IBCSC4F ;ALB/ARH - GET PTF DIAGNOSIS ; 10-OCT-1998 ;;2.0;INTEGRATED BILLING;**106**;21-MAR-94 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; PTFDXDT(IBPTF,IBDT1,IBDT2,TF) ; collect PTF Transfer (501) and Discharge (701) movements and diagnosis within a date range ; if end date is before Discharge date delete Discharge Diagnosis ; if bill is an interim first or interim continuous then the last date on the bill is included in the bill N IBSTAY,IBADM,IBDSCH,IBDT,IBLAST,IBMDT K ^TMP($J,"IBDX","D"),^TMP($J,"IBDX","M") Q:'$G(IBPTF) S IBDT1=+$G(IBDT1)\1 Q:IBDT1'?7N S IBDT2=+$G(IBDT2)\1 Q:IBDT2'?7N ; D PTFDX(IBPTF) ; S IBSTAY=$G(^TMP($J,"IBDX","M")),IBADM=+$P($P(IBSTAY,U,2),".",1),IBDSCH=+$P($P(IBSTAY,U,3),".",1) ; I IBADM=IBDSCH Q ; 1 day stay, accept all I IBDT1=IBADM,IBDT2=IBDSCH Q ; bill for entire length of stay, accept all ; I IBDT2IBDT1 K ^TMP($J,"IBDX","M",IBDT) . I IBLAST>IBDT2 K ^TMP($J,"IBDX","M",IBDT) Q ; PTFDX(IBPTF) ; collect all PTF Transfer (501) and Discharge (701) movements and diagnosis and try to assign SC ; PTF movements are assigned SC or NSC but diagnosis are not ; this routine 'interprets' this PTF data and 'assigns' SC/NSC to individual Diagnosis ; Movement (501) Diagnosis: all Dx on SC movements are assigned SC ; a Dx on an NSC movement that is also the first Dx on an SC move is assigned SC ; Discharge (701) Diagnosis: if admit is for SC care all discharge Dx are assigned SC ; if the Dx is also the first Dx on an SC movement then is assigned SC ; a Dx on an SC movement only is assigned SC ; ; Output: TMP($J,"IBDX","D")=PTF # ^ ADMIT DATE ^ DISCHARGE DATE ; TMP($J,"IBDX","D", DISCHARGE DATE) = DISCHARGE DATE ^ SPECIALTY ^ SC (1/0) ^ DRG ^ PROVIDER ; TMP($J,"IBDX","D", DISCHARGE DATE, x) = DIAGNOSIS ^ SC? (1/0) ; ; TMP($J,"IBDX","M")=PTF # ^ ADMIT DATE ^ DISCHARGE DATE ; TMP($J,"IBDX","M", MOVEMENT DATE) = MOVEMENT DATE ^ SPECIALTY ^ SC (1/0) ^ DRG ^ PROVIDER ; TMP($J,"IBDX","M", MOVEMENT DATE, x) = DIAGNOSIS ^ SC? (1/0) ; if patient not discharged then NOW is used as date subscript and first piece will be null, SC?=interpreted SC ; N IBSTAY,IBMI,IBM0,IBDT,IBMDT,IBMBS,IBMP,IBMDRG,IBMPRV,IBMSC,IBMDX,IBD0,IBDDT,IBDBS,IBDDRG,IBDPRV,IBDSC,IBDDX N IBCNT,IBI,IBTMP,DFN,DGVAR,DRG,DRGCAL,ICDCAL,PTF K ^TMP($J,"IBDX","M"),^TMP($J,"IBDX","D") Q:'$G(IBPTF) ; S IBSTAY=IBPTF_U_$P($G(^DGPT(IBPTF,0)),U,2)_U_$P($G(^DGPT(IBPTF,70)),U,1) Q:'$P(IBSTAY,U,2) ; ; collect PTF Movement Diagnosis (501) S ^TMP($J,"IBDX","M")=IBSTAY S IBMI=0 F S IBMI=$O(^DGPT(IBPTF,"M",IBMI)) Q:'IBMI D . S IBM0=$G(^DGPT(IBPTF,"M",IBMI,0)) Q:'IBM0 . S (IBDT,IBMDT)=$P(IBM0,U,10) I 'IBDT S IBDT=$$NOW^XLFDT . S IBMBS=$P(IBM0,U,2),IBMSC=$P(IBM0,U,18),IBMSC=$S(IBMSC=1:1,1:"") . S IBMP=$G(^DGPT(IBPTF,"M",IBMI,"P")),IBMPRV=$P(IBMP,U,5),IBMDRG=$$MVDRG^IBCRBG(IBPTF,IBMI) . ; . S ^TMP($J,"IBDX","M",IBDT)=IBMDT_U_IBMBS_U_IBMSC_U_IBMDRG_U_IBMPRV . ; . S IBCNT=0 F IBI=5:1:9 S IBMDX=+$P(IBM0,U,IBI) I +IBMDX S IBCNT=IBCNT+1 D .. S ^TMP($J,"IBDX","M",IBDT,IBCNT)=IBMDX,IBTMP("DXSC",IBMDX,+IBMSC,IBCNT)="" ; ; collect PTF Discharge Diagnosis (701) S ^TMP($J,"IBDX","D")=IBSTAY S IBD0=$G(^DGPT(IBPTF,70)),IBDDRG=$$GET1^DIQ(45,IBPTF,9,""),IBDPRV=$P(IBD0,U,15) S (IBDT,IBDDT)=$P(IBD0,U,1) I 'IBDT S IBDT=$$NOW^XLFDT S IBDBS=$P(IBD0,U,2),IBDSC=$P(IBD0,U,25),IBDSC=$S(IBDSC=1:1,1:"") ; S ^TMP($J,"IBDX","D",IBDT)=IBDDT_U_IBDBS_U_IBDSC_U_IBDDRG_U_IBDPRV ; S IBCNT=0 F IBI=10,16:1:24 S IBDDX=+$P(IBD0,U,IBI) I +IBDDX S IBCNT=IBCNT+1 D . S ^TMP($J,"IBDX","D",IBDT,IBCNT)=IBDDX ; ; Try to assign SC to PTF Diagnosis ; ; assign SC to Movement Diagnosis (501): if movement is SC or first Dx on an SC movement S IBMDT=0 F S IBMDT=$O(^TMP($J,"IBDX","M",IBMDT)) Q:'IBMDT D . S IBI="" F S IBI=$O(^TMP($J,"IBDX","M",IBMDT,IBI)) Q:'IBI D .. S IBMDX=+$G(^TMP($J,"IBDX","M",IBMDT,IBI)) Q:'IBMDX .. ; .. S IBMSC=+$P($G(^TMP($J,"IBDX","M",IBMDT)),U,3) ; sc move .. I 'IBMSC,$D(IBTMP("DXSC",IBMDX,1,1)) S IBMSC=1 ; first dx on sc move .. ; .. I +IBMSC S $P(^TMP($J,"IBDX","M",IBMDT,IBI),U,2)=1 ; ; assign SC to Discharge Diagnosis (701): if stay is SC or first Dx on an SC movement or only on SC movement S IBDDT=0 F S IBDDT=$O(^TMP($J,"IBDX","D",IBDDT)) Q:'IBDDT D . S IBI="" F S IBI=$O(^TMP($J,"IBDX","D",IBDDT,IBI)) Q:'IBI D .. S IBDDX=+$G(^TMP($J,"IBDX","D",IBDDT,IBI)) Q:'IBDDX .. ; .. S IBDSC=+$P($G(^TMP($J,"IBDX","D",IBDDT)),U,3) ; sc stay .. I 'IBDSC,$D(IBTMP("DXSC",IBDDX,1,1)) S IBDSC=1 ; first dx on sc move .. I 'IBDSC,+$O(IBTMP("DXSC",IBDDX,"")) S IBDSC=1 ; on sc move only .. ; .. I +IBDSC S $P(^TMP($J,"IBDX","D",IBDDT,IBI),U,2)=1 ; Q