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Routine: BDMD418

BDMD418.m

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  1. BDMD418 ; IHS/CMI/LAB - 2012 DIABETES AUDIT ;
  1. ;;2.0;DIABETES MANAGEMENT SYSTEM;**5**;JUN 14, 2007
  1. ;
  1. ;cmi/anch/maw 9/12/2007 code set versioning in WT
  1. ;
  1. HT(P,BDATE,EDATE) ;EP
  1. I 'P Q ""
  1. NEW %,BDMARRY,H,E,D,W
  1. S E=$O(^AUTTMSR("B","HT",0))
  1. S H=""
  1. S D=0 F S D=$O(^AUPNVMSR("AA",P,E,D)) Q:D'=+D!(H]"") D
  1. .S W=0 F S W=$O(^AUPNVMSR("AA",P,E,D,W)) Q:W'=+W!(H]"") D
  1. ..Q:'$D(^AUPNVMSR(W,0))
  1. ..Q:$P($G(^AUPNVMSR(W,2)),U,1) ;entered in error
  1. ..S H=$P(^AUPNVMSR(W,0),U,4)
  1. ..S BDMARRAY(1)=$$VD^APCLV($P(^AUPNVMSR(W,0),U,3))
  1. I H="" Q H
  1. I H["?" Q ""
  1. S H=$J(H,5,2)
  1. Q H
  1. WT(P,BDATE,EDATE) ;EP
  1. I 'P Q ""
  1. NEW %,E,BDMW,X,BDMN,BDM,BDMD,BDMZ,BDMX,ICD,BDMVF
  1. K BDM S BDMW="" S BDMX=P_"^LAST 24 MEAS WT;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(BDMX,"BDM(")
  1. S BDMN=0 F S BDMN=$O(BDM(BDMN)) Q:BDMN'=+BDMN!(BDMW]"") D
  1. .S BDMVF=+$P(BDM(BDMN),U,4)
  1. .Q:$P($G(^AUPNVMSR(BDMVF,2)),U,1) ;entered in error
  1. .S BDMZ=$P(BDM(BDMN),U,5)
  1. .I '$D(^AUPNVPOV("AD",BDMZ)) S BDMW=$P(BDM(BDMN),U,2) Q
  1. . S BDMD=0 F S BDMD=$O(^AUPNVPOV("AD",BDMZ,BDMD)) Q:'BDMD!(BDMW]"") D
  1. .. S ICD=$P($$ICDDX^ICDCODE($P(^AUPNVPOV(BDMD,0),U)),U,2) D ;cmi/anch/maw 9/12/2007 csv
  1. ...I $E(ICD,1,3)="V22" Q
  1. ...I $E(ICD,1,3)="V23" Q
  1. ...I $E(ICD,1,3)="V27" Q
  1. ...I $E(ICD,1,3)="V28" Q
  1. ...I ICD>629.9999&(ICD<676.95) Q
  1. ...S BDMW=$P(BDM(BDMN),U,2)
  1. ..Q
  1. Q BDMW
  1. BMI(P,BDATE,EDATE) ;EP
  1. I 'P Q ""
  1. NEW %,W,H,B,D,%DT,X
  1. S %=""
  1. D Q %
  1. .S W=$$WT(P,BDATE,EDATE) Q:W="" S W=W+.5,W=$P(W,".")
  1. .S HDATE=$P(^DPT(P,0),U,3)
  1. .S H=$$HT(P,HDATE,EDATE) I H="" Q
  1. .S W=W*.45359,H=(H*.0254),H=(H*H),%=(W/H),%=$J(%,4,1)
  1. .Q
  1. Q
  1. CREAT(P,BDATE,EDATE,F) ;EP
  1. G CREAT^BDMD41C
  1. CHOL(P,BDATE,EDATE,F) ;EP
  1. G CHOL^BDMD41C
  1. HDL(P,BDATE,EDATE,F) ;EP
  1. G HDL^BDMD41C
  1. LDL(P,BDATE,EDATE,F) ;EP
  1. G LDL^BDMD41C
  1. TRIG(P,BDATE,EDATE,F) ;EP
  1. G TRIG^BDMD41C
  1. URIN(P,BDATE,EDATE) ;EP
  1. G URIN^BDMD41H
  1. PROTEIN(P,BDATE,EDATE) ;EP
  1. G PROTEIN^BDMD41C
  1. MICRO(P,BDATE,EDATE) ;EP
  1. G MICRO^BDMD41C
  1. HGBA1C(P,BDATE,EDATE) ;EP
  1. G HGBA1C^BDMD41D
  1. SEMI(P,BDATE,EDATE) ;EP
  1. G SEMI^BDMD41C
  1. PPDS(P) ;
  1. NEW BDMS,E,X
  1. K BDMS
  1. S X=P_"^LAST HEALTH [DM AUDIT TB HEALTH FACTORS" S E=$$START1^APCLDF(X,"BDMS(")
  1. I $D(BDMS) Q 1_U_$$FMTE^XLFDT($P(BDMS(1),U))_" HF: "_$P(BDMS(1),U,3)
  1. PPDSPL ;CHECK PL
  1. N T S T=$O(^ATXAX("B","SURVEILLANCE TUBERCULOSIS",0))
  1. I 'T Q ""
  1. N X,Y,I S (X,Y,I)=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X!(I) I $D(^AUPNPROB(X,0)) S Y=$P(^AUPNPROB(X,0),U) I $$ICD^ATXCHK(Y,T,9) S I=X
  1. I I Q 1_U_$$VAL^XBDIQ1(9000011,I,.03)_" Problem List: "_$$VAL^XBDIQ1(9000011,I,.01)
  1. ;check povs
  1. K BDMS S X=P_"^FIRST DX [SURVEILLANCE TUBERCULOSIS" S E=$$START1^APCLDF(X,"BDMS(")
  1. I $D(BDMS(1)) Q 1_U_$$FMTE^XLFDT($P(BDMS(1),U))_" POV: "_$P(BDMS(1),U,3)
  1. Q ""
  1. PPD(P,EDATE,F) ;EP
  1. ;f 1=tb test done
  1. ;f 2=tb result
  1. S F=$G(F)
  1. ;RETURN 1^1 Skin Test||1 Positive
  1. NEW BDM,X,E,G,BDATE,Y,%DT,D,R,R1,R2,ED,LD,LR
  1. S LD="",LR=""
  1. S X=EDATE,%DT="P" D ^%DT S ED=Y
  1. S G=$$PPDS(P) I G Q "1 TB Positive "_$P(G,U,2)_"||1 Positive TB "_$P(G,U,2) ;IF HAD HF or dx or pl of TB use it as positive
  1. K BDM
  1. ;get, in reverse order all skin tests and lab tests for TB testing (BDM(inverse date,#)=ST or LAB^ien^result^reading
  1. S X=$O(^AUTTSK("B","PPD",0))
  1. S D=9999999-ED-1,C=0 F S D=$O(^AUPNVSK("AA",P,X,D)) Q:D="" D
  1. .S G=0 F S G=$O(^AUPNVSK("AA",P,X,D,G)) Q:G'=+G D
  1. ..Q:'$D(^AUPNVSK(G,0))
  1. ..S C=C+1 S BDM(D,C)="ST"_U_G_U_$P(^AUPNVSK(G,0),U,5)_U_$S($P(^AUPNVSK(G,0),U,4)="D":"",$P(^AUPNVSK(G,0),U,4)="O":"",1:$P(^AUPNVSK(G,0),U,4))
  1. ;go through all ppds and find last reading or result
  1. ;S G="",D=0,X=0 F S D=$O(BDM(D)) Q:D'=+D!(G) S X=0 F S X=$O(BDM(D,X)) Q:X'=+X S R=$P(BDM(D,X),U,2),R1=$P(BDM(D,X),U,3) I R]""!(R1]"") S G=1,R2=9999999-D
  1. ;S LD=R2
  1. ;I R]"",R>9 S LR=1_U_1_U_"1 SKIN TEST"_U_"1 POSITIVE "_$$FMTE^XLFDT(R2)_" Reading: "_R_" Result: "_R1
  1. ;I R]"",R<10 S LR=1_U_2_U_"1 SKIN TEST"_U_"2 NEGATIVE "_$$FMTE^XLFDT(R2)_" Reading: "_R_" Result: "_R1
  1. ;I R1]"",R1="P" S LR=1_U_1_U_"1 SKIN TEST"_U_"1 POSITIVE "_$$FMTE^XLFDT(R2)_" Reading: "_R_" Result: "_R1
  1. ;I R1]"",R1="N" S LR=1_U_2_U_"1 SKIN TEST"_U_"2 NEGATIVE "_$$FMTE^XLFDT(R2)_" Reading: "_R_" Result: "_R1
  1. ;Now get last lab test, must have a result
  1. S BDMC=0
  1. S BDMLT=$O(^ATXLAB("B","DM AUDIT TB LAB TESTS",0))
  1. S BDMOT=$O(^ATXAX("B","DM AUDIT TB TEST LOINC",0))
  1. S G="",E=9999999-ED S D=E-1 F S D=$O(^AUPNVLAB("AE",P,D)) Q:D'=+D!(G) D
  1. .S L=0 F S L=$O(^AUPNVLAB("AE",P,D,L)) Q:L'=+L D
  1. ..S X=0 F S X=$O(^AUPNVLAB("AE",P,D,L,X)) Q:X'=+X D
  1. ...Q:'$D(^AUPNVLAB(X,0))
  1. ...Q:$P(^AUPNVLAB(X,0),U,4)=""
  1. ...Q:$$UP^XLFSTR($P(^AUPNVLAB(X,0),U,4))["CANC"
  1. ...I BDMLT,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BDMLT,21,"B",$P(^AUPNVLAB(X,0),U))) D
  1. ....S C=C+1,BDM(D,C)="LAB^"_X_U_$P(^AUPNVLAB(X,0),U,4),G=1
  1. ...Q:'BDMOT
  1. ...S J=$P($G(^AUPNVLAB(X,11)),U,13) Q:J=""
  1. ...Q:'$$LOINC^BDMD41C(J,BDMOT)
  1. ...S C=C+1,BDM(D,C)="LAB^"_X_U_$P(^AUPNVLAB(X,0),U,4),G=1
  1. ...Q
  1. ;now get latest with a result and use it, if none with a result take latest one
  1. ;if none, quit on value
  1. S (D,C)=0,G=""
  1. F S D=$O(BDM(D)) Q:D'=+D!(G]"") D
  1. .S C=0 F S C=$O(BDM(D,C)) Q:C'=+C!(G]"") D
  1. ..I $P(BDM(D,C),U,3)]""!($P(BDM(D,C),U,4)]"") S G=BDM(D,C)
  1. I F="I" Q $S($P(G,U,1)="LAB":$$VD^APCLV($P(^AUPNVLAB($P(G,U,2),0),U,3)),1:$$VD^APCLV($P(^AUPNVSK($P(G,U,2),0),U,3)))
  1. I G]"" S C="" D Q C ;C=1 skin test||result value
  1. .S C=$S($P(G,U,1)="ST":"1 Skin test (PPD)",1:"2 Blood Test (QFT-G, T SPOT-TB)")
  1. .;GET RESULT VALUE
  1. .I $P(G,U,1)="LAB" S R=$P(G,U,3) D Q
  1. ..I $E($$UP^XLFSTR(R))="P" S C=C_"||1 Positive "_$$VD^APCLV($P(^AUPNVLAB($P(G,U,2),0),U,3),"S")_" lab result: "_R Q
  1. ..I $E($$UP^XLFSTR(R))="N" S C=C_"||2 Negative "_$$VD^APCLV($P(^AUPNVLAB($P(G,U,2),0),U,3),"S")_" lab result: "_R Q
  1. ..S C=C_"||4 Unknown" Q
  1. .I $P(G,U,1)="ST" D Q
  1. ..S R=$P(G,U,3),R1=$P(G,U,4)
  1. ..I R]"",R>9 S C=C_"||1 Positive "_$$VD^APCLV($P(^AUPNVSK($P(G,U,2),0),U,3),"S")_" Reading: "_R_" Result: "_R1 Q
  1. ..I R]"",R<10 S C=C_"||2 Negative "_$$VD^APCLV($P(^AUPNVSK($P(G,U,2),0),U,3),"S")_" Reading: "_R_" Result: "_R1 Q
  1. ..I R1]"",R1="P" S C=C_"||1 Positive "_$$VD^APCLV($P(^AUPNVSK($P(G,U,2),0),U,3),"S")_" Reading: "_R_" Result: "_R1 Q
  1. ..I R1]"",R1="N" S C=C_"||2 Negative "_$$VD^APCLV($P(^AUPNVSK($P(G,U,2),0),U,3),"S")_" Reading: "_R_" Result: "_R1 Q
  1. ;now check refusal for PPD or lab test
  1. S X=EDATE,%DT="P" D ^%DT S BDATE=$$FMADD^XLFDT(Y,-365),BDATE=$$FMTE^XLFDT(BDATE),G=0 S X=$$REFUSAL^BDMD417(P,9999999.28,$O(^AUTTSK("B","PPD",0)),BDATE,EDATE) I X S G=X
  1. I G Q "3 Refused "_$P(G,U,3)_" "_$P(G,U,4)_" "_$P(G,U,5)_"||3 Refused"
  1. ;now check lab test refusal - lori
  1. Q "4 Unknown||"
  1. ;
  1. LASTNP(P,EDATE) ;EP - last negative ppd
  1. I $E($P($$PPD(P,EDATE),"||",2))'="2" Q ""
  1. Q $$PPD(P,EDATE,"I")
  1. ;
  1. FGLUCOSE(P,BDATE,EDATE,F) ;EP
  1. G FGLUCOSE^BDMD41D
  1. G75(P,BDATE,EDATE,F) ;EP
  1. G G75^BDMD41D
  1. ;
  1. STV(X,T,D) ;EP - strip hgba1c before epi export
  1. I X="" Q X ;no value in X so don't bother
  1. I X="?" Q ""
  1. NEW A,B,L
  1. S L=$L(X)
  1. F B=1:1:L S A=$E(X,B) Q:A="" I A'?1N,A'?1"." S X=$$STRIP^XLFSTR(X,A) S B=B-1
  1. I X="" Q ""
  1. I $G(D),X["." S X=$J(X,T,D)
  1. S X=$$STRIP^XLFSTR(X," ")
  1. Q $E(X,1,T)
  1. STE(X,T,D) ;EP - strip hgba1c before epi export
  1. I X="" Q X ;no value in X so don't bother
  1. I X="?" Q ""
  1. NEW A,B,L
  1. S L=$L(X)
  1. F B=1:1:L S A=$E(X,B) Q:A="" I A'?1N,A'?1".",X'?1"+",X'?1"-",X'?1">",X'?1"<" S X=$$STRIP^XLFSTR(X,A) S B=B-1
  1. I X="" Q ""
  1. I $G(D),X["." S X=$J(X,T,D)
  1. S X=$$STRIP^XLFSTR(X," ")
  1. Q $E(X,1,T)
  1. ASPIRIN ;EP
  1. NEW X,BDM,E,A,N,G,T,T1,O,B,%
  1. S (A,B,G,N)=""
  1. S X=P_"^MEDS [DM AUDIT ASPIRIN DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
  1. I $D(BDM(1)) S A=1
  1. K BDM S X=P_"^MEDS [DM AUDIT ANTI-PLATELET DRUGS"_";DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")
  1. I $D(BDM(1)) S N=1
  1. I A!(N) Q "1 Aspirin/Antiplatelet Rx"
  1. ;CHECK NON-VA MEDS for drug or orderable item that is not-discontinued
  1. S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
  1. S T1=$O(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))
  1. S X=0,%="" F S X=$O(^PS(55,P,"NVA",X)) Q:X'=+X!(%]"") D
  1. .I $P($G(^PS(55,P,"NVA",X,999999911)),U,1),$D(^AUPNVMED($P(^PS(55,P,"NVA",X,999999911),U,1),0)) Q ;got this with V MED
  1. .S L=$P($P($G(^PS(55,P,"NVA",X,0)),U,10),".")
  1. .Q:$P(^PS(55,P,"NVA",X,0),U,6)=1 ;discontinued
  1. .I $P(^PS(55,P,"NVA",X,0),U,7)]"",$P(^PS(55,P,"NVA",X,0),U,7)<EDATE Q ;discontinued date
  1. .Q:$P(^PS(55,P,"NVA",X,0),U,9)>EDATE ;
  1. .S D=$P(^PS(55,P,"NVA",X,0),U,2)
  1. .I D S G=0 D
  1. ..I $D(^ATXAX(T,21,"B",D)) S G=1
  1. ..I $D(^ATXAX(T1,21,"B",D)) S G=1
  1. .I D,G S %="1 Yes - NVA MED - "_$P(^PSDRUG(D,0),U,1) Q
  1. .S O=$P(^PS(55,P,"NVA",X,0),U,1)
  1. .Q:O=""
  1. .S O=$P($G(^PS(50.7,O,0)),U,1)
  1. .Q:O=""
  1. .I $E(O,1,7)="ASPIRIN",$E(O,8)'="/" S %="1 Yes - NVA MED - "_O Q
  1. I %]"" Q %
  1. ;refusal oR NMI
  1. S G=0
  1. NEW T S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
  1. I 'T G ANTI
  1. S X=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD417(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
  1. I G,$P(G,U,2)'="N" Q "3 Refused"
  1. I G Q "2 None - Not Medically Indicated"
  1. ANTI ;
  1. NEW T S T=$O(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))
  1. I 'T G AR
  1. S (X,G)=0 F S X=$O(^ATXAX(T,21,X)) Q:X'=+X!(G) S G=$$REFUSAL^BDMD417(P,50,$P(^ATXAX(T,21,X,0),U),BDATE,EDATE)
  1. I G Q "3 Refused or adverse reaction"
  1. AR ;NOW CHECK FOR ADVERSE REACTION/ALLERGY
  1. S X=EDATE,%DT="P" D ^%DT S E=Y
  1. D ASAALLEG(P,E,.BDMSAAL) ;return text of aspirin allergy if found
  1. I $D(BDMSAAL(1)) Q "3 Refused or adverse reaction "_BDMSAAL(1)_" (Allergy Tracking)"
  1. Q "2 None"
  1. ;
  1. ;
  1. ;;
  1. ASAALLEG(P,BDMD,BDMY) ;does patient have an aspirin allergy
  1. ;get all povs with 995.0-995.3 with ecode of e935.3 up to discharge date
  1. NEW ED,BD,BDMG,BDMC,X,Y,Z,N
  1. ;BDMD is discharge date
  1. S BDMC=0 K BDMY
  1. ;S ED=$$FMADD^XLFDT(BDMD,-365)
  1. ASAPOV ;
  1. K BDMG S Y="BDMG(",X=P_"^ALL DX [BDM ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(BDMD) S E=$$START1^APCLDF(X,Y)
  1. S X=0 F S X=$O(BDMG(X)) Q:X'=+X S Y=+$P(BDMG(X),U,4) D
  1. .S N=$$VAL^XBDIQ1(9000010.07,Y,.04),N=$$UP^XLFSTR(N)
  1. .I N["ASPIRIN"!(N["ASA") S BDMC=BDMC+1,BDMY(BDMC)="POV: "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_"] "_N
  1. .;S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$P($G(^ICD9(Z,0)),U)="E935.3" S BDMC=BDMC+1,BDMY(BDMC)="POV "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_" + E935.3] "_N ;cmi/anch/maw 9/12/2007 orig line
  1. .S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$P($$ICDDX^ICDCODE(Z),U,2)="E935.3" S BDMC=BDMC+1,BDMY(BDMC)="POV "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_" + E935.3] "_N ;cmi/anch/maw 9/12/2007 csv
  1. .Q
  1. K BDMG S Y="BDMG(",X=P_"^ALL DX V14.8;DURING "_$$FMTE^XLFDT($$DOB^AUPNPAT(P))_"-"_$$FMTE^XLFDT(BDMD) S E=$$START1^APCLDF(X,Y)
  1. S X=0 F S X=$O(BDMG(X)) Q:X'=+X S Y=+$P(BDMG(X),U,4) D
  1. .S N=$$VAL^XBDIQ1(9000010.07,Y,.04),N=$$UP^XLFSTR(N)
  1. .I N["ASPIRIN"!(N["ASA") S BDMC=BDMC+1,BDMY(BDMC)="POV: "_$$FMTE^XLFDT($P(BDMG(X),U))_" ["_$P(BDMG(X),U,2)_"] "_N
  1. .Q
  1. ;now check problem list for these codes
  1. S T="",T=$O(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
  1. S X=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X D
  1. .;S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($G(^ICD9(I,0)),U) ;cmi/anch/maw 9/12/2007 orig line
  1. .S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($$ICDDX^ICDCODE(I),U,2) ;cmi/anch/maw 9/12/2007 csv
  1. .S N=$$VAL^XBDIQ1(9000011,X,.05),N=$$UP^XLFSTR(N)
  1. .Q:$P(^AUPNPROB(X,0),U,8)>BDMD ;added after discharge date
  1. .I Y="V14.8"!($$ICD^ATXCHK(I,T,9)),N["ASPIRIN"!(N["ASA") S BDMC=BDMC+1,BDMY(BDMC)="PROBLEM LIST: "_$$FMTE^XLFDT($P(^AUPNPROB(X,0),U,8))_" ["_Y_"] "_N
  1. .Q
  1. ;now check allergy tracking
  1. S X=0 F S X=$O(^GMR(120.8,"B",P,X)) Q:X'=+X D
  1. .Q:$P($P($G(^GMR(120.8,X,0)),U,4),".")>BDMD ;entered after AUDIT date
  1. .S N=$P($G(^GMR(120.8,X,0)),U,2),N=$$UP^XLFSTR(N)
  1. .I N["ASPIRIN" S BDMC=BDMC+1,BDMY(BDMC)="ALLERGY TRACKING: "_$$FMTE^XLFDT($P(^GMR(120.8,X,0),U,4))_" "_N Q
  1. .S C=$O(^PS(50.605,"B","CN103",0))
  1. .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
  1. .S C=$O(^PS(50.605,"B","BL100",0))
  1. .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
  1. .S C=$O(^PS(50.605,"B","BL110",0))
  1. .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
  1. .S C=$O(^PS(50.605,"B","BL117",0))
  1. .I C,$D(^GMR(120.8,X,3,"B",C)) S G="Refused/Adverse Rxn" Q
  1. .Q
  1. Q