STANDARD DATA DICTIONARY #396.17 -- CAPRI TEMPLATES FILE 6/27/25 PAGE 1
STORED IN ^DVB(396.17, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.7)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file holds the definitions generated by users of the CAPRI C&P Worksheet Module (CPWM) that are used to re-generate GUI
screens. CPWM allows point-n-click entry of C&P examinations and will store ASCII reports in AMIE and TIU when the user has
finished the documentation process. This file serves to track documents in progress as well as documents that have been already
completed and sent to TIU and AMIE.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: FORM TITLE (#9)
POINTED TO BY: CAPRI TEMPLATE ID field (#1) of the 2507 EXAM File (#396.4)
CROSS
REFERENCED BY: LOCKED?(AC), DOCUMENT MANAGER(AT), NAME(B), DATE/TIME LOCKED(C), ACCEPTABLE CLINICAL EVIDENCE(D),
CMT TEMPLATE UTILIZED(F), FORM TITLE(FT), TRANSMIT DATE(G), COSIGNER(H), OBJECT ID(ID), REVIEW STATUS(RS),
TRANSCRIBER(TR)
INDEXED BY: (E), TIU DOCUMENT (TIU)
LAST MODIFIED: FEB 20,2025@19:37:21
396.17,.001 NUMBER NUMBER (audited)
INPUT TRANSFORM: K:+X'=X!(X>999999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: APR 28, 2006
HELP-PROMPT: Type a Number between 0 and 999999999999, 0 Decimal Digits
DESCRIPTION:
This field is used to maintain a tracking ID # used internally in the CAPRI Delphi client.
AUDIT: EDITED OR DELETED
396.17,.01 NAME 0;1 POINTER TO PATIENT FILE (#2) (audited)
LAST EDITED: APR 28, 2006
HELP-PROMPT:
DESCRIPTION:
Pointer field to the PATIENT (#2) file to link the document to a patient.
AUDIT: EDITED OR DELETED
CROSS-REFERENCE: 396.17^B
1)= S ^DVB(396.17,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"B",$E(X,1,30),DA)
396.17,1 ACCEPTABLE CLINICAL EVIDENCE 13;2 SET
ACCEPTABLE CLINCAL EVIDENCE
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: MAR 19, 2015
HELP-PROMPT: ENTER Y if ACCEPTABLE CLINCAL EVIDENCE 'ACE' was used on the displayed 2507 EXAMs
DESCRIPTION: This field stores the boolean response from the Delphi Capri GUI 'Template Screen' form. Select Y
if Acceptable Clinical Evidence was used for the list of exams, or N if Acceptable Clinical
Evidence was not Used.
CROSS-REFERENCE: 396.17^D
1)= S ^DVB(396.17,"D",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"D",$E(X,1,30),DA)
3)= This is connected to 2507 EXAMS where ACE was used
This helps with the lookup of templates connected to exams where Acceptable Clinical Evidence was
used.
396.17,2 DOCUMENT MANAGER 0;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JUL 25, 2024
HELP-PROMPT: Enter the DUZ of the Document Manager.
DESCRIPTION:
This field is the DUZ of the CAPRI User responsible for managing the document in CAPRI.
CROSS-REFERENCE: 396.17^AT
1)= S ^DVB(396.17,"AT",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"AT",$E(X,1,30),DA)
This cross reference is created for the Document Manager DUZ.
396.17,3 DATE/TIME ENTERED 0;3 DATE (audited)
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 28, 2006
DESCRIPTION:
This field is used to record the exact date/time the document was originally started.
AUDIT: EDITED OR DELETED
396.17,4 DATE/TIME UPDATED 0;4 DATE (audited)
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 28, 2006
DESCRIPTION: This field records the last time data was saved back to VistA. It will be updated during
auto-saves, at signature, and if the user saves their document from within CAPRI. It will not be
updated if a reviewer works with the document unless information is changed in the form fields.
AUDIT: EDITED OR DELETED
396.17,5 DATE/TIME LOCKED 0;5 DATE
INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 07, 2022
HELP-PROMPT: Enter date/time transferred to TIU
DESCRIPTION: This field will be filled in at the time the note is transferred to TIU. This will prevent further
modification of the document contents by reviewer or author.
TECHNICAL DESCR: The default date of Jan 1980 is used as a place holder until an actual value is set. This is used
for the CAPRI GUI to know if the record should be treated as locked or not.
CROSS-REFERENCE: 396.17^C
1)= S ^DVB(396.17,"C",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"C",$E(X,1,30),DA)
Assists with the lookup of templates that are "locked" and unable to be edited.
396.17,6 TEMPLATES UTILIZED 1;0 WORD-PROCESSING #396.176 (NOWRAP)
DESCRIPTION: A document may be made up of more than one of the predefined C&P templates. This word processing
field will store each template utilized during the documentation process on a separate line.
LAST EDITED: JUN 05, 2023
396.17,7 TIU DOCUMENT NUMBER 2;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999999999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUN 06, 2023
HELP-PROMPT: Type a Number between 0 and 999999999999999, 0 Decimal Digits
DESCRIPTION: After the document is completed and transferred into TIU as an ASCII report, the new TIU
file/document number will be stored in this field for auditing/validation purposes later.
396.17,8 FORM DATA 3;0 WORD-PROCESSING #396.178 (NOWRAP)
DESCRIPTION: All of the MS Windows generated ascii code to re-populate GUI form fields will be stored in this
field. A standard Windows API is used to generate this text.
WARNING: DO NOT EDIT THIS FIELD OR THE DOCUMENT MAY BECOME CORRUPT AND INACCESSIBLE FROM THE GUI.
LAST EDITED: JAN 05, 2022
396.17,8.5 FORM SAVE BUFFER 9;0 DATE Multiple #396.19
DESCRIPTION: Snapshots of the user's template data each time they exit the template in the GUI will be stored
here. They'll be used in case of template corruption or if the user wishes to revert to an earlier
version of their work. Once a form is signed and successfully in TIU, then the data in this field
will be removed.
396.19,.01 DATE/TIME 0;1 DATE (Required) (Multiply asked) (audited)
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 28, 2006
HELP-PROMPT:
AUDIT: YES, ALWAYS
CROSS-REFERENCE: 396.19^B
1)= S ^DVB(396.17,DA(1),9,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(1),9,"B",$E(X,1,30),DA)
396.19,1 SAVE DATA 1;0 WORD-PROCESSING #396.191
LAST EDITED: MAR 08, 2005
396.19,2 COMMENTS 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
LAST EDITED: MAR 10, 2005
HELP-PROMPT: Answer must be 1-80 characters in length.
396.19,3 TEMPLATES UTILIZED 3;0 WORD-PROCESSING #396.193 (NOWRAP)
LAST EDITED: MAR 14, 2005
396.17,9 FORM TITLE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>250!($L(X)<1) X
LAST EDITED: OCT 09, 2003
HELP-PROMPT: Answer must be 1-250 characters in length.
DESCRIPTION:
The text in this field will be displayed in CAPRI as the document title in lists and reports.
CROSS-REFERENCE: 396.17^FT
1)= S ^DVB(396.17,"FT",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"FT",$E(X,1,30),DA)
396.17,10 TRANSCRIBER 5;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 30, 2003
DESCRIPTION: If the document is created for someone, the individual who created the document will be placed into
this field. For example, a clerk may create a document for a physician in advance of an
appointment.
CROSS-REFERENCE: 396.17^TR
1)= S ^DVB(396.17,"TR",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"TR",$E(X,1,30),DA)
396.17,11 REVIEW STATUS 5;2 SET (audited)
'P' FOR REVIEW PENDING;
'N' FOR NOT REQUIRED;
'S' FOR SENT BACK;
'C' FOR COMPLETE;
'D' FOR DRAFT/NOT READY;
'A' FOR AWAITING SIGNATURE;
'U' FOR UNCOSIGNED;
'L' FOR DELETED;
'O' FOR OUTDATED TEMPLATE;
'F' FOR PERMANENT FAILURE;
'E' FOR TRANSMISSION ERROR;
'G' FOR SIGNED;
LAST EDITED: OCT 27, 2021
DESCRIPTION: This field is used when the reviewer functionality is activated within the CAPRI GUI to find
documents that may be new and need review. In addition, if the field is set to SENT BACK, then the
original author will be notified in the CAPRI GUI that they have a document returned to them from
the reviewer. The field will be set to the current document status and may be cycled through
several values before the document is finally completed.
AUDIT: YES, ALWAYS
CROSS-REFERENCE: 396.17^RS
1)= S ^DVB(396.17,"RS",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"RS",$E(X,1,30),DA)
396.17,12 IEPD VERSION 5;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>250!($L(X)<2) X
MAXIMUM LENGTH: 250
LAST EDITED: JUN 07, 2023
HELP-PROMPT: Answer must be 2-250 characters in length.
396.17,13 WORKSHEET ORIGINATOR 0;6 POINTER TO NEW PERSON FILE (#200) (Required)
LAST EDITED: JUL 25, 2024
HELP-PROMPT: Enter the DUZ of the Worksheet Originator.
DESCRIPTION: This field is the DUZ of the CAPRI User creating the worksheet. This data is saved at the creation
of a worksheet and it is not to be edited.
396.17,14 REVIEW DATE/TIME 6;0 DATE Multiple #396.1714
396.1714,.01 REVIEW DATE/TIME 0;1 DATE (Multiply asked) (audited)
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 28, 2006
DESCRIPTION:
An entry will be made here each time a new "needs review" action is activated in the CAPRI GUI.
AUDIT: YES, ALWAYS
CROSS-REFERENCE: 396.1714^B
1)= S ^DVB(396.17,DA(1),6,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(1),6,"B",$E(X,1,30),DA)
396.1714,1 REVIEWER NAME 0;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAY 30, 2003
DESCRIPTION: This field will remain blank until one of the C&P Exam reviewers picks up on the document from
within the GUI and activates it using their reviewer-specific dialogs.
396.1714,2 DATE/TIME MARKED COMPLETE 0;3 DATE
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 30, 2003
DESCRIPTION: Once the reviewer is satisfied with the document and transfers it to TIU, this field will be
completed automatically by the CAPRI GUI.
396.1714,3 DATE/TIME SENT BACK 0;4 DATE
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 30, 2003
DESCRIPTION: If during the review activity, the review would like the original author to re-address the
document, then this field will be populated. Otherwise, it will remain blank.
396.1714,4 SENT BACK COMMENTS 1;0 WORD-PROCESSING #396.17144
DESCRIPTION: This field contains a list of comments the reviewer wishes to send to the document author.
Normally, it will contain required or suggested changes to the document. These comments will not
be part of the final TIU/AMIE examination report document.
LAST EDITED: MAY 30, 2003
396.17,15 FORM SAVED DATA 7;0 Multiple #396.1715
396.1715,.01 CONTROL NAME 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>200!($L(X)<3) X
LAST EDITED: OCT 02, 2003
HELP-PROMPT: Answer must be 3-200 characters in length.
CROSS-REFERENCE: 396.1715^B
1)= S ^DVB(396.17,DA(1),7,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(1),7,"B",$E(X,1,30),DA)
396.1715,1 CONTROL TYPE 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3) X
LAST EDITED: OCT 01, 2003
HELP-PROMPT: Answer must be 3-20 characters in length.
396.1715,2 OBJECT ID 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 01, 2003
HELP-PROMPT: Answer must be 1-15 characters in length.
CROSS-REFERENCE: 396.17^ID
1)= S ^DVB(396.17,"ID",$E(X,1,30),DA(1),DA)=""
2)= K ^DVB(396.17,"ID",$E(X,1,30),DA(1),DA)
396.1715,3 DATA 1;0 WORD-PROCESSING #396.17153 (NOWRAP)
LAST EDITED: OCT 01, 2003
396.17,16 LOCKED? 8;1 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: NOV 13, 2003
DESCRIPTION: This field is used to find forms that require some action by the user. Once the template has been
uploaded to TIU, the value in this field will be deleted.
CROSS-REFERENCE: 396.17^AC
1)= S ^DVB(396.17,"AC",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"AC",$E(X,1,30),DA)
396.17,17 IN USE 8;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>200!($L(X)<3) X
LAST EDITED: JAN 28, 2005
HELP-PROMPT: Answer must be 3-200 characters in length.
DESCRIPTION: Once a form has been opened in the GUI, this field will be populated with identifying information -
user DUZ^date/time file was opened. It will be left in edit mode in the GUI fileman components
until the user exits. The data will then be cleared and the field exited on the GUI side. If the
application is terminated prematurely, the lock is automatically dropped.
By leaving the field in edit mode throughout the session, until the user closes their template,
other CAPRI instances will be able to tell that someone is using the record and prevent other users
from changing the data until the first user exits.
396.17,18 AMIE EXAMS 10;0 POINTER Multiple #396.1718
396.1718,.01 AMIE EXAMS 0;1 POINTER TO 2507 EXAM FILE (#396.4) (Multiply asked)
LAST EDITED: MAY 18, 2005
DESCRIPTION: Contains references to the AMIE exams being closed at the point this exam template is signed in
TIU.
CROSS-REFERENCE: 396.1718^B
1)= S ^DVB(396.17,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(1),10,"B",$E(X,1,30),DA)
396.17,19 FLAG NEW 11;1 SET
'0' FOR N;
'1' FOR Y;
LAST EDITED: NOV 03, 2005
396.17,20 FLAG GREEN FLAG 11;2 SET
'0' FOR N;
'1' FOR Y;
LAST EDITED: NOV 03, 2005
396.17,21 FLAG EXCLAMATION 11;3 SET
'0' FOR N;
'1' FOR Y;
LAST EDITED: NOV 03, 2005
396.17,22 PERFORMANCE USE DATA 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>250!($L(X)<1) X
LAST EDITED: JUN 19, 2006
HELP-PROMPT: Answer must be 1-250 characters in length.
DESCRIPTION: THIS FIELD IS USED FOR DATA ANALYSIS AND QUALITY IMPROVEMENT. DATA WILL BE STORED IN THIS FORMAT:
MERGED TEMPATE (Y/N)^TOTAL TIME FORM WAS IN USE^DOCUMENTATION CLUSTERS^ DOCUMENTATION CLUSTER TIME
INTERVAL
396.17,23 TIU DOCUMENT 13;1 POINTER TO TIU DOCUMENT FILE (#8925)
LAST EDITED: MAR 20, 2014
HELP-PROMPT: Enter the TIU document for this template
DESCRIPTION:
This field is used to link the completed template with the TIU document.
FIELD INDEX: TIU (#1124) REGULAR IR LOOKUP & SORTING
Short Descr: Cross reference the TIU document for lookup purposes.
Set Logic: S ^DVB(396.17,"TIU",X,DA)=""
Kill Logic: K ^DVB(396.17,"TIU",X,DA)
Whole Kill: K ^DVB(396.17,"TIU")
X(1): TIU DOCUMENT (396.17,23) (Subscr 1) (forwards)
396.17,24 2507 EXAM? 13;3 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: JUN 27, 2017
HELP-PROMPT: IS THIS REPORT A C&P EVALUATION IN RESPONSE TO A 2507 REQUEST?
DESCRIPTION: THIS FIELD RECORDS THE RESPONS TO THE "IS THIS REPORT A C&P EVALUATION IN RESPONSE TO A REQUEST
(2507) SUBMITTED BY THE VA?" ON THE SIGNATURE VALIDATION FORM IN CAPRI DURING SIGNOFF OF AN EXAM.
396.17,25 VHA Internal DBQ Referral 13;4 SET (Required)
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: MAY 07, 2020
HELP-PROMPT: Enter "Y" for yes if this DBQ was a self referral, enter "N" for no.
DESCRIPTION: This field stores the response from the Delphi CAPRI GUI 'Template Screen Form'. Select Y if this
DBQ is a Self Referral or N if it is not.
396.17,26 CMT TRANSMISSION DATA 14;0 Multiple #396.1726 (Add New Entry without Asking)
LAST EDITED: JUN 02, 2023
DESCRIPTION: This field serves to track XML documents that have been completed and attempted to be sent to DAS.
This will allow the user to resend the XML document if a transmission error is encountered.
396.1726,.01 EXAM IEN 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>99999999999)!(X<0)!(X?.E1"."1.N) X
LAST EDITED: SEP 18, 2023
HELP-PROMPT: Enter the Exam Number from within the Worksheet. If not a merged worksheet this number will be 1.
Type a number between 0 and 999999999999, 0 decimal digits.
DESCRIPTION:
This is the exam IEN received from CAPRI.
CROSS-REFERENCE: 396.1726^B
1)= S ^DVB(396.17,DA(1),14,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(1),14,"B",$E(X,1,30),DA)
396.1726,.02 TRANSMISSION STATUS 1;1 SET
'C' FOR COMPLETED;
'E' FOR TRANSMISSION ERROR;
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Enter "C" if transmitted successfully or "E" if a transmission error was encountered and
transmission is being retried.
DESCRIPTION:
This is the status of transmission of the individual DBQ XML document.
396.1726,.03 EXAM NAME 2;1 POINTER TO CAPRI TEMPLATE DEFINITIONS FILE (#396.18)
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Enter the Exam Name.
DESCRIPTION:
This is the Exam Name and this field is a pointer to CAPRI TEMPLATE DEFINITIONS File #396.18.
396.1726,.04 XML EXAM DOCUMENT 3;0 WORD-PROCESSING #396.1926 (NOWRAP) (IGNORE "|")
LAST EDITED: FEB 03, 2023
DESCRIPTION: After the DBQ exam has been signed, CAPRI attempts to transmit to DAS the exam result in XML
format. This is the encoded XML document.
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Enter the encoded XML document created from the CAPRI GUI.
396.1726,.05 XML ORIGINATION DATE 4;1 DATE (Required)
INPUT TRANSFORM: S %DT="EXR" D ^%DT S X=Y K:2000101>X X
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Type a date/time not earlier then Jan. 1, 1900.
DESCRIPTION:
This is the date the XML is originated and transmitted to DAS.
TECHNICAL DESCR:
Enter Data/Time of XML origination date.
396.1726,.06 XML TRANS DATA 10;0 Multiple #396.2026 (Add New Entry without Asking)
DESCRIPTION: This field serves to track transmission data for XML documents that have been completed and
attempted to be sent to DAS.
396.2026,.01 XML TRANS DATA 0;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1.N) X
LAST EDITED: SEP 18, 2023
HELP-PROMPT: Enter the exam ien associated with this transmission data. Type a number between 0 and 99999,
0 decimal digits.
DESCRIPTION:
This is the transmission to DAS information.
CROSS-REFERENCE: 396.2026^B
1)= S ^DVB(396.17,DA(2),14,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(2),14,DA(1),10,"B",$E(X,1,30),DA)
396.2026,.02 TRANSMIT DATE 1;1 DATE
INPUT TRANSFORM: S %DT="EXR" D ^%DT S X=Y K:2000101>X X
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Type date/time not earlier then Jan. 1, 1900.
DESCRIPTION:
Date/Time documents were transmitted to DAS.
CROSS-REFERENCE: 396.17^G
1)= S ^DVB(396.17,"G",$E(X,1,30),DA(2),DA(1),DA)=""
2)= K ^DVB(396.17,"G",$E(X,1,30),DA(2),DA(1),DA)
Cross Reference is for attempted dates of transmission to DAS.
396.2026,.03 AUTHORIZED SENDER 1;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Enter the authorized sender transmitting document to DAS.
DESCRIPTION:
This is the IEN from the NEW PERSON FILE that is transmitting this document to DAS.
396.2026,.04 TRANSMIT RESPONSE CODE 1;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>250!($L(X)<1) X
MAXIMUM LENGTH: 250
LAST EDITED: SEP 18, 2023
HELP-PROMPT: Enter response code received from DAS at transmission. Answer must be 1-250 characters in
length.
DESCRIPTION: This is the response code received from DAS when documents have been transmitted to DAS.
This field could be null if no response is received.
396.1726,.07 ATTEMPTED TRANS COUNT 6;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<0)!(X?.E1"."1.N) X
LAST EDITED: SEP 18, 2023
HELP-PROMPT: Enter the number of attempted transmissions to DAS. Type a number between 0 and 99999999, 0
decimal digits.
DESCRIPTION:
Total count of attempted transmissions to DAS.
396.1726,.08 PDF DOCUMENT 7;0 WORD-PROCESSING #396.2126 (IGNORE "|")
LAST EDITED: FEB 03, 2023
DESCRIPTION:
This is the encoded PDF created from the XML document.
LAST EDITED: SEP 15, 2023
396.1726,.09 SUCCESSFUL TRANSMISSION DATE 9;1 DATE
INPUT TRANSFORM: S %DT="EXR" D ^%DT S X=Y K:2000101>X X
LAST EDITED: SEP 15, 2023
HELP-PROMPT: Type date/time not earlier then Jan. 1, 1900.
DESCRIPTION:
Date/Time document was successfully transmitted to DAS.
396.17,27 CMT PDF TEMPLATE DATA 15;0 Multiple #396.1727
DESCRIPTION: This field serves to track PDF documents that have been completed and attempted to be sent to Data
Access Service (DAS). This will allow the user to resend the PDF document if a transmission error
is encountered.
396.1727,.01 CMT PDF TEMPLATE DATA 0;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999999999999999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: APR 03, 2024
HELP-PROMPT: Enter the sequence number,1-12 digit sequence, of the DBQ within the worksheet.
DESCRIPTION: This field is the sequence number of the Disability Benefit Questionnaire (DBQ) within the
worksheet.
CROSS-REFERENCE: 396.1727^B
1)= S ^DVB(396.17,DA(1),15,"B",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,DA(1),15,"B",$E(X,1,30),DA)
396.1727,.02 CMT PDF SAVE DATE 1;1 DATE (Required)
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:3230225>X X
LAST EDITED: MAR 29, 2024
HELP-PROMPT: This date is being set by an RPC being called by the CAPRI GUI.
DESCRIPTION:
This is the date/time that the PDF was saved to VistA.
396.1727,.03 CMT TEMPLATE UTILIZED 1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>250!($L(X)<2) X
MAXIMUM LENGTH: 250
LAST EDITED: APR 03, 2024
HELP-PROMPT: Enter the name of the template utilized.
DESCRIPTION: This is the title of the Disability Benefits Questionnare (DBQ) template utilized in the
worksheet.
CROSS-REFERENCE: 396.17^F
1)= S ^DVB(396.17,"F",$E(X,1,30),DA(1),DA)=""
2)= K ^DVB(396.17,"F",$E(X,1,30),DA(1),DA)
This cross reference is for the Disability Benefits Questionaire templates.
396.1727,.04 CMT SAVE DATA COMMENTS 1;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>280!($L(X)<2) X
MAXIMUM LENGTH: 280
LAST EDITED: APR 03, 2024
HELP-PROMPT: Enter the tab information for the PDF layout.
DESCRIPTION: This is the tab information for the PDF. Due to connection limits CAPRI is unable to save the PDF
in its entirety. CAPRI is saving tab information and user input to rebuild the PDF upon request.
396.1727,.05 CMT PDF DATA 2;0 WORD-PROCESSING #396.1827 (NOWRAP) (IGNORE "|")
LAST EDITED: JUN 05, 2023
DESCRIPTION: This is the encoded PDF, created after the Disability Benefits Questionnaire (DBQ) exam has been
signed.
LAST EDITED: APR 03, 2024
HELP-PROMPT: Enter the encoded pdf data.
DESCRIPTION: This is the encoded PDF created by CAPRI after the Disability Benefits Questionnaire (DBQ) has
been signed.
396.17,28 SIGNER 16;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JUL 25, 2024
HELP-PROMPT: Enter the DUZ of the Worksheet Signer.
DESCRIPTION:
This field is the DUZ of the user signing the document.
396.17,29 COSIGNER REQUIRED 16;2 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: JUL 30, 2024
HELP-PROMPT: Enter 1 if cosigner is required or 0 if no cosigner is required.
DESCRIPTION:
This represents if the signer requires a cosigner.
396.17,30 COSIGNER 16;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JUL 05, 2024
HELP-PROMPT: Enter the DUZ of the required Cosigner
DESCRIPTION:
This is the DUZ of the required Cosigner determined at document signing.
CROSS-REFERENCE: 396.17^H
1)= S ^DVB(396.17,"H",$E(X,1,30),DA)=""
2)= K ^DVB(396.17,"H",$E(X,1,30),DA)
This cross reference is being used for ease of look up for CAPRI alerts, to notify a cosigner when
they have a document to cosign.
FILES POINTED TO FIELDS
2507 EXAM (#396.4) AMIE EXAMS:AMIE EXAMS (#.01)
CAPRI TEMPLATE DEFINITIONS
(#396.18) CMT TRANSMISSION DATA:EXAM NAME (#.03)
NEW PERSON (#200) DOCUMENT MANAGER (#2)
TRANSCRIBER (#10)
WORKSHEET ORIGINATOR (#13)
SIGNER (#28)
COSIGNER (#30)
REVIEW DATE/TIME:REVIEWER NAME (#1)
XML TRANS DATA:AUTHORIZED SENDER (#.03)
PATIENT (#2) NAME (#.01)
TIU DOCUMENT (#8925) TIU DOCUMENT (#23)
INPUT TEMPLATE(S):
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FORM(S)/BLOCK(S):