SDSCOMP ;ALB/JAM/RBS - ASCD Compile list of encounters for Service Connection Review ; 3/12/07 4:36pm ;;5.3;Scheduling;**495**;Aug 13, 1993;Build 50 ;;MODIFIED FOR NATIONAL RELEASE from a Class III software product ;;known as Service Connected Automated Monitoring (SCAM). ; ; Routine should be called at specified tags only. Q ; AUTODT ; Called by option "SDSC NIGHTLY COMPILE" ; - Compile ASCD Encounters on a Nightly Basis ; (Rated Disabilities/ICDs for Prior Day Encounters) ; N SDSCTDT,SDEDT,DIC,DA ; nightly compile is for previous day only S SDSCTDT=$$FMADD^XLFDT(DT,-1) ; Set variable 'SDEDT' (loop end point) to same date S SDEDT=SDSCTDT ; Setup list of service connected eligibility codes. D ELIG G TASK1 ; GETDATE ; Entry point for edit or report - Get START and END dates S SDSCBDT=$O(^SDSC(409.48,"AE",""))\1,SDSCEDT=DT ; If no records currently available, display message. I SDSCBDT=0 D EN^DDIOL("NO RECORDS ON FILE - RUN COMPILE",,"!!?10") HANG 3 S (SDSCTDT,SDEDT)="" Q ; GETDATE1 ; Entry point for SDSC COMPILE option - Get START and END dates ; Output: ; Set var 'SDSCTDT' (loop start point) to a user selected date. N DIR,X,Y,X1,X2 S DIR(0)="DA^"_SDSCBDT_":"_DT_":EX" S DIR("A")="Please enter START date: " ;S DIR("B")=$$FMTE^XLFDT(SDSCBDT,"1Z") S DIR("?")="This START date cannot precede "_$$FMTE^XLFDT(SDSCBDT,"1Z") ; ; This check works for the "SDSC COMPILE" only. ; - Compile does not setup SDSCEDT var I SDSCBDT]"",SDSCEDT']"" D . S DIR("B")=$$FMTE^XLFDT(SDSCBDT,"1Z") . S DIR("?")="This START date cannot precede the default SDSC SITE PARAMETER days" ; D ^DIR I $D(DTOUT)!$D(DUOUT) S (SDSCTDT,SDEDT)="" Q S:Y>0 SDSCTDT=Y ; check if start date has changed I SDSCTDT'=SDSCBDT S SDSCBDT=SDSCTDT ; Set variable 'SDEDT' (loop end point) to a user selected date. K DIR S DIR(0)="DA^"_SDSCBDT_":"_DT_":EX" S DIR("A")="Please enter END date: " S DIR("B")=$$FMTE^XLFDT($S(SDSCEDT]"":SDSCEDT,1:DT),"1Z") S DIR("?")="This END date cannot precede the START date or exceed today's date" D ^DIR I $D(DTOUT)!$D(DUOUT) S (SDSCTDT,SDEDT)="" Q S:Y>0 SDEDT=Y Q ; ELIG ; Compile list of service connected eligibility codes. N I,J K SDLIST ; loop "D" x-ref of ELIGIBILITY CODE (#8) file ; Entries 1 and 3 are the service connected entries in this file. F I=1,3 S J=0 F S J=$O(^DIC(8,"D",I,J)) Q:'J S SDLIST(J)="" Q ; COMPILE ; Called by option "SDSC COMPILE" ; - Compile ASCD Encounters by Date Range ; (Rated Disabilities/ICDs for Encounters) N DIR,X,Y,SDSCBDT,SDSCEDT,ZTIO,ZTDESC,ZTRTN,ZTSAVE N SDSCITE,SDSCDAY D HOME^%ZIS ; Get start and end date for compile. S (SDSCBDT,SDSCEDT,SDSCDAY)="" S SDSCITE=$P($$SITE^VASITE(),U,1) S SDSCDAY=$$GET^XPAR((+SDSCITE)_";DIC(4,","SDSC SITE PARAMETER") ; set default start date based on site parameter (30 days max) I SDSCDAY="" S SDSCDAY=30 S SDSCBDT=$$FMADD^XLFDT(DT,-SDSCDAY) ; D GETDATE1 I SDSCTDT="" G END ; Setup list of service connected eligibility codes. D ELIG ; Ask user if compile should be in background and handle queuing if requested. K DIR S DIR(0)="YA",DIR("B")="YES" S DIR("A")="Do you wish to schedule the compile? " S DIR("?")="Enter 'YES' to schedule compile using TaskMan or 'NO' to compile immediately." D ^DIR I $D(DTOUT)!$D(DUOUT) D EN^DDIOL(" ",,"!!?10") G END I Y D G END . S ZTIO="NULL",ZTDESC="COMPARE RATED DISABILITY/ICDs PER ENCOUNTER (COMPILE)",ZTRTN="TASK^SDSCOMP",ZTSAVE("*")="" . D ^%ZTLOAD . I $G(ZTSK)]"" D EN^DDIOL("Extract's TaskMan ID is "_ZTSK,"","!!?10") . K ZTSK . Q D EN^DDIOL("Comparing Rated Disabilities and Diagnosis Code per Encounter ...",,"!!?10") ; TASK ; Start compile (one-time compile - remove from queue when complete) D OPT I $D(ZTQUEUED) S ZTREQ="@" G END ; TASK1 ; Start compile (scheduled compile - don't remove from queue) D OPT G END ; OPT ; Loop through all outpatient encounters for the specified dates. N SDSCTOT,SDSCSVC,SDSCNSC,SDSCBAD,SDSCNCT,SDSCEXS,SDSCNDX,SDSCNBL N SDSCMAP1,SDSCMAP2,SDSCINS,SDOEDT,SDOE S (SDSCTOT,SDSCSVC,SDSCNSC,SDSCBAD,SDSCNCT,SDSCEXS,SDSCNDX,SDSCNBL,SDSCMAP1,SDSCMAP2,SDSCINS)=0 S SDOEDT=SDSCTDT F S SDOEDT=$O(^SCE("B",SDOEDT)) Q:(SDOEDT\1)>SDEDT Q:SDOEDT="" D . S SDOE=0 F S SDOE=$O(^SCE("B",SDOEDT,SDOE)) Q:'SDOE D OPT1 . Q ; ; Check for newly identified insurance D EN^SDSCINS(.SDSCINS,.SDSCSVC) ; ; Send mail message with counts of records D MMSG ; ; Check for encounters in ASCD that were deleted from (#409.68) D EN^SDSCPRG Q ; OPT1 ; Check the service connected info for one encounter. N SDOEDAT,SDEC,SDPAT,SDCLIN,SDCST,SDV0,SDFILEOK,SDPRV,SDOSC S SDSCTOT=SDSCTOT+1 ; If this encounter has already been compiled for review, quit. I $D(^SDSC(409.48,SDOE,0)) S SDSCEXS=SDSCEXS+1 Q ; Get encounter data. If no encounter data, quit. ; Replace all ^SCE calls with new variable. S SDOEDAT=$$GETOE^SDOE(SDOE) I SDOEDAT="" S SDSCBAD=SDSCBAD+1 Q ; if child encounter, reduce count and quit I $P(SDOEDAT,U,6) S SDSCTOT=SDSCTOT-1 Q ; if not Check-out, quit I $P(SDOEDAT,U,12)'=2 S SDSCNBL=SDSCNBL+1 Q ; Get eligibility. If no eligibility, quit. S SDEC=$P(SDOEDAT,U,13) I SDEC="" S SDSCBAD=SDSCBAD+1 Q ; If eligibility is not service connected, quit. I '$D(SDLIST(SDEC)) S SDSCNSC=SDSCNSC+1 Q ; Get patient. If no patient, quit. S SDPAT=$P(SDOEDAT,U,2) I SDPAT="" S SDSCBAD=SDSCBAD+1 Q ; Checks for clinic and stop code. ; Get clinic. If no clinic, quit. S SDCLIN=$P(SDOEDAT,U,4) I SDCLIN="" S SDSCBAD=SDSCBAD+1 Q ; Get clinic stop code. If no clinic stop code, quit. S SDCST=$P(SDOEDAT,U,3) I SDCST="" S SDSCBAD=SDSCBAD+1 Q ; If clinic is non-count, quit. I $$NCTCL^SDSCUTL(SDCLIN) S SDSCNCT=SDSCNCT+1 Q ; If encounter is non-billable for first and third party, quit. I $$NBFP^SDSCUTL(SDOE),$$NBTP^SDSCUTL(SDOE) S SDSCNBL=SDSCNBL+1 Q ; Get visit file entry. If no visit, quit. S SDV0=$P(SDOEDAT,U,5) I SDV0="" S SDSCBAD=SDSCBAD+1 Q S SDOSC=$$GET1^DIQ(9000010,SDV0_",",80001,"I") I SDOSC="" S SDSCNBL=SDSCNBL+1 Q ; Get and evaluate all ICD9 entries for the specified visit. S SDFILEOK=$$SC^SDSCAPI(SDPAT,,SDOE) ;no ICDs were found for this encounter SDFILEOK="" I SDFILEOK="" S SDSCNDX=SDSCNDX+1 Q ;checks if ICD match found I +SDFILEOK D .I '$P(SDFILEOK,"^",4) S SDSCMAP1=SDSCMAP1+1 Q .S SDSCMAP2=SDSCMAP2+1 I '+SDFILEOK S SDSCNSC=SDSCNSC+1 ; Get Primary Provider for the specified visit. S SDPRV=$$PRIMVPRV^PXUTL1(SDV0) I SDPRV=0 S SDPRV="" ; Store the encounter for later use. S SDSCSVC=SDSCSVC+1 I $P(SDFILEOK,U,4) Q:$D(^SDSC(409.48,SDOE,0)) D STORE Q I SDOSC'=$P(SDFILEOK,U) D STORE Q ; STORE ; Save the information for the found encounter. N SDERR,SDIEN,SDSC S SDIEN(1)=SDOE S SDSC(409.48,"+1,",.01)=SDOE S SDSC(409.48,"+1,",.04)=DT S SDSC(409.48,"+1,",.07)=SDOEDT S SDSC(409.48,"+1,",.08)=SDPRV S SDSC(409.48,"+1,",.09)=$P(SDFILEOK,U,3) S SDSC(409.48,"+1,",.11)=SDPAT S SDSC(409.48,"+1,",.12)=$P(SDOEDAT,U,11) S SDSC(409.48,"+1,",.05)="N" S SDSC(409.48,"+1,",.13)=SDOSC D UPDATE^DIE("","SDSC","SDIEN","SDERR") Q ; MMSG ; Send Mail Message N SDCNT,SDTEXT,DIFROM,XMY,XMDUZ,XMTEXT,XMSUB,XMZ,XMDUN S SDTEXT(1)="Date Range (Compile) - From: "_$$FMTE^XLFDT(SDSCTDT,1)_" Thru: "_$$FMTE^XLFDT(SDEDT,1) S SDTEXT(2)="Date Range (Late Ins.) - " I '$D(SDSCBDT),'$D(SDSCEDT) S SDTEXT(2)=SDTEXT(2)_"None" E S SDTEXT(2)=SDTEXT(2)_"From: "_$$FMTE^XLFDT(SDSCBDT,1)_" Thru: "_$$FMTE^XLFDT(SDSCEDT,1) S SDTEXT(3)=" " S SDTEXT(4)="Number of encounters Service Connected (Compile) : "_$J(SDSCSVC-SDSCINS,7) S SDTEXT(5)="Number of encounters Service Connected (Late Ins.) : "_$J(SDSCINS,7) S SDTEXT(6)=" (Number SvcConn with a True Map) : "_$J(SDSCMAP1,7) S SDTEXT(6.5)=" (Number SvcConn with a Partial Map) : "_$J(SDSCMAP2,7) S SDTEXT(7)=" (Number SvcConn that don't Map to VBA) : "_$J(SDSCSVC-SDSCMAP1-SDSCMAP2,7) S SDTEXT(8)="Number of encounters Not Service Connected : "_$J(SDSCNSC,7) S SDTEXT(9)="Number of encounters that are Non-billable : "_$J(SDSCNBL,7) S SDTEXT(10)="Number of encounters with Non-count Clinics : "_$J(SDSCNCT,7) S SDTEXT(11)="Number of encounters with no diagnoses : "_$J(SDSCNDX,7) S SDTEXT(12)="Number of encounters with other errors : "_$J(SDSCBAD,7) S SDTEXT(13)="Number of encounters already evaluated : "_$J(SDSCEXS,7) S SDTEXT(14)="---------------------------------------------------------------------------" S SDTEXT(15)="Total Encounters Checked: "_$J(SDSCTOT,7) S SDCNT=15 D AUDIT^SDSCINS(.SDTEXT,.SDCNT) I $G(DUZ)="" S XMZ(.5)="" S XMZ(DUZ)="",XMDUZ="ASCD Compile",XMY("G.SDSC NIGHTLY TALLY")="" S XMTEXT="SDTEXT(",XMSUB="ASCD Compile Numbers" D ^XMD Q ; END ; Clear all variables before exiting. K SDSCTDT,SDEDT,SDOEX,SDRD,SDRDIEN,SDSCBDT,SDSCEDT,SDIEN,SDERR,SDSC K SDVBA,SDVBAI,SDLIST,P,L,SDABRT,X,Y,DTOUT,DUOUT Q