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236 lines
20 KiB
236 lines
20 KiB
<?xml version="1.0" encoding="ISO-8859-1"?>
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<VUE name="PMSI000378" label="PMSI. Analyse REA" title="= 'Analyse REA par ' + SELECT.GROUPBY_LABEL + ' (' + SELECT.PERIODE_LABEL + ' à ' + SELECT.TOPERIODE_LABEL + ') - ' + SELECT.VERSION_GROUPAGE_LABEL" database="iCTI" swf="*CTI_view1" softCode="iCTI_pmsi" globals="PMSI_globals.XML" componentsFile="PMSI_components.XML" helpDokuWIkiDir="pmsi:qualite:etudes" helpDokuWIkiFile="pmsi000378" helpFile="iCTI_PMSI_PMSI000378.HTML">
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<VIEWPROPERTIES componentName="PROPERTIES_RSS" />
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<VIEWPROPERTIES componentName="PROPERTIES_SELECT_TABTREE" />
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<SELECTIONS label="Paramètres de l'analyse" displayText="">
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<GROUP label="Période">
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<FIELD name="ALIAS_PERIODE" label="" UI="combo" width="220" default="CUM_LAST_MONTH" tree="true" globalListProvider="ALIAS_PERIODE" />
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<FIELD name="PERIODE" label="" UI="combo" tree="true" width="200" default="2014-01-01" globalListProvider="DATE_DEBUT" />
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<FIELD name="TOPERIODE" label="à" UI="combo" tree="true" width="200" default="2014-12-31" globalListProvider="DATE_FIN" />
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</GROUP>
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<GROUP label="Regroupements">
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<FIELD name="GROUPBY" width="220" label="" UI="combo" default="4" tree="true">
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<OPTION label="Options" data="" globalListProvider="RSS_GROUPBY_OPTIONS" />
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</FIELD>
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<FIELD name="GROUPBY_TAB" width="100" label="Présentation" UI="combo" default="AUTO" visible="= SELECT.GROUPBY_2 != '-1' ">
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<OPTION label="Automatique" data="AUTO" />
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<OPTION label="Arbre" data="TREE" />
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<OPTION label="Onglet" data="TAB" />
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</FIELD>
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</GROUP>
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<GROUP label="">
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<FIELD name="GROUPBY_2" width="220" label="" UI="combo" default="-1" tree="true">
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<OPTION label="Pas de second niveau" data="-1" treeLevel="1" />
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<OPTION label="Options" data="" globalListProvider="RSS_GROUPBY_OPTIONS" />
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</FIELD>
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<FIELD name="ACTIVITE_SIGNIFICATIVE_BASE" label="" UI="text" visible="false" default="-1" />
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</GROUP>
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</SELECTIONS>
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<SELECTIONS componentName="FILTRES_RSS_SELECTIONS" />
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<QUERIES>
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<QUERY label="">
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<SQL optimizer="V_RSS_X" cacheEnabled="false">
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<select><![CDATA[
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SELECT
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[VIEW.SELECT_TABTREE_COLUMNS],
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sum(temp_pmsi000378_rss.rea_facturee_nb_rss) AS FRERSS,
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sum(temp_pmsi000378_rss.rea_facturee_nb_prestations) AS FREDUR,
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sum(temp_pmsi000378_rss.rea_facturee_base_remboursement) AS FRECA,
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sum(temp_pmsi000378_rss.rea_facturable_nb_rss) AS FLERSS,
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sum(temp_pmsi000378_rss.rea_facturable_nb_prestations) AS FLEDUR,
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sum(temp_pmsi000378_rss.rea_facturable_base_remboursement) AS FLECA,
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sum(temp_pmsi000378_rss.rea_facturable_nb_rss) - SUM(temp_pmsi000378_rss.rea_facturee_nb_rss) AS ECARSS,
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sum(temp_pmsi000378_rss.rea_facturable_nb_prestations) - SUM(temp_pmsi000378_rss.rea_facturee_nb_prestations) AS ECADUR,
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sum(temp_pmsi000378_rss.rea_facturable_base_remboursement) - SUM(temp_pmsi000378_rss.rea_facturee_base_remboursement) AS ECACA,
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sum(CASE WHEN temp_pmsi000378_rss.rea_facturable_nb_rss = 0 THEN temp_pmsi000378_rss.rea_passage_nb_rss ELSE 0 END) AS PASRSS,
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sum(CASE WHEN temp_pmsi000378_rss.rea_facturable_nb_rss = 0 THEN temp_pmsi000378_rss.rea_passage_duree_sejour ELSE 0 END) AS PASDUR,
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sum(CASE WHEN temp_pmsi000378_rss.rea_facturable_nb_rss = 0 THEN temp_pmsi000378_rss.rea_facturable_sans_rea_ni_igs_nb_rss ELSE 0 END) AS FLBRSS,
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SUM(CASE WHEN temp_pmsi000378_rss.rea_facturable_regle = '1' THEN 1 ELSE 0 END) AS RG1RSS,
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SUM(CASE WHEN temp_pmsi000378_rss.rea_facturable_regle = '2' THEN 1 ELSE 0 END) AS RG2RSS
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FROM #V_RSS_X#
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JOIN pmsi.p_rss_rea temp_pmsi000378_rss ON v_rss_1.rss_id = temp_pmsi000378_rss.oid, [VIEW.SELECT_TABTREE_VIEW]
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WHERE
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mois_sortie IN ([VIEW.PERIODE_MOIS_LIST]) AND v_rss_1.date_sortie BETWEEN '[PERIODE]' AND '[TOPERIODE]'
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[VIEW.FILTRE_RSS_SELECT]
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[VIEW.SELECT_TABTREE_WHERE]
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GROUP BY 1,2,3,4,5,6,7,8,9,10,11
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ORDER BY 2,5,7;
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]]></select>
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<FIELDS>
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<FIELD name="TABD" />
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<FIELD name="TABDL" />
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<FIELD name="TABDLL" />
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<FIELD name="OID1" />
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<FIELD name="COD1" />
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<FIELD name="OID2" />
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<FIELD name="COD2" />
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<FIELD name="OID" />
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<FIELD name="COD" />
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<FIELD name="TXT" />
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<FIELD name="LVL" />
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<FIELD name="FRERSS" />
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<FIELD name="FREDUR" />
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<FIELD name="FRECA" />
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<FIELD name="FLERSS" />
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<FIELD name="FLEDUR" />
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<FIELD name="FLECA" />
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<FIELD name="ECARSS" />
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<FIELD name="ECADUR" />
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<FIELD name="ECACA" />
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<FIELD name="PASRSS" />
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<FIELD name="PASDUR" />
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<FIELD name="FLBRSS" />
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<FIELD name="RG1RSS" />
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<FIELD name="RG2RSS" />
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</FIELDS>
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</SQL>
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</QUERY>
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</QUERIES>
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<PRESENTATION>
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<VIEWLINKS>
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<VIEWLINK label="Justificatif par RSS" shortLabel="Liste RSS" view="PMSI000379.XML" componentName="RSS_BASE_VIEWLINK">
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<ARG name="IND_REA" value="
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if (TAB == 1) {return '-1'}
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if (COLUMN.NAME == 'FLERSS') {return 'FLE'}
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if (COLUMN.NAME == 'FLEDUR') {return 'FLE'}
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if (COLUMN.NAME == 'FLECA') {return 'FLE'}
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if (COLUMN.NAME == 'FRERSS') {return 'FRE'}
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if (COLUMN.NAME == 'FREDUR') {return 'FRE'}
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if (COLUMN.NAME == 'FRECA') {return 'FRE'}
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if (COLUMN.NAME == 'ECARSS') {return 'ECA'}
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if (COLUMN.NAME == 'ECADUR') {return 'ECA'}
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if (COLUMN.NAME == 'ECACA') {return 'ECA'}
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if (COLUMN.NAME == 'PASRSS') {return 'reaNF'}
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if (COLUMN.NAME == 'FLBRSS') {return 'NreaF'}
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return '-1'
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" />
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</VIEWLINK>
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<VIEWREF label="Listes des Actes Marqueurs de REA "
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shortLabel="Actes Marqueurs REA" url="http://www.ctisante.com/references/pmsi/ACTES_marqueurs_REA.xls" rowContext="false" />
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</VIEWLINKS>
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<ONGLET excelLabel="Analyse facturation" label="Analyse facturation" multiTab="true" multiTabBreakField="TABD" multiTabBreakLabelField="TABDL" multiTabBreakLonglabelField="TABDLL">
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<DATAGRID title="" total="true" showOthers="false" headerHeight="54" variableRowHeight="true" totalRowInRows="= ROW.OID == '-9999999'"
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sortable="= SELECT.GROUPBY_3 == '-1' && (SELECT.GROUPBY_2 == '-1' || SELECT.GROUPBY_TAB == 'TAB')">
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<ROWSTYLE name="fontSize" value="11" />
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<FOOTERROWSTYLE name="fontSize" value="11" />
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<ROWSTYLE name="rowHeight" value="22" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="backgroundColor" value="0xFFD393" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="fontWeight" value="bold" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderSides" value="top bottom" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderStyle" value="solid" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderThickness" value="2" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<COLUMN dataField="LVL" width="50" type="Char" visible="false" headerText="Code" textAlign="left" otherFunction="text" totalFunction="text" />
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<COLUMN dataField="OID1" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD1" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="OID2" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD2" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="OID" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD" width="70" type="Char" visible="true" headerText="Code" textAlign="left" otherFunction="text" totalFunction="text" totalComplement="TOTAL">
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<CELLSTYLE name="fontSize" value="11" />
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<CELLSTYLE name="paddingLeft" value="15" condition="ROW.LVL == '2' && SELECT.GROUPBY_TAB != 'TAB'" />
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</COLUMN>
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<COLUMN dataField="TXT" type="Char" minWidth="150" headerText="Texte" textAlign="left" totalFunction="text" otherFunction="text" otherComplement="Autres">
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<CELLSTYLE name="fontSize" value="11" />
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</COLUMN>
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<COLUMN dataField="FLERSS" width="70" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="RSS facturables" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Nombre de séjours susceptibles d'avoir au moins un supplément <b>rea</b> facturable : séjours passés dans une UM avec autorisatin 03x qui répondent à une des 4 règles d'élection à la facturation d'une prestation <b>rea</b> (voir onglet <b>Modes de calcul</b>)"" />
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<COLUMN dataField="FLEDUR" width="70" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="Durée facturable" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Durée des séjours susceptibles d'avoir au moins un supplément <b>rea</b> facturable. Durée = nombre de jours entre la date d'entrée et la date de sortie du RUM sauf quand date sortie = date entrée où on compte 1 et sauf pour les décès où la journée de sortie est comptée"" />
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<COLUMN dataField="FLECA" width="80" type="Number" outputFormat="#E" fixed="false" selectable="true" headerText="C.A. facturable" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Tarif en vigueur à la date de sortie du séjour * Nombre de journées facturables (colonne <b>Durée facturable</b>) * Coefficient MCO en vigueur à la date de sortie du séjour (valeur <i>Historique Coefficients MCO</i> renseignée dans le menu P.M.S.I MCO -> Paramètres -> Tables -> Autres -> Etablissement. Valeur à 1 si paramétrage absent ou incorrect)" " />
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<COLUMN dataField="FRERSS" width="70" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="RSS facturés" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Nombre de séjours avec au moins un supplément <b>rea</b> facturé"" />
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<COLUMN dataField="FREDUR" width="70" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="Durée facturée" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Nombre de prestations <b>rea</b> facturées"" />
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<COLUMN dataField="FRECA" width="80" type="Number" outputFormat="#E" fixed="false" selectable="true" headerText="C.A. facturé" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Somme des bases de remboursement associées aux prestations <b>rea</b> facturées"" />
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<COLUMN dataField="ECARSS" width="70" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="Ecart RSS" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Différence entre les colonnes <b>RSS facturables</b> et <b>RSS facturés</b>"" />
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<COLUMN dataField="ECADUR" width="70" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="Ecart durée " textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Différence entre les colonnes <b>Durée facturable</b> et <b>Durée facturée</b>"" />
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<COLUMN dataField="ECACA" width="80" type="Number" outputFormat="#E" fixed="false" selectable="true" headerText="Ecart C.A." textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Différence entre les colonnes <b>C.A. facturable</b> et <b>C.A. facturé</b><br/>Si un écart apparaît alors qu'il n'y en a pas sur les colonnes <b>Ecart RSS</b> et <b>Ecart durée</b> et qu'aucun coefficient MCO n'est paramétré dans la table des établissements (FINESS), l'écart correspond au coefficient prudentiel"" />
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<COLUMN dataField="PASRSS" width="80" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="RSS passés en rea - Non facturables" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return Nombre de séjours passés dans une UM avec autorisatin 03x" />
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<COLUMN dataField="PASDUR" width="80" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="Durée passée en rea - Non facturable" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="= return "Durée des séjours passés dans une UM avec autorisatin 03x. Durée = nombre de jours entre la date d'entrée et la date de sortie du RUM sauf quand date sortie = date entrée où on compte 1 et sauf pour les décès où la journée de sortie est comptée"" />
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<COLUMN dataField="JRTOT" type="Number" headerText="Durée passée en rea - Total" width="80" outputFormat="0" fixed="false" textAlign="right" totalFunction="calc" totalComplement="" otherFunction="calc" calc="true"
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description="Nombre de jours de présence dans l'unité (durée facturable + durée passée dans une UM 01x).">
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<CALC formula="(ROW.PASDUR + ROW.FLEDUR)" />
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</COLUMN>
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<COLUMN dataField="NBP" type="Number" headerText="Taux de rea facturables" width="80" outputFormat="0#,0%" fixed="false" textAlign="right" totalFunction="calc" totalComplement="" otherFunction="calc" calc="true"
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description="Taux de rea : rea Facturables / Nombre de jours de présence dans l'unité (durée facturable + durée passée dans une UM 01x).">
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<CALC formula="ROW.FLEDUR / (ROW.PASDUR + ROW.FLEDUR) * 100" />
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</COLUMN>
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</DATAGRID>
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</ONGLET>
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<ONGLET excelLabel="Modes de calcul" label="Modes de calcul" multiTab="true" multiTabBreakField="TABD" multiTabBreakLabelField="TABDL" multiTabBreakLonglabelField="TABDLL">
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<DATAGRID title="" total="true" showOthers="false" headerHeight="72" totalRowInRows="= ROW.OID == '-9999999'">
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<ROWSTYLE name="fontSize" value="11" />
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<FOOTERROWSTYLE name="fontSize" value="11" />
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<ROWSTYLE name="rowHeight" value="20" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="backgroundColor" value="0xFFD393" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="fontWeight" value="bold" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderSides" value="top bottom" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderStyle" value="solid" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderThickness" value="2" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<COLUMN dataField="LVL" width="50" type="Char" visible="false" headerText="Code" textAlign="left" otherFunction="text" totalFunction="text" />
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<COLUMN dataField="OID1" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD1" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="OID2" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD2" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="OID" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD" width="70" type="Char" visible="true" headerText="Code" textAlign="left" otherFunction="text" totalFunction="text" totalComplement="TOTAL">
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<CELLSTYLE name="fontSize" value="11" />
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<CELLSTYLE name="paddingLeft" value="15" condition="ROW.LVL == '2' && SELECT.GROUPBY_TAB != 'TAB'" />
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</COLUMN>
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<COLUMN dataField="TXT" type="Char" minWidth="150" headerText="Texte" textAlign="left" totalFunction="text" otherFunction="text" otherComplement="Autres">
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<CELLSTYLE name="fontSize" value="11" />
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</COLUMN>
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<COLUMN dataField="FLERSS" width="100" type="Number" outputFormat="#" fixed="false" headerText="RSS facturables" textAlign="right" totalFunction="sum" otherFunction="sum" />
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<!--<COLUMN dataField="RG1RSS" width="110" type="Number" outputFormat="#" fixed="false" headerText="(1) passage en rea" textAlign="right" totalFunction="sum" otherFunction="sum" />-->
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<COLUMN dataField="RG1RSS" width="110" type="Number" outputFormat="#" fixed="false" headerText="(1) IGS >= 15 annexe 10 liste 1" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="Un supplément dénommé réanimation (REA) pour chaque journée où le patient est pris en charge dans une unité de réanimation autorisée et qu'il présente un indice de gravité simplifié (IGS) d'une valeur supérieure ou égale à 15 et qu'un des actes de la liste 1 figurant en annexe 7 y a été effectué" />
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<COLUMN dataField="RG2RSS" width="110" type="Number" outputFormat="#" fixed="false" headerText="(2) IGS >= 15 annexe 10 liste 2" textAlign="right" totalFunction="sum" otherFunction="sum"
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description="Trois occurrences d'au moins un des actes de la liste 2 figurant à la même annexe y ont été effectuées" />
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</DATAGRID>
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</ONGLET>
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<ONGLET excelLabel="A vérifier" label="A vérifier" multiTab="true" multiTabBreakField="TABD" multiTabBreakLabelField="TABDL" multiTabBreakLonglabelField="TABDLL">
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<DATAGRID title="" total="true" showOthers="false" headerHeight="54" totalRowInRows="= ROW.OID == '-9999999'">
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<ROWSTYLE name="fontSize" value="11" />
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<FOOTERROWSTYLE name="fontSize" value="11" />
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<ROWSTYLE name="rowHeight" value="20" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="backgroundColor" value="0xFFD393" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="fontWeight" value="bold" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderSides" value="top bottom" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderStyle" value="solid" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<ROWSTYLE name="borderThickness" value="2" condition="ROW.LVL == '1' && SELECT.GROUPBY_2 != '-1' && SELECT.GROUPBY_TAB != 'TAB'" />
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<COLUMN dataField="LVL" width="50" type="Char" visible="false" headerText="Code" textAlign="left" otherFunction="text" totalFunction="text" />
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<COLUMN dataField="OID1" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD1" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="OID2" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD2" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="OID" width="60" type="Char" visible="false" headerText="Oid" />
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<COLUMN dataField="COD" width="70" type="Char" visible="true" headerText="Code" textAlign="left" otherFunction="text" totalFunction="text" totalComplement="TOTAL">
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<CELLSTYLE name="fontSize" value="11" />
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<CELLSTYLE name="paddingLeft" value="15" condition="ROW.LVL == '2' && SELECT.GROUPBY_TAB != 'TAB'" />
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</COLUMN>
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<COLUMN dataField="TXT" type="Char" minWidth="150" headerText="Texte" textAlign="left" totalFunction="text" otherFunction="text" otherComplement="Autres">
|
|
<CELLSTYLE name="fontSize" value="11" />
|
|
</COLUMN>
|
|
<COLUMN dataField="PASRSS" width="100" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="RSS passés en rea non facturables" textAlign="right" totalFunction="sum" otherFunction="sum" />
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|
<COLUMN dataField="FLBRSS" width="100" type="Number" outputFormat="#" fixed="false" selectable="true" headerText="RSS non passés en rea à vérifier" textAlign="right" totalFunction="sum" otherFunction="sum" />
|
|
</DATAGRID>
|
|
</ONGLET>
|
|
</PRESENTATION>
|
|
</VUE>
|