1 | HBHCAPPT ; LR VAMC(IRMS)/MJT-HBHC batch job to create ^HBHC(632) (visit) nodes from PCE module info => patient, appointment date/time, hospital location (clinic), prov, DX code(s), & CPT code(s), calls ^HBHCCAN, HBHCAPP1 ; Jul 2000
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2 | ;;1.0;HOSPITAL BASED HOME CARE;**6,8,10,12,13,15,16,14**;NOV 01, 1993
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3 | ; Daily auto-queued option, also called from ^HBHCFILE, HBHCLSDT, last date to include in transmit set up in ^HBHCFILE
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4 | D START^HBHCAPP1
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5 | SCAN ; Scan
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6 | N HBHCQRY
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7 | D OPEN^SDQ(.HBHCQRY)
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8 | D INDEX^SDQ(.HBHCQRY,"DATE/TIME","SET")
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9 | D DATE^SDQ(.HBHCQRY,HBHCBGDT,HBHCLSDT,"SET")
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10 | D SCANCB^SDQ(.HBHCQRY,"D CB^HBHCAPPT(Y,Y0,.SDSTOP)","SET")
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11 | D ACTIVE^SDQ(.HBHCQRY,"TRUE","SET")
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12 | D SCAN^SDQ(.HBHCQRY,"FORWARD")
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13 | D CLOSE^SDQ(.HBHCQRY)
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14 | I ($D(^HBHC(634.1,"B")))!($D(^HBHC(634.2,"B")))!($D(^HBHC(634.3,"B")))!($D(^HBHC(634.5,"B"))) D MAIL^HBHCAPP1
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15 | ; Delete File Update in Progress Flag
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16 | S $P(^HBHC(631.9,1,0),U,8)=""
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17 | EXIT ; Exit module
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18 | D EXIT^HBHCAPP1
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19 | Q
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20 | CB(HBHCOEP,HBHCSCE0,HBHCSTOP) ;
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21 | ; Omit Child encounter, (child if Parent Encounter field contains data)
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22 | Q:$P(HBHCSCE0,U,6)]""
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23 | ; Quit if invalid status for HBHC purposes
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24 | Q:($P(HBHCSCE0,U,12)=4)!($P(HBHCSCE0,U,12)=5)!($P(HBHCSCE0,U,12)=6)!($P(HBHCSCE0,U,12)=7)!($P(HBHCSCE0,U,12)=9)!($P(HBHCSCE0,U,12)=10)!($P(HBHCSCE0,U,12)=11)!($P(HBHCSCE0,U,12)=13)
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25 | ; Clinic missing
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26 | Q:$P(HBHCSCE0,U,4)=""
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27 | ; Include only HBHC clinics
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28 | Q:'$D(^HBHC(631.6,"B",$P(HBHCSCE0,U,4)))
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29 | S HBHCCLN=$P(HBHCSCE0,U,4)
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30 | D VERIFY I 'HBHCFLG D PROCESS D:$D(HBHCMSG) ERROR^HBHCAPP1
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31 | Q
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32 | VERIFY ; Verify record doesn't already exist in ^HBHC(632) file
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33 | S HBHCFLG=0,HBHCDPT=$P(HBHCSCE0,U,2),HBHCAPDT=$P(HBHCSCE0,U)
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34 | I HBHCDPT="" S HBHCFLG=1 Q
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35 | S HBHCBXRF=0 F S HBHCBXRF=$O(^HBHC(632,"B",HBHCDPT,HBHCBXRF)) Q:(HBHCBXRF'>0)!(HBHCFLG) S:($D(^HBHC(632,"AE",HBHCOEP)))&(HBHCAPDT=$P(^HBHC(632,HBHCBXRF,0),U,2))&('$D(^HBHC(632,"AC","C",HBHCBXRF))) HBHCFLG=1
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36 | Q
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37 | PROCESS ; Process provider, diagnosis (DX), & CPT code data
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38 | ; Dx
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39 | K HBHCDXL,HBHCDX
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40 | D GETDX^SDOE(HBHCOEP,"HBHCDXL")
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41 | S HBHCCNT=1 F HBHCI=1:1:HBHCDXL S HBHCDX(HBHCI)=""
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42 | S HBHCDFN=0 F S HBHCDFN=$O(HBHCDXL(HBHCDFN)) Q:(HBHCDFN'>0)!(HBHCCNT>HBHCDXL) S:$P(HBHCDXL(HBHCDFN),U,12)="P" HBHCDX(1)=$P(HBHCDXL(HBHCDFN),U) S:$P(HBHCDXL(HBHCDFN),U,12)="S" HBHCCNT=HBHCCNT+1,HBHCDX(HBHCCNT)=$P(HBHCDXL(HBHCDFN),U)
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43 | ; Dx missing
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44 | I (+$G(HBHCDXL)'>0) S HBHCMSG=3 Q
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45 | ; provider, use Encounter Provider (field 1204, file 9000010.18) or V Provider (9000010.06) (if encounter provider doesn't exist), each provider within encounter will become a separate HBHC Visit record
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46 | K HBHCPRV1,HBHCPRVL
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47 | D GETPRV^SDOE(HBHCOEP,"HBHCPRVL")
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48 | S (HBHCPCNT,HBHCDFN,HBHCONE)=0 F S HBHCDFN=$O(HBHCPRVL(HBHCDFN)) Q:HBHCDFN'>0 S HBHCPRV=$P(HBHCPRVL(HBHCDFN),U) D CHECK S:HBHCONE=1 HBHCPCNT=HBHCPCNT+1,HBHCPRV1(HBHCPRV)=""
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49 | ; Provider missing
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50 | I (+$G(HBHCPRVL)'>0) S HBHCMSG=2 Q
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51 | ; HBHC provider missing
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52 | I HBHCONE=0 S HBHCMSG=11 Q
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53 | ; Multiple HBHC provider numbers
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54 | I HBHCONE>1 S HBHCMSG=12 Q
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55 | ; CPT Code
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56 | K HBHCCPTL,HBHCPRV
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57 | D GETCPT^SDOE(HBHCOEP,"HBHCCPTL")
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58 | S (HBHCDFN,HBHCONE)=0 F S HBHCDFN=$O(HBHCCPTL(HBHCDFN)) Q:(HBHCDFN'>0)!($D(HBHCMSG)) S HBHCPRV=$P($G(HBHCCPTL(HBHCDFN,12)),U,4) D:HBHCPRV]"" CHECK S HBHCNBR=$P(HBHCCPTL(HBHCDFN,0),U,16) D PROV
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59 | ; Provider mismatch
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60 | Q:$D(HBHCMSG)
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61 | ; Provider ambiguous
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62 | I $D(HBHCPRV("ZZ")) S HBHCMSG=5 Q
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63 | ; CPT Code missing
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64 | I (+$G(HBHCCPTL)=0) S HBHCMSG=4 Q
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65 | ; outpatient encounter must have 'checked-out' status (2) to ensure provider, Dx, & CPT data exist, or inpatient status (8)
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66 | I ($P(HBHCSCE0,U,12)'=2)&($P(HBHCSCE0,U,12)'=8) S HBHCMSG=1 Q
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67 | SET ; Set node, call ^DIK to set cross-refs in ^HBHC(632) (visit) file
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68 | S HBHCPRV="" F S HBHCPRV=$O(HBHCPRV(HBHCPRV)) Q:HBHCPRV="" D SETLOOP
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69 | Q
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70 | SETLOOP ; Set loop
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71 | S HBHC="" F S HBHC=$O(^HBHC(631.4,"C",HBHCPRV,HBHC)) Q:(HBHC="")!('$D(^HBHC(631.4,"AC",1,HBHC)))
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72 | L +^HBHC(632,0) F S HBHCDFN=$P(^HBHC(632,0),U,3)+1,$P(^HBHC(632,0),U,3)=HBHCDFN Q:'$D(^HBHC(632,HBHCDFN,0))
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73 | S $P(^HBHC(632,0),U,4)=$P(^HBHC(632,0),U,4)+1 L -^HBHC(632,0)
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74 | L +^HBHC(632,HBHCDFN,2) S HBHCCPT=""
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75 | F S HBHCCPT=$O(HBHCPRV(HBHCPRV,HBHCCPT)) Q:HBHCCPT="" S HBHCNBR="" F S HBHCNBR=$O(HBHCPRV(HBHCPRV,HBHCCPT,HBHCNBR)) Q:HBHCNBR="" D SETCPT S HBHCK=0 F S HBHCK=$O(HBHCPRV(HBHCPRV,HBHCCPT,HBHCNBR,HBHCK)) Q:HBHCK'>0 D SETMOD
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76 | L -^HBHC(632,HBHCDFN,2)
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77 | L +^HBHC(632,HBHCDFN,3) K DD,DO S DIC="^HBHC(632,",DIC(0)="L",DIC("P")=$P(^DD(632,33,0),U,2),DA(1)=HBHCDFN,DIC=DIC_DA(1)_",3,",HBHCI="" F S HBHCI=$O(HBHCDX(HBHCI)) Q:HBHCI="" S X=HBHCDX(HBHCI) D FILE^DICN
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78 | L -^HBHC(632,HBHCDFN,3)
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79 | L +^HBHC(632,HBHCDFN,0) S ^HBHC(632,HBHCDFN,0)=HBHCDPT_U_HBHCAPDT_U_HBHCCLN_U_HBHC_U_U_U_U_"N"_U_U_U_U_U_U_U_U_U_U_U_U_U_U_HBHCOEP L -^HBHC(632,HBHCDFN,0)
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80 | K DIK S DIK="^HBHC(632,",DA=HBHCDFN D IX^DIK K DIK
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81 | Q
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82 | CHECK ; Check to ensure provider only has 1 HBHC Provider Number (631.4) or if > 1, has others flagged as Inactive Provider Numbers
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83 | S (HBHCONE,HBHCIEN)=0 F S HBHCIEN=$O(^HBHC(631.4,"C",HBHCPRV,HBHCIEN)) Q:(HBHCIEN'>0)!(HBHCONE>1) S:'$D(^HBHC(631.4,"AC",1,HBHCIEN)) HBHCONE=HBHCONE+1
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84 | Q
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85 | PROV ; Encounter provider & CPT code processing
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86 | S:HBHCPCNT=1 HBHCTXT="",HBHCTXT=$O(HBHCPRV1(HBHCTXT))
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87 | F HBHCJ=1:1:HBHCNBR D:HBHCPRV="" SUB1 D:HBHCPRV]"" SUB2
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88 | Q
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89 | SUB1 ; Subroutine 1 for encounter provider & CPT code processing
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90 | S HBHCPRV($S(HBHCPCNT=1:HBHCTXT,1:"ZZ"),$P(HBHCCPTL(HBHCDFN,0),U),HBHCJ)=""
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91 | S HBHCK=0 F S HBHCK=$O(HBHCCPTL(HBHCDFN,1,HBHCK)) Q:HBHCK'>0 S HBHCPRV($S(HBHCPCNT=1:HBHCTXT,1:"ZZ"),$P(HBHCCPTL(HBHCDFN,0),U),HBHCJ,HBHCK)=HBHCCPTL(HBHCDFN,1,HBHCK,0)
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92 | Q
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93 | SUB2 ; Subroutine 2 for encounter provider & CPT code processing
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94 | I (HBHCONE=1)&($D(HBHCPRV1(HBHCPRV))) S HBHCPRV(HBHCPRV,$P(HBHCCPTL(HBHCDFN,0),U),HBHCJ)="",HBHCK=0 F S HBHCK=$O(HBHCCPTL(HBHCDFN,1,HBHCK)) Q:HBHCK'>0 S HBHCPRV(HBHCPRV,$P(HBHCCPTL(HBHCDFN,0),U),HBHCJ,HBHCK)=HBHCCPTL(HBHCDFN,1,HBHCK,0)
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95 | S:'$D(HBHCPRV1(HBHCPRV)) HBHCMSG=13
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96 | Q
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97 | SETCPT ; Set CPT multiple
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98 | K DD,DO S DIC="^HBHC(632,",DIC(0)="L",DIC("P")=$P(^DD(632,32,0),U,2),DA(1)=HBHCDFN,X=HBHCCPT,DIC=DIC_DA(1)_",2," D FILE^DICN
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99 | ; Set up for CPT Modifier update
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100 | S DA=+Y,DA(2)=DA(1),DA(1)=DA
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101 | K DD,DO S DIC("P")=$P(^DD(632.032,1,0),U,2),DIC=DIC_DA_",1,"
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102 | Q
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103 | SETMOD ; Set CPT Modifier multiple
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104 | S X=HBHCPRV(HBHCPRV,HBHCCPT,HBHCNBR,HBHCK) D FILE^DICN S DA=+Y
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105 | Q
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