FileMan FileNo | FileMan Filename | Package |
---|---|---|
161.5 | FEE CH REPORT OF CONTACT | Fee Basis |
Package | Total | Routines |
---|---|---|
Fee Basis | 10 | DATE/TIME OF CONTACT FBAAPI FBCH EDIT ROC FBCHDEL FBCHPRC FBCHREQ1 FBCHROC FBMRASV1 ^FBAA(161.5 ^FBAA(163.98 |
Package | Total | FileMan Files |
---|---|---|
Fee Basis | 2 | FEE NOTIFICATION/REQUEST(#162.2)[.01] FEE BASIS VENDOR(#161.2)[1] |
Kernel | 2 | STATE(#5)[10] NEW PERSON(#200)[18, #161.517(2)] |
Beneficiary Travel | 1 | BENEFICIARY TRAVEL MODE OF TRANSPORTATION(#392.4)[16] |
Registration | 1 | PATIENT(#2)[2] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | ASSOCIATED REQUEST | 0;1 | POINTER TO FEE NOTIFICATION/REQUEST FILE (#162.2) | FEE NOTIFICATION/REQUEST(#162.2)
|
1 | VENDOR | 0;2 | POINTER TO FEE BASIS VENDOR FILE (#161.2) | ************************REQUIRED FIELD************************ FEE BASIS VENDOR(#161.2)
|
2 | VETERAN | 0;3 | POINTER TO PATIENT FILE (#2) | PATIENT(#2)
|
3 | INITIAL DATE OF CONTACT | 0;4 | DATE |
|
4 | AUTHORIZATION FROM DATE | 0;5 | DATE |
|
5 | TYPE OF CONTACT | 0;6 | SET | ************************REQUIRED FIELD************************
|
6 | PERSON CONTACTED | 0;7 | FREE TEXT |
|
6.5 | PHONE # OF PERSON CONTACTED | 1;4 | FREE TEXT |
|
7 | STREET ADDRESS[1] OF CONTACT | 0;8 | FREE TEXT |
|
8 | STREET ADDRESS[2] OF CONTACT | 0;9 | FREE TEXT |
|
9 | CITY OF CONTACT | 0;10 | FREE TEXT |
|
10 | STATE OF CONTACT | 0;11 | POINTER TO STATE FILE (#5) | STATE(#5)
|
11 | ZIP CODE OF CONTACT | 0;12 | FREE TEXT |
|
12 | ATTENDING PHYSICIAN | 0;13 | FREE TEXT |
|
13 | ATTEND.PHYSICIAN TELEPHONE NO. | 0;14 | FREE TEXT |
|
14 | TENTATIVE DIAGNOSIS | 1;1 | FREE TEXT |
|
15 | INSURANCE TYPE | 1;2 | FREE TEXT |
|
16 | MODE OF TRANSPORTATION | 1;3 | POINTER TO BENEFICIARY TRAVEL MODE OF TRANSPORTATION FILE (#392.4) | BENEFICIARY TRAVEL MODE OF TRANSPORTATION(#392.4)
|
16.5 | VETERAN HAVE OTHER INSURANCE | 1;5 | FREE TEXT |
|
17 | DATE/TIME OF CONTACT | 2;0 | DATE Multiple #161.517 | 161.517
|
18 | APPROVING OFFICIAL | 1;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
19 | DATE/TIME OF ADMISSION | 1;7 | DATE |
|
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^DD(2 | ID2+1 |
^DPT - [#2] | ID2+1 |
^FBAA(161.5 - [#161.5] | .01(XREF 1S), .01(XREF 1K), 2(XREF 1S), 2(XREF 1K) |
Name | Field # of Occurrence |
---|---|
^(0 | ID2+1 |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
>> %DT | 3+1*, 4+1*, 19+1* |
%I | ID2+1*! |
>> C | ID2+1* |
>> DA | .01(XREF 1S), .01(XREF 1K), 2(XREF 1S), 2(XREF 1K) |
>> DIC | ID2+1 |
>> DINUM | .01+1* |
U | ID2+1 |
X | .01+1, .01(XREF 1S), .01(XREF 1K), 2(XREF 1S), 2(XREF 1K), 3+1*!, 4+1*!, 6+1!, 6.5+1!, 7+1! , 8+1!, 9+1!, 11+1!, 12+1!, 13+1!, 14+1!, 15+1!, 16.5+1, 19+1*! |
>> Y | ID2+1*, 3+1, 4+1, 16.5OT+1, 19+1 |
>> Y(0 | 16.5OT+1* |