FBAA79 ;AISC/GRR - PRINT FORM 7079 REQUEST FOR OUTPATIENT MEDICAL SERVICES ;6/5/2009
;;3.5;FEE BASIS;**12,23,101,103,108,139**;JAN 30, 1995;Build 127
;;Per VA Directive 6402, this routine should not be modified.
;
; Reference to API $$CODEC^ICDEX supported by ICR #5747
;
W !,"Print 7079's for: " D DT^DICRW,DATE^FBAAUTL G:FBPOP END D SITEP^FBAAUTL G:FBPOP END
I '$D(^FBAAA("AF",2)) W !!,*7,"There are no 7079's to be printed!",! G END
S FBAASCR=""
RDHOW W ! S DIR("A")="Want only those that have not yet been printed",DIR("B")="Yes",DIR(0)="Y" D ^DIR K DIR G END:$D(DIRUT) S:Y FBAASCR="Y"
D OUTPUT^FBAAS79
S VAR="BEGDATE^ENDDATE^FBAASCR",VAL=BEGDATE_"^"_ENDDATE_"^"_FBAASCR,PGM="START^FBAA79",IOP="Q" D ZIS^FBAAUTL G:FBPOP END
START D SITEP^FBAAUTL G END:FBPOP
S UL="",ULL="----------",FBPG=0 F Z=1:1:12 S UL=UL_ULL
U IO S FBAASCR=$S(FBAASCR="":"I 1",FBAASCR="Y":"I $S('$D(^FBAAA(DFN,1,FBK,1)):1,$P(^FBAAA(DFN,1,FBK,1),""^"",2)']"""":1,1:0)",1:"I 1")
S FBJ=BEGDATE-.001,(DFN,FBK)=0 F ZZ=0:0 S FBJ=$O(^FBAAA("AF",2,FBJ)) Q:FBJ'>0!(FBJ>ENDDATE) F S DFN=$O(^FBAAA("AF",2,FBJ,DFN)) Q:DFN'>0 F S FBK=$O(^FBAAA("AF",2,FBJ,DFN,FBK)) Q:FBK'>0 X FBAASCR I D GOT
END K FBJ,FBK,DFN,Z,FBS,V,FBI,FBPATT,FBPG,FBSITE,UL,ULL,POV,NOV,POS,CC,PSTCD,SSTCD,VSTCD,BEGDATE,ENDDATE,PIDC,REF,VDX,CODE,STATCD,D,FBAASCR,FBDX,FBIDC,FBOUT,FBPDX,FBREM,FBRR,NAME,PGM,POW,VAL,VAR,VFN,VFROM,VTO,YOB,ZZ
K FB7078,FBAABDT,FBAAEDT,FBASSOC,FBLOC,FBPOV,FBPSA,FBPT,FBTT,FBTYPE,FBVEN,FTP,CNT,FBAAOUT,FBAUT,FBPROG,I,J,M,PI,Q,SEX,SSN,TA,DATE,S,Y,DA,DIC
D GETAUTHK^FBAAUTL1
D CLOSE^FBAAUTL Q
Q
;
; Utilize new API for Name Standardization
;
GOT Q:'$D(^DPT(DFN,0))
S Y(0)=^DPT(DFN,0)
D
.N FBNAMES
.S FBNAMES("FILE")=2,FBNAMES("IENS")=DFN_",",FBNAMES("FIELD")=.01
.S NAME=$$NAMEFMT^XLFNAME(.FBNAMES)
S SEX=$P(Y(0),U,2)
S SSN=$TR($$SSNL4^FBAAUTL($$SSN^FBAAUTL(DFN)),"-",""),YOB=$S($P(Y(0),U,3)]"":$E($P(Y(0),U,3),1,3)+1700,1:""),POS=$S($D(^DPT(DFN,.32)):$P(^(.32),"^",3),1:""),POS=$S(POS]"":$P(^DIC(21,POS,0),"^",3),1:"")
F I=1:1:7 S FBI(I)=""
I $D(^DPT(DFN,.11)) F I=1:1:7 S FBI(I)=$P(^(.11),"^",I)
S POW=$P($G(^DPT(DFN,.52)),"^",5)
Q:'$D(^FBAAA(DFN,1,FBK)) S Y(0)=^(FBK,0),VFROM=$P(Y(0),"^",1),VTO=$P(Y(0),"^",2),VFN=$P(Y(0),"^",4) I $S($P(Y(0),"^",3)=6:1,$P(Y(0),"^",3)=7:1,1:"") Q
S VDX=$P(Y(0),"^",8),FBPATT=$P(Y(0),"^",18),POV=$$EXTPV^FBAAUTL5($P(Y(0),"^",7)),CODE=$P(Y(0),"^",13),PIDC=$P(Y(0),"^",12),REF=$P(Y(0),"^",21)
S NOV=$P($G(^FBAAA(DFN,1,FBK,1)),"^")
;DEM;139 ICD-10 Project - Set variable VDX=ICD DIAGNOSIS code from ICD DIAGNOSIS FILE (#80).
D:$P($G(^FBAAA(DFN,1,FBK,"C")),"^",2) ;ICD DIAGNOSIS field (POINTER TO ICD DIAGNOSIS FILE (#80)).
. S VDX=$P($G(^FBAAA(DFN,1,FBK,"C")),"^",2) ;ICD DIAGNOSIS field (POINTER TO ICD DIAGNOSIS FILE (#80)).
. S VDX=$$CODEC^ICDEX(80,VDX) ;Diagnosis Code from an IEN.
. I +VDX<0 S VDX="" Q ; -1 ^ message on error.
. Q
S FBDX=$G(^FBAAA(DFN,1,FBK,3))
S FBIDC=$P($G(^FBAAA(DFN,4)),"^")
S STATCD=FBI(5),CC=FBI(7) F V=1:1:14 S V(V)=""
S CC=$S(CC']"":"",$D(^DIC(5,+STATCD,1,CC,0)):$P(^(0),"^",3),1:"")
S Y(0)=$S(VFN']"":"",'$D(^FBAAV(VFN,0)):"",$D(^FBAAV(VFN,0)):^(0),1:"") G:$S(VFN']"":1,'$D(^FBAAV(VFN,0)):1,1:0) OVR
F V=2,1,3,14,4,5,6,10 S V(V)=$P(Y(0),"^",V)
OVR F S=1:1:9 S FBS(S)=$P(FBSITE(0),"^",S)
S VSTCD=$S(V(5)']"":" ",$D(^DIC(5,V(5),0)):$P(^(0),"^",2),1:" "),SSTCD=$S(FBS(5)']"":" ",$D(^DIC(5,+FBS(5),0)):$P(^(0),"^",2),1:" "),PSTCD=$S(FBI(5)']"":" ",$D(^DIC(5,+FBI(5),0)):$P(^(0),"^",2),1:" ")
W:FBPG @IOF W UL,!,?46,"Department of Veterans Affairs",?100,"ID Card Number: ",FBIDC,!,?35,"R E Q U E S T F O R O U T P A T I E N T S E R V I C E S",!,UL S FBREM=0,FBOUT=0
;
W !,"(1) Veterans Name",?31,"|(2) ID Number | Period of Validity",!,?31,"|",?46,"|"
W !,NAME,?31,"|",?32,SSN,?46,"|"," FROM: ",$$FMTE^XLFDT(VFROM)," TO: ",$$FMTE^XLFDT(VTO),!,UL
W !,"(3) ADDRESS",?31,"|DATE OF ISSUE",?46,"| CONDITIONS FOR WHICH SERVICES ARE REQUESTED (DESCRIPTION OF DISABILITY)",!,?31,"|",?46,"|"
W !,FBI(1),?31,"|",?33,$$FMTE^XLFDT(FBJ),?46,"|"," ",VDX S FBPDX=0
I FBI(2)]"" W !,FBI(2),?31,"|",?46,"|"," " S FBPDX=FBPDX+1 W ?48,$P(FBDX,"^",FBPDX)
I FBI(3)]"" W !,FBI(3),?31,"|",?46,"|"," " S FBPDX=FBPDX+1 W ?48,$P(FBDX,"^",FBPDX)
W !,FBI(4)," ",PSTCD," ",FBI(6),?31,"|",?46,"|" S FBPDX=FBPDX+1 W ?48,$P(FBDX,"^",FBPDX),!,$E(UL,1,45),?46,"|" S FBPDX=FBPDX+1 W ?48,$P(FBDX,"^",FBPDX)
W !,"Name and Address of Fee Participant",?46,"|" S FBPDX=FBPDX+1 W ?48,$P(FBDX,"^",FBPDX)
W !,?46,"|",!,V(1),?46,"|",!,V(3),?46,"|" W:V(14)]"" !,V(14),?46,"|"
; PRXM/KJH - Patch 103. Add Referring Provider and NPI to the display.
W !,V(4)," ",VSTCD," ",V(6),?46,"|","REFERRING PROVIDER: "
I REF'="" W $$GET1^DIQ(200,REF,.01)
W !,V(2),?46,"|","NPI: ",$$REFNPI^FBCH78(REF,"",1)
W !,?46,"|","AUTHORIZATION #: ",DFN,"-",FBK,!,UL,!
W ?49,"AUTHORIZATION REMARKS",!,?49,$E(UL,1,21)
D ^FBAA79A S $P(^FBAAA(DFN,1,FBK,1),"^",2)=DT,FBPG=1 Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HFBAA79 4979 printed Sep 23, 2025@19:30:54 Page 2
FBAA79 ;AISC/GRR - PRINT FORM 7079 REQUEST FOR OUTPATIENT MEDICAL SERVICES ;6/5/2009
+1 ;;3.5;FEE BASIS;**12,23,101,103,108,139**;JAN 30, 1995;Build 127
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 ; Reference to API $$CODEC^ICDEX supported by ICR #5747
+5 ;
+6 WRITE !,"Print 7079's for: "
DO DT^DICRW
DO DATE^FBAAUTL
if FBPOP
GOTO END
DO SITEP^FBAAUTL
if FBPOP
GOTO END
+7 IF '$DATA(^FBAAA("AF",2))
WRITE !!,*7,"There are no 7079's to be printed!",!
GOTO END
+8 SET FBAASCR=""
RDHOW WRITE !
SET DIR("A")="Want only those that have not yet been printed"
SET DIR("B")="Yes"
SET DIR(0)="Y"
DO ^DIR
KILL DIR
if $DATA(DIRUT)
GOTO END
if Y
SET FBAASCR="Y"
+1 DO OUTPUT^FBAAS79
+2 SET VAR="BEGDATE^ENDDATE^FBAASCR"
SET VAL=BEGDATE_"^"_ENDDATE_"^"_FBAASCR
SET PGM="START^FBAA79"
SET IOP="Q"
DO ZIS^FBAAUTL
if FBPOP
GOTO END
START DO SITEP^FBAAUTL
if FBPOP
GOTO END
+1 SET UL=""
SET ULL="----------"
SET FBPG=0
FOR Z=1:1:12
SET UL=UL_ULL
+2 USE IO
SET FBAASCR=$SELECT(FBAASCR="":"I 1",FBAASCR="Y":"I $S('$D(^FBAAA(DFN,1,FBK,1)):1,$P(^FBAAA(DFN,1,FBK,1),""^"",2)']"""":1,1:0)",1:"I 1")
+3 SET FBJ=BEGDATE-.001
SET (DFN,FBK)=0
FOR ZZ=0:0
SET FBJ=$ORDER(^FBAAA("AF",2,FBJ))
if FBJ'>0!(FBJ>ENDDATE)
QUIT
FOR
SET DFN=$ORDER(^FBAAA("AF",2,FBJ,DFN))
if DFN'>0
QUIT
FOR
SET FBK=$ORDER(^FBAAA("AF",2,FBJ,DFN,FBK))
if FBK'>0
QUIT
XECUTE FBAASCR
IF $TEST
DO GOT
END KILL FBJ,FBK,DFN,Z,FBS,V,FBI,FBPATT,FBPG,FBSITE,UL,ULL,POV,NOV,POS,CC,PSTCD,SSTCD,VSTCD,BEGDATE,ENDDATE,PIDC,REF,VDX,CODE,STATCD,D,FBAASCR,FBDX,FBIDC,FBOUT,FBPDX,FBREM,FBRR,NAME,PGM,POW,VAL,VAR,VFN,VFROM,VTO,YOB,ZZ
+1 KILL FB7078,FBAABDT,FBAAEDT,FBASSOC,FBLOC,FBPOV,FBPSA,FBPT,FBTT,FBTYPE,FBVEN,FTP,CNT,FBAAOUT,FBAUT,FBPROG,I,J,M,PI,Q,SEX,SSN,TA,DATE,S,Y,DA,DIC
+2 DO GETAUTHK^FBAAUTL1
+3 DO CLOSE^FBAAUTL
QUIT
+4 QUIT
+5 ;
+6 ; Utilize new API for Name Standardization
+7 ;
GOT if '$DATA(^DPT(DFN,0))
QUIT
+1 SET Y(0)=^DPT(DFN,0)
+2 Begin DoDot:1
+3 NEW FBNAMES
+4 SET FBNAMES("FILE")=2
SET FBNAMES("IENS")=DFN_","
SET FBNAMES("FIELD")=.01
+5 SET NAME=$$NAMEFMT^XLFNAME(.FBNAMES)
End DoDot:1
+6 SET SEX=$PIECE(Y(0),U,2)
+7 SET SSN=$TRANSLATE($$SSNL4^FBAAUTL($$SSN^FBAAUTL(DFN)),"-","")
SET YOB=$SELECT($PIECE(Y(0),U,3)]"":$EXTRACT($PIECE(Y(0),U,3),1,3)+1700,1:"")
SET POS=$SELECT($DATA(^DPT(DFN,.32)):$PIECE(^(.32),"^",3),1:"")
SET POS=$SELECT(POS]"":$PIECE(^DIC(21,POS,0),"^",3),1:"")
+8 FOR I=1:1:7
SET FBI(I)=""
+9 IF $DATA(^DPT(DFN,.11))
FOR I=1:1:7
SET FBI(I)=$PIECE(^(.11),"^",I)
+10 SET POW=$PIECE($GET(^DPT(DFN,.52)),"^",5)
+11 if '$DATA(^FBAAA(DFN,1,FBK))
QUIT
SET Y(0)=^(FBK,0)
SET VFROM=$PIECE(Y(0),"^",1)
SET VTO=$PIECE(Y(0),"^",2)
SET VFN=$PIECE(Y(0),"^",4)
IF $SELECT($PIECE(Y(0),"^",3)=6:1,$PIECE(Y(0),"^",3)=7:1,1:"")
QUIT
+12 SET VDX=$PIECE(Y(0),"^",8)
SET FBPATT=$PIECE(Y(0),"^",18)
SET POV=$$EXTPV^FBAAUTL5($PIECE(Y(0),"^",7))
SET CODE=$PIECE(Y(0),"^",13)
SET PIDC=$PIECE(Y(0),"^",12)
SET REF=$PIECE(Y(0),"^",21)
+13 SET NOV=$PIECE($GET(^FBAAA(DFN,1,FBK,1)),"^")
+14 ;DEM;139 ICD-10 Project - Set variable VDX=ICD DIAGNOSIS code from ICD DIAGNOSIS FILE (#80).
+15 ;ICD DIAGNOSIS field (POINTER TO ICD DIAGNOSIS FILE (#80)).
if $PIECE($GET(^FBAAA(DFN,1,FBK,"C")),"^",2)
Begin DoDot:1
+16 ;ICD DIAGNOSIS field (POINTER TO ICD DIAGNOSIS FILE (#80)).
SET VDX=$PIECE($GET(^FBAAA(DFN,1,FBK,"C")),"^",2)
+17 ;Diagnosis Code from an IEN.
SET VDX=$$CODEC^ICDEX(80,VDX)
+18 ; -1 ^ message on error.
IF +VDX<0
SET VDX=""
QUIT
+19 QUIT
End DoDot:1
+20 SET FBDX=$GET(^FBAAA(DFN,1,FBK,3))
+21 SET FBIDC=$PIECE($GET(^FBAAA(DFN,4)),"^")
+22 SET STATCD=FBI(5)
SET CC=FBI(7)
FOR V=1:1:14
SET V(V)=""
+23 SET CC=$SELECT(CC']"":"",$DATA(^DIC(5,+STATCD,1,CC,0)):$PIECE(^(0),"^",3),1:"")
+24 SET Y(0)=$SELECT(VFN']"":"",'$DATA(^FBAAV(VFN,0)):"",$DATA(^FBAAV(VFN,0)):^(0),1:"")
if $SELECT(VFN']""
GOTO OVR
+25 FOR V=2,1,3,14,4,5,6,10
SET V(V)=$PIECE(Y(0),"^",V)
OVR FOR S=1:1:9
SET FBS(S)=$PIECE(FBSITE(0),"^",S)
+1 SET VSTCD=$SELECT(V(5)']"":" ",$DATA(^DIC(5,V(5),0)):$PIECE(^(0),"^",2),1:" ")
SET SSTCD=$SELECT(FBS(5)']"":" ",$DATA(^DIC(5,+FBS(5),0)):$PIECE(^(0),"^",2),1:" ")
SET PSTCD=$SELECT(FBI(5)']"":" ",$DATA(^DIC(5,+FBI(5),0)):$PIECE(^(0),"^",2),1:" ")
+2 if FBPG
WRITE @IOF
WRITE UL,!,?46,"Department of Veterans Affairs",?100,"ID Card Number: ",FBIDC,!,?35,"R E Q U E S T F O R O U T P A T I E N T S E R V I C E S",!,UL
SET FBREM=0
SET FBOUT=0
+3 ;
+4 WRITE !,"(1) Veterans Name",?31,"|(2) ID Number | Period of Validity",!,?31,"|",?46,"|"
+5 WRITE !,NAME,?31,"|",?32,SSN,?46,"|"," FROM: ",$$FMTE^XLFDT(VFROM)," TO: ",$$FMTE^XLFDT(VTO),!,UL
+6 WRITE !,"(3) ADDRESS",?31,"|DATE OF ISSUE",?46,"| CONDITIONS FOR WHICH SERVICES ARE REQUESTED (DESCRIPTION OF DISABILITY)",!,?31,"|",?46,"|"
+7 WRITE !,FBI(1),?31,"|",?33,$$FMTE^XLFDT(FBJ),?46,"|"," ",VDX
SET FBPDX=0
+8 IF FBI(2)]""
WRITE !,FBI(2),?31,"|",?46,"|"," "
SET FBPDX=FBPDX+1
WRITE ?48,$PIECE(FBDX,"^",FBPDX)
+9 IF FBI(3)]""
WRITE !,FBI(3),?31,"|",?46,"|"," "
SET FBPDX=FBPDX+1
WRITE ?48,$PIECE(FBDX,"^",FBPDX)
+10 WRITE !,FBI(4)," ",PSTCD," ",FBI(6),?31,"|",?46,"|"
SET FBPDX=FBPDX+1
WRITE ?48,$PIECE(FBDX,"^",FBPDX),!,$EXTRACT(UL,1,45),?46,"|"
SET FBPDX=FBPDX+1
WRITE ?48,$PIECE(FBDX,"^",FBPDX)
+11 WRITE !,"Name and Address of Fee Participant",?46,"|"
SET FBPDX=FBPDX+1
WRITE ?48,$PIECE(FBDX,"^",FBPDX)
+12 WRITE !,?46,"|",!,V(1),?46,"|",!,V(3),?46,"|"
if V(14)]""
WRITE !,V(14),?46,"|"
+13 ; PRXM/KJH - Patch 103. Add Referring Provider and NPI to the display.
+14 WRITE !,V(4)," ",VSTCD," ",V(6),?46,"|","REFERRING PROVIDER: "
+15 IF REF'=""
WRITE $$GET1^DIQ(200,REF,.01)
+16 WRITE !,V(2),?46,"|","NPI: ",$$REFNPI^FBCH78(REF,"",1)
+17 WRITE !,?46,"|","AUTHORIZATION #: ",DFN,"-",FBK,!,UL,!
+18 WRITE ?49,"AUTHORIZATION REMARKS",!,?49,$EXTRACT(UL,1,21)
+19 DO ^FBAA79A
SET $PIECE(^FBAAA(DFN,1,FBK,1),"^",2)=DT
SET FBPG=1
QUIT
