VistA-FOIAVistA/r/PHARMACY_BENEFITS_MANAGEMEN.../PSUOP1.m

131 lines
3.8 KiB
Mathematica

PSUOP1 ;BIR/CFL - PSU PBM Outpatient Pharmacy Data Collection for Version 6.0 ;25 AUG 1998
;;4.0;PHARMACY BENEFITS MANAGEMENT;;MARCH, 2005
;
;DBIAs
; Reference to ^PSRX( file #52 supported by DBIA(s) 465, 2512, 2513
EN ;Entry to data collection
K ^TMP($J)
D CMOPARY,ADLOOP
Q
ADLOOP ;Loop through the AD cross reference
S X1=PSUSDT,X2=-31
D C^%DTC K %,%H,%T
S PSUFDT=X
F S PSUFDT=$O(^PSRX("AD",PSUFDT)) Q:PSUFDT=""!(PSUFDT\1>PSUEDT) D
.S PSURXIEN=""
.F S PSURXIEN=$O(^PSRX("AD",PSUFDT,PSURXIEN)) Q:PSURXIEN="" D
..S PSUFIL=""
..F S PSUFIL=$O(^PSRX("AD",PSUFDT,PSURXIEN,PSUFIL)) Q:PSUFIL="" D
...Q:'$D(^PSRX(PSURXIEN,0))
...K PSUTYP,PSUOP
...S PSUFLN=PSUFIL
...D COMVAR
...S PSUCMOP="N"
...;
...; check for CMOP data
...I $D(^PSRX(PSURXIEN,4,0)) D ARLOOP
...I PSUCMOP="Y" Q ; record filed in subroutine
...I (PSUFDT\1<PSUSDT) Q
...S PSUTYP=$S(PSUFLN=0:"N",1:"R")
...D GETDATA
...D SETREC^PSUOP3
..I $D(^PSRX(PSURXIEN,"P",0)),'$D(^XTMP(PSUOPSUB,"RXIEN",PSURXIEN)) D ADPLOOP
K ^TMP($J)
Q
ARLOOP ;Check to see if CMOP Data exists for the reporting period
I $D(^TMP($J,PSURXIEN,PSUFLN)) D
.S PSUCMOP="Y"
.S PSUTYP=$S(PSUFLN=0:"N",1:"R")
.D GETDATA
.I (PSURELDT="")!(PSURELDT<PSUSDT)!(PSURELDT>PSUEDT) Q
.D SETREC^PSUOP3
Q
ADPLOOP ;Get data for partial fills
S PSUPFN=0
F S PSUPFN=$O(^PSRX(PSURXIEN,"P",PSUPFN)) Q:'PSUPFN D
.S PSUCMOP="N"
.D COMVAR
.S PSUTYP="P"
.D GETPART
.Q:((PSUFD<PSUSDT)!(PSUFD>PSUEDT))
.D SETREC^PSUOP3
Q
GETDATA ;Get the data for New Fills, Refills and Partial fills
I PSUTYP="N" D
.S PSUFD=PSUOP(22)
.S PSUDS=PSUOP(8)
.S PSUQTY=+PSUOP(7)
.S PSUDRCT=PSUOP(17)
.S PSURELDT=PSUOP(31)
.I PSURELDT'="" S PSURELDT=PSURELDT\1
.S PSUPRID=PSUOP(4)
.S PSUMW=PSUOP(11)
.S PSUDIVP=PSUOP(20)
.S PSUNDC=""
.I PSUCMOP="Y" D
..S PSUNDC=$$VALI^PSUTL(52.01,"PSURXIEN,PSUFLN",4)
.S PSUNDC=$S(PSUNDC="":PSUOP(27),PSUNDC="":PSUDRUG(31),1:"No NDC")
.D PROVDR^PSUOP3
;Get data for Refills
I PSUTYP="R" D K REC
.D GETS^PSUTL(52.1,"PSURXIEN,PSUFLN",".01;1;1.1;1.2;2;8;15;17","PSUREFIL","I")
.D MOVEI^PSUTL("PSUREFIL")
.S PSUFD=PSUREFIL(.01)
.S PSUPRID=PSUREFIL(15)
.S PSUMW=PSUREFIL(2)
.S PSUDIVP=PSUREFIL(8)
.S PSUDS=PSUREFIL(1.1)
.S PSUQTY=+PSUREFIL(1)
.S PSUDRCT=PSUREFIL(1.2)
.S PSURELDT=PSUREFIL(17)
.I PSURELDT'="" S PSURELDT=PSURELDT\1
.S PSURXP=PSUOP(3)
.S PSUDR=PSUOP(6)
.S PSUNDC=""
.I PSUCMOP="Y" D
..S PSUNDC=$$VALI^PSUTL(52.01,"PSURXIEN,PSUFLN",4)
.I PSUNDC="" S PSUNDC=$$VALI^PSUTL(52.1,"PSURXIEN,PSUFLN",11)
.I PSUNDC="" S PSUNDC=$S(PSUDRUG(31)'="":PSUDRUG(31),1:"No NDC")
.D PROVDR^PSUOP3
Q
GETPART ;Get data for Partial Fills
K PSUPART
D GETS^PSUTL(52.2,"PSURXIEN,PSUPFN",".01;.02;.04;.041;.042;.09;6;8","PSUPART","I")
D MOVEI^PSUTL("PSUPART")
S PSUFD=PSUPART(.01)
S PSUPRID=PSUPART(6)
S PSUMW=PSUPART(.02)
S PSUDIVP=PSUPART(.09)
S PSUDS=PSUPART(.041)
S PSUQTY=+PSUPART(.04)
S PSUDRCT=PSUPART(.042)
S PSURELDT=PSUPART(8)
I PSURELDT'="" S PSURELDT=PSURELDT\1
S PSUNDC=$$VALI^PSUTL(52.2,"PSURXIEN,PSUFLN",1)
I PSUNDC="" S PSUNDC=$S(PSUDRUG(31)'="":PSUDRUG(31),1:"No NDC")
D PROVDR^PSUOP3 ;Get shared variables
Q
COMVAR ;Get the common variables
D GETS^PSUTL(52,PSURXIEN,".01;2;3;4;6;7;8;11;17;20;22;27;31","PSUOP","I")
D MOVEI^PSUTL("PSUOP")
S PSURXN=PSUOP(.01)
S DFN=PSUOP(2) D PID^VADPT
S PSUSSN=$TR(VA("PID"),"^-","")
S PSUWPC="" ;Patient counseling only exists for version 7.0
S PSUDR=PSUOP(6)
S PSURXP=PSUOP(3)
;S PSUSIG=PSUOP(10)
D GETDRUG^PSUOP3
Q
CMOPARY ;Loop through the "AR" cross reference and build CMOP array
S X1=PSUSDT,X2=-1
D C^%DTC K %,%H,%T
S PSUCDT=X
F S PSUCDT=$O(^PSRX("AR",PSUCDT)) Q:'PSUCDT D
.S PSUCRX=""
.F S PSUCRX=$O(^PSRX("AR",PSUCDT,PSUCRX)) Q:PSUCRX="" D
..S PSUCLN=""
..F S PSUCLN=$O(^PSRX("AR",PSUCDT,PSUCRX,PSUCLN)) Q:PSUCLN="" D
...S ^TMP($J,PSUCRX,PSUCLN)=""
Q