RGVCCMR2 ;GAI/TMG,ALS-CMOR ACTIVITY SCORE GENERATOR (PART 2) ;10-6-1997 ;;1.0;CLINICAL INFO RESOURCE NETWORK;**19,34**;30 Apr 99 ;Reference to ^DGPT( and ^DGPT("B" supported by IA #92 ;Reference to ^DIC(40.7 supported by IA #2501 ;Reference to ^LR( supported by IA #2466 ;Reference to ^PS(55 supported by IA #2470 ;Reference to ^PSRX( supported by IA #2471 ;Reference to ^RARPT( and ^RARPT("C" supported by IA #2442 ;Reference to ^SCE( and ^SCE("C" supported by IA #2443 ; EN S U="^" I '$D(RUNTYPE) I '$D(RGDFN) S RUNTYPE="I",RGDFN=0 K ^XTMP("RGVCCMR") I RUNTYPE'="I",($G(RGDFN)'=0) D NOW^%DTC S ^XTMP("RGVCCMR","@@@@","RESTARTED")=% G BATCH I RUNTYPE="I"!($G(RGDFN)=0) K ^XTMP("RGVCCMR") D NOW^%DTC ;set purge date of XTMP = 30 days S ^XTMP("RGVCCMR",0)=$$FMADD^XLFDT($$NOW^XLFDT,30)_U_$$NOW^XLFDT_U_"CMOR CALCULATION DATA" BATCH I '$D(DT) S X="T",%DT="" D ^%DT S DT=Y D NOW^%DTC I $G(RGDFN)=0!(RUNTYPE="I") S ^XTMP("RGVCCMR","@@@@","STARTED")=%,$P(^RGSITE(991.8,1,"CMOR"),U,2)=% S $P(^RGSITE(991.8,1,"CMOR"),U,8)=RUNTYPE S:'$D(^XTMP("RGVCCMR","@@@@","BIG")) ^XTMP("RGVCCMR","@@@@","BIG")=0 ALLPTS S ^XTMP("RGVCCMR","@@@@","SECTION")="ALL" S $P(^RGSITE(991.8,1,"CMOR"),U,7)="R" S:'$D(^XTMP("RGVCCMR","@@@@","DFNCOUNT")) ^XTMP("RGVCCMR","@@@@","DFNCOUNT")=0 F S RGDFN=$O(^DPT(+RGDFN)) Q:+RGDFN'>0 I $D(^DPT(+RGDFN,0)) S DPT0=^(0) G:$P($G(^RGSITE(991.8,1,"CMOR")),U,4)="Y" STOP D .S QUIT=0 D CKPT I QUIT Q .S FILEFLG=0 .D CALCI S ^XTMP("RGVCCMR","@@@@","CURR DFN")=RGDFN S $P(^RGSITE(991.8,1,"CMOR"),U)=RGDFN .I FILEFLG=1 D ..I SCORE>^XTMP("RGVCCMR","@@@@","BIG") S ^XTMP("RGVCCMR","@@@@","BIG")=SCORE ..S RATING=SCORE\100 S:'$D(^XTMP("RGVCCMR","@@@@","RATING",RATING)) ^XTMP("RGVCCMR","@@@@","RATING",RATING)=0 ..S ^XTMP("RGVCCMR","@@@@","RATING",RATING)=^XTMP("RGVCCMR","@@@@","RATING",RATING)+1 STOP I $P($G(^RGSITE(991.8,1,"CMOR")),U,4)="Y" S $P(^RGSITE(991.8,1,"CMOR"),U,7)="SM",$P(^RGSITE(991.8,1,"CMOR"),U,4)="" E S $P(^RGSITE(991.8,1,"CMOR"),U,7)="SN" D NOW^%DTC S ^XTMP("RGVCCMR","@@@@","STOPPED")=% S $P(^RGSITE(991.8,1,"CMOR"),U,3)=% D COUNT,KILL Q CALC ;API ENTRY POINT DBIA #2710 ;VARIABLES: Input ; RGDFN - IEN of the patient in the Patient ; file (#2). RGDFN is not passed as a ; formal parameter, but is defined before ; calling CALC. ; ; Output: None (result sets score into PATIENT (#2)) ; N SCORE,X,STDT,%DT,APSTDT,YR,NXPC,PCCODE,XRCODE,LRCODE,NXSCE,SCED,VISIT,NXPTF,PTFD,ADM,NXXR,RARPTD,XRAY,NXRX,PSOVER,RXDT,RXIEN,RX,RGRXST,LRSCORE,LRDFN,LRSTDT,TEST,NXLR,FILEFLG,DIE,DR,DA CALCI S SCORE=0,X="T-1065",%DT="" D ^%DT S STDT=Y,X="T",%DT="" D ^%DT S APSTDT=Y,YR=$E(DT,1,3) ; Remove call to RGRSWPT, routine being deleted. ; Remove call to FBUTL for Fee Basis redesign. ;I '+$$ACTIVE^RGRSWPT(RGDFN) D Q ;.I '$$AUTH^FBUTL(RGDFN,"2961001") Q ;.D FILE I '$D(DT) D NOW^%DTC S DT=%\1 OPT ; outpatient visit section ; each visit valued as follows: current fy = 30 pts. ; fy - 1 = 20 pts ; fy - 2 = 10 pts ; primary care visits (based on the PCCODE array) = 50 pts each in ; addition to the visit value ; XRCODE = ien of xray stop code LRCODE = ien of lab stop code ; encounters with a stop code for lab or xray are not counted to ; avoid duplication since lab & xray are counted separately ; in the XR & LR sections K PCCODE S NXPC=0 F S NXPC=$O(^RGSITE(991.8,1,"PC",NXPC)) Q:+NXPC'>0 I $D(^DIC(40.7,+$P($G(^RGSITE(991.8,1,"PC",NXPC,0)),U),0)) S PCCODE($P($G(^RGSITE(991.8,1,"PC",NXPC,0)),U))="" I '$D(PCCODE) S PCCODE="" S XRCODE=0 I $D(^DIC(40.7,"C",105)) S XRCODE=$O(^DIC(40.7,"C",105,0)) S LRCODE=0 I $D(^DIC(40.7,"C",108)) S LRCODE=$O(^DIC(40.7,"C",108,0)) K VISIT S NXSCE=0 F S NXSCE=$O(^SCE("C",+RGDFN,NXSCE)) Q:+NXSCE'>0 I $D(^SCE(+NXSCE,0)) S SCE0=^(0) D .I $P(SCE0,U,3)=XRCODE!($P(SCE0,U,3))=LRCODE Q .I $P(SCE0,U)>STDT I '$D(VISIT(+$P(SCE0,U)\1)) S VISIT(+$P(SCE0,U)\1)=30+(($E($P(SCE0,U),1,3)-YR)*10) S SCORE=SCORE+30+(($E($P(SCE0,U),1,3)-YR)*10) .I $D(PCCODE(+$P(SCE0,U,3))) I '$D(VISIT($P(SCE0,U)\1)) S VISIT(+$P(SCE0,U)\1)=50 S SCORE=SCORE+50 .I $D(PCCODE(+$P(SCE0,U,3))) I $D(VISIT($P(SCE0,U)\1)) S VISIT(+$P(SCE0,U)\1)=VISIT(+$P(SCE0,U)\1)+50 S SCORE=SCORE+50 ADM ; past admission section ; each admission valued as follows: current fy = 50 pts ; fy - 1 = 40 pts ; fy - 2 = 30 pts K ADM S NXPTF=0 F S NXPTF=$O(^DGPT("B",+RGDFN,NXPTF)) Q:+NXPTF'>0 I $D(^DGPT(NXPTF,0)) S PTF0=^(0) D .I $P(PTF0,U,2)>STDT I '$D(ADM($P(PTF0,U,2)\1)) S ADM(+$P(PTF0,U,2)\1)=50+(($E($P(PTF0,U,2),1,3)-YR)*10) S SCORE=SCORE+50+(($E($P(PTF0,U,2),1,3)-YR)*10) .I $D(ADM(+$P(PTF0,U,2)\1)) I $O(^DGPT(+NXPTF,"S",0)) S ADM($P(PTF0,U,2)\1)=ADM($P(PTF0,U,2)\1)+10 S SCORE=SCORE+10 XRAY ; radiololgy section - each radiology exam valued at 20 pts ; S X="T-365",%DT="" D ^%DT S XRSTDT=Y K XRAY S NXXR=0 F S NXXR=$O(^RARPT("C",+RGDFN,NXXR)) Q:+NXXR'>0 I $D(^RARPT(+NXXR,0)),$P(^(0),U,3)>XRSTDT S RARPT0=^(0) D .I '$D(XRAY($P(RARPT0,U,3)\1)) S XRAY($P(RARPT0,U,3)\1)=20 S SCORE=SCORE+20 RX ; prescription section ; ; currently active prescriptions valued at 20 pts K RX,^TMP("PSOR",$J) S NXRX=0 ;check for version of Outpatient Pharmacy used ;if under 7.0 use direct global access, else use api PSOORDER S PSOVER=$$VERSION^XPDUTL("PSO") S RXDT=$$FMADD^XLFDT(DT,-121) F S RXDT=$O(^PS(55,RGDFN,"P","A",RXDT)) Q:RXDT'>0 S RXIEN=0 F S RXIEN=$O(^PS(55,RGDFN,"P","A",RXDT,RXIEN)) Q:RXIEN'>0 D . I PSOVER<7 DO ; .. I $D(^PSRX(+RXIEN,0)),$P(^(0),U,15)=0 S RX(NXRX)=20 S SCORE=SCORE+20 . I PSOVER'<7 D EN^PSOORDER(RGDFN,RXIEN) I $D(^TMP("PSOR",$J,RXIEN)) D .. S RGRXST=$P($P(^TMP("PSOR",$J,RXIEN,0),"^",4),";") I RGRXST="A"!(RGRXST="S")!(RGRXST="H") S RX(NXRX)=20 K RGRXST S SCORE=SCORE+20 K ^TMP("PSOR",$J) LR ; laboratory section ; "CH" = chemistry; "CY" = cytotology; "EM" = electron microscopy; ; "MI = microbiology; "SP" = surgical pathology ; each lab test done in the past year is valued at 10 points ; S LRSCORE=0 I $D(^DPT(+RGDFN,"LR")) S LRDFN=^DPT(+RGDFN,"LR") I $D(^LR(+LRDFN)) S X="T-365",%DT="" D ^%DT S LRSTDT=Y-.0001 F TEST="CH","CY","EM","MI","SP" D .S NXLR=0 F S NXLR=$O(^LR(+LRDFN,TEST,NXLR)) Q:+NXLR'>0 I $D(^(NXLR,0)),$P(^(0),U)>LRSTDT S LRSCORE=LRSCORE+10 S SCORE=SCORE+LRSCORE FILE ; file score & date calculated in appropriate locations in the ; PATIENT file 'MPI' node ; scores are filed even if zero ; FILEFLG variable used to illiminate unnecessary statistcal processing S FILEFLG=1 S DIE="^DPT(",DA=RGDFN,DR="991.06///^S X=SCORE;991.07///TODAY" D ^DIE I $D(^XTMP("RGVCCMR","@@@@","DFNCOUNT")) S ^XTMP("RGVCCMR","@@@@","DFNCOUNT")=^XTMP("RGVCCMR","@@@@","DFNCOUNT")+1 Q KILL K ADM,APSTDT,DA,DIE,DIC,RGDFN,DGS0,DPT0,DR,LRCODE,LRDFN,LRSCORE,LRSTDT K NUM,NXLR,NXPTF,NXRX,NXSCE,NXXR,PCCODE,PTF0,PTNAM K QUIT,RARPT0,RATE,RATING,RX,RXDT,RXIEN,SCE0,SCORE,SSN,STDT,TEST,VISIT,X K XRAY,XRCODE,XRSTDT,Y,YR,%,%DT,NXPC,PSOVER,RUNTYPE,FILEFLG S:$D(ZTQUEUED) ZTREQ="@" Q CKPT S PTNAM=$P(DPT0,U),SSN=$P(DPT0,U,9) I PTNAM?1"ZZ".E S QUIT=1 I SSN?1"00000".E S QUIT=1 Q COUNT S ^XTMP("RGVCCMR","@@@@","RATING","TCOUNT")=0,RATE="" F S RATE=$O(^XTMP("RGVCCMR","@@@@","RATING",RATE)) Q:RATE'?.N D .;.W !,RATE .S ^XTMP("RGVCCMR","@@@@","RATING","TCOUNT")=^XTMP("RGVCCMR","@@@@","RATING","TCOUNT")+^XTMP("RGVCCMR","@@@@","RATING",RATE) Q