1 | IBCRHBR3 ;ALB/ARH - RATES: UPLOAD HOST FILES (RC) PARSE ; 10-OCT-1998
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2 | ;;2.0;INTEGRATED BILLING;**106,138,148,169**;21-MAR-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 | ; IBFLINE required and VERS expected on entry
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6 | ;
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7 | A ; Inpatient Facility DRG Charges: process a single line, parse out into individual fields and store in XTMP
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8 | N IBDRG,IBSNS,IBDESC,IBRB,IBANC,IBBEG,IBEND,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC A"
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9 | ;
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10 | S IBDRG=$$P(IBFLINE,1),IBDRG=$$STRIP(IBDRG) Q:IBDRG'?3N ; DRG
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11 | S IBDESC=$$P(IBFLINE,2) ; description
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12 | S IBSNS=$$P(IBFLINE,3),IBSNS=$$STRIP(IBSNS) ; surgery/non-surgery
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13 | S IBRB=$$P(IBFLINE,4),IBRB=$$STRIP(IBRB) ; room & board
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14 | S IBANC=$$P(IBFLINE,5),IBANC=$$STRIP(IBANC) ; ancillary
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15 | S IBBEG=$$P(IBFLINE,6),IBBEG=$$STRIP(IBBEG) ; start date
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16 | S IBEND=$$P(IBFLINE,7),IBEND=$$STRIP(IBEND) ; end date
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17 | ;
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18 | S LINE=IBDRG_U_IBSNS_U_IBRB_U_IBANC_U_IBBEG_U_IBEND S IBXIFN=$$SET(IBFILE,IBXTMP,LINE)
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19 | ;
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20 | Q
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21 | ;
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22 | B ; Inpatient Facility Area Factors: process a single line, parse out into individual fields and store in XTMP
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23 | N IBSITE,IBNAME,IBSRB,IBSAN,IBNRB,IBNAN,IBSNF,IBBEG,IBEND,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC B"
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24 | ;
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25 | S IBSITE=$$P(IBFLINE,1),IBSITE=$$STRIP(IBSITE) Q:IBSITE'?3N.UN ; site
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26 | S IBNAME=$$P(IBFLINE,2) ; facility name
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27 | S IBSRB=$$P(IBFLINE,3),IBSRB=$$STRIP(IBSRB) ; surgical room&board
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28 | S IBSAN=$$P(IBFLINE,4),IBSAN=$$STRIP(IBSAN) ; surgical ancillary
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29 | S IBNRB=$$P(IBFLINE,5),IBNRB=$$STRIP(IBNRB) ; non-surgical room&board
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30 | S IBNAN=$$P(IBFLINE,6),IBNAN=$$STRIP(IBNAN) ; non-surgical ancillary
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31 | S IBSNF=$$P(IBFLINE,7),IBSNF=$$STRIP(IBSNF) ; skilled nursing
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32 | S IBBEG=$$P(IBFLINE,8),IBBEG=$$STRIP(IBBEG) ; start date
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33 | S IBEND=$$P(IBFLINE,9),IBEND=$$STRIP(IBEND) ; end date
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34 | ;
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35 | S LINE=IBSITE_U_IBSRB_U_IBSAN_U_IBNRB_U_IBNAN_U_IBSNF_U_IBBEG_U_IBEND
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36 | S IBXIFN=$$SET(IBFILE,IBXTMP,LINE) D SETSITE(IBXTMP,IBXIFN,IBSITE,IBNAME)
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37 | ;
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38 | Q
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39 | ;
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40 | C ; Outpatient Facility CPT Charges: process a single line, parse out into individual fields and store in XTMP
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41 | N IBCPT,IBCHG,IBBEG,IBEND,IBLMT,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC C"
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42 | ;
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43 | S IBCPT=$$P(IBFLINE,1),IBCPT=$$STRIP(IBCPT) I IBCPT'?5NU Q ; CPT
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44 | S IBCHG=$$P(IBFLINE,2),IBCHG=$$STRIP(IBCHG) ; charge
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45 | S IBBEG=$$P(IBFLINE,3),IBBEG=$$STRIP(IBBEG) ; start date
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46 | S IBEND=$$P(IBFLINE,4),IBEND=$$STRIP(IBEND) ; end date
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47 | S IBLMT=$$P(IBFLINE,5),IBLMT=$$STRIP(IBLMT) ; site limited flag
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48 | ;
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49 | S LINE=IBCPT_U_IBCHG_U_IBBEG_U_IBEND_U_IBLMT S IBXIFN=$$SET(IBFILE,IBXTMP,LINE)
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50 | ;
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51 | Q
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52 | ;
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53 | D ; Outpatient Facility Area Factors: process a single line, parse out into individual fields and store in XTMP
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54 | N IBSITE,IBNAME,IBAF,IBBEG,IBEND,IBZIP,IBLMT,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC D"
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55 | ;
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56 | S IBSITE=$$P(IBFLINE,1),IBSITE=$$STRIP(IBSITE) Q:IBSITE'?3N.UN ; site
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57 | S IBNAME=$$P(IBFLINE,2) ; facility name
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58 | S IBAF=$$P(IBFLINE,3),IBAF=$$STRIP(IBAF) ; area factor
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59 | S IBBEG=$$P(IBFLINE,4),IBBEG=$$STRIP(IBBEG) ; start date
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60 | S IBEND=$$P(IBFLINE,5),IBEND=$$STRIP(IBEND) ; end date
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61 | S IBZIP=$$P(IBFLINE,6),IBZIP=$$STRIP(IBZIP) ; 3-digit zip
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62 | S IBLMT=$$P(IBFLINE,7),IBLMT=$$STRIP(IBLMT) ; site limited flag
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63 | ;
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64 | S LINE=IBSITE_U_IBAF_U_IBBEG_U_IBEND_U_IBLMT
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65 | S IBXIFN=$$SET(IBFILE,IBXTMP,LINE) D SETSITE(IBXTMP,IBXIFN,IBSITE,IBNAME,IBZIP)
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66 | ;
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67 | Q
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68 | ;
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69 | E ; Physician CPT Charges: process a single line, parse out into individual fields and store in XTMP
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70 | N IBCPT,IBMOD,IBDESC,IBCG,IBWE,IBPE,IBCV,IBBEG,IBEND,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC E"
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71 | ;
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72 | S IBCPT=$$P(IBFLINE,1),IBCPT=$$STRIP(IBCPT) I IBCPT'?5NU Q ; CPT
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73 | S IBMOD="" ;IBMOD=$$P(IBFLINE,2),IBMOD=$$STRIP(IBMOD),IBMOD=$S('IBMOD:"",1:IBMOD) ; modifier
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74 | S IBDESC=$$P(IBFLINE,3) ; description
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75 | S IBCG=$$P(IBFLINE,4) ; code group
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76 | S IBWE=$$P(IBFLINE,5),IBWE=$$STRIP(IBWE) ; work expense
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77 | S IBPE=$$P(IBFLINE,6),IBPE=$$STRIP(IBPE) ; practice expense
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78 | S IBCV=$$P(IBFLINE,7),IBCV=$$STRIP(IBCV) ; conversion factor
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79 | S IBBEG=$$P(IBFLINE,8),IBBEG=$$STRIP(IBBEG) ; start date
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80 | S IBEND=$$P(IBFLINE,9),IBEND=$$STRIP(IBEND) ; end date
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81 | ;
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82 | S LINE=IBCPT_U_IBMOD_U_IBWE_U_IBPE_U_IBCG_U_IBCV_U_IBBEG_U_IBEND S IBXIFN=$$SET(IBFILE,IBXTMP,LINE)
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83 | ;
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84 | Q
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85 | ;
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86 | F ; Physician CPT Charges (A&P): process a single line, parse out into individual fields and store in XTMP
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87 | N IBCPT,IBMOD,IBDESC,IBCG,IBCHG,IBBEG,IBEND,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC F"
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88 | ;
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89 | S IBCPT=$$P(IBFLINE,1),IBCPT=$$STRIP(IBCPT) I IBCPT'?5NU Q ; CPT
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90 | S IBMOD="" ;IBMOD=$$P(IBFLINE,2),IBMOD=$$STRIP(IBMOD),IBMOD=$S('IBMOD:"",1:IBMOD) ; modifier
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91 | S IBDESC=$$P(IBFLINE,3) ; description
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92 | S IBCG=$$P(IBFLINE,4) ; code group
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93 | S IBCHG=$$P(IBFLINE,5),IBCHG=$$STRIP(IBCHG) ; average charge
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94 | S IBBEG=$$P(IBFLINE,6),IBBEG=$$STRIP(IBBEG) ; start date
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95 | S IBEND=$$P(IBFLINE,7),IBEND=$$STRIP(IBEND) ; end date
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96 | ;
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97 | S LINE=IBCPT_U_IBMOD_U_IBCHG_U_IBCG_U_IBBEG_U_IBEND S IBXIFN=$$SET(IBFILE,IBXTMP,LINE)
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98 | ;
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99 | Q
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100 | ;
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101 | G ; Physician CPT Charges (ET): process a single line, parse out into individual fields and store in XTMP
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102 | N IBCPT,IBMOD,IBDESC,IBCG,IBTRVU,IBCV,IBBEG,IBEND,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC G"
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103 | ;
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104 | S IBCPT=$$P(IBFLINE,1),IBCPT=$$STRIP(IBCPT) I IBCPT'?5NU Q ; CPT
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105 | S IBMOD="" ;IBMOD=$$P(IBFLINE,2),IBMOD=$$STRIP(IBMOD),IBMOD=$S('IBMOD:"",1:IBMOD) ; modifier
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106 | S IBDESC=$$P(IBFLINE,3) ; description
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107 | S IBCG=$$P(IBFLINE,4) ; code group
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108 | S IBTRVU=$$P(IBFLINE,5),IBTRVU=$$STRIP(IBTRVU) ; total rvu
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109 | S IBCV=$$P(IBFLINE,6),IBCV=$$STRIP(IBCV) ; conversion factor
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110 | S IBBEG=$$P(IBFLINE,7),IBBEG=$$STRIP(IBBEG) ; start date
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111 | S IBEND=$$P(IBFLINE,8),IBEND=$$STRIP(IBEND) ; end date
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112 | ;
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113 | S LINE=IBCPT_U_IBMOD_U_IBTRVU_U_IBCG_U_IBCV_U_IBBEG_U_IBEND S IBXIFN=$$SET(IBFILE,IBXTMP,LINE)
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114 | ;
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115 | Q
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116 | ;
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117 | H ; Physician Area Factors: process a single line, parse out into individual fields and store in XTMP
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118 | N IBSITE,IBNAME,IBWA,IBWE,IBPE,IBBEG,IBEND,IBZIP,IBX,IBK,LINE,LINE2,IBXIFN,IBXTMP S IBXTMP="IBCR RC H"
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119 | ;
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120 | S IBSITE=$$P(IBFLINE,1),IBSITE=$$STRIP(IBSITE) Q:IBSITE'?3N.UN ; site
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121 | S IBNAME=$$P(IBFLINE,2) ; facility name
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122 | S IBWA=$$P(IBFLINE,3),IBWA=$$STRIP(IBWA) ; work adjuster
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123 | S IBWE=$$P(IBFLINE,4),IBWE=$$STRIP(IBWE) ; work expense
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124 | S IBPE=$$P(IBFLINE,5),IBPE=$$STRIP(IBPE) ; practice expense
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125 | S IBBEG=$$P(IBFLINE,30),IBBEG=$$STRIP(IBBEG) ; start date
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126 | S IBEND=$$P(IBFLINE,31),IBEND=$$STRIP(IBEND) ; end date
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127 | S IBZIP=$$P(IBFLINE,32),IBZIP=$$STRIP(IBZIP) ; 3-digit zip
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128 | ;
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129 | S LINE2="" F IBK=6:1:29 S IBX=$$P(IBFLINE,IBK),IBX=$$STRIP(IBX),LINE2=LINE2_IBX_U
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130 | ;
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131 | S LINE=IBSITE_U_IBWA_U_IBWE_U_IBPE_U_IBBEG_U_IBEND
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132 | S IBXIFN=$$SET(IBFILE,IBXTMP,LINE) D SET1(IBXTMP,IBXIFN,"BC",LINE2),SETSITE(IBXTMP,IBXIFN,IBSITE,IBNAME,IBZIP)
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133 | ;
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134 | Q
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135 | ;
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136 | I ; Physician Unit Area Factors: process a single line, parse out into individual fields and store in XTMP
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137 | N IBSITE,IBNAME,IBAF,IBBEG,IBEND,IBZIP,LINE,IBXIFN,IBXTMP S IBXTMP="IBCR RC I"
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138 | ;
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139 | S IBSITE=$$P(IBFLINE,1),IBSITE=$$STRIP(IBSITE) Q:IBSITE'?3N.UN ; site
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140 | S IBNAME=$$P(IBFLINE,2) ; facility name
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141 | S IBAF=$$P(IBFLINE,3),IBAF=$$STRIP(IBAF) ; area factor
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142 | S IBBEG=$$P(IBFLINE,4),IBBEG=$$STRIP(IBBEG) ; start date
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143 | S IBEND=$$P(IBFLINE,5),IBEND=$$STRIP(IBEND) ; end date
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144 | S IBZIP=$$P(IBFLINE,6),IBZIP=$$STRIP(IBZIP) ; 3-digit zip
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145 | ;
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146 | S LINE=IBSITE_U_IBAF_U_IBBEG_U_IBEND
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147 | S IBXIFN=$$SET(IBFILE,IBXTMP,LINE) D SETSITE(IBXTMP,IBXIFN,IBSITE,IBNAME,IBZIP)
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148 | ;
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149 | Q
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150 | ;
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151 | SETHDR(IBFILE,IBXRF1) ; set up header for XTMP file
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152 | ;
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153 | N IBX S IBX=IBFILE_" RC v"_$G(VERS)_" Host File Upload, "_$P($$HTE^XLFDT($H,2),":",1,2)_" by "_$P($G(^VA(200,+$G(DUZ),0)),U,1)
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154 | S ^XTMP(IBXRF1,0)=$$FMADD^XLFDT(DT,2)_U_DT_U_IBX_U_0_U_0
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155 | I IBXRF1="IBCR RC SITE" S ^XTMP(IBXRF1,"VERSION")=$G(VERS),^XTMP(IBXRF1,"VERSION INACTIVE")=$$VERSEDT^IBCRHBRV($G(VERS))
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156 | Q
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157 | ;
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158 | SET(IBFILE,IBXRF1,LINE) ; set data parsed from host file to XTMP
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159 | N IBX,IBK
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160 | S IBX=$G(^XTMP(IBXRF1,0)) I IBX="" D SETHDR(IBFILE,IBXRF1)
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161 | S IBK=+$P(IBX,U,5)+1,$P(^XTMP(IBXRF1,0),U,5)=IBK
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162 | S ^XTMP(IBXRF1,IBK)=LINE
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163 | Q IBK
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164 | ;
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165 | SET1(IBXRF1,IBXIFN,IBXRF3,LINE) ; set data parsed from host file to XTMP, second line
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166 | ;
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167 | S ^XTMP(IBXRF1,IBXIFN,IBXRF3)=LINE
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168 | Q
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169 | ;
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170 | SETSITE(IBXTMP,IBXIFN,SITE,NAME,ZIP) ; set up site file and xref
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171 | ;
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172 | N IBX,IBK,IBI,IBXRF1,IBJ I SITE=""!(NAME="") Q
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173 | S IBXRF1="IBCR RC SITE" S ZIP=$G(ZIP) I ZIP'?3N S ZIP=""
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174 | S IBX=$G(^XTMP(IBXRF1,0)) I IBX="" D SETHDR("RC SITE LIST",IBXRF1)
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175 | ;
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176 | S IBK=0 F S IBK=$O(^XTMP(IBXRF1,"B",NAME,IBK)) Q:'IBK S IBX=$G(^XTMP(IBXRF1,IBK)) I $P(IBX,U,1)=SITE Q
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177 | ;
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178 | I +IBK,ZIP'="" S IBX=$G(^XTMP(IBXRF1,IBK)) D
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179 | . I $P(IBX,U,3)'="",$P(IBX,U,3)'=ZIP W !,?10,"SITE ERROR: ",IBX,"--",ZIP S IBK=0 Q
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180 | . S $P(^XTMP(IBXRF1,IBK),U,3)=ZIP
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181 | . S IBI="ZC "_ZIP S ^XTMP(IBXRF1,"B",IBI,IBK)=""
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182 | ;
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183 | I 'IBK D
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184 | . S IBK=$P(^XTMP(IBXRF1,0),U,5)+1,$P(^XTMP(IBXRF1,0),U,5)=IBK
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185 | . S ^XTMP(IBXRF1,IBK)=SITE_U_NAME_U_ZIP
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186 | . ;
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187 | . I NAME'="" S IBI=NAME S ^XTMP(IBXRF1,"B",IBI,IBK)=""
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188 | . I ZIP'="" S IBI="ZC "_ZIP S ^XTMP(IBXRF1,"B",IBI,IBK)=""
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189 | . I SITE'="" S IBI=SITE_" " S ^XTMP(IBXRF1,"B",IBI,IBK)="",^XTMP(IBXRF1,"C",IBI,IBK)=""
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190 | ;
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191 | S ^XTMP(IBXRF1,IBK,IBXTMP)=IBXIFN
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192 | Q
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193 | ;
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194 | ;
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195 | STRIP(IBVAL) ; strip blanks, $, and commas
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196 | N IBI,IBY,IBX S IBY=""
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197 | F IBI=1:1:200 S IBX=$E(IBVAL,IBI) Q:IBX="" I IBX'=" ",IBX'=",",IBX'="$" S IBY=IBY_IBX
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198 | Q IBY
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199 | ;
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200 | ;
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201 | P(LINE,P) ; parse the line and return the piece requested (replaces $P since may be two dilimiters)
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202 | ; the pieces are delimited by a comma, any piece that includes a comma within the text is surrounded by quotes
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203 | N I,U1,U2,PC S U1=",",U2="""",PC=""
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204 | ;
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205 | F I=1:1:P D
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206 | . I $E(LINE)=U2 S LINE=$E(LINE,2,9999),PC=$P(LINE,U2,1),LINE=$P(LINE,U2_U1,2,9999) Q
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207 | . ;
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208 | . S PC=$P(LINE,U1,1),LINE=$P(LINE,U1,2,9999)
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209 | ;
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210 | Q PC
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