- BHSDM1 ;IHS/CIA/MGH - Health Summary for Diabetic Supplement ;12-Jul-2016 17:25;DU
- ;;1.0;HEALTH SUMMARY COMPONENTS;**1,2,4,6,8,9,12,14**;March 17, 2006;Build 4
- ;===================================================================
- ;VA version of IHS components for supplemental summaries
- ;Taken from BDMS9B1
- ; IHS/TUCSON/LAB - DIABETIC CARE SUMMARY SUPPLEMENT ;08-Nov-2004 15:52;MGH
- ;Update to patch 15 of IHS health summary
- ;Patch 2 code set versoning changes
- ;Patch 4 includes removing entered in error readings
- ;Patch 6 updated for tobacco
- ;Patch 8 changed for the storage of BMI values and updated to BJPC patch 5
- ;Patch 7 for ICD-10 data
- ;Patch 12 changed to use new API for taxonomies
- ;Patch 14 truncated BMI value
- ;==================================================================
- ;
- ;IHS/CMI/LAB patch 3 many changes
- ;
- EP ;EP - called from component
- Q:'$G(BHSPAT)
- D CKP^GMTSUP Q:$D(GMTSQIT)
- D EP2(BHSPAT)
- W ;write out array
- K BHSQUIT
- S BHSX=0 F S BHSX=$O(^TMP("BHS",$J,"DCS",BHSX)) Q:BHSX'=+BHSX!($D(GMTSQIT)) D
- .D CKP^GMTSUP Q:$D(GMTSQIT)
- .W !,^TMP("BHS",$J,"DCS",BHSX)
- .Q
- I $D(BHSQUIT) S GMTSQIT=1
- D EOJ
- Q
- ;
- EOJ ;
- K APCHIEN,BHSX,BHSQUIT,BHSY,BHSDFN,BHSBEG,BDMSPAT,BHSTOB,BHSUPI,BHSED,BHSTOPN,BHSTOP,BHSTEX,BHS,BHSP,BHSLAST,APCHP,APCHV,BHSC,BHSRF,BHSEKG,BHSEX,BHDTOB
- K BDMMAM,BDMMAMR,BDMSDAT,BDMX,BDMD,BDMP,BDMSBEG
- K N,%,T,F,X,Y,B,C,E,F,H,L,N,P,T,W,Z,BD,ED,APCHC,APCHD,APCHX,APCHDEPP,APCHDEPS
- Q
- EP2(BHSDFN) ;PEP - PASS DFN get back array of patient care summary
- ;at this point you are stuck with ^TMP("BHS",$J,"DCS"
- K ^TMP("BHS",$J,"DCS")
- S ^TMP("BHS",$J,"DCS",0)=0
- D SETARRAY
- Q
- SETARRAY ;set up array containing dm care summary
- ;CHECK TO SEE IF START1^APCLDF EXISTS
- S X="APCLDF" X ^%ZOSF("TEST") I '$T Q
- S BDMSPAT=BHSDFN
- S X="DIABETES PATIENT CARE SUMMARY Report Date: "_$$FMTE^XLFDT(DT) D S(X)
- S X="Patient Name: "_$P(^DPT(BHSDFN,0),U)_" HRN: "_$$HRN^AUPNPAT(BHSDFN,DUZ(2)) D S(X)
- I $$DOD^AUPNPAT(BHSDFN)]"" S X="DATE OF DEATH: "_$$FMTE^XLFDT($$DOD^AUPNPAT(BHSDFN)) D S(X,1),S(" ")
- S X="Age: "_$$AGE^AUPNPAT(BHSDFN),$E(X,15)="Sex: "_$$SEX^AUPNPAT(BHSDFN),$E(X,31)="Date of DM Onset: "_$$DOO(BHSDFN) D S(X)
- S X="",X="Dob: "_$$FMTE^XLFDT($$DOB^AUPNPAT(BHSDFN)) S Y=$$DMPN(BHSDFN),$E(X,31)="DM Problem #: "_$S(Y]"":Y,1:"*** NONE RECORDED ***") D S(X)
- S X="" I '$$NOTREG(BHSDFN) S X="**NOT ON DIABETES REGISTER**"
- S $E(X,31)="Designated PCP: "_$$DPCP(BHSDFN) D S(X)
- D GETHWB(BHSDFN)
- S X="Last Height: "_BHSX("HT")_$S(BHSX("HT")]"":" inches",1:""),$E(X,31)=BHSX("HTD") D S(X)
- S X="Last Weight: "_$S(BHSX("WT")]"":$J(BHSX("WT"),3,0),1:"")_$S(BHSX("WT")]"":" lbs",1:""),$E(X,31)=BHSX("WTD"),$E(X,45)="BMI: "_$J(BHSX("BMI"),5,2) D S(X)
- I BHSX("WC")]"" S X="Last Waist Cir: "_BHSX("WC"),$E(X,31)=BHSX("WCD") D S(X)
- I BHSX("WC")="" S X="Last Waist Circumference: <None Recorded>" D S(X)
- ;Patch 6
- N BDMSDFN,BDMTOBC,BDMTOBS
- S BDMSDFN=BHSDFN
- S BDMTOBS=$$TOBACCO^BDMDA1T(BHSDFN,$$DOB^AUPNPAT(BHSDFN),DT)
- I BDMTOBS="" S X="Tobacco Use: UNDOCUMENTED" D S(X)
- I BDMTOBS]"" S X="Tobacco Use: "_$P($P($G(BDMTOBS),U,2)," ",2,99) D S(X)
- I $G(BDMTOBC)]"" S X=" "_$P(BDMTOBC,U,1) D S(X)
- S X="HTN Diagnosed: "_$$HTN(BHSDFN) D S(X,1)
- S X="CVD Diagnosed: "_$P($$CVD^BDMDA12(BHSDFN,DT)," ",2,999) D S(X)
- S BHSBEG=$$FMADD^XLFDT(DT,-(6*30.5))
- S %=$$ACE^BDMS9B4(BHSDFN,BHSBEG) ;get date of last ACE in last year
- S X="",X="ON ACE Inhibitor/ARB in past 6 months: "_% D S(X)
- K BHSSX
- S BHSBEG=$$FMADD^XLFDT(DT,-365)
- S BHSSX=$E($$ASPIRIN(BHSDFN,BHSBEG),1,32)
- S X="Aspirin Use/Anti-platelet (in past yr): "_BHSSX D S(X)
- I BHSSX="No" S X="",X=$$ASPREF^BDMS9B4(BHSDFN) I X]"" S X=" "_X D S(X)
- S APCHDEPP=$$DEPPL(BHSDFN,$$FMADD^XLFDT(DT,-365),DT)
- S APCHDEPS=$$DEPSCR^BDMDA12(BHSDFN,$$FMADD^XLFDT(DT,-365),DT)
- S APCHDEPS=$P(APCHDEPS," ",2,99)
- S B=$$BP(BHSDFN)
- S X="Last 3 BP: "_$P($G(BHSX(1)),U,2)_" "_$$FMTE^XLFDT($P($G(BHSX(1)),U))
- S $E(X,40)="Is Depression on the Problem List?"
- D S(X)
- S X="(non ER)" I $D(BHSX(2)) S $E(X,13)=$P(BHSX(2),U,2)_" "_$$FMTE^XLFDT($P(BHSX(2),U))
- S $E(X,42)=APCHDEPP
- D S(X)
- S X="" I $D(BHSX(3)) S X="",$E(X,13)=$P(BHSX(3),U,2)_" "_$$FMTE^XLFDT($P(BHSX(3),U))
- I $E(APCHDEPP,1)="N" S $E(X,40)="If no, Depression Screening in past year?"
- D S(X)
- S X="" I $E(APCHDEPP,1)="N" S $E(X,42)=APCHDEPS
- D S(X)
- M12 ;
- ;determine date range
- S BHSBEG=$$FMADD^XLFDT(DT,-365)
- S X="In past 12 months:" D S(X,1)
- S X="Diabetic Foot Exam:",$E(X,23)=$P($$DFE^BDMDA17(BHSDFN,BHSBEG)," ",2,99) D S(X)
- S X="Diabetic Eye Exam:",$E(X,23)=$P($$EYE^BDMDA17(BHSDFN,BHSBEG)," ",2,99) D S(X)
- S X="Dental Exam:",$E(X,23)=$P($$DENTAL^BDMDA17(BHSDFN,BHSBEG)," ",2,99) D S(X)
- K BHSTEX,BHSDAT,BHSX
- I $P(^DPT(BHSDFN,0),U,2)="F",$$AGE^AUPNPAT(BHSDFN)>17 D
- .S BDMMAM=$$LASTMAM^APCLAPI1(BHSDFN,,,"A"),BDMSDAT=$P(BDMMAM,U,1)
- .S BDMMAMR=$$MAMREF^BDMS9B4(BHSDFN,BDMSDAT)
- .S X="Last Mammogram:",$E(X,23)=$$DATE($P(BDMMAM,U,1))_" "_$P(BDMMAM,U,2) D S(X)
- .I BDMMAMR]"" S X="",$E(X,10)="Note: "_$P(BDMMAMR,U,2) D S(X)
- .S BDMX=$$PAP^BDMS9B4(BHSDFN) ;get date of last pap in pcc/refusal
- .S X="Last Pap Smear: ",$E(X,23)=$S($P(BDMX,U)]"":$$DATE($P(BDMX,U))_" "_$P(BDMX,U,4),1:"<None on file>") D S(X)
- .I $P(BDMX,U,2)]"" S X="",$E(X,10)="Note: "_$P(BDMX,U,3) D S(X)
- D MORE^BHSDM2
- S X=$P(^DPT(BHSDFN,0),U),$E(X,35)="DOB: "_$$DOB^AUPNPAT(BHSDFN,"S"),$E(X,55)="Chart #"_$$HRN^AUPNPAT(BHSDFN,DUZ(2),2) D S(X,1) ;IHS/CMI/LAB - X,3 to X,2
- ;S X="" D S(X,1)
- Q
- DPCP(P) ;EP
- NEW R
- D ALLDP^BDPAPI(P,"DESIGNATED PRIMARY PROVIDER",.R)
- I $D(R("DESIGNATED PRIMARY PROVIDER")) Q $P(^VA(200,$P(R("DESIGNATED PRIMARY PROVIDER"),U,2),0),U,1)
- S R=$P(^AUPNPAT(P,0),U,14) I R Q $P(^VA(200,R,0),U,1)
- S R=""
- Q R
- S(Y,F,C,T) ;set up array
- I '$G(F) S F=0
- I '$G(T) S T=0
- ;blank lines
- F F=1:1:F S X="" D S1
- S X=Y
- I $G(C) S L=$L(Y),T=(80-L)/2 D D S1 Q
- .F %=1:1:(T-1) S X=" "_X
- F %=1:1:T S X=" "_Y
- D S1
- Q
- S1 ;
- S %=$P(^TMP("BHS",$J,"DCS",0),U)+1,$P(^TMP("BHS",$J,"DCS",0),U)=%
- S ^TMP("BHS",$J,"DCS",%)=X
- Q
- HTN(P) ;
- ;check problem list OR must have 3 diagnoses
- N T,TAXARR
- ;IHS/MSC/MGH Patch 10
- S TAXARR=""
- S T=$O(^ATXAX("B","SURVEILLANCE HYPERTENSION",0))
- I 'T Q ""
- N X,Y,I S (X,Y,I)=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X!(I) I $D(^AUPNPROB(X,0)) S Y=$P(^AUPNPROB(X,0),U)
- I $$ICD^ATXAPI(Y,T,9) S I=1
- I I Q "Yes"
- NEW BHSX
- S BHSX=""
- S X=P_"^LAST 3 DX [SURVEILLANCE HYPERTENSION" S E=$$START1^APCLDF(X,"BHSX(") G:E HTNX I $D(BHSX(3)) S BHSX="Yes"
- I $G(BHSX)="" S BHSX="No"
- HTNX ;
- Q BHSX
- DMPN(P) ;return problem number of lowest DM code
- N TAXARR
- I '$G(P) Q ""
- ;IHS/MSC/MGH Patch 10
- NEW T,TAXARR
- S TAXARR=""
- S T=$O(^ATXAX("B","SURVEILLANCE DIABETES",0))
- I 'T Q ""
- NEW D,X,I S D="",X=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X D
- .S I=$P(^AUPNPROB(X,0),U)
- .I $$ICD^ATXAPI(I,T,9) D
- ..I $$AICD^BHSUTL S D(+$P($$ICDDX^ICDEX(I,"","","I"),U,2))=X
- ..E S D(+$P($$ICDDX^ICDCODE(I),U,2))=X ;cmi/anch/maw 8/27/2007 code set
- .Q
- S D=$O(D(""))
- I D="" Q D
- S X=D(D) ;ien of problem now return problem #
- NEW L S L=$P(^AUPNPROB(X,0),U,6)
- NEW Y S Y=$S(L:$P(^AUTTLOC(L,0),U,7),1:"???")_$P(^AUPNPROB(X,0),U,7)
- Q Y
- BP(P) ;last 3 BPs
- ;IHS/CMI/LAB - fixed to exclude ER visits for BP's
- NEW APCHD,APCHC,T,M,V
- K BHSX
- S BHSX="",APCHD="",APCHC=0
- ;S X=P_"^LAST 3 MEASUREMENTS BP" S E=$$START1^APCLDF(X,"BHSX(") G:E BPX I $D(BHSX(1)) D
- S T=$O(^AUTTMSR("B","BP",""))
- F S APCHD=$O(^AUPNVMSR("AA",P,T,APCHD)) Q:APCHD=""!(APCHC=3) D
- .S M=0 F S M=$O(^AUPNVMSR("AA",P,T,APCHD,M)) Q:M'=+M!(APCHC=3) D
- ..S V=$P($G(^AUPNVMSR(M,0)),U,3) Q:'V
- ..Q:'$D(^AUPNVSIT(V,0))
- ..Q:$P($G(^AUPNVMSR(M,2)),U,1) ;entered in error
- ..Q:$$CLINIC^APCLV(V,"C")=30
- ..S APCHC=APCHC+1,BHSX(APCHC)=(9999999-APCHD)_U_$P(^AUPNVMSR(M,0),U,4)
- ..Q
- .Q
- I '$D(BHSX(1)) S BHSX(1)="None recorded"
- BPX ;
- K APCHD,APCHC
- Q BHSX
- GETHWB(P) ;get last height, height date, weight, weight date and BMI for patient P, return in BHSX("HT"),BHSX("HTD"),BHSX("WT"),BHSX("WTD"),BHSX("BMI")
- K BHSX
- S BHSX("HT")="",BHSX("HTD")="",BHSX("WT")="",BHSX("WTD")="",BHSX("BMI")="",BHSX("WC")="",BHSX("WCD")=""
- LASTHT ;
- Q:'$D(^AUPNVSIT("AC",P))
- Q:'$D(^AUPNVMSR("AC",P))
- NEW BHSY
- S %=P_"^LAST MEAS HT" NEW X S E=$$START1^APCLDF(%,"BHSY(") S BHSX("HT")=$P($G(BHSY(1)),U,2),BHSX("HTD")=$$FMTE^XLFDT($P($G(BHSY(1)),U))
- S BHSX("HT")=$S(BHSX("HT")]"":$J(BHSX("HT"),2,0),1:"")
- LASTWT ;
- K BHSY S %=P_"^LAST MEAS WT" NEW X S E=$$START1^APCLDF(%,"BHSY(") S BHSX("WT")=$P($G(BHSY(1)),U,2),BHSX("WTD")=$$FMTE^XLFDT($P($G(BHSY(1)),U))
- LASTWC ;
- K BHSY S %=P_"^LAST MEAS WC" NEW X S E=$$START1^APCLDF(%,"BHSY(") S BHSX("WC")=$P($G(BHSY(1)),U,2),BHSX("WCD")=$$FMTE^XLFDT($P($G(BHSY(1)),U))
- BMI ;
- I $$AGE^AUPNPAT(P)<19,(BHSX("WTD")'=BHSX("HTD")) Q
- I BHSX("WT")=""!('BHSX("HT")) Q
- S %=""
- ;Patch 8 BMI is now stored
- K BHSY S %=P_"^LAST MEAS BMI" NEW X S E=$$START1^APCLDF(%,"BHSY(") S BHSX("BMI")=$P($G(BHSY(1)),U,2),BHSX("BMD")=$$FMTE^XLFDT($P($G(BHSY(1)),U))
- ;S W=(BHSX("WT")/5)*2.3,H=(BHSX("HT")*2.5),H=(H*H)/10000,%=(W/H),%=$J(%,4,1)
- ;S W=BHSX("WT")*.45359,H=(BHSX("HT")*0.0254),H=(H*H),%=(W/H),%=$J(%,4,1)
- ;S BHSX("BMI")=%
- Q
- ASPIRIN(P,D) ;
- I '$G(P) Q ""
- I '$G(D) S D=0 ;if don't pass date look at all time
- NEW V,I,%,G
- S %=""
- NEW T,T1
- S T=$O(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- S T1=$O(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))
- I 'T Q ""
- S I=0 F S I=$O(^AUPNVMED("AA",P,I)) Q:I'=+I!(%)!(I>(9999999-D)) D
- .S V=0 F S V=$O(^AUPNVMED("AA",P,I,V)) Q:V'=+V S G=$P(^AUPNVMED(V,0),U) D
- ..I $D(^ATXAX(T,21,"B",G)) S %=V Q
- ..I T1,$D(^ATXAX(T1,21,"B",G)) S %=V Q
- I %]"" D Q %
- .I $P(^AUPNVMED(%,0),U,8)="" S %="Yes - "_$$FMTE^XLFDT($P($P(^AUPNVSIT($P(^AUPNVMED(%,0),U,3),0),U),"."))_" "_$$VAL^XBDIQ1(9000010.14,%,.01) Q
- .I $P(^AUPNVMED(%,0),U,8)]"" S %="Discontinued - "_$$FMTE^XLFDT($P($P(^AUPNVSIT($P(^AUPNVMED(%,0),U,3),0),U),"."))_" "_$$VAL^XBDIQ1(9000010.14,%,.01) Q
- Q "No"
- DOO(P) ;get earliest date of onset
- NEW X,DOO
- S X=$$CMSFDX^BDMS9B4(P,"I")
- I X]"",'$D(DOO(X)) S DOO(X)="Diabetes Register"
- S DOO="" S X=$$PLDMDOO^BDMS9B4(P,"I")
- I X]"" S DOO(X)="Problem List"
- I $O(DOO(0))="" Q ""
- S X=$O(DOO(0)) Q $$FMTE^XLFDT(X)_" ("_DOO(X)_")"
- NOTREG(P) ;is patient on any Diabetes register 1 if on reg, "" if not
- I $G(P)="" Q ""
- NEW X,Y
- S X=0,Y="" F S X=$O(^ACM(41,"AC",P,X)) Q:X'=+X!(Y) D
- .S N=$$UP^XLFSTR($P($G(^ACM(41.1,X,0)),U))
- .I N["DIABETES" S Y=1
- .I N["DIAB" S Y=1
- .I N["DM " S Y=1
- .I N[" DM" S Y=1
- .Q
- Q Y
- DEPPL(P,BDATE,EDATE) ;EP
- NEW BHS,X,Y,T
- K BHS
- S (G,X,I)=""
- S TAXARR=""
- ;is depression on the problem list?
- S T=$O(^ATXAX("B","DM AUDIT DEPRESSIVE DISORDERS",0))
- S X=0 F S X=$O(^AUPNPROB("AC",P,X)) Q:X'=+X!(G]"") D
- .S I=$P($G(^AUPNPROB(X,0)),U)
- .Q:'$$ICD^ATXAPI(I,T,9)
- .;S G="Yes - Problem List "_$P(^ICD9(I,0),U)
- .I $$AICD^BHSUTL S G="Yes - Problem List "_$P($$ICDDX^ICDEX(I,"","","I"),U,2)
- .E S G="Yes - Problem List "_$P($$ICDDX^ICDCODE(I),U,2) ;code set versioning
- .Q
- I G]"" Q G
- S (G,X,I)=""
- ;is depression on the BH problem list?
- S T=$O(^ATXAX("B","DM AUDIT DEPRESSIVE DISORDERS",0))
- S X=0 F S X=$O(^AMHPPROB("AC",P,X)) Q:X'=+X!(G]"") D
- .S I=$P($G(^AMHPPROB(X,0)),U)
- .S I=$P($G(^AMHPROB(I,0)),U,5)
- .Q:I=""
- .I $$AICD^BHSUTL S I=+$$CODEN^ICDEX(I,80)
- .E S I=+$$CODEN^ICDCODE(I,80)
- .Q:I=""
- .Q:'$$ICD^ATXCHK(I,T,9)
- .;S G="Yes - BH Problem List "_$P(^ICD9(I,0),U)
- .I $$AICD^BHSUTL S G="Yes - BH Problem List "_$P($$ICDDX^ICDEX(I,"","","I"),U,2)
- .E S G="Yes - BH Problem List "_$P($$ICDDX^ICDCODE(I),U,2) ;code set versioning
- .Q
- I G]"" Q G
- ;now check for 2 dxs in past year
- N %DT
- S Y="BHS("
- S X=P_"^LAST 2 DX [DM AUDIT DEPRESSIVE DISORDERS;DURING "_BDATE_"-"_EDATE S E=$$START1^APCLDF(X,Y)
- I $D(BHS(2)) Q "Yes 2 or more dxs in past year"
- S BHS=0,APCHV="" I $D(BHS(1)) S BHS=1,APCHV=$P(BHS(1),U,5)
- S X=BDATE,%DT="P" D ^%DT S BD=Y
- S X=EDATE,%DT="P" D ^%DT S ED=Y
- ;go through BH record file and find up to 2 visits in date range
- S E=9999999-BDATE,D=9999999-EDATE-1_".99" F S D=$O(^AMHREC("AE",P,D)) Q:D'=+D!($P(D,".")>E)!(BHS>1) S V=0 F S V=$O(^AMHREC("AE",P,D,V)) Q:V'=+V!(BHS>1) D
- .Q:'$D(^AMHREC(V,0))
- .I $P(^AMHREC(V,0),U,16)]"",APCHV]"",$P(^AMHREC(V,0),U,16)=APCHV Q ;don't use same visit
- .S X=0 F S X=$O(^AMHRPRO("AD",V,X)) Q:X'=+X!(BHS>1) S BHSP=$P($G(^AMHPRO(X,0)),U) D
- ..Q:'BHSP
- ..S APCHP=$P($G(^AMHPROB(BHSP,0)),U)
- ..I BHSP=14 S BHS=BHS+1 Q
- ..I BHSP=15 S BHS=BHS+1 Q
- ..I BHSP=18 S BHS=BHS+1 Q
- ..I BHSP=24 S BHS=BHS+1 Q
- ..I $E(BHSP,1,3)=296 S BHS=BHS+1 Q
- ..I $E(BHSP,1,3)=300 S BHS=BHS+1 Q
- ..I $E(BHSP,1,3)=309 S BHS=BHS+1 Q
- ..I BHSP="301.13" S BHS=BHS+1 Q
- ..I BHSP=308.3 S BHS=BHS+1 Q
- ..I BHSP="311." S BHS=BHS+1 Q
- ..Q
- I BHS>1 Q "Yes 2 or more dxs in past year"
- Q "No"
- BHSCR ;
- S BHSRF="",D=0,BHSC="",E=9999999-BDATE,D=9999999-EDATE-1_".99" F S D=$O(^AMHREC("AE",P,D)) Q:D'=+D!($P(D,".")>E) S V=0 F S V=$O(^AMHREC("AE",P,D,V)) Q:V'=+V D
- .S BHSRF=$P($G(^AMHREC(V,14)),U,5) I BHSRF]"",$E(BHSRF)'="R",$E(BHSRF)'="U",(9999999-$P(D,"."))>$P(BHSLAST,U) S BHSLAST=(9999999-$P(D,"."))_U_"Yes BH Dep Scr "_$$FMTE^XLFDT((9999999-$P(D,".")),5) Q
- .I BHSRF]"" S BHSRF=$$VAL^XBDIQ1(9002011,V,1405)_" on "_$$FMTE^XLFDT((9999999-$P(D,".")),5)
- .S X=0 F S X=$O(^AMHRPRO("AD",V,X)) Q:X'=+X!(BHSC]"") S BHSP=$P($G(^AMHRPRO(X,0)),U) D
- ..Q:'BHSP
- ..S BHSP=$P($G(^AMHPROB(BHSP,0)),U)
- ..I BHSP=14.1,(9999999-$P(D,"."))>$P(BHSLAST,U) S BHSLAST=(9999999-$P(D,"."))_U_"Yes BH 14.1 "_$$FMTE^XLFDT((9999999-$P(D,".")),5) Q
- ..I '$D(^AMHREDU("AD",V)) Q
- ..S Y=0 F S Y=$O(^AMHREDU("AD",V,Y)) Q:Y'=+Y D
- ...S T=$P(^AMHREDU(Y,0),U)
- ...Q:'T
- ...Q:'$D(^AUTTEDT(T,0))
- ...S T=$P(^AUTTEDT(T,0),U,2)
- ...I T="DEP-SCR",(9999999-$P(D,"."))>$P(BHSLAST,U) S BHSLAST=(9999999-$P(D,"."))_U_"Yes BH PT Ed "_T_" "_$$FMTE^XLFDT((9999999-$P(D,".")),5)
- ...Q
- I BHSLAST]"" Q $P(BHSLAST,U,2,99)
- ;now check for refusals
- S BHSC=$$REF^BHSMU(P,9999999.15,$O(^AUTTEXAM("B","DEPRESSION SCREENING",0)))
- I BHSC]"" S X=$P(BHSC,"DEPRESSION SCREENING ",1)_$P(BHSC,"DEPRESSION SCREENING ",2) Q X
- I BHSRF]"" Q BHSRF
- Q "No"
- DATE(D) ;EP
- I D="" Q ""
- Q $E(D,4,5)_"/"_$E(D,6,7)_"/"_(1700+$E(D,1,3))
- BHSDM1 ;IHS/CIA/MGH - Health Summary for Diabetic Supplement ;12-Jul-2016 17:25;DU
- +1 ;;1.0;HEALTH SUMMARY COMPONENTS;**1,2,4,6,8,9,12,14**;March 17, 2006;Build 4
- +2 ;===================================================================
- +3 ;VA version of IHS components for supplemental summaries
- +4 ;Taken from BDMS9B1
- +5 ; IHS/TUCSON/LAB - DIABETIC CARE SUMMARY SUPPLEMENT ;08-Nov-2004 15:52;MGH
- +6 ;Update to patch 15 of IHS health summary
- +7 ;Patch 2 code set versoning changes
- +8 ;Patch 4 includes removing entered in error readings
- +9 ;Patch 6 updated for tobacco
- +10 ;Patch 8 changed for the storage of BMI values and updated to BJPC patch 5
- +11 ;Patch 7 for ICD-10 data
- +12 ;Patch 12 changed to use new API for taxonomies
- +13 ;Patch 14 truncated BMI value
- +14 ;==================================================================
- +15 ;
- +16 ;IHS/CMI/LAB patch 3 many changes
- +17 ;
- EP ;EP - called from component
- +1 IF '$GET(BHSPAT)
- QUIT
- +2 DO CKP^GMTSUP
- IF $DATA(GMTSQIT)
- QUIT
- +3 DO EP2(BHSPAT)
- W ;write out array
- +1 KILL BHSQUIT
- +2 SET BHSX=0
- FOR
- SET BHSX=$ORDER(^TMP("BHS",$JOB,"DCS",BHSX))
- IF BHSX'=+BHSX!($DATA(GMTSQIT))
- QUIT
- Begin DoDot:1
- +3 DO CKP^GMTSUP
- IF $DATA(GMTSQIT)
- QUIT
- +4 WRITE !,^TMP("BHS",$JOB,"DCS",BHSX)
- +5 QUIT
- End DoDot:1
- +6 IF $DATA(BHSQUIT)
- SET GMTSQIT=1
- +7 DO EOJ
- +8 QUIT
- +9 ;
- EOJ ;
- +1 KILL APCHIEN,BHSX,BHSQUIT,BHSY,BHSDFN,BHSBEG,BDMSPAT,BHSTOB,BHSUPI,BHSED,BHSTOPN,BHSTOP,BHSTEX,BHS,BHSP,BHSLAST,APCHP,APCHV,BHSC,BHSRF,BHSEKG,BHSEX,BHDTOB
- +2 KILL BDMMAM,BDMMAMR,BDMSDAT,BDMX,BDMD,BDMP,BDMSBEG
- +3 KILL N,%,T,F,X,Y,B,C,E,F,H,L,N,P,T,W,Z,BD,ED,APCHC,APCHD,APCHX,APCHDEPP,APCHDEPS
- +4 QUIT
- EP2(BHSDFN) ;PEP - PASS DFN get back array of patient care summary
- +1 ;at this point you are stuck with ^TMP("BHS",$J,"DCS"
- +2 KILL ^TMP("BHS",$JOB,"DCS")
- +3 SET ^TMP("BHS",$JOB,"DCS",0)=0
- +4 DO SETARRAY
- +5 QUIT
- SETARRAY ;set up array containing dm care summary
- +1 ;CHECK TO SEE IF START1^APCLDF EXISTS
- +2 SET X="APCLDF"
- XECUTE ^%ZOSF("TEST")
- IF '$TEST
- QUIT
- +3 SET BDMSPAT=BHSDFN
- +4 SET X="DIABETES PATIENT CARE SUMMARY Report Date: "_$$FMTE^XLFDT(DT)
- DO S(X)
- +5 SET X="Patient Name: "_$PIECE(^DPT(BHSDFN,0),U)_" HRN: "_$$HRN^AUPNPAT(BHSDFN,DUZ(2))
- DO S(X)
- +6 IF $$DOD^AUPNPAT(BHSDFN)]""
- SET X="DATE OF DEATH: "_$$FMTE^XLFDT($$DOD^AUPNPAT(BHSDFN))
- DO S(X,1)
- DO S(" ")
- +7 SET X="Age: "_$$AGE^AUPNPAT(BHSDFN)
- SET $EXTRACT(X,15)="Sex: "_$$SEX^AUPNPAT(BHSDFN)
- SET $EXTRACT(X,31)="Date of DM Onset: "_$$DOO(BHSDFN)
- DO S(X)
- +8 SET X=""
- SET X="Dob: "_$$FMTE^XLFDT($$DOB^AUPNPAT(BHSDFN))
- SET Y=$$DMPN(BHSDFN)
- SET $EXTRACT(X,31)="DM Problem #: "_$SELECT(Y]"":Y,1:"*** NONE RECORDED ***")
- DO S(X)
- +9 SET X=""
- IF '$$NOTREG(BHSDFN)
- SET X="**NOT ON DIABETES REGISTER**"
- +10 SET $EXTRACT(X,31)="Designated PCP: "_$$DPCP(BHSDFN)
- DO S(X)
- +11 DO GETHWB(BHSDFN)
- +12 SET X="Last Height: "_BHSX("HT")_$SELECT(BHSX("HT")]"":" inches",1:"")
- SET $EXTRACT(X,31)=BHSX("HTD")
- DO S(X)
- +13 SET X="Last Weight: "_$SELECT(BHSX("WT")]"":$JUSTIFY(BHSX("WT"),3,0),1:"")_$SELECT(BHSX("WT")]"":" lbs",1:"")
- SET $EXTRACT(X,31)=BHSX("WTD")
- SET $EXTRACT(X,45)="BMI: "_$JUSTIFY(BHSX("BMI"),5,2)
- DO S(X)
- +14 IF BHSX("WC")]""
- SET X="Last Waist Cir: "_BHSX("WC")
- SET $EXTRACT(X,31)=BHSX("WCD")
- DO S(X)
- +15 IF BHSX("WC")=""
- SET X="Last Waist Circumference: <None Recorded>"
- DO S(X)
- +16 ;Patch 6
- +17 NEW BDMSDFN,BDMTOBC,BDMTOBS
- +18 SET BDMSDFN=BHSDFN
- +19 SET BDMTOBS=$$TOBACCO^BDMDA1T(BHSDFN,$$DOB^AUPNPAT(BHSDFN),DT)
- +20 IF BDMTOBS=""
- SET X="Tobacco Use: UNDOCUMENTED"
- DO S(X)
- +21 IF BDMTOBS]""
- SET X="Tobacco Use: "_$PIECE($PIECE($GET(BDMTOBS),U,2)," ",2,99)
- DO S(X)
- +22 IF $GET(BDMTOBC)]""
- SET X=" "_$PIECE(BDMTOBC,U,1)
- DO S(X)
- +23 SET X="HTN Diagnosed: "_$$HTN(BHSDFN)
- DO S(X,1)
- +24 SET X="CVD Diagnosed: "_$PIECE($$CVD^BDMDA12(BHSDFN,DT)," ",2,999)
- DO S(X)
- +25 SET BHSBEG=$$FMADD^XLFDT(DT,-(6*30.5))
- +26 ;get date of last ACE in last year
- SET %=$$ACE^BDMS9B4(BHSDFN,BHSBEG)
- +27 SET X=""
- SET X="ON ACE Inhibitor/ARB in past 6 months: "_%
- DO S(X)
- +28 KILL BHSSX
- +29 SET BHSBEG=$$FMADD^XLFDT(DT,-365)
- +30 SET BHSSX=$EXTRACT($$ASPIRIN(BHSDFN,BHSBEG),1,32)
- +31 SET X="Aspirin Use/Anti-platelet (in past yr): "_BHSSX
- DO S(X)
- +32 IF BHSSX="No"
- SET X=""
- SET X=$$ASPREF^BDMS9B4(BHSDFN)
- IF X]""
- SET X=" "_X
- DO S(X)
- +33 SET APCHDEPP=$$DEPPL(BHSDFN,$$FMADD^XLFDT(DT,-365),DT)
- +34 SET APCHDEPS=$$DEPSCR^BDMDA12(BHSDFN,$$FMADD^XLFDT(DT,-365),DT)
- +35 SET APCHDEPS=$PIECE(APCHDEPS," ",2,99)
- +36 SET B=$$BP(BHSDFN)
- +37 SET X="Last 3 BP: "_$PIECE($GET(BHSX(1)),U,2)_" "_$$FMTE^XLFDT($PIECE($GET(BHSX(1)),U))
- +38 SET $EXTRACT(X,40)="Is Depression on the Problem List?"
- +39 DO S(X)
- +40 SET X="(non ER)"
- IF $DATA(BHSX(2))
- SET $EXTRACT(X,13)=$PIECE(BHSX(2),U,2)_" "_$$FMTE^XLFDT($PIECE(BHSX(2),U))
- +41 SET $EXTRACT(X,42)=APCHDEPP
- +42 DO S(X)
- +43 SET X=""
- IF $DATA(BHSX(3))
- SET X=""
- SET $EXTRACT(X,13)=$PIECE(BHSX(3),U,2)_" "_$$FMTE^XLFDT($PIECE(BHSX(3),U))
- +44 IF $EXTRACT(APCHDEPP,1)="N"
- SET $EXTRACT(X,40)="If no, Depression Screening in past year?"
- +45 DO S(X)
- +46 SET X=""
- IF $EXTRACT(APCHDEPP,1)="N"
- SET $EXTRACT(X,42)=APCHDEPS
- +47 DO S(X)
- M12 ;
- +1 ;determine date range
- +2 SET BHSBEG=$$FMADD^XLFDT(DT,-365)
- +3 SET X="In past 12 months:"
- DO S(X,1)
- +4 SET X="Diabetic Foot Exam:"
- SET $EXTRACT(X,23)=$PIECE($$DFE^BDMDA17(BHSDFN,BHSBEG)," ",2,99)
- DO S(X)
- +5 SET X="Diabetic Eye Exam:"
- SET $EXTRACT(X,23)=$PIECE($$EYE^BDMDA17(BHSDFN,BHSBEG)," ",2,99)
- DO S(X)
- +6 SET X="Dental Exam:"
- SET $EXTRACT(X,23)=$PIECE($$DENTAL^BDMDA17(BHSDFN,BHSBEG)," ",2,99)
- DO S(X)
- +7 KILL BHSTEX,BHSDAT,BHSX
- +8 IF $PIECE(^DPT(BHSDFN,0),U,2)="F"
- IF $$AGE^AUPNPAT(BHSDFN)>17
- Begin DoDot:1
- +9 SET BDMMAM=$$LASTMAM^APCLAPI1(BHSDFN,,,"A")
- SET BDMSDAT=$PIECE(BDMMAM,U,1)
- +10 SET BDMMAMR=$$MAMREF^BDMS9B4(BHSDFN,BDMSDAT)
- +11 SET X="Last Mammogram:"
- SET $EXTRACT(X,23)=$$DATE($PIECE(BDMMAM,U,1))_" "_$PIECE(BDMMAM,U,2)
- DO S(X)
- +12 IF BDMMAMR]""
- SET X=""
- SET $EXTRACT(X,10)="Note: "_$PIECE(BDMMAMR,U,2)
- DO S(X)
- +13 ;get date of last pap in pcc/refusal
- SET BDMX=$$PAP^BDMS9B4(BHSDFN)
- +14 SET X="Last Pap Smear: "
- SET $EXTRACT(X,23)=$SELECT($PIECE(BDMX,U)]"":$$DATE($PIECE(BDMX,U))_" "_$PIECE(BDMX,U,4),1:"<None on file>")
- DO S(X)
- +15 IF $PIECE(BDMX,U,2)]""
- SET X=""
- SET $EXTRACT(X,10)="Note: "_$PIECE(BDMX,U,3)
- DO S(X)
- End DoDot:1
- +16 DO MORE^BHSDM2
- +17 ;IHS/CMI/LAB - X,3 to X,2
- SET X=$PIECE(^DPT(BHSDFN,0),U)
- SET $EXTRACT(X,35)="DOB: "_$$DOB^AUPNPAT(BHSDFN,"S")
- SET $EXTRACT(X,55)="Chart #"_$$HRN^AUPNPAT(BHSDFN,DUZ(2),2)
- DO S(X,1)
- +18 ;S X="" D S(X,1)
- +19 QUIT
- DPCP(P) ;EP
- +1 NEW R
- +2 DO ALLDP^BDPAPI(P,"DESIGNATED PRIMARY PROVIDER",.R)
- +3 IF $DATA(R("DESIGNATED PRIMARY PROVIDER"))
- QUIT $PIECE(^VA(200,$PIECE(R("DESIGNATED PRIMARY PROVIDER"),U,2),0),U,1)
- +4 SET R=$PIECE(^AUPNPAT(P,0),U,14)
- IF R
- QUIT $PIECE(^VA(200,R,0),U,1)
- +5 SET R=""
- +6 QUIT R
- S(Y,F,C,T) ;set up array
- +1 IF '$GET(F)
- SET F=0
- +2 IF '$GET(T)
- SET T=0
- +3 ;blank lines
- +4 FOR F=1:1:F
- SET X=""
- DO S1
- +5 SET X=Y
- +6 IF $GET(C)
- SET L=$LENGTH(Y)
- SET T=(80-L)/2
- Begin DoDot:1
- +7 FOR %=1:1:(T-1)
- SET X=" "_X
- End DoDot:1
- DO S1
- QUIT
- +8 FOR %=1:1:T
- SET X=" "_Y
- +9 DO S1
- +10 QUIT
- S1 ;
- +1 SET %=$PIECE(^TMP("BHS",$JOB,"DCS",0),U)+1
- SET $PIECE(^TMP("BHS",$JOB,"DCS",0),U)=%
- +2 SET ^TMP("BHS",$JOB,"DCS",%)=X
- +3 QUIT
- HTN(P) ;
- +1 ;check problem list OR must have 3 diagnoses
- +2 NEW T,TAXARR
- +3 ;IHS/MSC/MGH Patch 10
- +4 SET TAXARR=""
- +5 SET T=$ORDER(^ATXAX("B","SURVEILLANCE HYPERTENSION",0))
- +6 IF 'T
- QUIT ""
- +7 NEW X,Y,I
- SET (X,Y,I)=0
- FOR
- SET X=$ORDER(^AUPNPROB("AC",P,X))
- IF X'=+X!(I)
- QUIT
- IF $DATA(^AUPNPROB(X,0))
- SET Y=$PIECE(^AUPNPROB(X,0),U)
- +8 IF $$ICD^ATXAPI(Y,T,9)
- SET I=1
- +9 IF I
- QUIT "Yes"
- +10 NEW BHSX
- +11 SET BHSX=""
- +12 SET X=P_"^LAST 3 DX [SURVEILLANCE HYPERTENSION"
- SET E=$$START1^APCLDF(X,"BHSX(")
- IF E
- GOTO HTNX
- IF $DATA(BHSX(3))
- SET BHSX="Yes"
- +13 IF $GET(BHSX)=""
- SET BHSX="No"
- HTNX ;
- +1 QUIT BHSX
- DMPN(P) ;return problem number of lowest DM code
- +1 NEW TAXARR
- +2 IF '$GET(P)
- QUIT ""
- +3 ;IHS/MSC/MGH Patch 10
- +4 NEW T,TAXARR
- +5 SET TAXARR=""
- +6 SET T=$ORDER(^ATXAX("B","SURVEILLANCE DIABETES",0))
- +7 IF 'T
- QUIT ""
- +8 NEW D,X,I
- SET D=""
- SET X=0
- FOR
- SET X=$ORDER(^AUPNPROB("AC",P,X))
- IF X'=+X
- QUIT
- Begin DoDot:1
- +9 SET I=$PIECE(^AUPNPROB(X,0),U)
- +10 IF $$ICD^ATXAPI(I,T,9)
- Begin DoDot:2
- +11 IF $$AICD^BHSUTL
- SET D(+$PIECE($$ICDDX^ICDEX(I,"","","I"),U,2))=X
- +12 ;cmi/anch/maw 8/27/2007 code set
- IF '$TEST
- SET D(+$PIECE($$ICDDX^ICDCODE(I),U,2))=X
- End DoDot:2
- +13 QUIT
- End DoDot:1
- +14 SET D=$ORDER(D(""))
- +15 IF D=""
- QUIT D
- +16 ;ien of problem now return problem #
- SET X=D(D)
- +17 NEW L
- SET L=$PIECE(^AUPNPROB(X,0),U,6)
- +18 NEW Y
- SET Y=$SELECT(L:$PIECE(^AUTTLOC(L,0),U,7),1:"???")_$PIECE(^AUPNPROB(X,0),U,7)
- +19 QUIT Y
- BP(P) ;last 3 BPs
- +1 ;IHS/CMI/LAB - fixed to exclude ER visits for BP's
- +2 NEW APCHD,APCHC,T,M,V
- +3 KILL BHSX
- +4 SET BHSX=""
- SET APCHD=""
- SET APCHC=0
- +5 ;S X=P_"^LAST 3 MEASUREMENTS BP" S E=$$START1^APCLDF(X,"BHSX(") G:E BPX I $D(BHSX(1)) D
- +6 SET T=$ORDER(^AUTTMSR("B","BP",""))
- +7 FOR
- SET APCHD=$ORDER(^AUPNVMSR("AA",P,T,APCHD))
- IF APCHD=""!(APCHC=3)
- QUIT
- Begin DoDot:1
- +8 SET M=0
- FOR
- SET M=$ORDER(^AUPNVMSR("AA",P,T,APCHD,M))
- IF M'=+M!(APCHC=3)
- QUIT
- Begin DoDot:2
- +9 SET V=$PIECE($GET(^AUPNVMSR(M,0)),U,3)
- IF 'V
- QUIT
- +10 IF '$DATA(^AUPNVSIT(V,0))
- QUIT
- +11 ;entered in error
- IF $PIECE($GET(^AUPNVMSR(M,2)),U,1)
- QUIT
- +12 IF $$CLINIC^APCLV(V,"C")=30
- QUIT
- +13 SET APCHC=APCHC+1
- SET BHSX(APCHC)=(9999999-APCHD)_U_$PIECE(^AUPNVMSR(M,0),U,4)
- +14 QUIT
- End DoDot:2
- +15 QUIT
- End DoDot:1
- +16 IF '$DATA(BHSX(1))
- SET BHSX(1)="None recorded"
- BPX ;
- +1 KILL APCHD,APCHC
- +2 QUIT BHSX
- GETHWB(P) ;get last height, height date, weight, weight date and BMI for patient P, return in BHSX("HT"),BHSX("HTD"),BHSX("WT"),BHSX("WTD"),BHSX("BMI")
- +1 KILL BHSX
- +2 SET BHSX("HT")=""
- SET BHSX("HTD")=""
- SET BHSX("WT")=""
- SET BHSX("WTD")=""
- SET BHSX("BMI")=""
- SET BHSX("WC")=""
- SET BHSX("WCD")=""
- LASTHT ;
- +1 IF '$DATA(^AUPNVSIT("AC",P))
- QUIT
- +2 IF '$DATA(^AUPNVMSR("AC",P))
- QUIT
- +3 NEW BHSY
- +4 SET %=P_"^LAST MEAS HT"
- NEW X
- SET E=$$START1^APCLDF(%,"BHSY(")
- SET BHSX("HT")=$PIECE($GET(BHSY(1)),U,2)
- SET BHSX("HTD")=$$FMTE^XLFDT($PIECE($GET(BHSY(1)),U))
- +5 SET BHSX("HT")=$SELECT(BHSX("HT")]"":$JUSTIFY(BHSX("HT"),2,0),1:"")
- LASTWT ;
- +1 KILL BHSY
- SET %=P_"^LAST MEAS WT"
- NEW X
- SET E=$$START1^APCLDF(%,"BHSY(")
- SET BHSX("WT")=$PIECE($GET(BHSY(1)),U,2)
- SET BHSX("WTD")=$$FMTE^XLFDT($PIECE($GET(BHSY(1)),U))
- LASTWC ;
- +1 KILL BHSY
- SET %=P_"^LAST MEAS WC"
- NEW X
- SET E=$$START1^APCLDF(%,"BHSY(")
- SET BHSX("WC")=$PIECE($GET(BHSY(1)),U,2)
- SET BHSX("WCD")=$$FMTE^XLFDT($PIECE($GET(BHSY(1)),U))
- BMI ;
- +1 IF $$AGE^AUPNPAT(P)<19
- IF (BHSX("WTD")'=BHSX("HTD"))
- QUIT
- +2 IF BHSX("WT")=""!('BHSX("HT"))
- QUIT
- +3 SET %=""
- +4 ;Patch 8 BMI is now stored
- +5 KILL BHSY
- SET %=P_"^LAST MEAS BMI"
- NEW X
- SET E=$$START1^APCLDF(%,"BHSY(")
- SET BHSX("BMI")=$PIECE($GET(BHSY(1)),U,2)
- SET BHSX("BMD")=$$FMTE^XLFDT($PIECE($GET(BHSY(1)),U))
- +6 ;S W=(BHSX("WT")/5)*2.3,H=(BHSX("HT")*2.5),H=(H*H)/10000,%=(W/H),%=$J(%,4,1)
- +7 ;S W=BHSX("WT")*.45359,H=(BHSX("HT")*0.0254),H=(H*H),%=(W/H),%=$J(%,4,1)
- +8 ;S BHSX("BMI")=%
- +9 QUIT
- ASPIRIN(P,D) ;
- +1 IF '$GET(P)
- QUIT ""
- +2 ;if don't pass date look at all time
- IF '$GET(D)
- SET D=0
- +3 NEW V,I,%,G
- +4 SET %=""
- +5 NEW T,T1
- +6 SET T=$ORDER(^ATXAX("B","DM AUDIT ASPIRIN DRUGS",0))
- +7 SET T1=$ORDER(^ATXAX("B","DM AUDIT ANTI-PLATELET DRUGS",0))
- +8 IF 'T
- QUIT ""
- +9 SET I=0
- FOR
- SET I=$ORDER(^AUPNVMED("AA",P,I))
- IF I'=+I!(%)!(I>(9999999-D))
- QUIT
- Begin DoDot:1
- +10 SET V=0
- FOR
- SET V=$ORDER(^AUPNVMED("AA",P,I,V))
- IF V'=+V
- QUIT
- SET G=$PIECE(^AUPNVMED(V,0),U)
- Begin DoDot:2
- +11 IF $DATA(^ATXAX(T,21,"B",G))
- SET %=V
- QUIT
- +12 IF T1
- IF $DATA(^ATXAX(T1,21,"B",G))
- SET %=V
- QUIT
- End DoDot:2
- End DoDot:1
- +13 IF %]""
- Begin DoDot:1
- +14 IF $PIECE(^AUPNVMED(%,0),U,8)=""
- SET %="Yes - "_$$FMTE^XLFDT($PIECE($PIECE(^AUPNVSIT($PIECE(^AUPNVMED(%,0),U,3),0),U),"."))_" "_$$VAL^XBDIQ1(9000010.14,%,.01)
- QUIT
- +15 IF $PIECE(^AUPNVMED(%,0),U,8)]""
- SET %="Discontinued - "_$$FMTE^XLFDT($PIECE($PIECE(^AUPNVSIT($PIECE(^AUPNVMED(%,0),U,3),0),U),"."))_" "_$$VAL^XBDIQ1(9000010.14,%,.01)
- QUIT
- End DoDot:1
- QUIT %
- +16 QUIT "No"
- DOO(P) ;get earliest date of onset
- +1 NEW X,DOO
- +2 SET X=$$CMSFDX^BDMS9B4(P,"I")
- +3 IF X]""
- IF '$DATA(DOO(X))
- SET DOO(X)="Diabetes Register"
- +4 SET DOO=""
- SET X=$$PLDMDOO^BDMS9B4(P,"I")
- +5 IF X]""
- SET DOO(X)="Problem List"
- +6 IF $ORDER(DOO(0))=""
- QUIT ""
- +7 SET X=$ORDER(DOO(0))
- QUIT $$FMTE^XLFDT(X)_" ("_DOO(X)_")"
- NOTREG(P) ;is patient on any Diabetes register 1 if on reg, "" if not
- +1 IF $GET(P)=""
- QUIT ""
- +2 NEW X,Y
- +3 SET X=0
- SET Y=""
- FOR
- SET X=$ORDER(^ACM(41,"AC",P,X))
- IF X'=+X!(Y)
- QUIT
- Begin DoDot:1
- +4 SET N=$$UP^XLFSTR($PIECE($GET(^ACM(41.1,X,0)),U))
- +5 IF N["DIABETES"
- SET Y=1
- +6 IF N["DIAB"
- SET Y=1
- +7 IF N["DM "
- SET Y=1
- +8 IF N[" DM"
- SET Y=1
- +9 QUIT
- End DoDot:1
- +10 QUIT Y
- DEPPL(P,BDATE,EDATE) ;EP
- +1 NEW BHS,X,Y,T
- +2 KILL BHS
- +3 SET (G,X,I)=""
- +4 SET TAXARR=""
- +5 ;is depression on the problem list?
- +6 SET T=$ORDER(^ATXAX("B","DM AUDIT DEPRESSIVE DISORDERS",0))
- +7 SET X=0
- FOR
- SET X=$ORDER(^AUPNPROB("AC",P,X))
- IF X'=+X!(G]"")
- QUIT
- Begin DoDot:1
- +8 SET I=$PIECE($GET(^AUPNPROB(X,0)),U)
- +9 IF '$$ICD^ATXAPI(I,T,9)
- QUIT
- +10 ;S G="Yes - Problem List "_$P(^ICD9(I,0),U)
- +11 IF $$AICD^BHSUTL
- SET G="Yes - Problem List "_$PIECE($$ICDDX^ICDEX(I,"","","I"),U,2)
- +12 ;code set versioning
- IF '$TEST
- SET G="Yes - Problem List "_$PIECE($$ICDDX^ICDCODE(I),U,2)
- +13 QUIT
- End DoDot:1
- +14 IF G]""
- QUIT G
- +15 SET (G,X,I)=""
- +16 ;is depression on the BH problem list?
- +17 SET T=$ORDER(^ATXAX("B","DM AUDIT DEPRESSIVE DISORDERS",0))
- +18 SET X=0
- FOR
- SET X=$ORDER(^AMHPPROB("AC",P,X))
- IF X'=+X!(G]"")
- QUIT
- Begin DoDot:1
- +19 SET I=$PIECE($GET(^AMHPPROB(X,0)),U)
- +20 SET I=$PIECE($GET(^AMHPROB(I,0)),U,5)
- +21 IF I=""
- QUIT
- +22 IF $$AICD^BHSUTL
- SET I=+$$CODEN^ICDEX(I,80)
- +23 IF '$TEST
- SET I=+$$CODEN^ICDCODE(I,80)
- +24 IF I=""
- QUIT
- +25 IF '$$ICD^ATXCHK(I,T,9)
- QUIT
- +26 ;S G="Yes - BH Problem List "_$P(^ICD9(I,0),U)
- +27 IF $$AICD^BHSUTL
- SET G="Yes - BH Problem List "_$PIECE($$ICDDX^ICDEX(I,"","","I"),U,2)
- +28 ;code set versioning
- IF '$TEST
- SET G="Yes - BH Problem List "_$PIECE($$ICDDX^ICDCODE(I),U,2)
- +29 QUIT
- End DoDot:1
- +30 IF G]""
- QUIT G
- +31 ;now check for 2 dxs in past year
- +32 NEW %DT
- +33 SET Y="BHS("
- +34 SET X=P_"^LAST 2 DX [DM AUDIT DEPRESSIVE DISORDERS;DURING "_BDATE_"-"_EDATE
- SET E=$$START1^APCLDF(X,Y)
- +35 IF $DATA(BHS(2))
- QUIT "Yes 2 or more dxs in past year"
- +36 SET BHS=0
- SET APCHV=""
- IF $DATA(BHS(1))
- SET BHS=1
- SET APCHV=$PIECE(BHS(1),U,5)
- +37 SET X=BDATE
- SET %DT="P"
- DO ^%DT
- SET BD=Y
- +38 SET X=EDATE
- SET %DT="P"
- DO ^%DT
- SET ED=Y
- +39 ;go through BH record file and find up to 2 visits in date range
- +40 SET E=9999999-BDATE
- SET D=9999999-EDATE-1_".99"
- FOR
- SET D=$ORDER(^AMHREC("AE",P,D))
- IF D'=+D!($PIECE(D,".")>E)!(BHS>1)
- QUIT
- SET V=0
- FOR
- SET V=$ORDER(^AMHREC("AE",P,D,V))
- IF V'=+V!(BHS>1)
- QUIT
- Begin DoDot:1
- +41 IF '$DATA(^AMHREC(V,0))
- QUIT
- +42 ;don't use same visit
- IF $PIECE(^AMHREC(V,0),U,16)]""
- IF APCHV]""
- IF $PIECE(^AMHREC(V,0),U,16)=APCHV
- QUIT
- +43 SET X=0
- FOR
- SET X=$ORDER(^AMHRPRO("AD",V,X))
- IF X'=+X!(BHS>1)
- QUIT
- SET BHSP=$PIECE($GET(^AMHPRO(X,0)),U)
- Begin DoDot:2
- +44 IF 'BHSP
- QUIT
- +45 SET APCHP=$PIECE($GET(^AMHPROB(BHSP,0)),U)
- +46 IF BHSP=14
- SET BHS=BHS+1
- QUIT
- +47 IF BHSP=15
- SET BHS=BHS+1
- QUIT
- +48 IF BHSP=18
- SET BHS=BHS+1
- QUIT
- +49 IF BHSP=24
- SET BHS=BHS+1
- QUIT
- +50 IF $EXTRACT(BHSP,1,3)=296
- SET BHS=BHS+1
- QUIT
- +51 IF $EXTRACT(BHSP,1,3)=300
- SET BHS=BHS+1
- QUIT
- +52 IF $EXTRACT(BHSP,1,3)=309
- SET BHS=BHS+1
- QUIT
- +53 IF BHSP="301.13"
- SET BHS=BHS+1
- QUIT
- +54 IF BHSP=308.3
- SET BHS=BHS+1
- QUIT
- +55 IF BHSP="311."
- SET BHS=BHS+1
- QUIT
- +56 QUIT
- End DoDot:2
- End DoDot:1
- +57 IF BHS>1
- QUIT "Yes 2 or more dxs in past year"
- +58 QUIT "No"
- BHSCR ;
- +1 SET BHSRF=""
- SET D=0
- SET BHSC=""
- SET E=9999999-BDATE
- SET D=9999999-EDATE-1_".99"
- FOR
- SET D=$ORDER(^AMHREC("AE",P,D))
- IF D'=+D!($PIECE(D,".")>E)
- QUIT
- SET V=0
- FOR
- SET V=$ORDER(^AMHREC("AE",P,D,V))
- IF V'=+V
- QUIT
- Begin DoDot:1
- +2 SET BHSRF=$PIECE($GET(^AMHREC(V,14)),U,5)
- IF BHSRF]""
- IF $EXTRACT(BHSRF)'="R"
- IF $EXTRACT(BHSRF)'="U"
- IF (9999999-$PIECE(D,"."))>$PIECE(BHSLAST,U)
- SET BHSLAST=(9999999-$PIECE(D,"."))_U_"Yes BH Dep Scr "_$$FMTE^XLFDT((9999999-$PIECE(D,".")),5)
- QUIT
- +3 IF BHSRF]""
- SET BHSRF=$$VAL^XBDIQ1(9002011,V,1405)_" on "_$$FMTE^XLFDT((9999999-$PIECE(D,".")),5)
- +4 SET X=0
- FOR
- SET X=$ORDER(^AMHRPRO("AD",V,X))
- IF X'=+X!(BHSC]"")
- QUIT
- SET BHSP=$PIECE($GET(^AMHRPRO(X,0)),U)
- Begin DoDot:2
- +5 IF 'BHSP
- QUIT
- +6 SET BHSP=$PIECE($GET(^AMHPROB(BHSP,0)),U)
- +7 IF BHSP=14.1
- IF (9999999-$PIECE(D,"."))>$PIECE(BHSLAST,U)
- SET BHSLAST=(9999999-$PIECE(D,"."))_U_"Yes BH 14.1 "_$$FMTE^XLFDT((9999999-$PIECE(D,".")),5)
- QUIT
- +8 IF '$DATA(^AMHREDU("AD",V))
- QUIT
- +9 SET Y=0
- FOR
- SET Y=$ORDER(^AMHREDU("AD",V,Y))
- IF Y'=+Y
- QUIT
- Begin DoDot:3
- +10 SET T=$PIECE(^AMHREDU(Y,0),U)
- +11 IF 'T
- QUIT
- +12 IF '$DATA(^AUTTEDT(T,0))
- QUIT
- +13 SET T=$PIECE(^AUTTEDT(T,0),U,2)
- +14 IF T="DEP-SCR"
- IF (9999999-$PIECE(D,"."))>$PIECE(BHSLAST,U)
- SET BHSLAST=(9999999-$PIECE(D,"."))_U_"Yes BH PT Ed "_T_" "_$$FMTE^XLFDT((9999999-$PIECE(D,".")),5)
- +15 QUIT
- End DoDot:3
- End DoDot:2
- End DoDot:1
- +16 IF BHSLAST]""
- QUIT $PIECE(BHSLAST,U,2,99)
- +17 ;now check for refusals
- +18 SET BHSC=$$REF^BHSMU(P,9999999.15,$ORDER(^AUTTEXAM("B","DEPRESSION SCREENING",0)))
- +19 IF BHSC]""
- SET X=$PIECE(BHSC,"DEPRESSION SCREENING ",1)_$PIECE(BHSC,"DEPRESSION SCREENING ",2)
- QUIT X
- +20 IF BHSRF]""
- QUIT BHSRF
- +21 QUIT "No"
- DATE(D) ;EP
- +1 IF D=""
- QUIT ""
- +2 QUIT $EXTRACT(D,4,5)_"/"_$EXTRACT(D,6,7)_"/"_(1700+$EXTRACT(D,1,3))