1 | EASEC100 ;ALB/BRM,LBD - Print 1010EC LTC Enrollment form ; 3/1/02 8:22am
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2 | ;;1.0;ENROLLMENT APPLICATION SYSTEM;**5,7,16,40,45**;Mar 15, 2001
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3 | ;
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4 | ; This routine is called by EASEC10E to gather veteran data to be
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5 | ; printed in the 1010EC (Long Term Care) form.
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6 | ;
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7 | GETDATA(EASDFN,EAINFO) ;get veterans LTC data to be printed
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8 | ;Input:
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9 | ; EASDFN - DFN for the Patient file (#2)
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10 | ;Output:
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11 | ; ^TMP("1010EC",$J
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12 | ;
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13 | N EASROOT,DGINC,DGINR,DGREL,DGDEP
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14 | S EASROOT="^TMP(""1010EC"",$J,"_EASDFN_","
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15 | ; data for section 1
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16 | D DATA1(EASDFN,.EAINFO,EASROOT)
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17 | ; data for section 2
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18 | D DATA2(EASDFN,EASROOT)
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19 | ; data for section 3
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20 | D DATA3(EASDFN,.EAINFO,EASROOT,.DGINC)
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21 | ; data for section 4 and part of section 5
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22 | D DATA4(EASDFN,EASROOT,.DGINC)
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23 | ; data for section 5
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24 | D DATA5(EASDFN,EASROOT,.DGINC)
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25 | ; data for section 6
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26 | D DATA6(EASDFN,EASROOT,.DGINC)
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27 | ; data for section 8
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28 | D DATA8(EASROOT,.EAINFO)
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29 | Q
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30 | ;
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31 | DATA1(EASDFN,EAINFO,EASROOT) ;data for section 1
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32 | N EASINS,INSTMP,MDATA,EASROOT1,MPA,MPB,MPADT,MPBDT,MCN
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33 | S EASROOT1=EASROOT_"1)"
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34 | S @EASROOT1@(1)=$G(EAINFO("VET")) ;name
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35 | S @EASROOT1@(2)=$G(EAINFO("SSN")) ;ssn
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36 | S @EASROOT1@(3)=$$GET1^DIQ(2,EASDFN_",",".381","E") ;medicaid
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37 | ; ** determine medicare info
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38 | S EASINS=0,(MPA,MPB)="NO",(MPADT,MPBDT,MCN)=""
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39 | N EAX,INSUR
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40 | I $$INSUR^IBBAPI(EASDFN,,"RA",.EAX,"*") ; Retrieve all active insurance
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41 | I $D(EAX) D
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42 | . M INSUR=EAX("IBBAPI","INSUR")
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43 | . S EASINS=0
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44 | . F S EASINS=$O(INSUR(EASINS)) Q:'EASINS D
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45 | . . Q:$P(INSUR(EASINS,1),U,2)'["MEDICARE (WNR)" ; Look for MEDICARE insurance
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46 | . . I $P(INSUR(EASINS,8),U,2)="PART A" S MPA="YES",MPADT=$$FMTE^XLFDT(INSUR(EASINS,10)),MCN=INSUR(EASINS,14) Q ; If Policy Name is "PART A", set the Part A variables
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47 | . . I $P(INSUR(EASINS,8),U,2)="PART B" S MPB="YES",MPBDT=$$FMTE^XLFDT(INSUR(EASINS,10)),MCN=INSUR(EASINS,14) Q ; If Policy Name is "PART B", set the Part B variables
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48 | S @EASROOT1@(4)=MPA ;medicare part a
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49 | S @EASROOT1@(5)=MPADT ;medicare part a effective date
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50 | S @EASROOT1@(6)=MPB ;medicare part b
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51 | S @EASROOT1@(7)=MPBDT ;medicare part b effective date
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52 | S @EASROOT1@(8)=MCN ;medicare claim number
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53 | Q
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54 | DATA2(EASDFN,EASROOT) ;data for section 2
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55 | N EASI,EASINS,X,Z,EASROOT2,EASINS,CNT,NUM,EASIN1I,GRPIEN,INSUR,DGX
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56 | S EASROOT2=EASROOT_"2)"
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57 | S @EASROOT2@(1)=$$GET1^DIQ(2,EASDFN_",",".3192","E") ;covered by ins
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58 | ; Set up array by defining "null" palce holders
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59 | F X=2:1:22 S @EASROOT2@(X)=""
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60 | F I=3,10,17 F Z=.111:.001:.116 S @EASROOT2@(I,Z)=""
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61 | ;
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62 | S EASI=0,CNT=2
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63 | I $$INSUR^IBBAPI(EASDFN,"","ARB",.DGX,"*") ; Call Insurance API for data
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64 | M INSUR=DGX("IBBAPI","INSUR") ; Reformat insurance array into more friendly format
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65 | F S EASI=$O(INSUR(EASI)) Q:'EASI!(CNT>16) D ; Print out only first 3 entries found.
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66 | . S @EASROOT2@(CNT+3)=$G(INSUR(EASI,13)) ; SUBSCRIBER NAME
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67 | . S @EASROOT2@(CNT+4)=$P($G(INSUR(EASI,19)),U,2) ;relationship
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68 | . S @EASROOT2@(CNT+5)=$G(INSUR(EASI,14)) ;policy # (SUBSCRIBER ID)
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69 | . S @EASROOT2@(CNT+6)=$P($G(INSUR(EASI,8)),U,2) ; GROUP NAME
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70 | .; Set Insurance Company Information
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71 | . S @EASROOT2@(CNT)=$P($G(INSUR(EASI,1)),U,2) ; Insurance Co. Name
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72 | . S @EASROOT2@(CNT+2)=$G(INSUR(EASI,6)) ; ins. phone
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73 | . S @EASROOT2@((CNT+1),.111)=$G(INSUR(EASI,2)) ; INS. ADDRESS
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74 | . S @EASROOT2@((CNT+1),.114)=$G(INSUR(EASI,3)) ; INS. CITY
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75 | . S @EASROOT2@((CNT+1),.115)=$P($G(INSUR(EASI,4)),U,2) ; INS. STATE
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76 | . S @EASROOT2@((CNT+1),.116)=$G(INSUR(EASI,5)) ; INS. ZIP
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77 | .S CNT=CNT+7
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78 | Q
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79 | INSDAT(EASINS,CNT) ;obtain insurance information from the insurance file (#36)
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80 | Q:'EASINS
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81 | N X,INSDAT,ERR
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82 | D GETS^DIQ(36,EASINS_",",".01;.111:.116;.131","E","INSDAT","ERR")
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83 | Q:$D(ERR)
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84 | S @EASROOT2@(CNT)=$G(INSDAT(36,EASINS_",",.01,"E")) ;insurance name
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85 | F X=.111:.001:.116 S @EASROOT2@((CNT+1),X)=$G(INSDAT(36,EASINS_",",X,"E")) ;insurance address
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86 | S @EASROOT2@(CNT+2)=$G(INSDAT(36,EASINS_",",.131,"E")) ;ins. phone
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87 | Q
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88 | DATA3(EASDFN,EAINFO,EASROOT,DGINC) ;data for section 3
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89 | N INFO13,DEP1,DEP,X,I,EASROOT3,SSN
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90 | S EASROOT3=EASROOT_"3)"
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91 | F X=0:1:11 S @EASROOT3@(X)=""
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92 | D ALL^EASECU21(EASDFN,"SCV",EAINFO("MTDT"),"IPR",$G(EAINFO("DGMTIEN")))
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93 | ;Marital Status added for LTC Phase IV (EAS*1*40)
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94 | S @EASROOT3@(0)=$$GET1^DIQ(2,EASDFN,".05","E")
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95 | S:$$GET1^DIQ(408.22,+$G(DGINR("V")),".17","I") @EASROOT3@(0)="LEGALLY SEPARATED"
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96 | D:$D(DGREL("S"))
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97 | .S INFO13=$G(^DGPR(408.13,+$P(DGREL("S"),"^",2),0))
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98 | .S @EASROOT3@(1)=$P(INFO13,"^") ;Spouse Name
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99 | .S SSN=$P(INFO13,"^",9) ;Spouse SSN
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100 | .S @EASROOT3@(3)=$E(SSN,1,3)_"-"_$E(SSN,4,5)_"-"_$E(SSN,6,9)
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101 | .S:$G(DGINR("V")) @EASROOT3@(2)=$$GET1^DIQ(408.22,DGINR("V"),".16","E") ;Spouse Residing in the Community?
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102 | Q:'$D(DGREL("C"))
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103 | S DEP=""
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104 | F S DEP=$O(DGREL("C",DEP)) Q:'DEP!(DEP>2) D
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105 | .Q:'$D(^DGPR(408.13,+$P(DGREL("C",DEP),"^",2),0))
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106 | .S INFO13=$G(^DGPR(408.13,+$P(DGREL("C",DEP),"^",2),0))
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107 | .S DEP1=$S(DEP=1:4,DEP=2:8)
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108 | .S @EASROOT3@(DEP1)=$P(INFO13,"^") ;Dependent Name
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109 | .S @EASROOT3@(DEP1+1)=$$FMTE^XLFDT($P(INFO13,"^",3)) ;Dependent DOB
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110 | .S SSN=$P(INFO13,"^",9) ;Dependent SSN
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111 | .S @EASROOT3@(DEP1+2)=$E(SSN,1,3)_"-"_$E(SSN,4,5)_"-"_$E(SSN,6,9)
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112 | .S:$G(DGINR("C",DEP)) @EASROOT3@(DEP1+3)=$$GET1^DIQ(408.22,DGINR("C",DEP),".16","E") ;Dependent Living in Community?
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113 | Q
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114 | DATA4(EASDFN,EASROOT,DGINC) ;data for section 4 and the first part of 5
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115 | N EASROOT4,EASROOT5,ASSETV,ASSETS,NUM,X,ASSETRT,IENS,I
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116 | S EASROOT4=EASROOT_"4)"
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117 | S EASROOT5=EASROOT_"5)"
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118 | ;Add subscripts to array to store assets for spouse (needed for new
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119 | ;10-10EC form). LTC Phase IV (EAS*1*40)
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120 | F I=1:.5:4.5 S @EASROOT4@(I)=""
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121 | F I=1:.5:5.5 S @EASROOT5@(I)=""
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122 | F X="V","S" Q:'$D(DGINC(X)) D
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123 | .D GETS^DIQ(408.21,+DGINC(X),"2.01;2.02;2.06:2.09","I","ASSET"_X)
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124 | .S NUM=$S(X="V":1,1:1.5)
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125 | .S IENS=+DGINC(X)_","
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126 | .S ASSETRT="ASSET"_X_"(408.21,"_""""_IENS_""""_","
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127 | .;Fixed Assets
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128 | .S @EASROOT4@(NUM)=+$G(@(ASSETRT_"2.06,""I"")")) ;Residence
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129 | .S @EASROOT4@(NUM+1)=+$G(@(ASSETRT_"2.07,""I"")")) ;Land/Farm
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130 | .S @EASROOT4@(NUM+2)=+$G(@(ASSETRT_"2.08,""I"")")) ;Vehicles
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131 | .;Liquid Assets
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132 | .S @EASROOT5@(NUM)=+$G(@(ASSETRT_"2.01,""I"")")) ;Cash
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133 | .S @EASROOT5@(NUM+1)=+$G(@(ASSETRT_"2.02,""I"")")) ;Stocks
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134 | .S @EASROOT5@(NUM+2)=+$G(@(ASSETRT_"2.09,""I"")")) ;Other
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135 | .;Subtotals
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136 | .F I=NUM:1:(NUM+2) S @EASROOT4@(NUM+3)=@EASROOT4@(NUM+3)+@EASROOT4@(I),@EASROOT5@(NUM+3)=@EASROOT5@(NUM+3)+@EASROOT5@(I) ;Sub-totals
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137 | S @EASROOT5@(5)=@EASROOT4@(4)+@EASROOT5@(4) ;Total Assets Vet
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138 | S @EASROOT5@(5.5)=@EASROOT4@(4.5)+@EASROOT5@(4.5) ;Total Assets Spouse
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139 | Q
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140 | DATA5(EASDFN,EASROOT,DGINC) ;data for section 5 (the rest of it)
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141 | N EASROOT5,ASSETV,ASSETS,NUM,X,ASSETRT,IENS,I
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142 | S EASROOT5=EASROOT_"5)"
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143 | F I=6:1:35 S @EASROOT5@(I)=""
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144 | F X="V","S" Q:'$D(DGINC(X)) D ;
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145 | .D GETS^DIQ(408.21,+DGINC(X),".06:.2","I","ASSET"_X)
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146 | .S NUM=$S(X="V":6,X="S":7)
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147 | .S IENS=+DGINC(X)_","
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148 | .S ASSETRT="ASSET"_X_"(408.21,"_""""_IENS_""""_","
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149 | .S @EASROOT5@(NUM)=+$G(@(ASSETRT_".14,""I"")")) ;Gross Income
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150 | .S @EASROOT5@(NUM+2)=+$G(@(ASSETRT_".08,""I"")")) ;Soc. Security
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151 | .S @EASROOT5@(NUM+4)=+$G(@(ASSETRT_".15,""I"")")) ;Interest/Div
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152 | .S @EASROOT5@(NUM+6)=+$G(@(ASSETRT_".06,""I"")")) ;Retire/Pension
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153 | .S @EASROOT5@(NUM+8)=+$G(@(ASSETRT_".09,""I"")")) ;Civil Service
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154 | .S @EASROOT5@(NUM+10)=+$G(@(ASSETRT_".1,""I"")")) ;US Railroad
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155 | .S @EASROOT5@(NUM+12)=+$G(@(ASSETRT_".07,""I"")")) ;VA Pension
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156 | .S @EASROOT5@(NUM+14)=+$G(@(ASSETRT_".19,""I"")")) ;Spouse Disab
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157 | .S @EASROOT5@(NUM+16)=+$G(@(ASSETRT_".12,""I"")")) ;Unemployment
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158 | .S @EASROOT5@(NUM+18)=+$G(@(ASSETRT_".16,""I"")")) ;Workers Comp,etc
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159 | .S @EASROOT5@(NUM+20)=+$G(@(ASSETRT_".11,""I"")")) ;Military Retire
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160 | .S @EASROOT5@(NUM+22)=+$G(@(ASSETRT_".13,""I"")")) ;Other Retire
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161 | .S @EASROOT5@(NUM+24)=+$G(@(ASSETRT_".2,""I"")")) ;Court Mandated
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162 | .S @EASROOT5@(NUM+26)=+$G(@(ASSETRT_".17,""I"")")) ;Other Income
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163 | .F I=NUM:2:NUM+26 S @EASROOT5@(NUM+28)=@EASROOT5@(NUM+28)+@EASROOT5@(I) ;Total Income
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164 | Q
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165 | DATA6(EASDFN,EASROOT,DGINC) ;
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166 | N IENS,EXPRT,EASROOT6,EXPENSE
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167 | S EASROOT6=EASROOT_"6)"
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168 | F I=1:1:11 S @EASROOT6@(I)=""
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169 | Q:'$G(DGINC("V"))
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170 | D GETS^DIQ(408.21,+DGINC("V"),"1.01:1.1","I","EXPENSE")
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171 | S IENS=+DGINC("V")_","
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172 | S EXPRT="EXPENSE(408.21,"_""""_IENS_""""_","
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173 | S @EASROOT6@(1)=+$G(@(EXPRT_"1.03,""I"")")) ;Education
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174 | S @EASROOT6@(2)=+$G(@(EXPRT_"1.02,""I"")")) ;Funeral and Burial
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175 | S @EASROOT6@(3)=+$G(@(EXPRT_"1.04,""I"")")) ;Rent/Mortgage
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176 | S @EASROOT6@(4)=+$G(@(EXPRT_"1.05,""I"")")) ;Utilities
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177 | S @EASROOT6@(5)=+$G(@(EXPRT_"1.06,""I"")")) ;Car Payment
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178 | S @EASROOT6@(6)=+$G(@(EXPRT_"1.07,""I"")")) ;Food
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179 | S @EASROOT6@(7)=+$G(@(EXPRT_"1.01,""I"")")) ;Medical Expenses
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180 | S @EASROOT6@(8)=+$G(@(EXPRT_"1.08,""I"")")) ;Court-Ordered Payments
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181 | S @EASROOT6@(9)=+$G(@(EXPRT_"1.09,""I"")")) ;Insurance
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182 | S @EASROOT6@(10)=+$G(@(EXPRT_"1.1,""I"")")) ;Taxes (Income, etc)
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183 | F I=1:1:10 S @EASROOT6@(11)=@EASROOT6@(11)+@EASROOT6@(I) ;Total Expenses
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184 | Q
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185 | DATA8(EASROOT,EAINFO) ;get the word processing field for section 8
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186 | N LINE,X,EASROOT8,IENS,WP
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187 | S EASROOT8=EASROOT_"8)",LINE=0
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188 | Q:'EAINFO("DGMTIEN")
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189 | S IENS=EAINFO("DGMTIEN")_","
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190 | S X=$$GET1^DIQ(408.31,IENS,50,"","WP")
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191 | F S LINE=$O(WP(LINE)) Q:'LINE S @EASROOT8@(LINE)=$G(WP(LINE))
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192 | Q
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