308 lines
10 KiB
Plaintext
308 lines
10 KiB
Plaintext
English French Notes Complete/Exclude
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Patient is in an 'EXEMPT' status and requires property information.
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Patient's deductible expenses cannot exceed income.
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Patient has more than one spouse for this means test.
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Since assets exceed the threshold, the
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test can
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be sent to adjudication. If the
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test is not
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adjudicated, the patient will be placed in
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GMT Copay Required
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MT Copay Required
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Non-exempt
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Do you wish to send this case to adjudication
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PRINT 10-10F
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THIS OUTPUT REQUIRES 132 COLUMN OUTPUT TO THE PRINTER.
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CANNOT QUEUE TO HOME DEVICE!
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Print 10-10F
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to CONTINUE,
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to EDIT,
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for screen N, or
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to EXIT:
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Enter <RET> to continue to the next available screen.
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Enter an available item number from
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to edit.
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The items should be separated by commas or a range of numbers
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separated by a dash, or a combination of commas and dashes.
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To edit a specific column, enter 'V'
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in front of the selected items.
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Enter 'ALL' to edit all available items on the screen.
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Enter '^N' to jump to a select screen. Enter '^' to exit.
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AVAILABLE SCREENS
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IOINHI;IOINLOW
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ANNUAL INCOME FOR
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Means Test Signed?:
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Patient Requires a Means Test
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Patient's Means Test is Pending Adjudication for
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Means Test Not Required
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Patient's status is
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based on primary means test
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Has
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agreed to pay the deductible
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Primary Means Test
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Required from
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Last Applied
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(NO LONGER REQUIRED:
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proceed with
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the means test at this time
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*** Patient Requires a Means Test ***
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Primary Means Test Required from
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Patient's Test dated
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The test
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date is greater than 365 days old. Please update.
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Cannot copy information. Either there is no prior year income
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or there is income already on file for this year.
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Previous year data contains a negative amount. Data cannot be copied.
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Patient:
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Date of Test:
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Total Dependents:
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Type Of Test:
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Status:
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Date/Time Completed:
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Primary Test For Year:
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Source Of Test:
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Income:
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Completed By:
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Net Worth:
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Date/Time Category Changed:
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Deductible Expenses:
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Category Changed By:
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Agreed to Pay Deduct.:
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Adjudicated Date/Time:
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Declines Income Info:
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No Longer Required Date:
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No Longer Applicable Date:
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MT Threshold:
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Hardship Review Date:
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GMT Threshold:
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Date Vet Signed Test:
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Income Data Purged:
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Means Test Signed?:
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Refused to Sign:
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Date IVM MT Completed:
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Hardship Approved By:
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OTHER VAMC
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Hardship Review Site:
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Hardship Reason:
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COMMENT(S):
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Date Range Selection
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Past dates are not allowed.
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Division Selection
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Clinic Selection
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LOCAL INCOME TEST
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TEST INCOME INFORMATION IS NOT AVAILABLE **
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** MEANS TEST IS NO LONGER REQUIRED INCOME INFORMATION MAY NOT BE ACCURATE **
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** COPAY TEST IS NO LONGER APPLICABLE INCOME INFORMATION MAY NOT BE ACCURATE **
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DETAILED MEANS TEST INCOME INFORMATION COULD NOT BE CONVERTED FOR THE
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FOLLOWING RELATIONS ASSOCIATED WITH THIS MEANS TEST:
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NET WORTH
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TO COLLECT THE NEW DETAILED DEPENDENT DEMOGRAPHIC AND INCOME INFORMATION
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THE MEANS TEST WOULD HAVE TO BE EDITED.
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Variables DGCAT, DGINT, DGNWT, DGTHA, DGTYC and DGMTS must be defined!
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Variables DFN, DGND, DGDET and DGMTDT must be defined!
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DECLINES TO GIVE INCOME INFO
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DG(408.32,
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NJ13,2
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DEDUCTIBLE EXPENSES
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NJ2,0
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TOTAL DEPENDENTS
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COMPLETED BY
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DATE/TIME COMPLETED
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SITE CONDUCTING TEST
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AGREED TO PAY DEDUCTIBLE
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NJ8,2
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THRESHOLD A
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THRESHOLD B
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GMT THRESHOLD
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PREVIOUS YEARS THRESHOLD
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HARDSHIP REVIEW DATE
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APPROVED BY
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HARDSHIP EFFECTIVE DATE
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SITE GRANTING HARDSHIP
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HARDSHIP REASON
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PERMANENTLY INCAPABLE OF SELF-SUPPORT
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DID THE CHILD LIVE WITH YOU
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DID YOU CONTRIBUTE TO THE CHILD'S SUPPORT
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DID CHILD HAVE ANY INCOME
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WAS THE CHILD'S INCOME AVAILABLE TO YOU
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Variables DGDR and DGVIR0 must be defined!
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NJ8,2X
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MEDICAL EXPENSES
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FUNERAL AND BURIAL EXPENSES
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VETERAN'S EDUCATIONAL EXPENSES
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Variable DGDR and DGPRTY must be defined!
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NJ10,2X
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SOCIAL SECURITY (NOT SSI)
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U.S. CIVIL SERVICE
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U.S. RAILROAD RETIREMENT
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MILITARY RETIREMENT
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UNEMPLOYMENT COMPENSATION
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OTHER RETIREMENT
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NJ9,2X
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TOTAL INCOME FROM EMPLOYMENT
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INTEREST, DIVIDEND, OR ANNUITY
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WORKERS COMP. OR BLACK LUNG
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ALL OTHER INCOME
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Variables DFN and DGDR must be defined!
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WAS YOUR MARITAL STATUS EITHER MARRIED OR SEPARATED ON DEC 31ST LAST YEAR
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DID YOU LIVE WITH YOUR SPOUSE LAST YEAR
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NJ8,2XR
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IF YOU DID NOT LIVE WITH SPOUSE, AMOUNT CONTRIBUTED TO SPOUSE LAST YEAR
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DID YOU HAVE ANY DEPENDENT CHILDREN
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CASH, AMOUNTS IN BANK ACCOUNTS
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STOCKS AND BONDS
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REAL PROPERTY
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OTHER PROPERTY OR ASSETS
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DA))'>0
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DA)
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TE VALUE
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` BULLETIN WILL NOT BE TRIGGERED)
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-1^MISSING DFN
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-1^Missing DFN
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UNABLE TO GENERATE RELEASE NOTES!!
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GENERATING FOR VERSION
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MAS VERSION
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RELEASE NOTES
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NOT VALID
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Did you receive Nose or Throat Radium Treatments in the military?
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Did you serve as an aviator in the military before Jan 31, 1955?
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Did you have submarine training in the military before Jan 1, 1965?
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DGNT VERIFY
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Do you want to verify now?
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Nose and throat radium treatment verified by:
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Has the veteran been diagnosed with Cancer of the Head and/or Neck?
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Enter the sort type
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Current N/T Radium Treatment Pending Verification report.
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**** No records to report. ****
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Total Patients Pending
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Documentation
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REPORT STOPPED AT USER REQUEST
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Total Patients Pending Verification:
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N/T RADIUM TREATMENT PENDING VERIFICATION REPORT
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Avi
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Sub
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Date/Time Entered
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YES,PENDING BOTH DOCUMENTATION AND DIAGNOSIS
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YES,PENDING DOCUMENTATION
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YES,PENDING DIAGNOSIS
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YES,VERIFIED
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Enter date of ASIH:
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You have entered a future date...to prevent the printing
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of a negative report, remember to task this request for
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the appropriate date.
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ASIH LIST FOR
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*** THERE ARE NO PATIENTS OUT ON ASIH FOR
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Enter <RET> to continue or ^ to Quit
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DISCRETIONARY WORKLOAD OPTIONS ARE NO LONGER AVAILABLE!
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Do you wish (I)npatient,(O)utpatient,or (B)oth reports: BOTH//
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DGODOP1,^DGODNP1
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Enter I,O,B, or ^ to QUIT
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Purge single (M)onth or (A)ll or (^ to quit): MONTH//
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MONTH/YR
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RUN DATE
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Nothing purged, all your data is current
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Select MONTH/YEAR to PURGE:
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SELECT ENTRY FROM LIST IN MONTH/YEAR FORMAT.
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IF JANUARY 1988 WAS LISTED YOU WOULD ENTER 01/88
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ARE YOU SURE YOU WISH TO PURGE YOUR FILE
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INPATIENT DISCHARGES BY MEANS TEST CATEGORY
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REPORT REQUIRES 132 COLUMN OUTPUT
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QUEUE ON DEVICE:
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CANNOT QUEUE TO YOUR OWN DEVICE
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CONTINUE DIRECTLY TO YOUR I/O DEVICE//
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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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Requested Start Time:
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DISCRETIONARY WORK REPORT-
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From DATE:
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To DATE:
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TO DATE IS LESS THAN FROM DATE, TRY AGAIN
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SC 50-100%^A&A/HB/WW1/POW/MEX^SC<50%^NSC/PEN^NSC^DOM^
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Elapsed time for this run:
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INPATIENT DISCHARGES REPORT
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DATE RANGE: FROM
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MEANS TEST CLASSIFICATION
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FACILITY:
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TOTAL DISCHARGES:
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Patients remaining on
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VETERAN ELIGIBILITY
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NON-VETERAN ELIGIBILITY
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Hit RETURN to continue
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SUBTOTAL %
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Inpatient Workload Summary
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TOTAL %
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TOTAL VISITS:
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Outpatient Workload Summary
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Admitted on
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Died while an inpatient on
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Died on
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Unscheduled visit on
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Inpatient List
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SORT BY
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START WITH
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WARD LOCATION
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Enter all or part of a ward name. If the FROM and TO wards are pure
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numbers (no alphas), no wards with an alpha suffix will appear on the sort.
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GO TO
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End must be after beginning
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PRINT WITH WARD BREAKOUT
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PRINT WITH DRG BREAKOUT
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INPATIENT LIST
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Patient name
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Admit/Tran Ward
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LOS AA Pass UA ASIH
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Avg
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Int-
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Affil
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Days to
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Trim
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Nat/Loc
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WARD LOCATION:
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DIVISION(S):
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'+' Before the Patient name indicates patient is currently ASIH, '!' Indicates patient chose not to be in Facility Directory
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LEGEND: '####' - Stay exceeds high trim, '**' - Stay exceeds 69% of high trim, '@' Stay exceeds 49% of high trim
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Press '^' to QUIT or Return to Continue
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BAD 'CN' CROSS REFERENCE FOR WARD
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, PATIENT NUMBER
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No DRG can be calculated
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Rm:
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Spec:
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Sort this report by (W)ard or (P)rovider? WARD//
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Enter W to sort this report of inpatients by WARD
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or P to sort the report by PROVIDER.
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Which provider?
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(P)rimary Care, (A)ttending, or (E)ITHER? EITHER//
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Enter P to sort this report of inpatients by PRIMARY CARE PHYSICIAN
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A to sort the report by ATTENDING PHYSICIAN, or
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E to print the report where the provider was EITHER
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Attending or Primary Care
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Sub-sort by (N)ame of Patient or (R)oom NAME//
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SECONDARY SORT ORDER:
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Enter N to sort this report of inpatients by NAME
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or R to sort the report by ROOM NUMBER.
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Note: ROOM NUMBER = First set of numbers that appear in ROOM-BED
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WOULD YOU LIKE THE INPATIENT ROSTER DOUBLE SPACED
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Enter 'Y'es to double space this report, 'N'o to single space
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HOW MANY COPIES OF THE INPATIENT ROSTER WOULD YOU LIKE? 1//
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Enter a number from 1 to 10 indicating the number of copies you want printed.
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THIS REPORT REQUIRES 132 COLUMN OUTPUT
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VAUTD#^VAUTW#^DGPVAR^DGHOW^DGCPYS^DGDS^DGSUBS
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INPATIENT ROSTER
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ROOM-BED
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'!' Before the Patient name indicates the patient chose not to be listed in the Facility Directory
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Display report for (D)ATE RANGE or (C)URRENT DATE: CURRENT//
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You may display report for :
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Include Service Connected Inpatients
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VAUTD#^DGBEG^DGBEG1^DGEND^DGEND1^DGL^DGSC
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Enter the beginning date:
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The ending date can not be before the beginning date
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C for CURRENT DATE - Report will display only those patients that
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are inpatients in hospital today.
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D for DATE RANGE - to display all patients that were admitted
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to the hospital during that period.
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Choose (Y)es or (N)o:
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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#################### #################### ####################
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