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Routine: BDMDE1A

BDMDE1A.m

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  1. BDMDE1A ; IHS/CMI/LAB -IHS -CUMULATIVE REPORT 14 Dec 2016 11:59 AM ; 
  1.  ;;2.0;DIABETES MANAGEMENT SYSTEM;**10**;JUN 14, 2007;Build 12
  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 !?3,"In patients with known hypertension***",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,5)),?73,$$P($P(V,U,5),$P(V,U,7))
  1.  W !?3,"In patients age 18+ with CKD**",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,4)),?73,$$P($P(V,U,4),$P(V,U,8))  ;,!?10,"urine albumin excretion**"
  1. ASPIRIN ;
  1.  I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(100)) W !!,$P(V,U)
  1.  W !?3,"In patients with diagnosed CVD",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  ;
  1. STATIN ;
  1.  I $Y>(BDMIOSL-18) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(115)) W !!,$P(V,U)
  1.  W !?3,"Yes*",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,4)),?73,$$P($P(V,U,4),$P(V,U,6))
  1.  W !?3,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,7))
  1.  W !!?3,"In patients with diagnosed CVD: "
  1.  W !?6,"Yes*",?49,$$C($P(V,U,22)),?61,$$C($P(V,U,21)),?73,$$P($P(V,U,21),$P(V,U,22))
  1.  W !?6,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,17)),?61,$$C($P(V,U,16)),?73,$$P($P(V,U,16),$P(V,U,17))
  1.  W !!?3,"In patients aged 40-75: "
  1.  W !?6,"Yes*",?49,$$C($P(V,U,19)),?61,$$C($P(V,U,8)),?73,$$P($P(V,U,8),$P(V,U,19))
  1.  W !?6,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,20)),?61,$$C($P(V,U,23)),?73,$$P($P(V,U,23),$P(V,U,20))
  1.  W !!?3,"In patients with diagnosed CVD and/or aged 40-75:"
  1.  W !?6,"Yes*",?49,$$C($P(V,U,26)),?61,$$C($P(V,U,25)),?73,$$P($P(V,U,25),$P(V,U,26))
  1.  W !?6,"Allergy, intolerance, or contraindication",?49,$$C($P(V,U,27)),?61,$$C($P(V,U,24)),?73,$$P($P(V,U,24),$P(V,U,27))
  1.  W !!,"*Excludes patients with an allergy, intolerance, or contraindication."
  1. EXAMS ;
  1.  I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(120)) W !!,$P(V,U) ;,?69,"(% refused)"
  1.  W !?3,"Foot exam - comprehensive",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,6))," )"
  1.  W !?3,"Eye exam - dilated or retinal imaging",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?3,"Dental exam",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
  1.  ;
  1. EDUC ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(130)) W !!,$P(V,U) ;,?69,"(% refused)"
  1.  W !?3,"Nutrition - by any provider (RD and/or other)",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?3,"Nutrition - by RD",?49,$$C($P(V,U,10)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,10)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,7))," )"
  1.  W !?3,"Physical activity",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,8))," )"
  1.  W !?3,"Other",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5)) ;,?71,"( ",$$P($P(V,U,2),$P(V,U,9))," )"
  1.  W !?3,"Any of above topics",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,2)),?73,$$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)
  1.  W !?3,"Influenza vaccine during Audit period",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?11,"Refused - Influenza vaccine",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?3,"Pneumococcal vaccine - ever",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?11,"Refused - Pneumococcal",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,7))
  1.  W !?3,"Td/Tdap/DT - past 10 years",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?11,"Refused - Td/Tdap/DT",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,8))
  1.  W !?3,"Tdap - ever",?49,$$C($P(V,U,12)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,12))
  1.  W !?11,"Refused - Tdap",?49,$$C($P(V,U,13)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,13))
  1.  S C=$P(V,U,2)-$P(V,U,11)
  1.  W !?3,"Hepatitis B 3-dose series complete - ever",?49,$$C($P(V,U,9)),?61,$$C(C),?73,$$P(C,$P(V,U,9))
  1.  W !?11,"Refused - Hepatitis B",?49,$$C($P(V,U,10)),?61,$$C(C),?73,$$P(C,$P(V,U,10))
  1.  W !?11,"Immune - Hepatitis B",?49,$$C($P(V,U,11)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,11))
  1. DEP ;
  1.  I $Y>(BDMIOSL-6) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(300)) W !!,"Depression An Active Problem"
  1.  W !?3,"Yes",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  S Z=$P(V,U,2)-$P(V,U,3)
  1.  W !?3,"No",?49,$$C(Z),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),Z)
  1.  ;screening
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(301))
  1.  W !!?3,"In patients without active depression, screened"
  1.  W !?3,"for depression during the audit period:"
  1.  W !?13,"Screened",?49,$$C($P(V,U,3)),?61,$$C(Z),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?13,"Not screened",?49,$$C($P(V,U,4)),?61,$$C(Z),?73,$$P($P(V,U,2),$P(V,U,4))
  1.  ;
  1. LIPID ;
  1.  I $Y>(BDMIOSL-2) D HEADER Q:BDMQUIT
  1.  W !!,"Lipid Evaluation - Note these results are presented as population level CVD"
  1.  W !,"risk markers and should not be considered treatment targets for individual"
  1.  W !,"patients."
  1.  ;
  1. LDL ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(190))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,5)+$P(V,U,6)
  1.  W !!?3,"LDL cholesterol",?49,$$C(T),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),T)
  1.  W !?7,"LDL <100 mg/dl",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"LDL 100-129 mg/dl",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"LDL 130-189 mg/dl",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
  1.  W !?7,"LDL >=190",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,6))
  1.  W !?7,"Not tested or no valid result",?49,$$C($P(V,U,7)+$P(V,U,8)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,7)+$P(V,U,8))
  1. HDL ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(195))
  1.  S T=$P(V,U,2)+$P(V,U,6)  ;TOTAL PTS
  1.  S S=$P(V,U,3)+$P(V,U,4)+$P(V,U,7)+$P(V,U,8)
  1.  W !!?3,"HDL cholesterol",?49,$$C(S),?61,$$C(T),?73,$$P(T,S)
  1.  W !?7,"In females"
  1.  W !?7,"HDL <50 mg/dl",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"HDL >=50 mg/dl",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Not tested or no valid result",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5))
  1.  W !!?7,"In males"
  1.  W !?7,"HDL <40 mg/dl",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,7))
  1.  W !?7,"HDL >=40 mg/dl",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,8))
  1.  W !?7,"Not tested or no valid result",?49,$$C($P(V,U,9)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,9))
  1. TRIG ;
  1.  I $Y>(BDMIOSL-7) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(200))
  1.  S T=$P(V,U,3)+$P(V,U,4)+$P(V,U,8)
  1.  W !!?3,"Triglycerides****",?49,$$C(T),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),T)
  1.  W !?7,"TG <150 mg/dl",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"TG 150-999 mg/dl",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,8))
  1.  W !?7,"TG >1000 mg/dl",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
  1.  W !?7,"Not tested or no valid result",?49,$$C($P(V,U,5)+$P(V,U,7)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,5)+$P(V,U,7))
  1.  ;
  1. GFR ;
  1.  I $Y>(BDMIOSL-9) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(175)) S T=$P(V,U,5)
  1.  W !!,"Kidney Evaluation"
  1.  W !?3,"eGFR to assess kidney function",?49,$$C($P(V,U,5)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,5)),!?3,"(In age 18 and above)"
  1.  W !,?7,"eGFR >= 60 ml/min",?49,$$C($P(V,U,6)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,6))
  1.  W !,?7,"eGFR 30-59 ml/min",?49,$$C($P(V,U,7)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,7))
  1.  W !,?7,"eGFR 15-29 ml/min",?49,$$C($P(V,U,8)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,8))
  1.  W !,?7,"eGFR < 15 ml/min",?49,$$C($P(V,U,9)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,9))
  1.  W !,?7,"eGFR Not tested or no valid result",?49,$$C($P(V,U,10)),?61,$$C($P(BDMCUML(175),U,2)),?73,$$P($P(BDMCUML(175),U,2),$P(V,U,10))
  1. URIN ;
  1.  I $Y>(BDMIOSL-15) D HEADER Q:BDMQUIT
  1.  W !
  1.  S V=$G(BDMCUML(145))
  1.  W !?3,"Urine Albumin:Creatinine Ratio (UACR) to assess kidney damage"
  1.  W !?7,"Yes",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?7,"No",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,4))
  1.  W !!?3,"In patients with UACR:"
  1.  W !?7,"Urine albumin excretion - Normal <30 mg/g",?49,$$C($P(V,U,12)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,12))
  1.  W !?7,"Urine albumin excretion - Increased",!?10,"30-300 mg/g",?49,$$C($P(V,U,13)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,13))
  1.  W !?10,">300 mg/g",?49,$$C($P(V,U,14)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,14))
  1.  ;W !!?3,"In patients age 18 and above ",!?10,"with eGFR =>30, UACR done",?49,$$C($P(V,U,21)),?61,$$C($P(V,U,20)),?73,$$P($P(V,U,20),$P(V,U,21))
  1.  I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(270))
  1.  W !!?3,"In patients age 18 and above,",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3)),!?3,"eGFR and UACR done"
  1.  ;
  1. CVD ;
  1.  ;I $Y>(BDMIOSL-4) D HEADER Q:BDMQUIT
  1.  ;S V=$G(BDMCUML(250)) W !!,$P(V,U)
  1.  ;W !?3,"Diagnosed CVD",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1. TBC ;
  1.  I $Y>(BDMIOSL-10) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(70)) W !!,$P(V,U)
  1.  W !!?3,"TB Test done (skin or blood)",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?6,"If test done, skin test",?49,$$C($P(V,U,4)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,4))
  1.  W !?6,"If test done, blood test",?49,$$C($P(V,U,5)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,5))
  1.  W !?3,"If TB test done, positive result",?49,$$C($P(V,U,6)),?61,$$C($P(V,U,3)),?73,$$P($P(V,U,3),$P(V,U,6))
  1.  W !?3,"If positive TB test, treatment",?49,$$C($P(V,U,7)),?61,$$C($P(V,U,6)),?73,$$P($P(V,U,6),$P(V,U,7)),!?6,"completed"
  1.  W !?3,"If negative TB test, test done after",?49,$$C($P(V,U,8)),?61,$$C($P(V,U,9)),?73,$$P($P(V,U,9),$P(V,U,8)),!?6,"DM diagnosis"
  1.  ;
  1. COMBINED ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  S V=$G(BDMCUML(260)) W !!,$P(V,U)
  1.  W !?3,"Patients age >= 40 meeting ALL of the ",?49,$$C($P(V,U,3)),?61,$$C($P(V,U,2)),?73,$$P($P(V,U,2),$P(V,U,3))
  1.  W !?3,"following criteria:  A1C <8.0, Statin prescribed*, ",!?3,"and mean BP <140/<90"
  1.  W !?3,"*Excludes patients with a statin allergy, intolerance,"
  1.  W !?3,"or contraindication"
  1. SDM ;
  1.  I $Y>(BDMIOSL-8) D HEADER Q:BDMQUIT
  1.  W !!!,"** CKD: eGFR <60 or UACR =>30"
  1.  W !,"*** Known hypertension: Has hypertension listed as an active problem, or ",!,"three visits with a diagnosis of hypertension ever (prior to the end ",!,"of the Audit period)."
  1.  W !,"**** For triglycerides: >150 is a marker of CVD risk, not a treatment",!,"target; >1000 is a risk marker for pancreatitis."
  1.  w !,"***** Comorbid conditions counted are: active depression, current tobacco use,",!,"severely obese (BMI 40 or higher), diagnosed hypertension, diagnosed CVD,",!,"and CKD (eGFR<60 or UACR=>30).",!
  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.  D HEADER^BDMDE14
  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.  ;----------