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Routine: BUDDRP6M

BUDDRP6M.m

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BUDDRP6M ; IHS/CMI/LAB - UDS REPORT PROCESSOR ;
 ;;11.0;IHS/RPMS UNIFORM DATA SYSTEM;;JAN 18, 2017;Build 66
 ;
 ;
NDC(A,B) ;
 ;a is drug ien
 ;b is taxonomy ien
 NEW BUDNDC
 S BUDNDC=$P($G(^PSDRUG(A,2)),U,4)
 I BUDNDC]"",B,$D(^ATXAX(B,21,"B",BUDNDC)) Q 1
 Q 0
J ;EP ;IVD
 S BUDDOB=$P(^DPT(DFN,0),U,3)
 S BUD18RB=($E(BUDBD,1,3)-18)_"1231"
 Q:BUDDOB>BUD18RB
 Q:BUDMEDV<1
 S BUD18TH=$E(BUDDOB,1,3)+18_$E(BUDDOB,4,7)
 I '$$VBBD^BUDDRP6V(DFN,BUD18TH,BUDED) Q  ;quit if no visiT AFTER 18TH BIRTHDAY
 K ^TMP($J,"A")
 S BUDIVD=$$IVD(DFN,BUDBD,$E(BUDBD,1,3)-1_$E(BUDBD,4,7),BUDED)  ;return date of problem list or visit date during report period
 K ^TMP($J,"A")
 ;I BUDIVD="" S X="",X=$$ASPTHER(DFN,BUDBD,BUDED) I X]"" S ^XTMP("BUDDRP6B",BUDJ,BUDH,"IVD2",BUDAGE,$P(^DPT(DFN,0),U),BUDCCOM,DFN)=$P(BUDIVD,U)_U_$P(X,U,2) Q
 Q:BUDIVD=""  ;no IVD diagnosis
 S BUDIVDT=$$ASPTHER(DFN,BUDBD,BUDED)
 I BUDIVDT]"" S BUDSECTJ("IVD")=$G(BUDSECTJ("IVD"))+1
 ;put the rest in demoninator
 S BUDSECTJ("PTS")=$G(BUDSECTJ("PTS"))+1 D
 .I $G(BUDIVD2L) D
 ..I BUDIVDT="" S ^XTMP("BUDDRP6B",BUDJ,BUDH,"IVD2",BUDAGE,$P(^DPT(DFN,0),U),BUDCCOM,DFN)=$P(BUDIVD,U)_U_$P(BUDIVDT,U,2)
 .I $G(BUDIVD1L) D
 ..I BUDIVDT]"" S ^XTMP("BUDDRP6B",BUDJ,BUDH,"IVD1",BUDAGE,$P(^DPT(DFN,0),U),BUDCCOM,DFN)=$P(BUDIVD,U)_U_$P(BUDIVDT,U,2)
 Q
ASPDALG(P,ED) ;
 ;allergy tracking
 NEW BUDD,X,N,G,Y,T,T1,S,A,B,C
 S T=$O(^ATXAX("B","BUD ASPD LOWERING MEDS",0))
 S T1=$O(^ATXAX("B","BGPMU ASPD LOWERING NDCS",0))
 S BUDD=0
 S X=0 F  S X=$O(^GMR(120.8,"B",P,X)) Q:X'=+X!(BUDD)  D
 .Q:$P($P($G(^GMR(120.8,X,0)),U,4),".")>ED  ;entered after end date
 .S N=$P($G(^GMR(120.8,X,0)),U,3)
 .;IF PSDRUG CHECK AGAINST MEDS TAXONOMY
 .I N["PSDRUG"!(N["PSNDF") D
 ..S Y=+N
 ..I T,$D(^ATXAX(T,21,"AA",Y)) S BUDD=1
 ..S D=$P($G(^PSDRUG(Y,2)),U,4)
 ..I D,$D(^ATXAX(T1,21,"AA",D)) S BUDD=1
 Q BUDD
IVD(P,BDATE,PYBD,EDATE) ;EP
 NEW BUDVS,TIEN,CTR,VIEN,VDATE,X,Y,Z,BUDTOB
 D ALLV^APCLAPIU(P,BDATE,EDATE,"BUDVS")
 S TIEN=$O(^BUDDTSSC("B","T6B IVD DEFINITION CODES",0))
 S CTR=0 F  S CTR=$O(BUDVS(CTR)) Q:CTR'=+CTR  D
 .S VIEN=$P(BUDVS(CTR),U,5)
 .S VDATE=$P(BUDVS(CTR),U,1)
 .;POV/SNOMED
 .S X=0 F  S X=$O(^AUPNVPOV("AD",VIEN,X)) Q:X'=+X  D
 ..Q:'$D(^AUPNVPOV(X,0))
 ..S Y=$$VALI^XBDIQ1(9000010.07,X,.01) I $D(^BUDDTSSC("AD",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" DX: "_$$VAL^XBDIQ1(9000010.07,X,.01) Q
 ..S Y=$$VAL^XBDIQ1(9000010.07,X,1101)
 ..Q:Y=""
 ..I $D(^BUDDTSSC("AS",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" DX: "_Y Q
 I $O(BUDTOB(0)) S X=$O(BUDTOB(0)),X=BUDTOB(X) Q X
 S Y=$$PLCL^BUDDDU(P,"T6B IVD DEFINITION CODES",EDATE,1)
 I Y Q $$DATE^BUDDUTL1($P(Y,U,3))_" PL "_$P(Y,U,2)
 ;NOW CHECK SURGERY IN PYBD
 K BUDVS
 D ALLV^APCLAPIU(P,PYBD,$$FMADD^XLFDT(BDATE,-1),"BUDVS")
 S TIEN=$O(^BUDDTSSC("B","T6B IVD CARDIAC SURGERY CODES",0))
 S CTR=0 F  S CTR=$O(BUDVS(CTR)) Q:CTR'=+CTR  D
 .S VIEN=$P(BUDVS(CTR),U,5)
 .S VDATE=$P(BUDVS(CTR),U,1)
 .;CPT
 .S X=0 F  S X=$O(^AUPNVCPT("AD",VIEN,X)) Q:X'=+X  D
 ..Q:'$D(^AUPNVCPT(X,0))
 ..S Y=$$VAL^XBDIQ1(9000010.18,X,.01)
 ..Q:Y=""
 ..I $D(^BUDDTSSC("AC",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" CPT: "_Y Q
 .;V TRANS
 .S X=0 F  S X=$O(^AUPNVTC("AD",VIEN,X)) Q:X'=+X  D
 ..Q:'$D(^AUPNVTC(X,0))
 ..S Y=$$VAL^XBDIQ1(9000010.33,X,.07)
 ..Q:Y=""
 ..I $D(^BUDDTSSC("AC",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" CPT: "_Y Q
 .;V PROC
 .S X=0 F  S X=$O(^AUPNVPRC("AD",VIEN,X)) Q:X'=+X  D
 ..Q:'$D(^AUPNVPRC(X,0))
 ..S Y=$$VALI^XBDIQ1(9000010.08,X,.01)
 ..I $D(^BUDDTSSC("AP",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" PROC: "_$$VAL^XBDIQ1(9000010.08,X,.01) Q
 .;POV/SNOMED
 .S X=0 F  S X=$O(^AUPNVPOV("AD",VIEN,X)) Q:X'=+X  D
 ..Q:'$D(^AUPNVPOV(X,0))
 ..S Y=$$VALI^XBDIQ1(9000010.07,X,.01) I $D(^BUDDTSSC("AD",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" DX: "_$$VAL^XBDIQ1(9000010.07,X,.01) Q
 ..S Y=$$VAL^XBDIQ1(9000010.07,X,1101)
 ..Q:Y=""
 ..I $D(^BUDDTSSC("AS",Y,TIEN)) S BUDTOB(9999999-VDATE)=$$DATE^BUDDUTL1(VDATE)_" DX/SNOMED: "_Y Q
 I $O(BUDTOB(0)) S X=$O(BUDTOB(0)),X=BUDTOB(X) Q X
 ;S Y=$$PLCL^BUDDDU(P,"T6B IVD CARDIAC SURGERY CODES",EDATE,1)
 ;I Y Q $$DATE^BUDDUTL1($P(Y,U,3))_" PL "_$P(Y,U,2)
 Q ""
ASPTHER(P,BD,ED) ;
 NEW BUDMEDS1,G,A,C,M,V,V1D
 S G=""
 D GETMEDS^BUDDUTL2(P,BD,ED,"BUD ANTIPLATELET MEDS","BGPMU IVD ANTIPLATELET NDCS",,,.BUDMEDS1)
 I '$D(BUDMEDS1) G ASP  ; no meds
 S BUDISD=""
 S A=0,C="" F  S A=$O(BUDMEDS1(A)) Q:A'=+A!(C)  D
 .S M=$P(BUDMEDS1(A),U,4)  ;IEN OF V MED
 .Q:'$D(^AUPNVMED(M,0))
 .I $$UP^XLFSTR($P($G(^AUPNVMED(M,11)),U))["RETURNED TO STOCK" K BUDMEDS1(A) Q
 .I $$STATDC(M) K BUDMEDS1(A) Q  ;d/c'ed BY PROVIDER OR EDIT
 .S V=$P(BUDMEDS1(A),U,5)
 .S V1D=$$VD^APCLV(V)
 .S C=1_U_$$VAL^XBDIQ1(9000010.14,M,.01)_" on "_$$FMTE^XLFDT(V1D)
 I C Q C
ASP ;
 S G=""
 D GETMEDS^BUDDUTL2(P,BD,ED,"DM AUDIT ASPIRIN DRUGS","",,,.BUDMEDS1)
 I '$D(BUDMEDS1) Q G  ;no aspirin
 S BUDISD=""
 S A=0,C="" F  S A=$O(BUDMEDS1(A)) Q:A'=+A!(C)  D
 .S M=$P(BUDMEDS1(A),U,4)  ;IEN OF V MED
 .Q:'$D(^AUPNVMED(M,0))
 .I $$UP^XLFSTR($P($G(^AUPNVMED(M,11)),U))["RETURNED TO STOCK" K BUDMEDS1(A) Q
 .I $$STATDC(M) K BUDMEDS1(A) Q  ;d/c'ed BY PROVIDER OR EDIT
 .S V=$P(BUDMEDS1(A),U,5)
 .S V1D=$$VD^APCLV(V)
 .S C=1_U_$$VAL^XBDIQ1(9000010.14,M,.01)_" on "_$$FMTE^XLFDT(V1D)
 I C Q C
 Q ""
 ;
STATDC(V) ;EP - is the prescription associated with this V MED discontinued?
 I '$G(V) Q ""
 I '$D(^AUPNVMED(V,0)) Q 0
 NEW P,S,X
 S P=$S($D(^PSRX("APCC",V)):$O(^(V,0)),1:0)
 I 'P Q 0
 S X=$P($G(^PSRX(P,0)),U,15)
 I X=12 Q 1
 I X=13 Q 1
 I X=14 Q 1
 I X=15 Q 1
 S X=$P($G(^PSRX(P,"STA")),U,1)
 I X=12 Q 1
 I X=13 Q 1
 I X=14 Q 1
 I X=15 Q 1
 Q 0
GETV(P,BD,ED,SITE) ;EP - get all visits for this patient and COUNT MEDICAL VISITS
 NEW TV,T35V,T6V,MEDV,MEDVI,LASTV,A,X,VLOC,CLINC,TIEN,VSIT,VDATE,PP,S,LINE,D
 S TV=0,T35V=0,T6V=0,MEDV=0,MEDVI="",LASTV=""
 S A="A(""VISITS"",",B=P_"^ALL VISITS;DURING "_$$FMTE^XLFDT(BD)_"-"_$$FMTE^XLFDT(ED),E=$$START1^APCLDF(B,A)
 S X=0 F  S X=$O(A("VISITS",X)) Q:X'=+X!(MEDV>1)  S VSIT=$P(A("VISITS",X),U,5) D
 .Q:'$D(^AUPNVSIT(VSIT,0))
 .Q:'$P(^AUPNVSIT(VSIT,0),U,9)
 .Q:$P(^AUPNVSIT(VSIT,0),U,11)
 .S VLOC=$P(^AUPNVSIT(VSIT,0),U,6)
 .Q:VLOC=""
 .Q:'$D(^BUDDSITE(SITE,11,VLOC))  ;not valid location
 .Q:"AHSORMEI"'[$P(^AUPNVSIT(VSIT,0),U,7)
 .S CLINC=$$CLINIC^APCLV(VSIT,"C")
 .S TIEN=$O(^BUDDCNTL("B","FIRST LEVEL CLINIC EXCLUSIONS",0))
 .I CLINC]"",$D(^BUDDCNTL(TIEN,11,"B",CLINC)) Q  ;not a clinic code we want in any table
 .;now eliminate subsequent visits to same provider on same day  = item 4 in SRD visit definition
 .S VDATE=$$VD^APCLV(VSIT)
 .S PP=$$PRIMPROV^APCLV(VSIT,"I")
 .I $P(^AUPNVSIT(VSIT,0),U,7)="I" Q  ;don't count I visits
 .I '$D(^AUPNVPOV("AD",VSIT)) Q
 .S S=0
 .I PP]"" D
 ..S D=$P($G(A("SAMEPROV",P,VDATE,PP)),U,1)
 ..I D]"",D'>$P(^AUPNVSIT(VSIT,0),U) S S=1 Q  ;already had a visit to this provider on this date
 ..S A("SAMEPROV",P,VDATE,PP)=$P(^AUPNVSIT(VSIT,0),U)_U_VSIT
 .Q:S  ;quit if already had a visit to this provider
 .S PP=$$PRIMPROV^APCLV(VSIT,"D")
 .I PP="" Q
MEDC .;NOW CHECK FOR MEDICAL CARE, CAN ONLY HAVE 1 PER LOCATION OF ENCOUNTER
 .S S=0
 .S TIEN=$O(^BUDDCNTL("B","MEDICAL CARE LINE NUMBERS",0))
 .;S PP=$$PRIMPROV^APCLV(VSIT,"D")
 .I $E($$VAL^XBDIQ1(9000010,VSIT,.06),1,3)="CHS",PP=15 S LINE=2 G MEDC1
 .S Y=$O(^BUDDTFIV("C",PP,0)) I Y="" S LINE=35 G MEDC1
 .S LINE=$O(^BUDDTFIV("AA",PP,""))
MEDC1 .S S=0
 .I $D(^BUDDCNTL(TIEN,11,"B",LINE)) D
 ..S D=$P($G(A("MEDCARE",P,VDATE,VLOC,TIEN)),U,1)
 ..I D]"",D'>$P(^AUPNVSIT(VSIT,0),U) S S=1 Q  ;already have a medical care visit on this date
 ..S A("MEDCARE",P,VDATE,VLOC,TIEN)=$P(^AUPNVSIT(VSIT,0),U)_U_VSIT
 ..S MEDV=MEDV+1,MEDVI=VSIT
 ..Q
 Q MEDV
FDEPSCR(P,BD,ED) ;EP RETURN DATE OF FIRST DEPRESSION SCREEN
 NEW %,E,D,V,X,G,BUDC,BUDDEPS
 NEW BUDG,BUDR,BUDALL
 S BUDDEPS=""
 S BUDC=0
 K BUDG S %=P_"^FIRST EXAM 36;DURING "_BD_"-"_ED,E=$$START1^APCLDF(%,"BUDG(")
 S BUDDEPS=$P($G(BUDG(1)),U,1)
 ;phq2
 K BUDG S %=P_"^FIRST MEAS PHQ2;DURING "_BD_"-"_ED,E=$$START1^APCLDF(%,"BUDG(") ;ZW BUDG Q ""
 I $D(BUDG(1)),$P(BUDG(1),U,1)<BUDDEPS S BUDDEPS=$P(BUDG(1),U,1)
 K BUDG S %=P_"^FIRST MEAS PHQ9;DURING "_BD_"-"_ED,E=$$START1^APCLDF(%,"BUDG(") ;ZW BUDG Q ""
 I $D(BUDG(1)),$P(BUDG(1),U,1)<BUDDEPS S BUDDEPS=$P(BUDG(1),U,1)
 K BUDG S %=P_"^FIRST MEAS PHQT;DURING "_BD_"-"_ED,E=$$START1^APCLDF(%,"BUDG(") ;ZW BUDG Q ""
 I $D(BUDG(1)),$P(BUDG(1),U,1)<BUDDEPS S BUDDEPS=$P(BUDG(1),U,1)
 ;SNOMED
 ;ALL POVS
 K BUDG S %=P_"^ALL DX;DURING "_BD_"-"_ED,E=$$START1^APCLDF(%,"BUDG(")
 S E=0 F  S E=$O(BUDG(E)) Q:E'=+E  D
 .S BUDR=+$P(BUDG(E),U,4)
 .I $P($G(^AUPNVPOV(BUDR,11)),U,1)'=428181000124104 Q
 .I $P(BUDG(E),U,1)<BUDDEPS S BUDDEPS=$P(BUDG(E),U,1)
 ;NOW GO TO BH
 ;BH EXAM
BHSCR ;
 S D=0,E=9999999-BD,D=9999999-ED-1_".9999"
 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
 .I $P($G(^AMHREC(V,14)),U,5)]"" S I=9999999-$P(D,".") I I<BUDDEPS S BUDDEPS=I Q
 .S X=0 F  S X=$O(^AMHRMSR("AD",V,X)) Q:X'=+X  S BUDP=$P($G(^AMHRMSR(X,0)),U) D
 ..Q:'BUDP
 ..S BUDP=$P($G(^AUTTMSR(BUDP,0)),U)
 ..I '(BUDP="PHQ2"!(BUDP="PHQ9")!(BUDP="PHQT")) Q
 ..S I=9999999-$P(D,".") I I<BUDDEPS S BUDDEPS=I Q
 Q BUDDEPS