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pour déploiement auto v2 via gitlab
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pmsi-gitlab/db/schema2/functions/cti_gen_src.yaml

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return: text
lang: plpgsql
src: |
DECLARE
result TEXT;
nb_years_max_src NUMERIC;
BEGIN
----- https://www.lespmsi.com/algorithme-de-calcul-du-supplement-rea-reanimation-en-mco/
----- https://www.lespmsi.com/supplement-src-nouvelles-regles-de-declenchement-et-modification-de-la-liste-des-codes-cim-10/
nb_years_max_src =
(
SELECT COALESCE(valeur, '2')
FROM pmsi.t_divers
WHERE code = 'ANN_DEBUT_RECUP_SEJ_SRC'
);
RAISE NOTICE '%' , 'Parametres. Nombre d''annees a recuperer : ' || nb_years_max_src;
RAISE NOTICE '%' , 'Suppression des éléments de la table p_rss_src';
TRUNCATE pmsi.p_rss_src;
RAISE NOTICE '%' , 'listes utilisées par l''étude SRC';
DROP TABLE IF EXISTS w_listes_src
;
CREATE TEMP TABLE w_listes_src AS
SELECT liste_code, to_id
FROM pmsi.v_listes_3
WHERE v_listes_3.liste_code IN ('CTI_REA25_71A', 'CTI_REA25_72A', 'CTI_SRC18_82A', 'CTI_SRC18_81D', 'CTI_SRC18_83D', 'CTI_SRC19_82A', 'CTI_SRC19_81D', 'CTI_SRC19_83D', 'CTI_SRC20_82A', 'CTI_SRC20_81D', 'CTI_SRC20_83D', 'CTI_SRC21_82A', 'CTI_SRC21_81D', 'CTI_SRC21_83D', 'CTI_SRC22_82A', 'CTI_SRC22_81D', 'CTI_SRC22_83D', 'CTI_SRC23_82A', 'CTI_SRC23_81D', 'CTI_SRC23_83D', 'CTI_SRC24_82A', 'CTI_SRC24_81D', 'CTI_SRC24_83D', 'CTI_SRC25_82A', 'CTI_SRC25_81D', 'CTI_SRC25_83D')
;
----------------------- **
RAISE NOTICE '%' , 'Création table temp_pmsi000143_rss';
--Table temp_pmsi000143_rss :
--
--finess ................................ : Finess du RSS
--no_rss ................................ : Numéro du RSS
--oid ................................... : Id du RSS
--date_sortie ........................... : Date de sortie du RSS
--age ................................... : Age du patient
--src_facturee_nb_rss ................... : SRC facturé (1 ou 0)
--src_facturee_nb_prestations ........... : Nombre de SRC facturés
--src_facturee_base_remboursement ....... : Montant des SRC facturés
--src_facturable_nb_rss ................. : SRC facturable (1 ou 0)
--src_facturable_nb_prestations ......... : Nombre de SRC facturables
--src_facturable_base_remboursement ..... : Montant des SRC facturables
--src_facturable_regle .................. : Numéro de la règle qui permet de facturer un SRC
--src_facturable_regle_justificatif ..... : Texte de la règle qui permet de facturer un SRC
--src_passage_nb_rss .................... : Passage dans une UM avec autorisation '03' (SRC)
--src_passage_duree_sejour .............. : Nombre de jours dans l'UM avec autorisation '03'
--src_passage_base_remboursement ........ : S/O
--src_facturable_sans_src_ni_igs_nb_rss . :
--rea_passage_nb_rss .................... : Passage dans une UM avec autorisation '01' (REA)
--igs2_rum .............................. : IGS du RUM
DROP TABLE IF EXISTS temp_pmsi000143_rss;
CREATE TEMP TABLE temp_pmsi000143_rss(
finess character(9),
no_rss bigint,
oid bigint,
date_sortie date,
age integer,
src_facturee_nb_rss numeric(5) DEFAULT 0,
src_facturee_nb_prestations numeric(5) DEFAULT 0,
src_facturee_base_remboursement numeric(11, 2) DEFAULT 0,
src_facturable_nb_rss numeric(5) DEFAULT 0,
src_facturable_nb_prestations numeric(5) DEFAULT 0,
src_facturable_base_remboursement numeric(11, 2) DEFAULT 0,
src_facturable_regle character(1) DEFAULT '',
src_facturable_regle_justificatif character varying(255) DEFAULT '',
src_passage_nb_rss numeric(5) DEFAULT 0,
src_passage_duree_sejour numeric(5) DEFAULT 0,
src_passage_base_remboursement numeric(11, 2) DEFAULT 0,
src_facturable_sans_src_ni_igs_nb_rss numeric(5) DEFAULT 0,
rea_passage_nb_rss numeric(5) DEFAULT 0,
igs2_rum integer DEFAULT 0
);
CREATE INDEX temp_pmsi000143_rss_i1
ON temp_pmsi000143_rss
USING btree
(oid);
----------------------- **
RAISE NOTICE '%' , 'Création table temp_pmsi000143_rsf_detail';
--Table temp_pmsi000143_rsf_detail :
--
--date_debut ............ : Date d'entrée dans le RUM
--date_fin .............. : Date de sortie du RUM
--nombre ................ : Nombre de journées dans le RUM (minimum 1)
--prix_unitaire ......... : Tarif unitaire du supplément juournalier
--base_remboursement .... : Montant total du supplément journalier
--coefficient_mco ....... : Coefficient MCO
--prestation_id ......... : Identifiant de la prestation
--regle ................. : Numéro de la règle d'attribution d'un supplément SRC
--rss_id ................ : Identifiant du Séjour
DROP TABLE IF EXISTS temp_pmsi000143_rsf_detail;
CREATE TEMP TABLE temp_pmsi000143_rsf_detail
(
date_debut date,
date_fin date,
nombre numeric(13,2) DEFAULT 1,
prix_unitaire numeric(13,2) DEFAULT 0,
base_remboursement numeric(13,2) DEFAULT 0,
coefficient_mco numeric(5,4) DEFAULT 0,
prestation_id bigint DEFAULT 0,
regle character(1) DEFAULT '',
rss_id bigint DEFAULT 0
);
----------------------- **
RAISE NOTICE '%' , 'Sélection de tous les dossiers';
INSERT INTO temp_pmsi000143_rss (
finess
,no_rss
,oid
,date_sortie
,age
)
SELECT finess
,no_rss
,rss_id
,date_sortie
,age
FROM pmsi.v_rss_1
WHERE 1 = 1
AND ghm_id > 0
-- évite de récupérer la totalité des séjours (recup seulement N-2)
AND date_sortie BETWEEN ((to_char(CURRENT_DATE, 'YYYY')::INT - nb_years_max_src)::TEXT || '0101')::DATE
AND '20990228'::DATE
AND duree_sejour >= 1;
DELETE
FROM temp_pmsi000143_rss
WHERE oid IN (
SELECT rss_id
FROM pmsi.v_rsf_total_1
WHERE 1 = 1
AND code_pec_code <> 1
GROUP BY rss_id
);
----------------------- **
RAISE NOTICE '%' , 'Dossiers avec supplément SRC facturé';
UPDATE temp_pmsi000143_rss SET
src_facturee_nb_rss = nb_rss,
src_facturee_nb_prestations = nb_prestations,
src_facturee_base_remboursement = base_remboursement
FROM
(
SELECT
rss_id,
1 as nb_rss,
SUM(nombre) as nb_prestations,
SUM(base_remboursement) as base_remboursement
FROM
pmsi.p_rsf_detail
JOIN temp_pmsi000143_rss ON temp_pmsi000143_rss.oid = p_rsf_detail.rss_id
JOIN pmsi.t_prestations ON t_prestations.oid = p_rsf_detail.prestation_id
WHERE 1=1
AND est_ligne_rss = '1'
AND t_prestations.code = 'SRC'
GROUP BY rss_id
) subview
WHERE subview.rss_id = temp_pmsi000143_rss.oid;
----------------------- **
RAISE NOTICE '%' , 'Dossiers passés dans une UM qui possède une autorisation SRC puis ceux avec une autorisation REA';
UPDATE temp_pmsi000143_rss SET
src_passage_nb_rss = nb_rss,
src_passage_duree_sejour = duree_sejour,
igs2_rum = igs2
FROM
( SELECT
rss_id,
1 as nb_rss,
SUM(duree_sejour) as duree_sejour,
MAX(igs2) AS igs2
FROM
pmsi.p_rss_rum
JOIN temp_pmsi000143_rss ON temp_pmsi000143_rss.oid = p_rss_rum.rss_id
JOIN pmsi.t_unites_medicales ON p_rss_rum.unite_medicale_id = t_unites_medicales.oid
WHERE
t_unites_medicales.type_autorisation LIKE '03%' OR t_unites_medicales.type_autorisation LIKE '14%'
GROUP BY rss_id
) subview
WHERE subview.rss_id = temp_pmsi000143_rss.oid;
UPDATE temp_pmsi000143_rss SET
rea_passage_nb_rss = nb_rss
FROM
( SELECT
rss_id,
1 as nb_rss,
SUM(duree_sejour) as duree_sejour
FROM
pmsi.p_rss_rum
JOIN temp_pmsi000143_rss ON temp_pmsi000143_rss.oid = p_rss_rum.rss_id
JOIN pmsi.t_unites_medicales ON p_rss_rum.unite_medicale_id = t_unites_medicales.oid
WHERE
t_unites_medicales.type_autorisation LIKE '01%'
GROUP BY rss_id
) subview
WHERE subview.rss_id = temp_pmsi000143_rss.oid;
----------------------- **
RAISE NOTICE '%' , 'Réinitialise les codes de supplément dans la table des RUMs';
UPDATE pmsi.p_rss_rum SET
supplement_code = ''
FROM
temp_pmsi000143_rss
WHERE
p_rss_rum.rss_id = temp_pmsi000143_rss.oid
AND (supplement_code IS NULL OR supplement_code = '');
----------------------- **
RAISE NOTICE '%' , 'Suppression des tables temporaires';
DROP TABLE IF EXISTS w_rss_1_12;
DROP TABLE IF EXISTS w_rss_2_12;
DROP TABLE IF EXISTS w_rss_3_12;
DROP TABLE IF EXISTS w_rss_3B_12;
DROP TABLE IF EXISTS w_rss_4_12;
----------------------- **
RAISE NOTICE '%' , 'Dossiers avec un acte dans la liste 1 de l''annexe 7';
CREATE TEMP TABLE w_rss_1_12 AS
SELECT
rss_id,
no_rum
FROM
pmsi.p_rss_actes
JOIN temp_pmsi000143_rss ON p_rss_actes.rss_id = temp_pmsi000143_rss.oid
JOIN w_listes_src ON w_listes_src.to_id = p_rss_actes.acte_id
WHERE 1=1
AND w_listes_src.liste_code = 'CTI_REA25_71A';
----------------------- **
RAISE NOTICE '%' , 'Dossiers avec un acte de la liste 2 de l''annexe 7 realisé au moins 3 fois';
CREATE TEMP TABLE w_rss_2_12 AS
SELECT
rss_id,
no_rum,
acte_id,
count(*)
FROM
pmsi.p_rss_actes
JOIN temp_pmsi000143_rss ON p_rss_actes.rss_id = temp_pmsi000143_rss.oid
JOIN w_listes_src ON w_listes_src.to_id = p_rss_actes.acte_id
WHERE 1=1
AND w_listes_src.liste_code = 'CTI_REA25_72A'
GROUP BY rss_id, no_rum, acte_id
HAVING count(*) >= 3;
----------------------- **
RAISE NOTICE '%' , 'RUMs dont l''association DP/acte apparait dans la liste 1 de l''annexe 8';
CREATE TEMP TABLE w_rss_3_12 AS
SELECT
p_rss_diagnostics.rss_id::text || '|'::text || p_rss_diagnostics.no_rum::text AS rss_rum_id,
p_rss_diagnostics.rss_id as rss_id,
p_rss_diagnostics.no_rum as no_rum,
p_rss_diagnostics.diagnostic_id,
t_diagnostics.code as diagnostic_principal_code,
t_diagnostics.code as regle_justificatif
FROM
pmsi.p_rss_diagnostics
JOIN temp_pmsi000143_rss ON p_rss_diagnostics.rss_id = temp_pmsi000143_rss.oid
JOIN pmsi.t_diagnostics ON p_rss_diagnostics.diagnostic_id = t_diagnostics.oid
JOIN pmsi.t_unites_medicales ON p_rss_diagnostics.unite_medicale_id = t_unites_medicales.oid
JOIN w_listes_src ON w_listes_src.to_id = p_rss_diagnostics.diagnostic_id
WHERE 1=1
AND (
(temp_pmsi000143_rss.date_sortie < '20190301' AND w_listes_src.liste_code = 'CTI_SRC18_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20190301' AND temp_pmsi000143_rss.date_sortie < '20200301' AND w_listes_src.liste_code = 'CTI_SRC19_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20200301' AND temp_pmsi000143_rss.date_sortie < '20210301' AND w_listes_src.liste_code = 'CTI_SRC20_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20210301' AND temp_pmsi000143_rss.date_sortie < '20220301' AND w_listes_src.liste_code = 'CTI_SRC21_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20220301' AND temp_pmsi000143_rss.date_sortie < '20230301' AND w_listes_src.liste_code = 'CTI_SRC22_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20230301' AND temp_pmsi000143_rss.date_sortie < '20240301' AND w_listes_src.liste_code = 'CTI_SRC23_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20230301' AND temp_pmsi000143_rss.date_sortie < '20250301' AND w_listes_src.liste_code = 'CTI_SRC24_81D')
OR ( temp_pmsi000143_rss.date_sortie >='20250301' AND w_listes_src.liste_code = 'CTI_SRC25_81D')
)
AND (type_autorisation LIKE '03%'OR type_autorisation LIKE '14%')
;
CREATE INDEX w_rss_3_12_i1
ON w_rss_3_12
USING btree
(rss_id);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('S2700', 'S2710', 'S2720', 'S2730')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('AFLB007', 'AFLB017', 'GGJB001')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('J90', 'J91', 'J930', 'J931', 'J938', 'J939', 'S2700', 'S2710', 'S2720', 'S2730')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'GGJB001'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code = 'T754'
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'DEQP007'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('R571', 'T311', 'T321')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('ENLF001', 'EPLF002', 'EQLF002')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('T311', 'T321')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('EQLF002', 'HSLD002')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('R570', 'R578')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'EQLF001'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('D62', 'I850', 'I983', 'K250', 'K252', 'K254', 'K260', 'K262', 'K264', 'K920', 'K921', 'K922', 'O720', 'O721', 'O722')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'FELF011'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('J680','T202', 'T203', 'T206', 'T207')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'GELD005'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code = 'I501'
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('GLLD003', 'GLLD017')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('I501', 'I5010', 'I5011', 'I5012', 'I5019', 'J960', 'J9600', 'J9601', 'J9609')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('GLLD003', 'GLLD015', 'GLLD017')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3_12 WHERE
diagnostic_principal_code IN ('K500', 'K501', 'K508', 'K509', 'K510', 'K512', 'K513', 'K514', 'K515', 'K518', 'K519')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3_12 w_rss_3_12_bis ON w_rss_3_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('HSLF001', 'HSLF002', 'HSLF003')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
----------------------- **
RAISE NOTICE '%' , 'RUMs dont l''association DP/acte apparait dans la liste 3 de l''annexe 8';
CREATE TEMP TABLE w_rss_3b_12 AS
SELECT
p_rss_diagnostics.rss_id::text || '|'::text || p_rss_diagnostics.no_rum::text AS rss_rum_id,
p_rss_diagnostics.rss_id as rss_id,
p_rss_diagnostics.no_rum as no_rum,
p_rss_diagnostics.diagnostic_id,
t_diagnostics.code as diagnostic_principal_code,
t_diagnostics.code as regle_justificatif
FROM
pmsi.p_rss_diagnostics
JOIN temp_pmsi000143_rss ON p_rss_diagnostics.rss_id = temp_pmsi000143_rss.oid
JOIN pmsi.t_diagnostics ON p_rss_diagnostics.diagnostic_id = t_diagnostics.oid
JOIN pmsi.t_unites_medicales ON p_rss_diagnostics.unite_medicale_id = t_unites_medicales.oid
JOIN w_listes_src ON w_listes_src.to_id = p_rss_diagnostics.diagnostic_id
WHERE 1=1
AND temp_pmsi000143_rss.age < 18
AND (
( temp_pmsi000143_rss.date_sortie < '20190301' AND w_listes_src.liste_code = 'CTI_SRC18_83D' )
OR ( temp_pmsi000143_rss.date_sortie >='20190301' AND temp_pmsi000143_rss.date_sortie < '20200301' AND w_listes_src.liste_code = 'CTI_SRC19_83D')
OR ( temp_pmsi000143_rss.date_sortie >='20200301' AND temp_pmsi000143_rss.date_sortie < '20210301' AND w_listes_src.liste_code = 'CTI_SRC20_83D')
OR ( temp_pmsi000143_rss.date_sortie >='20210301' AND temp_pmsi000143_rss.date_sortie < '20220301' AND w_listes_src.liste_code = 'CTI_SRC21_83D')
OR ( temp_pmsi000143_rss.date_sortie >='20220301' AND temp_pmsi000143_rss.date_sortie < '20230301' AND w_listes_src.liste_code = 'CTI_SRC22_83D')
OR ( temp_pmsi000143_rss.date_sortie >='20230301' AND temp_pmsi000143_rss.date_sortie < '20240301' AND w_listes_src.liste_code = 'CTI_SRC23_83D')
OR ( temp_pmsi000143_rss.date_sortie >='20240301' AND temp_pmsi000143_rss.date_sortie < '20250301' AND w_listes_src.liste_code = 'CTI_SRC24_83D')
OR ( temp_pmsi000143_rss.date_sortie >='20250301' AND w_listes_src.liste_code = 'CTI_SRC25_83D')
)
AND (type_autorisation LIKE '03%'OR type_autorisation LIKE '14%')
;
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code IN ('E743', 'K523', 'K529', 'K560', 'K904', 'K908', 'K912', 'K93828', 'Q431', 'Q432', 'Q793')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'HSLF003'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code IN ('J188', 'J840', 'J841','J848')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'GEQE004'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code = 'K560'
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'HSLF002'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code = 'R040'
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code IN ('GABD001', 'GASE001', 'GASE002')
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code IN ('J960', 'J9600', 'J9601', 'J9609')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'GLLD019'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code IN ('J960', 'J9600', 'J9601', 'J9609')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'GLLD019'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
DELETE from w_rss_3b_12 WHERE
diagnostic_principal_code IN ('G934', 'K220', 'K224')
AND rss_id != ALL(ARRAY( SELECT
DISTINCT w_rss_3b_12_bis.rss_id
FROM
pmsi.p_rss_actes
JOIN w_rss_3b_12 w_rss_3b_12_bis ON w_rss_3b_12_bis.rss_id = p_rss_actes.rss_id
JOIN pmsi.t_actes ON t_actes.oid = p_rss_actes.acte_id
JOIN pmsi.t_unites_medicales ON t_unites_medicales.oid = p_rss_actes.unite_medicale_id
WHERE
t_actes.code = 'HSLD002'
AND (type_autorisation LIKE '03%' OR type_autorisation LIKE '14%')
)::bigint[]);
----------------------- **
RAISE NOTICE '%' , 'RUMs avec acte dans la liste 2 de l''annexe 8';
CREATE TEMP TABLE w_rss_4_12 AS
SELECT
p_rss_actes.rss_id,
p_rss_actes.no_rss,
p_rss_actes.no_rum,
p_rss_rum.date_sortie,
base.cti_group_concat(DISTINCT t_actes.code) as regle_justificatif
FROM
pmsi.p_rss_actes
JOIN pmsi.t_actes ON p_rss_actes.acte_id = t_actes.oid
JOIN pmsi.p_rss_rum ON p_rss_actes.rss_id = p_rss_rum.rss_id AND p_rss_actes.no_rum = p_rss_rum.no_rum
JOIN temp_pmsi000143_rss ON p_rss_actes.rss_id = temp_pmsi000143_rss.oid
JOIN w_listes_src ON w_listes_src.to_id = p_rss_actes.acte_id
WHERE 1=1
AND p_rss_actes.activite_ccam <> '4'
AND (
( temp_pmsi000143_rss.date_sortie < '20190301' AND w_listes_src.liste_code = 'CTI_SRC18_82A' )
OR ( temp_pmsi000143_rss.date_sortie >= '20190301' AND temp_pmsi000143_rss.date_sortie < '20200301' AND w_listes_src.liste_code = 'CTI_SRC19_82A')
OR ( temp_pmsi000143_rss.date_sortie >= '20200301' AND temp_pmsi000143_rss.date_sortie < '20210301' AND w_listes_src.liste_code = 'CTI_SRC20_82A')
OR ( temp_pmsi000143_rss.date_sortie >= '20210301' AND temp_pmsi000143_rss.date_sortie < '20220301' AND w_listes_src.liste_code = 'CTI_SRC21_82A')
OR ( temp_pmsi000143_rss.date_sortie >= '20220301' AND temp_pmsi000143_rss.date_sortie < '20230301' AND w_listes_src.liste_code = 'CTI_SRC22_82A')
OR ( temp_pmsi000143_rss.date_sortie >= '20230301' AND temp_pmsi000143_rss.date_sortie < '20240301' AND w_listes_src.liste_code = 'CTI_SRC23_82A')
OR ( temp_pmsi000143_rss.date_sortie >= '20240301' AND temp_pmsi000143_rss.date_sortie < '20250301' AND w_listes_src.liste_code = 'CTI_SRC24_82A')
OR ( temp_pmsi000143_rss.date_sortie >= '20250301' AND w_listes_src.liste_code = 'CTI_SRC25_82A')
)
GROUP BY 1,2,3,4;
----------------------- **
RAISE NOTICE '%' , 'Positionne un supplement REA si acte dans liste 1 annexe 7 et ((IGS2 >= 15 et age >= 18) ou (age < 18) et RUM avec autorisation ''01''';
UPDATE pmsi.p_rss_rum SET
supplement_code = 'REA'
FROM
temp_pmsi000143_rss
, w_rss_1_12
WHERE
temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND ((p_rss_rum.igs2 >= 15 AND temp_pmsi000143_rss.age >= 18) OR temp_pmsi000143_rss.age < 18)
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE type_autorisation LIKE '01%')
AND p_rss_rum.rss_id = w_rss_1_12.rss_id
AND p_rss_rum.no_rum = w_rss_1_12.no_rum;
----------------------- **
RAISE NOTICE '%' , 'Positionne un supplement REA si acte dans liste 2 annexe 7 realise 3 fois et ((IGS2 >= 15 et age >= 18) ou (age < 18) et RUM avec autorisation ''01''';
UPDATE pmsi.p_rss_rum SET
supplement_code = 'REA'
FROM
temp_pmsi000143_rss
, w_rss_2_12
WHERE
temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND ((p_rss_rum.igs2 >= 15 AND temp_pmsi000143_rss.age >= 18) OR temp_pmsi000143_rss.age < 18)
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE type_autorisation LIKE '01%')
AND p_rss_rum.rss_id = w_rss_2_12.rss_id
AND p_rss_rum.no_rum = w_rss_2_12.no_rum;
----------------------- **
RAISE NOTICE '%' , 'Positionne un flag SRC sur les RUMS où :
. l''UM possède une autorisation SRC
.
. l''IGS >= 7 et DP/acte dans liste 1 Annexe 8 et age >= 18
OU
. DP/acte dans liste 3 Annexe 8 et age < 18';
UPDATE pmsi.p_rss_rum SET
supplement_code = 'SRC2'
FROM
temp_pmsi000143_rss
WHERE 1=1
AND temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND (
(temp_pmsi000143_rss.age < 40 AND p_rss_rum.igs2 >= 7)
OR
(temp_pmsi000143_rss.age BETWEEN 40 AND 59 AND p_rss_rum.igs2 >= 14)
OR
(temp_pmsi000143_rss.age BETWEEN 60 AND 69 AND p_rss_rum.igs2 >= 19)
OR
(temp_pmsi000143_rss.age BETWEEN 70 AND 74 AND p_rss_rum.igs2 >= 22)
OR
(temp_pmsi000143_rss.age BETWEEN 75 AND 79 AND p_rss_rum.igs2 >= 23)
OR
(temp_pmsi000143_rss.age >= 80 AND p_rss_rum.igs2 >= 25)
)
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE (type_autorisation LIKE '03%'OR type_autorisation LIKE '14%'))
AND p_rss_rum.rss_id::text || '|'::text || p_rss_rum.no_rum::text IN (SELECT rss_rum_id FROM w_rss_3_12);
UPDATE pmsi.p_rss_rum SET
supplement_code = 'SRC2'
FROM
temp_pmsi000143_rss
WHERE 1=1
AND temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND temp_pmsi000143_rss.age < 18
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE (type_autorisation LIKE '03%'OR type_autorisation LIKE '14%'))
AND p_rss_rum.rss_id::text || '|'::text || p_rss_rum.no_rum::text IN (SELECT rss_rum_id FROM w_rss_3b_12);
----------------------- **
RAISE NOTICE '%' , 'Positionne un flag SRC sur les RUMS où :
. l''UM possède une autorisation SRC
. l''IGS >= 15';
UPDATE pmsi.p_rss_rum SET supplement_code = 'SRC3'
FROM temp_pmsi000143_rss
WHERE temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND (
(temp_pmsi000143_rss.age < 40 AND p_rss_rum.igs2 >= 15)
OR
(temp_pmsi000143_rss.age BETWEEN 40 AND 59 AND p_rss_rum.igs2 >= 22)
OR
(temp_pmsi000143_rss.age BETWEEN 60 AND 69 AND p_rss_rum.igs2 >= 27)
OR
(temp_pmsi000143_rss.age BETWEEN 70 AND 74 AND p_rss_rum.igs2 >= 30)
OR
(temp_pmsi000143_rss.age BETWEEN 75 AND 79 AND p_rss_rum.igs2 >= 31)
OR
(temp_pmsi000143_rss.age >= 80 AND p_rss_rum.igs2 >= 33)
)
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE (type_autorisation LIKE '03%'OR type_autorisation LIKE '14%'));
----------------------- **
RAISE NOTICE '%' , 'Positionne un flag SRC sur les RUMS où :
. l''UM possède une autorisation SRC
. un des actes apparaît dans la liste 2 de l''annexe 8';
UPDATE pmsi.p_rss_rum SET supplement_code = 'SRC4'
FROM temp_pmsi000143_rss, w_rss_4_12
WHERE
temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE (type_autorisation LIKE '03%'OR type_autorisation LIKE '14%'))
AND p_rss_rum.rss_id = w_rss_4_12.rss_id AND (p_rss_rum.date_entree = w_rss_4_12.date_sortie OR p_rss_rum.no_rum = w_rss_4_12.no_rum);
----------------------- **
RAISE NOTICE 'Positionne un flag SRC sur les RUMS où :
. l''UM possède une autorisation SRC
. le RUM précédent a été flagué avec un supplément ''REA''
. Le séjour a une provenance ''R'' (Transfert depuis Réanimation) associé à un mode d''entrée 0 (Transfert inter-établissement) ou 7 (Transfert vers un autre établissement)';
UPDATE pmsi.p_rss_rum SET supplement_code = 'SRC5'
FROM temp_pmsi000143_rss, (SELECT rss_id, no_rum FROM pmsi.p_rss_rum WHERE supplement_code LIKE 'REA%' ) subview
WHERE
temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE type_autorisation LIKE '03%'OR type_autorisation LIKE '14%')
AND p_rss_rum.rss_id = subview.rss_id AND p_rss_rum.no_rum = subview.no_rum + 1;
UPDATE pmsi.p_rss_rum SET supplement_code = 'SRC5'
FROM temp_pmsi000143_rss
WHERE
temp_pmsi000143_rss.oid = p_rss_rum.rss_id
AND supplement_code = ''
AND unite_medicale_id IN (SELECT oid FROM pmsi.t_unites_medicales WHERE type_autorisation LIKE '03%'OR type_autorisation LIKE '14%')
AND p_rss_rum.no_rum = 1
AND p_rss_rum.provenance = 'R'
AND (p_rss_rum.mode_entree = '0' OR p_rss_rum.mode_entree = '7');
----------------------- **
RAISE NOTICE 'Remplit la table avec tous les RUMs précédemment marqués comme facturables (SRCS, SRC3, SRC4,...)';
INSERT INTO temp_pmsi000143_rsf_detail(
date_debut, date_fin, regle, nombre, prix_unitaire, base_remboursement, coefficient_mco, rss_id)
SELECT
p_rss_rum.date_entree,
p_rss_rum.date_sortie,
SUBSTR(supplement_code, 4 , 1),
CASE WHEN p_rss_rum.date_sortie > p_rss_rum.date_entree THEN
CASE WHEN p_rss_rum.mode_sortie <> '9' THEN p_rss_rum.date_sortie - p_rss_rum.date_entree
ELSE p_rss_rum.date_sortie - p_rss_rum.date_entree + 1 END
ELSE 1 END,
CASE
WHEN t_finess.type_etablissement = '1' THEN
CASE
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_1 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_1 THEN t_prestations.tarif_prive_1
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_2 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_2 THEN t_prestations.tarif_prive_2
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_3 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_3 THEN t_prestations.tarif_prive_3
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_4 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_4 THEN t_prestations.tarif_prive_4
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_5 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_5 THEN t_prestations.tarif_prive_5
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_6 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_6 THEN t_prestations.tarif_prive_6
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_7 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_7 THEN t_prestations.tarif_prive_7
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_8 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_8 THEN t_prestations.tarif_prive_8
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_prive_9 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_prive_9 THEN t_prestations.tarif_prive_9
ELSE 0::numeric END
ELSE
CASE
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_1 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_1 THEN t_prestations.tarif_public_1
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_2 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_2 THEN t_prestations.tarif_public_2
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_3 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_3 THEN t_prestations.tarif_public_3
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_4 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_4 THEN t_prestations.tarif_public_4
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_5 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_5 THEN t_prestations.tarif_public_5
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_6 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_6 THEN t_prestations.tarif_public_6
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_7 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_7 THEN t_prestations.tarif_public_7
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_8 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_8 THEN t_prestations.tarif_public_8
WHEN temp_pmsi000143_rss.date_sortie >= t_prestations.date_debut_public_9 AND temp_pmsi000143_rss.date_sortie <= t_prestations.date_fin_public_9 THEN t_prestations.tarif_public_9
ELSE 0::numeric END
END,
0,
1,
temp_pmsi000143_rss.oid
FROM
pmsi.p_rss_rum
JOIN temp_pmsi000143_rss ON temp_pmsi000143_rss.oid = p_rss_rum.rss_id
JOIN base.t_finess ON t_finess.code = temp_pmsi000143_rss.finess
,pmsi.t_prestations
WHERE 1=1
AND supplement_code <> ''
AND supplement_code LIKE 'SRC%'
AND t_prestations.code = 'SRC';
----------------------- **
RAISE NOTICE ' ';
UPDATE temp_pmsi000143_rsf_detail SET nombre = temp_pmsi000143_rsf_detail.nombre - 1
FROM temp_pmsi000143_rss, temp_pmsi000143_rsf_detail temp_pmsi000143_rsf_detail2
WHERE
temp_pmsi000143_rsf_detail.rss_id = temp_pmsi000143_rss.oid
AND temp_pmsi000143_rsf_detail.date_debut <> temp_pmsi000143_rsf_detail.date_fin
AND temp_pmsi000143_rsf_detail2.rss_id = temp_pmsi000143_rss.oid
AND temp_pmsi000143_rsf_detail2.date_debut = temp_pmsi000143_rsf_detail.date_debut
AND temp_pmsi000143_rsf_detail2.date_fin = temp_pmsi000143_rsf_detail2.date_debut;
----------------------- **
RAISE NOTICE ' ';
UPDATE temp_pmsi000143_rsf_detail
SET
base_remboursement = round(coefficient_mco_calcul * prix_unitaire * nombre, 2)
FROM pmsi.t_prestations, temp_pmsi000143_rss
JOIN base.v_coefficient_mco ON
temp_pmsi000143_rss.finess = v_coefficient_mco.finess
AND temp_pmsi000143_rss.date_sortie >= v_coefficient_mco.date_debut
AND temp_pmsi000143_rss.date_sortie <= v_coefficient_mco.date_fin
WHERE temp_pmsi000143_rsf_detail.prestation_id = t_prestations.oid
AND temp_pmsi000143_rsf_detail.rss_id = temp_pmsi000143_rss.oid;
----------------------- **
RAISE NOTICE 'Ressence tous les SRC facturables à partir des règles calculées précédemment';
UPDATE temp_pmsi000143_rss SET
src_facturable_nb_rss = nb_rss,
src_facturable_nb_prestations = nb_prestations,
src_facturable_base_remboursement = base_remboursement,
src_facturable_regle = regle
FROM
(SELECT rss_id, 1 as nb_rss, SUM(nombre) as nb_prestations, SUM(base_remboursement) as base_remboursement, MAX(regle) as regle
FROM temp_pmsi000143_rsf_detail
GROUP BY rss_id) subview
WHERE subview.rss_id = temp_pmsi000143_rss.oid;
----------------------- **
RAISE NOTICE ' ';
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Passé en SRC non facturable ('::text || w_rss_3_12.regle_justificatif::text || ' éligible)'::text
FROM w_rss_3_12
WHERE w_rss_3_12.rss_id = temp_pmsi000143_rss.oid
AND src_facturee_nb_rss = 0 AND src_facturable_nb_rss = 0 AND src_passage_nb_rss > 0;
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Passé en SRC non facturable ('::text || w_rss_3b_12.regle_justificatif::text || ' éligible)'::text
FROM w_rss_3b_12
WHERE w_rss_3b_12.rss_id = temp_pmsi000143_rss.oid
AND src_facturee_nb_rss = 0 AND src_facturable_nb_rss = 0 AND src_passage_nb_rss > 0;
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Passé en SRC non facturable ('::text || w_rss_4_12.regle_justificatif::text || ' éligible)'::text
FROM w_rss_4_12
WHERE w_rss_4_12.rss_id = temp_pmsi000143_rss.oid
AND src_facturee_nb_rss = 0 AND src_facturable_nb_rss = 0 AND src_passage_nb_rss > 0;
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Passé en SRC non facturable'
WHERE src_facturee_nb_rss = 0 AND src_facturable_nb_rss = 0 AND src_passage_nb_rss > 0 AND src_facturable_regle_justificatif = '';
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Règle '::text || src_facturable_regle::text
WHERE src_facturable_regle IN ('1', '3', '5');
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Règle '::text || src_facturable_regle::text || ' '::text || w_rss_3_12.regle_justificatif::text
FROM w_rss_3_12
WHERE w_rss_3_12.rss_id = temp_pmsi000143_rss.oid
AND src_facturable_regle = '2';
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Règle '::text || src_facturable_regle::text || ' '::text || w_rss_3b_12.regle_justificatif::text
FROM w_rss_3b_12
WHERE w_rss_3b_12.rss_id = temp_pmsi000143_rss.oid
AND src_facturable_regle = '2';
UPDATE temp_pmsi000143_rss SET
src_facturable_regle_justificatif = 'Règle '::text || src_facturable_regle::text || ' '::text || w_rss_4_12.regle_justificatif::text
FROM w_rss_4_12
WHERE w_rss_4_12.rss_id = temp_pmsi000143_rss.oid
AND src_facturable_regle = '4';
----------------------- **
RAISE NOTICE ' ';
UPDATE temp_pmsi000143_rss SET
src_facturable_sans_src_ni_igs_nb_rss = 1,
src_facturable_regle_justificatif = 'Vérifier SRC ('::text || w_rss_3_12.regle_justificatif::text || ' éligible)'::text
FROM w_rss_3_12
WHERE w_rss_3_12.rss_id = temp_pmsi000143_rss.oid
AND src_passage_nb_rss = 0 AND rea_passage_nb_rss = 0;
UPDATE temp_pmsi000143_rss SET
src_facturable_sans_src_ni_igs_nb_rss = 1,
src_facturable_regle_justificatif = 'Vérifier SRC ('::text || w_rss_4_12.regle_justificatif::text || ' éligible)'::text
FROM w_rss_4_12
WHERE w_rss_4_12.rss_id = temp_pmsi000143_rss.oid
AND src_passage_nb_rss = 0 AND rea_passage_nb_rss = 0;
DELETE FROM temp_pmsi000143_rss
WHERE
src_facturee_nb_rss = 0
AND src_facturable_nb_rss = 0
AND src_passage_nb_rss = 0
AND src_facturable_sans_src_ni_igs_nb_rss = 0;
----------------------- **
RAISE NOTICE 'Remplissage table p_rss_src';
INSERT INTO pmsi.p_rss_src(
finess, no_rss, oid, date_sortie, age, src_facturee_nb_rss, src_facturee_nb_prestations,
src_facturee_base_remboursement, src_facturable_nb_rss, src_facturable_nb_prestations,
src_facturable_base_remboursement, src_facturable_regle, src_facturable_regle_justificatif,
src_passage_nb_rss, src_passage_duree_sejour, src_passage_base_remboursement,
src_facturable_sans_src_ni_igs_nb_rss, rea_passage_nb_rss, igs2_rum)
SELECT * FROM temp_pmsi000143_rss
;
RETURN 'OK';
END;