| 1 | PSOCPTRI ;BHAM ISC/CPM,RTR - SUPPORT FOR CHAMPUS RX BILLING ;14-AUG-96 | 
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| 2 | ;;7.0;OUTPATIENT PHARMACY;**10,55,184**;DEC 1997 | 
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| 3 | ;External reference to ^PSDRUG supported by DBIA 221 | 
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| 4 | ; | 
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| 5 | ; | 
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| 6 | TRANS(ORIG,REF,PSOV) ; Extract Rx information for transmission to FI | 
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| 7 | ;  Input:   ORIG  --  Pointer to the rx in file #52 | 
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| 8 | ;            REF  --  Pointer to the refill in file #52.1 | 
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| 9 | ;                     (This is 0 if we are billing the original fill) | 
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| 10 | ;           PSOV  --  Passed by reference.  This array will be used | 
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| 11 | ;                     to return the output (described below). | 
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| 12 | ; Output:   PSOE  --  This is normally 1, or -1 if the NDC cannot | 
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| 13 | ;                     be determined. | 
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| 14 | ; | 
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| 15 | ; | 
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| 16 | ;     Description of output variables to be passed to billing: | 
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| 17 | ; | 
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| 18 | ;            PSOV("NDC")       NDC # from the DRUG (#50) file | 
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| 19 | ;            PSOV("DIV")       Pharmacy (in file #59) dispensing the rx | 
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| 20 | ;            PSOV("FDT")       Rx Fill Date | 
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| 21 | ;                                 Last fill, field #101, or | 
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| 22 | ;                                 Dispensed, field #25 | 
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| 23 | ;            PSOV("RX#")       Prescription number, field #.01 | 
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| 24 | ;            PSOV("QTY")       Quantity, field #7 | 
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| 25 | ;            PSOV("SUP")       Days Supply, field #8 | 
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| 26 | ;            PSOV("ISS")       Issue Date, field #1 | 
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| 27 | ;            PSOV("#REF")      # Refills, field #9 | 
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| 28 | ;            PSOV("COMP")      2 if manufactured in Pharmacy, else 1 | 
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| 29 | ;            PSOV("DEA")       DEA number from "PS" node in File 200 | 
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| 30 | ; | 
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| 31 | N PSOE,PSORX S PSOE=1 | 
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| 32 | ; | 
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| 33 | S PSORX(0)=$G(^PSRX(ORIG,0)),PSORX(2)=$G(^(2)),PSORX(3)=$G(^(3)) | 
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| 34 | S:$G(REF) PSORX("REF")=$G(^PSRX(ORIG,1,REF,0)) | 
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| 35 | I PSORX(0)="" S PSOE=-1 G TRANSQ | 
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| 36 | ; | 
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| 37 | S PSOV("RX#")=$P(PSORX(0),"^") ; prescription number | 
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| 38 | ; - first check for a valid NDC # | 
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| 39 | S PSOV("NDC")=$P($G(^PSDRUG(+$P(PSORX(0),"^",6),2)),"^",4) | 
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| 40 | I +PSOV("NDC")=0 S PSOE=-1 G TRANSQ | 
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| 41 | ; | 
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| 42 | ; - extract everything else | 
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| 43 | S PSOV("DIV")=$S($P($G(PSORX("REF")),"^",9):$P(PSORX("REF"),"^",9),1:$P(PSORX(2),"^",9)) ;                  pharmacy division | 
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| 44 | S PSOV("FDT")=$S($G(REF):$E($P(PSORX("REF"),"^"),1,7),1:$E($P(PSORX(2),"^",2),1,7)) | 
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| 45 | I PSOV("FDT")="" S PSOV("FDT")=$S($P(PSORX(3),"^"):$P(PSORX(3),"^"),1:$P(PSORX(2),"^",5)) | 
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| 46 | ; | 
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| 47 | S PSOV("QTY")=$S($P($G(PSORX("REF")),"^",4)'="":$P(PSORX("REF"),"^",4),1:$P(PSORX(0),"^",7)) ;                  quantity | 
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| 48 | S PSOV("SUP")=$S($P($G(PSORX("REF")),"^",10)'="":$P(PSORX("REF"),"^",10),1:$P(PSORX(0),"^",8)) ;                  days supply | 
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| 49 | S PSOV("ISS")=$P(PSORX(0),"^",13) ;                 date rx written | 
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| 50 | S PSOV("#REF")=$P(PSORX(0),"^",9) ;                 # refills authorized | 
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| 51 | ; | 
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| 52 | N PSOX S PSOX=+$P(PSORX(0),"^",6) S PSOV("COMP")=$P($G(^PSDRUG(PSOX,0)),"^",3) S PSOV("COMP")=$S(PSOV("COMP")[0:2,1:1) ; Compound drug | 
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| 53 | ; | 
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| 54 | S PSOV("DEA")=$S($P(PSORX(0),"^",4):$P($G(^VA(200,$P(PSORX(0),"^",4),"PS")),"^",2),1:"") ; DEA # | 
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| 55 | ; | 
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| 56 | ; | 
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| 57 | TRANSQ Q PSOE | 
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| 58 | ; | 
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| 59 | ; | 
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| 60 | LABEL(RX,PSOLAP,PSOSITE,DUZ,PSOTRAMT) ; Print the label. | 
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| 61 | ;  Input:        RX  --  Pointer to the prescription in file #52 | 
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| 62 | ;            PSOLAP  --  Label printer | 
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| 63 | ;           PSOSITE  --  Pointer to the Pharmacy in file #59 | 
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| 64 | ;               DUZ  --  Pointer to the use in file #200 | 
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| 65 | ;          PSOTRAMT  --  Amount to be paid | 
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| 66 | ; | 
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| 67 | ; | 
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| 68 | Q:PSOLAP["LAT-TERM" | 
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| 69 | Q:'$D(^PSRX(RX,0)) | 
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| 70 | Q:'$D(^PS(59,PSOSITE,0)) | 
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| 71 | N CT,II,III,NOW,RXFF,X,Y,PSOSYS,PSOPAR,PSOBARS,PDUZ,PSOBAR0,PSOBAR1,REPRINT,PSOCHAMP,PSHRX,DIQUIET | 
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| 72 | S DIQUIET=1 D DT^DICRW | 
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| 73 | I '$G(DT) S DT=$$DT^XLFDT | 
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| 74 | S:$P($G(^PSRX(RX,"STA")),"^")'=3 REPRINT="" | 
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| 75 | D:$P($G(^PSRX(RX,"STA")),"^")=3 | 
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| 76 | .S RXFF=0 F II=0:0 S II=$O(^PSRX(RX,1,II)) Q:'II  S RXFF=II | 
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| 77 | .K DIE S DIE="^PSRX(",DA=RX,DR=$S('RXFF:"22///"_DT_";",1:"")_"100///"_0_";101///"_$S('RXFF:DT,1:+$P($G(^PSRX(RX,1,+$G(RXFF),0)),"^")) D ^DIE K DIE | 
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| 78 | .S PSHRX=RX D EN^PSOHLSN1(RX,"OE","","Rx removed from CHAMPUS billing hold","A") S RX=PSHRX | 
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| 79 | .K ^PSRX("AH",+$P($G(^PSRX(RX,"H")),"^"),RX) S ^PSRX(DA,"H")="" | 
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| 80 | .D NOW^%DTC S NOW=% | 
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| 81 | .S III=0 F CT=0:0 S CT=$O(^PSRX(RX,"A",CT)) Q:'CT  S III=CT | 
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| 82 | .S III=III+1,^PSRX(RX,"A",0)="^52.3DA^"_III_"^"_III | 
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| 83 | .S ^PSRX(RX,"A",III,0)=NOW_"^"_"U"_"^"_+$G(DUZ)_"^"_$S(RXFF<6:RXFF,1:(RXFF+1))_"^"_"Rx removed from CHAMPUS billing hold" | 
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| 84 | ; | 
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| 85 | IO S %ZIS="",IOP=PSOLAP D ^%ZIS I POP H 5 G IO | 
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| 86 | N PSOIOS S PSOIOS=IOS D DEVBAR^PSOBMST | 
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| 87 | S PSOSYS=$G(^PS(59,PSOSITE,1)) | 
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| 88 | S PSOPAR=$G(^PS(59,PSOSITE,1)),PDUZ=DUZ | 
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| 89 | S PPL=RX | 
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| 90 | S PSOCHAMP=1 | 
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| 91 | S PSOBARS=PSOBAR1]""&(PSOBAR0]"")&($P(PSOPAR,"^",19)) | 
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| 92 | D DQ^PSOLBL | 
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| 93 | D ^%ZISC | 
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| 94 | ; | 
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| 95 | Q | 
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| 96 | ; | 
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| 97 | ; | 
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| 98 | CHK(ORIG,REF) ; Should this rx be billed to the CHAMPUS Fiscal Intermediary? | 
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| 99 | ;  Input:   ORIG  --  Pointer to the rx in file #52 | 
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| 100 | ;            REF  --  Pointer to the refill in file #52.1, or | 
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| 101 | ;                     0 for the original fill | 
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| 102 | ; Output:   PSOB  --  0 => The rx should not be billed | 
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| 103 | ;                     1 => The rx may be billed. | 
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| 104 | ; | 
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| 105 | N PSOB | 
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| 106 | ; | 
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| 107 | ; - ignore CHAMPUS billing for certain RX Patient Statuses | 
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| 108 | I $P($G(^PS(53,+$P($G(^PSRX(+$G(ORIG),0)),"^",3),0)),"^",8) G CHKQ | 
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| 109 | ; | 
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| 110 | S PSOB=1 | 
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| 111 | ; | 
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| 112 | CHKQ Q +$G(PSOB) | 
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| 113 | ; | 
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| 114 | DEV ;Get devices | 
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| 115 | N PSOTRION | 
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| 116 | S PSOTRION=ION | 
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| 117 | I $G(PSOLAP)]"",$G(PSOLAP)'=ION Q | 
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| 118 | DEVA W ! S %ZIS("B")="",%ZIS="MNQ",%ZIS("A")="Select LABEL DEVICE: " D ^%ZIS I POP!($E(IOST)'["P") W !,"Label Printer device must be selected!",! G DEVA | 
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| 119 | S PSOLAP=ION | 
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| 120 | N PSOIOS S PSOIOS=IOS D DEVBAR^PSOBMST | 
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| 121 | S PSOBARS=PSOBAR1]""&(PSOBAR0]"")&($P($G(PSOPAR),"^",10)) | 
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| 122 | D ^%ZISC S ION=PSOTRION Q | 
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| 123 | ; | 
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| 124 | EXM ;Edit Champus Billing Exemption field | 
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| 125 | I '$D(PSOPAR) D ^PSOLSET G EXM | 
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| 126 | W ! K DIC S DIC="^PS(53,",DIC(0)="AEQMZ" D ^DIC K DIC I Y<0!($D(DTOUT))!($D(DUOUT)) G EXMQ | 
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| 127 | W ! K DIE S DA=+Y,DIE="^PS(53,",DR=16 D ^DIE | 
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| 128 | EXMQ K DIE,DIC,Y | 
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| 129 | Q | 
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| 130 | RESDIR ;Reset DIR just in case | 
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| 131 | S DIR("A")="LABEL: QUEUE"_$S($P(PSOPAR,"^",23):"/HOLD",1:"")_$S($P(PSOPAR,"^",24):"/SUSPEND",1:"")_$S($P(PSOPAR,"^",26):"/LABEL",1:"")_" or '^' to bypass " | 
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| 132 | S DIR("?",1)="Enter 'Q' to queue labels to print",DIR("?")="Enter '^' to bypass label functions",DIR("?",4)="Enter 'S' to suspend labels to print later" | 
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| 133 | S DIR("?",2)="Enter 'H' to hold label until Rx can be filled",DIR("?",3)="Enter 'P' for Rx profile" | 
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| 134 | S:$P(PSOPAR,"^",26) DIR("?",5)="Enter 'L' to print labels without queuing" | 
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| 135 | Q | 
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