| FileMan FileNo | FileMan Filename | Package | 
|---|---|---|
| 712 | 1010EZ HOLDING | Enrollment Application System | 
| Package | Total | FileMan Files | 
|---|---|---|
| Registration | 1 | PATIENT(#2)[1010.156] | 
| Package | Total | FileMan Files | 
|---|---|---|
| Enrollment Application System | 1 | 1010EZ MAPPING(#711)[#712.01(.01)] | 
| Kernel | 1 | NEW PERSON(#200)[3.1, 4.2, 5.2, 6.2, 7.2, 8.2, 9.2, #712.01(1.3)] | 
| Registration | 1 | PATIENT(#2)[3.4] | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | APPLICATION # | 0;1 | NUMBER | ************************REQUIRED FIELD************************ 
  | 
| .1 | WEB SUBMISSION ID | 0;2 | FREE TEXT | 
  | 
| .2 | RELATED MESSAGE # | 0;3 | FREE TEXT | 
  | 
| 1 | APPLICANT NAME | 0;4 | FREE TEXT | 
  | 
| 2 | APPLICANT SSN&DOB | 0;5 | FREE TEXT | 
  | 
| 3 | ENTRY DATE | 0;6 | DATE | ************************REQUIRED FIELD************************ 
  | 
| 3.1 | ENTERED BY | 0;7 | POINTER TO NEW PERSON FILE (#200) | ************************REQUIRED FIELD************************ NEW PERSON(#200)
  | 
| 3.2 | SOURCE | 0;8 | SET | ************************REQUIRED FIELD************************ 
 
  | 
| 3.3 | VETERAN TYPE | 0;9 | SET | 
 
  | 
| 3.4 | LINK TO FILE #2 | 0;10 | POINTER TO PATIENT FILE (#2) | PATIENT(#2)
  | 
| 3.5 | NEW PATIENT | 0;11 | SET | 
 
  | 
| 3.6 | VERSION # | 0;12 | FREE TEXT | ************************REQUIRED FIELD************************ 
  | 
| 3.7 | EXPECT COPY FROM VET | 0;13 | SET | 
 
  | 
| 3.8 | FINANCIAL DISCLOSURE | 0;14 | SET | 
 
  | 
| 4 | DATE SIGNED BY APPLICANT | 1;1 | DATE | 
  | 
| 4.1 | VERIFY DATE | 1;2 | DATE | 
  | 
| 4.2 | VERIFIED BY | 1;3 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 4.3 | APPLICANT E-MAIL | 1;4 | FREE TEXT | 
  | 
| 4.4 | APPOINTMENT REQUESTED | 1;5 | SET | 
 
  | 
| 4.5 | APPLYING TO | 1;6 | FREE TEXT | 
  | 
| 5.1 | REVIEW DATE | 2;1 | DATE | 
  | 
| 5.2 | REVIEWED BY | 2;2 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 6.1 | PRINT DATE | 2;3 | DATE | 
  | 
| 6.2 | PRINTED BY | 2;4 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 7.1 | FILING DATE | 2;5 | DATE | 
  | 
| 7.2 | FILED BY | 2;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 8.1 | UPDATE DATE | 2;7 | DATE | 
  | 
| 8.2 | UPDATED BY | 2;8 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 9.1 | CLOSE DATE | 2;9 | DATE | 
  | 
| 9.2 | CLOSED BY | 2;10 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 9.3 | FILING TASK | 2;11 | FREE TEXT | 
  | 
| 10 | DATA ELEMENTS | 10;0 | POINTER Multiple #712.01 | 712.01
  | 
| 12 | SERVICES REQUESTED | 3;1 | FREE TEXT | 
  | 
| 13 | COMMENTS | 4;0 | WORD-PROCESSING #712.013 | 
  |