VistA-FOIAVistA/r/INCOME_VERIFICATION_MATCH-IVM/IVMCM.m

265 lines
9.4 KiB
Mathematica

IVMCM ;ALB/SEK,KCL,RTK,AEG,BRM,AEG - PROCESS INCOME TEST (Z10) TRANSMISSIONS ; 04/23/03 1:43pm
;;2.0;INCOME VERIFICATION MATCH;**12,17,28,41,44,53,34,49,59,55,63,77,74,123**;21-OCT-94;Build 6
;
;
ORF ; Handler for ORF type HL7 messages received from HEC
;
; Make sure POSTMASTER DUZ instead of DUZ of Person who
; started Incoming Logical Link.
S DUZ=.5
N CNT,IVMRTN,SEGCNT
S IVMRTN="IVMCMX" ;USE "IVMCMX" BECAUSE "IVMCM" ALREADY USED
K ^TMP($J,IVMRTN),DIC
S (DGMSGF,DGMTMSG)=1 ; HL7 rtn. Don't need DG interative messages.
S HLECH=HL("ECH"),HLQ=HL("Q"),HLMID=HL("MID")
K %,%H,%I D NOW^%DTC S HLDT=%
F SEGCNT=1:1 X HLNEXT Q:HLQUIT'>0 D
. S CNT=0
. S ^TMP($J,IVMRTN,SEGCNT,CNT)=HLNODE
. F S CNT=$O(HLNODE(CNT)) Q:'CNT D
. . S ^TMP($J,IVMRTN,SEGCNT,CNT)=HLNODE(CNT)
S HLDA=HLMTIEN
;
N SEG,EVENT,MSGID
S:'$D(HLEVN) HLEVN=0
D NXTSEG^DGENUPL(HLDA,0,.SEG)
Q:(SEG("TYPE")'="MSH") ;would not have reached here if this happened!
S EVENT=$P(SEG(9),$E(HLECH),2)
;
; INITIALIZE HL7 VARIABLES
S HLEID="VAMC "_$P($$SITE^VASITE,"^",3)_" ORF-"_EVENT_" SERVER"
S HLEID=$O(^ORD(101,"B",HLEID,0))
D INIT^HLFNC2(HLEID,.HL)
S HLEIDS=$O(^ORD(101,HLEID,775,"B",0))
;
; Handle means test signature ORF (Z06) event
I EVENT="Z06" D ORF^IVMPREC7
;
; Handle income test ORF (Z10) event
I EVENT="Z10" D Z10
;
; Handle enrollment/elig. ORF (Z11) event
I EVENT="Z11" D
.S MSGID=SEG(10)
.D ORFZ11^DGENUPL(HLDA,MSGID)
;
K ^TMP($J,IVMRTN)
Q
;
;
Z10 ; Entry point for receipt of ORF~Z10 transmission
; The Income Test (Z10) transmission has the following format:
;
; BHS ORF msgs do not include batch header or trailer.
; {MSH
; PID They will include the sequence: MSA
; ZIC QRD
; ZIR QRF
; {ZDP These segments will follow the MSH segment.
; ZIC
; ZIR
; }
; {ZMT
; }
; ZBT
; }
; BTS
;
S IVMORF=1 ; set ORF msg flag
S (HLEVN,IVMCT,IVMERROR,IVMCNTR)=0 ; init vars
;
ORU ; Entry point for receipt of ORU~Z10 trans (called by IVMPREC2)
S IVMTYPE=5,IVMZ10F=1
;
; - loop through the msg in (#772 file), and process (PROC) msgs
S IVMDA=0 F S IVMDA=$O(^TMP($J,IVMRTN,IVMDA)) Q:'IVMDA S IVMSEG=$G(^(IVMDA,0)) I $E(IVMSEG,1,3)="MSH" D PROC Q:'IVMDA
;
; - if ORF msg flag, update the Query Tran Log and send ACK
I $G(IVMORF) D
.I $G(DFN),$D(IVMMCI) D
..N IVMCR
..S IVMCR=$P("1^2^3^7^5^6^4","^",IVMTYPE) ;map reason to test type
..D FIND^IVMCQ2(DFN,IVMMCI,HLDT,$S($D(HLERR):5,1:IVMCR),1)
.;D ACK^IVMPREC:'$D(HLERR)
.;N HLRESLTA,HLP
.;D GENACK^HLMA1(HLEID,HLMTIEN,HLEIDS,"LM",1,.HLRESLTA,"",.HLP)
;
; - if tests are uploaded, generate notification msg
I $D(^TMP($J,"IVMBULL")) D ^IVMCMB
;
ENQ ;
K IVMDA,IVMORF,IVMSEG,IVMFLGC,IVMTYPE,IVMMTIEN,IVMMTDT,IVMDGBT,IVMMCI
K ^TMP($J,"IVMCM"),^("IVMBULL"),DGMSGF,DGADDF,IVMCPAY,IVMBULL,DFN
K DGMTMSG,IVMZ10F
Q
;
PROC ; Process each HL7 message from (#772) file
;
N IVMFUTR,TMSTAMP,SOURCE,NODE,HSDATE,IVMZ10,DGMTP,DGMTACT,DGMTI,DGMTA
S DGMTACT="ADD"
D PRIOR^DGMTEVT
S IVMZ10="UPLOAD IN PROGRESS"
S IVMFUTR=0 ;this flag will indicate whether or not a test with a future date is being uploaded
S IVMMTIEN=0
;
S MSGID=$P(IVMSEG,HLFS,10) ; msg control id for ACK's
; - check if DCD messaging is enabled
I '$$DCDON^IVMUPAR1() D PROB^IVMCMC("Facility has DCD messaging disabled") Q
;
; - check HL7 msg structure for errors
K HLERR,^TMP($J,"IVMCM")
D ^IVMCMC I $D(HLERR) K:HLERR="" HLERR Q
;
; Determine type of test/transmission
S IVMTYPE=0
;
; - was a means test sent?
I $P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,2) S IVMTYPE=1 ; MT trans
;
; - if MT and CT transmitted, error - pt can't have both unless
; one is a deletion, but HEC not currently handling that situation
I IVMTYPE,$P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,2) D PROB^IVMCMC("Patient can not have both a Means Test and Copay Test") Q
I $P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,2) S IVMTYPE=2 ; CT trans
;
; - if no MT or CT or LTC then Income Screening
I 'IVMTYPE,'$P($G(^TMP($J,"IVMCM","ZMT4")),HLFS,2) S IVMTYPE=3 ; IS trans
;
;send an eligibility query if no eligibility code
I '$$ELIG^IVMCUF1(DFN),'$$PENDING^DGENQRY(DFN) I $$SEND^DGENQRY1(DFN)
;
; obtain locks used to sychronize upload with local income test options
D GETLOCKS^IVMCUPL(DFN)
;
;
MT ; If transmission is a Means Test
N NODE0,RET,CODE,DATA
S HLQ=$G(HL("Q"))
S:HLQ="" HLQ=""""""
I IVMTYPE=1 D I $D(HLERR) G PROCQ
.S IVMMTDT=$$FMDATE^HLFNC($P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,2))
.S TMSTAMP=$$FMDATE^HLFNC($P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,25))
.S HSDATE=$$FMDATE^HLFNC($P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,24))
.S SOURCE=$P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,22)
.S IVMLAST=$$LST^DGMTU(DFN,$E(IVMMTDT,1,3)_1231,1)
.; Check that test is for same year
.I $P(IVMLAST,U,2),$E($P(IVMLAST,U,2),1,3)'=$E(IVMMTDT,1,3) S IVMLAST=""
.I $$Z06MT^EASPTRN1(+IVMLAST) D PROB^IVMCMC("IVM Means Test already on file for this year") Q
.I '$$ELIG^IVMUFNC5(DFN) S ERRMSG="Means Test upload not appropriate for current patient"
.I $$AGE^IVMUFNC5(DT)>$$INCY^IVMUFNC5(IVMMTDT) D
..N CATCZMT S CATCZMT=$G(^TMP($J,"IVMCM","ZMT1"))
..S CATC=$$CATC^IVMUFNC5(CATCZMT)
..I '+$G(CATC) S ERRMSG="Only Means Tests in current/previous income years are valid (not effective)"
.I $G(ERRMSG)'="" D PROB^IVMCMC(ERRMSG) K ERRMSG,CATC Q
.;
.; - perform edit checks and file MT
.D CHKDT
.;deletion indicator sent?
.I $P($G(^TMP($J,"IVMCM","ZMT1")),HLFS,3)=HLQ D Q
..D
...;if there is a future test for that income year, delete that
...N IEN,DATA,IVMPAT
...S IEN=$$FUTURE(DFN,($E(IVMMTDT,1,3)-1),1,.IVMPAT)
...I IEN S DATA(.06)="" I $$UPD^DGENDBS(301.5,IVMPAT,.DATA)
...I IEN,$D(^DGMT(408.31,IEN,0)) D
....S IVMMTIEN=IEN
....S IVMFUTR=1
...E D
....S IVMFUTR=0
..Q:('IVMMTIEN)
..S NODE0=$G(^DGMT(408.31,IVMMTIEN,0))
..I $$EN^IVMCMD(IVMMTIEN) D
...S RET=$$LST^DGMTU(DFN,DT,IVMTYPE)
...S CODE=$S(($E($P(RET,"^",2),1,3)=$E(DT,1,3)):$P(RET,"^",4),1:"")
...D ADD^IVMCMB(DFN,IVMTYPE,$S(IVMFUTR:"DELETE FUTR TEST",1:"DELETE PRMRY TEST"),+$G(NODE0),$$GETCODE^DGMTH($P(NODE0,"^",3)),CODE)
.;
.;check timestamp - if matches current primary test and hardship matches, then this is a duplicate and does not need to be uploaded
.I TMSTAMP D
..S NODE=""
..I IVMFUTR N IVMMTIEN S IVMMTIEN=$$FUTURE(DFN,($E(IVMMTDT,1,3)-1),1)
..Q:'IVMMTIEN
..S NODE=$G(^DGMT(408.31,IVMMTIEN,2))
.S NODE0=$G(^DGMT(408.31,IVMMTIEN,0))
.I TMSTAMP,TMSTAMP=$P(NODE,"^",2),IVMMTDT=$P(NODE0,"^"),SOURCE=$P(NODE,"^",5),(HSDATE=$P(NODE,"^")) Q
.;
.D DELTYPE^IVMCMD(DFN,IVMMTDT,2)
.D EN^IVMCM1
;
;
CT ; If transmission is a Copay Test
N NODE0,RET,CODE,DATA
I IVMTYPE=2 D I $D(HLERR) G PROCQ
.S IVMMTDT=$$FMDATE^HLFNC($P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,2))
.S TMSTAMP=$$FMDATE^HLFNC($P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,25))
.S SOURCE=$P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,22)
.S IVMLAST=$$LST^DGMTU(DFN,$E(IVMMTDT,1,3)_1231,2)
.S IVMCPAY=$$RXST^IBARXEU(DFN)
.I $$AGE^IVMUFNC5(DT)>$$INCY^IVMUFNC5(IVMMTDT) D PROB^IVMCMC("Only Copay Tests in the current/previous income years are valid. (Not effective)") Q
.; - perform edit checks and file CT
.D CHKDT
.;deletion indicator sent?
.I $P($G(^TMP($J,"IVMCM","ZMT2")),HLFS,3)=HLQ D Q
..D
...;if there is a future test for that income year, delete that
...N IEN,DATA,IVMPAT
...S IEN=$$FUTURE(DFN,($E(IVMMTDT,1,3)-1),2,.IVMPAT)
...I IEN S DATA(.07)="" I $$UPD^DGENDBS(301.5,IVMPAT,.DATA)
...I IEN,$D(^DGMT(408.31,IEN,0)) D
....S IVMMTIEN=IEN
....S IVMFUTR=1
...E D
....S IVMFUTR=0
..Q:('IVMMTIEN)
..S NODE0=$G(^DGMT(408.31,IVMMTIEN,0))
..I $$EN^IVMCMD(IVMMTIEN) D
...S RET=$$LST^DGMTU(DFN,DT,IVMTYPE)
...S CODE=$S(($E($P(RET,"^",2),1,3)=$E(DT,1,3)):$P(RET,"^",4),1:"")
...D ADD^IVMCMB(DFN,IVMTYPE,$S(IVMFUTR:"DELETE FUTR TEST",1:"DELETE PRMRY TEST"),+$G(NODE0),$$GETCODE^DGMTH($P(NODE0,"^",3)),CODE)
.;
.;check timestamp - if matches current primary test, then this is a duplicate and does not need to be uploaded
.I TMSTAMP D
..S NODE=""
..I IVMFUTR N IVMMTIEN S IVMMTIEN=$$FUTURE(DFN,($E(IVMMTDT,1,3)-1),2)
..Q:'IVMMTIEN
..S NODE=$G(^DGMT(408.31,IVMMTIEN,2))
.S NODE0=$G(^DGMT(408.31,IVMMTIEN,0))
.I TMSTAMP,TMSTAMP=$P(NODE,"^",2),IVMMTDT=$P(NODE0,"^"),SOURCE=$P(NODE,"^",5) Q
.;
.D DELTYPE^IVMCMD(DFN,IVMMTDT,1)
.D EN^IVMCM1
;
IS ; - If transmission is income screening info only then do not process
; - outside of the scope of MTS
;I IVMTYPE=3 S IVMMTDT=0 D EN^IVMCM1 I $D(HLERR) G PROCQ
I IVMTYPE=3 S IVMMTDT=0
;
LTC ; If transmission contains a Long Term Care Test (TYPE 4 TEST)
I $P($G(^TMP($J,"IVMCM","ZMT4")),HLFS,2) D LTC^IVMCM1
;
PROCQ ;
; release locks used to sychronize upload with local income test options
D RELLOCKS^IVMCUPL(DFN)
Q
;
CHKDT ; check date of income test being uploaded
; Is it a future date? If so, set IVMFUTR=1
;
; IVMMTIEN is the IEN of current primary test for the year
;
I $E($P(IVMLAST,"^",2),1,3)=$E(IVMMTDT,1,3) S IVMMTIEN=+IVMLAST
I IVMMTDT>DT S IVMFUTR=1
Q
FUTURE(DFN,YEAR,TYPE,IVMPAT) ;
;Returns the ien of the future test, if there is one
;Inputs: DFN
; YEAR - income year
; TYPE - type of test
;Output:
; function value - ien of future means test, if there is one, "" otherwise
; IVMPAT - Pointer to the IVM Patient file for the income year if there is an entry (pass by reference)
;
N RET
S RET=""
S IVMPAT=$$FIND^IVMPLOG(DFN,YEAR)
I IVMPAT S RET=$P($G(^IVM(301.5,IVMPAT,0)),"^",$S(TYPE=1:6,1:7))
Q RET