VistA-FOIAVistA/r/MENTAL_HEALTH-YS-RUCL-YI-YT/YTDOMR.m

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YTDOMR ;ALB/ASF-DEPRESSION OUTCOME MODULE REPORT ; 5/7/07 10:39am
;;5.01;MENTAL HEALTH;**31,85**;Dec 30, 1994;Build 48
EN81 ;
D ^YTDOMR1
S (YSCR,YSDEP,YSPA,YSPB,YSSEV,YSNOT)=0
S R=^YTD(601.2,YSDFN,1,YSTEST,1,YSED,1)
;PART A SAD-NOFUN
I $E(R,49)>2!($E(R,50)>2) S YSPA=1
;PART B DEPRESSIVE SYMPTOMS 4 WEEKS
I $E(R,49)>2 S YSCR=YSCR+1
I $E(R,50)>2 S YSCR=YSCR+1
I $E(R,51)>2!($E(R,52)>2) S YSCR=YSCR+1
I $E(R,53)>2 S YSCR=YSCR+1
I $E(R,54)>2 S YSCR=YSCR+1
I $E(R,55)>2 S YSCR=YSCR+1
I $E(R,56)>2 S YSCR=YSCR+1
I $E(R,57)>2 S YSCR=YSCR+1
I $E(R,58)>2!($E(R,59)="Y") S YSCR=YSCR+1
I YSCR>4 S YSPB=1
;MISSING
S YSMISS=$L($E(R,49,59),"X")-1
I ((YSCR<5)&((YSMISS+YSCR)>4))!(YSMISS>4) S YSPB=""
I YSPA,YSPB S YSDEP=1
I YSPB="" S YSDEP=""
I $E(R,25)="Y" S YSNOT=1
F I=49:1:59 S X=$E(R,I) S X=$S(X="Y":3,X="N":0,X?1N:X-1,1:0) S YSSEV=YSSEV+X
S YSSEV=YSSEV/(11-YSMISS)*33.33
I YSMISS>1 S YSSEV=""
OUT81 ;
S I1="",$P(I1,"_",79)="" W !!,I1
W !,"Scoring: By self report,"
W:YSDEP'="" !,"The patient "_$S(YSDEP:"DOES",1:"DOES NOT")_" meet DSM IV Criterion A for Major Depressive Episode."
W:YSDEP="" !,"Diagnosis not available due to "_YTMISS_" missing items"
I YSNOT W !,"However a recent death is reported."
W !?15,"DOM severity score= "
W $S(YSSEV="":" not scoreable due to missing items",1:$J(YSSEV,3,0))
W !,"There are no normative data for interpreting the severity score, but changes"
W !,"between this score and the score on the DOM Patient Follow-Up Assessment",!,"(Form 8.3) may reflect changes in the severity of the patient's symptoms."
W !,I1
Q
EN82 ;
D ^YTDOMR1
S (YSCR,YSDEP,YSPA,YSPB,YSSEV,YSNOT)=0
S R=^YTD(601.2,YSDFN,1,YSTEST,1,YSED,1)
I $E(R,4)="Y"!($E(R,5)="Y") S YSPA=1
F I=4:1:12 S:$E(R,I)="Y" YSCR=YSCR+1
S:YSCR>4 YSPB=1
I YSPA&YSPB S YSDEP=1
F I=13,14,15,18,20,21,22 S:$E(R,I)="Y" YSNOT=1
;
OUT82 ;
S I1="",$P(I1,"_",79)="" W !!,I1
W !,"Scoring:"
S X=$E(R,1)
W !,"Clinician reports: "
W $S(X=1:"MAJOR DEPRESSION (SINGLE EPISODE OR RECURRENT)",X=2:"Mood Disorder secondary to a general medical condition",X=3:"Posttraumatic Stress Disorder",X=4:"Substance use disorder(s)",X=5:"NO MAJOR DEPRESSION",1:"??")
W !,"The patient "_$S(YSDEP:"DOES",1:"DOES NOT")_" meet DSM IV criteria for major depression."
I YSNOT W !,"However exclusionary features are reported."
W !,I1
Q
EN80 ;
D ^YTDOMR1
S X=^YTD(601.2,YSDFN,1,YSET,1,YSED,1)
S X1=0
S:$E(X,1)="Y" X1=1
S:($E(X,2)="Y")&($E(X,3)="Y")&($E(X,4)>1) X1=1
W:(X1=1) !!,"This screen is positive, and the possibility of a mood disorder",!,"should be evaluated further."
W:(X1=0) !!,"This screen for mood disorder is negative."
Q
ENG ;geriatric screen
S YSHDR=$E(YSHDR,1,43)_" "_YSSEX_" AGE "_$J(YSAGE,2,0)
W @IOF,YSHDR,?53,$$FMTE^XLFDT(DT,"5ZD"),?64,$$FMTE^XLFDT(YSHD,"5ZD")
W !,?53,"PRINTED",?64,"ENTERED",!
W !!,?3,"*** Geriatric Depression Screen ***",!!
W !,"The patient was questioned about mood in the past week.",!
W !,"Felt could not shake off blues: " S YSI=1 D ENGQ
W !,"Felt depressed: " S YSI=2 D ENGQ
W !,"Felt fearful: " S YSI=3 D ENGQ
W !,"Sleep was restless: " S YSI=4 D ENGQ
W !,"Felt hopeless about the future: " S YSI=5 D ENGQ
S X=^YTD(601.2,YSDFN,1,YSET,1,YSED,1)
S (YSMISS,YSDEP)=0 F I=1:1:4 S YSDEP=YSDEP+$E(X,I) S:$E(X,I)="X" YSMISS=YSMISS+1 ; ASF 10/20/06
S:$E(X,5)?1N YSDEP=YSDEP+(3-$E(X,5)) S:$E(X,5)="X" YSMISS=YSMISS+1
I YSMISS=1 S YSDEP=YSDEP+(YSDEP/4)
I YSMISS>1 W !!,"The validity of this test is compromised as "_YSMISS_" of the 5 questions",!,"were not answered." Q
W !!,"Score: "_YSDEP
W:(YSDEP>3.9) !,"This screen is positive, and the possibility of a mood disorder",!,"should be evaluated further."
W:(YSDEP<4) !,"This screen for mood disorder is negative."
Q
ENGQ ;
S Y1=$E(^YTD(601.2,YSDFN,1,YSET,1,YSED,1),YSI)
I YSI<5 W $S(Y1=0:"rarely",Y1=1:"some of the time",Y1=2:"much of the time",Y1=3:"most of the time",1:"question not answered")
I YSI=5 W $S(Y1=3:"rarely",Y1=2:"some of the time",Y1=1:"much of the time",Y1=0:"most of the time",1:"question not answered")