[613] | 1 | PSUDEM2 ;BIR/DAM - Outpatient Visits Extract ;20 DEC 2001
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| 2 | ;;4.0;PHARMACY BENEFITS MANAGEMENT;;MARCH, 2005
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| 3 | ;
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| 4 | ;DBIA's
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| 5 | ; Reference to file 2 supported by DBIA 10035
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| 6 | ; Reference to file 9000010.07 supported by DBIA 3094
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| 7 | ; Reference to file 9000010 supported by DBIA 3512
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| 8 | ; Reference to file 4.3 supported by DBIA 2496
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| 9 | ; Reference to file 80 supported by DBIA 10082
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| 10 | ; Reference to file 9000010.18 supported by DBIA 3560
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| 11 | ; Reference to file 81 supported by DBIA 2815
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| 12 | EN ;EN Called from PSUCP
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| 13 | K ^XTMP("PSU_"_PSUJOB,"PSUOPV"),^XTMP("PSU_"_PSUJOB,"PSUTMP")
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| 14 | K NONE
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| 15 | NEW CPTDA,CPTNM,ICD9DA,ICD9NM,PSUICN,PSUSSN,PSUSUB,PSUTEDT
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| 16 | NEW PSUVSTDT,PSUX,PSUY,PTSTAT,SEG,VCPTDA,XX,J
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| 17 | D DAT1
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| 18 | I '$D(^XTMP("PSU_"_PSUJOB,"PSUTMP")) D NODATA
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| 19 | D XMD
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| 20 | EX K ^XTMP("PSU_"_PSUJOB,"PSUPDFLAG")
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| 21 | K ^XTMP("PSU_"_PSUJOB,"PSUOPV")
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| 22 | K ^XTMP("PSU_"_PSUJOB,"PSUXMD")
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| 23 | K ^XTMP("PSU_"_PSUJOB,"PSUTMP")
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| 24 | Q
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| 25 | ;
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| 26 | ;
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| 27 | DAT1 ;Find visits from V POV file that fall within the date range
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| 28 | S PSUTEDT=PSUEDT
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| 29 | S PSUDT=PSUSDT-1,PSUX=9999999-PSUDT,PSUY=9999999-PSUEDT N PSUEDT
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| 30 | S PSUY=PSUSDT-.0001
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| 31 | F S PSUY=$O(^AUPNVSIT("B",PSUY)) Q:PSUY'>0 Q:((PSUY\1)>PSUTEDT) D
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| 32 | . S PSUVIEN=0 F S PSUVIEN=$O(^AUPNVSIT("B",PSUY,PSUVIEN)) Q:$G(PSUVIEN)'>0 D
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| 33 | .. S PSUPT=$$VALI^PSUTL(9000010,PSUVIEN,.05)
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| 34 | .. D DAT2
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| 35 | Q
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| 36 | DAT2 ;
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| 37 | S PSUPOV=0 F S PSUPOV=$O(^AUPNVPOV("AD",PSUVIEN,PSUPOV)) Q:PSUPOV'>0 D
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| 38 | .N PSUVIEN
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| 39 | .S PSUVIEN=$P($G(^AUPNVPOV(PSUPOV,0)),U,3)
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| 40 | .Q:PSUVIEN=""
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| 41 | .Q:$D(^XTMP("PSU"_PSUJOB,"PSUOPV",PSUVIEN)) ; quit if visit psuvien already stored
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| 42 | . D POVS
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| 43 | .S PSUVSTDT=$P($G(^AUPNVSIT(PSUVIEN,0)),U)\1
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| 44 | .S PSUSSN=$P(^DPT(PSUPT,0),U,9)
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| 45 | .S PSUICN=$$GETICN^MPIF001(PSUPT)
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| 46 | .I PSUICN[-1 S PSUICN=""
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| 47 | .S PTSTAT=$P(^AUPNVSIT(PSUVIEN,150),U,2),PTSTAT=$S(+PTSTAT:"I",1:"O")
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| 48 | . D SET
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| 49 | Q
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| 50 | POVS ;severl POVs can have same visit, work all when the first is found
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| 51 | N PSUPOV
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| 52 | S PSUPOV=0 F S PSUPOV=$O(^AUPNVPOV("AD",PSUVIEN,PSUPOV)) Q:PSUPOV'>0 D
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| 53 | . K ALLICD9,ALLCPT
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| 54 | .;LOOP CPTs linked by visit
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| 55 | . S VCPTDA=0 F S VCPTDA=$O(^AUPNVCPT("AD",PSUVIEN,VCPTDA)) Q:VCPTDA'>0 D
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| 56 | .. ; get/gather cpts
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| 57 | ..S CPTDA=$P($G(^AUPNVCPT(VCPTDA,0)),U),CPTNM=$P($G(^ICPT(CPTDA,0)),U) S:$L(CPTNM) ALLCPT(CPTNM)=""
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| 58 | .. ;get/gather icd9s
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| 59 | ..S ICD9DA=$P($G(^AUPNVCPT(VCPTDA,0)),U,5) I ICD9DA S ICD9NM=$P($G(^ICD9(ICD9DA,0)),U) S:$L(ICD9NM) ALLICD9(ICD9NM)=""
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| 60 | . ;get orig ICD9
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| 61 | .S ICD9DA=$P($G(^AUPNVPOV(PSUPOV,0)),U) I ICD9DA S ICD9NM=$P($G(^ICD9(ICD9DA,0)),U) S:$L(ICD9NM) ALLICD9(ICD9NM)=""
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| 62 | Q
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| 63 | SET ; Set segment
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| 64 | I '$D(ALLICD9),'$D(ALLCPT) Q ;insure visit has either CPT or ICD9
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| 65 | ;assemble elements and set
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| 66 | S SEG=U_PSUSNDR_U_PTSTAT_U_PSUVSTDT_U_PSUSSN_U_PSUICN_U
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| 67 | I $D(ALLICD9) S ICD9NM="" F I=7:1:16 S ICD9NM=$O(ALLICD9(ICD9NM)) Q:ICD9NM="" S $P(SEG,U,I)=ICD9NM
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| 68 | I $D(ALLCPT) S CPTNM="" F J=17:1:26 S CPTNM=$O(ALLCPT(CPTNM)) Q:CPTNM="" S $P(SEG,U,J)=CPTNM
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| 69 | S $P(SEG,U,27)=""
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| 70 | S ^XTMP("PSU_"_PSUJOB,"PSUTMP",PSUVIEN)=SEG
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| 71 | Q
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| 72 | ;
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| 73 | XMD ;Format mailman message and send.
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| 74 | S PSUAB=0
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| 75 | F PSUPL=1:1 S PSUAB=$O(^XTMP("PSU_"_PSUJOB,"PSUTMP",PSUAB)) Q:PSUAB'>0 S XX=^(PSUAB) D
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| 76 | . S ^XTMP("PSU_"_PSUJOB,"PSUOPV",PSUPL)=XX
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| 77 | NEW PSUMAX,PSULC,PSUTMC,PSUTLC,PSUMC
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| 78 | S PSUMAX=$$VAL^PSUTL(4.3,1,8.3)
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| 79 | S PSUMAX=$S(PSUMAX="":10000,PSUMAX>10000:10000,1:PSUMAX)
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| 80 | S PSUMC=1,PSUMLC=0
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| 81 | F PSULC=1:1 S X=$G(^XTMP("PSU_"_PSUJOB,"PSUOPV",PSULC)) Q:X="" D
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| 82 | .S PSUMLC=PSUMLC+1
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| 83 | .I PSUMLC>PSUMAX S PSUMC=PSUMC+1,PSUMLC=0,PSULC=PSULC-1 Q ; + message
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| 84 | .I $L(X)<235 S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUMC,PSUMLC)=X Q
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| 85 | .F I=235:-1:1 S Z=$E(X,I) Q:Z="^"
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| 86 | .S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUMC,PSUMLC)=$E(X,1,I)
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| 87 | .S PSUMLC=PSUMLC+1
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| 88 | .S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUMC,PSUMLC)="*"_$E(X,I+1,999)
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| 89 | ;
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| 90 | TLC ; Count Lines sent
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| 91 | S PSUTLC=0
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| 92 | F PSUM=1:1:PSUMC S X=$O(^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUM,""),-1),PSUTLC=PSUTLC+X
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| 93 | ;
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| 94 | F PSUM=1:1:PSUMC D OPV^PSUDEM5
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| 95 | D CONF
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| 96 | Q
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| 97 | CONF ;Construct globals for confirmation message
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| 98 | ;
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| 99 | I $G(NONE) S PSUTLC=0
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| 100 | N PSUDIVIS
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| 101 | S PSUDIVIS=$P(^XTMP("PSU_"_PSUJOB,"PSUSITE"),U,1)
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| 102 | S PSUSUB="PSU_"_PSUJOB
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| 103 | S ^XTMP(PSUSUB,"CONFIRM",PSUDIVIS,8,"M")=PSUMC
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| 104 | S ^XTMP(PSUSUB,"CONFIRM",PSUDIVIS,8,"L")=PSUTLC
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| 105 | Q
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| 106 | ;
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| 107 | NODATA ;Generate a 'No data' message if there is no data in the extract
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| 108 | ;
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| 109 | S NONE=1
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| 110 | M PSUXMYH=PSUXMYS1
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| 111 | S PSUM=1
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| 112 | S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUM,1)="No data to report"
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| 113 | Q
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| 114 | REC ;EN If "^" is contained in any record, replace it with "'"
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| 115 | ;
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| 116 | I PSUREC["^" S PSUREC=$TR(PSUREC,"^","'")
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| 117 | Q
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