| [604] | 1 | English French Notes Complete/Exclude
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| 2 | Patient is in an 'EXEMPT' status and requires property information.
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| 3 | Patient's deductible expenses cannot exceed income.
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| 4 | Patient has more than one spouse for this means test.
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| 5 | Since assets exceed the threshold, the
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| 6 | test can
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| 7 | be sent to adjudication. If the
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| 8 | test is not
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| 9 | adjudicated, the patient will be placed in
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| 10 | GMT Copay Required
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| 11 | MT Copay Required
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| 12 | Non-exempt
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| 13 | Do you wish to send this case to adjudication
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| 14 | PRINT 10-10F
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| 15 | THIS OUTPUT REQUIRES 132 COLUMN OUTPUT TO THE PRINTER.
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| 16 | CANNOT QUEUE TO HOME DEVICE!
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| 17 | Print 10-10F
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| 18 | to CONTINUE,
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| 19 | to EDIT,
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| 20 | for screen N, or
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| 21 | to EXIT:
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| 22 | Enter <RET> to continue to the next available screen.
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| 23 | Enter an available item number from
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| 24 | to edit.
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| 25 | The items should be separated by commas or a range of numbers
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| 26 | separated by a dash, or a combination of commas and dashes.
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| 27 | To edit a specific column, enter 'V'
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| 28 | in front of the selected items.
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| 29 | Enter 'ALL' to edit all available items on the screen.
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| 30 | Enter '^N' to jump to a select screen. Enter '^' to exit.
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| 31 | AVAILABLE SCREENS
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| 32 | IOINHI;IOINLOW
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| 33 | ANNUAL INCOME FOR
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| 34 | Means Test Signed?:
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| 35 | Patient Requires a Means Test
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| 36 | Patient's Means Test is Pending Adjudication for
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| 37 | Means Test Not Required
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| 38 | Patient's status is
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| 39 | based on primary means test
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| 40 | Has
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| 41 | agreed to pay the deductible
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| 42 | Primary Means Test
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| 43 | Required from
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| 44 | Last Applied
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| 45 | (NO LONGER REQUIRED:
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| 46 | proceed with
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| 47 | the means test at this time
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| 48 | *** Patient Requires a Means Test ***
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| 49 | Primary Means Test Required from
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| 50 | Patient's Test dated
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| 51 | The test
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| 52 | date is greater than 365 days old. Please update.
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| 53 | Cannot copy information. Either there is no prior year income
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| 54 | or there is income already on file for this year.
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| 55 | Previous year data contains a negative amount. Data cannot be copied.
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| 56 | Patient:
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| 57 | Date of Test:
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| 58 | Total Dependents:
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| 59 | Type Of Test:
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| 60 | Status:
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| 61 | Date/Time Completed:
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| 62 | Primary Test For Year:
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| 63 | Source Of Test:
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| 64 | Income:
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| 65 | Completed By:
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| 66 | Net Worth:
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| 67 | Date/Time Category Changed:
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| 68 | Deductible Expenses:
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| 69 | Category Changed By:
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| 70 | Agreed to Pay Deduct.:
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| 71 | Adjudicated Date/Time:
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| 72 | Declines Income Info:
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| 73 | No Longer Required Date:
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| 74 | No Longer Applicable Date:
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| 75 | MT Threshold:
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| 76 | Hardship Review Date:
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| 77 | GMT Threshold:
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| 78 | Date Vet Signed Test:
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| 79 | Income Data Purged:
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| 80 | Means Test Signed?:
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| 81 | Refused to Sign:
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| 82 | Date IVM MT Completed:
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| 83 | Hardship Approved By:
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| 84 | OTHER VAMC
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| 85 | Hardship Review Site:
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| 86 | Hardship Reason:
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| 87 | COMMENT(S):
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| 88 | Date Range Selection
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| 89 | Past dates are not allowed.
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| 90 | Division Selection
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| 91 | Clinic Selection
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| 92 | LOCAL INCOME TEST
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| 93 | TEST INCOME INFORMATION IS NOT AVAILABLE **
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| 94 | ** MEANS TEST IS NO LONGER REQUIRED INCOME INFORMATION MAY NOT BE ACCURATE **
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| 95 | ** COPAY TEST IS NO LONGER APPLICABLE INCOME INFORMATION MAY NOT BE ACCURATE **
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| 96 | DETAILED MEANS TEST INCOME INFORMATION COULD NOT BE CONVERTED FOR THE
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| 97 | FOLLOWING RELATIONS ASSOCIATED WITH THIS MEANS TEST:
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| 98 | NET WORTH
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| 99 | TO COLLECT THE NEW DETAILED DEPENDENT DEMOGRAPHIC AND INCOME INFORMATION
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| 100 | THE MEANS TEST WOULD HAVE TO BE EDITED.
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| 101 | Variables DGCAT, DGINT, DGNWT, DGTHA, DGTYC and DGMTS must be defined!
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| 102 | Variables DFN, DGND, DGDET and DGMTDT must be defined!
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| 103 | DECLINES TO GIVE INCOME INFO
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| 104 | DG(408.32,
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| 105 | NJ13,2
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| 106 | DEDUCTIBLE EXPENSES
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| 107 | NJ2,0
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| 108 | TOTAL DEPENDENTS
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| 109 | COMPLETED BY
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| 110 | DATE/TIME COMPLETED
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| 111 | SITE CONDUCTING TEST
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| 112 | AGREED TO PAY DEDUCTIBLE
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| 113 | NJ8,2
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| 114 | THRESHOLD A
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| 115 | THRESHOLD B
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| 116 | GMT THRESHOLD
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| 117 | PREVIOUS YEARS THRESHOLD
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| 118 | HARDSHIP REVIEW DATE
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| 119 | APPROVED BY
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| 120 | HARDSHIP EFFECTIVE DATE
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| 121 | SITE GRANTING HARDSHIP
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| 122 | HARDSHIP REASON
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| 123 | PERMANENTLY INCAPABLE OF SELF-SUPPORT
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| 124 | DID THE CHILD LIVE WITH YOU
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| 125 | DID YOU CONTRIBUTE TO THE CHILD'S SUPPORT
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| 126 | DID CHILD HAVE ANY INCOME
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| 127 | WAS THE CHILD'S INCOME AVAILABLE TO YOU
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| 128 | Variables DGDR and DGVIR0 must be defined!
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| 129 | NJ8,2X
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| 130 | MEDICAL EXPENSES
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| 131 | FUNERAL AND BURIAL EXPENSES
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| 132 | VETERAN'S EDUCATIONAL EXPENSES
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| 133 | Variable DGDR and DGPRTY must be defined!
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| 134 | NJ10,2X
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| 135 | SOCIAL SECURITY (NOT SSI)
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| 136 | U.S. CIVIL SERVICE
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| 137 | U.S. RAILROAD RETIREMENT
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| 138 | MILITARY RETIREMENT
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| 139 | UNEMPLOYMENT COMPENSATION
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| 140 | OTHER RETIREMENT
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| 141 | NJ9,2X
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| 142 | TOTAL INCOME FROM EMPLOYMENT
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| 143 | INTEREST, DIVIDEND, OR ANNUITY
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| 144 | WORKERS COMP. OR BLACK LUNG
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| 145 | ALL OTHER INCOME
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| 146 | Variables DFN and DGDR must be defined!
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| 147 | WAS YOUR MARITAL STATUS EITHER MARRIED OR SEPARATED ON DEC 31ST LAST YEAR
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| 148 | DID YOU LIVE WITH YOUR SPOUSE LAST YEAR
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| 149 | NJ8,2XR
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| 150 | IF YOU DID NOT LIVE WITH SPOUSE, AMOUNT CONTRIBUTED TO SPOUSE LAST YEAR
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| 151 | DID YOU HAVE ANY DEPENDENT CHILDREN
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| 152 | CASH, AMOUNTS IN BANK ACCOUNTS
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| 153 | STOCKS AND BONDS
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| 154 | REAL PROPERTY
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| 155 | OTHER PROPERTY OR ASSETS
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| 156 | DA))'>0
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| 157 | DA)
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| 158 | TE VALUE
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| 159 | ` BULLETIN WILL NOT BE TRIGGERED)
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| 160 | -1^MISSING DFN
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| 161 | -1^Missing DFN
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| 162 | UNABLE TO GENERATE RELEASE NOTES!!
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| 163 | GENERATING FOR VERSION
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| 164 | MAS VERSION
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| 165 | RELEASE NOTES
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| 166 | NOT VALID
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| 167 | Did you receive Nose or Throat Radium Treatments in the military?
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| 168 | Did you serve as an aviator in the military before Jan 31, 1955?
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| 169 | Did you have submarine training in the military before Jan 1, 1965?
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| 170 | DGNT VERIFY
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| 171 | Do you want to verify now?
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| 172 | Nose and throat radium treatment verified by:
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| 173 | Has the veteran been diagnosed with Cancer of the Head and/or Neck?
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| 174 | Enter the sort type
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| 175 | Current N/T Radium Treatment Pending Verification report.
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| 176 | **** No records to report. ****
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| 177 | Total Patients Pending
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| 178 | Documentation
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| 179 | REPORT STOPPED AT USER REQUEST
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| 180 | Total Patients Pending Verification:
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| 181 | N/T RADIUM TREATMENT PENDING VERIFICATION REPORT
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| 182 | Avi
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| 183 | Sub
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| 184 | Date/Time Entered
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| 185 | YES,PENDING BOTH DOCUMENTATION AND DIAGNOSIS
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| 186 | YES,PENDING DOCUMENTATION
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| 187 | YES,PENDING DIAGNOSIS
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| 188 | YES,VERIFIED
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| 189 | Enter date of ASIH:
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| 190 | You have entered a future date...to prevent the printing
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| 191 | of a negative report, remember to task this request for
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| 192 | the appropriate date.
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| 193 | ASIH LIST FOR
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| 194 | *** THERE ARE NO PATIENTS OUT ON ASIH FOR
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| 195 | Enter <RET> to continue or ^ to Quit
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| 196 | DISCRETIONARY WORKLOAD OPTIONS ARE NO LONGER AVAILABLE!
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| 197 | Do you wish (I)npatient,(O)utpatient,or (B)oth reports: BOTH//
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| 198 | DGODOP1,^DGODNP1
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| 199 | Enter I,O,B, or ^ to QUIT
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| 200 | Purge single (M)onth or (A)ll or (^ to quit): MONTH//
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| 201 | MONTH/YR
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| 202 | RUN DATE
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| 203 | Nothing purged, all your data is current
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| 204 | Select MONTH/YEAR to PURGE:
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| 205 | SELECT ENTRY FROM LIST IN MONTH/YEAR FORMAT.
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| 206 | IF JANUARY 1988 WAS LISTED YOU WOULD ENTER 01/88
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| 207 | ARE YOU SURE YOU WISH TO PURGE YOUR FILE
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| 208 | INPATIENT DISCHARGES BY MEANS TEST CATEGORY
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| 209 | REPORT REQUIRES 132 COLUMN OUTPUT
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| 210 | QUEUE ON DEVICE:
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| 211 | CANNOT QUEUE TO YOUR OWN DEVICE
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| 212 | CONTINUE DIRECTLY TO YOUR I/O DEVICE//
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| 213 | If you say YES execution will begin immediately and your default i/o device will hang during compilation, NO or ^ will end
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| 214 | Requested Start Time:
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| 215 | DISCRETIONARY WORK REPORT-
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| 216 | From DATE:
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| 217 | To DATE:
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| 218 | TO DATE IS LESS THAN FROM DATE, TRY AGAIN
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| 219 | SC 50-100%^A&A/HB/WW1/POW/MEX^SC<50%^NSC/PEN^NSC^DOM^
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| 220 | Elapsed time for this run:
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| 221 | INPATIENT DISCHARGES REPORT
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| 222 | DATE RANGE: FROM
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| 223 | MEANS TEST CLASSIFICATION
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| 224 | FACILITY:
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| 225 | TOTAL DISCHARGES:
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| 226 | Patients remaining on
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| 227 | VETERAN ELIGIBILITY
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| 228 | NON-VETERAN ELIGIBILITY
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| 229 | Hit RETURN to continue
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| 230 | SUBTOTAL %
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| 231 | Inpatient Workload Summary
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| 232 | TOTAL %
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| 233 | TOTAL VISITS:
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| 234 | Outpatient Workload Summary
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| 235 | Admitted on
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| 236 | Died while an inpatient on
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| 237 | Died on
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| 238 | Unscheduled visit on
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| 239 | Inpatient List
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| 240 | SORT BY
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| 241 | START WITH
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| 242 | WARD LOCATION
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| 243 | Enter all or part of a ward name. If the FROM and TO wards are pure
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| 244 | numbers (no alphas), no wards with an alpha suffix will appear on the sort.
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| 245 | GO TO
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| 246 | End must be after beginning
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| 247 | PRINT WITH WARD BREAKOUT
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| 248 | PRINT WITH DRG BREAKOUT
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| 249 | INPATIENT LIST
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| 250 | Patient name
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| 251 | Admit/Tran Ward
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| 252 | LOS AA Pass UA ASIH
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| 253 | Avg
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| 254 | Int-
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| 255 | Affil
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| 256 | Days to
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| 257 | Trim
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| 258 | Nat/Loc
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| 259 | WARD LOCATION:
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| 260 | DIVISION(S):
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| 261 | '+' Before the Patient name indicates patient is currently ASIH, '!' Indicates patient chose not to be in Facility Directory
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| 262 | LEGEND: '####' - Stay exceeds high trim, '**' - Stay exceeds 69% of high trim, '@' Stay exceeds 49% of high trim
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| 263 | Press '^' to QUIT or Return to Continue
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| 264 | BAD 'CN' CROSS REFERENCE FOR WARD
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| 265 | , PATIENT NUMBER
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| 266 | No DRG can be calculated
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| 267 | Rm:
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| 268 | Spec:
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| 269 | Sort this report by (W)ard or (P)rovider? WARD//
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| 270 | Enter W to sort this report of inpatients by WARD
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| 271 | or P to sort the report by PROVIDER.
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| 272 | Which provider?
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| 273 | (P)rimary Care, (A)ttending, or (E)ITHER? EITHER//
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| 274 | Enter P to sort this report of inpatients by PRIMARY CARE PHYSICIAN
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| 275 | A to sort the report by ATTENDING PHYSICIAN, or
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| 276 | E to print the report where the provider was EITHER
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| 277 | Attending or Primary Care
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| 278 | Sub-sort by (N)ame of Patient or (R)oom NAME//
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| 279 | SECONDARY SORT ORDER:
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| 280 | Enter N to sort this report of inpatients by NAME
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| 281 | or R to sort the report by ROOM NUMBER.
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| 282 | Note: ROOM NUMBER = First set of numbers that appear in ROOM-BED
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| 283 | WOULD YOU LIKE THE INPATIENT ROSTER DOUBLE SPACED
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| 284 | Enter 'Y'es to double space this report, 'N'o to single space
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| 285 | HOW MANY COPIES OF THE INPATIENT ROSTER WOULD YOU LIKE? 1//
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| 286 | Enter a number from 1 to 10 indicating the number of copies you want printed.
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| 287 | THIS REPORT REQUIRES 132 COLUMN OUTPUT
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| 288 | VAUTD#^VAUTW#^DGPVAR^DGHOW^DGCPYS^DGDS^DGSUBS
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| 289 | INPATIENT ROSTER
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| 290 | ROOM-BED
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| 291 | '!' Before the Patient name indicates the patient chose not to be listed in the Facility Directory
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| 292 | Display report for (D)ATE RANGE or (C)URRENT DATE: CURRENT//
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| 293 | You may display report for :
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| 294 | Include Service Connected Inpatients
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| 295 | VAUTD#^DGBEG^DGBEG1^DGEND^DGEND1^DGL^DGSC
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| 296 | Enter the beginning date:
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| 297 | The ending date can not be before the beginning date
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| 298 | C for CURRENT DATE - Report will display only those patients that
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| 299 | are inpatients in hospital today.
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| 300 | D for DATE RANGE - to display all patients that were admitted
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| 301 | to the hospital during that period.
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| 302 | Choose (Y)es or (N)o:
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| 303 | #################### #################### ####################
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| 304 | #################### #################### ####################
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| 305 | #################### #################### ####################
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| 306 | #################### #################### ####################
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| 307 | #################### #################### ####################
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