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Routine: SDSCCHK

SDSCCHK.m

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  1. SDSCCHK ;ALB/JAM/RBS - Check Encounters for Inclusion in ASCD ; 4/30/07 4:46pm
  1. ;;5.3;Scheduling;**495,1015**;Aug 13, 1993;Build 21
  1. ;;MODIFIED FOR NATIONAL RELEASE from a Class III software product
  1. ;;known as Service Connected Automated Monitoring (SCAM).
  1. ;
  1. Q
  1. EN ; Entry point
  1. N SDSCBDT,SDSCITE,SDSCDAY,ZTQUEUED,POP,ZTRTN,ZTDTH,ZTDESC,ZTSAVE
  1. ; Initialize system variables if not already set
  1. D HOME^%ZIS
  1. ; Get start and end date for compile.
  1. S (SDSCBDT,SDSCEDT,SDSCDAY)=""
  1. S SDSCITE=$P($$SITE^VASITE(),U,1)
  1. S SDSCDAY=$$GET^XPAR((+SDSCITE)_";DIC(4,","SDSC SITE PARAMETER")
  1. ; set default start date based on site parameter (30 days max)
  1. I SDSCDAY="" S SDSCDAY=30
  1. S SDSCBDT=$$FMADD^XLFDT(DT,-SDSCDAY),SDSCEDT=DT
  1. D GETDATE1^SDSCOMP I SDSCTDT="" G EXIT
  1. S DIR(0)="S^S:Summary Report;D:Detailed Report",DIR("B")="S"
  1. D ^DIR K DIR
  1. I $G(DTOUT)!($G(DUOUT)) G EXIT
  1. S SDANS=Y
  1. K %ZIS,IOP,IOC,ZTIO S %ZIS="MQ" D ^%ZIS G:POP EXIT
  1. I $D(IO("Q")) D G EXIT
  1. . S ZTRTN="PRT^SDSCCHK",ZTDTH=$H,ZTDESC="ASCD Compile Results Report"
  1. . S ZTSAVE("SDANS")="",ZTSAVE("SDSCTDT")="",ZTSAVE("SDEDT")=""
  1. . K IO("Q") D ^%ZTLOAD W !,"REQUEST QUEUED"
  1. ;
  1. PRT ; Print results
  1. N SDCT,SDDCT,SDOEDT,SDOE,P,L,SDTXT,TOTAL,SDOANS
  1. K ^TMP("SDSCCHK",$J)
  1. D ELIG^SDSCOMP
  1. S SDOEDT=SDSCTDT,(SDCT,SDDCT)=0
  1. F S SDOEDT=$O(^SCE("B",SDOEDT)) Q:(SDOEDT\1)>SDEDT Q:SDOEDT="" D
  1. . S SDOE=0
  1. . F S SDOE=$O(^SCE("B",SDOEDT,SDOE)) Q:'SDOE D FND
  1. ;
  1. BEG ; Begin report
  1. S (P,L,SDABRT,TOTAL,SDOANS)=0
  1. S SDOANS=SDANS S:SDANS="D" SDANS="S"
  1. D HDR
  1. ;
  1. U IO
  1. D G EXIT:$G(SDABRT)=1
  1. . S SDTXT=""
  1. . F S SDTXT=$O(^TMP("SDSCCHK",$J,"TOTAL",SDTXT)) Q:SDTXT="" D Q:$G(SDABRT)=1
  1. .. W !,$J(^TMP("SDSCCHK",$J,"TOTAL",SDTXT),8),?10,SDTXT S L=L+1
  1. .. F I=" TP "," MT " W:SDTXT[I " *"
  1. .. S TOTAL=TOTAL+^TMP("SDSCCHK",$J,"TOTAL",SDTXT)
  1. .. I L+3>IOSL D HDR Q:$G(SDABRT)=1
  1. . W ! F I=1:1:79 W "-"
  1. . W !,$J(TOTAL,8),?10,"TOTAL Encounters"
  1. . W !!,"* Third Party=TP; Means Test=MT",!
  1. ;
  1. I SDOANS="D" S SDANS="D" D HDR D G EXIT:$G(SDABRT)=1
  1. . S SDTXT=""
  1. . F S SDTXT=$O(^TMP("SDSCCHK",$J,"DX",SDTXT)) Q:'SDTXT D Q:$G(SDABRT)=1
  1. .. S SDDATA=^TMP("SDSCCHK",$J,"DX",SDTXT)
  1. .. W !,$P(SDDATA,U,1),?12,$P(SDDATA,U,2),?24,$E($P(SDDATA,U,3),1,19),?44,$E($P(SDDATA,U,4),1,16)
  1. .. W ?62,$E($P(^TMP("SDSCCHK",$J,"DX",SDTXT),U,5),1,18),!,?10,$P($P(^TMP("SDSCCHK",$J,"DX",SDTXT),U,6),"(",1)
  1. .. S L=L+2
  1. .. I L+3>IOSL D HDR Q:$G(SDABRT)=1
  1. D RPTEND^SDSCRPT1
  1. EXIT ;
  1. K SDABRT,SDANS,SDCLIN,SDEDT,SDFPTX,SDHDR,SDLIST,SDNWPV,SDOEX,SDPOV
  1. K SDSCEDT,SDSCTDT,SDSCTXT,I,X,Y,QUE,POP,DFN,SDDATA
  1. K ^TMP("SDSCCHK",$J),DTOUT,DUOUT
  1. Q
  1. ;
  1. FND ; Find errors with encounters
  1. N SDOEDAT,SDCLIN,SDPAT,SDEC,DFN,SDCST,SDV0,SDPNAM,SDFILEOK
  1. ; If this encounter has already been compiled for review, quit.
  1. I $D(^SDSC(409.48,SDOE,0)) Q
  1. ;
  1. S SDOEDAT=$$GETOE^SDOE(SDOE) I SDOEDAT="" S SDSCTXT="No Encounter zero node" D STORE Q
  1. ; If child encounter, quit
  1. I $P(SDOEDAT,U,6) Q
  1. S SDCLIN=$P(SDOEDAT,U,4)
  1. ; Get patient. If no patient, quit.
  1. S SDPAT=$P(SDOEDAT,U,2) I SDPAT="" S SDSCTXT="No Patient Pointer for this encounter" D STORE Q
  1. N VADM S DFN=SDPAT D DEM^VADPT S SDPNAM=VADM(1)
  1. ; Get visit file entry. If no visit, quit.
  1. S SDV0=$P(SDOEDAT,U,5) I SDV0="" S SDSCTXT="No Visit Pointer for this encounter" D STORE Q
  1. ; Get eligibility. If no eligibility, quit.
  1. S SDEC=$P(SDOEDAT,U,13) I SDEC="" S SDSCTXT="Encounter eligibility is blank." D STORE Q
  1. ; If eligibility is not service connected, quit.
  1. I '$D(SDLIST(SDEC)) S SDSCTXT="Eligibility is not service connected" D STORE Q
  1. ; Get clinic. If no clinic, quit.
  1. I SDCLIN="" S SDSCTXT="No Clinic Pointer for this encounter" D STORE Q
  1. ; Get clinic stop code. If no clinic stop code, quit.
  1. S SDCST=$P(SDOEDAT,U,3) I SDCST="" S SDSCTXT="Clinic "_$P(^SC(SDCLIN,0),U,1)_" has no defined clinic stop code" D STORE Q
  1. ; If clinic is non-count, quit.
  1. I $$NCTCL^SDSCUTL(SDCLIN) S SDSCTXT="Clinic "_$P(^SC(SDCLIN,0),U,1)_" is non-count" D STORE Q
  1. ; If encounter is non-billable for first and third party, quit.
  1. I $$NBFP(),$$NBTP() S SDSCTXT="Non-billable because "_SDFPTX D STORE Q
  1. ; Get and evaluate all ICD9 entries for the specified visit.
  1. S SDFILEOK=$$SC^SDSCAPI(DFN,,SDOE)
  1. ;no ICDs were found for this encounter SDFILEOK=""
  1. I SDFILEOK="" S SDSCTXT="No Diagnoses for this encounter" D STORED Q
  1. ;checks if ICD match found
  1. I +SDFILEOK D Q
  1. .I '$P(SDFILEOK,"^",4) S SDSCTXT="A diagnosis fully matched a rated disability condition" D STORED Q
  1. .S SDSCTXT="A diagnosis partially matched a rated disability condition" D STORED
  1. ; ICDs that were found as non-service connected
  1. S SDSCTXT="No Diagnoses identified as service connected" D STORED
  1. Q
  1. ;
  1. HDR ; Header
  1. ; Do not ask 'RETURN' before first page on CRT.
  1. I $E(IOST,1,2)="C-",P N DIR S DIR(0)="E" D ^DIR I 'Y S SDABRT=1 Q
  1. ; Do not print a form feed before first page on printer. Top of form is set at end of previous report.
  1. I $E(IOST,1,2)="C-"!P W @IOF
  1. S P=P+1,L=5
  1. S SDHDR="Compile Results Report"_" - "_$S(SDANS="S":"Summary",1:"Detail")
  1. U IO
  1. S SDNWPV=1
  1. W SDHDR,?67,"PAGE: ",P
  1. W !,?5,"For Encounters Dated ",$$FMTE^XLFDT(SDSCTDT,2)," THRU ",$$FMTE^XLFDT(SDEDT,2)
  1. I SDANS="S" W !,?2,"# Enc",?10,"Reason"
  1. I SDANS="D" D
  1. . W !!,"Note: The Detail report will ONLY list additional encounter information ",!," for the Diagnosis code related Reasons.",!
  1. . W !,"Enc #",?12,"Visit #",?24,"Clinic",?42,"Encounter Date/Time",?62,"Patient Name",!,?10,"Reason"
  1. W ! F I=1:1:79 W "-"
  1. Q
  1. ;
  1. STORE ; Store the encounter for later use.
  1. S SDCT=SDCT+1
  1. I SDOEDAT="" S ^TMP("SDSCCHK",$J,SDCT)="Encounter IEN "_SDOE_" "_SDSCTXT Q
  1. I SDPAT="" S ^TMP("SDSCCHK",$J,SDCT)="Encounter IEN "_SDOE_" "_SDSCTXT Q
  1. S ^TMP("SDSCCHK",$J,SDCT)=$P(^SC(SDCLIN,0),U,1)_"^"_$$FMTE^XLFDT($P(SDOEDAT,U,1),"5Z")_"^"_SDPNAM_"^"_SDSCTXT
  1. S ^TMP("SDSCCHK",$J,"TOTAL",SDSCTXT)=$G(^TMP("SDSCCHK",$J,"TOTAL",SDSCTXT))+1
  1. Q
  1. ;
  1. STORED ; Store the diagnosis encounter for detail
  1. N DFN,SDPNAM
  1. S SDDCT=SDDCT+1
  1. S DFN=SDPAT D DEM^VADPT S SDPNAM=VADM(1) D KVA^VADPT
  1. S ^TMP("SDSCCHK",$J,"DX",SDDCT)=SDOE_"^"_SDV0_"^"_$P(^SC(SDCLIN,0),U,1)_"^"_$$FMTE^XLFDT($P(SDOEDAT,U,1),"5Z")_"^"_SDPNAM_"^"_SDSCTXT
  1. S ^TMP("SDSCCHK",$J,"TOTAL",SDSCTXT)=$G(^TMP("SDSCCHK",$J,"TOTAL",SDSCTXT))+1
  1. Q
  1. ;
  1. NBFP() ; Is first-party non-billable based on either clinic, stop code, or patient?
  1. S SDFPTX="",SDFPTX=$P($$FIRST^IBRSUTL(SDOE),U,2) I SDFPTX'="" Q 1
  1. Q 0
  1. ;
  1. NBTP() ; Is third-party non-billable based on either clinic, stop code, or patient?
  1. S SDFPTX="",SDFPTX=$P($$THIRD^IBRSUTL(SDOE),U,2) I SDFPTX'="" Q 1
  1. I '+$$INSUR^IBBAPI(SDPAT,SDOEDT) S SDFPTX="patient is not insured" Q 1
  1. Q 0