Agree it would expedite claims. Hopefully, action will occur soon. I don't
think the problem is going away. ..tx/t

> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:hardhats-
> [EMAIL PROTECTED] On Behalf Of steven mcphelan
> Sent: Thursday, February 17, 2005 1:26 PM
> To: hardhats-members@lists.sourceforge.net
> Subject: Re: [Hardhats-members] Adding / Editing patients
> 
> Tommy Thompson tried to require this a year or two ago.  But the privacy
> fanatics and other woodwork people caused enough of a stink to make Tommy
> back off from requiring it.  He wanted a Medicare UID to expedite claim
> filing.
> 
> ----- Original Message -----
> From: "Thurman Pedigo" <[EMAIL PROTECTED]>
> To: <hardhats-members@lists.sourceforge.net>
> Sent: Thursday, February 17, 2005 12:56 PM
> Subject: RE: [Hardhats-members] Adding / Editing patients
> 
> 
> > Sadly, after 20 years of debate we have no Universal Healthcare
> Identifier
> > (UHID). http://www.hipaanet.com/jhitaexecutive.htm
> >
> http://www.healthdatamanagement.com/html/PortalStory.cfm?type=hipaa&DID=11
> 03
> > 4
> > It's difficult to see how we can go forward with an effective nationwide
> EMR
> > without that standardization. Somehow, this issue needs insertion in the
> > national rhetoric. For now it looks as though VA is ahead of the pack.
> Does
> > anyone have new insight on how we can anticipate the eventual UHID?
> >
> > Thanks,
> >
> > thurman
> >
> >
> >
> > > -----Original Message-----
> > > From: [EMAIL PROTECTED] [mailto:hardhats-
> > > [EMAIL PROTECTED] On Behalf Of Kevin Toppenberg
> > > Sent: Thursday, February 17, 2005 10:03 AM
> > > To: hardhats-members@lists.sourceforge.net
> > > Subject: Re: [Hardhats-members] Adding / Editing patients
> > > snip
> > >
> > > You are not the only one needing to use a patient
> > > number other than SSN.  Most offices use a patient
> > > serial number (aka chart number or record number).
> > > There is a standard add on file that addresses this, I
> > > seem to remember its name to be IHS PERSON file or
> > > something... but I can't find it in my system right
> > > now.  In my system, I created an extra field in my
> > > PATIENT file, and put our record number in that.  If
> > > you are wanting to add extra fields etc, you would do
> > > well to ask Cameron for a numberspace and namespace,
> > > so that future updates don't clobber your changes to
> > > the system.
> > >
> > > Good luck.
> > >
> > >
> > > Kevin
> > >
> > >
> > > --- Usha Kiran <[EMAIL PROTECTED]> wrote:
> > >
> > > > Hi
> > > > I had a different problem but somewhat relating to
> > > > the one you specified.
> > > >
> > > > According to the scenario here, the patients are
> > > > identified by an OPD number
> > > > (which is a combination of two fields TYPE OF
> > > > PATIENT and a serial number).
> > > > I wanted the registration procedure to ask the OPD
> > > > number to identify the
> > > > patient and not the name, etc.. I was partly
> > > > successful in doing it. That
> > > > is, I was able to make the procedure ask for OPD
> > > > number but could not
> > > > override the basic details of a patient, required by
> > > > VistA, while adding a
> > > > new one. It would never go to the ScreenMan form
> > > > before taking the NAME,
> > > > DATE OF BIRTH, SSN, etc. in roll and scroll mode.
> > > >
> > > > Is there any way of overriding/editing this set of
> > > > required fields?
> > > >
> > > > Usha
> > > > ----- Original Message -----
> > > > From: "Kevin Toppenberg" <[EMAIL PROTECTED]>
> > > > To: "Hardhats Sourceforge"
> > > > <hardhats-members@lists.sourceforge.net>
> > > > Sent: Monday, February 14, 2005 6:33 AM
> > > > Subject: [Hardhats-members] Adding / Editing
> > > > patients
> > > >
> > > >
> > > > > Hey all,
> > > > >
> > > > > I have some code to offer othes here (if they want
> > > > > it), and some thoughts and questions.
> > > > >
> > > > > First, I wrote some custom code that bulk-created
> > > > > patient records in the PATIENT file.  I ported
> > > > over
> > > > > around 70,000 patients.  Now, as I use these
> > > > patients,
> > > > > I am finding that some tweeking needs to be
> > > > done...
> > > > > ie. completing the records etc.  So I have been
> > > > trying
> > > > > to decide how best to edit this data.  I am
> > > > > comfortable now doing it directly in Fileman.  But
> > > > > that wouldn't be good for my receptionists.  So I
> > > > > looked at the DG REGISTER... menus.  And there I
> > > > ran
> > > > > into the same problem that Nick was having about
> > > > the
> > > > > system trying to connect to the MPI.  Plus, it was
> > > > > getting to way too many questions (i.e. it was
> > > > getting
> > > > > ready to admit a patient into the hospital),
> > > > rather
> > > > > than just editing the patient record.
> > > > >
> > > > > So I have cut, pasted, and trimmed down this code
> > > > > (originally from DGREG.m) to make the following
> > > > > function.  It can be called with a parameter=1 if
> > > > > adding new patients is to be allowed.  Here is the
> > > > > code.  And FYI, it uses a standard VistA screenman
> > > > > based system of editing.  (Questions below)
> > > > >
> > > > > EDITPT(AddOK)
> > > > >   ;"Purpose: Ask for patient name, and allow
> > > > editing
> > > > >   ;"Input: AddOK: if 1, adding new patients
> > > > allowed
> > > > >   ;"Result: none
> > > > >
> > > > > do LO^DGUTL
> > > > > set DGCLPR=""
> > > > > new DGDIV set DGDIV=$$PRIM^VASITE
> > > > >
> > > > > if DGDIV>0 set
> > > > > %ZIS("B")=$piece($get(^DG(40.8,+DGDIV,"DEV")),U,1)
> > > > >
> > > > > kill %ZIS("B")
> > > > > if '$data(DGIO),$piece(^DG(43,1,0),U,30) do
> > > > >         . set %ZIS="N",IOP="HOME"
> > > > >         . do ^%ZIS
> > > > >
> > > > > A do ENDREG^DGREG($get(DFN))
> > > > >         do  if (Y<0) goto EditDone
> > > > >         . W !!
> > > > >         . if $get(AddOK)=1 do
> > > > >         . . set DIC=2,DIC(0)="ALEQM"
> > > > >         . . set DLAYGO=2
> > > > >         . else  do
> > > > >         . . set DIC=2,DIC(0)="AEQM"
> > > > >         . . set DLAYGO=0
> > > > >         . kill DIC("S")
> > > > >         . do ^DIC
> > > > >         . kill DLAYGO
> > > > >         . if Y<0 quit
> > > > >         . set (DFN,DA)=+Y
> > > > >         . set DGNEW=$P(Y,"^",3)
> > > > >         . new Y
> > > > >         . do PAUSE^DG10
> > > > >         . do BEGINREG^DGREG(DFN)
> > > > >         . if DGNEW D NEW^DGRP
> > > > >
> > > > > if +$get(DGNEW) do
> > > > > . ;" query CMOR for Patient Record Flag
> > > > Assignments
> > > > > if NEW patient and
> > > > > . ;" display results.
> > > > > . if $$PRFQRY^DGPFAPI(DFN) do DISPPRF^DGPFAPI(DFN)
> > > > >
> > > > > set (DGFC,CURR)=0
> > > > > set DA=DFN
> > > > >         set DGFC="^1"
> > > > >         set
> > > > >
> > > >
> > > VET=$select($data(^DPT(DFN,"VET")):^("VET")'="Y",1:0)
> > > > >
> > > > > set %ZIS="N",IOP="HOME"
> > > > >         do ^%ZIS
> > > > >         set DGELVER=0
> > > > >         ;"do EN^DGRPD
> > > > >         ;"if $data(DGRPOUT) do  goto A
> > > > >         ;". do ENDREG^DGREG($G(DFN))
> > > > >         ;". do HL7A08^VAFCDD01
> > > > >         ;". kill DFN,DGRPOUT
> > > > >
> > > > > ;"do HINQ^DG10
> > > > > if $D(^DIC(195.4,1,"UP")) if ^("UP") do ADM^RTQ3
> > > > >
> > > > > do REG^IVMCQ($G(DFN))  ;" send financial query
> > > > >
> > > > >       set DGRPV=0
> > > > >       do EN1^DGRP
> > > > >
> > > > > EditDone
> > > > > quit
> > > > >
> > > > >
> > > > > OK, the next issue I need to solve is the actual
> > > > > addition of a NEW patient (i.e. LAYGO).  If I
> > > > supply a
> > > > > new name of a patient, it asks if I want to add a
> > > > new
> > > > > patient.  If I say YES, it goes into roll and
> > > > scroll
> > > > > mode, asking many more questions than my setting
> > > > > needs, and only comes back to the screenman
> > > > ("nicer")
> > > > > editing screens after aborting with a "^" (and, oh
> > > > by
> > > > > the way, you have to know how many questions you
> > > > have
> > > > > to answer before jumping out, or the record is not
> > > > > created).
> > > > >
> > > > > So It seems that an input template might help
> > > > here.
> > > > > But how would I tell ^DIC to use an input template
> > > > in
> > > > > event of Laygo?
> > > > >
> > > > > Thanks
> > > > > Kevin
> > > > >
> > > > >
> > > > >
> > > > > __________________________________________________
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