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