IVMPTRN9 ;ALB/KCL/CN/BRM,TDM,EG - HL7 FULL DATA TRANSMISSION (Z07) BUILDER (CONTINUED) ; 4/10/06 4:36pm ;;2.0;INCOME VERIFICATION MATCH;**9,11,19,12,21,17,46,50,53,34,49,58,79,99,116,105**; 21-OCT-94;Build 2 ; ; GOTO ; place to break up the routine ; ; create (ZIO) Inpatient/Outpatient segment for veteran S N101015=$G(^DPT(DFN,1010.15)) S ZIOSEG="ZIO^1^"_$$EN^IVMUFNC1(DFN,IVMMTDT,.IVMQUERY) ;seq 1-3 S ZIOSEG=ZIOSEG_"^"_$$LTD^IVMUFNC(DFN,.IVMQUERY) ;seq 4 S X=$P(N101015,"^",9),$P(ZIOSEG,U,6)=$S(X=0:"N",X=1:"Y",1:HLQ) ;Appt Request S X=$P(N101015,"^",11),$P(ZIOSEG,U,7)=$S(X]"":$$HLDATE^HLFNC(X),1:HLQ) ;Appt Request Date S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=ZIOSEG ; ; create (NTE) Notes and Comments segment D NTE^IVMUFNC4(DFN,.IVMNTE,IVMMTDT) I '$D(IVMNTE) D .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)="NTE^1" I $D(IVMNTE) D .; - get notes and comments .F IVMSUB=0:0 S IVMSUB=$O(IVMNTE(IVMSUB)) Q:'IVMSUB D ..S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMNTE(IVMSUB) ; ; create (IN1) Insurance segment(s) for all active insurance K ^TMP("VAFIN1",$J) D EN^VAFHLIN1(DFN,"1,4,5,7,8,9,12,13,15,16,17,28,36") F IVMSUB=0:0 S IVMSUB=$O(^TMP("VAFIN1",$J,IVMSUB)) Q:'IVMSUB D .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=^TMP("VAFIN1",$J,+IVMSUB,0) ; ;find if the deletion flags were set in the IVM Patient file, and if so, should the deletion indicators be sent? F I="RX","MT","HARDSHIP","DATE OF TEST","LTC" S DELETE(I)="" S IVMPIEN=$$FIND^IVMPLOG(DFN,($E(IVMMTDT,1,3)-1)) I IVMPIEN D .S IVMPNODE=$G(^IVM(301.5,IVMPIEN,0)) .I $P(IVMPNODE,"^",8)!$P(IVMPNODE,"^",9)!$P(IVMPNODE,"^",10)!$P(IVMPNODE,"^",11) S DELETE("SET")=1 .;was the MT deletion flag set, and if so verify that there is no completed MT .I $P(IVMPNODE,"^",8),(TESTTYPE'=1)!(TESTCODE="")!("ACGP"'[TESTCODE) S DELETE("DATE OF TEST")=$P(IVMPNODE,"^",8),DELETE("MT")=1 .; .;was the hardship deletion flag set, and if so verify that there is no completed hardship .I $P(IVMPNODE,"^",10),'HARDSHIP D ..S:('DELETE("DATE OF TEST")) DELETE("DATE OF TEST")=$P(IVMPNODE,"^",10) ..S DELETE("HARDSHIP")=1 ; ; create (ZMT) Means Test segment ; S SEQS=$S(TESTTYPE=1:"1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,21,22,23,24,25,26,28,29,30",1:"1,17") S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^IVMCZMT(DFN,SEQS,IVMMTDT,1,1,.DELETE,1) ; ; create (ZMT) Rx-Copay Test segment I IVMPIEN D .;was the RX deletion flag set, and if so verify that there is no completed test .I $P(IVMPNODE,"^",9),(TESTTYPE'=2)!(TESTCODE="")!("EM"'[TESTCODE) S DELETE("DATE OF TEST")=$P(IVMPNODE,"^",9),DELETE("RX")=1 ; N IVMCPDT,CPTST,LINK,CPDATE ;should be ok to get the last co-pay test for this year vs. looking from the IVMMTDT backwards ;as long as the means test date is in the current year S CPTST=$$LST^DGMTU(DFN,$E(IVMIY,1,3)+1_1231,2) I CPTST D . S CPDATE=$P(CPTST,U,2) . S LINK=$P($G(^DGMT(408.31,+CPTST,2)),U,6) . I TESTTYPE=1,$E(CPDATE,1,3)=$E(IVMMTDT,1,3) D . . ;if you have a means test and a linked co-pay test then send both (the means test . . ;was already sent from above) . . ;if means and copay are not linked, don't send the co-pay test (the means test . . ;was already sent from above) . . I LINK=+$$LST^DGMTU(DFN,IVMMTDT,1) S TESTTYPE=2,(IVMCPDT,IVMMTDT)=CPDATE . . Q . Q ;always send the 2nd ZMT segment S SEQS="1,17" ;can also send a co-pay test if there is no means test (see module GETTYPE) I TESTTYPE=2 D . S SEQS="1,2,3,4,5,6,7,9,10,12,15,16,17,18,21,22,25,26" . Q S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^IVMCZMT(DFN,SEQS,IVMMTDT,2,2,.DELETE,1) ; ; create (ZMT) Long Term Care Copay Exemption Test segment I IVMPIEN D .; set deletion indicators if LTC test deletion should be transmitted .I $P(IVMPNODE,"^",11) S DELETE("LTC")=1 S:('DELETE("DATE OF TEST")) DELETE("DATE OF TEST")=$P(IVMPNODE,"^",11) ; S SEQS="1,2,3,4,5,7,9,10,12,16,17,18,22,25" S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^IVMCZMT(DFN,SEQS,IVMMTDT,4,4,.DELETE,1) ; ;if the deletion flags were set in the IVM Patient file, unset them I $G(DELETE("SET")) D .N DATA .S DATA(.08)="",DATA(.09)="",DATA(.1)="",DATA(.11)="" .I $$UPD^DGENDBS(301.5,IVMPIEN,.DATA) ; ; create (ZBT) Beneficiary Travel segment based on last BT Claim S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^VAFHLZBT($$BTCLM^IVMUFNC4(DFN),"1,2,3,4,7") ; ; create (ZFE) Fee Basis segment(s) D EN^FBHLZFE(DFN,"1,2,3,4,5") F IVMSUB=0:0 S IVMSUB=+$O(FBZFE(IVMSUB)) Q:'IVMSUB D .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$G(FBZFE(+IVMSUB)) ; ; create (ZSP) Service Period segment S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^VAFHLZSP(DFN,1,1) ; ; optionally create (OBX) segment for Patient Sensitivity Flag K OBXTMP S OBXCNT=0,GETCUR=$$FINDSEC^DGENSEC(DFN) I GETCUR,$$GET^DGENSEC(GETCUR,.DGSEC) D .Q:(DGSEC("LEVEL")'=1)&(DGSEC("LEVEL")'=0) .S OBXTMP(2)="CE",OBXTMP(3)="38.1"_$E(HL("ECH"))_"SECURITY LOG" .S:DGSEC("LEVEL") OBXTMP(5)="Y"_$E(HL("ECH"))_"YES"_$E(HL("ECH"))_"HL70136" .S:'DGSEC("LEVEL") OBXTMP(5)="N"_$E(HL("ECH"))_"NO"_$E(HL("ECH"))_"HL70136" .S OBXTMP(11)="R",OBXTMP(14)=DGSEC("DATETIME") .S OBXTMP(16)="" I $G(DGSEC("SOURCE"))'="" D ..S $P(OBXTMP(16),$E(HL("ECH")),14)=$E(HL("ECH"),4)_DGSEC("SOURCE") .S IVMCT=IVMCT+1,OBXCNT=OBXCNT+1 .S ^TMP("HLS",$J,IVMCT)=$$EN^VAFHLOBX(.OBXTMP,OBXCNT,"2,3,5,11,14,16") .I $G(OBXTMP(16))'="" S $P(^TMP("HLS",$J,IVMCT),"^",17)=$G(OBXTMP(16)) ; ; create (OBX) segment for NTR ; CALL PIMS API TO GET NTRARRY OF NTR DATA S GETCUR=$$ENRGET^DGNTAPI1(DFN) I GETCUR D NTROBX^IVMPTRNA(.DGNTARR) I $D(NTROBX) D . S IVMCT=IVMCT+1,OBXCNT=OBXCNT+1 . S ^TMP("HLS",$J,IVMCT)=$$EN^VAFHLOBX(.NTROBX,OBXCNT,"2,3,5,11,12,14,15,16,17") . I $G(NTROBX(16))'="" S $P(^TMP("HLS",$J,IVMCT),"^",17)=$G(NTROBX(16)) . K NTROBX ; ; create (RF1) segment S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$RF1^IVMPTRNA(DFN,"SAD") F RF1TYP="CAD","CPH","PNO","EAD" D ;Create Optional RF1 Segments . S RF1SEG=$$RF1^IVMPTRNA(DFN,RF1TYP) Q:RF1SEG="" . S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=RF1SEG ; Q ; GETTYPE(DFN,IVMMTDT,CODE,HARDSHIP,ACTVIEN) ; ;Determines the type of test to include in the Z10. HEC wants only the ;test that they would consider primary,i.e., preference given to a comptleted means test, even if not currently in effect. ; ;Input: ; DFN ; IVMMTDT -date to be the search for the test ;Output: ; Function value - type of test to send in Z10 ; CODE - status code of test (pass by reference) ; HARDSHIP - hardship indicator (pass by reference) ; ACTVIEN - ien of test that should have the associated Income Relations (pass by reference) ; N TESTTYPE,MTNODE,RXNODE,NODE0,NODE2 S TESTTYPE=1 S (HARDSHIP,CODE,ACTVIEN)="" Q:'$G(IVMMTDT) TESTTYPE Q:'$G(DFN) TESTTYPE ; S MTNODE=$$LST^DGMTU(DFN,IVMMTDT,1) I $E($P(MTNODE,"^",2),1,3)'=$E(IVMMTDT,1,3) S MTNODE="" S RXNODE=$$LST^DGMTU(DFN,IVMMTDT,2) I $E($P(RXNODE,"^",2),1,3)'=$E(IVMMTDT,1,3) S RXNODE="" ; I MTNODE="" S MTNODE=$$FUT^DGMTU(DFN,"",1) I $E($P(MTNODE,"^",2),1,3)'=$E(IVMMTDT,1,3) S MTNODE="" I RXNODE="" S RXNODE=$$FUT^DGMTU(DFN,"",2) I $E($P(RXNODE,"^",2),1,3)'=$E(IVMMTDT,1,3) S RXNODE="" D .;determine which test has the associated income relations .; .I +MTNODE S CODE=$P(MTNODE,"^",4) I CODE'="",("ACGPR"[CODE) S ACTVIEN=+MTNODE Q .I +RXNODE S CODE=$P(RXNODE,"^",4) I CODE'="",("EMI"[CODE) S ACTVIEN=+RXNODE Q .I +MTNODE S ACTVIEN=+MTNODE Q .I +RXNODE S ACTVIEN=+RXNODE Q I ACTVIEN,+MTNODE,+RXNODE D TRANSFER^DGMTU4(DFN,$S((ACTVIEN=+MTNODE):+RXNODE,1:+MTNODE),ACTVIEN) ; ;now find the primary test I '(+MTNODE) G CHKCOPAY S CODE=$P(MTNODE,"^",4) S HARDSHIP=$P($G(^DGMT(408.31,+MTNODE,0)),"^",20) I (CODE="")!("ACGP"'[CODE) S NODE2=$G(^DGMT(408.31,+MTNODE,2)),CODE=$$GETCODE^DGMTH($P(NODE2,"^",3)) I (CODE="")!("ACGP"'[CODE) G CHKCOPAY ; G QGETTYPE ; CHKCOPAY ; I '(+RXNODE) G QGETTYPE S CODE=$P(RXNODE,"^",4) I (CODE="")!("EM"'[CODE) S NODE2=$G(^DGMT(408.31,+RXNODE,2)),CODE=$$GETCODE^DGMTH($P(NODE2,"^",3)) I (CODE="")!("EM"'[CODE) G QGETTYPE S TESTTYPE=2 ; QGETTYPE ; Q TESTTYPE ; FILTER(DFN) ; address transmission filter ; Check Bad Address Indicator for a known bad address and ; Scrutinize the Street Address line 1 field for known bad address ; strings based on functionality currently in place in HEC Legacy. ; ; Input: DFN - ien of the Patient (#2) file ; Output: 0 - filter passed (ok to transmit address) ; 1 - filter failed (do not transmit address) ; N VAPA Q:'$G(DFN) 1 ;DFN missing Q:$$BADADR^DGUTL3(DFN) 1 ;check Bad Address Indicator D ADD^VADPT ;get patient address ; Street Address Line 1 or Zip Code is Q:($G(VAPA(1))="")!($P($G(VAPA(11)),"^")="") 1 ; St Addr Line 1 contains 'UNKNOWN', 'HOMELESS', or 'ADDRESS' Q:(VAPA(1)["UNKNOWN")!(VAPA(1)["HOMELESS")!(VAPA(1)["ADDRESS") 1 ; The first two characters of the address is equal to '**' Q:$E(VAPA(1),1,2)="**" 1 ; passed all address filters - ok to send Q 0