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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