source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBJDI21.m@ 1093

Last change on this file since 1093 was 613, checked in by George Lilly, 15 years ago

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1IBJDI21 ;ALB/CPM - VETERANS WITH UNVERIFIED ELIGIBILITY (CONT'D) ;16-DEC-96
2 ;;2.0;INTEGRATED BILLING;**118,249**;21-MAR-94
3 ;;Per VHA Directive 10-93-142, this routine should not be modified.
4 ;
5 ; - Find inpatients treated within the user-specified date range.
6 S IBD=IBBDT-.01 F S IBD=$O(^DGPM("ATT3",IBD)) Q:'IBD!(IBD\1>IBEDT) D Q:IBQ
7 .S IBPM=0 F S IBPM=$O(^DGPM("ATT3",IBD,IBPM)) Q:'IBPM D Q:IBQ
8 ..I IBPM#100=0 Q:$$STOP(.IBQ,"Unverified Eligibility Report")
9 ..S IBPMD=$G(^DGPM(IBPM,0)) Q:'IBPMD
10 ..I IBSORT S IBDIV=$$DIV(1,+$P(IBPMD,U,6)) Q:'$D(IB(IBDIV))
11 ..S DFN=+$P(IBPMD,U,3) Q:'DFN
12 ..;
13 ..; - Process patient.
14 ..I '$D(^TMP("IBJDI21",$J,DFN)) D PROC(DFN,"*",.IBQUERY)
15 ;
16 D CLOSE^IBSDU(.IBQUERY)
17 I IBQ G ENQ
18 ;
19 ; - Find outpatients treated within the user-specified date range.
20 D OUTPT("",IBBDT,IBEDT,"S:IBQ SDSTOP=1 I 'IBQ,$$ENCHK^IBJDI5(Y0) D ENC^IBJDI21(Y0,.IBQUERY1)","Unverified Eligibility Report",.IBQ,"IBJDI21",.IBQUERY)
21 D CLOSE^IBSDU(.IBQUERY),CLOSE^IBSDU(.IBQUERY1)
22 ;
23 I IBQ G ENQ
24 ;
25 ; - Extract summary data.
26 I $G(IBXTRACT) D G ENQ
27 .F X="DEC","NOT","PEN","TOT","VER","VERO" S IB(X)=$G(IB("ALL",X))
28 .D E^IBJDE(2,0)
29 ;
30 ; - If detail, look up next appt
31 I IBRPT="D" S IBARRAY("SORT")="P",IBARRAY("FLDS")=1,IBARRAY(1)=$$NOW^XLFDT_";9999999",IBARRAY(4)="^TMP(""IBDFN"",$J,",IBCOUNT=$$SDAPI^SDAMA301(.IBARRAY)
32 ;
33 ; - Print the reports.
34 S IBQ=0 D NOW^%DTC S IBRUN=$$DAT2^IBOUTL(%)
35 S IBDIV="" F S IBDIV=$O(IB(IBDIV)) Q:IBDIV="" D Q:IBQ
36 .S IBPAG=0 D:IBRPT="D" DET I 'IBQ D SUM,PAUSE
37 ;
38ENQ Q
39 ;
40OUTPT(DFN,IBBDT,IBEDT,IBCBK,IBMSG,IBQ,IBSUBSCR,IBQUERY,IBDIR) ;
41 ; Input: DFN = IEN of patient if using PATIENT/DATE index, otherwise,
42 ; if null or 0, DATE/TIME index will be used
43 ; IBCBK = The MUMPS code to execute when valid enctr found
44 ; IBBDT/IBEDT = The start/end dates
45 ; IBMSG = The text to send to STOP PROCESSING CALL (if null, no
46 ; call made)
47 ; IBQ = Flag that says whether or not the process was stopped
48 ; by user
49 ; IBQUERY = The # of the QUERY OBJECT to be used to extract outpt
50 ; visits
51 ; IBDIR = Null to look forward, 'B' to look backward thru file
52 ;
53 N IBVAL,IBFILTER
54 S IBVAL("BDT")=IBBDT,IBVAL("EDT")=IBEDT_".99" S:$G(DFN) IBVAL("DFN")=DFN
55 ;
56 ; - Look at parent encounters, completely checked out, check user
57 ; requested to quit, process each pt only once if IBSUBSCR'=null
58 S IBFILTER=""
59 S IBCBK="I "_$S($G(IBSUBSCR)'="":"'$D(^TMP(IBSUBSCR,$J,+$P(Y0,U,2))),",1:"")_"'$P(Y0,U,6),$P(Y0,U,7),$S((Y#100)'=0:1,$G(IBMSG)="""":1,1:'$$STOP^IBJDI21(.IBQ,IBMSG))"_" "_IBCBK
60 S IBDIR=$S($G(IBDIR)="":"",1:"BACKWARD")
61 D SCAN^IBSDU($S($G(DFN):"PATIENT/DATE",1:"DATE/TIME"),.IBVAL,IBFILTER,IBCBK,0,.IBQUERY,IBDIR) K ^TMP("DIERR",$J)
62 Q
63 ;
64STOP(IBQ,MSG) ; - Check if user wants to stop.
65 N Y,Y0 S IBQ=$$STOP^IBOUTL(MSG)
66 Q IBQ
67 ;
68ENC(IBOED,IBQUERY1) ; - Encounter extract for all patients loop.
69 ; IBQUERY1 = the # of the QUERY to use to do the extract.
70 ; Pre-set variables IB array, IBSORT are required.
71 ;
72 I IBSORT S IBDIV=$$DIV(0,+$P(IBOED,U,11)) Q:'$D(IB(IBDIV))
73 D PROC(+$P(IBOED,U,2),"",.IBQUERY1) ; Process patient.
74 Q
75 ;
76PROC(DFN,IBIPC,IBQUERY) ; - Process each specific patient.
77 ; Input: DFN = Pointer to the patient in file #2
78 ; IBIPC = Inpatient treatment marker
79 ; ("*"=Had inpat. treatment, null=No inpat. treatment)
80 ; IBQUERY = The # of the QUERY OBJECT to be used to extract
81 ; outpatient visits
82 ;
83 ; Pre-set variables IB array, IBDIV are required.
84 ;
85 I $$TESTP^IBJDI1(DFN) Q ; Test patient.
86 D ELIG^VADPT I 'VAEL(4) G PRCQ ; Patient is not a vet.
87 ;
88 ; - Set patient index and 'total' accumulator.
89 S ^TMP("IBJDI21",$J,DFN)="",IB(IBDIV,"TOT")=IB(IBDIV,"TOT")+1
90 ;
91 I $G(^DPT(DFN,.35)) S IB(IBDIV,"DEC")=IB(IBDIV,"DEC")+1 ; Deceased.
92 ;
93 ; - Elig. status is Verified, Pending, Re-pending, or null.
94 S IBES=$P(VAEL(8),U)
95 I IBES="V" D G PRCS:X'<730,PRCQ
96 .S IB(IBDIV,"VER")=IB(IBDIV,"VER")+1
97 .S IBESD=+$P($G(^DPT(DFN,.361)),U,2),X1=DT,X2=IBESD D ^%DTC
98 .S:X'<730 IB(IBDIV,"VERO")=IB(IBDIV,"VERO")+1,^TMP("IBJDI23",$J,DFN)=" (on "_$$DAT1^IBOUTL(IBESD)_")"
99 I IBES="P"!(IBES="R") S IB(IBDIV,"PEN")=IB(IBDIV,"PEN")+1 G PRCS
100 S IB(IBDIV,"NOT")=IB(IBDIV,"NOT")+1
101 ;
102PRCS I IBRPT="D" D SET(.IBQUERY)
103 ;
104PRCQ K VA,VAERR,VAEL
105 Q
106 ;
107SET(IBQUERY) ; - Set up detailed information to appear on the report.
108 ; Working variable definitions:
109 ; IBLT = Last treatment date
110 ; IBDN = Zero node of Patient file entry
111 ; IBDOD = Patient's date of death (if any)
112 ; IBNUMO = No. outpatient visits in date range
113 ; IBNUMD = No. discharges in date range
114 ; IBNEXT = Next scheduled treatment date
115 ; IBQUERY = The # of the QUERY OBJECT to be used to extract outpatient
116 ; visits
117 ;
118 S (IBNUMD,IBNUMO,IBLT)=0
119 ;
120 ; - Get # of discharges; look for LTD.
121 S IBDT=0 F S IBDT=$O(^DGPM("ATID3",DFN,IBDT)) Q:'IBDT D
122 .S IBDTF=9999999.9999999-IBDT\1
123 .S:IBDTF>IBLT IBLT=IBDTF I IBDTF<IBBDT!(IBDTF>IBEDT) Q
124 .S IBNUMD=IBNUMD+1
125 ;
126 ; - Get # of outpatient visits; look for LTD.
127 D OUTPT(DFN,IBBDT,9991231,"S IBDTF=Y0\1 S:IBDTF>IBLT IBLT=IBDTF I IBDTF'<IBBDT,IBDTF'>IBEDT S IBNUMO=IBNUMO+1","","","",.IBQUERY)
128 ;
129 ; - If current inpatient, set LTD to today.
130 I $G(^DPT(DFN,.105)) S IBLT=DT
131 ;
132 ; - Find next scheduled treatment date.
133 S IBNEXT=""
134 I $$GETICN^MPIF001(DFN) S ^TMP("IBDFN",$J,DFN)="" ;set tmp sched appt.
135 S X=0 F S X=$O(^DGS(41.1,"B",DFN,X)) Q:'X D ; Scheduled adm.
136 .S X1=$G(^DGS(41.1,X,0))
137 .S X2=$P(X1,U,2)\1
138 .I X2<DT Q ; Must be old scheduled admission.
139 .I $P(X1,U,13) Q ; Sched adm is cancelled.
140 .I $P(X1,U,17) Q ; Patient already admitted.
141 .I X2>IBNEXT S IBNEXT=X2
142 ;
143 S IBDN=$G(^DPT(DFN,0))
144 S IBDOD=$S(+$G(^DPT(DFN,.35)):$$DAT1^IBOUTL(+$G(^(.35))\1),1:"")
145 ;
146 S ^TMP("IBJDI22",$J,IBDIV,$E($P(IBDN,U),1,25)_IBIPC_"@@"_DFN)=$P(IBDN,U,9)_U_$E($P(VAEL(1),U,2),1,23)_U_IBES_U_IBNUMO_U_IBNUMD_U_IBLT_U_IBNEXT_U_IBDOD
147 Q
148 ;
149DIV(X,Y) ; - Return division name.
150 ; Input: X=1-Inpatient, 0-Outpatient
151 ; Y=IEN of file #42 (If X=1) or IEN of file #40.8 (If X=0)
152 I X S Y=+$P($G(^DIC(42,Y,0)),U,11)
153 S Z=$P($G(^DG(40.8,Y,0)),U) I Z="" S Z=$P($$SITE^VASITE,U,2)
154 Q Z
155 ;
156DET ; - Print the detailed report.
157 D HDET Q:IBQ
158 I '$D(^TMP("IBJDI22",$J,IBDIV)) W !!,"There were no patients treated in this date range with unverified eligibility." G DETQ
159 ;
160 S IBXX="" F S IBXX=$O(^TMP("IBJDI22",$J,IBDIV,IBXX)) Q:IBXX="" S IBX=^(IBXX) D Q:IBQ
161 .I $Y>(IOSL-2) D PAUSE Q:IBQ D HDET Q:IBQ
162 .W !,$P(IBXX,"@@"),?28,$$SSN($P(IBX,U)),?42,$P(IBX,U,2)
163 .W ?67,$$ESTAT($P(IBX,U,3)),$G(^TMP("IBJDI23",$J,IBDIV,+$P(IBXX,"@@",2)))
164 .W ?93,$J($P(IBX,U,4),3),?98,$J($P(IBX,U,5),3)
165 .W ?104,$$DAT1^IBOUTL($P(IBX,U,6))
166 .S IBCOUNT=$O(^TMP($J,"SDAMA301",+$P(IBXX,"@@",2),0))
167 .S:IBCOUNT $P(IBX,"^",7)=$S('$P(IBX,"^",7):IBCOUNT,IBCOUNT<$P(IBX,"^",7):IBCOUNT,1:$P(IBX,"^",7))
168 .W ?114,$$DAT1^IBOUTL($P(IBX,U,7))
169 .W ?124,$P(IBX,U,8)
170 ;
171DETQ I 'IBQ D PAUSE
172 Q
173 ;
174HDET ; - Write the detail report header.
175 I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
176 S IBPAG=IBPAG+1
177 W !,"Veterans with Unverified Eligibilities",$S(IBDIV'="ALL":" for "_IBDIV,1:""),?80,"Run Date: ",IBRUN,?123,"Page: ",IBPAG
178 W !,"Patients who were treated in the period ",$$DAT1^IBOUTL(IBBDT)," to ",$$DAT1^IBOUTL(IBEDT)
179 W !?91,"# Opt # Last Nxt Sched Date of"
180 W !,"Patient (*=Had inpt. care)",?28,"SSN",?42,"Primary Eligibility"
181 W ?67,"Eligibility Status",?91,"Visits Disc Seen Visit/Adm Death"
182 W !,$$DASH(IOM),!
183 S IBQ=$$STOP(0,"Unverified Eligibility Report")
184 Q
185 ;
186SUM ; - Print the summary report.
187 I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
188 S IBPAG=IBPAG+1
189 W !!?21,"VETERANS WITH UNVERIFIED ELIGIBILITY",!
190 I IBDIV'="ALL" W ?(61-$L(IBDIV))\2,"SUMMARY REPORT for ",IBDIV
191 E W ?33,"SUMMARY REPORT"
192 W !!?19,"Patients treated from ",$$DAT1^IBOUTL(IBBDT)," - ",$$DAT1^IBOUTL(IBEDT)
193 W !!?24,"Run Date: ",IBRUN,!?13,$$DASH(53),!!
194 ;
195 S IBPERV=$J($S('IB(IBDIV,"TOT"):0,1:IB(IBDIV,"VER")/IB(IBDIV,"TOT")*100),0,2)
196 S IBPERP=$J($S('IB(IBDIV,"TOT"):0,1:IB(IBDIV,"PEN")/IB(IBDIV,"TOT")*100),0,2)
197 S IBPERD=$J($S('IB(IBDIV,"TOT"):0,1:IB(IBDIV,"DEC")/IB(IBDIV,"TOT")*100),0,2)
198 S IBPERO=$J($S('IB(IBDIV,"VER"):0,1:IB(IBDIV,"VERO")/IB(IBDIV,"VER")*100),0,2)
199 W ?29,"Number of Patients Treated:",?58,$J(IB(IBDIV,"TOT"),5)
200 W !?28,"Number of Deceased Patients:",?58,$J(IB(IBDIV,"DEC"),5),?67,"(",IBPERD,"%)"
201 W !?11,"Number of Patients with Verified Eligibility:",?58,$J(IB(IBDIV,"VER"),5),?67,"(",IBPERV,"%)"
202 W !?5,"Number of Patients Whose Verified Eligibility Date"
203 W !?13,"is At Least 2 Years Old (from above total):",?58,$J(IB(IBDIV,"VERO"),5),?67,"(",IBPERO,"%)"
204 W !?10,"Number of Patients with a Pending Eligibility:",?58,$J(IB(IBDIV,"PEN"),5),?67,"(",IBPERP,"%)"
205 W !?24,"Number of Patients Not Verified:",?58,$J(IB(IBDIV,"NOT"),5),?67,"(",$J($S('IB(IBDIV,"TOT"):0,1:100-IBPERV-IBPERP),0,2),"%)"
206 Q
207 ;
208DASH(X) ; - Return a dashed line.
209 Q $TR($J("",X)," ","=")
210 ;
211PAUSE ; - Page break.
212 I $E(IOST,1,2)'="C-" Q
213 N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
214 F IBX=$Y:1:(IOSL-3) W !
215 S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
216 Q
217 ;
218SSN(X) ; - Format the SSN.
219 Q $S(X]"":$E(X,1,3)_"-"_$E(X,4,5)_"-"_$E(X,6,10),1:"")
220 ;
221ESTAT(X) ; - Decode the eligibility status.
222 Q $S(X="V":"VERIFIED",X="P":"PENDING VERIFICATION",X="R":"PENDING RE-VERIFICATION",1:"NOT VERIFIED")
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