Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: SDSCAPI

SDSCAPI.m

Go to the documentation of this file.
  1. SDSCAPI ;ALB/JDS/JAM/RBS - Automated Service Connection Designation Review ; 4/16/07 10:39am
  1. ;;5.3;Scheduling;**495**;Aug 13, 1993;Build 50
  1. ;;MODIFIED FOR NATIONAL RELEASE from a Class III software product
  1. ;;known as Service Connected Automated Monitoring (SCAM).
  1. ;
  1. ; Routine should be called at specified tags only.
  1. Q
  1. SC(SDFN,SDXS,SDENC,SDVST) ; Determine if SC based on DXS codes
  1. ; Input:
  1. ; SDFN = Patient ien, file #2 [Required, if SDENC or SDVST undefined]
  1. ; SDXS = Diagnosis code array [Optional, if SDENC defined]
  1. ; SDENC = Encounter ien, file #409.68 [Optional]
  1. ; SDVST = Visit ien, field #9000010 [Optional]
  1. ;
  1. ; Output:
  1. ; $$SDFILEOK = (4 piece data string ^ delimited)
  1. ; (SC flag^SC description^VBA/ICD9 match^ASCD Review)
  1. ; SC flag: 1-SC, 0-NSC, ""-could not be determined
  1. ; SC description: SC or NSC
  1. ; VBA/ICD9 match: 1-yes, 0-no
  1. ; ASCD: 1-send to review, 0-don't send to review
  1. ;
  1. N SDOE0,SDFILEOK,SDOEDAT,SDKILL
  1. S SDENC=+$G(SDENC),SDFILEOK=""
  1. I 'SDENC S SDENC=+$O(^SCE("AVSIT",+$G(SDVST),0))
  1. I SDENC S SDOE0=$$GETOE^SDOE(SDENC)
  1. S SDOEDAT=$S(SDENC:+SDOE0,+$G(SDVST):+$G(^AUPNVSIT(SDVST,0)),1:DT)
  1. ; Get patient. If no patient, quit.
  1. I '$G(SDFN) S SDFN=$S(SDENC:$P(SDOE0,U,2),+$G(SDVST):$P($G(^AUPNVSIT(SDVST,0)),U,5),1:"")
  1. I '$G(SDFN) Q SDFILEOK
  1. ; diagnosis codes present
  1. I $O(SDXS(0)) D OPT3 Q SDFILEOK
  1. I 'SDENC Q SDFILEOK
  1. D OPT2 I $D(SDKILL) K SDXS
  1. Q SDFILEOK
  1. ;
  1. OPT2 ; enter with no DXS defined; get ICD9 for visit/encounter
  1. N SCDXS
  1. K SDXS
  1. I '+$G(SDENC) Q
  1. D GETDX^SDOE(SDENC,"SCDXS")
  1. S SDXS=0 F S SDXS=$O(SCDXS(SDXS)) Q:'SDXS S SDXS(+SCDXS(SDXS))=""
  1. I $O(SDXS(0))="" Q
  1. S SDKILL=1
  1. OPT3 ; enter with DXS defined
  1. N I,SDRD,SDRDIEN,SD31,ICDMCH,SDMCH,FL,SDARR
  1. ; Patient has no rated disabilities
  1. D RDIS^DGRPDB(SDFN,.SDARR)
  1. I '$D(SDARR) S SDFILEOK="1^SC^0^1" Q
  1. ; Patient has rated disabilities
  1. S (SDRD,FL)=0
  1. F S SDRD=$O(SDARR(SDRD)) Q:'SDRD D
  1. .S SDRDIEN=$P(SDARR(SDRD),U) Q:SDRDIEN=""
  1. .; Get code from eligibility file.
  1. .S I=0,SD31=$G(^DIC(31,SDRDIEN,0)) Q:SD31=""
  1. .; Get partial or true match on ICD9 code
  1. .F S I=$O(SDXS(I)) Q:'I D
  1. ..S SDMCH=$$MATCH(SDRDIEN,I,SDOEDAT,SDENC),ICDMCH(SDMCH)=""
  1. ; locate entry in the following priority order -
  1. F I="1^SC^1^0","1^SC^1^1","0^NSC^0^1","1^SC^0^1" I $D(ICDMCH(I)) S SDFILEOK=I Q
  1. Q
  1. ;
  1. STORE ; Save the information for this encounter.
  1. N SDSC,SDIEN,SDERR
  1. S SDIEN(1)=SDENC
  1. S SDSC(409.48,"+1,",.01)=SDENC
  1. S SDSC(409.48,"+1,",.04)=DT
  1. S SDSC(409.48,"+1,",.07)=+SDOE0
  1. S SDSC(409.48,"+1,",.08)=SDPRV
  1. S SDSC(409.48,"+1,",.09)=$P(SDFILEOK,U,3)
  1. S SDSC(409.48,"+1,",.11)=$P(SDOE0,U,2)
  1. S SDSC(409.48,"+1,",.12)=$P(SDOE0,U,11)
  1. S SDSC(409.48,"+1,",.05)="N"
  1. S SDSC(409.48,"+1,",.13)=SDOSC
  1. D UPDATE^DIE("","SDSC","SDIEN","SDERR")
  1. I $D(SDERR) S ERR=1
  1. Q
  1. ST(SDENC,SDXS) ;Reviews the diagnosis codes for an encounter and then
  1. ;determines whether or not to file, or delete the record from the
  1. ;ASCD file, SDSC SERVICE CONNECTED CHANGES (#409.48).
  1. ;
  1. ; Input: SDENC = Encounter ien, file (#409.68) [Required]
  1. ; SDXS = Diagnosis code array [Optional]
  1. ;
  1. ; Output: $$ST value
  1. ; 0 = not filed for additional review
  1. ; 1 = filed for additional review
  1. ; 2 = deleted from (#409.48) file
  1. ;
  1. N SDLIST,SDOE0,SDEL,SDOEDAT,SDPRV,SDFN,SDFILEOK,ERR,SCVAL,SDCLIN,SDSTP
  1. N SDPAT,SDCST,SDKILL,SDV0,SDOSC,SDOEDT
  1. I '$G(SDENC) Q 0
  1. S SDOE0=$$GETOE^SDOE(SDENC) I SDOE0="" Q 0
  1. ;quit if child encounter
  1. I $P(SDOE0,U,6) Q 0
  1. S SDV0=$P(SDOE0,U,5),SDOSC=$$GET1^DIQ(9000010,SDV0_",",80001,"I")
  1. S SDPRV=$$PRIMVPRV^PXUTL1(SDV0),SDEL=$P(SDOE0,U,13),SCVAL=0
  1. S (SDOEDAT,SDOEDT)=+SDOE0,(SDFILEOK,ERR)=0,SDCLIN=$P(SDOE0,U,4)
  1. S SDCST=$P(SDOE0,U,3),(SDFN,SDPAT)=$P(SDOE0,U,2)
  1. ;no patient
  1. I 'SDPAT Q 0
  1. ;no clinic
  1. I 'SDCLIN Q 0
  1. ;no stop code
  1. I 'SDCST Q 0
  1. ;no visit SC value
  1. I SDOSC="" Q 0
  1. ;not checked-out
  1. I $P(SDOE0,U,12)'=2 Q 0
  1. ;check for non-count
  1. I $$NCTCL^SDSCUTL(SDCLIN) Q 0
  1. ;no eligibility
  1. I SDEL="" Q 0
  1. ;If eligibility is not service connected, quit.
  1. D ELIG I '$D(SDLIST(SDEL)) Q 0
  1. ;if non-billable for first and third party, quit
  1. I $$NBFP^SDSCUTL(SDENC),$$NBTP^SDSCUTL(SDENC) Q 0
  1. D
  1. .I $O(SDXS(0)) D OPT3 Q
  1. .D OPT2 I $D(SDKILL) K SDXS
  1. I SDFILEOK="" Q 0
  1. ;File encounter in ASCD if it does not exist
  1. I $P(SDFILEOK,U,4),'$D(^SDSC(409.48,SDENC,0)) D STORE Q 'ERR
  1. I '$P(SDFILEOK,U,4) D Q SCVAL
  1. .;Set for review if Visit SC is different from ASCD
  1. .I SDOSC'=$P(SDFILEOK,U) Q:$D(^SDSC(409.48,SDENC,0)) D STORE S SCVAL='ERR Q
  1. .;Remove encounter from ASCD if no review needed
  1. .N DA,DIK
  1. .I $D(^SDSC(409.48,SDENC,0)) S DA=SDENC,DIK="^SDSC(409.48," D ^DIK S SCVAL=2
  1. Q 0
  1. ELIG ;Compile list of service connected eligibility codes
  1. N I,J
  1. F I=1,3 S J=0 F S J=$O(^DIC(8,"D",I,J)) Q:'J S SDLIST(J)=""
  1. Q
  1. MATCH(SDIEN31,SDXIEN,SDATE,SDENC) ;ICD9 matching code
  1. ; - api should be changed to lexicon in next version
  1. ; Input:
  1. ; SDIEN31 = File #31 [Required]
  1. ; SDXIEN = Diagnosis code ien, file #80 [Required]
  1. ; SDATE = Encounter date, [Optional] [Required for lexicon]
  1. ; SDENC = Encounter ien, file #409.68 [Required]
  1. ;
  1. ; Output:
  1. ; $$SDFILEOK = (4 piece data string ^ delimited)
  1. ; (SC flag^SC description^VBA/ICD9 match^ASCD Review)
  1. ; SC flag: 1-SC, 0-NSC, ""-could not be determined
  1. ; SC description: SC or NSC
  1. ; VBA/ICD9 match: 1-yes, 0-no
  1. ; ASCD: 1-send to review, 0-don't send to review
  1. ;
  1. N SDMCH,SDXIEN1,SDXLVL,SDPDX
  1. I '$D(^DIC(31,SDIEN31,"ICD")) Q "1^SC^0^1"
  1. I '$D(^DIC(31,SDIEN31,"ICD","B",SDXIEN)) Q "0^NSC^0^1"
  1. S SDXIEN1=$O(^DIC(31,SDIEN31,"ICD","B",SDXIEN,0))
  1. S SDXLVL=$G(^DIC(31,SDIEN31,"ICD",+SDXIEN1,0)),SDMCH=+$P(SDXLVL,U,2)
  1. I ('SDXIEN1)!(SDXLVL="") Q "0^NSC^0^1"
  1. D GETPDX^SDOERPC(.SDPDX,SDENC)
  1. Q $S(SDMCH&(SDPDX=SDXIEN):"1^SC^1^0",1:"1^SC^1^1")