VistA-FOIAVistA/r/INCOME_VERIFICATION_MATCH-IVM/IVMPREC1.m

138 lines
5.3 KiB
Mathematica

IVMPREC1 ;ALB/SEK/BRM - PROCESS INCOMING HL7 (ACK) MESSAGES ; 07/28/2003
;;2.0;INCOME VERIFICATION MATCH;**9,17,26,52,34,72,82**; 21-OCT-94
;;Per VHA Directive 10-93-142, this routine should not be modified.
;
; This routine will process ACK HL7 messages received from the
; IVM center.
;
ACK ; - Receive ACK Message from IVM Center stored in ^TMP("HLR".
; If 1st segment is BHS then set(s) of MSH, MSA(AE) will follow
; indicating error(s) in transmission received by IVM Center
; If 1st segment is MSH than MSA (AA) indicating batch or individual
; query was received ok. MSA (AE) indicates error in transmission of
; individual query.
;
; - When acknowledgment code = "AA" (application accept)
; Stuff 1 into STATUS field (.03) of ^IVM(301.6 indicating IVM Center
; has received transmission.
;
K HLNODE,IVMRTN,SEGCNT,CNT
S IVMRTN="IVMPREC1"
S HLFS=HL("FS"),HLQ=HL("Q"),HLECH=HL("ECH")
K ^TMP($J,IVMRTN)
F SEGCNT=1:1 X HLNEXT Q:HLQUIT'>0 D
. S CNT=0,^TMP($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
K HLNODE,SEGCNT,CNT
;
S IVMSEG=$G(^TMP($J,IVMRTN,1,0))
I IVMSEG="" G ACKQ
I $P(IVMSEG,HLFS)'="BHS",$P(IVMSEG,HLFS)'="MSH" G ACKQ
;
; - process batches of acknowledges
I $P(IVMSEG,HLFS)="BHS" D AE G ACKQ
;
; - process MSH MSA message
S IVMSEG=$G(^TMP($J,IVMRTN,2,0))
I $P(IVMSEG,HLFS)'="MSA" G ACKQ
S IVMADDT=$P(IVMSEG,HLFS,3)
I $P(IVMSEG,HLFS,2)="AA" D G ACKQ
.F IVMDA=0:0 S IVMDA=$O(^IVM(301.6,"AE",IVMADDT,IVMDA)) Q:'IVMDA I $$SETSTAT^IVMTLOG(IVMDA,1)
;
I $P(IVMSEG,HLFS,2)="AE" D G ACKQ
.S IVMMCI=$P(IVMSEG,HLFS,3)
.S IVMEM=$P(IVMSEG,HLFS,4)
.S IVMDA=$O(^IVM(301.6,"AE",IVMADDT,"")) I 'IVMDA D OTH Q
.I $$SETSTAT^IVMTLOG(IVMDA,3,IVMEM)
;
ACKQ ;
K ^TMP($J,IVMRTN)
K DA,DIE,DR,IVMADDT,IVMI,IVMCT,IVMDA,IVMMCI,IVMEM,IVMNAME,IVMPAT,IVMRTN,IVMSEG,IVMSSN,IVMTEXT,XMSUB
;
Q
;
AE ; - When acknowledgment code = "AE" (application error)
; Stuff 3 into STATUS field(.03), error message into ERROR MESSAGE
; field(.04), and 1 (NEW) into the ERROR PROCESSING STATUS field.
; Stuff 1 into STATUS field(.03) for transmissions (no 'AE' code
; received) received by IVM Center.
;
N Z07FLG,Z07RET
S IVMI=0 F S IVMI=$O(^TMP($J,IVMRTN,IVMI)) Q:'IVMI S IVMSEG=$G(^(IVMI,0)) D
.D:$E(IVMSEG,1,3)="MSH"
..S Z07RET=0
..I $P(IVMSEG,HLFS,9)["ORU~Z07" S Z07FLG=1 Q
..K Z07FLG
.Q:IVMSEG']""!($E(IVMSEG,1,3)'="MSA")!($P(IVMSEG,HLFS,2)'="AE")
.S IVMMCI=$P(IVMSEG,HLFS,3)
.S IVMEM=$P(IVMSEG,HLFS,4)
.S IVMDA=$O(^IVM(301.6,"ADS",IVMMCI,"")) I 'IVMDA D Q:'Z07RET
..I $D(Z07FLG) D Q
...S Z07RET=$$Z07CHK(IVMI,IVMMCI,IVMEM)
...S:Z07RET IVMDA=$O(^IVM(301.6,"ADS",IVMMCI,""))
..D OTH
.I $$SETSTAT^IVMTLOG(IVMDA,3,IVMEM)
;
; - update messages in batch with no error
F IVMDA=0:0 S IVMDA=$O(^IVM(301.6,"AE",+$G(IVMMCI),IVMDA)) Q:'IVMDA I $$SETSTAT^IVMTLOG(IVMDA,1)
Q
;
OTH ; Generate message for errors other than Full/Initial Transmissions.
N IVMRMM,IVMNAM,IVMPID,IVMTMP,HLDA,HLDAT,HLSEG,DIC,DR,DA,DIQ
S (IVMNAM,IVMPID,HLDA,IVMTMP)=""
S HLDA=$O(^HL(772,"C",$P($G(IVMMCI),"-"),0))
Q:+$G(HLDA)'>0
Q:'$D(^HL(772,+HLDA,0))
S DIC="^HL(772,",DR=200,DA=HLDA,DR(200.02)=.01,DA(200.02)=17,DIQ="HLDAT"
D EN^DIQ1
F S IVMTMP=$O(HLDAT(772,HLDA,200,IVMTMP)) Q:((IVMTMP="")!($G(HLSEG)="PID")) D
.S HLSEG=$P($G(HLDAT(772,HLDA,200,IVMTMP)),"^")
.D:HLSEG="PID"
..S IVMNAM=$P($G(HLDAT(772,HLDA,200,IVMTMP)),"^",6) ;PATIENT NAME
..S IVMNAM=$P(IVMNAM,"~")_", "_$P(IVMNAM,"~",2)
..S IVMPID=$P($G(HLDAT(772,HLDA,200,IVMTMP)),"^",20) ;SSN
..;S IVMPID=$P(IVMPID,"~")
..S IVMPID=$E(IVMPID,1,3)_"-"_$E(IVMPID,4,5)_"-"_$E(IVMPID,6,9)
..S XMSUB="ERROR MESSAGE FROM THE HEC"
..S IVMTEXT(1)="An Insurance Confirmation message or a Billing/Collections Transmission"
..S IVMTEXT(2)="was rejected by the Health Eligibility Center with the following error:"
..S IVMTEXT(3)=" ",IVMTEXT(4)=IVMEM,IVMTEXT(5)=" "
..S IVMTEXT(6)="NAME: "_IVMNAM
..S IVMTEXT(7)="PID : "_IVMPID,IVMTEXT(8)=" "
..S IVMRMM=$$MMN^IVMPTRN4($P(IVMMCI,"-"))
..S IVMTEXT(9)="Mailman Message # of Acknowledged Transmission: "_$S(IVMRMM:IVMRMM,1:"<unknown>")
..S IVMTEXT(10)=" "
..S IVMTEXT(11)="If you are unable to find the source of this problem,"
..S IVMTEXT(12)="please contact your ISC Support Group or the HEC."
..D MAIL^IVMUFNC()
Q
;
Z07CHK(CURSEQ,CURMCI,CUREM) ; Function ;
; INPUT
; CURSEQ : Current Sequence # reviewing in batch
; CURMCI : Current Message Control ID reviewing in batch
; CUREM : Current Error Message reviewing in batch
;
; Check for duplicate ACK sequence on the same batch
N SEQ,CHKSEG,CHKSEGN,DUP
S (SEQ,DUP)=0
F S SEQ=$O(^TMP($J,IVMRTN,SEQ)) Q:SEQ="" D
. S CHKSEG=^TMP($J,IVMRTN,SEQ,0),CHKSEGN=$E(CHKSEG,1,3)
. Q:CHKSEGN'="MSA"
. Q:SEQ=CURSEQ
. S:$P(CHKSEG,"^",3)=CURMCI DUP=1
I DUP Q "0^DUPLICATE SEQUENCE ON ACK BATCH"
;
; Check to see if ADS x-ref missing in last 1000 entries
N END,IEN,MCI,FND,LOG,RET,TMPCTR
S FND=0,RET="",IEN=" "
F TMPCTR=1:1:1000 S IEN=$O(^IVM(301.6,IEN),-1) Q:+IEN=0 D Q:FND
. S MCI=$P(^IVM(301.6,IEN,0),"^",5)
. I MCI=CURMCI S FND=1 D Q
. . S LOG=^IVM(301.6,IEN,0)
. . I $P(LOG,"^",3)=3&($P(LOG,"^",4)=CUREM) S RET="0^ACK TO THIS SEQUENCE HAS ALREADY BEEN PROCESSED" Q
. . S ^IVM(301.6,"ADS",CURMCI,IEN)="" S RET="1^ADS X-REF MISSING. X-REF HAS BEEN RESET."
Q RET