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Routine: BGP8D721

BGP8D721.m

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BGP8D721 ; IHS/CMI/LAB - measure AHR.A ;
 ;;18.1;IHS CLINICAL REPORTING;;MAY 25, 2018;Build 66
 ;
 ;
IAHRA ;EP
 S (BGPN1,BGPN2,BGPN3,BGPN4,BGPN5,BGPN6,BGPN7,BGPN8,BGPN9,BGPN10,BGPN11,BGPN12,BGPN13,BGPN14,BGPN15,BGPN16,BGPN17,BGPD1,BGPD2,BGPD3,BGPD4,BGPD5,BGPD6,BGPD7,BGPD8,BGPD9)=0
 S BGPVALUE=""
 I BGPAGEB<22 S BGPSTOP=1 Q
 I 'BGPACTCL S BGPSTOP=1 Q  ;must be active clinical
 S BGPIHD=$$CHD^BGP8D729(DFN,BGPBDATE,BGPEDATE)
 I 'BGPIHD S BGPSTOP=1 Q  ;no IHD
 S BGPD1=1
 I BGPDMD2 S BGPD3=1
 I 'BGPDMD2 S BGPD2=1
 K BGPBETA
 S BGPBETA("RX")=$$BETA(DFN,BGPBDATE,BGPEDATE,179)  ;get 1_U_# days
 I BGPBETA("RX") S BGPN2=1  ;pt has 180 days of beta blocker
 ;I 'BGPN2 S BGPBETA("REF")=$$BETAREF(DFN,BGPBDATE,BGPEDATE) I BGPBETA("REF") S BGPN3=1
 I 'BGPN2 S BGPBETA("CONTRA")=$$BETACONT(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE) I BGPBETA("CONTRA") S BGPN4=1 ;beta Contraindication
 I 'BGPN2 S BGPBETA("ADR")=$$BETAALG1^BGP8D72(DFN,BGPEDATE) I BGPBETA("ADR") S BGPN4=1
 I (BGPN2+BGPN4) S BGPN1=1
 K BGPASA
 S BGPASA("RX")=$$ASA(DFN,BGPBDATE,BGPEDATE,179)  ;get 1_U_# days
 I BGPASA("RX") S BGPN6=1  ;pt has 180 days of beta blocker
 ;I 'BGPN6 S BGPASA("REF")=$$ASAREF(DFN,BGPBDATE,BGPEDATE) I BGPASA("REF") S BGPN7=1
 I 'BGPN6 S BGPASA("CONTRA")=$$ASACONTR(DFN,BGPBDATE,BGPEDATE,179) I BGPASA("CONTRA") S BGPN8=1 ;beta Contraindication
 I 'BGPN6 S BGPASA("ADR")=$$ASAALLEG(DFN,BGPEDATE) I BGPASA("ADR") S BGPN8=1
 I (BGPN6+BGPN8) S BGPN5=1
 K BGPACE
 S BGPACE("RX")=$$ACERX^BGP8D722(DFN,BGPBDATE,BGPEDATE,179)  ;get 1_U_# days
 I BGPACE("RX") S BGPN10=1  ;pt has 180 days of ACE
 ;I 'BGPN10 S BGPACE("REF")=$$ACEREF^BGP8D722(DFN,BGPBDATE,BGPEDATE) I BGPACE("REF") S BGPN11=1
 I 'BGPN10 S BGPACE("CONTRA")=$$ACECONT^BGP8D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE,BGPBDATE) I BGPACE("CONTRA") S BGPN12=1 ;beta Contraindication
 I 'BGPN10 S BGPACE("ADR")=$$ACEALG^BGP8D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE) I BGPACE("ADR") S BGPN12=1
 I (BGPN10+BGPN12) S BGPN9=1
 K BGPSTAT
 S BGPSTAT("RX")=$$STATRX^BGP8D722(DFN,BGPBDATE,BGPEDATE,179)  ;get 1_U_# days
 I BGPSTAT("RX") S BGPN14=1  ;pt has 180 days of STAT
 I 'BGPN14 S BGPSTAT("CONTRA")=$$STATCON^BGP8D722(DFN,BGPBDATE,BGPEDATE,BGPBDATE,BGPEDATE) I BGPSTAT("CONTRA") S BGPN16=1 ;beta Contraindication
 I 'BGPN14 S BGPSTAT("ADR")=$$STATALG^BGP8D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE) I BGPSTAT("ADR") S BGPN16=1
 I (BGPN14+BGPN16) S BGPN13=1
 I BGPN1,BGPN5,BGPN9,BGPN13 S BGPN17=1
 S BGPVALUE="CHD"_$S(BGPD3:";AD",1:"")_"|||"
 S BGPVALUE=BGPVALUE_$S(BGPN17:"ALL MEDS; ",1:"")
 I BGPN2!(BGPN3)!(BGPN4) S BGPVALUE=BGPVALUE_$S($P(BGPVALUE,"|||",2)]"":" ",1:"") S BGPVALUE=BGPVALUE_"BETA: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPBETA(X)),U,1),$P($G(BGPBETA(X)),U,2)]"" D
 .S BGPVALUE=BGPVALUE_$P(BGPBETA(X),U,2)_$S($P(BGPBETA(X),U,3)]"":" "_$P(BGPBETA(X),U,3),1:"")
 I BGPN6!(BGPN7)!(BGPN8) S BGPVALUE=BGPVALUE_$S($P(BGPVALUE,"|||",2)]"":"; ",1:"") S BGPVALUE=BGPVALUE_"ASA: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPASA(X)),U,1),$P($G(BGPASA(X)),U,2)]"" D
 .S BGPVALUE=BGPVALUE_$P(BGPASA(X),U,2)_$S($P(BGPASA(X),U,3)]"":" "_$P(BGPASA(X),U,3),1:"")
 I BGPN10!(BGPN11)!(BGPN12) S BGPVALUE=BGPVALUE_$S($P(BGPVALUE,"|||",2)]"":"; ",1:"") S BGPVALUE=BGPVALUE_"ACEI/ARB: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPACE(X)),U,1),$P($G(BGPACE(X)),U,2)]"" D
 .S BGPVALUE=BGPVALUE_$P(BGPACE(X),U,2)_$S($P(BGPACE(X),U,3)]"":" "_$P(BGPACE(X),U,3),1:"")
 I BGPN14!(BGPN15)!(BGPN16) S BGPVALUE=BGPVALUE_$S($P(BGPVALUE,"|||",2)]"":"; ",1:"") S BGPVALUE=BGPVALUE_"STATIN: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPSTAT(X)),U,1),$P($G(BGPSTAT(X)),U,2)]"" D
 .S BGPVALUE=BGPVALUE_$P(BGPSTAT(X),U,2)_$S($P(BGPSTAT(X),U,3)]"":" "_$P(BGPSTAT(X),U,3),1:"")
 K ^TMP($J)
 Q
BETA(P,BDATE,EDATE,BGPNDAYS) ;EP
 NEW BGPMEDS1,K,R,T,T1,X,Y,G,D,N,J,V,S
 K BGPMEDS1
 S K=0,R=""
 D GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
 I '$D(BGPMEDS1) Q ""
 S T=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
 S T1=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER NDC",0))
 S X=0 F  S X=$O(BGPMEDS1(X)) Q:X'=+X  S Y=+$P(BGPMEDS1(X),U,4) D
 .Q:'$D(^AUPNVMED(Y,0))
 .Q:$$UP^XLFSTR($P($G(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
 .S G=0
 .S D=$P(^AUPNVMED(Y,0),U)
 .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G BETA1
 .S N=$P($G(^PSDRUG(D,2)),U,4)
 .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
 .Q:'G
BETA1 .;
 .S J=$P(^AUPNVMED(Y,0),U,8)
 .S V=$P(^AUPNVMED(Y,0),U,3)
 .Q:'V
 .Q:'$D(^AUPNVSIT(V,0))
 .S S=$$DAYS^BGP8D82(Y,V,EDATE)
 .S K=S+K  ;TOTAL DAYS SUPPLY
 .I R]"" S R=R_";"
 .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
 ;I K>BGPNDAYS Q 1_U_R_" "_"("_K_" TOTAL DAYS)"
 I K>BGPNDAYS Q 1_U_"("_K_" TOTAL DAYS)"
BETAPRIO ;now add in any before BEG DATE
 K BGPMEDS1
 D GETMEDS^BGP8UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
 I '$D(BGPMEDS1) Q ""
 S X=0 F  S X=$O(BGPMEDS1(X)) Q:X'=+X  S Y=+$P(BGPMEDS1(X),U,4) D
 .Q:'$D(^AUPNVMED(Y,0))
 .Q:$$UP^XLFSTR($P($G(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
 .S G=0
 .S D=$P(^AUPNVMED(Y,0),U)
 .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G BETA2
 .S N=$P($G(^PSDRUG(D,2)),U,4)
 .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
 .Q:'G
BETA2 .;
 .S J=$P(^AUPNVMED(Y,0),U,8)
 .S V=$P(^AUPNVMED(Y,0),U,3)
 .Q:'V
 .Q:'$D(^AUPNVSIT(V,0))
 .Q:J]""  ;don't use if discontinued
 .S D=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),"."))
 .S S=$P(^AUPNVMED(Y,0),U,7)
 .S S=S-D
 .S:S<0 S=0
 .S K=S+K
 .I R]"" S R=R_";"
 .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
 I K>BGPNDAYS Q 1_U_R_" "_"("_K_" TOTAL DAYS)"
 Q 0_U_"("_K_" TOTAL DAYS)"
 ;
BETAREF(P,BDATE,EDATE) ;EP
 NEW T,X,G,D,Y,N
 S T=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
 S X=0,G="" F  S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G)  D
 .Q:'$D(^ATXAX(T,21,"B",X))  ;not a Beta Blocker
 .S D=0 F  S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G)  D
 ..S Y=9999999-D I Y<BDATE Q
 ..I Y>EDATE Q  ;documented after edate
 ..S N=0 F  S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G)  D
 ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="R"
 ...S G=1_U_$$DATE^BGP8UTL(Y)_U_"Refused "_$P(^PSDRUG(X,0),U,1)
 ..Q
 .Q
 Q G
BETACONT(P,BDATE,EDATE,NMIBD,NMIED) ;EP - BETA BLOCKER CONTRAINDICATION
 G BETACONT^BGP8D724
ASA(P,BDATE,EDATE,BGPNDAYS) ;EP
 K BGPMEDS1
 S K=0,R=""
 D GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
 I '$D(BGPMEDS1) Q ""
 S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
 S T1=$O(^ATXAX("B","BGP ANTI-PLATELET DRUGS",0))
 S T2=$O(^ATXAX("B","BGP CMS ANTI-PLATELET CLASS",0))
 S X=0 F  S X=$O(BGPMEDS1(X)) Q:X'=+X  S Y=+$P(BGPMEDS1(X),U,4) D
 .Q:'$D(^AUPNVMED(Y,0))
 .Q:$$UP^XLFSTR($P($G(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
 .S G=0
 .S D=$P(^AUPNVMED(Y,0),U)
 .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G ASA1
 .S N=$P($G(^PSDRUG(D,2)),U,4)
 .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G ASA1
 .S C=$P($G(^PSDRUG(D,0)),U,2)
 .I C]"",T2,$D(^ATXAX(T2,21,"B",C)) S G=1
 .Q:'G
ASA1 .;
 .S J=$P(^AUPNVMED(Y,0),U,8)
 .S V=$P(^AUPNVMED(Y,0),U,3)
 .Q:'V
 .Q:'$D(^AUPNVSIT(V,0))
 .S S=$$DAYS^BGP8D82(Y,V,EDATE)
 .S K=S+K
 .I R]"" S R=R_";"
 .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
 ;I K>BGPNDAYS Q 1_U_R_" "_"("_K_" TOTAL DAYS)"
 I K>BGPNDAYS Q 1_U_"("_K_" TOTAL DAYS)"
ASAPRIO ;now add in any before BEG DATE
 K BGPMEDS1
 D GETMEDS^BGP8UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
 I '$D(BGPMEDS1) Q ""
 S X=0 F  S X=$O(BGPMEDS1(X)) Q:X'=+X  S Y=+$P(BGPMEDS1(X),U,4) D
 .Q:'$D(^AUPNVMED(Y,0))
 .Q:$$UP^XLFSTR($P($G(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
 .S G=0
 .S D=$P(^AUPNVMED(Y,0),U)
 .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G ASA2
 .S N=$P($G(^PSDRUG(D,2)),U,4)
 .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G ASA2
 .S C=$P($G(^PSDRUG(D,0)),U,2)
 .I C]"",T2,$D(^ATXAX(T2,21,"B",C)) S G=1
 .Q:'G
ASA2 .;
 .S J=$P(^AUPNVMED(Y,0),U,8)
 .S V=$P(^AUPNVMED(Y,0),U,3)
 .Q:'V
 .Q:'$D(^AUPNVSIT(V,0))
 .Q:J]""  ;don't use if discontinued
 .S D=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),"."))
 .S S=$P(^AUPNVMED(Y,0),U,7)
 .S S=S-D  ;subtract the number of days used
 .I S<0 S S=0
 .S K=S+K  ;TOTAL DAYS SUPPLY
 .I R]"" S R=R_";"
 .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
 I K>BGPNDAYS Q 1_U_R_" "_"("_K_" TOTAL DAYS)"
 Q 0_U_"("_K_" TOTAL DAYS)"
 ;
ASAREF(P,BDATE,EDATE) ;EP
 ;did patient have a Refusal
 S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
 S X=0,G="" F  S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G)  D
 .Q:'$D(^ATXAX(T,21,"B",X))
 .S D=0 F  S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G)  D
 ..S Y=9999999-D I Y<BDATE Q
 ..I Y>EDATE Q
 ..S N=0 F  S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G)  D
 ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="R"
 ...S G=1_U_$$DATE^BGP8UTL(Y)_" Refused "_$P(^PSDRUG(X,0),U,1)
 ..Q
 .Q
 I G Q G
 S T=$O(^ATXAX("B","BGP ANTI-PLATELET DRUGS",0))
 S X=0,G="" F  S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G)  D
 .Q:'$D(^ATXAX(T,21,"B",X))
 .S D=0 F  S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G)  D
 ..S Y=9999999-D I Y<BDATE Q
 ..I Y>EDATE Q
 ..S N=0 F  S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G)  D
 ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="R"
 ...S G=1_U_$$DATE^BGP8UTL(Y)_" Refused "_$P(^PSDRUG(X,0),U,1)
 ..Q
 .Q
 Q G
ASACONTR(P,BDATE,EDATE,BGPNDAYS) ;does patient have an aspirin allergy
 K BGPMEDS1
 S K=0,R=""
 D GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
 I '$D(BGPMEDS1) G ASAC2
 S T=$O(^ATXAX("B","BGP CMS WARFARIN MEDS",0))
 S X=0 F  S X=$O(BGPMEDS1(X)) Q:X'=+X  S Y=+$P(BGPMEDS1(X),U,4) D
 .Q:'$D(^AUPNVMED(Y,0))
 .Q:$$UP^XLFSTR($P($G(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
 .S G=0
 .S D=$P(^AUPNVMED(Y,0),U)
 .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G WAR1
 .S N=$P($G(^PSDRUG(D,0)),U,1)
 .I N["WARFARIN" S G=1 G WAR1
 .I $$VAPI^BGP8D81(D,$O(^ATXAX("B","BGP CMS WARFARIN VAPI",0))) S G=1 G WAR1
 .Q:'G
WAR1 .;
 .S J=$P(^AUPNVMED(Y,0),U,8)
 .S V=$P(^AUPNVMED(Y,0),U,3)
 .Q:'V
 .Q:'$D(^AUPNVSIT(V,0))
 .S S=$$DAYS^BGP8D82(Y,V,EDATE)
 .S K=S+K
 .I R]"" S R=R_";"
 .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
 I K>BGPNDAYS Q 1_U_" aspirin Contra total days WARFARIN: "_K
WARPRIO ;now add in any before BEG DATE
 K BGPMEDS1
 D GETMEDS^BGP8UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
 I '$D(BGPMEDS1) G ASAC2
 S X=0 F  S X=$O(BGPMEDS1(X)) Q:X'=+X  S Y=+$P(BGPMEDS1(X),U,4) D
 .Q:'$D(^AUPNVMED(Y,0))
 .Q:$$UP^XLFSTR($P($G(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
 .S G=0
 .S D=$P(^AUPNVMED(Y,0),U)
 .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G WAR2
 .S N=$P($G(^PSDRUG(D,0)),U,1)
 .I N["WARFARIN" S G=1 G WAR2
 .Q:'G
WAR2 .;
 .S J=$P(^AUPNVMED(Y,0),U,8)
 .S V=$P(^AUPNVMED(Y,0),U,3)
 .Q:'V
 .Q:'$D(^AUPNVSIT(V,0))
 .;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
 .Q:J]""
 .S D=$$FMDIFF^XLFDT(EDATE,$P($P(^AUPNVSIT(V,0),U),"."))
 .S S=$P(^AUPNVMED(Y,0),U,7)
 .S S=S-D  ;subtract the number of days used
 .I S<0 S S=0
 .S K=S+K  ;TOTAL DAYS SUPPLY
 .I R]"" S R=R_";"
 .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
 I K>BGPNDAYS Q 1_U_"asp Contra total days WARFARIN: "_K
ASAC2 ;now check for dx 459
 K BGPG S BGPG=$$LASTDX^BGP8UTL1(P,"BGP HEMORRHAGE DXS",$$DOB^AUPNPAT(P),EDATE)
 I BGPG Q 1_U_"asa Contra "_$P(BGPG,U,2)_" "_$$DATE^BGP8UTL($P(BGPG,U,3))
 ;
 ;nmi in Refusal file for aspirin
 S BGPG=""
 S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
 S X=0 F  S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X  D
 .Q:'$D(^ATXAX(T,21,"B",X))  ;not an aspirin
 .S D=0 F  S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D  D
 ..I (9999999-D)<BDATE Q  ;before report period
 ..I (9999999-D)>EDATE Q  ;documented after report period
 ..S N=0 F  S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N  D
 ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
 ...S BGPG=1_U_"asa Contra NMI Aspirin:  "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP8UTL($P(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
 ..Q
 .Q
 I BGPG Q BGPG
 S X=$$CPTI^BGP8DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8008"))
 I X Q 1_U_"asa Contra CPT code G8008: "_$$DATE^BGP8UTL($P(X,U,2))
 S X=$$TRANI^BGP8DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8008"))
 I X Q 1_U_"asa Contra Tran Code G8008: "_$$DATE^BGP8UTL($P(X,U,2))
 Q ""
ASAALLEG(P,EDATE) ;EP
 K BGPG
 S X=$$ASAALLEG^BGP8CU1(P,$$DOB^AUPNPAT(P),EDATE)
 I 'X Q 0
 S $P(X,U,2)="ADR "_$P(X,U,2)
 Q X