OOPSEMP2 ;WIOFO/LLH-E/E Employee CA2 data ;4/24/00 ;;2.0;ASISTS;;Jun 03, 2002 ;; ; Employee/Person Address is now only stored in the 2162A node ; of file 2260. Prior to patch 3 it was stored in the CA1A and ; CA2A nodes depending on which form was entered. The address ; is only 'pulled' from this location when printing either form. ; W !!," Notice of Occupational Disease and Claim for Compensation (Form CA-2)" W !!," Employee Data" W !," -------------" K DIQ,DA,DR S DIC="^OOPS(2260,",DR=".01;1;2;5;6;7;16;17",DA=IEN,DIQ="OOPS",DIQ(0)="IE" D EN^DIQ1 K DR,DO,DD S DR="" S DR(1,2260,1)="63////^S X=PAYP" ; Pay Plan from PAID S DR(1,2260,2)="W !,"" 1. NAME OF EMPLOYEE......: "",OOPS(2260,IEN,1,""E"")" S DR(1,2260,5)="W !,"" 2. SOCIAL SECURITY NUMBER: "",OOPS(2260,IEN,5,""E"")" S DR(1,2260,10)="W !,"" 3. DATE OF BIRTH.........: "",OOPS(2260,IEN,6,""E"")" S DR(1,2260,15)="W !,"" 4. SEX...................: "",OOPS(2260,IEN,7,""E"")" S DR(1,2260,20)="12 5. HOME TELEPHONE........" ; Patch 8 - add error checking for DOL requirements S DR(1,2260,21)="I $TR(X,""/-*#"","""")'?10N W !?3,""Phone number must include area code and 7 digits only. Example 703-123-8789"" S Y=12" S DR(1,2260,25)="W !,"" 6. GRADE/STEP............: "",OOPS(2260,IEN,16,""E""),""/"",OOPS(2260,IEN,17,""E"")" S DR(1,2260,30)="W !,"" 7. EMPLOYEE'S HOME MAILING ADDRESS:""" S DR(1,2260,35)="8 STREET ADDRESS........" S DR(1,2260,36)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=8" S DR(1,2260,40)="9 CITY.................." S DR(1,2260,41)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=9" S DR(1,2260,45)="10 STATE................." S DR(1,2260,50)="11 ZIP CODE.............." S DR(1,2260,55)="207 8. DEPENDENTS............" S DR(1,2260,60)="W !!,"" Claim Information""" S DR(1,2260,65)="W !,"" -----------------""" ; Patch 8 - default Occupation from PAID, if there S DR(1,2260,70)="208 9. EMPLOYEE'S OCCUPATION.//^S X=ODESC" S DR(1,2260,71)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=208" S DR(1,2260,75)="W !,"" 10. LOCATION WHERE YOU WORKED WHEN DISEASE OR ILLNESS OCCURRED:""" S DR(1,2260,80)="209 LOCATION..............;I X="""" S Y=214;" S DR(1,2260,81)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=209" S DR(1,2260,85)="210 STREET ADDRESS........" S DR(1,2260,86)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=210" S DR(1,2260,90)="211 CITY.................." S DR(1,2260,91)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=211" S DR(1,2260,95)="212 STATE................." S DR(1,2260,100)="213 ZIP CODE.............." S DR(1,2260,105)="214 11. DATE YOU FIRST BECAME AWARE OF DISEASE OR ILLNESS;I X="""" S Y=215" S DR(1,2260,110)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=214" S DR(1,2260,115)="215 12. DATE YOU FIRST REALIZED THE DISEASE OR ILLNESS WAS CAUSED BY YOUR EMPLOYMENT;I X="""" S Y=216" S DR(1,2260,120)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=215" S DR(1,2260,125)="216 13. EXPLAIN THE RELATIONSHIP TO YOUR EMPLOYMENT, AND WHY YOU CAME TO THIS REALIZATION~" S DR(1,2260,130)="W !" S DR(1,2260,131)="S MAX=$$WP^OOPSUTL4(216)" S DR(1,2260,132)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=216" S DR(1,2260,133)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"". Please Edit."",! S Y=216" ; Patch 8 - Cause of injury required for electronic submission S DR(1,2260,134)="126 CAUSE OF INJURY CODE......." S DR(1,2260,135)="217 14. NATURE OF DISEASE OR ILLNESS~" S DR(1,2260,140)="W !" S DR(1,2260,141)="S MAX=$$WP^OOPSUTL4(217)" S DR(1,2260,142)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=217" S DR(1,2260,143)="I +MAX>264 W !!,""Max length for field is 264 characters, you have entered "",+MAX,"". Please Edit."",! S Y=217" S DR(1,2260,145)="218 15. IF THIS NOTICE AND CLAIM WAS NOT FILED WITH THE EMPLOYING AGENCY WITHIN 30 DAYS AFTER DATE SHOWN ABOVE IN ITEM #12, EXPLAIN THE REASON FOR THE DELAY~" S DR(1,2260,150)="W !" S DR(1,2260,151)="S MAX=$$WP^OOPSUTL4(218)" S DR(1,2260,152)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=218" S DR(1,2260,153)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"". Please Edit."",! S Y=218" S DR(1,2260,155)="219 16. IF A SEPARATE NARRATIVE STATEMENT IS NOT SUBMITTED WITH THIS FORM, EXPLAIN REASON FOR DELAY~" S DR(1,2260,160)="W !" S DR(1,2260,165)="S MAX=$$WP^OOPSUTL4(219)" S DR(1,2260,166)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=219" S DR(1,2260,170)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"". Please Edit."",! S Y=219" S DR(1,2260,175)="220 17. IF MEDICAL REPORTS ARE NOT SUBMITTED WITH THIS FORM, EXPLAIN REASON FOR DELAY~" S DR(1,2260,180)="S MAX=$$WP^OOPSUTL4(220)" S DR(1,2260,181)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=220" S DR(1,2260,185)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"". Please Edit."",! S Y=220" Q