Add a New Exam Request

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Step 1 – The user logs into CAPRI, looks up the veteran using the Patient Selector, and moves to the C&P Exams tab.  If there are no examination requests, the window is blank.  If the veteran already has examination requests on file, the window shows the dates requested.

Step 2 – If previous examination requests exist, the user views those requests as described in View/Edit Selected Request to ensure that the user is not about to enter a duplicate request for an examination.

Step 3 – After ensuring that the exam about to be requested is not already pending, the user clicks the Add a New Request button (Figure 2-31).

Step 4 – CAPRI prompts the user to check the latest address of record in the VistA system (Figure 2-45).  If the veteran has a new address, the user clicks the Edit Address Now button.  If the user is not sure if the new address is more current than the one shown by CAPRI, then the Permanent Address is not updated and instead this fact is noted and the new address is included in the general comments area of the exam request.  

If the Permanent Address shown by CAPRI is current, the user clicks OK.  If the user enters a change to the Permanent Address information, it will not update the address information directly in the VistA Registration database; instead this information is appended as text to the examination request, where it can be further edited if necessary

Note: VBA users cannot edit the Temporary Address information in Figure 2-45.

Figure 2-45

 

Step 5 – If the user selects the Edit Address Now button, then the address can be edited. The user has the option of either saving or not saving the address changes to the C&P Exam request (Figure 2-46).

Figure 2-46

 

After the user selects OK from Figure 2-45, or either the Don’t Save button or the Save Changes With C&P Request button from Figure 2-46, an Add a New C&P Exam dialog box opens (Figure 2-47).

As shown in Figure 2-47, certain VHA facilities have added new examination list functionality.  For these facilities only, supported exams are shown in black, and exams shown in red may not be supported by the selected facility.  Routing Location Information and Information about this Exam List status messages have been added to the template.  Pop-up messages may appear during exam selection, depending on how the exam list has been set up by the C&P clinic or MAS.  To examiner uses the Tab key or the mouse to navigate among the fields.  Several fields have drop down arrows which show the valid selections for that particular field.  All of the fields except for Other Disabilities require an entry.  The Other Disabilities fields are not used by all VBA Regional Offices.  

Note:  If the user did not use the Other Disabilities fields with the AMIE software, then they will not be used with CAPRI.

Note2:  CAPRI includes the following Priorities of Exam(s) types in the Priority of Exam(s) dropdown list:

• Agent Orange

• BDD Benefits Delivery at Discharge

• IDES

• INCREASE

• INSUFFICIENT EXAM

• ORGINIAL NSC

• ORGINAL SC

• OTHER

• POW

• QUICK START

• REVIEW

• TERMINAL

These priorities are used to repors eeravate statistics on the AMIS 290 and AMIS 290 by Division reports.

Figure 2-47

 

Note3:  CAPRI has been modified to default the Last Rating Exam Date field with “N/A.”  If the user chooses a date and decides to “delete” it they must click “anywhere”  in the field and hit the “DELETE” key and they will be prompted with the following message shown in Figure 2-48 and the field will then be changed back to N/A if they choose “Yes” to the message.  If they choose “No” it will retain the previously chosen date.

Figure 2-48

 

The user can select as many Exams to Complete as required by the veteran’s claim.  The user must remember to justify the request by entering comments that explain the choice of exams.  The Exams to Complete section works the same way as described in Step 5 and Step 6 of the View/Edit Selected Request section.

Step 6 – The user enters comments into the Comments field with information for the C&P physician concerning the veteran’s disabilities along with the reason for the user’s selection of examinations (Figure 2-47).  The Comments area is Windows-compatible and supports copy and paste commands.  The user carries out copy and paste commands by either selecting Edit, located in the gray bar at the top of the screen, or by right-clicking in the comments area.  The copy and paste features is of benefit for lengthy VBA Remand instructions for C&P examinations and also for those Ratings Veterans Services Representatives (RSVRs) and Data Request Outputs (DROs) that keep a card file or other electronic system of exam paragraphs with standardized sentences that are used on a frequent basis.  Additionally, the C&P medical opinion request template can be pasted into the Comments section.  

The Exam Request Template button was added to automate some of these paragraphs.  It opens another screen (Figure 2-49) which is an optional feature that allows the user to make selections that use standard language and appear on the examination request.  It has tabs for Info, SC/Increased Eval, Pension, Medical Opinion, and Contact Info.  Use of these templates is optional.

The Info tab has general information for the examiner (Figure 2-49).

Figure 2-49

 

The SC/Increased Eval tab allows the user to specify a Power of Attorney, indicate the conditions for which the veteran is claiming service connection, and indicate the service connected conditions for which the veteran is claiming an increased evaluation. Selecting the Add New button opens the bottom Medical Condition fields (Figure 2-50).

Note: When a medical opinion is required for a claim of service connection, DO NOT use the Veteran claims service connection for: selection. Instead, refer to the VBA M21-1, MR for guidance as to what is required.

Figure 2-50

 

On the Pension tab, the user indicates what medical conditions must be evaluated for a determination of pension entitlement (Figure 2-51).

Figure 2-51

 

The Medical Opinion tab allows the user to indicate that an opinion is needed (Figure 2-52).  The user can copy and paste text into this box by pointing to it and clicking the right mouse button.

Figure 2-52

 

The Contact Info tab gives the user a pre-formatted area to indicate a station contact if the examiner has any questions about the request (Figure 2-53).  CAPRI remembers this information and automatically populates these fields the next time this template is used.

The user clicks Done when finished to enter all of the applicable templates.

Figure 2-53

 

Step 7 – The user reviews the request to ensure all the correct information has been entered.  After making sure that no additional information is required, the user clicks Send Exam Request. The user may also click Cancel Request, if appropriate, and answer the confirmation dialog box that appears.

Step 8 – The request is transmitted to the VHA facility and CAPRI shows that the request is pending.

Step 9 – To place proof of the exam request in the claim file for record keeping purposes, the user selects the Status Inquiry option and prints the Inquiry screen.