| 1 | IVMCM6 ;ALB/SEK,JAN,RTK,CKN,TDM,GN - COMPLETE DCD INCOME TEST ; 7/21/03 1:13pm
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| 2 | ;;2.0;INCOME VERIFICATION MATCH;**17,25,39,44,50,53,49,58,62,67,84**;21-OCT-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 | ;IVM*2*84 - insure DGMTP is defined by LTC test prior to calling
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| 6 | ; audit
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| 7 | ;
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| 8 | EN ; This routine will update annual means test file (#408.31):
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| 9 | ;
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| 10 | ; Note: There is no entry in 408.31 for income screening.
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| 11 | ;
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| 12 | ;
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| 13 | ;Input:
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| 14 | ; DGMTI - ien of new Annual Means Test which requires completion
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| 15 | ; IVMMTIEN - ien of replaced test (may not exist)
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| 16 | ;
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| 17 | ; - open case record in (#301.5) file
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| 18 | N DGREF,DATA,CODE,FIELD,RET,NODE0,NODE2,OK2SND
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| 19 | D CHKTST,OPEN
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| 20 | ;
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| 21 | ; - if income screening goto MTBULL
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| 22 | I IVMTYPE=3 G MTBULL
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| 23 | ;
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| 24 | ; - setup variables for (#408.31) file
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| 25 | ;get the ZMT segment, translate HLQ's to NULLS
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| 26 | S IVMSEG=$G(^TMP($J,"IVMCM","ZMT"_IVMTYPE)) ; get mt/copay ZMT segment
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| 27 | F FIELD=4:1:29 I FIELD'=24,$P(IVMSEG,HLFS,FIELD)=HLQ S $P(IVMSEG,HLFS,FIELD)=""
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| 28 | ;
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| 29 | S IVM1=$$FMDATE^HLFNC($P(IVMSEG,"^",10)) ; dt/time completed
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| 30 | S IVM2=$P(IVMSEG,"^",7) ; agree to pay deductible
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| 31 | S IVM3=$$FMDATE^HLFNC($P(IVMSEG,"^",15)) ; dt vet signed test
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| 32 | S IVM4=$P(IVMSEG,"^",16) ; declines to give income info field
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| 33 | S:IVM4 DGREF=""
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| 34 | S IVM5=$$FMDATE^HLFNC($P(IVMSEG,"^",6)) ; dt/time of adjudication
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| 35 | S IVM6=$P(IVMSEG,"^",3) ;status
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| 36 | S IVM7=$P(IVMSEG,"^",13) ; hardship
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| 37 | S:$G(IVMHADJ) IVMCAT=$P(IVMSEG,"^",3) ; test status
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| 38 | S IVM8=$P(IVMSEG,"^",22) ; site conducting test
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| 39 | S IVM9=$P(IVMSEG,"^",23) ; site granting hardship
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| 40 | S IVM10=$P(IVMSEG,"^",11) ; prev years threshold
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| 41 | S IVM11=$P(IVMSEG,"^",18) ; source of test
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| 42 | S IVM12=$$FMDATE^HLFNC($P(IVMSEG,"^",24)) ; hardship effective date
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| 43 | S IVM13=$$FMDATE^HLFNC($P(IVMSEG,"^",25)) ; date/time last edited
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| 44 | S IVM14=$P(IVMSEG,"^",26) ; test determined status
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| 45 | S IVM15=$P(IVMSEG,"^",4) ; income
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| 46 | S IVM16=$P(IVMSEG,"^",5) ; net worth
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| 47 | S IVM17=$P(IVMSEG,"^",8) ; threshold A
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| 48 | S IVM18=$P(IVMSEG,"^",9) ; deductible expenses
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| 49 | S IVM19=$P(IVMSEG,"^",12) ; total dependents
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| 50 | S IVM20=$P(IVMSEG,"^",27) ; signature valid?
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| 51 | S IVM21=$$FMDATE^HLFNC($P(IVMSEG,"^",14)) ; hardship review date
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| 52 | S IVM22=$P(IVMSEG,"^",28) ; GMT threshold
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| 53 | S IVM23=$P(IVMSEG,"^",29) ; hardship reason
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| 54 | ;
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| 55 | ;old tests may not have the field Test-Determined Status
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| 56 | I IVM14="" D
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| 57 | .I IVMTYPE=1,IVM7,"AG"[IVM6 D Q
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| 58 | ..I IVM6="A",(IVM15'>IVM22) S IVM14="G" Q ;Income <= GMT Threshold
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| 59 | ..S IVM14="C"
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| 60 | .S IVM14=IVM6
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| 61 | ;
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| 62 | ; - fields for means test, copay test and Long Term Care Test
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| 63 | S DATA(.14)=IVM4,DATA(.18)=IVM19,DATA(.23)=IVM11,DATA(2.05)=IVM8,DATA(.06)=DUZ,DATA(.07)=IVM1,DATA(2.02)=IVM13,DATA(2.03)=$$GETSTAT^DGMTH(IVM14,IVMTYPE)
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| 64 | ;
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| 65 | I IVM7 S DATA(.08)=.5,DATA(.09)=$$NOW^XLFDT
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| 66 | ;
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| 67 | I 'IVM4 S DATA(.04)=IVM15,DATA(.15)=IVM18
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| 68 | ;
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| 69 | ; - means test fields
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| 70 | I IVMTYPE=1 D
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| 71 | .S DATA(.11)=IVM2,DATA(.12)=IVM17,DATA(.2)=IVM7,DATA(.24)=IVM3,DATA(.29)=IVM20,DATA(2.04)=IVM9,DATA(.1)=IVM5,DATA(2.01)=IVM12
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| 72 | .I 'IVM4 S DATA(.05)=IVM16
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| 73 | .S DATA(.16)=IVM10,DATA(.21)=IVM21,DATA(.27)=IVM22,DATA(2.09)=IVM23
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| 74 | ;
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| 75 | ; - Long Term Care fields
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| 76 | I IVMTYPE=4 D
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| 77 | .N DATE,TYPE
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| 78 | .;set pointer to associated means test or RX copay test if there is one
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| 79 | .I $P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,2) S DATE=$P(^TMP($J,"IVMCM","ZMT1"),HLFS,2),TYPE=1
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| 80 | .E I $P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,2) S DATE=$P(^TMP($J,"IVMCM","ZMT2"),HLFS,2),TYPE=2
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| 81 | .I $G(DATE) S DATA(2.08)=$P($$LST^DGMTU(DFN,DATE,TYPE),"^")
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| 82 | .S DATA(.11)=IVM2
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| 83 | .I 'IVM4 S DATA(.05)=IVM16
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| 84 | .K DATA(2.03) ;test determined status is not used in LTC test
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| 85 | ;
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| 86 | I $G(IVMMTIEN) D
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| 87 | .; Get record data to compare with HL7 Message data
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| 88 | .S NODE0=$G(^DGMT(408.31,IVMMTIEN,0))
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| 89 | .S NODE2=$G(^DGMT(408.31,IVMMTIEN,2))
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| 90 | .;
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| 91 | .; If Site Conducting Test is the same, get Completed By from record.
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| 92 | .I $P(NODE2,"^",5)=IVM8 S DATA(.06)=$P(NODE0,"^",6)
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| 93 | .;
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| 94 | .; If there are Comments, copy them into new record
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| 95 | .I $D(^DGMT(408.31,IVMMTIEN,"C")) S DATA(50)="^DGMT(408.31,"_IVMMTIEN_",""C"")"
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| 96 | .;
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| 97 | .I IVMTYPE=1 D
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| 98 | ..; Hardship is YES in msg and record, and the Site Granting Hardship
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| 99 | ..; is the same as the site receiving the msg, keep the record data
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| 100 | ..I IVM7,$P(NODE0,"^",20),IVM9=$P($$SITE^VASITE,"^",3) S DATA(.21)=$P(NODE0,"^",21),DATA(.22)=$P(NODE0,"^",22),DATA(2.01)=$P(NODE2,"^",1),DATA(.08)=$P(NODE0,"^",8),DATA(.09)=$P(NODE0,"^",9)
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| 101 | ..;
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| 102 | ..; Hardship is YES in msg and record, and the Site Granting Hardship
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| 103 | ..; is NOT the same in both the msg and record, keep the message data
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| 104 | ..I IVM7,$P(NODE0,"^",20),$P(NODE2,"^",4)'=IVM9 S DATA(.22)=DATA(.06)
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| 105 | ..;
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| 106 | ..; Hardship is YES in msg and NO in record, keep the message data
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| 107 | ..I IVM7,'$P(NODE0,"^",20) S DATA(.22)=DATA(.06)
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| 108 | ..;
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| 109 | ..; Hardship is set to delete in msg, delete the Hardship
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| 110 | ..I IVM12=HLQ!('IVM7&($P(NODE0,"^",20))) D
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| 111 | ...S (DATA(.08),DATA(.09),DATA(.2),DATA(.21),DATA(.22),DATA(2.01),DATA(2.04),DATA(2.09))=""
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| 112 | ...I $P(NODE0,"^",20) D BULL2^IVMCMB(DFN,$P(NODE2,"^"),$P(NODE2,"^",4))
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| 113 | ..;
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| 114 | ..; Hardship is NO in msg and in record, keep the message data
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| 115 | ..I 'IVM7,'$P(NODE0,"^",20) S DATA(.22)=""
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| 116 | ..;
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| 117 | ..; Notify site of hardship?
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| 118 | ..I IVM12'=HLQ,IVM7,((IVM12'=$P(NODE2,"^"))!('$P(NODE0,"^",20))) D BULL1^IVMCMB(DFN,IVM12,IVM9)
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| 119 | ..;
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| 120 | ..; Notify site to discontinue net-worth development?
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| 121 | ..I IVM11=3,$P(NODE0,"^",23)=1,$$GETCODE^DGMTH($P(NODE0,"^",3))="P" D BULL3^IVMCMB(DFN)
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| 122 | ;
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| 123 | ;determine status based on test-determined status and hardship
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| 124 | S CODE=IVM14
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| 125 | I IVMTYPE=1,DATA(.2) S CODE=IVM6
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| 126 | S DATA(.03)=$$GETSTAT^DGMTH(CODE,IVMTYPE)
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| 127 | ;
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| 128 | I $$UPD^DGENDBS(408.31,DGMTI,.DATA) D
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| 129 | .; can't call MT Events protocol for Long Term Care Copay Exemption
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| 130 | .; Tests as it triggers an IB and Enrollment update
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| 131 | .; so manually call needed protocols to trigger audit, date stamp
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| 132 | .; and transmission (if necessary)
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| 133 | .I IVMTYPE=4 D Q
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| 134 | ..S:$G(DGMTACT)="" DGMTACT="ADD"
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| 135 | ..S DGMTP=$G(DGMTP) ;IVM*2*84
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| 136 | ..S DGMTINF=1 ;Means Test Interactive/Non-interactive flag
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| 137 | ..D AFTER^DGMTEVT
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| 138 | ..D EN^DGMTAUD ;means test audit event
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| 139 | ..D ^IVMPMTE ;IVM means test event
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| 140 | ..D DATETIME^DGMTU4($G(DGMTI)) ;date stamp
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| 141 | .;
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| 142 | .; - call means test event driver if not future test
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| 143 | .I 'IVMFUTR D
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| 144 | ..D:(IVMTYPE=1) MTPRIME^DGMTU4(DGMTI)
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| 145 | ..D:(IVMTYPE=2) RXPRIME^DGMTU4(DGMTI)
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| 146 | ..S CODE=$$GETCODE^DGMTH($P($G(^DGMT(408.31,DGMTI,0)),"^",3))
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| 147 | .E D
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| 148 | ..;enter to list of future tests kept in the IVM Patient file
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| 149 | ..D ADDFUTR^IVMPLOG2(DGMTI)
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| 150 | ..;also, if HEC changed the test to a future date, there could be
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| 151 | ..;a test on file for the same income year marked as primary
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| 152 | ..I $G(IVMMTIEN),$P(NODE2,"^",5)=IVM8 D
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| 153 | ...N DATA,ERROR,DGMTI,DGMTACT,DGMTYPT,DGMTA
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| 154 | ...S DATA(2)=0
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| 155 | ...I $$UPD^DGENDBS(408.31,IVMMTIEN,.DATA,.ERROR)
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| 156 | ...; if the test being replaced by the uploaded future test
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| 157 | ...; becomes non-primary and the site conducted both tests
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| 158 | ...; then call Means Test event driver (non interactively)
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| 159 | ...S DGMTACT="EDT",DGMTI=IVMMTIEN,DGMTYPT=IVMTYPE,DGMTINF=1
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| 160 | ...D AFTER^DGMTEVT
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| 161 | ...D EN^DGMTEVT
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| 162 | ...D
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| 163 | ....N DGMSGF,DGADDF
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| 164 | ....S DGMSGF=1,DGADDF=0
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| 165 | ....D EN^DGMTR
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| 166 | .D:OK2SND TRNSMT
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| 167 | ;
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| 168 | ;
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| 169 | MTBULL ; Build results array
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| 170 | D ADD^IVMCMB(DFN,IVMTYPE,$S(IVMFUTR:"Future Test",1:"New Test"),$G(IVMMTDT),$S($G(IVMMTIEN):$$GETCODE^DGMTH($P($G(^DGMT(408.31,IVMMTIEN,0)),"^",3)),1:""),CODE)
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| 171 | ;
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| 172 | CLEANUP ; cleanup
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| 173 | K DGCAT,DGCOMF,DGMTACT,DGMTI,DGMTINF,DGMTPAR,DGTHB,IVMBU45,IVMOP,IVMOP1
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| 174 | K IVM1,IVM2,IVM3,IVM4,IVM5,IVM6,IVM7,IVM8,IVM9,IVM10,IVM11,IVM12,IVM13,IVM14,IVMCAT,IVMCEA,IVMCEB,IVMMTA,IVM15,IVM16,IVM17,IVM18,IVM19,IVM20,IVM21
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| 175 | K IVM22,IVM23
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| 176 | Q
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| 177 | ;
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| 178 | OPEN ; open case record for uploaded test
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| 179 | S IVMOP="",IVMOP=$O(^IVM(301.5,"AYR",DGLY,DFN,IVMOP)) I 'IVMOP D OPEN1 Q
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| 180 | S IVMOP1=$G(^IVM(301.5,IVMOP,0)) I 'IVMOP1 D OPEN1 Q
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| 181 | I $P(IVMOP1,"^",4)=1 S DA=+IVMOP D Q
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| 182 | .S DIE="^IVM(301.5,",DR=".03////1;.04////0"
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| 183 | .D OPEN2
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| 184 | Q
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| 185 | OPEN1 K DD,DO
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| 186 | S DIC="^IVM(301.5,",DIC(0)="LMNZ",X=DFN,DLAYGO=301.5
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| 187 | D FILE^DICN Q:Y'>0 S DA=+Y
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| 188 | S DIE="^IVM(301.5,",DR=".02////^S X=DGLY;.03////1;.04////0"
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| 189 | OPEN2 D ^DIE K DD,DO,DIC,DLAYGO,X,Y,DIE,DR
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| 190 | Q
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| 191 | ;
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| 192 | MTDRIVER ; call means test event driver
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| 193 | ; dgmtact
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| 194 | ; adj adjudicated mt
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| 195 | ; cat hardship mt
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| 196 | ; add new mt or copay
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| 197 | ; edit corrected mt or copay
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| 198 | ;
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| 199 | N IVMDA,IVMDT,IVMFLG,IVMMTDT,IVMNEW
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| 200 | S DGMTACT=$S($G(IVMHADJ)=1:"ADJ",$G(IVMHADJ)=2:"CAT",'$G(DGMTP):"ADD",1:"EDT")
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| 201 | D AFTER^DGMTEVT
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| 202 | S DGMTINF=1 ; non-interactive flag
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| 203 | D EN^DGMTEVT
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| 204 | Q
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| 205 | ;
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| 206 | CHKTST ; Verify if the incoming Income Test requires a Z07 transmission.
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| 207 | ;
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| 208 | N MTREC,REC01,ZMTSEG
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| 209 | S OK2SND=0
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| 210 | S MTREC=$G(^DGMT(408.31,DGMTI,0))
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| 211 | Q:'$D(^DGMT(408.31,DGMTI,0))
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| 212 | ; Check if the Source of the Test is DCD
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| 213 | S ZMTSEG=$G(^TMP($J,"IVMCM","ZMT"_IVMTYPE))
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| 214 | Q:$P($G(^DG(408.34,+$P(ZMTSEG,U,18),0)),U)'="DCD"
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| 215 | ;Check if the DCD software has been installed
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| 216 | Q:'$$VERSION^XPDUTL("IVMC")
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| 217 | ;
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| 218 | ; If the source of the test is DCD, and the site receiving the test
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| 219 | ; is a DCD site, set the record to transmit.
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| 220 | S OK2SND=1
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| 221 | Q
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| 222 | ;
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| 223 | TRNSMT ; Set the record to transmit due to DCD Criteria
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| 224 | N REC01,DCDDATA,DCDIEN,EVENTS,ERROR
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| 225 | S REC01=$O(^IVM(301.5,"AYR",DGLY,DFN,""))
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| 226 | S DCDDATA(.04)=0,DCDIEN=REC01
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| 227 | I $$UPD^DGENDBS(301.5,DCDIEN,.DCDDATA,.ERROR)
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| 228 | S EVENTS("DCD")=1
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| 229 | I $$SETSTAT^IVMPLOG(REC01,.EVENTS)
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| 230 | ;
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| 231 | Q
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