Register a patient via HL7
From VistApedia
Here are my site-specific routines for registering a patient via HL7 messaging:
(the ^CHECK variable is for debugging - I am still in development/testing)
; ACSPNT.m --> PROCESS RECEIVED HL7 MESSAGE (ADT-A31) FROM ACS COMPUMD.
;
;
; DBS CALLS:
; D FILE^DIE REPLACES EXISTING RECORDS
; D UPDATE^DIE ADDS NEW RECORDS
;
; GLOBAL/LOCAL VARIABLES:
; PIDSEG CURRENT MESSAGE PID SEGMENT
; PIDSEGNAME TEMP STORAGE OF PATIENT NAME FOR FORMATTING
; INSSEG ARRAY OF CURRENT MESSAGE IN1 SEGMENTS
; EVNSEG EVENT SEGMENT *p2
; PNTROOT FDA_ROOT FOR PATIENT DBS CALLS
; VALPNTROOT VALIDATED PNTROOT
; PNTINSROOT FDA_ROOT FOR PATIENT INSURANCE
; PNTERR ERR MESSAGES FROM PATIENT DBS CALL
; VALERR ERR MESSAGES FROM VALIDATION CALL
; INSCOUNT COUNTER FOR INSURANCE ARRAY
; FDAIEN INTERNAL ENTRY NUMBER DERRIVED FROM PATIENT NUMBER
; FINDERR ERR MESSAGES FROM FIND^DIC CALL
; SEG TEMP STORAGE FOR EACH MESSAGE SEGMENT
; HLMSG MESSAGE CONTROL FOR $$STARTMSG^HLPRS
; HLMTIENS CURENT MESSAGE RECEIVED
; HEADER CURRENT MESSAGE HEADER
; RESULT RETURNED ARRAY FROM FIND^DIC
; SSNRESULT RESULT OF SOCIAL SECURITY SEARCH
; SSNFINDERR ERR MESSAGES FROM SOCIAL SECURITY SEARCH
; SSNFOUND FLAG SET IF SOCIAL SECURITY NUMBER FOUND IN DATABASE
; SSNIEN IEN OF PATIENT WHERE SSN FOUND *p1
; VALFLAG SET IF VAL FAILS
; ^ACSERR LOGFILE FOR VALIDATION ERRORS
; ERRDATE DATE FOR ERR MESSAGE LOG
; ^CHECK TEMP STORAGE FOR ERROR MESSAGES
;
; COMMENTS:
; ;) TEMPORARY COMMENT/LINE OF CODE
;
; FILEMAN FILES:
; ^DPT PATIENT (#2)
;
; last update 7.05.2007 0847
; *p1 added 6.26.2007 to account for ssn being reset on filing existing patient information
; *p2 added 7.02.2007 for coordinating deletion of patient with billing system
; *p3 added 7.05.2007 to change month name to a number for sorting err message
;
EN ;entry point, init
N ERRDATE
N FDAIEN
N HLMSG,HEADER,SEG
N PIDSEG,PNTROOT,PNTERR,PIDSEGNAME
N INSCOUNT,INSSEG
N RESULT,FINDERR
N SSNRESULT,SSNFINDERR,SSNFOUND,SSNIEN
N VALPNTROOT,VALFLAG,VALERR
K ^CHECK
S VALFLAG=0
S SSNIEN=0
S ^CHECK("0BEGIN")="VERSION 4.5 - START" ;)
S SSNFOUND=0 ;set ssn found flag to false
S DUZ=1,DUZ(0)="@" ;initialize user number and give programmer access to files
;set current d/t
N TEMPDATE
D DT^DILF("ERSX","NOW",.TEMPDATE)
S ERRDATE=TEMPDATE(0)
D MODERRDATE ;*p3
K TEMPDATE
GETHEADER ;
;
;get received message header using HLMTIENS(last message received)
I $$STARTMSG^HLPRS(.HLMSG,HLMTIENS,.HEADER) G GETSEGMENT
;
;Fall through if message not found
S ^ACSERR(ERRDATE,"ACSPNT","ERR")="** Message Not Found (IEN "_HLMTIENS_") **"
G REXIT ;clean-up and quit this routine
GETSEGMENT ;
;loop through segments
S ^CHECK("0HLMTIENS")=HLMTIENS ;)
S INSCOUNT=0;
F Q:'$$NEXTSEG^HLPRS(.HLMSG,.SEG) D
. I SEG("SEGMENT TYPE")="EVN" ;save EVN segment
. I S EVNSEG("TYPE")=$$GET^HLOPRS(.SEG,1)
. I SEG("SEGMENT TYPE")="PID" ;save PID segment
. I S PIDSEG("NO")=$$GET^HLOPRS(.SEG,3)
. I S PIDSEG("LNAME")=$$GET^HLOPRS(.SEG,5)
. I S PIDSEG("FNAME")=$$GET^HLOPRS(.SEG,5,2)
. I S PIDSEG("MI")=$$GET^HLOPRS(.SEG,5,3)
. I S PIDSEG("REM")=$$GET^HLOPRS(.SEG,6)
. I S PIDSEG("DOB")=$$GET^HLOPRS(.SEG,7)
. I S PIDSEG("SEX")=$$GET^HLOPRS(.SEG,8)
. I S PIDSEG("ADDR1")=$$GET^HLOPRS(.SEG,11)
. I S PIDSEG("ADDR2")=$$GET^HLOPRS(.SEG,11,2)
. I S PIDSEG("CITY")=$$GET^HLOPRS(.SEG,11,3)
. I S PIDSEG("STATE")=$$GET^HLOPRS(.SEG,11,4)
. I S PIDSEG("ZIP")=$$GET^HLOPRS(.SEG,11,5)
. I S PIDSEG("HPHONE")=$$GET^HLOPRS(.SEG,13)
. I S PIDSEG("EMAIL")=$$GET^HLOPRS(.SEG,13,4)
. I S PIDSEG("WPHONE")=$$GET^HLOPRS(.SEG,14)
. I S PIDSEG("SSN")=$$GET^HLOPRS(.SEG,19)
. I SEG("SEGMENT TYPE")="IN1" ;save INS segments
. I ;S INSSEG(INSCOUNT,"PLAN")=$$GET^HLOPRS(.SEG,2) ;same as INS section
. I S INSSEG(INSCOUNT,"INS")=$$GET^HLOPRS(.SEG,3)
. I S INSSEG(INSCOUNT,"NAME")=$$GET^HLOPRS(.SEG,4)
. I S INSSEG(INSCOUNT,"ADDR1")=$$GET^HLOPRS(.SEG,5)
. I S INSSEG(INSCOUNT,"ADDR2")=$$GET^HLOPRS(.SEG,5,2)
. I S INSSEG(INSCOUNT,"CITY")=$$GET^HLOPRS(.SEG,5,3)
. I S INSSEG(INSCOUNT,"STATE")=$$GET^HLOPRS(.SEG,5,4)
. I S INSSEG(INSCOUNT,"ZIP")=$$GET^HLOPRS(.SEG,5,5)
. I S INSSEG(INSCOUNT,"PHONE")=$$GET^HLOPRS(.SEG,7)
. I ;S INSSEG(INSCOUNT,"GRP")=$$GET^HLOPRS(.SEG,8)
. I S INSSEG(INSCOUNT,"NOIL")=$$GET^HLOPRS(.SEG,16)
. I S INSSEG(INSCOUNT,"NOIF")=$$GET^HLOPRS(.SEG,16,2)
. I S INSSEG(INSCOUNT,"NOIM")=$$GET^HLOPRS(.SEG,16,3)
. I S INSSEG(INSCOUNT,"REL")=$$GET^HLOPRS(.SEG,17)
. I S INSSEG(INSCOUNT,"POL")=$$GET^HLOPRS(.SEG,36)
. I S INSCOUNT=INSCOUNT+1
S INSCOUNT=INSCOUNT-1
;all validation performed on cobol side with exception of SSN.
;convert DOB from yyyymmdd to mmddyyyy
S PIDSEG("DOB")=$E(PIDSEG("DOB"),5,8)_$E(PIDSEG("DOB"),1,4)
;set PIDSEGNAME format
S PIDSEGNAME=$G(PIDSEG("LNAME"))_","_$G(PIDSEG("FNAME"))
I $G(PIDSEG("MI"))'="" S PIDSEGNAME=PIDSEGNAME_" "_PIDSEG("MI") ;if midinit exists, append to name
;set INSSEGNOI format and convert relationship code
N COUNT,TEMP
S COUNT=0
S TEMP=""
F Q:COUNT>INSCOUNT D
. S INSSEG(COUNT,"NOI")=$G(INSSEG(COUNT,"NOIL"))_","_$G(INSSEG(COUNT,"NOIF"))
. I $G(INSSEG(COUNT,"NOIM"))'="" S INSSEG(COUNT,"NOI")=INSSEG(COUNT,"NOI")_" "_INSSEG(COUNT,"NOIM")
. I INSSEG(COUNT,"REL")="0" S TEMP="PATIENT"
. I INSSEG(COUNT,"REL")="1" S TEMP="SPOUSE"
. I INSSEG(COUNT,"REL")="2" S TEMP="NATURAL CHILD"
. I TEMP="" S TEMP="DO NOT USE"
. S INSSEG(COUNT,"REL")=TEMP
. S TEMP=""
. S COUNT=COUNT+1
K COUNT,TEMP
M ^CHECK("1PATIENTINFO")=PIDSEG ;)
M ^CHECK("1INSURANCE")=INSSEG ;)
M ^CHECK("1EVENT")=EVNSEG ;)
I EVNSEG("TYPE")="A29" ;*p2 delete message received
I D DELETEPAT
I G REXIT
D EN^ACSPNT2 ;do insurance company processing
I VALFLAG G REXIT ;if validation fails in ACSPNT2, quit
;
;
PROCESSPATIENT ;
;)FIND^DIC(FILE,IENS,FIELDS,FLAGS,[.]VALUE,NUMBER,[.]INDEXES,[.]SCREEN,IDENTIFIER,TARGET_ROOT,MSG_ROOT)
;)finds ACS patient number in ^DPT : Patient File (#2)
;)RETURNED VALUES
;) List ^FOUND
;) ^FOUND("DILIST",0)="1^*^0^" <--1ST NUMBER IS HOW MANY FOUND (0 OR 1)
;) ^FOUND("DILIST",2,1)=1 <--IEN
;)USE THIS TO ADD NEW PATIENT WITH ACSPATNO (CROSS REF IEN)
;)S ^DPT("ACSPATNO",(patient number from acs),1)="" <--1 EQUALS IEN
;
I PIDSEG("SSN")'?9N S PIDSEG("SSN")="" ;if ssn is != to pattern (9 numbers), set to ""
E D FIND^DIC(2,,"@","X",PIDSEG("SSN"),,"SSN",,,"SSNRESULT","SSNFINDERR")
M ^CHECK("2SSNRESULT")=SSNRESULT ;)
M ^CHECK("2SSNFINDERR")=SSNFINDERR ;)
I PIDSEG("SSN")="" S PIDSEG("SSN")="@" G CHECKACSPATNO ;if ssn blank, set to "@"
I $P(SSNRESULT("DILIST",0),"^",1)'=0 S SSNFOUND=1 ;if found ssn, set ssn found flag to true
I S SSNIEN=SSNRESULT("DILIST",2,1) ;*p1
S ^CHECK("2SSNFLAG")=SSNFOUND ;)
CHECKACSPATNO ;
M ^CHECK("3PROCESSEDSSN")=PIDSEG("SSN") ;)
D FIND^DIC(2,,"@","X",PIDSEG("NO"),,"ACSPATNO",,,"RESULT","FINDERR")
M ^CHECK("4FINDERR")=FINDERR ;)
M ^CHECK("4FINDRESULT")=RESULT ;)
I $P(RESULT("DILIST",0),"^",1)=0 G DOUPDATEDIE ;if no entries for ACSPATNO found, go to update (add)
;fall through for found entry
;
;
DOFILEDIE ;
;set fields using $GET ($G) to avoid 'variable undefined' error
N TEMPIEN
S TEMPIEN=RESULT("DILIST",2,1)
S FDAIEN=RESULT("DILIST",2,1)_"," ;set IEN from returned array plus comma
I TEMPIEN=SSNIEN G DOFILEDIENEXT ;*p1
I SSNFOUND S PIDSEG("SSN")="@" ;if ssn exists in database, set ssn to @ to avoid duplicate ssn error on add new entry
DOFILEDIENEXT ;*p1
I PIDSEG("SSN")="@" S PNTROOT(2,FDAIEN,.363)="--"
I S PNTROOT(2,FDAIEN,.364)=""
I 'SSNFOUND S PNTROOT(2,FDAIEN,.363)=PIDSEG("SSN")
I S PNTROOT(2,FDAIEN,.364)=$E(PIDSEG("SSN"),6,9)
I S PNTROOT(2,FDAIEN,.09)=PIDSEG("SSN")
K TEMPIEN
S ^CHECK("5FILEIEN")=FDAIEN ;)
S PNTROOT(2,FDAIEN,.01)=PIDSEGNAME
S PNTROOT(2,FDAIEN,.091)=$G(PIDSEG("REM"))
S PNTROOT(2,FDAIEN,.03)=$G(PIDSEG("DOB"))
S PNTROOT(2,FDAIEN,.02)=$G(PIDSEG("SEX"))
S PNTROOT(2,FDAIEN,.301)="NO"
S PNTROOT(2,FDAIEN,391)="NON-VETERAN (OTHER)"
S PNTROOT(2,FDAIEN,1901)="NO"
S PNTROOT(2,FDAIEN,.111)=$G(PIDSEG("ADDR1"))
S PNTROOT(2,FDAIEN,.112)=$G(PIDSEG("ADDR2"))
S PNTROOT(2,FDAIEN,.114)=$G(PIDSEG("CITY"))
S PNTROOT(2,FDAIEN,.115)=$G(PIDSEG("STATE"))
S PNTROOT(2,FDAIEN,.116)=$G(PIDSEG("ZIP"))
S PNTROOT(2,FDAIEN,.131)=$G(PIDSEG("HPHONE"))
S PNTROOT(2,FDAIEN,.132)=$G(PIDSEG("WPHONE"))
S PNTROOT(2,FDAIEN,.133)=$G(PIDSEG("EMAIL"))
S FDAIEN=RESULT("DILIST",2,1) ;set IEN from returned array minus comma
S ^CHECK("5FILEIEN2")=FDAIEN ;)
;do validation
D VALS^DIE("","PNTROOT","VALPNTROOT","VALERR")
N INDEX,ERRNUM,ERRCOUNT
S INDEX=""
S ERRCOUNT=1
F S INDEX=$O(VALPNTROOT(2,FDAIEN_",",INDEX)) Q:INDEX="" D
. I VALPNTROOT(2,FDAIEN_",",INDEX)="^" S ERRNUM=$P(VALERR("DIERR"),"^",1)
. I S ^ACSERR(ERRDATE,"ACSPNT","FILE ERRNUM")=ERRNUM
. I D LOGERR
. I Q
K INDEX,ERRNUM,ERRCOUNT
;
;begin file locks
FILELOCKDPT ;
L +^DPT(FDAIEN):1 ;try lock
I $T G DOFILEDIEFILER ;if lock, continue
E G FILELOCKDPT ;if lock fails, keep trying
;end locks
;
DOFILEDIEFILER ;
D FILE^DIE("S","VALPNTROOT","PNTERR")
M ^CHECK("5FILE")=PNTERR ;)
;delete previously saved insurances
N COUNT,DELROOT,DELIEN
S COUNT=1
F Q:COUNT>5 D
. S DELIEN=COUNT_","_FDAIEN_","
. S DELROOT(2.312,DELIEN,.01)="@"
. D FILE^DIE("E","DELROOT")
. S COUNT=COUNT+1
K COUNT,DELROOT,DELIEN
;add current insurances from message
N COUNT,ADDROOT,ADDIEN
S COUNT=0
F Q:COUNT>INSCOUNT D
. S ADDIEN="?+1,"_FDAIEN_","
. S ADDROOT(2.312,ADDIEN,.01)=INSSEG(COUNT,"NAME")
. S ADDROOT(2.312,ADDIEN,17)=INSSEG(COUNT,"NOI")
. S ADDROOT(2.312,ADDIEN,16)=INSSEG(COUNT,"REL")
. S ADDROOT(2.312,ADDIEN,1)=INSSEG(COUNT,"POL")
. D UPDATE^DIE("E","ADDROOT")
. S COUNT=COUNT+1
K COUNT,ADDROOT,ADDIEN
;unlock file
L -^DPT(FDAIEN)
S ^ACSERR(ERRDATE,"FILER COMPLETE")="("_PIDSEG("NO")_")"_PIDSEGNAME ;)
G REXIT ;clean-up and quit this routine
;
DOUPDATEDIE ;
;set fields using $GET ($G) to avoid 'variable undefined' error
I SSNFOUND S PIDSEG("SSN")="@" ;if ssn exists in database, set ssn to @ to avoid duplicate ssn error on add new entry
E S PNTROOT(2,"+1,",.363)=PIDSEG("SSN")
E S PNTROOT(2,"+1,",.364)=$E(PIDSEG("SSN"),6,9)
E S PNTROOT(2,"+1,",.09)=PIDSEG("SSN")
I PIDSEG("SSN")="@" S PNTROOT(2,"+1,",.363)="--"
I S PNTROOT(2,"+1,",.364)=""
S PNTROOT(2,"+1,",.01)=$G(PIDSEGNAME)
S PNTROOT(2,"+1,",.091)=$G(PIDSEG("REM"))
S PNTROOT(2,"+1,",.03)=$G(PIDSEG("DOB"))
S PNTROOT(2,"+1,",.02)=$G(PIDSEG("SEX"))
S PNTROOT(2,"+1,",.301)="NO"
S PNTROOT(2,"+1,",391)="NON-VETERAN (OTHER)"
S PNTROOT(2,"+1,",1901)="NO"
S PNTROOT(2,"+1,",.111)=$G(PIDSEG("ADDR1"))
S PNTROOT(2,"+1,",.112)=$G(PIDSEG("ADDR2"))
S PNTROOT(2,"+1,",.114)=$G(PIDSEG("CITY"))
S PNTROOT(2,"+1,",.115)=$G(PIDSEG("STATE"))
S PNTROOT(2,"+1,",.116)=$G(PIDSEG("ZIP"))
S PNTROOT(2,"+1,",.131)=$G(PIDSEG("HPHONE"))
S PNTROOT(2,"+1,",.132)=$G(PIDSEG("WPHONE"))
S PNTROOT(2,"+1,",.133)=$G(PIDSEG("EMAIL"))
;do validation
D VALS^DIE("","PNTROOT","VALPNTROOT","VALERR")
N INDEX,ERRNUM,ERRCOUNT
S INDEX=""
S ERRCOUNT=1
F S INDEX=$O(VALPNTROOT(2,"+1,",INDEX)) Q:INDEX="" D
. I VALPNTROOT(2,"+1,",INDEX)="^" S ERRNUM=$P(VALERR("DIERR"),"^",1)
. I S ^ACSERR(ERRDATE,"ACSPNT","UPDATE ERRNUM")=ERRNUM
. I D LOGERR
. I S VALFLAG=1
. I Q
K INDEX,ERRNUM,ERRCOUNT
I VALFLAG G REXIT ;QUIT IF VALIDATION FAILS
;
DOUPDATEDIEFILER ;
S PNTERR("DIERR")=""
D UPDATE^DIE("S","VALPNTROOT","FDAIEN","PNTERR")
M ^CHECK("6UPDATEIEN")=FDAIEN ;)
I $G(FDAIEN(1))'="" S ^DPT("ACSPATNO",PIDSEG("NO"),FDAIEN(1))="" ;set up my cross-reference
M ^CHECK("6UPDATE")=PNTERR ;)
;FILE HEALTH RECORD NUMBER
I $G(FDAIEN(1))'="" D EN^ACSPNT3
;ADD insurance to new patient
S ^DPT(FDAIEN(1),.312,"?+",0)="" ;avoid getting error message of var not found when setting policy number for insurance
N COUNT
S COUNT=0
N PNTINSIEN,VALPNTINSROOT,PNTINSROOT
F Q:COUNT>INSCOUNT D
. S PNTINSIEN="?+1,"_FDAIEN(1)_","
. S PNTINSROOT(2.312,PNTINSIEN,.01)=INSSEG(COUNT,"NAME")
. S PNTINSROOT(2.312,PNTINSIEN,17)=INSSEG(COUNT,"NOI")
. S PNTINSROOT(2.312,PNTINSIEN,16)=INSSEG(COUNT,"REL")
. S PNTINSROOT(2.312,PNTINSIEN,1)=INSSEG(COUNT,"POL")
. ;D VALS^DIE("","PNTINSROOT","VALPNTINSROOT","VALERR")
. D UPDATE^DIE("E","PNTINSROOT") ;SET TO VALPNTINSROOT IF USING VAL^DIE AND TAKE OUT "E" FLAG
. S COUNT=COUNT+1
K PNTINSIEN,VALPNTINSROOT,PNTINSROOT
K COUNT
S ^ACSERR(ERRDATE,"UPDATE COMPLETE")="("_PIDSEG("NO")_")"_PIDSEGNAME ;)
G REXIT ;clean-up and quit routine
;
REXIT ;
K ERRDATE
K HLMSG,HEADER,SEG,FDAIEN
K PIDSEG,PNTROOT,PNTERR,PIDSEGNAME
K INSCOUNT,INSSEG
K RESULT,FINDERR
K SSNRESULT,SSNFINDERR,SSNFOUND,SSNIEN
K VALPNTROOT,VALFLAG,VALERR
S ^CHECK("9END")="VERSION 4.5 - COMPLETE" ;)
Q
;
LOGERR ;
F Q:ERRCOUNT>ERRNUM D
. M ^ACSERR(ERRDATE,"ERR TEXT")=VALERR("DIERR",ERRCOUNT,"TEXT")
. S ERRCOUNT=ERRCOUNT+1
Q
;
DELETEPAT ;*p2
D FIND^DIC(2,,"@","X",PIDSEG("NO"),,"ACSPATNO",,,"RESULT","FINDERR")
I $P(RESULT("DILIST",0),"^",1)=0 G DELETENOTFOUND
N DELIEN,DELIEN2
S DELIEN=RESULT("DILIST",2,1) ;patient IEN from matched ACSPATNO
S DELIEN2=DELIEN
DELETELOCK ;
L +^DPT(DELIEN2):1 ;try lock
I $T G DODELETE ;if lock, continue
E G DELETELOCK ;if lock fails, keep trying
DODELETE ;
S DELIEN=DELIEN_","
S PNTROOT(2,DELIEN,.09)="@"
S PNTROOT(2,DELIEN,.363)="--"
S PNTROOT(2,DELIEN,.364)=""
D FILE^DIE("","PNTROOT") ;delete SSN from patient
L -^DPT(DELIEN2)
K PNTROOT
DELETELOCK2 ;
L +^AUPNPAT(DELIEN2):1
I $T G DODELETE2
E G DELETELOCK2
DODELETE2 ;
S DELIEN=DUZ(2)_","_DELIEN
S PNTROOT(9000001.41,DELIEN,.02)="d"_PIDSEG("NO")
D FILE^DIE("","PNTROOT") ;change HRN to begin with a "d"
L -^AUPNPAT(DELIEN2)
K ^DPT("ACSPATNO",PIDSEG("NO")) ;KILL xREF!!
S ^ACSERR(ERRDATE,"DELETE COMPLETE")="("_PIDSEG("NO")_")"_PIDSEGNAME ;)
K DELIEN,DELIEN2
Q
DELETENOTFOUND ;
S ^ACSERR(ERRDATE,"DELETE COMPLETE")="PATIENT NOT FOUND ("_PIDSEG("NO")_")"_PIDSEGNAME ;)
Q
MODERRDATE ;*p3
S:$P(ERRDATE," ",1)="JAN" $P(ERRDATE," ",1)="01"
S:$P(ERRDATE," ",1)="FEB" $P(ERRDATE," ",1)="02"
S:$P(ERRDATE," ",1)="MAR" $P(ERRDATE," ",1)="03"
S:$P(ERRDATE," ",1)="APR" $P(ERRDATE," ",1)="04"
S:$P(ERRDATE," ",1)="MAY" $P(ERRDATE," ",1)="05"
S:$P(ERRDATE," ",1)="JUN" $P(ERRDATE," ",1)="06"
S:$P(ERRDATE," ",1)="JUL" $P(ERRDATE," ",1)="07"
S:$P(ERRDATE," ",1)="AUG" $P(ERRDATE," ",1)="08"
S:$P(ERRDATE," ",1)="SEP" $P(ERRDATE," ",1)="09"
S:$P(ERRDATE," ",1)="OCT" $P(ERRDATE," ",1)="10"
S:$P(ERRDATE," ",1)="NOV" $P(ERRDATE," ",1)="11"
S:$P(ERRDATE," ",1)="DEC" $P(ERRDATE," ",1)="12"
;convert to "mm/dd/yyyy" format
S $E(ERRDATE,6)=""
S $E(ERRDATE,3)="/",$E(ERRDATE,6)="/"
Q
; ACSPNT2.m --> PROCESS RECEIVED HL7 MESSAGE (ADT-A31) FROM ACS COMPUMD.
; ...continued from ACSPNT.m to process insurance company
;
; DBS CALLS:
; D FILE^DIE REPLACES EXISTING RECORDS
; D UPDATE^DIE ADDS NEW RECORDS
;
; GLOBAL/LOCAL VARIABLES:
; COUNT COUNTER FOR INSURANCE INDEX
; INSRESULT RESULT FROM INSURANCE SEARCH
; INSFINDERR ERR FROM INSURANCE SEARCH
; INSROOT FDA_ROOT FOR INSURANCE DBS CALLS
; VALINSROOT VALIDATED INSROOT
; INSERR ERR MESSAGES FROM INSURANCE DBS CALLS
; INSIEN IEN FOR DBS CALLS
; ^CHECK TEMP STORAGE FOR ERR MESSAGES
;
; COMMENTS:
; ;) TEMPORARY COMMENT/LINE OF CODE
;
; FILEMAN FILES:
; ^DIC(36, INSURANCE COMPANY FILE (#36)
;
; last update 5.6.2007 1128
;
EN ;entry point, init
N COUNT
N INSRESULT,INSFINDERR
N VALINSROOT
S COUNT=0
LOOP ;loop through each INS segment
I COUNT>INSCOUNT G REXIT
FINDINS ;
D FIND^DIC(36,,"@","X",INSSEG(COUNT,"INS"),,"ACSINSNO",,,"INSRESULT","INSFINDERR")
M ^CHECK("4INSFINDERR")=INSFINDERR ;)
M ^CHECK("4INSFINDRESULT")=INSRESULT ;)
I $P(INSRESULT("DILIST",0),"^",1)=0 G DOUPDATEDIE ;if no entries for ACSINSNO found, go to update (add)
;fall through if insurance company found
;
DOFILEDIE ;
N INSROOT,INSERR
N INSIEN
S INSIEN=INSRESULT("DILIST",2,1)_"," ;set IEN from returned array plus comma
S INSROOT(36,INSIEN,.01)=$G(INSSEG(COUNT,"NAME"))
S INSROOT(36,INSIEN,.05)="NO" ;inactive flag
S INSROOT(36,INSIEN,.111)=$G(INSSEG(COUNT,"ADDR1"))
S INSROOT(36,INSIEN,.112)=$G(INSSEG(COUNT,"ADDR2"))
S INSROOT(36,INSIEN,.114)=$G(INSSEG(COUNT,"CITY"))
S INSROOT(36,INSIEN,.115)=$G(INSSEG(COUNT,"STATE"))
S INSROOT(36,INSIEN,.116)=$G(INSSEG(COUNT,"ZIP"))
S INSROOT(36,INSIEN,.131)=$G(INSSEG(COUNT,"PHONE"))
S INSROOT(36,INSIEN,1)="Y" ;REIMBURSE?
S INSROOT(36,INSIEN,2)="0" ;SIGNATURE REQUIRED ON BILL?
S INSIEN=INSRESULT("DILIST",2,1)
;do validation
D VALS^DIE("","INSROOT","VALINSROOT","VALERR")
N INDEX,ERRNUM,ERRCOUNT
S INDEX=""
S ERRCOUNT=1
F S INDEX=$O(VALINSROOT(36,INSIEN_",",INDEX)) Q:INDEX="" D
. I VALINSROOT(36,INSIEN_",",INDEX)="^" S ERRNUM=$P(VALERR("DIERR"),"^",1)
. I S ^ACSERR(ERRDATE,"ACSPNT2","FILE ERRNUM")=ERRNUM
. I D LOGERR
. I Q
K INDEX,ERRNUM,ERRCOUNT
;
;begin file locks
FILELOCKDIC ;
L +^DIC(36,INSIEN):1 ;try lock
I $T G DOFILEDIEFILER ;if lock, continue
E G FILELOCKDIC ;if lock fails, keep trying
;end locks
;
DOFILEDIEFILER ;
D FILE^DIE("S","VALINSROOT","INSERR")
L -^DIC(36,INSIEN)
K INSROOT,INSERR
K INSIEN
G NEXTSEGMENT
DOUPDATEDIE ;
N INSROOT,INSERR
N INSIEN
S INSROOT(36,"?+1,",.01)=$G(INSSEG(COUNT,"NAME"))
S INSROOT(36,"?+1,",.05)="NO" ;inactive flag
S INSROOT(36,"?+1,",.111)=$G(INSSEG(COUNT,"ADDR1"))
S INSROOT(36,"?+1,",.112)=$G(INSSEG(COUNT,"ADDR2"))
S INSROOT(36,"?+1,",.114)=$G(INSSEG(COUNT,"CITY"))
S INSROOT(36,"?+1,",.115)=$G(INSSEG(COUNT,"STATE"))
S INSROOT(36,"?+1,",.116)=$G(INSSEG(COUNT,"ZIP"))
S INSROOT(36,"?+1,",.131)=$G(INSSEG(COUNT,"PHONE"))
S INSROOT(36,"?+1,",1)="Y" ;REIMBURSE?
S INSROOT(36,"?+1,",2)="0" ;SIGNATURE REQUIRED ON BILL?
;do validation
D VALS^DIE("","INSROOT","VALINSROOT","VALERR")
N INDEX,ERRCOUNT,ERRNUM
S INDEX=""
S ERRCOUNT=1
F S INDEX=$O(VALINSROOT(36,"?+1,",INDEX)) Q:INDEX="" D
. I VALINSROOT(36,"?+1,",INDEX)="^" S ERRNUM=$P(VALERR("DIERR"),"^",1)
. I S ^ACSERR(ERRDATE,"ACSPNT2","UPDATE ERRNUM")=ERRNUM
. I D LOGERR
. I S VALFLAG=1
. I Q
K INDEX,ERRCOUNT,ERRNUM
I VALFLAG Q ;if validation fails, return to ACSPNT
DOUPDATEDIEFILER ;
;)S INSERR("DIERR")=""
D UPDATE^DIE("S","VALINSROOT","INSIEN","INSERR")
I $G(INSIEN(1))'="" S ^DIC(36,"ACSINSNO",INSSEG(COUNT,"INS"),INSIEN(1))="ACTIVE" ;set up my cross-reference
K INSROOT,INSERR
K INSIEN
NEXTSEGMENT ;
S COUNT=COUNT+1
G LOOP
REXIT ;
K COUNT
K INSRESULT,INSFINDERR
K VALINSROOT
Q
LOGERR ;
F Q:ERRCOUNT>ERRNUM D
. M ^ACSERR(ERRDATE,"ERR TEXT")=VALERR("DIERR",ERRCOUNT,"TEXT")
. S ERRCOUNT=ERRCOUNT+1
Q
; ACSPNT3.m --> PROCESS RECEIVED HL7 MESSAGE (ADT-A31) FROM ACS COMPUMD.
; ...continued from ACSPNT.m to process health record number
; ...*p1 adds coordinating master of record to patient
;
; DBS CALLS:
; D UPDATE^DIE ADDS NEW RECORDS
;
; GLOBAL/LOCAL VARIABLES:
; FAC USER'S INSTITUTION(FACILITY)
; PFIEN INTERNAL ENTRY NUMBER IN PATIENT FILE - FROM ACSPNT
; APN ACS PATIENT NUMBER - FROM ACSPNT
; HRNROOT ROOT FOR HRN FILE
; HRNSROOT ROOT FOR HRN SUBFILE
; HRNIEN INTERNAL ENTRY NUMBER FOR HRN FILE
; HRNSIEN INTERNAL ENTRY NUMBER FOR HUN SUBFILE
; HRNERR ERR FOR UPDATE HRN FILE
; HRNSERR ERR FOR UPDATE HRN SUBFILE
; PATROOT ROOT FOR PATIENT FILE *p1
; PATIEN INTERNAL ENTRY NUMBER FOR PATIENT FILE *p1
; PATERR ERR FOR PATIENT FILE *p1
; DATE DATE IN INTERNAL FILEMAN FORMAT
; ^CHECK TEMP STORAGE FOR ERR MESSAGES
;
; COMMENTS:
; ;) TEMPORARY COMMENT/LINE OF CODE
;
; FILEMAN FILES:
; ^AUPNPAT IHS PATIENT (#9000001) 9000001.41 - HRN SUBFILE
; ^DPT PATIENT FILE (#2) 2.991 - ICN SUBFILE *p1
;
; last update 6.26.2007 0954
; *p1 added 6.26.2007 - this adds ICN to patient only because it is required, and the ICN is not correct
; for use with MPI as it should be. .04="1" for locally assigned ICN.
;
EN ;entry point, init
N FAC,HRNROOT,HRNSROOT,HRNIEN,HRNSIEN,HRNERR,HRNSERR
N PFIEN,APN,DATE
N PATROOT,PATIEN,PATERR
S PFIEN=FDAIEN(1)
S APN=PIDSEG("NO")
S FAC=DUZ(2)
D DT^DILF(,"NOW",.DATE)
UPDATE ;
S HRNROOT(9000001,"?+1,",.01)=PFIEN
S HRNROOT(9000001,"?+1,",.02)=DATE
S HRNROOT(9000001,"?+1,",.03)=DATE
S HRNROOT(9000001,"?+1,",.11)=DUZ ;"establishing user"
S HRNROOT(9000001,"?+1,",.12)=DUZ ;"USER LAST UPDATE"
S HRNROOT(9000001,"?+1,",.16)=DATE
D UPDATE^DIE("S","HRNROOT","HRNIEN","HRNERR")
M ^CHECK("HRNERR")=HRNERR ;)
S HRNSIEN(1)=FAC
S HRNSIEN="?+1,"_HRNIEN(1)_","
S HRNSROOT(9000001.41,HRNSIEN,.01)=FAC
S HRNSROOT(9000001.41,HRNSIEN,.02)=APN
D UPDATE^DIE(,"HRNSROOT","HRNSIEN","HRNSERR")
M ^CHECK("HRNSERR")=HRNSERR ;)
FILECMR ; this section is *p1 (CMR - COORDINATING MASTER OF RECORD)
S PATROOT(2,PFIEN_",",991.01)=PFIEN
S PATROOT(2,PFIEN_",",991.03)=FAC
S PATROOT(2,PFIEN_",",991.04)="1" ;locally assigned ICN
D FILE^DIE("S","PATROOT","PATERR")
M ^CHECK("PATCMRERR")=PATERR ;)
REXIT ;EXIT
K FAC,HRNROOT,HRNSROOT,HRNIEN,HRNSIEN,HRNERR,HRNSERR
K PFIEN,APN,DATE
K PATROOT,PATIEN,PATERR
Q
