IWeb Administrator Guide

Waitlist Encounter Logic Administration

This option is used for defining the additional business rules that are applied to the Waitlist report.

Items defined in dark gray boxes are the matching values and the items in the yellow boxes are the output values. Output values override the Admin Code Mapping, Type Mapping, CPT Code Mapping, TXN Code Mapping, and DX Code Mapping fields that are configured in the Waitlist Codes option. For an example, a patient received "Influenza split, 36+ months" and the report was run with the following parameters:

Program: Immunization Program
Pay Status: E
Insurance: 52 Medicaid
Visit Type: general Immunization (E&M) Medicaid or Medicare

The application attempts to find an encounter logic rule that matches:

Description - This is the exception. The description overwrites the description that displays on the report, so this is actually an output value, even though the background is gray.
Insurance - If the value matches the value on the report parameter, then it matches. Valid values are the numeric values listed under Waitlist Codes - Insurance Coverage Codes.
Patient Minimum Age/Patient Maximum Age - Displayed in months. If the patient's age is between the values listed, it is a match.
Vaccine Code - Drop-down list of valid vaccines. Patient must have received the vaccination for it to be a match.
Lot Type - S = State, P = Private. If Lot Type is defined, the lot must be recorded on the vaccination for the match to occur. S indicates publicly supplied; P indicates publicly supplied.
Program - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Programs.
Visit Type - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Visit Types. A comma-delimited list is allowed.
Pay Status - If the value matches the value on the report parameter, it matches. Valid values are the character values listed under Waitlist Codes - Pay Status.
Waive Fee - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Waive Fee Codes.
Homeless - If the value matches the value on the report parameter, it matches. Valid values are the numeric values listed under Waitlist Codes - Homeless Status. If a value is not defined, it is not used as a matching criteria, but any value defined as part of the encounter logic rule is used to match.

To access this option, click the Administration > Settings > Waitlist Encounter Logic Administration link. The Waitlist Encounter Code Logic page opens. To add a new one, enter at least the Vaccine Code. To edit one, click the arrow button next to the vaccine code.

The available fields at the top of the Waitlist Encounter Code Logic page are as follows. Fields highlighted in yellow can be edited. Fields highlighted in gray provide the current codes in the database table.

Field	Description
Description	The vaccine description. This overwrites the description that displays on the report, so it is actually an output value (even with the gray background).
Insurance	The numeric value for insurance.
Patient Minimum Age	The minimum age of the patient represented in months.
Patient Maximum Age	The maximum age of the patient represented in months.
Vaccine Code	The vaccine code from the drop-down list.
Lot Type	The alphabetical letter of the lot (S = State or Publicly Supplied; P = Private or Privately Supplied)
Program	The identifying number for the program.
Pay Status	The pay status.
Visit Type	The type of visit.
Homeless	The patient's living environment. Examples: Emergency Shelter, Homeless, Not Homeless.
Waive Fee Reason	The reason the fee was waived. Example: CD Risk, Donated Vaccine, Research Study.
Admin Code Mapping	Enter the administrative code used for mapping. This field is considered an output value because it changes the display on the report output for the matching line.
Type Mapping	Enter the alphabetical code for mapping type. This value does not display on the report output, but if this value is set, it is taken into account when the subsequent codes are processed.
CPT Code Mapping	Enter the CPT code for mapping. This field is considered an output value because it changes the display on the report output for the matching line.
TXN Code Mapping	Enter the transaction code for mapping. This field is considered an output value because it changes the display on the report output for the matching line.
DX Code Mapping	Enter the diagnosis code for mapping. This field is considered an output value because it changes the display on the report output for the matching line.

Click the arrow button next to a vaccine to copy the information to the fields at the top of the page.

The columns at the bottom of the page are as follows:

Column	Description
Vaccine Code	Code for the vaccine.
Description	Description of the vaccine. If this is blank, it means the vaccine is old and not being used.
Rule ID	The identification number for the rule.