%MACRO I0V05ED3(AGERTI=, AGEMCE=, SEX=, ICD0= );
 **********************************************************************
 1 MACRO NAME: I0V05ED3: updated I0V05ED2 
               UDXG update V0120 for V05 HHS model
               ICD10 codes valid in FY2020.
               
 2 PURPOSE:    age/sex edits on &ICD0 - are based on:
               1. RTI age/sex splits
               2. MCE list to check if age or sex
                is within the range of acceptable age/sex, if not- CC
                is set to -1.0 - invalid

 3 PARAMETERS: AGERTI- age for CC splits (=AGE_LAST)
               AGEMCE- age for MCE edits (=AGE_AT_DIAGNOSIS)
               SEX   - SEX
               &ICD0  - diagnosis variable in a diagnosis file
 4 COMMENTS:   1.Age format AGEFMT0 and sex format SEXFMT0 are
                 parameters in the main macro. They must correspond
                 to the years of data
               2.If &ICD0 code does not have any restriction on age
                 or sex then the corresponding format puts it in "-1"
               3.AGEL format sets lower limits for age
                 AGEU format sets upper limit for age
                 for specific edit categories:
                 "0"= "0 newborn (age 0)     "
                 "1"= "1 pediatric (age 0-17)"
                 "2"= "2 maternity (age 9-64)" changed in FY20 from 12-55
                 "3"= "3 adult (age 15+)     "   
               4.Macro sent via email verified using output from
                 master_UDXGV0120_hhs_HCCV05_SoftEditMacroPrep.sas
                 NB!! UDXGV0120 has the same RTI edits as before, 
                 two ICD10 codes are now being dropped as no longer 
                 valid.
 **********************************************************************;
 * RTI age/sex splits;
 * codes are not cross-walked to CC if age condition is not met;
 IF &AGERTI < 18  and
    &ICD0 IN ("C9100","C9101","C9102",
              "C9500","C9501","C9502",
              "C7400","C7401","C7402","C7410","C7411","C7412",
              "C7490","C7491","C7492"
               )
 THEN CC="9" ; /*Split acute lymphoid and other acute 
 leukemias, except  myeloid diagnoses to age 18+ (HCC 8) 
 and age <18 (HCC 9). Split adrenal gland cancer diagnoses
 to age 18+ (HCC 10) and age <18 (HCC 9).*/

 ELSE
 IF &AGERTI < 18  and
    &ICD0 IN ("J410","J411","J418","J42","J440","J441" )
 THEN CC="161" ; /*Split chronic bronchitis diagnoses to age 18+ 
 (HCC 160) and age <18 (HCC 161).*/

 ELSE
 IF &AGERTI < 2  and
    &ICD0 IN (         "K55011","K55012","K55019","K55021","K55022",
              "K55029","K55031","K55032","K55039","K55041","K55042",
              "K55049","K55051","K55052","K55059","K55061","K55062",
              "K55069","K5530", "K5531", "K5532", "K5533" ) 
 THEN CC="42" ; /*Split acute vascular insufficiency of intestine 
 diagnosis to age 2+ (HCC 154) and age <2 (HCC 42).*/

 ELSE
 IF &AGERTI < 50  and
    &ICD0 IN ("C50011","C50012","C50019","C50021","C50022","C50029",
              "C50111","C50112","C50119","C50121","C50122","C50129",
              "C50211","C50212","C50219","C50221","C50222","C50229",
              "C50311","C50312","C50319","C50321","C50322","C50329",
              "C50411","C50412","C50419","C50421","C50422","C50429",
              "C50511","C50512","C50519","C50521","C50522","C50529",
              "C50611","C50612","C50619","C50621","C50622","C50629",
              "C50811","C50812","C50819","C50821","C50822","C50829",
              "C50911","C50912","C50919","C50921","C50922","C50929" )
 THEN CC="11" ; /*Split breast cancer diagnoses to age 50+ (HCC 12) 
 and age <50 (HCC 11).*/

 ELSE
 IF &AGERTI < 2  and
      &ICD0 IN ("J430","J431","J432","J438","J439","J449","J982",
                "J983" )
 THEN CC="-1.0" ; /*Split emphysema diagnoses to age 18+ (HCC 160) 
 and age 2-17 (HCC160; split not needed in HHS model). 
 If age <2 out of payment model.*/ 

 ELSE
 IF &AGERTI ne 0  and
    &ICD0 IN ("P0500","P0501","P0502","P0503","P0504","P0505",
              "P0506","P0507","P0508","P0509","P0510","P0511",
              "P0512","P0513","P0514","P0515","P0516","P0517",
              "P0518","P0519","P052", "P059", "P0700","P0701",
              "P0702","P0703","P0710","P0714","P0715","P0716",
              "P0717","P0718","P0720","P0721","P0722","P0723",
              "P0724","P0725","P0726","P0730","P0731","P0732",
              "P0733","P0734","P0735","P0736","P0737","P0738",
              "P0739","P080", "P081", "P0821","P0822" )
 THEN CC="-1.0" ; /*Edit for newborn low birthweight. 
  If age 1+ out of payment model.*/

 ELSE
 IF &AGERTI >= 1  and
    &ICD0 IN ("Q894" )
 THEN CC="97" ; /*Split conjoined twins diagnoses to age 1+ (HCC 97) 
 and age <1 (HCC 247).*/

 ELSE
 IF &AGERTI >= 2  and &ICD0 IN ("K551","K558","K559",
                      "P0411","P0412","P0413","P0414","P0415",
              "P0416","P0417","P0418","P0419","P041A",
              "P042", "P043", "P0440","P0441","P0442","P0449",
              "P045", "P046",         "P0481","P0489",
              "P049", "P930", "P938", "P961", "P962",
              "Q390", "Q391", "Q392", "Q393", "Q394", "Q6410",
              "Q6411","Q6412","Q6419","Q790", "Q791", "Q792",
              "Q793", "Q794", "Q7951" )
 THEN CC="-1.0" ; /*If age 2+ out of payment model.*/

 ELSE
 IF &AGERTI >= 2  and
    &ICD0 IN ("P270","P271","P278","P279" )
 THEN CC="162" ; /*Split chronic respiratory disease arising in the 
 perinatal period diagnoses to age 2+ (HCC 162) and age <2 (HCC 127).*/

 ELSE
 IF (&AGERTI < 6 or &AGERTI > 18 ) and
    &ICD0 in ("F3481")
 THEN CC="-1.0" ; /*Edit for targeted age of diagnosis. If age <6 or age >18 out of payment model.*/

ELSE 
 IF &SEX="2"  and
    &ICD0 IN ("D66","D67" )
 THEN CC="75" ; /*Split hemophilia diagnoses to male (HCC 66 if age <65 
 or HCC 66 if age 65+; age split not needed in HHS model) 
 and female (HCC 75).*/

 * MCE edits;
 * check if age is within acceptable range;
 _tage=put(&ICD0, $&AGEFMT0..);
 if _tage ne "-1" and
  (&AGEMCE < input(put(_tage, $AGEL.),8.) or
   &AGEMCE > input(put(_tage, $AGEU.),8.)) then cc="-1.0";
 * check if sex for a person is the one in the MCE file;
 _tsex=put(&ICD0, $&SEXFMT0..);
 if _tsex ne "-1"  and _tsex ne &SEX then cc="-1.0";

 %MEND I0V05ED3;








