[613] | 1 | IBCEF61 ;ALB/TMP - EDI TRANSMISSION RULES DEFINITION ;28-APR-99
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| 2 | ;;2.0;INTEGRATED BILLING;**137**;21-MAR-94
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| 3 | ;
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| 4 | SELRULE(IBRULE) ; Select rule
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| 5 | D FULL^VALM1
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| 6 | S IBRULE=""
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| 7 | N IBR,IB
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| 8 | D EN^VALM2($G(XQORNOD(0)),"S")
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| 9 | S IBR=0 F S IBR=$O(VALMY(IBR)) Q:'IBR S IB=$G(^TMP("IBCE-RULEDX",$J,IBR)),IBRULE=+$P(IB,U,2)
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| 10 | Q
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| 11 | ;
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| 12 | ACTIVE(IBRULE) ; Edit rules' active/inactive dates
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| 13 | ; IBRULE = ien of rule in file 364.4
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| 14 | ;
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| 15 | G:'$G(IBRULE) ACTQ
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| 16 | N DA,DR,DIE,X,Y,Z,Z0
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| 17 | S DA=$G(IBRULE),DIE="^IBE(364.4,"
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| 18 | S DR=".02;.06"
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| 19 | D ^DIE
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| 20 | I $D(Y) S IBRULE=0 G ACTQ
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| 21 | D REBLD^IBCEF6($G(IBACTIVE))
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| 22 | ACTQ S VALMBCK="R"
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| 23 | Q
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| 24 | ;
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| 25 | SCRACT ; Rebld display - only currently active
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| 26 | S IBACTIVE=1
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| 27 | D REBLD^IBCEF6(1)
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| 28 | S VALMBCK="R"
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| 29 | Q
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| 30 | ;
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| 31 | NOSCR ; Rebld display - inactive and currently active
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| 32 | S IBACTIVE=0
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| 33 | D REBLD^IBCEF6(0)
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| 34 | S VALMBCK="R"
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| 35 | Q
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| 36 | ;
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| 37 | BILTYP(IBRULE) ; Allow to edit bill types for rule
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| 38 | ; IBRULE = ien of rule - file 364.4
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| 39 | ;
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| 40 | G:'$G(IBRULE) BILTYPQ
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| 41 | N DA,DR,DIE,X,Y,Z,Z0,IBRT,IB,IBOK,IBCT
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| 42 | S DA=$G(IBRULE),DIE="^IBE(364.4,",IBRT=$P($G(^IBE(364.4,IBRULE,0)),U,11)
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| 43 | I $S(IBRT=9:0,1:IBRT'=1) D G BILTYPQ
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| 44 | . W !
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| 45 | . S DIR(0)="EA",DIR("A",1)="RULE TYPE '"_$$EXPAND^IBTRE(364.4,.11,IBRT)_"' DOES NOT ALLOW BILL TYPE RESTRICTIONS",DIR("A")="PRESS RETURN " D ^DIR K DIR W !
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| 46 | S (IBO,IBCT)=0 ;Extract existing entries
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| 47 | F S IBO=$O(^IBE(364.4,IBRULE,"BTYP",IBO)) Q:'IBO S IBX=$P($G(^(IBO,0)),U),IBO(IBX)=IBO_U_$P(^(0),U,2,3),IBCT=IBCT+1,IB(364.41,IBCT,.01)=IBX,IBI(IBX)=IBCT F Z=2,3 I $P(IBO(IBX),U,Z)'="" S IB(364.41,IBCT,Z/100)=$P(IBO(IBX),U,Z)
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| 48 | ; Display entries, allow to add/edit/delete
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| 49 | D EN^IBCEF62
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| 50 | BILTYPQ S VALMBCK="R"
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| 51 | Q
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| 52 | ;
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| 53 | SEL(VALMY) ; Select one or more bill type restriction entries
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| 54 | ; VALMY = passed by reference and returned subscripted by
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| 55 | ; entry #(s) in the LM array selected
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| 56 | ;
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| 57 | N Z
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| 58 | D FULL^VALM1
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| 59 | N IBR
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| 60 | D EN^VALM2($G(XQORNOD(0)))
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| 61 | Q
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| 62 | ;
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| 63 | BTEDIT(IBRULE) ; Edit bill type restriction dates
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| 64 | ; IBRULE = ien of the bill type restriction being edited
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| 65 | ; (0)= ien of the RULE - file 364.4
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| 66 | G:'$G(IBRULE) BTEQ
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| 67 | ;
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| 68 | N DA,DIE,DR,Y,X,VALMY,Z,IBBT
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| 69 | ;
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| 70 | S IBCT=0
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| 71 | D SEL(.VALMY)
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| 72 | G:'$O(VALMY(0)) BTEQ ; None selected
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| 73 | ;
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| 74 | S Z=0 F S Z=$O(VALMY(Z)) Q:'Z S IBBT=+$G(^TMP("IBCE-BTDX",$J,Z)) I IBBT D
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| 75 | . S DA(1)=IBRULE,DA=IBBT,DIE="^IBE(364.4,"_DA(1)_",""BTYP"",",DR=".02;.03"
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| 76 | . W !!,"Bill Type Restriction #"_Z_" - "_$E($G(^TMP("IBCE-BT",$J,Z,0)),5,50),!
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| 77 | . D ^DIE
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| 78 | . D REBLD^IBCEF62
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| 79 | ;
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| 80 | BTEQ S VALMBCK="R"
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| 81 | Q
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| 82 | ;
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| 83 | BTADD(IBRULE) ; Add new bill type restrictions
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| 84 | ; IBRULE = ien of rule entry - file 364.4
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| 85 | N IB,IBCT,Z,IBOK
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| 86 | D FULL^VALM1
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| 87 | G:'$G(IBRULE) BTAQ
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| 88 | ;
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| 89 | S (IBCT,Z)=0
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| 90 | S Z=0 F S Z=$O(^IBE(364.4,IBRULE,"BTYP",Z)) Q:'Z S IBCT=IBCT+1,IB(364.41,IBCT,.01)=$P($G(^(Z,0)),U)
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| 91 | ;
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| 92 | D BTYP^IBCEF51(.IB,.IBOK,0)
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| 93 | ;
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| 94 | I IBOK D
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| 95 | . N Z
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| 96 | . S Z=0 F S Z=$O(^IBE(364.4,IBRULE,"BTYP",Z)) Q:'Z S DA=Z,DA(1)=IBRULE,DIK="^IBE(364.4,"_DA(1)_",""BTYP""," D ^DIK
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| 97 | . D ADDBTYP(.IB,IBRULE)
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| 98 | . D REBLD^IBCEF62
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| 99 | D SUCCESS(IBOK)
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| 100 | ;
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| 101 | BTAQ S VALMBCK="R"
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| 102 | Q
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| 103 | ;
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| 104 | INSCO(IBRULE) ; Allow user to edit rule's ins co data
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| 105 | ; IBRULE = ien of rule - file 364.4
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| 106 | ;
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| 107 | G:'$G(IBRULE) INSCOQ
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| 108 | N DA,DR,DIE,X,Y,Z,Z0,IB,IB0
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| 109 | S DA=$G(IBRULE),DIE="^IBE(364.4,"
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| 110 | S IB0=$G(^IBE(364.4,IBRULE,0)),IB(".07O")=$P(IB0,U,7)
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| 111 | S DR=$S($P(IB0,U,3)'=2:".07;S Y=$S(X=1:""@10"",X=2:""@20"",1:""@99"");",1:"")_"@10;3;S Y=""@99"";@20;2;S Y=""@99"";@99"
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| 112 | D ^DIE
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| 113 | S IB(.07)=$P($G(^IBE(364.4,IBRULE,0)),U,7)
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| 114 | ;
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| 115 | I IB(".07O"),IB(".07O")'=IB(.07),IB(".07O")'=3 D ; Delete 'old' includes/excludes
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| 116 | . S Z=$P("3^2",U,+IB(".07O")),Z0=0 F S Z0=$O(^IBE(364.4,IBRULE,Z,Z0)) Q:'Z0 S DA=Z0,DA(1)=IBRULE,DIK="^IBE(364.4,"_DA(1)_","_Z_"," D ^DIK
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| 117 | ;
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| 118 | ; If all ins cos selected, delete existing specific ones in/excluded
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| 119 | I 'IB(.07)!(IB(.07)=3) D
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| 120 | . Q:IB(".07O")=IB(.07)
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| 121 | . F Z=2,3 I $O(^IBE(364.4,IBRULE,Z,0)) S Z0=0 F S Z0=$O(^IBE(364.4,IBRULE,Z,Z0)) Q:'Z0 S DA=Z0,DA(1)=IBRULE,DIK="^IBE(364.4,"_DA(1)_","_Z_"," D ^DIK
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| 122 | E D
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| 123 | . Q:$O(^IBE(364.4,IBRULE,$S(IB(.07)=1:3,1:2),0))
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| 124 | . W !,"Warning ... no insurance companies chosen to "_$S(IB(.07)=1:"in",1:"ex")_"clude"
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| 125 | . D QUIT^IBCEF5
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| 126 | D REBLD^IBCEF6($G(IBACTIVE))
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| 127 | ;
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| 128 | INSCOQ S VALMBCK="R"
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| 129 | Q
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| 130 | ;
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| 131 | MISC(IBRULE) ; Edit other misc fields for the rule
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| 132 | ; IBRULE = ien of rule - file 364.4
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| 133 | ;
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| 134 | I $G(IBRULE) D
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| 135 | . N DA,DR,DIE,X,Y,Z,Z0
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| 136 | . S DA=$G(IBRULE),DIE="^IBE(364.4,"
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| 137 | . S DR=".08;1;4"
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| 138 | . D ^DIE
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| 139 | . D REBLD^IBCEF6($G(IBACTIVE))
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| 140 | S VALMBCK="R"
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| 141 | Q
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| 142 | ;
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| 143 | DISPRUL(IBRULE) ; Display rule selected
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| 144 | ; IBRULE = ien of rule - file 364.4
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| 145 | ;
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| 146 | I '$G(IBRULE) D FULL^VALM1
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| 147 | N DIOBEG,FR,TO,BY,DIC,DA,L,FLDS,DHD
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| 148 | S (FR,TO)=$G(IBRULE),DHD="[IBCE RULE DISPLAY HEADER]"
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| 149 | S L=0,BY="@RULE NUMBER",DIC="^IBE(364.4,",FLDS="[IBCE RULE DISPLAY]"
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| 150 | S DIOBEG="W !"
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| 151 | W !!
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| 152 | D EN1^DIP
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| 153 | DISPRQ S VALMBCK="R"
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| 154 | D PAUSE^VALM1
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| 155 | Q
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| 156 | ;
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| 157 | SUCCESS(IBOK) ; Display msg after add rule
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| 158 | ; IBOK = 1 if successful, 0 if not
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| 159 | ;
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| 160 | N DIR,Y,X
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| 161 | S DIR(0)="EA"
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| 162 | W !
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| 163 | I $G(IBOK) S DIR("A",1)="TRANSMISSION RULE(s) HAVE BEEN SUCCESSFULLY FILED"
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| 164 | I '$G(IBOK) S DIR("A",1)="NO TRANSMISSION RULES ADDED"
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| 165 | S DIR("A")="PRESS RETURN " D ^DIR K DIR
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| 166 | S VALMBCK="R"
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| 167 | Q
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| 168 | ;
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| 169 | ADDBTYP(IB,IBDA1) ; Add bill types in IB(364.41) to rule IBDA1
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| 170 | ;
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| 171 | N Z,Z0,IBC
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| 172 | I $D(IB(364.41)) D
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| 173 | . S IBC=0 F S IBC=$O(IB(364.41,IBC)) Q:'IBC D
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| 174 | .. N DO,DD,DIC,DLAYGO,DA,X,Y
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| 175 | .. S Z=.01 F S Z=$O(IB(364.41,IBC,Z)) Q:'Z S Z0=$G(IB(364.41,IBC,Z)) I Z0'="" D ;Bill type excepts
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| 176 | ... S DIC("DR")=$G(DIC("DR"))_$S($G(DIC("DR"))="":"",1:";")_Z_"///"_Z0
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| 177 | .. I '$D(^IBE(364.4,IBDA1,"BTYP",0)) S DIC("P")=$$GETSPEC^IBEFUNC(364.4,.1)
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| 178 | .. S X=IB(364.41,IBC,.01)
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| 179 | .. S DA(1)=IBDA1,DIC="^IBE(364.4,"_IBDA1_",""BTYP"",",DIC(0)="L",DLAYGO=364.4
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| 180 | .. D FILE^DICN
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| 181 | Q
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| 182 | ;
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| 183 | INSADD(IB,IBDA1) ; Add ins co exceptions from entries in
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| 184 | ; IB(364.42 - exclude) or IB(364.43 - include) to rule IBDA1
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| 185 | ;
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| 186 | N Z,IBNODE,Z0
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| 187 | F Z=364.42,364.43 S IBNODE=$E(Z,$L(Z)),Z0=0 F S Z0=$O(IB(Z,Z0)) Q:'Z0 D
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| 188 | . N DO,DD,DIC,DLAYGO,DA
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| 189 | . I '$D(^IBE(364.4,IBDA1,IBNODE,0)) S DIC("P")=$$GETSPEC^IBEFUNC(364.4,IBNODE)
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| 190 | . S DA(1)=IBDA1,DIC="^IBE(364.4,"_IBDA1_","_IBNODE_",",DIC(0)="L",DLAYGO=364.4,X=Z0
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| 191 | . D FILE^DICN K DIC
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| 192 | Q
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| 193 | ;
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| 194 | BTDTOK(IBRULE,IBBT,IBDTYP,X) ; Check bill type date is consistent for rule
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| 195 | ; IBRULE = ien of rule - file 364.4
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| 196 | ; IBBT = ien of bill type in rule IBRULE (optional if check at top level)
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| 197 | ; IBDTYP = 1 for active date check, 2 for inactive date check
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| 198 | ; X = Value of date being validated
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| 199 | ;
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| 200 | ; Function returns 1 if consistencies are OK, 0 if not
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| 201 | ;
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| 202 | N IBOK,IBPCK,Z
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| 203 | S IBOK=1
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| 204 | S IBPCK=$S(IBDTYP=1:2,1:6)
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| 205 | ;
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| 206 | ; Check for consistency at rule level first
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| 207 | ;
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| 208 | ; Active dt must not be after rule's inact dt
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| 209 | I IBDTYP=1,$P($G(^IBE(364.4,IBRULE,0)),U,6),X>$P(^(0),U,6) S Z=$$FMTE^XLFDT($P($G(^IBE(364.4,IBRULE,0)),U,6)) D EN^DDIOL("CANNOT BE AFTER RULE'S INACTIVE DATE OF "_$S('Z:"<MISSING>",1:Z),,"!!") S IBOK=0 G BTDTQ
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| 210 | ;
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| 211 | ; Inact dt must not be prior to rule's active dt
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| 212 | I IBDTYP=2,$S('$P($G(^IBE(364.4,IBRULE,0)),U,2):'$G(IBBT),1:X<$P($G(^(0)),U,2)) S Z=$$FMTE^XLFDT($P($G(^IBE(364.4,IBRULE,0)),U,2)) D EN^DDIOL("CANNOT BE BEFORE RULE'S ACTIVE DATE OF "_$S('Z:"<MISSING>",1:Z),,"!!") S IBOK=0 G BTDTQ
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| 213 | ;
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| 214 | I $G(IBBT) D ; Check for consistency at the bill type level
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| 215 | . ; Active dt at bt level must be prior to inactive dt
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| 216 | . I IBDTYP=1,$P($G(^IBE(364.4,IBRULE,"IBTYP",IBBT,0)),U,3),X>$P(^(0),U,3) S Z=$$FMTE^XLFDT($P(^IBE(364.4,IBRULE,"IBTYP",IBBT,0),U,3)) D EN^DDIOL("MUST BE PRIOR TO BILL TYPE'S INACTIVE DATE OF "_$S('Z:"<MISSING>",1:Z),,"!!") S IBOK=0 Q
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| 217 | . ; Inactive dt at bt level must be after active dt
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| 218 | . I IBDTYP=2,$S('$P($G(^IBE(364.4,IBRULE,"IBTYP",IBBT,0)),U,2):1,1:X<$P(^(0),U,2)) S Z=$$FMTE^XLFDT($P($G(^IBE(364.4,IBRULE,"IBTYP",IBBT,0)),U,2)) D EN^DDIOL("MUST BE AFTER BILL TYPE'S ACTIVE DATE OF "_$S('Z:"<MISSING>",1:Z),,"!!") S IBOK=0 Q
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| 219 | . ;
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| 220 | . S Z=0
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| 221 | . F S Z=$O(^IBE(364.4,IBRULE,"BTYP",Z)) Q:'Z S Z0=$G(^(Z,0)) D Q:'IBOK
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| 222 | .. I $P(Z0,U,IBDTYP+1),$S(IBDTYP=1:X<$P(Z0,U,2),1:X>$P(Z0,U,3)) D EN^DDIOL("CHANGE WOULD INVALIDATE BILL TYPE RESTRICTION DATE",,"!!") S IBOK=0
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| 223 | BTDTQ Q IBOK
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| 224 | ;
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