[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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