1 | IBJDI7 ;ALB/CPM - OUTPATIENT WORKLOAD REPORT ; 19-DEC-96
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2 | ;;2.0;INTEGRATED BILLING;**69,91,98,100,118,133,339**;21-MAR-94;Build 2
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3 | ;
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4 | EN ; - Option entry point.
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5 | ;
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6 | W !!,"This report provides a measure of the number and types of"
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7 | W !,"Outpatient Services that are provided in the Medical Center.",!
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8 | ;
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9 | DATE D DATE^IBOUTL I IBBDT=""!(IBEDT="") G ENQ
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10 | ;
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11 | ; - Sort by division?
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12 | S DIR(0)="Y",DIR("B")="NO"
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13 | S DIR("A")="Do you wish to sort this report by division"
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14 | S DIR("?")="^D DHLP^IBJDI7" W !
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15 | D ^DIR S IBSORT=+Y I $D(DIRUT)!$D(DTOUT)!$D(DUOUT)!$D(DIROUT) G ENQ
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16 | K DIR,DIROUT,DTOUT,DUOUT,DIRUT
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17 | ;
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18 | ; - Select division(s).
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19 | I IBSORT D PSDR^IBODIV G:Y<0 ENQ
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20 | ;
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21 | W !!,"This report only requires an 80 column printer."
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22 | ;
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23 | W !!,"Note: This report may take a while to run."
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24 | W !?6,"You should queue this report to run after normal business hours.",!
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25 | ;
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26 | ; - Select a device.
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27 | S %ZIS="QM" D ^%ZIS G:POP ENQ
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28 | I $D(IO("Q")) D G ENQ
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29 | .S ZTRTN="DQ^IBJDI7",ZTDESC="IB - OUTPATIENT WORKLOAD REPORT"
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30 | .F I="IBBDT","IBEDT","IBSORT","VAUTD","VAUTD(" S ZTSAVE(I)=""
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31 | .D ^%ZTLOAD
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32 | .W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
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33 | .K ZTSK,IO("Q") D HOME^%ZIS
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34 | ;
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35 | U IO
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36 | ;
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37 | DQ ; - Tasked entry point.
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38 | ;
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39 | I $G(IBXTRACT) D E^IBJDE(7,1) ; Change extract status.
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40 | ;
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41 | N IBQUERY K IB
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42 | S IBC="TOT^NSC^SC^SCS^SCN",IBQ=0
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43 | I IBSORT D
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44 | .S I=0 F S I=$S(VAUTD:$O(^DG(40.8,I)),1:$O(VAUTD(I))) Q:'I D
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45 | ..S J=$P(^DG(40.8,I,0),U),IB(J,"GTOT")=0
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46 | ..F K=1:1:5 S IB(J,$P(IBC,U,K)_"-A")=0 S:K<4 IB(J,$P(IBC,U,K)_"-I")=0
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47 | S IB("ZZALL","GTOT")=0
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48 | F I=1:1:5 D
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49 | .S IB("ZZALL",$P(IBC,U,I)_"-A")=0 S:I<4 IB("ZZALL",$P(IBC,U,I)_"-I")=0
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50 | ;
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51 | ; - Find outpatient encounters within the user-specified date range.
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52 | D OUTPT^IBJDI21("",IBBDT,IBEDT,"S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0)","Outpatient Workload Report",.IBQ,"",.IBQUERY)
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53 | D CLOSE^IBSDU(.IBQUERY)
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54 | ;
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55 | I IBQ G ENQ
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56 | ;
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57 | I $G(IBXTRACT) D E^IBJDE(7,0) G ENQ ; Extract summary data.
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58 | ;
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59 | ; - Print the report.
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60 | S (IBPAG,IBQ)=0 D NOW^%DTC S IBRUN=$$DAT2^IBOUTL(%)
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61 | S IBDIV="" F S IBDIV=$O(IB(IBDIV)) Q:IBDIV="" D SUM Q:IBQ
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62 | ;
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63 | ENQ I $D(ZTQUEUED) S ZTREQ="@" G ENQ1
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64 | ;
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65 | D ^%ZISC
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66 | ENQ1 K IB,IBC,IBH,IBQ,IBBDT,IBEDT,IBD,IBDIV,IBOE,IBOED,IBPAG,IBRUN,IBSORT
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67 | K IBPER,IBINS,IBSC,%,%ZIS,DFN,POP,I,J,K,X,Y,VA,VAEL,VAERR,VAUTD
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68 | K ZTDESC,ZTRTN,ZTSAVE
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69 | Q
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70 | ;
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71 | ENC(IBOE,IBOED) ; - Extract encounter - must be called from DQ above.
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72 | I $$TESTP^IBJDI1(+$P(IBOED,U,2)) G ENCQ ; Test patient.
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73 | ;
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74 | I IBSORT D G:'$D(IB(IBDIV,"TOT-A")) ENCQ
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75 | .S IBDIV=+$P(IBOED,U,11)
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76 | .S IBDIV=$P($G(^DG(40.8,$S('IBDIV:+$$PRIM^VASITE(),1:IBDIV),0)),U)
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77 | ;
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78 | S IBINS=$$INS(IBOE,IBOED) ; Check if insured encounter.
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79 | ;
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80 | ; - Set main totals.
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81 | S IB("ZZALL","GTOT")=IB("ZZALL","GTOT")+1
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82 | S IB("ZZALL","TOT-A")=IB("ZZALL","TOT-A")+1
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83 | I IBINS S IB("ZZALL","TOT-I")=IB("ZZALL","TOT-I")+1
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84 | I IBSORT D
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85 | .S IB(IBDIV,"GTOT")=IB(IBDIV,"GTOT")+1
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86 | .S IB(IBDIV,"TOT-A")=IB(IBDIV,"TOT-A")+1
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87 | .I IBINS S IB(IBDIV,"TOT-I")=IB(IBDIV,"TOT-I")+1
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88 | ;
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89 | ; - Set NSC totals.
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90 | S DFN=+$P(IBOED,U,2) D ELIG^VADPT S IBSC=+VAEL(3)
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91 | I 'IBSC D G ENCQ
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92 | .S IB("ZZALL","NSC-A")=IB("ZZALL","NSC-A")+1
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93 | .I IBINS S IB("ZZALL","NSC-I")=IB("ZZALL","NSC-I")+1
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94 | .I IBSORT D
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95 | ..S IB(IBDIV,"NSC-A")=IB(IBDIV,"NSC-A")+1
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96 | ..I IBINS S IB(IBDIV,"NSC-I")=IB(IBDIV,"NSC-I")+1
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97 | ;
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98 | ; - Set SC totals.
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99 | S IB("ZZALL","SC-A")=IB("ZZALL","SC-A")+1
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100 | I IBINS S IB("ZZALL","SC-I")=IB("ZZALL","SC-I")+1
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101 | I IBSORT D
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102 | .S IB(IBDIV,"SC-A")=IB(IBDIV,"SC-A")+1
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103 | .I IBINS S IB(IBDIV,"SC-I")=IB(IBDIV,"SC-I")+1
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104 | ;
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105 | ; - If care related to an SC condition, set SCS totals.
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106 | I $$SC(IBOE) D G ENCQ
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107 | .S IB("ZZALL","SCS-A")=IB("ZZALL","SCS-A")+1
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108 | .I IBSORT S IB(IBDIV,"SCS-A")=IB(IBDIV,"SCS-A")+1
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109 | ;
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110 | ; - Set SCN totals.
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111 | S IB("ZZALL","SCN-A")=IB("ZZALL","SCN-A")+1
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112 | I IBSORT S IB(IBDIV,"SCN-A")=IB(IBDIV,"SCN-A")+1
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113 | ;
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114 | ENCQ Q
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115 | ;
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116 | SUM ; - Print the summary report.
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117 | F X="-A","-I" D Q:IBQ
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118 | .I X["A" W @IOF,*13
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119 | .I X["I",$E(IOST,1,2)="C-" W @IOF,*13
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120 | .E W:X["I" !!
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121 | .;
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122 | .; - Print summary header.
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123 | .W !!?$S(X["A":17,1:12),"OUTPATIENT ENCOUNTER WORKLOAD - "
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124 | .W $S(X["A":"ALL ENCOUNTERS",1:"INSURED ENCOUNTERS ONLY")
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125 | .S IBH="SUMMARY REPORT FOR "_$S(IBDIV="ZZALL":"ALL DIVISIONS",1:IBDIV)
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126 | .S IBC=(80-$L(IBH)/2)\1 W !?IBC,IBH
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127 | .W !!?$S(X["A":15,1:11),"For ",$S(X["I":"Insured ",1:""),"Outpatient Encounters from ",$$DAT1^IBOUTL(IBBDT)," - ",$$DAT1^IBOUTL(IBEDT)
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128 | .I $E(IOST,1,2)="C-" W !!?24,"Run Date: ",IBRUN
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129 | .S IBC=$S(X["A":"17^46",1:"12^55") W !?+IBC,$$DASH($P(IBC,U,2)),!!
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130 | .;
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131 | .; - Print summary statistics.
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132 | .S IBPER(1)=$J($S('IB(IBDIV,"TOT"_X):0,1:IB(IBDIV,"NSC"_X)/IB(IBDIV,"TOT"_X)*100),0,2),IBPER(2)=$J($S('IB(IBDIV,"TOT"_X):0,1:100-IBPER(1)),0,2)
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133 | .W ?$S(X["A":27,1:21),"Number of Outpatient Encounters:",?$S(X["A":60,1:54),$J(IB(IBDIV,"TOT"_X),7)
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134 | .W !?$S(X["A":21,1:15),"Number of Encounters for NSC Veterans:",?$S(X["A":60,1:54),$J(IB(IBDIV,"NSC"_X),7)," (",IBPER(1),"%)"
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135 | .W !?$S(X["A":22,1:16),"Number of Encounters for SC Veterans:",?$S(X["A":60,1:54),$J(IB(IBDIV,"SC"_X),7)," (",IBPER(2),"%)"
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136 | .I X["A" D
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137 | ..S IBPER(3)=$J($S('IB(IBDIV,"SC-A"):0,1:IB(IBDIV,"SCS-A")/IB(IBDIV,"SC-A")*100),0,2),IBPER(4)=$J($S('IB(IBDIV,"SC-A"):0,1:100-IBPER(3)),0,2)
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138 | ..W !?4,"Number of Service Connected Encounters for SC Veterans:",?60,$J(IB(IBDIV,"SCS-A"),7)," (",IBPER(3),"%)"
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139 | ..W !?3,"Number of Non-Svc. Connected Encounters for SC Veterans:",?60,$J(IB(IBDIV,"SCN-A"),7)," (",IBPER(4),"%)"
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140 | .E D
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141 | ..S IBPER(5)=$J($S('IB(IBDIV,"GTOT"):0,1:IB(IBDIV,"TOT-I")/IB(IBDIV,"GTOT")*100),0,2)
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142 | ..W !!?5,"Percentage of Insured Outpatient Encounters for ",$S(IBDIV="ZZALL":"All Divisions",1:"This Division"),": ",IBPER(5),"%"
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143 | .D PAUSE
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144 | Q
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145 | ;
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146 | DASH(X) ; - Return a dashed line.
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147 | Q $TR($J("",X)," ","=")
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148 | ;
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149 | PAUSE ; - Page break.
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150 | I $E(IOST,1,2)'="C-" Q
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151 | N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
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152 | F IBX=$Y:1:(IOSL-3) W !
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153 | S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
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154 | Q
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155 | ;
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156 | INS(IBOE,IBOED) ; - Is this an insured encounter?
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157 | ; Input: IBOE = IEN of outpatient encounter in file #409.68
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158 | ; IBOED = Outpatient encounter in file #409.68
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159 | ; Output: 1 = Insured encounter
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160 | ; 0 = Not an insured encounter
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161 | ;
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162 | N DFN,IBCK,IBPB,VA,VAEL,VAERR,X0
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163 | S DFN=+$P(IBOED,U,2)
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164 | I $G(^DPT(DFN,"VET"))'="Y" G INSQ ; Patient not a veteran.
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165 | I '$$INSURED^IBCNS1(DFN,+IBOED\1) G INSQ ; Patient not insured.
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166 | ;
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167 | ; - Check if encounter was made non-billable in Claims Tracking.
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168 | I $P($G(^IBT(356,+$O(^IBT(356,"ASCE",IBOE,0)),0)),U,19) G INSQ
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169 | ;
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170 | ; - Check encounter for non-billable appt. type (1), non-count
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171 | ; clinic (2), non-billable clinic (3,12), admission by 11:59pm of
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172 | ; encounter date (5), non-billable stop code (7,8), non-billable
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173 | ; disposition (10), and parent encounter (11). If IBPB equals one
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174 | ; of these numbers, Y will be set to 0 (Not an insured encounter).
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175 | F X0=1,2,3,5,7,8,10,11,12 S IBCK(X0)=""
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176 | S X0=$$BILLCK^IBAMTEDU(IBOE,IBOED,.IBCK,.IBPB)
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177 | I $G(IBPB) G INSQ
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178 | ;
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179 | I $$ENCL^IBAMTS2(IBOE)[1 G INSQ ; Care is related to AO/IR/SWA/SC/MST/HNC/CV/SHAD.
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180 | ;
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181 | S Y=1 Q Y
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182 | INSQ S Y=0 Q Y
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183 | ;
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184 | SC(OE) ; - Is the encounter related to the veteran's SC condition?
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185 | ; Input: OE = IEN of outpatient encounter in file #409.68
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186 | ; Output: SC = 1 (Encounter related to SC condition)
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187 | ; 0 (Encounter NOT related to SC condition)
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188 | ;
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189 | N CL,CLD,SC
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190 | S (CL,SC)=0 F S CL=$O(^SDD(409.42,"OE",+$G(OE),CL)) Q:'CL D Q:SC
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191 | .S CLD=$G(^SDD(409.42,CL,0)) I +CLD=3,$P(CLD,U,3) S SC=1
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192 | Q SC
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193 | ;
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194 | DHLP ; - Display 'Sort by division' help.
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195 | W !,"Enter RETURN to summarize all outpt. encounters without regard to"
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196 | W !,"division, or 'Yes' to select those divisions for which a separate"
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197 | W !,"summary report should be created."
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198 | Q
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