1 | SDSCOMP ;ALB/JAM/RBS - ASCD Compile list of encounters for Service Connection Review ; 3/12/07 4:36pm
|
---|
2 | ;;5.3;Scheduling;**495**;Aug 13, 1993;Build 50
|
---|
3 | ;;MODIFIED FOR NATIONAL RELEASE from a Class III software product
|
---|
4 | ;;known as Service Connected Automated Monitoring (SCAM).
|
---|
5 | ;
|
---|
6 | ; Routine should be called at specified tags only.
|
---|
7 | Q
|
---|
8 | ;
|
---|
9 | AUTODT ; Called by option "SDSC NIGHTLY COMPILE"
|
---|
10 | ; - Compile ASCD Encounters on a Nightly Basis
|
---|
11 | ; (Rated Disabilities/ICDs for Prior Day Encounters)
|
---|
12 | ;
|
---|
13 | N SDSCTDT,SDEDT,DIC,DA
|
---|
14 | ; nightly compile is for previous day only
|
---|
15 | S SDSCTDT=$$FMADD^XLFDT(DT,-1)
|
---|
16 | ; Set variable 'SDEDT' (loop end point) to same date
|
---|
17 | S SDEDT=SDSCTDT
|
---|
18 | ; Setup list of service connected eligibility codes.
|
---|
19 | D ELIG
|
---|
20 | G TASK1
|
---|
21 | ;
|
---|
22 | GETDATE ; Entry point for edit or report - Get START and END dates
|
---|
23 | S SDSCBDT=$O(^SDSC(409.48,"AE",""))\1,SDSCEDT=DT
|
---|
24 | ; If no records currently available, display message.
|
---|
25 | I SDSCBDT=0 D EN^DDIOL("NO RECORDS ON FILE - RUN COMPILE",,"!!?10") HANG 3 S (SDSCTDT,SDEDT)="" Q
|
---|
26 | ;
|
---|
27 | GETDATE1 ; Entry point for SDSC COMPILE option - Get START and END dates
|
---|
28 | ; Output:
|
---|
29 | ; Set var 'SDSCTDT' (loop start point) to a user selected date.
|
---|
30 | N DIR,X,Y,X1,X2
|
---|
31 | S DIR(0)="DA^"_SDSCBDT_":"_DT_":EX"
|
---|
32 | S DIR("A")="Please enter START date: "
|
---|
33 | ;S DIR("B")=$$FMTE^XLFDT(SDSCBDT,"1Z")
|
---|
34 | S DIR("?")="This START date cannot precede "_$$FMTE^XLFDT(SDSCBDT,"1Z")
|
---|
35 | ;
|
---|
36 | ; This check works for the "SDSC COMPILE" only.
|
---|
37 | ; - Compile does not setup SDSCEDT var
|
---|
38 | I SDSCBDT]"",SDSCEDT']"" D
|
---|
39 | . S DIR("B")=$$FMTE^XLFDT(SDSCBDT,"1Z")
|
---|
40 | . S DIR("?")="This START date cannot precede the default SDSC SITE PARAMETER days"
|
---|
41 | ;
|
---|
42 | D ^DIR
|
---|
43 | I $D(DTOUT)!$D(DUOUT) S (SDSCTDT,SDEDT)="" Q
|
---|
44 | S:Y>0 SDSCTDT=Y
|
---|
45 | ; check if start date has changed
|
---|
46 | I SDSCTDT'=SDSCBDT S SDSCBDT=SDSCTDT
|
---|
47 | ; Set variable 'SDEDT' (loop end point) to a user selected date.
|
---|
48 | K DIR
|
---|
49 | S DIR(0)="DA^"_SDSCBDT_":"_DT_":EX"
|
---|
50 | S DIR("A")="Please enter END date: "
|
---|
51 | S DIR("B")=$$FMTE^XLFDT($S(SDSCEDT]"":SDSCEDT,1:DT),"1Z")
|
---|
52 | S DIR("?")="This END date cannot precede the START date or exceed today's date"
|
---|
53 | D ^DIR
|
---|
54 | I $D(DTOUT)!$D(DUOUT) S (SDSCTDT,SDEDT)="" Q
|
---|
55 | S:Y>0 SDEDT=Y
|
---|
56 | Q
|
---|
57 | ;
|
---|
58 | ELIG ; Compile list of service connected eligibility codes.
|
---|
59 | N I,J
|
---|
60 | K SDLIST
|
---|
61 | ; loop "D" x-ref of ELIGIBILITY CODE (#8) file
|
---|
62 | ; Entries 1 and 3 are the service connected entries in this file.
|
---|
63 | F I=1,3 S J=0 F S J=$O(^DIC(8,"D",I,J)) Q:'J S SDLIST(J)=""
|
---|
64 | Q
|
---|
65 | ;
|
---|
66 | COMPILE ; Called by option "SDSC COMPILE"
|
---|
67 | ; - Compile ASCD Encounters by Date Range
|
---|
68 | ; (Rated Disabilities/ICDs for Encounters)
|
---|
69 | N DIR,X,Y,SDSCBDT,SDSCEDT,ZTIO,ZTDESC,ZTRTN,ZTSAVE
|
---|
70 | N SDSCITE,SDSCDAY
|
---|
71 | D HOME^%ZIS
|
---|
72 | ; Get start and end date for compile.
|
---|
73 | S (SDSCBDT,SDSCEDT,SDSCDAY)=""
|
---|
74 | S SDSCITE=$P($$SITE^VASITE(),U,1)
|
---|
75 | S SDSCDAY=$$GET^XPAR((+SDSCITE)_";DIC(4,","SDSC SITE PARAMETER")
|
---|
76 | ; set default start date based on site parameter (30 days max)
|
---|
77 | I SDSCDAY="" S SDSCDAY=30
|
---|
78 | S SDSCBDT=$$FMADD^XLFDT(DT,-SDSCDAY)
|
---|
79 | ;
|
---|
80 | D GETDATE1 I SDSCTDT="" G END
|
---|
81 | ; Setup list of service connected eligibility codes.
|
---|
82 | D ELIG
|
---|
83 | ; Ask user if compile should be in background and handle queuing if requested.
|
---|
84 | K DIR
|
---|
85 | S DIR(0)="YA",DIR("B")="YES"
|
---|
86 | S DIR("A")="Do you wish to schedule the compile? "
|
---|
87 | S DIR("?")="Enter 'YES' to schedule compile using TaskMan or 'NO' to compile immediately."
|
---|
88 | D ^DIR
|
---|
89 | I $D(DTOUT)!$D(DUOUT) D EN^DDIOL("<Compile Aborted> ",,"!!?10") G END
|
---|
90 | I Y D G END
|
---|
91 | . S ZTIO="NULL",ZTDESC="COMPARE RATED DISABILITY/ICDs PER ENCOUNTER (COMPILE)",ZTRTN="TASK^SDSCOMP",ZTSAVE("*")=""
|
---|
92 | . D ^%ZTLOAD
|
---|
93 | . I $G(ZTSK)]"" D EN^DDIOL("Extract's TaskMan ID is "_ZTSK,"","!!?10")
|
---|
94 | . K ZTSK
|
---|
95 | . Q
|
---|
96 | D EN^DDIOL("Comparing Rated Disabilities and Diagnosis Code per Encounter ...",,"!!?10")
|
---|
97 | ;
|
---|
98 | TASK ; Start compile (one-time compile - remove from queue when complete)
|
---|
99 | D OPT
|
---|
100 | I $D(ZTQUEUED) S ZTREQ="@"
|
---|
101 | G END
|
---|
102 | ;
|
---|
103 | TASK1 ; Start compile (scheduled compile - don't remove from queue)
|
---|
104 | D OPT
|
---|
105 | G END
|
---|
106 | ;
|
---|
107 | OPT ; Loop through all outpatient encounters for the specified dates.
|
---|
108 | N SDSCTOT,SDSCSVC,SDSCNSC,SDSCBAD,SDSCNCT,SDSCEXS,SDSCNDX,SDSCNBL
|
---|
109 | N SDSCMAP1,SDSCMAP2,SDSCINS,SDOEDT,SDOE
|
---|
110 | S (SDSCTOT,SDSCSVC,SDSCNSC,SDSCBAD,SDSCNCT,SDSCEXS,SDSCNDX,SDSCNBL,SDSCMAP1,SDSCMAP2,SDSCINS)=0
|
---|
111 | S SDOEDT=SDSCTDT F S SDOEDT=$O(^SCE("B",SDOEDT)) Q:(SDOEDT\1)>SDEDT Q:SDOEDT="" D
|
---|
112 | . S SDOE=0 F S SDOE=$O(^SCE("B",SDOEDT,SDOE)) Q:'SDOE D OPT1
|
---|
113 | . Q
|
---|
114 | ;
|
---|
115 | ; Check for newly identified insurance
|
---|
116 | D EN^SDSCINS(.SDSCINS,.SDSCSVC)
|
---|
117 | ;
|
---|
118 | ; Send mail message with counts of records
|
---|
119 | D MMSG
|
---|
120 | ;
|
---|
121 | ; Check for encounters in ASCD that were deleted from (#409.68)
|
---|
122 | D EN^SDSCPRG
|
---|
123 | Q
|
---|
124 | ;
|
---|
125 | OPT1 ; Check the service connected info for one encounter.
|
---|
126 | N SDOEDAT,SDEC,SDPAT,SDCLIN,SDCST,SDV0,SDFILEOK,SDPRV,SDOSC
|
---|
127 | S SDSCTOT=SDSCTOT+1
|
---|
128 | ; If this encounter has already been compiled for review, quit.
|
---|
129 | I $D(^SDSC(409.48,SDOE,0)) S SDSCEXS=SDSCEXS+1 Q
|
---|
130 | ; Get encounter data. If no encounter data, quit.
|
---|
131 | ; Replace all ^SCE calls with new variable.
|
---|
132 | S SDOEDAT=$$GETOE^SDOE(SDOE)
|
---|
133 | I SDOEDAT="" S SDSCBAD=SDSCBAD+1 Q
|
---|
134 | ; if child encounter, reduce count and quit
|
---|
135 | I $P(SDOEDAT,U,6) S SDSCTOT=SDSCTOT-1 Q
|
---|
136 | ; if not Check-out, quit
|
---|
137 | I $P(SDOEDAT,U,12)'=2 S SDSCNBL=SDSCNBL+1 Q
|
---|
138 | ; Get eligibility. If no eligibility, quit.
|
---|
139 | S SDEC=$P(SDOEDAT,U,13) I SDEC="" S SDSCBAD=SDSCBAD+1 Q
|
---|
140 | ; If eligibility is not service connected, quit.
|
---|
141 | I '$D(SDLIST(SDEC)) S SDSCNSC=SDSCNSC+1 Q
|
---|
142 | ; Get patient. If no patient, quit.
|
---|
143 | S SDPAT=$P(SDOEDAT,U,2) I SDPAT="" S SDSCBAD=SDSCBAD+1 Q
|
---|
144 | ; Checks for clinic and stop code.
|
---|
145 | ; Get clinic. If no clinic, quit.
|
---|
146 | S SDCLIN=$P(SDOEDAT,U,4) I SDCLIN="" S SDSCBAD=SDSCBAD+1 Q
|
---|
147 | ; Get clinic stop code. If no clinic stop code, quit.
|
---|
148 | S SDCST=$P(SDOEDAT,U,3) I SDCST="" S SDSCBAD=SDSCBAD+1 Q
|
---|
149 | ; If clinic is non-count, quit.
|
---|
150 | I $$NCTCL^SDSCUTL(SDCLIN) S SDSCNCT=SDSCNCT+1 Q
|
---|
151 | ; If encounter is non-billable for first and third party, quit.
|
---|
152 | I $$NBFP^SDSCUTL(SDOE),$$NBTP^SDSCUTL(SDOE) S SDSCNBL=SDSCNBL+1 Q
|
---|
153 | ; Get visit file entry. If no visit, quit.
|
---|
154 | S SDV0=$P(SDOEDAT,U,5) I SDV0="" S SDSCBAD=SDSCBAD+1 Q
|
---|
155 | S SDOSC=$$GET1^DIQ(9000010,SDV0_",",80001,"I")
|
---|
156 | I SDOSC="" S SDSCNBL=SDSCNBL+1 Q
|
---|
157 | ; Get and evaluate all ICD9 entries for the specified visit.
|
---|
158 | S SDFILEOK=$$SC^SDSCAPI(SDPAT,,SDOE)
|
---|
159 | ;no ICDs were found for this encounter SDFILEOK=""
|
---|
160 | I SDFILEOK="" S SDSCNDX=SDSCNDX+1 Q
|
---|
161 | ;checks if ICD match found
|
---|
162 | I +SDFILEOK D
|
---|
163 | .I '$P(SDFILEOK,"^",4) S SDSCMAP1=SDSCMAP1+1 Q
|
---|
164 | .S SDSCMAP2=SDSCMAP2+1
|
---|
165 | I '+SDFILEOK S SDSCNSC=SDSCNSC+1
|
---|
166 | ; Get Primary Provider for the specified visit.
|
---|
167 | S SDPRV=$$PRIMVPRV^PXUTL1(SDV0) I SDPRV=0 S SDPRV=""
|
---|
168 | ; Store the encounter for later use.
|
---|
169 | S SDSCSVC=SDSCSVC+1
|
---|
170 | I $P(SDFILEOK,U,4) Q:$D(^SDSC(409.48,SDOE,0)) D STORE Q
|
---|
171 | I SDOSC'=$P(SDFILEOK,U) D STORE
|
---|
172 | Q
|
---|
173 | ;
|
---|
174 | STORE ; Save the information for the found encounter.
|
---|
175 | N SDERR,SDIEN,SDSC
|
---|
176 | S SDIEN(1)=SDOE
|
---|
177 | S SDSC(409.48,"+1,",.01)=SDOE
|
---|
178 | S SDSC(409.48,"+1,",.04)=DT
|
---|
179 | S SDSC(409.48,"+1,",.07)=SDOEDT
|
---|
180 | S SDSC(409.48,"+1,",.08)=SDPRV
|
---|
181 | S SDSC(409.48,"+1,",.09)=$P(SDFILEOK,U,3)
|
---|
182 | S SDSC(409.48,"+1,",.11)=SDPAT
|
---|
183 | S SDSC(409.48,"+1,",.12)=$P(SDOEDAT,U,11)
|
---|
184 | S SDSC(409.48,"+1,",.05)="N"
|
---|
185 | S SDSC(409.48,"+1,",.13)=SDOSC
|
---|
186 | D UPDATE^DIE("","SDSC","SDIEN","SDERR")
|
---|
187 | Q
|
---|
188 | ;
|
---|
189 | MMSG ; Send Mail Message
|
---|
190 | N SDCNT,SDTEXT,DIFROM,XMY,XMDUZ,XMTEXT,XMSUB,XMZ,XMDUN
|
---|
191 | S SDTEXT(1)="Date Range (Compile) - From: "_$$FMTE^XLFDT(SDSCTDT,1)_" Thru: "_$$FMTE^XLFDT(SDEDT,1)
|
---|
192 | S SDTEXT(2)="Date Range (Late Ins.) - "
|
---|
193 | I '$D(SDSCBDT),'$D(SDSCEDT) S SDTEXT(2)=SDTEXT(2)_"None"
|
---|
194 | E S SDTEXT(2)=SDTEXT(2)_"From: "_$$FMTE^XLFDT(SDSCBDT,1)_" Thru: "_$$FMTE^XLFDT(SDSCEDT,1)
|
---|
195 | S SDTEXT(3)=" "
|
---|
196 | S SDTEXT(4)="Number of encounters Service Connected (Compile) : "_$J(SDSCSVC-SDSCINS,7)
|
---|
197 | S SDTEXT(5)="Number of encounters Service Connected (Late Ins.) : "_$J(SDSCINS,7)
|
---|
198 | S SDTEXT(6)=" (Number SvcConn with a True Map) : "_$J(SDSCMAP1,7)
|
---|
199 | S SDTEXT(6.5)=" (Number SvcConn with a Partial Map) : "_$J(SDSCMAP2,7)
|
---|
200 | S SDTEXT(7)=" (Number SvcConn that don't Map to VBA) : "_$J(SDSCSVC-SDSCMAP1-SDSCMAP2,7)
|
---|
201 | S SDTEXT(8)="Number of encounters Not Service Connected : "_$J(SDSCNSC,7)
|
---|
202 | S SDTEXT(9)="Number of encounters that are Non-billable : "_$J(SDSCNBL,7)
|
---|
203 | S SDTEXT(10)="Number of encounters with Non-count Clinics : "_$J(SDSCNCT,7)
|
---|
204 | S SDTEXT(11)="Number of encounters with no diagnoses : "_$J(SDSCNDX,7)
|
---|
205 | S SDTEXT(12)="Number of encounters with other errors : "_$J(SDSCBAD,7)
|
---|
206 | S SDTEXT(13)="Number of encounters already evaluated : "_$J(SDSCEXS,7)
|
---|
207 | S SDTEXT(14)="---------------------------------------------------------------------------"
|
---|
208 | S SDTEXT(15)="Total Encounters Checked: "_$J(SDSCTOT,7)
|
---|
209 | S SDCNT=15
|
---|
210 | D AUDIT^SDSCINS(.SDTEXT,.SDCNT)
|
---|
211 | I $G(DUZ)="" S XMZ(.5)=""
|
---|
212 | S XMZ(DUZ)="",XMDUZ="ASCD Compile",XMY("G.SDSC NIGHTLY TALLY")=""
|
---|
213 | S XMTEXT="SDTEXT(",XMSUB="ASCD Compile Numbers"
|
---|
214 | D ^XMD
|
---|
215 | Q
|
---|
216 | ;
|
---|
217 | END ; Clear all variables before exiting.
|
---|
218 | K SDSCTDT,SDEDT,SDOEX,SDRD,SDRDIEN,SDSCBDT,SDSCEDT,SDIEN,SDERR,SDSC
|
---|
219 | K SDVBA,SDVBAI,SDLIST,P,L,SDABRT,X,Y,DTOUT,DUOUT
|
---|
220 | Q
|
---|