[613] | 1 | DGENELA ;ALB/CJM,KCL,Zoltan/PJR,RGL,LBD,EG,TMK,CKN - Patient Eligibility API ; 9/18/06 12:01pm
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| 2 | ;;5.3;Registration;**121,147,232,314,451,564,631,672,659,583,653**;Aug 13,1993;Build 2
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| 3 | ;
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| 4 | GET(DFN,DGELG) ;
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| 5 | ;Description: Used to obtain the patient eligibility data.
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| 6 | ; The data is placed in the local DGELG array.
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| 7 | ;Input:
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| 8 | ; DFN - internal entry number of a record in the PATIENT file
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| 9 | ;Output:
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| 10 | ; Function Value - returns 1 on success, 0 on failure
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| 11 | ; DGELG - this is a local array that will be used to return patient eligibility data. The array subscripts and the fields mapped to are defined below. (pass by reference)
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| 12 | ;
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| 13 | ;subscript field name
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| 14 | ;"DFN" ien Patient record
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| 15 | ;"ELIG","CODE" Primary Eligibility Code
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| 16 | ;"ELIG","CODE",<ien> Patient Eligibilities
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| 17 | ;"SC" Service Connected
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| 18 | ;"SCPER" Service Connected Percentage
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| 19 | ;"EFFDT" SC Combined Effective Date
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| 20 | ;"POW" POW Status Indicated
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| 21 | ;"A&A" Receiving A&A Benefits
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| 22 | ;"HB" Receiving Housebound Benefits
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| 23 | ;"VAPEN" Receiving a VA Pension
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| 24 | ;"VACKAMT" Total Annual VA Check Amount
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| 25 | ;"DISRET" Military Disability Retirement
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| 26 | ;"DISLOD" Discharge Due to Disability (added with DG 672)
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| 27 | ;"MEDICAID" Medicaid
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| 28 | ;"MEDASKDT" Date Medicaid Last Asked
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| 29 | ;"AO" Exposed to Agent Orange
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| 30 | ;"IR" Radiation Exposure Indicated
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| 31 | ;"RADEXPM" Radiation Exposure Method
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| 32 | ;"EC" Environmental Contaminants
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| 33 | ;"MTSTA" Means Test Status
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| 34 | ;P&T P&T
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| 35 | ;POS PERIOD OF SERVICE
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| 36 | ;UNEMPLOY UNEMPLOYABLE
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| 37 | ;SCAWDATE SC AWARD DATE
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| 38 | ;RATEINC RATED INCOMPETENT
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| 39 | ;CLAIMNUM CLAIM NUMBER
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| 40 | ;CLAIMLOC CLAIM FOLDER LOCATION
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| 41 | ;VADISAB RECEIVING VA DISABILITY?
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| 42 | ;ELIGSTA ELIGIBILITY STATUS
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| 43 | ;ELIGSTADATE ELIGIBILITY STATUS DATE
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| 44 | ;ELIGVERIF ELIGIBILITY VERIF. METHOD
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| 45 | ;ELIGVSITE ELIGIBILITY VERIFICATION SITE
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| 46 | ;ELIGENTBY ELIGIBILITY STATUS ENTERED BY
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| 47 | ;RATEDIS
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| 48 | ; <COUNT>,"RD" RATED DISABILITY
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| 49 | ; <COUNT>,"PER" DISABILITY %
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| 50 | ; <COUNT>,"RDSC" SERVICE CONNECTED
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| 51 | ; <COUNT>,"RDEXT" EXTREMITY
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| 52 | ; <COUNT>,"RDORIG" ORIGINAL RD EFFECTIVE DATE
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| 53 | ; <COUNT>."RDCURR" CURRENT RD EFFECTIVE DATE
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| 54 | ;"VCD" Veteran Catastrophically Disabled? (#.39)
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| 55 | ;"PH" PURPLE HEART INDICATED
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| 56 | ;"AOEXPLOC" AGENT ORANGE EXPOSURE LOCATION
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| 57 | ;"CVELEDT" COMBAT VETERAN END DATE
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| 58 | ;"SHAD" SHAD EXPOSURE
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| 59 | ;
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| 60 | K DGELG
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| 61 | S DGELG=""
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| 62 | Q:'$D(^DPT(DFN)) 0
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| 63 | N NODE,SUBREC,COUNT,CODE,IEN
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| 64 | ;
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| 65 | S DGELG("DFN")=DFN
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| 66 | S DGELG("VCD")=$$VCD^DGENA5(DFN)
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| 67 | ;
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| 68 | ;
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| 69 | S NODE=$G(^DPT(DFN,.29))
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| 70 | S DGELG("RATEINC")=$P(NODE,"^",12)
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| 71 | ;
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| 72 | S NODE=$G(^DPT(DFN,.3))
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| 73 | S DGELG("SC")=$P(NODE,"^")
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| 74 | S DGELG("SCPER")=$P(NODE,"^",2)
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| 75 | S DGELG("P&T")=$P(NODE,"^",4)
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| 76 | S DGELG("UNEMPLOY")=$P(NODE,"^",5)
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| 77 | S DGELG("SCAWDATE")=$P(NODE,"^",12)
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| 78 | S DGELG("VADISAB")=$P(NODE,"^",11)
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| 79 | S DGELG("EFFDT")=$P(NODE,"^",14)
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| 80 | ;
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| 81 | S NODE=$G(^DPT(DFN,.31))
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| 82 | S DGELG("CLAIMNUM")=$P(NODE,"^",3)
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| 83 | S DGELG("CLAIMLOC")=$P(NODE,"^",4)
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| 84 | ;
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| 85 | S NODE=$G(^DPT(DFN,.32))
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| 86 | S DGELG("POS")=$P(NODE,"^",3)
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| 87 | ;
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| 88 | S NODE=$G(^DPT(DFN,.36))
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| 89 | S DGELG("ELIG","CODE")=$P(NODE,"^") ;primary eligibility
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| 90 | S DGELG("DISRET")=$P(NODE,"^",12)
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| 91 | S DGELG("DISLOD")=$P(NODE,"^",13)
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| 92 | ;
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| 93 | S NODE=$G(^DPT(DFN,.38))
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| 94 | S DGELG("MEDICAID")=$P(NODE,"^")
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| 95 | S DGELG("MEDASKDT")=$P(NODE,"^",2) ;Date Medicaid Last Asked
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| 96 | ;
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| 97 | S NODE=$G(^DPT(DFN,.361))
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| 98 | S DGELG("ELIGSTA")=$P(NODE,"^")
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| 99 | S DGELG("ELIGSTADATE")=$P(NODE,"^",2)
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| 100 | S DGELG("ELIGVERIF")=$P(NODE,"^",5)
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| 101 | S DGELG("ELIGENTBY")=$P(NODE,"^",6)
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| 102 | ;
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| 103 | S NODE=$G(^DPT(DFN,.362))
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| 104 | S DGELG("VACKAMT")=$P(NODE,"^",20)
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| 105 | S DGELG("VAPEN")=$P(NODE,"^",14)
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| 106 | S DGELG("A&A")=$P(NODE,"^",12)
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| 107 | S DGELG("HB")=$P(NODE,"^",13)
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| 108 | ;
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| 109 | ;
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| 110 | S NODE=$G(^DPT(DFN,.321))
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| 111 | S DGELG("AO")=$P(NODE,"^",2)
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| 112 | S DGELG("IR")=$P(NODE,"^",3)
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| 113 | S DGELG("RADEXPM")=$P(NODE,"^",12)
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| 114 | S DGELG("AOEXPLOC")=$P(NODE,"^",13)
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| 115 | S DGELG("SHAD")=$P(NODE,"^",15) ;added with DG*5.3*653
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| 116 | ;
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| 117 | S NODE=$G(^DPT(DFN,.322))
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| 118 | S DGELG("EC")=$P(NODE,"^",13)
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| 119 | ;
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| 120 | S NODE=$G(^DPT(DFN,.52))
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| 121 | S DGELG("POW")=$P(NODE,"^",5)
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| 122 | S DGELG("CVELEDT")=$P(NODE,"^",15)
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| 123 | ;
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| 124 | ; Purple Heart Indicator
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| 125 | S NODE=$G(^DPT(DFN,.53))
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| 126 | S DGELG("PH")=$P(NODE,"^")
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| 127 | ;
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| 128 | ;means test category
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| 129 | S DGELG("MTSTA")=""
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| 130 | S IEN=$P($$LST^DGMTU(DFN),"^")
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| 131 | I IEN S DGELG("MTSTA")=$P($G(^DGMT(408.31,IEN,0)),"^",3)
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| 132 | ;
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| 133 | ;get the other eligibilities multiple
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| 134 | S SUBREC=0
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| 135 | F S SUBREC=$O(^DPT(DFN,"E",SUBREC)) Q:'SUBREC D
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| 136 | .S CODE=+$G(^DPT(DFN,"E",SUBREC,0))
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| 137 | .;
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| 138 | .;need to check the "B" x-ref, because when a code is deleted from the multiple, the kill logic is executed BEFORE the data is actually removed - but the "B" x-ref has been deleted at this point
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| 139 | .I CODE,$D(^DPT(DFN,"E","B",CODE)) S DGELG("ELIG","CODE",CODE)=SUBREC
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| 140 | ;
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| 141 | ;rated disability multiple
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| 142 | S SUBREC=0,COUNT=0
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| 143 | F S SUBREC=$O(^DPT(DFN,.372,SUBREC)) Q:'SUBREC D
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| 144 | .S NODE=$G(^DPT(DFN,.372,SUBREC,0))
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| 145 | .Q:'$P(NODE,"^")
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| 146 | .S COUNT=COUNT+1
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| 147 | .S DGELG("RATEDIS",COUNT,"RD")=$P(NODE,"^")
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| 148 | .S DGELG("RATEDIS",COUNT,"PER")=$P(NODE,"^",2)
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| 149 | .S DGELG("RATEDIS",COUNT,"RDSC")=$P(NODE,"^",3)
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| 150 | .S DGELG("RATEDIS",COUNT,"RDEXT")=$P(NODE,"^",4)
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| 151 | .S DGELG("RATEDIS",COUNT,"RDORIG")=$P(NODE,"^",5)
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| 152 | .S DGELG("RATEDIS",COUNT,"RDCURR")=$P(NODE,"^",6)
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| 153 | ;
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| 154 | Q 1
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| 155 | ;
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| 156 | NATNAME(CODE) ;
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| 157 | ;Description: Given an entry in file #8, Eligibility Code file,
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| 158 | ; finds the corresponding entry in file 8.1, MAS Eligbility Code file,
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| 159 | ; and returns the name
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| 160 | ;Input:
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| 161 | ; CODE - pointer to file #8
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| 162 | ;Output:
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| 163 | ; Function Value - name of corresponding code in file #8.1
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| 164 | ;
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| 165 | Q:'$G(CODE) ""
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| 166 | Q $$CODENAME($P($G(^DIC(8,CODE,0)),"^",9))
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| 167 | ;
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| 168 | NATCODE(CODE) ;
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| 169 | ;Description: Given an entry in file #8, Eligibility Code file,
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| 170 | ; finds the corresponding entry in file 8.1, MAS Eligbility Code file
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| 171 | ;Input:
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| 172 | ; CODE - pointer to file #8
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| 173 | ;Output:
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| 174 | ; Function Value - pointer to file #8.1
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| 175 | ;
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| 176 | Q:'$G(CODE) ""
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| 177 | Q $P($G(^DIC(8,CODE,0)),"^",9)
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| 178 | ;
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| 179 | CODENAME(CODE) ;
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| 180 | ;Description: Given a pointer to file #8.1, MAS Eligibility Code file,
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| 181 | ; it returns the name of the code
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| 182 | ;Input:
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| 183 | ; CODE - pointer to file #8.1
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| 184 | ;Output:
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| 185 | ; Function Value - name of the code pointed to
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| 186 | ;
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| 187 | Q:'$G(CODE) ""
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| 188 | Q $P($G(^DIC(8.1,CODE,0)),"^")
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| 189 | ;
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| 190 | ELIGSTAT(DFN,DGELG) ;
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| 191 | ;Description: Used to get the ELIGIBILITY STATUS and the
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| 192 | ;ELIGIBILITY STATUS DATE of the patient.
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| 193 | ;
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| 194 | ;Input:
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| 195 | ; DFN - ien of patient record
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| 196 | ;
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| 197 | ;Ouput:
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| 198 | ; Function Value - 1 on success, 0 on failure
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| 199 | ; DGELG array (pass by reference)
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| 200 | ; "ELIGSTA" - ELIGIBILITY STATUS
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| 201 | ; "ELIGSTADATE" - ELIGIBILITY STATUS DATE
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| 202 | ;
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| 203 | N NODE,SUCCESS
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| 204 | D
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| 205 | .S SUCCESS=1
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| 206 | .I '$G(DFN) S SUCCESS=0 Q
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| 207 | .S NODE=$G(^DPT(DFN,.361))
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| 208 | .S DGELG("ELIGSTA")=$P(NODE,"^")
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| 209 | .S DGELG("ELIGSTADATE")=$P(NODE,"^",2)
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| 210 | Q SUCCESS
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