IBACV ;WOIFO/SS-COMBAT VET UTILITIES ;7-AUG-03
;;2.0;INTEGRATED BILLING;**234,247,275,339,347** ;21-MAR-94;Build 24
;;Per VHA Directive 2004-038, this routine should not be modified.
;
;To replace CL^SDCO21 with CL^IBACV that wraps out both CL^SDCO21 and $$CVEDT^DGCV
CL(IBDFN,IBSDDT,IBSDOE,IBSDCLY) ;Build Classification Array
; Input -- DFN Patient file IEN
; SDDT Date/Time [Optional]
; SDOE Outpatient Encounter file IEN [Optional]
; Output -- SDCLY Classification Array
; Subscripted by Class. Type file (#409.41) IEN
;
D CL^SDCO21(IBDFN,$G(IBSDDT),$G(IBSDOE),.IBSDCLY)
Q
;
;returns CV status as:
; current_CV_status^end_date^if_ever_had_CV_status
CVEDT(IBDFN,IBDT) ;
N IBRET S IBRET=$$CVEDT^DGCV($G(IBDFN),$G(IBDT))
Q (+$P(IBRET,"^",3))_"^"_(+$P(IBRET,"^",2))_"^"_(+$P(IBRET,"^",1)) ;swop
;
;/**
;Return the classification description of code sets for #.03 in #351.2.
; Input:
; X -- Patient class [1-ao|2-ir|3-swa|4-sc|5-mst|6-hnc|7-cv|8-SHAD]
; IBCASE -- "M" - mixed case (the first letter is uppercase and others-lowercase)
PATTYPE(X,IBCASE) ; */
N IBZ
S IBZ=$S(X=1:"AGENT ORANGE",X=2:"IONIZING RADIATION",X=3:"SOUTHWEST ASIA",X=4:"SERVICE CONNECTED",X=5:"MILITARY SEXUAL TRAUMA",X=6:"HEAD/NECK CANCER",X=7:"COMBAT VETERAN",X=8:"PROJECT 112/SHAD",1:"SPECIAL")
Q:$G(IBCASE)="M" $$LOWER^VALM1(IBZ)
Q IBZ
;
PATTYAB(X) ; Return External Abbreviation of Special Inpatient Billing Case Patient Type (#351.2,.03)
; Input: 351.2, .03 internal value
N IBZ S X=$G(X)
S IBZ=$S(X=1:"AO",X=2:"IR",X=3:"SWA",X=4:"SC",X=5:"MST",X=6:"HNC",X=7:"CV",X=8:"SHAD",1:"UNK")
Q IBZ
;
;if Combat Vet sends e-mail to mailgroup "IB COMBAT VET RX COPAY"
;IBDFN-patient IEN, IBDT - date, IBRXPTR - pointer to #52 file to get prescription #
RXALRT(IBDFN,IBDT,IBRXPTR) ;
N IB1
S IB1=$$CVEDT(IBDFN,$G(IBDT))
I +IB1 D EMAIL(IBDFN,$G(IBDT),$P(IB1,"^",2),$G(IBRXPTR))
Q
;sends e-mail to mail group IB COMBAT VET RX COPAY
EMAIL(DFN,IBEFDT,IBEXPDT,IBRX) ;
N IBTODAY,IBPAT,IBT,IBSSN
N XMSUB,XMY,XMTEXT,XMDUZ
N Y D NOW^%DTC S Y=%\1 X ^DD("DD") S IBTODAY=Y
I +$G(DFN)>0 D
. N VADM,VA,VAERR
. D DEM^VADPT
. S IBPAT=$G(VADM(1))
. S IBSSN=$P($G(VADM(2)),"^",2)
I $G(IBRX) S IBRX=$$FILE^IBRXUTL(IBRX,.01) ;get RX number
S:IBPAT="" IBPAT="Unknown"
S XMSUB="COMBAT VET RX COPAY REVIEW NEEDED"
S XMY("G.IB COMBAT VET RX COPAY")=""
S XMTEXT="IBT(",XMDUZ="INTEGRATED BILLING PACKAGE"
S IBT(1,0)="PATIENT: "_IBPAT
I $G(IBEXPDT)>0 S Y=IBEXPDT X ^DD("DD") S IBT(1,0)=IBT(1,0)_" COMBAT VET until: "_Y
S IBT(2,0)="SSN: "_IBSSN
S IBT(3,0)=""
S IBT(4,0)=$S($G(IBRX)'="":"RX#: "_$G(IBRX),1:"")
S IBT(5,0)="RX RELEASE DATE: "_IBTODAY
S IBT(6,0)=""
S IBT(7,0)="The above patient has a Combat Veteran status. Please review this"
S IBT(8,0)="prescription to determine if the RX Copay charge should be cancelled."
S IBT(9,0)=""
D ^XMD
Q
;
;--------------------------------------------------------------------
;is called from PROC^IBAMTC for each active inpatient
IFCVEXP(IBDFN,IBNJDT,IB405) ;
;Input:IBDFN1 - patient's ien in PATIENT file
; IBNJDT - Nightly Job date
; IB405 - ptr to #405
N IBTSTDT,IBPAT,IBZ,IBEXPIR,IBADM
S IBPAT=$$PT^IBEFUNC(IBDFN)
S (IBZ,IBEXPIR)=0
S IBZ=$$CVEDT^IBACV(IBDFN,IBNJDT)
I $P(IBZ,"^",3)=0 Q ;patient has never been CV
S IBEXPIR=+$P(IBZ,"^",2)\1
I IBEXPIR>IBNJDT Q ;expires in the future
;get last date when Nightly job checked CV status for inpatients
S IBTSTDT=$$XTMPLST()
;if ^XTMP is not there then make the last CV check date as TODAY-7
I IBTSTDT=0 S IBTSTDT=$$CHNGDATE^IBAHVE3(IBNJDT,-7) D SETXTMP0(IBTSTDT)
S IBADM=+$G(^DGPM(IB405,0))\1 ;admission/movement date
I IBTSTDT'<IBNJDT Q
;check for all the days since the last check date thru today
F D Q:(IBTSTDT'<IBNJDT)!(IBTSTDT=IBEXPIR)
. S IBTSTDT=$$CHNGDATE^IBAHVE3(IBTSTDT,+1) ;next date
. ;quit if the date is before the admission
. I IBTSTDT<IBADM Q
. ;send alert if CV expires this day
. I IBEXPIR=IBTSTDT D SETXTPM(IBDFN,IBTSTDT,IBEXPIR,IBADM,IBPAT)
Q
;
XTMPLST() ;get the last CV check date in ^XTMP
Q +$P($G(^XTMP("IBCVEXPDT",0)),"^",2)
;
SETXTPM(IBDFN,IBCHKDT,IBEXP,IBADMIS,IBPT) ;save info in ^XTMP
;Input:IBDFN - patient's ien in PATIENT file
; IBEXP - CV expiration date
; IBADMIS - admission/movement date
; IBPT - patient's info
S ^XTMP("IBCVEXPDT",IBDFN)=IBDFN_"^"_IBCHKDT_"^"_IBEXP_"^"_IBADMIS_"^"_$P(IBPT,"^",1,2)
Q
;
;is called from IBAMTC after PROC^IBAMTC and sends e-mail alert
;with the list of inpatient's with CV expired
CVEXMAIL(IBDT) ;send all e-mails
N Y,IBT,IBZ1,IBZ2,IBC,IBT,IBTOTAL
S IBC=0,IBTOTAL=0
;loop thru ^XTMP
S IBZ1=0 F S IBZ1=$O(^XTMP("IBCVEXPDT",IBZ1)) Q:+IBZ1=0 D
. D HEADER
. S IBZ2=$G(^XTMP("IBCVEXPDT",IBZ1))
. I IBZ2'="" S IBTOTAL=IBTOTAL+1 D MKEMAIL($P(IBZ2,U,3),$P(IBZ2,U,4),$P(IBZ2,U,5),$P(IBZ2,U,6))
I IBC>0 D
. D FOOTER(IBTOTAL)
. D SEND^IBACVA2
D SETXTMP0(IBDT)
Q
;
I IBC>0 Q
S XMSUB="INPATIENTS' COMBAT VET STATUS EXPIRED"
N IBX S IBX="",$P(IBX,"=",70)=""
S IBC=IBC+1,IBT(IBC)="The following patients whose records indicate that they had CV status, were"
S IBC=IBC+1,IBT(IBC)="admitted for inpatient care with CV status, and their CV status has expired"
S IBC=IBC+1,IBT(IBC)="during their stays. Please check their CV exp date again before adjusting"
S IBC=IBC+1,IBT(IBC)="their billings accordingly."
S IBC=IBC+1,IBT(IBC)=""
S IBC=IBC+1,IBT(IBC)=$$LRJ("Patient NAME",23)_$$LRJ("SSN",14)_$$LRJ("CV exp. date",20)_$$LRJ("Date of admission",20)
S IBC=IBC+1,IBT(IBC)=IBX
Q
S IBC=IBC+1,IBT(IBC)=""
S IBC=IBC+1,IBT(IBC)="Total: "_IBTOTAL_" patient(s)"
Q
;
MKEMAIL(IBEXP,IBADM,IBNAME,IBSSN) ;
;send e-mail alert if CV does expire today
N Y
S Y=IBEXP D DD^%DT S IBEXP=Y
S Y=IBADM D DD^%DT S IBADM=Y
S IBC=IBC+1,IBT(IBC)=$$LRJ($E(IBNAME,1,21),23)_$$LRJ(IBSSN,14)_$$LRJ(IBEXP,20)_$$LRJ(IBADM,20)
Q
;
SETXTMP0(IBDT) ;set the new "last CV check date" in ^XTMP
N IBPURGDT S IBPURGDT=+$$CHNGDATE^IBAHVE3(IBDT,+7)
K ^XTMP("IBCVEXPDT")
S ^XTMP("IBCVEXPDT",0)=IBPURGDT_"^"_IBDT_"^LAST DATE NIGHTLY JOB CHECKED COMBAT VET EXPIRATION FOR INPATIENTS"
Q
;
;---
;adds spaces on right/left or truncates to make return string IBLEN characters long
;IBST- original string
;IBLEN - desired length
;IBCHR -character (default = SPACE)
;IBSIDE - on which side to add characters (default = RIGHT)
LRJ(IBST,IBLEN,IBCHR,IBSIDE) ;
N Y S $P(Y,$S($L($G(IBCHR)):IBCHR,1:" "),$S(IBLEN-$L(IBST)<0:1,1:IBLEN-$L(IBST)+1))=""
Q $E($S($G(IBSIDE)="L":Y_IBST,1:IBST_Y),1,IBLEN)
;---
;
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBACV 6719 printed Apr 09, 2024@21:06:14 Page 2
IBACV ;WOIFO/SS-COMBAT VET UTILITIES ;7-AUG-03
+1 ;;2.0;INTEGRATED BILLING;**234,247,275,339,347** ;21-MAR-94;Build 24
+2 ;;Per VHA Directive 2004-038, this routine should not be modified.
+3 ;
+4 ;To replace CL^SDCO21 with CL^IBACV that wraps out both CL^SDCO21 and $$CVEDT^DGCV
CL(IBDFN,IBSDDT,IBSDOE,IBSDCLY) ;Build Classification Array
+1 ; Input -- DFN Patient file IEN
+2 ; SDDT Date/Time [Optional]
+3 ; SDOE Outpatient Encounter file IEN [Optional]
+4 ; Output -- SDCLY Classification Array
+5 ; Subscripted by Class. Type file (#409.41) IEN
+6 ;
+7 DO CL^SDCO21(IBDFN,$GET(IBSDDT),$GET(IBSDOE),.IBSDCLY)
+8 QUIT
+9 ;
+10 ;returns CV status as:
+11 ; current_CV_status^end_date^if_ever_had_CV_status
CVEDT(IBDFN,IBDT) ;
+1 NEW IBRET
SET IBRET=$$CVEDT^DGCV($GET(IBDFN),$GET(IBDT))
+2 ;swop
QUIT (+$PIECE(IBRET,"^",3))_"^"_(+$PIECE(IBRET,"^",2))_"^"_(+$PIECE(IBRET,"^",1))
+3 ;
+4 ;/**
+5 ;Return the classification description of code sets for #.03 in #351.2.
+6 ; Input:
+7 ; X -- Patient class [1-ao|2-ir|3-swa|4-sc|5-mst|6-hnc|7-cv|8-SHAD]
+8 ; IBCASE -- "M" - mixed case (the first letter is uppercase and others-lowercase)
PATTYPE(X,IBCASE) ; */
+1 NEW IBZ
+2 SET IBZ=$SELECT(X=1:"AGENT ORANGE",X=2:"IONIZING RADIATION",X=3:"SOUTHWEST ASIA",X=4:"SERVICE CONNECTED",X=5:"MILITARY SEXUAL TRAUMA",X=6:"HEAD/NECK CANCER",X=7:"COMBAT VETERAN",X=8:"PROJECT 112/SHAD",1:"SPECIAL")
+3 if $GET(IBCASE)="M"
QUIT $$LOWER^VALM1(IBZ)
+4 QUIT IBZ
+5 ;
PATTYAB(X) ; Return External Abbreviation of Special Inpatient Billing Case Patient Type (#351.2,.03)
+1 ; Input: 351.2, .03 internal value
+2 NEW IBZ
SET X=$GET(X)
+3 SET IBZ=$SELECT(X=1:"AO",X=2:"IR",X=3:"SWA",X=4:"SC",X=5:"MST",X=6:"HNC",X=7:"CV",X=8:"SHAD",1:"UNK")
+4 QUIT IBZ
+5 ;
+6 ;if Combat Vet sends e-mail to mailgroup "IB COMBAT VET RX COPAY"
+7 ;IBDFN-patient IEN, IBDT - date, IBRXPTR - pointer to #52 file to get prescription #
RXALRT(IBDFN,IBDT,IBRXPTR) ;
+1 NEW IB1
+2 SET IB1=$$CVEDT(IBDFN,$GET(IBDT))
+3 IF +IB1
DO EMAIL(IBDFN,$GET(IBDT),$PIECE(IB1,"^",2),$GET(IBRXPTR))
+4 QUIT
+5 ;sends e-mail to mail group IB COMBAT VET RX COPAY
EMAIL(DFN,IBEFDT,IBEXPDT,IBRX) ;
+1 NEW IBTODAY,IBPAT,IBT,IBSSN
+2 NEW XMSUB,XMY,XMTEXT,XMDUZ
+3 NEW Y
DO NOW^%DTC
SET Y=%\1
XECUTE ^DD("DD")
SET IBTODAY=Y
+4 IF +$GET(DFN)>0
Begin DoDot:1
+5 NEW VADM,VA,VAERR
+6 DO DEM^VADPT
+7 SET IBPAT=$GET(VADM(1))
+8 SET IBSSN=$PIECE($GET(VADM(2)),"^",2)
End DoDot:1
+9 ;get RX number
IF $GET(IBRX)
SET IBRX=$$FILE^IBRXUTL(IBRX,.01)
+10 if IBPAT=""
SET IBPAT="Unknown"
+11 SET XMSUB="COMBAT VET RX COPAY REVIEW NEEDED"
+12 SET XMY("G.IB COMBAT VET RX COPAY")=""
+13 SET XMTEXT="IBT("
SET XMDUZ="INTEGRATED BILLING PACKAGE"
+14 SET IBT(1,0)="PATIENT: "_IBPAT
+15 IF $GET(IBEXPDT)>0
SET Y=IBEXPDT
XECUTE ^DD("DD")
SET IBT(1,0)=IBT(1,0)_" COMBAT VET until: "_Y
+16 SET IBT(2,0)="SSN: "_IBSSN
+17 SET IBT(3,0)=""
+18 SET IBT(4,0)=$SELECT($GET(IBRX)'="":"RX#: "_$GET(IBRX),1:"")
+19 SET IBT(5,0)="RX RELEASE DATE: "_IBTODAY
+20 SET IBT(6,0)=""
+21 SET IBT(7,0)="The above patient has a Combat Veteran status. Please review this"
+22 SET IBT(8,0)="prescription to determine if the RX Copay charge should be cancelled."
+23 SET IBT(9,0)=""
+24 DO ^XMD
+25 QUIT
+26 ;
+27 ;--------------------------------------------------------------------
+28 ;is called from PROC^IBAMTC for each active inpatient
IFCVEXP(IBDFN,IBNJDT,IB405) ;
+1 ;Input:IBDFN1 - patient's ien in PATIENT file
+2 ; IBNJDT - Nightly Job date
+3 ; IB405 - ptr to #405
+4 NEW IBTSTDT,IBPAT,IBZ,IBEXPIR,IBADM
+5 SET IBPAT=$$PT^IBEFUNC(IBDFN)
+6 SET (IBZ,IBEXPIR)=0
+7 SET IBZ=$$CVEDT^IBACV(IBDFN,IBNJDT)
+8 ;patient has never been CV
IF $PIECE(IBZ,"^",3)=0
QUIT
+9 SET IBEXPIR=+$PIECE(IBZ,"^",2)\1
+10 ;expires in the future
IF IBEXPIR>IBNJDT
QUIT
+11 ;get last date when Nightly job checked CV status for inpatients
+12 SET IBTSTDT=$$XTMPLST()
+13 ;if ^XTMP is not there then make the last CV check date as TODAY-7
+14 IF IBTSTDT=0
SET IBTSTDT=$$CHNGDATE^IBAHVE3(IBNJDT,-7)
DO SETXTMP0(IBTSTDT)
+15 ;admission/movement date
SET IBADM=+$GET(^DGPM(IB405,0))\1
+16 IF IBTSTDT'<IBNJDT
QUIT
+17 ;check for all the days since the last check date thru today
+18 FOR
Begin DoDot:1
+19 ;next date
SET IBTSTDT=$$CHNGDATE^IBAHVE3(IBTSTDT,+1)
+20 ;quit if the date is before the admission
+21 IF IBTSTDT<IBADM
QUIT
+22 ;send alert if CV expires this day
+23 IF IBEXPIR=IBTSTDT
DO SETXTPM(IBDFN,IBTSTDT,IBEXPIR,IBADM,IBPAT)
End DoDot:1
if (IBTSTDT'<IBNJDT)!(IBTSTDT=IBEXPIR)
QUIT
+24 QUIT
+25 ;
XTMPLST() ;get the last CV check date in ^XTMP
+1 QUIT +$PIECE($GET(^XTMP("IBCVEXPDT",0)),"^",2)
+2 ;
SETXTPM(IBDFN,IBCHKDT,IBEXP,IBADMIS,IBPT) ;save info in ^XTMP
+1 ;Input:IBDFN - patient's ien in PATIENT file
+2 ; IBEXP - CV expiration date
+3 ; IBADMIS - admission/movement date
+4 ; IBPT - patient's info
+5 SET ^XTMP("IBCVEXPDT",IBDFN)=IBDFN_"^"_IBCHKDT_"^"_IBEXP_"^"_IBADMIS_"^"_$PIECE(IBPT,"^",1,2)
+6 QUIT
+7 ;
+8 ;is called from IBAMTC after PROC^IBAMTC and sends e-mail alert
+9 ;with the list of inpatient's with CV expired
CVEXMAIL(IBDT) ;send all e-mails
+1 NEW Y,IBT,IBZ1,IBZ2,IBC,IBT,IBTOTAL
+2 SET IBC=0
SET IBTOTAL=0
+3 ;loop thru ^XTMP
+4 SET IBZ1=0
FOR
SET IBZ1=$ORDER(^XTMP("IBCVEXPDT",IBZ1))
if +IBZ1=0
QUIT
Begin DoDot:1
+5 DO HEADER
+6 SET IBZ2=$GET(^XTMP("IBCVEXPDT",IBZ1))
+7 IF IBZ2'=""
SET IBTOTAL=IBTOTAL+1
DO MKEMAIL($PIECE(IBZ2,U,3),$PIECE(IBZ2,U,4),$PIECE(IBZ2,U,5),$PIECE(IBZ2,U,6))
End DoDot:1
+8 IF IBC>0
Begin DoDot:1
+9 DO FOOTER(IBTOTAL)
+10 DO SEND^IBACVA2
End DoDot:1
+11 DO SETXTMP0(IBDT)
+12 QUIT
+13 ;
+1 IF IBC>0
QUIT
+2 SET XMSUB="INPATIENTS' COMBAT VET STATUS EXPIRED"
+3 NEW IBX
SET IBX=""
SET $PIECE(IBX,"=",70)=""
+4 SET IBC=IBC+1
SET IBT(IBC)="The following patients whose records indicate that they had CV status, were"
+5 SET IBC=IBC+1
SET IBT(IBC)="admitted for inpatient care with CV status, and their CV status has expired"
+6 SET IBC=IBC+1
SET IBT(IBC)="during their stays. Please check their CV exp date again before adjusting"
+7 SET IBC=IBC+1
SET IBT(IBC)="their billings accordingly."
+8 SET IBC=IBC+1
SET IBT(IBC)=""
+9 SET IBC=IBC+1
SET IBT(IBC)=$$LRJ("Patient NAME",23)_$$LRJ("SSN",14)_$$LRJ("CV exp. date",20)_$$LRJ("Date of admission",20)
+10 SET IBC=IBC+1
SET IBT(IBC)=IBX
+11 QUIT
+1 SET IBC=IBC+1
SET IBT(IBC)=""
+2 SET IBC=IBC+1
SET IBT(IBC)="Total: "_IBTOTAL_" patient(s)"
+3 QUIT
+4 ;
MKEMAIL(IBEXP,IBADM,IBNAME,IBSSN) ;
+1 ;send e-mail alert if CV does expire today
+2 NEW Y
+3 SET Y=IBEXP
DO DD^%DT
SET IBEXP=Y
+4 SET Y=IBADM
DO DD^%DT
SET IBADM=Y
+5 SET IBC=IBC+1
SET IBT(IBC)=$$LRJ($EXTRACT(IBNAME,1,21),23)_$$LRJ(IBSSN,14)_$$LRJ(IBEXP,20)_$$LRJ(IBADM,20)
+6 QUIT
+7 ;
SETXTMP0(IBDT) ;set the new "last CV check date" in ^XTMP
+1 NEW IBPURGDT
SET IBPURGDT=+$$CHNGDATE^IBAHVE3(IBDT,+7)
+2 KILL ^XTMP("IBCVEXPDT")
+3 SET ^XTMP("IBCVEXPDT",0)=IBPURGDT_"^"_IBDT_"^LAST DATE NIGHTLY JOB CHECKED COMBAT VET EXPIRATION FOR INPATIENTS"
+4 QUIT
+5 ;
+6 ;---
+7 ;adds spaces on right/left or truncates to make return string IBLEN characters long
+8 ;IBST- original string
+9 ;IBLEN - desired length
+10 ;IBCHR -character (default = SPACE)
+11 ;IBSIDE - on which side to add characters (default = RIGHT)
LRJ(IBST,IBLEN,IBCHR,IBSIDE) ;
+1 NEW Y
SET $PIECE(Y,$SELECT($LENGTH($GET(IBCHR)):IBCHR,1:" "),$SELECT(IBLEN-$LENGTH(IBST)<0:1,1:IBLEN-$LENGTH(IBST)+1))=""
+2 QUIT $EXTRACT($SELECT($GET(IBSIDE)="L":Y_IBST,1:IBST_Y),1,IBLEN)
+3 ;---
+4 ;
