- BGP8D732 ; IHS/CMI/LAB - measure AHR.A ;
- ;;18.1;IHS CLINICAL REPORTING;;MAY 25, 2018;Build 66
- ;
- ;ROUTINE NOT USED
- ACEALG(P,BDATE,EDATE) ;EP
- K BGPG
- D ACEIALG1^BGP8C11(P,EDATE,.BGPG)
- S X=$O(BGPG(X))
- I 'X Q ""
- Q 1_U_"ace/arb alleg: "_BGPG(X)
- ;
- ACECONT(P,BDATE,EDATE) ;EP does patient have an ACEI Contraidication
- NEW ED,BD,BGPG,BGPC,X,Y,Z,N,E
- K BGPG S Y="BGPG(",X=P_"^LAST DX [BGP CMS AORTIC STENOSIS DXS;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
- I $D(BGPG(1)) Q 1_U_"ACEI Contra POV: "_$$DATE^BGP8UTL($P(BGPG(1),U))_$P(BGPG(1),U,2)_" "_$$VAL^XBDIQ1(9000010.07,+$P(BGPG(1),U,4),.04)
- ;
- ;nmi in Refusal file for ACEI
- S BGPG=""
- S T=$O(^ATXAX("B","BGP HEDIS ACEI MEDS",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 ACEI
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D D
- ..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before discharge
- ..I Y>EDATE Q ;documented after End date
- ..S N=0 F S N=$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_"NMI ACEI: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP8UTL($P(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
- ..Q
- .Q
- I BGPG Q BGPG
- ;nmi in Refusal file for ACEI
- S BGPG=""
- S T=$O(^ATXAX("B","BGP HEDIS ARB MEDS",0))
- S X=0 F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X D
- .Q:'$D(^ATXAX(T,21,"B",X)) ;not an ACEI
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D D
- ..S Y=9999999-D I Y<BDATE Q
- ..I Y>EDATE Q ;documented after End date
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N D
- ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- ...S BGPG=1_U_"NMI ARB: "_$$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("G8029"))
- I X Q 1_U_"arb Contra CPT code G8029: "_$$DATE^BGP8UTL($P(X,U,2))
- S X=$$TRANI^BGP8DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8029"))
- I X Q 1_U_"arb Contra Tran Code G8029: "_$$DATE^BGP8UTL($P(X,U,2))
- Q ""
- ACERX(P,BDATE,EDATE) ;EP
- K BGPMEDS1
- S K=0,R=""
- D GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) Q ""
- S T=$O(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
- S T1=$O(^ATXAX("B","BGP HEDIS ACEI NDC",0))
- S T2=$O(^ATXAX("B","BGP HEDIS ARB MEDS",0))
- S T3=$O(^ATXAX("B","BGP HEDIS ARB NDC",0))
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G ACE1
- .I T2,$D(^ATXAX(T2,21,"B",D)) S G=1 G ACE1
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
- .I N]"",T3,$D(^ATXAX(T3,21,"B",N)) S G=1
- .Q:'G
- ACE1 .;
- .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>179 Q 1_U_" total days ACE/ARB: "_K
- ACEPRIO ;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 ACE2
- .I T2,$D(^ATXAX(T2,21,"B",D)) S G=1 G ACE2
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G ACE2
- .I N]"",T3,$D(^ATXAX(T3,21,"B",N)) S G=1
- .Q:'G
- ACE2 .;
- .S J=$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]"" ;don't use if discontinued
- .S D=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),".")) ;difference between dsch date and date prescribed
- .S S=$P(^AUPNVMED(Y,0),U,7)
- .S S=S-D ;subtract the number of days used
- .S:S<0 S=0
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>179 Q 1_U_" total ACE/ARB: "_K
- Q 0_U_R_" total days ACE/ARB: "_K
- ;
- ACEREF(P,BDATE,EDATE) ;
- ;did patient have a Refusal in time period?
- S T=$O(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X))
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before edate
- ..I Y>EDATE Q ;documented after end date
- ..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)'="N"
- ...S G=1_U_"ACEI Refusal "_$$DATE^BGP8UTL(Y)
- ..Q
- .Q
- I G Q G
- S T=$O(^ATXAX("B","BGP HEDIS ARB MEDS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X))
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before edate
- ..I Y>EDATE Q ;documented after end date
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G) D
- ...;Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- ...S G=1_U_"ARB Refusal "_$$DATE^BGP8UTL(Y)
- ..Q
- .Q
- Q G
- STATALG(P,BDATE,EDATE) ;EP
- S BGPC=""
- ;get all visits and check for ALT/AST tests on 2 consecutive visits
- K BGPG,BGPY S Y="BGPG(",X=P_"^ALL DX [BGP ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
- S X=0 F S X=$O(BGPG(X)) Q:X'=+X S Y=+$P(BGPG(X),U,4) D
- .S N=$$VAL^XBDIQ1(9000010.07,Y,.04) S N=$$UP^XLFSTR(N)
- .I N["STATIN"!(N["STATINS"),N'["NYSTATIN" S BGPC="Alg Statin POV: "_$$DATE^BGP8UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_"] "_N
- .S T=$O(^ATXAX("B","BGP ADV EFF CARDIOVASC NEC",0))
- .S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$$ICD^BGP8UTL2(Z,T,9) S G=1_U_"POV: "_$$DATE^BGP8UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_" + "_$P($$ICDDX^BGP8UTL2(Z),U,2)_"] "_N Q
- .S Z=$P(^AUPNVPOV(Y,0),U,18) I Z]"",$$ICD^BGP8UTL2(Z,T,9) S G=1_U_"POV: "_$$DATE^BGP8UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_" + "_$P($$ICDDX^BGP8UTL2(Z),U,2)_"] "_N Q
- .S Z=$P(^AUPNVPOV(Y,0),U,19) I Z]"",$$ICD^BGP8UTL2(Z,T,9) S G=1_U_"POV: "_$$DATE^BGP8UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_" + "_$P($$ICDDX^BGP8UTL2(Z),U,2)_"] "_N Q
- .Q
- I BGPC Q BGPC
- K BGPG S BGPC=0 S Y="BGPG(",X=P_"^ALL DX [BGP HX DRUG ALLERGY NEC;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
- S X=0 F S X=$O(BGPG(X)) Q:X'=+X S Y=+$P(BGPG(X),U,4) D
- .S N=$$VAL^XBDIQ1(9000010.07,Y,.04),N=$$UP^XLFSTR(N)
- .I N["STATIN"!(N["STATINS"),N'["NYSTATIN" S BGPC=1_U_"alg statin POV: "_$$DATE^BGP8UTL($P(BGPG(X),U))_$P(BGPG(X),U,2)_" "_N
- I BGPC Q BGPC
- ;now check problem list for these codes
- S BGPC=0
- S T="",T=$O(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
- S X=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X D
- .S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($$ICDDX^BGP8UTL2(I),U,2)
- .S N=$$VAL^XBDIQ1(9000011,X,.05),N=$$UP^XLFSTR(N)
- .I EDATE,$P(^AUPNPROB(X,0),U,13)>EDATE Q
- .I $P(^AUPNPROB(X,0),U,13)="" Q:$P(^AUPNPROB(X,0),U,8)>EDATE ;added after discharge date
- .Q:$P(^AUPNPROB(X,0),U,12)="D"
- .Q:$P(^AUPNPROB(X,0),U,12)="I"
- .I $$ICD^BGP8UTL2(I,$O(^ATXAX("B","BGP HX DRUG ALLERGY NEC",0)),9)!($$ICD^BGP8UTL2(I,T,9)),N["STATIN"!(N["STATINS"),N'["NYSTATIN" S BGPC=1_U_"alg statin PROBLEM LIST: "_$$DATE^BGP8UTL($P(^AUPNPROB(X,0),U,8))_" "_Y_" "_N
- .Q
- I BGPC Q BGPC
- ;now check allergy tracking
- S BGPC=0
- S X=0 F S X=$O(^GMR(120.8,"B",P,X)) Q:X'=+X D
- .Q:$P($P($G(^GMR(120.8,X,0)),U,4),".")>EDATE ;entered after discharge date
- .S N=$P($G(^GMR(120.8,X,0)),U,2),N=$$UP^XLFSTR(N)
- .I N["STATIN",N'["NYSTATIN" S BGPC=1_U_" alg statin ALLERGY TRACKING: "_$$DATE^BGP8UTL($P(^GMR(120.8,X,0),U,4))_" "_N
- I BGPC Q BGPC
- Q 0
- STATRX(P,BDATE,EDATE) ;EP
- K BGPMEDS1 S K=0,R=""
- D GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) Q ""
- S T=$O(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
- S T1=$O(^ATXAX("B","BGP HEDIS STATIN NDC",0))
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .Q:$$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 STAT1
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
- .Q:'G
- STAT1 .;
- .S J=$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>179 Q 1_U_" total days STATIN: "_K
- STATPRIO ;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 STAT2
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G STAT2
- .Q:'G
- STAT2 .;
- .S J=$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]"" ;don't use if discontinued
- .S D=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),".")) ;difference between dsch date and date prescribed
- .S S=$P(^AUPNVMED(Y,0),U,7)
- .S S=S-D ;subtract the number of days used
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP8UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>179 Q 1_U_" total STATIN: "_K
- Q 0_U_R_" total days STATIN: "_K
- ;
- STATREF(P,BDATE,EDATE) ;
- ;did patient have a Refusal in time period?
- S T=$O(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X))
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before edate
- ..I Y>EDATE Q ;documented after end date
- ..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)'="N"
- ...S G=1_U_"ACEI Refusal "_$$DATE^BGP8UTL(Y)
- ..Q
- .Q
- Q G
- BGP8D732 ; IHS/CMI/LAB - measure AHR.A ;
- +1 ;;18.1;IHS CLINICAL REPORTING;;MAY 25, 2018;Build 66
- +2 ;
- +3 ;ROUTINE NOT USED
- ACEALG(P,BDATE,EDATE) ;EP
- +1 KILL BGPG
- +2 DO ACEIALG1^BGP8C11(P,EDATE,.BGPG)
- +3 SET X=$ORDER(BGPG(X))
- +4 IF 'X
- QUIT ""
- +5 QUIT 1_U_"ace/arb alleg: "_BGPG(X)
- +6 ;
- ACECONT(P,BDATE,EDATE) ;EP does patient have an ACEI Contraidication
- +1 NEW ED,BD,BGPG,BGPC,X,Y,Z,N,E
- +2 KILL BGPG
- SET Y="BGPG("
- SET X=P_"^LAST DX [BGP CMS AORTIC STENOSIS DXS;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(EDATE)
- SET E=$$START1^APCLDF(X,Y)
- +3 IF $DATA(BGPG(1))
- QUIT 1_U_"ACEI Contra POV: "_$$DATE^BGP8UTL($PIECE(BGPG(1),U))_$PIECE(BGPG(1),U,2)_" "_$$VAL^XBDIQ1(9000010.07,+$PIECE(BGPG(1),U,4),.04)
- +4 ;
- +5 ;nmi in Refusal file for ACEI
- +6 SET BGPG=""
- +7 SET T=$ORDER(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
- +8 SET X=0
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X
- QUIT
- Begin DoDot:1
- +9 ;not an ACEI
- IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +10 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D
- QUIT
- Begin DoDot:2
- +11 ;documented more than 1 year before discharge
- SET Y=9999999-D
- IF Y<BDATE
- QUIT
- +12 ;documented after End date
- IF Y>EDATE
- QUIT
- +13 SET N=0
- FOR
- SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
- IF N'=+N
- QUIT
- Begin DoDot:3
- +14 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
- QUIT
- +15 SET BGPG=1_U_"NMI ACEI: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP8UTL($PIECE(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
- End DoDot:3
- +16 QUIT
- End DoDot:2
- +17 QUIT
- End DoDot:1
- +18 IF BGPG
- QUIT BGPG
- +19 ;nmi in Refusal file for ACEI
- +20 SET BGPG=""
- +21 SET T=$ORDER(^ATXAX("B","BGP HEDIS ARB MEDS",0))
- +22 SET X=0
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X
- QUIT
- Begin DoDot:1
- +23 ;not an ACEI
- IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +24 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D
- QUIT
- Begin DoDot:2
- +25 SET Y=9999999-D
- IF Y<BDATE
- QUIT
- +26 ;documented after End date
- IF Y>EDATE
- QUIT
- +27 SET N=0
- FOR
- SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
- IF N'=+N
- QUIT
- Begin DoDot:3
- +28 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
- QUIT
- +29 SET BGPG=1_U_"NMI ARB: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP8UTL($PIECE(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
- End DoDot:3
- +30 QUIT
- End DoDot:2
- +31 QUIT
- End DoDot:1
- +32 IF BGPG
- QUIT BGPG
- +33 SET X=$$CPTI^BGP8DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8029"))
- +34 IF X
- QUIT 1_U_"arb Contra CPT code G8029: "_$$DATE^BGP8UTL($PIECE(X,U,2))
- +35 SET X=$$TRANI^BGP8DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8029"))
- +36 IF X
- QUIT 1_U_"arb Contra Tran Code G8029: "_$$DATE^BGP8UTL($PIECE(X,U,2))
- +37 QUIT ""
- ACERX(P,BDATE,EDATE) ;EP
- +1 KILL BGPMEDS1
- +2 SET K=0
- SET R=""
- +3 DO GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- +4 IF '$DATA(BGPMEDS1)
- QUIT ""
- +5 SET T=$ORDER(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
- +6 SET T1=$ORDER(^ATXAX("B","BGP HEDIS ACEI NDC",0))
- +7 SET T2=$ORDER(^ATXAX("B","BGP HEDIS ARB MEDS",0))
- +8 SET T3=$ORDER(^ATXAX("B","BGP HEDIS ARB NDC",0))
- +9 SET X=0
- FOR
- SET X=$ORDER(BGPMEDS1(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPMEDS1(X),U,4)
- Begin DoDot:1
- +10 IF '$DATA(^AUPNVMED(Y,0))
- QUIT
- +11 SET G=0
- +12 SET D=$PIECE(^AUPNVMED(Y,0),U)
- +13 IF T
- IF $DATA(^ATXAX(T,21,"B",D))
- SET G=1
- GOTO ACE1
- +14 IF T2
- IF $DATA(^ATXAX(T2,21,"B",D))
- SET G=1
- GOTO ACE1
- +15 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
- +16 IF N]""
- IF T1
- IF $DATA(^ATXAX(T1,21,"B",N))
- SET G=1
- +17 IF N]""
- IF T3
- IF $DATA(^ATXAX(T3,21,"B",N))
- SET G=1
- +18 IF 'G
- QUIT
- ACE1 ;
- +1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
- +2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
- +3 IF 'V
- QUIT
- +4 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +5 SET S=$$DAYS^BGP8D82(Y,V,EDATE)
- +6 ;TOTAL DAYS SUPPLY
- SET K=S+K
- +7 IF R]""
- SET R=R_";"
- +8 SET R=R_$$DATE^BGP8UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- End DoDot:1
- +9 IF K>179
- QUIT 1_U_" total days ACE/ARB: "_K
- ACEPRIO ;now add in any before BEG DATE
- +1 KILL BGPMEDS1
- +2 DO GETMEDS^BGP8UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
- +3 IF '$DATA(BGPMEDS1)
- QUIT ""
- +4 SET X=0
- FOR
- SET X=$ORDER(BGPMEDS1(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPMEDS1(X),U,4)
- Begin DoDot:1
- +5 IF '$DATA(^AUPNVMED(Y,0))
- QUIT
- +6 IF $$UP^XLFSTR($PIECE($GET(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
- QUIT
- +7 SET G=0
- +8 SET D=$PIECE(^AUPNVMED(Y,0),U)
- +9 IF T
- IF $DATA(^ATXAX(T,21,"B",D))
- SET G=1
- GOTO ACE2
- +10 IF T2
- IF $DATA(^ATXAX(T2,21,"B",D))
- SET G=1
- GOTO ACE2
- +11 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
- +12 IF N]""
- IF T1
- IF $DATA(^ATXAX(T1,21,"B",N))
- SET G=1
- GOTO ACE2
- +13 IF N]""
- IF T3
- IF $DATA(^ATXAX(T3,21,"B",N))
- SET G=1
- +14 IF 'G
- QUIT
- ACE2 ;
- +1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
- +2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
- +3 IF 'V
- QUIT
- +4 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +5 ;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
- +6 ;don't use if discontinued
- IF J]""
- QUIT
- +7 ;difference between dsch date and date prescribed
- SET D=$$FMDIFF^XLFDT(BDATE,$PIECE($PIECE(^AUPNVSIT(V,0),U),"."))
- +8 SET S=$PIECE(^AUPNVMED(Y,0),U,7)
- +9 ;subtract the number of days used
- SET S=S-D
- +10 IF S<0
- SET S=0
- +11 ;TOTAL DAYS SUPPLY
- SET K=S+K
- +12 IF R]""
- SET R=R_";"
- +13 SET R=R_$$DATE^BGP8UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- End DoDot:1
- +14 IF K>179
- QUIT 1_U_" total ACE/ARB: "_K
- +15 QUIT 0_U_R_" total days ACE/ARB: "_K
- +16 ;
- ACEREF(P,BDATE,EDATE) ;
- +1 ;did patient have a Refusal in time period?
- +2 SET T=$ORDER(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
- +3 SET X=0
- SET G=""
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X!(G)
- QUIT
- Begin DoDot:1
- +4 IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +5 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D!(G)
- QUIT
- Begin DoDot:2
- +6 ;documented more than 1 year before edate
- SET Y=9999999-D
- IF Y<BDATE
- QUIT
- +7 ;documented after end date
- IF Y>EDATE
- QUIT
- +8 SET N=0
- FOR
- SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
- IF N'=+N!(G)
- QUIT
- Begin DoDot:3
- +9 ;Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- +10 SET G=1_U_"ACEI Refusal "_$$DATE^BGP8UTL(Y)
- End DoDot:3
- +11 QUIT
- End DoDot:2
- +12 QUIT
- End DoDot:1
- +13 IF G
- QUIT G
- +14 SET T=$ORDER(^ATXAX("B","BGP HEDIS ARB MEDS",0))
- +15 SET X=0
- SET G=""
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X!(G)
- QUIT
- Begin DoDot:1
- +16 IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +17 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D!(G)
- QUIT
- Begin DoDot:2
- +18 ;documented more than 1 year before edate
- SET Y=9999999-D
- IF Y<BDATE
- QUIT
- +19 ;documented after end date
- IF Y>EDATE
- QUIT
- +20 SET N=0
- FOR
- SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
- IF N'=+N!(G)
- QUIT
- Begin DoDot:3
- +21 ;Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- +22 SET G=1_U_"ARB Refusal "_$$DATE^BGP8UTL(Y)
- End DoDot:3
- +23 QUIT
- End DoDot:2
- +24 QUIT
- End DoDot:1
- +25 QUIT G
- STATALG(P,BDATE,EDATE) ;EP
- +1 SET BGPC=""
- +2 ;get all visits and check for ALT/AST tests on 2 consecutive visits
- +3 KILL BGPG,BGPY
- SET Y="BGPG("
- SET X=P_"^ALL DX [BGP ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(EDATE)
- SET E=$$START1^APCLDF(X,Y)
- +4 SET X=0
- FOR
- SET X=$ORDER(BGPG(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPG(X),U,4)
- Begin DoDot:1
- +5 SET N=$$VAL^XBDIQ1(9000010.07,Y,.04)
- SET N=$$UP^XLFSTR(N)
- +6 IF N["STATIN"!(N["STATINS")
- IF N'["NYSTATIN"
- SET BGPC="Alg Statin POV: "_$$DATE^BGP8UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_"] "_N
- +7 SET T=$ORDER(^ATXAX("B","BGP ADV EFF CARDIOVASC NEC",0))
- +8 SET Z=$PIECE(^AUPNVPOV(Y,0),U,9)
- IF Z]""
- IF $$ICD^BGP8UTL2(Z,T,9)
- SET G=1_U_"POV: "_$$DATE^BGP8UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_" + "_$PIECE($$ICDDX^BGP8UTL2(Z),U,2)_"] "_N
- QUIT
- +9 SET Z=$PIECE(^AUPNVPOV(Y,0),U,18)
- IF Z]""
- IF $$ICD^BGP8UTL2(Z,T,9)
- SET G=1_U_"POV: "_$$DATE^BGP8UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_" + "_$PIECE($$ICDDX^BGP8UTL2(Z),U,2)_"] "_N
- QUIT
- +10 SET Z=$PIECE(^AUPNVPOV(Y,0),U,19)
- IF Z]""
- IF $$ICD^BGP8UTL2(Z,T,9)
- SET G=1_U_"POV: "_$$DATE^BGP8UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_" + "_$PIECE($$ICDDX^BGP8UTL2(Z),U,2)_"] "_N
- QUIT
- +11 QUIT
- End DoDot:1
- +12 IF BGPC
- QUIT BGPC
- +13 KILL BGPG
- SET BGPC=0
- SET Y="BGPG("
- SET X=P_"^ALL DX [BGP HX DRUG ALLERGY NEC;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(EDATE)
- SET E=$$START1^APCLDF(X,Y)
- +14 SET X=0
- FOR
- SET X=$ORDER(BGPG(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPG(X),U,4)
- Begin DoDot:1
- +15 SET N=$$VAL^XBDIQ1(9000010.07,Y,.04)
- SET N=$$UP^XLFSTR(N)
- +16 IF N["STATIN"!(N["STATINS")
- IF N'["NYSTATIN"
- SET BGPC=1_U_"alg statin POV: "_$$DATE^BGP8UTL($PIECE(BGPG(X),U))_$PIECE(BGPG(X),U,2)_" "_N
- End DoDot:1
- +17 IF BGPC
- QUIT BGPC
- +18 ;now check problem list for these codes
- +19 SET BGPC=0
- +20 SET T=""
- SET T=$ORDER(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
- +21 SET X=0
- FOR
- SET X=$ORDER(^AUPNPROB("AC",P,X))
- IF X'=+X
- QUIT
- Begin DoDot:1
- +22 SET I=$PIECE($GET(^AUPNPROB(X,0)),U)
- SET Y=$PIECE($$ICDDX^BGP8UTL2(I),U,2)
- +23 SET N=$$VAL^XBDIQ1(9000011,X,.05)
- SET N=$$UP^XLFSTR(N)
- +24 IF EDATE
- IF $PIECE(^AUPNPROB(X,0),U,13)>EDATE
- QUIT
- +25 ;added after discharge date
- IF $PIECE(^AUPNPROB(X,0),U,13)=""
- IF $PIECE(^AUPNPROB(X,0),U,8)>EDATE
- QUIT
- +26 IF $PIECE(^AUPNPROB(X,0),U,12)="D"
- QUIT
- +27 IF $PIECE(^AUPNPROB(X,0),U,12)="I"
- QUIT
- +28 IF $$ICD^BGP8UTL2(I,$ORDER(^ATXAX("B","BGP HX DRUG ALLERGY NEC",0)),9)!($$ICD^BGP8UTL2(I,T,9))
- IF N["STATIN"!(N["STATINS")
- IF N'["NYSTATIN"
- SET BGPC=1_U_"alg statin PROBLEM LIST: "_$$DATE^BGP8UTL($PIECE(^AUPNPROB(X,0),U,8))_" "_Y_" "_N
- +29 QUIT
- End DoDot:1
- +30 IF BGPC
- QUIT BGPC
- +31 ;now check allergy tracking
- +32 SET BGPC=0
- +33 SET X=0
- FOR
- SET X=$ORDER(^GMR(120.8,"B",P,X))
- IF X'=+X
- QUIT
- Begin DoDot:1
- +34 ;entered after discharge date
- IF $PIECE($PIECE($GET(^GMR(120.8,X,0)),U,4),".")>EDATE
- QUIT
- +35 SET N=$PIECE($GET(^GMR(120.8,X,0)),U,2)
- SET N=$$UP^XLFSTR(N)
- +36 IF N["STATIN"
- IF N'["NYSTATIN"
- SET BGPC=1_U_" alg statin ALLERGY TRACKING: "_$$DATE^BGP8UTL($PIECE(^GMR(120.8,X,0),U,4))_" "_N
- End DoDot:1
- +37 IF BGPC
- QUIT BGPC
- +38 QUIT 0
- STATRX(P,BDATE,EDATE) ;EP
- +1 KILL BGPMEDS1
- SET K=0
- SET R=""
- +2 DO GETMEDS^BGP8UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- +3 IF '$DATA(BGPMEDS1)
- QUIT ""
- +4 SET T=$ORDER(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
- +5 SET T1=$ORDER(^ATXAX("B","BGP HEDIS STATIN NDC",0))
- +6 SET X=0
- FOR
- SET X=$ORDER(BGPMEDS1(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPMEDS1(X),U,4)
- Begin DoDot:1
- +7 IF '$DATA(^AUPNVMED(Y,0))
- QUIT
- +8 IF $$UP^XLFSTR($PIECE($GET(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
- QUIT
- +9 SET G=0
- +10 SET D=$PIECE(^AUPNVMED(Y,0),U)
- +11 IF T
- IF $DATA(^ATXAX(T,21,"B",D))
- SET G=1
- GOTO STAT1
- +12 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
- +13 IF N]""
- IF T1
- IF $DATA(^ATXAX(T1,21,"B",N))
- SET G=1
- +14 IF 'G
- QUIT
- STAT1 ;
- +1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
- +2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
- +3 IF 'V
- QUIT
- +4 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +5 SET S=$$DAYS^BGP8D82(Y,V,EDATE)
- +6 ;TOTAL DAYS SUPPLY
- SET K=S+K
- +7 IF R]""
- SET R=R_";"
- +8 SET R=R_$$DATE^BGP8UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- End DoDot:1
- +9 IF K>179
- QUIT 1_U_" total days STATIN: "_K
- STATPRIO ;now add in any before BEG DATE
- +1 KILL BGPMEDS1
- +2 DO GETMEDS^BGP8UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
- +3 IF '$DATA(BGPMEDS1)
- QUIT ""
- +4 SET X=0
- FOR
- SET X=$ORDER(BGPMEDS1(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPMEDS1(X),U,4)
- Begin DoDot:1
- +5 IF '$DATA(^AUPNVMED(Y,0))
- QUIT
- +6 IF $$UP^XLFSTR($PIECE($GET(^AUPNVMED(Y,11)),U))["RETURNED TO STOCK"
- QUIT
- +7 SET G=0
- +8 SET D=$PIECE(^AUPNVMED(Y,0),U)
- +9 IF T
- IF $DATA(^ATXAX(T,21,"B",D))
- SET G=1
- GOTO STAT2
- +10 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
- +11 IF N]""
- IF T1
- IF $DATA(^ATXAX(T1,21,"B",N))
- SET G=1
- GOTO STAT2
- +12 IF 'G
- QUIT
- STAT2 ;
- +1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
- +2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
- +3 IF 'V
- QUIT
- +4 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +5 ;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
- +6 ;don't use if discontinued
- IF J]""
- QUIT
- +7 ;difference between dsch date and date prescribed
- SET D=$$FMDIFF^XLFDT(BDATE,$PIECE($PIECE(^AUPNVSIT(V,0),U),"."))
- +8 SET S=$PIECE(^AUPNVMED(Y,0),U,7)
- +9 ;subtract the number of days used
- SET S=S-D
- +10 ;TOTAL DAYS SUPPLY
- SET K=S+K
- +11 IF R]""
- SET R=R_";"
- +12 SET R=R_$$DATE^BGP8UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- End DoDot:1
- +13 IF K>179
- QUIT 1_U_" total STATIN: "_K
- +14 QUIT 0_U_R_" total days STATIN: "_K
- +15 ;
- STATREF(P,BDATE,EDATE) ;
- +1 ;did patient have a Refusal in time period?
- +2 SET T=$ORDER(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
- +3 SET X=0
- SET G=""
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X!(G)
- QUIT
- Begin DoDot:1
- +4 IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +5 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D!(G)
- QUIT
- Begin DoDot:2
- +6 ;documented more than 1 year before edate
- SET Y=9999999-D
- IF Y<BDATE
- QUIT
- +7 ;documented after end date
- IF Y>EDATE
- QUIT
- +8 SET N=0
- FOR
- SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
- IF N'=+N!(G)
- QUIT
- Begin DoDot:3
- +9 ;Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- +10 SET G=1_U_"ACEI Refusal "_$$DATE^BGP8UTL(Y)
- End DoDot:3
- +11 QUIT
- End DoDot:2
- +12 QUIT
- End DoDot:1
- +13 QUIT G