source: internationalization/trunk/TranslationSpreadsheets/WV-DIALOG-0037.txt@ 604

English French  Notes   Complete/Exclude
Y - If you want to purge data.                  
N - If you don't wish to purge data.                    
Purge patients not seen since:                          
SELECT A DATE IN THE PAST PLEASE!!                      
I'm going to purge all patients from the INCONSISTENT DATA file who haven't been                        
admitted or registered since                    
Is this correct                 
Y - To start the purge process.                 
N - To QUIT.                    
Generate a listing of inconsistent data elements by:                    
CHOOSE OUTPUT METHOD OR ENTER '^' TO QUIT:                      
The available choices are:                      
     Go To                      
List by (N)ame or (T)erminal Digit:                     
N - To generate listing in Alphabetical Order                   
T - To generate listing in Terminal Digit Order.                        
THIS OUTPUT REQUIRES 132 COLUMN OUTPUT                  
INCONSISTENT ELEMENTS FOR PATIENTS WITH A                       
Missing                 
Last Day                        
Home Phone #                    
Soc Sec #                       
ID'ed                   
Edited by                       
Inconsistent/Missing Data Elements                      
TABLE OF INCONSISTENT/MISSING DATA ELEMENTS                     
UNIDENTIFIED PATIENT #                  
Do you want to delete the existing entries and rebuild the file                 
Y - If you want to remove all existing entries from the INCONSISTENT DATA                       
file and rebuild from scratch.                  
N - If you just want to add newly identified inconsistencies to the                     
existing file.                  
Rebuild for patients seen since what date:                      
I'm going to check all patients who were admitted or registered on or after                     
 [Within the Past                       
DELETE all existing entries prior to rebuilding                 
add any new inconsistent data elements to the existing file                     
Y - If this is what you want to do.                     
N - If you wish to STOP processing and reconsider this action.                  
INCONSISTENT DATA^38.5P^^0                      
' OPTION RUNNING FROM                   
UNABLE TO RUN THIS OPTION AT CURRENT TIME!!                     
Do you really want to update existing inconsistent entries                      
Y - If you want me to run through all the entries currently filed in                    
the INCONSISTENT DATA file and verify they're still inconsistent.                       
N - If you wish to QUIT and rethink this action.                        
This check can not be edited.  It is automatically turned                       
Temporary:                      
POS:                    
Claim #:                        
Relig:                  
Ethnicity:                      
Primary Eligibility:                    
PENDING REVERIFICATION                  
Other Eligibilities:                    
Confidential Address:                   
From/To: NOT APPLICABLE                 
From/To:                        
COORDINATING MASTER OF RECORD:                  
Scheduled Admit                 
 for treating specialty                         
Currently enrolled in                   
Future Appointments:                    
See Scheduling options for additional appointments.                     
 * NO ACTION TAKEN *                    
Press RETURN to CONTINUE:                       
Catastrophically Disabled Review Date:                  
 Primary Elig. Code:                    
Other Elig. Code(s):                    
  Service Connected: NO                 
         SC Percent:                    
NOT A VETERAN                   
    Health Insurance:                   
Medicaid Elig:                  
  Means Test Status:  NOT IN MEANS TEST FILE                    
  Invalid pseudo SSN.                   
Type 'P' for the valid one                      
Pseudo SSN adjusted to match edited name value ==>                      
VERIFY FIELDS                   
  Already used by patient '                     
  The SSN must not begin with 9.                        
   First three digits cannot be zeros.                  
      Note: This is a RR Retirement SSN.                        
      Note: This is a Test Patient SSN.                 
 Collateral of                  
Must have same SSN to be collateral                     
Has collateral                  
 be sure to change SSN                  
The date of birth is too early for the selected category of beneficiary                 
Make another selection or correct the date of birth.                    
The date of birth is too late for the selected category of beneficiary.                 
The patient's age is too young for the selected category of beneficiary.                        
This service entry date would make the patient too young for service.                   
DOB                     
Previous service entry date is not on file                      
This service entry date must be before than the first service entry date                        
This service entry date must be less than the second service entry date                         
The service separation date must be after the entry date                        
This service separation date must be before the next service entry date                         
The service separation date must be before the next service entry date                  
**NOTE-Change(s) made in this session deleted the veteran's Combat Vet status!                  
But I need a Start Date for this Temporary Address.                     
But I need at least one line of a Temporary address.                    
But I need a Start Date.                        
But I need at least one active category.                        
I need at least one line of Address.                    
But I need to know where you were treated most recently.                        
Patient is not a veteran.  Can't enter rated disabilities                       
SPOUSE'S                        
DEPENDENT'S                     
CHILD'S                         
Incomplete Entry...Deleted                      
No dependents to inactivate!                    
Enter a number 1-                       
 to indicate the dependent you wish to inactivate:                      
 indicating the number of the dependent you wish to inactivate                  
RELATIONSHIP:                   
Entry incomplete...deleted                      
Dependent has been inactivated as of                    
Date                    
 no longer a dependent                  
Enter the date this person was no longer a dependent of the veteran.                    
This could include a date of death or the date a child turned 18 for                    
children.  For a spouse, this would be the date of divorce or date                      
of death of the spouse.  Date must be after the person became a                 
dependent, but prior to 12/31/                  
A person should only be inactivated if the individual was not a                 
dependent at any time during the prior calendar year.                   
A spouse should be inactivated if the spouse and veteran were not                       
married as of 12/31/                    
Warning: Data will be used if dependent was active at least one day in a                        
year.  Data will not be used if inactivation is prior to 1/1/                   
 or it                  
is equal to the activation date.                        
Do you wish to inactivate this dependent on the selected date?                  
    [Must edit through means test!!]                    
EFFECTIVE DATE                  
Please return to screen 8 and check the veteran's effective date.                       
The effective date was created based on the veteran's date of birth.                    
You might also want to check the date of birth for this veteran.                        
This dependent is 18 years or older.  To list this person as a dependent                        
they have to be:                        
     1.  An UNMARRIED child who is under the age of 18.                 
     2.  Between the ages of 18 and 23 and attending school.                    
     3.  An unmarried child over the age of 17 who became permanently                   
         incapable of self support before the age of 18.                        
Use 'Expand Dependent' option to change effective date.                 
Enter the date this person first became a dependent of the veteran.                     
In the case of a spouse, this would be the date of marriage.  For                       
a parent or other dependent, this would be the date the dependent                       
moved in.  For a child, this would be the date of birth or date of                      
Date must be before DEC 31,                     
 as dependents are collected for the                    
prior calendar year only.                       
Enter '^' to stop the display                   
and edit                        
of data, '^N' to jump to screen #N (see                 
listing below), <RET> to continue on to the next available screen                       
 or enter                       
the field group number(s) you wish to edit using commas and dashes as                   
delimiters.  Those groups enclosed in brackets                  
 are editable while those                       
enclosed in arrows                      
 are not.                       
  Enter 'ALL' to edit all editable data                 
elements on the screen.                 
You may precede your selection with 'V' to denote veteran.                      
DATA GROUPS ON SCREEN                   
Press RETURN key                        
 to EXIT Screen                         
TO EXIT                 
Name, SSN, DOB^Alias Name & SSN (if applicable)^Remarks concerning this patient^Home Address, Phone & Work Phone^Temporary Address, Dates, Phone                        
Confidential Address,Dates and Types                    
Sex, POB, Parents, etc.^Dates/Locations of Previous Care^Race and Ethnicity                     
Primary Next-of-Kin^Secondary Next-of-Kin^Primary Emergency Contact^Secondary Emergency Contact^Designee to receive personal effects                    
Applicant Employer, Address^Spouses Employer, Address                   
Unexpired Insurance Policies^Eligibile for Medicaid                     
Service History^Prisoner of War^Combat^Vietnam Service^Agent Orange Exposure^IONizing Radiation Exposure^                       
Lebanon Service^Grenada Service^Panama Service^Persian Gulf Service^Somalia Service^Environmental Contaminants Exposure^Military Retirement/Disability^Dental History^Yugoslavia Service^Purple Heart Recipient^                        
Nose/Throat Radium Treatment                    
Patient Type, SC Data, Claim Info^VA Monetary Benefits^POS, Eligibility Code(s)^SC Conditions relayed by applicant                      
Spouse's Demographic Info^Dependents' Demographic Info                  
Social 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                 
Ineligible Patient Information^Missing Patient Information                      
Eligibility Verification^Monetary Benefits Verification^Service Record Verification^Rated Disabilities (VA)                     
Four most recent admission episodes on file for this applicant are displayed                    
in inverse order.                       
Four most recent applications for care (registrations) are displayed in                 
inverse order.                  
Clinics in which actively enrolled^Pending (future) appointments                        
Sponsor information is displayed for patients.                  
Demographic^Confidential Address^Patient^Contact^Employment^Insurance^Service Record^Eligibility^Family Demographic^Income Screening^Missing/Ineligible^Eligibility Verification^                       
Admission Info^Application Info^Appointment Info^Sponsor Demograhics                    
Enter your division:                    
Unable to update Purple Heart Data.                     
Unable to update Purple Heart History.                  
=ENTER new                      
 to EDIT,                       
 for screen N or                        
 to QUIT                        
  COPYING will move Family Demographic and Income Data into the next year...                    
   YOU HAVE ALREADY MODIFIED CURRENT YEAR DEPENDENT INFORMATION                 
     COPYING will OVERWRITE this modified dependent information                 
     with LAST year's data -  ** Please review dependent data **                        
   ...FAMILY DEMOGRAPHIC DATA COPIED                    
   ...............INCOME DATA COPIED                    
===> Record has been classified as sensitive.                   
Your MAS PARAMETER file is not properly set up!                 
LOCAL REGISTRATION QUESTIONS                    
INVALID SCREEN NUMBER...VALID SCREENS ARE                       
(To edit only veteran income, precede selection with 'V' [ex. 'V1-3']                   
precede with 'S' to edit spouse                 
precede with 'D' to edit dependents                     
>>> Patient cannot be registered while there is still an open disposition.                      
Patient: Eligibility, Demographic                       
   Emergency Contact and Military Service                       
Marital                 
Another user is editing, try later...                   
Insurance                       
HINQ Inquiry                    
Consistency Checker                     
At this time you may Register the patient if he or she is present and                   
seeking care.  Answer 'No' if this was a mail-in application.                   
Would you like to Register the patient                  
Exit Interview                  
PRINT 10/10T                    
DGRPT 10-10T REGISTRATION                       
Patient Demographics                    
Permanent Address:                      
Emergency Contact                       
NOK:                    
Military Service                        
Service Branch [Last]:                  
Number [Last]:                  
Purple Heart:                   
Eligibility                     
Patient Type:                   
Primary Elig Code:                      
Marital/Spouse                  
Spouse's Name:                  
Last Year's Estimated                   
Covered by Health Insurance:                    
Insurance Co.      Subscriber ID     Group       Holder  Effective Expires                      
PRINT 10-10T                    
 - FROM REGISTRATION                    
Reg Date/Time:                  
AUTOMATED VA FORM 10-10T                        
VA FORM 10-10T                  
|2. Social Security Number                      
|3. Date of Birth                       
4A. Applicant's Mailing Street Address                  
|4D. Zip Code                   
|6. Home Telephone Number                       
|7. Work Telephone Number                       
8A. Emergency Contact                   
|8C. Home Telephone Number                      
|8D. Work Telephone Number                      
8E. Mailing Address of Emergency Contact                        
|9. Is Emergency Contact                        
|Also Next of Kin                       
10. Benefit Applying For:                       
HOSPITAL/OUTPATIENT TREATMENT                   
11. Applicant Status:                   
A. Service Connected                    
|B. Prisoner of War                     
|C. Aid and Attendance                  
|D. Military Disability Retired                 
E. VA Pension                   
|F. Primary Eligibility Code                    
|G. Other Eligibility Code                      
|H. Purple Heart Recipient                      
12. Exposure To:                        
|A. Agent Orange                        
|C. Environmental Contaminants                  
13. Medical Care Related To:                    
14A. Do You Have Health Coverage                        
|14B. Name of Health Insurance Carrier                  
15. Branch of Service                   
|16. Latest Service Number                      
|17. Marital Status                     
|18B. Spouse's Social Security Number                   
18C. Year of Marriage                   
|18D. Number of Dependents                      
|19. Last Year's Estimated                      
 Taxable Income                 
Consent To Release Information: I hereby authorize the Department of Veterans Affairs to disclose any such history, diagnostic and                      
treatment information from my medical records (including information relating to the diagnosis, treatment or other therapy for the                      
conditions of drug abuse, alcoholism or alcohol abuse, sickle cell anemia, or testing for or infection with the human                   
immunodeficiency virus) to the carrier or contractor of any health plan contract under which I am apparently entitled to medical                        
care or payment of the expense of care that is identified above, as considered necessary by VA representatives for the discharge                        
of the legal or contractual obligations of the insurer or other party against whom liability is asserted.  I understand that I                  
may revoke this authorization at any time, except to the extent that action has already been taken in reliance on it.  Without my                       
express revocation, this consent will automatically expire when all action arising from VA's claim for reimbursement for my                     
medical care has been completed.                        
Co-payment Notice: If your household income exceeds the established threshold, you will be considered                   
Discretionary                   
Such veterans must pay a co-payment not to exceed the Medicare deductible, plus a per diem for hospital and nursing care.                       
By signing this application, you are agreeing to pay the VA the applicable co-payment if you are determined to be a                     
Signature of Applicant                  
Public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for                      
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the                    
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