DVBAB4 ;ALB/KLB - CAPRI Exam checklist for RO ;03/01/00 ;;2.7;AMIE;**35**;Apr 10, 1995 STRT(MSG) ; K ^TMP($J,"CAPRI") S CNT=1 S ^TMP($J,"CAPRI",CNT,0)=";;Exam Checklist for the Regional Office",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;VA Regional Office - "_$$SITE^DVBCUTL4,CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;Compensation and Pension Examination Request Worksheet",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;Veteran's Name: _______________________________________ VAMC: ____________________",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)=";;C-Number: _______________ SSN: _______________",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;Telephone-Day: _______________ Night: _______________ Power of Attorney: _______________",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;Date Ordered: _______________ By: _________________________",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;Priority of Exam: _______________ ( ) Insufficient Exam Dated: _______________",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=" ;;(See Remarks)",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";;( ) General Medical Examination ( ) Review of Pertinent Medical Records in",CNT=CNT+1 S ^TMP($J,"CAPRI",CNT,0)=";; Claims Folder is Required Prior to Examinations",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1,^TMP($J,"CAPRI",CNT,0)="",CNT=CNT+1 S DIF="^TMP($J,""CAPRI"",",XCNP=CNT F ROU="DVBCEXM1" S X=ROU X ^%ZOSF("LOAD") ;M MSG=^TMP($J,"CAPRI") K DIF,XCNP,ROU S A=0 F S A=$O(^TMP($J,"CAPRI",A)) Q:'A D .S XXX=$G(^TMP($J,"CAPRI",A,0)) .I (XXX[";AMIE;")!(XXX["TOF")!(XXX["END") K ^TMP($J,"CAPRI",A,0) .E S MSG(A)=$P(XXX,";;",2) K ^TMP($J,"CAPRI") K A,CNT,X Q