source: WorldVistAEHR/trunk/r/INTEGRATED_BILLING-IB-PRQ--IBD--IBQ--PRQS/IBTRV2.m@ 1464

IBTRV2 ;ALB/AAS - CLAIMS TRACKING -  REVIEW ACTIONS ;19-JUL-93

 ;;2.0;INTEGRATED BILLING ;**60,210,266**;21-MAR-94

 ;;Per VHA Directive 10-93-142, this routine should not be modified.

 ;

% G EN^IBTRV

 ;

DA(IBTRN) ; -- Add Diagnosis

 ; -- bld = non-zero means not from main tracking  entry.

 ;

 N IBETYP

 D FULL^VALM1

 I IBETYP=2 D

 .I $P(IBTRND,"^",4) D ASK^IBTUTL4(IBTRN,2)

 .I '$P(IBTRND,"^",4) W !!,"Can not add diagnosis to outpatient visits prior to Check-out.",! D PAUSE^VALM1

 I IBETYP=1 D EN^IBTRE3(IBTRN)

 I '$G(BLD) D DRG,BLD^IBTRV

 S VALMBCK="R"

 Q

 ;

PROC(IBTRN,IBETYP,BLD) ; -- Add Procedures

 ; -- bld = non-zero means not from main tracking  entry.

 ;

 I '$G(BLD) D FULL^VALM1

 I IBETYP=2 W !!,"Outpatient Procedures should be entered using Add/Edit action in",!,"Appointment Management.",! D PAUSE^VALM1

 I IBETYP=1 D EN^IBTRE4(IBTRN)

 I '$G(BLD) D BLD^IBTRV

 S VALMBCK="R"

 Q

PROV(IBTRN,IBETYP,BLD) ; -- Add Procedures

 ; -- bld = non-zero means not from main tracking  entry.

 ;

 I '$G(BLD) D FULL^VALM1

 I IBETYP=1 D EN^IBTRE5(IBTRN)

 I IBETYP=2,$P(IBTRND,"^",4) D ASK^IBTUTL4(IBTRN,1)

 I IBETYP=3 W !!,"Provider information for Prescriptions comes from the pharmacy package silly.",! D PAUSE^VALM1

 I IBETYP=4 W !!,"Provider information for Prosthetics comes from the prothetics package silly.",! D PAUSE^VALM1

 I '$G(BLD) D BLD^IBTRV

 S VALMBCK="R"

 Q

 ;

DRG(IBTRN) ; -- entry point to compute drg

 ;    generally called from ad or pr above caller does own rebuild

 N DIR,DA,DR,DIC,DIE,IBALOS,IBDRG,IBTRVD,DGPMCA,DX

 S DGPMCA=$P(^IBT(356,IBTRN,0),"^",5) Q:'DGPMCA

 ;

 ; -- can't compute drg if no primary(dxls) diagnosis

 S DX=$O(^IBT(356.9,"ATP",DGPMCA,1,0)) Q:'DX

 D DISPDRG(DGPMCA)

 ;

 S DIR("?")="Answer 'Yes' to compute and store a new interim drg, answer 'No' to quit."

 S DIR("A")="Ready to compute New Interim DRG",DIR("B")="NO",DIR(0)="Y" D ^DIR K DIR

 I Y=1 D

 .S IBDRG=$$COMDRG(IBTRN) Q:+IBDRG<1

 .W !!,"DRG computes to: ",IBDRG,"  -  ",$$DRGTD^IBACSV(IBDRG,$$TRNDATE^IBACSV(IBTRN))

 .;

 .S IBDA=$O(^IBT(356.93,"AMVD",DGPMCA,DT,0))

 .I +IBDA<1 D

 ..K DD,DO

 ..S X=IBDRG

 ..S DIC="^IBT(356.93,",DIC(0)="L",DLAYGO=356.93

 ..S DIC("DR")=".02////"_DGPMCA_";.03////"_DT

 ..D FILE^DICN K DIC S IBDA=+Y

 .I +IBDA<1 Q

 .;

 .L +^IBT(356.93,IBDA):5 I '$T D LOCKED^IBTRCD1 Q

 .S DIE="^IBT(356.93,",DA=IBDA

 .S DR=".01////^S X=IBDRG;.01;S IBALOS=$$ALOS^IBTRV2(IBDRG,DT);.04//^S X=IBALOS;.05//^S X=$$DAYREM^IBTRV2(DGPMCA,IBALOS)"

 .D ^DIE W !

 .L -^IBT(356.93,+IBDA)

 Q

 ;

DAYREM(DGPM,LOS) ; -- Compute days remaining

 N IBX,DIFF S IBX=LOS

 S DIFF=$$FMDIFF^XLFDT(DT,+$G(^DGPM(DGPM,0))) S:DIFF<0 DIFF=-DIFF

 S IBX=LOS-DIFF

 I IBX<0 S IBX=0

 Q IBX\1

 ;

ALOS(X,Y) ; -- compute alos for drg for year

 ;    input x = pointer to drg file

 ;          y = date

 N IBDT,J

 S IBDT=0 F  S IBDT=$O(^IBE(356.5,"ADR",X,IBDT)) Q:'IBDT!(IBDT>Y)  D

 .S J=$O(^IBE(356.5,"ADR",X,IBDT,0))

 Q $P($G(^IBE(356.5,+$G(J),0)),"^",3)

 ;

COMDRG(IBTRN) ; -- compute drg from tracking file

 ;*********************************************************

 ; -- needed variable

 ;    SEX     = m or f

 ;    AGE     = whole number 0-120

 ;    ICDEXP  = patient died during this episode

 ;    ICDTRS  = patient transfered to acute care facility

 ;    ICDDMS  = patient had irregular discharge

 ;    ICDDX(  = diagnosis codes

 ;    ICDPRC( = procedure codes

 ;*********************************************************

 N SEX,ICDEXP,ICDTRS,ICDDMS,ICDDX,ICDPRC,DX,PR,I,J,IBCNT,ICDMDC,ICDDRG,ICDDATE

 S ICDDRG="",(ICDEXP,ICDTRS,ICDDMS,IBCNT)=0,DFN=$P(^IBT(356,IBTRN,0),"^",2)

 ;

 S SEX=$P($G(^DPT(DFN,0)),U,2)

 S AGE=$$FMDIFF^XLFDT(DT,$P($G(^DPT(DFN,0)),U,3))\365.25

 S DGPMA=$P(^IBT(356,IBTRN,0),"^",5) G:'DGPMA COMDRGQ

 ;

 S IBCNT=1,DX=0

 S ICDDX(1)=+$G(^IBT(356.9,+$O(^IBT(356.9,"ATP",DGPMA,+$O(^IBT(356.9,"ATP",DGPMA,0)),0)),0))

 F  S DX=$O(^IBT(356.9,"C",DGPMA,DX)) Q:'DX  S X=$G(^IBT(356.9,DX,0)) I $P(X,"^",4)=2 S IBCNT=IBCNT+1,ICDDX(IBCNT)=+X

 ;

 S IBCNT=0,J=""

 F  S J=$O(^IBT(356.91,"APP",DGPMA,J)) Q:'J  S PR="" F  S PR=$O(^IBT(356.91,"APP",DGPMA,J,PR)) Q:'PR  S IBCNT=IBCNT+1,ICDPRC(IBCNT)=+$G(^IBT(356.91,PR,0))

 ;

 I $D(ICDDX(1)) S ICDDATE=$$TRNDATE^IBACSV(IBTRN) D ^ICDDRG

COMDRGQ Q ICDDRG

 ;

DISPDRG(DGPMCA) ; -- Display drg's

 N I,J,IBDRG

 W !!,"Current Interim DRGs on File:"

 S I=0,IBCNT=0 F  S I=$O(^IBT(356.93,"AMVD",DGPMCA,I)) Q:'I  S J=0 F  S J=$O(^IBT(356.93,"AMVD",DGPMCA,I,J)) Q:'J  D

 .S IBDRG=$G(^IBT(356.93,J,0))

 .W !?5,$$DAT1^IBOUTL($P(IBDRG,"^",3)),?16,+IBDRG," - ",$$DRGTD^IBACSV(+IBDRG,$P(IBDRG,"^",3))

 .S IBCNT=IBCNT+1

 I IBCNT<1 W !?5,"None on file."

 W !

 Q