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Routine: BDMDA1A

BDMDA1A.m

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  1. BDMDA1A ; IHS/CMI/LAB -IHS -CUMULATIVE REPORT ; 14 Jan 2013  8:13 AM
  1.  ;;2.0;DIABETES MANAGEMENT SYSTEM;**6**;JUN 14, 2007;Build 6
  1.  ;
  1.  ;
  1. ACE ;
  1.  I $Y>(BDMIOSL-5) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(110)) W !!,$P(V,U)
  1.  W !?7,"Use in the ",$$C($P(V,U,5))," pts with known hypertension*",?53,$$C($P(V,U,7)),?65,$$P($P(V,U,5),$P(V,U,7))
  1.  W !?7,"Use in the ",$$C($P(V,U,4))," pts with elevated",!?10,"urine albumin**",?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,"In the ",$$C($P(V,U,2))," pts with diagnosed CVD",!?7,"Aspirin or other Antiplatelet Rx use",?53,$$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,$$P($P(V,U,2),$P(V,U,4))
  1.  ;
  1. LIPID ;
  1.  I $Y>(BDMIOSL-13) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(115)) W !!,$P(V,U)
  1.  W !?7,"Single lipid agent",?53,$$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,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"None",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !!?7,"Of the ",+$P(V,U,13)," pts using one or more lipid agents:"
  1.  W !?9,"Statin (simvastatin/Zocor, others)",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,13),$P(V,U,6))
  1.  W !?11,"Statin use in the ",$$C($P(V,U,16))," pts with diagnosed CVD: ",?59,$$P($P(V,U,16),$P(V,U,17)),!?59,"(n=",$$C($P(V,U,17)),")"
  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/Questran,",!?11,"others)",?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,"( ",$$P($P(V,U,2),$P(V,U,6))," )"
  1.  W !?7,"Eye Exam - Dilated or Retinal Camera",?53,$$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,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?7,"Tetanus/Diptheria within past 10 years",?53,$$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.  W !?7,"Hepatitis B 3-dose series complete - ever",?53,$$C($P(V,U,9)),?65,$$P($P(V,U,2),$P(V,U,9)),?71,"( ",$$P($P(V,U,2),$P(V,U,10))," )"
  1. DEP ;
  1.  I $Y>(BDMIOSL-6) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(300)) W !!,"DEPRESSION identified as an active dx"
  1.  W !?7,"Yes",?53,$$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,$$P($P(V,U,2),Z)
  1.  ;screening
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(301))
  1.  W !!?7,"Of the ",Z," pts without an active dx"
  1.  W !?7,"of depression, proportion screened"
  1.  W !?7,"for depression in past year:"
  1.  W !?13,"Screened",?53,$$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,$$P($P(V,U,2),$P(V,U,4))
  1.  ;
  1. CREAT ;
  1.  W !!,"LABORATORY EXAMS"
  1.  ;
  1. GFR ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(175)) S T=$P(V,U,5)
  1.  W !!,"eGFR to assess kidney function obtained",!,"during audit period (Age 18 and above)",?53,$$C($P(V,U,5)),?65,$$P($P(BDMCUML(175),U,2),$P(V,U,5))
  1.  W !,?7,">= 60 ml/min",?53,$$C($P(V,U,6)),?65,$$P($P(BDMCUML(175),U,2),$P(V,U,6))
  1.  W !,?7,"30-59 ml/min",?53,$$C($P(V,U,7)),?65,$$P($P(BDMCUML(175),U,2),$P(V,U,7))
  1.  W !,?7,"15-29 ml/min",?53,$$C($P(V,U,8)),?65,$$P($P(BDMCUML(175),U,2),$P(V,U,8))
  1.  W !,?7,"< 15 ml/min",?53,$$C($P(V,U,9)),?65,$$P($P(BDMCUML(175),U,2),$P(V,U,9))
  1.  W !,?7,"Not tested or no valid result",?53,$$C($P(V,U,10)),?65,$$P($P(BDMCUML(175),U,2),$P(V,U,10))
  1. TOTAL ;
  1.  ;
  1. NONHDL ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(185))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!,"Non-HDL cholesterol obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"Non-HDL <130 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"Non-HDL 130-159 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Non-HDL 160-190 mg/dl",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"Non-HDL >190 mg/dl",?53,$$C($P(V,U,6)),?65,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"Not tested or no valid result",?53,$$C($P(V,U,7)),?65,$$P($P(V,U,2),$P(V,U,7))
  1. LDL ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(190))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!,"LDL Cholesterol obtained during audit period",?53,$$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,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"Not tested or no valid result",?53,$$C($P(V,U,7)+$P(V,U,8)),?65,$$P($P(V,U,2),$P(V,U,7)+$P(V,U,8))
  1. HDL ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(195))
  1.  S T=$P(V,U,2)+$P(V,U,6)  ;TOTAL PTS
  1.  S S=$P(V,U,3)+$P(V,U,4)+$P(V,U,7)+$P(V,U,8)
  1.  W !!,"HDL Cholesterol obtained during audit period",?53,$$C(S),?65,$$P(T,S)
  1.  W !,"Females"
  1.  W !?7,"HDL =<50 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"HDL >50 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Not tested or no valid result",?53,$$C($P(V,U,5)),?65,$$P($P(V,U,2),$P(V,U,5))
  1.  W !!,"Males"
  1.  W !?7,"HDL =<40 mg/dl",?53,$$C($P(V,U,7)),?65,$$P($P(V,U,6),$P(V,U,7))
  1.  W !?7,"HDL >40 mg/dl",?53,$$C($P(V,U,8)),?65,$$P($P(V,U,6),$P(V,U,8))
  1.  W !?7,"Not tested or no valid result",?53,$$C($P(V,U,9)),?65,$$P($P(V,U,6),$P(V,U,9))
  1. TRIG ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(200))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!,"Triglycerides obtained during audit period",?53,$$C(T),?65,$$P($P(V,U,2),T)
  1.  W !?7,"TG =<400 mg/dl",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"TG >400 mg/dl",?53,$$C($P(V,U,4)),?65,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Not tested or no valid result",?53,$$C($P(V,U,5)+$P(V,U,7)),?65,$$P($P(V,U,2),$P(V,U,5)+$P(V,U,7))
  1.  ;
  1. URIN ;
  1.  I $Y>(BDMIOSL-15) D HEADER Q:BDMQUIT
  1.  ;W !!,"LABORATORY EXAMS",!
  1.  W !
  1.  S V=$G(BDMCUML(145))
  1.  W !,"Urine protein tested during audit period"
  1.  W !?7,"Yes",?53,$$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,$$P($P(V,U,2),$P(V,U,4))
  1.  W !!,"Of the ",$$C($P(V,U,3))," pts tested for urine protein:"
  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 !!?2,"Of the ",$$C($P(V,U,20))," pts with eGFR =>30, ",!?2,"percent tested with UACR",$$C($P(V,U,21)),?65,$$P($P(V,U,20),$P(V,U,21))
  1.  ;
  1. CVD ;
  1.  I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(250)) W !!,$P(V,U)
  1.  W !?7,"Diagnosed CVD",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1. TBC ;
  1.  I $Y>(BDMIOSL-10) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(70)) W !!,$P(V,U)
  1.  W !?7,"TB test +, untreated/incomplete or tx unknown",?53,$$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,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"TB test -, date of DM Dx or TB test date",!?9,"unknown",?53,$$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,$$P($P(V,U,2),X)
  1.  ;
  1. COMBINED ;
  1.  I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(260)) W !!,$P(V,U)
  1.  W !?7,"Records meeting ALL of the following",!?7,"criteria:  A1c <8.0, LDL <100, ",!?7,"and mean BP <140/90",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1.  I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(270))
  1.  W !!?7,"Records with both an eGFR and a",!?7,"quantitative urine protein test ",!?7,"(UACR, UPCR, or 24hr urine protein)",?53,$$C($P(V,U,3)),?65,$$P($P(V,U,2),$P(V,U,3))
  1. SDM ;
  1.  I $Y>(BDMIOSL-6) D HEADER Q:BDMQUIT
  1.  W !!!,"* Known hypertension: Has hypertension listed as an active problem, or ",!,"diagnosed with hypertension."
  1.  W !,"** Elevated urine albumin: Urine albumin measurement that meets any of the  "
  1.  W !,"following: UACR >=30 mg/g; or UPCR >0.2 g/g; or 24-hr urine protein >300 mg/day; "
  1.  W !,"or microalbumin: creatinine strip (Clinitek) 30-300 mg or above; or "
  1.  W !,"microalbumin only (Micral) >20 mg/dl; or std urine protein dipstick"
  1.  W !,"1+ or greater.",!
  1.  Q
  1. EXIT ;
  1.  I $E(IOST)="C",IO=IO(0) W ! S DIR(0)="EO",DIR("A")="End of report.  Press ENTER" D ^DIR K DIR S:$D(DUOUT) DIRUT=1
  1.  Q
  1. CALC(N,O) ;ENTRY POINT
  1.  ;O is old
  1.  NEW Z
  1.  I O=0!(N=0) Q "**"
  1.  NEW X,X2,X3
  1.  S X=N,X2=1,X3=0 D COMMA^%DTC S N=X
  1.  S X=O,X2=1,X3=0 D COMMA^%DTC S O=X
  1.  S Z=(((N-O)/O)*100),Z=$FN(Z,"+,",1)
  1.  Q Z
  1. P(D,N) ;return %
  1.  I 'D Q ""
  1.  I 'N Q "  0%"
  1.  NEW X S X=N/D,X=X*100,X=$J(X,3,0)
  1.  Q X_"%"
  1. C(X,X2,X3) ;
  1.  I '$G(X2) S X2=0
  1.  I '$G(X3) S X3=6
  1.  D COMMA^%DTC
  1.  Q X
  1.  G:'BDMPG HEADER1
  1.  W !
  1.  K DIR I $E(IOST)="C",IO=IO(0) W ! S DIR(0)="EO" D ^DIR K DIR I Y=0!(Y="^")!($D(DTOUT)) S BDMQUIT=1 Q
  1. HEADER1 ;
  1.  W:$D(IOF) @IOF S BDMPG=BDMPG+1
  1.  I $G(BDMGUI) W !,"ZZZZZZZ"
  1.  W !?3,$P(^VA(200,DUZ,0),U,2),?35,$$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.  ;----------