| 1 | ICDGTDRG  ;ALB/ADL/KER - COLLECTION OF DRG APIS ; 04/18/2004
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| 2 |  ;;18.0;DRG Grouper;**7,12,14,17**;Oct 20, 2000
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| 3 |  ;   Collection of API's for accessing new "DRG" level
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| 4 |  ;   of files #80, #80.1, and #80.2.  These new levels
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| 5 |  ;   were added for the Code Set Versioning Project
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| 6 |  ;
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| 7 | GETDRG(CODE,DGNDT,FILE)      ; Get DRG or DRG string associated with a Code
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| 8 |  ;  Input:
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| 9 |  ;     CODE  - IEN number
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| 10 |  ;     DRGDT - Effective date of the Code
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| 11 |  ;     FILE  - File to check : 9 - ICD9 (file #80)
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| 12 |  ;                                   0 - ICD0 (file 80.1)
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| 13 |  ;  Output:
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| 14 |  ;     DRGS - DRG or string of DRG's (delimited
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| 15 |  ;            by "^") or -1 if not defined
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| 16 |  ;
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| 17 |  ;            Effective date or error message; 
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| 18 |  ;            status flag (1=Active;0=Inactive)
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| 19 |  ;            Delimited by ";" because DRG's can be
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| 20 |  ;            multiple and are already delimited by "^"
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| 21 |  ;
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| 22 |  N DRG0,D1,DCS,DCSINF,DRGS,DCSV,DAMDC,DRGFY,DRG,DRGS,DADRGFY,MDC
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| 23 |  S (DRG0,DRGFY,DRGS,DRG,MDC,DAMDC,DADRGFY,DRG0)=""
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| 24 |  I $G(CODE)="" S DRGS="-1;NO CODE SELECTED;0" G GETDRGQ
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| 25 |  I $G(FILE)="" S DRGS="-1;NO FILE INPUT;0" G GETDRGQ
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| 26 |  I $G(DGNDT)="" S DGNDT=DT
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| 27 |  I FILE'=9,FILE'=0 S DRGS="-1;INVALID FILE INPUT;0" G GETDRGQ
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| 28 |  S DGNDT=DGNDT+.001
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| 29 |  ;  ICD Operations/Procedures
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| 30 |  I FILE=0 D
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| 31 |  . I CODE<1!'$D(^ICD0(CODE)) S DRGS="-1;NO SUCH ENTRY;0" Q
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| 32 |  . S DRGFY=$O(^ICD0(CODE,2,"B",+DGNDT),-1),DADRGFY=$O(^ICD0(CODE,2,"B",+$G(DRGFY),DADRGFY)),DAMDC=$O(^ICD0(CODE,2,+DADRGFY,1,"B",ICDMDC,DAMDC))
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| 33 |  . ;If no entry check previous FY
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| 34 |  . I DAMDC'>0 D GETPVMDC^ICDREF
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| 35 |  . F  S DRG=$O(^ICD0(CODE,2,+DADRGFY,1,+DAMDC,1,"B",DRG)) Q:DRG=""  S DRG0=DRG0_DRG_U
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| 36 |  . I DRG0="" S DRGS="-1;NO DRG LEVEL;0"
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| 37 |  . S DRGS=DRG0_";"_DRGFY
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| 38 |  ;  ICD Diagnosis
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| 39 |  I FILE=9 D
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| 40 |  . I CODE<1!'$D(^ICD9(CODE)) S DRGS="-1;NO SUCH ENTRY;0" Q
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| 41 |  . S DRGFY=$O(^ICD9(CODE,3,"B",+DGNDT+.01),-1),DADRGFY=$O(^ICD9(CODE,3,"B",+$G(DRGFY),DADRGFY))
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| 42 |  . F  S DRG=$O(^ICD9(CODE,3,+DADRGFY,1,"B",DRG)) Q:DRG=""  S DRG0=DRG0_DRG_U
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| 43 |  . I DRG0="" S DRGS="-1;NO DRG LEVEL;0"
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| 44 |  . S DRGS=DRG0_";"_DRGFY
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| 45 |  ;
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| 46 | GETDRGQ Q DRGS  ; Exit API GETDRG
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| 47 |  ;
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| 48 | DRG(CODE,EDT)   ; Returns a string of information from the DRG file (#80.2)
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| 49 |  ; Input:   CODE   DRG code, internal or external format (Required)
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| 50 |  ;          CDT    Date to check status for, FileMan format (default = TODAY)
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| 51 |  ;                   If CDT < 10/1/1978, use 10/1/1978
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| 52 |  ;                   If CDT > DT, validate with In/Activation Dates
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| 53 |  ;                   If CDT is year only, use first of the year
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| 54 |  ;                   If CDT is year and month, use first of the month
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| 55 |  ; 
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| 56 |  ; Output:  Returns an 22 piece string delimited by the up-arrow (^), where the
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| 57 |  ;          pieces are:
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| 58 |  ;            1  DRG name (field #.01)
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| 59 |  ;            2  Weight (field #2)
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| 60 |  ;            3  Low Trim (days) (field #3)
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| 61 |  ;            4  High Trim (days) (field #4)
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| 62 |  ;            5  MDC (field #5)
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| 63 |  ;            6  Surgery Flag (field #.06)
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| 64 |  ;            7  <null>
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| 65 |  ;            8  Avg Length of Stay (days) (field 10)
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| 66 |  ;            9  Local Low Trim Days (field #11)
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| 67 |  ;           10  Local High Trim Days (field #12)
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| 68 |  ;           11  <null>
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| 69 |  ;           12  Local Breakeven (field #13)
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| 70 |  ;           13  Activation Date (.01 field of the 66 multiple)
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| 71 |  ;           14  Status (.03 field of the 66 multiple)
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| 72 |  ;           15  Inactivation Date (.01 field of the 66 multiple)
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| 73 |  ;           16  Effective date (.01 field of the 66 multiple)
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| 74 |  ;           17  Internal Entry Number (IEN)
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| 75 |  ;           18  Effective date of CSV (.01 field of the 66 multiple)
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| 76 |  ;           19  Reference (field #900)
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| 77 |  ;           20  Weight (Non Affil) (field #7)
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| 78 |  ;           21  Weight (Int Affil) (field #7.5)
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| 79 |  ;           22  Message
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| 80 |  ; 
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| 81 |  ;            or 
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| 82 |  ; 
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| 83 |  ;           -1^Error Description
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| 84 |  ; 
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| 85 |  N D0,DCS,DFY,DFYINF,DCSINF,DMC1,D1,FYDT,FYMD,ICDFY
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| 86 |  I $G(CODE)="" S STR="-1^NO CODE SELECTED",$P(STR,"^",14)=0 G DRGQ
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| 87 |  I $G(EDT)="" S EDT=DT  ; No date, use today
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| 88 |  S EDT=$$DTBR^ICDAPIU(EDT,2)  ; Verify that date is not earlier that the earliest allowed date per the bus. rule
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| 89 |  S EDT=EDT+.001
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| 90 |  S CODE=$G(CODE),CODE=$S(CODE:+CODE,1:$$CODEN(CODE)) ; GET ien
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| 91 |  I CODE<1!'$D(^ICD(CODE)) S STR="-1^NO SUCH ENTRY",$P(STR,"^",14)=0 G DRGQ
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| 92 |  S D0=^ICD(CODE,0)
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| 93 |  S FYDT=$$DGY2K^DGPTOD0($$FY^DGPTOD0(EDT))+.001 ; get the correct FY in YYY0000 format for the effective date
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| 94 |  S DFY=$O(^ICD(CODE,"FY",FYDT),-1) S:DFY>0 DFYINF=^(DFY,0) I DFY'>0 D  ;date stored in YYY0000 w/YYY = Fiscal Year
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| 95 |  . S DFYINF=U_$P(D0,U,2,4)_U_U_$P(D0,U,9)_U_$P(D0,U,12)_U_$P(D0,U,7)_U_$P(D0,U,8)_U_$P(D0,U,11)
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| 96 |  S DCS=$O(^ICD(CODE,66,"B",EDT),-1),D1=$S(DCS'="":$O(^ICD(CODE,66,"B",DCS,0)),1:0) S DCSINF=$S(D1>0:^ICD(CODE,66,D1,0),1:"")
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| 97 |  I DCSINF="" S DCSINF=U_U_"0"_U_U_$P(D0,U,5,6)  ;if CSV level does not exist, default to info at .01 level with status = inactive
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| 98 |  ;Resolve reference table using "B" cross reference and fiscal year
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| 99 |  ;If ICDFY is not resolved set it to current fiscal year
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| 100 |  S ICDFY=$O(^ICD(CODE,2,"B",EDT+.01),-1),DMC1=""
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| 101 |  S DMC1=$O(^ICD(CODE,2,"B",+$G(ICDFY),DMC1)),DMC1=$P($G(^ICD(CODE,2,+DMC1,0)),U,3)
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| 102 |  S STR=$P(D0,U)_U_$P(DFYINF,U,2,4)_U_$P(DCSINF,U,5,6)_U_U_$P(DFYINF,U,9)_U_$P(DFYINF,U,6,7)
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| 103 |  S STR=STR_U_U_$P(D0,U,12)_U_$P(D0,U,13)_U_$P(DCSINF,U,3)_U_$P(D0,U,15)_U_$P(DCSINF,U)_U_CODE_U_DCS_U_$P(DMC1,U)_U_$P(DFYINF,U,8)_U_$P(DFYINF,U,10)
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| 104 |  ;
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| 105 | DRGQ Q STR
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| 106 |  ;
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| 107 | CODEI(CODE)     ; Returns the IEN of an ICD code
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| 108 |  Q +$O(^ICD9("BA",+CODE,0))
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| 109 |  ;
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| 110 | GETDATE(PATNUM) ; Find the correct "EFFECTIVE DATE" for locating the DRG/ICD/CPT codes
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| 111 |  ;
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| 112 |  ;  Input:    PATNUM - PTF Record Number
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| 113 |  ;  Output:   "effective date" to use
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| 114 |  ;
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| 115 |  N EFFD,PTR
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| 116 |  ;  Census Date
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| 117 |  S PTR=$P($G(^DGPT(PATNUM,0)),U,13) I PTR'="" S EFFD=$P($G(^DG(45.86,PTR,0)),U,1) G:EFFD'="" GDOUT
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| 118 |  ;  Discharge Date
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| 119 |  S EFFD=$P($G(^DGPT(PATNUM,70)),U,1) G:EFFD'="" GDOUT
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| 120 |  ;  Surgery Date
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| 121 |  S EFFD=$P($G(^DGPT(PATNUM,"S",1,0)),U,1) G:EFFD'="" GDOUT
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| 122 |  ;  Movement Date
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| 123 |  S EFFD=$P($G(^DGPT(PATNUM,"M",1,0)),U,10)
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| 124 |  ;  Default TODAY
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| 125 |  I EFFD="" S EFFD=DT
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| 126 | GDOUT Q EFFD
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| 127 |  ;
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| 128 | ISVALID(CODE,EDATE,FILE) ; Is an ICD/CPT code Valid
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| 129 |  ; This is a function call to be used in DIC("S") FileMan
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| 130 |  ; calls to check the validation of a ICD/CPT code
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| 131 |  ; Input:
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| 132 |  ;    CODE   - ICD/CPT code (ien)
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| 133 |  ;    EDATE  - Effective date to be used
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| 134 |  ;    FILE   - File to use: 0 - ICD0; 9 - ICD9
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| 135 |  ;
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| 136 |  ; Output:
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| 137 |  ;    OUT    - 1 if valid; 0 if not
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| 138 |  ;
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| 139 |  N OUT,TEMP
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| 140 |  S OUT=0
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| 141 |  I FILE=0 S TEMP=$$ICDOP^ICDCODE(CODE,EDATE) I TEMP>0,$P(TEMP,U,10) S OUT=1
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| 142 |  I FILE=9 S TEMP=$$ICDDX^ICDCODE(CODE,EDATE) I TEMP>0,$P(TEMP,U,10) S OUT=1
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| 143 |  Q OUT
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| 144 |  ;
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| 145 | DRGD(CODE,OUTARR,DFN,CDT) ; returns CPT description in array
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| 146 |  ; Input:   CODE   ICD Code, Internal or External Format (required)
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| 147 |  ;          ARY    Output Array Name for description 
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| 148 |  ;                   e.g. "ABC" or "ABC("TEST")" 
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| 149 |  ;                   Default = ^TMP("DRGD",$J)
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| 150 |  ;          DFN    Not in use but included in anticipation of future need
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| 151 |  ;          CDT    Date to screen against (default = TODAY)
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| 152 |  ;                   If CDT < 10/1/1978, use 10/1/1978
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| 153 |  ;                   If CDT > DT, use DT
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| 154 |  ;                   If CDT is year only, use first of the year
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| 155 |  ;                   If CDT is year and month only, use first of the month
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| 156 |  ; 
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| 157 |  ; Output:  #      Number of lines in description output array
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| 158 |  ;          @ARY(1:n) - Versioned Description (lines 1-n) (from the 68 multiple)
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| 159 |  ;          @ARY(n+1) - Blank
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| 160 |  ;          @ARY(n+1) - A message stating: CODE TEXT MAY BE INACCURATE
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| 161 |  ; 
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| 162 |  ;           or
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| 163 |  ; 
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| 164 |  ;          -1^Error Description
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| 165 |  ; 
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| 166 |  ; ** NOTE - USER MUST INITIALIZE ^TMP("DRGD",$J), IF USED **
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| 167 |  ;
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| 168 |  N ARR,END,I,N,CTV,IEN
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| 169 |  I $G(CODE)="" S N="-1^NO CODE SELECTED" G DRGDQ
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| 170 |  I $G(OUTARR)="" S OUTARR="^TMP(""DRGD"",$J,"
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| 171 |  I OUTARR'["(" S OUTARR=OUTARR_"("
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| 172 |  I OUTARR[")" S OUTARR=$P(OUTARR,")")
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| 173 |  S END=$E(OUTARR,$L(OUTARR)) I END'="("&(END'=",") S OUTARR=OUTARR_","
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| 174 |  K:OUTARR="^TMP(""DRGD"",$J," ^TMP("DRGD",$J)
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| 175 |  S CODE=$G(CODE),IEN=$S(CODE:+CODE,1:$$CODEN(CODE)),I=0,N=0
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| 176 |  I +IEN<1!('$D(^ICD(IEN))) S N="-1^NO SUCH CODE" G DRGDQ
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| 177 |  S CDT=$S($G(CDT)="":$$DT^XLFDT,1:$$DTBR^ICDAPIU(CDT,2))
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| 178 |  D VLTDR(+IEN,CDT,.CTV) S (N,I)=0 F  S I=$O(CTV(I)) Q:+I=0  D
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| 179 |  . S N=N+1,ARR=OUTARR_N_")",@ARR=$$TRIM($G(CTV(I)))
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| 180 |  I +N>0 S N=N+1,ARR=OUTARR_N_")",@ARR=" ",N=N+1,ARR=OUTARR_N_")",@ARR=$$MSG^ICDAPIU(CDT,2)
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| 181 |  I +N'>0 S N="-1^VERSIONED DESCRIPTION NOT FOUND FOR "_CODE
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| 182 | DRGDQ Q N
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| 183 |  ;
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| 184 | VLTDR(IEN,VDATE,ARY) ; Versioned Description - Long Text
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| 185 |  ; Input:
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| 186 |  ;    IEN    - Internal Entry Number file 80.2
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| 187 |  ;    VDATE  - Effective/Versioning date to be used
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| 188 |  ;    .ARY   - Array for output, passed by reference
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| 189 |  ;
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| 190 |  ; Output:
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| 191 |  ;    ARY()  - Local array containing versioned description
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| 192 |  ;
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| 193 |  N ICD0,ICDC,ICDI,ICDSTD,ICDSTI,ICDVDT,ICDTXT,ICDD,ICDT,ICDE
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| 194 |  S ICDI=+($G(IEN)) Q:+ICDI'>0  Q:'$D(^ICD(+ICDI))
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| 195 |  S ICDVDT=$G(VDATE) S:'$L(ICDVDT)!(+ICDVDT'>0) ICDVDT=$$DT^XLFDT Q:$P(ICDVDT,".",1)'?7N
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| 196 |  S ICD0=$G(^ICD(+ICDI,0)),ICDC=$P(ICD0,"^",1) Q:'$L(ICDC)
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| 197 |  S ICDSTD=$O(^ICD("ADS",(ICDC_" "),(ICDVDT+.000001)),-1)
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| 198 |  I +ICDSTD>0 D  Q:+($O(ARY(0)))>0
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| 199 |  . S ICDSTI=$O(^ICD("ADS",(ICDC_" "),ICDSTD,+ICDI," "),-1)
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| 200 |  . S (ICDD,ICDT)=0 F  S ICDD=$O(^ICD(+ICDI,68,ICDSTI,1,ICDD)) Q:+ICDD=0  D
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| 201 |  . . S ICDT=ICDT+1,ARY(ICDT)=$G(^ICD(+ICDI,68,+ICDSTI,1,+ICDD,0)),ARY(0)=ICDT
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| 202 |  S ICDSTD=$O(^ICD(+ICDI,68,"B"," "),-1) I +ICDSTD>0 D  Q:+($O(ARY(0)))>0
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| 203 |  . S ICDSTI=$O(^ICD(+ICDI,68,"B",ICDSTD,0))
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| 204 |  . S (ICDD,ICDT)=0 F  S ICDD=$O(^ICD(+ICDI,68,ICDSTI,1,ICDD)) Q:+ICDD=0  D
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| 205 |  . . S ICDT=ICDT+1,ARY(ICDT)=$G(^ICD(+ICDI,68,+ICDSTI,1,+ICDD,0)),ARY(0)=ICDT
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| 206 |  K ARY S (ICDD,ICDT)=0 F  S ICDD=$O(^ICD(ICDI,1,ICDD)) Q:+ICDD=0  D
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| 207 |  . S ICDT=ICDT+1,ARY(ICDT)=$G(^ICD(ICDI,1,ICDD,0)),ARY(0)=ICDT
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| 208 |  Q
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| 209 | TRIM(X) ; Trim Spaces
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| 210 |  S X=$G(X) Q:X="" X F  Q:$E(X,1)'=" "  S X=$E(X,2,$L(X))
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| 211 |  F  Q:$E(X,$L(X))'=" "  S X=$E(X,1,($L(X)-1))
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| 212 |  F  Q:X'["  "  S X=$P(X,"  ",1)_" "_$P(X,"  ",2,229)
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| 213 |  Q X
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| 214 | CODEN(CODE) ; Return the IEN of DRG
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| 215 |  ;   Input:  DRG code
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| 216 |  ;  Output:  IEN of code
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| 217 |  ;
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| 218 |  Q:$G(CODE)="" -1  N COD S COD=+$O(^ICD("B",CODE,0)) Q $S(COD>0:COD,1:-1)
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