source: FOIAVistA/tag/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBEFUNC3.m@ 628

Last change on this file since 628 was 628, checked in by George Lilly, 14 years ago

initial load of FOIAVistA 6/30/08 version
File size: 3.6 KB
Line 
1IBEFUNC3 ;ALB/ARH - EXTRINSIC FUNCTIONS ;26-FEB-02
2 ;;2.0;INTEGRATED BILLING;**174,363**;21-MAR-94;Build 35
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;;
5BDSRC(IBVIFN) ; Check if billable Visit Data Source (9000010,81203)
6 ; only 'PROSTHETICS DATA' is non-billable (patch IB*2*174) (these are item, not visits)
7 ; Input: IBVIFN pointer to Visit (9000010)
8 ; Returns: true if Billable Data Source
9 N IBDS,IBDSN,IBFLG S IBDSN="",IBFLG=1
10 ;
11 I +$G(IBVIFN) S IBDS=$P($G(^AUPNVSIT(+IBVIFN,812)),U,3) I +IBDS S IBDSN=$P($G(^PX(839.7,+IBDS,0)),U,1) D
12 . I IBDSN="PROSTHETICS DATA" S IBFLG=0
13 Q IBFLG
14 ;
15VALNDC(IBIFN,IBDFN,IBRXARY) ; NDC validation between file 362.4 and 52
16 ; IB*2*363 - NDC from file 352.4 can become out-of-synch with the latest
17 ; NDC# stored in the PRESCRIPTION file (#52) as the NDC can change after
18 ; the bill has been entered. This algorithm compares the NDC# between
19 ; the 2 files and returns a value which represents whether the NDC# values
20 ; are the same or not the same.
21 ; input - IBIFN = internal entry number of BILL/CLAIMS file (#399)
22 ; IBDFN = internal entry number of PATIENT file (#2) associated with the billing record
23 ; output - IBRXARY = array (passed in by reference) representing the collection of Rx records
24 ; that have different NDC#S between IB and OP files.
25 ; IBARRAY = array containing values returned from the entry in file 362.4
26 ; IBDA = internal entry number of the entry in file 362.4
27 ; IBRXDA = pointer to entry in the PRESCRIPTION file (#52) associated with billing record
28 ; IBDATE = Fill/refill date taken from entry in 362.4
29 ; IBNDC = National Drug Code (NDC) number taken from entry in 362.4
30 ; IB52NDC = NDC number taken from entry in file 52 associated with the billing record
31 N IBARRAY,IBDA,IBRXDA,IBDATE,IBNDC,IB52DATE,IB52NDC,IBRFL
32 K IBRXARY ; remove any incoming values
33 K ^TMP($J,"IBEFUNC3")
34 S IBDA=0 F S IBDA=$O(^IBA(362.4,"C",IBIFN,IBDA)) Q:'IBDA D
35 . D GETS^DIQ(362.4,IBDA_",",".02;.03;.05;.08","I","IBARRAY")
36 . S IBRXDA=IBARRAY(362.4,IBDA_",",.05,"I"),IBDATE=IBARRAY(362.4,IBDA_",",.03,"I")
37 . I 'IBRXDA Q ;try next if no RX ien
38 . S IBNDC=IBARRAY(362.4,IBDA_",",.08,"I")
39 . S IB52NDC=$$GETNDC(IBDFN,IBRXDA,IBDATE)
40 . S:IB52NDC'=IBNDC IBRXARY(IBRXDA)=$$RXAPI1^IBNCPUT1(IBRXDA,.01,"E")
41 Q
42 ;
43GETNDC(IBDFN,IBRXIEN,IBDT) ; get NDC# associated with fill/refill in file 52
44 ; Approved usage of $$GETNDC^PSONDCUT function (IA 4705)
45 ; Input - IBDFN = internal entry number of PATIENT file (#2) associated with the billing record
46 ; IBRXIEN = internal entry number of PRESCRIPTION file (#50) associated with the
47 ; billing record
48 ; IBDT = Fill/refill date taken from entry in 362.4
49 ; Output - IBRXNDC = NDC number taken from sub-entry of REFILL multiple of file 52 associated
50 ; with the billing record
51 ; ; IB52DT = Fill/refill date taken from top entry or refill multiple of 52
52 N IBRXNDC,IB52DT
53 ; RX^PSO52API returns data existing at the 0, 2, and refill multiple of file 52
54 D RX^PSO52API(IBDFN,"IBEFUNC3",IBRXIEN,,"2,R")
55 S IB52DT=$G(^TMP($J,"IBEFUNC3",IBDFN,IBRXIEN,22)) ; original fill date
56 I +IB52DT=IBDT S IBRXNDC=$G(^TMP($J,"IBEFUNC3",IBDFN,IBRXIEN,27)) ;original fill NDC#
57 E D
58 .; data examination needed on the REFILL multiple of file 52
59 .; IBSUBDA = REFILL multiple (52.1) IEN
60 . N IBSUBDA,IBQUIT
61 . S (IBQUIT,IBSUBDA,IBRXNDC)=0
62 . F S IBSUBDA=$O(^TMP($J,"IBEFUNC3",IBDFN,IBRXIEN,"RF",IBSUBDA)) Q:'IBSUBDA Q:IBQUIT D
63 . . S IB52DT=$G(^TMP($J,"IBEFUNC3",IBDFN,IBRXIEN,"RF",IBSUBDA,.01)) ; refill date
64 . . I +IB52DT=IBDT S IBRXNDC=$$GETNDC^PSONDCUT(IBRXIEN,IBSUBDA),IBQUIT=1 ; refill NDC#
65 Q IBRXNDC
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