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Routine: BGP8PC8

BGP8PC8.m

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  1. BGP8PC8 ; IHS/CMI/LAB - measure I2 ; 02 Feb 2018 11:25 AM
  1. ;;18.1;IHS CLINICAL REPORTING;;MAY 25, 2018;Build 66
  1. ;
  1. CCS ;EP
  1. S (BGPN1,BGPD1)=0
  1. S BGPDV=""
  1. I $P(^DPT(DFN,0),U,2)'="F" S BGPSTOP=1 Q ;female only
  1. I BGPAGEE<23 S BGPSTOP=1 Q ;18 or greater during time period
  1. I BGPAGEB>63 S BGPSTOP=1 Q ;63 or less during time period
  1. ;
  1. S BGPDV=$$ENC8(DFN,BGPBDATE,BGPEDATE) I BGPDV="" S BGPSTOP=1 Q ;no office visit
  1. ;
  1. ;now what about exclusions?
  1. I $$HOSPIND^BGP8PC2(DFN,BGPBDATE,BGPEDATE) S BGPSTOP=1 Q ;no hospice pts
  1. ;Hysterectomy?
  1. I $$HYSTER(DFN,BGPEDATE) S BGPSTOP=1 Q
  1. ;
  1. S BGPD1=1
  1. ;
  1. S BGPVAL=""
  1. S X=$$PAP(DFN,BGPEDATE,3) ;PAP IN 3 YRS?
  1. I $E(X)=1 S BGPN1=1,BGPVAL=X
  1. I 'BGPN1,BGPAGEB>29,BGPAGEB<65 S X=$$PAPHPV(DFN,BGPEDATE,5) I $E(X)=1 S BGPN1=1,BGPVAL=X ;PAP AND HPV IN PAST 5 YEARS ON SAME DAY
  1. S BGPVALUE=""
  1. S BGPVALUE="ENC "_$P(BGPDV,U,2)_"|||" ;hit denominator
  1. I BGPN1 S BGPVALUE=BGPVALUE_"*** "_$$DATE^BGP8UTL($P(X,U,2))_" "_$P(X,U,3)
  1. K V,BGPDV,BGPVAL
  1. Q
  1. ENC8(P,BDATE,EDATE) ;EP - have encounter per CMS122v6
  1. ;HAS one of the following
  1. ;1. cpt in BGP IPC OFFICE VISIT CPTS
  1. ;2. snomed in PXRM BGP IPC FACE2FACE
  1. ;3. CPT in BGP IPC PREVCARE EOV >=18 CPTS
  1. ;4. CPT in BGP IPC PREVCARE IOV >=18 CPTS
  1. ;5. CPT in BGP IPC HOMEHEALTH VISIT CPTS
  1. NEW X,Y,Z,G,BGPV,D
  1. ;Let's check all Visits, looping through once
  1. S G="" ;return variable
  1. ;get all visits in date range in BGPV
  1. D ALLV^APCLAPIU(P,BDATE,EDATE,"BGPV")
  1. ;now loop through and check Face to Face and .17 in visit and check v cpts attached to the visit
  1. S X=0 F S X=$O(BGPV(X)) Q:X'=+X!(G) S V=$P(BGPV(X),U,5) D
  1. .Q:'$P(^AUPNVSIT(V,0),U,9) ;no dependent entries
  1. .Q:$P(^AUPNVSIT(V,0),U,11) ;deleted
  1. .S D=$$VD^APCLV(V)
  1. .S Y=$$FTOF^BGP8PC2(V) I Y]"" S G=1_U_$$DATE^BGP8UTL(D)_" FTOF: "_Y Q
  1. .;is .17 a cpt we want?
  1. .S Y=$$VALI^XBDIQ1(9000010,V,.17)
  1. .I Y,$$OFFCPT8(Y) S G=1_U_$$DATE^BGP8UTL(D)_" CPT: "_$P($$CPT^ICPTCOD(Y),U,2) Q
  1. .;now check all V CPTs
  1. .S Z=0 F S Z=$O(^AUPNVCPT("AD",V,Z)) Q:Z'=+Z!(G) D
  1. ..S Y=$P($G(^AUPNVCPT(Z,0)),U,1)
  1. ..I Y,$$OFFCPT8(Y) S G=1_U_$$DATE^BGP8UTL(D)_" CPT: "_$P($$CPT^ICPTCOD(Y),U,2) Q
  1. Q G
  1. OFFCPT8(C) ;EP
  1. I $$ICD^ATXAPI(C,$O(^ATXAX("B","BGP IPC OFFICE VISIT CPTS",0)),1) Q 1
  1. I $$ICD^ATXAPI(C,$O(^ATXAX("B","BGP IPC PREVCARE EOV >=18 CPTS",0)),1) Q 1
  1. I $$ICD^ATXAPI(C,$O(^ATXAX("B","BGP IPC PREVCARE IOV >=18 CPTS",0)),1) Q 1
  1. I $$ICD^ATXAPI(C,$O(^ATXAX("B","BGP IPC HOMEHEALTH VISIT CPTS",0)),1) Q 1
  1. Q ""
  1. PAP(P,EDATE,YEARS,REFUSAL) ;EP
  1. NEW BGPC,BGPLPAP,T,BGPLT,B,D,E,L,X,J,BGP
  1. S BGPC=""
  1. S BGPLPAP=""
  1. S BDATE=($E(EDATE,1,3)-YEARS)_$E(EDATE,4,7)
  1. ;S BDATE=$$FMADD^XLFDT(EDATE,-(365*YEARS))
  1. S T=$O(^ATXAX("B","BGP IPC PAP LOINC CODES",0))
  1. S BGPLT=$O(^ATXLAB("B","BGP PAP SMEAR TAX",0))
  1. S B=9999999-BDATE,E=9999999-EDATE S D=E-1 F S D=$O(^AUPNVLAB("AE",P,D)) Q:D'=+D!(D>B)!(BGPC]"") D
  1. .S L=0 F S L=$O(^AUPNVLAB("AE",P,D,L)) Q:L'=+L!(BGPC]"") D
  1. ..S X=0 F S X=$O(^AUPNVLAB("AE",P,D,L,X)) Q:X'=+X!(BGPC]"") D
  1. ...Q:'$D(^AUPNVLAB(X,0))
  1. ...Q:$P(^AUPNVLAB(X,0),U,4)=""
  1. ...I BGPLT,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BGPLT,21,"B",$P(^AUPNVLAB(X,0),U))) S BGPC="1^"_(9999999-D)_"^Lab" Q
  1. ...Q:'T
  1. ...S J=$P($G(^AUPNVLAB(X,11)),U,13) Q:J=""
  1. ...Q:'$$LOINC(J,T)
  1. ...S BGPC="1^"_(9999999-D)_"^Lab-loinc" Q
  1. ...Q
  1. S BGPLPAP=BGPC
  1. I BGPLPAP]"" Q BGPLPAP
  1. Q ""
  1. LOINC(A,B) ;EP
  1. NEW %
  1. S %=$P($G(^LAB(95.3,A,9999999)),U,2)
  1. I %]"",$D(^ATXAX(B,21,"B",%)) Q 1
  1. S %=$P($G(^LAB(95.3,A,0)),U)_"-"_$P($G(^LAB(95.3,A,0)),U,15)
  1. I $D(^ATXAX(B,21,"B",%)) Q 1
  1. Q ""
  1. HYSTER(P,EDATE) ;EP
  1. I '$G(P) Q ""
  1. NEW X,T
  1. S X=$$LASTPRC^BGP8UTL1(P,"BGP HYSTERECTOMY PROCEDURES",$$DOB^AUPNPAT(P),EDATE)
  1. I X Q 1
  1. S T="HYSTERECTOMY",T=$O(^BWPN("B",T,0))
  1. I T D I X]"" Q 1
  1. .S X=$$WH^BGP8DU(P,$$DOB^AUPNPAT(P),EDATE,T,2)
  1. S T=$O(^ATXAX("B","BGP IPC HYSTERECTOMY CPTS",0))
  1. I T D I X]"" Q 1
  1. .S X=$$CPT^BGP8DU(P,$P(^DPT(P,0),U,3),EDATE,T,3) I X]"" Q
  1. .S X=$$TRAN^BGP8DU(P,$P(^DPT(P,0),U,3),EDATE,T,3)
  1. S X=$$LASTDX^BGP8UTL1(P,"BGP HYSTERECTOMY DXS",$$DOB^AUPNPAT(P),EDATE)
  1. I X Q 1
  1. S X=$$PLTAXND^BGP8DU(P,"BGP HYSTERECTOMY DXS",EDATE)
  1. I X Q 1
  1. S X=$$IPLSNOND^BGP8DU(P,"PXRM BGP HYSTERECTOMY DX",EDATE)
  1. I X Q 1
  1. Q ""
  1. PAPHPV(P,EDATE,YEARS) ;EP - PAP AND HPV ON THE SAME DAY
  1. NEW BGPC,BGPLPAP,T,BGPLT,B,D,E,L,X,J,BGP,BGPAPAP,BGPG,BGPAHPV
  1. ;GATHER UP ALL PAP SMEARS BY DATE
  1. ;BGPAPAP(INVERSE DATE)=1^INTERNAL DATE^VALUE
  1. S BGPC="",BGPLPAP="",BGPAHPV="",BGPAPAP=""
  1. ;S BDATE=$$FMADD^XLFDT(EDATE,-(365*YEARS))
  1. S BDATE=($E(EDATE,1,3)-YEARS)_$E(EDATE,4,7)
  1. S T=$O(^ATXAX("B","BGP IPC PAP LOINC CODES",0))
  1. S BGPLT=$O(^ATXLAB("B","BGP PAP SMEAR TAX",0))
  1. S B=9999999-BDATE,E=9999999-EDATE S D=E-1 F S D=$O(^AUPNVLAB("AE",P,D)) Q:D'=+D!(D>B) D
  1. .S L=0 F S L=$O(^AUPNVLAB("AE",P,D,L)) Q:L'=+L D
  1. ..S X=0 F S X=$O(^AUPNVLAB("AE",P,D,L,X)) Q:X'=+X D
  1. ...Q:'$D(^AUPNVLAB(X,0))
  1. ...Q:$P(^AUPNVLAB(X,0),U,4)="" ;must have a result
  1. ...I BGPLT,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BGPLT,21,"B",$P(^AUPNVLAB(X,0),U))) S BGPAPAP(D)="1^"_(9999999-D)_"^Lab" Q
  1. ...Q:'T
  1. ...S J=$P($G(^AUPNVLAB(X,11)),U,13) Q:J=""
  1. ...Q:'$$LOINC(J,T)
  1. ...S BGPAPAP(D)="1^"_(9999999-D)_"^Lab-loinc" Q
  1. ...Q
  1. ;GATHER UP ALL HPV TESTS
  1. HPV ;
  1. S BGPC=""
  1. K BGPAHPV
  1. S BDATE=($E(EDATE,1,3)-YEARS)_$E(EDATE,4,7)
  1. ;S BDATE=$$FMADD^XLFDT(EDATE,-(365*YEARS))
  1. S T=$O(^ATXAX("B","BGP IPC HPV LOINC CODES",0))
  1. S BGPLT=$O(^ATXLAB("B","BGP HPV TESTS TAX",0))
  1. S B=9999999-BDATE,E=9999999-EDATE S D=E-1 F S D=$O(^AUPNVLAB("AE",P,D)) Q:D'=+D!(D>B) D
  1. .S L=0 F S L=$O(^AUPNVLAB("AE",P,D,L)) Q:L'=+L D
  1. ..S X=0 F S X=$O(^AUPNVLAB("AE",P,D,L,X)) Q:X'=+X D
  1. ...Q:'$D(^AUPNVLAB(X,0))
  1. ...Q:$P(^AUPNVLAB(X,0),U,4)="" ;must have a result
  1. ...I BGPLT,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BGPLT,21,"B",$P(^AUPNVLAB(X,0),U))) S BGPAHPV(D)="1^"_(9999999-D)_"^Lab" Q
  1. ...Q:'T
  1. ...S J=$P($G(^AUPNVLAB(X,11)),U,13) Q:J=""
  1. ...Q:'$$LOINC(J,T)
  1. ...S BGPAHPV(D)="1^"_(9999999-D)_"^Lab-loinc" Q
  1. ...Q
  1. ;LOOP ALL PAPS AND SEE IF HPV ON SAME DAY, IF SO CHECK AGAINST BGPLPAP AND IF LATER QUIT
  1. S D=0 F S D=$O(BGPAPAP(D)) Q:D'=+D D
  1. .I $D(BGPAHPV(D)),$P(BGPAPAP(D),U,2)>$P(BGPLPAP,U,2) S BGPLPAP="1^"_$P(BGPAPAP(D),U,2)_U_"PAP&HPV 5YRS SAME DAY"
  1. Q BGPLPAP