CV-008-log

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 98 new messages. Select OPTION NAME: DGMGR      MAS MANAGER

ADT Manager Menu ...

[7mYou've got PRIORITY mail!

[m Select MAS MANAGER Option: ADT Manager Menu

Copyright, Trade Secret and Trademark CPT codes, descriptions and other data are copyright 1966, 1970, 1973, 1977, 1981, 1983-2010 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. You acknowledge that the AMA retains all right, title, and interest in the File provided to you. U.S. Government Rights CPT is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois 60654. U.S. government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015 (b) (2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1 (a) (June 1995) and DFARS 227.7202-3 (a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements. LIMITED WARRANTY AND REMEDIES THE FILE IS PROVIDED "AS IS" WITHOUT WARRANTY OF ANY KIND, EITHER EXPRESSED OR IMPLIED, INCLUDING, WITHOUT LIMITATION, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. THE AMA DISCLAIMS RESPONSIBILITY AND ANY LIABILITY FOR ANY ERRORS IN THE FILE AND ANY CONSEQUENCES, DECISIONS, JUDGMENTS OR RESULTS ATTRIBUTABLE TO OR RELATED TO ANY USES, NON-USES OR INTERPRETATIONS OF INFORMATION OR DATA CONTAINED IN OR NOT CONTAINED IN THE FILE. IN NO EVENT WILL THE AMA BE LIABLE TO YOU FOR ANY DAMAGES, INCLUDING ANY LOST PROFITS, LOST SAVINGS OR OTHER INCIDENTAL OR CONSEQUENTIAL DAMAGES ARISING OUT OF THE USE OR INABILITY TO USE THE FILE EVEN IF THE AMA HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES, OR FOR ANY CLAIM BY ANY OTHER PARTY. THE AMA DOES NOT WARRANT THAT THE DATA CONTAINED IN THE FILE WILL MEET YOUR REQUIREMENTS OR THAT THE OPERATION OF THE FILE WILL BE UNINTERRUPTED OR WITHOUT ERROR.

Press any key to continue[7;1H[1;1H[J[2J[H Hi Robert. Welcome to MAS, VERSION 5.3 = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = AMIS 401-420 Reports ............... Last run for month of Auto Recalculation ................. Last run MAY 14, 2011@21:00:01 on CPU EHR ................. Scheduled for (not currently scheduled) ................. Rescheduled to run at 9 p.m.    The current time is 22:51 ?? Embosser Option from Registration .. Is turned OFF Gains & Losses (G&L) ............... Last run MAY 14, 2011@21:48 HINQ Option from Registration ...... Is turned OFF RUG-II Background Job .............. Last run NOV 30, 2004@16:19 Appointment Status Update .......... Last run .......... Updated appointments for .......... Scheduled for (not currently scheduled) IRT Background Job ................. Last run ................. Scheduled for (not currently scheduled)

YOU ARE PRESENTLY ON CPU EHR,EHR

Press RETURN to continue:

Patient Inquiry

[7mYou've got PRIORITY mail!

[m Select ADT Manager Menu Option:

ADT Manager Menu ...

[7mYou've got PRIORITY mail!

[m Select MAS MANAGER Option: ?

ADT Manager Menu ...

Enter ?? for more options, ??? for brief descriptions, ?OPTION for help text.

[7mYou've got PRIORITY mail!

[m Select MAS MANAGER Option:

[7mYou've got PRIORITY mail!

[m

Do you really want to halt? YES//

Logged out at May 14, 2011 10:51 pm

GTM>[?1h=S[C [CD[CU[CZ[C=[C9[C [CD[C [C^[CX[CU[CP[C[?1l>

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 98 new messages. Select OPTION NAME: PFT TF     1   PTF BACKGROUND JOB  DG PTF BACKGROUND JOB     PTF Background Job 2  PTF BEDSECTION REPORT  RA LWKLBEDSEC     PTF Bedsection Report 3  PTF EXPANDED CODE LISTING  DG PT EXPANDED CODE LIST     PTF Expanded Co de Listing 4  PTF MENU  DG PTF MENU     PTF Menu 5  PTF OUTPUT MENU  DG PTF OUTPUT MENU     PTF Output Menu Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 6  PTF RecordS TRANSMITTED WITH M  DG PTF TRANS MT EQUAL U RPT     PTF Rec ords Transmitted with MT Indicator of U    7   PTF TRANSMISSION  DG PTF TRANSMISSION VADATS     PTF Transmission 8  PTF^DGPTFMO1  DG PTF COMPREHENSIVE INQUIRY     Inquire PTF Record CHOOSE 1-8: 4 DG PTF MENU     PTF Menu

Census Menu ... Checkoff PTF Message DRG Calculation Enter PTF Message Incomplete Records Tracking Menu ... Inquire PTF Message Load/Edit PTF Data National Patient Care Database ...         PTF Output Menu ... Quick Load/Edit PTF Data Set Up Non-VA PTF Record Utility Menu ...

[7mYou've got PRIORITY mail!

[m Select PTF Menu Option: UTility Menu

Establish PTF Record from Past Admission Print Special Transaction Request Log PTF Expanded Code Listing Purge Special Transaction Request Log Validity Check of PTF Record

[7mYou've got PRIORITY mail!

[m Select Utility Menu Option: EStablish PTF Record from Past Admission

Select Patient: ZZ PATIENT,TEST ONE ZZ PATIENT,TEST ONE    F 01-24-1945 000003322      1

***WARNING*** ***RESTRICTED Record***

***WARNING*** ***RESTRICTED Record***

Select Admission Date: 5/2/11@9 (MAY 02, 2011@09:00)  5-2-2011@09:00:00  ZZ PAT IENT,TEST ONE (000003322) ADMISSION: DIRECT

Creating new PTF Record... SOURCE OF ADMISSION: 1P      OUTPATIENT Treatment     HOSPITAL Record #5 created.

Select Patient: ZZ PATIENT,TEST THREE ZZ PATIENT,TEST THREE   M 01-15-1968                3

Select Admission Date: MAY 11, 2011@09:00 (MAY 11, 2011@09:00)  5-11-2011@09:00
 * 00                          ZZ PATIENT,TEST THREE

ADMISSION: DIRECT

Creating new PTFRecord... SOURCE OF ADMISSION: 1P      OUTPATIENT Treatment     HOSPITAL Record #6 created.

Select Patient:

Establish PTF Record from Past Admission Print Special Transaction Request Log PTF Expanded Code Listing Purge Special Transaction Request Log Validity Check of PTF Record

[7mYou've got PRIORITY mail!

[m Select Utility Menu Option:

Census Menu ... Checkoff PTF Message DRG Calculation Enter PTF Message Incomplete Records Tracking Menu ... Inquire PTF Message Load/Edit PTF Data National Patient Care Database ...         PTF Output Menu ... Quick Load/Edit PTF Data Set Up Non-VA PTF Record Utility Menu ...

[7mYou've got PRIORITY mail!

[m Select PTF Menu Option:

[7mYou've got PRIORITY mail!

[m

Do you really want to halt? YES//

Logged out at May 14, 2011 10:53 pm

GTM>[?1h=S[C [CD[CU[CZ[C=[C9[C [CD[C [C^[CX[CU[CP[C[?1l>

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 98 new messages. Select OPTION NAME: BED CONTROL MENU DG BED CONTROL     Bed Control Menu

Admit a Patient Cancel a Scheduled Admission Check-in Lodger Delete Waiting List Entry Detailed Inpatient Inquiry Discharge a Patient DRG Calculation Extended Bed Control Lodger Check-out Provider Change Schedule an Admission Seriously Ill List Entry Switch Bed Transfer a Patient Treating Specialty Transfer Waiting List Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Bed Control Menu Option: EXtended Bed Control

Select PATIENT NAME: ZZ PATIENT,TEST THREE                M 01-15-1968                3 CHOOSE FROM: 1> MAY 11,2011@09:00      DIRECT                   TO: CHOOSE 1-1: 1[11;1H[1;1H[J[2J[H

ADMISSION: MAY 11,2011@09:00    DIRECT                 TO:

TRANSFERS:

TREATING SPECIALTY CHANGES:

DISCHARGE:

CHOOSE FROM: 1 - Admit Patient 2 - Transfer Patient 3 - Discharge Patient Select Option: 1 ADMIT PATIENT ADMISSION DATE: MAY 11,2011@09:00// @

Are you sure you want to delete this movement? No// Y (Yes)

Updating automated team lists...completed. MAS Patient Movement - Activating Mental Health Update

Starting Mental Health Update... No MH Actions taken...  done... Executing HL7 ADT Messaging Executing HL7 ADT Messaging (RAI/MDS)

Updating incomplete Records...

...Inpatient Medications check... ...discontinuing Inpatient Medication orders....done...

Updating visit status...completed.

Select PATIENT NAME: ZZ PATIENT,TEST THREE                M 01-15-1968                3 No admissions on file

Select PATIENT NAME: ZZ PATIENT,TEST ONE ZZ PATIENT,TEST ONE    F 01-24-1945 000003322      1

***WARNING*** ***RESTRICTED Record***

***WARNING*** ***RESTRICTED Record***

CHOOSE FROM: 1> MAY 2,2011@09:00       DIRECT                   TO: CHOOSE 1-1: 1[5;1H[1;1H[J[2J[H

ADMISSION: MAY 2,2011@09:00     DIRECT                 TO:

TRANSFERS:

TREATING SPECIALTY CHANGES:

DISCHARGE:

CHOOSE FROM: 1 - Admit Patient 2 - Transfer Patient 3 - Discharge Patient Select Option: 1 ADMIT PATIENT ADMISSION DATE: MAY 2,2011@09:00// w ?? Examples of Valid Dates: JAN 20 1957 or 20 JAN 57 or 1/20/57 or 012057 T  (for TODAY),  T+1 (for TOMORROW),  T+2,  T+7,  etc. T-1 (for YESTERDAY), T-3W (for 3 WEEKS AGO), etc. If the year is omitted, the computer uses CURRENT YEAR. Two digit year assumes no more than 20 years in the future, or 80 years in the past. If only the time is entered, the current date is assumed. Follow the date with a time, such as JAN 20@10, T@10AM, 10:30, etc. You may enter a time, such as NOON, MIDNIGHT or NOW. You may enter  NOW+3'  (for current date and time Plus 3 minutes       *Note--the Apostrophe following the number of minutes) Seconds may be entered as 10:30:30 or 103030AM. Time is REQUIRED in this response. Enter a date which is less than or equal to NOW. ADMISSION DATE: MAY 2,2011@09:00// Y @

Are you sure you want to delete this movement? No// Y (Yes)

Updating automated team lists...completed. MAS Patient Movement - Activating Mental Health Update

Starting Mental Health Update... No MH Actions taken...  done... Executing HL7 ADT Messaging Executing HL7 ADT Messaging (RAI/MDS)

Updating incomplete Records...

...Inpatient Medications check... ...discontinuing Inpatient Medication orders....done...

Updating visit status...completed.

Select PATIENT NAME:

Admit a Patient Cancel a Scheduled Admission Check-in Lodger Delete Waiting List Entry Detailed Inpatient Inquiry Discharge a Patient DRG Calculation Extended Bed Control Lodger Check-out Provider Change Schedule an Admission Seriously Ill List Entry Switch Bed Transfer a Patient Treating Specialty Transfer Waiting List Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Bed Control Menu Option:

[7mYou've got PRIORITY mail!

[m

Do you really want to halt? YES//

Logged out at May 14, 2011 10:54 pm

GTM>[?1h=S[C [CD[CU[CZ[C=[C9[C [CX[C [C D[C [C^[CX[CU[CP[C[?1l>

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 98 new messages. Select OPTION NAME: EVE 1  EVE       Systems Manager Menu 2  EVENT CAPTURE (ECS) EXTRACT AU  ECX ECS SOURCE AUDIT     Event Capture (ECS) Extract Audit 3  EVENT CAPTURE DATA ENTRY  ECENTER     Event Capture Data Entry 4  EVENT CAPTURE EXTRACT  ECXEC     Event Capture Extract 5  EVENT CAPTURE MANAGEMENT MENU  ECMGR     Event Capture Management Menu Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 1 EVE     Systems Manager Menu

Core Applications ...         Device Management ...          Menu Management ...          Programmer Options ...          Operations Management ...          Spool Management ...          Information Security Officer Menu ...          Taskman Management ...          User Management ...   FM     VA FileMan ...          Application Utilities ...          Capacity Planning ...          HL7 Main Menu ...          Manage Mailman ... MAS Parameter Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Systems Manager Menu Option: VA FileMan

VA FileMan Version 22.0

Enter or Edit File Entries Print File Entries Search File Entries Modify File Attributes Inquire to File Entries Utility Functions ...         Data Dictionary Utilities ... Transfer Entries Other Options ...

[7mYou've got PRIORITY mail!

[m Select VA FileMan Option: INQuire to File Entries

OUTPUT FROM WHAT FILE: PATIENT MOVEMENT// Select PATIENT MOVEMENT DATE/TIME: ? Answer with PATIENT MOVEMENT, or DATE/TIME, or WARD LOCATION, or       ROOM-BED, or ADMISSION/CHECK-IN MOVEMENT Choose from: MAY 12, 2011@09:00        COLLINS,FRANK ADMISSION: DIRECT MAY 12, 2011@09:00        COLLINS,FRANK SPECIALTY TRANSFER: PROVIDER/SPECIALTY CHANGE MAY 12, 2011@16:35:04     FEY,TINA (702050907P) ADMISSION: DIRECT MAY 12, 2011@16:35:04     FEY,TINA (702050907P) SPECIALTY TRANSFER: PROVIDER/SPECIALTY CHANGE MAY 13, 2011@16:00        FEY,TINA (702050907P) DISCHARGE: REGULAR Select PATIENT MOVEMENT DATE/TIME: %GTM-I-CTRLC, CTRL_C encountered

GTM>[?1h=s[C S[C [CD[CU[CZ[C=[C9[C [CD[C [C^[CX[CU[CP[C[?1l>

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 98 new messages. Select OPTION NAME: EVE 1  EVE       Systems Manager Menu 2  EVENT CAPTURE (ECS) EXTRACT AU  ECX ECS SOURCE AUDIT     Event Capture (ECS) Extract Audit 3  EVENT CAPTURE DATA ENTRY  ECENTER     Event Capture Data Entry 4  EVENT CAPTURE EXTRACT  ECXEC     Event Capture Extract 5  EVENT CAPTURE MANAGEMENT MENU  ECMGR     Event Capture Management Menu Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 1 EVE     Systems Manager Menu

Core Applications ...         Device Management ...          Menu Management ...          Programmer Options ...          Operations Management ...          Spool Management ...          Information Security Officer Menu ...          Taskman Management ...          User Management ...   FM     VA FileMan ...          Application Utilities ...          Capacity Planning ...          HL7 Main Menu ...          Manage Mailman ... MAS Parameter Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Systems Manager Menu Option: VA FileMan

VA FileMan Version 22.0

Enter or Edit File Entries Print File Entries Search File Entries Modify File Attributes Inquire to File Entries Utility Functions ...         Data Dictionary Utilities ... Transfer Entries Other Options ...

[7mYou've got PRIORITY mail!

[m Select VA FileMan Option: INQuire to File Entries

OUTPUT FROM WHAT FILE: PATIENT MOVEMENT// PATIENT 1  PATIENT                          (93 entries) 2  PATIENT ALLERGIES                (18 entries) 3  PATIENT APPOINTMENT INFO LOG     (0 entries) 4  PATIENT CONSCIOUSNESS            (7 entries) 5  PATIENT DATA ELEMENT             (0 entries) Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 1 PATIENT                    (93 entries) Select PATIENT NAME: ?

Identify the Patient in one of the following ways: - Enter the Patient's NAME or a portion of the NAME in the following format: SMITH,JOHN DOE or SMITH,JOHN

1...Use from 3 to 30 letters 2...a COMMA MUST FOLLOW THE LAST NAME 3...If "JR" or "II", etc, is included, follow the form SMITH,JOHN DOE,JR. 4...NO SPACES after commas.

- Enter the Patient's Health Record Number

- Enter the Patient's DOB in one of the following forms: B01221966 or any valid date e.g. 01/22/66, 01-22-66, JAN 22,1966

- Enter the Patient's SSN or the last 4 digits of the SSN or the last 4 digits preceded by the first letter of the last name

- If the Patient is an Inpatient, enter the Ward or Room-Bed in the form: 66-2  PEDIATRICS - Enter Patient's residence PHONE NUMBER Select PATIENT NAME: Y  ?? Select PATIENT NAME: ?? Choose from: ADAMS,THOMAS                         M 03-01-1950                5 ALLEN,ERIC                              M 12-21-2003                7 ALLEN,JASON                             M 10-16-1953                6 ANDERSON,GEORGE                         M 02-14-1994                8 ANDERSON,JANET                          F 09-30-1986                73 ANDERTON,LARS                           M 01-20-2009                9 BARNES,DANIEL                           M 10-21-1945                10 BLACK,EDWARD                            M 01-24-1953                11 BLACK,GEORGE                            M 03-03-2007                12 BRENT,NORA                              F 02-15-2009                13 BROOKS,MARIA                            F 04-09-2006                14 BROOKS,RICHARD                          M 05-16-1956                15 BROWN,MARK                              M 06-17-1988                80 BURKE,MICHAEL                           M 04-15-1966                16 CAMPBELL,SARAH                          F 03-08-1953                17 CLARKSON,PAULA                          F 03-15-1981                84 COLE,SUSAN                              F 11-24-1948                18 COLEMAN,CYNTHIA                         F 07-29-1968                19 COLLINS,FRANK                           M 12-09-1965                20 '^' TO STOP: COLLINS,JESSICA                         F 06-19-1949                21 COOK,FRANK                              M 10-06-1953                23 DAVIS,CHARLES                           M 11-11-1961                22 DEMO,JOHN                               M 01-12-1955                24 DIAZ,BRIAN                              M 10-22-1969                25 DOOLITTLE,DEXTER                        M 05-09-1998 202050998P      357692 FEY,TINA                                F 05-09-2007 702050907P      357693 FORD,CHRISTOPHER                        M 05-28-1965                27 FORD,SHIRLEY                            F 09-24-1964                26 GARCIA,PAUL                             M 01-17-1933                30 GIBSON,GEORGE                           M 07-13-1981                28 GILBERT,THOMAS                          M 04-04-2009                29 GLENN,GINA                           F 05-09-1994 303050994P      357695 GREER,ANTHONY                           M 05-10-2001 103051001P      357691 HAENA,MARY                              F 11-22-1979                82 HALL,CAROL                              F 11-25-1951                31 HARRIS,JOHN                             M 01-26-1953                32 HHAENA,MARY                             F 11-22-1979                76 HILL,BARBARA                            F 02-15-1991                33 HOWSER,DOUG                             M 05-10-2008 203051008P      357690 JACKSON,JESSICA                      F 06-02-1934                34 JAMES,DAVID                             M 11-14-1965                35 '^' TO STOP: JAMES,WANDA                             F 04-30-1981                77 JOHNSON,PHILIP                          M 05-26-2007                72 JONES,CYNTHIA                           F 05-24-2000                37 JONES,ELIZABETH                         F 12-23-1959                38 JONES,JEFFREY                           F 03-07-2011 002387604      83 JONES,MELISSA                           F 01-12-1961                36 KELLY,DAVID                             M 02-09-1925                39 KING,MATT                               M 08-23-1956                4 LEE,SANDRA                              F 02-23-1946                40 LEWIS,ALEX                              M 09-12-1939                41 MELBROOK,DENISE                         F 05-09-2002 205050902P      357694 MOORE,CARL                              M 11-17-2003                42 MORGAN,CHARLES                          M 03-13-2004                44 MORGAN,JASON                            M 06-03-1954                46 MORGAN,MARGARET                         F 02-22-1999                43 MORGAN,SCOTT                            M 05-26-1948                45 MORTON,HELEN                            F 01-18-2011                47 OWENS,ELIZABETH                         F 07-28-1979                48 PARKER,PATRICK                          M 01-23-1960                49 PARKINSON,FRANCIS                       M 10-15-2010                50 REED,RICHARD                            M 08-27-1995                51 RODGERS,RONALD                          M 02-28-1981                52 '^' TO STOP: ROSS,JESSICA                            F 07-03-1943                53 SINCLAIR,JOHN                           M 10-12-1987                75 SINGER,CARLTON                          M 10-15-1978                79 SMITH,ELAINE                            F 11-05-2010                87 SMITH,JEFFERY                           M 03-04-2011                86 SMITH,MARIA                             F 07-01-1939                54 SMITHSON,PETER                          M 07-12-2010                55 TAKAMURA,MICHAEL                        M 08-15-1982                74 TALBOT,LARS                             M 02-20-2009                56 TAYLOR,BETTY                            F 06-12-2007                57 THOMAS,JONAS                            M 02-03-2009                58 THOMPKINS,FRANCINE                      F 04-13-2009                59 THOMPKINSON,SANDRA REID                 F 04-02-2009                60 THOMPSON,REBECCA                        F 10-06-1962                61 TYLER,CHRISTINE                         F 07-28-1988                78 TYLER,ROBERT                            M 07-06-2010                62 VANE,HARRIET                            F 11-06-2009                63 WALKER,LAWRENCE                         M 01-29-2009                64 WATSON,ALINE WEST                       F 02-24-2009                65 WEST,LISA                               F 11-30-1963                66 WEST,SANDRA                             F 05-25-1932                67 WHITE,PATRICIA                          F 10-24-1949                68 '^' TO STOP: WHITEAGLE,ADAM                          M 03-21-1980                81 WILLIAMSON,DANIEL                       M 03-24-2009                69 WILSON,NANCY                            F 11-14-1927                70 YOUNG,AMY                               F 12-24-1981                71 ZZ PATIENT,TEST ONE                  F 01-24-1945 000003322      1 ZZ PATIENT,TEST THREE               M 01-15-1968                3 ZZ PATIENT,TEST TWO                  M 12-25-1957                2 ZZLABTEST,PATIENT                       M 09-09-1967 609090967P      357689 Select PATIENT NAME:

Enter or Edit File Entries Print File Entries Search File Entries Modify File Attributes Inquire to File Entries Utility Functions ...         Data Dictionary Utilities ... Transfer Entries Other Options ...

[7mYou've got PRIORITY mail!

[m Select VA FileMan Option:

Core Applications ...         Device Management ...          Menu Management ...          Programmer Options ...          Operations Management ...          Spool Management ...          Information Security Officer Menu ...          Taskman Management ...          User Management ...   FM     VA FileMan ...          Application Utilities ...          Capacity Planning ...          HL7 Main Menu ...          Manage Mailman ... MAS Parameter Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Systems Manager Menu Option:

[7mYou've got PRIORITY mail!

[m

Do you really want to halt? YES//

Logged out at May 14, 2011 11:00 pm

GTM>[?1h=S[C [CD[CU[CZ[C=[C8[C9[C 9[C [CD[C [C^[CX[CU[CP[C[?1l>

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 98 new messages. Select OPTION NAME: REGISTRA 1  REGISTRANT GENERAL REPORT  SPNL REGISTRANT GENERAL REPORT     Registran t General Report 2  REGISTRANT INJURY REPORT  SPNL REGISTRANT INJURY REPORT     Registrant Injury Report 3  REGISTRATION AD HOC REPORT  SPNP ADHOC REGISTRY     Registration Ad Hoc Report 4  REGISTRATION AND HEALTH CARE I  SPNL INPUT/EDIT SCD REGISTRANT     Regi stration and Health Care Information 5  REGISTRATION MENU  DG REGISTRATION MENU     Registration Menu Press  to see more, '^' to exit this list, OR CHOOSE 1-5: 5 DG REGISTRATION MENU     Registration Menu

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: LOAd/Edit Patient Data

Select PATIENT NAME: ZZTE ?? Select PATIENT NAME: ZZ TE ?? Select PATIENT NAME: ZZZZ  PATI 1   ZZ PATIENT,TEST ONE          <A>    F 01-24-1945 000003322      1 2   ZZ PATIENT,TEST THREE        <CA>   M 01-15-1968                3 3   ZZ PATIENT,TEST TWO          <A>    M 12-25-1957                2 CHOOSE 1-3: 1 ZZ PATIENT,TEST ONE               <A>    F 01-24-1945 000003322      1

***WARNING*** ***RESTRICTED }Record***

***WARNING*** ***RESTRICTED Record***

Press ENTER to continue [1;1H[1;1H[J[2J[H ZZ PATIENT,TEST ONE                    000-00-3322              JAN 24,1945

=
================================================================              COORDINATING MASTER OF Record: VOE OFFICE INSTITUTION OLD Address: 12 WAYLAND AVE               Temporary: NO TEMPORARY ADDRESS BROOKLYN,NY 11234 County: KINGS (047)                    From/To: NOT APPLICABLE Phone: UNSPECIFIED                      Phone: NOT APPLICABLE Office: UNSPECIFIED Cell: UNSPECIFIED E-mail: UNSPECIFIED Bad Addr:

Confidential Address:                     Confidential Address Categories: NO CONFIDENTIAL ADDRESS From/To: NOT APPLICABLE Primary Eligibility: REIMBURSABLE INSURANCE (NOT VERIFIED) Other Eligibilities: Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST ONE                    000-00-3322              JAN 24,1945

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================================================================              COORDINATING MASTER OF Record: VOE OFFICE INSTITUTION OLD

Unemployable: NO

Status     : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Future Appointments: NONE

Remarks:

Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By:

Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST ONE                    000-00-3322              JAN 24,1945

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================================================================              COORDINATING MASTER OF Record: VOE OFFICE INSTITUTION OLD

Do you want to edit Patient Data? Yes// Y (Yes) Do you want to validate/edit the Patient's Address? N (No) [8;1H[1;1H[J[2J[H             PATIENT DEMOGRAPHIC DATA, SCREEN <1> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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==================================================================                                                         Reg Dt: 5/11/06

[1]   Name: ZZ PATIENT,TEST ONE            SS: 000-00-3322 DOB: JAN 24,1945 Family: ZZ PATIENT                   HRN:              Sex: FEMALE Given: TEST                   [2] Alias: < No alias entries on file > Middle: ONE Prefix: Suffix: Degree: [3] Remarks: NO REMARKS ENTERED FOR THIS PATIENT [4] Permanent Address:                 [5] Temporary Address: 12 WAYLAND AVE                        NO TEMPORARY ADDRESS BROOKLYN,NY 11234 County: KINGS (047)                    County: NOT APPLICABLE Phone: UNANSWERED                      Phone: NOT APPLICABLE Office: UNANSWERED                    From/To: NOT APPLICABLE Alt Ph: Bad Addr: <RET> to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: 1 FAMILY (LAST) NAME: ZZ PATIENT// GIVEN (FIRST) NAME: TEST// MIDDLE NAME: ONE// PREFIX: SUFFIX: DEGREE: SOCIAL SECURITY NUMBER: 000003322// 000003322 DATE OF BIRTH: 01/24/1945// SEX: FEMALE// FEMALE MULTIPLE BIRTH INDICATOR: NO[10;1H[1;1H[J[2J[H             PATIENT DEMOGRAPHIC DATA, SCREEN <1> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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==================================================================                                                         Reg Dt: 5/11/06

[1]   Name: ZZ PATIENT,TEST ONE            SS: 000-00-3322 DOB: JAN 24,1945 Family: ZZ PATIENT                   HRN:              Sex: FEMALE Given: TEST                   [2] Alias: < No alias entries on file > Middle: ONE Prefix: Suffix: Degree: [3] Remarks: NO REMARKS ENTERED FOR THIS PATIENT [4] Permanent Address:                 [5] Temporary Address: 12 WAYLAND AVE                        NO TEMPORARY ADDRESS BROOKLYN,NY 11234 County: KINGS (047)                    County: NOT APPLICABLE Phone: UNANSWERED                      Phone: NOT APPLICABLE Office: UNANSWERED                    From/To: NOT APPLICABLE Alt Ph: Bad Addr: <RET> to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: [24;1H[1;1H[J[2J[H       ADDITIONAL PATIENT DEMOGRAPHIC DATA, SCREEN <1.1> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]Confidential Address NO CONFIDENTIAL ADDRESS

From/To: NOT APPLICABLE [2]   Cell Phone:  UNANSWERED Pager #: UNANSWERED Email Address: UNANSWERED

<RET> to CONTINUE, 1-2 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H                   PATIENT DATA, SCREEN <2> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1] Marital: MARRIED                       POB: LAS VEGAS, NEVADA Religion: UNANSWERED                Father: UNANSWERED SCI: UNANSWERED                Mother: UNANSWERED Mom's Maiden: FRED,

[2] Previous Care Date     Location of Previous Care --     -    NONE INDICATED          NONE INDICATED Veteran: Interpreter Language:

[3] Ethnicity: UNANSWERED Race: UNANSWERED

<4> Date of Death Information Date of Death:                     Source of Notification: Updated Date/Time:                 Last Edited By:

[5] Emergency Response: <RET> to CONTINUE, 1,2,3,5 or ALL to EDIT, ^N for screen N or '^' to QUIT: [23;1H[1;1H[J[2J[H              EMERGENCY CONTACT DATA, SCREEN <3> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]     NOK: UNANSWERED                  [2] NOK-2: UNANSWERED Relation: UNANSWERED                  Relation: UNANSWERED Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: UNANSWERED                Work Phone: UNANSWERED [3] E-Cont.: UNANSWERED               [4] E2-Cont.: UNANSWERED Relation: UNANSWERED                  Relation: UNANSWERED Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: UNANSWERED                Work Phone: UNANSWERED [5] Designee: UNANSWERED                         Relation: UNANSWERED Phone: UNANSWERED                Work Phone: UNANSWERED [6]Year arrived in U.S.: Mother's Country of Birth: Father's Country of Birth:

<RET> to CONTINUE, 1-6 or ALL to EDIT, ^N for screen N or '^' to QUIT: 1 K-NAME OF PRIMARY NOK: PATIENT      ZZ PATIENT, MARY K-RELATIONSHIP TO PATIENT: K-ADDRESS SAME AS PATIENT'S?: NO// Y YES K-WORK PHONE NUMBER: 206 645 9876[2;1H[1;1H[J[2J[H              EMERGENCY CONTACT DATA, SCREEN <3> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]     NOK: ZZ PATIENT,MARY             [2] NOK-2: UNANSWERED Relation: UNANSWERED                  Relation: UNANSWERED 12 WAYLAND AVE BROOKLYN,NY 11234 Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: 206 645 9876              Work Phone: UNANSWERED [3] E-Cont.: UNANSWERED               [4] E2-Cont.: UNANSWERED Relation: UNANSWERED                  Relation: UNANSWERED Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: UNANSWERED                Work Phone: UNANSWERED [5] Designee: UNANSWERED                         Relation: UNANSWERED Phone: UNANSWERED                Work Phone: UNANSWERED [6]Year arrived in U.S.: Mother's Country of Birth: Father's Country of Birth:

<RET> to CONTINUE, 1-6 or ALL to EDIT, ^N for screen N or '^' to QUIT: 1 K-NAME OF PRIMARY NOK: ZZ PATIENT,MARY// ZZ PATIENT,  THOMAS P K-RELATIONSHIP TO PATIENT: HUSBAND K-ADDRESS SAME AS PATIENT'S?: NO// Y YES K-WORK PHONE NUMBER: 206 5438765          Z9206     206-987-6543[2;1H[1;1H[J[2J[H               EMERGENCY CONTACT DATA, SCREEN <3> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]     NOK: ZZ PATIENT,THOMAS P         [2] NOK-2: UNANSWERED Relation: HUSBAND                     Relation: UNANSWERED 12 WAYLAND AVE BROOKLYN,NY 11234 Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: 206-987-6543              Work Phone: UNANSWERED [3] E-Cont.: UNANSWERED               [4] E2-Cont.: UNANSWERED Relation: UNANSWERED                  Relation: UNANSWERED Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: UNANSWERED                Work Phone: UNANSWERED [5] Designee: UNANSWERED                         Relation: UNANSWERED Phone: UNANSWERED                Work Phone: UNANSWERED [6]Year arrived in U.S.: Mother's Country of Birth: Father's Country of Birth:

<RET> to CONTINUE, 1-6 or ALL to EDIT, ^N for screen N or '^' to QUIT: 3 E-EMER. CONTACT SAME AS NOK?: NO// Y YES[23;1H[1;1H[J[2J[H               EMERGENCY CONTACT DATA, SCREEN <3> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]     NOK: ZZ PATIENT,THOMAS P         [2] NOK-2: UNANSWERED Relation: HUSBAND                     Relation: UNANSWERED 12 WAYLAND AVE BROOKLYN,NY 11234 Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: 206-987-6543              Work Phone: UNANSWERED [3] E-Cont.: ZZ PATIENT,THOMAS P      [4] E2-Cont.: UNANSWERED Relation: HUSBAND                     Relation: UNANSWERED 12 WAYLAND AVE BROOKLYN,NY 11234 Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: 206-987-6543              Work Phone: UNANSWERED [5] Designee: UNANSWERED                         Relation: UNANSWERED Phone: UNANSWERED                Work Phone: UNANSWERED [6]Year arrived in U.S.: Mother's Country of Birth: Father's Country of Birth:

<RET> to CONTINUE, 1-6 or ALL to EDIT, ^N for screen N or '^' to QUIT: [24;1H[1;1H[J[2J[H         APPLICANT/SPOUSE EMPLOYMENT DATA, SCREEN <4> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1] Employer: UNANSWERED               [2] Spouse's: UNANSWERED

Occupation: NOE                        Occupation: UNANSWERED Status: UNKNOWN                        Status: UNANSWERED Retired Dt.: NOT APPLICABLE            Retired Dt.: NOT APPLICABLE

<RET> to CONTINUE, 1-2 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H                  INSURANCE DATA, SCREEN <5> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1] Covered by Health Insurance: NO

Insurance  COB Subscriber ID     Group       Holder  Effective  Expires ===========================================================================   No Insurance Information

[2] Eligible for MEDICAID: UNANSWERED

[3] Medicaid Number:

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H              ELIGIBILITY STATUS DATA, SCREEN <7> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]      Patient Type: VISTA OFFICE EHR                  Veteran: NO         Svc Connected: N/A                            SC Percent: N/A Rated Incomp.: UNANSWERED Claim Number: UNANSWERED Folder Loc.: UNANSWERED [2]  Aid & Attendance: UNANSWERED                     Housebound: UNANSWERED VA Pension: UNANSWERED                 VA Disability: UNANSWERED Total Check Amount: NOT APPLICABLE GI Insurance: UNANSWERED                        Amount: UNANSWERED [3] Primary Elig Code: REIMBURSABLE INSURANCE Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: OTHER REIMBURS. (NON-VET)

<4> Service Connected Conditions as stated by applicant ---   NONE STATED

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: 1 TYPE: VISTA OFFICE EHR// VETERAN (Y/N)?: NO// SERVICE CONNECTED?: NO// RATED INCOMPETENT?: CLAIM NUMBER: CLAIM FOLDER LOCATION: [4;1H[1;1H[J[2J[H              ELIGIBILITY STATUS DATA, SCREEN <7> ZZ PATIENT,TEST ONE; 000-00-3322                              VISTA OFFICE EHR

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================================================================== [1]      Patient Type: VISTA OFFICE EHR                  Veteran: NO         Svc Connected: N/A                            SC Percent: N/A Rated Incomp.: UNANSWERED Claim Number: UNANSWERED Folder Loc.: UNANSWERED [2]  Aid & Attendance: UNANSWERED                     Housebound: UNANSWERED VA Pension: UNANSWERED                 VA Disability: UNANSWERED Total Check Amount: NOT APPLICABLE GI Insurance: UNANSWERED                        Amount: UNANSWERED [3] Primary Elig Code: REIMBURSABLE INSURANCE Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: OTHER REIMBURS. (NON-VET)

<4> Service Connected Conditions as stated by applicant ---   NONE STATED

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: 3 PRIMARY ELIGIBILITY CODE: REIMBURSABLE INSURANCE // ?    Select from the available list the eligibility code which best defines this applicant's primary entitlement to care. For more detailed information, enter ??. Applicable code based on veteran or non-veteran status. Answer with ELIGIBILITY CODE NAME, or VA CODE NUMBER, or    MAS ELIGIBILITY CODE, or SYNONYM Do you want the entire ELIGIBILITY CODE List? Y (Yes) Choose from: EHR PATIENT                    8      8   NON-VETERAN HUMANITARIAN EMERGENCY         6      6   NON-VETERAN SITE SPECIFIC CODE #1          1      1   NON-VETERAN PRIMARY ELIGIBILITY CODE: REIMBURSABLE INSURANCE // EHR PATIENT           8      8   NON-VETERAN Select ELIGIBILITY: EHR PATIENT// ELIGIBILITY: EHR PATIENT// Select ELIGIBILITY: PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// T    Current Eligibility Code: EHR PATIENT ?? Current Eligibility Code: EHR PATIENT Select from the available listing the period of service which best classifies this patient. POS must be compatible with Eligibility Code PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// ? Select from the available listing the period of service which best classifies this patient. POS must be compatible with Eligibility Code Answer with PERIOD OF SERVICE NAME, or ABBREVIATION, or CODE, or    SYNONYM Do you want the entire PERIOD OF SERVICE List? Y (Yes) Choose from: Current Eligibility Code: EHR PATIENT PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// EHR Current Eligibility Code: EHR PATIENT ?? Current Eligibility Code: EHR PATIENT Select from the available listing the period of service which best classifies this patient. POS must be compatible with Eligibility Code PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// ? Select from the available listing the period of service which best classifies this patient. POS must be compatible with Eligibility Code Answer with PERIOD OF SERVICE NAME, or ABBREVIATION, or CODE, or    SYNONYM Do you want the entire PERIOD OF SERVICE List? Y (Yes) Choose from: Current Eligibility Code: EHR PATIENT PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// [5;1H[1;1H[J[2J[H              ELIGIBILITY STATUS DATA, SCREEN <7> ZZ PATIENT,TEST ONE; 1                                        VISTA OFFICE EHR

=
================================================================== [1]      Patient Type: VISTA OFFICE EHR                  Veteran: NO         Svc Connected: N/A                            SC Percent: N/A Rated Incomp.: UNANSWERED Claim Number: UNANSWERED Folder Loc.: UNANSWERED [2]  Aid & Attendance: UNANSWERED                     Housebound: UNANSWERED VA Pension: UNANSWERED                 VA Disability: UNANSWERED Total Check Amount: NOT APPLICABLE GI Insurance: UNANSWERED                        Amount: UNANSWERED [3] Primary Elig Code: EHR PATIENT Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: OTHER REIMBURS. (NON-VET)

<4> Service Connected Conditions as stated by applicant ---   NONE STATED

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: 3 PRIMARY ELIGIBILITY CODE: EHR PATIENT// Select ELIGIBILITY: EHR PATIENT// ELIGIBILITY: EHR PATIENT// Select ELIGIBILITY: PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// ? Select from the available listing the period of service which best classifies this patient. POS must be compatible with Eligibility Code Answer with PERIOD OF SERVICE NAME, or ABBREVIATION, or CODE, or    SYNONYM Do you want the entire PERIOD OF SERVICE List? Y (Yes) Choose from: Current Eligibility Code: EHR PATIENT PERIOD OF SERVICE: OTHER REIMBURS. (NON-VET)// [5;1H[1;1H[J[2J[H              ELIGIBILITY STATUS DATA, SCREEN <7> ZZ PATIENT,TEST ONE; 1                                        VISTA OFFICE EHR

=
================================================================== [1]      Patient Type: VISTA OFFICE EHR                  Veteran: NO         Svc Connected: N/A                            SC Percent: N/A Rated Incomp.: UNANSWERED Claim Number: UNANSWERED Folder Loc.: UNANSWERED [2]  Aid & Attendance: UNANSWERED                     Housebound: UNANSWERED VA Pension: UNANSWERED                 VA Disability: UNANSWERED Total Check Amount: NOT APPLICABLE GI Insurance: UNANSWERED                        Amount: UNANSWERED [3] Primary Elig Code: EHR PATIENT Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: OTHER REIMBURS. (NON-VET)

<4> Service Connected Conditions as stated by applicant ---   NONE STATED

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: ...HMMM, HOLD ON... [?25l [1;1H[1;1H[J[2J[H [4m [1m [1;1HDependents Module[m[4m [1;31HMay 14, 2011@23:06:42         Page:    1 of    1 [m[1;1H FAMILY DEMOGRAPHIC DATA, SCREEN <8> Patient: ZZ PATIENT,TEST ONE (1)                                    Outpatient [3;1H [4m MT Patient/Dependent      Relationship                   Active  Address [m [4;1H 1    ZZ PATIENT,TEST ONE    SELF                             * Married Last Year: Unanswered

[14;1H

[7m Enter ?? for more Actions [m [16;1H[J7[16;24r8 [4m 7[1;31HMay 14, 2011@23:06:428 [m [15;1H[14;1H

DA Spouse/Dependent Add                MT Marital/Dependent Info ES Spouse Demographic                  AD Add to Means/Copay Test DD Dependent Demographic               RE Remove from Means/Copay Test DP Delete Dependent                    ED Expand Dependent[J [?25h Select Action: Quit//   QUIT  7[1;24r8[m[m[6;1H[1;1H[J[2J[H7[1;24r8[m[m[1;1H[1;1H[J[2J[H[1;1H[1;1H[J[2J[H               ADMISSION INFORMATION, SCREEN <12> ZZ PATIENT,TEST ONE; 1                                        VISTA OFFICE EHR

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==================================================================

NO ADMISSION DATA ON FILE FOR THIS PATIENT!!

<RET> to CONTINUE, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H             Application INFORMATION, SCREEN <13> ZZ PATIENT,TEST ONE; 1                                        VISTA OFFICE EHR

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================================================================== <1>   Registered: FEB 9,2005@16:18 by 'DEWAYNE,ROBERT (#9)' Applied for: OUTPATIENT MEDICAL Dispositioned: OPEN DISPOSITION Type of Disp.: OPEN DISPOSITION

<RET> to CONTINUE, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H             APPOINTMENT INFORMATION, SCREEN <14> ZZ PATIENT,TEST ONE; 1                                        VISTA OFFICE EHR

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================================================================== <1> Enrollment Clinics: NOT ACTIVELY ENROLLED IN ANY CLINICS AT THIS TIME

<2>    Pending Appt's: NO PENDING APPOINTMENTS ON FILE

<RET> to QUIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H                 LOCAL REGISTRATION QUESTIONS

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===================================================================

Please Answer these questions

Checking data for consistency...

===> 1 inconsistency found in 0 seconds...

===> 1 inconsistency filed in 0 seconds...[11;1H[1;1H[J[2J[H ZZ PATIENT,TEST ONE (000-00-3322)                               JAN 24,1945

=
================================================================= 8 - ADDRESS DATA INCOMPLETE

DO YOU WANT TO UPDATE THESE INCONSISTENCIES NOW? Yes//  (Yes) COUNTRY: UNITED STATES// UNITED STATES USA     United States STREET ADDRESS [LINE 1]: 12 WAYLAND AVE// 12 WAYLAND AVE STREET ADDRESS [LINE 2]: ZIP+4: 11234// 11234

Select one of the following:

1        BROOKLYN*

CITY: BROOKLYN// 1 BROOKLYN* STATE: NEW YORK COUNTY: KINGS PHONE NUMBER [CELLULAR]: 206-987-6543 BAD ADDRESS INDICATOR: [OLD ADDRESS] 12 WAYLAND AVE BROOKLYN,NEW YORK 11234 County: KINGS 047 Bad Addr:

[NEW ADDRESS] 12 WAYLAND AVE BROOKLYN,NEW YORK 11234 UNITED STATES County: KINGS 047 Bad Addr:

Are you sure that you want to save the above changes? YES Change saved. Press ENTER to continue:

Checking data for consistency...

===> No inconsistencies found in 0 seconds...

===> Removing patient from Inconsistency file...

Select PATIENT NAME: ZZ PAT 1   ZZ PATIENT,TEST ONE          <A>    F 01-24-1945 000003322      1 2   ZZ PATIENT,TEST THREE        <CA>   M 01-15-1968                3 3   ZZ PATIENT,TEST TWO          <A>    M 12-25-1957                2 CHOOSE 1-3: 2 ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968                3 Press ENTER to continue [1;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                                           JAN 15,1968

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================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR Address: 123 ANYWHERE                 Temporary: NO TEMPORARY ADDRESS AVON,IN 46123 County: HENDRICKS (063)                From/To: NOT APPLICABLE Phone: UNSPECIFIED                      Phone: NOT APPLICABLE Office: UNSPECIFIED Cell: UNSPECIFIED E-mail: UNSPECIFIED Bad Addr:

Confidential Address:                     Confidential Address Categories: NO CONFIDENTIAL ADDRESS From/To: NOT APPLICABLE Primary Eligibility: REIMBURSABLE INSURANCE (NOT VERIFIED) Other Eligibilities: Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                                           JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR

Unemployable: NO

Status     : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Future Appointments: NONE

Remarks:

Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By:

Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                                           JAN 15,1968

=
================================================================              COORDINATING MASTER OF RECORD~Record:                                                                                                        OFFICE OF INFORMATION SRV CNTR

Do you want to edit Patient Data? Yes//  (Yes) Do you want to validate/edit the Patient's Address? N (No) [8;1H[1;1H[J[2J[H             PATIENT DEMOGRAPHIC DATA, SCREEN <1> ZZ PATIENT,TEST THREE; --                                     VISTA OFFICE EHR

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==================================================================                                                         Reg Dt:

[1]   Name: ZZ PATIENT,TEST THREE          SS: -- DOB: JAN 15,1968 Family: ZZ PATIENT                   HRN:              Sex: MALE Given: TEST                   [2] Alias: < No alias entries on file > Middle: THREE Prefix: Suffix: Degree: [3] Remarks: NO REMARKS ENTERED FOR THIS PATIENT [4] Permanent Address:                 [5] Temporary Address: 123 ANYWHERE                          NO TEMPORARY ADDRESS AVON,IN 46123 County: HENDRICKS (063)                County: NOT APPLICABLE Phone: UNANSWERED                      Phone: NOT APPLICABLE Office: UNANSWERED                    From/To: NOT APPLICABLE Alt Ph: Bad Addr: <RET> to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: 1 FAMILY (LAST) NAME: ZZ PATIENT// GIVEN (FIRST) NAME: TEST// MIDDLE NAME: THREE// PREFIX: SUFFIX: DEGREE: SOCIAL SECURITY NUMBER: P 769011568P PSEUDO SSN REASON: NO SSN ASSIGNED DATE OF BIRTH: 01/15/1968// SEX: MALE// MALE MULTIPLE BIRTH INDICATOR: NO

**WARNING!!**

The edits you are about to make, may potentially change the identity of this patient. Please verify that you have selected the correct patient and ensure that supporting documentation exists for these changes. If you continue with these edits, an alert will be generated and sent to your Supervisor and ADPAC, notifying them of the changes. Do you wish to continue and save your edits:? NO// YES[20;1H[1;1H[J[2J[H             PATIENT DEMOGRAPHIC DATA, SCREEN <1> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
==================================================================                                                         Reg Dt: 5/14/11

[1]   Name: ZZ PATIENT,TEST THREE          SS: 769-01-1568P DOB: JAN 15,1968          PSSN Reason: No SSN Assigned Family: ZZ PATIENT                   HRN:              Sex: MALE Given: TEST                   [2] Alias: < No alias entries on file > Middle: THREE Prefix: Suffix: Degree: [3] Remarks: NO REMARKS ENTERED FOR THIS PATIENT [4] Permanent Address:                 [5] Temporary Address: 123 ANYWHERE                          NO TEMPORARY ADDRESS AVON,IN 46123 County: HENDRICKS (063)                County: NOT APPLICABLE Phone: UNANSWERED                      Phone: NOT APPLICABLE Office: UNANSWERED                    From/To: NOT APPLICABLE Alt Ph: Bad Addr: <RET> to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: [24;1H[1;1H[J[2J[H       ADDITIONAL PATIENT DEMOGRAPHIC DATA, SCREEN <1.1> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

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================================================================== [1]Confidential Address NO CONFIDENTIAL ADDRESS

From/To: NOT APPLICABLE [2]   Cell Phone:  UNANSWERED Pager #: UNANSWERED Email Address: UNANSWERED

<RET> to CONTINUE, 1-2 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H                   PATIENT DATA, SCREEN <2> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

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================================================================== [1] Marital: UNKNOWN                       POB: MIAMI, FLORIDA Religion: UNANSWERED                Father: UNANSWERED SCI: UNANSWERED                Mother: UNANSWERED Mom's Maiden: NITWIT,

[2] Previous Care Date     Location of Previous Care --     -    NONE INDICATED          NONE INDICATED Veteran: Interpreter Language:

[3] Ethnicity: UNANSWERED Race: UNANSWERED

<4> Date of Death Information Date of Death:                     Source of Notification: Updated Date/Time:                 Last Edited By:

[5] Emergency Response: <RET> to CONTINUE, 1,2,3,5 or ALL to EDIT, ^N for screen N or '^' to QUIT: [23;1H[1;1H[J[2J[H              EMERGENCY CONTACT DATA, SCREEN <3> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
================================================================== [1]     NOK: CLAUSE,SANTA                [2] NOK-2: UNANSWERED Relation: FRIEND                      Relation: UNANSWERED STREET ADDRESS UNKNOWN UNK. CITY/STATE Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: UNANSWERED                Work Phone: UNANSWERED [3] E-Cont.: UNANSWERED               [4] E2-Cont.: UNANSWERED Relation: UNANSWERED                  Relation: UNANSWERED Phone: UNANSWERED                     Phone: UNANSWERED Work Phone: UNANSWERED                Work Phone: UNANSWERED [5] Designee: UNANSWERED                         Relation: UNANSWERED Phone: UNANSWERED                Work Phone: UNANSWERED [6]Year arrived in U.S.: Mother's Country of Birth: Father's Country of Birth:

<RET> to CONTINUE, 1-6 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H         APPLICANT/SPOUSE EMPLOYMENT DATA, SCREEN <4> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
================================================================== [1] Employer: UNANSWERED               <2> Spouse's: NOT APPLICABLE

Occupation: UNEMPLOYED Status: UNKNOWN Retired Dt.: NOT APPLICABLE

<RET> to CONTINUE, 1 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H                  INSURANCE DATA, SCREEN <5> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
================================================================== [1] Covered by Health Insurance: NO

Insurance  COB Subscriber ID     Group       Holder  Effective  Expires ===========================================================================   No Insurance Information

[2] Eligible for MEDICAID: UNANSWERED

[3] Medicaid Number:

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H              ELIGIBILITY STATUS DATA, SCREEN <7> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
================================================================== [1]      Patient Type: VISTA OFFICE EHR                  Veteran: NO         Svc Connected: N/A                            SC Percent: N/A Rated Incomp.: UNANSWERED Claim Number: UNANSWERED Folder Loc.: UNANSWERED [2]  Aid & Attendance: UNANSWERED                     Housebound: UNANSWERED VA Pension: UNANSWERED                 VA Disability: UNANSWERED Total Check Amount: NOT APPLICABLE GI Insurance: UNANSWERED                        Amount: UNANSWERED [3] Primary Elig Code: REIMBURSABLE INSURANCE Other Elig Code(s): NO ADDITIONAL ELIGIBILITIES IDENTIFIED Period of Service: OTHER REIMBURS. (NON-VET)

<4> Service Connected Conditions as stated by applicant ---   NONE STATED

<RET> to CONTINUE, 1-3 or ALL to EDIT, ^N for screen N or '^' to QUIT: ...SORRY, LET ME PUT YOU ON 'HOLD' FOR A SECOND... [?25l [1;1H[1;1H[J[2J[H [4m [1m [1;1HDependents Module[m[4m [1;31HMay 14, 2011@23:08:43         Page:    1 of    1 [m[1;1H FAMILY DEMOGRAPHIC DATA, SCREEN <8> Patient: ZZ PATIENT,TEST THREE (769-01-1568P)                       Outpatient [3;1H [4m MT Patient/Dependent      Relationship                   Active  Address [m [4;1H 1    ZZ PATIENT,TEST THREE  SELF                             * Married Last Year: Unanswered

[14;1H

[7m Enter ?? for more Actions [m [16;1H[J7[16;24r8 [4m 7[1;31HMay 14, 2011@23:08:438 [m [15;1H[14;1H

DA Spouse/Dependent Add                MT Marital/Dependent Info ES Spouse Demographic                  AD Add to Means/Copay Test DD Dependent Demographic               RE Remove from Means/Copay Test DP Delete Dependent                    ED Expand Dependent[J [?25h Select Action: Quit// Q  Q  7[1;24r8[m[m[6;1H[1;1H[J[2J[H7[1;24r8[m[m[1;1H[1;1H[J[2J[H[1;1H[1;1H[J[2J[H               ADMISSION INFORMATION, SCREEN <12> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
==================================================================

NO ADMISSION DATA ON FILE FOR THIS PATIENT!!

<RET> to CONTINUE, ^N for screen N or '^' to QUIT: [22;1H[1;1H[J[2J[H             Application INFORMATION, SCREEN <13> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
================================================================== <1>   Registered: MAY 9,2005@09:07 by 'DEWAYNE,ROBERT (#9)' Applied for: OUTPATIENT MEDICAL Dispositioned: OPEN DISPOSITION Type of Disp.: OPEN DISPOSITION

<RET> to CONTINUE, ^N for screen N or '^' to QUIT: ^[22;1H[1;1H[J[2J[H                 LOCAL REGISTRATION QUESTIONS

=
===================================================================

Please Answer these questions

Checking data for consistency...

===> 1 inconsistency found in 0 seconds...

===> 1 inconsistency filed in 0 seconds...[11;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE (769-01-1568P)                            JAN 15,1968

=
================================================================= 8 - ADDRESS DATA INCOMPLETE

DO YOU WANT TO UPDATE THESE INCONSISTENCIES NOW? Yes//  (Yes) COUNTRY: UNITED STATES// UNITED STATES USA     United States STREET ADDRESS [LINE 1]: 123 ANYWHERE// 123 ANYWHERE STREET ADDRESS [LINE 2]: ZIP+4: 46123// 46123

Select one of the following:

1        AVON*

CITY: AVON// 1 AVON* STATE: INDIANA COUNTY: HENDRICKS PHONE NUMBER [CELLULAR]: 206 -876-5432 BAD ADDRESS INDICATOR: [OLD ADDRESS] 123 ANYWHERE AVON,INDIANA 46123 County: HENDRICKS 063 Bad Addr:

[NEW ADDRESS] 123 ANYWHERE AVON,INDIANA 46123 UNITED STATES County: HENDRICKS 063 Bad Addr:

Are you sure that you want to save the above changes? YES Change saved. Press ENTER to continue:

Checking data for consistency...

===> No inconsistencies found in 0 seconds...

===> Removing patient from Inconsistency file...

Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

You have 99 new messages. (Last arrival: 05/14/11@23:08)

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: REGister a Patient

Select PATIENT NAME: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      3 Press ENTER to continue

Please verify or update the following information:

HEALTH Record NO.: 357696// 357696 Select ALIAS: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR Address: 123 ANYWHERE                 Temporary: NO TEMPORARY ADDRESS AVON,IN 46123 UNITED STATES County: HENDRICKS (063)                From/To: NOT APPLICABLE Phone: UNSPECIFIED                      Phone: NOT APPLICABLE Office: UNSPECIFIED Cell: 206-876-5432 E-mail: UNSPECIFIED Bad Addr:

Confidential Address:                     Confidential Address Categories: NO CONFIDENTIAL ADDRESS From/To: NOT APPLICABLE Primary Eligibility: REIMBURSABLE INSURANCE (NOT VERIFIED) Other Eligibilities: Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR

Unemployable: NO

Status     : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Future Appointments: NONE

Remarks:

Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By:

Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR

Do you want to edit Patient Data? Yes// N (No) Do you want to validate/edit the Patient's Address? N (No)

Checking data for consistency...

===> No inconsistencies found in 0 seconds...

There is still an open disposition--register aborted.

Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: DISP 1   Disposition an Application 2   Disposition Log Edit CHOOSE 1-2: 1 Disposition an Application

Disposition PATIENT:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: DISP 1   Disposition an Application 2   Disposition Log Edit CHOOSE 1-2: 2 Disposition Log Edit

Select PATIENT NAME: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3

Registration date/time: ? 1. 05/09/2005@09:07                   Enter the date and time, Entry #, or 'L' for the last registration, to select the registration you wish to edit

Registration date/time: 1  05/09/2005@09:07

STATUS: UNSCHEDULED// TYPE OF BENEFIT APPLIED FOR: OUTPATIENT MEDICAL //  TYPE OF CARE APPLIED FOR: ALL OTHER// REGISTRATION ELIGIBILITY CODE: REIMBURSABLE INSURANCE // ?    ONLY ELIGIBILITIES WHICH HAVE BEEN ASSIGNED TO THIS PATIENT! Answer with ELIGIBILITY CODE NAME, or VA CODE NUMBER, or    MAS ELIGIBILITY CODE, or SYNONYM Do you want the entire ELIGIBILITY CODE List? Y (Yes) Choose from: HUMANITARIAN EMERGENCY         6      6   NON-VETERAN REIMBURSABLE INSURANCE         8      8   NON-VETERAN REGISTRATION ELIGIBILITY CODE: REIMBURSABLE INSURANCE //  FACILITY APPLYING TO: EHR OFFICE// NEED RELATED TO AN ACCIDENT: NO// NEED RELATED TO OCCUPATION: NO//

Updating eligibility status for this registration...

Disposition on AMIS Segment 420 - SEGMENT NAME UNKNOWN ??

Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: DISP 1   Disposition an Application 2   Disposition Log Edit CHOOSE 1-2: 1 Disposition an Application

Disposition PATIENT: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3

LOG DATE           TYPE OF BENEFIT APPLIED FOR --- 05/09/2005@09:07   OUTPATIENT MEDICAL

STATUS: UNSCHEDULED// TYPE OF BENEFIT APPLIED FOR: OUTPATIENT MEDICAL// TYPE OF CARE APPLIED FOR: ALL OTHER// REGISTRATION ELIGIBILITY CODE: REIMBURSABLE INSURANCE // LOG OUT DATE TIME: NOW// ^


 * Disposition deleted *

Disposition PATIENT:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: LOad/Edit Patient Data

Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: DISP 1   Disposition an Application 2   Disposition Log Edit CHOOSE 1-2: 2 Disposition Log Edit

Select PATIENT NAME: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3

Registration date/time: 1  05/09/2005@09:07

STATUS: UNSCHEDULED// ^

Updating eligibility status for this registration...

Disposition on AMIS Segment 420 - SEGMENT NAME UNKNOWN ??

Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: DE          Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: DELete a Registration

Select PATIENT NAME: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3

LOG IN DATE/TIME: MAY 09, 2005@09:07 STATUS: UNSCHEDULED TYPE OF BENEFIT APPLIED FOR: OUTPATIEN T MEDICAL FACILITY APPLYING TO: EHR OFFICE WHO ENTERED 10/10: DEWAYNE,ROBERT ACTIVE: ACTIVE TYPE OF CARE APPLIED FOR: ALL OTHER REGISTRATION ELIGIBILITY CODE: REIMBUR SABLE INSURANCE ELIG VERIFIED AT REGISTRATION: NO SC AT REGISTRATION: NO

Are you sure you want to delete this registration? No// Y (Yes) Deleted.

Select PATIENT NAME: ?? Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: REGister a Patient

Select PATIENT NAME: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3 Press ENTER to continue

Please verify or update the following information:

HEALTH Record NO.: 357696// 357696 Select ALIAS: [11;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR Address: 123 ANYWHERE                 Temporary: NO TEMPORARY ADDRESS AVON,IN 46123 UNITED STATES County: HENDRICKS (063)                From/To: NOT APPLICABLE Phone: UNSPECIFIED                      Phone: NOT APPLICABLE Office: UNSPECIFIED Cell: 206-876-5432 E-mail: UNSPECIFIED Bad Addr:

Confidential Address:                     Confidential Address Categories: NO CONFIDENTIAL ADDRESS From/To: NOT APPLICABLE Primary Eligibility: REIMBURSABLE INSURANCE (NOT VERIFIED) Other Eligibilities: Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR

Unemployable: NO

Status     : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Future Appointments: NONE

Remarks:

Date of Death Information Date of Death: Source of Notification: Updated Date/Time: Last Edited By:

Enter RETURN to continue or '^' to exit: [20;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF RECORD~Record: OFFICE OF INFORMATION SRV CNTR

Do you want to edit Patient Data? Yes//  (Yes) Do you want to validate/edit the Patient's Address? B ?? Answer with 'Yes' or 'No': N (No) [9;1H[1;1H[J[2J[H             PATIENT DEMOGRAPHIC DATA, SCREEN <1> ZZ PATIENT,TEST THREE; 769-01-1568P                           VISTA OFFICE EHR

=
==================================================================                                                         Reg Dt: 5/14/11

[1]   Name: ZZ PATIENT,TEST THREE          SS: 769-01-1568P DOB: JAN 15,1968          PSSN Reason: No SSN Assigned Family: ZZ PATIENT                   HRN: 357696       Sex: MALE Given: TEST                   [2] Alias: < No alias entries on file > Middle: THREE Prefix: Suffix: Degree: [3] Remarks: NO REMARKS ENTERED FOR THIS PATIENT [4] Permanent Address:                 [5] Temporary Address: 123 ANYWHERE                          NO TEMPORARY ADDRESS AVON,IN 46123 UNITED STATES County: HENDRICKS (063)                County: NOT APPLICABLE Phone: UNANSWERED                      Phone: NOT APPLICABLE Office: UNANSWERED                    From/To: NOT APPLICABLE Alt Ph: 206-876-5432 Bad Addr: <RET> to CONTINUE, 1-5 or ALL to EDIT, ^N for screen N or '^' to QUIT: ^[24;1H[1;1H[J[2J[H                 LOCAL REGISTRATION QUESTIONS

=
===================================================================

Please Answer these questions

Checking data for consistency...

===> No inconsistencies found in 0 seconds...

Is the patient currently being followed in a clinic for the same condition? Y (Yes)

Is the patient to be examined in the medical center today? Yes// Y (Yes)

Registration login date/time: NOW//  (MAY 14,2011@23:12) FACILITY APPLYING TO: EHR OFFICE//       050 REGISTRATION ELIGIBILITY CODE: REIMBURSABLE INSURANCE // EHR ?? ONLY ELIGIBILITIES WHICH HAVE BEEN ASSIGNED TO THIS PATIENT! REGISTRATION ELIGIBILITY CODE: REIMBURSABLE INSURANCE //                       8      8   NON-VETERAN

Updating eligibility status for this registration...

NEED RELATED TO AN ACCIDENT: N NO  NEED RELATED TO OCCUPATION: N  NO PRINT 10-10EZ? YES// NO Routing Slip? Yes// N (No)

Select PATIENT NAME: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3 Press ENTER to continue

Please verify or update the following information:

HEALTH Record NO.: 357696// 357696 Select ALIAS: [18;1H[1;1H[J[2J[H ZZ PATIENT,TEST THREE                  769-01-1568P             JAN 15,1968

=
================================================================              COORDINATING MASTER OF Record: OFFICE OF INFORMATION SRV CNTR Address: 123 ANYWHERE                 Temporary: NO TEMPORARY ADDRESS AVON,IN 46123 UNITED STATES County: HENDRICKS (063)                From/To: NOT APPLICABLE Phone: UNSPECIFIED                      Phone: NOT APPLICABLE Office: UNSPECIFIED Cell: 206-876-5432 E-mail: UNSPECIFIED Bad Addr:

Confidential Address:                     Confidential Address Categories: NO CONFIDENTIAL ADDRESS From/To: NOT APPLICABLE Primary Eligibility: REIMBURSABLE INSURANCE (NOT VERIFIED) Other Eligibilities: Enter RETURN to continue or '^' to exit: ^

Select PATIENT NAME:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option: DISP 1   Disposition an Application 2   Disposition Log Edit CHOOSE 1-2: 1 Disposition an Application

Disposition PATIENT: ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3

LOG DATE           TYPE OF BENEFIT APPLIED FOR --- 05/14/2011@23:12   OUTPATIENT MEDICAL

STATUS: UNSCHEDULED// ? Enter '0' if this is a 10/10 visit for AMIS, '1' if this is an unscheduled visit, or '2' if this is an Application without exam. Choose from: 0       10/10 VISIT 1       UNSCHEDULED 2       Application WITHOUT EXAM STATUS: UNSCHEDULED// 2 Application WITHOUT EXAM TYPE OF BENEFIT APPLIED FOR: OUTPATIENT MEDICAL// TYPE OF CARE APPLIED FOR: ALL OTHER// REGISTRATION ELIGIBILITY CODE: REIMBURSABLE INSURANCE // LOG OUT DATE TIME: NOW//  (MAY 14, 2011@23:13)

Select the type of disposition: ? Answer with DISPOSITION NAME, or ABBREVIATION, or SYNONYM Do you want the entire DISPOSITION List? Y (Yes) Choose from: CANCEL WITH EXAM CANCEL WITHOUT EXAM COMMUNITY RESOURCES DEAD ON ARRIVAL DOMICILIARY ADMISSION DOMICILIARY WAITING LIST FAILED TO COOPERATE/COMPLETED FEE BASIS REFERAL, OTHER HOSPITAL ADMISSION HOSPITAL WAITING LIST IN NEED OF DOMICILIARY IN NEED OF NURSING HOME CARE INELIGIBLE-DISP COMMUNITY INELIGIBLE-DISP OTHER KEEP PREVIOUSLY SCHEDULED APPT LOW PRIORITY-DISP COMMUNITY LOW PRIORITY-DISP FEE BASIS LOW PRIORITY-DISP OTHER LOW PRIORITY-DISP OTHER VA     NO CARE OR Treatment REQUIRED '^' TO STOP: ^ Select the type of disposition: K NO CARE OR Treatment REQUIRED

Updating eligibility status for this registration...

Disposition on AMIS Segment 420 - SEGMENT NAME UNKNOWN ??


 * Registration dispositioned *****

Disposition PATIENT:

DA    Disposition an Application EN    Patient Enrollment PHH   Purple Heart Request History PHS   Purple Heart Status Report Add/Edit/Delete Catastrophic Disability Collateral Patient Register Combat Vet Status Report Death Entry Delete a Registration Disposition Log Edit Edit Inconsistent Data for a Patient Eligibility Inquiry for Patient Billing Eligibility VERIFICATION Enter/Edit Patient Security Level Load/Edit Patient Data Means Test User Menu ... Patient Inquiry Preregistration Menu ... Print Patient Wristband Pseudo SSN Report (Patient) Register a Patient Report - All Address Change with Rx

Press 'RETURN' to continue, '^' to stop: Report - All Address Changes Report - All Patients flagged with a Bad Address Report - Patient Catastrophic Edits Unsupported CV End Dates Report View Patient Address View Registration Data

[7mYou've got PRIORITY mail!

[m Select Registration Menu Option:

[7mYou've got PRIORITY mail!

[m

Do you really want to halt? YES//

Logged out at May 14, 2011 11:17 pm

GTM>[?1h=s[C [C S[C [CD[CU[CP[C Z[C=[C9[C [CD[C [C^[CX[CU[CP[C[?1l>

Setting up programmer environment This is a TEST account.

Terminal Type set to: C-VT100

You have 99 new messages. Select OPTION NAME: BED 1  BED AVAILABILITY  DG BED AVAILABILITY     Bed Availability 2  BED CONTROL MENU  DG BED CONTROL     Bed Control Menu 3  BED OUT-OF-SERVICE DATE ENTER/  DGPM EDIT OOS BEDS     Bed Out-of-Servi ce Date Enter/Edit 4  BEDSECTION WORKLOAD  ECTS BEDSECTION     Bedsection Workload 5  BEDSEC^RALWKL  RA LWKLBEDSEC     PTF Bedsection Report CHOOSE 1-5: 2 DG BED CONTROL     Bed Control Menu

Admit a Patient Cancel a Scheduled Admission Check-in Lodger Delete Waiting List Entry Detailed Inpatient Inquiry Discharge a Patient DRG Calculation Extended Bed Control Lodger Check-out Provider Change Schedule an Admission Seriously Ill List Entry Switch Bed Transfer a Patient Treating Specialty Transfer Waiting List Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Bed Control Menu Option: ADMIT a Patient

Admit PATIENT: ZZPA  PAT 1   ZZ PATIENT,TEST ONE          <A>    F 01-24-1945 000003322      1 2   ZZ PATIENT,TEST THREE        <CA>   M 01-15-1968 769011568P      357696 3  3    ZZ PATIENT,TEST TWO          <A>    M 12-25-1957                2 CHOOSE 1-3: 2 ZZ PATIENT,TEST THREE             <CA>   M 01-15-1968 769011568P      357696 3

Means Test not required based on available information

Status     : PATIENT HAS NO INPATIENT OR LODGER ACTIVITY IN THE COMPUTER

Religion   :                          Marital Status : UNKNOWN Eligibility : REIMBURSABLE INSURANCE (NOT VERIFIED)

<C>ontinue, <M>ore, or <Q>uit? CONTINUE// CONTINUE

Select ADMISSION DATE: NOW// 5/12/11@9AM  (MAY 12, 2011@09:00:00)

SURE YOU WANT TO ADD 'MAY 12,2011@09:00' AS A NEW ADMISSION DATE? Y (Yes) DOES THE PATIENT WISH TO BE EXCLUDED FROM THE FACILITY DIRECTORY?: N NO ADMITTING REGULATION: EMERGENCY FOR PUBLIC        17.46(c)(1) TYPE OF ADMISSION: DIRECT      ADMISSION     ACTIVE DIAGNOSIS [SHORT]: test   TESTGIN         TESTING WARD LOCATION: 1w 1  1W OBSERVATION 2  1W  1 WEST CHOOSE 1-2: 2 1 WEST ROOM-BED: ? Enter the ROOM-BED to which this patient is assigned. Only those unoccupied beds on ward selected

CHOOSE FROM

1A101-B          1A101-A           1A102-A           1A102-B 1A103-A          1A103-B           1A104-A           1A104-B

Select from the above listing the bed you wish to assign this patient. Enter two question marks for a more detailed list of available beds. ROOM-BED: 1a104-a FACILITY TREATING SPECIALTY: ? Enter the TREATING SPECIALTY assigned to this patient with this movement. This must be an active treating specialty. Allows only active treating specialties. Answer with FACILITY TREATING SPECIALTY NAME Do you want the entire FACILITY TREATING SPECIALTY List? y (Yes) Choose from: ANESTHESIOLOGY       ANESTHESIOLOGY BLIND REHAB OBSERVATION       BLIND REHAB OBSERVATION CARDIAC INTENSIVE CARE UNIT       CARDIAC INTENSIVE CARE UNIT CARDIAC SURGERY       CARDIAC SURGERY     ICU DOMICILIARY CHV       DOMICILIARY CHV GRECC-GEM-REHAB       GRECC-GEM-REHAB GRECC-MED       GRECC-MED LONG STAY GRECC-NHCU       LONG STAY GRECC-NHCU MEDICAL ICU       MEDICAL ICU     ICU MEDICAL OBSERVATION       MEDICAL OBSERVATION     GEN MEDICINE       GENERAL(ACUTE MEDICINE)     MED NEUROLOGY OBSERVATION       NEUROLOGY OBSERVATION NH HOSPICE       NH HOSPICE NH LONG STAY DEMENTIA CARE       NH LONG STAY DEMENTIA CARE NH LONG STAY MAINTENANCE CARE       NH LONG STAY MAINTENANCE CARE NH LONG STAY PSYCHIATRIC CARE       NH LONG STAY PSYCHIATRIC CARE NH LONG STAY SKILLED NURSING       NH LONG STAY SKILLED NURSING NH LONG STAY SPINAL CORD INJ       NH LONG STAY SPINAL CORD INJ NH RESPITE CARE (NHCU)       NH RESPITE CARE (NHCU) NH SHORT STAY DEMENTIA CARE       NH SHORT STAY DEMENTIA CARE '^' TO STOP: NH SHORT STAY MAINTENANCE       NH SHORT STAY MAINTENANCE NH SHORT STAY PSYCHIATRIC CARE       NH SHORT STAY PSYCHIATRIC CARE NH SHORT STAY REHABILITATION       NH SHORT STAY REHABILITATION NH SHORT STAY RESTORATIVE       NH SHORT STAY RESTORATIVE NH SHORT STAY SKILLED NURSING       NH SHORT STAY SKILLED NURSING PEDIATRICS       PEDIATRICS     PED PM&R TRANSITIONAL REHAB       PM&R TRANSITIONAL REHAB PSYCHIATRIC OBSERVATION       PSYCHIATRIC OBSERVATION REHAB MEDICINE OBSERVATION       REHAB MEDICINE OBSERVATION SHORT STAY GRECC-GEM-NHCU       SHORT STAY GRECC-GEM-NHCU SHORT STAY GRECC-NHCU       SHORT STAY GRECC-NHCU SPINAL CORD INJURY OBSERVATION       SPINAL CORD INJURY OBSERVATION SURGICAL OBSERVATION       SURGICAL OBSERVATION SURGICAL STEPDOWN       SURGICAL STEPDOWN TELEMETRY       TELEMETRY     TELE TRANSPLANTATION       TRANSPLANTATION FACILITY TREATING SPECIALTY: tl TELEMETRY       TELEMETRY     TELE PRIMARY PHYSICIAN: DOCTOR,TEN                Physician Attending Physician: DOCTORE, ,ONE       DO          Physician DIAGNOSIS: TESTING

Edit? NO// SOURCE OF ADMISSION: ? Enter the source of admission from the available entries. Note: 3E only valid with active Psych Med Center suffix, 4E only valid with active VA Domiciliary suffix, 5D only valid with active VA Nursing Home suffix. (4E and 5D require Transferring Suffix entry also) Answer with SOURCE OF ADMISSION PTF CODE, or NAME Do you want the entire SOURCE OF ADMISSION List? Y (Yes) Choose from: 1D       VA NURSING HOME CARE UNIT     HOSPITAL 1E       VA DOMICILLARY     HOSPITAL 1G       CONTRACT CNH (UNDER VA AUSPICES)     HOSPITAL 1H       COMMUNITY NURSING HOME NOT UNDER VA AUSPICES     HOSPITAL 1J       GOVNT(NON FED) MENTAL HOSP NOT UNDER VA AUSPICES     HOSPITAL 1K       ALL OTHER NON VA HOSP NOT UNDER VA AUSPICES     HOSPITAL 1L       STATE HOME (DOM OR NHC)     HOSPITAL 1M       OTHER DIRECT     HOSPITAL 1P       OUTPATIENT Treatment     HOSPITAL 1R       RESEARCH - VETERAN     HOSPITAL 1S       RESEARCH NON-VETERAN     HOSPITAL 1T       OBSERVATION AND EXAMINATION     HOSPITAL 2A       NON-VETERAN OTHER THAN MILITARY     HOSPITAL 2B       MILITARY PERS NOT DIRECTLY FROM MILT HOSP     HOSPITAL 2C       MILITARY PERS BY TRANSFER FROM A MILT HOSP     HOSPITAL 3A       TRANSFER IN FROM ANOTHER VA HOSPITAL     HOSPITAL 3B       TRANSFER IN FROM OTH FED HOSP UNDER VA AUSP     HOSPITAL 3C       TRANS IN FROM ANY OTHER NON-VA HOSP UNDER VA AUSP     HOSPITAL 3D       TRANS FROM VAMC TO MILITARY FAC. UNDER VA AUSP    MILITARY HOSPITA L '^' TO STOP: ^ SOURCE OF ADMISSION: 1P      OUTPATIENT Treatment     HOSPITAL Patient Admitted

Notify NURSING ADP Coordinator and Site Manager that this patient was not admitted into the NURSING Service because NURSING Site parameters were not updated. CONDITION: SERIOUSLY ILL// @

Do you want to print a Patient Wristband? YES// NO Updating PTF Record #5... Now updating ward MPCR information...completed.

Updating automated team lists...completed. MAS Patient Movement - Activating Mental Health Update

Starting Mental Health Update... No MH Actions taken...  done... Executing HL7 ADT Messaging Executing HL7 ADT Messaging (RAI/MDS)

...Inpatient Medications check... ...discontinuing Inpatient Medication orders....done... Entering a request in the HINQ suspense file...completed.

Updating visit status...completed.

Admit PATIENT:

Admit a Patient Cancel a Scheduled Admission Check-in Lodger Delete Waiting List Entry Detailed Inpatient Inquiry Discharge a Patient DRG Calculation Extended Bed Control Lodger Check-out Provider Change Schedule an Admission Seriously Ill List Entry Switch Bed Transfer a Patient Treating Specialty Transfer Waiting List Entry/Edit

[7mYou've got PRIORITY mail!

[m Select Bed Control Menu Option: halt

Logged out at May 14, 2011 11:53 pm]0;wvehr3-09@gtm: ~ wvehr3-09@gtm:~$