- APCM13E9 ;IHS/CMI/LAB - IHS MU;
- ;;1.0;IHS MU PERFORMANCE REPORTS;**2,4,5,6**;MAR 26, 2012;Build 65
- ;;;;;;Build 3
- ;IHS/CMI/LAB - PATCH 4 REMOVED CPOE KEY LOGIC
- CPOE ;EP - CALCULATE EPRESCRIBING
- ;for each provider or for the facility count all prescriptions that meet criteria and if it is not written it meets numerator
- K ^TMP($J,"PATSRX")
- K APCMRXS
- D TOTRX
- K ^TMP($J,"ORDERSPROCESSED")
- NEW APCMP,N,F
- S (APCMD1,APCMN1)=0
- I APCMRPTT=1 S APCMP=0 F S APCMP=$O(APCMPRV(APCMP)) Q:APCMP'=+APCMP D
- .I $P($G(APCMRXS(APCMP)),U,1)<100 S F=$P(^APCM13OB(APCMIC,0),U,11) D G D
- ..D S^APCM13E1(APCMRPT,APCMIC,"Provider is excluded from this measure as he/she had < 100 medication orders during the EHR reporting period.",APCMP,APCMRPTT,APCMTIME,F,1)
- D .;set denominator value into field
- .S F=$P(^APCM13OB(APCMIC,0),U,8) ;denom field for this measure
- .S N=$P($G(APCMRXS(APCMP)),U,1) ;returns # of prescriptions^# not written by nature of order
- .D S^APCM13E1(APCMRPT,APCMIC,N,APCMP,APCMRPTT,APCMTIME,F)
- .;now set patient list for this provider
- .S P=0 F S P=$O(^TMP($J,"PATSRX",APCMP,P)) Q:P'=+P D
- ..S D=$P(^TMP($J,"PATSRX",APCMP,P),U,1),N=$P(^TMP($J,"PATSRX",APCMP,P),U,2) S APCMVALU="# Orders: "_D_"|||"_"# CPOE: "_N_" # NOT CPOE: "_(D-N)
- ..S DFN=P D SETLIST^APCM13E1
- .;numerator?
- .S F=$P(^APCM13OB(APCMIC,0),U,9)
- .S N=$P($G(APCMRXS(APCMP)),U,2)
- .D S^APCM13E1(APCMRPT,APCMIC,N,APCMP,APCMRPTT,APCMTIME,F)
- I APCMRPTT=2 D
- .S APCMP=APCMFAC
- .S F=$P(^APCM13OB(APCMIC,0),U,8) ;denom field for this measure
- .S N=$P($G(APCMRXS(APCMFAC)),U,1) ;returns # of prescriptions^# not written by nature of order
- .D S^APCM13E1(APCMRPT,APCMIC,N,APCMFAC,APCMRPTT,APCMTIME,F)
- .;now set patient list for this FACILITY
- .S P=0 F S P=$O(^TMP($J,"PATSRX",APCMFAC,P)) Q:P'=+P D
- ..S D=$P(^TMP($J,"PATSRX",APCMFAC,P),U,1),N=$P(^TMP($J,"PATSRX",APCMFAC,P),U,2) S APCMVALU="# Orders: "_D_"|||"_"# CPOE: "_N_" # NOT CPOE: "_(D-N)
- ..S DFN=P D SETLIST^APCM13E1
- .;numerator?
- .S F=$P(^APCM13OB(APCMIC,0),U,9)
- .S N=$P($G(APCMRXS(APCMFAC)),U,2)
- .D S^APCM13E1(APCMRPT,APCMIC,N,APCMFAC,APCMRPTT,APCMTIME,F)
- K ^TMP($J,"PATSRX")
- Q
- TOTRX ;EP - did patient have a RX in file 52 with an issue date
- ;between BD and ED
- ;SET ARRAY APCMRXS to APCMRXS(prov ien)=denom^numer
- K ^TMP($J,"ORDERSPROCESSED")
- NEW ID,C,Y,X,D,S,N,A,B,R,PAT,G,ORIEN,ORPFILE,ORPTST,ORNS,PATLOC,ORACT0,ORORD,ORDEB
- S ID=$$FMADD^XLFDT(APCMBDAT,-1),ID=ID_".9999"
- F S ID=$O(^OR(100,"AF",ID)) Q:ID'=+ID!($P(ID,".")>APCMEDAT) D
- .S ORIEN=0 F S ORIEN=$O(^OR(100,"AF",ID,ORIEN)) Q:ORIEN'=+ORIEN D
- ..Q:$D(^TMP($J,"ORDERSPROCESSED",ORIEN))
- ..S ^TMP($J,"ORDERSPROCESSED",ORIEN)=""
- ..S ORPFILE=$P($G(^OR(100,ORIEN,0)),"^",2) Q:ORPFILE="" ;Quit if no object of order
- ..Q:$P(ORPFILE,";",2)'["DPT" ;only patient orders
- ..S PAT=+$P($G(^OR(100,ORIEN,0)),U,2) ;GET Patient DFN
- ..Q:$$DEMO^APCLUTL(PAT,APCMDEMO) ;Quit if demo patient
- ..Q:+$P($G(^OR(100,ORIEN,3)),"^",11)'=0 ;190 quit if order type not standard
- ..S ORPTST=$P($G(^OR(100,ORIEN,0)),"^",12) ;patient status (in/out)
- ..S ORNS=$$NMSP($P($G(^OR(100,ORIEN,0)),"^",14)) ;get package namespace
- ..I ORNS'="PS" Q ;if not getting all types of orders then quit if order is not from pharmacy
- ..S ORACT0=$G(^OR(100,ORIEN,8,1,0))
- ..Q:$P(ORACT0,U,1)'=ID
- ..S ORORD=$P(ORACT0,"^",12) ;ORORD holds nature of order ien
- ..Q:ORORD=4 ;skip service corrections
- ..S ORPVID=$P(ORACT0,"^",3)
- ..;I ORPTST="O",ORNS="PS",$G(^OR(100,ORIEN,4))=+$G(^OR(100,ORIEN,4)),$L($T(EN^PSOTPCUL)) Q:$$EN^PSOTPCUL($G(^OR(100,ORIEN,4))) ;196 Don't count if outpatient pharm order is a transitional pharmacy benefit order
- ..S G=0
- ..I APCMRPTT=1 D
- ...Q:ORPTST'="O" ;Quit if patient status is not outpatient and in EP report
- ...S ORPVID=$P(ORACT0,"^",3) Q:'$D(APCMPRV(ORPVID)) ;quit if ordering provider doesn't match user selected provider
- ...S PATLOC=+$P($G(^OR(100,ORIEN,0)),U,10)
- ...S C="" I PATLOC,$D(^SC(PATLOC,0)) S C=$P(^SC(PATLOC,0),U,7) I C Q:$P($G(^DIC(40.7,C,0)),U,2)=30 ;IF ER IN HOSP LOC Q
- ...S G=1
- ..I APCMRPTT=2 D
- ...I ORPTST="I" S G=1 Q
- ...S PATLOC=+$P($G(^OR(100,ORIEN,0)),U,10)
- ...Q:'PATLOC
- ...S C="" I PATLOC,$D(^SC(PATLOC,0)) S C=$P(^SC(PATLOC,0),U,7) I C Q:$P($G(^DIC(40.7,C,0)),U,2)'=30 ;IF NOT ER IN HOSP LOC Q
- ...I PATLOC,$D(^SC(PATLOC,0)) S C=$P(^SC(PATLOC,0),U,4) I C,C'=APCMFAC Q
- ...S G=1
- ..Q:'G
- ..S ORORD=$P(ORACT0,"^",12) ;ORORD holds nature of order ien
- ..;S ORPVNM=$P($G(^VA(200,ORPVID,0)),"^") ;get provider name
- ..;Q:'$D(^XUSEC("ORES",ORPVID)) ;quit if ordering provider doesn't have ORES key DBIA # 10076 allows direct read of XUSEC =====> PM
- ..;Q:"^1^2^3^5^8^"'[("^"_ORORD_"^") ;quit if NATUS O=$O(^OR(100,"AF" ====> PM REPORT BUT NOT IN IHS MU LOGIC
- ..;SET DENOM COUNT FOR THIS EP = INCREMENT BY 1
- ..;I DUZ=2793 W !,"PAT: ",$P(^DPT(PAT,0),U,1),"DATE: ",$$FMTE^XLFDT(ID)," ORDER: ",ORIEN," NATURE: ",ORORD
- ..I APCMRPTT=1 S $P(APCMRXS(ORPVID),U,1)=$P($G(APCMRXS(ORPVID)),U,1)+1,$P(^TMP($J,"PATSRX",ORPVID,PAT),U,1)=$P($G(^TMP($J,"PATSRX",ORPVID,PAT)),U,1)+1
- ..I APCMRPTT=2 S $P(APCMRXS(APCMFAC),U,1)=$P($G(APCMRXS(APCMFAC)),U,1)+1,$P(^TMP($J,"PATSRX",APCMFAC,PAT),U,1)=$P($G(^TMP($J,"PATSRX",APCMFAC,PAT)),U,1)+1
- ..;
- ..;now check to see if it has a nature of order IS equal to 1-written if so, quit and don't set numerator
- ..I ORORD=1 Q ;this is a written order so do not put in numerator
- ..S ORDEB=$P(^OR(100,ORIEN,8,1,0),"^",13) ;this is the person who entered the order (ENTERED BY)
- ..;Q:'$$ORES(ORDEB,$P(ID,".",1)) ;quit if this person does not have ORES or ORESLE on date of order so don't count in numerator
- ..; DUZ=2793 W " NUMER"
- ..I APCMRPTT=1 S $P(APCMRXS(ORPVID),U,2)=$P(APCMRXS(ORPVID),U,2)+1,$P(^TMP($J,"PATSRX",ORPVID,PAT),U,2)=$P($G(^TMP($J,"PATSRX",ORPVID,PAT)),U,2)+1
- ..I APCMRPTT=2 S $P(APCMRXS(APCMFAC),U,2)=$P($G(APCMRXS(APCMFAC)),U,2)+1,$P(^TMP($J,"PATSRX",APCMFAC,PAT),U,2)=$P($G(^TMP($J,"PATSRX",APCMFAC,PAT)),U,2)+1
- Q
- NMSP(PKG) ; -- Returns package namespace from pointer
- N Y S Y=$$GET1^DIQ(9.4,+PKG_",",1)
- S:$E(Y,1,2)="PS" Y="PS" S:Y="GMRV" Y="OR"
- Q Y
- ;
- ORES(R,D) ;EP - DID PROVIDER HAVE ORES OR ORESLE ON DATE D
- I '$G(R) Q ""
- I '$D(^VA(200,R,0)) Q ""
- NEW K,J
- S K=$O(^DIC(19.1,"B","ORES",0))
- S J=$O(^DIC(19.1,"B","ORELSE",0))
- I $D(^VA(200,R,51,K,0)),$P(^VA(200,R,51,K,0),U,3)'>D Q 1
- I $D(^VA(200,R,51,J,0)),$P(^VA(200,R,51,J,0),U,3)'>D Q 1
- Q ""
- APCM13E9 ;IHS/CMI/LAB - IHS MU;
- +1 ;;1.0;IHS MU PERFORMANCE REPORTS;**2,4,5,6**;MAR 26, 2012;Build 65
- +2 ;;;;;;Build 3
- +3 ;IHS/CMI/LAB - PATCH 4 REMOVED CPOE KEY LOGIC
- CPOE ;EP - CALCULATE EPRESCRIBING
- +1 ;for each provider or for the facility count all prescriptions that meet criteria and if it is not written it meets numerator
- +2 KILL ^TMP($JOB,"PATSRX")
- +3 KILL APCMRXS
- +4 DO TOTRX
- +5 KILL ^TMP($JOB,"ORDERSPROCESSED")
- +6 NEW APCMP,N,F
- +7 SET (APCMD1,APCMN1)=0
- +8 IF APCMRPTT=1
- SET APCMP=0
- FOR
- SET APCMP=$ORDER(APCMPRV(APCMP))
- IF APCMP'=+APCMP
- QUIT
- Begin DoDot:1
- +9 IF $PIECE($GET(APCMRXS(APCMP)),U,1)<100
- SET F=$PIECE(^APCM13OB(APCMIC,0),U,11)
- Begin DoDot:2
- +10 DO S^APCM13E1(APCMRPT,APCMIC,"Provider is excluded from this measure as he/she had < 100 medication orders during the EHR reporting period.",APCMP,APCMRPTT,APCMTIME,F,1)
- End DoDot:2
- GOTO D
- D ;set denominator value into field
- +1 ;denom field for this measure
- SET F=$PIECE(^APCM13OB(APCMIC,0),U,8)
- +2 ;returns # of prescriptions^# not written by nature of order
- SET N=$PIECE($GET(APCMRXS(APCMP)),U,1)
- +3 DO S^APCM13E1(APCMRPT,APCMIC,N,APCMP,APCMRPTT,APCMTIME,F)
- +4 ;now set patient list for this provider
- +5 SET P=0
- FOR
- SET P=$ORDER(^TMP($JOB,"PATSRX",APCMP,P))
- IF P'=+P
- QUIT
- Begin DoDot:2
- +6 SET D=$PIECE(^TMP($JOB,"PATSRX",APCMP,P),U,1)
- SET N=$PIECE(^TMP($JOB,"PATSRX",APCMP,P),U,2)
- SET APCMVALU="# Orders: "_D_"|||"_"# CPOE: "_N_" # NOT CPOE: "_(D-N)
- +7 SET DFN=P
- DO SETLIST^APCM13E1
- End DoDot:2
- +8 ;numerator?
- +9 SET F=$PIECE(^APCM13OB(APCMIC,0),U,9)
- +10 SET N=$PIECE($GET(APCMRXS(APCMP)),U,2)
- +11 DO S^APCM13E1(APCMRPT,APCMIC,N,APCMP,APCMRPTT,APCMTIME,F)
- End DoDot:1
- +12 IF APCMRPTT=2
- Begin DoDot:1
- +13 SET APCMP=APCMFAC
- +14 ;denom field for this measure
- SET F=$PIECE(^APCM13OB(APCMIC,0),U,8)
- +15 ;returns # of prescriptions^# not written by nature of order
- SET N=$PIECE($GET(APCMRXS(APCMFAC)),U,1)
- +16 DO S^APCM13E1(APCMRPT,APCMIC,N,APCMFAC,APCMRPTT,APCMTIME,F)
- +17 ;now set patient list for this FACILITY
- +18 SET P=0
- FOR
- SET P=$ORDER(^TMP($JOB,"PATSRX",APCMFAC,P))
- IF P'=+P
- QUIT
- Begin DoDot:2
- +19 SET D=$PIECE(^TMP($JOB,"PATSRX",APCMFAC,P),U,1)
- SET N=$PIECE(^TMP($JOB,"PATSRX",APCMFAC,P),U,2)
- SET APCMVALU="# Orders: "_D_"|||"_"# CPOE: "_N_" # NOT CPOE: "_(D-N)
- +20 SET DFN=P
- DO SETLIST^APCM13E1
- End DoDot:2
- +21 ;numerator?
- +22 SET F=$PIECE(^APCM13OB(APCMIC,0),U,9)
- +23 SET N=$PIECE($GET(APCMRXS(APCMFAC)),U,2)
- +24 DO S^APCM13E1(APCMRPT,APCMIC,N,APCMFAC,APCMRPTT,APCMTIME,F)
- End DoDot:1
- +25 KILL ^TMP($JOB,"PATSRX")
- +26 QUIT
- TOTRX ;EP - did patient have a RX in file 52 with an issue date
- +1 ;between BD and ED
- +2 ;SET ARRAY APCMRXS to APCMRXS(prov ien)=denom^numer
- +3 KILL ^TMP($JOB,"ORDERSPROCESSED")
- +4 NEW ID,C,Y,X,D,S,N,A,B,R,PAT,G,ORIEN,ORPFILE,ORPTST,ORNS,PATLOC,ORACT0,ORORD,ORDEB
- +5 SET ID=$$FMADD^XLFDT(APCMBDAT,-1)
- SET ID=ID_".9999"
- +6 FOR
- SET ID=$ORDER(^OR(100,"AF",ID))
- IF ID'=+ID!($PIECE(ID,".")>APCMEDAT)
- QUIT
- Begin DoDot:1
- +7 SET ORIEN=0
- FOR
- SET ORIEN=$ORDER(^OR(100,"AF",ID,ORIEN))
- IF ORIEN'=+ORIEN
- QUIT
- Begin DoDot:2
- +8 IF $DATA(^TMP($JOB,"ORDERSPROCESSED",ORIEN))
- QUIT
- +9 SET ^TMP($JOB,"ORDERSPROCESSED",ORIEN)=""
- +10 ;Quit if no object of order
- SET ORPFILE=$PIECE($GET(^OR(100,ORIEN,0)),"^",2)
- IF ORPFILE=""
- QUIT
- +11 ;only patient orders
- IF $PIECE(ORPFILE,";",2)'["DPT"
- QUIT
- +12 ;GET Patient DFN
- SET PAT=+$PIECE($GET(^OR(100,ORIEN,0)),U,2)
- +13 ;Quit if demo patient
- IF $$DEMO^APCLUTL(PAT,APCMDEMO)
- QUIT
- +14 ;190 quit if order type not standard
- IF +$PIECE($GET(^OR(100,ORIEN,3)),"^",11)'=0
- QUIT
- +15 ;patient status (in/out)
- SET ORPTST=$PIECE($GET(^OR(100,ORIEN,0)),"^",12)
- +16 ;get package namespace
- SET ORNS=$$NMSP($PIECE($GET(^OR(100,ORIEN,0)),"^",14))
- +17 ;if not getting all types of orders then quit if order is not from pharmacy
- IF ORNS'="PS"
- QUIT
- +18 SET ORACT0=$GET(^OR(100,ORIEN,8,1,0))
- +19 IF $PIECE(ORACT0,U,1)'=ID
- QUIT
- +20 ;ORORD holds nature of order ien
- SET ORORD=$PIECE(ORACT0,"^",12)
- +21 ;skip service corrections
- IF ORORD=4
- QUIT
- +22 SET ORPVID=$PIECE(ORACT0,"^",3)
- +23 ;I ORPTST="O",ORNS="PS",$G(^OR(100,ORIEN,4))=+$G(^OR(100,ORIEN,4)),$L($T(EN^PSOTPCUL)) Q:$$EN^PSOTPCUL($G(^OR(100,ORIEN,4))) ;196 Don't count if outpatient pharm order is a transitional pharmacy benefit order
- +24 SET G=0
- +25 IF APCMRPTT=1
- Begin DoDot:3
- +26 ;Quit if patient status is not outpatient and in EP report
- IF ORPTST'="O"
- QUIT
- +27 ;quit if ordering provider doesn't match user selected provider
- SET ORPVID=$PIECE(ORACT0,"^",3)
- IF '$DATA(APCMPRV(ORPVID))
- QUIT
- +28 SET PATLOC=+$PIECE($GET(^OR(100,ORIEN,0)),U,10)
- +29 ;IF ER IN HOSP LOC Q
- SET C=""
- IF PATLOC
- IF $DATA(^SC(PATLOC,0))
- SET C=$PIECE(^SC(PATLOC,0),U,7)
- IF C
- IF $PIECE($GET(^DIC(40.7,C,0)),U,2)=30
- QUIT
- +30 SET G=1
- End DoDot:3
- +31 IF APCMRPTT=2
- Begin DoDot:3
- +32 IF ORPTST="I"
- SET G=1
- QUIT
- +33 SET PATLOC=+$PIECE($GET(^OR(100,ORIEN,0)),U,10)
- +34 IF 'PATLOC
- QUIT
- +35 ;IF NOT ER IN HOSP LOC Q
- SET C=""
- IF PATLOC
- IF $DATA(^SC(PATLOC,0))
- SET C=$PIECE(^SC(PATLOC,0),U,7)
- IF C
- IF $PIECE($GET(^DIC(40.7,C,0)),U,2)'=30
- QUIT
- +36 IF PATLOC
- IF $DATA(^SC(PATLOC,0))
- SET C=$PIECE(^SC(PATLOC,0),U,4)
- IF C
- IF C'=APCMFAC
- QUIT
- +37 SET G=1
- End DoDot:3
- +38 IF 'G
- QUIT
- +39 ;ORORD holds nature of order ien
- SET ORORD=$PIECE(ORACT0,"^",12)
- +40 ;S ORPVNM=$P($G(^VA(200,ORPVID,0)),"^") ;get provider name
- +41 ;Q:'$D(^XUSEC("ORES",ORPVID)) ;quit if ordering provider doesn't have ORES key DBIA # 10076 allows direct read of XUSEC =====> PM
- +42 ;Q:"^1^2^3^5^8^"'[("^"_ORORD_"^") ;quit if NATUS O=$O(^OR(100,"AF" ====> PM REPORT BUT NOT IN IHS MU LOGIC
- +43 ;SET DENOM COUNT FOR THIS EP = INCREMENT BY 1
- +44 ;I DUZ=2793 W !,"PAT: ",$P(^DPT(PAT,0),U,1),"DATE: ",$$FMTE^XLFDT(ID)," ORDER: ",ORIEN," NATURE: ",ORORD
- +45 IF APCMRPTT=1
- SET $PIECE(APCMRXS(ORPVID),U,1)=$PIECE($GET(APCMRXS(ORPVID)),U,1)+1
- SET $PIECE(^TMP($JOB,"PATSRX",ORPVID,PAT),U,1)=$PIECE($GET(^TMP($JOB,"PATSRX",ORPVID,PAT)),U,1)+1
- +46 IF APCMRPTT=2
- SET $PIECE(APCMRXS(APCMFAC),U,1)=$PIECE($GET(APCMRXS(APCMFAC)),U,1)+1
- SET $PIECE(^TMP($JOB,"PATSRX",APCMFAC,PAT),U,1)=$PIECE($GET(^TMP($JOB,"PATSRX",APCMFAC,PAT)),U,1)+1
- +47 ;
- +48 ;now check to see if it has a nature of order IS equal to 1-written if so, quit and don't set numerator
- +49 ;this is a written order so do not put in numerator
- IF ORORD=1
- QUIT
- +50 ;this is the person who entered the order (ENTERED BY)
- SET ORDEB=$PIECE(^OR(100,ORIEN,8,1,0),"^",13)
- +51 ;Q:'$$ORES(ORDEB,$P(ID,".",1)) ;quit if this person does not have ORES or ORESLE on date of order so don't count in numerator
- +52 ; DUZ=2793 W " NUMER"
- +53 IF APCMRPTT=1
- SET $PIECE(APCMRXS(ORPVID),U,2)=$PIECE(APCMRXS(ORPVID),U,2)+1
- SET $PIECE(^TMP($JOB,"PATSRX",ORPVID,PAT),U,2)=$PIECE($GET(^TMP($JOB,"PATSRX",ORPVID,PAT)),U,2)+1
- +54 IF APCMRPTT=2
- SET $PIECE(APCMRXS(APCMFAC),U,2)=$PIECE($GET(APCMRXS(APCMFAC)),U,2)+1
- SET $PIECE(^TMP($JOB,"PATSRX",APCMFAC,PAT),U,2)=$PIECE($GET(^TMP($JOB,"PATSRX",APCMFAC,PAT)),U,2)+1
- End DoDot:2
- End DoDot:1
- +55 QUIT
- NMSP(PKG) ; -- Returns package namespace from pointer
- +1 NEW Y
- SET Y=$$GET1^DIQ(9.4,+PKG_",",1)
- +2 IF $EXTRACT(Y,1,2)="PS"
- SET Y="PS"
- IF Y="GMRV"
- SET Y="OR"
- +3 QUIT Y
- +4 ;
- ORES(R,D) ;EP - DID PROVIDER HAVE ORES OR ORESLE ON DATE D
- +1 IF '$GET(R)
- QUIT ""
- +2 IF '$DATA(^VA(200,R,0))
- QUIT ""
- +3 NEW K,J
- +4 SET K=$ORDER(^DIC(19.1,"B","ORES",0))
- +5 SET J=$ORDER(^DIC(19.1,"B","ORELSE",0))
- +6 IF $DATA(^VA(200,R,51,K,0))
- IF $PIECE(^VA(200,R,51,K,0),U,3)'>D
- QUIT 1
- +7 IF $DATA(^VA(200,R,51,J,0))
- IF $PIECE(^VA(200,R,51,J,0),U,3)'>D
- QUIT 1
- +8 QUIT ""
