1 | RMPFRPC0 ;DDC/PJU - Module to establish DDC elig for ROES3 ;7/14/04
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2 | ;;3.0;REMOTE ORDER/ENTRY SYSTEM;**1**;11/1/02
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3 | START(AR,DFN,SHW) ;called from RPC RMPFELIG
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4 | ;;input: array name by ref, DFN, SHW=1(opt) if prompts can be shown
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5 | ;;will return to the Delphi app as 0-7 subscripts in same order
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6 | ;created during calculation in the AR array (passed by reference)
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7 | ;PD = AR(0)=date of death msg or ""
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8 | ;ED = AR(1)=eligibility status date FM
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9 | ;EL = AR(2)=calculated eligibility code
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10 | ;ES = AR(3)=eligibility status
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11 | ;SR = AR(4)=sensitive record
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12 | ;ER = AR(5) is for error msg's
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13 | ;PE = AR(6)=primary eligibility
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14 | ;PG = AR(7)=priority group
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15 | ;RA = AR(8)=elig^APPR(1)/DISAPPR(0)/submit(2)^PSAS user^ASPS user^req dt^sug el^act dt
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16 | ;PS = enrollment group sub
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17 | ;R3 = array of auto accepted R3 elig's
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18 | K AR ;in case came in with data (is called by ref)
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19 | N ROES ;array of eligibilities to submitted to PSAS
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20 | N N ED,EL,ES,FL,ER,PD,PE,PG,PS,R3,RA,SR,SSN,VS,VT,IEN
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21 | S (ED,EL,ES,FL,ER,PD,PE,PG,PS,R3,RA,SR,SSN,VS,VT,IEN)=""
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22 | F X=0:1:8 S AR(X)="" ;re-establish AR
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23 | F X="SC","COM","EP3","POW","AAA","HB","CAN","BRI","WWI" S R3(X)="" ;no PSAS ap needed
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24 | D K VADM,VAEL,VAMB,VAPA,VASV
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25 | D DEM^VADPT ;sets up VADM() - demographic variables *** ck for errors
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26 | I $G(VAERR) S ER="**ERROR** Problem in retrieving Demographic values" G END
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27 | I $G(VADM(6)) D
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28 | .S (PD,AR(0))=VADM(6) ;fm^external date of death
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29 | S SSN=$P($G(VADM(2)),U,1)
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30 | ;*** ADDED TO Integration agreement 767 NAME: DBIA268-C SEN REC ***
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31 | I $P($G(^DGSL(38.1,DFN,0)),U,2) S AR(4)=1 ;ck for sensitive record
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32 | S VAPA("P")="" D ADD^VADPT ;get permanent address
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33 | I $G(VAERR) S ER="**ERROR** Problem in retrieving Permanent Address" G END
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34 | E D ELIG^VADPT ;sets up VAEL() - eligibility variables & ck for errors
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35 | I $G(VAERR) D G END
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36 | .S ER="**ERROR** Problem in retrieving Eligibility from ELIG^VADPT"
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37 | I $L(ER) G END
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38 | S (PE,AR(6))=$P($G(VAEL(1)),U,2) ;external form of PRIMARY ELIG
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39 | S ES=$P($G(VAEL(8)),U,1) ;elig status
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40 | I ES="V" D
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41 | .K RM S DIC=2,DA=DFN,DIQ="RM",DR=".3612" D EN^DIQ1
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42 | .S ED=RM(2,DFN,.3612) ;elig date text
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43 | .S %DT="X",X=ED D ^%DT S:+Y>1 ED=+Y_U_ED ;fmdate ^ text date
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44 | .K RM,DIC,DA,DIQ,DR
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45 | S VT=$S($G(VAEL(4)):"Y",1:"N") ;VET Y/N
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46 | I VT="Y" D ;G:$L(EL) END ;11/19/03 need PG for ALL
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47 | .D ELIGBL Q:$L(EL) ; checks for SC for condition SC
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48 | .S VS=$G(VAEL(3)) I $P(VS,U,1) D ;VAEL(3)=0/1 for SC ^ %
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49 | ..I $P(VS,U,2)'<10 S EL="COM" ;SC 10% or greater COM
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50 | K RM S DIC=2,DA=DFN,DIQ="RM",DR="27.01",DIQ(0)="I" D EN^DIQ1
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51 | S DA=$G(RM(2,DFN,27.01,"I")) ;CURRENT ENROLLMENT entry in patient file
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52 | I DA D
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53 | .K RM2 S DIC=27.11,DIQ="RM2",DR=".07;.12",DIQ(0)="I" D EN^DIQ1
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54 | .S (PG,AR(7))=$G(RM2(27.11,DA,.07,"I")) ;Priority Group
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55 | .S PS1=$G(RM2(27.11,DA,.12,"I"))
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56 | .S PS=$S(PS1=1:"A",PS1=2:"B",PS1=3:"C",PS1=4:"D",1:"") ;Priority Subgroup
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57 | K RM,RM2,DIC,DA,DIQ,DR,PS1
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58 | G:$L(EL) END ;11/19/03 now can go to end if know EL
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59 | I VT="Y",PG=3 D G:$L(EL) END
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60 | .S EL="EP3" ; EP3
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61 | D SVC^VADPT I $G(VAERR) D G END
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62 | .S ER="**ERROR** Problem in retrieving Service Information(SVC^VADPT)"
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63 | I ($G(VASV(4))=1)!($P(VAEL(1),U,2)="PRISONER OF WAR") D G:$L(EL) END
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64 | .S EL="POW" ; POW
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65 | D MB^VADPT I $G(VAERR) D G END
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66 | .S ER="**ERROR** Problem in retrieving Benefit information(MB^VADPT)"
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67 | ; VAEL(1)=#^PRIMARY ELIG
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68 | I VT="Y" D G:$L(EL) END
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69 | .I $G(VAMB(1))!($P(VAEL(1),U,2)="AID & ATTENDANCE") S EL="AAA" Q ; AAA **PRI ELIG
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70 | .I $G(VAMB(2))!($P(VAEL(1),U,2)="HOUSEBOUND") S EL="HB" Q ; HB **
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71 | .I $G(VAEL(3)),$P($G(VAEL(3)),U,2)=0 D Q:$L(EL) ; 0CA
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72 | ..I PG=5 S EL="0CA" Q
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73 | ..I PG=7,PS="A" S EL="0CA"
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74 | .I PG=5 D Q:$L(EL) ; NCA**
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75 | ..I $P($G(VAEL(1)),U,2)="NSC, VA PENSION" S EL="NCA" Q ;PG5 NSC, VA PENSION primary eligibility
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76 | ..I $P($G(VAEL(6)),U,2)="NSC VETERAN" S EL="NCA" Q ;PG 5 NSC Veteran
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77 | .;I PG=6 S EL="SCV" Q ;Special category veterans SCV
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78 | .I ($P($G(VAEL(2)),U,2)="WORLD WAR I")!($P($G(VAEL(2)),U,2)="MEXICAN BORDER WAR") D
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79 | ..S EL="WWI" ; WWI
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80 | G:$L(EL) END
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81 | D ALLIED(DFN) G:$L(EL) END ; CAN or BRI
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82 | S X=0 D:($D(VAEL(1))>9) G:$L(EL) END ; OGA
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83 | .F S X=$O(VAEL(1,X)) Q:'X D Q:$L(EL)
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84 | ..I $P(VAEL(1,X),U,2)="OTHER FEDERAL AGENCY" S EL="OGA"
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85 | I VT="Y",'$G(VAEL(3)) D G:$L(EL) END ; NSC
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86 | .I (PG=7)&(PS="C") S EL="NSC"
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87 | I VT="Y",PG=8 S EL="PG8" ; PG8
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88 | END I $L($G(ER)) S AR(5)=ER
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89 | S:$L(ED) AR(1)=ED ; ELIG DATE
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90 | S:$L(EL) AR(2)=EL ; calc elig CODE
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91 | S:$L($G(ES)) AR(3)=ES ; ELIG STAT
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92 | ;CK FOR ACCEPTANCE OR REJECTION
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93 | S IEN="" I $D(^RMPF(791814,"B",DFN)) D
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94 | .S IEN=$O(^RMPF(791814,"B",DFN," "),-1)
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95 | G:'IEN END2
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96 | I (EL="")!(EL="NSC")!(EL="BLR")!(EL="VOC")!(EL="OGA")!(EL="PG8")!(EL="NCA")!(EL="0CA") D
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97 | .S RA=$P($G(^RMPF(791814,IEN,2)),U,2) ;0 or 1 or 2
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98 | .S:RA="" RA=2 ;submitted, but not acted on
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99 | .S EL=$S(RA=1:$P($G(^RMPF(791814,IEN,2)),U,1),1:EL),AR(2)=EL ;appr elig code or CALC
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100 | .S X=$P($G(^RMPF(791814,IEN,2)),U,3),Y="Unknown" ;PSAS user DUZ
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101 | .I X>0 S DIC=200,DIC(0)="N" D ^DIC D
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102 | ..S Y=$S(+Y>0:$P(Y,U,2),1:"Unknown") K DIC
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103 | ..S $P(RA,U,2)=Y ;name of PSAS user
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104 | .S X=$P($G(^RMPF(791814,IEN,0)),U,3),Y="Unknown" ;ASPS user DUZ
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105 | .I X>0 S DIC=200,DIC(0)="N" D ^DIC D
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106 | ..S Y=$S(+Y>0:$P(Y,U,2),1:"Unknown") K DIC
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107 | ..S $P(RA,U,3)=Y ;name of ASPS user
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108 | .S:$L(RA) AR(8)=EL_U_RA ;elg^0/1/2^PSAS user^ASPS user name
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109 | .S Y=$P(^RMPF(791814,IEN,0),U,2) D DD^%DT ;ret Y=date of req
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110 | .S $P(AR(8),U,5)=Y ;elg^0/1/2^PSAS user ^ASPS user name^dt req ent
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111 | .I $D(^RMPF(791814,IEN,1)) D
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112 | ..S $P(AR(8),U,6)=$P(^RMPF(791814,IEN,1),U,1) ;sugg elig
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113 | .I $D(^RMPF(791814,IEN,2)) D
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114 | ..S Y=$P(^RMPF(791814,IEN,2),U,4) D:$L(Y) DD^%DT
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115 | ..S $P(AR(8),U,7)=Y ;Action date
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116 | END2 D:$G(SHW) SHOW ; show calc'd values for testing
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117 | D KVAR^VADPT K LD,S0,S1,S2,S6,YY,POP
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118 | Q
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119 | ELIGBL ;ELIGIBILITY FOR DISABILITY CONDITION
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120 | ;contains DFN,.372,X,0)=31 ptr^disabil %^SC 0/1
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121 | ;DIC(31,i,0)= disab txt^abbrev^dx code
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122 | N LD,S,RD,P,AX S AX=0
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123 | E1 ;*** added to IA #174 for rated disabilities multiple node direct read
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124 | S AX=$O(^DPT(DFN,.372,AX)) G E1END:'AX
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125 | I $D(^DPT(DFN,.372,AX,0)) D G:$L(EL) E1END
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126 | .S S=^DPT(DFN,.372,AX,0) I $P(S,U,3) D ;service connected
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127 | ..S RD=$P(S,U,1) D:RD ;disibility file ptr
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128 | ...S X=RD,DIC=31,DIC(0)="NZ" D ^DIC
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129 | ...S LD=$S(+Y>0:$P(Y(0),U,3),1:"Unknown") K DIC,Y
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130 | ...Q:+LD<5000 Q:+LD>6300 S LD=+LD ;ck hearing loss DX codes/ck on codes 6259 & 6298
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131 | ...I (LD=6016)!((LD>6099)&(LD<6111)) S EL="SC" Q
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132 | ...I ((LD>6198)&(LD<6212))!((LD>6249)&(LD<6264)) S EL="SC" Q ; SC for condition
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133 | ...I ((LD>6276)&(LD<6300)) S EL="SC"
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134 | G E1 ;dis
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135 | E1END Q
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136 | ;
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137 | SHOW ;all visible prompts if needed FOR TESTING ONLY
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138 | ;ZW AR ; for testing
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139 | W !!,"Patient: " I $G(DFN) W $S($D(^DPT(DFN,0)):$P(^(0),U,1),1:DFN)
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140 | I $L(EL) D
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141 | .W !,"Calculated R3 elig = ",EL
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142 | .I '$D(R3(EL)) D
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143 | ..W !," ***** ","ROES3 ELIGIBILITY MUST BE APPROVED BY PSAS *****"
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144 | I '$L(EL) D
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145 | .W !," ***** ","ROES3 ELIGIBILITY NOT DETERMINED, ORDER MUST BE APPROVED BY PSAS *****"
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146 | W !,"VA Elig status: "
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147 | I $L(ES) W ES
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148 | E W !," ***** ","NO ELIG STATUS - MUST BE APPROVED BY PSAS *****"
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149 | W !,"Elig status date: " I $L(ED) W ED
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150 | ENDS Q
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151 | ;
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152 | ALLIED(DFN) ;;input: DFN
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153 | ;;output: EL= CAN or BRI if true
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154 | I $P(VAEL(3),U,1)=1 D ;sc
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155 | .N DIC,DA,DIQ,DR,RM
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156 | .S DIC=2,DA=DFN,DIQ="RM",DR=".309" D EN^DIQ1
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157 | .S:(RM(2,DFN,.309)="CANADA") EL="CAN"
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158 | .S:(RM(2,DFN,.309)["BRITAIN") EL="BRI"
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159 | Q
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