| [613] | 1 | IBAECU2 ;WOIFO/SS-LTC PHASE 2 UTILITIES ; 20-FEB-02 | 
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|  | 2 | ;;2.0;INTEGRATED BILLING;**171,176,198**;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 | ;****** Inpatient LTC related utilities ********* | 
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|  | 6 | ;/*-- | 
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|  | 7 | ;Returns info about all admissions via ^TMP($J,IBADM,IBDFN) global | 
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|  | 8 | ; | 
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|  | 9 | ;Input: | 
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|  | 10 | ; | 
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|  | 11 | ;IBFRBEG- first date (in FM format),must be a valid, | 
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|  | 12 | ;  (wrong date like 3000231 will cause mistakes) | 
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|  | 13 | ;IBFREND- last date (in FM format),must be a valid date | 
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|  | 14 | ;  if any of dates above > yesterday it will be set to yesterday | 
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|  | 15 | ; | 
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|  | 16 | ;IBDFN  - patient's ien in file (#2) | 
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|  | 17 | ;IBADM  - any string to identify results in ^TMP($J,IBADM | 
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|  | 18 | ;IBDETL - 1 if you need details of each stay day in ^TMP global | 
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|  | 19 | ;       - 0 if you do not need it | 
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|  | 20 | ;Output: | 
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|  | 21 | ; | 
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|  | 22 | ;temp global array with inpatient info: | 
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|  | 23 | ;  ^TMP($J,IBADM,IBDFN,IBIEN405)= | 
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|  | 24 | ;  Pieces : | 
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|  | 25 | ;  #1 - admission date | 
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|  | 26 | ;  #2 - discharge date | 
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|  | 27 | ;  #3 - last_date_of_admission | 
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|  | 28 | ;  #4 - stay_days in specified date frame $$STAYDS() | 
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|  | 29 | ;  #5 - days_on_leave in specified date frame $$LEAVDS() | 
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|  | 30 | ;  #6 - total admission days | 
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|  | 31 | ; | 
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|  | 32 | ;Daily info for all stay days about LTC/MeansTest belonging,rate | 
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|  | 33 | ;and specialty (it may vary during the admission) | 
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|  | 34 | ;  ^TMP($J,IBADM,IBDFN,IBIEN405,"SD",date)=L/M^rate^specialty | 
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|  | 35 | ;  where pieces: | 
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|  | 36 | ;  #1 - "L" for LTC, "M" for MeansTest | 
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|  | 37 | ;  #2 - 0 | 
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|  | 38 | ;  #3 - specialty ptr to file #42.4 | 
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|  | 39 | ;  #4 - pointer to #350.1 IB action type | 
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|  | 40 | ; | 
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|  | 41 | ;Daily info about leave days | 
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|  | 42 | ;  ^TMP($J,IBADM,IBDFN,IBIEN405,"LD") how many days on leave | 
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|  | 43 | ;  ^TMP($J,IBADM,IBDFN,IBIEN405,"LD",date_on_leave)="" | 
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|  | 44 | ; | 
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|  | 45 | ;Returns: | 
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|  | 46 | ;  0 - none | 
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|  | 47 | ;  1 - if any leave or stay days in the period | 
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|  | 48 | INPINFO(IBFRBEG,IBFREND,IBDFN,IBADM,IBDETL) ; | 
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|  | 49 | N IBRDT,IBDT6,IBDT6A,IBRDTBEG,IBRDTEND,IBIEN1,IBIEN3,IBIEN6,IBNODE01,IBSTRT,IBFL | 
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|  | 50 | N IBNODE03,IBTYP,IBSPEC,IBLASTD,IBSTAYDS,IBLEAVDS,IBDISCH,IBADMDS,IBADMDT | 
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|  | 51 | N IBYESTRD,IBTEMP | 
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|  | 52 | N IBRETVAL S IBRETVAL=0 | 
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|  | 53 | S IBLEAVDS=0,IBSTAYDS=0 | 
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|  | 54 | D NOW^%DTC S IBYESTRD=%\1,IBYESTRD=$$CHNGDATE^IBAECU4(IBYESTRD,-1) | 
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|  | 55 | S:IBYESTRD<IBFRBEG IBFRBEG=IBYESTRD | 
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|  | 56 | S:IBYESTRD<IBFREND IBFREND=IBYESTRD | 
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|  | 57 | ; go thru "reverse admissions starting from IBFREND thru all because | 
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|  | 58 | ; an active admission can start any time in the past | 
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|  | 59 | S IBRDT=9999999.9999999-(IBFREND_".9999999") | 
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|  | 60 | F  S IBRDT=$O(^DGPM("ATID1",IBDFN,IBRDT)) Q:IBRDT=""  D | 
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|  | 61 | . S IBIEN1=$O(^DGPM("ATID1",IBDFN,IBRDT,0)) | 
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|  | 62 | . I IBIEN1=""!('$D(^DGPM(IBIEN1,0))) D ERRLOG^IBAECU5(+$G(IBDFN),+$G(IBIEN1),"Admission (INPINFO)","no admission") Q | 
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|  | 63 | . S IBNODE01=$G(^DGPM(IBIEN1,0)) | 
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|  | 64 | . S IBADMDT=+IBNODE01\1 | 
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|  | 65 | . S IBIEN3=+$P(IBNODE01,"^",17) ;discharge entry | 
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|  | 66 | . I IBIEN3>0 S IBDISCH=+$G(^DGPM(IBIEN3,0))\1 | 
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|  | 67 | . I IBIEN3=0 S IBDISCH=0 | 
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|  | 68 | . I IBDISCH>0 I IBDISCH<IBFRBEG Q  ;was discharged before start date | 
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|  | 69 | . S:IBDISCH>0 IBLASTD=$$CHNGDATE^IBAECU4(IBDISCH,-1) ;do not count discharge | 
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|  | 70 | . S:IBDISCH=0 IBLASTD=IBFREND | 
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|  | 71 | . ; days on leave | 
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|  | 72 | . S IBLEAVDS=$$LEAVDS(IBFRBEG,IBFREND,IBIEN1,IBDFN,IBADM) | 
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|  | 73 | . ; treat speclty | 
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|  | 74 | . S IBFL=0 | 
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|  | 75 | . S IBDT6=0,IBSTRT=$S(IBLASTD>IBFREND:IBFREND,1:IBLASTD) | 
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|  | 76 | . F  S IBDT6=$O(^DGPM("ATS",IBDFN,IBIEN1,IBDT6)) Q:IBDT6=""  D | 
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|  | 77 | . . S IBSPEC=+$O(^DGPM("ATS",IBDFN,IBIEN1,IBDT6,0)) ;pointer to #45.7 | 
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|  | 78 | . . S IBDT6A=(9999999.9999999-IBDT6)\1 | 
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|  | 79 | . . I IBDT6A<IBFRBEG Q:IBFL=1  S IBDT6A=IBFRBEG,IBFL=1 ;IBFL=1 - quit next time | 
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|  | 80 | . . S IBTEMP="" | 
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|  | 81 | . . I IBSPEC>0 D  ;S IBSPEC=pointer to#42.4 | 
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|  | 82 | . . . S IBSPEC=+$P($G(^DIC(45.7,IBSPEC,0)),"^",2) S:IBSPEC>0 IBTEMP=$$TREATSP(IBSPEC),IBTYP=$P(IBTEMP,"^",1) | 
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|  | 83 | . . S:IBSPEC=0 IBTYP="U" | 
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|  | 84 | . . S:IBTEMP="" IBTYP="U" | 
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|  | 85 | . . F  Q:IBDT6A>IBSTRT  D | 
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|  | 86 | . . . I IBDETL=1,'$D(^TMP($J,IBADM,IBDFN,IBIEN1,"LD",IBSTRT)) S ^TMP($J,IBADM,IBDFN,IBIEN1,"SD",IBSTRT)=IBTYP_"^0^"_IBSPEC_"^"_$P(IBTEMP,"^",3) | 
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|  | 87 | . . . S:$D(^TMP($J,IBADM,IBDFN,IBIEN1,"LD",IBSTRT)) ^TMP($J,IBADM,IBDFN,IBIEN1,"LD",IBSTRT)=IBTYP_"^0^"_IBSPEC_"^"_$P(IBTEMP,"^",3) | 
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|  | 88 | . . . S IBSTRT=$$CHNGDATE^IBAECU4(IBSTRT,-1) | 
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|  | 89 | . ; stay days | 
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|  | 90 | . S IBSTAYDS=$$STAYDS(IBFRBEG,IBFREND,IBIEN1,IBDISCH) | 
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|  | 91 | . S IBADMDS=$$FMDIFF^XLFDT(IBLASTD,IBADMDT,1)+1 | 
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|  | 92 | . S ^TMP($J,IBADM,IBDFN,IBIEN1)=IBADMDT_"^"_IBDISCH_"^"_IBLASTD_"^"_IBSTAYDS_"^"_IBLEAVDS_"^"_IBADMDS | 
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|  | 93 | . I IBRETVAL=0 S:(IBSTAYDS+IBLEAVDS)>0 IBRETVAL=1 | 
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|  | 94 | Q IBRETVAL | 
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|  | 95 | ; | 
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|  | 96 | ;Input: | 
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|  | 97 | ;How many days of stay in this month | 
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|  | 98 | ;IBDTB -begin date of date frame | 
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|  | 99 | ;IBDTE -end date of date frame | 
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|  | 100 | ;IBP405 - pointer to Admission entry in #405 | 
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|  | 101 | ;DSDAY - discharge date, if patient is not duscharged then DSDAY=0 | 
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|  | 102 | STAYDS(IBDTB,IBDTE,IBP405,DSDAY) ; | 
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|  | 103 | S IBDTB=$S($$BILDATE^IBAECN1>IBDTB:$$BILDATE^IBAECN1,1:IBDTB) | 
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|  | 104 | I IBDTE<DSDAY!(DSDAY=0) Q $$LOS^IBCU64(IBDTB,IBDTE,2,IBP405) | 
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|  | 105 | Q $$LOS^IBCU64(IBDTB,IBDTE,1,IBP405) | 
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|  | 106 | ; | 
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|  | 107 | ;Input: | 
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|  | 108 | ;IBDTB -begin date of the given date range | 
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|  | 109 | ;IBDTE -end date of the given date frame | 
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|  | 110 | ;IBP405 - pointer to entry in #405 | 
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|  | 111 | ;IBDFN1 - DFN of the patient | 
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|  | 112 | ;IBIDN - identifier for ^TMP node | 
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|  | 113 | ;Output : | 
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|  | 114 | ;returns as a return value: a number of days on leave | 
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|  | 115 | ;returns via ^TMP: | 
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|  | 116 | ; ^TMP($J,IBIDN,IBDFN1,IBP405,"LD")=total_days_on_leave_for_the_date_range | 
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|  | 117 | ; and for each of days on leave: | 
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|  | 118 | ; ^TMP($J,IBIDN,IBDFN1,IBP405,"LD",the_date_on_leave)="" | 
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|  | 119 | LEAVDS(IBDTB,IBDTE,IBP405,IBDFN1,IBIDN) ; | 
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|  | 120 | N DFN,IBII,IBDT1,IBDT2,IBCNT,IBDS,IBVAR | 
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|  | 121 | S DFN=IBDFN1,IBCNT=0 | 
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|  | 122 | I IBIDN'="" S ^TMP($J,IBIDN,IBDFN1,IBP405,"LD")=0 | 
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|  | 123 | N DT S DT=$$TODAY^IBAECN1() | 
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|  | 124 | N IBLDAYS S IBLDAYS="" | 
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|  | 125 | S:IBDTE>DT IBDTE=DT | 
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|  | 126 | I $$APLD^DGUTL2(IBP405,.IBLDAYS,IBDTB,IBDTE,"B")=-1 Q 0 | 
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|  | 127 | ;if no days on leave | 
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|  | 128 | I +IBLDAYS(0)=0 Q 0 | 
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|  | 129 | ;if there is no "movement node" in output of $$APLD^DGUTL2 is normal | 
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|  | 130 | I +$O(IBLDAYS(0))=0 D  Q IBCNT | 
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|  | 131 | . S IBDT1=$P(IBLDAYS(0),"^",2)\1 ;begin | 
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|  | 132 | . S IBDT2=$P(IBLDAYS(0),"^",3)\1 ;end | 
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|  | 133 | . S IBDS=$P(IBLDAYS(0),"^",1) ;days | 
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|  | 134 | . I ($$FMDIFF^XLFDT(IBDT2,IBDT1)+1)'=IBDS S IBCNT=0 D | 
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|  | 135 | . . D ERRLOG^IBAECU5(+$G(IBDFN1),+$G(IBP405),"Leave days (LEAVDS), only 0-node","Possibly incorrect number of days on leave") | 
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|  | 136 | . S IBFL=0 | 
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|  | 137 | . F IBVAR=1:1:IBDS Q:IBFL  D | 
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|  | 138 | . . S IBCNT=IBCNT+1 | 
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|  | 139 | . . I IBIDN'="" D | 
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|  | 140 | . . . S ^TMP($J,IBIDN,IBDFN1,IBP405,"LD")=$G(^TMP($J,IBIDN,IBDFN1,IBP405,"LD"))+1 | 
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|  | 141 | . . . S ^TMP($J,IBIDN,IBDFN1,IBP405,"LD",IBDT1)="" | 
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|  | 142 | . . S:IBDT1=IBDT2 IBFL=1 | 
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|  | 143 | . . S IBDT1=$$CHNGDATE^IBAECU4(IBDT1,+1) | 
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|  | 144 | ;if output of $$APLD^DGUTL2 has "movement node" | 
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|  | 145 | S IBII=0 | 
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|  | 146 | F  S IBII=$O(IBLDAYS(IBII)) Q:+IBII=0  D | 
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|  | 147 | . S IBDT1=$P(IBLDAYS(IBII),"^",1)\1 ;begin | 
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|  | 148 | . S IBDT2=$P(IBLDAYS(IBII),"^",2)\1 ;end | 
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|  | 149 | . S IBDS=$P(IBLDAYS(IBII),"^",3) ;days | 
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|  | 150 | . S IBFL=0 | 
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|  | 151 | . F IBVAR=1:1:IBDS Q:IBFL  D | 
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|  | 152 | . . S IBCNT=IBCNT+1 | 
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|  | 153 | . . I IBIDN'="" D | 
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|  | 154 | . . . S ^TMP($J,IBIDN,IBDFN1,IBP405,"LD")=$G(^TMP($J,IBIDN,IBDFN1,IBP405,"LD"))+1 | 
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|  | 155 | . . . S ^TMP($J,IBIDN,IBDFN1,IBP405,"LD",IBDT1)="" | 
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|  | 156 | . . S:IBDT1=IBDT2 IBFL=1 | 
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|  | 157 | . . S IBDT1=$$CHNGDATE^IBAECU4(IBDT1,+1) | 
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|  | 158 | Q IBCNT | 
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|  | 159 | ; | 
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|  | 160 | ;/*----- | 
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|  | 161 | ; | 
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|  | 162 | ;Input: | 
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|  | 163 | ;SPEC - the ien of #42.4 Specialty | 
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|  | 164 | ;Output: | 
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|  | 165 | ;If a LTC Specialty Returns "L^ien of #42.4^ien of 350.1" | 
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|  | 166 | ;If not LTC Spec Returns "M^ien of #42.4^" | 
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|  | 167 | TREATSP(SPEC) ; | 
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|  | 168 | N IBRET,IBNAME,IBATYP | 
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|  | 169 | S IBRET=$$LTCSPEC^IBAECU(SPEC) | 
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|  | 170 | Q:IBRET=0 "M^"_SPEC_"^" | 
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|  | 171 | S IBNAME=$P(IBRET,"^",2) | 
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|  | 172 | S IBATYP=$O(^IBE(350.1,"B",IBNAME,0)) | 
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|  | 173 | Q "L^"_SPEC_"^"_IBATYP | 
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|  | 174 | ; | 
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|  | 175 | ;/** | 
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|  | 176 | ;Goes thru all specialty changes and determines specialty | 
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|  | 177 | ;- if meets non-LTC then quits loop & returns 0 | 
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|  | 178 | ;- if LTC then calculates a number of stay days between specialty | 
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|  | 179 | ;  change and IBLSTDAY,if the number>180 then quits loop & returns 1 | 
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|  | 180 | ;Input: | 
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|  | 181 | ;IBDFN - DFN of patient | 
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|  | 182 | ;IBAMD - ptr to #405 for the admission | 
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|  | 183 | ;IBLSTDAY - date from which we count 180 clock days toward the past | 
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|  | 184 | ;(these 180 days must include only stay days on LTC | 
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|  | 185 | ;and should not include any AA,UA and ASIH days) | 
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|  | 186 | ;IBDISCH - discharge date | 
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|  | 187 | MORE180(IBDFN,IBADM,IBLSTDAY,IBDISCH) ; | 
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|  | 188 | N IBRVDT,IBNONLTC,IBDAYS,IB1,IB2,IBCUR,IBQFLG | 
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|  | 189 | S (IBNONLTC,IBDAYS,IBQFLG)=0 | 
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|  | 190 | S IBRVDT=9999999.9999999-(IBLSTDAY_".9999999") | 
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|  | 191 | S IB1=IBRVDT | 
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|  | 192 | F  S IB1=$O(^DGPM("ATS",IBDFN,IBADM,IB1)) Q:+IB1=0!(IBQFLG'=0)  D | 
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|  | 193 | . S IBCUR=(9999999.9999999-IB1)\1 | 
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|  | 194 | . S IB2=$O(^DGPM("ATS",IBDFN,IBADM,IB1,0)) | 
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|  | 195 | . Q:+IB2=0 | 
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|  | 196 | . S IB2=+$P($G(^DIC(45.7,IB2,0)),"^",2) I IB2<1 S IBQFLG=-1 Q | 
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|  | 197 | . I $P($$TREATSP(IB2),"^",1)="M" S IBQFLG=-1 Q | 
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|  | 198 | . S IBDAYS=$$STAYDS(IBCUR,IBLSTDAY,IBADM,IBDISCH) | 
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|  | 199 | . I IBDAYS>180 S IBQFLG=1 Q | 
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|  | 200 | Q IBQFLG=1 | 
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|  | 201 | ; | 
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|  | 202 | ;/** | 
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|  | 203 | ;is there any inpatient episode with that day | 
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|  | 204 | ;Input: | 
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|  | 205 | ;IBDFN - dfn of the patient | 
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|  | 206 | ;IBDT1 - date | 
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|  | 207 | ;IBTMPLB - ^TMP global subscript like IBADM in $$INPINFO | 
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|  | 208 | ;Output: | 
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|  | 209 | ;Returns "a^b" where : | 
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|  | 210 | ;a - number of LTC admissions on this date | 
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|  | 211 | ;b - number of Means Test admissions on this date | 
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|  | 212 | ;if "" - nothing | 
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|  | 213 | ;means test & stay days: | 
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|  | 214 | ;.IBADMS("M","SD",#)=treating specialty^ien of 350.1 IB action type^admission date | 
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|  | 215 | ;means test & leave days | 
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|  | 216 | ;.IBADMS("M","LD",#)=treating specialty^ien of 350.1 IB action type^admission date | 
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|  | 217 | ;LTC & stay days | 
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|  | 218 | ;.IBADMS("L","SD",#)=treating specialty^ien of 350.1 IB action type^admission date | 
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|  | 219 | ;LTC & leave days | 
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|  | 220 | ;.IBADMS("L","LD",#)=treating specialty^ien of 350.1 IB action type^admission date | 
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|  | 221 | ISINPAT(IBDFN,IBDT1,IBTMPLB,IBADMS) ; | 
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|  | 222 | N IBADM,IB1,IBRETV,IBSDLD,IBD | 
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|  | 223 | S IBADM=0,IBRETV="" | 
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|  | 224 | F  S IBADM=$O(^TMP($J,IBTMPLB,IBDFN,IBADM)) Q:+IBADM=0  D | 
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|  | 225 | . S IBSDLD="SD",IBD=$G(^TMP($J,IBTMPLB,IBDFN,IBADM,"SD",IBDT1)) | 
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|  | 226 | . I IBD="" S IBSDLD="LD",IBD=$G(^TMP($J,IBTMPLB,IBDFN,IBADM,"LD",IBDT1)) | 
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|  | 227 | . S IB1=$P(IBD,"^",1) | 
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|  | 228 | . I IB1="L" D  Q | 
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|  | 229 | . . S IBADMS("L",IBSDLD,IBADM)=$P(IBD,"^",3,4)_"^"_+$G(^TMP($J,IBTMPLB,IBDFN,IBADM)) | 
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|  | 230 | . . S $P(IBRETV,"^",1)=$P($G(IBRETV),"^",1)+1 | 
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|  | 231 | . I IB1="M" D | 
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|  | 232 | . . S IBADMS("M",IBSDLD,IBADM)=$P(IBD,"^",3,4)_"^"_+$G(^TMP($J,IBTMPLB,IBDFN,IBADM)) | 
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|  | 233 | . . S $P(IBRETV,"^",2)=$P($G(IBRETV),"^",2)+1 | 
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|  | 234 | Q IBRETV | 
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|  | 235 | ; | 
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