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Routine: PXRMCWH

PXRMCWH.m

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  1. PXRMCWH ; SLC/AGP - Computed findings for WH project. ;06/09/2006
  1. ;;2.0;CLINICAL REMINDERS;**1,4**;Feb 4, 2005;Build 21
  1. ;
  1. MAM(DFN,NGET,BDT,EDT,NFOUND,TEST,DATE,DATA,TEXT) ;Computed finding for
  1. ;mammogram screening and review
  1. ;
  1. N CNT,CNT1,RESULT,WHDATE
  1. S NGET=$S(NGET<0:-NGET,1:NGET)
  1. S (CNT1,CNT,NFOUND)=0,DATE=$$NOW^PXRMDATE,TEST(1)=0
  1. I $G(BDT)'="",$G(EDT)'="" S WHDATE=BDT_U_EDT
  1. D LATEST^WVRPCPR(.RESULT,DFN,"M",$G(WHDATE),$G(NGET),"*")
  1. I $D(RESULT)>0 D PROCESS(.RESULT,.CNT1,.TEST,.DATA,.TEXT,NGET,BDT,EDT,NFOUND)
  1. I $G(CNT1)>0 S NFOUND=CNT1
  1. Q
  1. ;
  1. MAMA(DFN,NGET,BDT,EDT,NFOUND,TEST,DATE,DATA,TEXT) ;Computed finding for
  1. ;mammogram abnormal result
  1. ;
  1. N CNT,CNT1,RESULT,WHDATE
  1. S NGET=$S(NGET<0:-NGET,1:NGET)
  1. S (CNT1,CNT,NFOUND)=0,DATE=$$NOW^PXRMDATE,TEST(1)=0
  1. I $G(BDT)'="",$G(EDT)'="" S WHDATE=BDT_U_EDT
  1. D LATEST^WVRPCPR(.RESULT,DFN,"M",$G(WHDATE),$G(NGET),"A")
  1. I $D(RESULT)>0 D PROCESS(.RESULT,.CNT1,.TEST,.DATA,.TEXT,NGET,BDT,EDT,NFOUND)
  1. I $G(CNT1)>0 S NFOUND=CNT1
  1. Q
  1. ;
  1. PAP(DFN,NGET,BDT,EDT,NFOUND,TEST,DATE,DATA,TEXT) ;Computed
  1. ;finding for pap smear screening and review
  1. ;
  1. N CNT,CNT1,RESULT,WHDATE
  1. S NGET=$S(NGET<0:-NGET,1:NGET)
  1. S (CNT1,CNT,NFOUND)=0,DATE=$$NOW^PXRMDATE,TEST(1)=0
  1. I $G(BDT)'="",$G(EDT)'="" S WHDATE=BDT_U_EDT
  1. D LATEST^WVRPCPR(.RESULT,DFN,"P",$G(WHDATE),$G(NGET),"*")
  1. I $D(RESULT)>0 D PROCESS(.RESULT,.CNT1,.TEST,.DATA,.TEXT,NGET,BDT,EDT,NFOUND)
  1. I $G(CNT1)>0 S NFOUND=CNT1
  1. Q
  1. ;
  1. ;
  1. PAPA(DFN,NGET,BDT,EDT,NFOUND,TEST,DATE,DATA,TEXT) ;Computed finding for
  1. ;pap smear abnormal result
  1. ;
  1. N CNT,CNT1,RESULT,WHDATE
  1. S NGET=$S(NGET<0:-NGET,1:NGET)
  1. S (CNT1,CNT,NFOUND)=0,DATE=$$NOW^PXRMDATE,TEST(1)=0
  1. I $G(BDT)'="",$G(EDT)'="" S WHDATE=BDT_U_EDT
  1. D LATEST^WVRPCPR(.RESULT,DFN,"P",$G(WHDATE),$G(NGET),"A")
  1. I $D(RESULT)>0 D PROCESS(.RESULT,.CNT1,.TEST,.DATA,.TEXT,NGET,BDT,EDT,NFOUND)
  1. I $G(CNT1)>0 S NFOUND=CNT1
  1. Q
  1. ;
  1. ;
  1. PROCESS(RESULT,CNT1,TEST,DATA,TEXT,NGET,BDT,EDT,NFOUND) ;
  1. ;Pieces out data in Result for Reminder evaluation
  1. N DATE1
  1. I $P($G(RESULT(0)),U)<0 Q
  1. F S CNT=$O(RESULT(CNT)) Q:CNT=""!(CNT1>$G(NGET)) I CNT'=0 D
  1. . S DATE1=$P($G(RESULT(CNT)),U,3)
  1. . I $G(BDT)'="",$G(EDT)'="",EDT<BDT Q
  1. . S CNT1=CNT1+1
  1. . S TEST(CNT1)=0
  1. . S DATA(CNT1,"LINK")=$P($G(RESULT(CNT)),U,7)
  1. . S DATA(CNT1,"STATUS")=$P($G(RESULT(CNT)),U,8)
  1. . S DATA(CNT1,"VALUE")=$P($G(RESULT(CNT)),U,5)
  1. . S DATA(CNT1,"WVIEN")=$P($G(RESULT(CNT)),U)
  1. . S TEST(CNT1)=1,DATE(CNT1)=$G(DATE1)
  1. . S TEXT(CNT1)=$P($G(RESULT(CNT)),U,4)_" "_$P($G(RESULT(CNT)),U,6)
  1. . ;S VALUE(CNT1)=$P($G(RESULT(CNT)),U,5)
  1. Q
  1. ;
  1. PAPSCR(DFN,NGET,BDT,EDT,NFOUND,TEST,DATE,DATA,TEXT) ;Computed finding for
  1. ;pap smear screening and f/u
  1. ;
  1. N CNT,CNT1,CNT2,DATE1,DS,EDTT,IND,JND,MOR,MORIEN,NODE,OD
  1. N PXRMWVT,PXRMWVM
  1. N SDIR,SNOWCNT,TDATA,TDATE,TOP,TTEST,TTEXT,SNOWTOP,NODE,WVPAP
  1. N DAS,DAS0,DAS1,DAS2,DAS3,DAS4,DAS5
  1. S NFOUND=0
  1. S WVPAP=$O(^WV(790.2,"B","PAP SMEAR",""))
  1. S SNOWCNT=0,CNT=0
  1. ;Get SNOMED Morphology codes from file 790.2
  1. F S SNOWCNT=$O(^WV(790.2,WVPAP,1,SNOWCNT)) Q:+SNOWCNT'>0 D
  1. .S PXRMWVM($P($G(^WV(790.2,WVPAP,1,SNOWCNT,0)),U))=$P($G(^WV(790.2,WVPAP,1,SNOWCNT,0)),U,2)
  1. ;
  1. ;Get SNOMED Topography codes from file 790.2
  1. S SNOWCNT=0 F S SNOWCNT=$O(^WV(790.2,WVPAP,2,SNOWCNT)) Q:+SNOWCNT'>0 D
  1. .S PXRMWVT($P($G(^WV(790.2,WVPAP,2,SNOWCNT,0)),U))=""
  1. ;
  1. ;If no topography codes quit
  1. I $D(PXRMWVT)'>0 S DATA(1,"VALUE")="NO TOPOGRAPHY CODES FOUND",TEST(1)=0,TEXT(1)=" " Q
  1. ;
  1. ;Handle search direction and date ranges
  1. S EDTT=$S(EDT[".":EDT+.0000001,1:EDT+.240001)
  1. S SDIR=$S(NGET<0:+1,1:-1)
  1. S DS=$S(SDIR=+1:BDT-.000001,1:EDTT)
  1. S NGET=$S(NGET<0:-NGET,1:NGET)
  1. ;
  1. ;Match Topography codes in PXRMINDX for Lab
  1. N DTARRAY,NODE1,TCNT,ODATE1
  1. S TOP=0,CNT1=0,TCNT=0,ODATE1=0 F S TOP=$O(PXRMWVT(TOP)) Q:+TOP'>0!(CNT1=NGET) D
  1. .S SNOWTOP="A;O;"_TOP,DATE1=DS
  1. .F S DATE1=+$O(^PXRMINDX(63,"PI",DFN,SNOWTOP,DATE1),SDIR) Q:$S(DATE1'>0:1,DATE1<BDT:1,DATE1>EDTT:1,1:0) D
  1. ..S DAS=$O(^PXRMINDX(63,"PI",DFN,SNOWTOP,DATE1,""))
  1. ..;
  1. ..;set date to dtarray to hanle multiple snomed done on the same date
  1. ..S DTARRAY(DATE1)=$S($D(DTARRAY(DATE1)):DTARRAY(DATE1)+1,1:1)
  1. ..S DTARRAY(DATE1,DTARRAY(DATE1))=TOP_U_DAS
  1. ;
  1. ;loop through date array
  1. N DAS
  1. S DATE1=DS F S DATE1=$O(DTARRAY(DATE1),SDIR) Q:$S(DATE1'>0:1,CNT1=NGET:1,1:0) D
  1. .S TCNT=0,CNT1=CNT1+1 F S TCNT=$O(DTARRAY(DATE1,TCNT)) Q:TCNT'>0 D
  1. ..S NODE1=$G(DTARRAY(DATE1,TCNT))
  1. ..S TDATE(CNT1)=DATE1,NODE=$G(^LAB(61,$P(NODE1,U),0)),DAS=$P(NODE1,U,2)
  1. ..S TTEST(CNT1)=0
  1. ..;
  1. ..;set TDATA to value
  1. ..S TDATA(CNT1,"SNOMED",TCNT,"VALUE")="T-"_$P(NODE,U,2)_" "_$P(NODE,U)
  1. ..I '$D(TTEXT(CNT1)) S TTEXT(CNT1)=TDATA(CNT1,"SNOMED",TCNT,"VALUE")_" - "
  1. ..E I $L(TTEXT(CNT1))+$L(TDATA(CNT1,"SNOMED",TCNT,"VALUE"))<255 D
  1. ...I $E(TTEXT(CNT1),$L(TTEXT(CNT1)))="\" S TTEXT(CNT1)=TTEXT(CNT1)_TDATA(CNT1,"SNOMED",TCNT,"VALUE")_" - "
  1. ..S TDATA(CNT1,"SNOMED",TCNT,"TOPH")="T-"_$P(NODE,U,2)
  1. ..;
  1. ..;Dig down into Lab file to find a match for morphology codes
  1. ..S SNOWCNT=0,DAS0=$P($G(DAS),";"),DAS1=$P($G(DAS),";",3)
  1. ..S DAS2=$P(DAS,";",4),DAS3=$P(DAS,";",5)
  1. ..S CNT2=0,NODE=""
  1. ..;
  1. ..;get Morphology results
  1. ..N MCNT S MCNT=0
  1. ..S TDATA(CNT1,"UNSATISFACTORY")="F"
  1. ..F S SNOWCNT=$O(^LR(DAS0,"CY",DAS1,DAS2,DAS3,2,SNOWCNT)) Q:+SNOWCNT'>0 D
  1. ...S MORIEN=^LR(DAS0,"CY",DAS1,DAS2,DAS3,2,SNOWCNT,0)
  1. ...I $D(PXRMWVM(MORIEN))>0 D
  1. ....S TTEST(CNT1)=1,MCNT=MCNT+1
  1. ....;
  1. ....;handle multiple SNOMED entries for the same date
  1. ....S NODE=^LAB(61.1,MORIEN,0)
  1. ....N STR
  1. ....I '$D(TTEXT(CNT1)) S TTEXT(CNT1)="M-"_$P(NODE,U,2)_" "_$P(NODE,U)
  1. ....E D
  1. .....S STR="M-"_$P(NODE,U,2)_" "_$P(NODE,U)
  1. .....I $L(TTEXT(CNT1))+STR'<255 Q
  1. .....S TTEXT(CNT1)=TTEXT(CNT1)_STR_";"
  1. ....;
  1. ....S TDATA(CNT1,"SNOMED",TCNT,MCNT,"MORP")="M-"_$P(NODE,U,2)
  1. ....S TDATA(CNT1,"SNOMED",TCNT,MCNT,"RESULT STATUS")=$S(PXRMWVM(MORIEN)="0":"NEM",PXRMWVM(MORIEN)="1":"Abnormal",PXRMWVM(MORIEN)="2":"Unsatisfactory",1:"Unknown")
  1. ....I TDATA(CNT1,"SNOMED",TCNT,MCNT,"RESULT STATUS")["Un" S TDATA(CNT1,"UNSATISFACTORY")="T"
  1. ....I $L(TTEXT(CNT1))+$L("\\")<255 S TTEXT(CNT1)=TTEXT(CNT1)_"\\"
  1. S NFOUND=CNT1
  1. N DATE1,CNT,TCNT
  1. F IND=1:1:NFOUND S OD(TDATE(IND),IND)=""
  1. S CNT1=0,IND=""
  1. F S IND=$O(OD(IND),SDIR) Q:IND="" D
  1. . S JND=0
  1. . F S JND=$O(OD(IND,JND)) Q:JND="" D
  1. .. S CNT1=CNT1+1
  1. .. S DATE(CNT1)=IND
  1. .. S TEST(CNT1)=TTEST(JND)
  1. .. M DATA(CNT1)=TDATA(JND)
  1. .. S TEXT(CNT1)=TTEXT(JND)
  1. Q
  1. ;