNVDEN(X,0)),U)

               IF Y

                   IF $DATA(^AUTTADA(Y,0))

                       IF $PIECE(^AUTTADA(Y,0),U)'=9991

                           SET G=1

 +4        QUIT G

DNKA(V)   ;is this a DNKA visit?

 +1        IF '$GET(V)

               QUIT ""

 +2        NEW D,N

           SET D=$$PRIMPOV^APCLV(V,"C")

 +3        IF D=".0860"

               QUIT 1