source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0037.txt@ 929

Last change on this file since 929 was 604, checked in by George Lilly, 15 years ago

Internationalization

File size: 13.7 KB
Line 
1English French Notes Complete/Exclude
2Y - If you want to purge data.
3N - If you don't wish to purge data.
4Purge patients not seen since:
5SELECT A DATE IN THE PAST PLEASE!!
6I'm going to purge all patients from the INCONSISTENT DATA file who haven't been
7admitted or registered since
8Is this correct
9Y - To start the purge process.
10N - To QUIT.
11Generate a listing of inconsistent data elements by:
12CHOOSE OUTPUT METHOD OR ENTER '^' TO QUIT:
13The available choices are:
14 Go To
15List by (N)ame or (T)erminal Digit:
16N - To generate listing in Alphabetical Order
17T - To generate listing in Terminal Digit Order.
18THIS OUTPUT REQUIRES 132 COLUMN OUTPUT
19INCONSISTENT ELEMENTS FOR PATIENTS WITH A
20Missing
21Last Day
22Home Phone #
23Soc Sec #
24ID'ed
25Edited by
26Inconsistent/Missing Data Elements
27TABLE OF INCONSISTENT/MISSING DATA ELEMENTS
28UNIDENTIFIED PATIENT #
29Do you want to delete the existing entries and rebuild the file
30Y - If you want to remove all existing entries from the INCONSISTENT DATA
31file and rebuild from scratch.
32N - If you just want to add newly identified inconsistencies to the
33existing file.
34Rebuild for patients seen since what date:
35I'm going to check all patients who were admitted or registered on or after
36 [Within the Past
37DELETE all existing entries prior to rebuilding
38add any new inconsistent data elements to the existing file
39Y - If this is what you want to do.
40N - If you wish to STOP processing and reconsider this action.
41INCONSISTENT DATA^38.5P^^0
42' OPTION RUNNING FROM
43UNABLE TO RUN THIS OPTION AT CURRENT TIME!!
44Do you really want to update existing inconsistent entries
45Y - If you want me to run through all the entries currently filed in
46the INCONSISTENT DATA file and verify they're still inconsistent.
47N - If you wish to QUIT and rethink this action.
48This check can not be edited. It is automatically turned
49Temporary:
50POS:
51Claim #:
52Relig:
53Ethnicity:
54Primary Eligibility:
55PENDING REVERIFICATION
56Other Eligibilities:
57Confidential Address:
58From/To: NOT APPLICABLE
59From/To:
60COORDINATING MASTER OF RECORD:
61Scheduled Admit
62 for treating specialty
63Currently enrolled in
64Future Appointments:
65See Scheduling options for additional appointments.
66 * NO ACTION TAKEN *
67Press RETURN to CONTINUE:
68Catastrophically Disabled Review Date:
69 Primary Elig. Code:
70Other Elig. Code(s):
71 Service Connected: NO
72 SC Percent:
73NOT A VETERAN
74 Health Insurance:
75Medicaid Elig:
76 Means Test Status: NOT IN MEANS TEST FILE
77 Invalid pseudo SSN.
78Type 'P' for the valid one
79Pseudo SSN adjusted to match edited name value ==>
80VERIFY FIELDS
81 Already used by patient '
82 The SSN must not begin with 9.
83 First three digits cannot be zeros.
84 Note: This is a RR Retirement SSN.
85 Note: This is a Test Patient SSN.
86 Collateral of
87Must have same SSN to be collateral
88Has collateral
89 be sure to change SSN
90The date of birth is too early for the selected category of beneficiary
91Make another selection or correct the date of birth.
92The date of birth is too late for the selected category of beneficiary.
93The patient's age is too young for the selected category of beneficiary.
94This service entry date would make the patient too young for service.
95DOB
96Previous service entry date is not on file
97This service entry date must be before than the first service entry date
98This service entry date must be less than the second service entry date
99The service separation date must be after the entry date
100This service separation date must be before the next service entry date
101The service separation date must be before the next service entry date
102**NOTE-Change(s) made in this session deleted the veteran's Combat Vet status!
103But I need a Start Date for this Temporary Address.
104But I need at least one line of a Temporary address.
105But I need a Start Date.
106But I need at least one active category.
107I need at least one line of Address.
108But I need to know where you were treated most recently.
109Patient is not a veteran. Can't enter rated disabilities
110SPOUSE'S
111DEPENDENT'S
112CHILD'S
113Incomplete Entry...Deleted
114No dependents to inactivate!
115Enter a number 1-
116 to indicate the dependent you wish to inactivate:
117 indicating the number of the dependent you wish to inactivate
118RELATIONSHIP:
119Entry incomplete...deleted
120Dependent has been inactivated as of
121Date
122 no longer a dependent
123Enter the date this person was no longer a dependent of the veteran.
124This could include a date of death or the date a child turned 18 for
125children. For a spouse, this would be the date of divorce or date
126of death of the spouse. Date must be after the person became a
127dependent, but prior to 12/31/
128A person should only be inactivated if the individual was not a
129dependent at any time during the prior calendar year.
130A spouse should be inactivated if the spouse and veteran were not
131married as of 12/31/
132Warning: Data will be used if dependent was active at least one day in a
133year. Data will not be used if inactivation is prior to 1/1/
134 or it
135is equal to the activation date.
136Do you wish to inactivate this dependent on the selected date?
137 [Must edit through means test!!]
138EFFECTIVE DATE
139Please return to screen 8 and check the veteran's effective date.
140The effective date was created based on the veteran's date of birth.
141You might also want to check the date of birth for this veteran.
142This dependent is 18 years or older. To list this person as a dependent
143they have to be:
144 1. An UNMARRIED child who is under the age of 18.
145 2. Between the ages of 18 and 23 and attending school.
146 3. An unmarried child over the age of 17 who became permanently
147 incapable of self support before the age of 18.
148Use 'Expand Dependent' option to change effective date.
149Enter the date this person first became a dependent of the veteran.
150In the case of a spouse, this would be the date of marriage. For
151a parent or other dependent, this would be the date the dependent
152moved in. For a child, this would be the date of birth or date of
153Date must be before DEC 31,
154 as dependents are collected for the
155prior calendar year only.
156Enter '^' to stop the display
157and edit
158of data, '^N' to jump to screen #N (see
159listing below), <RET> to continue on to the next available screen
160 or enter
161the field group number(s) you wish to edit using commas and dashes as
162delimiters. Those groups enclosed in brackets
163 are editable while those
164enclosed in arrows
165 are not.
166 Enter 'ALL' to edit all editable data
167elements on the screen.
168You may precede your selection with 'V' to denote veteran.
169DATA GROUPS ON SCREEN
170Press RETURN key
171 to EXIT Screen
172TO EXIT
173Name, SSN, DOB^Alias Name & SSN (if applicable)^Remarks concerning this patient^Home Address, Phone & Work Phone^Temporary Address, Dates, Phone
174Confidential Address,Dates and Types
175Sex, POB, Parents, etc.^Dates/Locations of Previous Care^Race and Ethnicity
176Primary Next-of-Kin^Secondary Next-of-Kin^Primary Emergency Contact^Secondary Emergency Contact^Designee to receive personal effects
177Applicant Employer, Address^Spouses Employer, Address
178Unexpired Insurance Policies^Eligibile for Medicaid
179Service History^Prisoner of War^Combat^Vietnam Service^Agent Orange Exposure^IONizing Radiation Exposure^
180Lebanon Service^Grenada Service^Panama Service^Persian Gulf Service^Somalia Service^Environmental Contaminants Exposure^Military Retirement/Disability^Dental History^Yugoslavia Service^Purple Heart Recipient^
181Nose/Throat Radium Treatment
182Patient Type, SC Data, Claim Info^VA Monetary Benefits^POS, Eligibility Code(s)^SC Conditions relayed by applicant
183Spouse's Demographic Info^Dependents' Demographic Info
184Social Security^U.S. Civil Service^U.S. Railroad Retirement^Military Retirement^Unemployment^Other Retirement^Total Employment Income^Interest,Dividend,Annuity^Workers Comp or Black Lung^Other Income
185Ineligible Patient Information^Missing Patient Information
186Eligibility Verification^Monetary Benefits Verification^Service Record Verification^Rated Disabilities (VA)
187Four most recent admission episodes on file for this applicant are displayed
188in inverse order.
189Four most recent applications for care (registrations) are displayed in
190inverse order.
191Clinics in which actively enrolled^Pending (future) appointments
192Sponsor information is displayed for patients.
193Demographic^Confidential Address^Patient^Contact^Employment^Insurance^Service Record^Eligibility^Family Demographic^Income Screening^Missing/Ineligible^Eligibility Verification^
194Admission Info^Application Info^Appointment Info^Sponsor Demograhics
195Enter your division:
196Unable to update Purple Heart Data.
197Unable to update Purple Heart History.
198=ENTER new
199 to EDIT,
200 for screen N or
201 to QUIT
202 COPYING will move Family Demographic and Income Data into the next year...
203 YOU HAVE ALREADY MODIFIED CURRENT YEAR DEPENDENT INFORMATION
204 COPYING will OVERWRITE this modified dependent information
205 with LAST year's data - ** Please review dependent data **
206 ...FAMILY DEMOGRAPHIC DATA COPIED
207 ...............INCOME DATA COPIED
208===> Record has been classified as sensitive.
209Your MAS PARAMETER file is not properly set up!
210LOCAL REGISTRATION QUESTIONS
211INVALID SCREEN NUMBER...VALID SCREENS ARE
212(To edit only veteran income, precede selection with 'V' [ex. 'V1-3']
213precede with 'S' to edit spouse
214precede with 'D' to edit dependents
215>>> Patient cannot be registered while there is still an open disposition.
216Patient: Eligibility, Demographic
217 Emergency Contact and Military Service
218Marital
219Another user is editing, try later...
220Insurance
221HINQ Inquiry
222Consistency Checker
223At this time you may Register the patient if he or she is present and
224seeking care. Answer 'No' if this was a mail-in application.
225Would you like to Register the patient
226Exit Interview
227PRINT 10/10T
228DGRPT 10-10T REGISTRATION
229Patient Demographics
230Permanent Address:
231Emergency Contact
232NOK:
233Military Service
234Service Branch [Last]:
235Number [Last]:
236Purple Heart:
237Eligibility
238Patient Type:
239Primary Elig Code:
240Marital/Spouse
241Spouse's Name:
242Last Year's Estimated
243Covered by Health Insurance:
244Insurance Co. Subscriber ID Group Holder Effective Expires
245PRINT 10-10T
246 - FROM REGISTRATION
247Reg Date/Time:
248AUTOMATED VA FORM 10-10T
249VA FORM 10-10T
250|2. Social Security Number
251|3. Date of Birth
2524A. Applicant's Mailing Street Address
253|4D. Zip Code
254|6. Home Telephone Number
255|7. Work Telephone Number
2568A. Emergency Contact
257|8C. Home Telephone Number
258|8D. Work Telephone Number
2598E. Mailing Address of Emergency Contact
260|9. Is Emergency Contact
261|Also Next of Kin
26210. Benefit Applying For:
263HOSPITAL/OUTPATIENT TREATMENT
26411. Applicant Status:
265A. Service Connected
266|B. Prisoner of War
267|C. Aid and Attendance
268|D. Military Disability Retired
269E. VA Pension
270|F. Primary Eligibility Code
271|G. Other Eligibility Code
272|H. Purple Heart Recipient
27312. Exposure To:
274|A. Agent Orange
275|C. Environmental Contaminants
27613. Medical Care Related To:
27714A. Do You Have Health Coverage
278|14B. Name of Health Insurance Carrier
27915. Branch of Service
280|16. Latest Service Number
281|17. Marital Status
282|18B. Spouse's Social Security Number
28318C. Year of Marriage
284|18D. Number of Dependents
285|19. Last Year's Estimated
286 Taxable Income
287Consent To Release Information: I hereby authorize the Department of Veterans Affairs to disclose any such history, diagnostic and
288treatment information from my medical records (including information relating to the diagnosis, treatment or other therapy for the
289conditions of drug abuse, alcoholism or alcohol abuse, sickle cell anemia, or testing for or infection with the human
290immunodeficiency virus) to the carrier or contractor of any health plan contract under which I am apparently entitled to medical
291care or payment of the expense of care that is identified above, as considered necessary by VA representatives for the discharge
292of the legal or contractual obligations of the insurer or other party against whom liability is asserted. I understand that I
293may revoke this authorization at any time, except to the extent that action has already been taken in reliance on it. Without my
294express revocation, this consent will automatically expire when all action arising from VA's claim for reimbursement for my
295medical care has been completed.
296Co-payment Notice: If your household income exceeds the established threshold, you will be considered
297Discretionary
298Such veterans must pay a co-payment not to exceed the Medicare deductible, plus a per diem for hospital and nursing care.
299By signing this application, you are agreeing to pay the VA the applicable co-payment if you are determined to be a
300Signature of Applicant
301Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for
302reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
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