BGP5D36 ; IHS/CMI/LAB - measure C 06 Nov 2009 2:03 PM 28 May 2015 4:23 PM ;
;;15.1;IHS CLINICAL REPORTING;;MAY 06, 2015;Build 143
;
MEN(P,EDATE) ;EP
NEW BGPC,BGPG,BGPX,BGPMENI,C,ED,BD,V,X,Y,BGPZ,B,BGPIMM,R,G
;gather up all immunizations, cpts, povs and check for 3 each ten days apart
K BGPMENI
;get all immunizations
S C="32^108^114^136^147"
D GETIMMS^BGP5D32(P,EDATE,C,.BGPX)
;go through and set into array if 10 days apart
I $O(BGPX(0)) Q 1_U_"Meningococcal"
;now get cpts
S ED=9999999-EDATE-1,BD=9999999-$$DOB^AUPNPAT(P),G=0
F S ED=$O(^AUPNVSIT("AA",P,ED)) Q:ED=""!($P(ED,".")>BD) D
.S V=0 F S V=$O(^AUPNVSIT("AA",P,ED,V)) Q:V'=+V D
..Q:'$D(^AUPNVSIT(V,0))
..S X=0 F S X=$O(^AUPNVCPT("AD",V,X)) Q:X'=+X D
...S Y=$P(^AUPNVCPT(X,0),U),Y=$P($$CPT^ICPTCOD(Y),U,2) I Y=90733!(Y=90734) S BGPMENI(9999999-$P(ED,"."))=""
..S X=0 F S X=$O(^AUPNVTC("AD",V,X)) Q:X'=+X D
...S Y=$P(^AUPNVTC(X,0),U,7) Q:'Y S Y=$P($$CPT^ICPTCOD(Y),U,2) I Y=90733!(Y=90734) S BGPMENI(9999999-$P(ED,"."))=""
I $D(BGPMENI) Q 1_U_"Meningococcal"
;check for Evidence of desease and Contraindications and if yes, then quit
F BGPZ=32,108,114,136,147 S X=$$ANCONT^BGP5D31(P,BGPZ,EDATE) Q:X]""
I X]"" Q 4_U_"Contra Meningococcal"
;now go to Refusals
S B=$$DOB^AUPNPAT(P),E=EDATE,BGPNMI="",R=""
F BGPIMM=32,108,114,136,147 D
.S I=$O(^AUTTIMM("C",BGPIMM,0)) Q:'I
.S X=0 F S X=$O(^AUPNPREF("AA",P,9999999.14,I,X)) Q:X'=+X S Y=0 F S Y=$O(^AUPNPREF("AA",P,9999999.14,I,X,Y)) Q:Y'=+Y S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) S:$P(^AUPNPREF(Y,0),U,7)="N" BGPNMI=1 S R=1
I BGPNMI Q $S(BGPNMI:4,1:3)_U_$S(BGPNMI:"NMI Meningococcal",1:"Ref Meningococcal")
F BGPIMM=90733,90734 D
.S I=+$$CODEN^ICPTCOD(BGPIMM) Q:'I
.S X=0 F S X=$O(^AUPNPREF("AA",P,81,I,X)) Q:X'=+X S Y=0 F S Y=$O(^AUPNPREF("AA",P,81,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" BGPNMI=1 S R=1
I BGPNMI Q $S(BGPNMI:4,1:3)_U_$S(BGPNMI:"NMI Meningococcal",1:"Ref Meningococcal")
;now check Refusals in imm pkg
;F BGPIMM=32,108,114,136,147 S R=$$IMMREF^BGP5D32(P,BGPIMM,$$DOB^AUPNPAT(P),EDATE)+R
;I R Q 3_U_"Ref imm pkg Meningococcal"
Q ""
;
HPV(P,EDATE) ;EP
NEW BGPC,BGPG,BGPX,BGPHPV,C,X,ED,BD,V,G,R,BGPIMM,Y,Z,B,BGPNMI
;gather up all immunizations, cpts, povs and check for 3 each ten days apart
;get all immunizations
S C="62^118^137^165"
D GETIMMS^BGP5D32(P,EDATE,C,.BGPX)
;go through and set into array if 10 days apart
S X=0 F S X=$O(BGPX(X)) Q:X'=+X S BGPHPV(X)=""
;now get cpts
S ED=9999999-EDATE,BD=9999999-$$DOB^AUPNPAT(P),G=0
F S ED=$O(^AUPNVSIT("AA",P,ED)) Q:ED=""!($P(ED,".")>BD) D
.S V=0 F S V=$O(^AUPNVSIT("AA",P,ED,V)) Q:V'=+V D
..Q:'$D(^AUPNVSIT(V,0))
..S X=0 F S X=$O(^AUPNVCPT("AD",V,X)) Q:X'=+X D
...S Y=$P(^AUPNVCPT(X,0),U) S Z=$P($$CPT^ICPTCOD(Y),U,2) I Z=90649!(Z=90650)!(Z=90651) S BGPHPV(9999999-$P(ED,"."))=""
..S X=0 F S X=$O(^AUPNVTC("AD",V,X)) Q:X'=+X D
...S Y=$P(^AUPNVTC(X,0),U,7) Q:'Y S Z=$P($$CPT^ICPTCOD(Y),U,2) I Z=90649!(Z=90650)!(Z=90651) S BGPHPV(9999999-$P(ED,"."))=""
;now check to see if they are all spaced 10 days apart, if not, kill off the odd ones
S X="",Y="",C=0 F S X=$O(BGPHPV(X)) Q:X'=+X S C=C+1 D
.I C=1 S Y=X Q
.I $$FMDIFF^XLFDT(X,Y)<11 K BGPHPV(X) Q
.S Y=X
;now count them and see if there are 4 of them
S BGPHPV=0,X=0 F S X=$O(BGPHPV(X)) Q:X'=+X S BGPHPV=BGPHPV+1
I BGPHPV>2 Q 1_U_"3 HPV"
;check for Evidence of desease and Contraindications and if yes, then quit
;now go to Refusals
S B=$$DOB^AUPNPAT(P),E=EDATE,BGPNMI="",R=""
F BGPIMM=62,118,137,165 D
.S I=$O(^AUTTIMM("C",BGPIMM,0)) Q:'I
.S X=0 F S X=$O(^AUPNPREF("AA",P,9999999.14,I,X)) Q:X'=+X S Y=0 F S Y=$O(^AUPNPREF("AA",P,9999999.14,I,X,Y)) Q:Y'=+Y S D=$P(^AUPNPREF(Y,0),U,3) I D'<B&(D'>E) S:$P(^AUPNPREF(Y,0),U,7)="N" BGPNMI=1 S R=1
I BGPNMI Q $S(BGPNMI:4,1:3)_U_$S(BGPNMI:"NMI",1:"Ref")_" HPV"
F BGPIMM=90649,90650,90651 D
.S I=+$$CODEN^ICPTCOD(BGPIMM) Q:'I
.S X=0 F S X=$O(^AUPNPREF("AA",P,81,I,X)) Q:X'=+X S Y=0 F S Y=$O(^AUPNPREF("AA",P,81,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" BGPNMI=1 S R=1
I BGPNMI Q $S(BGPNMI:4,1:3)_U_$S(BGPNMI:"NMI HPV",1:"Ref HPV")
;now check Refusals in imm pkg
;F BGPIMM=62,118 S R=$$IMMREF^BGP5D32(P,BGPIMM,$$DOB^AUPNPAT(P),EDATE)+R
;I R Q $S(BGPNMI:4,1:3)_U_$S(BGPNMI:"NMI",1:"Ref")_" HPV"
F BGPZ=62,118,137,165 S X=$$ANCONT^BGP5D31(P,BGPZ,EDATE) Q:X]""
I X]"" Q 4_U_"Contra HPV"
Q ""
H1N1 ;EP - called from measure
NEW BGPMONA,BGPH1N1
S (BGPN1,BGPN2,BGPN3,BGPD1,BGPD2,BGPD3,BGPD4,BGPD5,BGPD6,BGPD7,BGPD8)=0
S BGPMONA=$$AGE(DFN,2,BGPBDATE)
I 'BGPACTCL S BGPSTOP=1 Q ;must be active clinical
I BGPMONA>5,BGPMONA<60 S BGPD1=1 ;1st denominator
I BGPAGEB>4,BGPAGEB<10 S BGPD2=1 ;2nd denominator
I BGPAGEB>9,BGPAGEB<19 S BGPD3=1
I BGPAGEB>18,BGPAGEB<25 S BGPD4=1
I BGPAGEB>24,BGPAGEB<65 S BGPD5=1
I BGPAGEB>64 S BGPD6=1
I $$ACTPREG(DFN,BGPEDATE) S BGPD7=1
S T=($E(BGPBDATE,1,3)-3)_$E(BGPBDATE,4,7)
I $$HIGHRISK(DFN,T,BGPEDATE,BGPAGEB) S BGPD8=1
I '(BGPD1+BGPD2+BGPD3+BGPD4+BGPD5+BGPD6+BGPD7+BGPD8) S BGPSTOP=1 Q ;pt in ANY denominator so skip this patient
S BGPH1N1=$$H1N1VAC(DFN,BGPBDATE,BGPEDATE) ;will be returned as date of 1st H1N1 dose^date of second H1N1 dose
I $P(BGPH1N1,U) S BGPN1=1
I $P(BGPH1N1,U,3) S BGPN2=1
S BGPVALUE="AC"
I BGPD7 S BGPVALUE=BGPVALUE_";PREG"
I BGPD8 S BGPVALUE=BGPVALUE_";HIGHRISK"
S BGPVALUE=BGPVALUE_"|||"
I BGPN1!(BGPN2) S BGPVALUE=BGPVALUE_$S($P(BGPH1N1,U,1):$$DATE^BGP5UTL($P(BGPH1N1,U,1))_" "_$P(BGPH1N1,U,2),1:"")
I $P(BGPH1N1,U,3) S BGPVALUE=BGPVALUE_"; "_$$DATE^BGP5UTL($P(BGPH1N1,U,3))_" "_$P(BGPH1N1,U,4) ;:"2 doses",$P(BGPH1N1,U,1):"1 dose",1:"")_" "_$$DATE^BGP5UTL($P(BGPH1N1,U))_" "_$$DATE^BGP5UTL($P(BGPH1N1,U,2))
Q
H1N1VAC(P,BDATE,EDATE) ;EP
I '$G(P) Q ""
NEW C,X,Y,Z,T,L,M,D,V,ED,BD
S T=$O(^ATXAX("B","SURVEILLANCE H1N1 CVX CODES",0))
S C=0,X=0 F S X=$O(^AUPNVIMM("AC",P,X)) Q:X'=+X S Y=$P($G(^AUPNVIMM(X,0)),U) D
.Q:'Y
.Q:'$D(^AUTTIMM(Y,0))
.S Z=$P(^AUTTIMM(Y,0),U,3)
.Q:'$D(^ATXAX(T,21,"B",Z))
.S D=$$VD^APCLV($P(^AUPNVIMM(X,0),U,3))
.Q:D<BDATE
.Q:D>EDATE
.S C=C+1,M(D)=$$VAL^XBDIQ1(9000010.11,X,.01)
.Q
S T=$O(^ATXAX("B","SURVEILLANCE CPT H1N1",0))
;GET ALL CPT CODES AND SET BY DATE
S ED=(9999999-EDATE),BD=9999999-BDATE
F S ED=$O(^AUPNVSIT("AA",P,ED)) Q:ED=""!($P(ED,".")>BD) D
.S V=0 F S V=$O(^AUPNVSIT("AA",P,ED,V)) Q:V'=+V D
..Q:'$D(^AUPNVSIT(V,0))
..Q:'$D(^AUPNVCPT("AD",V))
..S X=0 F S X=$O(^AUPNVCPT("AD",V,X)) Q:X'=+X D
...I $$ICD^BGP5UTL2($P(^AUPNVCPT(X,0),U),T,1) S C=C+1,M($$VD^APCLV(V))=$$VAL^XBDIQ1(9000010.18,X,.01)
...Q
..Q
.Q
I '$D(M) Q ""
S (X,D,F,S)=""
F S D=$O(M(D)) Q:D'=+D D
.I F="" S F=D_U_M(D) Q ;first one
.I $$FMDIFF^XLFDT(D,F)<21 Q
.S S=D_U_M(D)
.Q
Q F_U_S
AGE(P,BGPZ,BGPDT) ;EP
;---> Return Patient's Age.
;---> Parameters:
; 1 - DFN (req) IEN in PATIENT File.
; 2 - APCLZ (opt) APCLZ=1,2,3 1=years, 2=months, 3=days.
; 2 will be assumed if not passed.
; 3 - APCLDT (opt) Date on which Age should be calculated.
;
N BGPDOB,X,X1,X2 S:$G(APCLZ)="" APCLZ=2
Q:'$G(P) ""
I '$D(^DPT(P,0)) Q ""
S BGPDOB=$P(^DPT(P,0),U,3)
Q:'BGPDOB ""
S:'$G(DT) DT=$$DT^XLFDT
S:'$G(BGPDT) BGPDT=DT
Q:BGPDT<BGPDOB ""
;
;---> Age in Years.
N BGPAGEY,BGPAGEM,BGPD1,BGPD2,BGPM1,BGPM2,BGPY1,BGPY2
S BGPM1=$E(BGPDOB,4,7),BGPM2=$E(BGPDT,4,7)
S BGPY1=$E(BGPDOB,1,3),BGPY2=$E(BGPDT,1,3)
S BGPAGEY=BGPY2-BGPY1 S:BGPM2<BGPM1 BGPAGEY=BGPAGEY-1
S:BGPAGEY<1 BGPAGEY="<1"
Q:BGPZ=1 BGPAGEY
;
;---> Age in Months.
S BGPD1=$E(BGPM1,3,4),BGPM1=$E(BGPM1,1,2)
S BGPD2=$E(BGPM2,3,4),BGPM2=$E(BGPM2,1,2)
S BGPAGEM=12*BGPAGEY
I BGPM2=BGPM1&(BGPD2<BGPD1) S BGPAGEM=BGPAGEM+12
I BGPM2>BGPM1 S BGPAGEM=BGPAGEM+BGPM2-BGPM1
I BGPM2<BGPM1 S BGPAGEM=BGPAGEM+BGPM2+(12-BGPM1)
S:BGPD2<BGPD1 BGPAGEM=BGPAGEM-1
Q:BGPZ=2 BGPAGEM
;
;---> Age in Days.
S X1=BGPDT,X2=BGPDOB
D ^%DTC
Q X
;
;
ACTPREG(P,ED) ;EP
I $P(^DPT(P,0),U,2)'="F" Q ""
NEW T,X,Y,Q,BD,BGPG,LPD,%,G
S BD=3091001 ;MEASURE IN H1N1 YEAR ONLY ****LORI CHANGE TO 309
S G=""
S T=$O(^ATXAX("B","SURVEILLANCE H1N1 PREGNANCY DX",0))
D ALLV^APCLAPIU(P,BD,ED,"APCL")
I '$D(APCL) Q ""
;now get rid of non-amb, non-H visits, and those whose primary dx is not pregnancy
NEW APCLJ
S X=0 F S X=$O(APCL(X)) Q:X'=+X D
.S V=$P(APCL(X),U,5)
.Q:'$D(^AUPNVSIT(V,0))
.Q:"AOSHI"'[$P(^AUPNVSIT(V,0),U,7)
.S (G,Y)=0 F S Y=$O(^AUPNVPOV("AD",V,Y)) Q:Y'=+Y!(G) D
..S Q=$P($G(^AUPNVPOV(Y,0)),U)
..Q:Q=""
..Q:'$$ICD^BGP5UTL2(Q,T,9) ;not in taxonomy
..S G=1
..S APCLJ(9999999-$P(APCL(X),U,1))=$P(APCL(X),U,1) ;set by date to eliminate 2 on same day
.Q
S LPD=$O(APCLJ(0)) ;get date of latest
I LPD="" Q ""
S LPD=9999999-LPD ;date of prenatal dx, find miscarriage, abortion or delivery between this date and ED
NEW BGPGF
S BGPGF=""
;check abortion / misc dxs
K BGPG S X=P_"^LAST DX [BGP MISCARRIAGE/ABORTION DXS;DURING "_LPD_"-"_ED S E=$$START1^APCLDF(X,"APCL(")
I $D(BGPG) Q "" ;FOUND SO NOT PREG ANYMORE
K BGPG S BGPG=$$LASTPRC^BGP5UTL1(P,"BGP ABORTION PROCEDURES",LPD,ED)
I BGPG Q "" ;FOUND SO NOT PREG ANYMORE
;now check CPTs for Abortion and Miscarriage
S %=$$LASTCPTT^APCLAPIU(P,LPD,ED,"BGP CPT ABORTION","D")
I %]"" Q ""
S %=$$LASTCPTT^APCLAPIU(P,LPD,ED,"BGP CPT MISCARRIAGE","D")
I %]"" Q ""
Q 1
HIGHRISK(P,BDATE,EDATE,AGEB) ;
I AGEB<25 Q ""
I AGEB>64 Q ""
;get all povs that meet definition in past 3 years, remove those on same date and count for 2
NEW BGPDX,BGPG,CNT
K BGPG
S Y="BGPG(",CNT=0
S X=P_"^ALL DX [BGP H1N1 HIGH RISK;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
;now reorder by date of diagnosis and eliminate all on same date
I '$D(BGPG) G PROB ;no diagnoses
S B=0,X=0 F S X=$O(BGPG(X)) Q:X'=+X!(CNT=2) D
.;get date
.S D=$P(BGPG(X),U,1)
.Q:$D(BGPDX(D))
.S BGPDX(D)="",CNT=CNT+1 I CNT=2 S BGPD=D
.Q
I CNT>1 Q 1 ;is high risk
PROB ;
S T=$O(^ATXAX("B","BGP H1N1 HIGH RISK",0))
S (X,G)=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X!(G) D
.Q:$P(^AUPNPROB(X,0),U,12)="D"
.Q:$P(^AUPNPROB(X,0),U,12)="I"
.Q:$P(^AUPNPROB(X,0),U,8)>EDATE
.Q:$P(^AUPNPROB(X,0),U,8)<BDATE
.S Y=$P(^AUPNPROB(X,0),U)
.Q:'$$ICD^BGP5UTL2(Y,T,9)
.S G=$P(^AUPNPROB(X,0),U,8)
.Q
Q G
BGP5D36 ; IHS/CMI/LAB - measure C 06 Nov 2009 2:03 PM 28 May 2015 4:23 PM ;
+1 ;;15.1;IHS CLINICAL REPORTING;;MAY 06, 2015;Build 143
+2 ;
MEN(P,EDATE) ;EP
+1 NEW BGPC,BGPG,BGPX,BGPMENI,C,ED,BD,V,X,Y,BGPZ,B,BGPIMM,R,G
+2 ;gather up all immunizations, cpts, povs and check for 3 each ten days apart
+3 KILL BGPMENI
+4 ;get all immunizations
+5 SET C="32^108^114^136^147"
+6 DO GETIMMS^BGP5D32(P,EDATE,C,.BGPX)
+7 ;go through and set into array if 10 days apart
+8 IF $ORDER(BGPX(0))
QUIT 1_U_"Meningococcal"
+9 ;now get cpts
+10 SET ED=9999999-EDATE-1
SET BD=9999999-$$DOB^AUPNPAT(P)
SET G=0
+11 FOR
SET ED=$ORDER(^AUPNVSIT("AA",P,ED))
IF ED=""!($PIECE(ED,".")>BD)
QUIT
Begin DoDot:1
+12 SET V=0
FOR
SET V=$ORDER(^AUPNVSIT("AA",P,ED,V))
IF V'=+V
QUIT
Begin DoDot:2
+13 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+14 SET X=0
FOR
SET X=$ORDER(^AUPNVCPT("AD",V,X))
IF X'=+X
QUIT
Begin DoDot:3
+15 SET Y=$PIECE(^AUPNVCPT(X,0),U)
SET Y=$PIECE($$CPT^ICPTCOD(Y),U,2)
IF Y=90733!(Y=90734)
SET BGPMENI(9999999-$PIECE(ED,"."))=""
End DoDot:3
+16 SET X=0
FOR
SET X=$ORDER(^AUPNVTC("AD",V,X))
IF X'=+X
QUIT
Begin DoDot:3
+17 SET Y=$PIECE(^AUPNVTC(X,0),U,7)
IF 'Y
QUIT
SET Y=$PIECE($$CPT^ICPTCOD(Y),U,2)
IF Y=90733!(Y=90734)
SET BGPMENI(9999999-$PIECE(ED,"."))=""
End DoDot:3
End DoDot:2
End DoDot:1
+18 IF $DATA(BGPMENI)
QUIT 1_U_"Meningococcal"
+19 ;check for Evidence of desease and Contraindications and if yes, then quit
+20 FOR BGPZ=32,108,114,136,147
SET X=$$ANCONT^BGP5D31(P,BGPZ,EDATE)
IF X]""
QUIT
+21 IF X]""
QUIT 4_U_"Contra Meningococcal"
+22 ;now go to Refusals
+23 SET B=$$DOB^AUPNPAT(P)
SET E=EDATE
SET BGPNMI=""
SET R=""
+24 FOR BGPIMM=32,108,114,136,147
Begin DoDot:1
+25 SET I=$ORDER(^AUTTIMM("C",BGPIMM,0))
IF 'I
QUIT
+26 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,9999999.14,I,X))
IF X'=+X
QUIT
SET Y=0
FOR
SET Y=$ORDER(^AUPNPREF("AA",P,9999999.14,I,X,Y))
IF Y'=+Y
QUIT
SET D=$PIECE(^AUPNPREF(Y,0),U,3)
IF D'<B&(D'>E)
IF $PIECE(^AUPNPREF(Y,0),U,7)="N"
SET BGPNMI=1
SET R=1
End DoDot:1
+27 IF BGPNMI
QUIT $SELECT(BGPNMI:4,1:3)_U_$SELECT(BGPNMI:"NMI Meningococcal",1:"Ref Meningococcal")
+28 FOR BGPIMM=90733,90734
Begin DoDot:1
+29 SET I=+$$CODEN^ICPTCOD(BGPIMM)
IF 'I
QUIT
+30 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,81,I,X))
IF X'=+X
QUIT
SET Y=0
FOR
SET Y=$ORDER(^AUPNPREF("AA",P,81,I,X,Y))
IF Y'=+Y
QUIT
SET D=$PIECE(^AUPNPREF(Y,0),U,3)
IF D'<B&(D'>E)
IF $PIECE(^AUPNPREF(Y,0),U,7)="N"
SET BGPNMI=1
SET R=1
End DoDot:1
+31 IF BGPNMI
QUIT $SELECT(BGPNMI:4,1:3)_U_$SELECT(BGPNMI:"NMI Meningococcal",1:"Ref Meningococcal")
+32 ;now check Refusals in imm pkg
+33 ;F BGPIMM=32,108,114,136,147 S R=$$IMMREF^BGP5D32(P,BGPIMM,$$DOB^AUPNPAT(P),EDATE)+R
+34 ;I R Q 3_U_"Ref imm pkg Meningococcal"
+35 QUIT ""
+36 ;
HPV(P,EDATE) ;EP
+1 NEW BGPC,BGPG,BGPX,BGPHPV,C,X,ED,BD,V,G,R,BGPIMM,Y,Z,B,BGPNMI
+2 ;gather up all immunizations, cpts, povs and check for 3 each ten days apart
+3 ;get all immunizations
+4 SET C="62^118^137^165"
+5 DO GETIMMS^BGP5D32(P,EDATE,C,.BGPX)
+6 ;go through and set into array if 10 days apart
+7 SET X=0
FOR
SET X=$ORDER(BGPX(X))
IF X'=+X
QUIT
SET BGPHPV(X)=""
+8 ;now get cpts
+9 SET ED=9999999-EDATE
SET BD=9999999-$$DOB^AUPNPAT(P)
SET G=0
+10 FOR
SET ED=$ORDER(^AUPNVSIT("AA",P,ED))
IF ED=""!($PIECE(ED,".")>BD)
QUIT
Begin DoDot:1
+11 SET V=0
FOR
SET V=$ORDER(^AUPNVSIT("AA",P,ED,V))
IF V'=+V
QUIT
Begin DoDot:2
+12 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+13 SET X=0
FOR
SET X=$ORDER(^AUPNVCPT("AD",V,X))
IF X'=+X
QUIT
Begin DoDot:3
+14 SET Y=$PIECE(^AUPNVCPT(X,0),U)
SET Z=$PIECE($$CPT^ICPTCOD(Y),U,2)
IF Z=90649!(Z=90650)!(Z=90651)
SET BGPHPV(9999999-$PIECE(ED,"."))=""
End DoDot:3
+15 SET X=0
FOR
SET X=$ORDER(^AUPNVTC("AD",V,X))
IF X'=+X
QUIT
Begin DoDot:3
+16 SET Y=$PIECE(^AUPNVTC(X,0),U,7)
IF 'Y
QUIT
SET Z=$PIECE($$CPT^ICPTCOD(Y),U,2)
IF Z=90649!(Z=90650)!(Z=90651)
SET BGPHPV(9999999-$PIECE(ED,"."))=""
End DoDot:3
End DoDot:2
End DoDot:1
+17 ;now check to see if they are all spaced 10 days apart, if not, kill off the odd ones
+18 SET X=""
SET Y=""
SET C=0
FOR
SET X=$ORDER(BGPHPV(X))
IF X'=+X
QUIT
SET C=C+1
Begin DoDot:1
+19 IF C=1
SET Y=X
QUIT
+20 IF $$FMDIFF^XLFDT(X,Y)<11
KILL BGPHPV(X)
QUIT
+21 SET Y=X
End DoDot:1
+22 ;now count them and see if there are 4 of them
+23 SET BGPHPV=0
SET X=0
FOR
SET X=$ORDER(BGPHPV(X))
IF X'=+X
QUIT
SET BGPHPV=BGPHPV+1
+24 IF BGPHPV>2
QUIT 1_U_"3 HPV"
+25 ;check for Evidence of desease and Contraindications and if yes, then quit
+26 ;now go to Refusals
+27 SET B=$$DOB^AUPNPAT(P)
SET E=EDATE
SET BGPNMI=""
SET R=""
+28 FOR BGPIMM=62,118,137,165
Begin DoDot:1
+29 SET I=$ORDER(^AUTTIMM("C",BGPIMM,0))
IF 'I
QUIT
+30 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,9999999.14,I,X))
IF X'=+X
QUIT
SET Y=0
FOR
SET Y=$ORDER(^AUPNPREF("AA",P,9999999.14,I,X,Y))
IF Y'=+Y
QUIT
SET D=$PIECE(^AUPNPREF(Y,0),U,3)
IF D'<B&(D'>E)
IF $PIECE(^AUPNPREF(Y,0),U,7)="N"
SET BGPNMI=1
SET R=1
End DoDot:1
+31 IF BGPNMI
QUIT $SELECT(BGPNMI:4,1:3)_U_$SELECT(BGPNMI:"NMI",1:"Ref")_" HPV"
+32 FOR BGPIMM=90649,90650,90651
Begin DoDot:1
+33 SET I=+$$CODEN^ICPTCOD(BGPIMM)
IF 'I
QUIT
+34 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,81,I,X))
IF X'=+X
QUIT
SET Y=0
FOR
SET Y=$ORDER(^AUPNPREF("AA",P,81,I,X,Y))
IF Y'=+Y
QUIT
SET D=$PIECE(^AUPNPREF(Y,0),U,3)
IF D'<B&(D'>E)
IF $PIECE(^AUPNPREF(Y,0),U,7)="N"
SET BGPNMI=1
SET R=1
End DoDot:1
+35 IF BGPNMI
QUIT $SELECT(BGPNMI:4,1:3)_U_$SELECT(BGPNMI:"NMI HPV",1:"Ref HPV")
+36 ;now check Refusals in imm pkg
+37 ;F BGPIMM=62,118 S R=$$IMMREF^BGP5D32(P,BGPIMM,$$DOB^AUPNPAT(P),EDATE)+R
+38 ;I R Q $S(BGPNMI:4,1:3)_U_$S(BGPNMI:"NMI",1:"Ref")_" HPV"
+39 FOR BGPZ=62,118,137,165
SET X=$$ANCONT^BGP5D31(P,BGPZ,EDATE)
IF X]""
QUIT
+40 IF X]""
QUIT 4_U_"Contra HPV"
+41 QUIT ""
H1N1 ;EP - called from measure
+1 NEW BGPMONA,BGPH1N1
+2 SET (BGPN1,BGPN2,BGPN3,BGPD1,BGPD2,BGPD3,BGPD4,BGPD5,BGPD6,BGPD7,BGPD8)=0
+3 SET BGPMONA=$$AGE(DFN,2,BGPBDATE)
+4 ;must be active clinical
IF 'BGPACTCL
SET BGPSTOP=1
QUIT
+5 ;1st denominator
IF BGPMONA>5
IF BGPMONA<60
SET BGPD1=1
+6 ;2nd denominator
IF BGPAGEB>4
IF BGPAGEB<10
SET BGPD2=1
+7 IF BGPAGEB>9
IF BGPAGEB<19
SET BGPD3=1
+8 IF BGPAGEB>18
IF BGPAGEB<25
SET BGPD4=1
+9 IF BGPAGEB>24
IF BGPAGEB<65
SET BGPD5=1
+10 IF BGPAGEB>64
SET BGPD6=1
+11 IF $$ACTPREG(DFN,BGPEDATE)
SET BGPD7=1
+12 SET T=($EXTRACT(BGPBDATE,1,3)-3)_$EXTRACT(BGPBDATE,4,7)
+13 IF $$HIGHRISK(DFN,T,BGPEDATE,BGPAGEB)
SET BGPD8=1
+14 ;pt in ANY denominator so skip this patient
IF '(BGPD1+BGPD2+BGPD3+BGPD4+BGPD5+BGPD6+BGPD7+BGPD8)
SET BGPSTOP=1
QUIT
+15 ;will be returned as date of 1st H1N1 dose^date of second H1N1 dose
SET BGPH1N1=$$H1N1VAC(DFN,BGPBDATE,BGPEDATE)
+16 IF $PIECE(BGPH1N1,U)
SET BGPN1=1
+17 IF $PIECE(BGPH1N1,U,3)
SET BGPN2=1
+18 SET BGPVALUE="AC"
+19 IF BGPD7
SET BGPVALUE=BGPVALUE_";PREG"
+20 IF BGPD8
SET BGPVALUE=BGPVALUE_";HIGHRISK"
+21 SET BGPVALUE=BGPVALUE_"|||"
+22 IF BGPN1!(BGPN2)
SET BGPVALUE=BGPVALUE_$SELECT($PIECE(BGPH1N1,U,1):$$DATE^BGP5UTL($PIECE(BGPH1N1,U,1))_" "_$PIECE(BGPH1N1,U,2),1:"")
+23 ;:"2 doses",$P(BGPH1N1,U,1):"1 dose",1:"")_" "_$$DATE^BGP5UTL($P(BGPH1N1,U))_" "_$$DATE^BGP5UTL($P(BGPH1N1,U,2))
IF $PIECE(BGPH1N1,U,3)
SET BGPVALUE=BGPVALUE_"; "_$$DATE^BGP5UTL($PIECE(BGPH1N1,U,3))_" "_$PIECE(BGPH1N1,U,4)
+24 QUIT
H1N1VAC(P,BDATE,EDATE) ;EP
+1 IF '$GET(P)
QUIT ""
+2 NEW C,X,Y,Z,T,L,M,D,V,ED,BD
+3 SET T=$ORDER(^ATXAX("B","SURVEILLANCE H1N1 CVX CODES",0))
+4 SET C=0
SET X=0
FOR
SET X=$ORDER(^AUPNVIMM("AC",P,X))
IF X'=+X
QUIT
SET Y=$PIECE($GET(^AUPNVIMM(X,0)),U)
Begin DoDot:1
+5 IF 'Y
QUIT
+6 IF '$DATA(^AUTTIMM(Y,0))
QUIT
+7 SET Z=$PIECE(^AUTTIMM(Y,0),U,3)
+8 IF '$DATA(^ATXAX(T,21,"B",Z))
QUIT
+9 SET D=$$VD^APCLV($PIECE(^AUPNVIMM(X,0),U,3))
+10 IF D<BDATE
QUIT
+11 IF D>EDATE
QUIT
+12 SET C=C+1
SET M(D)=$$VAL^XBDIQ1(9000010.11,X,.01)
+13 QUIT
End DoDot:1
+14 SET T=$ORDER(^ATXAX("B","SURVEILLANCE CPT H1N1",0))
+15 ;GET ALL CPT CODES AND SET BY DATE
+16 SET ED=(9999999-EDATE)
SET BD=9999999-BDATE
+17 FOR
SET ED=$ORDER(^AUPNVSIT("AA",P,ED))
IF ED=""!($PIECE(ED,".")>BD)
QUIT
Begin DoDot:1
+18 SET V=0
FOR
SET V=$ORDER(^AUPNVSIT("AA",P,ED,V))
IF V'=+V
QUIT
Begin DoDot:2
+19 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+20 IF '$DATA(^AUPNVCPT("AD",V))
QUIT
+21 SET X=0
FOR
SET X=$ORDER(^AUPNVCPT("AD",V,X))
IF X'=+X
QUIT
Begin DoDot:3
+22 IF $$ICD^BGP5UTL2($PIECE(^AUPNVCPT(X,0),U),T,1)
SET C=C+1
SET M($$VD^APCLV(V))=$$VAL^XBDIQ1(9000010.18,X,.01)
+23 QUIT
End DoDot:3
+24 QUIT
End DoDot:2
+25 QUIT
End DoDot:1
+26 IF '$DATA(M)
QUIT ""
+27 SET (X,D,F,S)=""
+28 FOR
SET D=$ORDER(M(D))
IF D'=+D
QUIT
Begin DoDot:1
+29 ;first one
IF F=""
SET F=D_U_M(D)
QUIT
+30 IF $$FMDIFF^XLFDT(D,F)<21
QUIT
+31 SET S=D_U_M(D)
+32 QUIT
End DoDot:1
+33 QUIT F_U_S
AGE(P,BGPZ,BGPDT) ;EP
+1 ;---> Return Patient's Age.
+2 ;---> Parameters:
+3 ; 1 - DFN (req) IEN in PATIENT File.
+4 ; 2 - APCLZ (opt) APCLZ=1,2,3 1=years, 2=months, 3=days.
+5 ; 2 will be assumed if not passed.
+6 ; 3 - APCLDT (opt) Date on which Age should be calculated.
+7 ;
+8 NEW BGPDOB,X,X1,X2
IF $GET(APCLZ)=""
SET APCLZ=2
+9 IF '$GET(P)
QUIT ""
+10 IF '$DATA(^DPT(P,0))
QUIT ""
+11 SET BGPDOB=$PIECE(^DPT(P,0),U,3)
+12 IF 'BGPDOB
QUIT ""
+13 IF '$GET(DT)
SET DT=$$DT^XLFDT
+14 IF '$GET(BGPDT)
SET BGPDT=DT
+15 IF BGPDT<BGPDOB
QUIT ""
+16 ;
+17 ;---> Age in Years.
+18 NEW BGPAGEY,BGPAGEM,BGPD1,BGPD2,BGPM1,BGPM2,BGPY1,BGPY2
+19 SET BGPM1=$EXTRACT(BGPDOB,4,7)
SET BGPM2=$EXTRACT(BGPDT,4,7)
+20 SET BGPY1=$EXTRACT(BGPDOB,1,3)
SET BGPY2=$EXTRACT(BGPDT,1,3)
+21 SET BGPAGEY=BGPY2-BGPY1
IF BGPM2<BGPM1
SET BGPAGEY=BGPAGEY-1
+22 IF BGPAGEY<1
SET BGPAGEY="<1"
+23 IF BGPZ=1
QUIT BGPAGEY
+24 ;
+25 ;---> Age in Months.
+26 SET BGPD1=$EXTRACT(BGPM1,3,4)
SET BGPM1=$EXTRACT(BGPM1,1,2)
+27 SET BGPD2=$EXTRACT(BGPM2,3,4)
SET BGPM2=$EXTRACT(BGPM2,1,2)
+28 SET BGPAGEM=12*BGPAGEY
+29 IF BGPM2=BGPM1&(BGPD2<BGPD1)
SET BGPAGEM=BGPAGEM+12
+30 IF BGPM2>BGPM1
SET BGPAGEM=BGPAGEM+BGPM2-BGPM1
+31 IF BGPM2<BGPM1
SET BGPAGEM=BGPAGEM+BGPM2+(12-BGPM1)
+32 IF BGPD2<BGPD1
SET BGPAGEM=BGPAGEM-1
+33 IF BGPZ=2
QUIT BGPAGEM
+34 ;
+35 ;---> Age in Days.
+36 SET X1=BGPDT
SET X2=BGPDOB
+37 DO ^%DTC
+38 QUIT X
+39 ;
+40 ;
ACTPREG(P,ED) ;EP
+1 IF $PIECE(^DPT(P,0),U,2)'="F"
QUIT ""
+2 NEW T,X,Y,Q,BD,BGPG,LPD,%,G
+3 ;MEASURE IN H1N1 YEAR ONLY ****LORI CHANGE TO 309
SET BD=3091001
+4 SET G=""
+5 SET T=$ORDER(^ATXAX("B","SURVEILLANCE H1N1 PREGNANCY DX",0))
+6 DO ALLV^APCLAPIU(P,BD,ED,"APCL")
+7 IF '$DATA(APCL)
QUIT ""
+8 ;now get rid of non-amb, non-H visits, and those whose primary dx is not pregnancy
+9 NEW APCLJ
+10 SET X=0
FOR
SET X=$ORDER(APCL(X))
IF X'=+X
QUIT
Begin DoDot:1
+11 SET V=$PIECE(APCL(X),U,5)
+12 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+13 IF "AOSHI"'[$PIECE(^AUPNVSIT(V,0),U,7)
QUIT
+14 SET (G,Y)=0
FOR
SET Y=$ORDER(^AUPNVPOV("AD",V,Y))
IF Y'=+Y!(G)
QUIT
Begin DoDot:2
+15 SET Q=$PIECE($GET(^AUPNVPOV(Y,0)),U)
+16 IF Q=""
QUIT
+17 ;not in taxonomy
IF '$$ICD^BGP5UTL2(Q,T,9)
QUIT
+18 SET G=1
+19 ;set by date to eliminate 2 on same day
SET APCLJ(9999999-$PIECE(APCL(X),U,1))=$PIECE(APCL(X),U,1)
End DoDot:2
+20 QUIT
End DoDot:1
+21 ;get date of latest
SET LPD=$ORDER(APCLJ(0))
+22 IF LPD=""
QUIT ""
+23 ;date of prenatal dx, find miscarriage, abortion or delivery between this date and ED
SET LPD=9999999-LPD
+24 NEW BGPGF
+25 SET BGPGF=""
+26 ;check abortion / misc dxs
+27 KILL BGPG
SET X=P_"^LAST DX [BGP MISCARRIAGE/ABORTION DXS;DURING "_LPD_"-"_ED
SET E=$$START1^APCLDF(X,"APCL(")
+28 ;FOUND SO NOT PREG ANYMORE
IF $DATA(BGPG)
QUIT ""
+29 KILL BGPG
SET BGPG=$$LASTPRC^BGP5UTL1(P,"BGP ABORTION PROCEDURES",LPD,ED)
+30 ;FOUND SO NOT PREG ANYMORE
IF BGPG
QUIT ""
+31 ;now check CPTs for Abortion and Miscarriage
+32 SET %=$$LASTCPTT^APCLAPIU(P,LPD,ED,"BGP CPT ABORTION","D")
+33 IF %]""
QUIT ""
+34 SET %=$$LASTCPTT^APCLAPIU(P,LPD,ED,"BGP CPT MISCARRIAGE","D")
+35 IF %]""
QUIT ""
+36 QUIT 1
HIGHRISK(P,BDATE,EDATE,AGEB) ;
+1 IF AGEB<25
QUIT ""
+2 IF AGEB>64
QUIT ""
+3 ;get all povs that meet definition in past 3 years, remove those on same date and count for 2
+4 NEW BGPDX,BGPG,CNT
+5 KILL BGPG
+6 SET Y="BGPG("
SET CNT=0
+7 SET X=P_"^ALL DX [BGP H1N1 HIGH RISK;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+8 ;now reorder by date of diagnosis and eliminate all on same date
+9 ;no diagnoses
IF '$DATA(BGPG)
GOTO PROB
+10 SET B=0
SET X=0
FOR
SET X=$ORDER(BGPG(X))
IF X'=+X!(CNT=2)
QUIT
Begin DoDot:1
+11 ;get date
+12 SET D=$PIECE(BGPG(X),U,1)
+13 IF $DATA(BGPDX(D))
QUIT
+14 SET BGPDX(D)=""
SET CNT=CNT+1
IF CNT=2
SET BGPD=D
+15 QUIT
End DoDot:1
+16 ;is high risk
IF CNT>1
QUIT 1
PROB ;
+1 SET T=$ORDER(^ATXAX("B","BGP H1N1 HIGH RISK",0))
+2 SET (X,G)=0
FOR
SET X=$ORDER(^AUPNPROB("AC",P,X))
IF X'=+X!(G)
QUIT
Begin DoDot:1
+3 IF $PIECE(^AUPNPROB(X,0),U,12)="D"
QUIT
+4 IF $PIECE(^AUPNPROB(X,0),U,12)="I"
QUIT
+5 IF $PIECE(^AUPNPROB(X,0),U,8)>EDATE
QUIT
+6 IF $PIECE(^AUPNPROB(X,0),U,8)<BDATE
QUIT
+7 SET Y=$PIECE(^AUPNPROB(X,0),U)
+8 IF '$$ICD^BGP5UTL2(Y,T,9)
QUIT
+9 SET G=$PIECE(^AUPNPROB(X,0),U,8)
+10 QUIT
End DoDot:1
+11 QUIT G
