| 1 | OOPSWCE2 ;WIOFO/LLH-Worker's Comp CA2 Edit routine ;03/23/00
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| 2 | ;;2.0;ASISTS;;Jun 03, 2002
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| 3 | ;;
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| 4 | CA2 ; CA2 FORM
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| 5 | N ITEM
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| 6 | S (AIEN,AGN,ADD,CITY,STATE,ZIP)=""
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| 7 | S (PNAME,PADD,PCITY,PSTATE,PZIP,PTITLE,STAT,SIEN)=""
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| 8 | S WCPDO=""
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| 9 | W !!," Notice of Occupational Disease and Claim for Compensation (Form CA-2)"
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| 10 | W !!," Worker's Comp Edit of the Supervisor's Report"
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| 11 | W !," ----------------------------------------",!
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| 12 | D AGNINFO^OOPSUTL2
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| 13 | S DR=""
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| 14 | ; Patch 8 - added OWCP District Office
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| 15 | S WCPDO=$$GET1^DIQ(2262,"1,","2:.01","E")
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| 16 | S DR(1,2260,1)="73 OWCP DISTRICT OFFICE......//^S X=WCPDO"
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| 17 | ; Patch 11 - default chargeback code from site parameter file
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| 18 | S DR(1,2260,2)="70 OWCP CHARGEBACK CODE......//^S X=OWCP"
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| 19 | S DR(1,2260,3)="62 OWCP NOI CODE............."
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| 20 | ; Patch 8 - NOI code cannot begin with a T if CA2
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| 21 | S DR(1,2260,8)="I X,($E($$GET1^DIQ(2263.3,X,1))=""T"") W !?3,""NOI Code cannot begin with a T for a CA2."" S Y=62"
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| 22 | ; Removed, will generate from PAID file
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| 23 | ; S DR(1,2260,7)="224 9a. OCCUPATION CODE..............."
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| 24 | S DR(1,2260,9)="226 14b. TYPE CODE....................."
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| 25 | S DR(1,2260,10)="227 14c. SOURCE CODE..................."
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| 26 | S DR(1,2260,15)="230 19. AGENCY NAME...................//^S X=AGN;I X="""" S Y=""@5"""
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| 27 | S DR(1,2260,16)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=230"
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| 28 | S DR(1,2260,20)="231 STREET ADDRESS................//^S X=ADD"
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| 29 | S DR(1,2260,21)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=231"
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| 30 | S DR(1,2260,25)="232 CITY..........................//^S X=CITY"
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| 31 | S DR(1,2260,26)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=232"
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| 32 | S DR(1,2260,30)="233 STATE.........................//^S X=STATE"
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| 33 | S DR(1,2260,35)="234 AGENCY ZIP CODE...............//^S X=ZIP"
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| 34 | S DR(1,2260,40)="S Y=237"
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| 35 | S DR(1,2260,45)="@5"
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| 36 | S DR(1,2260,50)="231////@"
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| 37 | S DR(1,2260,55)="232////@"
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| 38 | S DR(1,2260,60)="233////@"
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| 39 | S DR(1,2260,65)="234////@"
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| 40 | S DR(1,2260,70)="237 20. EMPLOYEE'S DUTY STATION......."
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| 41 | S DR(1,2260,72)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=237"
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| 42 | S DR(1,2260,75)="238 STREET ADDRESS................"
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| 43 | S DR(1,2260,76)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=238"
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| 44 | S DR(1,2260,80)="239 CITY.........................."
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| 45 | S DR(1,2260,82)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=239"
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| 46 | S DR(1,2260,85)="240 STATE........................."
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| 47 | S DR(1,2260,90)="241 ZIP CODE......................"
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| 48 | S DR(1,2260,95)="W !,"" 21. REGULAR WORK HOURS:"""
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| 49 | S DR(1,2260,100)="242 FROM.........................."
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| 50 | S DR(1,2260,105)="243 TO............................"
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| 51 | S DR(1,2260,110)="S ITEM=22 W !,"" 22. REGULAR WORK SCHEDULE.........: ""_$$GET1^DIQ(2260,D0,244,""E"")"
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| 52 | S DR(1,2260,115)="K DIR S DIR(""A"")="" "",DIR(""B"")=$$GET1^DIQ(2260,D0,244,""I"") D RWS^OOPSUTL2 S:$D(DIRUT) Y=""@2"""
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| 53 | S DR(1,2260,120)="W !,"" 23. NAME AND ADDRESS OF PHYSICIAN FIRST PROVIDING MEDICAL CARE"""
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| 54 | ;Patch 7 - default physician info - if physician deleted, del oth flds
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| 55 | D PHINFO^OOPSUTL2
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| 56 | S DR(1,2260,125)="245 NAME OF PHYSICIAN.............//^S X=PNAME;I X="""" S Y=""@4"""
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| 57 | S DR(1,2260,126)="I X'="""",'$$NMCHK^OOPSUTL3(X) D NMERR^OOPSUTL3 K X S Y=245"
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| 58 | S DR(1,2260,130)="246 STREET ADDRESS................//^S X=PADD"
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| 59 | S DR(1,2260,131)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=246"
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| 60 | S DR(1,2260,135)="247 CITY..........................//^S X=PCITY"
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| 61 | S DR(1,2260,136)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=247"
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| 62 | S DR(1,2260,140)="248 STATE.........................//^S X=STATE"
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| 63 | S DR(1,2260,145)="249 ZIP CODE......................//^S X=PZIP"
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| 64 | S DR(1,2260,150)="270 PHYSICIAN TITLE...............//^S X=PTITLE"
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| 65 | S DR(1,2260,155)="S Y=250"
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| 66 | S DR(1,2260,160)="@4"
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| 67 | S DR(1,2260,165)="246////@"
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| 68 | S DR(1,2260,170)="247////@"
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| 69 | S DR(1,2260,175)="248////@"
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| 70 | S DR(1,2260,180)="249////@"
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| 71 | S DR(1,2260,181)="270////@"
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| 72 | S DR(1,2260,185)="250 24. 1ST DATE MEDICAL CARE RECEIVED"
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| 73 | S DR(1,2260,190)="I X'="""",'$$FUT^OOPSUTL4(X) S Y=250"
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| 74 | S DR(1,2260,195)="251 25. DO MEDICAL REPORTS SHOW EMPLOYEE IS DISABLED FOR WORK"
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| 75 | S DR(1,2260,200)="252 26. DATE EMPLOYEE FIRST REPORTED CONDITION TO SUPERVISOR."
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| 76 | S DR(1,2260,205)="I X'="""",'$$FUT^OOPSUTL4(X) S Y=252"
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| 77 | S DR(1,2260,210)="253 27. DATE/TIME EMPLOYEE STOPPED WORK.."
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| 78 | S DR(1,2260,215)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=253"
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| 79 | S DR(1,2260,220)="254 28. DATE/TIME EMPLOYEE'S PAY STOPPED."
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| 80 | S DR(1,2260,225)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=254"
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| 81 | S DR(1,2260,230)="255 29. DATE EMPLOYEE WAS LAST EXPOSED TO CONDITIONS ALLEGED TO HAVE CAUSED DISEASE OR ILLNESS..............."
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| 82 | S DR(1,2260,235)="256 30. DATE/TIME RETURNED TO WORK......."
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| 83 | S DR(1,2260,240)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=256"
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| 84 | S DR(1,2260,245)="@3"
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| 85 | S DR(1,2260,250)="W !,"" 31. IF EMPLOYEE HAS RETURNED TO WORK AND WORK ASSIGNMENT HAS CHANGED, DESCRIBE NEW DUTIES"""
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| 86 | S DR(1,2260,255)="257 DESCRIPTION~"
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| 87 | S DR(1,2260,260)="W !"
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| 88 | S DR(1,2260,261)="S MAX=$$WP^OOPSUTL4(257)"
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| 89 | S DR(1,2260,262)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`,@ ,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=257"
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| 90 | S DR(1,2260,263)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"". Please Edit."",! S Y=257"
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| 91 | S DR(1,2260,265)="60 32. EMPLOYEE'S RETIREMENT.........//^S X=RET;I X<3 S Y=""@6"""
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| 92 | S DR(1,2260,266)="61 OTHER RETIREMENT.............."
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| 93 | S DR(1,2260,267)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=61"
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| 94 | S DR(1,2260,268)="S Y=""@7"""
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| 95 | S DR(1,2260,269)="@6"
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| 96 | S DR(1,2260,270)="61////@"
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| 97 | S DR(1,2260,275)="@7"
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| 98 | S DR(1,2260,280)="258 33. WAS INJURY CAUSED BY 3RD PARTY;I X=""N"" S Y=""@1"""
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| 99 | S DR(1,2260,285)="259 34. NAME OF THIRD PARTY..........."
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| 100 | S DR(1,2260,286)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=259"
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| 101 | S DR(1,2260,290)="260 STREET ADDRESS................"
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| 102 | S DR(1,2260,291)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=260"
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| 103 | S DR(1,2260,295)="261 CITY.........................."
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| 104 | S DR(1,2260,296)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=261"
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| 105 | S DR(1,2260,300)="262 STATE........................."
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| 106 | S DR(1,2260,301)="263 ZIP CODE......................"
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| 107 | S DR(1,2260,302)="S Y=""@8"""
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| 108 | S DR(1,2260,303)="@1"
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| 109 | S DR(1,2260,304)="259////@"
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| 110 | S DR(1,2260,305)="260////@"
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| 111 | S DR(1,2260,306)="261////@"
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| 112 | S DR(1,2260,307)="262////@"
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| 113 | S DR(1,2260,308)="263////@"
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| 114 | S DR(1,2260,309)="@8"
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| 115 | ; Super has Signed, will not need re-signing - go to @2
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| 116 | S DR(1,2260,315)="I CASIGN S Y=""@2"""
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| 117 | S DR(1,2260,320)="S SUP=$$GET1^DIQ(200,DUZ,.01)"
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| 118 | S DR(1,2260,325)="W !!,"" Workers Comp signing for Supervisor"""
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| 119 | S DR(1,2260,330)="W !,"" Signature of Supervisor"""
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| 120 | S DR(1,2260,335)="W !,"" -----------------------------------"""
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| 121 | S DR(1,2260,340)="S ITEM=35 D EXCEPT^OOPSUTL2;264 EXCEPTION"
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| 122 | S DR(1,2260,341)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=264"
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| 123 | S DR(1,2260,345)="W !,"" NAME OF SUPERVISOR: ""_SUP"
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| 124 | S DR(1,2260,350)="268 SUPERVISOR'S TITLE"
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| 125 | S DR(1,2260,351)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=268"
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| 126 | S DR(1,2260,355)="269 OFFICE PHONE......"
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| 127 | ; Patch 8 - Phone must be 10 Numeric after stripping -
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| 128 | S DR(1,2260,356)="I $TR(X,""/-*#"","""")'?10N W !?3,""Phone number must include area code and 7 digits only. Example 703-123-8789"" S Y=269"
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| 129 | S DR(1,2260,360)="@2"
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| 130 | Q
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