%MACRO E1209D1M(INP=, IND=, OUTDATA=, IDVAR=, KEEPVAR=, SEDITS=, AGE_ASOF=, DF_DG=, DF_POSTG=, VR=1209Y); %********************************************************************** *********************************************************************** * E1209D1M creates HCC and score variables for each person who is * present in a person file. * If a person has at least one diagnosis in DIAG file then HCCs are * created, otherwise HCCs are set to 0 . * * Assumptions about input files: * - both files are sorted by person ID * - person level file has the following variables: * :&IDVAR - person ID variable (it is a macro parameter) * :DOB - date of birth * :SEX - gender * :OREC - original reason for entitlement * :MCAID - Medicaid dummy variable * :NEMCAID - Medicaid dummy variable for new enrollees * * - diagnosis level file has the following vars: * :&IDVAR - person ID variable (it is macro parameter) * :DIAG - diagnosis * * Parameters: * INP - input person dataset * IND - input diagnosis dataset * OUTDATA - output dataset * IDVAR - name of person id variable (HICNO for Medicare data) * KEEPVAR - variables to keep in output file * AGE_ASOF - sas date for age calculation * DF_DG - normalization factor set by CMS, used to multiply * dialysis and graft scores (currently set to 1 * by default) * DF_POSTG - normalization factor set by CMS, used to multiply * post-graft scores (currently set to 1 by default) * VR - format version, specific to: * hcc version - 12 * update year - 09 * number of HCCs - Y (corresponds to 70) * * External macros: * %AGESEXVR - create age/sex, originally disabled, disabled vars * %EDITICD9 - perform edits to diagnosis * %V12H70M - assign one ICD9 to multiple CCs * %V12H70L - assign labels to HCCs * %E12H70H - set HCC=0 according to hierarchies * %SCOREVAR - calculate a score variable * * Comment about format: * $I1209YC - is specific for this version of the software * (12- HCC version, 09- FY 2009 ICD9 update, Y- 70 HCCs set) * $I&VR.C - VR=1209Y is a macro parameter for this * update of ICD9. This parameter is set as the default * in this macro: * VR=1209Y * With the new update of ICD9 the new format will be created * and the value of VR parameter will have to be changed. * **********************************************************************; %********************************************************************** * step1: include external macros; **********************************************************************; %INCLUDE IN0(AGESEXVR)/SOURCE2; %* create demographic variables; %INCLUDE IN0(EDITICD9)/SOURCE2; %* perform edits; %INCLUDE IN0(V12H70L) /SOURCE2; %* hcc labels; %INCLUDE IN0(E12H70H) /SOURCE2; %* hierarchies; %INCLUDE IN0(V12H70M) /SOURCE2; %* multiple CCs; %INCLUDE IN0(SCOREVAR)/SOURCE2; %* calculate score variable; %********************************************************************** * step2: define internal macro variables; **********************************************************************; %**************************************** * Macro variables common to all models *****************************************; %LET N_CC=189; %*max # of HCCs; %*list of 70 HCCs included in the following models; %LET CMSHCC = %STR(HCC1 HCC2 HCC5 HCC7 HCC8 HCC9 HCC10 HCC15 HCC16 HCC17 HCC18 HCC19 HCC21 HCC25 HCC26 HCC27 HCC31 HCC32 HCC33 HCC37 HCC38 HCC44 HCC45 HCC51 HCC52 HCC54 HCC55 HCC67 HCC68 HCC69 HCC70 HCC71 HCC72 HCC73 HCC74 HCC75 HCC77 HCC78 HCC79 HCC80 HCC81 HCC82 HCC83 HCC92 HCC95 HCC96 HCC100 HCC101 HCC104 HCC105 HCC107 HCC108 HCC111 HCC112 HCC119 HCC130 HCC131 HCC132 HCC148 HCC149 HCC150 HCC154 HCC155 HCC157 HCC158 HCC161 HCC164 HCC174 HCC176 HCC177); %*all interactions with HCC variables; %LET Interactions_wHCC = %STR(D_HCC5 D_HCC44 D_HCC51 D_HCC52 D_HCC107 DM_CHF DM_CVD CHF_COPD COPD_CVD_CAD ); %* Medicaid interactions with sex; %LET Medicaid_AgeSex_Interactions = %STR(Medicaid_Female_Aged Medicaid_Female_Disabled Medicaid_Male_Aged Medicaid_Male_Disabled); %**************************************** * Community dialysis model *****************************************; %*age/sex cells; %LET AGESEX_DIAL=%STR(F0_34 F35_44 F45_54 F55_59 F60_64 F65_69 F70_74 F75_79 F80_84 F85_GT M0_34 M35_44 M45_54 M55_59 M60_64 M65_69 M70_74 M75_79 M80_84 M85_GT); %* originally disabled interactions with sex; %LET Orig_Disabl_SexGE65_Interactions = %STR(OrigDisabled_Female_GE65 OrigDisabled_Male_GE65); %* originally ESRD or both originally disabled & ESRD interactions with sex; %LET Orig_ESRD_Sex_Interactions = %STR( Originally_ESRD_Female Originally_ESRD_Male); %*variables for Dialysis regression; %LET MOD_DIAL= %STR(&AGESEX_DIAL &Medicaid_AgeSex_Interactions &Orig_Disabl_SexGE65_Interactions &Orig_ESRD_Sex_Interactions &CMSHCC &Interactions_wHCC); %**************************************** * New Enrollees dialysis model *****************************************; %*age/sex cells; %LET AGESEX_DIAL_NE=%STR(NEF0_34 NEF35_44 NEF45_54 NEF55_59 NEF60_64 NEF65_69 NEF70_74 NEF75_79 NEF80_84 NEF85_GT NEM0_34 NEM35_44 NEM45_54 NEM55_59 NEM60_64 NEM65_69 NEM70_74 NEM75_79 NEM80_84 NEM85_GT); %* Medicaid interactions with sex for New Enrollees; %LET NE_Medicaid_Age_Interactions = %STR(NEMedicaid_Female_Aged NEMedicaid_Female_Disabled NEMedicaid_Male_Aged NEMedicaid_Male_Disabled); %* originally disabled interactions with sex for New Enrollees; %LET NE_OrigDisabl_Sex_Interactions = %STR(OrigDisabled_Female_LT65 OrigDisabled_Male_LT65); %*variables for Dialysis New Enrollees regression; %LET MOD_DIAL_NE = %STR(&AGESEX_DIAL_NE &NE_Medicaid_Age_Interactions &Orig_Disabl_SexGE65_Interactions &NE_OrigDisabl_Sex_Interactions); %**************************************** * Community Functioning Graft model *****************************************; %*for functioning graft (institutional and community); %LET AGESEX_GRAFT=%STR(F0_34 F35_44 F45_54 F55_59 F60_64 F65_69 F70_74 F75_79 F80_84 F85_89 F90_94 F95_GT M0_34 M35_44 M45_54 M55_59 M60_64 M65_69 M70_74 M75_79 M80_84 M85_89 M90_94 M95_GT); %* originally disabled interactions with sex; %LET Orig_Disabled_Sex_Interactions = %STR(OrigDisabled_Female OrigDisabled_Male); %*variables for Functioning Graft Community regression; %LET MOD_GRAFT_COMM= %STR(&AGESEX_GRAFT &Medicaid_AgeSex_Interactions &Orig_Disabled_Sex_Interactions &CMSHCC &Interactions_wHCC); %**************************************** * Institutional Functioning Graft model *****************************************; %*variables for Functioning Graft Institutional regression; %LET MOD_GRAFT_INST= %STR(&AGESEX_GRAFT MCAID ORIGDS &CMSHCC &Interactions_wHCC); **********************************************************************; * New Enrollees GRAFT model variables **********************************************************************; %LET NE_AGESEX =%STR(NEF0_34 NEF35_44 NEF45_54 NEF55_59 NEF60_64 NEF65 NEF66 NEF67 NEF68 NEF69 NEF70_74 NEF75_79 NEF80_84 NEF85_89 NEF90_94 NEF95_GT NEM0_34 NEM35_44 NEM45_54 NEM55_59 NEM60_64 NEM65 NEM66 NEM67 NEM68 NEM69 NEM70_74 NEM75_79 NEM80_84 NEM85_89 NEM90_94 NEM95_GT); %LET NE_Demographic_Interactions = %STR( Medicaid_female0_64 Medicaid_female65 Medicaid_female66_69 Medicaid_female70_74 Medicaid_female75_GT Medicaid_male0_64 Medicaid_male65 Medicaid_male66_69 Medicaid_male70_74 Medicaid_male75_GT Origdis_female65 Origdis_female66_69 Origdis_female70_74 Origdis_female75_GT Origdis_male65 Origdis_male66_69 Origdis_male70_74 Origdis_male75_GT); %LET MOD_GRAFT_NE= &NE_AGESEX &NE_Demographic_Interactions; %********************************************************************** * step3: merge person and diagnosis files outputting one record * per person with score and HCC variables for each input person * level record **********************************************************************; DATA &OUTDATA(KEEP=&KEEPVAR); %****************************************************; * step3.1: declaration section; %****************************************************; %V12H70L; *HCC labels; %*length of some new variables, other demographic vars defined in macro AGESEXVR; LENGTH CC $4. AGEF 3. &AGESEX_DIAL DM CHF COPD CVD VD CAD &Interactions_wHCC &Medicaid_AgeSex_Interactions &Orig_Disabl_SexGE65_Interactions &Orig_ESRD_Sex_Interactions &NE_Medicaid_Age_Interactions &NE_OrigDisabl_Sex_Interactions &AGESEX_GRAFT &NE_AGESEX NEF85_GT NEM85_GT NEF65_69 NEM65_69 &Orig_Disabled_Sex_Interactions &NE_Demographic_Interactions CC1-CC&N_CC HCC1-HCC&N_CC 3.; %*retain cc vars; RETAIN CC1-CC&N_CC 0 AGEF ; %*arrays; ARRAY C(&N_CC) CC1-CC&N_CC; ARRAY HCC(&N_CC) HCC1-HCC&N_CC; %*interactions with HCCs; ARRAY RV &Interactions_wHCC; %**************************************************** * step3.2: bring regression parameters ****************************************************; IF _N_ = 1 THEN SET INCOEF.HCCCOEFN; %**************************************************** * step3.3: merge ****************************************************; MERGE &INP(IN=IN1) &IND(IN=IN2); BY &IDVAR; IF IN1 THEN DO; %******************************************************* * step3.4: for the first record for a person set CC to 0 ********************************************************; IF FIRST.&IDVAR THEN DO; %*set ccs to 0; DO I=1 TO &N_CC; C(I)=0; END; %*sas calculates age as 50.9999 instead of 51 in this case; IF DAY(DOB)=DAY(&AGE_ASOF) & MONTH(DOB)=MONTH(&AGE_ASOF) THEN _BIRTH=DOB - 1 ; ELSE _BIRTH=DOB; AGEF =INT((&AGE_ASOF - _BIRTH)/ 365.25); END; %**************************************************** * step3.5 if there are any diagnoses for a person * then do the following: * - create CC using format $I&VR.C * - perform ICD9 edits using macro EDITICD9 * - assign additional CC using V12H70M macro ****************************************************; IF IN1 & IN2 THEN DO; CC = LEFT(PUT(DIAG,$I&VR.C.)); IF CC NE "-1.0" THEN DO; %IF &SEDITS = 1 %THEN %EDITICD9(ICD9=DIAG, AGE=AGEF); %*perform edits; IND=INPUT(CC,4.); IF 1<= IND <= &N_CC THEN DO; C(IND)=1; %V12H70M(ICD9=DIAG); %*multiple ccs; END; END; END; %*CC creation; %************************************************************** * step3.6 for the last record for a person do the * following: * - create demographic variables needed (macro AGESEXVR) * - create HCC using hierarchies (macro E12H70H) * - create HCC interaction variables * - create HCC and DISABL interaction variables * - set to 0 HCCs and interaction vars if there * are no diagnoses for a person * - create 14 score variables **************************************************************; IF LAST.&IDVAR THEN DO; %***************************** * demographic vars *****************************; %*create age/sex cells, originally disabled, disabled vars; %AGESEXVR(AGEF=AGEF, SEX=SEX, OREC=OREC); F85_GT = (SEX='2' & AGEF >84); M85_GT = (SEX='1' & AGEF >84); NEF85_GT = (SEX='2' & AGEF >84); NEM85_GT = (SEX='1' & AGEF >84); NEF65_69 = SUM(NEF65, NEF66, NEF67, NEF68, NEF69); NEM65_69 = SUM(NEM65, NEM66, NEM67, NEM68, NEM69); %*medicaid interactions; Medicaid_Female_Aged = MCAID*(SEX='2')*(1 - DISABL); Medicaid_Female_Disabled = MCAID*(SEX='2')*DISABL; Medicaid_Male_Aged = MCAID*(SEX='1')*(1 - DISABL); Medicaid_Male_Disabled = MCAID*(SEX='1')*DISABL; %* originally disabled interactions with age/sex; %*from AGESEVR macro :ORIGDS=OREC IN ('1','3'))*(AGEF >= 65) ; OrigDisabled_Female = ORIGDS * (SEX='2'); OrigDisabled_Male = ORIGDS * (SEX='1'); OrigDisabled_Female_GE65 = (OREC='1')*(AGEF >= 65)*(SEX='2'); OrigDisabled_Male_GE65 = (OREC='1')*(AGEF >= 65)*(SEX='1'); OrigDisabled_Female_LT65 = (OREC='1')*(AGEF < 65)*(SEX='2'); OrigDisabled_Male_LT65 = (OREC='1')*(AGEF < 65)*(SEX='1'); %* originally ESRD or both originally disabled & ESRD; Originally_ESRD_Female = (OREC IN ('2','3'))*(SEX='2')* (AGEF >=65); Originally_ESRD_Male = (OREC IN ('2','3'))*(SEX='1')* (AGEF >=65); %***************************** * variables for New Enrollees *****************************; %*Medicaid * AgeSex * Disabled; NEMedicaid_Female_Aged = NEMCAID*(SEX='2')*(1 - DISABL); NEMedicaid_Female_Disabled = NEMCAID*(SEX='2')*DISABL; NEMedicaid_Male_Aged = NEMCAID*(SEX='1')*(1 - DISABL); NEMedicaid_Male_Disabled = NEMCAID*(SEX='1')*DISABL; %*Medicaid * AgeSex; Medicaid_female0_64 =(SEX="2" & NEMCAID & 0<=AGEF <65 & NEF65=0); Medicaid_female65 =(SEX="2" & NEMCAID & NEF65); Medicaid_female66_69 =(SEX="2" & NEMCAID & sum(NEF66,NEF67,NEF68,NEF69)); Medicaid_female70_74 =(SEX="2" & NEMCAID & 70<=AGEF <75); Medicaid_female75_GT =(SEX="2" & NEMCAID & AGEF >74); Medicaid_male0_64 =(SEX="1" & NEMCAID & 0<=AGEF <65 & NEM65=0); Medicaid_male65 =(SEX="1" & NEMCAID & NEM65); Medicaid_male66_69 =(SEX="1" & NEMCAID & sum(NEM66,NEM67,NEM68,NEM69)); Medicaid_male70_74 =(SEX="1" & NEMCAID & 70<=AGEF <75); Medicaid_male75_GT =(SEX="1" & NEMCAID & AGEF >74); %*Originally Disabled * AgeSex; Origdis_female65 =(SEX='2' & ORIGDS & NEF65); Origdis_female66_69 =(SEX='2' & ORIGDS & sum(NEF66,NEF67,NEF68,NEF69)); Origdis_female70_74 =(SEX='2' & ORIGDS & 70 <= AGEF <75); Origdis_female75_GT =(SEX='2' & ORIGDS & AGEF >74); Origdis_male65 =(SEX='1' & ORIGDS & NEM65 ); Origdis_male66_69 =(SEX='1' & ORIGDS & sum(NEM66,NEM67,NEM68,NEM69)); Origdis_male70_74 =(SEX='1' & ORIGDS & 70 <= AGEF <75); Origdis_male75_GT =(SEX='1' & ORIGDS & AGEF >74); IF IN1 & IN2 THEN DO; %*************************** * setting HCCs, hierarchies ***************************; %E12H70H; %*set ESRD HCCs to 0; HCC130=0; HCC131=0; %*************************** * HCC interaction variables ***************************; %*interactions with disabled ; D_HCC5 = DISABL*HCC5 ; *opportunistic infections; D_HCC44 = DISABL*HCC44; *severe hematological disorders; D_HCC51 = DISABL*HCC51; *drug/alcohol psychosis; D_HCC52 = DISABL*HCC52; *drug/alcohol dependence; D_HCC107 = DISABL*HCC107;*cystic fibrosis; %*diagnostic categories; DM = MAX (HCC15, HCC16, HCC17, HCC18, HCC19); CHF = HCC80; COPD = HCC108; CVD = MAX (HCC95, HCC96, HCC100, HCC101); VD = MAX (HCC104, HCC105); CAD = MAX (HCC81, HCC82, HCC83); %* interactions ; DM_CHF =DM*CHF ; DM_CVD =DM*CVD ; CHF_COPD =CHF*COPD ; COPD_CVD_CAD =COPD*CVD*CAD; END; %*there are some diagnoses for a person; ELSE DO; DO I=1 TO &N_CC; HCC(I)=0; END; DO OVER RV; RV=0; END; END; *to be able to keep normalization factors DF_DG and DF_POSTG in the output file; DF_DG = &DF_DG; DF_POSTG = &DF_POSTG; LABEL DF_DG = "Normalization factor set by CMS, used to multiply dialysis and graft scores" DF_POSTG = "Normalization factor set by CMS, used to multiply post-graft scores"; %*score calculation; /*********************************/ /* dialysis model */ /*********************************/; %SCOREVAR(PVAR=SCORE_DIAL, RLIST=&MOD_DIAL, CPREF=DI_); *normalization; SCORE_DIAL=&DF_DG*SCORE_DIAL; /**********************************/ /* dialysis new enrollees model */ /**********************************/; %SCOREVAR(PVAR=SCORE_DIAL_NE, RLIST=&MOD_DIAL_NE, CPREF=DNE_); *normalization; SCORE_DIAL_NE=&DF_DG*SCORE_DIAL_NE; /**********************************/ /* transplant scores */ /**********************************/; SCORE_TRANS_KIDNEY_ONLY_1M = &DF_DG*TRANSPLANT_KIDNEY_ONLY_1M ; SCORE_TRANS_KIDNEY_ONLY_2M = &DF_DG*TRANSPLANT_KIDNEY_ONLY_2M ; SCORE_TRANS_KIDNEY_ONLY_3M = &DF_DG*TRANSPLANT_KIDNEY_ONLY_3M ; SCORE_TRANS_KIDNEY_PANCREAS_1M= &DF_DG*TRANSPLANT_KIDNEY_PANCREAS_1M; SCORE_TRANS_KIDNEY_PANCREAS_2M= &DF_DG*TRANSPLANT_KIDNEY_PANCREAS_2M; SCORE_TRANS_KIDNEY_PANCREAS_3M= &DF_DG*TRANSPLANT_KIDNEY_PANCREAS_3M; /*********************************/ /* community graft model */ /*********************************/; %SCOREVAR(PVAR=_SCORE_GRAFT_COMM, RLIST=&MOD_GRAFT_COMM, CPREF=GC_); %*transplant bumps; SCORE_GRAFT_COMM_DUR4_9 =&DF_POSTG*(_SCORE_GRAFT_COMM + LT65_DUR4_9 * (AGEF < 65) + GE65_DUR4_9 * (AGEF >= 65)); SCORE_GRAFT_COMM_DUR10PL =&DF_POSTG*(_SCORE_GRAFT_COMM + LT65_DUR10PL * (AGEF < 65) + GE65_DUR10PL * (AGEF >= 65)); /*********************************/ /* institutional graft model */ /*********************************/; %SCOREVAR(PVAR=_SCORE_GRAFT_INST, RLIST=&MOD_GRAFT_INST, CPREF=GI_); %*transplant bumps; SCORE_GRAFT_INST_DUR4_9 =&DF_POSTG*(_SCORE_GRAFT_INST + LT65_DUR4_9 * (AGEF < 65) + GE65_DUR4_9 * (AGEF >= 65)); SCORE_GRAFT_INST_DUR10PL =&DF_POSTG*(_SCORE_GRAFT_INST + LT65_DUR10PL * (AGEF < 65) + GE65_DUR10PL * (AGEF >= 65)); /**********************************/ /* new enrollees graft model */ /**********************************/; %SCOREVAR(PVAR=_SCORE_GRAFT_NE, RLIST=&MOD_GRAFT_NE, CPREF=GNE_); %*transplant bumps; SCORE_GRAFT_NE_DUR4_9 =&DF_POSTG*(_SCORE_GRAFT_NE + LT65_DUR4_9 * (AGEF < 65) + GE65_DUR4_9 * (AGEF >= 65)); SCORE_GRAFT_NE_DUR10PL =&DF_POSTG*(_SCORE_GRAFT_NE + LT65_DUR10PL * (AGEF < 65) + GE65_DUR10PL * (AGEF >= 65)); OUTPUT &OUTDATA; END; %*last record for a person; END; %*there is a person record; RUN; %********************************************************************** * step4: data checks and proc contents ***********************************************************************; PROC PRINT U DATA=&OUTDATA(OBS=46); TITLE "*** file outputted by ESRD software ***"; RUN ; PROC CONTENTS DATA=&OUTDATA; RUN; %MEND E1209D1M;