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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