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Routine: BDMD217

BDMD217.m

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BDMD217 ; IHS/CMI/LAB - 2001 DIABETES AUDIT ;
 ;;2.0;DIABETES MANAGEMENT SYSTEM;**2**;JUN 14, 2007
 ;
 ;cmi/anch/maw 9/10/2007 code set versioning in PLDMDXS
 ;
DIETEDUC(P,BDATE,EDATE)  ;EP
 NEW D,BD,ED,X,Y,%DT,D,G,BDMVRD,V,BDM,RD,NRD
 S (RD,NRD)=""
 S X=BDATE,%DT="P" D ^%DT S BD=Y
 S X=EDATE,%DT="P" D ^%DT S ED=Y
 S D=9999999-ED,(RD,NRD)="" ;is this right???
 F  S D=$O(^AUPNVSIT("AA",P,D)) Q:D=""!(D>(9999999-BD))  D
 .S V=0 F  S V=$O(^AUPNVSIT("AA",P,D,V)) Q:V'=+V  D
 ..Q:'$D(^AUPNVSIT(V,0))
 ..Q:$P(^AUPNVSIT(V,0),U,11)
 ..Q:'$P(^AUPNVSIT(V,0),U,9)
 ..Q:'$D(^AUPNVPOV("AD",V))
 ..Q:'$D(^AUPNVPRV("AD",V))
 ..Q:$$DNKA(V)
 ..I $$PRIMPROV^APCLV(V,"D")=29 S BDMVRD(V)="" Q
 ..I $$PRIMPROV^APCLV(V,"D")="07" S BDMVRD(V)="" Q
 ..I $$PRIMPROV^APCLV(V,"D")="34" S BDMVRD(V)="" Q
 ..Q
 .Q
 I $D(BDMVRD) S RD=1 ;a RD visit so a hit
 K BDM
 S X=P_"^EDUC [DM AUDIT DIET EDUC TOPICS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
 NEW BDMDED S X=0 F  S X=$O(BDM(X)) Q:X'=+X  S BDMDED($P(BDM(X),U,5))=$$PC(+$P(BDM(X),U,4))
 S X=0 F  S X=$O(BDMDED(X)) Q:X'=+X  D
 .I BDMDED(X)="07"!(BDMDED(X)=29)!(BDMDED(X)=34) S RD=1 Q
 .I '$D(BDMVRD(X)) S NRD=1 ;a topic with this is not an provider documented, no RD visit
 S G=0
 I RD!(NRD) Q $S(RD+NRD=2:"Yes (RD & Non RD)",RD:"Yes (RD)",1:"Yes (Non RD)")
 NEW T S T=$O(^ATXAX("B","DM AUDIT DIET EDUC TOPICS",0))
 I 'T Q "None"
 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  I $$REFUSAL(P,9999999.09,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE) S G=1
 I G Q "Refused"
 Q "None"
PC(V) ;return provider discipline of educ provider
 I 'V Q ""
 NEW X S X=$P(^AUPNVPED(V,0),U,5)
 I 'X Q ""
 ;IHS/CMI/LAB patch 11 01/11/2002
 I $P(^DD(9000010.16,.05,0),U,2)[200 Q $$PROVCLSC^XBFUNC1(X)
 NEW A S A=$P(^DIC(6,X,0),U,4)
 I 'A Q ""
 Q $P($G(^DIC(7,A,9999999)),U)
EXEDUC(P,BDATE,EDATE) ;EP
 NEW BDM,X,E,%,G
 S X=P_"^EDUC [DM AUDIT EXERCISE EDUC TOPICS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
 I $D(BDM(1)) Q "Yes"
 S G=0
 NEW T S T=$O(^ATXAX("B","DM AUDIT EXERCISE EDUC TOPICS",0))
 I 'T Q "No"
 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  I $$REFUSAL(P,9999999.09,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE) S G=1
 Q $S(G:"Refused",1:"No")
OTHEDUC(P,BDATE,EDATE) ;EP
 NEW BDM,X,E,%
 S X=P_"^EDUC [DM AUDIT OTHER EDUC TOPICS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
 I $D(BDM(1)) Q "Yes"
 S G=0
 NEW T S T=$O(^ATXAX("B","DM AUDIT OTHER EDUC TOPICS",0))
 I 'T Q "No"
 S X=0 F  S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G)  I $$REFUSAL(P,9999999.09,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE) S G=1
 Q $S(G:"Refused",1:"No")
DFE(P,BDATE,EDATE) ;EP
 NEW BDM,%,E K BDM S %=P_"^LAST EXAM DIABETIC FOOT EXAM;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
 I $D(BDM(1)) Q "Yes-Diabetic Foot Exam-"_$$FMTE^XLFDT($P(BDM(1),U))
 ;now check any clinic 65
 K BDM
 S %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
 NEW X,Y,R S (X,Y)=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S R=$$PRIMPROV^APCLV($P(BDM(X),U,5),"D") I (R=33!(R=25)!(R=84)),'$$DNKA($P(BDM(X),U,5)) S Y=1
 I Y Q "Yes - Podiatrist Visit"
 S X=0,Y=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  I $$CLINIC^APCLV($P(BDM(X),U,5),"C")=65,'$$DNKA($P(BDM(X),U,5)) S Y=1
 I Y Q "Yes - Podiatry Clinic visit"
 NEW G S G=$$REFUSAL(P,9999999.15,$O(^AUTTEXAM("B","DIABETIC FOOT EXAM, COMPLETE",0)),BDATE,EDATE)
 I G Q "Refused"
 Q "No"
DNKA(V) ;is this a DNKA visit?
 I '$G(V) Q ""
 NEW D,N S D=$$PRIMPOV^APCLV(V,"C")
 I D=".0860" Q 1
 S N=$$PRIMPOV^APCLV(V,"N")
 I $E(D)="V",N["DNKA" Q 1
 I $E(D)="V",N["DID NOT KEEP APPOINTMENT" Q 1
 I $E(D)="V",N["DID NOT KEEP APPT" Q 1
 Q 0
REFR(V) ;
 I '$G(V) Q ""
 NEW D,N S D=$$PRIMPOV^APCLV(V,"C")
 I D="367.89"!(D="367.9")!($E(D,1,5)=372.0)!($E(D,1,5)=372.1) Q 1
 Q 0
REFUSAL(P,F,I,B,E) ;EP
 I '$G(P) Q ""
 I '$G(F) Q ""
 I '$G(I) Q ""
 I $G(B)="" Q ""
 I $G(E)="" Q ""
 NEW G,X,Y,%DT S X=B,%DT="P" D ^%DT S B=Y
 S X=E,%DT="P" D ^%DT S E=Y
 S (X,G)=0 F  S X=$O(^AUPNPREF("AA",P,F,I,X)) Q:X'=+X!(G)  S Y=0 F  S Y=$O(^AUPNPREF("AA",P,F,I,X,Y)) Q:Y'=+Y  S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) S G=1
 Q G
EYE(P,BDATE,EDATE) ;EP
 NEW BDM,%,E K BDM S %=P_"^LAST EXAM DIABETIC EYE EXAM;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
 I $D(BDM(1)) Q "Yes-Diabetic Eye Exam-"_$$FMTE^XLFDT($P(BDM(1),U))
 K BDM NEW BD,ED,T
 S X=BDATE,%DT="P" D ^%DT S BD=Y
 S X=EDATE,%DT="P" D ^%DT S ED=Y
 S T=$O(^ICPT("B",92250,0)),T1=$O(^ICPT("B",92012,0))
 I T,$D(^AUPNVCPT("AA",P,T)) S %="" D  I %]"" Q %
 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T,E)) Q:E'=+E!(%]"")  D
 ..S D=9999999-E ;date done
 ..I D>ED Q
 ..I D<BD Q
 ..S %="Yes-Fundus Photography-"_$$FMTE^XLFDT(D)
 ..Q
 .Q
 I T1,$D(^AUPNVCPT("AA",P,T1)) S %="" D  I %]"" Q %
 .S E=0 F  S E=$O(^AUPNVCPT("AA",P,T1,E)) Q:E'=+E!(%]"")  D
 ..S D=9999999-E ;date done
 ..I D>ED Q
 ..I D<BD Q
 ..S %="Yes-Eye Exam/Est Pat-"_$$FMTE^XLFDT(D)
 ..Q
 .Q
 S %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
 NEW X,Y,R S (X,Y)=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S R=$$PRIMPROV^APCLV($P(BDM(X),U,5),"D") I (R=24!(R=79)!(R="08")),'$$DNKA($P(BDM(X),U,5)),'$$REFR($P(BDM(X),U,5)) S Y=1
 I Y Q "Yes - Optometrist/Opthamalogist Visit"
 S X=0,Y=0 F  S X=$O(BDM(X)) Q:X'=+X!(Y)  S R=$$CLINIC^APCLV($P(BDM(X),U,5),"C") I (R=17!(R=18)!(R=64)!(R="A2")),'$$DNKA($P(BDM(X),U,5)),'$$REFR($P(BDM(X),U,5)) S Y=1
 I Y Q "Yes - Optometry/Opthamology Clinic visit"
 NEW G S G=$$REFUSAL(P,9999999.15,$O(^AUTTEXAM("B","DIABETIC EYE EXAM",0)),BDATE,EDATE)
 I G Q "Refused"
 Q "No"
DENTAL(P,BDATE,EDATE) ;EP
 I '$G(P) Q ""
 NEW BDM,%,E
 K BDM
 S %=P_"^LAST EXAM DENTAL;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
 S %=$P($G(BDM(1)),U)
 I %]"" Q "Yes-Dental Exam-"_$$FMTE^XLFDT(%)
 K BDM
 S %=P_"^ALL VISITS;DURING "_BDATE_"-"_EDATE,E=$$START1^APCLDF(%,"BDM(")
 NEW X,Y S X=0,Y="" F  S X=$O(BDM(X)) Q:X'=+X!(Y]"")  I $$CLINIC^APCLV($P(BDM(X),U,5),"C")=56!($$CLINIC^APCLV($P(BDM(X),U,5),"C")="99"),'$$DNKA($P(BDM(X),U,5)) S Y=$$FMTE^XLFDT($P(BDM(X),U))
 I Y]"" Q "Yes-Dental Clinic visit-"_Y
 NEW X,Y S X=0,Y="" F  S X=$O(BDM(X)) Q:X'=+X!(Y]"")  I $$PRIMPROV^APCLV($P(BDM(X),U,5),"D")=52,'$$DNKA($P(BDM(X),U,5)) S Y=$$FMTE^XLFDT($P(BDM(X),U))
 I Y]"" Q "Yes-Dentist Visit-"_$$FMTE^XLFDT(Y)
 NEW G S G=$$REFUSAL(P,9999999.15,$O(^AUTTEXAM("B","DENTAL EXAM",0)),BDATE,EDATE)
 I G Q "Refused"
 Q "No"
BPS(P,BDATE,EDATE,F) ;EP ;
 I $G(F)="" S F="E"
 NEW X,BDM,E,BDML,BDMLL,BDMV
 S BDMLL=0,BDMV=""
 K BDM
 S X=P_"^LAST 50 MEAS BP;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
 S BDML=0 F  S BDML=$O(BDM(BDML)) Q:BDML'=+BDML!(BDMLL=3)  S BDMBP=$P($G(BDM(BDML)),U,2) D
 .Q:$$CLINIC^APCLV($P(BDM(BDML),U,5),"C")=30
 .S BDMLL=BDMLL+1
 .I F="E" S $P(BDMV,";",BDMLL)=BDMBP_"  "_$$FMTE^XLFDT($P(BDM(BDML),U))
 .I F="I" S $P(BDMV,";",BDMLL)=$P(BDMBP," ")
 Q BDMV
HTNDX(P,EDATE) ;EP - is HTN on problem list
 I '$G(P) Q ""
 I '$D(^DPT(P)) Q ""
 NEW %,BDM,E
 K BDM
 S %=P_"^PROBLEM [DM AUDIT PROBLEM HTN DIAGNOSES" S E=$$START1^APCLDF(%,"BDM(")
 I $D(BDM(1)) Q "Yes"
 K BDM
 S X=P_"^LAST 3 DX [SURVEILLANCE HYPERTENSION;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(") I $D(BDM(3)) Q "Yes"
 Q "No"
LASTHT(P,EDATE,F) ;EP - return last ht and date
 I 'P Q ""
 I $G(F)="" S F="E"
 I '$D(^AUPNVSIT("AC",P)) Q ""
 NEW %,BDMARRY,H,E
 S %=P_"^LAST MEAS HT;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_EDATE NEW X S E=$$START1^APCLDF(%,"BDMARRY(") S H=$P($G(BDMARRY(1)),U,2)
 I H="" Q H
 S H=$J(H,4,1)
 I F="I" Q H
 Q H_" inches "_$$FMTE^XLFDT($P(BDMARRY(1),U))
LASTWT(P,EDATE,F) ;EP - return last wt
 I 'P Q ""
 I $G(F)="" S F="E"
 NEW %,BDMARRY,E,BDMW,X,BDMN,BDM,BDMD,BDMZ,BDMX
 NEW BDMV221 S BDMV221=$O(^ICD9("BA","V22.1 ",""))
 K BDM S BDMW="" S BDMX=P_"^LAST 24 MEAS WT;DURING "_$$DOB^AUPNPAT(P,"E")_"-"_EDATE S E=$$START1^APCLDF(BDMX,"BDM(")
 S BDMN=0 F  S BDMN=$O(BDM(BDMN)) Q:BDMN'=+BDMN!(BDMW]"")  D
 . S BDMZ=$P(BDM(BDMN),U,5)
 . I '$D(^AUPNVPOV("AD",BDMZ)) S BDMW=$P(BDM(BDMN),U,2)_" lbs "_$$FMTE^XLFDT($P(BDM(BDMN),U)) Q
 . S BDMD=0 F  S BDMD=$O(^AUPNVPOV("AD",BDMZ,BDMD)) Q:'BDMD!(BDMW]"")  D
 .. I $P(^AUPNVPOV(BDMD,0),U)'=BDMV221 S BDMW=$P(BDM(BDMN),U,2)_" lbs "_$$FMTE^XLFDT($P(BDM(BDMN),U))
 ..Q
 Q $S(F="E":BDMW,1:+BDMW)
CMSFDX(P,R,T) ;EP - return date/dx of dm in register
 I '$G(P) Q ""
 I '$G(R) Q ""
 I $G(T)="" Q ""
 NEW D1,Y,X,D,G S (G,X)=0,(D,Y)="" F  S X=$O(^ACM(44,"C",P,X)) Q:X'=+X!(G)  I $P(^ACM(44,X,0),U,4)=R D
 .S D=$P($G(^ACM(44,X,"SV")),U,2),D1=D,D=$$FMTE^XLFDT(D)
 .S Y=$$VAL^XBDIQ1(9002244,X,.01)
 Q $S(T="D":$G(D),T="DX":$G(Y),T="ID":$G(D1),1:"")
 ;
PLDMDOO(P,F) ;EP
 I '$G(P) Q ""
 I $G(F)="" S F="E"
 NEW T S T=$O(^ATXAX("B","SURVEILLANCE DIABETES",0))
 I 'T Q ""
 NEW D,X,I S D="",X=0 F  S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X  D
 .S I=$P(^AUPNPROB(X,0),U)
 .I $$ICD^ATXCHK(I,T,9) D
 ..I $P(^AUPNPROB(X,0),U,13)]"" S D($P(^AUPNPROB(X,0),U,13))=""
 ..Q
 .Q
 S D=$O(D(0)) Q $S(F="E":$$FMTE^XLFDT(D),1:$O(D(0)))
PLDMDXS(P) ;EP - get all DM dxs from problem list
 I '$G(P) Q ""
 NEW T S T=$O(^ATXAX("B","SURVEILLANCE DIABETES",0))
 I 'T Q "<diabetes taxonomy missing>"
 NEW D,X,I S D="",X=0 F  S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X  D
 .S I=$P(^AUPNPROB(X,0),U)
 .;I $$ICD^ATXCHK(I,T,9) S:D]"" D=D_";" S D=D_$P(^ICD9(I,0),U)  ;cmi/anch/maw 9/10/2007 orig line
 .I $$ICD^ATXCHK(I,T,9) S:D]"" D=D_";" S D=D_$P($$ICDDX^ICDCODE(I),U,2)  ;cmi/anch/maw 9/10/2007 csv
 .Q
 Q D
 ;
FRSTDMDX(P,F) ;EP return date of first dm dx
 I '$G(P) Q ""
 I $G(F)="" S F="E"
 NEW X,E,BDM,Y
 S Y="BDM("
 S X=P_"^FIRST DX [SURVEILLANCE DIABETES" S E=$$START1^APCLDF(X,Y) S Y=$P($G(BDM(1)),U)
 Q $S(F="E":$$FMTE^XLFDT(Y),1:Y)
LASTDMDX(P,D) ;EP - last pcc dm dx
 I '$G(P) Q ""
 NEW X,E,BDM,Y
 S Y="BDM("
 S X=P_"^LAST DX [DM AUDIT TYPE II DXS;DURING "_$$DOB^AUPNPAT(P,"E")_"-"_D S E=$$START1^APCLDF(X,Y)
 I $D(BDM(1)) Q "Type 2"
 K BDM S X=P_"^LAST DX [DM AUDIT TYPE I DXS;DURING "_$$DOB^AUPNPAT(P,"E")_"-"_D S E=$$START1^APCLDF(X,Y)
 I $D(BDM(1)) Q "Type 1"
 Q ""
 ;