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))
