| 1 | PSOSIGDS ;BIR/RTR-Utility to calculate Days Supply ;6/04/00
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| 2 |  ;;7.0;OUTPATIENT PHARMACY;**46,222**;DEC 1997;Build 12
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| 3 |  ;External reference to PS(51 supported by DBIA 2224
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| 4 |  ;External reference to PS(51.1 supported by DBIA 2225
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| 5 |  ;External reference to PS(55 supported by DBIA 2228
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| 6 |  ;External reference to PSDRUG( supported by DBIA 221
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| 7 |  ;External reference to YSCL(603.01 supported by DBIA 2697
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| 8 |  ;
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| 9 | EN(PSOSIGX) ;
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| 10 |  N VARIABLE
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| 11 |  Q
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| 12 | SCH ;SCH = schedule entered     SCHEX = expanded schedule
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| 13 |  N SQFLAG,SCLOOP,SCLP,SCLPS,SCLHOLD,SCIN,SODL,SST
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| 14 |  K SCHEX S SQFLAG=0
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| 15 |  I $G(SCH)="" S SCHEX="" Q
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| 16 |  F SCLOOP=0:0 S SCLOOP=$O(^PS(51.1,"B",SCH,SCLOOP)) Q:'SCLOOP!(SQFLAG)  I $P($G(^PS(51.1,SCLOOP,0)),"^",8)'="" S SCHEX=$P($G(^(0)),"^",8),SQFLAG=1
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| 17 |  Q:SQFLAG
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| 18 |  I $P($G(^PS(51,"A",SCH)),"^")'="" S SCHEX=$P(^(SCH),"^") Q
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| 19 |  S SCLOOP=0 F SCLP=1:1:$L(SCH) S SCLPS=$E(SCH,SCLP) I SCLPS=" " S SCLOOP=SCLOOP+1
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| 20 |  I SCLOOP=0 S SCHEX=SCH Q
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| 21 |  S SCLOOP=SCLOOP+1
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| 22 |  K SCLHOLD F SCIN=1:1:SCLOOP S (SODL,SCLHOLD(SCIN))=$P(SCH," ",SCIN) D
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| 23 |  .Q:$G(SODL)=""
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| 24 |  .S SQFLAG=0 F SST=0:0 S SST=$O(^PS(51.1,"B",SODL,SST)) Q:'SST!($G(SQFLAG))  I $P($G(^PS(51.1,SST,0)),"^",8)'="" S SCLHOLD(SCIN)=$P($G(^(0)),"^",8),SQFLAG=1
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| 25 |  .Q:$G(SQFLAG)
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| 26 |  .I $P($G(^PS(51,"A",SODL)),"^")'="" S SCLHOLD(SCIN)=$P(^(SODL),"^")
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| 27 |  S SCHEX="",SQFLAG=0 F SST=1:1:SCLOOP S SCHEX=SCHEX_$S($G(SQFLAG):" ",1:"")_$G(SCLHOLD(SST)),SQFLAG=1
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| 28 |  Q
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| 29 | QTY(PSOQX) ;
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| 30 |  Q
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| 31 | QTYOPS ;
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| 32 |  N QDOSE
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| 33 | QTYCP ;CPRS days supply call comes through here
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| 34 |  N PSOZMIN,PSQQUIT,QTSH,PSQ,PSQMIN,PSQMINZ,PSOQRND,PSOLOWER,PSOLOWX,PSOLOWXL,PSOLOWST
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| 35 |  K PSOFRQ S PSQQUIT=0
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| 36 |  I '$G(PSOCPRQT) S QDOSE=0 F PSQ=0:0 S PSQ=$O(PSOQX("DOSE",PSQ)) Q:'PSQ  S QDOSE=PSQ S:'$G(PSOQX("DOSE ORDERED",PSQ)) PSQQUIT=1
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| 37 |  ;Q:PSQQUIT!('QDOSE)
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| 38 |  I '$G(PSOCPRQT) Q:PSQQUIT
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| 39 |  Q:'$G(QDOSE)
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| 40 |  G:QDOSE>1 COMP
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| 41 |  Q:'$G(PSOQX("DOSE ORDERED",1))
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| 42 |  ;Q:'$G(PSOQX("DAYS SUPPLY"))&('$G(PSOQX("DURATION",1)))
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| 43 |  S PSOLOWER=0
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| 44 |  I $G(PSOQX("DURATION",1)) D
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| 45 |  .S PSOLOWX=$L(PSOQX("DURATION",1))
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| 46 |  .S PSOLOWXL=$S($E(PSOQX("DURATION",1),PSOLOWX)="M":1,$E(PSOQX("DURATION",1),PSOLOWX)="H":60,$E(PSOQX("DURATION",1),PSOLOWX)="S":.01666,$E(PSOQX("DURATION",1),PSOLOWX)="W":10080,$E(PSOQX("DURATION",1),PSOLOWX)="L":43200,1:1440)
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| 47 |  .S PSOLOWER=PSOLOWXL*(+$G(PSOQX("DURATION",1)))
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| 48 |  ;S PSOLOWX=0 I +$G(PSOQX("DAYS SUPPLY")) S PSOLOWX=1440*+$G(PSOQX("DAYS SUPPLY"))
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| 49 |  ;Q:'$G(PSOLOWER)&('$G(PSOLOWX))
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| 50 |  S QTSH=$G(PSOQX("SCHEDULE",1)) D QTS Q:PSQQUIT!('$G(PSOFRQ))
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| 51 |  ;S PSOLOWST=$S('$G(PSOLOWER):$G(PSOLOWX),'$G(PSOLOWX):$G(PSOLOWER),$G(PSOLOWER)>$G(PSOLOWX):$G(PSOLOWX),$G(PSOLOWX)>$G(PSOLOWER):$G(PSOLOWER),$G(PSOLOWX)=$G(PSOLOWER):$G(PSOLOWER),1:0)
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| 52 |  ;Q:'$G(PSOLOWST)
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| 53 |  ;S PSQMIN=+$G(PSOLOWST)
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| 54 |  S PSQMIN=$S($G(PSOLOWER):$G(PSOLOWER),1:0) ; PSQMIN=Minutes based in duration, or 0 if no duration
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| 55 |  ;If Duration, determine using QTY how many days, regardless of duration, then use what is lower, that # of days or the duration, ROund that up, and check against Rx patient status
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| 56 |  ;if no duration, just figure out using QTY # of days, then compare that against Rx patient status
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| 57 |  S PSOZMIN=0
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| 58 |  S PSOZMIN=PSOQX("QTY")/PSOQX("DOSE ORDERED",1)
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| 59 |  S PSOZMIN=PSOZMIN*PSOFRQ
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| 60 |  I $G(PSOLOWER) S PSOZMIN=$S(PSOLOWER<PSOZMIN:PSOLOWER,1:PSOZMIN)
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| 61 |  S PSOZMIN=PSOZMIN/1440
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| 62 |  ;S PSQMINZ=PSQMIN/PSOFRQ
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| 63 |  ;S PSOQRND=PSQMINZ*+$G(PSOQX("DOSE ORDERED",1)) Q:'PSOQRND
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| 64 |  D ROUND G QEND
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| 65 |  Q
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| 66 | COMP ;COMPLEX DOSE HERE
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| 67 |  N PSQMNL,PSQMNLX,PSODUTOT,PSOLEFT,PSOZMIN,PSODUPTT,PSODUDIF,PSODUMIS,PSODUREP,PSQ1,PSODUX,PSODUXX,PSODSMIN,PSOFRQZ,PSOQUTOT
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| 68 |  N PSOQLD,PSOQLDA,PSOQLDT,PSOQLDX
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| 69 |  ;PSODUTOT = TOTAL OF ALL DURATIONS
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| 70 |  ;PSODUPTT = TOTAL OF DISPENSE UNITS PER DOSE
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| 71 |  ;PSODUDIF = DIFF. OF DURATION VS DAYS SUPPLY
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| 72 |  ;PSOQUTOT=QTY
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| 73 |  ;PSODUMIS = # OF SEQUENCES MISSING A DURATION IF >1 CAN'T DEFAULT
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| 74 |  ;PSODUREP = SEQUENCE # THAT IS MISSING DURATION
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| 75 |  ;PSODSMIN = MINUTES OF DAYS SUPPLY
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| 76 |  S (PSODUTOT,PSODUDIF,PSODUMIS,PSODUREP,PSODSMIN,PSOQLDA,PSOQLDT,PSOQLDX)=0
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| 77 |  ;next lines, add complex dose days supply calculation with ANDs
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| 78 |  F PSOQLD=1:1:QDOSE S:$G(PSOQX("CONJUNCTION",PSOQLD))["A" PSOQLDA=1 S:$G(PSOQX("CONJUNCTION",PSOQLD))["T" PSOQLDT=1 S:$G(PSOQX("CONJUNCTION",PSOQLD))["X" PSOQLDX=1
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| 79 |  I $G(PSOQLDA)!($G(PSOQLDX)) G QEND
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| 80 |  S PSOQUTOT=+$G(PSOQX("QTY"))
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| 81 |  F PSQ1=1:1:QDOSE D  Q:PSODUMIS>1
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| 82 |  .I '$G(PSOQX("DURATION",PSQ1)) S PSODUMIS=PSODUMIS+1,PSODUREP=PSQ1 Q
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| 83 |  G:PSODUMIS>1 QEND ; More than 1 sequence missing a duration
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| 84 |  F PSQ=1:1:QDOSE D  Q:$G(PSQQUIT)
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| 85 |  .I '$G(PSOQX("DOSE ORDERED",PSQ))!($G(PSOQX("SCHEDULE",PSQ))="") S PSQQUIT=1 Q
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| 86 |  .S QTSH=$G(PSOQX("SCHEDULE",PSQ)) D QTS S:'$G(PSOFRQ) PSQQUIT=1 Q:$G(PSQQUIT)
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| 87 |  .I $G(PSOQX("DURATION",PSQ)) S PSQMNL=$L(PSOQX("DURATION",PSQ)) D
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| 88 |  ..S PSQMNLX=$S($E(PSOQX("DURATION",PSQ),PSQMNL)="M":1,$E(PSOQX("DURATION",PSQ),PSQMNL)="H":60,$E(PSOQX("DURATION",PSQ),PSQMNL)="S":.01666,$E(PSOQX("DURATION",PSQ),PSQMNL)="W":10080,$E(PSOQX("DURATION",PSQ),PSQMNL)="L":43200,1:1440)
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| 89 |  ..S PSQMIN=PSQMNLX*(+$G(PSOQX("DURATION",PSQ)))
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| 90 |  ..S PSODUTOT=PSODUTOT+(PSQMNLX*(+$G(PSOQX("DURATION",PSQ))))
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| 91 |  .I '$G(PSOQX("DURATION",PSQ)) S PSOFRQZ=PSOFRQ Q
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| 92 |  .S PSQMINZ=PSQMIN/PSOFRQ
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| 93 |  .S PSODUPTT=$S($G(PSODUPTT):$G(PSODUPTT),1:0)+(PSQMINZ*+$G(PSOQX("DOSE ORDERED",PSQ)))
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| 94 |  I $G(PSQQUIT) G QEND
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| 95 |  I $G(PSOQUTOT)<0 G QEND
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| 96 |  I '$G(PSODUMIS),$G(PSODUPTT)>$G(PSOQUTOT) G QEND
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| 97 |  I '$G(PSODUMIS) S PSOZMIN=+$G(PSODUTOT)/1440 D ROUND G QEND
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| 98 |  I PSODUPTT'<PSOQUTOT!('$G(PSOFRQZ)) G QEND
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| 99 |  S PSODUPTT=PSOQUTOT-PSODUPTT S PSOLEFT=(PSODUPTT/+$G(PSOQX("DOSE ORDERED",PSODUREP)))*(+$G(PSOFRQZ))
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| 100 |  S PSODUTOT=PSODUTOT+PSOLEFT S PSOZMIN=PSODUTOT/1440 D ROUND
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| 101 |  G QEND
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| 102 | QTS ;Find frequency
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| 103 |  ;QTSH = SHCEDULE
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| 104 |  ;either return PSOFRQ for frequency or PSSQUIT for no frequency
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| 105 |  N SQTFLAG,SQQT,ZZQT,ZZQ,ZZQQ,ZQHOLD,QGLFLAG,PZQT,ZDL,ZZQX
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| 106 |  K PSOFRQ
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| 107 |  S (QGLFLAG,ZZQX)=0
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| 108 |  I $G(QTSH)="" S PSQQUIT=1 Q
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| 109 |  S SQTFLAG=0 F SQQT=0:0 S SQQT=$O(^PS(51.1,"B",QTSH,SQQT)) Q:'SQQT!($G(SQTFLAG))  I $P($G(^PS(51.1,SQQT,0)),"^",3) S PSOFRQ=$P($G(^(0)),"^",3),SQTFLAG=1
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| 110 |  Q:SQTFLAG
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| 111 |  F SQQT=0:0 S SQQT=$O(^PS(51,"B",QTSH,SQQT)) Q:'SQQT!($G(SQTFLAG))  I $P($G(^PS(51,SQQT,0)),"^",8) S PSOFRQ=$P($G(^(0)),"^",8),SQTFLAG=1
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| 112 |  Q:SQTFLAG
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| 113 |  S ZZQT=0 F ZZQ=1:1:$L(QTSH) S ZZQQ=$E(QTSH,ZZQ) I ZZQQ=" " S ZZQT=ZZQT+1
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| 114 |  I 'ZZQT S PSQQUIT=1 Q
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| 115 |  S ZZQT=ZZQT+1
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| 116 |  K ZQHOLD S QGLFLAG=0 F PZQT=1:1:ZZQT S (ZDL,ZQHOLD)=$P(QTSH," ",PZQT) D
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| 117 |  .Q:$G(ZDL)=""
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| 118 |  .S ZZQX=0 F SQQT=0:0 S SQQT=$O(^PS(51.1,"B",ZDL,SQQT)) Q:'SQQT!($G(ZZQX))  I $P($G(^PS(51.1,SQQT,0)),"^",3) S PSOFRQ=$P($G(^(0)),"^",3),ZZQX=1,QGLFLAG=QGLFLAG+1
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| 119 |  .Q:ZZQX
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| 120 |  .S ZZQX=0 F SQQT=0:0 S SQQT=$O(^PS(51,"B",ZDL,SQQT)) Q:'SQQT!($G(ZZQX))  I $P($G(^PS(51,SQQT,0)),"^",8) S PSOFRQ=$P($G(^(0)),"^",8),ZZQX=1,QGLFLAG=QGLFLAG+1
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| 121 |  I $G(QGLFLAG)>1 K PSOFRQ
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| 122 |  I '$G(PSOFRQ) S PSQQUIT=1
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| 123 |  Q
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| 124 | QEND ;
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| 125 |  K PSOFRQ
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| 126 |  Q
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| 127 | ROUND ;
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| 128 |  Q:'$G(PSOZMIN)
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| 129 |  I PSOZMIN'["." S PSOQX("DAYS SUPPLY")=PSOZMIN G RXP
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| 130 |  S PSOQX("DAYS SUPPLY")=$P(PSOZMIN,".")+1
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| 131 | RXP ;Compare against Rx Patient Status
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| 132 |  Q:'$G(PSOQX("PATIENT"))
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| 133 |  N PSO55,PSO553
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| 134 |  S PSO55=$P($G(^PS(55,PSOQX("PATIENT"),"PS")),"^") I 'PSO55 G CLOZ
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| 135 |  S PSO553=$P($G(^PS(53,PSO55,0)),"^",3) I 'PSO553 G CLOZ
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| 136 |  I PSO553<$G(PSOQX("DAYS SUPPLY")) S PSOQX("DAYS SUPPLY")=PSO553
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| 137 | CLOZ ;check for clozapine
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| 138 |  N PSOCLPAT,PSOCLMAX
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| 139 |  Q:'$G(PSOQX("DRUG"))
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| 140 |  I $P($G(^PSDRUG(PSOQX("DRUG"),"CLOZ1")),"^")="PSOCLO1" D
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| 141 |  .S PSOCLPAT=$O(^YSCL(603.01,"C",PSOQX("PATIENT"),0)) Q:'PSOCLPAT
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| 142 |  .S PSOCLPAT=$P($G(^YSCL(603.01,PSOCLPAT,0)),"^",3)
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| 143 |  .S PSOCLMAX=$S(PSOCLPAT="M":28,PSOCLPAT="B":14,PSOCLPAT="W":7,1:0)
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| 144 |  .I PSOCLMAX,PSOCLMAX<$G(PSOQX("DAYS SUPPLY")) S PSOQX("DAYS SUPPLY")=PSOCLMAX
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| 145 |  Q
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| 146 | DAY(DATE) ;First 5 digits of FileMan date
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| 147 |  N X
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| 148 |  I DATE'?5N Q -1
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| 149 |  S X=$E(DATE,4,5) I X<1!(X>12) Q -1
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| 150 |  S X=DATE+1+(X=12*88)_"01"
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| 151 |  Q $E($$FMADD^XLFDT(X,-1),6,7)
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| 152 |  ;
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| 153 | QTYX(PSOQX) ;
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| 154 |  N PSOQLP,PSOQLN,PSOQAR,PSOCPRQT,QDOSE,QDOSEX S PSOCPRQT=1 F PSOQLP=0:0 S PSOQLP=$O(PSOQX("DURATION",PSOQLP)) Q:'PSOQLP  D
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| 155 |  .S PSOQAR("DURATION",PSOQLP)=$G(PSOQX("DURATION",PSOQLP))
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| 156 |  .I $E(PSOQX("DURATION",PSOQLP))?1A S PSOQLN=$L(PSOQX("DURATION",PSOQLP)) S PSOQX("DURATION",PSOQLP)=$E(PSOQX("DURATION",PSOQLP),2,PSOQLN)_$E(PSOQX("DURATION",PSOQLP))
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| 157 |  S QDOSE=0 F QDOSEX=0:0 S QDOSEX=$O(PSOQX("DOSE ORDERED",QDOSEX)) Q:'QDOSEX  S QDOSE=QDOSE+1
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| 158 |  D QTYCP
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| 159 |  F PSOQLP=0:0 S PSOQLP=$O(PSOQAR("DURATION",PSOQLP)) Q:'PSOQLP  D
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| 160 |  .S PSOQX("DURATION",PSOQLP)=$G(PSOQAR("DURATION",PSOQLP))
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| 161 |  K PSOCPRQT
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| 162 |  Q
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| 163 | DSUP(PSOQX) ;Max Days Supply for CPRS, without QTY (just patient and drug)
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| 164 |  ;Should we add to accept # of refills?
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| 165 |  ;If no Drug, should we base on Orderable Item
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| 166 |  S PSOQX("DAYS SUPPLY")=90
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| 167 |  Q:'$G(PSOQX("PATIENT"))
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| 168 |  N PSO55,PSO553
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| 169 |  S PSO55=$P($G(^PS(55,PSOQX("PATIENT"),"PS")),"^") I 'PSO55 G DSUPDG
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| 170 |  S PSO553=$P($G(^PS(53,PSO55,0)),"^",3) I 'PSO553 G DSUPDG
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| 171 |  I PSO553<$G(PSOQX("DAYS SUPPLY")) S PSOQX("DAYS SUPPLY")=PSO553
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| 172 | DSUPDG ;
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| 173 |  N PSOCLPAT,PSOCLMAX
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| 174 |  Q:'$G(PSOQX("DRUG"))
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| 175 |  I $P($G(^PSDRUG(PSOQX("DRUG"),"CLOZ1")),"^")="PSOCLO1" D
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| 176 |  .S PSOCLPAT=$O(^YSCL(603.01,"C",PSOQX("PATIENT"),0)) Q:'PSOCLPAT
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| 177 |  .S PSOCLPAT=$P($G(^YSCL(603.01,PSOCLPAT,0)),"^",3)
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| 178 |  .S PSOCLMAX=$S(PSOCLPAT="M":28,PSOCLPAT="B":14,$P($G(^(0)),"^",3)="W":7,1:0)
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| 179 |  .I PSOCLMAX,PSOCLMAX<$G(PSOQX("DAYS SUPPLY")) S PSOQX("DAYS SUPPLY")=PSOCLMAX
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| 180 |  Q
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| 181 | MAX(PSOQX) ;
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| 182 |  G EN^PSOSIGMX
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| 183 |  Q
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