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Routine: APCM11E1

APCM11E1.m

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  1. APCM11E1 ; IHS/CMI/LAB - IHS MU 24 Feb 2011 10:32 AM ; 
  1.  ;;1.0;IHS MU PERFORMANCE REPORTS;**1,2,5,6**;MAR 26, 2012;Build 65
  1.  ;
  1. BQI(BQIGREF,APCMPRV) ;PEP-Call from iCare
  1.  ; input
  1.  ; BQIGREF - Global reference
  1.  ; APCMPRV - Array of providers
  1.  ;
  1. PROC ;EP
  1.  S APCMBT=$H
  1.  D JRNL^APCM1UTL
  1.  S APCMJ=$J,APCMH=$H
  1.  D XTMP^APCM1UTL("APCM1D","MU Patient List")
  1.  ;process each patient
  1.  ;first gather up provider exclusions
  1.  I APCMRPTT=2 D  G PROC1  ;hospital report doesn't need this stuff for exclusions
  1.  .K APCM2ON
  1.  .K APCMOFFV
  1.  .K APCM13ON
  1.  .K APCMTRAE
  1.  .K APCMIMME
  1.  .K APCMN565
  1.  .K APCMHO65
  1.  .K APCMRCIS
  1.  .K APCMNOEC
  1.  .S X=APCMFAC  S APCMX=$$VSTH(APCMFAC,APCMBD,APCMED) D
  1.  ..I '$P(APCMX,U,3) S APCM13ON(X,1)=""
  1.  ..I '$P(APCMX,U,2) S APCM2ON(X,1)=""
  1.  ..I '$P(APCMX,U,1) S APCMOFFV(X,1)=""
  1.  ..I '$P(APCMX,U,4) S APCMTRAE(X,1)=""
  1.  ..I '$P(APCMX,U,5) S APCMIMME(X,1)=""
  1.  ..I '$P(APCMX,U,6) S APCMN565(X,1)=""
  1.  ..I '$P(APCMX,U,7) S APCMHO65(X,1)=""
  1.  ..I '$P(APCMX,U,8) S APCMRCIS(X,1)=""
  1.  ..I '$P(APCMX,U,9) S APCMNOEC(X,1)=""
  1.  .I $G(APCMWPP) S X=APCMFAC S APCMX=$$VSTH(APCMFAC,APCMPBD,APCMPED) D
  1.  ..I '$P(APCMX,U,3) S APCM13ON(X,2)=""
  1.  ..I '$P(APCMX,U,2) S APCM2ON(X,2)=""
  1.  ..I '$P(APCMX,U,1) S APCMOFFV(X,2)=""
  1.  ..I '$P(APCMX,U,4) S APCMTRAE(X,2)=""
  1.  ..I '$P(APCMX,U,5) S APCMIMME(X,2)=""
  1.  ..I '$P(APCMX,U,6) S APCMN565(X,2)=""
  1.  ..I '$P(APCMX,U,7) S APCMHO65(X,2)=""
  1.  ..I '$P(APCMX,U,8) S APCMRCIS(X,2)=""
  1.  ..I '$P(APCMX,U,9) S APCMNOEC(X,2)=""
  1.  .D ROIH^APCM11E7
  1.  K APCM100R
  1.  S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  I '$$H100(X,APCMBD,APCMED) S APCM100R(X,1)=""
  1.  I $G(APCMWPP) S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  I '$$H100(X,APCMPBD,APCMPED) S APCM100R(X,2)=""
  1.  K APCM2ON
  1.  K APCMOFFV
  1.  K APCM13ON
  1.  K APCMTRAE
  1.  K APCMIMME
  1.  K APCMN565
  1.  S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  S APCMX=$$VST(X,APCMBD,APCMED) D
  1.  .I '$P(APCMX,U,3) S APCM13ON(X,1)=""
  1.  .I '$P(APCMX,U,2) S APCM2ON(X,1)=""
  1.  .I '$P(APCMX,U,1) S APCMOFFV(X,1)=""
  1.  .I '$P(APCMX,U,4) S APCMTRAE(X,1)=""
  1.  .I '$P(APCMX,U,5) S APCMIMME(X,1)=""
  1.  I $G(APCMWPP) S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  S APCMX=$$VST(X,APCMPBD,APCMPED) D
  1.  .I '$P(APCMX,U,3) S APCM13ON(X,2)=""
  1.  .I '$P(APCMX,U,2) S APCM2ON(X,2)=""
  1.  .I '$P(APCMX,U,1) S APCMOFFV(X,2)=""
  1.  .I '$P(APCMX,U,4) S APCMTRAE(X,2)=""
  1.  .I '$P(APCMX,U,5) S APCMIMME(X,2)=""
  1. N1 D ROI  ;roi exclusions
  1.  D RCIS ;SUMMARY OF CARE EXCLUSIONS
  1.  ;any patients 0-5 or >64?
  1.  S APCMN565(1)=1
  1.  S P=0 F  S P=$O(^DPT(P)) Q:P'=+P!(APCMN565(1)=0)  D
  1.  .S X=$$DOD^AUPNPAT(P)
  1.  .I X,X'>APCMED Q
  1.  .Q:$$DOB^AUPNPAT(P)>APCMBD  ;born after time period begin date
  1.  .S X=$P($G(^AUPNPAT(P,41,DUZ(2),0)),U,3)
  1.  .I X,X'>APCMED Q
  1.  .S A=$$AGE^AUPNPAT(P,APCMBD)
  1.  .I A<6 S APCMN565(1)=0 Q
  1.  .I A>64 S APCMN565(1)=0 Q
  1.  ;
  1.  G:'$G(APCMWPP) PROC1
  1.  S APCMN565(2)=1
  1.  S P=0 F  S P=$O(^DPT(P)) Q:P'=+P!(APCMN565(2)=0)  D
  1.  .S X=$$DOD^AUPNPAT(P)
  1.  .I X,X'>APCMPED Q
  1.  .Q:$$DOB^AUPNPAT(P)>APCMPBD  ;born after time period begin date
  1.  .S X=$P($G(^AUPNPAT(P,41,DUZ(2),0)),U,3)
  1.  .I X,X'>APCMPED Q
  1.  .S A=$$AGE^AUPNPAT(P,APCMPBD)
  1.  .I A<6 S APCMN565(2)=0 Q
  1.  .I A>64 S APCMN565(2)=0 Q
  1. PROC1 ;
  1.  S DFN=0 F  S DFN=$O(^AUPNPAT(DFN)) Q:DFN'=+DFN  D
  1.  .Q:'$D(^DPT(DFN,0))
  1.  .;I APCLDEMO'="I" Q:$P($G(^DPT(DFN,0)),U)["DEMO,PATIENT"
  1.  .Q:$$DEMO^APCLUTL(DFN,$G(APCMDEMO))
  1.  .D PROCCY,PROCPY
  1. N ;
  1.  ;NOW DO ATTESTATION MEASURES
  1.  D PROCACY,PROCAPY
  1.  S APCMET=$H
  1.  Q
  1.  ;
  1. PROCCY ;EP - current time period
  1.  K ^TMP($J)
  1.  Q:'$D(^DPT(DFN,0))
  1.  Q:$P(^DPT(DFN,0),U,2)=""
  1.  ;Q:"FM"'[$P(^DPT(DFN,0),U,2)
  1.  S APCMEDAT=APCMED,APCMTIME=1,APCMBDAT=APCMBD,APCMGBL="^APCMMUDC(",APCMFILN=9001300.0311
  1.  S APCMAGEB=$$AGE^AUPNPAT(DFN,APCMBDAT)
  1.  S APCMAGEE=$$AGE^AUPNPAT(DFN,APCMEDAT)
  1.  S APCMSEX=$P(^DPT(DFN,0),U,2)
  1.  ;had visit to each provider?
  1.  D CALCIND
  1.  K ^TMP($J,"A")
  1.  Q
  1. PROCPY ;
  1.  Q:'$G(APCMWPP)
  1.  K ^TMP($J)
  1.  Q:'$D(^DPT(DFN,0))
  1.  Q:$P(^DPT(DFN,0),U,2)=""
  1.  ;Q:"FM"'[$P(^DPT(DFN,0),U,2)
  1.  S APCMEDAT=APCMPED,APCMTIME=2,APCMBDAT=APCMPBD,APCMGBL="^APCMMUDP(",APCMFILN=9001300.0411
  1.  S APCMAGEB=$$AGE^AUPNPAT(DFN,APCMBDAT)
  1.  S APCMAGEE=$$AGE^AUPNPAT(DFN,APCMEDAT)
  1.  S APCMSEX=$P(^DPT(DFN,0),U,2)
  1.  D CALCIND
  1.  K ^TMP($J,"A")
  1.  Q
  1. CALCIND ;
  1.  D CALCIND^APCM11CI
  1.  Q
  1. PROCACY ;EP - current time period
  1.  S APCMEDAT=APCMED,APCMTIME=1,APCMBDAT=APCMBD,APCMGBL="^APCMMUDC(",APCMFILN=9001300.0311
  1.  D CALCINDA^APCM11CI
  1.  Q
  1. PROCAPY ;
  1.  Q:'$G(APCMWPP)
  1.  S APCMEDAT=APCMPED,APCMTIME=2,APCMBDAT=APCMPBD,APCMGBL="^APCMMUDP(",APCMFILN=9001300.0411
  1.  D CALCINDA^APCM11CI
  1.  Q
  1. S(RPT,IND,VALUE,PROV,RT,T,F,NT) ;EP - set counter
  1.  NEW N,P,Y,J
  1.  I VALUE="" Q  ;no value to add
  1.  I RT=1 S I=PROV_";VA(200,"
  1.  I RT=2 S I=PROV_";AUTTLOC("
  1.  I T=1 D  Q
  1.  .I $G(BQIGREF)'="" D  Q
  1.  ..NEW ID
  1.  ..S ID=$P(^APCMMUM(IND,0),U,1)
  1.  ..I $P(^APCMMUM(IND,0),U,8)=F S $P(@BQIGREF@(PROV,ID,"CURR"),U,1)=$P($G(@BQIGREF@(PROV,ID,"CURR")),U,1)+VALUE
  1.  ..I $P(^APCMMUM(IND,0),U,9)=F S $P(@BQIGREF@(PROV,ID,"CURR"),U,2)=$P($G(@BQIGREF@(PROV,ID,"CURR")),U,2)+VALUE
  1.  ..I $P(^APCMMUM(IND,0),U,11)=F S $P(@BQIGREF@(PROV,ID,"CURR"),U,3)=VALUE
  1.  ..S $P(@BQIGREF@(PROV,ID,"CURR"),U,4)=$G(APCMVALU)
  1.  .S Y=$P(^DD(9001300.0311,F,0),U,4)
  1.  .S N=$P(Y,";")
  1.  .S P=$P(Y,";",2)
  1.  .S J=$O(^APCMMUDC(RPT,11,"B",I,0))
  1.  .I 'J W APCMBOMB Q
  1.  .I VALUE?.N S $P(^APCMMUDC(RPT,11,J,N),U,P)=$P($G(^APCMMUDC(RPT,11,J,N)),U,P)+VALUE
  1.  .I VALUE'?.N S $P(^APCMMUDC(RPT,11,J,N),U,P)=VALUE
  1.  .Q  ;now set total multiple (1200) - NOW NO TOTAL PER TIFFANY
  1.  .Q:$G(NT)=1
  1.  .S Y=$P(^DD(9001300.0312,F,0),U,4)
  1.  .S N=$P(Y,";")
  1.  .S P=$P(Y,";",2)
  1.  .S J=$O(^APCMMUDC(RPT,12,"B","TOTAL",0))
  1.  .I 'J S ^APCMMUDC(RPT,12,0)="^9001300.0312A^1^1",^APCMMUDC(RPT,12,1,0)="TOTAL",^APCMMUDC(RPT,12,"B","TOTAL",1)="",J=1
  1.  .I VALUE?.N S $P(^APCMMUDC(RPT,12,J,N),U,P)=$P($G(^APCMMUDC(RPT,12,J,N)),U,P)+VALUE Q
  1.  .S $P(^APCMMUDC(RPT,12,J,N),U,P)=VALUE
  1.  I T=2 D
  1.  .I $G(BQIGREF)'="" D  Q
  1.  ..NEW ID
  1.  ..S ID=$P(^APCMMUM(IND,0),U,1)
  1.  ..I $P(^APCMMUM(IND,0),U,8)=F S $P(@BQIGREF@(PROV,ID,"PREV"),U,1)=$P($G(@BQIGREF@(PROV,ID,"PREV")),U,1)+VALUE
  1.  ..I $P(^APCMMUM(IND,0),U,9)=F S $P(@BQIGREF@(PROV,ID,"PREV"),U,2)=$P($G(@BQIGREF@(PROV,ID,"PREV")),U,2)+VALUE
  1.  ..I $P(^APCMMUM(IND,0),U,11)=F S $P(@BQIGREF@(PROV,ID,"PREV"),U,3)=VALUE
  1.  ..S $P(@BQIGREF@(PROV,ID,"PREV"),U,4)=$G(APCMVALU)
  1.  .S Y=$P(^DD(9001300.0411,F,0),U,4)
  1.  .S N=$P(Y,";")
  1.  .S P=$P(Y,";",2)
  1.  .S J=$O(^APCMMUDP(RPT,11,"B",I,0))
  1.  .I 'J W APCMBOMB Q
  1.  .I VALUE?.N S $P(^APCMMUDP(RPT,11,J,N),U,P)=$P($G(^APCMMUDP(RPT,11,J,N)),U,P)+VALUE
  1.  .I VALUE'?.N S $P(^APCMMUDP(RPT,11,J,N),U,P)=VALUE
  1.  .Q  ;  NOT TOTALS PER TIFFANY
  1.  .Q:$G(NT)=1  ;no totals
  1.  .S Y=$P(^DD(9001300.0412,F,0),U,4)
  1.  .S N=$P(Y,";")
  1.  .S P=$P(Y,";",2)
  1.  .S J=$O(^APCMMUDP(RPT,12,"B","TOTAL",0))
  1.  .I 'J S ^APCMMUDP(RPT,12,0)="^9001300.0412A^1^1",^APCMMUDP(RPT,12,1,0)="TOTAL",^APCMMUDP(RPT,12,"B","TOTAL",1)="",J=1
  1.  .I VALUE?.N S $P(^APCMMUDP(RPT,12,J,N),U,P)=$P($G(^APCMMUDP(RPT,12,J,N)),U,P)+VALUE Q
  1.  .I VALUE'?.N S $P(^APCMMUDP(RPT,12,J,N),U,P)=VALUE
  1.  Q
  1. SETLIST ;EP
  1.  NEW P,APCMX,APCMO
  1.  Q:APCMTIME'=1
  1.  Q:'$D(APCMINDL(APCMIC))  ;not a selected topic
  1.  S APCMX=0 F  S APCMX=$O(APCMINDL(APCMIC,APCMX)) Q:APCMX'=+APCMX  D
  1.  .X ^APCMMUPL(APCMX,12) Q:'$T
  1.  .S APCMINDL(APCMIC,APCMX,APCMP)=$G(APCMINDL(APCMIC,APCMX,APCMP))+1
  1.  .S APCMO=$S(APCMRPTT=2:$P(^APCMMUPL(APCMX,0),U,6),1:$P(^APCMMUPL(APCMX,0),U,5))
  1.  .S P=$S(APCMRPTT=2:$P(^DIC(4,APCMP,0),U),1:$P(^VA(200,APCMP,0),U))
  1.  .S ^XTMP("APCM1D",APCMJ,APCMH,"LIST",$P(^APCMMUM(APCMIC,0),U,4),APCMIC,APCMO,APCMX,P,$S($P($G(^AUPNPAT(DFN,11)),U,18)]"":$P(^AUPNPAT(DFN,11),U,18),1:"UNKNOWN"),$P(^DPT(DFN,0),U,2),$$AGE^AUPNPAT(DFN,APCMBDAT),DFN)=$G(APCMVALU)
  1.  Q
  1. H100(R,BD,ED) ;
  1.  NEW ID,C,Y,X
  1.  S C=0
  1.  S ID=$$FMADD^XLFDT(BD,-1)
  1.  F  S ID=$O(^PSRX("AC",ID)) Q:ID'=+ID!(C>100)  D
  1.  .S X=0 F  S X=$O(^PSRX("AC",ID,X)) Q:X'=+X!(C>100)  D
  1.  ..Q:$P($G(^PSRX(X,0)),U,4)'=R
  1.  ..Q:$P($G(^PSRX(X,"STA")),"^")=13
  1.  ..;SKIP ER CLINIC OR H VISIT, GET VISIT FROM V MED
  1.  ..S VMED=$P($G(^PSRX(X,999999911)),U,1)
  1.  ..Q:'VMED
  1.  ..S V=$P($G(^AUPNVMED(VMED,0)),U,3)
  1.  ..Q:'V
  1.  ..Q:'$D(^AUPNVSIT(V,0))
  1.  ..Q:$P(^AUPNVSIT(V,0),U,7)="H"
  1.  ..Q:$$CLINIC^APCLV(V,"C")=30
  1.  ..S C=C+1
  1.  Q $S(C>100:1,1:"")
  1. VST(R,BD,ED) ;did this provider see anyone over 2
  1.  NEW SD,A,B,C,G,V,T
  1.  S T=$O(^APCMMUCN("B","INTERIM STAGE 1 2011",0))
  1.  S SD=$$FMADD^XLFDT(BD,-1)
  1.  S SD=SD_".9999"
  1.  S G=""
  1.  F  S SD=$O(^AUPNVSIT("B",SD)) Q:SD'=+SD!($P(SD,".")>ED)!($$GOTALL(G))  D
  1.  .S V=0 F  S V=$O(^AUPNVSIT("B",SD,V)) Q:V'=+V!($$GOTALL(G))  D
  1.  ..S B=0,C=0 F  S B=$O(^AUPNVPRV("AD",V,B)) Q:B'=+B  D
  1.  ...Q:'$D(^AUPNVPRV(B,0))
  1.  ...Q:$P(^AUPNVPRV(B,0),U,1)'=R
  1.  ...Q:$P(^AUPNVPRV(B,0),U,4)'="P"
  1.  ...S C=1
  1.  ..Q:'C
  1.  ..S $P(G,U,1)=1
  1.  ..I $$AGE^AUPNPAT($P(^AUPNVSIT(V,0),U,5),$P(BD,"."))>2 S $P(G,U,2)=1
  1.  ..I $$AGE^AUPNPAT($P(^AUPNVSIT(V,0),U,5),$P(BD,"."))>12 S $P(G,U,3)=1
  1.  ..S C=$$CLINIC^APCLV(V,"C")
  1.  ..I T,C]"",'$D(^APCMMUCN(T,14,"B",C)) S $P(G,U,4)=1  ;not an exclusion
  1.  ..I $D(^AUPNVIMM("AD",V)) S $P(G,U,5)=1  ;not an exclusion for imm reg
  1.  ..I $$DOB^AUPNPAT($P(^AUPNVSIT(V,0),U,5))>BD S A=$$AGE^AUPNPAT($P(^AUPNVSIT(V,0),U,5),BD) I A<6!(A>64) S $P(G,U,6)=1
  1.  Q G
  1.  ;
  1. GOTALL(%) ;EP
  1.  NEW Y
  1.  S Y=$P(%,U,1)+$P(%,U,2)+$P(%,U,3)+$P(%,U,4)+$P(%,U,5)+$P(%,U,6)
  1.  I Y=6 Q 1
  1.  Q 0
  1. VSTH(R,BD,ED) ;did this HOSPITAL HAVE THESE VISITS
  1.  NEW SD,A,B,C,G,V,T,O,P,Q,E,J,S
  1.  S T=$O(^APCMMUCN("B","INTERIM STAGE 1 2011",0))
  1.  S SD=$$FMADD^XLFDT(BD,-1)
  1.  S SD=SD_".9999"
  1.  S G=""
  1.  F  S SD=$O(^AUPNVSIT("B",SD)) Q:SD'=+SD!($P(SD,".")>ED)!($$GOTALLH(G))  D
  1.  .S V=0 F  S V=$O(^AUPNVSIT("B",SD,V)) Q:V'=+V!($$GOTALLH(G))  D
  1.  ..Q:$P(^AUPNVSIT(V,0),U,6)'=R
  1.  ..Q:'$$HOSER^APCM11E6(V,R)
  1.  ..S $P(G,U,1)=1
  1.  ..S A=$$AGE^AUPNPAT($P(^AUPNVSIT(V,0),U,5),$P(BD,".")) I A>2 S $P(G,U,2)=1
  1.  ..I A>12 S $P(G,U,3)=1
  1.  ..;S C=$$CLINIC^APCLV(V,"C")
  1.  ..;I T,C]"",'$D(^APCMMUCN(T,14,"B",C)) S $P(G,U,4)=1  ;not an exclusion
  1.  ..S $P(G,U,4)=1
  1.  ..I $D(^AUPNVIMM("AD",V)) S $P(G,U,5)=1  ;not an exclusion for imm reg
  1.  ..;check age
  1.  ..I A<6!(A>64) S $P(G,U,6)=1
  1.  ..I $P(^AUPNVSIT(V,0),U,7)="H" S A=$$AGE^AUPNPAT($P(^AUPNVSIT(V,0),U,5),$$VD^APCLV(V)) I A>64 S $P(G,U,7)=1
  1.  ..;was there any requests for electronic discharge instructions?  check TIU notes
  1.  ..I $$TIUDCEL(V) S $P(G,U,9)=1
  1.  ..;is there a referral for this visit?
  1.  ..S P=$P(^AUPNVSIT(V,0),U,5),J=""
  1.  ..S O=$$FMADD^XLFDT($$VD^APCLV(V),-1),E=$$FMADD^XLFDT($$DSCHDATE^APCM11E6(V),1),J=""
  1.  ..F  S O=$O(^BMCREF("AA",P,O)) Q:O'=+O!(J)!(O>E)  D
  1.  ...S Q=0 F  S Q=$O(^BMCREF("AA",P,O,Q)) Q:Q'=+Q!(J)  D
  1.  ....S S=$P(^BMCREF(Q,0),U,15)
  1.  ....I S'="A",S'="C1" Q  ;not a A or C1
  1.  ....Q:$P(^BMCREF(Q,0),U,4)="N"
  1.  ....Q:$P(^BMCREF(Q,0),U,5)'=R
  1.  ....S J=1
  1.  ..I J=1 S $P(G,U,8)=1
  1.  Q G
  1. TIUDCEL(%) ;any electronic dc instruction TIU Notes
  1.  NEW A,B,C
  1.  S A=0,B=0 F  S A=$O(^AUPNVNOT("AD",%,A)) Q:A'=+A!(B)  D
  1.  .S C=$$VAL^XBDIQ1(9000010.28,A,.01)
  1.  .I $$UP^XLFSTR(C)="E-COPY DISCHARGE INSTR RECEIVED" S B=1 Q
  1.  .I $$UP^XLFSTR(C)="E-COPY DISCHARGE INSTR NOT RECEIVED" S B=1 Q
  1.  Q B
  1. GOTALLH(%) ;EP
  1.  NEW Y
  1.  S Y=$P(%,U,1)+$P(%,U,2)+$P(%,U,3)+$P(%,U,4)+$P(%,U,5)+$P(%,U,6)+$P(%,U,7)+$P(%,U,8)+$P(%,U,9)
  1.  I Y=9 Q 1
  1.  Q 0
  1. ROI ;
  1.  NEW X
  1.  S X=$O(^APCMMUM("B","S1.011.EP",0))
  1.  I '$D(APCMIND(X)) Q  ;don't bother as this measure isn't in the report
  1.  NEW APCMD,APCMX,APCMPAT,X,APCMP
  1.  K APCMECHI
  1.  S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  S APCMECHI(X,1)=""
  1.  S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  S APCMECHI(X,2)=""
  1.  ;LOOP THROUGH ROI AND IF I FIND 1 FOR THE PROVIDER THEN KILL OFF APCMECHI - exclusion
  1.  S APCMD=$$FMADD^XLFDT(APCMBD,-1)
  1.  S APCM4D=$$FMADD^XLFDT(APCMED,-4)
  1.  F  S APCMD=$O(^BRNREC("B",APCMD)) Q:APCMD'=+APCMD!(APCMD>APCM4D)  D
  1.  .S APCMX=0 F  S APCMX=$O(^BRNREC("B",APCMD,APCMX)) Q:APCMX'=+APCMX  D
  1.  ..Q:$P($G(^BRNREC(APCMX,11)),U,1)'="E"  ;not an electronic request
  1.  ..S APCMPAT=$P($G(^BRNREC(APCMX,0)),U,3)
  1.  ..K APCMVSTS,APCMHVTP
  1.  ..D ALLV^APCLAPIU(APCMPAT,$$FMADD^XLFDT(APCMED,-365),APCMED,"APCMVSTS")
  1.  ..S APCMP=0 F  S APCMP=$O(APCMPRV(APCMP)) Q:APCMP'=+APCMP  D
  1.  ...S APCMHV=$$HADV^APCM11CI(APCMPAT,APCMP,$$FMADD^XLFDT(APCMED,-365),APCMED,.APCMVSTS)
  1.  ...Q:'APCMHV
  1.  ...K APCMECHI(APCMP,1)  ;had a visit with this patient and thus had a request, so no exclusion
  1.  Q:'$G(APCMWPP)
  1.  S APCMD=$$FMADD^XLFDT(APCMPBD,-1)
  1.  S APCM4D=$$FMADD^XLFDT(APCMPED,-4)
  1.  F  S APCMD=$O(^BRNREC("B",APCMD)) Q:APCMD'=+APCMD!(APCMD>APCM4D)  D
  1.  .S APCMX=0 F  S APCMX=$O(^BRNREC("B",APCMD,APCMX)) Q:APCMX'=+APCMX  D
  1.  ..Q:$P($G(^BRNREC(APCMX,11)),U,1)'="E"  ;not an electronic request
  1.  ..S APCMPAT=$P($G(^BRNREC(APCMX,0)),U,3)
  1.  ..K APCMVSTS,APCMHVTP
  1.  ..D ALLV^APCLAPIU(APCMPAT,$$FMADD^XLFDT(APCMPED,-365),APCMPED,"APCMVSTS")
  1.  ..S APCMP=0 F  S APCMP=$O(APCMPRV(APCMP)) Q:APCMP'=+APCMP  D
  1.  ...S APCMHV=$$HADV^APCM11CI(APCMPAT,APCMP,$$FMADD^XLFDT(APCMPED,-365),APCMPED,.APCMVSTS)
  1.  ...Q:'APCMHV
  1.  ...K APCMECHI(APCMP,2)  ;had a visit with this patient and thus had a request, so no exclusion
  1.  Q
  1. RCIS ;did provider have any referrals for patients he/she saw
  1.  NEW X
  1.  S X=$O(^APCMMUM("B","S1.023.EP",0))
  1.  I '$D(APCMIND(X)) Q  ;don't bother as this measure isn't in the report
  1.  NEW APCMD,APCMX,APCMPAT,X,APCMP
  1.  K APCMRCIS
  1.  S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  S APCMRCIS(X,1)=""
  1.  S X=0 F  S X=$O(APCMPRV(X)) Q:X'=+X  S APCMRCIS(X,2)=""
  1.  ;LOOP THROUGH ROI AND IF I FIND 1 FOR THE PROVIDER THEN KILL OFF APCMRCIS - exclusion
  1.  S APCMD=$$FMADD^XLFDT(APCMBD,-1)
  1.  F  S APCMD=$O(^BMCREF("B",APCMD)) Q:APCMD'=+APCMD!(APCMD>APCMED)  D
  1.  .S APCMX=0 F  S APCMX=$O(^BMCREF("B",APCMD,APCMX)) Q:APCMX'=+APCMX  D
  1.  ..S APCMPAT=$P($G(^BMCREF(APCMX,0)),U,3)
  1.  ..S R=$P(^BMCREF(APCMX,0),U,6)
  1.  ..Q:R=""
  1.  ..Q:'$D(APCMPRV(R))  ;NOT A PROVIDER WE WANT
  1.  ..S S=$P(^BMCREF(APCMX,0),U,15)
  1.  ..I S'="A",S'="C1" Q  ;not a A or C1
  1.  ..Q:$P(^BMCREF(APCMX,0),U,4)="N"
  1.  ..;K APCMVSTS,APCMHVTP
  1.  ..;D ALLV^APCLAPIU(APCMPAT,APCMBD,APCMED,"APCMVSTS")
  1.  ..;S APCMP=0 F  S APCMP=$O(APCMPRV(APCMP)) Q:APCMP'=+APCMP  D
  1.  ..;.S APCMHV=$$HADV^APCM11CI(APCMPAT,APCMP,APCMBD,APCMED,.APCMVSTS)
  1.  ..;.Q:'APCMHV
  1.  ..K APCMRCIS(R,1)  ;had a visit with this patient and had a referral for this patient so no exclusion
  1.  Q:'$G(APCMWPP)
  1.  S APCMD=$$FMADD^XLFDT(APCMPBD,-1)
  1.  F  S APCMD=$O(^BMCREF("B",APCMD)) Q:APCMD'=+APCMD!(APCMD>APCMPED)  D
  1.  .S APCMX=0 F  S APCMX=$O(^BMCREF("B",APCMD,APCMX)) Q:APCMX'=+APCMX  D
  1.  ..S APCMPAT=$P($G(^BMCREF(APCMX,0)),U,3)
  1.  ..S R=$P(^BMCREF(APCMX,0),U,6)
  1.  ..Q:R=""
  1.  ..Q:'$D(APCMPRV(R))  ;NOT A PROVIDER WE WANT
  1.  ..S S=$P(^BMCREF(APCMX,0),U,15)
  1.  ..I S'="A",S'="C1" Q  ;not a A or C1
  1.  ..Q:$P(^BMCREF(APCMX,0),U,4)="N"
  1.  ..;K APCMVSTS,APCMHVTP
  1.  ..;D ALLV^APCLAPIU(APCMPAT,APCMPBD,APCMPED,"APCMVSTS")
  1.  ..;S APCMP=0 F  S APCMP=$O(APCMPRV(APCMP)) Q:APCMP'=+APCMP  D
  1.  ..;.S APCMHV=$$HADV^APCM11CI(APCMPAT,APCMP,APCMPBD,APCMPED,.APCMVSTS)
  1.  ..;.Q:'APCMHV
  1.  ..K APCMRCIS(R,2)  ;had a visit with this patient and thus had a request, so no exclusion
  1.  Q