- Timestamp:
- Dec 4, 2009, 12:11:15 AM (14 years ago)
- File:
-
- 1 edited
Legend:
- Unmodified
- Added
- Removed
-
WorldVistAEHR/trunk/r/OUTPATIENT_PHARMACY-PSO-APSP-HUIP/PSOBPSUT.m
r613 r623 1 PSOBPSUT ;BIRM/MFR - BPS (ECME) Utilities ; 07 Jun 2005 8:39 PM 2 ;;7.0;OUTPATIENT PHARMACY;**148,247,260,281**;DEC 1997;Build 41 3 ;Reference to $$ECMEON^BPSUTIL supported by IA 4410 4 ;Reference to IBSEND^BPSECMP2 supported by IA 4411 5 ;Reference to $$STATUS^BPSOSRX supported by IA 4412 6 ;Reference to $$NDCFMT^PSSNDCUT supported by IA 4707 7 ;Reference to $$CLAIM^BPSBUTL supported by IA 4719 8 ;Reference to ^PS(55 supported by IA 2228 9 ;Reference to ^PSDRUG( supported by IA 221 10 ;Reference to ^PSDRUG("AQ" supported by IA 3165 11 ; 12 ECME(RX) ; Returns "e" if Rx/Refill is Electronically Billable (3rd party) 13 Q $S($$STATUS^BPSOSRX(RX,$$LSTRFL^PSOBPSU1(RX))'="":"e",1:"") 14 ; 15 STATUS(RX,RFL) ; Returns the Rx's ECME Status (calls STATUS^BPSOSRX) 16 ; Input: (r) RX - Rx IEN (#52) 17 ; (o) RFL - Refill # (Default: most recent) 18 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 19 Q $P($$STATUS^BPSOSRX(RX,RFL),"^") 20 ; 21 SUBMIT(RX,RFL,IGRL,IGCMP) ; Returns whether the Rx should be submitted to ECME at the moment or not 22 ; Input: (r) RX - Rx IEN (#52) 23 ; (o) RFL - Refill # (Def.: most recent) 24 ; (o) IGRL - Ignore Release Date? (1-YES/0-NO) (Def.: 0 - NO) 25 ; (o) IGCMP- Ignore CMOP/Suspense check? (1-YES/0-NO) (Def.: 0 - NO) 26 ; 27 ; - Get the REFILL # (multiple IEN) 28 N STATUS 29 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 30 ; - Not the latest fill for the prescription 31 I RFL'=$$LSTRFL^PSOBPSU1(RX) Q 0 32 ; - Status not ACTIVE, DISCONTINUED, or EXPIRED 33 S STATUS=$$GET1^DIQ(52,RX,100,"I") 34 I STATUS'=0&(STATUS'=11)&(STATUS'=12) Q 0 35 ; Will suspend for CMOP 36 I '$G(IGCMP),$$CMOP(RX,RFL) Q 0 37 ; - ECME turned OFF for Rx's site 38 I '$$ECMEON^BPSUTIL($$RXSITE(RX,RFL)) Q 0 39 ; - Rx is RELEASED - Do not submit 40 I '$G(IGRL),$$RXRLDT(RX,RFL) Q 0 41 ; - Future Fill/AUTO SUSPENSE ON - will suspend 42 I '$G(IGCMP),$$RXFLDT(RX,RFL)>DT,$$GET1^DIQ(59,$$RXSITE(RX,RFL),.16,"I") Q 0 43 Q 1 44 ; 45 CMOP(RX,RFL) ; Returns if the Rx will be a CMOP Rx or not 46 ; Input: (r) RX - Rx IEN (#52) 47 ; (o) RFL - Refill # (Default: most recent) 48 ; Output: 1 - CMOP / 0 - NON-CMOP 49 ; 50 N DFN,CMOP,MAIL,MAILEXP,DRUG,WARNS,STATUS,MW,A 51 ; Get the REFILL # (multiple IEN) 52 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 53 ; MAIL=MAIL Code, MAILEXP=Mail Code Expiration Date 54 S CMOP=0 55 S DFN=$$GET1^DIQ(52,RX,2,"I"),MAIL=$$GET1^DIQ(55,DFN,.03,"I"),MAILEXP=$$GET1^DIQ(55,DFN,.05,"I") 56 I MAIL>1,MAILEXP=""!(MAILEXP>DT) G QCMOP 57 ; Get drug IEN and cheDRUG if CMOP ,$S($G(MAILEXP)=""!($G(MAILEXP)>DT):1,1:0) 58 S DRUG=$$GET1^DIQ(52,RX,6,"I") G QCMOP:'DRUG,QCMOP:'$D(^PSDRUG("AQ",DRUG)) 59 ; Not marked for O.P. 60 I $$GET1^DIQ(50,DRUG,63)'["O" G QCMOP 61 ; Drug Warning >11 62 S WARNS=$$GET1^DIQ(50,DRUG,8) I $L(WARNS)>11 G QCMOP 63 ; If tradename 64 I $$GET1^DIQ(52,RX,6.5)'="" G QCMOP 65 ; If Cancelled, Expired, Deleted, Hold 66 S STATUS=$$GET1^DIQ(52,RX,100,"I") I STATUS>9!(STATUS=4)!(STATUS=3) G QCMOP 67 ; Rx RELEASED 68 I $$RXRLDT^PSOBPSUT(RX,RFL) G QCMOP 69 ; MAIL/WINDOW 70 S MW=$S('RFL:$$GET1^DIQ(52,RX,11,"I"),1:$$GET1^DIQ(52.1,RFL_","_RX,2,"I")) 71 ; IF WINDOW/ORIGINAL/FUTURE FILL SETS MW = MAIL 72 I MW="W",$$RXFLDT^PSOBPSUT(RX,RFL)>DT S MW="M" 73 ; If not MAIL 74 I MW'="M" G QCMOP 75 S CMOP=1 76 ; 77 QCMOP Q CMOP 78 ; 79 RXRLDT(RX,RFL) ; Returns the Rx Release Date 80 ; Input: (r) RX - Rx IEN (#52) 81 ; (o) RFL - Refill # (Default: most recent) 82 ; 83 ; Output: RXRLDT - Rx Release Date 84 N RXRLDT 85 I '$G(RX) Q "" 86 S RXRLDT=$$GET1^DIQ(52,RX,31,"I") 87 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 88 I RFL S RXRLDT=$$GET1^DIQ(52.1,RFL_","_RX,17,"I") 89 Q RXRLDT 90 ; 91 RXFLDT(RX,RFL) ; Returns the Rx Fill Date 92 ; Input: (r) RX - Rx IEN (#52) 93 ; (o) RFL - Refill # (Default: most recent) 94 ; Output: RXFLDT - Rx Fill Date 95 N RXFLDT 96 I '$G(RX) Q "" 97 S RXFLDT=$$GET1^DIQ(52,RX,22,"I") 98 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 99 I RFL S RXFLDT=$$GET1^DIQ(52.1,RFL_","_RX,.01,"I") 100 Q RXFLDT 101 ; 102 RXSUDT(RX,RFL) ; Returns the prescription/fill Suspense Date for the RX/Reject passed in 103 ;Input: (r) RX - Rx IEN (#52) 104 ; (o) RFL - Refill IEN (#52.1) 105 ;Output: SUSPENSE DATE (External format) or <NULL>, if not suspended 106 ; 107 I $G(^PSRX(RX,"STA"))'=5 Q "" 108 N SURX,SURFL 109 S SURX=$O(^PS(52.5,"B",RX,0)) I 'SURX Q "" 110 I $$GET1^DIQ(52.5,SURX,.05,"I") Q "" 111 S SURFL=+$$GET1^DIQ(52.5,SURX,9) I RFL'=SURFL Q "" 112 Q $$GET1^DIQ(52.5,SURX,.02,"I") 113 ; 114 RXSITE(RX,RFL) ; Returns the Rx DIVISION 115 ; Input: (r) RX - Rx IEN (#52) 116 ; (o) RFL - Refill # 117 ; Output: SITE - Rx Fill Date 118 ; 119 N SITE 120 I '$G(RX) Q "" 121 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 122 I RFL S SITE=$$GET1^DIQ(52.1,RFL_","_RX,8,"I") 123 I 'RFL!'$G(SITE) S SITE=$$GET1^DIQ(52,RX,20,"I") 124 Q SITE 125 ; 126 MANREL(RX,RFL,PID) ; ePharmacy Manual Rx Release 127 ;Input: (r) RX - Rx IEN (#52) 128 ; (o) RFL - Refill # (Default: most recent) 129 ; (o) PID - Displays PID/Drug/Rx in the NDC prompts 130 ;Output: "" (null - OK to Release) OR "^" (User entered "^", or no valid NDC on file for ePharmacy Rx) 131 ; 132 N ACTION 133 ; 134 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 135 ; 136 ; - Checking for REJECTS before proceeding to Rx Release 137 I $$FIND^PSOREJUT(RX,RFL) D I ACTION="Q"!(ACTION="^") W ! Q "^" 138 . S ACTION=$$HDLG^PSOREJU1(RX,RFL,"79,88","ED","OIQ","Q") 139 ; 140 ; - ePharmacy switch is OFF 141 I '$$ECMEON^BPSUTIL($$RXSITE^PSOBPSUT(RX,RFL)) Q "" 142 ; 143 ; - Not an ePharmacy Rx 144 I $$STATUS^PSOBPSUT(RX,RFL)="" Q "" 145 ; 146 ; - NDC editing before Rx release 147 S ACTION=$$CHGNDC^PSONDCUT(RX,RFL,$G(PID)) I ACTION="^" D Q "^" 148 . W !!,$C(7),"A valid NDC must be entered before the Release function can be completed.",! H 1 149 ; 150 ; - Checking for OPEN/UNRESOLVED 3rd. Party Payer Rejects (After possible NDC edit) 151 I $$FIND^PSOREJUT(RX,RFL) D I ACTION="Q"!(ACTION="^") W ! Q "^" 152 . S ACTION=$$HDLG^PSOREJU1(RX,RFL,"79,88","ED","OIQ","Q") 153 ; 154 ; - Notifying IB of a Rx RELEASE event 155 D RELEASE^PSOBPSU1(RX,RFL,DUZ) 156 ; 157 Q "" 158 ; 159 AUTOREL(RX,RFL,RLDT,NDC,SRC,STS,HNG) ; Sends Rx Release information to ECME/IB and updates NDC 160 ; in the DRUG/PRESCRIPTION files 161 ;Input: (r) RX - Rx IEN (#52) 162 ; (o) RFL - Refill # (Default: most recent) 163 ; (r) RLDT- Release Date 164 ; (r) NDC - NDC Number (Must be 11 digits) 165 ; (o) SRC - SOURCE: "C" - CMOP / "A" - OPAI 166 ; (o) STS - Status: (S)uccessful/(U)nsuccessful Release (Default: "S" - Successful) 167 ; (o) HNG - HANG time after resubmission and before checking the status of the claim (Default: 0) 168 ; 169 N RXNDC,SITE 170 ; 171 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 172 ; 173 S:'$D(STS) STS="S" S:'$D(SRC) SRC="" S HNG=+$G(HNG) 174 S RXNDC=$$GETNDC^PSONDCUT(RX,RFL) 175 ; 176 ; - Saves the NDC from CMOP/Automated Dispensing Machine in the Prescription file 177 I $$NDCFMT^PSSNDCUT(NDC)'="" D SAVNDC^PSONDCUT(RX,RFL,$$NDCFMT^PSSNDCUT(NDC),$S(SRC="C":1,1:0)) 178 ; 179 ; - Not an ePharmacy Rx 180 I $$STATUS^PSOBPSUT(RX,RFL)="" Q "" 181 ; 182 ; - Unsuccessful Release 183 I STS="U" D Q 184 . D REVERSE^PSOBPSU1(RX,RFL,"CRLX",,"UNSUCCESSFUL "_$S(SRC="C":"CMOP",1:"EXT INTERFACE")_" RELEASE",1) 185 ; 186 ; - Notifying IB of a Rx RELEASE event 187 D RELEASE^PSOBPSU1(RX,RFL) 188 ; 189 ; - Invalid NDC from Automated Dispensing Machine 190 I SRC="A",$$NDCFMT^PSSNDCUT(NDC)="" D Q 191 . D REVERSE^PSOBPSU1(RX,RFL,"CRLR",,"INVALID EXT INTERFACE NDC",1,NDC) 192 ; 193 ; - Invalid NDC number for CMOP 194 I SRC="C",$$NDCFMT^PSSNDCUT(NDC)="" D Q 195 . D REVERSE^PSOBPSU1(RX,RFL,"CRLR",,"INVALID CMOP NDC",1,NDC) 196 ; 197 ; - If NDC not equal RXNDC, issue reversal and submit new claim 198 I SRC="A",$$NDCFMT^PSSNDCUT(NDC)'=RXNDC D Q 199 . D ECMESND^PSOBPSU1(RX,RFL,RLDT,"CRLB",$$NDCFMT^PSSNDCUT(NDC),,"AUTO RELEASE",,1,,1) 200 . H HNG 201 . ; - If new claim returned PAYABLE, save new NDC in the DRUG/PRESCRIPTION files 202 . I $$STATUS^PSOBPSUT(RX,RFL)="E PAYABLE" D SAVNDC^PSONDCUT(RX,RFL,$$NDCFMT^PSSNDCUT(NDC),0,1) 203 ; 204 ; - If NDC not equal RXNDC, issue reversal and submit new claim 205 I SRC="C",$$NDCFMT^PSSNDCUT(NDC)'=RXNDC D Q 206 . ; - Reverse/Resubmit with correct NDC 207 . D ECMESND^PSOBPSU1(RX,RFL,RLDT,"CRLB",$$NDCFMT^PSSNDCUT(NDC),1,"CMOP RELEASE",,1,,1) 208 . ; - Wait for a response from the Payer for the submission above 209 . H HNG 210 . ; - If new claim returned PAYABLE, save new NDC in the DRUG/PRESCRIPTION files 211 . I $$STATUS^PSOBPSUT(RX,RFL)="E PAYABLE" D SAVNDC^PSONDCUT(RX,RFL,$$NDCFMT^PSSNDCUT(NDC),1,1) 212 ; 213 ; - Calls ECME api responsible for notifying IB to create a BILL 214 D IBSEND(RX,RFL) 215 ; 216 Q 217 ; 218 IBSEND(RX,RFL) ; Rx Release: Calls ECME, which will call IB to create a bill 219 ;Input: (r) RX - Rx IEN (#52) 220 ; (o) RFL - Refill # (Default: most recent) 221 ; 222 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 223 ; 224 ; - ECME turned OFF for Rx's site 225 I '$$ECMEON^BPSUTIL($$RXSITE^PSOBPSUT(RX,RFL)) Q 226 ; 227 ; - Not an ePharmacy Rx 228 I $$STATUS^PSOBPSUT(RX,RFL)="" Q "" 229 ; 230 ; - Calls ECME previously reversed, re-submit the claim to the payer 231 I $$STATUS^PSOBPSUT(RX,RFL)="E REVERSAL ACCEPTED"!($$STATUS^PSOBPSUT(RX,RFL)="IN PROGRESS") D Q 232 . D ECMESND^PSOBPSU1(RX,RFL,$$RXRLDT^PSOBPSUT(RX,RFL),"RRL") 233 ; 234 ; - Notifying ECME of a BILLING event 235 I $$STATUS^PSOBPSUT(RX,RFL)="E PAYABLE" D Q 236 . N PSOCLAIM S PSOCLAIM=$$CLAIM^BPSBUTL(RX,RFL) 237 . D IBSEND^BPSECMP2($P(PSOCLAIM,"^",2),$P(PSOCLAIM,"^",3),"BILL",DUZ) 238 ; 239 Q 240 ; 241 RETRX(RX,RFL) ; - Re-transmit a claim for the prescription/fill? 242 ;Input: (r) RX - Rx IEN (#52) 243 ; (o) RFL - Refill # (Default: most recent) 244 ;Output: 1 - Re-transmit / 0 - Don't re-transmit 245 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 246 ; 247 I RFL Q +$$GET1^DIQ(52.1,RFL_","_RX,82,"I") 248 Q +$$GET1^DIQ(52,RX,82,"I") 1 PSOBPSUT ;BIRM/MFR - BPS (ECME) Utilities ; 07 Jun 2005 8:39 PM 2 ;;7.0;OUTPATIENT PHARMACY;**148,247,260**;DEC 1997;Build 84 3 ;Reference to $$ECMEON^BPSUTIL supported by IA 4410 4 ;Reference to IBSEND^BPSECMP2 supported by IA 4411 5 ;Reference to $$STATUS^BPSOSRX supported by IA 4412 6 ;Reference to $$NDCFMT^PSSNDCUT supported by IA 4707 7 ;Reference to $$CLAIM^BPSBUTL supported by IA 4719 8 ;Reference to ^PS(55 supported by IA 2228 9 ;Reference to ^PSDRUG( supported by IA 221 10 ;Reference to ^PSDRUG("AQ" supported by IA 3165 11 ; 12 ECME(RX) ; Returns "e" if Rx/Refill is Electronically Billable (3rd party) 13 Q $S($$STATUS^BPSOSRX(RX,$$LSTRFL^PSOBPSU1(RX))'="":"e",1:"") 14 ; 15 STATUS(RX,RFL) ; Returns the Rx's ECME Status (calls STATUS^BPSOSRX) 16 ; Input: (r) RX - Rx IEN (#52) 17 ; (o) RFL - Refill # (Default: most recent) 18 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 19 Q $P($$STATUS^BPSOSRX(RX,RFL),"^") 20 ; 21 SUBMIT(RX,RFL,IGRL,IGCMP) ; Returns whether the Rx should be submitted to ECME at the moment or not 22 ; Input: (r) RX - Rx IEN (#52) 23 ; (o) RFL - Refill # (Def.: most recent) 24 ; (o) IGRL - Ignore Release Date? (1-YES/0-NO) (Def.: 0 - NO) 25 ; (o) IGCMP- Ignore CMOP/Suspense check? (1-YES/0-NO) (Def.: 0 - NO) 26 ; 27 ; - Get the REFILL # (multiple IEN) 28 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 29 ; - Not the latest fill for the prescription 30 I RFL'=$$LSTRFL^PSOBPSU1(RX) Q 0 31 ; - Status not ACTIVE 32 I $$GET1^DIQ(52,RX,100,"I")'=0 Q 0 33 ; Will suspend for CMOP 34 I '$G(IGCMP),$$CMOP(RX,RFL) Q 0 35 ; - ECME turned OFF for Rx's site 36 I '$$ECMEON^BPSUTIL($$RXSITE(RX,RFL)) Q 0 37 ; - Rx is RELEASED - Do not submit 38 I '$G(IGRL),$$RXRLDT(RX,RFL) Q 0 39 ; - Future Fill/AUTO SUSPENSE ON - will suspend 40 I '$G(IGCMP),$$RXFLDT(RX,RFL)>DT,$$GET1^DIQ(59,$$RXSITE(RX,RFL),.16,"I") Q 0 41 Q 1 42 ; 43 CMOP(RX,RFL) ; Returns if the Rx will be a CMOP Rx or not 44 ; Input: (r) RX - Rx IEN (#52) 45 ; (o) RFL - Refill # (Default: most recent) 46 ; Output: 1 - CMOP / 0 - NON-CMOP 47 ; 48 N DFN,CMOP,MAIL,MAILEXP,DRUG,WARNS,STATUS,MW,A 49 ; Get the REFILL # (multiple IEN) 50 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 51 ; MAIL=MAIL Code, MAILEXP=Mail Code Expiration Date 52 S CMOP=0 53 S DFN=$$GET1^DIQ(52,RX,2,"I"),MAIL=$$GET1^DIQ(55,DFN,.03,"I"),MAILEXP=$$GET1^DIQ(55,DFN,.05,"I") 54 I MAIL>1,MAILEXP=""!(MAILEXP>DT) G QCMOP 55 ; Get drug IEN and cheDRUG if CMOP ,$S($G(MAILEXP)=""!($G(MAILEXP)>DT):1,1:0) 56 S DRUG=$$GET1^DIQ(52,RX,6,"I") G QCMOP:'DRUG,QCMOP:'$D(^PSDRUG("AQ",DRUG)) 57 ; Not marked for O.P. 58 I $$GET1^DIQ(50,DRUG,63)'["O" G QCMOP 59 ; Drug Warning >11 60 S WARNS=$$GET1^DIQ(50,DRUG,8) I $L(WARNS)>11 G QCMOP 61 ; If tradename 62 I $$GET1^DIQ(52,RX,6.5)'="" G QCMOP 63 ; If Cancelled, Expired, Deleted, Hold 64 S STATUS=$$GET1^DIQ(52,RX,100,"I") I STATUS>9!(STATUS=4)!(STATUS=3) G QCMOP 65 ; Rx RELEASED 66 I $$RXRLDT^PSOBPSUT(RX,RFL) G QCMOP 67 ; MAIL/WINDOW 68 S MW=$S('RFL:$$GET1^DIQ(52,RX,11,"I"),1:$$GET1^DIQ(52.1,RFL_","_RX,2,"I")) 69 ; IF WINDOW/ORIGINAL/FUTURE FILL SETS MW = MAIL 70 I MW="W",$$RXFLDT^PSOBPSUT(RX,RFL)>DT S MW="M" 71 ; If not MAIL 72 I MW'="M" G QCMOP 73 S CMOP=1 74 ; 75 QCMOP Q CMOP 76 ; 77 RXRLDT(RX,RFL) ; Returns the Rx Release Date 78 ; Input: (r) RX - Rx IEN (#52) 79 ; (o) RFL - Refill # (Default: most recent) 80 ; 81 ; Output: RXRLDT - Rx Release Date 82 N RXRLDT 83 I '$G(RX) Q "" 84 S RXRLDT=$$GET1^DIQ(52,RX,31,"I") 85 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 86 I RFL S RXRLDT=$$GET1^DIQ(52.1,RFL_","_RX,17,"I") 87 Q RXRLDT 88 ; 89 RXFLDT(RX,RFL) ; Returns the Rx Fill Date 90 ; Input: (r) RX - Rx IEN (#52) 91 ; (o) RFL - Refill # (Default: most recent) 92 ; Output: RXFLDT - Rx Fill Date 93 N RXFLDT 94 I '$G(RX) Q "" 95 S RXFLDT=$$GET1^DIQ(52,RX,22,"I") 96 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 97 I RFL S RXFLDT=$$GET1^DIQ(52.1,RFL_","_RX,.01,"I") 98 Q RXFLDT 99 ; 100 RXSUDT(RX,RFL) ; Returns the prescription/fill Suspense Date for the RX/Reject passed in 101 ;Input: (r) RX - Rx IEN (#52) 102 ; (o) RFL - Refill IEN (#52.1) 103 ;Output: SUSPENSE DATE (External format) or <NULL>, if not suspended 104 ; 105 I $G(^PSRX(RX,"STA"))'=5 Q "" 106 N SURX,SURFL 107 S SURX=$O(^PS(52.5,"B",RX,0)) I 'SURX Q "" 108 I $$GET1^DIQ(52.5,SURX,.05,"I") Q "" 109 S SURFL=+$$GET1^DIQ(52.5,SURX,9) I RFL'=SURFL Q "" 110 Q $$GET1^DIQ(52.5,SURX,.02,"I") 111 ; 112 RXSITE(RX,RFL) ; Returns the Rx DIVISION 113 ; Input: (r) RX - Rx IEN (#52) 114 ; (o) RFL - Refill # 115 ; Output: SITE - Rx Fill Date 116 ; 117 N SITE 118 I '$G(RX) Q "" 119 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 120 I RFL S SITE=$$GET1^DIQ(52.1,RFL_","_RX,8,"I") 121 I 'RFL!'$G(SITE) S SITE=$$GET1^DIQ(52,RX,20,"I") 122 Q SITE 123 ; 124 MANREL(RX,RFL,PID) ; ePharmacy Manual Rx Release 125 ;Input: (r) RX - Rx IEN (#52) 126 ; (o) RFL - Refill # (Default: most recent) 127 ; (o) PID - Displays PID/Drug/Rx in the NDC prompts 128 ;Output: "" (null - OK to Release) OR "^" (User entered "^", or no valid NDC on file for ePharmacy Rx) 129 ; 130 N ACTION 131 ; 132 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 133 ; 134 ; - Checking for REJECTS before proceeding to Rx Release 135 I $$FIND^PSOREJUT(RX,RFL) D I ACTION="Q"!(ACTION="^") W ! Q "^" 136 . S ACTION=$$HDLG^PSOREJU1(RX,RFL,"79,88","ED","OIQ","Q") 137 ; 138 ; - ePharmacy switch is OFF 139 I '$$ECMEON^BPSUTIL($$RXSITE^PSOBPSUT(RX,RFL)) Q "" 140 ; 141 ; - Not an ePharmacy Rx 142 I $$STATUS^PSOBPSUT(RX,RFL)="" Q "" 143 ; 144 ; - NDC editing before Rx release 145 S ACTION=$$CHGNDC^PSONDCUT(RX,RFL,$G(PID)) I ACTION="^" D Q "^" 146 . W !!,$C(7),"A valid NDC must be entered before the Release function can be completed.",! H 1 147 ; 148 ; - Checking for OPEN/UNRESOLVED 3rd. Party Payer Rejects (After possible NDC edit) 149 I $$FIND^PSOREJUT(RX,RFL) D I ACTION="Q"!(ACTION="^") W ! Q "^" 150 . S ACTION=$$HDLG^PSOREJU1(RX,RFL,"79,88","ED","OIQ","Q") 151 ; 152 ; - Notifying IB of a Rx RELEASE event 153 D RELEASE^PSOBPSU1(RX,RFL,DUZ) 154 ; 155 Q "" 156 ; 157 AUTOREL(RX,RFL,RLDT,NDC,SRC,STS,HNG) ; Sends Rx Release information to ECME/IB and updates NDC 158 ; in the DRUG/PRESCRIPTION files 159 ;Input: (r) RX - Rx IEN (#52) 160 ; (o) RFL - Refill # (Default: most recent) 161 ; (r) RLDT- Release Date 162 ; (r) NDC - NDC Number (Must be 11 digits) 163 ; (o) SRC - SOURCE: "C" - CMOP / "A" - OPAI 164 ; (o) STS - Status: (S)uccessful/(U)nsuccessful Release (Default: "S" - Successful) 165 ; (o) HNG - HANG time after resubmission and before checking the status of the claim (Default: 0) 166 ; 167 N RXNDC,SITE 168 ; 169 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 170 ; 171 S:'$D(STS) STS="S" S:'$D(SRC) SRC="" S HNG=+$G(HNG) 172 S RXNDC=$$GETNDC^PSONDCUT(RX,RFL) 173 ; 174 ; - Saves the NDC from CMOP/Automated Dispensing Machine in the Prescription file 175 I $$NDCFMT^PSSNDCUT(NDC)'="" D SAVNDC^PSONDCUT(RX,RFL,$$NDCFMT^PSSNDCUT(NDC),$S(SRC="C":1,1:0)) 176 ; 177 ; - Not an ePharmacy Rx 178 I $$STATUS^PSOBPSUT(RX,RFL)="" Q "" 179 ; 180 ; - Unsuccessful Release 181 I STS="U" D Q 182 . D REVERSE^PSOBPSU1(RX,RFL,"CRLX",,"UNSUCCESSFUL "_$S(SRC="C":"CMOP",1:"EXT INTERFACE")_" RELEASE",1) 183 ; 184 ; - Notifying IB of a Rx RELEASE event 185 D RELEASE^PSOBPSU1(RX,RFL) 186 ; 187 ; - Invalid NDC from Automated Dispensing Machine 188 I SRC="A",$$NDCFMT^PSSNDCUT(NDC)="" D Q 189 . D REVERSE^PSOBPSU1(RX,RFL,"CRLR",,"INVALID EXT INTERFACE NDC",1,NDC) 190 ; 191 ; - Invalid NDC number for CMOP 192 I SRC="C",$$NDCFMT^PSSNDCUT(NDC)="" D Q 193 . D REVERSE^PSOBPSU1(RX,RFL,"CRLR",,"INVALID CMOP NDC",1,NDC) 194 ; 195 ; - If NDC not equal RXNDC, issue reversal and submit new claim 196 I SRC="A",$$NDCFMT^PSSNDCUT(NDC)'=RXNDC D Q 197 . D ECMESND^PSOBPSU1(RX,RFL,RLDT,"CRLB",$$NDCFMT^PSSNDCUT(NDC),,"AUTO RELEASE",,1,,1) 198 . H HNG 199 . ; - If new claim returned PAYABLE, save new NDC in the DRUG/PRESCRIPTION files 200 . I $$STATUS^PSOBPSUT(RX,RFL)="E PAYABLE" D SAVNDC^PSONDCUT(RX,RFL,$$NDCFMT^PSSNDCUT(NDC),0,1) 201 ; 202 ; - If NDC not equal RXNDC, issue reversal and submit new claim 203 I SRC="C",$$NDCFMT^PSSNDCUT(NDC)'=RXNDC D Q 204 . ; - Reverse/Resubmit with correct NDC 205 . D ECMESND^PSOBPSU1(RX,RFL,RLDT,"CRLB",$$NDCFMT^PSSNDCUT(NDC),1,"CMOP RELEASE",,1,,1) 206 . ; - Wait for a response from the Payer for the submission above 207 . H HNG 208 . ; - If new claim returned PAYABLE, save new NDC in the DRUG/PRESCRIPTION files 209 . I $$STATUS^PSOBPSUT(RX,RFL)="E PAYABLE" D SAVNDC^PSONDCUT(RX,RFL,$$NDCFMT^PSSNDCUT(NDC),1,1) 210 ; 211 ; - Calls ECME api responsible for notifying IB to create a BILL 212 D IBSEND(RX,RFL) 213 ; 214 Q 215 ; 216 IBSEND(RX,RFL) ; Rx Release: Calls ECME, which will call IB to create a bill 217 ;Input: (r) RX - Rx IEN (#52) 218 ; (o) RFL - Refill # (Default: most recent) 219 ; 220 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 221 ; 222 ; - ECME turned OFF for Rx's site 223 I '$$ECMEON^BPSUTIL($$RXSITE^PSOBPSUT(RX,RFL)) Q 224 ; 225 ; - Not an ePharmacy Rx 226 I $$STATUS^PSOBPSUT(RX,RFL)="" Q "" 227 ; 228 ; - Calls ECME previously reversed, re-submit the claim to the payer 229 I $$STATUS^PSOBPSUT(RX,RFL)="E REVERSAL ACCEPTED"!($$STATUS^PSOBPSUT(RX,RFL)="IN PROGRESS") D Q 230 . D ECMESND^PSOBPSU1(RX,RFL,$$RXRLDT^PSOBPSUT(RX,RFL),"RRL") 231 ; 232 ; - Notifying ECME of a BILLING event 233 I $$STATUS^PSOBPSUT(RX,RFL)="E PAYABLE" D Q 234 . N PSOCLAIM S PSOCLAIM=$$CLAIM^BPSBUTL(RX,RFL) 235 . D IBSEND^BPSECMP2($P(PSOCLAIM,"^",2),$P(PSOCLAIM,"^",3),"BILL",DUZ) 236 ; 237 Q 238 ; 239 RETRX(RX,RFL) ; - Re-transmit a claim for the prescription/fill? 240 ;Input: (r) RX - Rx IEN (#52) 241 ; (o) RFL - Refill # (Default: most recent) 242 ;Output: 1 - Re-transmit / 0 - Don't re-transmit 243 I '$D(RFL) S RFL=$$LSTRFL^PSOBPSU1(RX) 244 ; 245 I RFL Q +$$GET1^DIQ(52.1,RFL_","_RX,82,"I") 246 Q +$$GET1^DIQ(52,RX,82,"I")
Note:
See TracChangeset
for help on using the changeset viewer.
