OOPSPC41 ;HIRMFO/YH-EMPLOYEE DATA, CA2 FORM ;6/14/98 ;;2.0;ASISTS;;Jun 03, 2002 ;EMPLOYEE DATA ;EMPLOYEE'S DATA S OOPSDATA=$P($G(^OOPS(2260,IEN,0)),"^",2) W !,"PU0.8,25.5;LB"_OOPSDATA_"@;" ;NAME S OOPSDATA=$G(^OOPS(2260,IEN,"2162A")) S OOPSP=$P(OOPSDATA,"^") I OOPSP'["-" S OOPSP=$E(OOPSP,1,3)_"-"_$E(OOPSP,4,5)_"-"_$E(OOPSP,6,13) W !,"PU15.9,25.5;LB"_OOPSP_"@;" ;SSN S OOPSP=$P(OOPSDATA,"^",2) I OOPSP'="" D WDATE^OOPSPUT1(OOPSP,"3.1,24.8","3.9,24.8","4.8,24.8") ;DATE OF BIRTH S OOPSP=$P(OOPSDATA,"^",3) W !,"PU6.5,24.7;LB"_$S(OOPSP=1:"Male",OOPSP=2:"Female",1:" ")_"@;" ;SEX N PHN S PHN=$TR($P(OOPSDATA,"^",8),"/-*#","") W !,"PU8.7,24.7;LB"_$E(PHN,1,3)_"-"_$E(PHN,4,6)_"-",$E(PHN,7,10)_"@;" W !,"PU16.6,24.7;LB"_$S($P(OOPSDATA,"^",12)'="":+$P(OOPSDATA,"^",12),1:"")_"@;PU18.7,24.7;LB"_$P(OOPSDATA,"^",13)_"@;" ;GRADE AND STEP W !,"PU0.8,23.5;LB"_$P(OOPSDATA,"^",4)_"@;PU0.8,22.7;LB"_$P(OOPSDATA,"^",5)_", "_$S($D(^DIC(5,+$P(OOPSDATA,"^",6),0)):$P(^DIC(5,+$P(OOPSDATA,"^",6),0),"^"),1:"")_"@" W !,"PU12.8,22.7;LB"_$P(OOPSDATA,"^",7)_"@;" ;ADDRESS S OOPSP=+$P($G(^OOPS(2260,IEN,"CA2A")),"^",8) ;DEPENDENTS I OOPSP>0,OOPSP<6 W !,$S(OOPSP=1:"PU16.2,23.8;LBX@;",OOPSP=2:"PU16.2,23.4;LBX@;",OOPSP=3:"PU16.2,23;LBX@;",OOPSP=4:"PU16.2,23.8;LBX@;PU16.2,23.4;LBX@;",OOPSP=5:"PU16.2,23.8;LBX@;PU16.2,23;LBX@;",1:"") I OOPSP>5,OOPSP<8 W !,$S(OOPSP=6:"PU16.2,23.4;LBX@;PU16.2,23;LBX@;",1:"PU16.2,23.8;LBX@;PU16.2,23.4;LBX@;PU16.2,23;LBX@;") W !,"PU0.8,20.9;LB"_$P($G(^OOPS(2260,IEN,"CA2A")),"^",9)_"@;" ; Patch 8 S OCC=$$GET1^DIQ(2260,IEN,15,"E") S OCC=$S(OCC<2200:"G"_OCC,(OCC>2499&(OCC<9001)):"W"_OCC,(OCC=9999):"Z"_OCC,1:"") W "PU16.2,21.1;LB"_OCC_"@;" K OCC ; OCCUPATION CODE S OOPSDATA=$G(^OOPS(2260,IEN,"CA2B")) W !,"PU0.8,19.7;LB"_$P(OOPSDATA,"^")_" "_$P(OOPSDATA,"^",2)_"@;" ;LOCATION ILLNESS OCCURRED W !,"PU0.8,18.8;LB"_$P(OOPSDATA,"^",3)_", "_$P($G(^DIC(5,+$P(OOPSDATA,"^",4),0)),"^")_" "_$P(OOPSDATA,"^",5)_"@;" S OOPSP=$P(OOPSDATA,"^",6) I OOPSP'="" D WDATE^OOPSPUT1(OOPSP,"16.5,18.8","17.4,18.8","18.1,18.8") ;DATE AWARE OF ILLNESS S OOPSP=$P(OOPSDATA,"^",7) I OOPSP'="" D WDATE^OOPSPUT1(OOPSP,"4.9,17.5","5.8,17.5","6.5,17.5") ;DATE REALIZED ILLNESS CAUSED BY EMPLOYMENT ;EXPLAIN THE RELATIONSHIP TO YOUR EMPLOYMENT S OOPSNODE="CA2C",OOPSDIWL=1,OOPSDIWR="",OOPSDIWF="C100",OOPSBS=6 S OOPSSEL="W !,$S(II=1:""PU0.8,16.9;LB"",II=2:""PU0.8,16.5;LB"",II=3:""PU0.8,16.1;LB"",II=4:""PU0.8,15.7;LB"",II=5:""PU0.8,15.3;LB"",II=6:""PU0.8,14.9;LB"",1:"""")_$G(^UTILITY($J,""W"",1,II,0))_""@;""" S OOPSAT="W !,""PU7.9,17.6;LBSee Attached@;""" S OOPSLBL="13. Explain the relationship to your employment, and why you came to this realization." I $D(^OOPS(2260,IEN,OOPSNODE,0)) D .D WP^OOPSPCA(OOPSDIWL,OOPSDIWR,OOPSDIWF,OOPSBS,OOPSNODE,OOPSSEL,OOPSAT,OOPSLBL) ;NATURE OF DISEASE OR ILLNESS S OOPSNODE="CA2D",OOPSDIWL=1,OOPSDIWR="",OOPSDIWF="C85",OOPSBS=3 S OOPSSEL="W !,$S(II=1:""PU1,13.7;LB"",II=2:""PU1,13.3;LB"",II=3:""PU1,12.9;LB"",1:"""")_$G(^UTILITY($J,""W"",1,II,0))_""@;""" S OOPSAT="W !,""PU1,13.6;LBSee Attached@;""" S OOPSLBL="14. Nature of disease or illness." I $D(^OOPS(2260,IEN,OOPSNODE,0)) D .D WP^OOPSPCA(OOPSDIWL,OOPSDIWR,OOPSDIWF,OOPSBS,OOPSNODE,OOPSSEL,OOPSAT,OOPSLBL) ; Patch 8 - add NOI code, type and source code S OOPSNOI=$$GET1^DIQ(2260,IEN,"62:1") S OOPSTYP=$$GET1^DIQ(2260,IEN,"226:1") S OOPSSOR=$$GET1^DIQ(2260,IEN,"227:1") W "PU16.2,13.9;LB"_OOPSNOI_"@;" W !,"PU16.2,13.0;LB"_OOPSTYP_"@;"_"PU18.0,13.0;LB"_OOPSSOR_"@;" K OOPSNOI,OOPSTYP,OOPSSOR ;REASON FOR THE DELAY S OOPSNODE="CA2E",OOPSDIWL=1,OOPSDIWR="",OOPSDIWF="C100",OOPSBS=3 S OOPSSEL="W !,$S(II=1:""PU1,12;LB"",II=2:""PU1,11.6;LB"",II=3:""PU1,11.2;LB"",1:"""")_$G(^UTILITY($J,""W"",1,II,0))_""@;""" S OOPSAT="W !,""PU1,12;LBSee Attached@;""" S OOPSLBL="15. If this notice and claim was not filed with the employing agency within" I $D(^OOPS(2260,IEN,OOPSNODE,0)) D .D WP^OOPSPCA(OOPSDIWL,OOPSDIWR,OOPSDIWF,OOPSBS,OOPSNODE,OOPSSEL,OOPSAT,OOPSLBL) S OOPSNODE="CA2F",OOPSDIWL=1,OOPSDIWR="",OOPSDIWF="C100",OOPSBS=3 S OOPSSEL="W !,$S(II=1:""PU1,10.3;LB"",II=2:""PU1,9.9;LB"",II=3:""PU1,9.5;LB"",1:"""")_$G(^UTILITY($J,""W"",1,II,0))_""@;""" S OOPSAT="W !,""PU1,10.3LBSee Attached@;""" S OOPSLBL="16. If the statement requested in item 1 of the attached instructions is not" I $D(^OOPS(2260,IEN,OOPSNODE,0)) D .D WP^OOPSPCA(OOPSDIWL,OOPSDIWR,OOPSDIWF,OOPSBS,OOPSNODE,OOPSSEL,OOPSAT,OOPSLBL) ;ITEM 2 OF ATTACHED INSTRUCTIONS ARE NOT SUBMITTED S OOPSNODE="CA2G",OOPSDIWL=1,OOPSDIWR="",OOPSDIWF="C100",OOPSBS=3 S OOPSSEL="W !,$S(II=1:""PU1,8.6;LB"",II=2:""PU1,8.2;LB"",II=3:""PU1,7.8;LB"",1:"""")_$G(^UTILITY($J,""W"",1,II,0))_""@;""" S OOPSAT="W !,""PU1,8.6LBSee Attached@;""" S OOPSLBL="17. If the medical reports requested in item 2 of attached instructions" I $D(^OOPS(2260,IEN,OOPSNODE,0)) D .D WP^OOPSPCA(OOPSDIWL,OOPSDIWR,OOPSDIWF,OOPSBS,OOPSNODE,OOPSSEL,OOPSAT,OOPSLBL) ; Patch 8, e-sign encrypted, make sure data valid when printing N X,X1,X2,STR,VER S STR=$G(^OOPS(2260,IEN,"CA")),VER=$P(STR,"^",9),X=$P(STR,"^",7) I $G(VER)=1&($G(X)'="") D . S X1=$$GET1^DIQ(2260,IEN,221,"I"),X2=$$CA2SUM^OOPSUTL6() . D DE^XUSHSHP . W !,"PU9.5,4.5;LB/ES/ "_X_"@;" S OOPSDATA=$G(^OOPS(2260,IEN,"CA2ES")) I $P(OOPSDATA,"^",2)'="",+$P(OOPSDATA,"^",3)>0 W !,"PU17.3,4.5;LB"_$$FMTE^XLFDT($P(OOPSDATA,"^",3),1)_"@;" ;DATE SIGNED K I,J,OOPSQ Q