| 1 | OOPSEMP2 ;WIOFO/LLH-E/E Employee CA2 data ;4/24/00 | 
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| 2 | ;;2.0;ASISTS;;Jun 03, 2002 | 
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| 3 | ;; | 
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| 4 | ; Employee/Person Address is now only stored in the 2162A node | 
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| 5 | ; of file 2260.  Prior to patch 3 it was stored in the CA1A and | 
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| 6 | ; CA2A nodes depending on which form was entered.  The address | 
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| 7 | ; is only 'pulled' from this location when printing either form. | 
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| 8 | ; | 
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| 9 | W !!," Notice of Occupational Disease and Claim for Compensation (Form CA-2)" | 
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| 10 | W !!,"     Employee Data" | 
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| 11 | W !,"     -------------" | 
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| 12 | K DIQ,DA,DR S DIC="^OOPS(2260,",DR=".01;1;2;5;6;7;16;17",DA=IEN,DIQ="OOPS",DIQ(0)="IE" | 
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| 13 | D EN^DIQ1 | 
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| 14 | K DR,DO,DD | 
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| 15 | S DR="" | 
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| 16 | S DR(1,2260,1)="63////^S X=PAYP"        ; Pay Plan from PAID | 
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| 17 | S DR(1,2260,2)="W !,""  1. NAME OF EMPLOYEE......: "",OOPS(2260,IEN,1,""E"")" | 
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| 18 | S DR(1,2260,5)="W !,""  2. SOCIAL SECURITY NUMBER: "",OOPS(2260,IEN,5,""E"")" | 
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| 19 | S DR(1,2260,10)="W !,""  3. DATE OF BIRTH.........: "",OOPS(2260,IEN,6,""E"")" | 
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| 20 | S DR(1,2260,15)="W !,""  4. SEX...................: "",OOPS(2260,IEN,7,""E"")" | 
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| 21 | S DR(1,2260,20)="12  5. HOME TELEPHONE........" | 
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| 22 | ; Patch 8 - add error checking for DOL requirements | 
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| 23 | 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" | 
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| 24 | S DR(1,2260,25)="W !,""  6. GRADE/STEP............: "",OOPS(2260,IEN,16,""E""),""/"",OOPS(2260,IEN,17,""E"")" | 
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| 25 | S DR(1,2260,30)="W !,""  7. EMPLOYEE'S HOME MAILING ADDRESS:""" | 
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| 26 | S DR(1,2260,35)="8     STREET ADDRESS........" | 
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| 27 | S DR(1,2260,36)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=8" | 
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| 28 | S DR(1,2260,40)="9     CITY.................." | 
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| 29 | S DR(1,2260,41)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=9" | 
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| 30 | S DR(1,2260,45)="10     STATE................." | 
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| 31 | S DR(1,2260,50)="11     ZIP CODE.............." | 
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| 32 | S DR(1,2260,55)="207  8. DEPENDENTS............" | 
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| 33 | S DR(1,2260,60)="W !!,""     Claim Information""" | 
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| 34 | S DR(1,2260,65)="W !,""     -----------------""" | 
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| 35 | ; Patch 8 - default Occupation from PAID, if there | 
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| 36 | S DR(1,2260,70)="208  9. EMPLOYEE'S OCCUPATION.//^S X=ODESC" | 
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| 37 | S DR(1,2260,71)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=208" | 
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| 38 | S DR(1,2260,75)="W !,"" 10. LOCATION WHERE YOU WORKED WHEN DISEASE OR ILLNESS OCCURRED:""" | 
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| 39 | S DR(1,2260,80)="209     LOCATION..............;I X="""" S Y=214;" | 
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| 40 | S DR(1,2260,81)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=209" | 
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| 41 | S DR(1,2260,85)="210     STREET ADDRESS........" | 
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| 42 | S DR(1,2260,86)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=210" | 
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| 43 | S DR(1,2260,90)="211     CITY.................." | 
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| 44 | S DR(1,2260,91)="I X'="""",'$$VCHAR^OOPSUTL4(X) W !,""Invalid character entered, (~,`,@,#,$,%,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=211" | 
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| 45 | S DR(1,2260,95)="212     STATE................." | 
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| 46 | S DR(1,2260,100)="213     ZIP CODE.............." | 
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| 47 | S DR(1,2260,105)="214 11. DATE YOU FIRST BECAME AWARE OF DISEASE OR ILLNESS;I X="""" S Y=215" | 
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| 48 | S DR(1,2260,110)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=214" | 
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| 49 | S DR(1,2260,115)="215 12. DATE YOU FIRST REALIZED THE DISEASE OR ILLNESS WAS CAUSED BY YOUR               EMPLOYMENT;I X="""" S Y=216" | 
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| 50 | S DR(1,2260,120)="I X'="""",'$$FUT^OOPSUTL4($P(X,""."")) S Y=215" | 
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| 51 | S DR(1,2260,125)="216 13. EXPLAIN THE RELATIONSHIP TO YOUR EMPLOYMENT, AND WHY YOU CAME TO THIS           REALIZATION~" | 
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| 52 | S DR(1,2260,130)="W !" | 
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| 53 | S DR(1,2260,131)="S MAX=$$WP^OOPSUTL4(216)" | 
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| 54 | S DR(1,2260,132)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=216" | 
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| 55 | S DR(1,2260,133)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"".  Please Edit."",! S Y=216" | 
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| 56 | ; Patch 8 - Cause of injury required for electronic submission | 
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| 57 | S DR(1,2260,134)="126     CAUSE OF INJURY CODE......." | 
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| 58 | S DR(1,2260,135)="217 14. NATURE OF DISEASE OR ILLNESS~" | 
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| 59 | S DR(1,2260,140)="W !" | 
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| 60 | S DR(1,2260,141)="S MAX=$$WP^OOPSUTL4(217)" | 
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| 61 | S DR(1,2260,142)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=217" | 
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| 62 | 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" | 
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| 63 | 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~" | 
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| 64 | S DR(1,2260,150)="W !" | 
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| 65 | S DR(1,2260,151)="S MAX=$$WP^OOPSUTL4(218)" | 
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| 66 | S DR(1,2260,152)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=218" | 
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| 67 | S DR(1,2260,153)="I +MAX>MAX1 W !!,""Max length for field is "",MAX1,"" characters, you have entered "",+MAX,"".  Please Edit."",! S Y=218" | 
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| 68 | S DR(1,2260,155)="219 16. IF A SEPARATE NARRATIVE STATEMENT IS NOT SUBMITTED WITH THIS FORM, EXPLAIN      REASON FOR DELAY~" | 
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| 69 | S DR(1,2260,160)="W !" | 
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| 70 | S DR(1,2260,165)="S MAX=$$WP^OOPSUTL4(219)" | 
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| 71 | S DR(1,2260,166)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=219" | 
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| 72 | 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" | 
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| 73 | S DR(1,2260,175)="220 17. IF MEDICAL REPORTS ARE NOT SUBMITTED WITH THIS FORM, EXPLAIN REASON FOR         DELAY~" | 
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| 74 | S DR(1,2260,180)="S MAX=$$WP^OOPSUTL4(220)" | 
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| 75 | S DR(1,2260,181)="I '$P(MAX,U,2) W !,""Invalid character entered, (~,`, @,#,$,%,^,*,_,|,\,},{,[,],>, or <),"",!,""please edit."",! S Y=220" | 
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| 76 | 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" | 
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| 77 | Q | 
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