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Routine: BDMDG13

BDMDG13.m

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BDMDG13 ; IHS/CMI/LAB - 2019 DIABETES AUDIT ;

 ;;2.0;DIABETES MANAGEMENT SYSTEM;**12**;JUN 14, 2007;Build 51

 ;

LASTFLU(BDMPDFN,BDMBD,BDMED,BDMFORM) ;PEP - date of last FLU

 ;  Return the last recorded FLU:

 ;

 I $G(BDMPDFN)="" Q ""

 I $G(BDMBD)="" S BDMBD=$$DOB^AUPNPAT(BDMPDFN)

 I $G(BDMED)="" S BDMED=DT

 I $G(BDMFORM)="" S BDMFORM="D"

 NEW BDMLAST,BDMVAL,BDMX,R,X,Y,V,E,T,G,BDMY,BDMF,Z,D,S

 S BDMLAST="",S=""

 S T=$O(^ATXAX("B","BGP FLU IZ CVX CODES",0))

 I T S X=0 F  S X=$O(^ATXAX(T,21,"B",X)) Q:X=""  S S(X)=""

 S R="" F  S R=$O(S(R)) Q:R=""  D

 .S BDMVAL=$$LASTITEM^APCLAPIU(BDMPDFN,R,"IMMUNIZATION",$S($P(BDMLAST,U)]"":$P(BDMLAST,U),1:BDMBD),BDMED,"A")

 .D E

 S BDMVAL=$$LASTCPTT^APCLAPIU(BDMPDFN,$S($P(BDMLAST,U)]"":$P(BDMLAST,U),1:BDMBD),BDMED,"BGP CPT FLU","A")

 D E

 S BDMVAL=$$LASTDXT^APCLAPIU(BDMPDFN,$S($P(BDMLAST,U)]"":$P(BDMLAST,U),1:BDMBD),BDMED,"BGP FLU IZ DXS","A")

 D E

 I BDMFORM="D" Q $P(BDMLAST,U)

 Q BDMLAST

E ;

 I $P(BDMVAL,U,1)>$P(BDMLAST,U,1) S BDMLAST=BDMVAL

 Q

FLU(P,BDATE,EDATE,R,F) ;EP

 NEW BDM,X,E,%,%DT,BD,B,D,C,Y,LFLU,TFLU,Z,G,T,S,A,J

 I $G(F)="" S F="E"

 I $G(R)="" S R=0

 I $G(BDATE)="" S BDATE=$$FMADD^XLFDT(EDATE,-366)

 S LFLU=$$LASTFLU(P,BDATE,EDATE,"D")

 I LFLU]"" Q $S(F="E":"1  Yes  "_$$DATE^BDMS9B1(LFLU),1:LFLU)

 ;

 I R Q ""

 K S

 S T=$O(^ATXAX("B","BGP FLU IZ CVX CODES",0))

 I T S X=0 F  S X=$O(^ATXAX(T,21,"B",X)) Q:X=""  S S(X)=""

 S T=$O(^ATXAX("B","SURVEILLANCE FLU CVX CODES",0))

 I T S X=0 F  S X=$O(^ATXAX(T,21,"B",X)) Q:X=""  S S(X)=""

 S A="",J="" F  S A=$O(S(A)) Q:A=""!(J]"")  D

 .S G=$$REFUSAL^BDMDG17(P,9999999.14,$O(^AUTTIMM("C",A,0)),BDATE,EDATE)

 .I G,$P(G,U,2)'="N" S J="3  Refused "_$P(G,U,3) Q

 .I G S J="2  No - Not Medically Indicated"_$$DATE^BDMS9B1($P(G,U,3))

 I J]"" Q J

 S Z=0,G="" F  S Z=$O(S(Z)) Q:Z=""!(G)  S X=0,Y=$O(^AUTTIMM("C",Z,0)) I Y F  S X=$O(^BIPC("AC",P,Y,X)) Q:X'=+X!(G)  D

 .S R=$P(^BIPC(X,0),U,3)

 .Q:R=""

 .Q:'$D(^BICONT(R,0))

 .Q:$P(^BICONT(R,0),U,1)'["Refusal"

 .S D=$P(^BIPC(X,0),U,4)

 .Q:D=""

 .Q:$P(^BIPC(X,0),U,4)<BDATE

 .Q:$P(^BIPC(X,0),U,4)>EDATE

 .S G=1_U_D

 I G Q "3  Refused "_$$DATE^BDMS9B1($P(D,U,2))

 Q "2  No"

PNEU(P,EDATE,R,F) ;EP

 NEW BDM,X,E,B,%DT,Y,TPN,D,LPN,G,C,Z,T

 K TPN

 I $G(F)="" S F="E"

 I $G(R)="" S R=0

 S LPN=$$LASTPNEU^BDMS9B4(P,"",EDATE,"D")

 I LPN]"" Q $S(F="E":"1  Yes  "_$$DATE^BDMS9B1(LPN),1:LPN)

 I R Q ""

 S R="",G="" F R=33,100,109,133,152 Q:R=""!(G)  D

 .S G=$$REFUSAL^BDMDG17(P,9999999.14,$O(^AUTTIMM("C",R,0)),$$DOB^AUPNPAT(P),DT,"R")

 I G Q "3  Refused "_$P(G,U,3)

 ;; BI REFUSALS

 S G="" F Z=33,100,109,133,152 Q:G  S X=0,Y=$O(^AUTTIMM("C",Z,0)) I Y F  S X=$O(^BIPC("AC",P,Y,X)) Q:X'=+X!(G)  D

 .S R=$P(^BIPC(X,0),U,3)

 .Q:R=""

 .Q:'$D(^BICONT(R,0))

 .Q:$P(^BICONT(R,0),U,1)'["Refusal"

 .S D=$P(^BIPC(X,0),U,4)

 .Q:D=""

 .S G=1_U_D

 I G Q "3  Refused "_$$DATE^BDMS9B1($P(G,U,2))

 S G="",Z="" F Z=33,100,109,133,152 Q:Z=""!(G]"")  S G=$$PNEUCONT^BDMS9B4(P,Z,$$DOB^AUPNPAT(P),DT)

 I G]"" Q "2  No "_G

 Q "2  No"

BI() ;

 Q $S($O(^AUTTIMM(0))>100:1,1:0)

BPS(P,BDATE,EDATE,F) ;EP ;

 I $G(F)="" S F="E"

 NEW X,BDM,E,BDML,BDMLL,BDMV,BDMVF,BDMBDT,D,I

 S BDMLL=0,BDMV=""

 K BDM,BDMBDT

 S X=P_"^ALL MEAS BP;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")

 S BDML=0 F  S BDML=$O(BDM(BDML)) Q:BDML'=+BDML  D

 .S BDMVF=+$P(BDM(BDML),U,4)

 .Q:$P($G(^AUPNVMSR(BDMVF,2)),U,1)  ;entered in error

 .Q:$$CLINIC^APCLV($P(BDM(BDML),U,5),"C")=30

 .S D=$$VALI^XBDIQ1(9000010.01,BDMVF,1201)

 .I D="" S D=$$VDTM^APCLV($P(BDM(BDML),U,5))

 .S BDMBDT($P(D,"."),D,BDMVF)=BDM(BDML)

 S D="" F  S D=$O(BDMBDT(D),-1) Q:D'=+D!(BDMLL=3)  D

 .S E="",E=$O(BDMBDT(D,E),-1) Q:E'=+E!(BDMLL=3)

 .S I="" S I=$O(BDMBDT(D,E,I),-1) Q:I'=+I!(BDMLL=3)  D

 ..S BDMLL=BDMLL+1

 ..S BDMBP=$P(BDMBDT(D,E,I),U,2)

 ..I F="E" S $P(BDMV,";",BDMLL)=BDMBP_" mm Hg "_$$DATE^BDMS9B1($P(BDMBDT(D,E,I),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,X,T,G,Y

 S T=$O(^ATXAX("B","SURVEILLANCE HYPERTENSION",0))

 S (X,G)=0 F  S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X!(G)  D

 .Q:'$D(^AUPNPROB(X,0))  ;bad xref

 .Q:$P(^AUPNPROB(X,0),U,8)>EDATE  ;if added to pl after end of time period, no go

 .S Y=$P(^AUPNPROB(X,0),U)

 .Q:$P(^AUPNPROB(X,0),U,12)="I"

 .Q:$P(^AUPNPROB(X,0),U,12)="D"

 .I $$ICD^BDMUTL(Y,$P(^ATXAX(T,0),U),9) S G=1 Q

 .I $P($G(^AUPNPROB(X,800)),U,1)]"",$$SNOMED^BDMUTL(2019,"PXRM ESSENTIAL HYPERTENSION",$P(^AUPNPROB(X,800),U,1)) S G=1

 .Q

 I G Q "1  Yes"

 K BDM

 S X=P_"^LAST 3 DX [SURVEILLANCE HYPERTENSION;DURING "_$$DATE^BDMS9B1($$DOB^AUPNPAT(P))_"-"_EDATE S E=$$START1^APCLDF(X,"BDM(")

 I $D(BDM(3)) S Y=$$DATE^BDMS9B1($P(BDM(3),U,1))_"  "_$$DATE^BDMS9B1($P(BDM(2),U))_"  "_$$DATE^BDMS9B1($P(BDM(1),U)) Q "1  Yes - DX on "_Y

 Q "2  No"

LASTHT(P,EDATE,F) ;PEP - return last ht and date

 I 'P Q ""

 I $G(F)="" S F="E"

 I '$D(^AUPNVSIT("AC",P)) Q ""

 NEW %,BDMARRY,H,E,W,BDATE,D

 S %DT="P",X=EDATE D ^%DT S EDATE=Y

 S BDATE=$P(^DPT(P,0),U,3)

 S E=$O(^AUTTMSR("B","HT",0))

 S H=""

 S D=0 F  S D=$O(^AUPNVMSR("AA",P,E,D)) Q:D'=+D!(H]"")  D

 .S W=0 F  S W=$O(^AUPNVMSR("AA",P,E,D,W)) Q:W'=+W!(H]"")  D

 ..Q:'$D(^AUPNVMSR(W,0))

 ..Q:$P($G(^AUPNVMSR(W,2)),U,1)  ;entered in error

 ..S H=$P(^AUPNVMSR(W,0),U,4)

 ..S BDMARRY(1)=$$VD^APCLV($P(^AUPNVMSR(W,0),U,3))

 I H="" Q H

 I F="I" Q H

 S H=$J(H,5,2)

 Q H_" inches "_$$DATE^BDMS9B1($P(BDMARRY(1),U))

LASTWT(P,BDATE,EDATE,F) ;PEP - return last wt

 I 'P Q ""

 I $G(F)="" S F="E"

 NEW %,BDMARRY,E,BDMW,X,BDMN,BDM,BDMD,BDMZ,BDMX,W,H,BDMVF

 K BDM S BDMW="" S BDMX=P_"^LAST 24 MEAS WT;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(BDMX,"BDM(")

 S BDMN=0 F  S BDMN=$O(BDM(BDMN)) Q:BDMN'=+BDMN!(BDMW]"")  D

 . S BDMVF=+$P(BDM(BDMN),U,4)

 . Q:$P($G(^AUPNVMSR(BDMVF,2)),U,1)  ;entered in error

 . S BDMZ=$P(BDM(BDMN),U,5)

 . I '$D(^AUPNVPOV("AD",BDMZ)) S BDMW=$P(BDM(BDMN),U,2)\1_" lbs "_$$DATE^BDMS9B1($P(BDM(BDMN),U)) Q

 . S BDMD=0,G=0 F  S BDMD=$O(^AUPNVPOV("AD",BDMZ,BDMD)) Q:'BDMD  D

 .. N ICDI

 .. S ICDI=$P($$ICDDX^BDMUTL($P(^AUPNVPOV(BDMD,0),U)),U)  ;p8

 .. S ICD=$P($$ICDDX^BDMUTL($P(^AUPNVPOV(BDMD,0),U)),U,2)  ;cmi/anch/maw 9/12/2007 csv

 .. ;make the call here to BGP PREGNANCY DIAGNOSIS 2

 ..N TAX

 ..S TAX=$O(^ATXAX("B","BGP PREGNANCY DIAGNOSES 2",0))

 .. I $$ICD^BDMUTL(ICDI,$P(^ATXAX(TAX,0),U),9) S G=1  ;cmi/maw 05/15/2014 p8

 .I 'G S BDMW=$P(BDM(BDMN),U,2)\1_" lbs "_$$DATE^BDMS9B1($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 X=0,(D,Y)="" F  S X=$O(^ACM(44,"C",P,X)) Q:X'=+X  I $P(^ACM(44,X,0),U,4)=R D

 .S D=$P($G(^ACM(44,X,"SV")),U,2),D1=D,D=$$DATE^BDMS9B1(D)

 .S Y=$$VAL^XBDIQ1(9002244,X,.01)

 .I D1="" S D1=0

 .S G(9999999-D1)=D_"^"_D1_"^"_Y

 I '$O(G(0)) Q ""

 S Y=0,G=$O(G(Y))

 S D=$P(G(G),U),D1=$P(G(G),U,2),Y=$P(G(G),U,3)

 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

 .Q:$P(^AUPNPROB(X,0),U,12)="D"  ;deleted problem

 .S I=$P(^AUPNPROB(X,0),U)

 .I $$ICD^BDMUTL(I,$P(^ATXAX(T,0),U),9) D  Q

 ..I $P(^AUPNPROB(X,0),U,13)]"" S D($P(^AUPNPROB(X,0),U,13))=""

 ..Q

 .I $P($G(^AUPNPROB(X,800)),U,1)]"",$$SNOMED^BDMUTL(2019,"PXRM DIABETES",$P(^AUPNPROB(X,800),U,1)) D

 ..I $P(^AUPNPROB(X,0),U,13)]"" S D($P(^AUPNPROB(X,0),U,13))=""

 .Q

 S D=$O(D(0)) Q $S(F="E":$$DATE^BDMS9B1(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

 .Q:$P(^AUPNPROB(X,0),U,12)="D"  ;deleted problem

 .S I=$P(^AUPNPROB(X,0),U)

 .I $$ICD^BDMUTL(I,$P(^ATXAX(T,0),U),9) S:D]"" D=D_";" S D=D_$P($$ICDDX^BDMUTL(I),U,2) Q

 .I $P($G(^AUPNPROB(X,800)),U,1)]"",$$SNOMED^BDMUTL(2019,"PXRM DIABETES",$P(^AUPNPROB(X,800),U,1)) S:D]"" D=D_";" S D=D_"SNOMED: "_$P(^AUPNPROB(X,800),U,1)

 .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":$$DATE^BDMS9B1(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 ""

INCHES ;

 NEW F,FI,Z

 S (X,Z)=$$LASTHT^BDMDG13(BDMPD,BDMRED,"I")

 Q:X=""

 S X=X/12  ;get feet

 S F=$P(X,".")

 S FI=F*12  ;GET INCHES

 S X=Z-FI

 S X=$J(X,5,2)

 S X=$$STRIP^XLFSTR(X," ")

 Q

DATE(D) ;EP

 I D="" Q D

 Q $E(D,4,5)_"/"_$E(D,6,7)_"/"_$E(D,2,3)

HEP(P,EDATE,S,F) ;EP

 NEW BDMC,BDMG,BDMX,BDMHEP,C,X,ED,G,T,BDM10743,V,Z,Y,BDMIMM,I,R,BDMZ

 ;get all immunizations

 S F=$G(F) I F="" S F="E"

 S S=$G(S)

 S C="8^42^43^44^45^51^102^104^110^132^146^193"

 D GETIMMS^BDMUTL(P,EDATE,C,.BDMX)

 ;go through and set into array if 10 days apart

 S X=0 F  S X=$O(BDMX(X)) Q:X'=+X  S BDMHEP(X)=""

 ;now get cpts

 S ED=9999999-EDATE,BD=9999999-$$DOB^AUPNPAT(P),G=0

 S T=$O(^ATXAX("B","BGP HEPATITIS CPTS",0))

 F  S ED=$O(^AUPNVSIT("AA",P,ED)) Q:ED=""!($P(ED,".")>BD)  D

 .S V=0 F  S V=$O(^AUPNVSIT("AA",P,ED,V)) Q:V'=+V  D

 ..Q:'$D(^AUPNVSIT(V,0))

 ..S X=0 F  S X=$O(^AUPNVCPT("AD",V,X)) Q:X'=+X  D

 ...S Y=$P(^AUPNVCPT(X,0),U) S Z=$P($$CPT^ICPTCOD(Y),U,2) I $$ICD^BDMUTL(Y,$P(^ATXAX(T,0),U),1) S BDMHEP(9999999-$P(ED,"."))=""  ;cmi/maw 05/15/2014 p8

 ..S X=0 F  S X=$O(^AUPNVTC("AD",V,X)) Q:X'=+X  D

 ...S Y=$P(^AUPNVTC(X,0),U,7) Q:'Y  S Z=$P($$CPT^ICPTCOD(Y),U,2) I $$ICD^BDMUTL(Y,$P(^ATXAX(T,0),U),1) S BDMHEP(9999999-$P(ED,"."))=""  ;cmi/maw 05/15/2014 p8

 ;now check to see if they are all spaced 20 days apart, if not, kill off the odd ones

 S X="",Y="",C=0 F  S X=$O(BDMHEP(X)) Q:X'=+X  S C=C+1 D

 .I C=1 S Y=X Q

 .I $$FMDIFF^XLFDT(X,Y)<21 K BDMHEP(X) Q

 .S Y=X

 ;now count them and see if there are 3 of them

 S BDMHEP=0,X=0 F  S X=$O(BDMHEP(X)) Q:X'=+X  S BDMHEP=BDMHEP+1

 I BDMHEP>2 Q "1  Yes"

I ;;

 ;NEW FOR 2019 AUDIT CHECK FOR 2 OF CVX 189

 S C="189"

 D GETIMMS^BDMUTL(P,EDATE,C,.BDMX)

 ;go through and set into array if 10 days apart

 S X=0 F  S X=$O(BDMX(X)) Q:X'=+X  S BDMHEP(X)=""

 ;now check to see if they are all spaced 20 days apart, if not, kill off the odd ones

 S X="",Y="",C=0 F  S X=$O(BDMHEP(X)) Q:X'=+X  S C=C+1 D

 .I C=1 S Y=X Q

 .I $$FMDIFF^XLFDT(X,Y)<21 K BDMHEP(X) Q

 .S Y=X

 ;now count them and see if there are 2 of them

 S BDMHEP=0,X=0 F  S X=$O(BDMHEP(X)) Q:X'=+X  S BDMHEP=BDMHEP+1

 I BDMHEP>1 Q "1  Yes"

 I $G(S) D  Q %

 .S %=""

 .S X=0 F  S X=$O(BDMHEP(X)) Q:X'=+X  S %=X

 ;check for Evidence of desease and Contraindications and if yes, then quit

 ;CONTRA OF IMMUNE

 F BDMIMM=8,42,43,44,45,51,102,104,110,132,146,189,193 S R=$$HEPCONT(P,BDMIMM,$$DOB^AUPNPAT(P),EDATE) Q:R]""

 I R Q "4  Immune"

 K BDMG S %=P_"^LAST DX [BGP HEP EVIDENCE;DURING "_$$DOB^AUPNPAT(P)_"-"_EDATE,E=$$START1^APCLDF(%,"BDMG(")

 I $D(BDMG(1)) Q "4  Immune by DX"  ;_U_"Evid Hep B"

 I $$PLTAX^BDMDG12(P,"BGP HEP EVIDENCE") Q "4  Immune by DX"

 ;now go to Refusals

 S B=$$FMADD^XLFDT(EDATE,-365),E=EDATE,BDMNMI="",R=""

 F BDMIMM="8",42,43,44,45,51,102,104,110,132,146,189,193  D

 .S I=$O(^AUTTIMM("C",BDMIMM,0)) Q:'I

 .S X=0 F  S X=$O(^AUPNPREF("AA",P,9999999.14,I,X)) Q:X'=+X  S Y=0 F  S Y=$O(^AUPNPREF("AA",P,9999999.14,I,X,Y)) Q:Y'=+Y  S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) S:$P(^AUPNPREF(Y,0),U,7)="N" BDMNMI=1 S R=1

 I R Q $S(BDMNMI:2,1:3)_"  "_$S(BDMNMI:"No - Not Medically Ind",1:"Refused")

 S R=$$CPTREFT^BDMDGDU(P,$$DOB^AUPNPAT(P),EDATE,$O(^ATXAX("B","BGP HEPATITIS CPTS",0)))

 I R S:$P(R,U,3)="N" BDMNMI=1 Q $S(BDMNMI:2,1:3)_"  "_$S(BDMNMI:"No - Not Medically Ind.",1:"Refused")_" "_$$DATE^BDMS9B1($P(R,U,2))

 ;now check Refusals in imm pkg

 F BDMIMM=8,42,43,44,45,51,102,104,110,132,146,189,193 S R=$$IMMREF^BDMUTL(P,BDMIMM,$$DOB^AUPNPAT(P),EDATE) Q:R

 I R Q "3  Refused"

 F BDMZ=8,42,43,44,45,51,102,104,110,132,146,189,193 S X=$$ANCONT^BDMUTL(P,BDMZ,EDATE) Q:X]""  ;cmi/maw 12/17/07 missing edate

 I X]"" Q X

 Q "2  No"

HEPCONT(P,C,BD,ED) ;EP

 NEW X,G,Y,R,D

 S X=0,G="",Y=$O(^AUTTIMM("C",C,0)) I Y F  S X=$O(^BIPC("AC",P,Y,X)) Q:X'=+X!(G)  D

 .S R=$P(^BIPC(X,0),U,3)

 .Q:R=""

 .Q:'$D(^BICONT(R,0))

 .S D=$P(^BIPC(X,0),U,4)

 .Q:$P(^BIPC(X,0),U,4)>ED

 .I $P(^BICONT(R,0),U,1)="Immune" S G="4  Immune"

 Q G