source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBCEFG1.m@ 1259

Last change on this file since 1259 was 623, checked in by George Lilly, 15 years ago

revised back to 6/30/08 version

File size: 6.1 KB
Line 
1IBCEFG1 ;ALB/TMP - OUTPUT FORMATTER DATA DEFINITION UTILITIES ;18-JAN-96
2 ;;2.0;INTEGRATED BILLING;**52,51,137,181,197,232,288,349**;21-MAR-94;Build 46
3 ;;Per VHA Directive 2004-038, this routine should not be modified.
4 ;
5EDIBILL(IBXFORM,IBXDA,IBINS,IBTYP) ; Find element associated with form fld
6 ; IBXFORM = (REQUIRED) actual form being extracted (in file 353)
7 ; IBXDA = (REQUIRED) form definition file (364.6) entry to use to find
8 ; extract data element definition entry (in file 364.7)
9 ; IBINS = (REQUIRED) insurance co. ien for the current insurance on bill
10 ; IBTYP = (REQUIRED) bill type (I/O)
11 ;
12 ; Returns ien of the entry in file 364.7 if a match on override criteria
13 ; was found. Returns -1 if a screen form and the criteria fails for a
14 ; field without an override
15 ;
16 N IBX,IBPARFM,IBSCREEN,IBNMATCH,EDIQ,IB1
17 I $G(IBXDA)=""!($G(IBXFORM)="") G EDIQ
18 S EDIQ=0
19 S IBPARFM=$P($G(^IBE(353,IBXFORM,2)),U,5) S:'IBPARFM IBPARFM=IBXFORM
20 S IBSCREEN=($P($G(^IBE(353,+IBXFORM,2)),U,2)="S")
21 S IB1=(IBPARFM=IBXFORM) ; Not a local field that is not a parent
22 ;
23 I $G(IBINS)'="",$G(IBTYP)'="" D:$O(^IBA(364.7,"AINTYP",IBXDA,""))'="" G:EDIQ EDIQ
24 . I '$D(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP)) S IBNMATCH=1 Q
25 . S IBX=+$O(^IBA(364.7,"AINTYP",IBXDA,IBINS,IBTYP,"")),EDIQ=1 S:IBX IBNMATCH=0 ;by ins co and type of bill
26 ;
27 I $G(IBINS)'="" D:$O(^IBA(364.7,"AINS",IBXDA,""))'="" G:EDIQ EDIQ
28 . I '$D(^IBA(364.7,"AINS",IBXDA,IBINS)) S IBNMATCH=1 Q
29 . S IBX=+$O(^IBA(364.7,"AINS",IBXDA,IBINS,"")),EDIQ=1 S:IBX IBNMATCH=0 ;ins co only
30 ;
31 I $G(IBTYP)'="" D:$O(^IBA(364.7,"ATYPE",IBXDA,""))'="" G:EDIQ EDIQ
32 . I '$D(^IBA(364.7,"ATYPE",IBXDA,IBTYP)) S IBNMATCH=1 Q
33 . S IBX=+$O(^IBA(364.7,"ATYPE",IBXDA,IBTYP,"")),EDIQ=1 S:IBX IBNMATCH=0 ;type of bill only
34 ;
35 I IBXFORM,$S(IBXFORM'=IBPARFM:1,1:IBSCREEN) D G EDIQ
36 . S IBX=+$O(^IBA(364.7,"ALL",IBXDA,"")) ; Check for all ins co and types
37 . I IBX,+$O(^IBA(364.7,"ALL",IBXDA,IBX)) D ; Find override for 'ALL'
38 .. N Z
39 .. S Z=0 F S Z=$O(^IBA(364.7,"ALL",IBXDA,Z)) Q:'Z I $P($G(^IBA(364.7,Z,0)),U)'=IBXDA S IBX=Z Q
40 . I 'IBX,+$O(^IBA(364.7,"B",IBXDA,"")) S IBX=$O(^(""))
41 . S:IBX IBNMATCH=0
42 ;
43 I IBXFORM,$O(^IBA(364.6,"APAR",IBXFORM,IBXDA,"")) S IBX=+$O(^("")),IBX=+$O(^IBA(364.7,"B",IBX,0)) I IBX G EDIQ
44 S IBX=+$O(^IBA(364.7,"B",IBXDA,""))
45EDIQ I IBSCREEN,$G(IBNMATCH) S IBX=-1
46 Q $G(IBX)
47 ;
48DT(DATE1,DATE2,FORMAT) ; Return date in DATE1 (and optionally DATE2)
49 ; (input in Fileman format) converted to X12 format
50 ; FORMAT (required)
51 ; DATE1,DATE2 in FILEMAN date format
52 N DATE S DATE=""
53 I DATE1=0 S DATE1=""
54 I $E(FORMAT)="D" D G DTQ
55 .S DATE=$E(DATE1,2,7) Q:$P(FORMAT,"D",2)=6 ;YYMMDD
56 .S:DATE1 DATE=($E(DATE1)+17)_DATE ;CCYYMMDD
57 I $E(FORMAT)="R" D
58 .S:DATE1 DATE=$E(DATE1,2,7)_"-"_$E($S($G(DATE2):DATE2,1:DATE1),2,7) ;YYMMDD-YYMMDD
59 .Q:FORMAT["6"
60 .S DATE=($E(DATE1)+17)_DATE,$P(DATE,"-",2)=($E($S($G(DATE2):DATE2,1:DATE1))+17)_$P(DATE,"-",2) ;CCYYMMDD-CCYYMMDD
61DTQ Q DATE
62 ;
63NAME(IBNM1,COMB) ; Parse person's nm into 5 pieces LAST^FIRST^MIDDLE^CRED^SUFFIX
64 ; IBNM1 = NAME in LAST,FIRST MIDDLE^vp file ien (200 or 355.93)^bill ien^prv type
65 ; OR FIRST MIDDLE LAST^vp file ien (200 or 355.93)^bill ien^prv type
66 ; COMB = if set to 1, then combine the first and middle name
67 ; if set to 2, combine the last and middle names
68 N PC,IBIEN,IBCRED,IBNM,IBNMC,IBPIEN
69 S IBIEN=$P(IBNM1,U,2),IBNMC=$P(IBNM1,U)
70 S IBPIEN=+$O(^DGCR(399,+$P(IBNM1,U,3),"PRV","B",+$P(IBNM1,U,4),0))
71 S IBCRED=$$CRED^IBCEU(IBIEN,+$P(IBNM1,U,3),IBPIEN) ;Degree
72 I IBNMC="DEPT VETERANS AFFAIRS" S IBNMC="VETERANS AFFAIRS,DEPT"
73 I IBNMC["," D G NAMEQ
74 . S IBNMC=$TR(IBNMC,".") D NAMECOMP^XLFNAME(.IBNMC)
75 . S IBNM=$G(IBNMC("FAMILY"))_U_$G(IBNMC("GIVEN"))_U_$G(IBNMC("MIDDLE"))_U_IBCRED_U_$G(IBNMC("SUFFIX"))
76 D STDNAME^XLFNAME(.IBNMC,"C")
77 S IBNM=$G(IBNMC("FAMILY"))_U_$G(IBNMC("GIVEN"))_U_$G(IBNMC("MIDDLE"))_U_IBCRED_U_$G(IBNMC("SUFFIX"))
78 I $P(IBNM1,U,2)["355.93",$P($G(^IBA(355.93,+$P(IBNM1,U,2),0)),U,2)=1 D G NAMEQ ; group performing provider
79 . S IBNM=$P(IBNM1,U)_U_U_U_IBCRED_U
80 I $G(COMB)=1,$G(IBNMC("MIDDLE"))'="" S IBNM=$P(IBNM,U)_U_$P(IBNM,U,2)_" "_$P(IBNM,U,3)_U_IBCRED_U_$P(IBNM,U,5)
81 I $G(COMB)=2,$G(IBNMC("MIDDLE"))'="" S IBNM=$P(IBNM,U)_" "_$P(IBNM,U,3)_U_$P(IBNM,U,2)_U_IBCRED_U_$P(IBNM,U,5)
82 ;
83NAMEQ Q IBNM
84 ;
85DOLLAR(AMT) ; Format amount in AMT so it is numeric including cents, without
86 ; the decimal and commas.
87 N DOLR,CENT
88 I AMT'="" S DOLR=$P(AMT,"."),CENT=$E($P(AMT,".",2)_"00",1,2),AMT=DOLR_CENT
89 Q $TR(AMT,",")
90 ;
91STATE(CODE) ;Return state code from state pointer
92 Q $P($G(^DIC(5,+CODE,0)),U,2)
93 ;
94SEX(CODE) ;Return the X12 code for sex
95 ; CODE = DHCP code for sex
96 Q $S(CODE="":"U","MF"[$E(CODE):$E(CODE),1:"U")
97 ;
98RELATION(CODE) ;Return the X12 code for relationship
99 ; CODE = DHCP code for relationship
100 N X12
101 S X12=""
102 S:CODE'="" X12=$P($S(CODE="01":"18^SELF",CODE="02":"01^SPOUSE",CODE="03":"19^NATURAL CHILD",CODE="08":"20^EMPLOYEE",CODE="32":"32^MOTHER",CODE="33":"33^FATHER",CODE="11":"39^ORGAN DONOR",CODE="15":"41^INJURED PLAINTIFF",1:""),U)
103 Q X12
104 ;
105EMPLST(CODE) ;Return the X12 code for employment status
106 ; CODE = DHCP code for employment status
107 N X12
108 S X12=""
109 S:CODE'="" X12=$P($P("1;FT^2;PT^3;NE^4;SE^5;RT^6;AU^9;UK",CODE_";",2),U)
110 S:X12="" X12="UK"
111 Q X12
112 ;
113MARITAL(CODE) ;Return the X12 code for marital status
114 ; CODE = ien of code for marital status
115 N X12
116 S X12=$P($G(^DIC(11,+CODE,0)),U,3)
117 I X12'="" S X12=$P($P("D;D^M;M^N;I^S;X^W;W^U;K",X12_";",2),U)
118 Q X12
119 ;
120TOS(CODE) ;Return the X12 code for type of service
121 ; CODE = DHCP code for type of service
122 N X12
123 S X12=$S(CODE>0&(CODE<10):CODE,1:$P($P("0;10^A;11^B;13^H;45^L;18^M;15^N;63^V;19^Y;20^Z;21^43;96^53;96",CODE_";",2),U)) S:X12="" X12=CODE
124 Q X12
125 ;
126FIXLEN(DATA,LEN) ; Create a fixed length field from data DATA length LEN
127 Q $E(DATA_$J("",LEN),1,LEN)
128 ;
129RCDT(IBXSAVE,IBXDATA,IBDT) ; Format date for multiple revenue code transmission)
130 ;IBXSAVE = array containing the extracted service line data for the UB format bill
131 ;IBXDATA = array returned with service line dates formatted in YYYYMMDD format
132 ;IBDT = the default date for the revenue codes on the bill
133 N Q,W
134 S Q=0 F S Q=$O(IBXSAVE("INPT",Q)) Q:'Q S W=$$DT($P(IBXSAVE("INPT",1),U,10),,"D8"),IBXDATA(Q)=$S(W:W,1:IBDT)
135 Q
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