source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBBDOC.m@ 1766

Last change on this file since 1766 was 613, checked in by George Lilly, 15 years ago

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1IBBDOC ;OAK/ELZ - APIS FOR OTHER PACKAGES FOR PFSS - DOCUMENT ;5-AUG-2004
2 ;;2.0;INTEGRATED BILLING;**267,260,286,361**;21-MAR-94;Build 9
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5 ; Documents the calls to the routine IBBAPI.
6 ;
7INSUR ;(DFN,IBDT,IBSTAT,IBR,IBFLDS)
8 ; Function to return patient insurance information
9 ; --Input:
10 ; DFN = patient
11 ; IBDT = date insured (optional - default is today's date)
12 ; IBSTAT = Insurance Status filter (combinable based on groups below)
13 ; Group 1
14 ; A = Inactive included (Default is active only)
15 ; Group 2
16 ; R = Not reimbursable included (Default is reimbursable only)
17 ; B = Indemnity included (Default is not included)
18 ; Group 3
19 ; P = Prescription coverage required (Default is all coverages)
20 ; O = Outpatient coverage required (Default is all coverages)
21 ; I = Inpatient coverage only (Default is all coverages)
22 ;
23 ; IBR = Array to return insurance information - passed by reference
24 ; IBFLDS = List of fields to return (1-22) in a comma separated list or "*" for all
25 ;
26 ; --Output:
27 ; -1 = error occurred (error message passed back in
28 ; IBR("IBBAPI","INSUR","ERROR",x) where x is error number
29 ; between 101 & 111
30 ; 0 = No insurance found based on parameters
31 ; 1 = Insurance found
32 ;
33 ;
34CIDC ; (DFN)
35 ; Input: DFN for the patient in question.
36 ; Output: 1 = Ask CIDC questions for the specified patient
37 ; 0 = Don't ask CIDC questions for the specified patient
38 ;
39 ; The API will evaluate both a CIDC switch and the patient's insurance
40 ; to determine if the CIDC questions should be asked.
41 ;
42 ; The switch will have three internal values:
43 ; 0 = Don't ask any patients
44 ; 1 = Ask for patients only with active billable insurance
45 ; 2 = Ask for all patients
46 ;
47 ;
48SWSTAT ; ()
49 ; Returns the current status of the PFSS On/Off Switch
50 ;
51 ; Output: <switch_status>^<status_date/time>
52 ;
53 ; <switch_status> will be one of the following:
54 ; 0 = OFF
55 ; 1 = ON
56 ;
57GETACCT ; (IBBDFN,IBBARFN,IBBEVENT,IBBAPLR,IBBPV1,IBBPV2,IBBPR1,IBBDG1,IBBZCL,IBBDIV,IBBRAIEN,IBBSURG)
58 ; Pass data to IBB for account/visit (ADT) messaging.
59 ;
60 ; Input:
61 ; IBBDFN = Patient; IEN to file #2 [required]
62 ; IBBARFN = Account Reference;
63 ; IEN to file #375 or null [required]
64 ; IBBEVENT = HL7 Event Code; e.g., "A04" [required]
65 ; IBBAPLR = Calling Application;
66 ; <routine> or <tag>_;_<routine>
67 ; IBBPV1 = array for PV1 segment data [required]
68 ; IBBPV1(2) - Patient Class (O=Outpatient;I=Inpatient)
69 ; IBBPV1(3) - IEN to file #44, or "FEE BASIS"
70 ; IBBPV1(4) - Appointment Type; IEN to file #409.1
71 ; IBBPV1(7) - Attending Physician; IEN to file #200
72 ; IBBVP1(9) - Consulting Physician; IEN to file #200
73 ; IBBPV1(10) - Purpose of Visit;
74 ; (Scheduling: 1=C&P;2=10-10;3=SV;4=UV)
75 ; IBBPV1(17) - Admitting Physician or Surgeon;
76 ; IEN to file #200
77 ; IBBPV1(18) - Primary Stop Code; IEN to file #40.7
78 ; IBBPV1(25) - Check-In Date/Time (Scheduling)
79 ; IBBPV1(41) - Credit Stop Code; IEN to file #40.7
80 ; IBBPV1(44) - Admit Date/Time
81 ; IBBPV1(45) - Check-Out Date/Time (Scheduling)
82 ; IBBPV1(50) - Prescription #; IEN to file #52 (Pharmacy)
83 ; IBBPV1(52) - Other Provider; IEN to file #200
84 ; IBBPV2 = array for PV2 segment data
85 ; IBBPV2(7) - Eligibility of Visit; IEN to file #8.1
86 ; IBBPV2(8) - Expected Admit/Visit Date/Time
87 ; IBBPV2(24) - Appointment Status;
88 ; (Scheduling:
89 ; R=Scheduled/Kept;I=Inpatient;
90 ; NS=No-Show;NSR=No-Show, Rescheduled;
91 ; CP=Cancelled by Patient;
92 ; CPR=Cancelled by Patient, Rescheduled;
93 ; CC=Cancelled by Clinic;
94 ; CCR=Cancelled by Clinic, Rescheduled;
95 ; NT=No Action Taken)
96 ; IBBPV2(46) - Date Appointment Made (Scheduling)
97 ; IBBPR1 = array for PR1 segment data
98 ; IBBPR1(3) - Procedure; IEN to file #81
99 ; IBBPR1(4) - Procedure; free text
100 ; IBBPR1(5) - Procedure Date/Time
101 ; IBBPR1(6) - Functional Type;
102 ; (Prosthetics:
103 ; O=Home Oxygen;P=Purchasing;
104 ; I=Stock Issue)
105 ; (Radiology:
106 ; ANI=Angio/Neuro/Interventional;
107 ; CARD=Cardiology Studies;CT=CT Scan;
108 ; RAD=General Radiology;
109 ; MRI=Magnetic Resonance Imaging;
110 ; MAM=Mammography;NM=Nuclear Medicine;
111 ; US=Ultrasound;VAS=Vascular Lab)
112 ; IBBPR1(11) - Surgeon; IEN to file #200
113 ; IBBPR1(16) - <modifier>;<modifier>;<modifier>;...
114 ; where each <modifier> is an IEN to file #81.3
115 ; IBBDG1 = array for DG1 segment data
116 ; IBBDG1(n,3) - Diagnosis; IEN to file #80
117 ; IBBDG1(1,4) - Diagnosis; free text; only one allowed
118 ; IBBDG1(n,6) - Diagnosis Type; (A=Admitting;
119 ; W=Working;
120 ; D=Discharge;
121 ; F=Final)
122 ; IBBZCL = array for ZCL segment data
123 ; IBBZCL(n,2) - Classification Type;
124 ; (1=AO;2=IR;3=SC;4=EC;5=MST;6=HNC;
125 ; 7=CV;8=SHAD)
126 ; IBBZCL(n,3) - Classification Value; (1=YES;0=NO)
127 ; IBBDIV = IEN to file #40.8
128 ; IBBRAIEN = IEN to file #75.1
129 ; IBBSURG = array for special Surgery data
130 ; IBBSURG(1) - Surgical Case #; IEN to file #130
131 ; IBBSURG(2) - Surgical Specialty; IEN to file #45.3
132 ;
133 ; Returns the pointer to the PFSS ACCOUNT file (#375) where
134 ; all application input data is stored.
135 ;
136 ; Output: IEN to file #375, or 0, if unsuccessful
137 ;
138GETCHGID ; ()
139 ; Returns a Unique Charge ID.
140 ;
141 ; Output: 1 + current value of field #2 of file #372.
142 ;
143CHARGE ; (IBBDFN,IBBARFN,IBBCTYPE,IBBUCID,IBBFT1,IBBPR1,IBBDG1,IBBZCL,IBBRXE,IBBORIEN,IBBPROS)
144 ; Pass data to IBB for charge (DFT) messaging.
145 ;
146 ; Input:
147 ; IBBDFN = Patient; IEN to file #2 [required]
148 ; IBBARFN = Account Reference; IEN to file #375 [required]
149 ; IBBCTYPE = Charge Type; (CG=debit;CD=credit) [required]
150 ; IBBUCID = Unique Charge ID [required]
151 ; IBBFT1 = array for FT1 segment data [required]
152 ; IBBFT1(4) - Transaction Date/Time
153 ; IBBFT1(7) - Pharmacy Service Code
154 ; IBBFT1(10) - Transaction Quantity
155 ; IBBFT1(13) - Department Code
156 ; IBBFT1(16) - Patient Location; IEN to file #44
157 ; IBBFT1(18) - Patient Status; (Pharmacy: 1=Rx Copay Exempt;
158 ; 0=Not Exempt)
159 ; IBBFT1(20) - Rendering Provider; IEN to file #200
160 ; IBBFT1(21) - Ordering Provider; IEN to file #200
161 ; IBBFT1(22) - Unit Cost
162 ; IBBFT1(29) - <NDC>;<generic_name>
163 ; IBBFT1(31) - Transaction Type;
164 ; (Pharmacy: 1=PSO NSC Rx Copay;
165 ; 2=PSO SC Rx Copay;
166 ; 3=PSO NSC Rx Copay Cancel
167 ; 4=PSO NSC Rx Copay Update
168 ; 5=PSO SC Rx Copay Cancel
169 ; 6=PSO SC Rx Copay Update)
170 ; IBBPR1 = array for PR1 segment data;
171 ; (required except Pharmacy)
172 ; IBBPR1(3) - Procedure; IEN to file #81
173 ; IBBPR1(4) - Procedure; free text
174 ; IBBPR1(5) - Procedure Date/Time
175 ; IBBPR1(6) - Functional Type;
176 ; (Prosthetics: O=Home Oxygen;
177 ; P=Purchasing;
178 ; I=Stock Issue)
179 ; IBBPR1(11,1) - Surgeon; IEN to file #200
180 ; IBBPR1(11,2) - Attending Surgeon; IEN to file #200
181 ; IBBPR1(16) - <modifier>;<modifier>;<modifier>;...;
182 ; each <modifier> is an IEN to file #81.3
183 ; IBBDG1 = array for DG1 segment data
184 ; IBBDG1(n,3) - Diagnosis; IEN to file #80
185 ; IBBDG1(n,6) - Diagnosis Type; (A=Admitting;W=Working;
186 ; D=Discharge;F=Final)
187 ; IBBZCL = array for ZCL segment data
188 ; IBBZCL(n,2) - Classification Type;
189 ; (1=AO;2=IR;3=SC;4=EC;5=MST;
190 ; 6=HNC;7=CV;8=SHAD)
191 ; IBBZCL(n,3) - Classification Value; (1=YES;0=NO)
192 ; IBBRXE = data for RXE segment data (Pharmacy only)
193 ; IBBRXE(1) - <quantity>_;_<days_supply>
194 ; IBBRXE(17) - Refills Dispensed
195 ; IBBRXE(18) - Release Date/Time
196 ; IBBRXE(31) - DEA, Special Handling codes
197 ; IBBPROS = array for special Prosthetics data
198 ; IBBPROS(1) - Vendor; IEN to file #440
199 ; IBBPROS(2) - OBL#
200 ;
201 ; Returns success indicator.
202 ;
203 ; Output: 1, if successful; 0 otherwise
204 ;
205SETACCT ; (IBBDFN,HLMTIENS)
206 ; Store visit/account # from external billing system in PFSS
207 ; ACCOUNT record; the file #375 record is found based on data
208 ; contained in the HL7 message referenced by HLMTIENS.
209 ; Most of the ADT messages involved originate in VistA and
210 ; are returned by the external billing system with visit#
211 ; attached.
212 ; Some ADT-A01 messages originate in the external billing
213 ; system; these cause a new record to be created in file #375.
214 ;
215 ; Input:
216 ; IBBDFN = Patient; IEN to file #2 [required]
217 ; HLMTIENS = HL7 Message (standard VistA HL7 variable);
218 ; IEN to file #773 [required]
219 ;
220 ; Returns PFSS Account Reference.
221 ;
222 ; Output: IEN to file #375
223 ;
224EXTNUM ; (IBBDFN,IBBARFN)
225 ; Obtain the visit/account # of the external billing system
226 ; that has been associated with the PFSS ACCOUNT file (#375)
227 ; record.
228 ;
229 ; Input:
230 ; IBBDFN = Patient; IEN to file #2 [required]
231 ; IBBARFN = Account Reference; IEN to file #375 [required]
232 ;
233 ; Returns the value of field #.02 from the file #375 record.
234 ;
235 ; Output: external visit/account #, or 0, if unsuccessful
236 ;
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