- BGP0D721 ; IHS/CMI/LAB - measure AHR.A ;
- ;;10.0;IHS CLINICAL REPORTING;;JUN 18, 2010
- ;
- ;
- IAHRA ;EP
- S (BGPN1,BGPN2,BGPN3,BGPN4,BGPN5,BGPN6,BGPN7,BGPN8,BGPN9,BGPN10,BGPN11,BGPN12,BGPN13,BGPN14,BGPN15,BGPN16,BGPN17,BGPD1,BGPD2,BGPD3,BGPD4,BGPD5,BGPD6,BGPD7,BGPD8,BGPD9)=0
- S BGPVALUE=""
- I BGPAGEB<22 S BGPSTOP=1 Q
- I 'BGPACTCL S BGPSTOP=1 Q ;must be active clinical
- S BGPIHD=$$IHD(DFN,BGPBDATE,BGPEDATE)
- I 'BGPIHD S BGPSTOP=1 Q ;no IHD
- S BGPD1=1
- I BGPDMD2 S BGPD3=1
- I 'BGPDMD2 S BGPD2=1
- K BGPBETA
- S BGPBETA("RX")=$$BETA(DFN,BGPBDATE,BGPEDATE,179) ;get 1_U_# days
- I BGPBETA("RX") S BGPN2=1 ;pt has 180 days of beta blocker
- I 'BGPN2 S BGPBETA("REF")=$$BETAREF(DFN,BGPBDATE,BGPEDATE) I BGPBETA("REF") S BGPN3=1
- I 'BGPN2 S BGPBETA("CONTRA")=$$BETACONT(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE) I BGPBETA("CONTRA") S BGPN4=1 ;beta contraindication
- I 'BGPN2 S BGPBETA("ADR")=$$BETAALG1^BGP0D72(DFN,BGPEDATE) I BGPBETA("ADR") S BGPN4=1
- I (BGPN2+BGPN3+BGPN4) S BGPN1=1
- K BGPASA
- S BGPASA("RX")=$$ASA(DFN,BGPBDATE,BGPEDATE,179) ;get 1_U_# days
- I BGPASA("RX") S BGPN6=1 ;pt has 180 days of beta blocker
- I 'BGPN6 S BGPASA("REF")=$$ASAREF(DFN,BGPBDATE,BGPEDATE) I BGPASA("REF") S BGPN7=1
- I 'BGPN6 S BGPASA("CONTRA")=$$ASACONTR(DFN,BGPBDATE,BGPEDATE,179) I BGPASA("CONTRA") S BGPN8=1 ;beta contraindication
- I 'BGPN6 S BGPASA("ADR")=$$ASAALLEG(DFN,BGPEDATE) I BGPASA("ADR") S BGPN8=1
- I (BGPN6+BGPN7+BGPN8) S BGPN5=1
- K BGPACE
- S BGPACE("RX")=$$ACERX^BGP0D722(DFN,BGPBDATE,BGPEDATE,179) ;get 1_U_# days
- I BGPACE("RX") S BGPN10=1 ;pt has 180 days of ACE
- I 'BGPN10 S BGPACE("REF")=$$ACEREF^BGP0D722(DFN,BGPBDATE,BGPEDATE) I BGPACE("REF") S BGPN11=1
- I 'BGPN10 S BGPACE("CONTRA")=$$ACECONT^BGP0D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE,BGPBDATE) I BGPACE("CONTRA") S BGPN12=1 ;beta contraindication
- I 'BGPN10 S BGPACE("ADR")=$$ACEALG^BGP0D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE) I BGPACE("ADR") S BGPN12=1
- I (BGPN10+BGPN11+BGPN12) S BGPN9=1
- K BGPSTAT
- S BGPSTAT("RX")=$$STATRX^BGP0D722(DFN,BGPBDATE,BGPEDATE,179) ;get 1_U_# days
- I BGPSTAT("RX") S BGPN14=1 ;pt has 180 days of STAT
- I 'BGPN14 S BGPSTAT("REF")=$$STATREF^BGP0D722(DFN,BGPBDATE,BGPEDATE) I BGPSTAT("REF") S BGPN15=1
- I 'BGPN14 S BGPSTAT("CONTRA")=$$STATCON^BGP0D722(DFN,BGPBDATE,BGPEDATE,BGPBDATE,BGPEDATE) I BGPSTAT("CONTRA") S BGPN16=1 ;beta contraindication
- I 'BGPN14 S BGPSTAT("ADR")=$$STATALG^BGP0D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE) I BGPSTAT("ADR") S BGPN16=1
- I (BGPN14+BGPN15+BGPN16) S BGPN13=1
- I BGPN1,BGPN5,BGPN9,BGPN13 S BGPN17=1
- S BGPVALUE="IHD"_$S(BGPD3:";AD",1:"")_"|||"
- S BGPVALUE=BGPVALUE_$S(BGPN17:"ALL MEDS; ",1:"")
- S BGPVALUE=BGPVALUE_" BETA: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPBETA(X)),U,1),$P($G(BGPBETA(X)),U,2)]"" S BGPVALUE=BGPVALUE_$P(BGPBETA(X),U,2)_" "
- S BGPVALUE=BGPVALUE_" ; ASA: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPASA(X)),U,1),$P($G(BGPASA(X)),U,2)]"" S BGPVALUE=BGPVALUE_$P(BGPASA(X),U,2)_" "
- S BGPVALUE=BGPVALUE_" ; ACEI/ARB: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPACE(X)),U,1),$P($G(BGPACE(X)),U,2)]"" S BGPVALUE=BGPVALUE_$P(BGPACE(X),U,2)_" "
- S BGPVALUE=BGPVALUE_" ; STATIN: " F X="RX","REF","CONTRA","ADR" I $P($G(BGPSTAT(X)),U,1),$P($G(BGPSTAT(X)),U,2)]"" S BGPVALUE=BGPVALUE_$P(BGPSTAT(X),U,2)_" "
- K BGPIHD,BGPBETA,BGPMEDS1,BGPASA,BGPACE,BGPSTAT
- K ^TMP($J)
- Q
- IHD(P,BDATE,EDATE) ;EP
- ;first dx prior to report period
- ;at least 2 visits during report period
- ;at least 2 ihd dxs ever
- I '$$V2^BGP0D1(P,BDATE,EDATE) Q "" ;not 2 visits during report period
- K ^TMP($J)
- I '$$FIRSTIHD(P,EDATE) Q "" ;first dx not prior to report period
- I '$$V2IHD(P,$$DOB^AUPNPAT(P),EDATE) Q "" ;at least 2 IHD dxs ever
- Q 1
- FIRSTIHD(P,EDATE) ;EP
- I $G(P)="" Q ""
- NEW BGPG,Y,X,E
- K BGPG
- S Y="BGPG("
- S X=P_"^FIRST DX [BGP IHD DXS" S E=$$START1^APCLDF(X,Y)
- I '$D(BGPG(1)) Q ""
- S X=$$FMDIFF^XLFDT(EDATE,$P(BGPG(1),U))
- Q $S(X>365:1,1:"")
- ;
- V2IHD(P,BDATE,EDATE) ;EP
- I '$G(P) Q ""
- I '$D(^AUPNVSIT("AC",P)) Q ""
- NEW A,B,E,T,X,G,V,Y,%,G
- K ^TMP($J,"A")
- S A="^TMP($J,""A"",",B=P_"^ALL VISITS;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE),E=$$START1^APCLDF(B,A)
- I '$D(^TMP($J,"A",1)) Q ""
- S T=$O(^ATXAX("B","BGP IHD DXS",0))
- I 'T Q ""
- S (X,G)=0 F S X=$O(^TMP($J,"A",X)) Q:X'=+X!(G>2) S V=$P(^TMP($J,"A",X),U,5) D
- .Q:'$D(^AUPNVSIT(V,0))
- .Q:'$P(^AUPNVSIT(V,0),U,9)
- .Q:$P(^AUPNVSIT(V,0),U,11)
- .Q:"SAHO"'[$P(^AUPNVSIT(V,0),U,7)
- .Q:"V"[$P(^AUPNVSIT(V,0),U,3)
- .Q:$P(^AUPNVSIT(V,0),U,6)=""
- .I $G(BGPMFITI),'$D(^ATXAX(BGPMFITI,21,"B",$P(^AUPNVSIT(V,0),U,6))) Q
- .S (D,Y)=0 F S Y=$O(^AUPNVPOV("AD",V,Y)) Q:Y'=+Y!(D) I $D(^AUPNVPOV(Y,0)) S %=$P(^AUPNVPOV(Y,0),U) I $$ICD^ATXCHK(%,T,9) S D=1
- .Q:'D
- .S G=G+1
- .Q
- K ^TMP($J,"A")
- Q $S(G<2:"",1:1)
- ;
- BETA(P,BDATE,EDATE,BGPNDAYS) ;EP
- NEW BGPMEDS1,K,R,T,T1,X,Y,G,D,N,J,V,S
- K BGPMEDS1
- S K=0,R=""
- D GETMEDS^BGP0UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) Q ""
- S T=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
- S T1=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER NDC",0))
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G BETA1
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
- .Q:'G
- BETA1 .;
- .S J=$P(^AUPNVMED(Y,0),U,8)
- .S V=$P(^AUPNVMED(Y,0),U,3)
- .Q:'V
- .Q:'$D(^AUPNVSIT(V,0))
- .S S=$$DAYS^BGP0D82(Y,V,EDATE)
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP0UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>BGPNDAYS Q 1_U_" total days beta blocker: "_K
- BETAPRIO ;now add in any before BEG DATE
- K BGPMEDS1
- D GETMEDS^BGP0UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) Q ""
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G BETA2
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
- .Q:'G
- BETA2 .;
- .S J=$P(^AUPNVMED(Y,0),U,8)
- .S V=$P(^AUPNVMED(Y,0),U,3)
- .Q:'V
- .Q:'$D(^AUPNVSIT(V,0))
- .Q:J]"" ;don't use if discontinued
- .S D=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),"."))
- .S S=$P(^AUPNVMED(Y,0),U,7)
- .S S=S-D
- .S:S<0 S=0
- .S K=S+K
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP0UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>BGPNDAYS Q 1_U_" total days beta blocker: "_K
- Q 0_U_" total days beta blocker: "_K
- ;
- BETAREF(P,BDATE,EDATE) ;EP
- NEW T,X,G,D,Y,N
- S T=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X)) ;not a Beta Blocker
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<BDATE Q
- ..I Y>EDATE Q ;documented after edate
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G) D
- ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="R"
- ...S G=1_U_"Beta Blocker Refusal "_$$DATE^BGP0UTL(Y)
- ..Q
- .Q
- Q G
- BETACONT(P,BDATE,EDATE,NMIBD,NMIED) ;EP - BETA BLOCKER CONTRAINDICATION
- NEW X,Y,BGPG,BGPD,G,N
- I $G(BDATE)="" S BDATE=$$DOB^AUPNPAT(P)
- S NMIBD=$G(NMIBD),NMIED=$G(NMIED)
- K BGPG,BGPD
- S Y="BGPG("
- S X=P_"^ALL DX [BGP ASTHMA DXS;DURING "_BDATE_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
- S (X,G)=0 F S X=$O(BGPG(X)) Q:X'=+X S BGPD($P(BGPG(X),U))=""
- S (X,G)=0 F S X=$O(BGPD(X)) Q:X'=+X S G=G+1
- I G>1 Q 1_U_"2 dx asthma contra"
- S BGPG=$$LASTDX^BGP0UTL1(P,"BGP HYPOTENSION DXS",BDATE,EDATE)
- I $P(BGPG,U)=1 Q 1_U_"hypotension dx contra" ;has hypotension dx
- S BGPG=$$LASTDX^BGP0UTL1(P,"BGP CMS 2/3 HEART BLOCK DXS",BDATE,EDATE)
- I $P(BGPG,U)=1 Q 1_U_"heart blk contra" ;has heart block dx
- S BGPG=$$LASTDXI^BGP0UTL1(P,"427.81",BDATE,EDATE)
- I $P(BGPG,U)=1 Q 1_U_"sinus brady contra"
- K BGPG,BGPD
- S Y="BGPG("
- S X=P_"^ALL DX [BGP COPD DXS BB CONT;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
- S (X,G)=0 F S X=$O(BGPG(X)) Q:X'=+X S BGPD($P(BGPG(X),U))=""
- S (X,G)=0 F S X=$O(BGPD(X)) Q:X'=+X S G=G+1
- I G>1 Q 1_U_"copd dx contra"
- ;now check for NMI of beta blocker during report period
- ;
- S T=$O(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X)) ;not a Beta Blocker
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<NMIBD Q ;documented more than 1 year before edate
- ..I Y>NMIED Q ;documented after edate
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G) D
- ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- ...S G=1_U_"Beta Blocker contra NMI med "_$$DATE^BGP0UTL(Y)
- ..Q
- .Q
- I G Q G
- ;now cpt 8011 in past year
- S X=$$CPTI^BGP0DU(P,NMIBD,NMIED,+$$CODEN^ICPTCOD("G8011"))
- I X Q "1^Beta Blocker contra CPT code G8011: "_$$DATE^BGP0UTL($P(X,U,2))
- S X=$$TRANI^BGP0DU(P,NMIBD,NMIED,+$$CODEN^ICPTCOD("G8011"))
- I X Q "1^Beta Blocker contra TRAN code G8011: "_$$DATE^BGP0UTL($P(X,U,2))
- Q 0
- ASA(P,BDATE,EDATE,BGPNDAYS) ;EP
- K BGPMEDS1
- S K=0,R=""
- D GETMEDS^BGP0UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) Q ""
- S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- S T1=$O(^ATXAX("B","BGP ANTI-PLATELET DRUGS",0))
- S T2=$O(^ATXAX("B","BGP CMS ANTI-PLATELET CLASS",0))
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G ASA1
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G ASA1
- .S C=$P($G(^PSDRUG(D,0)),U,2)
- .I C]"",T2,$D(^ATXAX(T2,21,"B",C)) S G=1
- .Q:'G
- ASA1 .;
- .S J=$P(^AUPNVMED(Y,0),U,8)
- .S V=$P(^AUPNVMED(Y,0),U,3)
- .Q:'V
- .Q:'$D(^AUPNVSIT(V,0))
- .S S=$$DAYS^BGP0D82(Y,V,EDATE)
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP0UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>BGPNDAYS Q 1_U_" total days aspirin: "_K
- ASAPRIO ;now add in any before BEG DATE
- K BGPMEDS1
- D GETMEDS^BGP0UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) Q ""
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G ASA2
- .S N=$P($G(^PSDRUG(D,2)),U,4)
- .I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G ASA2
- .S C=$P($G(^PSDRUG(D,0)),U,2)
- .I C]"",T2,$D(^ATXAX(T2,21,"B",C)) S G=1
- .Q:'G
- ASA2 .;
- .S J=$P(^AUPNVMED(Y,0),U,8)
- .S V=$P(^AUPNVMED(Y,0),U,3)
- .Q:'V
- .Q:'$D(^AUPNVSIT(V,0))
- .Q:J]"" ;don't use if discontinued
- .S D=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),".")) ;difference between dsch date and date prescribed
- .S S=$P(^AUPNVMED(Y,0),U,7)
- .S S=S-D ;subtract the number of days used
- .I S<0 S S=0
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP0UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>BGPNDAYS Q 1_U_" total days aspirin: "_K
- Q 0_U_" total days aspirin: "_K
- ;
- ASAREF(P,BDATE,EDATE) ;EP
- ;did patient have a refusal in time period?
- S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X))
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before edate
- ..I Y>EDATE Q ;documented after end date
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G) D
- ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="R"
- ...S G=1_U_"Aspirin Refusal "_$$DATE^BGP0UTL(Y)
- ..Q
- .Q
- I G Q G
- S T=$O(^ATXAX("B","BGP ANTI-PLATELET DRUGS",0))
- S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
- .Q:'$D(^ATXAX(T,21,"B",X))
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
- ..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before edate
- ..I Y>EDATE Q ;documented after end date
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G) D
- ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="R"
- ...S G=1_U_"Anti-Platelet Refusal "_$$DATE^BGP0UTL(Y)
- ..Q
- .Q
- Q G
- ASACONTR(P,BDATE,EDATE,BGPNDAYS) ;does patient have an aspirin allergy
- K BGPMEDS1
- S K=0,R=""
- D GETMEDS^BGP0UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) G ASAC2
- S T=$O(^ATXAX("B","BGP CMS WARFARIN MEDS",0))
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G WAR1
- .S N=$P($G(^PSDRUG(D,0)),U,1)
- .I N["WARFARIN" S G=1 G WAR1
- .Q:'G
- WAR1 .;
- .S J=$P(^AUPNVMED(Y,0),U,8)
- .S V=$P(^AUPNVMED(Y,0),U,3)
- .Q:'V
- .Q:'$D(^AUPNVSIT(V,0))
- .S S=$$DAYS^BGP0D82(Y,V,EDATE)
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP0UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>BGPNDAYS Q 1_U_" aspirin contra total days WARFARIN: "_K
- WARPRIO ;now add in any before BEG DATE
- K BGPMEDS1
- D GETMEDS^BGP0UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
- I '$D(BGPMEDS1) G ASAC2
- S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
- .Q:'$D(^AUPNVMED(Y,0))
- .S G=0
- .S D=$P(^AUPNVMED(Y,0),U)
- .I T,$D(^ATXAX(T,21,"B",D)) S G=1 G WAR2
- .S N=$P($G(^PSDRUG(D,0)),U,1)
- .I N["WARFARIN" S G=1 G WAR2
- .Q:'G
- WAR2 .;
- .S J=$P(^AUPNVMED(Y,0),U,8)
- .S V=$P(^AUPNVMED(Y,0),U,3)
- .Q:'V
- .Q:'$D(^AUPNVSIT(V,0))
- .;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
- .Q:J]"" ;don't use if discontinued
- .S D=$$FMDIFF^XLFDT(EDATE,$P($P(^AUPNVSIT(V,0),U),"."))
- .S S=$P(^AUPNVMED(Y,0),U,7)
- .S S=S-D ;subtract the number of days used
- .I S<0 S S=0
- .S K=S+K ;TOTAL DAYS SUPPLY
- .I R]"" S R=R_";"
- .S R=R_$$DATE^BGP0UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- I K>BGPNDAYS Q 1_U_"asp contra total days WARFARIN: "_K
- ASAC2 ;now check for dx 459
- K BGPG S BGPG=$$LASTDXI^BGP0UTL1(P,"459.0",$$DOB^AUPNPAT(P),EDATE)
- I BGPG Q 1_U_"asa contra 459.0 "_$$DATE^BGP0UTL($P(BGPG,U,3))
- ;
- ;nmi in refusal file for aspirin
- S BGPG=""
- S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- S X=0 F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X D
- .Q:'$D(^ATXAX(T,21,"B",X)) ;not an aspirin
- .S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D D
- ..I (9999999-D)<BDATE Q ;before report period
- ..I (9999999-D)>EDATE Q ;documented after report period
- ..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N D
- ...Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
- ...S BGPG=1_U_"asa contra NMI Aspirin: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP0UTL($P(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
- ..Q
- .Q
- I BGPG Q BGPG
- S X=$$CPTI^BGP0DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8008"))
- I X Q 1_U_"asa contra CPT code G8008: "_$$DATE^BGP0UTL($P(X,U,2))
- S X=$$TRANI^BGP0DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8008"))
- I X Q 1_U_"asa contra Tran Code G8008: "_$$DATE^BGP0UTL($P(X,U,2))
- Q ""
- ASAALLEG(P,EDATE) ;EP
- K BGPG
- S X=$$ASAALLEG^BGP0CU1(P,$$DOB^AUPNPAT(P),EDATE)
- I 'X Q 0
- Q X
- ;
- BGP0D721 ; IHS/CMI/LAB - measure AHR.A ;
- +1 ;;10.0;IHS CLINICAL REPORTING;;JUN 18, 2010
- +2 ;
- +3 ;
- IAHRA ;EP
- +1 SET (BGPN1,BGPN2,BGPN3,BGPN4,BGPN5,BGPN6,BGPN7,BGPN8,BGPN9,BGPN10,BGPN11,BGPN12,BGPN13,BGPN14,BGPN15,BGPN16,BGPN17,BGPD1,BGPD2,BGPD3,BGPD4,BGPD5,BGPD6,BGPD7,BGPD8,BGPD9)=0
- +2 SET BGPVALUE=""
- +3 IF BGPAGEB<22
- SET BGPSTOP=1
- QUIT
- +4 ;must be active clinical
- IF 'BGPACTCL
- SET BGPSTOP=1
- QUIT
- +5 SET BGPIHD=$$IHD(DFN,BGPBDATE,BGPEDATE)
- +6 ;no IHD
- IF 'BGPIHD
- SET BGPSTOP=1
- QUIT
- +7 SET BGPD1=1
- +8 IF BGPDMD2
- SET BGPD3=1
- +9 IF 'BGPDMD2
- SET BGPD2=1
- +10 KILL BGPBETA
- +11 ;get 1_U_# days
- SET BGPBETA("RX")=$$BETA(DFN,BGPBDATE,BGPEDATE,179)
- +12 ;pt has 180 days of beta blocker
- IF BGPBETA("RX")
- SET BGPN2=1
- +13 IF 'BGPN2
- SET BGPBETA("REF")=$$BETAREF(DFN,BGPBDATE,BGPEDATE)
- IF BGPBETA("REF")
- SET BGPN3=1
- +14 ;beta contraindication
- IF 'BGPN2
- SET BGPBETA("CONTRA")=$$BETACONT(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE)
- IF BGPBETA("CONTRA")
- SET BGPN4=1
- +15 IF 'BGPN2
- SET BGPBETA("ADR")=$$BETAALG1^BGP0D72(DFN,BGPEDATE)
- IF BGPBETA("ADR")
- SET BGPN4=1
- +16 IF (BGPN2+BGPN3+BGPN4)
- SET BGPN1=1
- +17 KILL BGPASA
- +18 ;get 1_U_# days
- SET BGPASA("RX")=$$ASA(DFN,BGPBDATE,BGPEDATE,179)
- +19 ;pt has 180 days of beta blocker
- IF BGPASA("RX")
- SET BGPN6=1
- +20 IF 'BGPN6
- SET BGPASA("REF")=$$ASAREF(DFN,BGPBDATE,BGPEDATE)
- IF BGPASA("REF")
- SET BGPN7=1
- +21 ;beta contraindication
- IF 'BGPN6
- SET BGPASA("CONTRA")=$$ASACONTR(DFN,BGPBDATE,BGPEDATE,179)
- IF BGPASA("CONTRA")
- SET BGPN8=1
- +22 IF 'BGPN6
- SET BGPASA("ADR")=$$ASAALLEG(DFN,BGPEDATE)
- IF BGPASA("ADR")
- SET BGPN8=1
- +23 IF (BGPN6+BGPN7+BGPN8)
- SET BGPN5=1
- +24 KILL BGPACE
- +25 ;get 1_U_# days
- SET BGPACE("RX")=$$ACERX^BGP0D722(DFN,BGPBDATE,BGPEDATE,179)
- +26 ;pt has 180 days of ACE
- IF BGPACE("RX")
- SET BGPN10=1
- +27 IF 'BGPN10
- SET BGPACE("REF")=$$ACEREF^BGP0D722(DFN,BGPBDATE,BGPEDATE)
- IF BGPACE("REF")
- SET BGPN11=1
- +28 ;beta contraindication
- IF 'BGPN10
- SET BGPACE("CONTRA")=$$ACECONT^BGP0D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE,BGPBDATE)
- IF BGPACE("CONTRA")
- SET BGPN12=1
- +29 IF 'BGPN10
- SET BGPACE("ADR")=$$ACEALG^BGP0D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE)
- IF BGPACE("ADR")
- SET BGPN12=1
- +30 IF (BGPN10+BGPN11+BGPN12)
- SET BGPN9=1
- +31 KILL BGPSTAT
- +32 ;get 1_U_# days
- SET BGPSTAT("RX")=$$STATRX^BGP0D722(DFN,BGPBDATE,BGPEDATE,179)
- +33 ;pt has 180 days of STAT
- IF BGPSTAT("RX")
- SET BGPN14=1
- +34 IF 'BGPN14
- SET BGPSTAT("REF")=$$STATREF^BGP0D722(DFN,BGPBDATE,BGPEDATE)
- IF BGPSTAT("REF")
- SET BGPN15=1
- +35 ;beta contraindication
- IF 'BGPN14
- SET BGPSTAT("CONTRA")=$$STATCON^BGP0D722(DFN,BGPBDATE,BGPEDATE,BGPBDATE,BGPEDATE)
- IF BGPSTAT("CONTRA")
- SET BGPN16=1
- +36 IF 'BGPN14
- SET BGPSTAT("ADR")=$$STATALG^BGP0D722(DFN,$$DOB^AUPNPAT(DFN),BGPEDATE,BGPBDATE,BGPEDATE)
- IF BGPSTAT("ADR")
- SET BGPN16=1
- +37 IF (BGPN14+BGPN15+BGPN16)
- SET BGPN13=1
- +38 IF BGPN1
- IF BGPN5
- IF BGPN9
- IF BGPN13
- SET BGPN17=1
- +39 SET BGPVALUE="IHD"_$SELECT(BGPD3:";AD",1:"")_"|||"
- +40 SET BGPVALUE=BGPVALUE_$SELECT(BGPN17:"ALL MEDS; ",1:"")
- +41 SET BGPVALUE=BGPVALUE_" BETA: "
- FOR X="RX","REF","CONTRA","ADR"
- IF $PIECE($GET(BGPBETA(X)),U,1)
- IF $PIECE($GET(BGPBETA(X)),U,2)]""
- SET BGPVALUE=BGPVALUE_$PIECE(BGPBETA(X),U,2)_" "
- +42 SET BGPVALUE=BGPVALUE_" ; ASA: "
- FOR X="RX","REF","CONTRA","ADR"
- IF $PIECE($GET(BGPASA(X)),U,1)
- IF $PIECE($GET(BGPASA(X)),U,2)]""
- SET BGPVALUE=BGPVALUE_$PIECE(BGPASA(X),U,2)_" "
- +43 SET BGPVALUE=BGPVALUE_" ; ACEI/ARB: "
- FOR X="RX","REF","CONTRA","ADR"
- IF $PIECE($GET(BGPACE(X)),U,1)
- IF $PIECE($GET(BGPACE(X)),U,2)]""
- SET BGPVALUE=BGPVALUE_$PIECE(BGPACE(X),U,2)_" "
- +44 SET BGPVALUE=BGPVALUE_" ; STATIN: "
- FOR X="RX","REF","CONTRA","ADR"
- IF $PIECE($GET(BGPSTAT(X)),U,1)
- IF $PIECE($GET(BGPSTAT(X)),U,2)]""
- SET BGPVALUE=BGPVALUE_$PIECE(BGPSTAT(X),U,2)_" "
- +45 KILL BGPIHD,BGPBETA,BGPMEDS1,BGPASA,BGPACE,BGPSTAT
- +46 KILL ^TMP($JOB)
- +47 QUIT
- IHD(P,BDATE,EDATE) ;EP
- +1 ;first dx prior to report period
- +2 ;at least 2 visits during report period
- +3 ;at least 2 ihd dxs ever
- +4 ;not 2 visits during report period
- IF '$$V2^BGP0D1(P,BDATE,EDATE)
- QUIT ""
- +5 KILL ^TMP($JOB)
- +6 ;first dx not prior to report period
- IF '$$FIRSTIHD(P,EDATE)
- QUIT ""
- +7 ;at least 2 IHD dxs ever
- IF '$$V2IHD(P,$$DOB^AUPNPAT(P),EDATE)
- QUIT ""
- +8 QUIT 1
- FIRSTIHD(P,EDATE) ;EP
- +1 IF $GET(P)=""
- QUIT ""
- +2 NEW BGPG,Y,X,E
- +3 KILL BGPG
- +4 SET Y="BGPG("
- +5 SET X=P_"^FIRST DX [BGP IHD DXS"
- SET E=$$START1^APCLDF(X,Y)
- +6 IF '$DATA(BGPG(1))
- QUIT ""
- +7 SET X=$$FMDIFF^XLFDT(EDATE,$PIECE(BGPG(1),U))
- +8 QUIT $SELECT(X>365:1,1:"")
- +9 ;
- V2IHD(P,BDATE,EDATE) ;EP
- +1 IF '$GET(P)
- QUIT ""
- +2 IF '$DATA(^AUPNVSIT("AC",P))
- QUIT ""
- +3 NEW A,B,E,T,X,G,V,Y,%,G
- +4 KILL ^TMP($JOB,"A")
- +5 SET A="^TMP($J,""A"","
- SET B=P_"^ALL VISITS;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
- SET E=$$START1^APCLDF(B,A)
- +6 IF '$DATA(^TMP($JOB,"A",1))
- QUIT ""
- +7 SET T=$ORDER(^ATXAX("B","BGP IHD DXS",0))
- +8 IF 'T
- QUIT ""
- +9 SET (X,G)=0
- FOR
- SET X=$ORDER(^TMP($JOB,"A",X))
- IF X'=+X!(G>2)
- QUIT
- SET V=$PIECE(^TMP($JOB,"A",X),U,5)
- Begin DoDot:1
- +10 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +11 IF '$PIECE(^AUPNVSIT(V,0),U,9)
- QUIT
- +12 IF $PIECE(^AUPNVSIT(V,0),U,11)
- QUIT
- +13 IF "SAHO"'[$PIECE(^AUPNVSIT(V,0),U,7)
- QUIT
- +14 IF "V"[$PIECE(^AUPNVSIT(V,0),U,3)
- QUIT
- +15 IF $PIECE(^AUPNVSIT(V,0),U,6)=""
- QUIT
- +16 IF $GET(BGPMFITI)
- IF '$DATA(^ATXAX(BGPMFITI,21,"B",$PIECE(^AUPNVSIT(V,0),U,6)))
- QUIT
- +17 SET (D,Y)=0
- FOR
- SET Y=$ORDER(^AUPNVPOV("AD",V,Y))
- IF Y'=+Y!(D)
- QUIT
- IF $DATA(^AUPNVPOV(Y,0))
- SET %=$PIECE(^AUPNVPOV(Y,0),U)
- IF $$ICD^ATXCHK(%,T,9)
- SET D=1
- +18 IF 'D
- QUIT
- +19 SET G=G+1
- +20 QUIT
- End DoDot:1
- +21 KILL ^TMP($JOB,"A")
- +22 QUIT $SELECT(G<2:"",1:1)
- +23 ;
- BETA(P,BDATE,EDATE,BGPNDAYS) ;EP
- +1 NEW BGPMEDS1,K,R,T,T1,X,Y,G,D,N,J,V,S
- +2 KILL BGPMEDS1
- +3 SET K=0
- SET R=""
- +4 DO GETMEDS^BGP0UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
- +5 IF '$DATA(BGPMEDS1)
- QUIT ""
- +6 SET T=$ORDER(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
- +7 SET T1=$ORDER(^ATXAX("B","BGP HEDIS BETA BLOCKER NDC",0))
- +8 SET X=0
- FOR
- SET X=$ORDER(BGPMEDS1(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPMEDS1(X),U,4)
- Begin DoDot:1
- +9 IF '$DATA(^AUPNVMED(Y,0))
- QUIT
- +10 SET G=0
- +11 SET D=$PIECE(^AUPNVMED(Y,0),U)
- +12 IF T
- IF $DATA(^ATXAX(T,21,"B",D))
- SET G=1
- GOTO BETA1
- +13 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
- +14 IF N]""
- IF T1
- IF $DATA(^ATXAX(T1,21,"B",N))
- SET G=1
- +15 IF 'G
- QUIT
- BETA1 ;
- +1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
- +2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
- +3 IF 'V
- QUIT
- +4 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +5 SET S=$$DAYS^BGP0D82(Y,V,EDATE)
- +6 ;TOTAL DAYS SUPPLY
- SET K=S+K
- +7 IF R]""
- SET R=R_";"
- +8 SET R=R_$$DATE^BGP0UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- End DoDot:1
- +9 IF K>BGPNDAYS
- QUIT 1_U_" total days beta blocker: "_K
- BETAPRIO ;now add in any before BEG DATE
- +1 KILL BGPMEDS1
- +2 DO GETMEDS^BGP0UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
- +3 IF '$DATA(BGPMEDS1)
- QUIT ""
- +4 SET X=0
- FOR
- SET X=$ORDER(BGPMEDS1(X))
- IF X'=+X
- QUIT
- SET Y=+$PIECE(BGPMEDS1(X),U,4)
- Begin DoDot:1
- +5 IF '$DATA(^AUPNVMED(Y,0))
- QUIT
- +6 SET G=0
- +7 SET D=$PIECE(^AUPNVMED(Y,0),U)
- +8 IF T
- IF $DATA(^ATXAX(T,21,"B",D))
- SET G=1
- GOTO BETA2
- +9 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
- +10 IF N]""
- IF T1
- IF $DATA(^ATXAX(T1,21,"B",N))
- SET G=1
- +11 IF 'G
- QUIT
- BETA2 ;
- +1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
- +2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
- +3 IF 'V
- QUIT
- +4 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +5 ;don't use if discontinued
- IF J]""
- QUIT
- +6 SET D=$$FMDIFF^XLFDT(BDATE,$PIECE($PIECE(^AUPNVSIT(V,0),U),"."))
- +7 SET S=$PIECE(^AUPNVMED(Y,0),U,7)
- +8 SET S=S-D
- +9 IF S<0
- SET S=0
- +10 SET K=S+K
- +11 IF R]""
- SET R=R_";"
- +12 SET R=R_$$DATE^BGP0UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
- End DoDot:1
- +13 IF K>BGPNDAYS
- QUIT 1_U_" total days beta blocker: "_K
- +14 QUIT 0_U_" total days beta blocker: "_K
- +15 ;
- BETAREF(P,BDATE,EDATE) ;EP
- +1 NEW T,X,G,D,Y,N
- +2 SET T=$ORDER(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
- +3 SET X=0
- SET G=""
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X!(G)
- QUIT
- Begin DoDot:1
- +4 ;not a Beta Blocker
- IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +5 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D!(G)
- QUIT
- Begin DoDot:2
- +6 SET Y=9999999-D
- IF Y<BDATE
- QUIT
- +7 ;documented after edate
- IF Y>EDATE
- QUIT
- +8 SET N=0
- FOR
- SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
- IF N'=+N!(G)
- QUIT
- Begin DoDot:3
- +9 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="R"
- QUIT
- +10 SET G=1_U_"Beta Blocker Refusal "_$$DATE^BGP0UTL(Y)
- End DoDot:3
- +11 QUIT
- End DoDot:2
- +12 QUIT
- End DoDot:1
- +13 QUIT G
- BETACONT(P,BDATE,EDATE,NMIBD,NMIED) ;EP - BETA BLOCKER CONTRAINDICATION
- +1 NEW X,Y,BGPG,BGPD,G,N
- +2 IF $GET(BDATE)=""
- SET BDATE=$$DOB^AUPNPAT(P)
- +3 SET NMIBD=$GET(NMIBD)
- SET NMIED=$GET(NMIED)
- +4 KILL BGPG,BGPD
- +5 SET Y="BGPG("
- +6 SET X=P_"^ALL DX [BGP ASTHMA DXS;DURING "_BDATE_"-"_$$FMTE^XLFDT(EDATE)
- SET E=$$START1^APCLDF(X,Y)
- +7 SET (X,G)=0
- FOR
- SET X=$ORDER(BGPG(X))
- IF X'=+X
- QUIT
- SET BGPD($PIECE(BGPG(X),U))=""
- +8 SET (X,G)=0
- FOR
- SET X=$ORDER(BGPD(X))
- IF X'=+X
- QUIT
- SET G=G+1
- +9 IF G>1
- QUIT 1_U_"2 dx asthma contra"
- +10 SET BGPG=$$LASTDX^BGP0UTL1(P,"BGP HYPOTENSION DXS",BDATE,EDATE)
- +11 ;has hypotension dx
- IF $PIECE(BGPG,U)=1
- QUIT 1_U_"hypotension dx contra"
- +12 SET BGPG=$$LASTDX^BGP0UTL1(P,"BGP CMS 2/3 HEART BLOCK DXS",BDATE,EDATE)
- +13 ;has heart block dx
- IF $PIECE(BGPG,U)=1
- QUIT 1_U_"heart blk contra"
- +14 SET BGPG=$$LASTDXI^BGP0UTL1(P,"427.81",BDATE,EDATE)
- +15 IF $PIECE(BGPG,U)=1
- QUIT 1_U_"sinus brady contra"
- +16 KILL BGPG,BGPD
- +17 SET Y="BGPG("
- +18 SET X=P_"^ALL DX [BGP COPD DXS BB CONT;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
- SET E=$$START1^APCLDF(X,Y)
- +19 SET (X,G)=0
- FOR
- SET X=$ORDER(BGPG(X))
- IF X'=+X
- QUIT
- SET BGPD($PIECE(BGPG(X),U))=""
- +20 SET (X,G)=0
- FOR
- SET X=$ORDER(BGPD(X))
- IF X'=+X
- QUIT
- SET G=G+1
- +21 IF G>1
- QUIT 1_U_"copd dx contra"
- +22 ;now check for NMI of beta blocker during report period
- +23 ;
- +24 SET T=$ORDER(^ATXAX("B","BGP HEDIS BETA BLOCKER MEDS",0))
- +25 SET X=0
- SET G=""
- FOR
- SET X=$ORDER(^AUPNPREF("AA",P,50,X))
- IF X'=+X!(G)
- QUIT
- Begin DoDot:1
- +26 ;not a Beta Blocker
- IF '$DATA(^ATXAX(T,21,"B",X))
- QUIT
- +27 SET D=0
- FOR
- SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
- IF D'=+D!(G)
- QUIT
- Begin DoDot:2
- +28 ;documented more than 1 year before edate
- SET Y=9999999-D
- IF Y<NMIBD
- QUIT
- +29 ;documented after edate
IF Y>NMIED
QUIT
+30 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N!(G)
QUIT
Begin DoDot:3
+31 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
QUIT
+32 SET G=1_U_"Beta Blocker contra NMI med "_$$DATE^BGP0UTL(Y)
End DoDot:3
+33 QUIT
End DoDot:2
+34 QUIT
End DoDot:1
+35 IF G
QUIT G
+36 ;now cpt 8011 in past year
+37 SET X=$$CPTI^BGP0DU(P,NMIBD,NMIED,+$$CODEN^ICPTCOD("G8011"))
+38 IF X
QUIT "1^Beta Blocker contra CPT code G8011: "_$$DATE^BGP0UTL($PIECE(X,U,2))
+39 SET X=$$TRANI^BGP0DU(P,NMIBD,NMIED,+$$CODEN^ICPTCOD("G8011"))
+40 IF X
QUIT "1^Beta Blocker contra TRAN code G8011: "_$$DATE^BGP0UTL($PIECE(X,U,2))
+41 QUIT 0
ASA(P,BDATE,EDATE,BGPNDAYS) ;EP
+1 KILL BGPMEDS1
+2 SET K=0
SET R=""
+3 DO GETMEDS^BGP0UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
+4 IF '$DATA(BGPMEDS1)
QUIT ""
+5 SET T=$ORDER(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
+6 SET T1=$ORDER(^ATXAX("B","BGP ANTI-PLATELET DRUGS",0))
+7 SET T2=$ORDER(^ATXAX("B","BGP CMS ANTI-PLATELET CLASS",0))
+8 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+9 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+10 SET G=0
+11 SET D=$PIECE(^AUPNVMED(Y,0),U)
+12 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO ASA1
+13 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
+14 IF N]""
IF T1
IF $DATA(^ATXAX(T1,21,"B",N))
SET G=1
GOTO ASA1
+15 SET C=$PIECE($GET(^PSDRUG(D,0)),U,2)
+16 IF C]""
IF T2
IF $DATA(^ATXAX(T2,21,"B",C))
SET G=1
+17 IF 'G
QUIT
ASA1 ;
+1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
+2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
+3 IF 'V
QUIT
+4 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+5 SET S=$$DAYS^BGP0D82(Y,V,EDATE)
+6 ;TOTAL DAYS SUPPLY
SET K=S+K
+7 IF R]""
SET R=R_";"
+8 SET R=R_$$DATE^BGP0UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+9 IF K>BGPNDAYS
QUIT 1_U_" total days aspirin: "_K
ASAPRIO ;now add in any before BEG DATE
+1 KILL BGPMEDS1
+2 DO GETMEDS^BGP0UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
+3 IF '$DATA(BGPMEDS1)
QUIT ""
+4 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+5 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+6 SET G=0
+7 SET D=$PIECE(^AUPNVMED(Y,0),U)
+8 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO ASA2
+9 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
+10 IF N]""
IF T1
IF $DATA(^ATXAX(T1,21,"B",N))
SET G=1
GOTO ASA2
+11 SET C=$PIECE($GET(^PSDRUG(D,0)),U,2)
+12 IF C]""
IF T2
IF $DATA(^ATXAX(T2,21,"B",C))
SET G=1
+13 IF 'G
QUIT
ASA2 ;
+1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
+2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
+3 IF 'V
QUIT
+4 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+5 ;don't use if discontinued
IF J]""
QUIT
+6 ;difference between dsch date and date prescribed
SET D=$$FMDIFF^XLFDT(BDATE,$PIECE($PIECE(^AUPNVSIT(V,0),U),"."))
+7 SET S=$PIECE(^AUPNVMED(Y,0),U,7)
+8 ;subtract the number of days used
SET S=S-D
+9 IF S<0
SET S=0
+10 ;TOTAL DAYS SUPPLY
SET K=S+K
+11 IF R]""
SET R=R_";"
+12 SET R=R_$$DATE^BGP0UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+13 IF K>BGPNDAYS
QUIT 1_U_" total days aspirin: "_K
+14 QUIT 0_U_" total days aspirin: "_K
+15 ;
ASAREF(P,BDATE,EDATE) ;EP
+1 ;did patient have a refusal in time period?
+2 SET T=$ORDER(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
+3 SET X=0
SET G=""
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X!(G)
QUIT
Begin DoDot:1
+4 IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+5 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D!(G)
QUIT
Begin DoDot:2
+6 ;documented more than 1 year before edate
SET Y=9999999-D
IF Y<BDATE
QUIT
+7 ;documented after end date
IF Y>EDATE
QUIT
+8 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N!(G)
QUIT
Begin DoDot:3
+9 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="R"
QUIT
+10 SET G=1_U_"Aspirin Refusal "_$$DATE^BGP0UTL(Y)
End DoDot:3
+11 QUIT
End DoDot:2
+12 QUIT
End DoDot:1
+13 IF G
QUIT G
+14 SET T=$ORDER(^ATXAX("B","BGP ANTI-PLATELET DRUGS",0))
+15 SET X=0
SET G=""
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X!(G)
QUIT
Begin DoDot:1
+16 IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+17 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D!(G)
QUIT
Begin DoDot:2
+18 ;documented more than 1 year before edate
SET Y=9999999-D
IF Y<BDATE
QUIT
+19 ;documented after end date
IF Y>EDATE
QUIT
+20 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N!(G)
QUIT
Begin DoDot:3
+21 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="R"
QUIT
+22 SET G=1_U_"Anti-Platelet Refusal "_$$DATE^BGP0UTL(Y)
End DoDot:3
+23 QUIT
End DoDot:2
+24 QUIT
End DoDot:1
+25 QUIT G
ASACONTR(P,BDATE,EDATE,BGPNDAYS) ;does patient have an aspirin allergy
+1 KILL BGPMEDS1
+2 SET K=0
SET R=""
+3 DO GETMEDS^BGP0UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
+4 IF '$DATA(BGPMEDS1)
GOTO ASAC2
+5 SET T=$ORDER(^ATXAX("B","BGP CMS WARFARIN MEDS",0))
+6 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+7 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+8 SET G=0
+9 SET D=$PIECE(^AUPNVMED(Y,0),U)
+10 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO WAR1
+11 SET N=$PIECE($GET(^PSDRUG(D,0)),U,1)
+12 IF N["WARFARIN"
SET G=1
GOTO WAR1
+13 IF 'G
QUIT
WAR1 ;
+1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
+2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
+3 IF 'V
QUIT
+4 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+5 SET S=$$DAYS^BGP0D82(Y,V,EDATE)
+6 ;TOTAL DAYS SUPPLY
SET K=S+K
+7 IF R]""
SET R=R_";"
+8 SET R=R_$$DATE^BGP0UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+9 IF K>BGPNDAYS
QUIT 1_U_" aspirin contra total days WARFARIN: "_K
WARPRIO ;now add in any before BEG DATE
+1 KILL BGPMEDS1
+2 DO GETMEDS^BGP0UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
+3 IF '$DATA(BGPMEDS1)
GOTO ASAC2
+4 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+5 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+6 SET G=0
+7 SET D=$PIECE(^AUPNVMED(Y,0),U)
+8 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO WAR2
+9 SET N=$PIECE($GET(^PSDRUG(D,0)),U,1)
+10 IF N["WARFARIN"
SET G=1
GOTO WAR2
+11 IF 'G
QUIT
WAR2 ;
+1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
+2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
+3 IF 'V
QUIT
+4 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+5 ;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
+6 ;don't use if discontinued
IF J]""
QUIT
+7 SET D=$$FMDIFF^XLFDT(EDATE,$PIECE($PIECE(^AUPNVSIT(V,0),U),"."))
+8 SET S=$PIECE(^AUPNVMED(Y,0),U,7)
+9 ;subtract the number of days used
SET S=S-D
+10 IF S<0
SET S=0
+11 ;TOTAL DAYS SUPPLY
SET K=S+K
+12 IF R]""
SET R=R_";"
+13 SET R=R_$$DATE^BGP0UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+14 IF K>BGPNDAYS
QUIT 1_U_"asp contra total days WARFARIN: "_K
ASAC2 ;now check for dx 459
+1 KILL BGPG
SET BGPG=$$LASTDXI^BGP0UTL1(P,"459.0",$$DOB^AUPNPAT(P),EDATE)
+2 IF BGPG
QUIT 1_U_"asa contra 459.0 "_$$DATE^BGP0UTL($PIECE(BGPG,U,3))
+3 ;
+4 ;nmi in refusal file for aspirin
+5 SET BGPG=""
+6 SET T=$ORDER(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
+7 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X
QUIT
Begin DoDot:1
+8 ;not an aspirin
IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+9 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D
QUIT
Begin DoDot:2
+10 ;before report period
IF (9999999-D)<BDATE
QUIT
+11 ;documented after report period
IF (9999999-D)>EDATE
QUIT
+12 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N
QUIT
Begin DoDot:3
+13 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
QUIT
+14 SET BGPG=1_U_"asa contra NMI Aspirin: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP0UTL($PIECE(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
End DoDot:3
+15 QUIT
End DoDot:2
+16 QUIT
End DoDot:1
+17 IF BGPG
QUIT BGPG
+18 SET X=$$CPTI^BGP0DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8008"))
+19 IF X
QUIT 1_U_"asa contra CPT code G8008: "_$$DATE^BGP0UTL($PIECE(X,U,2))
+20 SET X=$$TRANI^BGP0DU(P,BDATE,EDATE,+$$CODEN^ICPTCOD("G8008"))
+21 IF X
QUIT 1_U_"asa contra Tran Code G8008: "_$$DATE^BGP0UTL($PIECE(X,U,2))
+22 QUIT ""
ASAALLEG(P,EDATE) ;EP
+1 KILL BGPG
+2 SET X=$$ASAALLEG^BGP0CU1(P,$$DOB^AUPNPAT(P),EDATE)
+3 IF 'X
QUIT 0
+4 QUIT X
+5 ;