FileMan FileNo | FileMan Filename | Package |
---|---|---|
396.9 | FORM 28-8861 | Automated Medical Information Exchange |
Package | Total | Routines |
---|---|---|
Automated Medical Information Exchange | 3 | DVBA8861 DVBAVRX1 DVBAVRX2 |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | REQUEST DATE | 0;1 | DATE |
|
1 | ROUTING LOCATION | 0;2 | POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) | ************************REQUIRED FIELD************************ MEDICAL CENTER DIVISION(#40.8)
|
2 | COMPLETION DATE | 0;3 | DATE |
|
3 | REGIONAL OFFICE | 0;4 | POINTER TO INSTITUTION FILE (#4) | ************************REQUIRED FIELD************************ INSTITUTION(#4)
|
4 | PATIENT | 0;5 | POINTER TO PATIENT FILE (#2) | PATIENT(#2)
|
5 | REHAB OBJECTIVE OF VETERAN | 1;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
6 | REASON FOR REFERRAL | 2;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
7 | ANTICIPATED DATE OF REHAB | 0;6 | DATE | ************************REQUIRED FIELD************************
|
8 | MEDICAL SERVICES REQUESTED | 2;2 | POINTER TO MEDICAL SERVICES REQUESTED FILE (#396.918) | ************************REQUIRED FIELD************************ MEDICAL SERVICES REQUESTED(#396.918)
|
8.1 | OTHER REASON | 6;1 | FREE TEXT |
|
9 | PREFERRED SCHEDULE DATE | 2;3 | DATE |
|
10 | PREFERRED SCHED DATE REASON | 2;4 | FREE TEXT |
|
11 | POINT OF CONTACT | 2;5 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
12 | COMMENTS/NOTES | 3;0 | WORD-PROCESSING #396.912 |
|
13 | REQUEST STATUS | 4;1 | SET | ************************REQUIRED FIELD************************
|
14 | CONSULTS | 5;0 | POINTER Multiple #396.914 | 396.914
|
15 | CANCELLATION DATE | 4;2 | DATE |
|
16 | CANCELLATION REASON | 4;3 | SET |
|
17 | ADDITIONAL REMARKS | 4;4 | FREE TEXT |
|