[613] | 1 | SDSCOMP ;ALB/JAM/RBS - ASCD Compile list of encounters for Service Connection Review ; 3/12/07 4:36pm
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| 2 | ;;5.3;Scheduling;**495**;Aug 13, 1993;Build 50
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| 3 | ;;MODIFIED FOR NATIONAL RELEASE from a Class III software product
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| 4 | ;;known as Service Connected Automated Monitoring (SCAM).
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| 5 | ;
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| 6 | ; Routine should be called at specified tags only.
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| 7 | Q
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| 8 | ;
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| 9 | AUTODT ; Called by option "SDSC NIGHTLY COMPILE"
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| 10 | ; - Compile ASCD Encounters on a Nightly Basis
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| 11 | ; (Rated Disabilities/ICDs for Prior Day Encounters)
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| 12 | ;
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| 13 | N SDSCTDT,SDEDT,DIC,DA
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| 14 | ; nightly compile is for previous day only
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| 15 | S SDSCTDT=$$FMADD^XLFDT(DT,-1)
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| 16 | ; Set variable 'SDEDT' (loop end point) to same date
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| 17 | S SDEDT=SDSCTDT
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| 18 | ; Setup list of service connected eligibility codes.
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| 19 | D ELIG
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| 20 | G TASK1
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| 21 | ;
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| 22 | GETDATE ; Entry point for edit or report - Get START and END dates
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| 23 | S SDSCBDT=$O(^SDSC(409.48,"AE",""))\1,SDSCEDT=DT
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| 24 | ; If no records currently available, display message.
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| 25 | I SDSCBDT=0 D EN^DDIOL("NO RECORDS ON FILE - RUN COMPILE",,"!!?10") HANG 3 S (SDSCTDT,SDEDT)="" Q
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| 26 | ;
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| 27 | GETDATE1 ; Entry point for SDSC COMPILE option - Get START and END dates
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| 28 | ; Output:
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| 29 | ; Set var 'SDSCTDT' (loop start point) to a user selected date.
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| 30 | N DIR,X,Y,X1,X2
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| 31 | S DIR(0)="DA^"_SDSCBDT_":"_DT_":EX"
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| 32 | S DIR("A")="Please enter START date: "
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| 33 | ;S DIR("B")=$$FMTE^XLFDT(SDSCBDT,"1Z")
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| 34 | S DIR("?")="This START date cannot precede "_$$FMTE^XLFDT(SDSCBDT,"1Z")
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| 35 | ;
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| 36 | ; This check works for the "SDSC COMPILE" only.
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| 37 | ; - Compile does not setup SDSCEDT var
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| 38 | I SDSCBDT]"",SDSCEDT']"" D
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| 39 | . S DIR("B")=$$FMTE^XLFDT(SDSCBDT,"1Z")
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| 40 | . S DIR("?")="This START date cannot precede the default SDSC SITE PARAMETER days"
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| 41 | ;
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| 42 | D ^DIR
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| 43 | I $D(DTOUT)!$D(DUOUT) S (SDSCTDT,SDEDT)="" Q
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| 44 | S:Y>0 SDSCTDT=Y
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| 45 | ; check if start date has changed
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| 46 | I SDSCTDT'=SDSCBDT S SDSCBDT=SDSCTDT
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| 47 | ; Set variable 'SDEDT' (loop end point) to a user selected date.
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| 48 | K DIR
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| 49 | S DIR(0)="DA^"_SDSCBDT_":"_DT_":EX"
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| 50 | S DIR("A")="Please enter END date: "
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| 51 | S DIR("B")=$$FMTE^XLFDT($S(SDSCEDT]"":SDSCEDT,1:DT),"1Z")
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| 52 | S DIR("?")="This END date cannot precede the START date or exceed today's date"
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| 53 | D ^DIR
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| 54 | I $D(DTOUT)!$D(DUOUT) S (SDSCTDT,SDEDT)="" Q
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| 55 | S:Y>0 SDEDT=Y
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| 56 | Q
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| 57 | ;
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| 58 | ELIG ; Compile list of service connected eligibility codes.
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| 59 | N I,J
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| 60 | K SDLIST
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| 61 | ; loop "D" x-ref of ELIGIBILITY CODE (#8) file
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| 62 | ; Entries 1 and 3 are the service connected entries in this file.
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| 63 | F I=1,3 S J=0 F S J=$O(^DIC(8,"D",I,J)) Q:'J S SDLIST(J)=""
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| 64 | Q
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| 65 | ;
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| 66 | COMPILE ; Called by option "SDSC COMPILE"
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| 67 | ; - Compile ASCD Encounters by Date Range
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| 68 | ; (Rated Disabilities/ICDs for Encounters)
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| 69 | N DIR,X,Y,SDSCBDT,SDSCEDT,ZTIO,ZTDESC,ZTRTN,ZTSAVE
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| 70 | N SDSCITE,SDSCDAY
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| 71 | D HOME^%ZIS
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| 72 | ; Get start and end date for compile.
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| 73 | S (SDSCBDT,SDSCEDT,SDSCDAY)=""
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| 74 | S SDSCITE=$P($$SITE^VASITE(),U,1)
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| 75 | S SDSCDAY=$$GET^XPAR((+SDSCITE)_";DIC(4,","SDSC SITE PARAMETER")
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| 76 | ; set default start date based on site parameter (30 days max)
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| 77 | I SDSCDAY="" S SDSCDAY=30
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| 78 | S SDSCBDT=$$FMADD^XLFDT(DT,-SDSCDAY)
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| 79 | ;
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| 80 | D GETDATE1 I SDSCTDT="" G END
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| 81 | ; Setup list of service connected eligibility codes.
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| 82 | D ELIG
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| 83 | ; Ask user if compile should be in background and handle queuing if requested.
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| 84 | K DIR
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| 85 | S DIR(0)="YA",DIR("B")="YES"
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| 86 | S DIR("A")="Do you wish to schedule the compile? "
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| 87 | S DIR("?")="Enter 'YES' to schedule compile using TaskMan or 'NO' to compile immediately."
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| 88 | D ^DIR
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| 89 | I $D(DTOUT)!$D(DUOUT) D EN^DDIOL("<Compile Aborted> ",,"!!?10") G END
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| 90 | I Y D G END
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| 91 | . S ZTIO="NULL",ZTDESC="COMPARE RATED DISABILITY/ICDs PER ENCOUNTER (COMPILE)",ZTRTN="TASK^SDSCOMP",ZTSAVE("*")=""
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| 92 | . D ^%ZTLOAD
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| 93 | . I $G(ZTSK)]"" D EN^DDIOL("Extract's TaskMan ID is "_ZTSK,"","!!?10")
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| 94 | . K ZTSK
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| 95 | . Q
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| 96 | D EN^DDIOL("Comparing Rated Disabilities and Diagnosis Code per Encounter ...",,"!!?10")
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| 97 | ;
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| 98 | TASK ; Start compile (one-time compile - remove from queue when complete)
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| 99 | D OPT
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| 100 | I $D(ZTQUEUED) S ZTREQ="@"
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| 101 | G END
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| 102 | ;
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| 103 | TASK1 ; Start compile (scheduled compile - don't remove from queue)
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| 104 | D OPT
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| 105 | G END
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| 106 | ;
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| 107 | OPT ; Loop through all outpatient encounters for the specified dates.
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| 108 | N SDSCTOT,SDSCSVC,SDSCNSC,SDSCBAD,SDSCNCT,SDSCEXS,SDSCNDX,SDSCNBL
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| 109 | N SDSCMAP1,SDSCMAP2,SDSCINS,SDOEDT,SDOE
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| 110 | S (SDSCTOT,SDSCSVC,SDSCNSC,SDSCBAD,SDSCNCT,SDSCEXS,SDSCNDX,SDSCNBL,SDSCMAP1,SDSCMAP2,SDSCINS)=0
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| 111 | S SDOEDT=SDSCTDT F S SDOEDT=$O(^SCE("B",SDOEDT)) Q:(SDOEDT\1)>SDEDT Q:SDOEDT="" D
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| 112 | . S SDOE=0 F S SDOE=$O(^SCE("B",SDOEDT,SDOE)) Q:'SDOE D OPT1
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| 113 | . Q
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| 114 | ;
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| 115 | ; Check for newly identified insurance
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| 116 | D EN^SDSCINS(.SDSCINS,.SDSCSVC)
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| 117 | ;
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| 118 | ; Send mail message with counts of records
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| 119 | D MMSG
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| 120 | ;
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| 121 | ; Check for encounters in ASCD that were deleted from (#409.68)
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| 122 | D EN^SDSCPRG
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| 123 | Q
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| 124 | ;
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| 125 | OPT1 ; Check the service connected info for one encounter.
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| 126 | N SDOEDAT,SDEC,SDPAT,SDCLIN,SDCST,SDV0,SDFILEOK,SDPRV,SDOSC
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| 127 | S SDSCTOT=SDSCTOT+1
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| 128 | ; If this encounter has already been compiled for review, quit.
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| 129 | I $D(^SDSC(409.48,SDOE,0)) S SDSCEXS=SDSCEXS+1 Q
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| 130 | ; Get encounter data. If no encounter data, quit.
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| 131 | ; Replace all ^SCE calls with new variable.
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| 132 | S SDOEDAT=$$GETOE^SDOE(SDOE)
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| 133 | I SDOEDAT="" S SDSCBAD=SDSCBAD+1 Q
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| 134 | ; if child encounter, reduce count and quit
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| 135 | I $P(SDOEDAT,U,6) S SDSCTOT=SDSCTOT-1 Q
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| 136 | ; if not Check-out, quit
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| 137 | I $P(SDOEDAT,U,12)'=2 S SDSCNBL=SDSCNBL+1 Q
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| 138 | ; Get eligibility. If no eligibility, quit.
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| 139 | S SDEC=$P(SDOEDAT,U,13) I SDEC="" S SDSCBAD=SDSCBAD+1 Q
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| 140 | ; If eligibility is not service connected, quit.
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| 141 | I '$D(SDLIST(SDEC)) S SDSCNSC=SDSCNSC+1 Q
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| 142 | ; Get patient. If no patient, quit.
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| 143 | S SDPAT=$P(SDOEDAT,U,2) I SDPAT="" S SDSCBAD=SDSCBAD+1 Q
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| 144 | ; Checks for clinic and stop code.
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| 145 | ; Get clinic. If no clinic, quit.
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| 146 | S SDCLIN=$P(SDOEDAT,U,4) I SDCLIN="" S SDSCBAD=SDSCBAD+1 Q
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| 147 | ; Get clinic stop code. If no clinic stop code, quit.
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| 148 | S SDCST=$P(SDOEDAT,U,3) I SDCST="" S SDSCBAD=SDSCBAD+1 Q
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| 149 | ; If clinic is non-count, quit.
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| 150 | I $$NCTCL^SDSCUTL(SDCLIN) S SDSCNCT=SDSCNCT+1 Q
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| 151 | ; If encounter is non-billable for first and third party, quit.
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| 152 | I $$NBFP^SDSCUTL(SDOE),$$NBTP^SDSCUTL(SDOE) S SDSCNBL=SDSCNBL+1 Q
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| 153 | ; Get visit file entry. If no visit, quit.
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| 154 | S SDV0=$P(SDOEDAT,U,5) I SDV0="" S SDSCBAD=SDSCBAD+1 Q
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| 155 | S SDOSC=$$GET1^DIQ(9000010,SDV0_",",80001,"I")
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| 156 | I SDOSC="" S SDSCNBL=SDSCNBL+1 Q
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| 157 | ; Get and evaluate all ICD9 entries for the specified visit.
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| 158 | S SDFILEOK=$$SC^SDSCAPI(SDPAT,,SDOE)
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| 159 | ;no ICDs were found for this encounter SDFILEOK=""
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| 160 | I SDFILEOK="" S SDSCNDX=SDSCNDX+1 Q
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| 161 | ;checks if ICD match found
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| 162 | I +SDFILEOK D
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| 163 | .I '$P(SDFILEOK,"^",4) S SDSCMAP1=SDSCMAP1+1 Q
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| 164 | .S SDSCMAP2=SDSCMAP2+1
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| 165 | I '+SDFILEOK S SDSCNSC=SDSCNSC+1
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| 166 | ; Get Primary Provider for the specified visit.
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| 167 | S SDPRV=$$PRIMVPRV^PXUTL1(SDV0) I SDPRV=0 S SDPRV=""
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| 168 | ; Store the encounter for later use.
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| 169 | S SDSCSVC=SDSCSVC+1
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| 170 | I $P(SDFILEOK,U,4) Q:$D(^SDSC(409.48,SDOE,0)) D STORE Q
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| 171 | I SDOSC'=$P(SDFILEOK,U) D STORE
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| 172 | Q
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| 173 | ;
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| 174 | STORE ; Save the information for the found encounter.
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| 175 | N SDERR,SDIEN,SDSC
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| 176 | S SDIEN(1)=SDOE
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| 177 | S SDSC(409.48,"+1,",.01)=SDOE
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| 178 | S SDSC(409.48,"+1,",.04)=DT
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| 179 | S SDSC(409.48,"+1,",.07)=SDOEDT
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| 180 | S SDSC(409.48,"+1,",.08)=SDPRV
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| 181 | S SDSC(409.48,"+1,",.09)=$P(SDFILEOK,U,3)
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| 182 | S SDSC(409.48,"+1,",.11)=SDPAT
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| 183 | S SDSC(409.48,"+1,",.12)=$P(SDOEDAT,U,11)
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| 184 | S SDSC(409.48,"+1,",.05)="N"
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| 185 | S SDSC(409.48,"+1,",.13)=SDOSC
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| 186 | D UPDATE^DIE("","SDSC","SDIEN","SDERR")
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| 187 | Q
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| 188 | ;
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| 189 | MMSG ; Send Mail Message
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| 190 | N SDCNT,SDTEXT,DIFROM,XMY,XMDUZ,XMTEXT,XMSUB,XMZ,XMDUN
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| 191 | S SDTEXT(1)="Date Range (Compile) - From: "_$$FMTE^XLFDT(SDSCTDT,1)_" Thru: "_$$FMTE^XLFDT(SDEDT,1)
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| 192 | S SDTEXT(2)="Date Range (Late Ins.) - "
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| 193 | I '$D(SDSCBDT),'$D(SDSCEDT) S SDTEXT(2)=SDTEXT(2)_"None"
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| 194 | E S SDTEXT(2)=SDTEXT(2)_"From: "_$$FMTE^XLFDT(SDSCBDT,1)_" Thru: "_$$FMTE^XLFDT(SDSCEDT,1)
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| 195 | S SDTEXT(3)=" "
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| 196 | S SDTEXT(4)="Number of encounters Service Connected (Compile) : "_$J(SDSCSVC-SDSCINS,7)
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| 197 | S SDTEXT(5)="Number of encounters Service Connected (Late Ins.) : "_$J(SDSCINS,7)
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| 198 | S SDTEXT(6)=" (Number SvcConn with a True Map) : "_$J(SDSCMAP1,7)
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| 199 | S SDTEXT(6.5)=" (Number SvcConn with a Partial Map) : "_$J(SDSCMAP2,7)
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| 200 | S SDTEXT(7)=" (Number SvcConn that don't Map to VBA) : "_$J(SDSCSVC-SDSCMAP1-SDSCMAP2,7)
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| 201 | S SDTEXT(8)="Number of encounters Not Service Connected : "_$J(SDSCNSC,7)
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| 202 | S SDTEXT(9)="Number of encounters that are Non-billable : "_$J(SDSCNBL,7)
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| 203 | S SDTEXT(10)="Number of encounters with Non-count Clinics : "_$J(SDSCNCT,7)
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| 204 | S SDTEXT(11)="Number of encounters with no diagnoses : "_$J(SDSCNDX,7)
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| 205 | S SDTEXT(12)="Number of encounters with other errors : "_$J(SDSCBAD,7)
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| 206 | S SDTEXT(13)="Number of encounters already evaluated : "_$J(SDSCEXS,7)
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| 207 | S SDTEXT(14)="---------------------------------------------------------------------------"
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| 208 | S SDTEXT(15)="Total Encounters Checked: "_$J(SDSCTOT,7)
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| 209 | S SDCNT=15
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| 210 | D AUDIT^SDSCINS(.SDTEXT,.SDCNT)
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| 211 | I $G(DUZ)="" S XMZ(.5)=""
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| 212 | S XMZ(DUZ)="",XMDUZ="ASCD Compile",XMY("G.SDSC NIGHTLY TALLY")=""
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| 213 | S XMTEXT="SDTEXT(",XMSUB="ASCD Compile Numbers"
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| 214 | D ^XMD
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| 215 | Q
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| 216 | ;
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| 217 | END ; Clear all variables before exiting.
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| 218 | K SDSCTDT,SDEDT,SDOEX,SDRD,SDRDIEN,SDSCBDT,SDSCEDT,SDIEN,SDERR,SDSC
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| 219 | K SDVBA,SDVBAI,SDLIST,P,L,SDABRT,X,Y,DTOUT,DUOUT
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| 220 | Q
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