Global: ^SDWL(409.36

characters and parenthetical text will be removed.

DELETE AUTHORITY: #

1)= S ^SDWL(409.36,"B",$E(X,1,30),DA)=""

2)= K ^SDWL(409.36,"B",$E(X,1,30),DA)

Enter 'M' if this applicant is a male, or 'F' if female.

DELETE AUTHORITY: #

Enter the applicant's date of birth between December 31, 1870 and today's date.

DELETE AUTHORITY: #

wish the system to determine the proper pseudo SSN. Pseudo SSN's are determined as follows:

1.  Based on the following table assign the first three numbers

of the pseudo SSN based on the patient's three initials in

first-middle-last initial order.  For example, if the name

is 'SMITH,JOHN P' the table would be used to convert JPS

(the initials for JOHN P SMITH) into 467.

ALPHA     NUMBER              ALPHA      NUMBER

-----     ------              -----      ------

A,B,C       1                 D,E,F        2

G,H,I       3                 J,K,L        4

M,N,O       5                 P,Q,R        6

S,T,U       7                 V,W,X        8

Y,Z         9                 NO INITIAL   0

2.  Using the patient's date of birth convert it to six numerics

in month-day-year order.  Where a month, day or year consists of

less than one numeric, i.e., JUNE=6, preceed it by a zero, i.e.,

JUNE=06.  If the month and/or year of birth are unknown indicate

them as '00'.

EXAMPLES

--------

Patient Name             DOB                 Pseudo SSN

------------             ---                 ----------

SMITH,JOHN P             Jan 3, 1917         467010317P

SMITH,JOHN P             Jan 1917            467010017P

SMITH,JOHN P             1917                467000017P

SMITH,JOHN               Dec 15, 1945        407121545P

DELETE AUTHORITY: #

This is the Station Number of the requesting facility. When acknowledgement messages are returned, the domain to which they are to be sent can be derived from this value.

DELETE AUTHORITY: #

Enter the first line of this applicant's residence street address [3-35 characters].

DELETE AUTHORITY: #

Enter the second line of this applicant's residence street address [3-30 characters] if the space provided in 'street address' was not sufficient.

DELETE AUTHORITY: #

Enter the third line of this applicant's residence street address [3-30 characters] if the space provided in 'street address' and 'street address 2' was not sufficient.

DELETE AUTHORITY: #

Enter the city in which this applicant resides [2-15 characters]. If the space provided is not sufficient please abbreviate the city to the best of your ability.

DELETE AUTHORITY: #

From the available listing choose the state in which this applicant resides.

DELETE AUTHORITY: #

Enter the zip code [5 numerics] for the city in which this applicant resides.

DELETE AUTHORITY: #

If a state of residence is entered select from the available listing the county in which this applicant resides.  If no state (or a non-state) is entered no selection is possible.

DELETE AUTHORITY: #

be deleted as long as the need for a temporary address is indicated.

DELETE AUTHORITY: #

deleted as long as the need for a temporary address is indicated.

DELETE AUTHORITY: #

Enter the telephone number [4-20 characters] to this applicant's place of residence.

DELETE AUTHORITY: #

The date and time (including seconds) of the moment of transmission.

DELETE AUTHORITY: #

This is a flag to indicate if a request has been made to print a coversheet with the transmitted details of the patient to be transferred. If the flag has been set to YES, the request can be notified as Accepted.

security key may enter/edit this field.

DELETE AUTHORITY: #

security key may enter/edit this field.  Field may not be deleted as long as service connection is indicated.

DELETE AUTHORITY: #

order] dependent on the responses to other prompts:

1.  If the SERVICE CONNECTED prompt (field .301) is answered YES

only the following two choices are available:

a.  If the SERVICE CONNECTED PERCENTAGE prompt (field .302) entered

is 50% or greater 'SERVICE CONNECTED 50% TO 100%' can be

selected.

b.  Otherwise, the percentage is assumed to be less than 50% and

only 'SC, LESS THAN 50%' may be entered.

2.  If the response to the WERE YOU A PRISONER OF WAR field (# .525)

is YES and the veteran is not service connected, you must select

PRISONER OF WAR as the eligibility code.

3.  If the veteran is receiving VA benefits, but does not meet the

criteria in items 1 and 2 above, then the following choices may

be presented for selection:

If RECEIVING A&A BENEFITS is answered YES, the eligibility code

AID & ATTENDANCE may be selected.

If the RECEIVING HOUSEBOUND BENEFITS is answered YES ,the eligibility

code HOUSEBOUND may be selected.

If the above two prompts were answered NO, but the RECEIVING A VA

PENSION prompt was answered YES, only the NSC, VA PENSION prompt

may be selected.

4.  If none of the above pertain to this veteran, then the NSC eligibility

will be available for selection.

**  Dependent on the birthdate of the applicant, the following two

eligibility codes may be displayed along with those shown in items

3 through 5 above:  WORLD WAR I and MEXICAN BORDER WAR.  These would

display for veterans not meeting the criteria in items 1 and 2, but

whose date of birth is prior to 1920.

DELETE AUTHORITY: #

Identifying reference to the transfer file on the transmitting facility (#409.35).

DELETE AUTHORITY: #

List C - CLOSED: the transfer has been completed T - TRANSFERRED: the transfer patient has been the subject of request to another facility R - REMOVED: the transfer request has been cancelled T - TRANSFERRED: the transfer

patient has been the subject of request to another facility

The stop code of the facility if the patient for this transfer has become the subject of a further tranfer elsewhere

Set of codes as on the WAIT LIST ENTRY file (#409.3)

DELETE AUTHORITY: #

A free text expansion of the attribute associated with the WAIT LIST TYPE. E.g. A Wait List Type of 3: SERVICE/SPECIALTY would typically hold the relevant Specialty.

DELETE AUTHORITY: #

Desired Date of Appointment taken from the Wait List Entry file from the transmitting facility.

DELETE AUTHORITY: #

Pointer to the associated EWL entry

1)= S ^SDWL(409.36,"C",$E(X,1,30),DA)=""

2)= K ^SDWL(409.36,"C",$E(X,1,30),DA)

Machine to machine identifier for a patient.  Included in the hope of making a match with the same patient on the receiving system.

DELETE AUTHORITY: #