IBTRV2 ;ALB/AAS - CLAIMS TRACKING - REVIEW ACTIONS ;19-JUL-93 ;;2.0;INTEGRATED BILLING ;**60,210,266**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; % G EN^IBTRV ; DA(IBTRN) ; -- Add Diagnosis ; -- bld = non-zero means not from main tracking entry. ; N IBETYP D FULL^VALM1 I IBETYP=2 D .I $P(IBTRND,"^",4) D ASK^IBTUTL4(IBTRN,2) .I '$P(IBTRND,"^",4) W !!,"Can not add diagnosis to outpatient visits prior to Check-out.",! D PAUSE^VALM1 I IBETYP=1 D EN^IBTRE3(IBTRN) I '$G(BLD) D DRG,BLD^IBTRV S VALMBCK="R" Q ; PROC(IBTRN,IBETYP,BLD) ; -- Add Procedures ; -- bld = non-zero means not from main tracking entry. ; I '$G(BLD) D FULL^VALM1 I IBETYP=2 W !!,"Outpatient Procedures should be entered using Add/Edit action in",!,"Appointment Management.",! D PAUSE^VALM1 I IBETYP=1 D EN^IBTRE4(IBTRN) I '$G(BLD) D BLD^IBTRV S VALMBCK="R" Q PROV(IBTRN,IBETYP,BLD) ; -- Add Procedures ; -- bld = non-zero means not from main tracking entry. ; I '$G(BLD) D FULL^VALM1 I IBETYP=1 D EN^IBTRE5(IBTRN) I IBETYP=2,$P(IBTRND,"^",4) D ASK^IBTUTL4(IBTRN,1) I IBETYP=3 W !!,"Provider information for Prescriptions comes from the pharmacy package silly.",! D PAUSE^VALM1 I IBETYP=4 W !!,"Provider information for Prosthetics comes from the prothetics package silly.",! D PAUSE^VALM1 I '$G(BLD) D BLD^IBTRV S VALMBCK="R" Q ; DRG(IBTRN) ; -- entry point to compute drg ; generally called from ad or pr above caller does own rebuild N DIR,DA,DR,DIC,DIE,IBALOS,IBDRG,IBTRVD,DGPMCA,DX S DGPMCA=$P(^IBT(356,IBTRN,0),"^",5) Q:'DGPMCA ; ; -- can't compute drg if no primary(dxls) diagnosis S DX=$O(^IBT(356.9,"ATP",DGPMCA,1,0)) Q:'DX D DISPDRG(DGPMCA) ; S DIR("?")="Answer 'Yes' to compute and store a new interim drg, answer 'No' to quit." S DIR("A")="Ready to compute New Interim DRG",DIR("B")="NO",DIR(0)="Y" D ^DIR K DIR I Y=1 D .S IBDRG=$$COMDRG(IBTRN) Q:+IBDRG<1 .W !!,"DRG computes to: ",IBDRG," - ",$$DRGTD^IBACSV(IBDRG,$$TRNDATE^IBACSV(IBTRN)) .; .S IBDA=$O(^IBT(356.93,"AMVD",DGPMCA,DT,0)) .I +IBDA<1 D ..K DD,DO ..S X=IBDRG ..S DIC="^IBT(356.93,",DIC(0)="L",DLAYGO=356.93 ..S DIC("DR")=".02////"_DGPMCA_";.03////"_DT ..D FILE^DICN K DIC S IBDA=+Y .I +IBDA<1 Q .; .L +^IBT(356.93,IBDA):5 I '$T D LOCKED^IBTRCD1 Q .S DIE="^IBT(356.93,",DA=IBDA .S DR=".01////^S X=IBDRG;.01;S IBALOS=$$ALOS^IBTRV2(IBDRG,DT);.04//^S X=IBALOS;.05//^S X=$$DAYREM^IBTRV2(DGPMCA,IBALOS)" .D ^DIE W ! .L -^IBT(356.93,+IBDA) Q ; DAYREM(DGPM,LOS) ; -- Compute days remaining N IBX,DIFF S IBX=LOS S DIFF=$$FMDIFF^XLFDT(DT,+$G(^DGPM(DGPM,0))) S:DIFF<0 DIFF=-DIFF S IBX=LOS-DIFF I IBX<0 S IBX=0 Q IBX\1 ; ALOS(X,Y) ; -- compute alos for drg for year ; input x = pointer to drg file ; y = date N IBDT,J S IBDT=0 F S IBDT=$O(^IBE(356.5,"ADR",X,IBDT)) Q:'IBDT!(IBDT>Y) D .S J=$O(^IBE(356.5,"ADR",X,IBDT,0)) Q $P($G(^IBE(356.5,+$G(J),0)),"^",3) ; COMDRG(IBTRN) ; -- compute drg from tracking file ;********************************************************* ; -- needed variable ; SEX = m or f ; AGE = whole number 0-120 ; ICDEXP = patient died during this episode ; ICDTRS = patient transfered to acute care facility ; ICDDMS = patient had irregular discharge ; ICDDX( = diagnosis codes ; ICDPRC( = procedure codes ;********************************************************* N SEX,ICDEXP,ICDTRS,ICDDMS,ICDDX,ICDPRC,DX,PR,I,J,IBCNT,ICDMDC,ICDDRG,ICDDATE S ICDDRG="",(ICDEXP,ICDTRS,ICDDMS,IBCNT)=0,DFN=$P(^IBT(356,IBTRN,0),"^",2) ; S SEX=$P($G(^DPT(DFN,0)),U,2) S AGE=$$FMDIFF^XLFDT(DT,$P($G(^DPT(DFN,0)),U,3))\365.25 S DGPMA=$P(^IBT(356,IBTRN,0),"^",5) G:'DGPMA COMDRGQ ; S IBCNT=1,DX=0 S ICDDX(1)=+$G(^IBT(356.9,+$O(^IBT(356.9,"ATP",DGPMA,+$O(^IBT(356.9,"ATP",DGPMA,0)),0)),0)) F S DX=$O(^IBT(356.9,"C",DGPMA,DX)) Q:'DX S X=$G(^IBT(356.9,DX,0)) I $P(X,"^",4)=2 S IBCNT=IBCNT+1,ICDDX(IBCNT)=+X ; S IBCNT=0,J="" F S J=$O(^IBT(356.91,"APP",DGPMA,J)) Q:'J S PR="" F S PR=$O(^IBT(356.91,"APP",DGPMA,J,PR)) Q:'PR S IBCNT=IBCNT+1,ICDPRC(IBCNT)=+$G(^IBT(356.91,PR,0)) ; I $D(ICDDX(1)) S ICDDATE=$$TRNDATE^IBACSV(IBTRN) D ^ICDDRG COMDRGQ Q ICDDRG ; DISPDRG(DGPMCA) ; -- Display drg's N I,J,IBDRG W !!,"Current Interim DRGs on File:" S I=0,IBCNT=0 F S I=$O(^IBT(356.93,"AMVD",DGPMCA,I)) Q:'I S J=0 F S J=$O(^IBT(356.93,"AMVD",DGPMCA,I,J)) Q:'J D .S IBDRG=$G(^IBT(356.93,J,0)) .W !?5,$$DAT1^IBOUTL($P(IBDRG,"^",3)),?16,+IBDRG," - ",$$DRGTD^IBACSV(+IBDRG,$P(IBDRG,"^",3)) .S IBCNT=IBCNT+1 I IBCNT<1 W !?5,"None on file." W ! Q