1 | DGRRPSEE ; ALB/SGG - rtnDGRR PatientServices Enrollment and Eligibility ;09/30/03 ; Compiled November 24, 2003 11:54:30
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2 | ;;5.3;Registration;**557**;Aug 13, 1993
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3 | ;
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4 | ;
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5 | DOC ;<DataSet Name='EnrollmentEligibility'
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6 | ;
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7 | ;.04 ENROLLMENT STATUS (RP27.15'IX), [0;4]
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8 | ; 27.01 CURRENT ENROLLMENT (P27.11'I), [ENR;1]
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9 | ; .04 ENROLLMENT STATUS (RP27.15'IX), [0;4]
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10 | ; .01 NAME (RF), [0;1]
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11 | ;
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12 | ;.07 ENROLLMENT PRIORITY (SXI), [0;7]
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13 | ;
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14 | ;.3721 RATED DISABILITIES (VA) (Multiple-2.04), [.372;0]
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15 | ; .01 RATED DISABILITIES (VA) (MP31'X), [0;1]
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16 | ; 2 DISABILITY % (RNJ3,0X), [0;2]
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17 | ; 3 SERVICE CONNECTED (SX), [0;3]
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18 | ; '0' FOR NO;
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19 | ; '1' FOR YES;
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20 | ;
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21 | ;361 PATIENT ELIGIBILITIES (Multiple-2.0361), [E;0]
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22 | ; .01 ELIGIBILITY (M*P8'X), [0;1] MAS ELIGIBILITY CODE (R*P8.1'), [0;9]
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23 | ; .03 LONG ID (FX), [0;3]
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24 | ; .04 SHORT ID (F), [0;4]
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25 | ;
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26 | ;.14 CURRENT MEANS TEST STATUS (P408.32'I), [0;14]
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27 | ; .01 NAME (RFI), [0;1]
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28 | ;
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29 | ;.152 INELIGIBLE DATE (DX), [.15;2]
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30 | ;.301 SERVICE CONNECTED? (RSXa), [.3;1]
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31 | ;.302 SERVICE CONNECTED PERCENTAGE (NJ3,0Xa), [.3;2]
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32 | ;.305 UNEMPLOYABLE (S), [.3;5]
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33 | ;.307 INELIGIBLE REASON (FX), [.3;7]
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34 | ;.313 CLAIM NUMBER (FXO), [.31;3]
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35 | ;.323 PERIOD OF SERVICE (*P21'Xa), [.32;3]
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36 | ;.361 PRIMARY ELIGIBILITY CODE (*P8'Xa), [.36;1] MAS ELIGIBILITY CODE (R*P8.1'), [0;9]
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37 | ;27.11 .12 ENROLLMENT SUBGROUP (S), [0;12]
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38 | ;
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39 | ;.3611 ELIGIBILITY STATUS (SX), [.361;1]
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40 | ; 'P' FOR PENDING VERIFICATION;
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41 | ; 'R' FOR PENDING RE-VERIFICATION;
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42 | ; 'V' FOR PENDING VERIFICATION;
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43 | ;
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44 | ;391 TYPE (RP391'a), [TYPE;1]
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45 | ;1901 VETERAN (Y/N)? (RSXa), [VET;1]
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46 | ;.32102 AGENT ORANGE EXPOS. INDICATED? (RSX), [.321;2]
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47 | ;.32103 RADIATION EXPOSURE INDICATED? (RSX), [.321;3]
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48 | ;.322013 ENVIRONMENTAL CONTAMINANTS? (RSX), [.322;13]
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49 | ;.5291 COMBAT SERVICE INDICATED? (RSX) [.52;11]
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50 | ; MILITARY SEXUAL TRAUMA (MST) $$GETSTAT^DGMSTAPI
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51 | ; HEAD/NECK CANCER (CNV) $$GETCUR^DGNTAPI
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52 | ;57.4 SPINAL CORD INJURY (S), [57;4]
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53 | ;
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54 | GETPSARY(PSARRAY) ;
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55 | NEW CNT,DGAO,DGIR,DGENV,DGCS,DGHNC,DGMST
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56 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="<DataSet Name='EnrollmentEligibility'"
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57 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^EnrollmentDate^"_$$ENRLDATE()
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58 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^EnrollmentStatus^"_$$ENRLSTAT()
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59 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^EnrollmentPriority^"_$$ENRLPRIO()
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60 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^EnrollmentSubgroup^"_$$ENRLSUBG()
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61 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^CurrentMeansTestStatus^"_$$CMEANTST()
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62 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^IneligibleDate^"_$$INELDATE()
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63 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^ServiceConnected^"_$$SERVCONC()
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64 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^ServiceConnectedPercentage^"_$$SERVCPER()
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65 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Unemployable^"_$$UNEMPLOY()
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66 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^IneligibleReason^"_$$INELIGRS()
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67 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^ClaimNumber^"_$$CLAIMNUM()
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68 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^PeriodOfService^"_$$PEROFSRV()
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69 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^PrimaryEligibilityCode^"_$$ELIGPRIM()
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70 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^EligibilityStatus^"_$$ELIGSTAT()
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71 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Type^"_$$PATNTYPE()
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72 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Veteran^"_$$VETERAN()
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73 | D CLASS(PTID)
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74 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^AgentOrangeExposure^"_$G(DGAO)
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75 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^IonizingRadiationExposure^"_$G(DGIR)
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76 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^EnvironmentalContaminantExposure^"_$G(DGENV)
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77 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^CombatServiceIndicated^"_$G(DGCS)
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78 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^MilitarySexualTrauma^"_$G(DGMST)
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79 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^HeadNeckCancer^"_$G(DGHNC)
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80 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="^SpinalCordInjuryStatus^"_$$SPINALCI()
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81 | SET CNT=$G(CNT)+1,PSARRAY(CNT)=">"
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82 | DO ELIGIBLE
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83 | DO DISABLED
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84 | SET CNT=$G(CNT)+1,PSARRAY(CNT)="</DataSet>"_"^^^1"
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85 | QUIT
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86 | ;
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87 | ;
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88 | ENRLDATE() ;
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89 | NEW DATA
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90 | SET DATA=$P($G(^DPT(PTID,"ENR")),"^",1)
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91 | IF DATA'="" SET DATA=$P($G(^DGEN(27.11,DATA,0)),"^",10)
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92 | QUIT DATA
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93 | ;
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94 | ENRLSTAT() ;
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95 | NEW DATA
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96 | SET DATA=$P($G(^DPT(PTID,"ENR")),"^",1)
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97 | IF DATA'="" SET DATA=$P($G(^DGEN(27.11,DATA,0)),"^",4)
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98 | IF DATA'="" SET DATA=$P($G(^DGEN(27.15,DATA,0)),"^",1)
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99 | QUIT DATA
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100 | ;
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101 | ENRLPRIO() ;
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102 | NEW DATA
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103 | SET DATA=$P($G(^DPT(PTID,"ENR")),"^",1)
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104 | IF DATA'="" SET DATA=$P($G(^DGEN(27.11,DATA,0)),"^",7)
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105 | SET DATA=$S(DATA=1:"GROUP 1",DATA=2:"GROUP 2",DATA=3:"GROUP 3",DATA=4:"GROUP 4",DATA=5:"GROUP 5",DATA=6:"GROUP 6",DATA=7:"GROUP 7",DATA=8:"GROUP 8",1:"")
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106 | QUIT DATA
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107 | ;
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108 | ENRLSUBG() ;
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109 | NEW DATA
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110 | SET DATA=$P($G(^DPT(PTID,"ENR")),"^",1)
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111 | IF DATA'="" SET DATA=$P($G(^DGEN(27.11,DATA,0)),"^",12)
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112 | SET DATA=$S(DATA=1:"a",DATA=3:"c",DATA=5:"e",DATA=7:"g",1:"")
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113 | QUIT DATA
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114 | ;
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115 | CMEANTST() ;
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116 | NEW DATA
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117 | SET DATA=$P(GLOB(0),"^",14)
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118 | IF DATA'="" SET DATA=$P($G(^DG(408.32,DATA,0)),"^",1)
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119 | QUIT DATA
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120 | ;
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121 | INELDATE() ;
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122 | QUIT $P(GLOB(.15),"^",2)
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123 | ;
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124 | SERVCONC() ;
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125 | NEW DATA
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126 | SET DATA=$P(GLOB(.3),"^",1)
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127 | SET DATA=$S(DATA="Y":"YES",DATA="N":"NO",1:"")
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128 | QUIT DATA
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129 | ;
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130 | SERVCPER() ;
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131 | QUIT $P(GLOB(.3),"^",2)
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132 | ;
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133 | UNEMPLOY() ;
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134 | N DATA
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135 | SET DATA=$P(GLOB(.3),"^",5)
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136 | SET DATA=$S(DATA="Y":"YES",DATA="N":"NO",1:"")
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137 | QUIT DATA
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138 | ;
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139 | INELIGRS() ;
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140 | QUIT $P(GLOB(.3),"^",7)
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141 | ;
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142 | CLAIMNUM() ;
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143 | QUIT $P(GLOB(.31),"^",3)
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144 | ;
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145 | PEROFSRV() ;
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146 | NEW DATA
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147 | SET DATA=$P(GLOB(.32),"^",3)
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148 | IF DATA'="" SET DATA=$P($G(^DIC(21,DATA,0)),"^",1)
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149 | QUIT DATA
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150 | ;
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151 | ELIGPRIM() ;
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152 | NEW DATA
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153 | SET DATA=$P(GLOB(.36),"^",1)
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154 | IF DATA'="" SET DATA=$P($G(^DIC(8,DATA,0)),"^",9)
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155 | IF DATA'="" SET DATA=$P($G(^DIC(8.1,DATA,0)),"^",1)
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156 | QUIT DATA
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157 | ;
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158 | ELIGSTAT() ;
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159 | NEW DATA
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160 | SET DATA=$P(GLOB(.361),"^",1)
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161 | SET DATA=$S(DATA="P":"PENDING VERIFICATION",DATA="R":"PENDING RE-VERIFICATION",DATA="V":"PENDING VERIFICATION",1:"")
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162 | QUIT DATA
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163 | ;
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164 | PATNTYPE() ;
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165 | NEW DATA
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166 | SET DATA=$P($G(^DPT(PTID,"TYPE")),"^",1)
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167 | I DATA'="" SET DATA=$P($G(^DG(391,DATA,0)),"^",1)
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168 | QUIT DATA
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169 | ;
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170 | VETERAN() ;
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171 | NEW DATA
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172 | SET DATA=$P($G(^DPT(PTID,"VET")),"^",1)
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173 | SET DATA=$S(DATA="Y":"YES",DATA="N":"NO",1:"")
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174 | QUIT DATA
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175 | ;
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176 | CLASS(PTID) ;Get A/O, Ion. Rad., Env. Cont., Combat Svc, MST, HNC
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177 | I $G(PTID)="" Q
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178 | N DGARRY,DGERR,DGIENS,DGNTAPI
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179 | S DGIENS=$$IENS^DILF(PTID)
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180 | D GETS^DIQ(2,DGIENS,".32102;.32103;.322013;.5291","E","DGARRY","DGERR")
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181 | I '$D(DGERR) D
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182 | .S DGAO=$G(DGARRY(2,DGIENS,.32102,"E"))
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183 | .S DGIR=$G(DGARRY(2,DGIENS,.32103,"E"))
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184 | .S DGENV=$G(DGARRY(2,DGIENS,.322013,"E"))
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185 | .S DGCS=$G(DGARRY(2,DGIENS,.5291,"E"))
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186 | ; Get MST information
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187 | S DGMST=$$GETSTAT^DGMSTAPI(PTID)
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188 | ;MST Status (#3) field from MST History (#29.11) file
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189 | S DGMST=$P($G(DGMST),U,6)
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190 | ; Get Head/Neck Cancer information
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191 | S DGNTAPI=$$GETCUR^DGNTAPI(PTID,"DGNTAPI")
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192 | ; NTR Indicator (#.02) field from Nose and Throad Radium History (#28.11) file
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193 | S DGHNC=$P($G(DGNTAPI("IND")),U,2)
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194 | Q
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195 | ;
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196 | SPINALCI() ;
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197 | NEW DATA
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198 | SET DATA=$P(GLOB(57),"^",4)
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199 | IF DATA=1 S DATA="PARAPLEGIA-TRAUMATIC"
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200 | IF DATA=2 S DATA="QUADRIPLEGIA-TRAUMATIC"
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201 | IF DATA=3 S DATA="PARAPLEGIA-NONTRAUMATIC"
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202 | IF DATA=4 S DATA="QUADRIPLEGIA-NONTRAUMATIC"
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203 | IF DATA="X" S DATA="NOT APPLICABLE"
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204 | QUIT DATA
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205 | ;
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206 | DISABLED ;
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207 | NEW DABLECNT,ROWCNT,DABLERTD,DABLEPER,DABLECON
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208 | SET DABLECNT=0,ROWCNT=0
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209 | FOR SET DABLECNT=$O(^DPT(PTID,.372,DABLECNT)) QUIT:(DABLECNT<1) DO
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210 | .SET GLOB(.372)=$G(^DPT(PTID,.372,DABLECNT,0))
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211 | .SET DABLERTD=$P(GLOB(.372),"^",1)
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212 | .SET DABLERTD=$P($G(^DIC(31,+DABLERTD,0)),"^",1)
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213 | .Q:DABLERTD=""
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214 | .SET DABLEPER=$P(GLOB(.372),"^",2)
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215 | .SET DABLECON=$S($P(GLOB(.372),"^",3)=0:"NO",$P(GLOB(.372),"^",3)=1:"YES",1:"")
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216 | .IF +$L(DABLERTD_DABLEPER_DABLECON) DO
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217 | ..SET ROWCNT=ROWCNT+1
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218 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="<RatedDisability Row='"_ROWCNT_"'"
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219 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Disability^"_DABLERTD_"^^DISABLED^"_ROWCNT
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220 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Percent^"_DABLEPER_"^^DISABLED^"_ROWCNT
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221 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Connected^"_DABLECON_"^^DISABLED^"_ROWCNT
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222 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="></RatedDisability>"
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223 | IF ROWCNT=0 DO
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224 | .SET CNT=$G(CNT)+1,PSARRAY(CNT)="<RatedDisability Row='1' Disability='' Percent='' Connected=''></RatedDisability>"
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225 | QUIT
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226 | ;
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227 | ELIGIBLE ;
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228 | NEW ELIGCNT,ROWCNT,ELIGIBLE,ELIGLONG,ELIGSHRT
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229 | SET ELIGCNT=0,ROWCNT=0
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230 | FOR SET ELIGCNT=$O(^DPT(PTID,"E",ELIGCNT)) QUIT:(ELIGCNT<1) DO
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231 | .SET GLOB("E")=$G(^DPT(PTID,"E",ELIGCNT,0))
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232 | .SET ELIGIBLE=$P(GLOB("E"),"^",1)
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233 | .IF ELIGIBLE'="" SET ELIGIBLE=$P($G(^DIC(8,ELIGIBLE,0)),"^",9)
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234 | .IF ELIGIBLE'="" SET ELIGIBLE=$P($G(^DIC(8.1,ELIGIBLE,0)),"^",1)
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235 | .SET ELIGLONG=$P(GLOB("E"),"^",3)
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236 | .SET ELIGSHRT=$P(GLOB("E"),"^",4)
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237 | .IF +$L(ELIGIBLE_ELIGLONG_ELIGSHRT) DO
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238 | ..SET ROWCNT=ROWCNT+1
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239 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="<PatientEligibility Row='"_ROWCNT_"'"
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240 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="^Eligibility^"_ELIGIBLE_"^^ELIGIBLE^"_ROWCNT
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241 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="^LongID^"_ELIGLONG_"^^ELIGIBLE^"_ROWCNT
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242 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="^ShortID^"_ELIGSHRT_"^^ELIGIBLE^"_ROWCNT
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243 | ..SET CNT=$G(CNT)+1,PSARRAY(CNT)="></PatientEligibility>"
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244 | IF ROWCNT=0 DO
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245 | .SET CNT=$G(CNT)+1,PSARRAY(CNT)="<PatientEligibility Row='1' Eligibility='' LongID='' ShortID=''></PatientEligibility>"
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246 | QUIT
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