VistA-FOIAVistA/r/PHARMACY_BENEFITS_MANAGEMEN.../PSUDEM2.m

118 lines
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PSUDEM2 ;BIR/DAM - Outpatient Visits Extract ;20 DEC 2001
;;4.0;PHARMACY BENEFITS MANAGEMENT;;MARCH, 2005
;
;DBIA's
; Reference to file 2 supported by DBIA 10035
; Reference to file 9000010.07 supported by DBIA 3094
; Reference to file 9000010 supported by DBIA 3512
; Reference to file 4.3 supported by DBIA 2496
; Reference to file 80 supported by DBIA 10082
; Reference to file 9000010.18 supported by DBIA 3560
; Reference to file 81 supported by DBIA 2815
EN ;EN Called from PSUCP
K ^XTMP("PSU_"_PSUJOB,"PSUOPV"),^XTMP("PSU_"_PSUJOB,"PSUTMP")
K NONE
NEW CPTDA,CPTNM,ICD9DA,ICD9NM,PSUICN,PSUSSN,PSUSUB,PSUTEDT
NEW PSUVSTDT,PSUX,PSUY,PTSTAT,SEG,VCPTDA,XX,J
D DAT1
I '$D(^XTMP("PSU_"_PSUJOB,"PSUTMP")) D NODATA
D XMD
EX K ^XTMP("PSU_"_PSUJOB,"PSUPDFLAG")
K ^XTMP("PSU_"_PSUJOB,"PSUOPV")
K ^XTMP("PSU_"_PSUJOB,"PSUXMD")
K ^XTMP("PSU_"_PSUJOB,"PSUTMP")
Q
;
;
DAT1 ;Find visits from V POV file that fall within the date range
S PSUTEDT=PSUEDT
S PSUDT=PSUSDT-1,PSUX=9999999-PSUDT,PSUY=9999999-PSUEDT N PSUEDT
S PSUY=PSUSDT-.0001
F S PSUY=$O(^AUPNVSIT("B",PSUY)) Q:PSUY'>0 Q:((PSUY\1)>PSUTEDT) D
. S PSUVIEN=0 F S PSUVIEN=$O(^AUPNVSIT("B",PSUY,PSUVIEN)) Q:$G(PSUVIEN)'>0 D
.. S PSUPT=$$VALI^PSUTL(9000010,PSUVIEN,.05)
.. D DAT2
Q
DAT2 ;
S PSUPOV=0 F S PSUPOV=$O(^AUPNVPOV("AD",PSUVIEN,PSUPOV)) Q:PSUPOV'>0 D
.N PSUVIEN
.S PSUVIEN=$P($G(^AUPNVPOV(PSUPOV,0)),U,3)
.Q:PSUVIEN=""
.Q:$D(^XTMP("PSU"_PSUJOB,"PSUOPV",PSUVIEN)) ; quit if visit psuvien already stored
. D POVS
.S PSUVSTDT=$P($G(^AUPNVSIT(PSUVIEN,0)),U)\1
.S PSUSSN=$P(^DPT(PSUPT,0),U,9)
.S PSUICN=$$GETICN^MPIF001(PSUPT)
.I PSUICN[-1 S PSUICN=""
.S PTSTAT=$P(^AUPNVSIT(PSUVIEN,150),U,2),PTSTAT=$S(+PTSTAT:"I",1:"O")
. D SET
Q
POVS ;severl POVs can have same visit, work all when the first is found
N PSUPOV
S PSUPOV=0 F S PSUPOV=$O(^AUPNVPOV("AD",PSUVIEN,PSUPOV)) Q:PSUPOV'>0 D
. K ALLICD9,ALLCPT
.;LOOP CPTs linked by visit
. S VCPTDA=0 F S VCPTDA=$O(^AUPNVCPT("AD",PSUVIEN,VCPTDA)) Q:VCPTDA'>0 D
.. ; get/gather cpts
..S CPTDA=$P($G(^AUPNVCPT(VCPTDA,0)),U),CPTNM=$P($G(^ICPT(CPTDA,0)),U) S:$L(CPTNM) ALLCPT(CPTNM)=""
.. ;get/gather icd9s
..S ICD9DA=$P($G(^AUPNVCPT(VCPTDA,0)),U,5) I ICD9DA S ICD9NM=$P($G(^ICD9(ICD9DA,0)),U) S:$L(ICD9NM) ALLICD9(ICD9NM)=""
. ;get orig ICD9
.S ICD9DA=$P($G(^AUPNVPOV(PSUPOV,0)),U) I ICD9DA S ICD9NM=$P($G(^ICD9(ICD9DA,0)),U) S:$L(ICD9NM) ALLICD9(ICD9NM)=""
Q
SET ; Set segment
I '$D(ALLICD9),'$D(ALLCPT) Q ;insure visit has either CPT or ICD9
;assemble elements and set
S SEG=U_PSUSNDR_U_PTSTAT_U_PSUVSTDT_U_PSUSSN_U_PSUICN_U
I $D(ALLICD9) S ICD9NM="" F I=7:1:16 S ICD9NM=$O(ALLICD9(ICD9NM)) Q:ICD9NM="" S $P(SEG,U,I)=ICD9NM
I $D(ALLCPT) S CPTNM="" F J=17:1:26 S CPTNM=$O(ALLCPT(CPTNM)) Q:CPTNM="" S $P(SEG,U,J)=CPTNM
S $P(SEG,U,27)=""
S ^XTMP("PSU_"_PSUJOB,"PSUTMP",PSUVIEN)=SEG
Q
;
XMD ;Format mailman message and send.
S PSUAB=0
F PSUPL=1:1 S PSUAB=$O(^XTMP("PSU_"_PSUJOB,"PSUTMP",PSUAB)) Q:PSUAB'>0 S XX=^(PSUAB) D
. S ^XTMP("PSU_"_PSUJOB,"PSUOPV",PSUPL)=XX
NEW PSUMAX,PSULC,PSUTMC,PSUTLC,PSUMC
S PSUMAX=$$VAL^PSUTL(4.3,1,8.3)
S PSUMAX=$S(PSUMAX="":10000,PSUMAX>10000:10000,1:PSUMAX)
S PSUMC=1,PSUMLC=0
F PSULC=1:1 S X=$G(^XTMP("PSU_"_PSUJOB,"PSUOPV",PSULC)) Q:X="" D
.S PSUMLC=PSUMLC+1
.I PSUMLC>PSUMAX S PSUMC=PSUMC+1,PSUMLC=0,PSULC=PSULC-1 Q ; + message
.I $L(X)<235 S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUMC,PSUMLC)=X Q
.F I=235:-1:1 S Z=$E(X,I) Q:Z="^"
.S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUMC,PSUMLC)=$E(X,1,I)
.S PSUMLC=PSUMLC+1
.S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUMC,PSUMLC)="*"_$E(X,I+1,999)
;
TLC ; Count Lines sent
S PSUTLC=0
F PSUM=1:1:PSUMC S X=$O(^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUM,""),-1),PSUTLC=PSUTLC+X
;
F PSUM=1:1:PSUMC D OPV^PSUDEM5
D CONF
Q
CONF ;Construct globals for confirmation message
;
I $G(NONE) S PSUTLC=0
N PSUDIVIS
S PSUDIVIS=$P(^XTMP("PSU_"_PSUJOB,"PSUSITE"),U,1)
S PSUSUB="PSU_"_PSUJOB
S ^XTMP(PSUSUB,"CONFIRM",PSUDIVIS,8,"M")=PSUMC
S ^XTMP(PSUSUB,"CONFIRM",PSUDIVIS,8,"L")=PSUTLC
Q
;
NODATA ;Generate a 'No data' message if there is no data in the extract
;
S NONE=1
M PSUXMYH=PSUXMYS1
S PSUM=1
S ^XTMP("PSU_"_PSUJOB,"PSUXMD",PSUM,1)="No data to report"
Q
REC ;EN If "^" is contained in any record, replace it with "'"
;
I PSUREC["^" S PSUREC=$TR(PSUREC,"^","'")
Q