45. EPMO Open Source Coordination Office Redaction File Detail Report

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45.1 Files compared

#	Location	File	Last Modified
1			Thu Nov 16 21:02:45 2017 UTC
2	CUI-CPP-v2.3.1-release.zip\public	CUI_Exam_Request_Contentions_Template.xltx	Tue Nov 14 15:30:17 2017 UTC

45.2 Comparison summary

Description	Between Files 1 and 2
Description	Text Blocks	Lines
Unchanged	0	0
Changed	0	0
Inserted	1	42
Removed	0	0

45.3 Comparison options

Whitespace
Character case	Differences in character case are significant
Line endings	Differences in line endings (`CR` and `LF` characters) are ignored
CR/LF characters	Not shown in the comparison detail

45.4 Active regular expressions

No regular expressions were active.

45.5 Comparison detail

				1		Clinician User Inter face (CUI) New User Request Te mplateSHEE T: Instruc tions
				2		Clinician User Inter face
				3		Exam and C ontentions Request T emplate
				4		Instructio ns,
				5
				6		1. Fill ou t the Exam -Contentio ns Req Tem plate tab as complet ely as pos sible. Fie lds with a n asterisk s are requ ired. ,
				7		NOTE: See "Sites Lis t" sheet f or lists o f site nam es.,
				8
				9		2. Content ions are o ptional. I f entering two or mo re content ions, ente r each one on a sepa rate row i n column F ; see Exam -Contentio ns Req Tem plate shee t for exam ple. NOTE: Do not re peat share d fields.,
				10
				11		3. Delete example ro ws (rows 2 through 6 ).,
				12
				13		4. Save as .xls file . NOTE: .x lsx files are not cu rrently su pported.,
				14		5. Attach this file to the Sta ge Exam Re quest wind ow with Ch oose File and then c lick Uploa d.,
				15
				16
				17		SHEET: Exa m-Contenti ons Req Te mplate
				18		[Patient] First Name *
				19		Required, [Patient] Last Name ,File Numb er,Claim ID,Your [ Requestor] Site Name *
				20		See "Site Lists" she et. The me dical site where exa m will be performed) .,Contenti ons
				21		Contention s are opti onal. If e ntering tw o or more contention s, enter e ach one on a separat e row in c olumn F; s ee below f or example . Note: Do not repea t shared f ields.,
				22		(Example 1 ) John,Doe ,201705171 70,8675309 ,Providenc e VA Medic al Center, Back injur y,Default Analyst,
				23		TBI,
				24		Heart dise ase,
				25		(Example 2 ) Jane,Smi th,5558899 66,1705161 72,Columbu s Clinic,D ifficulty breathing ,
				26		Knee pain, left leg, Default An alyst,
				27		Service De sk Technic ian,
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				33
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				40
				41		SHEET: Sit es List
				42		Use the at tached lis t to find your site' s full nam e and ente r the site name in c olumn E.,