1 | IBECUSO ;RLM/DVAMC - TRICARE PHARMACY BILLING OUTPUTS ; 21-AUG-96
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2 | ;;2.0;INTEGRATED BILLING;**52,240,309,347**;21-MAR-94;Build 24
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3 | ;
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4 | REJ ; Generate the Pharmacy Billing Reject report.
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5 | ;
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6 | ; - quit if there are no rejects
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7 | I '$O(^IBA(351.52,0)) W !!,"There are no rejects to be printed." G REJQ
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8 | ;
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9 | ; - select a device
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10 | S %ZIS="QM" D ^%ZIS G:POP REJQ
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11 | I $D(IO("Q")) D G REJQ
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12 | .S ZTRTN="REJDQ^IBECUSO",ZTDESC="IB - LIST TRICARE PHARMACY BILLING REJECTS"
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13 | .D ^%ZTLOAD W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
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14 | .K ZTSK,IO("Q") D HOME^%ZIS
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15 | ;
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16 | U IO
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17 | ;
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18 | REJDQ ; Tasked entry point.
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19 | ;
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20 | S (IBPAG,IBQ)=0 D REJHDR
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21 | ;
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22 | ; - print rejects
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23 | S IBR=0 F S IBR=$O(^IBA(351.52,IBR)) Q:'IBR D Q:IBQ
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24 | .S IBR0=$G(^IBA(351.52,IBR,0)),IBR1=$G(^(1))
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25 | .Q:'IBR0
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26 | .;
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27 | .S DFN=$$FILE^IBRXUTL(+IBR0,2),IBRXD=$$RXZERO^IBRXUTL(DFN,+IBR0)
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28 | .Q:IBRXD=""
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29 | .S IBFDT=$$FDT($P(IBR0,"^"))
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30 | .;
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31 | .; - display the prescription
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32 | .I $Y>(IOSL-4) D PAUSE Q:IBQ D REJHDR
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33 | .D REJERR
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34 | .;
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35 | .; - display errors
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36 | .F I=1:1 Q:$P(IBR1,",",I)="" S IBERRP=$P(IBR1,",",I) Q:IBERRP="" D Q:IBQ
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37 | ..I $Y>(IOSL-2) D PAUSE Q:IBQ D REJHDR,REJERR
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38 | ..S IBTXT=$$ERRTXT^IBECUS22(IBERRP)
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39 | ..I IBTXT]"" W !?4,IBTXT
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40 | ;
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41 | ; - end-of-report pause
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42 | D:'IBQ PAUSE
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43 | ;
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44 | REJQ I '$D(ZTQUEUED) D ^%ZISC
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45 | K IBFDT,IBPAG,IBQ,IBR,IBR0,IBR1,IBRXD,DFN,IBERRP,IBTXT
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46 | Q
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47 | ;
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48 | ;
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49 | REJHDR ; Print the Reject report header.
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50 | I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
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51 | S IBPAG=IBPAG+1
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52 | W !,$$DASH(),!,"Date: ",$$DAT1^IBOUTL(DT),?(IOM/2)-14,"IPS Unresolved Reject Report"
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53 | W ?(IOM-10),"Page: ",IBPAG,!,$$DASH()
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54 | Q
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55 | ;
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56 | REJERR ; Write the prescription and name.
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57 | W !!,"RX# ",$P(IBRXD,"^"),", filled on ",$$DAT1^IBOUTL(IBFDT)
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58 | W " (",$E($P($G(^DPT(DFN,0)),"^"),1,17)," ",$P($G(^(0)),"^",9),")"
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59 | W " rejected because:"
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60 | Q
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61 | ;
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62 | DASH() ; Return a dashed line.
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63 | Q $TR($J("",IOM)," ","=")
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64 | ;
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65 | PAUSE ; Page break
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66 | Q:$E(IOST,1,2)'="C-"
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67 | N IBX,DIR,DIRUT,DUOUT,DTOUT,DIROUT,X,Y
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68 | F IBX=$Y:1:(IOSL-3) W !
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69 | S DIR(0)="E" D ^DIR I $D(DIRUT)!($D(DUOUT)) S IBQ=1
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70 | Q
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71 | ;
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72 | ;
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73 | ;
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74 | TRN ; Generate the Pharmacy Billing Transmission Report
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75 | ;
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76 | ; - select dates
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77 | K DIR S DIR(0)="D^2960101:"_DT,DIR("A")="Beginning Date:" D ^DIR G:$D(DIRUT) TRNQ S IBBEG=Y
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78 | K DIR S DIR(0)="D^"_IBBEG_":"_DT,DIR("A")="Ending Date:" D ^DIR G:$D(DIRUT) TRNQ S IBEND=Y
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79 | I IBBEG>IBEND W !,"Beginning data must be before ending date.",! G TRN
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80 | ;
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81 | ; - select a device
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82 | S %ZIS="QM" D ^%ZIS G:POP TRNQ
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83 | I $D(IO("Q")) D G TRNQ
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84 | .S ZTRTN="TRNDQ^IBECUSO",ZTDESC="IB - LIST TRICARE PHARMACY BILLING TRANSMISSIONS"
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85 | .F I="IBBEG","IBEND" S ZTSAVE(I)=""
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86 | .D ^%ZTLOAD W !!,$S($D(ZTSK):"This job has been queued. The task number is "_ZTSK_".",1:"Unable to queue this job.")
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87 | .K ZTSK,IO("Q") D HOME^%ZIS
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88 | ;
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89 | U IO
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90 | ;
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91 | TRNDQ ; Tasked entry point.
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92 | ;
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93 | S (IBPAG,IBQ)=0 D TRNHDR
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94 | ;
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95 | ; - print transactions
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96 | S IBC=0 F S IBC=$O(^IBA(351.5,IBC)) Q:'IBC D Q:IBQ
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97 | .S IBCD=$G(^IBA(351.5,IBC,0)),IBCD2=$G(^(2)),IBCD5=$G(^(5)),IBCD6=$G(^(6))
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98 | .Q:'IBCD
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99 | .S IBD=$$FILE^IBRXUTL(+IBCD,101) I IBD="" S IBD=$$FILE^IBRXUTL(+IBCD,22)
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100 | .I IBD<IBBEG Q
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101 | .I IBD>IBEND Q
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102 | .;
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103 | .S IBDPT(0)=$G(^DPT($P(IBCD,"^",2),0)),IBRXD=$$RXZERO^IBRXUTL($P(IBCD,"^",2),+IBCD)
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104 | .S IBFDT=$$FDT($P(IBCD,"^"))
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105 | .;
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106 | .I $Y>(IOSL-5) D PAUSE Q:IBQ D TRNHDR
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107 | .D TRNDAT
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108 | .D ZERO^IBRXUTL(+$P(IBRXD,"^",6))
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109 | .W !," Drug Name: ",$G(^TMP($J,"IBDRUG",+$P(IBRXD,"^",6),.01))
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110 | .K ^TMP($J,"IBDRUG")
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111 | .;
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112 | .W !?5,"Status: ",$S($P(IBCD6,"^")]"":"Reversed",IBCD5]"":"Rejected",1:"Accepted")
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113 | .;
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114 | .; - display errors
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115 | .I IBCD5]"" F I=1:1 S IBERRP=$P(IBCD5,",",I) Q:IBERRP="" D Q:IBQ
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116 | ..I $Y>(IOSL-2) D PAUSE Q:IBQ D TRNHDR,TRNDAT
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117 | ..S IBTXT=$$ERRTXT^IBECUS22(IBERRP)
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118 | ..I IBTXT]"" W !?4,IBTXT
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119 | .Q:IBCD5]""
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120 | .;
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121 | .I $Y>(IOSL-3) D PAUSE Q:IBQ D TRNHDR,TRNDAT
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122 | .W !,$P(IBCD,"^",4),?15,$J($P(IBCD,"^",5),6),?25,$J($P(IBCD2,"^"),6),?35,$J($P(IBCD2,"^",2),6),?45,$J($P(IBCD2,"^",3),6),?55,$J($P(IBCD2,"^",5),6)
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123 | .W !?15,$P(IBCD2,"^",6),?39,$P(IBCD2,"^",7)
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124 | .;
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125 | .I $P(IBCD6,"^",3)]"" F I=1:1 S IBERRP=$P($P(IBCD6,"^",3),",",I) Q:IBERRP="" D Q:IBQ
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126 | ..I $Y>(IOSL-2) D PAUSE Q:IBQ D TRNHDR,TRNDAT
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127 | ..S IBTXT=$$ERRTXT^IBECUS22(IBERRP)
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128 | ..I IBTXT]"" W !?4,IBTXT
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129 | .;
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130 | .I $P(IBCD6,"^")]"" D
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131 | ..I $Y>(IOSL-1) D PAUSE Q:IBQ D TRNHDR,TRNDAT
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132 | ..W !,"Reversal Authorization # ",$P(IBCD6,"^"),?40,"Reversed by: ",$P($G(^VA(200,+$P(IBCD6,"^",2),0)),"^")
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133 | ;
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134 | ; - end-of-report pause
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135 | D:'IBQ PAUSE
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136 | ;
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137 | TRNQ I '$D(ZTQUEUED) D ^%ZISC
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138 | K IBPAG,IBQ,IBR,IBR0,IBR1,IBRXD,DFN,IBERRP,IBTXT,IBBEG,IBEND
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139 | K IBC,IBCD,IBCD2,IBCD5,IBCD6,IBDPT,IBD,IBFDT
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140 | Q
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141 | ;
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142 | TRNHDR ; Print the Transmission Report header.
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143 | I $E(IOST,1,2)="C-"!(IBPAG) W @IOF,*13
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144 | S IBPAG=IBPAG+1
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145 | W !,$$DASH(),!,"Date: ",$$DAT1^IBOUTL(DT),?(IOM/2)-16,"IPS Prescription Status Report"
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146 | W ?(IOM-10),"Page: ",IBPAG
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147 | W !?(IOM/2)-17 S Y=IBBEG X ^DD("DD") W Y," through " S Y=IBEND X ^DD("DD") W Y
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148 | W !,"RX#",?15,"Fill Date",?27,"Patient Name",?62,"Patient SSN"
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149 | W !,"NDC",?15,"AWP",?25,"Copay",?35,"Ing Cost",?45,"Fee Paid",?55,"Total PD"
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150 | W !?15,"Auth. #",?39,"Message"
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151 | W !,"Reject Failure Codes"
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152 | W !,$$DASH(),!
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153 | Q
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154 | ;
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155 | TRNDAT ; Display basic description information.
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156 | W !!,$P(IBRXD,"^"),?15,$$DAT1^IBOUTL(IBFDT)
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157 | W ?27,$P(IBDPT(0),"^"),?62,$P(IBDPT(0),"^",9)
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158 | Q
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159 | ;
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160 | FDT(X) ; Find the Fill Date for the prescription.
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161 | ; Input: X -- 1;2 where 1 :> pointer to the rx in file #52, and
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162 | ; 2 :> pointer to the re-fill in #52.1, or
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163 | ; 0 if this is the original fill.
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164 | N IBRXN,Y,DFN S Y=""
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165 | I $G(X)="" G FDTQ
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166 | S IBRXN=+X
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167 | I $P(X,";",2) S Y=$$SUBFILE^IBRXUTL(IBRXN,$P(X,";",2),52,.01) G FDTQ
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168 | S DFN=$$FILE^IBRXUTL(IBRXN,2),Z2=$$RXSEC^IBRXUTL(DFN,IBRXN),Z3=$$RX3^IBRXUTL(DFN,IBRXN)
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169 | S Y=$S($P(Z2,"^",2):$P(Z2,"^",2),+Z3:+Z3,$P(Z2,"^",5):$P(Z2,"^",5),1:"")
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170 | FDTQ Q Y
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171 | ;
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172 | AWP ;
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173 | I '$D(^JADUTIL("AWP UPDATE")) W !,"No updates on file" Q
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174 | W !,"Date Quantity"
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175 | S A="" F S A=$O(^JADUTIL("AWP UPDATE",A)) Q:'A D
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176 | .I A<($P($H,",")-52) K ^JADUTIL("AWP UPDATE",A) Q
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177 | .S %H=A D YMD^%DTC S Y=X X ^DD("DD")
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178 | .W !,Y," ",^JADUTIL("AWP UPDATE",A)
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179 | Q
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180 | ;
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181 | ;
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182 | ;
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183 | REM ; Delete rejects.
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184 | W !!,"Delete entry from IPS error file"
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185 | W !,"Delete RX#: " R JADTA:DTIME Q:JADTA=""!(JADTA="^")
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186 | I '$D(^JADREJ(JADTA)) W !,JADTA," is not in the error file." G REM
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187 | K ^JADREJ(JADTA) W !,JADTA," has been deleted." G REM
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188 | Q
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