1 | DGENUPL8 ;ISA/KWP,RTK,PHH - PROCESS INCOMING (Z11 EVENT TYPE) HL7 MESSAGES ; 4/25/03 9:21am
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2 | ;;5.3;REGISTRATION;**232,266,327,314,365,417,514**;Aug 13,1993
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3 | ;Moved ENRUPLD from DGENUPL3
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4 | ;
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5 | ENRUPLD(DGENR,DGPAT) ;
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6 | ;Description: uploads an enrollment receieved from HEC. The consistency
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7 | ;checks are assumed to have been done, the other patient and eligibility
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8 | ;data filed already.
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9 | ;
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10 | ;Inputs:
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11 | ; DGENR - enrollment array (pass by reference)
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12 | ; DGPAT - patient array (pass by reference)
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13 | ;
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14 | ;Output: none
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15 | ;
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16 | ;Phase II if HEC sends enrollment statuses VERIFIED(2),UNVERIFIED(1),REJECTED-FISCAL YEAR(11),REJECTED-MID-CYCLE(12),REJECTED-STOP ENROLLING NEW APPLiCANTS(13),PENDING-NO ELIGIBILITY CODE IN VIVA(15)
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17 | ; PENDING-ELIGIBILITY UNVERIFIED(17),PENDING MEANS TEST REQUIRED(16),PENDING-OTHER(18),NOT ELIGIBLE; REFUSED TO PAY COPAY(19)
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18 | ; NOT ELIGIBLE; INELIGIBLE DATE(20),PENDING PURPLE HEART UNCONFIRMED(21),DECEASED(6),CANCELED/DECLINED(7),REJECTED-INITIAL APPLICATION BY VAMC(14),REJECTED BELOW EGT THRESHOLD(22) then store enrollment (SRS6.5.1.2 f)
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19 | ;
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20 | N CURIEN,CURENR
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21 | ;
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22 | ;source should not be VAMC, since it is not a local enrollment
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23 | I DGENR("SOURCE")=1 S DGENR("SOURCE")=2
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24 | ;
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25 | ;is there a local enrollment?
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26 | S CURIEN=$$FINDCUR^DGENA(DGENR("DFN"))
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27 | ;
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28 | ;if there is no current enrollment, store HEC enrollment and quit
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29 | I 'CURIEN D G EXIT
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30 | .;Phase II (SRS 6.5.1.2 f)
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31 | .I "^1^2^6^7^11^12^13^14^15^16^17^18^19^20^21^22^"[("^"_DGENR("STATUS")_"^") I $$STORECUR^DGENA1(.DGENR,1)
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32 | I '$$GET^DGENA(CURIEN,.CURENR) D G EXIT
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33 | .;Phase II (SRS 6.5.1.2 f)
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34 | .I "^1^2^6^7^11^12^13^14^15^16^17^18^19^20^21^22^"[("^"_DGENR("STATUS")_"^") I $$STORECUR^DGENA1(.DGENR,1)
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35 | ;
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36 | ;check for duplicate
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37 | Q:$$DUP(.DGENR,.CURENR)
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38 | ;
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39 | ;if there is no local enrollment, HEC enrollment becomes current
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40 | I CURENR("SOURCE")'=1 D G EXIT
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41 | .;Phase II (SRS 6.5.1.2 f)
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42 | .I "^1^2^6^7^11^12^13^14^15^16^17^18^19^20^21^22^"[("^"_DGENR("STATUS")_"^") I $$STORECUR^DGENA1(.DGENR,1)
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43 | ;********************************************************************
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44 | ;check for exceptions to making HEC enrollment the patient's current enrollment,i.e.,cases in which local enrollment remains the current enrollment
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45 | ;********************************************************************
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46 | ;
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47 | ;if local enrollment has status of Deceased, if the patient is dead and HEC's enrollment doesn't have status of Deceased reject upload
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48 | I (CURENR("STATUS")=6),DGENR("STATUS")'=6,DGPAT("DEATH") D G EXIT
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49 | .D ADDERROR^DGENUPL(MSGID,DGPAT("SSN"),"LOCAL SITE REQUESTED TO VERIFY PATIENT DEATH",.ERRCOUNT)
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50 | .D ADDMSG^DGENUPL3(.MSGS,"ELIBILITY UPLOAD DOESN'T CONTAINED DATE OF DEATH AND WAS REJECTED, PLEASE VERIFY PATIENT DEATH",1)
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51 | .D NOTIFY^DGENUPL3(.DGPAT,.MSGS)
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52 | .S ERROR=1
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53 | ;
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54 | ;Phase II if local enrollment has status UNVERIFIED(1),REJECTED-INITIAL APPLICATION BY VAMC(14),PENDING(9)
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55 | ;and HEC sends status of REJECTED-FISCAL YEAR(11),REJECTED-MID-CYCLE(12),REJECTED-STOP ENROLLING APPLICATIONS(13),PENDING-NO ELIGIBILITY CODE in VIVA(15),REJECTED BELOW EGT THRESHOLD
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56 | ;PENDING-ELIGIBILITY UNVERIFIED(17),PENDING-MEANS TEST REQUIRED(16),PENDING-OTHER(18)
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57 | ;CANCELED/DECLINED(7) accept upload (SRS 6.5.1.2 h)
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58 | I "^1^9^14^"[("^"_CURENR("STATUS")_"^"),"^7^11^12^13^15^16^17^18^19^20^21^22^"[("^"_DGENR("STATUS")_"^") D G EXIT
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59 | .I $$STORECUR^DGENA1(.DGENR,1)
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60 | ;
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61 | ;if local enrollment has status of Canceled/Declined, HEC enrollment has status of Verified or Unverified, HEC enrollment has an earlier or same effective date accept upload
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62 | I (CURENR("STATUS")=7),"^1^2^"[("^"_DGENR("STATUS")_"^"),(CURENR("EFFDATE")'<DGENR("EFFDATE")) D G EXIT
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63 | .I $$STORECUR^DGENA1(.DGENR,1)
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64 | ;
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65 | ;If local enrollment has a status of Unverified(1) and the HEC enrollment
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66 | ; status is Verified(2), Deceased(6), Cancelled/declined(7) or Pending; Means(16)
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67 | ; Test Required accept upload
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68 | I "^1^"[("^"_CURENR("STATUS")_"^"),"^2^6^7^16^19^20^21^"[("^"_DGENR("STATUS")_"^") D G EXIT
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69 | .I $$STORECUR^DGENA1(.DGENR,1)
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70 | ;
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71 | ;********************************************************
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72 | ;end of exceptions
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73 | ;********************************************************
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74 | ;
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75 | ;none of the exceptions apply, so make the HEC enrollment current
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76 | ;Phase II (SRS 6.5.1.2 f)
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77 | I "^1^2^6^7^11^12^13^14^15^16^17^18^19^20^21^22^"[("^"_DGENR("STATUS")_"^") I $$STORECUR^DGENA1(.DGENR,1)
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78 | EXIT Q
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79 | ;
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80 | DUP(DGENR1,DGENR2) ;
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81 | ;Descripition: returns 1 if the enrollments are dupliates (other than
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82 | ;audit information), 0 otherwise
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83 | ;
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84 | ;Inputs:
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85 | ; DGENR1, DGENR2 are arrays containing enrollments (pass by reference)
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86 | ;
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87 | ;Outputs:
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88 | ; Function Value: 1 if identical, 0 otherwise
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89 | ;
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90 | N SUB,SAME
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91 | S SAME=1
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92 | S SUB=""
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93 | F S SUB=$O(DGENR1(SUB)) Q:SUB="" D
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94 | .Q:(SUB="ELIG")
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95 | .Q:(SUB="DATETIME")
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96 | .Q:(SUB="USER")
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97 | .Q:(SUB="PRIORREC")
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98 | .I DGENR1(SUB)'=DGENR2(SUB) S SAME=0
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99 | I SAME D
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100 | .S SUB=""
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101 | .F S SUB=$O(DGENR1("ELIG",SUB)) Q:SUB="" I DGENR1("ELIG",SUB)'=DGENR2("ELIG",SUB) S SAME=0
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102 | Q SAME
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103 | ;
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104 | STOREHIS(DGENR,PRIORTO) ;
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105 | ;Description: Stores the enrollment contained in the DGENR array
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106 | ; before the enrollment pointed to by PRIORTO.
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107 | ;
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108 | ;Inputs:
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109 | ; DGENR - an array containing an enrollment to be stored
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110 | ; PRIORTO - ien of the enrollment where the new enrollment should be
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111 | ; stored. DGENR will be stored as its prior enrollment.
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112 | ;
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113 | Q:'$G(PRIORTO)
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114 | ;
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115 | N DGENRIEN,OK
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116 | S OK=1
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117 | ;
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118 | ;the new record should point to the record prior to PRIORTO
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119 | S DGENR("PRIORREC")=$$FINDPRI^DGENA(PRIORTO)
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120 | ;
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121 | ;store the record
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122 | S DGENRIEN=$$STORE^DGENA1(.DGENR,1)
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123 | I 'DGENRIEN S OK=0
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124 | ;
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125 | ;now point the record=PRIORTO to the new record
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126 | D:OK
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127 | .N DATA
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128 | .S DATA(.09)=DGENRIEN
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129 | .I $$UPD^DGENDBS(27.11,PRIORTO,.DATA) ;then success
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130 | Q
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