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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