[613] | 1 | IBNCPLOG ;BHAM ISC/SS - IB ECME EVNT REPORT ;22-MAR-2006
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| 2 | ;;2.0;INTEGRATED BILLING;**342,339,363**;21-MAR-94;Build 35
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| 3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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| 4 | ;
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| 5 | ;store data related to the IB calls made by ECME package in the file #366.14
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| 6 | ;input:
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| 7 | ;.IBIBD - (by referrence) IBD array with parameter sent to IB by ECME
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| 8 | ;DFN patient's ien
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| 9 | ;IBPROC - type of event. i.e. content of CALL such as BILL, REJECT and so on
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| 10 | ;IBRESULT - (optional) result of the event processing, format: return_code^message
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| 11 | ;IBJOB - (optional) job, default = $J
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| 12 | ;IBDTTM - (optional) datetime, default = "NOW"
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| 13 | ;IBUSR - (optional) user ID, default = DUZ
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| 14 | ;output:
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| 15 | ;none
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| 16 | LOG(IBIBD,DFN,IBPROC,IBRESULT,IBJOB,IBDTTM,IBUSR) ;Store the data
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| 17 | N NDX,Z,REF,IBDATE,IBDTIEN,IBEVNIEN,IBIBDTYP,IBRETV
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| 18 | S IBRESULT=$G(IBRESULT)
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| 19 | ;
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| 20 | I '$G(IBJOB) S IBJOB=$J
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| 21 | I '$G(IBDTTM) S IBDTTM=$$NOW^XLFDT()
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| 22 | I '$G(IBUSR) S IBUSR=+DUZ
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| 23 | ;
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| 24 | S IBDATE=DT
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| 25 | S IBDTIEN=+$O(^IBCNR(366.14,"B",IBDATE,0))
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| 26 | L +^IBCNR(366.14):30 E Q
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| 27 | I IBDTIEN=0 S IBDTIEN=+$$ADDDATE(IBDATE)
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| 28 | ;create an event
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| 29 | S IBEVNIEN=$$NEWEVENT(IBDTIEN,IBPROC)
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| 30 | L -^IBCNR(366.14)
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| 31 | I IBEVNIEN=0 W !,"New event creation Error : LOG^IBNCPLOG",! Q
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| 32 | ;
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| 33 | I +$$FILLFLDS^IBNCPUT1(366.141,".03",IBEVNIEN_","_IBDTIEN,DFN) ;DFN
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| 34 | I +$$FILLFLDS^IBNCPUT1(366.141,".04",IBEVNIEN_","_IBDTIEN,IBJOB) ;JOB
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| 35 | I +$$FILLFLDS^IBNCPUT1(366.141,".05",IBEVNIEN_","_IBDTIEN,IBDTTM) ;DATETIME
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| 36 | I +$$FILLFLDS^IBNCPUT1(366.141,".06",IBEVNIEN_","_IBDTIEN,DUZ) ;USER
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| 37 | I IBRESULT'="" D
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| 38 | . S IBRETV=+$$FILLFLDS^IBNCPUT1(366.141,".07",IBEVNIEN_","_IBDTIEN,+IBRESULT) ;RESULT
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| 39 | . S IBRETV=+$$FILLFLDS^IBNCPUT1(366.141,".08",IBEVNIEN_","_IBDTIEN,$P(IBRESULT,U,2)) ;RESULT MESSAGE
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| 40 | ;store IBIBD array
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| 41 | S IBIBDTYP=""
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| 42 | F S IBIBDTYP=$O(IBIBD(IBIBDTYP)) Q:IBIBDTYP="" D
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| 43 | . D IBD(IBDTIEN,IBEVNIEN,IBIBDTYP,$G(IBIBD(IBIBDTYP)),.IBIBD)
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| 44 | ;store "INS" node of IBIBD array
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| 45 | I $D(IBIBD("INS")) I $$INS(.IBIBD,IBDTIEN,IBEVNIEN)
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| 46 | Q
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| 47 | ;
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| 48 | ;store IBD array data
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| 49 | ;IBDTIEN - ien on top [DATE] level
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| 50 | ;IBRECNO - ien in [EVENTS] multiple
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| 51 | ;IBIBDTYP - type subscript in IBD array (BILL, PAID, RESPONSE, etc)
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| 52 | ;IBVAL - value to store
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| 53 | ;IBIBD - array with data passed by reference (for efficiency)
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| 54 | IBD(IBDTIEN,IBRECNO,IBIBDTYP,IBVAL,IBIBD) ;
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| 55 | N IBFLDNO
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| 56 | ;W !," - ",IBRECNO," ",IBIBDTYP," = ",IBVAL
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| 57 | ;free text like "WEBMD: PAID"
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| 58 | I IBIBDTYP="AUTH #" S IBFLDNO=".11",IBVAL=$E(IBVAL,1,30) G EDITIBD
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| 59 | ;free text like "0504597;3051229"
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| 60 | I IBIBDTYP="BCID" S IBFLDNO=".12" G EDITIBD
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| 61 | ;7 digits ECME number - identifier (stored as a text - might have leading zeroes)
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| 62 | I IBIBDTYP="CLAIMID" S IBFLDNO=".13" G EDITIBD
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| 63 | ;pointer to file #2
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| 64 | I IBIBDTYP="DFN" S IBFLDNO=".14" G EDITIBD
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| 65 | ;pointer to file #40.8
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| 66 | I IBIBDTYP="DIVISION" S IBFLDNO=".15" G EDITIBD
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| 67 | ;free text
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| 68 | I IBIBDTYP="RESPONSE" S IBFLDNO=".16",IBVAL=$E(IBVAL,1,20) G EDITIBD
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| 69 | ;free text
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| 70 | I IBIBDTYP="REVERSAL REASON" S IBFLDNO=".17",IBVAL=$E(IBVAL,1,40) G EDITIBD
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| 71 | ;1 digit number
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| 72 | I IBIBDTYP="RTS-DEL" S IBFLDNO=".18" G EDITIBD
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| 73 | ;free text
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| 74 | I IBIBDTYP="STATUS" S IBFLDNO=".19",IBVAL=$E(IBVAL,1,20) G EDITIBD
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| 75 | ;Prescription number as a text, might have alpha characters (external value, this is not IEN)
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| 76 | I IBIBDTYP="RX NO" S IBFLDNO=".202",IBVAL=$E(IBVAL,1,20) G EDITIBD
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| 77 | ;0 - original, 1,2,3,... - refill number
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| 78 | I IBIBDTYP="FILL NUMBER" S IBFLDNO=".203" G EDITIBD
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| 79 | ;internal identifier number for a DRUG
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| 80 | I IBIBDTYP="DRUG" S IBFLDNO=".204" G EDITIBD
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| 81 | I IBIBDTYP="NDC" S IBFLDNO=".205" G EDITIBD
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| 82 | I IBIBDTYP="FILL DATE" S IBFLDNO=".206" G EDITIBD
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| 83 | I IBIBDTYP="RELEASE DATE" S IBFLDNO=".207" G EDITIBD
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| 84 | I IBIBDTYP="QTY" S IBFLDNO=".208" G EDITIBD
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| 85 | I IBIBDTYP="DAYS SUPPLY" S IBFLDNO=".209" G EDITIBD
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| 86 | I IBIBDTYP="DEA" S IBFLDNO=".21" G EDITIBD
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| 87 | I IBIBDTYP="FILLED BY" S IBFLDNO=".211" G EDITIBD
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| 88 | ; for environmental indicators:
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| 89 | ; if IBIBD("SC/EI OVR")=1 - the user overrides any answers (3)
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| 90 | ; if $G(IBIBD("SC/EI NO ANSW")) contains the IBIBDTYP - this question was not answered (2)
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| 91 | ; otherwise - use whatever in the IBVAL (0 - NO, 1 -YES)
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| 92 | I IBIBDTYP="AO" S IBFLDNO=".401",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 93 | I IBIBDTYP="CV" S IBFLDNO=".402",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 94 | I IBIBDTYP="SWA" S IBFLDNO=".403",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 95 | I IBIBDTYP="IR" S IBFLDNO=".404",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 96 | I IBIBDTYP="MST" S IBFLDNO=".405",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 97 | I IBIBDTYP="HNC" S IBFLDNO=".406",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 98 | I IBIBDTYP="SC" S IBFLDNO=".407",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 99 | I IBIBDTYP="SHAD" S IBFLDNO=".408",IBVAL=$S($G(IBIBD("SC/EI OVR"))=1:3,(","_$G(IBIBD("SC/EI NO ANSW"))_",")[(","_IBIBDTYP_","):2,1:IBVAL) G EDITIBD
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| 100 | I IBIBDTYP="BILL" S IBFLDNO=".301" G EDITIBD
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| 101 | I IBIBDTYP="BILLED" S IBFLDNO=".302" G EDITIBD
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| 102 | I IBIBDTYP="PLAN" S IBFLDNO=".303" G EDITIBD
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| 103 | I IBIBDTYP="COST" S IBFLDNO=".304" G EDITIBD
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| 104 | I IBIBDTYP="PAID" S IBFLDNO=".305" G EDITIBD
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| 105 | I IBIBDTYP="CLOSE COMMENT" S IBFLDNO=".306" G EDITIBD
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| 106 | I IBIBDTYP="REOPEN COMMENT" S IBFLDNO=".306" G EDITIBD
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| 107 | I IBIBDTYP="CLOSE REASON" S IBFLDNO=".307" G EDITIBD
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| 108 | I IBIBDTYP="DROP TO PAPER" S IBFLDNO=".308" G EDITIBD
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| 109 | I IBIBDTYP="RELEASE COPAY" S IBFLDNO=".309" G EDITIBD
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| 110 | I IBIBDTYP="USER" S IBFLDNO=".31" G EDITIBD
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| 111 | I IBIBDTYP="PRESCRIPTION" S IBFLDNO=".201" G EDITIBD
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| 112 | I IBIBDTYP="IEN" S IBFLDNO=".212" G EDITIBD
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| 113 | I IBIBDTYP="EPHARM" S IBFLDNO=".09" G EDITIBD
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| 114 | Q 0
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| 115 | EDITIBD ;
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| 116 | Q +$$FILLFLDS^IBNCPUT1(366.141,IBFLDNO,IBRECNO_","_IBDTIEN,IBVAL)
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| 117 | ;------
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| 118 | ;to store IBD("INS") array data
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| 119 | ;input:
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| 120 | ;IBDARR - IBD array by reference
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| 121 | ;IBDTIEN - ien on top [DATE] level
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| 122 | ;IBRECNO - ien in [EVENTS] multiple
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| 123 | ;output:
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| 124 | ; record number if success
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| 125 | ; 0 if failure
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| 126 | INS(IBDARR,IBDTIEN,IBRECNO) ;
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| 127 | N IBSET1,IBSET2,IBSET3,IBFLDNO,IBINSNO,RECNO,IBVAL
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| 128 | S IBINSNO=0
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| 129 | F S IBINSNO=$O(IBDARR("INS",IBINSNO)) Q:+IBINSNO=0 D
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| 130 | . S IBSET1=$G(IBDARR("INS",IBINSNO,1))
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| 131 | . S IBSET2=$G(IBDARR("INS",IBINSNO,2))
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| 132 | . S IBSET3=$G(IBDARR("INS",IBINSNO,3))
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| 133 | . S RECNO=$$ADDINS(IBDTIEN,IBRECNO)
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| 134 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.02,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,1))
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| 135 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.03,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,2))
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| 136 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.04,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,3))
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| 137 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.05,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,4))
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| 138 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.06,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,5))
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| 139 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.07,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,6))
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| 140 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.08,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,7))
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| 141 | . ;
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| 142 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.101,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,8))
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| 143 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.102,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,9))
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| 144 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.103,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,10))
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| 145 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.104,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,11))
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| 146 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.105,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,12))
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| 147 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.106,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,13))
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| 148 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.107,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET1,U,14))
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| 149 | . ;
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| 150 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.201,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET2,U,1))
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| 151 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.202,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET2,U,2))
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| 152 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.203,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET2,U,3))
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| 153 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.204,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET2,U,4))
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| 154 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.205,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET2,U,5))
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| 155 | . ;
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| 156 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.301,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET3,U,1))
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| 157 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.302,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET3,U,2))
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| 158 | . I +$$FILLFLDS^IBNCPUT1(366.1412,.303,RECNO_","_IBRECNO_","_IBDTIEN,$P(IBSET3,U,3))
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| 159 | Q RECNO
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| 160 | ;create top level entry in #366.14
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| 161 | ;input:
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| 162 | ; IBDATE - date in FileMan format
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| 163 | ;output
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| 164 | ; returns ien created
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| 165 | ADDDATE(IBDATE) ;
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| 166 | N IBIEN
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| 167 | S IBIEN=+$O(^IBCNR(366.14,"B",IBDATE,0))
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| 168 | I IBIEN>0 Q IBIEN
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| 169 | I $$INSITEM^IBNCPUT1(366.14,"",IBDATE,"")
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| 170 | Q +$O(^IBCNR(366.14,"B",IBDATE,0))
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| 171 | ;
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| 172 | ;create EVENT entry in #366.14
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| 173 | ;input:
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| 174 | ;IBIEN - ien on top [DATE] level
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| 175 | ;EVNTTYPE event type (value for .01)
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| 176 | ;returns ien for the event
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| 177 | ;or 0 if failed
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| 178 | NEWEVENT(IBIEN,EVNTTYPE) ;
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| 179 | N EVNTRECN
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| 180 | S EVNTRECN=$$INSITEM^IBNCPUT1(366.141,IBIEN,$$EXT2INT^IBNCPUT1(EVNTTYPE),"","")
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| 181 | I EVNTRECN>0 Q EVNTRECN
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| 182 | Q 0
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| 183 | ;
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| 184 | ;add insurance node
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| 185 | ;IBDTIEN - ien on top [DATE] level
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| 186 | ;IBEVIEN - ien in [EVENTS] multiple
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| 187 | ;returns :
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| 188 | ; new ien in INSURANCE multiple
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| 189 | ADDINS(IBDTIEN,IBEVIEN) ;
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| 190 | N IBX,IBX2
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| 191 | F IBX=1:1:99999 I '$D(^IBCNR(366.14,IBDTIEN,1,IBEVIEN,5,IBX)) D Q
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| 192 | . S IBX2=$$INSITEM^IBNCPUT1(366.1412,IBEVIEN_","_IBDTIEN,IBX,IBX)
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| 193 | Q +$O(^IBCNR(366.14,IBDTIEN,1,IBEVIEN,5,"B",IBX,0))
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| 194 | ;
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