RMPFQP3 ;DDC/KAW-PRINT VA FORM 10-2477a [ 03/12/98 7:46 AM ] ;;2.0;REMOTE ORDER/ENTRY SYSTEM;**10**;;JUN 16, 1995 ; input: RMPFX ;output: None F KX=1:1:RMPFCNT D PRINT G END PRINT Q:'$D(RMPFX) Q:'RMPFX Q:'$D(^RMPF(791810,RMPFX,0)) S RMPFTYP=$P(^(0),U,2) D ^RMPFQP1 S DFN=$P(^RMPF(791810,RMPFX,0),U,4) D ^RMPFDT5,^RMPFDD2,HEAD,HEAD1,ELG,P1 G END:$D(RMPFOUT) W !,"9. Currently Authorized Hearing Aid(s)" S X=$O(^RMPF(791810,RMPFX,301,0)) I X,$D(^(X,0)) S Y=$P(^(0),U,8) I Y D DD^%DT W " as of: ",Y D LINE W !?2,"Manfacturer",?16,"|",?22,"Model",?32,"|",?34,"Serial Number",?48,"|",?50,"Furnished By",?64,"|",?67,"Date Issued" D LINE I $D(^RMPF(791810,RMPFX,301,0)) D AUTH^RMPFQP4 G NEXT F I=1:1:4 W !,?16,"|",?32,"|",?48,"|",?64,"|" D LINE NEXT I $Y>19 D CONT^RMPFQP2 W !,"10. Clinic Action Taken __ VETERAN DOES NOT REQUIRE NEW HEARING AID" W !?27,"__ VETERAN DOES NOT REQUIRE HEARING AID" W !?27,"__ ITEM(S) LISTED BELOW WERE ISSUED TO VETERAN" D LINE D CONT^RMPFQP2 G END:$D(RMPFOUT) D LINE:IOST?1"C-".E CLINIC W !,?16,"|",?27,"|",?44,"|",?57,"| Battery",?67,"| Serial No." W !,"Natl. Stock No.",?16,"|",?20,"Make",?27,"|",?33,"Model" W ?44,"| Serial No.",?57,"| Type",?67,"| Replaced" D LINE D MOD^RMPFQP1 D CONT^RMPFQP2 G END:$D(RMPFOUT) D LINE:IOST?1"C-".E I $Y>58 D CONT W !,"11. Type of Fitting",?28,":",?32,RMPFTF D LINE I $Y>58 D CONT I RMPFTYP=11 S RMPFUS="*** LOANER AID ***" W !,"12. Authorized Usage of Aids:",?32,RMPFUS D LINE I $Y>58 D CONT W !,"13. Issued aids to be replaced to clinic stock by DDC:",?56 I RMPFHAT="S" W RMPFDDC E W "N/A" D LINE I $Y>58 D CONT W !,"14. Signature of Issuing Audiologist",?38,"|",?49,"Title",?65,"|15. Order Date" W !?38,"|",?65,"|" I $D(RMPFX) D ARRAY^RMPFDT2 S X=0 F S X=$O(RMPFO(X)) Q:'X I $D(^RMPF(791810,RMPFX,101,X,90)),$P(^(90),U,12) S Y=$P(^(90),U,12) I Y,$D(^VA(200,Y,0)) S RMPFADP=$P(^(0),U,1),RMPFAD=Y S T="Audiologist" I RMPFAD,$D(^VA(200,RMPFAD,0)) S X=$P(^(0),U,9) I X,$D(^DIC(3.1,X,0)) S T=$P(^(0),U,1) S T=$E(T,1,26),L=$L(T) W !?4,$P(RMPFADP,",",2)_" "_$P(RMPFADP,",",1),?38,"|",?39+((26-L)\2),T,?65,"|",?68,RMPFODP D LINE I $Y>58 D CONT W !,"16. I certify that I have",?37,"Signature of Veteran",?65,"|17. Date" W !?4,"received the item(s)",?65,"|" W !?4,"listed under 10 above ->",?65,"|" D LINE W !,"VA Form 10-2477a" W !,"SEP 1991" D CONT^RMPFQP2 I IOST?1"P-".E W @IOF D:$D(IO("S")) ^%ZISC END D KIL^RMPFQP4 Q P1 S AD="A" G P2:'$D(RMPFX) I $D(^RMPF(791810,RMPFX,1)) S S1=^(1) I $P(S1,U,5)'=""&($P(S1,U,6)'="") D G P3 .S C=1 K RMPFA .F I=1:1:3 I $P(S1,U,I)'="" S RMPFA(C)=$P(S1,U,I),C=C+1 .S RMPFA(C)=$P(S1,U,4)_", "_$P(^DIC(5,$P(S1,U,5),0),U,2)_" "_$P(S1,U,6) .Q P2 S:$D(RMPFT) AD="T" P3 W !,"1. Extended Audiology Clinic",?38,"| 2. Issuing Audiology Clinic" W !?3,"Station No. ",RMPFRSTA,?38,"|",?44,"Station No. ",RMPFSTAP W !?38,"|" F I=1:1:4 W ! W:$D(RMPFR(I)) ?3,$E(RMPFR(I),1,35) W ?38,"|" W:$D(RMPFS(I)) ?44,$E(RMPFS(I),1,36) D LINE W !,"3. Veteran's Name and Address ",?38,"| 4. Eligibility Status(es) ",?71,$J($E(RMPFELS,1,9),9) W !,?38,"|" I RMPFELD W ?70,$E(RMPFELD,4,5)_"-"_$E(RMPFELD,6,7)_"-"_($E(RMPFELD,1,3)+1700) S RMPFNAM=$P(RMPFNAM,",",2)_" "_$P(RMPFNAM,",",1) W !?3,$E(RMPFNAM,1,32),?38,"|",?44,RMPFF F I=1:1:4 I $D(@("RMPF"_AD_"(I)"))!$D(RMPFF(I+1)) W ! W:$D(@("RMPF"_AD_"(I)")) ?3,$E(@("RMPF"_AD_"(I)"),1,32) W ?38,"|" W:$D(RMPFF(I+1)) ?44,$E(RMPFF(I+1),1,36) D LINE D CONT^RMPFQP2 Q:$D(RMPFOUT) D LINE:IOST?1"C-".E W !,"5. Soc. Security No.",?20,"| 6. VA Claim No.",?38,"| 7. Date of Birth",?59,"| 8. Disability Code" W !?20,"|",?38,"|",?59,"|" W !?3,RMPFSSN,?20,"|",?25,RMPFCL,?38,"|",?43,RMPFDOB,?59,"|" W ?64,RMPFDC D LINE Q LINE W !,"--------------------------------------------------------------------------------" Q HEAD W:$Y>0 @IOF W !?25,"DEPARTMENT OF VETERANS AFFAIRS" W !?21,"AUDIOLOGICAL SERVICES ACKNOWLEDGEMENT" D LINE Q HEAD1 W:$D(RMPFSTP) !,"Order Status: *** ",RMPFSTP," ***" W ?59,"Printed: ",RMPFDAT D LINE Q ELG S RMPFF="" Q:'$D(RMPFX) S X=$P($G(^RMPF(791810,RMPFX,2)),U,2) I X,$D(^RMPF(791810.4,X,0)) S RMPFF=$P(^(0),U,1) Q CONT Q:IOST'["P-" D HEAD,HEAD1 W !!,"cont." D LINE Q READ K RMPFOUT,RMPFQUT R Y:DTIME I '$T W $C(7) R Y:5 G READ:Y="." S:'$T Y=U I Y?1"^".E S (RMPFOUT,Y)="" Q S:Y?1"?".E (RMPFQUT,Y)="" Q