IBTRHLO ;ALB/YMG - Create and send 278 inquiry ;02-JUN-2014
;;2.0;INTEGRATED BILLING;**517**;21-MAR-94;Build 240
;;Per VA Directive 6402, this routine should not be modified.
;
Q
;
EN(IBTRIEN,MSGTYPE) ; entry point
; IBTRIEN - ien in file 356.22
; MSGTYPE - 1 for 215, 0 or null for 217
;
I +$G(IBTRIEN)'>0 Q ; not a valid file 356.22 ien
;
N CERT,DFN,ERRMSG,EVNT,HCT,HL,HLECH,HLFS,HLP,HLREP,HLRESLT,GNUM,IBTRHLP,IEN312,IEN36,IEN3553,INPAT,INSNODE0,INSNODE3,MSGOK
N NODE0,NODE2,NODE4,NODE5,NODE6,NODE7,NODE8,NODE9,NODE10,NODE17,NODE18,NOWDT,PREL,REQCAT,SITEIEN
;
S MSGTYPE=+$G(MSGTYPE)
S ERRMSG=""
S SITEIEN=$P($$SITE^VASITE(),U)
I SITEIEN'>0 S ERRMSG="Invalid IEN for the site in file 4: "_SITEIEN D HLER^IBTRHLO2(IBTRIEN,ERRMSG) Q
S NODE0=$G(^IBT(356.22,IBTRIEN,0))
I NODE0="" S ERRMSG="Blank node 0 in file 356.22, IEN: "_IBTRIEN D HLER^IBTRHLO2(IBTRIEN,ERRMSG) Q
I +$P(NODE0,U,13)>0,'MSGTYPE S ERRMSG="This is a response entry in file 356.22, IEN: "_IBTRIEN D HLER^IBTRHLO2(IBTRIEN,ERRMSG) Q
S DFN=+$P(NODE0,U,2)
I DFN'>0 S ERRMSG="Invalid pointer to file 2: "_DFN D HLER^IBTRHLO2(IBTRIEN,ERRMSG) Q
S IEN312=+$P(NODE0,U,3)
I IEN312'>0 S ERRMSG="Invalid pointer to sub-file 2.312: "_IEN312 D HLER^IBTRHLO2(IBTRIEN,ERRMSG) Q
S INSNODE0=$G(^DPT(DFN,.312,IEN312,0)) ; 0-node in file 2.312
S INSNODE3=$G(^DPT(DFN,.312,IEN312,3)) ; 3-node in file 2.312
S IEN3553=+$P(INSNODE0,U,18) ; file 355.3 ien
S IEN36=+$P(INSNODE0,U)
I IEN36'>0 S ERRMSG="Invalid pointer to file 36: "_IEN36 D HLER^IBTRHLO2(IBTRIEN,ERRMSG) Q
S GNUM=$S(IEN3553>0:$$GET1^DIQ(355.3,IEN3553_",",.04),1:"") ; group number
S PREL=$P($G(^DPT(DFN,.312,IEN312,4)),U,3) ; pat. relationship to insured
;
S NODE2=$G(^IBT(356.22,IBTRIEN,2))
S NODE4=$G(^IBT(356.22,IBTRIEN,4))
S NODE5=$G(^IBT(356.22,IBTRIEN,5))
S NODE6=$G(^IBT(356.22,IBTRIEN,6))
S NODE7=$G(^IBT(356.22,IBTRIEN,7))
S NODE8=$G(^IBT(356.22,IBTRIEN,8))
S NODE9=$G(^IBT(356.22,IBTRIEN,9))
S NODE10=$G(^IBT(356.22,IBTRIEN,10))
S NODE17=$G(^IBT(356.22,IBTRIEN,17))
S NODE18=$G(^IBT(356.22,IBTRIEN,18))
;
S REQCAT=$$GET1^DIQ(356.001,+$P(NODE2,U)_",",.01) ; request category
S CERT=$$GET1^DIQ(356.002,+$P(NODE2,U,2)_",",.01) ; certification type code
S INPAT=$S($P(NODE0,U,4)="I":1,1:0) ; 1 if inpatient, 0 if outpatient
; Initialize HL7 variables
K ^TMP("HLS",$J)
S IBTRHLP="IBTR HCSR OUT"
D INIT^HLFNC2(IBTRHLP,.HL) ; HL7 init
S HLFS=HL("FS"),HLECH=$E(HL("ECH"),1),HLREP=$E(HL("ECH"),2),HL("SAF")=$P($$SITE^VASITE,U,2,3),HCT=0
; determine event reason code
I 'MSGTYPE D
.I REQCAT'="IN" S EVNT="13" Q ; request category = "HS" (Health Services), "AR" (Admission), or "SC" (Specialty Care) -> event code = 13 (Request)
.I CERT=3 S EVNT="01" Q ; request category = "IN" (Individual) and certification type = 3 (Cancel) -> event code = 01 (Cancel)
.S EVNT=36 ; request category = "IN" (Individual) and certification type '= 3 (other than Cancel) -> event code = 36 (Authority To Deduct)
.Q
I MSGTYPE S EVNT="28" ; always 28 for 215 message
S NOWDT=$$NOW^XLFDT()
S MSGOK=1
D EVN
D IN1 I 'MSGOK D HLER^IBTRHLO2(IBTRIEN,ERRMSG) G ENX ; failed to create IN1 segment
D PRD I 'MSGOK D HLER^IBTRHLO2(IBTRIEN,ERRMSG) G ENX ; failed to create PRD segment
D CTD,PRD2
D GT1 I 'MSGOK D HLER^IBTRHLO2(IBTRIEN,ERRMSG) G ENX ; failed to create GT1 segment
D PID I 'MSGOK D HLER^IBTRHLO2(IBTRIEN,ERRMSG) G ENX ; failed to create PID segment
D G2RPRB,AUT^IBTRHLO1,ZTP,DG1
I 'MSGTYPE D ZHS^IBTRHLO2,PV1,OBR^IBTRHLO1,G2ORXA^IBTRHLO1,RXE^IBTRHLO1,PRB^IBTRHLO1,PSL^IBTRHLO1,NTE^IBTRHLO2
D G3OPRD^IBTRHLO1,G5OPRB^IBTRHLO1
D GENERATE^HLMA(IBTRHLP,"GM",1,.HLRESLT,"",.HLP)
; If not successful
I $P(HLRESLT,U,2)]"" D HLER^IBTRHLO2(IBTRIEN,$P(HLRESLT,U,2,99)) Q
; If successful
D HLSC^IBTRHLO2(IBTRIEN,NOWDT,HLRESLT)
;
ENX ;
K ^TMP("HLS",$J)
Q
;
EVN ; create EVN segment
N EVN
S EVN="EVN"_HLFS_HLFS_$$HLDATE^HLFNC(NOWDT)_HLFS_HLFS_EVNT
S HCT=HCT+1,^TMP("HLS",$J,HCT)=EVN
Q
;
IN1 ; create IN1 segment
N IDTYPE,IENS,IN1,INSNAME,PAYER,PAYID,PNODE0,RELINFO,TMP
S PAYID="",IENS=IEN36_","
S INSNAME=$$GET1^DIQ(36,IENS,.01)
S PAYER=+$$GET1^DIQ(36,IENS,3.1,"I") ; file 365.12 ien
I PAYER'>0 S MSGOK=0,ERRMSG="Unable to create IN1 segment - insurance company "_INSNAME_" is not linked to a payer" Q
; get payer id from file 36
S IDTYPE="PI",PAYID=$$GET1^DIQ(36,IENS,7.01)
; if no id in file 36, try to get VA national id
I PAYID="" S PNODE0=$G(^IBE(365.12,PAYER,0)),PAYID=$P(PNODE0,U,2) ; VA national id
; if no VA national id either, try to get CMS national id
I PAYID="" S PAYID=$P(PNODE0,U,3),IDTYPE="XV"
; if still no id, bail out
I PAYID="" S MSGOK=0,ERRMSG="Unable to create IN1 segment - missing payer ID" Q
S RELINFO=$P(NODE2,U,16)
S TMP=$$ENCHL7^IBCNEHLQ(INSNAME)
; get HPID, relies on patch IB*2.0*519
S $P(TMP,HLECH,3)=$$HPD^IBCNHUT1(IEN36)
S IN1="IN1"_HLFS_"1"_HLFS_"PLAN ID"_HLFS_$$ENCHL7^IBCNEHLQ(PAYID)_HLECH_HLECH_HLECH_HLECH_IDTYPE_HLFS_TMP
S $P(IN1,HLFS,28)=RELINFO
S HCT=HCT+1,^TMP("HLS",$J,HCT)=IN1
Q
;
PRD ; create PRD segment (X12: NM1, 2010B)
N ADDR1,ADDR2,PRD,REQDATA
S REQDATA=$$PRVDATA^IBTRHLO2(SITEIEN,4)
I $TR(REQDATA,U)="" S MSGOK=0,ERRMSG="Unable to create prd segment - missing name/address data in INSTITUTION file." Q
S ADDR1=$P(REQDATA,U,2,3),ADDR2=$P(REQDATA,U,4,6)
S PRD="PRD"_HLFS_HLECH_HLECH_HLECH_"NM1 2010B"_HLFS_$$ENCHL7^IBCNEHLQ($P(REQDATA,U))
S PRD=PRD_HLFS_$$ENCHL7^IBCNEHLQ($P($$HLADDR^HLFNC(ADDR1,ADDR2),HLECH,1,5))
S $P(PRD,HLFS,8)=$$ENCHL7^IBCNEHLQ($P(REQDATA,U,7))
S HCT=HCT+1,^TMP("HLS",$J,HCT)=PRD
Q
;
CTD ; create CTD segment
N CTD,COMMSTR,IEN200,NAME,NODE19,QUAL,TMP,VALUE,Z
S IEN200=+$P(NODE0,U,11) I IEN200'>0 Q
S NAME=$$GET1^DIQ(200,IEN200_",",.01) I NAME="" Q
S NODE19=$G(^IBT(356.22,IBTRIEN,19))
S COMMSTR="" F Z="20^2^19.01","21^3^19.02","22^4^19.03" D
.S QUAL=$P(NODE19,U,$P(Z,U,2)) I QUAL="" Q
.S QUAL=$$EXTERNAL^DILFD(356.22,$P(Z,U,3),,QUAL)
.S VALUE=$G(^IBT(356.22,IBTRIEN,$P(Z,U))) I VALUE="" Q
.I "^FX^HP^TE^WP^"[(U_QUAL_U) S VALUE=$$NOPUNCT^IBCEF(VALUE,1) ; strip punctuation if phone #
.S $P(TMP,HLECH,2)=QUAL,$P(TMP,HLECH,8)=$$ENCHL7^IBCNEHLQ(VALUE)
.S COMMSTR=$S(COMMSTR="":TMP,1:COMMSTR_HLREP_TMP)
.Q
S CTD="CTD"_HLFS_"PER 2010B"_HLFS_$$ENCHL7^IBCNEHLQ(NAME)
S $P(CTD,HLFS,6)=COMMSTR
S HCT=HCT+1,^TMP("HLS",$J,HCT)=CTD
Q
;
PRD2 ; create PRD segment (X12: PRV, 2010B)
N PRD,TXNM
S TXNM=$P($$TAXORG^XUSTAX(SITEIEN),U) I TXNM="" Q
S PRD="PRD"_HLFS_HLECH_HLECH_HLECH_"PRV 2010B"
S $P(PRD,HLFS,8)=$$ENCHL7^IBCNEHLQ(TXNM)
S HCT=HCT+1,^TMP("HLS",$J,HCT)=PRD
Q
;
GT1 ; create GT1 segment
N ADDR1,ADDR2,GT1,SID1,SID2,SIDSTR,NAME
S SID1=$P(INSNODE0,U,2) I SID1="" S MSGOK=0,ERRMSG="Unable to create GT1 segment - missing primary subscriber ID" Q
S NAME=$P(INSNODE0,U,17) I NAME="" S MSGOK=0,ERRMSG="Unable to create GT1 segment - missing name of insured" Q
S SID2=GNUM ; secondary subscriber id is a group number
S SIDSTR=$$ENCHL7^IBCNEHLQ(SID1) I SID2'="" S SIDSTR=SIDSTR_HLREP_$$ENCHL7^IBCNEHLQ(SID2)_HLECH_HLECH_HLECH_HLECH_"6P"
S GT1="GT1"_HLFS_"1"_HLFS_SIDSTR_HLFS_$$ENCHL7^IBCNEHLQ($$HLNAME^HLFNC(NAME))_HLFS_HLFS
I 'MSGTYPE,$P(INSNODE3,U,6)'="",$P(INSNODE3,U,8)'="" D
.S ADDR1=$P(INSNODE3,U,6,7),ADDR2=$P(INSNODE3,U,8,10)
.S $P(GT1,HLFS,6)=$$ENCHL7^IBCNEHLQ($P($$HLADDR^HLFNC(ADDR1,ADDR2),HLECH,1,5)) ; subscriber address
.Q
S $P(GT1,HLFS,9)=$$HLDATE^HLFNC($P(INSNODE3,U)) ; subscriber dob
I 'MSGTYPE S $P(GT1,HLFS,10)=$P(INSNODE3,U,12) ; subscriber sex
I 'MSGTYPE,PREL'="18" S $P(GT1,HLFS,49)=$S(".01.19."[("."_PREL_"."):PREL,1:"G8") ; relationship to insured
S HCT=HCT+1,^TMP("HLS",$J,HCT)=GT1
Q
;
PID ; create PID segment
N IDSTR,PID,TMP,VAFSTR
I PREL="18" Q ; patient relationship is "self"
I GNUM="" S MSGOK=0,ERRMSG="Unable to create PID segment - missing group number" Q
S VAFSTR="7,8,11,"
S PID=$$EN^VAFHLPID(DFN,VAFSTR)
S TMP=$P(PID,HLFS,12)
I $P(TMP,HLECH,2)="""""" S $P(TMP,HLECH,2)="",$P(PID,HLFS,12)=TMP
S IDSTR=$$ENCHL7^IBCNEHLQ(GNUM),$P(IDSTR,HLECH,4)="EJ"
S $P(PID,HLFS,4)=IDSTR
S $P(PID,HLFS,6)=$$ENCHL7^IBCNEHLQ($P(PID,HLFS,6))
I MSGTYPE S $P(PID,HLFS,9)=""
S $P(PID,HLFS,12)=$S('MSGTYPE:$$ENCHL7^IBCNEHLQ($P(PID,HLFS,12)),1:"")
S HCT=HCT+1,^TMP("HLS",$J,HCT)=PID
Q
;
G2RPRB ; create G2R.PRB segment (G2R segment group)
N PRB,Z
I CERT="" Q ; missing certification type code
S PRB="PRB"_HLFS_"CO"_HLFS_$$HLDATE^HLFNC(DT)_HLFS_CERT_HLFS_"1"_HLFS_"UM 2000E"
S $P(PRB,HLFS,12)=REQCAT_HLREP_$$GET1^DIQ(365.013,+$P(NODE2,U,3)_",",.01)
I 'MSGTYPE D
.S $P(PRB,HLFS,11)=$P(NODE2,U,8)_HLECH_$P(NODE2,U,9)_HLECH_HLECH_$P(NODE2,U,10)
.S $P(PRB,HLFS,15)=$$GET1^DIQ(356.003,+$P(NODE2,U,14)_",",.01)
.S $P(PRB,HLFS,19)=$P(NODE2,U,13)
.S Z=$$GET1^DIQ(356.004,+$P(NODE2,U,15)_",",.01)
.S $P(Z,HLECH,5)=$$GET1^DIQ(356.005,+$P(NODE2,U,17)_",",.01)
.S $P(PRB,HLFS,23)=Z
.Q
S HCT=HCT+1,^TMP("HLS",$J,HCT)=PRB
D G2RPV1
Q
;
G2RPV1 ; create G2R.PV1 segment (G2R segment group)
N PV1,QUAL,Z
S QUAL=$P(NODE2,U,4) I QUAL="" Q
S Z=$S(QUAL="A":$P(NODE2,U,6)_$P(NODE2,U,7),1:$$GET1^DIQ(353.1,+$P(NODE2,U,5)_",",.01))
S $P(Z,HLECH,6)=QUAL
S PV1="PV1"_HLFS_HLFS_"U"_HLFS_Z
I 'MSGTYPE D
.S $P(PV1,HLFS,11)=$$GET1^DIQ(5,+$P(NODE2,U,11)_",",1)
.S Z="",$P(Z,HLECH,9)=$$GET1^DIQ(779.004,+$P(NODE2,U,12)_",",.01)
.S:$P(Z,HLECH,9)'="USA" $P(PV1,HLFS,12)=Z
.Q
S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
Q
;
ZTP ; create ZTP segments
N DATA,Z,Z1,ZTP
S Z=$P(NODE0,U,7) I Z'="" D
.S Z1="AAH" I INPAT,REQCAT="AR" S Z1="435"
.S DATA(Z1)=$S(Z["-":$$HLDATE^HLFNC($P($P(Z,"-"),"."))_HLECH_$$HLDATE^HLFNC($P($P(Z,"-",2),".")),1:$$HLDATE^HLFNC($P(Z,"."))) ; admission / appointment date
.Q
S Z=$P(NODE2,U,18) I Z'="" S DATA("439")=$$HLDATE^HLFNC($P(Z,".")) ; accident date
I 'MSGTYPE D
.S Z=$P(NODE2,U,19) I Z'="" S DATA("484")=$$HLDATE^HLFNC($P(Z,".")) ; last menstrual period date
.S Z=$P(NODE2,U,20) I Z'="" S DATA("ABC")=$$HLDATE^HLFNC(Z) ; estimated DOB
.S Z=$P(NODE2,U,21) I Z'="" S DATA("431")=$$HLDATE^HLFNC(Z) ; illness date
.Q
; the following date is for "Admission Review" request category only
I INPAT,REQCAT="AR" S Z=$P(NODE2,U,22) S:Z'="" DATA("096")=$$HLDATE^HLFNC($P(Z,".")) ; discharge date
;
S Z="" F S Z=$O(DATA(Z)) Q:Z="" D
.S ZTP="ZTP"_HLFS_"1"_HLFS_Z_HLFS_DATA(Z)_HLFS_"DTP 2000E"
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=ZTP
.Q
Q
;
DG1 ; create DG1 segments
N DG1,DIAG,NODE0,SEQ,Z
S (SEQ,Z)=0 F S Z=$O(^IBT(356.22,IBTRIEN,3,Z)) Q:Z=""!(Z?1.A) D
.S NODE0=$G(^IBT(356.22,IBTRIEN,3,Z,0)) I NODE0="" Q ; 0-node of sub-file 356.223
.S SEQ=SEQ+1 I SEQ>12 Q ; only allow up to 12 DG1 segments
.I MSGTYPE,SEQ>1 Q ; only allow 1 DG1 segment in 215 message
.S DIAG=$TR($$EXTERNAL^DILFD(356.223,.02,,$P(NODE0,U,2)),".") I DIAG="" Q ; invalid diagnosis code
.S DG1="DG1"_HLFS_SEQ_HLFS_HLFS_$$ENCHL7^IBCNEHLQ(DIAG)_HLFS_HLFS_$S('MSGTYPE:$$HLDATE^HLFNC($P(NODE0,U,3)),1:"")_HLFS_"W"
.S $P(DG1,HLFS,18)=$$GET1^DIQ(356.006,+$P(NODE0,U)_",",.01)
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=DG1
.Q
Q
;
PV1 ; create PV1 segments
N CNDSTR,PC,PV1,Z
S PV1="PV1"_HLFS_HLFS_HLFS_"CRC 2000E",CNDSTR=""
I +$P(NODE4,U,10) D ; at least one ambulance cert. condition exists
.S CNDSTR=$P(NODE4,U,9)
.F PC=10:1:14 S Z=+$P(NODE4,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="07"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I +$P(NODE5,U,2) D ; at least one chiropractic cert. condition exists
.S CNDSTR=$P(NODE5,U)
.F PC=2:1:6 S Z=+$P(NODE5,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="08"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I +$P(NODE5,U,8) D ; at least one DME cert. condition exists
.S CNDSTR=$P(NODE5,U,7)
.F PC=8:1:12 S Z=+$P(NODE5,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="09"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I +$P(NODE5,U,14) D ; at least one oxygen cert. condition exists
.S CNDSTR=$P(NODE5,U,13)
.F PC=14:1:18 S Z=+$P(NODE5,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="11"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I +$P(NODE6,U,2) D ; at least one functional limit cert. condition exists
.S CNDSTR=$P(NODE6,U)
.F PC=2:1:6 S Z=+$P(NODE6,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="75"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I +$P(NODE6,U,8) D ; at least one activities cert. condition exists
.S CNDSTR=$P(NODE6,U,7)
.F PC=8:1:12 S Z=+$P(NODE6,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="76"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I +$P(NODE6,U,14) D ; at least one mental status cert. condition exists
.S CNDSTR=$P(NODE6,U,13)
.F PC=14:1:18 S Z=+$P(NODE6,U,PC) S:Z CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
.S $P(PV1,HLFS,3)="77"
.S $P(PV1,HLFS,16)=CNDSTR
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
I INPAT,$TR($P(NODE7,U,1,4),U)'="" D ; inpatient, admission data exists
.S PV1="PV1"_HLFS_HLFS_HLFS_"CL1 2000E"_HLFS_$P(NODE7,U)
.S Z=+$P(NODE7,U,2) S:Z $P(PV1,HLFS,15)=$$GET1^DIQ(356.009,Z_",",.01)
.S Z=+$P(NODE7,U,3) S:Z $P(PV1,HLFS,37)=$$GET1^DIQ(356.01,Z_",",.01)
.S Z=+$P(NODE7,U,4) S:Z $P(PV1,HLFS,19)=$$GET1^DIQ(356.011,Z_",",.01)
.S HCT=HCT+1,^TMP("HLS",$J,HCT)=PV1
.Q
Q
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBTRHLO 13655 printed Sep 23, 2025@20:04:49 Page 2
IBTRHLO ;ALB/YMG - Create and send 278 inquiry ;02-JUN-2014
+1 ;;2.0;INTEGRATED BILLING;**517**;21-MAR-94;Build 240
+2 ;;Per VA Directive 6402, this routine should not be modified.
+3 ;
+4 QUIT
+5 ;
EN(IBTRIEN,MSGTYPE) ; entry point
+1 ; IBTRIEN - ien in file 356.22
+2 ; MSGTYPE - 1 for 215, 0 or null for 217
+3 ;
+4 ; not a valid file 356.22 ien
IF +$GET(IBTRIEN)'>0
QUIT
+5 ;
+6 NEW CERT,DFN,ERRMSG,EVNT,HCT,HL,HLECH,HLFS,HLP,HLREP,HLRESLT,GNUM,IBTRHLP,IEN312,IEN36,IEN3553,INPAT,INSNODE0,INSNODE3,MSGOK
+7 NEW NODE0,NODE2,NODE4,NODE5,NODE6,NODE7,NODE8,NODE9,NODE10,NODE17,NODE18,NOWDT,PREL,REQCAT,SITEIEN
+8 ;
+9 SET MSGTYPE=+$GET(MSGTYPE)
+10 SET ERRMSG=""
+11 SET SITEIEN=$PIECE($$SITE^VASITE(),U)
+12 IF SITEIEN'>0
SET ERRMSG="Invalid IEN for the site in file 4: "_SITEIEN
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
QUIT
+13 SET NODE0=$GET(^IBT(356.22,IBTRIEN,0))
+14 IF NODE0=""
SET ERRMSG="Blank node 0 in file 356.22, IEN: "_IBTRIEN
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
QUIT
+15 IF +$PIECE(NODE0,U,13)>0
IF 'MSGTYPE
SET ERRMSG="This is a response entry in file 356.22, IEN: "_IBTRIEN
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
QUIT
+16 SET DFN=+$PIECE(NODE0,U,2)
+17 IF DFN'>0
SET ERRMSG="Invalid pointer to file 2: "_DFN
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
QUIT
+18 SET IEN312=+$PIECE(NODE0,U,3)
+19 IF IEN312'>0
SET ERRMSG="Invalid pointer to sub-file 2.312: "_IEN312
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
QUIT
+20 ; 0-node in file 2.312
SET INSNODE0=$GET(^DPT(DFN,.312,IEN312,0))
+21 ; 3-node in file 2.312
SET INSNODE3=$GET(^DPT(DFN,.312,IEN312,3))
+22 ; file 355.3 ien
SET IEN3553=+$PIECE(INSNODE0,U,18)
+23 SET IEN36=+$PIECE(INSNODE0,U)
+24 IF IEN36'>0
SET ERRMSG="Invalid pointer to file 36: "_IEN36
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
QUIT
+25 ; group number
SET GNUM=$SELECT(IEN3553>0:$$GET1^DIQ(355.3,IEN3553_",",.04),1:"")
+26 ; pat. relationship to insured
SET PREL=$PIECE($GET(^DPT(DFN,.312,IEN312,4)),U,3)
+27 ;
+28 SET NODE2=$GET(^IBT(356.22,IBTRIEN,2))
+29 SET NODE4=$GET(^IBT(356.22,IBTRIEN,4))
+30 SET NODE5=$GET(^IBT(356.22,IBTRIEN,5))
+31 SET NODE6=$GET(^IBT(356.22,IBTRIEN,6))
+32 SET NODE7=$GET(^IBT(356.22,IBTRIEN,7))
+33 SET NODE8=$GET(^IBT(356.22,IBTRIEN,8))
+34 SET NODE9=$GET(^IBT(356.22,IBTRIEN,9))
+35 SET NODE10=$GET(^IBT(356.22,IBTRIEN,10))
+36 SET NODE17=$GET(^IBT(356.22,IBTRIEN,17))
+37 SET NODE18=$GET(^IBT(356.22,IBTRIEN,18))
+38 ;
+39 ; request category
SET REQCAT=$$GET1^DIQ(356.001,+$PIECE(NODE2,U)_",",.01)
+40 ; certification type code
SET CERT=$$GET1^DIQ(356.002,+$PIECE(NODE2,U,2)_",",.01)
+41 ; 1 if inpatient, 0 if outpatient
SET INPAT=$SELECT($PIECE(NODE0,U,4)="I":1,1:0)
+42 ; Initialize HL7 variables
+43 KILL ^TMP("HLS",$JOB)
+44 SET IBTRHLP="IBTR HCSR OUT"
+45 ; HL7 init
DO INIT^HLFNC2(IBTRHLP,.HL)
+46 SET HLFS=HL("FS")
SET HLECH=$EXTRACT(HL("ECH"),1)
SET HLREP=$EXTRACT(HL("ECH"),2)
SET HL("SAF")=$PIECE($$SITE^VASITE,U,2,3)
SET HCT=0
+47 ; determine event reason code
+48 IF 'MSGTYPE
Begin DoDot:1
+49 ; request category = "HS" (Health Services), "AR" (Admission), or "SC" (Specialty Care) -> event code = 13 (Request)
IF REQCAT'="IN"
SET EVNT="13"
QUIT
+50 ; request category = "IN" (Individual) and certification type = 3 (Cancel) -> event code = 01 (Cancel)
IF CERT=3
SET EVNT="01"
QUIT
+51 ; request category = "IN" (Individual) and certification type '= 3 (other than Cancel) -> event code = 36 (Authority To Deduct)
SET EVNT=36
+52 QUIT
End DoDot:1
+53 ; always 28 for 215 message
IF MSGTYPE
SET EVNT="28"
+54 SET NOWDT=$$NOW^XLFDT()
+55 SET MSGOK=1
+56 DO EVN
+57 ; failed to create IN1 segment
DO IN1
IF 'MSGOK
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
GOTO ENX
+58 ; failed to create PRD segment
DO PRD
IF 'MSGOK
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
GOTO ENX
+59 DO CTD
DO PRD2
+60 ; failed to create GT1 segment
DO GT1
IF 'MSGOK
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
GOTO ENX
+61 ; failed to create PID segment
DO PID
IF 'MSGOK
DO HLER^IBTRHLO2(IBTRIEN,ERRMSG)
GOTO ENX
+62 DO G2RPRB
DO AUT^IBTRHLO1
DO ZTP
DO DG1
+63 IF 'MSGTYPE
DO ZHS^IBTRHLO2
DO PV1
DO OBR^IBTRHLO1
DO G2ORXA^IBTRHLO1
DO RXE^IBTRHLO1
DO PRB^IBTRHLO1
DO PSL^IBTRHLO1
DO NTE^IBTRHLO2
+64 DO G3OPRD^IBTRHLO1
DO G5OPRB^IBTRHLO1
+65 DO GENERATE^HLMA(IBTRHLP,"GM",1,.HLRESLT,"",.HLP)
+66 ; If not successful
+67 IF $PIECE(HLRESLT,U,2)]""
DO HLER^IBTRHLO2(IBTRIEN,$PIECE(HLRESLT,U,2,99))
QUIT
+68 ; If successful
+69 DO HLSC^IBTRHLO2(IBTRIEN,NOWDT,HLRESLT)
+70 ;
ENX ;
+1 KILL ^TMP("HLS",$JOB)
+2 QUIT
+3 ;
EVN ; create EVN segment
+1 NEW EVN
+2 SET EVN="EVN"_HLFS_HLFS_$$HLDATE^HLFNC(NOWDT)_HLFS_HLFS_EVNT
+3 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=EVN
+4 QUIT
+5 ;
IN1 ; create IN1 segment
+1 NEW IDTYPE,IENS,IN1,INSNAME,PAYER,PAYID,PNODE0,RELINFO,TMP
+2 SET PAYID=""
SET IENS=IEN36_","
+3 SET INSNAME=$$GET1^DIQ(36,IENS,.01)
+4 ; file 365.12 ien
SET PAYER=+$$GET1^DIQ(36,IENS,3.1,"I")
+5 IF PAYER'>0
SET MSGOK=0
SET ERRMSG="Unable to create IN1 segment - insurance company "_INSNAME_" is not linked to a payer"
QUIT
+6 ; get payer id from file 36
+7 SET IDTYPE="PI"
SET PAYID=$$GET1^DIQ(36,IENS,7.01)
+8 ; if no id in file 36, try to get VA national id
+9 ; VA national id
IF PAYID=""
SET PNODE0=$GET(^IBE(365.12,PAYER,0))
SET PAYID=$PIECE(PNODE0,U,2)
+10 ; if no VA national id either, try to get CMS national id
+11 IF PAYID=""
SET PAYID=$PIECE(PNODE0,U,3)
SET IDTYPE="XV"
+12 ; if still no id, bail out
+13 IF PAYID=""
SET MSGOK=0
SET ERRMSG="Unable to create IN1 segment - missing payer ID"
QUIT
+14 SET RELINFO=$PIECE(NODE2,U,16)
+15 SET TMP=$$ENCHL7^IBCNEHLQ(INSNAME)
+16 ; get HPID, relies on patch IB*2.0*519
+17 SET $PIECE(TMP,HLECH,3)=$$HPD^IBCNHUT1(IEN36)
+18 SET IN1="IN1"_HLFS_"1"_HLFS_"PLAN ID"_HLFS_$$ENCHL7^IBCNEHLQ(PAYID)_HLECH_HLECH_HLECH_HLECH_IDTYPE_HLFS_TMP
+19 SET $PIECE(IN1,HLFS,28)=RELINFO
+20 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=IN1
+21 QUIT
+22 ;
PRD ; create PRD segment (X12: NM1, 2010B)
+1 NEW ADDR1,ADDR2,PRD,REQDATA
+2 SET REQDATA=$$PRVDATA^IBTRHLO2(SITEIEN,4)
+3 IF $TRANSLATE(REQDATA,U)=""
SET MSGOK=0
SET ERRMSG="Unable to create prd segment - missing name/address data in INSTITUTION file."
QUIT
+4 SET ADDR1=$PIECE(REQDATA,U,2,3)
SET ADDR2=$PIECE(REQDATA,U,4,6)
+5 SET PRD="PRD"_HLFS_HLECH_HLECH_HLECH_"NM1 2010B"_HLFS_$$ENCHL7^IBCNEHLQ($PIECE(REQDATA,U))
+6 SET PRD=PRD_HLFS_$$ENCHL7^IBCNEHLQ($PIECE($$HLADDR^HLFNC(ADDR1,ADDR2),HLECH,1,5))
+7 SET $PIECE(PRD,HLFS,8)=$$ENCHL7^IBCNEHLQ($PIECE(REQDATA,U,7))
+8 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PRD
+9 QUIT
+10 ;
CTD ; create CTD segment
+1 NEW CTD,COMMSTR,IEN200,NAME,NODE19,QUAL,TMP,VALUE,Z
+2 SET IEN200=+$PIECE(NODE0,U,11)
IF IEN200'>0
QUIT
+3 SET NAME=$$GET1^DIQ(200,IEN200_",",.01)
IF NAME=""
QUIT
+4 SET NODE19=$GET(^IBT(356.22,IBTRIEN,19))
+5 SET COMMSTR=""
FOR Z="20^2^19.01","21^3^19.02","22^4^19.03"
Begin DoDot:1
+6 SET QUAL=$PIECE(NODE19,U,$PIECE(Z,U,2))
IF QUAL=""
QUIT
+7 SET QUAL=$$EXTERNAL^DILFD(356.22,$PIECE(Z,U,3),,QUAL)
+8 SET VALUE=$GET(^IBT(356.22,IBTRIEN,$PIECE(Z,U)))
IF VALUE=""
QUIT
+9 ; strip punctuation if phone #
IF "^FX^HP^TE^WP^"[(U_QUAL_U)
SET VALUE=$$NOPUNCT^IBCEF(VALUE,1)
+10 SET $PIECE(TMP,HLECH,2)=QUAL
SET $PIECE(TMP,HLECH,8)=$$ENCHL7^IBCNEHLQ(VALUE)
+11 SET COMMSTR=$SELECT(COMMSTR="":TMP,1:COMMSTR_HLREP_TMP)
+12 QUIT
End DoDot:1
+13 SET CTD="CTD"_HLFS_"PER 2010B"_HLFS_$$ENCHL7^IBCNEHLQ(NAME)
+14 SET $PIECE(CTD,HLFS,6)=COMMSTR
+15 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=CTD
+16 QUIT
+17 ;
PRD2 ; create PRD segment (X12: PRV, 2010B)
+1 NEW PRD,TXNM
+2 SET TXNM=$PIECE($$TAXORG^XUSTAX(SITEIEN),U)
IF TXNM=""
QUIT
+3 SET PRD="PRD"_HLFS_HLECH_HLECH_HLECH_"PRV 2010B"
+4 SET $PIECE(PRD,HLFS,8)=$$ENCHL7^IBCNEHLQ(TXNM)
+5 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PRD
+6 QUIT
+7 ;
GT1 ; create GT1 segment
+1 NEW ADDR1,ADDR2,GT1,SID1,SID2,SIDSTR,NAME
+2 SET SID1=$PIECE(INSNODE0,U,2)
IF SID1=""
SET MSGOK=0
SET ERRMSG="Unable to create GT1 segment - missing primary subscriber ID"
QUIT
+3 SET NAME=$PIECE(INSNODE0,U,17)
IF NAME=""
SET MSGOK=0
SET ERRMSG="Unable to create GT1 segment - missing name of insured"
QUIT
+4 ; secondary subscriber id is a group number
SET SID2=GNUM
+5 SET SIDSTR=$$ENCHL7^IBCNEHLQ(SID1)
IF SID2'=""
SET SIDSTR=SIDSTR_HLREP_$$ENCHL7^IBCNEHLQ(SID2)_HLECH_HLECH_HLECH_HLECH_"6P"
+6 SET GT1="GT1"_HLFS_"1"_HLFS_SIDSTR_HLFS_$$ENCHL7^IBCNEHLQ($$HLNAME^HLFNC(NAME))_HLFS_HLFS
+7 IF 'MSGTYPE
IF $PIECE(INSNODE3,U,6)'=""
IF $PIECE(INSNODE3,U,8)'=""
Begin DoDot:1
+8 SET ADDR1=$PIECE(INSNODE3,U,6,7)
SET ADDR2=$PIECE(INSNODE3,U,8,10)
+9 ; subscriber address
SET $PIECE(GT1,HLFS,6)=$$ENCHL7^IBCNEHLQ($PIECE($$HLADDR^HLFNC(ADDR1,ADDR2),HLECH,1,5))
+10 QUIT
End DoDot:1
+11 ; subscriber dob
SET $PIECE(GT1,HLFS,9)=$$HLDATE^HLFNC($PIECE(INSNODE3,U))
+12 ; subscriber sex
IF 'MSGTYPE
SET $PIECE(GT1,HLFS,10)=$PIECE(INSNODE3,U,12)
+13 ; relationship to insured
IF 'MSGTYPE
IF PREL'="18"
SET $PIECE(GT1,HLFS,49)=$SELECT(".01.19."[("."_PREL_"."):PREL,1:"G8")
+14 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=GT1
+15 QUIT
+16 ;
PID ; create PID segment
+1 NEW IDSTR,PID,TMP,VAFSTR
+2 ; patient relationship is "self"
IF PREL="18"
QUIT
+3 IF GNUM=""
SET MSGOK=0
SET ERRMSG="Unable to create PID segment - missing group number"
QUIT
+4 SET VAFSTR="7,8,11,"
+5 SET PID=$$EN^VAFHLPID(DFN,VAFSTR)
+6 SET TMP=$PIECE(PID,HLFS,12)
+7 IF $PIECE(TMP,HLECH,2)=""""""
SET $PIECE(TMP,HLECH,2)=""
SET $PIECE(PID,HLFS,12)=TMP
+8 SET IDSTR=$$ENCHL7^IBCNEHLQ(GNUM)
SET $PIECE(IDSTR,HLECH,4)="EJ"
+9 SET $PIECE(PID,HLFS,4)=IDSTR
+10 SET $PIECE(PID,HLFS,6)=$$ENCHL7^IBCNEHLQ($PIECE(PID,HLFS,6))
+11 IF MSGTYPE
SET $PIECE(PID,HLFS,9)=""
+12 SET $PIECE(PID,HLFS,12)=$SELECT('MSGTYPE:$$ENCHL7^IBCNEHLQ($PIECE(PID,HLFS,12)),1:"")
+13 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PID
+14 QUIT
+15 ;
G2RPRB ; create G2R.PRB segment (G2R segment group)
+1 NEW PRB,Z
+2 ; missing certification type code
IF CERT=""
QUIT
+3 SET PRB="PRB"_HLFS_"CO"_HLFS_$$HLDATE^HLFNC(DT)_HLFS_CERT_HLFS_"1"_HLFS_"UM 2000E"
+4 SET $PIECE(PRB,HLFS,12)=REQCAT_HLREP_$$GET1^DIQ(365.013,+$PIECE(NODE2,U,3)_",",.01)
+5 IF 'MSGTYPE
Begin DoDot:1
+6 SET $PIECE(PRB,HLFS,11)=$PIECE(NODE2,U,8)_HLECH_$PIECE(NODE2,U,9)_HLECH_HLECH_$PIECE(NODE2,U,10)
+7 SET $PIECE(PRB,HLFS,15)=$$GET1^DIQ(356.003,+$PIECE(NODE2,U,14)_",",.01)
+8 SET $PIECE(PRB,HLFS,19)=$PIECE(NODE2,U,13)
+9 SET Z=$$GET1^DIQ(356.004,+$PIECE(NODE2,U,15)_",",.01)
+10 SET $PIECE(Z,HLECH,5)=$$GET1^DIQ(356.005,+$PIECE(NODE2,U,17)_",",.01)
+11 SET $PIECE(PRB,HLFS,23)=Z
+12 QUIT
End DoDot:1
+13 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PRB
+14 DO G2RPV1
+15 QUIT
+16 ;
G2RPV1 ; create G2R.PV1 segment (G2R segment group)
+1 NEW PV1,QUAL,Z
+2 SET QUAL=$PIECE(NODE2,U,4)
IF QUAL=""
QUIT
+3 SET Z=$SELECT(QUAL="A":$PIECE(NODE2,U,6)_$PIECE(NODE2,U,7),1:$$GET1^DIQ(353.1,+$PIECE(NODE2,U,5)_",",.01))
+4 SET $PIECE(Z,HLECH,6)=QUAL
+5 SET PV1="PV1"_HLFS_HLFS_"U"_HLFS_Z
+6 IF 'MSGTYPE
Begin DoDot:1
+7 SET $PIECE(PV1,HLFS,11)=$$GET1^DIQ(5,+$PIECE(NODE2,U,11)_",",1)
+8 SET Z=""
SET $PIECE(Z,HLECH,9)=$$GET1^DIQ(779.004,+$PIECE(NODE2,U,12)_",",.01)
+9 if $PIECE(Z,HLECH,9)'="USA"
SET $PIECE(PV1,HLFS,12)=Z
+10 QUIT
End DoDot:1
+11 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+12 QUIT
+13 ;
ZTP ; create ZTP segments
+1 NEW DATA,Z,Z1,ZTP
+2 SET Z=$PIECE(NODE0,U,7)
IF Z'=""
Begin DoDot:1
+3 SET Z1="AAH"
IF INPAT
IF REQCAT="AR"
SET Z1="435"
+4 ; admission / appointment date
SET DATA(Z1)=$SELECT(Z["-":$$HLDATE^HLFNC($PIECE($PIECE(Z,"-"),"."))_HLECH_$$HLDATE^HLFNC($PIECE($PIECE(Z,"-",2),".")),1:$$HLDATE^HLFNC($PIECE(Z,".")))
+5 QUIT
End DoDot:1
+6 ; accident date
SET Z=$PIECE(NODE2,U,18)
IF Z'=""
SET DATA("439")=$$HLDATE^HLFNC($PIECE(Z,"."))
+7 IF 'MSGTYPE
Begin DoDot:1
+8 ; last menstrual period date
SET Z=$PIECE(NODE2,U,19)
IF Z'=""
SET DATA("484")=$$HLDATE^HLFNC($PIECE(Z,"."))
+9 ; estimated DOB
SET Z=$PIECE(NODE2,U,20)
IF Z'=""
SET DATA("ABC")=$$HLDATE^HLFNC(Z)
+10 ; illness date
SET Z=$PIECE(NODE2,U,21)
IF Z'=""
SET DATA("431")=$$HLDATE^HLFNC(Z)
+11 QUIT
End DoDot:1
+12 ; the following date is for "Admission Review" request category only
+13 ; discharge date
IF INPAT
IF REQCAT="AR"
SET Z=$PIECE(NODE2,U,22)
if Z'=""
SET DATA("096")=$$HLDATE^HLFNC($PIECE(Z,"."))
+14 ;
+15 SET Z=""
FOR
SET Z=$ORDER(DATA(Z))
if Z=""
QUIT
Begin DoDot:1
+16 SET ZTP="ZTP"_HLFS_"1"_HLFS_Z_HLFS_DATA(Z)_HLFS_"DTP 2000E"
+17 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=ZTP
+18 QUIT
End DoDot:1
+19 QUIT
+20 ;
DG1 ; create DG1 segments
+1 NEW DG1,DIAG,NODE0,SEQ,Z
+2 SET (SEQ,Z)=0
FOR
SET Z=$ORDER(^IBT(356.22,IBTRIEN,3,Z))
if Z=""!(Z?1.A)
QUIT
Begin DoDot:1
+3 ; 0-node of sub-file 356.223
SET NODE0=$GET(^IBT(356.22,IBTRIEN,3,Z,0))
IF NODE0=""
QUIT
+4 ; only allow up to 12 DG1 segments
SET SEQ=SEQ+1
IF SEQ>12
QUIT
+5 ; only allow 1 DG1 segment in 215 message
IF MSGTYPE
IF SEQ>1
QUIT
+6 ; invalid diagnosis code
SET DIAG=$TRANSLATE($$EXTERNAL^DILFD(356.223,.02,,$PIECE(NODE0,U,2)),".")
IF DIAG=""
QUIT
+7 SET DG1="DG1"_HLFS_SEQ_HLFS_HLFS_$$ENCHL7^IBCNEHLQ(DIAG)_HLFS_HLFS_$SELECT('MSGTYPE:$$HLDATE^HLFNC($PIECE(NODE0,U,3)),1:"")_HLFS_"W"
+8 SET $PIECE(DG1,HLFS,18)=$$GET1^DIQ(356.006,+$PIECE(NODE0,U)_",",.01)
+9 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=DG1
+10 QUIT
End DoDot:1
+11 QUIT
+12 ;
PV1 ; create PV1 segments
+1 NEW CNDSTR,PC,PV1,Z
+2 SET PV1="PV1"_HLFS_HLFS_HLFS_"CRC 2000E"
SET CNDSTR=""
+3 ; at least one ambulance cert. condition exists
IF +$PIECE(NODE4,U,10)
Begin DoDot:1
+4 SET CNDSTR=$PIECE(NODE4,U,9)
+5 FOR PC=10:1:14
SET Z=+$PIECE(NODE4,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+6 SET $PIECE(PV1,HLFS,3)="07"
+7 SET $PIECE(PV1,HLFS,16)=CNDSTR
+8 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+9 QUIT
End DoDot:1
+10 ; at least one chiropractic cert. condition exists
IF +$PIECE(NODE5,U,2)
Begin DoDot:1
+11 SET CNDSTR=$PIECE(NODE5,U)
+12 FOR PC=2:1:6
SET Z=+$PIECE(NODE5,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+13 SET $PIECE(PV1,HLFS,3)="08"
+14 SET $PIECE(PV1,HLFS,16)=CNDSTR
+15 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+16 QUIT
End DoDot:1
+17 ; at least one DME cert. condition exists
IF +$PIECE(NODE5,U,8)
Begin DoDot:1
+18 SET CNDSTR=$PIECE(NODE5,U,7)
+19 FOR PC=8:1:12
SET Z=+$PIECE(NODE5,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+20 SET $PIECE(PV1,HLFS,3)="09"
+21 SET $PIECE(PV1,HLFS,16)=CNDSTR
+22 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+23 QUIT
End DoDot:1
+24 ; at least one oxygen cert. condition exists
IF +$PIECE(NODE5,U,14)
Begin DoDot:1
+25 SET CNDSTR=$PIECE(NODE5,U,13)
+26 FOR PC=14:1:18
SET Z=+$PIECE(NODE5,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+27 SET $PIECE(PV1,HLFS,3)="11"
+28 SET $PIECE(PV1,HLFS,16)=CNDSTR
+29 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+30 QUIT
End DoDot:1
+31 ; at least one functional limit cert. condition exists
IF +$PIECE(NODE6,U,2)
Begin DoDot:1
+32 SET CNDSTR=$PIECE(NODE6,U)
+33 FOR PC=2:1:6
SET Z=+$PIECE(NODE6,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+34 SET $PIECE(PV1,HLFS,3)="75"
+35 SET $PIECE(PV1,HLFS,16)=CNDSTR
+36 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+37 QUIT
End DoDot:1
+38 ; at least one activities cert. condition exists
IF +$PIECE(NODE6,U,8)
Begin DoDot:1
+39 SET CNDSTR=$PIECE(NODE6,U,7)
+40 FOR PC=8:1:12
SET Z=+$PIECE(NODE6,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+41 SET $PIECE(PV1,HLFS,3)="76"
+42 SET $PIECE(PV1,HLFS,16)=CNDSTR
+43 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+44 QUIT
End DoDot:1
+45 ; at least one mental status cert. condition exists
IF +$PIECE(NODE6,U,14)
Begin DoDot:1
+46 SET CNDSTR=$PIECE(NODE6,U,13)
+47 FOR PC=14:1:18
SET Z=+$PIECE(NODE6,U,PC)
if Z
SET CNDSTR=CNDSTR_HLREP_$$GET1^DIQ(356.008,Z_",",.01)
+48 SET $PIECE(PV1,HLFS,3)="77"
+49 SET $PIECE(PV1,HLFS,16)=CNDSTR
+50 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+51 QUIT
End DoDot:1
+52 ; inpatient, admission data exists
IF INPAT
IF $TRANSLATE($PIECE(NODE7,U,1,4),U)'=""
Begin DoDot:1
+53 SET PV1="PV1"_HLFS_HLFS_HLFS_"CL1 2000E"_HLFS_$PIECE(NODE7,U)
+54 SET Z=+$PIECE(NODE7,U,2)
if Z
SET $PIECE(PV1,HLFS,15)=$$GET1^DIQ(356.009,Z_",",.01)
+55 SET Z=+$PIECE(NODE7,U,3)
if Z
SET $PIECE(PV1,HLFS,37)=$$GET1^DIQ(356.01,Z_",",.01)
+56 SET Z=+$PIECE(NODE7,U,4)
if Z
SET $PIECE(PV1,HLFS,19)=$$GET1^DIQ(356.011,Z_",",.01)
+57 SET HCT=HCT+1
SET ^TMP("HLS",$JOB,HCT)=PV1
+58 QUIT
End DoDot:1
+59 QUIT
