BGP9D722 ; IHS/CMI/LAB - measure AHR.A ;
;;9.0;IHS CLINICAL REPORTING;;JUL 1, 2009
;
;
ACEALG(P,BDATE,EDATE) ;EP
K BGPG
D ACEIALG1^BGP9C11(P,EDATE,.BGPG)
S X=$O(BGPG(X))
I 'X Q ""
Q 1_U_"ace/arb alleg: "_BGPG(X)
;
ACECONT(P,BDATE,EDATE,NMIB,NMIE) ;EP does patient have an ACEI contraidication
NEW ED,BD,BGPG,BGPC,X,Y,Z,N,E
K BGPG S Y="BGPG(",X=P_"^LAST DX [BGP CMS AORTIC STENOSIS DXS;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
I $D(BGPG(1)) Q 1_U_"ACEI contra POV: "_$$DATE^BGP9UTL($P(BGPG(1),U))_" ["_$P(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$P(BGPG(1),U,4),.04)
;
;nmi in refusal file for ACEI
S BGPG=""
S T=$O(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
S X=0 F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X D
.Q:'$D(^ATXAX(T,21,"B",X)) ;not an ACEI
.S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D D
..S Y=9999999-D I Y<NMIB Q ;documented more than 1 year before discharge
..I Y>NMIE Q ;documented after End date
..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N D
...Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
...S BGPG=1_U_"NMI ACEI: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP9UTL($P(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
..Q
.Q
I BGPG Q BGPG
;nmi in refusal file for ACEI
S BGPG=""
S T=$O(^ATXAX("B","BGP HEDIS ARB MEDS",0))
S X=0 F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X D
.Q:'$D(^ATXAX(T,21,"B",X)) ;not an ACEI
.S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D D
..S Y=9999999-D I Y<NMIB Q
..I Y>NMIE Q ;documented after End date
..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_"NMI ARB: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP9UTL($P(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
..Q
.Q
I BGPG Q BGPG
;S X=$$CPTI^BGP9DU(P,NMIB,NMIE,+$$CODEN^ICPTCOD("G8029"))
;I X Q 1_U_"arb contra CPT code G8029: "_$$DATE^BGP9UTL($P(X,U,2))
;S X=$$TRANI^BGP9DU(P,NMIB,NMIE,+$$CODEN^ICPTCOD("G8029"))
;I X Q 1_U_"arb contra Tran Code G8029: "_$$DATE^BGP9UTL($P(X,U,2))
Q ""
ACERX(P,BDATE,EDATE,BGPNDAYS) ;EP
K BGPMEDS1
S K=0,R=""
D GETMEDS^BGP9UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
I '$D(BGPMEDS1) Q ""
S T=$O(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
S T1=$O(^ATXAX("B","BGP HEDIS ACEI NDC",0))
S T2=$O(^ATXAX("B","BGP HEDIS ARB MEDS",0))
S T3=$O(^ATXAX("B","BGP HEDIS ARB NDC",0))
S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
.Q:'$D(^AUPNVMED(Y,0))
.S G=0
.S D=$P(^AUPNVMED(Y,0),U)
.I T,$D(^ATXAX(T,21,"B",D)) S G=1 G ACE1
.I T2,$D(^ATXAX(T2,21,"B",D)) S G=1 G ACE1
.S N=$P($G(^PSDRUG(D,2)),U,4)
.I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
.I N]"",T3,$D(^ATXAX(T3,21,"B",N)) S G=1
.Q:'G
ACE1 .;
.S J=$P(^AUPNVMED(Y,0),U,8)
.S V=$P(^AUPNVMED(Y,0),U,3)
.Q:'V
.Q:'$D(^AUPNVSIT(V,0))
.S S=$$DAYS^BGP9D82(Y,V,EDATE)
.S K=S+K ;TOTAL DAYS SUPPLY
.I R]"" S R=R_";"
.S R=R_$$DATE^BGP9UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
I K>BGPNDAYS Q 1_U_" total days ACE/ARB: "_K
ACEPRIO ;now add in any before BEG DATE
K BGPMEDS1
D GETMEDS^BGP9UTL2(P,$$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 ACE2
.I T2,$D(^ATXAX(T2,21,"B",D)) S G=1 G ACE2
.S N=$P($G(^PSDRUG(D,2)),U,4)
.I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G ACE2
.I N]"",T3,$D(^ATXAX(T3,21,"B",N)) S G=1
.Q:'G
ACE2 .;
.S J=$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=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),".")) ;difference between dsch date and date prescribed
.S S=$P(^AUPNVMED(Y,0),U,7)
.S S=S-D ;subtract the number of days used
.S:S<0 S=0
.S K=S+K ;TOTAL DAYS SUPPLY
.I R]"" S R=R_";"
.S R=R_$$DATE^BGP9UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
I K>BGPNDAYS Q 1_U_" total ACE/ARB: "_K
Q 0_U_R_" total days ACE/ARB: "_K
;
ACEREF(P,BDATE,EDATE) ;EP
;did patient have a refusal in time period?
S T=$O(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
.Q:'$D(^ATXAX(T,21,"B",X))
.S D=0 F S D=$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_"ACEI Refusal "_$$DATE^BGP9UTL(Y)
..Q
.Q
I G Q G
S T=$O(^ATXAX("B","BGP HEDIS ARB MEDS",0))
S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
.Q:'$D(^ATXAX(T,21,"B",X))
.S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D!(G) D
..S Y=9999999-D I Y<BDATE Q ;documented more than 1 year before edate
..I Y>EDATE Q ;documented after end date
..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N!(G) D
...;Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
...S G=1_U_"ARB Refusal "_$$DATE^BGP9UTL(Y)
..Q
.Q
Q G
STATALG(P,BDATE,EDATE,RPB,RPE) ;EP
;get all visits and check for ALT/AST tests on 2 consecutive visits
NEW BGPG,BGPY,Y,X,N,Z,BGPC
S BGPC=""
K BGPG,BGPY S Y="BGPG(",X=P_"^ALL DX [BGP ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
S X=0 F S X=$O(BGPG(X)) Q:X'=+X S Y=+$P(BGPG(X),U,4) D
.S N=$$VAL^XBDIQ1(9000010.07,Y,.04) S N=$$UP^XLFSTR(N)
.I N["STATIN"!(N["STATINS") S BGPC=1_U_"Alg Statin POV: "_$$DATE^BGP9UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_"] "_N
.S Z=$P(^AUPNVPOV(Y,0),U,9) I Z]"",$P($$ICDDX^ICDCODE(Z),U,2)="E942.9" S BGPC=1_U_"POV: "_$$DATE^BGP9UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_" + E942.9] "_N
.Q
I BGPC Q BGPC
K BGPG S BGPC=0 S Y="BGPG(",X=P_"^ALL DX V14.8;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
S X=0 F S X=$O(BGPG(X)) Q:X'=+X S Y=+$P(BGPG(X),U,4) D
.S N=$$VAL^XBDIQ1(9000010.07,Y,.04),N=$$UP^XLFSTR(N)
.I N["STATIN"!(N["STATINS") S BGPC=BGPC+1,BGPY(BGPC)=1_U_"alg statin POV: "_$$DATE^BGP9UTL($P(BGPG(X),U))_" ["_$P(BGPG(X),U,2)_"] "_N
I BGPC Q BGPC
;now check problem list for these codes
S BGPC=0
S T="",T=$O(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
S X=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X D
.S I=$P($G(^AUPNPROB(X,0)),U),Y=$P($$ICDDX^ICDCODE(I),U,2)
.S N=$$VAL^XBDIQ1(9000011,X,.05),N=$$UP^XLFSTR(N)
.Q:$P(^AUPNPROB(X,0),U,8)>EDATE ;added after discharge date
.I Y="V14.8"!($$ICD^ATXCHK(I,T,9)),N["STATIN"!(N["STATINS") S BGPC=1_U_"alg statin PROBLEM LIST: "_$$DATE^BGP9UTL($P(^AUPNPROB(X,0),U,8))_" ["_Y_"] "_N
.Q
I BGPC Q BGPC
;now check allergy tracking
S BGPC=0
S X=0 F S X=$O(^GMR(120.8,"B",P,X)) Q:X'=+X D
.Q:$P($P($G(^GMR(120.8,X,0)),U,4),".")>EDATE ;entered after discharge date
.S N=$P($G(^GMR(120.8,X,0)),U,2),N=$$UP^XLFSTR(N)
.I N["STATIN" S BGPC=1_U_" alg statin ALLERGY TRACKING: "_$$DATE^BGP9UTL($P(^GMR(120.8,X,0),U,4))_" "_N
I BGPC Q BGPC
;now go into the report period items
K BGPG S Y="BGPG(",X=P_"^LAST DX [BGP MYOPATHY/MYALGIA;DURING "_$$FMTE^XLFDT(RPB)_"-"_$$FMTE^XLFDT(RPE) S E=$$START1^APCLDF(X,Y)
I $D(BGPG(1)) Q 1_U_"Statin allergy POV: "_$$DATE^BGP9UTL($P(BGPG(1),U))_" ["_$P(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$P(BGPG(1),U,4),.04)
;creatine lab value > 10,000 or 10x uln
;now get all loinc/taxonomy tests
S BGPG=""
S T=$O(^ATXAX("B","BGP CREATINE KINASE LOINC",0))
S BGPLT=$O(^ATXLAB("B","BGP CREATINE KINASE TAX",0))
S B=9999999-RPB,E=9999999-RPE S D=E-1 F S D=$O(^AUPNVLAB("AE",P,D)) Q:D'=+D!(D>B)!(BGPG) D
.S L=0 F S L=$O(^AUPNVLAB("AE",P,D,L)) Q:L'=+L D
..S X=0 F S X=$O(^AUPNVLAB("AE",P,D,L,X)) Q:X'=+X D
...Q:'$D(^AUPNVLAB(X,0))
...I BGPLT,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BGPLT,21,"B",$P(^AUPNVLAB(X,0),U))) I $$RESCK(X) S BGPG=1_U_"adr statin creat kinase of "_$P(^AUPNVLAB(X,0),U,4)_" on "_$$DATE^BGP9UTL((9999999-D)) Q
...Q:'T
...S J=$P($G(^AUPNVLAB(X,11)),U,13) Q:J=""
...Q:'$$LOINC^BGP9D2(J,T)
...I $$RESCK(X) S BGPG=1_U_"adr statin creat kinase of "_$P(^AUPNVLAB(X,0),U,4)_" on "_$$DATE^BGP9UTL((9999999-D)) Q
...Q
I BGPG Q BGPG
S T=$O(^ATXAX("B","BGP ALT LOINC",0))
S BGPLT=$O(^ATXLAB("B","DM AUDIT ALT TAX",0))
S T2=$O(^ATXAX("B","BGP AST LOINC",0))
S BGPLT2=$O(^ATXLAB("B","DM AUDIT AST TAX",0))
S B=9999999-$$FMADD^XLFDT(EDATE,-365),E=9999999-EDATE S D=E-1 F S D=$O(^AUPNVLAB("AE",P,D)) Q:D'=+D!(D>B)!(BGPG) D
.S L=0 F S L=$O(^AUPNVLAB("AE",P,D,L)) Q:L'=+L D
..S X=0 F S X=$O(^AUPNVLAB("AE",P,D,L,X)) Q:X'=+X D
...Q:'$D(^AUPNVLAB(X,0))
...I BGPLT,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BGPLT,21,"B",$P(^AUPNVLAB(X,0),U))) S BGPC=BGPC+1,BGPC((9999999-D))=X_U_$P(^AUPNVLAB(X,0),U,4)_U_$P($G(^AUPNVLAB(X,11)),U,5) Q
...I BGPLT2,$P(^AUPNVLAB(X,0),U),$D(^ATXLAB(BGPLT2,21,"B",$P(^AUPNVLAB(X,0),U))) S BGPC=BGPC+1,BGPC((9999999-D))=X_U_$P(^AUPNVLAB(X,0),U,4)_U_$P($G(^AUPNVLAB(X,11)),U,5) Q
...S J=$P($G(^AUPNVLAB(X,11)),U,13) Q:J=""
...I '$$LOINC^BGP9D2(J,T),'$$LOINC^BGP9D2(J,T2)
...S BGPC=BGPC+1,BGPC((9999999-D))=X_U_$P(^AUPNVLAB(X,0),U,4)_U_$P($G(^AUPNVLAB(X,11)),U,5) Q
...Q
;are they 2 consecutive
S BGPG=""
S X=0 F S X=$O(BGPC(X)) Q:X'=+X!(BGPG) D
.Q:'$$RESAL(BGPC(X))
.;is next one also bad?
.S Y=$O(BGPC(X))
.Q:Y="" ;no next one
.I $$RESAL(BGPC(Y)) S BGPG=1_U_"adr Statin - AST/ALT" Q
.Q
I BGPG Q BGPG
Q 0
;
RESAL(Y) ;
NEW V,ULN
S V=+$P(Y,U,2),ULN=$P(Y,U,3)
I ULN="" Q "" ;no upper limit so can't check
I V>(ULN*3) Q 1
Q ""
RESCK(Y) ;
NEW V,ULN
S V=+$P(^AUPNVLAB(X,0),U,4)
I V>10000 Q 1
S ULN=$P($G(^AUPNVLAB(X,11)),U,5)
I ULN="" Q 0 ;no upper limit, can't check
I V>(ULN*10) Q 1
Q 0
STATCON(P,BDATE,EDATE,NMIB,NMIE) ;EP does patient have an STATIN contraidication
NEW ED,BD,BGPG,BGPC,X,Y,Z,N,E
;
;pregnant
S X=$$PREG^BGP9D7(P,BDATE,EDATE) I X Q 1_U_"contra statin - pregnant"
;nmi in refusal file for STATI
S BGPG=""
S T=$O(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
S X=0 F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X D
.Q:'$D(^ATXAX(T,21,"B",X)) ;not an STATI
.S D=0 F S D=$O(^AUPNPREF("AA",P,50,X,D)) Q:D'=+D D
..S Y=9999999-D I Y<NMIB Q ;documented more than 1 year before discharge
..I Y>NMIE Q ;documented after End date
..S N=0 F S N=$O(^AUPNPREF("AA",P,50,X,D,N)) Q:N'=+N D
...Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
...S BGPG=1_U_"NMI STATIN: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP9UTL($P(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
..Q
.Q
I BGPG Q BGPG
;breastfeeding
K BGPG S Y="BGPG(",X=P_"^LAST DX V24.1;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
I $D(BGPG(1)) Q 1_U_"STATIN contra POV: "_$$DATE^BGP9UTL($P(BGPG(1),U))_" ["_$P(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$P(BGPG(1),U,4),.04)
;now check education
K BGPG
S Y="BGPG("
S X=P_"^ALL EDUC;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
S (X,D)=0,%="",T="" F S X=$O(BGPG(X)) Q:X'=+X!(%]"") D
.S T=$P(^AUPNVPED(+$P(BGPG(X),U,4),0),U)
.Q:'T
.Q:'$D(^AUTTEDT(T,0))
.S T=$P(^AUTTEDT(T,0),U,2)
.I T="BF-BC" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-BP" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-CS" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-EQ" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-FU" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-HC" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-ON" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-M" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-MK" S %=T_U_$P(BGPG(X),U) Q
.I T="BF-N" S %=T_U_$P(BGPG(X),U) Q
.;I $P(T,"-")="V24.1" S %=T_U_$P(BGPG(X),U) Q
I %]"" Q 1_U_"Statin contra - "_%
;NOW CHECK ALCOHOL HEPATITIS
K BGPG S Y="BGPG(",X=P_"^LAST DX 571.1;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE) S E=$$START1^APCLDF(X,Y)
I $D(BGPG(1)) Q 1_U_"STATIN contra POV: "_$$DATE^BGP9UTL($P(BGPG(1),U))_" ["_$P(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$P(BGPG(1),U,4),.04)
Q ""
STATRX(P,BDATE,EDATE,BGPNDAYS) ;EP
K BGPMEDS1 S K=0,R=""
D GETMEDS^BGP9UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
I '$D(BGPMEDS1) Q ""
S T=$O(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
S T1=$O(^ATXAX("B","BGP HEDIS STATIN NDC",0))
S X=0 F S X=$O(BGPMEDS1(X)) Q:X'=+X S Y=+$P(BGPMEDS1(X),U,4) D
.Q:'$D(^AUPNVMED(Y,0))
.S G=0
.S D=$P(^AUPNVMED(Y,0),U)
.I T,$D(^ATXAX(T,21,"B",D)) S G=1 G STAT1
.S N=$P($G(^PSDRUG(D,2)),U,4)
.I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1
.Q:'G
STAT1 .;
.S J=$P(^AUPNVMED(Y,0),U,8)
.S V=$P(^AUPNVMED(Y,0),U,3)
.Q:'V
.Q:'$D(^AUPNVSIT(V,0))
.S S=$$DAYS^BGP9D82(Y,V,EDATE)
.S K=S+K ;TOTAL DAYS SUPPLY
.I R]"" S R=R_";"
.S R=R_$$DATE^BGP9UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
I K>BGPNDAYS Q 1_U_" total days STATIN: "_K
STATPRIO ;now add in any before BEG DATE
K BGPMEDS1
D GETMEDS^BGP9UTL2(P,$$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 STAT2
.S N=$P($G(^PSDRUG(D,2)),U,4)
.I N]"",T1,$D(^ATXAX(T1,21,"B",N)) S G=1 G STAT2
.Q:'G
STAT2 .;
.S J=$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=$$FMDIFF^XLFDT(BDATE,$P($P(^AUPNVSIT(V,0),U),".")) ;difference between dsch date and date prescribed
.S S=$P(^AUPNVMED(Y,0),U,7)
.S S=S-D ;subtract the number of days used
.S:S<0 S=0
.S K=S+K ;TOTAL DAYS SUPPLY
.I R]"" S R=R_";"
.S R=R_$$DATE^BGP9UTL($P($P(^AUPNVSIT(V,0),U),"."))_"("_S_")"
I K>BGPNDAYS Q 1_U_" total STATIN: "_K
Q 0_U_R_" total days STATIN: "_K
;
STATREF(P,BDATE,EDATE) ;EP
;did patient have a refusal in time period?
S T=$O(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
S X=0,G="" F S X=$O(^AUPNPREF("AA",P,50,X)) Q:X'=+X!(G) D
.Q:'$D(^ATXAX(T,21,"B",X))
.S D=0 F S D=$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_"Statin Refusal "_$$DATE^BGP9UTL(Y)
..Q
.Q
Q G
BGP9D722 ; IHS/CMI/LAB - measure AHR.A ;
+1 ;;9.0;IHS CLINICAL REPORTING;;JUL 1, 2009
+2 ;
+3 ;
ACEALG(P,BDATE,EDATE) ;EP
+1 KILL BGPG
+2 DO ACEIALG1^BGP9C11(P,EDATE,.BGPG)
+3 SET X=$ORDER(BGPG(X))
+4 IF 'X
QUIT ""
+5 QUIT 1_U_"ace/arb alleg: "_BGPG(X)
+6 ;
ACECONT(P,BDATE,EDATE,NMIB,NMIE) ;EP does patient have an ACEI contraidication
+1 NEW ED,BD,BGPG,BGPC,X,Y,Z,N,E
+2 KILL BGPG
SET Y="BGPG("
SET X=P_"^LAST DX [BGP CMS AORTIC STENOSIS DXS;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+3 IF $DATA(BGPG(1))
QUIT 1_U_"ACEI contra POV: "_$$DATE^BGP9UTL($PIECE(BGPG(1),U))_" ["_$PIECE(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$PIECE(BGPG(1),U,4),.04)
+4 ;
+5 ;nmi in refusal file for ACEI
+6 SET BGPG=""
+7 SET T=$ORDER(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
+8 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X
QUIT
Begin DoDot:1
+9 ;not an ACEI
IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+10 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D
QUIT
Begin DoDot:2
+11 ;documented more than 1 year before discharge
SET Y=9999999-D
IF Y<NMIB
QUIT
+12 ;documented after End date
IF Y>NMIE
QUIT
+13 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N
QUIT
Begin DoDot:3
+14 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
QUIT
+15 SET BGPG=1_U_"NMI ACEI: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP9UTL($PIECE(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
End DoDot:3
+16 QUIT
End DoDot:2
+17 QUIT
End DoDot:1
+18 IF BGPG
QUIT BGPG
+19 ;nmi in refusal file for ACEI
+20 SET BGPG=""
+21 SET T=$ORDER(^ATXAX("B","BGP HEDIS ARB MEDS",0))
+22 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X
QUIT
Begin DoDot:1
+23 ;not an ACEI
IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+24 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D
QUIT
Begin DoDot:2
+25 SET Y=9999999-D
IF Y<NMIB
QUIT
+26 ;documented after End date
IF Y>NMIE
QUIT
+27 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N
QUIT
Begin DoDot:3
+28 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
QUIT
+29 SET BGPG=1_U_"NMI ARB: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP9UTL($PIECE(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
End DoDot:3
+30 QUIT
End DoDot:2
+31 QUIT
End DoDot:1
+32 IF BGPG
QUIT BGPG
+33 ;S X=$$CPTI^BGP9DU(P,NMIB,NMIE,+$$CODEN^ICPTCOD("G8029"))
+34 ;I X Q 1_U_"arb contra CPT code G8029: "_$$DATE^BGP9UTL($P(X,U,2))
+35 ;S X=$$TRANI^BGP9DU(P,NMIB,NMIE,+$$CODEN^ICPTCOD("G8029"))
+36 ;I X Q 1_U_"arb contra Tran Code G8029: "_$$DATE^BGP9UTL($P(X,U,2))
+37 QUIT ""
ACERX(P,BDATE,EDATE,BGPNDAYS) ;EP
+1 KILL BGPMEDS1
+2 SET K=0
SET R=""
+3 DO GETMEDS^BGP9UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
+4 IF '$DATA(BGPMEDS1)
QUIT ""
+5 SET T=$ORDER(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
+6 SET T1=$ORDER(^ATXAX("B","BGP HEDIS ACEI NDC",0))
+7 SET T2=$ORDER(^ATXAX("B","BGP HEDIS ARB MEDS",0))
+8 SET T3=$ORDER(^ATXAX("B","BGP HEDIS ARB NDC",0))
+9 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+10 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+11 SET G=0
+12 SET D=$PIECE(^AUPNVMED(Y,0),U)
+13 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO ACE1
+14 IF T2
IF $DATA(^ATXAX(T2,21,"B",D))
SET G=1
GOTO ACE1
+15 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
+16 IF N]""
IF T1
IF $DATA(^ATXAX(T1,21,"B",N))
SET G=1
+17 IF N]""
IF T3
IF $DATA(^ATXAX(T3,21,"B",N))
SET G=1
+18 IF 'G
QUIT
ACE1 ;
+1 SET J=$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=$$DAYS^BGP9D82(Y,V,EDATE)
+6 ;TOTAL DAYS SUPPLY
SET K=S+K
+7 IF R]""
SET R=R_";"
+8 SET R=R_$$DATE^BGP9UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+9 IF K>BGPNDAYS
QUIT 1_U_" total days ACE/ARB: "_K
ACEPRIO ;now add in any before BEG DATE
+1 KILL BGPMEDS1
+2 DO GETMEDS^BGP9UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
+3 IF '$DATA(BGPMEDS1)
QUIT ""
+4 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+5 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+6 SET G=0
+7 SET D=$PIECE(^AUPNVMED(Y,0),U)
+8 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO ACE2
+9 IF T2
IF $DATA(^ATXAX(T2,21,"B",D))
SET G=1
GOTO ACE2
+10 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
+11 IF N]""
IF T1
IF $DATA(^ATXAX(T1,21,"B",N))
SET G=1
GOTO ACE2
+12 IF N]""
IF T3
IF $DATA(^ATXAX(T3,21,"B",N))
SET G=1
+13 IF 'G
QUIT
ACE2 ;
+1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
+2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
+3 IF 'V
QUIT
+4 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+5 ;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
+6 ;don't use if discontinued
IF J]""
QUIT
+7 ;difference between dsch date and date prescribed
SET D=$$FMDIFF^XLFDT(BDATE,$PIECE($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_$$DATE^BGP9UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+14 IF K>BGPNDAYS
QUIT 1_U_" total ACE/ARB: "_K
+15 QUIT 0_U_R_" total days ACE/ARB: "_K
+16 ;
ACEREF(P,BDATE,EDATE) ;EP
+1 ;did patient have a refusal in time period?
+2 SET T=$ORDER(^ATXAX("B","BGP HEDIS ACEI MEDS",0))
+3 SET X=0
SET G=""
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X!(G)
QUIT
Begin DoDot:1
+4 IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+5 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D!(G)
QUIT
Begin DoDot:2
+6 ;documented more than 1 year before edate
SET Y=9999999-D
IF Y<BDATE
QUIT
+7 ;documented after end date
IF Y>EDATE
QUIT
+8 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N!(G)
QUIT
Begin DoDot:3
+9 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="R"
QUIT
+10 SET G=1_U_"ACEI Refusal "_$$DATE^BGP9UTL(Y)
End DoDot:3
+11 QUIT
End DoDot:2
+12 QUIT
End DoDot:1
+13 IF G
QUIT G
+14 SET T=$ORDER(^ATXAX("B","BGP HEDIS ARB MEDS",0))
+15 SET X=0
SET G=""
FOR
SET X=$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=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N!(G)
QUIT
Begin DoDot:3
+21 ;Q:$P($G(^AUPNPREF(N,0)),U,7)'="N"
+22 SET G=1_U_"ARB Refusal "_$$DATE^BGP9UTL(Y)
End DoDot:3
+23 QUIT
End DoDot:2
+24 QUIT
End DoDot:1
+25 QUIT G
STATALG(P,BDATE,EDATE,RPB,RPE) ;EP
+1 ;get all visits and check for ALT/AST tests on 2 consecutive visits
+2 NEW BGPG,BGPY,Y,X,N,Z,BGPC
+3 SET BGPC=""
+4 KILL BGPG,BGPY
SET Y="BGPG("
SET X=P_"^ALL DX [BGP ASA ALLERGY 995.0-995.3;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+5 SET X=0
FOR
SET X=$ORDER(BGPG(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPG(X),U,4)
Begin DoDot:1
+6 SET N=$$VAL^XBDIQ1(9000010.07,Y,.04)
SET N=$$UP^XLFSTR(N)
+7 IF N["STATIN"!(N["STATINS")
SET BGPC=1_U_"Alg Statin POV: "_$$DATE^BGP9UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_"] "_N
+8 SET Z=$PIECE(^AUPNVPOV(Y,0),U,9)
IF Z]""
IF $PIECE($$ICDDX^ICDCODE(Z),U,2)="E942.9"
SET BGPC=1_U_"POV: "_$$DATE^BGP9UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_" + E942.9] "_N
+9 QUIT
End DoDot:1
+10 IF BGPC
QUIT BGPC
+11 KILL BGPG
SET BGPC=0
SET Y="BGPG("
SET X=P_"^ALL DX V14.8;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+12 SET X=0
FOR
SET X=$ORDER(BGPG(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPG(X),U,4)
Begin DoDot:1
+13 SET N=$$VAL^XBDIQ1(9000010.07,Y,.04)
SET N=$$UP^XLFSTR(N)
+14 IF N["STATIN"!(N["STATINS")
SET BGPC=BGPC+1
SET BGPY(BGPC)=1_U_"alg statin POV: "_$$DATE^BGP9UTL($PIECE(BGPG(X),U))_" ["_$PIECE(BGPG(X),U,2)_"] "_N
End DoDot:1
+15 IF BGPC
QUIT BGPC
+16 ;now check problem list for these codes
+17 SET BGPC=0
+18 SET T=""
SET T=$ORDER(^ATXAX("B","BGP ASA ALLERGY 995.0-995.3",0))
+19 SET X=0
FOR
SET X=$ORDER(^AUPNPROB("AC",P,X))
IF X'=+X
QUIT
Begin DoDot:1
+20 SET I=$PIECE($GET(^AUPNPROB(X,0)),U)
SET Y=$PIECE($$ICDDX^ICDCODE(I),U,2)
+21 SET N=$$VAL^XBDIQ1(9000011,X,.05)
SET N=$$UP^XLFSTR(N)
+22 ;added after discharge date
IF $PIECE(^AUPNPROB(X,0),U,8)>EDATE
QUIT
+23 IF Y="V14.8"!($$ICD^ATXCHK(I,T,9))
IF N["STATIN"!(N["STATINS")
SET BGPC=1_U_"alg statin PROBLEM LIST: "_$$DATE^BGP9UTL($PIECE(^AUPNPROB(X,0),U,8))_" ["_Y_"] "_N
+24 QUIT
End DoDot:1
+25 IF BGPC
QUIT BGPC
+26 ;now check allergy tracking
+27 SET BGPC=0
+28 SET X=0
FOR
SET X=$ORDER(^GMR(120.8,"B",P,X))
IF X'=+X
QUIT
Begin DoDot:1
+29 ;entered after discharge date
IF $PIECE($PIECE($GET(^GMR(120.8,X,0)),U,4),".")>EDATE
QUIT
+30 SET N=$PIECE($GET(^GMR(120.8,X,0)),U,2)
SET N=$$UP^XLFSTR(N)
+31 IF N["STATIN"
SET BGPC=1_U_" alg statin ALLERGY TRACKING: "_$$DATE^BGP9UTL($PIECE(^GMR(120.8,X,0),U,4))_" "_N
End DoDot:1
+32 IF BGPC
QUIT BGPC
+33 ;now go into the report period items
+34 KILL BGPG
SET Y="BGPG("
SET X=P_"^LAST DX [BGP MYOPATHY/MYALGIA;DURING "_$$FMTE^XLFDT(RPB)_"-"_$$FMTE^XLFDT(RPE)
SET E=$$START1^APCLDF(X,Y)
+35 IF $DATA(BGPG(1))
QUIT 1_U_"Statin allergy POV: "_$$DATE^BGP9UTL($PIECE(BGPG(1),U))_" ["_$PIECE(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$PIECE(BGPG(1),U,4),.04)
+36 ;creatine lab value > 10,000 or 10x uln
+37 ;now get all loinc/taxonomy tests
+38 SET BGPG=""
+39 SET T=$ORDER(^ATXAX("B","BGP CREATINE KINASE LOINC",0))
+40 SET BGPLT=$ORDER(^ATXLAB("B","BGP CREATINE KINASE TAX",0))
+41 SET B=9999999-RPB
SET E=9999999-RPE
SET D=E-1
FOR
SET D=$ORDER(^AUPNVLAB("AE",P,D))
IF D'=+D!(D>B)!(BGPG)
QUIT
Begin DoDot:1
+42 SET L=0
FOR
SET L=$ORDER(^AUPNVLAB("AE",P,D,L))
IF L'=+L
QUIT
Begin DoDot:2
+43 SET X=0
FOR
SET X=$ORDER(^AUPNVLAB("AE",P,D,L,X))
IF X'=+X
QUIT
Begin DoDot:3
+44 IF '$DATA(^AUPNVLAB(X,0))
QUIT
+45 IF BGPLT
IF $PIECE(^AUPNVLAB(X,0),U)
IF $DATA(^ATXLAB(BGPLT,21,"B",$PIECE(^AUPNVLAB(X,0),U)))
IF $$RESCK(X)
SET BGPG=1_U_"adr statin creat kinase of "_$PIECE(^AUPNVLAB(X,0),U,4)_" on "_$$DATE^BGP9UTL((9999999-D))
QUIT
+46 IF 'T
QUIT
+47 SET J=$PIECE($GET(^AUPNVLAB(X,11)),U,13)
IF J=""
QUIT
+48 IF '$$LOINC^BGP9D2(J,T)
QUIT
+49 IF $$RESCK(X)
SET BGPG=1_U_"adr statin creat kinase of "_$PIECE(^AUPNVLAB(X,0),U,4)_" on "_$$DATE^BGP9UTL((9999999-D))
QUIT
+50 QUIT
End DoDot:3
End DoDot:2
End DoDot:1
+51 IF BGPG
QUIT BGPG
+52 SET T=$ORDER(^ATXAX("B","BGP ALT LOINC",0))
+53 SET BGPLT=$ORDER(^ATXLAB("B","DM AUDIT ALT TAX",0))
+54 SET T2=$ORDER(^ATXAX("B","BGP AST LOINC",0))
+55 SET BGPLT2=$ORDER(^ATXLAB("B","DM AUDIT AST TAX",0))
+56 SET B=9999999-$$FMADD^XLFDT(EDATE,-365)
SET E=9999999-EDATE
SET D=E-1
FOR
SET D=$ORDER(^AUPNVLAB("AE",P,D))
IF D'=+D!(D>B)!(BGPG)
QUIT
Begin DoDot:1
+57 SET L=0
FOR
SET L=$ORDER(^AUPNVLAB("AE",P,D,L))
IF L'=+L
QUIT
Begin DoDot:2
+58 SET X=0
FOR
SET X=$ORDER(^AUPNVLAB("AE",P,D,L,X))
IF X'=+X
QUIT
Begin DoDot:3
+59 IF '$DATA(^AUPNVLAB(X,0))
QUIT
+60 IF BGPLT
IF $PIECE(^AUPNVLAB(X,0),U)
IF $DATA(^ATXLAB(BGPLT,21,"B",$PIECE(^AUPNVLAB(X,0),U)))
SET BGPC=BGPC+1
SET BGPC((9999999-D))=X_U_$PIECE(^AUPNVLAB(X,0),U,4)_U_$PIECE($GET(^AUPNVLAB(X,11)),U,5)
QUIT
+61 IF BGPLT2
IF $PIECE(^AUPNVLAB(X,0),U)
IF $DATA(^ATXLAB(BGPLT2,21,"B",$PIECE(^AUPNVLAB(X,0),U)))
SET BGPC=BGPC+1
SET BGPC((9999999-D))=X_U_$PIECE(^AUPNVLAB(X,0),U,4)_U_$PIECE($GET(^AUPNVLAB(X,11)),U,5)
QUIT
+62 SET J=$PIECE($GET(^AUPNVLAB(X,11)),U,13)
IF J=""
QUIT
+63 IF '$$LOINC^BGP9D2(J,T)
IF '$$LOINC^BGP9D2(J,T2)
+64 SET BGPC=BGPC+1
SET BGPC((9999999-D))=X_U_$PIECE(^AUPNVLAB(X,0),U,4)_U_$PIECE($GET(^AUPNVLAB(X,11)),U,5)
QUIT
+65 QUIT
End DoDot:3
End DoDot:2
End DoDot:1
+66 ;are they 2 consecutive
+67 SET BGPG=""
+68 SET X=0
FOR
SET X=$ORDER(BGPC(X))
IF X'=+X!(BGPG)
QUIT
Begin DoDot:1
+69 IF '$$RESAL(BGPC(X))
QUIT
+70 ;is next one also bad?
+71 SET Y=$ORDER(BGPC(X))
+72 ;no next one
IF Y=""
QUIT
+73 IF $$RESAL(BGPC(Y))
SET BGPG=1_U_"adr Statin - AST/ALT"
QUIT
+74 QUIT
End DoDot:1
+75 IF BGPG
QUIT BGPG
+76 QUIT 0
+77 ;
RESAL(Y) ;
+1 NEW V,ULN
+2 SET V=+$PIECE(Y,U,2)
SET ULN=$PIECE(Y,U,3)
+3 ;no upper limit so can't check
IF ULN=""
QUIT ""
+4 IF V>(ULN*3)
QUIT 1
+5 QUIT ""
RESCK(Y) ;
+1 NEW V,ULN
+2 SET V=+$PIECE(^AUPNVLAB(X,0),U,4)
+3 IF V>10000
QUIT 1
+4 SET ULN=$PIECE($GET(^AUPNVLAB(X,11)),U,5)
+5 ;no upper limit, can't check
IF ULN=""
QUIT 0
+6 IF V>(ULN*10)
QUIT 1
+7 QUIT 0
STATCON(P,BDATE,EDATE,NMIB,NMIE) ;EP does patient have an STATIN contraidication
+1 NEW ED,BD,BGPG,BGPC,X,Y,Z,N,E
+2 ;
+3 ;pregnant
+4 SET X=$$PREG^BGP9D7(P,BDATE,EDATE)
IF X
QUIT 1_U_"contra statin - pregnant"
+5 ;nmi in refusal file for STATI
+6 SET BGPG=""
+7 SET T=$ORDER(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
+8 SET X=0
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X
QUIT
Begin DoDot:1
+9 ;not an STATI
IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+10 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D
QUIT
Begin DoDot:2
+11 ;documented more than 1 year before discharge
SET Y=9999999-D
IF Y<NMIB
QUIT
+12 ;documented after End date
IF Y>NMIE
QUIT
+13 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N
QUIT
Begin DoDot:3
+14 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="N"
QUIT
+15 SET BGPG=1_U_"NMI STATIN: "_$$VAL^XBDIQ1(9000022,N,.04)_" "_$$DATE^BGP9UTL($PIECE(^AUPNPREF(N,0),U,3))_" "_$$VAL^XBDIQ1(9000022,X,1101)
End DoDot:3
+16 QUIT
End DoDot:2
+17 QUIT
End DoDot:1
+18 IF BGPG
QUIT BGPG
+19 ;breastfeeding
+20 KILL BGPG
SET Y="BGPG("
SET X=P_"^LAST DX V24.1;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+21 IF $DATA(BGPG(1))
QUIT 1_U_"STATIN contra POV: "_$$DATE^BGP9UTL($PIECE(BGPG(1),U))_" ["_$PIECE(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$PIECE(BGPG(1),U,4),.04)
+22 ;now check education
+23 KILL BGPG
+24 SET Y="BGPG("
+25 SET X=P_"^ALL EDUC;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+26 SET (X,D)=0
SET %=""
SET T=""
FOR
SET X=$ORDER(BGPG(X))
IF X'=+X!(%]"")
QUIT
Begin DoDot:1
+27 SET T=$PIECE(^AUPNVPED(+$PIECE(BGPG(X),U,4),0),U)
+28 IF 'T
QUIT
+29 IF '$DATA(^AUTTEDT(T,0))
QUIT
+30 SET T=$PIECE(^AUTTEDT(T,0),U,2)
+31 IF T="BF-BC"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+32 IF T="BF-BP"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+33 IF T="BF-CS"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+34 IF T="BF-EQ"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+35 IF T="BF-FU"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+36 IF T="BF-HC"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+37 IF T="BF-ON"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+38 IF T="BF-M"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+39 IF T="BF-MK"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+40 IF T="BF-N"
SET %=T_U_$PIECE(BGPG(X),U)
QUIT
+41 ;I $P(T,"-")="V24.1" S %=T_U_$P(BGPG(X),U) Q
End DoDot:1
+42 IF %]""
QUIT 1_U_"Statin contra - "_%
+43 ;NOW CHECK ALCOHOL HEPATITIS
+44 KILL BGPG
SET Y="BGPG("
SET X=P_"^LAST DX 571.1;DURING "_$$FMTE^XLFDT(BDATE)_"-"_$$FMTE^XLFDT(EDATE)
SET E=$$START1^APCLDF(X,Y)
+45 IF $DATA(BGPG(1))
QUIT 1_U_"STATIN contra POV: "_$$DATE^BGP9UTL($PIECE(BGPG(1),U))_" ["_$PIECE(BGPG(1),U,2)_"] "_$$VAL^XBDIQ1(9000010.07,+$PIECE(BGPG(1),U,4),.04)
+46 QUIT ""
STATRX(P,BDATE,EDATE,BGPNDAYS) ;EP
+1 KILL BGPMEDS1
SET K=0
SET R=""
+2 DO GETMEDS^BGP9UTL2(P,BDATE,EDATE,,,,,.BGPMEDS1)
+3 IF '$DATA(BGPMEDS1)
QUIT ""
+4 SET T=$ORDER(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
+5 SET T1=$ORDER(^ATXAX("B","BGP HEDIS STATIN NDC",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 $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO STAT1
+11 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
+12 IF N]""
IF T1
IF $DATA(^ATXAX(T1,21,"B",N))
SET G=1
+13 IF 'G
QUIT
STAT1 ;
+1 SET J=$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=$$DAYS^BGP9D82(Y,V,EDATE)
+6 ;TOTAL DAYS SUPPLY
SET K=S+K
+7 IF R]""
SET R=R_";"
+8 SET R=R_$$DATE^BGP9UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+9 IF K>BGPNDAYS
QUIT 1_U_" total days STATIN: "_K
STATPRIO ;now add in any before BEG DATE
+1 KILL BGPMEDS1
+2 DO GETMEDS^BGP9UTL2(P,$$FMADD^XLFDT(BDATE,-365),BDATE,,,,,.BGPMEDS1)
+3 IF '$DATA(BGPMEDS1)
QUIT ""
+4 SET X=0
FOR
SET X=$ORDER(BGPMEDS1(X))
IF X'=+X
QUIT
SET Y=+$PIECE(BGPMEDS1(X),U,4)
Begin DoDot:1
+5 IF '$DATA(^AUPNVMED(Y,0))
QUIT
+6 SET G=0
+7 SET D=$PIECE(^AUPNVMED(Y,0),U)
+8 IF T
IF $DATA(^ATXAX(T,21,"B",D))
SET G=1
GOTO STAT2
+9 SET N=$PIECE($GET(^PSDRUG(D,2)),U,4)
+10 IF N]""
IF T1
IF $DATA(^ATXAX(T1,21,"B",N))
SET G=1
GOTO STAT2
+11 IF 'G
QUIT
STAT2 ;
+1 SET J=$PIECE(^AUPNVMED(Y,0),U,8)
+2 SET V=$PIECE(^AUPNVMED(Y,0),U,3)
+3 IF 'V
QUIT
+4 IF '$DATA(^AUPNVSIT(V,0))
QUIT
+5 ;S IS DAYS SUPPLY, J IS DATE DISCONTINUED
+6 ;don't use if discontinued
IF J]""
QUIT
+7 ;difference between dsch date and date prescribed
SET D=$$FMDIFF^XLFDT(BDATE,$PIECE($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_$$DATE^BGP9UTL($PIECE($PIECE(^AUPNVSIT(V,0),U),"."))_"("_S_")"
End DoDot:1
+14 IF K>BGPNDAYS
QUIT 1_U_" total STATIN: "_K
+15 QUIT 0_U_R_" total days STATIN: "_K
+16 ;
STATREF(P,BDATE,EDATE) ;EP
+1 ;did patient have a refusal in time period?
+2 SET T=$ORDER(^ATXAX("B","BGP HEDIS STATIN MEDS",0))
+3 SET X=0
SET G=""
FOR
SET X=$ORDER(^AUPNPREF("AA",P,50,X))
IF X'=+X!(G)
QUIT
Begin DoDot:1
+4 IF '$DATA(^ATXAX(T,21,"B",X))
QUIT
+5 SET D=0
FOR
SET D=$ORDER(^AUPNPREF("AA",P,50,X,D))
IF D'=+D!(G)
QUIT
Begin DoDot:2
+6 ;documented more than 1 year before edate
SET Y=9999999-D
IF Y<BDATE
QUIT
+7 ;documented after end date
IF Y>EDATE
QUIT
+8 SET N=0
FOR
SET N=$ORDER(^AUPNPREF("AA",P,50,X,D,N))
IF N'=+N!(G)
QUIT
Begin DoDot:3
+9 IF $PIECE($GET(^AUPNPREF(N,0)),U,7)'="R"
QUIT
+10 SET G=1_U_"Statin Refusal "_$$DATE^BGP9UTL(Y)
End DoDot:3
+11 QUIT
End DoDot:2
+12 QUIT
End DoDot:1
+13 QUIT G
