English	French	Notes	Complete/Exclude
Select FRAME SIZE/TEMPLE LENGTH: 			
ENTER THE NAME OF THE FRAMES MANUFACTURER ; 3 TO 30 CHARACTERS ALLOWED			
MAS Disability Code(s):			
Disability% 			
 Service Connected? 			
 Is a non-existent code ; Check the MAS disability codes on this patient.			
Enter `^`to exit, or `return` to continue: 			
Enter `return` to continue			
YOU MUST ENTER `RETURN` TO FINISH VIEWING MAS DISABILITY CODES			
MAS Disability Codes continued: 			
Press `RETURN` to continue.			
Last Movement Actions			
No Movements Recorded for this Patient			
Trans. Type: 			
Type of Movement: 			
Clinic Enrollments			
No Clinic Enrollments for this Patient			
OPT or AC			
Pending Appointments			
No Pending Appointments for this Patient			
Appt. Date			
Suspense Processing			
INITIAL ACTION DATE			
Chronological list of notes posted to the request...			
No notes have been posted to this request			
Initial Action Note			
Completion Note			
Other Action Note			
   posted by 			
RMPREO LINK 2319			
Old suspense record, no completion note available.			
VENDOR PHONE: 			
Can Not Edit This Suspense Record!			
STOCK ISSUE			
Initial Action Note Already Posted!			
nothing noted			
Can Not Forward.			
Completion Note Already Posted!			
Select Service To Forward Consult: 			
Not Forwarded! No Service Selected .			
Must Have Note to Forward. Consult Not Forwarded.			
See Completion Note, this was forwarded to another service.			
not noted			
ERROR, DID NOT FORWARD!			
Consult Forwarded.			
See Completion Note for Initial Action Taken.			
No Initial Action Taken... 			
This has already been completed, cannot cancel!			
This will CANCEL/DELETE this Suspense Request.			
Are you sure you want to CANCEL/DELETE this Suspense Request? (Y/N) 			
Suspense Not Cancelled!			
DELETED/CANCELLED!			
Someone else is editing this  record			
Only CPRS Suspense Can Be Cloned!			
Could NOT CLONE DUE TO BAD DATA!			
Done... Please select a device to print the new SUSPENSE Record.			
Nothing to Display, Manual Suspense.			
RMPR DETAILED DISPLAY			
Select PROSTHETICS SITE PARAMETER SITE NAME			
PIP ROLL-UP			
PIP REPORT			
Prosthetics Data Extract 			
The National Data Server has been activated today by Prosthetics HQ.			
Data has been collected for the date range 			
Disability Code information will be transmitted.			
PSAS National Extract From 			
RMPRXMZ(			
Total Number of Unique SSN's for this site: 			
PSAS Summary National Extract From 			
 Extract From 			
Prosthetics National Data Extract			
Message Numbers Created			
Summary 			
RMPRM(			
Prosthetics Data Extract Open Obligations			
Data has been collected for all open obligations.			
Select FORM LETTER TYPE: 			
Would you like a header on this letter			
Answer `YES` for a header, `NO` for no header			
Enter `return` to continue: 			
You may only enter `return` here..			
PRINT PROSTHETICS FL 10-90			
REQUEST FOR QUOTATION			
FROM: Prosthetics Service			
Prosthetics Service			
Vendor Phone #: 			
SSN:     			
Your firm is being considered for the following:			
An estimate on the above-listed item(s) is requested.  			
YOUR QUOTATION 			
DOES NOT CONSTITUTE A PURCHASE ORDER.			
  Upon completion of the esti-			
mate, return the original to the Veterans Affairs facility indicated			
above and retain a copy for your files.			
If approved, a purchase order will be prepared and forwarded to you.			
VENDOR'S ESTIMATE			
(To be completed by Vendor)			
Article or Service			
|Quantity| Unit |Unit Cost|Total Cost|			
Contract number (if applicable) |			
Signature & Title of Company Official|			
|  Note:List Terms/Discounts if Applicable			
FL 10-90 ADP			
Push return to continue			
CONTINUATION OF REQUEST FOR QUOTATION			
SSN:      			
CONTINUATION OF ITEM LIST:			
PROSTHETICS GENERIC CODE SHEETS			
AMIS is Already Running!			
PROSTHETICS ORTHOTIC/RESTORATION GENERIC CODE SHEETS			
Would you like to Delete this Transaction			
Would you like to Edit this Transaction			
1R;12R;4R;7R;2R;62R;63;14R~UNIT COST;5R;10;9;21			
Do you wish to POST this entry			
Do you wish to Delete this entry			
Enter HOME/LIAISON VISIT DATE OPENED			
VISIT HAS NOT BEEN CLOSED OUT			
Select HOME/LIAISON VISIT DATE OPENED: 			
MSH|^~\&|PROSTHETICS|			
unable to file order			
Request Failed to Suspense			
RMPR SUSP			
RMPR LOAN DEL			
RMPR LOAN CREATE			
RMPR LOAN RET			
RMPR LOAN DISP			
RMPR LOAN FOLLOW-UP			
RMPR LOAN PRINT ALL			
RMPR LOAN EDIT			
RMPR LOAN STAT			
RMPR LOAN MENU			
ENTRIES FOR 			
NO. - DESCRIPTION			
NO OUTSTANDING 2237 ENTRIES.			
ELIG/REF			
Select Item to Edit			
Deliver To information is Missing!!  2421 is incomplete			
REQUIRED ITEM INFORMATION IS MISSING			
Do you want to delete the 2421 Request			
Do You want to delete the 2421 Request			
This report lists open purchasing transactions created in the			
Prosthetic Package.  It will not include manual transactions done			
in the IFCAP 1358 module.			
OPEN 1358 TRANSACTIONS			
ITEM COST			
This Transaction has been Closed!			
This Transaction has already been Canceled!			
An X in the Item column is an error and must be reported to your Application Coordinator!			
Enter 'W' for WHEELCHAIR, 'O' for BRACE, 'B' for BLIND AIDS, 'A' for ART. LIMBS			
Select PSC ITEM CATEGORY: 			
You will not be able to exceed an item repair cost of more than $			
BLIND AID			
ARTIFICIAL LIMB			
Transaction NOT Closed-out, IFCAP Failed to Post for the Following Reason.			
Enter Date to Start NPPD Calculations From: 			
DETAIL & NEW SUMMARY			
Prosthetic NPPD			
NO UPDATE!			
NEW TO REPAIR			
REPAIR TO NEW			
Line is null, something wrong with file 661.1  :			
HCPCS DES			
PICKUP/DEL			
Ave Com			
SP LEG			
ELG REF			
$ELG REF			
STATION SUMMARY (REPAIR ACTIVITIES)			
Elg Ref $			
SPEC LEG			
Total Disability: 			
 HEARING AID, LOCAL REPAIRS			
 WHEELCHAIRS AND ACCESSORIES			
 ARTIFICIAL LEGS			
 ARTIFICIAL ARMS AND TERMINAL DEVICES			
 BRACES AND ORTHOTICS			
 NEUROSENSORY AIDS			
 HOME DIALYSIS EQUIPMENT			
 MEDICAL EQUIPMENT			
 ALL OTHER			
 AUTO & VAN EQUIP			
WHEELCHAIRS AND ACCESSORIES			
ARTIFICIAL LEGS			
ARTIFICIAL ARMS AND TERMINAL DEVICES			
BRACES AND ORTHOTICS			
SHOES/ORTHOTICS			
NEUROSENSORY AIDS			
HOME DIALYSIS EQUIPMENT			
MEDICAL EQUIPMENT			
OXYGEN & RESPIRATORY			
AUTO & VAN EQUIP			
ERROR, STOPPING!			
STATION SUMMARY (NEW ACTIVITIES)			
Unique SSN: 			
 OXYGEN AND RESPIRATORY			
 ALL OTHER SUPPLIES AND EQUIPMENT			
 HOME DIALYSIS PROGRAM			
 ADAPTIVE EQUIPMENT			
 SURGICAL IMPLANTS			
OXYGEN AND RESPIRATORY			
ALL OTHER SUPPLIES AND EQUIPMENT			
HOME DIALYSIS PROGRAM			
ADAPTIVE EQUIPMENT			
SURGICAL IMPLANTS			
Sort Options			
2 or 5 = USED INVENTORY ONLY (NEW REPORT)			
1 or 4 = NEW ITEM COSTS, USED INVENTORY (VA) COST AS ZERO,			
         (PREVIOUS BRIEF/DETAILED NPPD REPORT)			
3 or 6 = NEW AND USED COST, BOTH DOLLAR AMOUNTS TOTALED (NEW REPORT)			
USED INVENTORY ONLY			
NEW ITEM COSTS, USED INVENTORY (VA) COST AS ZERO			
NEW AND USED COST, BOTH DOLLAR AMOUNTS TOTALED			
2.   ARTIFICIAL LEGS			
3.   ARTIFICIAL ARMS AND TERMINAL DEVICES			
8.   OXYGEN AND RESPIRATORY			
9.   MEDICAL EQUIPMENT			
10.  ALL OTHER SUPPLIES AND EQUIPMENT			
11.  HOME DIALYSIS PROGRAM			
12.  ADAPTIVE EQUIPMENT			
14.  SURGICAL IMPLANTS			
REPAIR TO NEW 			
Create Date   Patient    HCPCS Item       Vendor      PA			
Changed From Line 			
 To NPPD Line: 			
  Local Record #:			
Nothing Changed, Someone Was Editing Record.  Local Record #:			
Prosthetics Auto-Fix			
Prosthetic 2529-3 NPPD			
REPORT OF 2529-3 REPAIR PROSTHETICS ACTIVITIES			
STATION SUMMARY (2529-3 REPAIR ACTIVITIES)			
2529-3 WHEELCHAIRS AND ACCESSORIES			
2529-3 ARTIFICIAL LEGS			
2529-3 ARTIFICIAL ARMS AND TERMINAL DEVICES			
2529-3 BRACES AND ORTHOTICS			
2529-3 NEUROSENSORY AIDS			
2529-3 HOME DIALYSIS EQUIPMENT			
2529-3 MEDICAL EQUIPMENT			
2529-3 ALL OTHER			
2529-3 AUTO & VAN EQUIP			
REPORT OF 2529-3 NEW PROSTHETICS ACTIVITIES			
STATION SUMMARY (2529-3 NEW ACTIVITIES)			
 2529-3 WHEELCHAIRS AND ACCESSORIES			
 2529-3 ARTIFICIAL LEGS			
 2529-3 ARTIFICIAL ARMS AND TERMINAL DEVICES			
 2529-3 BRACES AND ORTHOTICS			
 2529-3 NEUROSENSORY AIDS			
 2529-3 OXYGEN AND RESPIRATORY			
 2529-3 MEDICAL EQUIPMENT			
 2529-3 ALL OTHER SUPPLIES AND EQUIPMENT			
 2529-3 HOME DIALYSIS PROGRAM			
 2529-3 ADAPTIVE EQUIPMENT			
 2529-3 SURGICAL IMPLANTS			
2529-3 OXYGEN AND RESPIRATORY			
2529-3 ALL OTHER SUPPLIES AND EQUIPMENT			
2529-3 HOME DIALYSIS PROGRAM			
2529-3 ADAPTIVE EQUIPMENT			
2529-3 SURGICAL IMPLANTS			
2529-3 Form Type Only			
This Represents Prosthetic Lab Transactions			
2529-3 LAB DETAIL			
2529-3 LAB BRIEF			
1.   2529-3 WHEELCHAIRS AND ACCESSORIES			
2.   2529-3 ARTIFICIAL LEGS			
3.   2529-3 ARTIFICIAL ARMS AND TERMINAL DEVICES			
4.   2529-3 BRACES AND ORTHOTICS			
6.   2529-3 NEUROSENSORY AIDS			
8.   2529-3 OXYGEN AND RESPIRATORY			
9.   2529-3 MEDICAL EQUIPMENT			
10.  2529-3 ALL OTHER SUPPLIES AND EQUIPMENT			
11.  2529-3 HOME DIALYSIS PROGRAM			
12.  2529-3 ADAPTIVE EQUIPMENT			
14.  2529-3 SURGICAL IMPLANTS			
Select 2529-3 NPPD Group 			
Select 2529-3 NPPD Line 			
Please Enter the 2319 Date or the Patient's Name: 			
Would You like to Delete this 2319 Entry (Y/N)			
OPEN STOCK ISSUES			
Would you like Approve Multiple Purchases			
Would you like to Approve this Request			
Request not Approved			
***WORKING COPY***			
CONTINUATION OF 2421			
17. Signature and Title of			
Approved For			
Voucher Auditor			
Acct. Symbol			
ADP Form 10-2421  APR 1991			
****DUPLICATE COPY****			
In Reply Refer to:			
With reference to your request of 			
, authority is granted to repair 			
the appliance described below for the above-named veteran.			
DESCRIPTION OF APPLIANCE OR REPAIR			
The total cost, not including mailing cost, will not exceed 			
When repairs are completed, please attach the original of this letter to			
the original copy of your invoice covering repair charges.  Your invoice,			
in original and one copy should then be forwarded to this office for			
Please retain the duplicate  copy of this letter for your files.			
ADP FORM 10-55			
PROSTHETICS PRINT OF 10-55			
<REQUEST DID NOT QUEUE!>			
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