| [613] | 1 | PSUUD6 ;BIR/DAM - UD AMIS Summary Message I;23 MAR 2004
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 | 2 |  ;;4.0;PHARMACY BENEFITS MANAGEMENT;;MARCH, 2005
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 | 3 |  ;
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 | 4 |  ;Reference to file #42.6 supported by DBIA 4597
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 | 5 |  ;Reference to file #42.7 supported by DBIA 4598
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 | 6 |  ;Reference to file #40.8 supported by DBIA 2438
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 | 7 |  ;
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 | 8 | EN ;Entry point to construct globals for AMIS summary message
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 | 9 |  ;Called from PSUUD3
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 | 10 |  ;
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 | 11 |  K UDAM      ;array to hold tabulated data
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 | 12 |  K SPEC      ;array to hold specialty data
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 | 13 |  ;
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 | 14 |  S PSUDV=0
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 | 15 |  F  S PSUDV=$O(^XTMP(PSUUDSUB,"DIS",PSUDV)) Q:PSUDV=""  D
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 | 16 |  .D DISP
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 | 17 |  .D RET
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 | 18 |  .D TCOST
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 | 19 |  .D NET
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 | 20 |  .D AVG
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 | 21 |  .D TRUNC
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 | 22 |  .D SPEC
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 | 23 |  .D DIVT
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 | 24 |  .D GRAND
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 | 25 |  ;
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 | 26 |  D TOTAL
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 | 27 |  ;
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 | 28 |  Q
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 | 29 |  ;
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 | 30 | DISP ;Add doses dispensed of all drugs for each division
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 | 31 |  ;
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 | 32 |  N DSP,A
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 | 33 |  S DSP=^XTMP(PSUUDSUB,"DISP",PSUDV)
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 | 34 |  S $P(UDAM(PSUDV),U,1)=DSP
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 | 35 |  ;
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 | 36 |  I $P(UDAM(PSUDV),U,1)["." D
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 | 37 |  .S A=$F($P(UDAM(PSUDV),U,1),".")  ;Find 1st position after decimal
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 | 38 |  .S $P(UDAM(PSUDV),U,1)=$E($P(UDAM(PSUDV),U,1),1,(A-2))  ;Truncate
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 | 39 |  ;
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 | 40 |  Q
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 | 41 |  ;
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 | 42 | RET ;Add doses returned of all drugs for each division
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 | 43 |  ;
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 | 44 |  N RET,A
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 | 45 |  S RET=^XTMP(PSUUDSUB,"RET",PSUDV)
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 | 46 |  S $P(UDAM(PSUDV),U,2)=RET
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 | 47 |  ;
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 | 48 |  I $P(UDAM(PSUDV),U,2)["." D
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 | 49 |  .S A=$F($P(UDAM(PSUDV),U,2),".")  ;Find 1st position after decimal
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 | 50 |  .S $P(UDAM(PSUDV),U,2)=$E($P(UDAM(PSUDV),U,2),1,(A-2))  ;Truncate
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 | 51 |  Q
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 | 52 |  ;
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 | 53 | NET ;Calculate Net doses dispensed of all drugs
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 | 54 |  ;
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 | 55 |  S $P(UDAM(PSUDV),U,3)=$P(UDAM(PSUDV),U,1)-$P(UDAM(PSUDV),U,2)
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 | 56 |  ;
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 | 57 |  Q
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 | 58 |  ;
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 | 59 | TCOST ;Find total cost per drug
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 | 60 |  ;
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 | 61 |  N CST,DP,RT,NT
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 | 62 |  ;
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 | 63 |  S CST=^XTMP(PSUUDSUB,"CST",PSUDV)    ;Price per dispensed unit
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 | 64 |  ;
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 | 65 |  S $P(UDAM(PSUDV),U,4)=CST
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 | 66 |  ;
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 | 67 |  Q
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 | 68 |  ;
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 | 69 | AVG ;Calculate average cost per dose
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 | 70 |  ;
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 | 71 |  N TCST,NET
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 | 72 |  ;
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 | 73 |  S NET=$P(UDAM(PSUDV),U,3)         ;Net doses dispensed
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 | 74 |  ;
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 | 75 |  I $G(NET)'>0 S NET=1
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 | 76 |  ;
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 | 77 |  S TCST=$P(UDAM(PSUDV),U,4)        ;Total cost
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 | 78 |  ;
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 | 79 |  S $P(UDAM(PSUDV),U,5)=$P($G(UDAM(PSUDV)),U,5)+(TCST/NET)
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 | 80 |  ;
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 | 81 |  Q
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 | 82 |  ;
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 | 83 | TRUNC ;Truncate pieces with dollar values to 2 decimal places
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 | 84 |  ;
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 | 85 |  F I=4:1:5 D
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 | 86 |  .N A,B,C
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 | 87 |  .;
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 | 88 |  .I $P(UDAM(PSUDV),U,I)'["." D  Q
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 | 89 |  ..S $P(UDAM(PSUDV),U,I)=$P(UDAM(PSUDV),U,4)_".00"
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 | 90 |  .;
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 | 91 |  .S A=$F($P(UDAM(PSUDV),U,I),".")  ;Find 1st position after decimal
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 | 92 |  .;
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 | 93 |  .S B=$E($P(UDAM(PSUDV),U,I),1,(A-1))  ;Extract dollars and decimal
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 | 94 |  .;
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 | 95 |  .S C=$E($P(UDAM(PSUDV),U,I),A,(A+1))  ;Extract cents after decimal
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 | 96 |  .;
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 | 97 |  .I $L(C)'=2 S C=$E(C,1)_0
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 | 98 |  .;
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 | 99 |  .S $P(UDAM(PSUDV),U,I)=B_C
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 | 100 |  ;
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 | 101 |  M ^XTMP(PSUUDSUB,"DOSES",PSUDV)=UDAM(PSUDV)
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 | 102 |  Q
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 | 103 |  ;
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 | 104 | TOTAL ;Add dose totals of all divisions
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 | 105 |  ;
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 | 106 |  N DTOT,RTOT,NETOT,TCST,ACST
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 | 107 |  ;
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 | 108 |  S PSUD=0
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 | 109 |  F  S PSUD=$O(UDAM(PSUD)) Q:PSUD=""  D
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 | 110 |  .S DTOT=$G(DTOT)+$P(UDAM(PSUD),U,1)       ;Total of doses dispensed
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 | 111 |  .S RTOT=$G(RTOT)+$P(UDAM(PSUD),U,2)       ;Total of returned doses
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 | 112 |  .S NETOT=$G(NETOT)+$P(UDAM(PSUD),U,3)     ;Total of net doses disp
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 | 113 |  .S TCST=$G(TCST)+$P(UDAM(PSUD),U,4)       ;Total of total cost
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 | 114 |  .;S ACST=$G(ACST)+$P(UDAM(PSUD),U,5)       ;Total of average cost
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 | 115 |  .I $G(NETOT) S ACST=$G(TCST)/$G(NETOT) D
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 | 116 |  ..I ACST'["." S ACST=ACST_".00" Q
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 | 117 |  ..N A,B,C
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 | 118 |  ..S A=$F(ACST,".")  ;Find 1st position after decimal
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 | 119 |  ..S B=$E(ACST,1,(A-1))   ;Extract dollars and decimal
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 | 120 |  ..S C=$E(ACST,A,(A+1))   ;Extract cents after decimal
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 | 121 |  ..I $L(C)'=2 S C=$E(C,1)_0
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 | 122 |  ..S ACST=B_C
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 | 123 |  ;
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 | 124 |  S ^XTMP(PSUUDSUB,"DOSTOT")=DTOT_U_RTOT_U_NETOT_U_TCST_U_ACST
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 | 125 |  ;
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 | 126 |  Q
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 | 127 |  ;
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 | 128 | SPEC ;Find out if a monthly extract is being run
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 | 129 |  ;
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 | 130 |  N PSUMT,PSUMTH
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 | 131 |  I $D(PSUMON) D
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 | 132 |  .S PSUMT=PSUMON_"00"
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 | 133 |  .I $D(^DGAM(334,"B",PSUMT)) D SPEC1
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 | 134 |  .;
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 | 135 |  .S PSUMTH=PSUMT
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 | 136 |  .I $D(^DGAM(345,"B",PSUMTH)) D SPEC2
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 | 137 |  ;
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 | 138 |  Q
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 | 139 |  ;
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 | 140 | SPEC1 ;Find division names from File (#42.6) records within
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 | 141 |  ;the month of the extract
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 | 142 |  ;
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 | 143 |  N PSUDNM
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 | 144 |  ;
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 | 145 |  M SPEC(334,PSUMT)=^DGAM(334,PSUMT)    ;set node into array
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 | 146 |  ;
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 | 147 |  S PSUD1=0
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 | 148 |  F  S PSUD1=$O(SPEC(334,PSUMT,"SE",PSUD1)) Q:PSUD1=""  D
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 | 149 |  .S PSUD2=0
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 | 150 |  .F  S PSUD2=$O(SPEC(334,PSUMT,"SE",PSUD1,"D",PSUD2)) Q:PSUD2=""  D
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 | 151 |  ..;find division and match to DIVNM
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 | 152 |  ..S X=PSUD2
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 | 153 |  ..S PSUNM=$$VAL^PSUTL(40.8,X,.01)
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 | 154 |  ..S X=PSUDV,DIC=40.8,DIC(0)="X",D="C" D IX^DIC
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 | 155 |  ..S X=+Y S PSUDNM=$$VAL^PSUTL(40.8,X,.01)
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 | 156 |  ..I PSUNM=PSUDNM D REC1
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 | 157 |  Q
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 | 158 |  ;
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 | 159 | REC1 ;Create a record of specialties and days of patient care for File #42.6
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 | 160 |  ;for each division within the month of the extract
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 | 161 |  ;
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 | 162 |  N SPC,DAYA,DAYB,SPCE
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 | 163 |  ;
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 | 164 |  S SPC=$P(SPEC(334,PSUMT,"SE",PSUD1,0),U,1)   ;Specialty code
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 | 165 |  ;
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 | 166 |  S DAYA=$P(SPEC(334,PSUMT,"SE",PSUD1,"D",PSUD2,0),U,12) ;Days of care
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 | 167 |  ;
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 | 168 |  S DAYB=$P(SPEC(334,PSUMT,"SE",PSUD1,"D",PSUD2,0),U,24) ;Days of care >45
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 | 169 |  ;
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 | 170 |  ;
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 | 171 |  ;Find external form of specialty
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 | 172 |  S:SPC=334 SPCE="PSYCHIATRY"
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 | 173 |  S:SPC=335 SPCE="INTERMEDIATE"
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 | 174 |  S:SPC=336 SPCE="MEDICINE"
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 | 175 |  S:SPC=337 SPCE="NEUROLOGY"
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 | 176 |  S:SPC=338 SPCE="REHAB MEDICINE"
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 | 177 |  S:SPC=339 SPCE="BLIND REHAB"
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 | 178 |  S:SPC=340 SPCE="SPINAL CORD INJURY"
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 | 179 |  S:SPC=341 SPCE="SURGERY"
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 | 180 |  ;
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 | 181 |  S ^XTMP(PSUUDSUB,"SPEC",PSUDV,SPC)=SPCE_U_(DAYA+DAYB)   ;Record created
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 | 182 |  ;
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 | 183 |  Q
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 | 184 |  ;
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 | 185 | SPEC2 ;Find division names from File (#42.7) records within
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 | 186 |  ;the month of the extract
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 | 187 |  ;
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 | 188 |  N PSUDNAM
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 | 189 |  M SPEC(345,PSUMTH)=^DGAM(345,PSUMTH)    ;set node into array
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 | 190 |  ;
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 | 191 |  S PSUD1=0
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 | 192 |  F  S PSUD1=$O(SPEC(345,PSUMTH,"SE",PSUD1)) Q:PSUD1=""  D
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 | 193 |  .S PSUD2=0
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 | 194 |  .F  S PSUD2=$O(SPEC(345,PSUMTH,"SE",PSUD1,"D",PSUD2)) Q:PSUD2=""  D
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 | 195 |  ..;find division and match to DIVNM
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 | 196 |  ..S X=PSUD2
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 | 197 |  ..S PSUNM=$$VAL^PSUTL(40.8,X,.01)
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 | 198 |  ..S X=PSUDV,DIC=40.8,DIC(0)="X",D="C" D IX^DIC
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 | 199 |  ..S X=+Y S PSUDNAM=$$VAL^PSUTL(40.8,X,.01)
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 | 200 |  ..I PSUNM=PSUDNAM D REC2
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 | 201 |  ;
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 | 202 |  Q
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 | 203 |  ;
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 | 204 | REC2 ;Create a record of specialties and days of patient care for File #42.7
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 | 205 |  ;for each division within the month of the extract
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 | 206 |  ;
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 | 207 |  N SPC,DAY,SPCE
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 | 208 |  ;
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 | 209 |  S SPC=$P($G(SPEC(345,PSUMTH,"SE",PSUD1,0)),U,1)   ;Specialty code
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 | 210 |  ;
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 | 211 |  S DAY=$P($G(SPEC(345,PSUMTH,"SE",PSUD1,"D",PSUD2,0)),U,16) ;Days of care
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 | 212 |  ;
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 | 213 |  ;Find external form of specialty
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 | 214 |  S:SPC=345 SPCE="VA NURSING HOME"
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 | 215 |  ;
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 | 216 |  I $D(SPCE) D
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 | 217 |  .S ^XTMP(PSUUDSUB,"SPEC",PSUDV,SPC)=SPCE_U_DAY      ;Record created
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 | 218 |  Q
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 | 219 |  ;
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 | 220 | DIVT ;Calculate division totals
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 | 221 |  ;
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 | 222 |  N TOT
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 | 223 |  S PSUSP=0
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 | 224 |  F  S PSUSP=$O(^XTMP(PSUUDSUB,"SPEC",PSUDV,PSUSP)) Q:PSUSP=""  D
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 | 225 |  .S TOT=$G(TOT)+$P(^XTMP(PSUUDSUB,"SPEC",PSUDV,PSUSP),U,2)
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 | 226 |  .S ^XTMP(PSUUDSUB,"DIVTOT",PSUDV)=TOT
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 | 227 |  Q
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 | 228 |  ;
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 | 229 | GRAND ;Calculate grand total of all divisions
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 | 230 |  ;
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 | 231 |  ;
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 | 232 |  S ^XTMP(PSUUDSUB,"GTOT")=$G(^XTMP(PSUUDSUB,"GTOT"))+$G(^XTMP(PSUUDSUB,"DIVTOT",PSUDV))
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 | 233 |  ;
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 | 234 |  Q
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