VistA-WorldVistAEHR/r/ENROLLMENT_APPLICATION_SYST.../EASECU.m

99 lines
4.4 KiB
Mathematica

EASECU ;ALB/PHH,LBD,AMA - LTC Co-Pay Test Utilities ; 22 AUG 2001
;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,34,40,79**;Mar 15, 2001;Build 3
;
LST(DFN,DGDT,DGMTYPT) ;Last LTC Co-Pay test for a patient
; Input -- DFN Patient IEN
; DGDT Date/Time (Optional- default today@2359)
; DGMTYPT Type of Test (Optional - if not defined
; LTC Co-Pay will be assumed)
; Output -- LTC Co-Pay Test IEN^Date of Test
; ^Status Name^Status Code^Source of Test
N DGIDT,DGMTFL1,DGMTI,DGNOD,Y I '$D(DGMTYPT) S DGMTYPT=3
S DGIDT=$S($G(DGDT)>0:-DGDT,1:-DT) S:'$P(DGIDT,".",2) DGIDT=DGIDT_.2359
F S DGIDT=+$O(^DGMT(408.31,"AID",DGMTYPT,DFN,DGIDT)) Q:'DGIDT!$G(DGMTFL1) D
. F DGMTI=0:0 S DGMTI=+$O(^DGMT(408.31,"AID",DGMTYPT,DFN,DGIDT,DGMTI)) Q:'DGMTI!$G(DGMTFL1) D
. . S DGNOD=$G(^DGMT(408.31,DGMTI,0)) I DGNOD S DGMTFL1=1,Y=DGMTI_"^"_$P(^(0),"^")_"^"_$$MTS(+$P(^(0),"^",3))_"^"_$P(DGNOD,"^",23)
Q $G(Y)
;
MTS(DGMTS) ;LTC Co-Pay test status -- default current
; Input -- DGMTS LTC Co-Pay Test Status IEN
; Output -- Status Name^Status Code
N Y
I $G(DGMTS) S Y=$P($G(^DG(408.32,DGMTS,0)),"^",1,2)
Q $G(Y)
;
EXMPT(DFN) ;Check if veteran is exempt from LTC co-payments:
; If the veteran has a compensable SC disability, OR
; If the veteran is a single, NSC pensioner not in receipt of A&A
; and HB benefits
; Input -- DFN Patient IEN
; Output -- 0 = veteran not exempt
; 1 = veteran has compensable SC disability
; 2 = veteran is single NSC pensioner (no A&A, HB)
N X,Y,ELG
S Y=0
; if service connected percentage is greater than 10% OR service
; connected percentage is less than 10% and annual VA
; check amount is greater than 0, then exempt type 1
S X=$G(^DPT(DFN,.36)),ELG=$P($G(^DIC(8,+X,0)),U,9)
I ELG=1!($P($G(^DPT(DFN,.3)),U,2)'<10) S Y=1 G EXMPTQ
I ELG=3,$P($G(^DPT(DFN,.3)),U,2)<10,$P($G(^DPT(DFN,.362)),U,20)>0 S Y=1 G EXMPTQ
; if Service Connected quit
I $P($G(^DPT(DFN,.3)),U)="Y" G EXMPTQ
; if Marital Status = 'Married' or 'Separated' quit
S X=$P($G(^DIC(11,+$P($G(^DPT(DFN,0)),U,5),0)),U,3)
I "^M^S^"[("^"_X_"^") G EXMPTQ
; if not receiving VA pension quit
S X=$G(^DPT(DFN,.362)) I $P(X,U,14)'="Y" G EXMPTQ
; if receiving A&A or HP benefits quit
I $P(X,U,12)="Y"!($P(X,U,13)="Y") G EXMPTQ
S Y=2
EXMPTQ Q Y
;
DIS(DFN) ;Display patient's current LTC Copay Test status and test date
; Input -- DFN IEN of Patient file
; Output -- None
N DGX,DGMTI,DGMTDT,DGMTS
Q:'$G(DFN)
S DGX=$$LST(DFN) Q:'DGX
S DGMTI=+DGX,DGMTDT=$P(DGX,U,2),DGMTS=$P(DGX,U,3) S:DGMTS="" DGMTS="UNKNOWN"
W !,"LTC Copayment Status: ",DGMTS," Last Test: " S Y=DGMTDT X ^DD("DD") W Y
; If last test is over a year old and patient is not deceased or not
; exempt due to eligibility (compensable SC) or LTC before 11/30/99
; display message that a new test is required
I $$FMDIFF^XLFDT(DT,DGMTDT)>364 D
. I $P($G(^DPT(DFN,.35)),U) Q
. I "^1^4^"[(U_$P($G(^DGMT(408.31,DGMTI,2)),U,7)_U) Q
. W " **NEW TEST REQUIRED**"
I $P($G(^DGMT(408.31,DGMTI,0)),U,11)=0 W !,"Patient INELIGIBLE to Receive LTC Services -- Did Not Agree to Pay Copayments"
Q
;
FORM(DGMTI) ; Return the version of the 10-10EC form used to complete
; the LTC Copay Test passed in DGMTI
; Input: DGMTI - LTC Copay Test (IEN file #408.31)
; Output: 0 = Original format
; 1 = Revised format
I '$G(DGMTI) Q 0
Q $P($G(^DGMT(408.31,DGMTI,2)),U,10)
;
;EAS*1.0*79 - Instead of changing DIS (in case another routine
; calls it), copied it but also used LTC Admission Date
DISDT(DFN,EASADM) ;Display patient's LTC Copay Test status for a given LTC Admission Date
; Input -- DFN - IEN of Patient file
; EASADM - LTC Admission Date
; Output -- None
N DGX,DGMTI,DGMTDT,DGMTS
Q:'$G(DFN) Q:'$G(EASADM)
S DGX=$$LST(DFN,EASADM) Q:'DGX
S DGMTI=+DGX,DGMTDT=$P(DGX,U,2),DGMTS=$P(DGX,U,3) S:DGMTS="" DGMTS="UNKNOWN"
W !,"LTC Copayment Status: ",DGMTS," Last Test: " S Y=DGMTDT X ^DD("DD") W Y
; If last test is over a year old and patient is not deceased or not
; exempt due to eligibility (compensable SC) or LTC before 11/30/99
; display message that a new test is required
I $$FMDIFF^XLFDT(DT,DGMTDT)>364 D
. I $P($G(^DPT(DFN,.35)),U) Q
. I "^1^4^"[(U_$P($G(^DGMT(408.31,DGMTI,2)),U,7)_U) Q
. W " **NEW TEST REQUIRED**"
I $P($G(^DGMT(408.31,DGMTI,0)),U,11)=0 W !,"Patient INELIGIBLE to Receive LTC Services -- Did Not Agree to Pay Copayments"
Q