| 1 | IBJDI7 ;ALB/CPM - OUTPATIENT WORKLOAD REPORT ; 19-DEC-96
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| 2 |  ;;2.0;INTEGRATED BILLING;**69,91,98,100,118,133,339**;21-MAR-94;Build 2
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| 3 |  ;
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| 4 | EN ; - Option entry point.
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| 5 |  ;
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| 6 |  W !!,"This report provides a measure of the number and types of"
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| 7 |  W !,"Outpatient Services that are provided in the Medical Center.",!
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| 8 |  ;
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| 9 | DATE D DATE^IBOUTL I IBBDT=""!(IBEDT="") G ENQ
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| 10 |  ;
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| 11 |  ; - Sort by division?
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| 12 |  S DIR(0)="Y",DIR("B")="NO"
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| 13 |  S DIR("A")="Do you wish to sort this report by division"
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| 14 |  S DIR("?")="^D DHLP^IBJDI7" W !
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| 15 |  D ^DIR S IBSORT=+Y I $D(DIRUT)!$D(DTOUT)!$D(DUOUT)!$D(DIROUT) G ENQ
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| 16 |  K DIR,DIROUT,DTOUT,DUOUT,DIRUT
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| 17 |  ;
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| 18 |  ; - Select division(s).
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| 19 |  I IBSORT D PSDR^IBODIV G:Y<0 ENQ
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| 20 |  ;
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| 21 |  W !!,"This report only requires an 80 column printer."
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| 22 |  ;
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| 23 |  W !!,"Note: This report may take a while to run."
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| 24 |  W !?6,"You should queue this report to run after normal business hours.",!
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| 25 |  ;
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| 26 |  ; - Select a device.
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| 27 |  S %ZIS="QM" D ^%ZIS G:POP ENQ
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| 28 |  I $D(IO("Q")) D  G ENQ
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| 29 |  .S ZTRTN="DQ^IBJDI7",ZTDESC="IB - OUTPATIENT WORKLOAD REPORT"
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| 30 |  .F I="IBBDT","IBEDT","IBSORT","VAUTD","VAUTD(" S ZTSAVE(I)=""
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| 31 |  .D ^%ZTLOAD
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| 32 |  .W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
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| 33 |  .K ZTSK,IO("Q") D HOME^%ZIS
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| 34 |  ;
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| 35 |  U IO
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| 36 |  ;
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| 37 | DQ ; - Tasked entry point.
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| 38 |  ;
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| 39 |  I $G(IBXTRACT) D E^IBJDE(7,1) ; Change extract status.
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| 40 |  ;
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| 41 |  N IBQUERY K IB
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| 42 |  S IBC="TOT^NSC^SC^SCS^SCN",IBQ=0
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| 43 |  I IBSORT D
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| 44 |  .S I=0 F  S I=$S(VAUTD:$O(^DG(40.8,I)),1:$O(VAUTD(I))) Q:'I  D
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| 45 |  ..S J=$P(^DG(40.8,I,0),U),IB(J,"GTOT")=0
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| 46 |  ..F K=1:1:5 S IB(J,$P(IBC,U,K)_"-A")=0 S:K<4 IB(J,$P(IBC,U,K)_"-I")=0
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| 47 |  S IB("ZZALL","GTOT")=0
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| 48 |  F I=1:1:5 D
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| 49 |  .S IB("ZZALL",$P(IBC,U,I)_"-A")=0 S:I<4 IB("ZZALL",$P(IBC,U,I)_"-I")=0
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| 50 |  ;
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| 51 |  ; - Find outpatient encounters within the user-specified date range.
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| 52 |  D OUTPT^IBJDI21("",IBBDT,IBEDT,"S:IBQ SDSTOP=1 D:'IBQ ENC^IBJDI7(Y,Y0)","Outpatient Workload Report",.IBQ,"",.IBQUERY)
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| 53 |  D CLOSE^IBSDU(.IBQUERY)
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| 54 |  ;
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| 55 |  I IBQ G ENQ
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| 56 |  ;
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| 57 |  I $G(IBXTRACT) D E^IBJDE(7,0) G ENQ ; Extract summary data.
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| 58 |  ;
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| 59 |  ; - Print the report.
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| 60 |  S (IBPAG,IBQ)=0 D NOW^%DTC S IBRUN=$$DAT2^IBOUTL(%)
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| 61 |  S IBDIV="" F  S IBDIV=$O(IB(IBDIV)) Q:IBDIV=""  D SUM Q:IBQ
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| 62 |  ;
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| 63 | ENQ I $D(ZTQUEUED) S ZTREQ="@" G ENQ1
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| 64 |  ;
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| 65 |  D ^%ZISC
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| 66 | ENQ1 K IB,IBC,IBH,IBQ,IBBDT,IBEDT,IBD,IBDIV,IBOE,IBOED,IBPAG,IBRUN,IBSORT
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| 67 |  K IBPER,IBINS,IBSC,%,%ZIS,DFN,POP,I,J,K,X,Y,VA,VAEL,VAERR,VAUTD
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| 68 |  K ZTDESC,ZTRTN,ZTSAVE
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| 69 |  Q
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| 70 |  ;
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| 71 | ENC(IBOE,IBOED) ; - Extract encounter - must be called from DQ above.
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| 72 |  I $$TESTP^IBJDI1(+$P(IBOED,U,2)) G ENCQ  ; Test patient.
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| 73 |  ;
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| 74 |  I IBSORT D  G:'$D(IB(IBDIV,"TOT-A")) ENCQ
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| 75 |  .S IBDIV=+$P(IBOED,U,11)
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| 76 |  .S IBDIV=$P($G(^DG(40.8,$S('IBDIV:+$$PRIM^VASITE(),1:IBDIV),0)),U)
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| 77 |  ;
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| 78 |  S IBINS=$$INS(IBOE,IBOED) ; Check if insured encounter.
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| 79 |  ;
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| 80 |  ; - Set main totals.
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| 81 |  S IB("ZZALL","GTOT")=IB("ZZALL","GTOT")+1
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| 82 |  S IB("ZZALL","TOT-A")=IB("ZZALL","TOT-A")+1
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| 83 |  I IBINS S IB("ZZALL","TOT-I")=IB("ZZALL","TOT-I")+1
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| 84 |  I IBSORT D
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| 85 |  .S IB(IBDIV,"GTOT")=IB(IBDIV,"GTOT")+1
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| 86 |  .S IB(IBDIV,"TOT-A")=IB(IBDIV,"TOT-A")+1
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| 87 |  .I IBINS S IB(IBDIV,"TOT-I")=IB(IBDIV,"TOT-I")+1
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| 88 |  ;
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| 89 |  ; - Set NSC totals.
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| 90 |  S DFN=+$P(IBOED,U,2) D ELIG^VADPT S IBSC=+VAEL(3)
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| 91 |  I 'IBSC D  G ENCQ
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| 92 |  .S IB("ZZALL","NSC-A")=IB("ZZALL","NSC-A")+1
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| 93 |  .I IBINS S IB("ZZALL","NSC-I")=IB("ZZALL","NSC-I")+1
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| 94 |  .I IBSORT D
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| 95 |  ..S IB(IBDIV,"NSC-A")=IB(IBDIV,"NSC-A")+1
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| 96 |  ..I IBINS S IB(IBDIV,"NSC-I")=IB(IBDIV,"NSC-I")+1
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| 97 |  ;
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| 98 |  ; - Set SC totals.
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| 99 |  S IB("ZZALL","SC-A")=IB("ZZALL","SC-A")+1
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| 100 |  I IBINS S IB("ZZALL","SC-I")=IB("ZZALL","SC-I")+1
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| 101 |  I IBSORT D
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| 102 |  .S IB(IBDIV,"SC-A")=IB(IBDIV,"SC-A")+1
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| 103 |  .I IBINS S IB(IBDIV,"SC-I")=IB(IBDIV,"SC-I")+1
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| 104 |  ;
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| 105 |  ; - If care related to an SC condition, set SCS totals.
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| 106 |  I $$SC(IBOE) D  G ENCQ
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| 107 |  .S IB("ZZALL","SCS-A")=IB("ZZALL","SCS-A")+1
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| 108 |  .I IBSORT S IB(IBDIV,"SCS-A")=IB(IBDIV,"SCS-A")+1
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| 109 |  ;
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| 110 |  ; - Set SCN totals.
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| 111 |  S IB("ZZALL","SCN-A")=IB("ZZALL","SCN-A")+1
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| 112 |  I IBSORT S IB(IBDIV,"SCN-A")=IB(IBDIV,"SCN-A")+1
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| 113 |  ;
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| 114 | ENCQ Q
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| 115 |  ;
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| 116 | SUM ; - Print the summary report.
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| 117 |  F X="-A","-I" D  Q:IBQ
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| 118 |  .I X["A" W @IOF,*13
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| 119 |  .I X["I",$E(IOST,1,2)="C-" W @IOF,*13
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| 120 |  .E  W:X["I" !!
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| 121 |  .;
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| 122 |  .; - Print summary header.
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| 123 |  .W !!?$S(X["A":17,1:12),"OUTPATIENT ENCOUNTER WORKLOAD - "
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| 124 |  .W $S(X["A":"ALL ENCOUNTERS",1:"INSURED ENCOUNTERS ONLY")
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| 125 |  .S IBH="SUMMARY REPORT FOR "_$S(IBDIV="ZZALL":"ALL DIVISIONS",1:IBDIV)
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| 126 |  .S IBC=(80-$L(IBH)/2)\1 W !?IBC,IBH
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| 127 |  .W !!?$S(X["A":15,1:11),"For ",$S(X["I":"Insured ",1:""),"Outpatient Encounters from ",$$DAT1^IBOUTL(IBBDT)," - ",$$DAT1^IBOUTL(IBEDT)
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| 128 |  .I $E(IOST,1,2)="C-" W !!?24,"Run Date: ",IBRUN
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| 129 |  .S IBC=$S(X["A":"17^46",1:"12^55") W !?+IBC,$$DASH($P(IBC,U,2)),!!
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| 130 |  .;
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| 131 |  .; - Print summary statistics.
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| 132 |  .S IBPER(1)=$J($S('IB(IBDIV,"TOT"_X):0,1:IB(IBDIV,"NSC"_X)/IB(IBDIV,"TOT"_X)*100),0,2),IBPER(2)=$J($S('IB(IBDIV,"TOT"_X):0,1:100-IBPER(1)),0,2)
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| 133 |  .W ?$S(X["A":27,1:21),"Number of Outpatient Encounters:",?$S(X["A":60,1:54),$J(IB(IBDIV,"TOT"_X),7)
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| 134 |  .W !?$S(X["A":21,1:15),"Number of Encounters for NSC Veterans:",?$S(X["A":60,1:54),$J(IB(IBDIV,"NSC"_X),7),"  (",IBPER(1),"%)"
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| 135 |  .W !?$S(X["A":22,1:16),"Number of Encounters for SC Veterans:",?$S(X["A":60,1:54),$J(IB(IBDIV,"SC"_X),7),"  (",IBPER(2),"%)"
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| 136 |  .I X["A" D
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| 137 |  ..S IBPER(3)=$J($S('IB(IBDIV,"SC-A"):0,1:IB(IBDIV,"SCS-A")/IB(IBDIV,"SC-A")*100),0,2),IBPER(4)=$J($S('IB(IBDIV,"SC-A"):0,1:100-IBPER(3)),0,2)
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| 138 |  ..W !?4,"Number of Service Connected Encounters for SC Veterans:",?60,$J(IB(IBDIV,"SCS-A"),7),"  (",IBPER(3),"%)"
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| 139 |  ..W !?3,"Number of Non-Svc. Connected Encounters for SC Veterans:",?60,$J(IB(IBDIV,"SCN-A"),7),"  (",IBPER(4),"%)"
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| 140 |  .E  D
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| 141 |  ..S IBPER(5)=$J($S('IB(IBDIV,"GTOT"):0,1:IB(IBDIV,"TOT-I")/IB(IBDIV,"GTOT")*100),0,2)
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| 142 |  ..W !!?5,"Percentage of Insured Outpatient Encounters for ",$S(IBDIV="ZZALL":"All Divisions",1:"This Division"),": ",IBPER(5),"%"
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| 143 |  .D PAUSE
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| 144 |  Q
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| 145 |  ;
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| 146 | DASH(X) ; - Return a dashed line.
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| 147 |  Q $TR($J("",X)," ","=")
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| 148 |  ;
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| 149 | PAUSE ; - Page break.
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| 150 |  I $E(IOST,1,2)'="C-" Q
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| 151 |  N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
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| 152 |  F IBX=$Y:1:(IOSL-3) W !
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| 153 |  S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
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| 154 |  Q
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| 155 |  ;
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| 156 | INS(IBOE,IBOED) ; - Is this an insured encounter?
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| 157 |  ;  Input:  IBOE = IEN of outpatient encounter in file #409.68
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| 158 |  ;         IBOED = Outpatient encounter in file #409.68
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| 159 |  ; Output: 1 = Insured encounter
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| 160 |  ;         0 = Not an insured encounter
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| 161 |  ;
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| 162 |  N DFN,IBCK,IBPB,VA,VAEL,VAERR,X0
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| 163 |  S DFN=+$P(IBOED,U,2)
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| 164 |  I $G(^DPT(DFN,"VET"))'="Y" G INSQ ;        Patient not a veteran.
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| 165 |  I '$$INSURED^IBCNS1(DFN,+IBOED\1) G INSQ ; Patient not insured.
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| 166 |  ;
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| 167 |  ; - Check if encounter was made non-billable in Claims Tracking.
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| 168 |  I $P($G(^IBT(356,+$O(^IBT(356,"ASCE",IBOE,0)),0)),U,19) G INSQ
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| 169 |  ;
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| 170 |  ; - Check encounter for non-billable appt. type (1), non-count
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| 171 |  ;   clinic (2), non-billable clinic (3,12), admission by 11:59pm of
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| 172 |  ;   encounter date (5), non-billable stop code (7,8), non-billable
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| 173 |  ;   disposition (10), and parent encounter (11). If IBPB equals one
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| 174 |  ;   of these numbers, Y will be set to 0 (Not an insured encounter).
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| 175 |  F X0=1,2,3,5,7,8,10,11,12 S IBCK(X0)=""
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| 176 |  S X0=$$BILLCK^IBAMTEDU(IBOE,IBOED,.IBCK,.IBPB)
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| 177 |  I $G(IBPB) G INSQ
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| 178 |  ;
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| 179 |  I $$ENCL^IBAMTS2(IBOE)[1 G INSQ ; Care is related to AO/IR/SWA/SC/MST/HNC/CV/SHAD.
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| 180 |  ;
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| 181 |  S Y=1 Q Y
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| 182 | INSQ S Y=0 Q Y
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| 183 |  ;
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| 184 | SC(OE) ; - Is the encounter related to the veteran's SC condition?
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| 185 |  ;  Input: OE = IEN of outpatient encounter in file #409.68
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| 186 |  ; Output: SC = 1 (Encounter related to SC condition)
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| 187 |  ;              0 (Encounter NOT related to SC condition)
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| 188 |  ;
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| 189 |  N CL,CLD,SC
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| 190 |  S (CL,SC)=0 F  S CL=$O(^SDD(409.42,"OE",+$G(OE),CL)) Q:'CL  D  Q:SC
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| 191 |  .S CLD=$G(^SDD(409.42,CL,0)) I +CLD=3,$P(CLD,U,3) S SC=1
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| 192 |  Q SC
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| 193 |  ;
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| 194 | DHLP ; - Display 'Sort by division' help.
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| 195 |  W !,"Enter RETURN to summarize all outpt. encounters without regard to"
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| 196 |  W !,"division, or 'Yes' to select those divisions for which a separate"
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| 197 |  W !,"summary report should be created."
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| 198 |  Q
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