| 1 | EASPTRN5 ;ALB/CPM/GN - NIGHTLY BILLING TRANSMISSION PROCESSING ; 10/30/01 9:58am [12/17/03 1:09pm] | 
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| 2 | ;;1.0;ENROLLMENT APPLICATION SYSTEM;**23,33,47**; 21-OCT-94 | 
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| 3 | ;;Per VHA Directive 10-93-142, this routine should not be modified. | 
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| 4 | ; | 
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| 5 | ; For Edb Transmission Only - VAMC-to-Edb | 
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| 6 | ; | 
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| 7 | ;EAS*1*47 - break up Z09's by Income year, via new "ATR" xref | 
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| 8 | ; | 
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| 9 | EN ; This routine performs the nightly compilation and transmission | 
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| 10 | ; of DHCP billing activity for IVM patients to the IVM Center. | 
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| 11 | ; | 
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| 12 | TRNSMT ; Transmit required billing activity. | 
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| 13 | Q:'$D(^IVM(301.61,"ATR")) | 
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| 14 | ; ============= | 
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| 15 | N HL,HLDT,HLDT1,HLEID,HLMID,MID,MTIEN,RESULT,ICYR | 
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| 16 | S HLEID="EAS EDB ORU-Z09 SERVER" | 
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| 17 | S HLEID=$O(^ORD(101,"B",HLEID,0)) | 
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| 18 | D INIT^IVMUFNC(HLEID,.HL) S HLMTN="ORU" | 
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| 19 | S NUMS="" | 
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| 20 | F I=1:1:30 S NUMS=NUMS_$S(NUMS'="":",",1:"")_I | 
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| 21 | S ICYR=0                                                    ;EAS*1*47 | 
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| 22 | F  S ICYR=$O(^IVM(301.61,"ATR",ICYR)) Q:'ICYR  D | 
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| 23 | . D BLDZ09(ICYR) | 
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| 24 | D FILE^IVMPTRN3 | 
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| 25 | K DFN,IVMPID,IVMTDA,IVMMTDT,IVMN,IVMSTOP,IVMEVENT,IVMHZIC,VAFPID,DGREL,DGINC,DGINR,DGDEP | 
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| 26 | D CLEAN^IVMUFNC | 
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| 27 | Q | 
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| 28 | ; | 
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| 29 | BLDZ09(ICYR) ;create the Z09 per DFN | 
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| 30 | S DFN=0 | 
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| 31 | F  S DFN=$O(^IVM(301.61,"ATR",ICYR,DFN)) Q:'DFN  D | 
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| 32 | .I '$$WHERETO^EASPTRN1(ICYR,DFN) Q          ;Do not send legacy Z09's | 
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| 33 | .I IVMCT=0,$G(IVMGTOT) D FILE^HLTF | 
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| 34 | .S HLEVN=HLEVN+1 | 
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| 35 | .; ========== | 
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| 36 | .; Find a slot for each batch | 
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| 37 | .I HLEVN#100=1 D | 
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| 38 | ..K HLDT,HLDT1,HLMID,MTIEN | 
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| 39 | ..D CREATE^HLTF(.HLMID,.MTIEN,.HLDT,.HLDT1) | 
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| 40 | .; ========== | 
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| 41 | .; | 
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| 42 | .; Setup MSH Segment | 
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| 43 | .S MID=HLMID_"-"_HLEVN | 
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| 44 | .D MSH^HLFNC2(.HL,MID,.RESULT) | 
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| 45 | .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=RESULT | 
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| 46 | .; | 
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| 47 | .; - re-set msg control id into MSH segment | 
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| 48 | .D MSGID^IVMUFNC4(.IVMCT) | 
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| 49 | .; | 
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| 50 | .; - create PID segment | 
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| 51 | .K IVMPID,VAFPID | 
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| 52 | .S IVMPID=$$EN^VAFCPID(DFN,"1,2,3,4,5,7,8,19") | 
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| 53 | .I $D(VAFPID(1)) S IVMPID(1)=VAFPID(1) | 
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| 54 | .;I $P(IVMPID_$G(IVMPID(1)),HLFS,20)["P" D PSEUDO^IVMPTRN1 | 
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| 55 | .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMPID | 
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| 56 | .I $D(IVMPID(1)) S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMPID(1) | 
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| 57 | .; | 
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| 58 | .; - create PD1 segment - Patient CMOR segment <<<<<<<<<<<<<<<<< | 
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| 59 | .;S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^VAFHLPD1(DFN,"1,2,3,4") | 
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| 60 | .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$EN^VAFHLPD1(DFN,"1,3") | 
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| 61 | .; | 
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| 62 | .; - find the patient's Means Test date and create ZIC segment | 
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| 63 | .S IVMTDA=$O(^IVM(301.61,"ATR",ICYR,DFN,0)) | 
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| 64 | .S IVMMTDT=$S(IVMTDA:$P($G(^IVM(301.61,IVMTDA,0)),"^",5),1:DT) | 
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| 65 | .D ALL^DGMTU21(DFN,"V",IVMMTDT,"IPR",+$$LST^DGMTU(DFN,IVMMTDT)) | 
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| 66 | .S IVMHZIC=$$EN^VAFHLZIC(+$G(DGINC("V")),"1,2") | 
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| 67 | .;S IVMHZIC=$$EN^VAFHLZIC(+$G(DGINC("V")),$P(NUMS,",",1,23)) | 
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| 68 | .I '$P(IVMHZIC,"^",3) S $P(IVMHZIC,"^",3)=$$HLDATE^HLFNC($O(^IVM(301.5,"APT",DFN,0))) | 
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| 69 | .; | 
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| 70 | .; - find all transactions for the patient and create FT1 segments | 
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| 71 | .S IVMTDA=0 F  S IVMTDA=$O(^IVM(301.61,"ATR",ICYR,DFN,IVMTDA)) Q:'IVMTDA  D | 
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| 72 | ..S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$FT1^EASUFNC3(IVMTDA) | 
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| 73 | ..S IVMN=$G(^IVM(301.61,IVMTDA,0)) | 
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| 74 | ..; | 
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| 75 | ..; - if a payment has been made (or if the bill is closed), | 
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| 76 | ..; - but the bill has never been transmitted, re-transmit. | 
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| 77 | ..I ($P(IVMN,"^",9)!($P(IVMN,"^",10))),'$P(IVMN,"^",13) D | 
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| 78 | ...D NOW^%DTC S DA=IVMTDA,DIE="^IVM(301.61,",DR=".13////"_% D ^DIE | 
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| 79 | ...S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=$$FT1^EASUFNC3(IVMTDA) | 
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| 80 | ..; | 
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| 81 | ..; - update transmission record | 
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| 82 | ..;D:ISITESW'["H" | 
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| 83 | ..S IVMSTOP=0 | 
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| 84 | ..I $P(IVMN,"^",10)!$P(IVMN,"^",11) S IVMSTOP=1 | 
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| 85 | ..I $P(IVMN,"^",4)>1 S IVMSTOP=1 | 
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| 86 | ..D NOW^%DTC S DR=".12////0;.13////"_% | 
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| 87 | ..I IVMSTOP S DR=DR_";.14////1" | 
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| 88 | ..S DR=DR_";1.03////"_%_";1.04////"_DUZ | 
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| 89 | ..S DA=IVMTDA,DIE="^IVM(301.61," D ^DIE K DA,DR,DIE | 
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| 90 | .; | 
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| 91 | .; - set ZIC segment | 
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| 92 | .S IVMCT=IVMCT+1,^TMP("HLS",$J,IVMCT)=IVMHZIC | 
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| 93 | .; | 
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| 94 | .S IVMEVENT="Z09" | 
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| 95 | .I HLEVN'<100 D FILE^IVMPTRN3 | 
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| 96 | ; | 
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| 97 | Q | 
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| 98 | ; | 
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| 99 | ; | 
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| 100 | INIT(DFN) ; Find the initial date for which to return patient charges. | 
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| 101 | ;  Input:   DFN  --  Pointer to the patient in file #2 | 
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| 102 | ; Output:   Date patient became Cat C, or null (for ins. patients) | 
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| 103 | ; | 
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| 104 | N IVMDATE,X,Y S IVMDATE=0 | 
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| 105 | I '$G(DFN) G INITQ | 
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| 106 | S X=0 F  S X=$O(^IVM(301.61,"C",DFN,X)) Q:'X  S Y=$G(^IVM(301.61,X,0)) I $P(Y,"^",4)>1,$P(Y,"^",5) S IVMDATE=$P(Y,"^",5) Q | 
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| 107 | I IVMDATE S IVMDATE=$P($$LST^DGMTU(DFN,IVMDATE),"^",2) | 
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| 108 | INITQ Q IVMDATE | 
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