BPSOS57 ;BHAM ISC/FCS/DRS/FLS - BPS Log of Transactions Utils ;06/01/2004 ;;1.0;E CLAIMS MGMT ENGINE;**1,5**;JUN 2004;Build 45 ;;Per VHA Directive 2004-038, this routine should not be modified. Q ; Numerous BPS Log of Transaction functions are here ; Each assumes that IEN57 is defined ; Originally copied from BPSOSQ ; PREVIOUS(N57) ; I '$D(N57) S N57=IEN57 N RXI,RXR S RXI=$P(^BPSTL(N57,1),U,11) S RXR=$P(^BPSTL(N57,1),U) I RXI=""!(RXR="") Q "" Q $O(^BPSTL("NON-FILEMAN","RXIRXR",RXI,RXR,N57),-1) LAST57(RXI,RXR) Q $O(^BPSTL("NON-FILEMAN","RXIRXR",RXI,RXR,""),-1) DRGDFN() ; EP - BPS Log of Transaction field N RXI S RXI=$$RXI I 'RXI Q "" Q $$RXAPI1^BPSUTIL1(RXI,6,"I") ; Given IEN57, return DRGDFN DRGNAME() ; EP - BPS Log of Transaction field N RXI S RXI=$$RXI I 'RXI Q "" Q $$RXAPI1^BPSUTIL1(RXI,6,"E") ; Given IEN57, return DRGNAME RELDATE() ;EP - BPS Log of Transaction field N RXI,RXR S RXI=$$RXI,RXR=$$RXR I 'RXI Q "" I RXR Q $$REFAPI1^BPSUTIL1(RXI,RXR,17,"I") Q $$RXAPI1^BPSUTIL1(RXI,31,"I") RXI() Q $P(^BPSTL(IEN57,1),U,11) ; Given IEN57, return RXI RXR() Q $P(^BPSTL(IEN57,1),U,1) ; Given IEN57, return RXR NDC() Q $P(^BPSTL(IEN57,1),U,2) QTY() Q $P(^BPSTL(IEN57,5),U) ; Given IEN57, return quantity AMT() Q $P(^BPSTL(IEN57,5),U,5) ; return total $amount CHG() Q $P(^BPSTL(IEN57,5),U,5) ; Given IEN57, ret total charge INSIEN() Q $P(^BPSTL(IEN57,1),U,6) PATIENT() Q $P(^BPSTL(IEN57,0),U,6) HRN() ; Health record number and facility abbreviation ; Called by BPS Log of Transaction field Q 0 USER() N X S X=$P(^BPSTL(IEN57,0),U,10) S:'X X=$G(DUZ) Q X NOW() N %,%H,%I,X D NOW^%DTC Q % ISREVERS(N) ;EP - BPSOSIY ; Returns reversal claim #, else false N X S X=$G(^BPSTL(N,4)) Q:X="" 0 I X Q $P(X,U) ; reversal of electronic claim Q 0 REVACC(N) ;EP - BPSOSIY ; was this an accepted reversal? return true or false ; Treat Duplicate of Accepted Reversal ("S") as accepted N X S X=$$REVRESP(N) Q X="A"!(X="S") REVRESP(N) ; N RESP S RESP=$P(^BPSTL(N,4),U,2) I 'RESP Q "?" N X S X=$$RESP500^BPSOSQ4(RESP,"I") Q X ; Should be "A" or "R" - can be "S" (Duplicate of Accepted Reversal) ; POSITION() ; return pointer to position within claim (D1) Q $P($G(^BPSTL(IEN57,0)),U,9) IEN02() ; return pointer to claim Q $P($G(^BPSTL(IEN57,0)),U,4) IEN03() ; return pointer to response Q $P($G(^BPSTL(IEN57,0)),U,5) REVIEN02() ; return pointer to reversal claim Q $P($G(^BPSTL(IEN57,4)),U) REVIEN03() ; return pointer to reversal response Q $P($G(^BPSTL(IEN57,4)),U,2) FIELD(F,REV) ; EP - BPS Log of Transaction fields ; Retrieve field F from claim or response - Given IEN57 ; Returns value ; Special for reject codes: F=511 gets ","-delimited string of codes ; F=511.01 gets first code, F=511.02 gets second one, etc. N X,IEN02,IEN03,POS,IEN57 S IEN57=D0 S POS=$$POSITION,IEN02=$$IEN02,IEN03=$$IEN03 I $G(REV) S IEN02=$$REVIEN02,IEN03=$$REVIEN03 ; ; Validate IENs I 'IEN02 Q "" I 'POS,F=308!(F>400) Q "" I 'IEN03,F>500 Q "" ; ; Get Data I F<400,F'=308 S X=$$GET1^DIQ(9002313.02,IEN02_",",F,"I") E I F=308!(F>400&(F<500)) S X=$$GET1^DIQ(9002313.0201,POS_","_IEN02_",",F,"I") E I F=501!(F=524) S X=$$GET1^DIQ(9002313.03,IEN03_",",F,"I") E I F\1=511 D REJCODES S:F#1 X=$G(X(F#1*100)) E S X=$$GET1^DIQ(9002313.0301,POS_","_IEN03_",",F,"I") ; ; Do format conversions F Q:$E(X,$L(X))'=" " S X=$E(X,1,$L(X)-1) D STRIPID ; strip field ID, if any D MONEY ; money fields, where appropriate D OTHER ; other special conversions Q X ; REJCODES ; rejection codes for IEN03 ; X = ","-delimited string of two-char codes ; X(j)=code_" "_description K X S X="" N I,J S (I,J)=0 F S I=$O(^BPSR(IEN03,1000,POS,511,I)) Q:'I D . N A S A=$P(^BPSR(IEN03,1000,POS,511,I,0),U) Q:'A . S A=$O(^BPSF(9002313.93,"B",A,0)) Q:'A . S A=^BPSF(9002313.93,A,0) . S:X]"" X=X_"," S X=X_$P(A,U) . S J=J+1,X(J)=$P(A,U)_" "_$P(A,U,2) Q ; STRIPID ; some fields have two-character field ID ; and first eliminate all those that don't: Q:F<307 Q:F=308 I F>400,F<500 Q:F<410 Q:F=411 Q:F=414 Q:F=415 Q:F=419 Q:F=420 Q:F=426 ;IHS/DSD/lwj 10/02 nxt line changed on behalf of David Slauenwhite I F>500 Q:F<512 Q:F=525 Q:F=526 ;DS 10/11/01 S X=$E(X,3,$L(X)) Q MONEY ; some fields are money fields in signed overpunch format Q:F<400 ;IHS/DSD/lwj 10/02 nxt line changed on behalf of David Slauenwhite I F>400,F<500 I F'=409,F'=410,F'=426,F'=430,F'=431,F'=433,F'=438,F'=428,F'=412 Q I F>500 Q:F<505 Q:F=510 Q:F\1=511 Q:F=522 Q:F>523 S X=+$$DFF2EXT^BPSECFM(X) I X=0 S X="" ; so [CAPTIONED] doesn't print it Q OTHER ; other special conversions I F=442 S X=X/1000 Q ; metric decimal quantity Q