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Routine: BDMD01A

BDMD01A.m

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  1. BDMD01A ; IHS/CMI/LAB -IHS -CUMULATIVE REPORT ;
  1.  ;;2.0;DIABETES MANAGEMENT SYSTEM;**3**;JUN 14, 2007
  1.  ;
  1.  ;
  1. ACE ;
  1.  I $Y>(BDMIOSL-6) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(110)) W !!,$P(V,U)
  1.  W !?7,"Use in pts with known hypertension",?53,$$C($P(V,U,7)),?65,$$P($P(V,U,5),$P(V,U,7))
  1.  W !?7,"Use in pts with albuminuria",?53,$$C($P(V,U,8)),?65,$$P($P(V,U,4),$P(V,U,8))
  1. ASPIRIN ;
  1.  I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(100)) W !!,$P(V,U)
  1.  W !?7,"Aspirin or other Antiplatelet Rx",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"None",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Refused or Adverse reaction",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1. LIPID ;
  1.  I $Y>(BDMIOSL-11) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(115)) W !!,$P(V,U)
  1.  W !?7,"Single lipid agent",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"Two or more lipid agents",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"None or refused",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !!?7,"Of the ",$P(V,U,13)," pts using one or more lipid agents:"
  1.  W !?9,"Statin (simvastatin, others)",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,13),$P(V,U,6))
  1.  W !?9,"Fibrate (gemfibrozil/Lopid, others)",?53,$$C($P(V,U,7)),?65,$$P($P(V,U,13),$P(V,U,7))
  1.  W !?9,"Niacin (Niaspan, OTC niacin)",?53,$$C($P(V,U,8)),?65,$$P($P(V,U,13),$P(V,U,8))
  1.  W !?9,"Bile Acid Sequestrant (cholestyramine)",?53,$$C($P(V,U,9)),?65,$$P($P(V,U,13),$P(V,U,9))
  1.  W !?9,"Ezetimibe (Zetia)",?53,$$C($P(V,U,10)),?65,$$P($P(V,U,13),$P(V,U,10))
  1.  W !?9,"Fish Oil - Rx or OTC",?53,$$C($P(V,U,11)),?65,$$P($P(V,U,13),$P(V,U,11))
  1.  W !?9,"Lovaza",?53,$$C($P(V,U,12)),?65,$$P($P(V,U,13),$P(V,U,12))
  1. EXAMS ;
  1.  I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(120)) W !!,$P(V,U),?69,"(% refused)"
  1.  W !?7,"Foot Exam - Neuro & Vasc",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3)),?71,"( ",$$P($P(V,U,2),$P(V,U,6))," )"
  1.  W !?7,"Eye Exam - Dilated",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4)),?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?7,"Dental Exam",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5)),?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
  1.  ;
  1. EDUC ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(130)) W !!,$P(V,U),?69,"(% refused)"
  1.  W !?7,"Diet Instruction by any provider",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3)),?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?7,"Diet Instruction by RD",?53,$$C($P(V,U,10)),?65,$$P($P(V,U,2),$P(V,U,10)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?7,"Exercise Instruction",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4)),?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
  1.  W !?7,"Other Diabetes Education",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5)),?71,"( ",$$P($P(V,U,2),$P(V,U,9))," )"
  1.  W !?7,"Any of above Self-Management Topics",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,6))
  1. IMM ;
  1.  I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(140)) W !!,$P(V,U),?69,"(% refused)"
  1.  W !?7,"Seasonal Flu Vaccine during audit period",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3)),?71,"( ",$$P($P(V,U,2),$P(V,U,6))," )"
  1.  W !?7,"Pneumovax - ever",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4)),?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?7,"Td or Tdap (q 10 yrs)",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5)),?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
  1. DEP ;
  1.  I $Y>(BDMIOSL-6) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(300)) W !!,"DEPRESSION identified as an active dx"
  1.  W !?7,"Yes",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  S Z=$P(V,U,2)-$P(V,U,3)
  1.  W !?7,"No",?53,$$C(Z),?65,$$P($P(V,U,2),Z)
  1.  ;screening
  1.  I $Y>(BDMIOSL-13) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(301))
  1.  W !!?7,"Of the ",Z," pts without an active dx"
  1.  W !?7,"of depression, proportion screened"
  1.  W !?7,"for depression in past year:"
  1.  W !?13,"Screened",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?13,"Not Screened",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?13,"Refused Screening",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  ;
  1. CREAT ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(170)) S T=$P(V,U,3)+$P(V,U,4)
  1.  W !!,"Creatinine obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"Creatinine >= 2.0 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"Creatinine < 2.0 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Creatinine not tested/unknown",?53,$$C($P(V,U,5)+$P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,5)+$P(V,U,6))
  1.  ;
  1. GFR ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(175)) S T=$P(V,U,5)
  1.  W !!,"Estimated GFR documented during audit period",?53,$$C(T),?65,$$P($P(BDMCUML(175),U,2),T)
  1.  ;
  1. TOTAL ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(180))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)
  1.  W !!,"Total Cholesterol obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"Desirable    (<200 mg/dl)",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"Borderline   (200-239 mg/dl)",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"High         (240 mg/dl or more)",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"Not tested/unknown",?53,$$C($P(V,U,6)+$P(V,U,7)),?65,$$P($P(V,U,2),$P(V,U,6)+$P(V,U,7))
  1. LDL ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(190))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!,"LDL Cholesterol obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"LDL <100 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"LDL 100-129 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"LDL 130-160 mg/dl",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"LDL >160",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"Not tested/unknown",?53,$$C($P(V,U,7)+$P(V,U,8)),?65,$$P($P(V,U,2),$P(V,U,7)+$P(V,U,8))
  1. HDL ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(195))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!,"HDL Cholesterol obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"HDL <35 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"HDL 35-45 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"HDL 46-55 mg/dl",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"HDL >55",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"Not tested/unknown",?53,$$C($P(V,U,7)+$P(V,U,8)),?65,$$P($P(V,U,2),$P(V,U,7)+$P(V,U,8))
  1. TRIG ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(200))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!,"Triglycerides obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"TG <150 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"TG 150-199 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"TG 200-400 mg/dl",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"TG >400 mg/dl",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"Not tested/unknown",?53,$$C($P(V,U,7)+$P(V,U,8)),?65,$$P($P(V,U,2),$P(V,U,7)+$P(V,U,8))
  1.  ;
  1. URIN ;
  1.  I $Y>(BDMIOSL-14) D HEADER Q:BDMQUIT
  1.  W !!,"LABORATORY EXAMS",!
  1.  S V=$G(BDMCUML(145))
  1.  W !,"Urine protein tested during audit period"
  1.  W !?7,"Yes",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"No",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Refused",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !!,"Of the ",$$C($P(V,U,3))," pts tested:"
  1.  W !?7,"Urine Albumin:Creatinine Ratio (UACR)",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,3),$P(V,U,6))
  1.  W !?7,"Urine Protein:Creatinine Ratio (UPCR)",?53,$$C($P(V,U,7)),?65,$$P($P(V,U,3),$P(V,U,7))
  1.  W !?7,"24 hr urine protein",?53,$$C($P(V,U,8)),?65,$$P($P(V,U,3),$P(V,U,8))
  1.  W !?7,"Microalbumin:creat strip (e.g. Clinitek)",?53,$$C($P(V,U,9)),?65,$$P($P(V,U,3),$P(V,U,9))
  1.  W !?7,"Microalbumin only (e.g. Micral)",?53,$$C($P(V,U,10)),?65,$$P($P(V,U,3),$P(V,U,10))
  1.  W !?7,"Standard UA dipstick protein",?53,$$C($P(V,U,11)),?65,$$P($P(V,U,3),$P(V,U,11))
  1.  ;W !!,"Of the ",($$C(($P(V,U,6)+$P(V,U,7)+$P(V,U,10))))," pts tested with an A:C ratio or"
  1.  ;W !,"with 1+ protein or more on std UA dipstick:"
  1.  ;S S=$P(V,U,6)+$P(V,U,7)+$P(V,U,10)
  1.  ;W !?7,"Normal urine albumin",?53,$$C($P(V,U,12)),?65,$$P(S,$P(V,U,12))
  1.  ;W !?7,"Microalbuminuria",?53,$$C($P(V,U,13)),?65,$$P(S,$P(V,U,13))
  1.  ;W !?7,"Overt proteinuria",?53,$$C($P(V,U,14)),?65,$$P(S,$P(V,U,14))
  1.  ;
  1. EKG ;
  1.  I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(150)) W !!,$P(V,U)
  1.  W !?7,"Performed in past 3 years",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"Performed in past 5 years",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Ever performed",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1. TBC ;
  1.  I $Y>(BDMIOSL-11) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(70)) W !!,$P(V,U)
  1.  W !?7,"TB test +, untreated/incomplete or tx unknown",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"TB test +,INH treatment complete",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !!?7,"TB test -, placed after DM diagnosis",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"TB test -, placed before DM diagnosis",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"TB test -, date of Dx or TB test date unknown",?53,$$C($P(V,U,8)),?65,$$P($P(V,U,2),$P(V,U,8))
  1.  S X=$P(V,U,7)  ;+$P(V,U,9)
  1.  W !?7,"TB test status unknown",?53,$$C(X),?65,$$P($P(V,U,2),X)
  1.  ;W !?7,"TB test Refused",?53,$$C($P(V,U,9)),?65,$$P($P(V,U,2),$P(V,U,9))
  1.  ;
  1.  ;
  1. SDM ;
  1.  Q
  1. EXIT ;
  1.  I $E(IOST)="C",IO=IO(0) W ! S DIR(0)="EO",DIR("A")="End of report.  Press ENTER" D ^DIR K DIR S:$D(DUOUT) DIRUT=1
  1.  Q
  1. CALC(N,O) ;ENTRY POINT
  1.  ;O is old
  1.  NEW Z
  1.  I O=0!(N=0) Q "**"
  1.  NEW X,X2,X3
  1.  S X=N,X2=1,X3=0 D COMMA^%DTC S N=X
  1.  S X=O,X2=1,X3=0 D COMMA^%DTC S O=X
  1.  S Z=(((N-O)/O)*100),Z=$FN(Z,"+,",1)
  1.  Q Z
  1. P(D,N) ;return %
  1.  I 'D Q ""
  1.  I 'N Q "  0%"
  1.  NEW X S X=N/D,X=X*100,X=$J(X,3,0)
  1.  Q X_"%"
  1. C(X,X2,X3) ;
  1.  I '$G(X2) S X2=0
  1.  I '$G(X3) S X3=6
  1.  D COMMA^%DTC
  1.  Q X
  1.  G:'BDMPG HEADER1
  1.  W !
  1.  K DIR I $E(IOST)="C",IO=IO(0) W ! S DIR(0)="EO" D ^DIR K DIR I Y=0!(Y="^")!($D(DTOUT)) S BDMQUIT=1 Q
  1. HEADER1 ;
  1.  W:$D(IOF) @IOF S BDMPG=BDMPG+1
  1.  I $G(BDMGUI) W !,"ZZZZZZZ"
  1.  W !?3,$P(^VA(200,DUZ,0),U,2),?35,$$FMTE^XLFDT(DT),?70,"Page ",BDMPG,!
  1.  W !,$$CTR("***  HEALTH STATUS OF DIABETIC PATIENTS  ***",80),!
  1.  W $$CTR($P(^DIC(4,$S($G(BDMDUZ2):BDMDUZ2,1:DUZ(2)),0),U)),!
  1.  S X="Reporting Period: "_$$FMTE^XLFDT(BDMBDAT)_" to "_$$FMTE^XLFDT(BDMADAT) W $$CTR(X,80),!
  1.  W !,$TR($J("",80)," ","-")
  1.  W !!,$P(BDMCUML(10),U,2)," patients were reviewed"
  1.  W ?55," n",?63,"Percent"
  1.  Q
  1. CTR(X,Y) ;EP - Center X in a field Y wide.
  1.  Q $J("",$S($D(Y):Y,1:IOM)-$L(X)\2)_X
  1.  ;----------
  1. USR() ;EP - 
  1.  Q $S($G(DUZ):$S($D(^VA(200,DUZ,0)):$P(^(0),U),1:"UNKNOWN"),1:"DUZ UNDEFINED OR 0")
  1.  ;----------
  1. LOC() ;EP - Return location name from file 4 based on DUZ(2).
  1.  Q $S($G(DUZ(2)):$S($D(^DIC(4,DUZ(2),0)):$P(^(0),U),1:"UNKNOWN"),1:"DUZ(2) UNDEFINED OR 0")
  1.  ;----------