| 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 ^FBAA(161.5 ^FBAA(163.98 FBCHROC FBMRASV1 |
| 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* |