English French Notes Complete/Exclude Y - if you want to include service connected inpatients in the report. N - if you do not want to include service connected inpatients. Number of unknown #Number of unanswered MEDICAL CENTER: Total number of unknown #Total number unanswered DIVISION SUMMARY FOR Number of Unknown: #Number Unanswered: ACTIVE PATIENTS WITH UNKNOWN/UNANSWERED INSURANCE Enter to continue or ^ to QUIT MEDICAL CENTER TOTALS FOR # - Denotes prompt left blank by user START with DATE@TIME: [ Date cannot be in Future ] [ DATE MORE THAN 5 DAYS IN PAST ] Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec AUTH LEAVE UA LEAVE ON PASS ASIH OTHER FROM PASS Enter to continue or '^' to QUIT FROM Ward-Bed TO Ward-Bed Do you want to select only one religion Enter 'Y' for YES or 'N' for NO or '^' to EXIT List Report By (W)ARD or (R)ELIGION: RELIGION// You may list the report by either : Do you want patients with 'NOT SPECIFIED' religion displayed R for RELIGION - Major sort is by RELIGION. Within each religion patient names are further sorted by Ward. Prints each religion on a separate page. W for WARD - Major sort is by WARD. Within each ward patient names are further sorted by Religion. Prints each ward on separate page. Enter 'Y' to list the patients who have not specified a religion Enter 'N' if you don't want to list patients who Enter '^' to quit RELIGION: INPATIENT RELIGIOUS AFFILIATIONS LISTING BY WARD - FAITH - DISPLAY THE FOLLOWING PATIENTS IS THIS CORRECT Y - If you want to see VBC data for these patients. N - If you want to QUIT and reconsider this action. Start with ADMISSION DATE: Go to ADMISSION DATE: TO DATE CAN'T BE BEFORE FROM DATE!! VETERANS ASSISTANCE UNIT RECORD 1. Patient Name: UNSPECIFIED PATIENT # | 3. PT ID: 5. Address Information [Street, City, State, Zip Code]: 5A. Confidential Address Information [Street, City, State, Zip Code]: 6. Service Record Service # Entry Date Separation Date Discharge Type 7. Admission Date : NO ADMISSIONS ON FILE FOR THIS APPLICANT. Admission Type Admitting Diagnosis Admission Authority NOTE: NOT CURRENTLY AN INPATIENT. CURRENTLY AN INPATIENT ON WARD ' INPATIENT ON UNKNOWN WARD. NOTE: Asterisk [*] indicates admission for Service Connected Condition. Confidential Start Date: Confidential End Date: Confidential Address Categories: ADMITTING DIAGNOSIS UNSPECIFIED Housebound : Social Security: VA Pension : Military Retirement: GI Insurance : Disability : SSI : Other Income : Other Retirement: Verified SC Disabilities: NOT A SERVICE-CONNECTED APPLICANT, NOT APPLICABLE!! NONE ON FILE!! 10. Former POW: | 11. Marital Status: | 12. Means Test: NOT REQUIRED | DATE SEEN | SEEN BY Date/Time Printed: PIMS VERSION PARAMETER ENTRY/EDIT [1] Medical Center Name : NONE SPECIFIED Affiliated: Multidivisional : Nursing Home Wards : Domiciliary Wards: System Timeout Sec. : Print PTF Messages: G&L Earliest Date : Default PTF Printer : High Intensity: Consistency Checker : Abbreviated Inquiry: Auto PTF Messages : Show Status Screen: [2] Days to Update Medicaid Maintain G&L Corrections: Disposition late Supplemental 10/10: Ask HINQ at Registration DRUG PROFILE with 10/10: CHOICE OF DRUG PROFILE? Default Drug Profile: INFO. HEALTH SUMMARY with 10/10 : Default Health Summary: Ask EMBOSS at Registration : Use Nearest Printer: Reg. Template (LOCAL) Use Temp Address: Default Code Sheet Printer : Ask Device in Reg.: Days to Maintain Sens. Data: Forever Print Encounter Form Default EF Printer Restrict PATIENT access : Purple Heart Sort Ascending Descending Sort Method Background Job Function: Days Between Calls Days to Maintain Log Entries: Days to Pull Appointments Run for Weekend: Excluded Clinics: Excluded Eligibilities: Divisions: 'D' to view DIVISIONS, 1-3 to EDIT, or RETURN to QUIT: Press RETURN to see more DIVISION PARAMETERS: DIVISION PARAMETERS Print Wristbands AA<96 HOURS^AA Division PTF printer NEEDS TO BE SPECIFIED ADT PARAMETER ENTRY/EDIT, HELP SCREEN >>> Enter RETURN to QUIT this option. >>> Enter a 'D' to display individual DIVISION parameters. >>> NOTE: To view and edit Scheduling parameters use the 'Scheduling Parameters' option under the 'Supervisor Menu' in the Scheduling package. >>> Enter the field group number(s) you wish to edit using commas and or dashes as delimiters. Edit Data Group(s) [Select by number]: [1] Primary facility parameters, which if multi-divisional facility apply to all divisions, such as 'PRINT PTF MESSAGE?', etc. [2] ADT Specific parameters which, again, if the facility is multi-divisional apply to all divisions. Includes such items as 'at what point is a disposition considered late', etc. The names of the individual divisions associated with this facility. You may enter a 'D' at the 'ENTER' prompt to view division specific data. The device/G&L parameters associated with this facility. Press RETURN to return to SCREEN: Combined/Separate G&L: 10/10^DRUG PROFILE^ROUTING SLIP Enter date of Absence: *** THERE ARE NO PATIENTS OUT ON ABSENCE FOR ABSENCE LIST FOR PATIENT NAME CHANGED PATIENT DELETED NAME: SSN : DOB : Previous name was ' NEW PATIENT ADDED TO SYSTEM SSN CHANGED Previous SSN was ' UNSPECIFIED # DOB UNSPECIFIED DGFLD( Patient is not valid Record flag is not valid Record flag is already assigned to patient Status of record flag assignment is 'Inactive' Not the owner site Record flag status is 'Inactive' Can't change ownership of assignments to Category II (Local) flags Record flag assignment status is 'Inactive' NEW ASSIGNMENT IEN of (#26.11)^IEN of (#26.12) CHIEF OF STAFF II (LOCAL) No Narrative Text DGPF RECORD FLAG ASSIGNMENT DGPFVALM DATA VALM DATA * * * * PRF ASSIGNMENT REVIEW NOTIFICATION * * * * The following Patient Record Flag Assignments are due for review for continuing appropriateness: Flag Name Patient Record Flag Module PRF ASSIGNMENT REVIEW NOTIFICATION Assignment Inactivated automatically due to Flag Inactivation. DGPF OB DGPFA( DGPFAH( Other Patient Record Flag Assignments DGPF PRF ORU/R01 EVENT DGPF PRF ORF/R04 SUBSC DGPF PRF QRY/R02 EVENT Attempting to connect to CMOR site to search for Patient Record Flag Assignments. This request may take some time, please be patient ... Narrative Comment A facility could not process the following Patient Record Flag assignment on Receiving Facility name: Flag Name: Patient Name: Social Security #: Date of Birth: Integrated Control #: Reason#: PRF MESSAGE TRANSMISSION ERROR G.DGPF HL7 TRANSMISSION ERRORS DGPF PRF ORU/R01 SUBSC DOE,JOHN DGPF RECORD FLAG MANAGEMENT Flag Category: II (Local) Sorted By: Flag Type There are currently no flags on file to display. Would you like to sort the list by ' ' action not allowed at this point. There are no record flags to display. ' action not allowed for Category II (Local) Flags. ' action not allowed for Category I (National) Flags. Only Category II (Local) Flags may be created at the local site. DGPF LOCAL FLAG EDIT You do not have the appropriate Security Key. Enter the Record Flag Name *** Flag name already on file Enter the Status of the Flag Enter the Type of the Flag Enter RETURN to continue or '^' to exit Enter the Review Frequency Days Enter the Notification Days Enter the Review Mail Group >>> You've entered the Review Frequency and Notification Days, now enter a Review Mail Group or abort this process. Enter the description for this new record flag: Patient Record Flag - Flag Description Text Flag Description Text Flag Description Text is required! <...There is more Description to display but we need to file this now...> Would you like to file this new local record flag Filing the new local record flag... New Local Patient Record Flag entered. >>> Local record flag was filed successfully. not filed successfully. ' action is aborting, nothing has been filed. Enter RETURN to continue Only Category II (Local) Flags may be edited. Unable to Lock Flag, another User is Editing this Flag. No Local Flag record data found. Please check your selection. Enter/Edit Reason: >>> No edits to were found. Would you like to file the local record flag changes Updating the local record flag... >>> Name change not allowed ... patients are assigned to this flag. >>> WARNING - All Patient's assigned to this flag will be Inactivated automatically after filing this edit. >>> Flag Type change not allowed ... Would you like to edit the description of this record flag An error has occurred while trying to retrieve the Flag Description Text. Enter the reason for editing this record flag: Patient Record Flag - Edit Reason Text Edit Reason Text Edit Reason Text is required! Enter the Principal Investigator(s) Sure you want to delete ' ' as a PRINCIPAL INVESTIGATOR Are you adding ' #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### #################### ####################