| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 396.4 | 2507 EXAM | Automated Medical Information Exchange |
| Package | Total | FileMan Files |
|---|---|---|
| Automated Medical Information Exchange | 1 | CAPRI TEMPLATES(#396.17)[#396.1718(.01)] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | EXAM REFERENCE NUMBER | 0;1 | NUMBER | ************************REQUIRED FIELD************************
|
| .02 | 2507 REQUEST | 0;2 | POINTER TO 2507 REQUEST FILE (#396.3) | ************************REQUIRED FIELD************************ 2507 REQUEST(#396.3)
|
| .03 | EXAM TYPE | 0;3 | POINTER TO AMIE EXAM FILE (#396.6) | ************************REQUIRED FIELD************************ AMIE EXAM(#396.6)
|
| .04 | STATUS | 0;4 | SET |
|
| .05 | WORK SHEET PRINTED | 0;5 | SET |
|
| .06 | DATE OF EXAM | 0;6 | DATE |
|
| .07 | EXAMINING PHYSICIAN | 0;7 | FREE TEXT |
|
| .08 | FEE EXAM | 0;8 | SET | ************************REQUIRED FIELD************************
|
| .09 | EXAM PLACE | 0;9 | SET |
|
| .1 | DOCTOR'S ELECTRONIC SIGNATURE | 0;10 | FREE TEXT |
|
| .11 | INSUFFICIENT REASON | 0;11 | POINTER TO 2507 INSUFFICIENT REASONS FILE (#396.94) | 2507 INSUFFICIENT REASONS(#396.94)
|
| .12 | ORIGINAL PROVIDER | 0;12 | FREE TEXT |
|
| 1 | CAPRI TEMPLATE ID | 2;1 | POINTER TO CAPRI TEMPLATES FILE (#396.17) | CAPRI TEMPLATES(#396.17)
|
| 50 | CANCELLATION DATE/TIME | CAN;1 | DATE |
|
| 51 | CANCELED BY | CAN;2 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 52 | CANCELLATION REASON | CAN;3 | POINTER TO 2507 CANCELLATION REASON FILE (#396.5) | 2507 CANCELLATION REASON(#396.5)
|
| 53 | CANCELLATION COMMENTS | 5;0 | WORD-PROCESSING #396.453 |
|
| 60 | DATE TRANSFERRED OUT | TRAN;1 | DATE |
|
| 61 | TRANSFERRED OUT BY | TRAN;2 | FREE TEXT |
|
| 62 | TRANSFERRED OUT TO | TRAN;3 | POINTER TO DOMAIN FILE (#4.2) | DOMAIN(#4.2)
|
| 63 | DATE TRANSFERRED IN | TRAN;4 | DATE |
|
| 64 | DATE RETURNED TO OWNER SITE | TRAN;5 | DATE |
|
| 70 | EXAM RESULTS | RES;0 | WORD-PROCESSING #396.41 |
|
| 71 | EXAM RESULTS RTF | 1;0 | WORD-PROCESSING #396.471 |
|
| 72 | EXAM RESULTS XML | 3;0 | WORD-PROCESSING #396.472 |
|
| 73 | XML DAS CONFIRMATION | 4;1 | FREE TEXT |
|
| 74 | XML TRANSMISSION DATE/TIME | TRAN;6 | DATE |
|
| 75 | TIU DOCUMENT ID | 0;13 | POINTER TO TIU DOCUMENT FILE (#8925) | TIU DOCUMENT(#8925)
|
| 80 | INSUFFICIENT REMARKS | INREM;0 | WORD-PROCESSING #396.42 |
|
| 90 | DATE TRANSCRIPTION COMPLETE | 0;14 | DATE |
|
| 100 | CONTRACTOR | CNTRCTR;1 | POINTER TO 2507 EXAM CONTRACTORS FILE (#396.45) | 2507 EXAM CONTRACTORS(#396.45)
|
| 101 | DATE TRANSFERRED TO CONTRACTOR | CNTRCTR;2 | DATE |
|
| 102 | DATE RECEIVED FROM CONTRACTOR | CNTRCTR;3 | DATE |
|
| 103 | REMARKS SENT TO CONTRACTOR | 6;0 | WORD-PROCESSING #396.4103 |
|