| 1 | DVBCREQ1 ;ALB/GTS-557/THM-NEW 2507 REQUEST PRINTING ; 5/25/91 11:36 AM
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| 2 | ;;2.7;AMIE;**19,29**;Apr 10, 1995
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| 3 | ;
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| 4 | START S PGHD="COMPENSATION AND PENSION EXAM REQUEST",ROHD="Requested by "_RONAME,PG=0
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| 5 | D HDR
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| 6 | D SSNOUT^DVBCUTIL ;** Set the value of DVBCSSNO
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| 7 | W !?2,"Name: ",PNAM,?56,"SSN: ",DVBCSSNO,!?51,"C-Number: ",CNUM,!?56,"DOB: " S Y=DOB X ^DD("DD") W Y,!?2,"Address: ",ADR1,! W:ADR2]"" ?11,ADR2,! W:ADR3]"" ?11,ADR3,!!
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| 8 | W !?2,"City,State,Zip+4: ",?48,"Res Phone: ",HOMPHON,!?5,CITY," ",STATE," ",ZIP,?48,"Bus Phone: ",BUSPHON,! I IOST?1"C-".E D CRTBOT G:$D(GETOUT) EXIT
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| 9 | W !,"Entered active service: " S Y=EOD X ^DD("DD") S:Y="" Y="Not specified" W Y,?40,"Last rating exam date: ",LREXMDT,! S Y=RAD X ^DD("DD") S:Y="" Y="Not specified" W "Released active service: " W Y,!
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| 10 | F LINE=1:1:80 W "="
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| 11 | S TVAR(1,0)="0,0,0,2:1,0^** Priority of exam: "_PRIO
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| 12 | D WR^DVBAUTL4("TVAR")
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| 13 | K TVAR
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| 14 | I $D(^DVB(396.3,DA(1),5)),(+$P(^DVB(396.3,DA(1),5),U,1)>0) DO
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| 15 | .I $D(DVBAINSF),($D(^DVB(396.3,$P(^DVB(396.3,DA(1),5),U,1),0))) DO
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| 16 | ..S Y=$P(^DVB(396.3,$P(^DVB(396.3,DA(1),5),U,1),0),U,5) X ^DD("DD")
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| 17 | ..S TVAR(1,0)="0,0,0,0,0^Date original 2507 Reported to MAS: "_Y K Y
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| 18 | ..D WR^DVBAUTL4("TVAR")
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| 19 | ..K TVAR
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| 20 | S TVAR(1,0)="0,0,0,3:2,0^Selected exams: "
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| 21 | D WR^DVBAUTL4("TVAR")
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| 22 | K TVAR
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| 23 | D TST^DVBCUTL3 G:($D(GETOUT)) EXIT
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| 24 | W !!!!! I IOST?1"C-".E D CRTBOT G:$D(GETOUT) EXIT
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| 25 | W "Current Rated disabilities:",!! D DDIS^DVBCUTL3 G:($D(GETOUT)) EXIT
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| 26 | W "Other Disabilities:",!!?2,OTHDIS,!?2,OTHDIS1,!?2,OTHDIS2,!!,"General remarks:",!!
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| 27 | K ^UTILITY($J,"W")
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| 28 | I IOST?1"C-".E D CRTBOT G:$D(GETOUT) EXIT
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| 29 | F LINE=0:0 S LINE=$O(^DVB(396.3,DA(1),2,LINE)) Q:(LINE="")!($D(GETOUT)) S X=^(LINE,0),DIWL=1,DIWF="NW" D ^DIWP I $Y>(IOSL-7),$O(^DVB(396.3,DA(1),2,LINE))]"" D BOT D:'$D(GETOUT) HDR,RMRK
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| 30 | D:('$D(GETOUT)) ^DIWW
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| 31 | ; ** Exit TAG **
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| 32 | EXIT D:('$D(GETOUT)) BOT K GETOUT,LPCNT,DVBCDX,DVBCSC,DVBCSSNO Q
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| 33 | ;
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| 34 | HDR S PG=PG+1 I '$D(ONE)!(($D(ONE))&(PG>1))!(IOST?1"C-".E) W @IOF
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| 35 | W !,"Date: ",DVBCDT(0),?(80-$L(PGHD)\2),PGHD,?71,"Page: ",PG,! S PRTDIV=$S($D(^DG(40.8,XDIV,0)):$P(^(0),U,1),1:"Unknown division") S PRTDIV="For "_PRTDIV_" Medical Center Division at "_$$SITE^DVBCUTL4
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| 36 | W ?(80-$L(PRTDIV)\2),PRTDIV
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| 37 | W !! S Y=$P(^DVB(396.3,DA(1),0),U,22) I Y]"" S Z="*** Transferred from ",Z=Z_$S($D(^DIC(4.2,+Y,0)):$P(^(0),U,1),1:"unknown site")_" ***" W ?(80-$L(Z)\2),Z,!
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| 38 | W ?(80-$L(ROHD)\2),ROHD,! S RQ="Date Requested: ",Y=DTRQ X ^DD("DD") S RQ=RQ_Y W ?(80-$L(RQ)\2),RQ,! F XLN=1:1:80 W "="
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| 39 | K XLN Q
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| 40 | ;
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| 41 | CRTBOT ; ** Write form number at bottom of CRT **
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| 42 | I $P(^DVB(396.3,DA(1),0),U,23)="Y" W !?20,"** Claim folder review will be required **",!
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| 43 | F LPCNT=$Y:1:(IOSL-7) W !
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| 44 | W !,"VA Form 21-2507"
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| 45 | D TERM^DVBCUTL3
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| 46 | Q
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| 47 | ;
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| 48 | BOT I $P(^DVB(396.3,DA(1),0),U,23)="Y" W !?20,"** Claim folder review will be required **",!
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| 49 | I IOST?1"C-".E F LPCNT=$Y:1:(IOSL-6) W !
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| 50 | I IOST'?1"C-".E F LPCNT=$Y:1:(IOSL-4) W !
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| 51 | W !,"VA Form 21-2507"
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| 52 | I IOST?1"C-".E D TERM^DVBCUTL3
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| 53 | Q
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| 54 | ;
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| 55 | RMRK W !?2,"Name: ",PNAM,?56,"SSN: ",DVBCSSNO
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| 56 | W ! F XLN=1:1:80 W "="
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| 57 | W !!,"General remarks (continued):",!!
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| 58 | Q
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