PSUOP8 ;BIR/DAM - Outpatient AMIS Summary Message;04 MAR 2004 ;;4.0;PHARMACY BENEFITS MANAGEMENT;;MARCH, 2005 ; ;Reference to file #59 supported by DBIA 2510 ; EN ;Entry point for MailMan message ;Called from PSUOP0 ; Q:$D(^XTMP("PSU_"_PSUJOB,"PSUFLAG")) ;Quit if Provider extract only D MSG D MAIL Q ; MSG ;Create the Rx AMIS summary mailman message ;Called from PSUOP0 ; S (PSU30,PSU60,PSU90,PSUNADJ,PSUEQ,PSUTCST,PSUNADC,PSUCFIL)="" S (PSUNEW,PSUREF,PSUWN,PSUWNCS,PSUML,PSUMLCS,PSUMP,PSULC)="" S (PSUSTF,PSUFEE,PSULOCS,PSUSTNM)="" ; S PSUST=$P($G(^XTMP("PSU_"_PSUJOB,"PSUSITE")),U,1) ;Facility # S PSUSTNM=$P($G(^XTMP("PSU_"_PSUJOB,"PSUSITE")),U,2) ;Facility name ; D TCOST ;Calculate total cost for all Rx fills ; S Y=PSUSDT X ^DD("DD") S PSUDTS=Y S Y=PSUEDT X ^DD("DD") S PSUDTE=Y S AMIS(1)="Outpatient AMIS Summary for "_PSUDTS_" through "_PSUDTE_" for "_PSUSTNM ; S AMIS(2)="" ; S AMIS(3)=" Unadj 30Day Cost/ Cost/" ; S AMIS(4)=" 30Day 60Day 90Day Total Equiv Total Unadj 30Day" ; S AMIS(5)="Division Fills Fills Fills Fills Fills Cost Fill Fill" ; S $P(AMIS(6),"-",132)="" ;Separator bar ; S PSULN=7 ; S PSUDVN=0 F S PSUDVN=$O(^TMP($J,"FILL",PSUDVN)) Q:PSUDVN="" D .S X=PSUDVN,DIC=59,DIC(0)="XM" D ^DIC ;Find division name .S X=+Y,PSUDIVNM=$$VAL^PSUTL(59,X,.01) .I '$G(PSUDIVNM) S X=PSUDVN,DIC=40.8,DIC(0)="X",D="C" D IX^DIC D ..S X=+Y S PSUDIVNM=$$VAL^PSUTL(40.8,X,.01) .D VAR .D UNADCST .D FILL .D TOTAL1 .; .;Construct line with spacing .S PSULINE="" .S $E(PSULINE,1,17)=PSUDIVNM .S $E(PSULINE,18,28)=$J(FILL30,11) .S $E(PSULINE,29,39)=$J(FILL60,11) .S $E(PSULINE,40,50)=$J(FILL90,11) .S $E(PSULINE,51,61)=$J(UNAD,11) .S $E(PSULINE,62,72)=$J(EQUIV,11) .S $E(PSULINE,74,75)="$" .S $E(PSULINE,76,88)=$J(TCOST(PSUDVN),13) .S $E(PSULINE,90,91)="$" .S $E(PSULINE,92,102)=$J(UNADC(PSUDVN),11) .S $E(PSULINE,104,105)="$" .S $E(PSULINE,106,116)=$J(CFILL(PSUDVN),11) .;End line .S AMIS(PSULN)=PSULINE S PSULN=PSULN+1 ; S $P(AMIS(PSULN),"-",132)="" S PSULN=PSULN+1 ;Separator bar ; ;Construct line with spacing S PSULINE="" S $E(PSULINE,1,17)="Total" S $E(PSULINE,18,28)=$J(PSU30,11) S $E(PSULINE,29,39)=$J(PSU60,11) S $E(PSULINE,40,50)=$J(PSU90,11) S $E(PSULINE,51,61)=$J(PSUNADJ,11) S $E(PSULINE,62,72)=$J(PSUEQ,11) S $E(PSULINE,74,75)="$" S $E(PSULINE,76,88)=$J(PSUTCST,13) S $E(PSULINE,90,91)="$" S $E(PSULINE,92,102)=$J(PSUNADC,11) S $E(PSULINE,104,105)="$" S $E(PSULINE,106,116)=$J(PSUCFIL,11) ;End line construction ; S AMIS(PSULN)=PSULINE S PSULN=PSULN+1 ; F PSULN=PSULN:1:(PSULN+2) S AMIS(PSULN)="" ;Blank lines S PSULN=PSULN+1 ; S AMIS(PSULN)="Unadjusted New Ref Win Mail CMOP Local Staff Fee" S PSULN=PSULN+1 ; S AMIS(PSULN)="Division Rx Rx Rx(CS) Rx(CS) Rx Rx(CS) Rx Rx" S PSULN=PSULN+1 ; S $P(AMIS(PSULN),"-",132)="" S PSULN=PSULN+1 ;Separator bar ; S PSUDVN=0 F S PSUDVN=$O(^TMP($J,"NEW",PSUDVN)) Q:PSUDVN="" D .S X=PSUDVN,DIC=59,DIC(0)="XM" D ^DIC ;Find division name .S X=+Y,PSUDIVNM=$$VAL^PSUTL(59,X,.01) .I '$G(PSUDIVNM) S X=PSUDVN,DIC=40.8,DIC(0)="X",D="C" D IX^DIC D ..S X=+Y S PSUDIVNM=$$VAL^PSUTL(40.8,X,.01) .D VAR2 .D TOTAL2 .;Construct line with spacing .S PSULINE="" .S $E(PSULINE,1,17)=PSUDIVNM .S $E(PSULINE,18,27)=$J(PSUN,10) .S $E(PSULINE,28,37)=$J(PSUR,10) .S $E(PSULINE,38,47)=$J(PSUW,10) .S $E(PSULINE,48,57)="("_PSUWCS_")" .S $E(PSULINE,58,67)=$J(PSUM,10) .S $E(PSULINE,68,77)="("_PSUMCS_")" .S $E(PSULINE,78,87)=$J(PSUMOP,10) .S $E(PSULINE,88,97)=$J(PSULOC,10) .S $E(PSULINE,98,107)="("_PSULCS_")" .S $E(PSULINE,108,117)=$J(PSUTF,10) .S $E(PSULINE,118,127)=$J(PSUFE,10) .;End construction of line .S AMIS(PSULN)=PSULINE S PSULN=PSULN+1 ; S $P(AMIS(PSULN),"-",132)="" S PSULN=PSULN+1 ;Separator bar ; ;Construct line with spacing S PSULINE="" S $E(PSULINE,1,15)="Total" S $E(PSULINE,18,27)=$J(PSUNEW,10) S $E(PSULINE,28,37)=$J(PSUREF,10) S $E(PSULINE,38,47)=$J(PSUWN,10) S $E(PSULINE,48,57)="("_PSUWNCS_")" S $E(PSULINE,58,67)=$J(PSUML,10) S $E(PSULINE,68,77)="("_PSUMLCS_")" S $E(PSULINE,78,87)=$J(PSUMP,10) S $E(PSULINE,88,97)=$J(PSULC,10) S $E(PSULINE,98,107)="("_PSULOCS_")" S $E(PSULINE,108,117)=$J(PSUSTF,10) S $E(PSULINE,118,127)=$J(PSUFEE,10) ;End construction of line S AMIS(PSULN)=PSULINE S PSULN=PSULN+1 ; Q ; VAR ;Set contents of ^TMP global into VARIABLES ; S (FILL30,FILL60,FILL90,UNAD,EQUIV)="" ; S FILL30=^TMP($J,"FILL",PSUDVN,30) ;30 DAY FILLS ; S FILL60=^TMP($J,"FILL",PSUDVN,60) ;60 DAY FILLS ; S FILL90=^TMP($J,"FILL",PSUDVN,90) ;90 DAY FILLS ; S UNAD=^TMP($J,"UNAD",PSUDVN) ;UNADJUSTED TOTAL FILLS ; S EQUIV=^TMP($J,"EQUIV",PSUDVN) ;30 DAY EQUIV FILLS ; Q ; TCOST ;Calculate total cost for prescription fills ; S PSUTC="",PSUTCOST="" ; S PSUDIVN=0 F S PSUDIVN=$O(^TMP($J,"COST",PSUDIVN)) Q:PSUDIVN="" D .S PSURXIEN=0 .F S PSURXIEN=$O(^TMP($J,"COST",PSUDIVN,PSURXIEN)) Q:PSURXIEN="" D ..S PSUTCOST=^TMP($J,"COST",PSUDIVN,PSURXIEN) ..S TCOST(PSUDIVN)=$G(TCOST(PSUDIVN))+PSUTCOST ..I TCOST(PSUDIVN)'["." S TCOST(PSUDIVN)=TCOST(PSUDIVN)_".00" Q ..N A,B,C ..S A=$F(TCOST(PSUDIVN),".") ;Find 1st position after decimal ..S B=$E(TCOST(PSUDIVN),1,(A-1)) ;Extract dollars and decimal ..S C=$E(TCOST(PSUDIVN),A,(A+1)) ;Extract cents after decimal ..I $L(C)'=2 S C=$E(C,1)_0 ..S TCOST(PSUDIVN)=B_C ; Q ; UNADCST ;Calculate Cost Per Unadjusted Fill ; N A,B,C S UNADC(PSUDVN)=TCOST(PSUDVN)/UNAD ; I UNADC(PSUDVN)'["." S UNADC(PSUDVN)=UNADC(PSUDVN)_".00" Q ; S A=$F(UNADC(PSUDVN),".") ;Find position of 1st # after decimal ; S B=$E(UNADC(PSUDVN),1,(A-1)) ;Extract "dollars" up to decimal ; S C=$E(UNADC(PSUDVN),A,(A+1)) ;Extract "cents" after decimal ; S UNADC(PSUDVN)=B_C Q ; FILL ;Calculate Cost Per 30-day Fill ; N A,B,C S CFILL(PSUDVN)=TCOST(PSUDVN)/EQUIV ; I CFILL(PSUDVN)'["." S CFILL(PSUDVN)=CFILL(PSUDVN)_".00" Q ; S A=$F(CFILL(PSUDVN),".") ;Find position of 1st # after decimal ; S B=$E(CFILL(PSUDVN),1,(A-1)) ;Extract "dollars" up to decimal ; S C=$E(CFILL(PSUDVN),A,(A+1)) ;Extract "cents" after decimal ; S CFILL(PSUDVN)=B_C ; Q ; VAR2 ;Set contents of ^TMP globals into variables ; S (PSUN,PSUR,PSUW,PSUWCS,PSUM,PSUMCS)="" S (PSUMOP,PSULOC,PSULCS,PSUTF,PSUFE)="" ; S PSUN=^TMP($J,"NEW",PSUDVN) ;NEW FILLS ; S PSUR=^TMP($J,"REF",PSUDVN) ;REFILLS ; S PSUW=^TMP($J,"WIN",PSUDVN) ;WINDOW FILLS ; S PSUWCS=^TMP($J,"WINCS",PSUDVN) ;WINDOW CS ; S PSUM=^TMP($J,"MAIL",PSUDVN) ;MAIL FILLS ; S PSUMCS=^TMP($J,"MAILCS",PSUDVN) ;MAIL CS ; S PSUMOP=^TMP($J,"CMOP",PSUDVN) ;CMOP FILLS ; S PSULOC=^TMP($J,"LOC",PSUDVN) ;LOCAL FILLS ; S PSULCS=^TMP($J,"LOCS",PSUDVN) ;LOCAL CS ; S PSUTF=^TMP($J,"STAFF",PSUDVN) ;STAFF FILLS ; S PSUFE=^TMP($J,"FEE",PSUDVN) ;FEE FILLS ; Q ; TOTAL1 ;Add each column to get totals for all divisions ; ; S PSU30=$G(PSU30)+FILL30 ;Total 30 day fills ; S PSU60=$G(PSU60)+FILL60 ;Total 60 day fills ; S PSU90=$G(PSU90)+FILL90 ;Total 90 day fills ; S PSUNADJ=$G(PSUNADJ)+UNAD ;Total unadjusted fills ; S PSUEQ=$G(PSUEQ)+EQUIV ;Total 30 day equiv fills ; S PSUTCST=$G(PSUTCST)+TCOST(PSUDVN) ;Total of Total Cost ; ;S PSUNADC=$G(PSUNADC)+UNADC(PSUDVN) ;Total of Cost/Unadj fill I $G(PSUNADJ) S PSUNADC=$G(PSUTCST)/PSUNADJ D .I PSUNADC'["." S PSUNADC=PSUNADC_".00" Q .N A,B,C .S A=$F(PSUNADC,".") ;Find 1st position after decimal .S B=$E(PSUNADC,1,(A-1)) ;Extract dollars and decimal .S C=$E(PSUNADC,A,(A+1)) ;Extract cents after decimal .I $L(C)'=2 S C=$E(C,1)_0 .S PSUNADC=B_C ; ;S PSUCFIL=$G(PSUCFIL)+CFILL(PSUDVN) ;Total of Cost/30day fill I $G(PSUEQ) S PSUCFIL=$G(PSUTCST)/PSUEQ D .I PSUCFIL'["." S PSUCFIL=PSUCFIL_".00" Q .N A,B,C .S A=$F(PSUCFIL,".") ;Find 1st position after decimal .S B=$E(PSUCFIL,1,(A-1)) ;Extract dollars and decimal .S C=$E(PSUCFIL,A,(A+1)) ;Extract cents after decimal .I $L(C)'=2 S C=$E(C,1)_0 .S PSUCFIL=B_C ; Q ; TOTAL2 ;Add each column to get totals for all divisions ; S PSUNEW=$G(PSUNEW)+^TMP($J,"NEW",PSUDVN) ; S PSUREF=$G(PSUREF)+^TMP($J,"REF",PSUDVN) ; S PSUWN=$G(PSUWN)+^TMP($J,"WIN",PSUDVN) ; S PSUWNCS=$G(PSUWNCS)+^TMP($J,"WINCS",PSUDVN) ; S PSUML=$G(PSUML)+^TMP($J,"MAIL",PSUDVN) ; S PSUMLCS=$G(PSUMLCS)+^TMP($J,"MAILCS",PSUDVN) ; S PSUMP=$G(PSUMP)+^TMP($J,"CMOP",PSUDVN) ; S PSULC=$G(PSULC)+^TMP($J,"LOC",PSUDVN) ; S PSULOCS=$G(PSULOCS)+^TMP($J,"LOCS",PSUDVN) ; S PSUSTF=$G(PSUSTF)+^TMP($J,"STAFF",PSUDVN) ; S PSUFEE=$G(PSUFEE)+^TMP($J,"FEE",PSUDVN) ; Q ; MAIL ;Send AMIS summary mailman message ; ;Do not send report if option selection includes 1,2,3,4,6 I $D(^XTMP("PSU_"_PSUJOB,"CBAMIS")) D Q .M ^XTMP("PSU_"_PSUJOB,"OPCOMBO")=AMIS .S ^XTMP("PSU_"_PSUJOB,"OPCOMBO",1)="OUTPATIENT:" ; S XMSUB="V. 4.0 PBMOP "_PSUMON_" "_PSUST_" "_PSUSTNM S XMTEXT="AMIS(" M ^XTMP("PSU_"_PSUJOB,"OPAMIS")=AMIS S XMCHAN=1 M XMY=PSUXMYS2 D ^XMD ; Q