| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 162.2 | FEE NOTIFICATION/REQUEST | Fee Basis |
| Package | Total | FileMan Files |
|---|---|---|
| Fee Basis | 1 | FEE CH REPORT OF CONTACT(#161.5)[.01] |
| Package | Total | FileMan Files |
|---|---|---|
| Fee Basis | 3 | VA FORM 10-7078(#162.4)[16] FEE BASIS SUSPENSION(#161.27)[14] FEE BASIS VENDOR(#161.2)[1] |
| Kernel | 1 | NEW PERSON(#200)[7, 10, 13, 17, #162.292(1)] |
| Registration | 1 | PATIENT(#2)[3] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | DATE/TIME | 0;1 | DATE | ************************REQUIRED FIELD************************
|
| 1 | VENDOR | 0;2 | POINTER TO FEE BASIS VENDOR FILE (#161.2) | ************************REQUIRED FIELD************************ FEE BASIS VENDOR(#161.2)
|
| 2 | PERSON WHO CALLED | 0;3 | FREE TEXT |
|
| 3 | VETERAN | 0;4 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
|
| 3.5 | DATE/TIME OF ADMISSION | 0;19 | DATE | ************************REQUIRED FIELD************************
|
| 4 | AUTHORIZED FROM DATE/TIME | 0;5 | DATE | ************************REQUIRED FIELD************************
|
| 5 | ADMITTING DIAGNOSIS | 0;6 | FREE TEXT |
|
| 6 | ATTENDING PHYSICIAN | 0;7 | FREE TEXT |
|
| 6.5 | ATTEN.PHYSICIAN PHONE NUMBER | 0;18 | FREE TEXT |
|
| 7 | USER ENTERING NOTIFICATION | 0;8 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 8 | LEGAL ENTITLEMENT | 0;9 | FREE TEXT |
|
| 9 | DATE OF LEGAL DETERMINATION | 0;10 | DATE |
|
| 10 | USER ENTERING LEGAL DETERM. | 0;11 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 11 | MEDICAL ENTITLEMENT | 0;12 | FREE TEXT |
|
| 12 | DATE OF MEDICAL DETERMINATION | 0;13 | DATE |
|
| 13 | USER ENTERING MEDICAL DETERM. | 0;14 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 14 | SUSPENSE CODE | 0;16 | POINTER TO FEE BASIS SUSPENSION FILE (#161.27) | FEE BASIS SUSPENSION(#161.27)
|
| 15 | DESCRIPTION OF SUSPENSION | 1;0 | WORD-PROCESSING #162.215 |
|
| 16 | ASSOCIATED 7078 | 0;17 | POINTER TO VA FORM 10-7078 FILE (#162.4) | VA FORM 10-7078(#162.4)
|
| 17 | REFERRING PROVIDER | 2;1 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|
| 100 | REQUEST STATUS | 0;15 | SET | ************************REQUIRED FIELD************************
|
| 292 | USER AUDIT | LOG1;0 | DATE Multiple #162.292 | 162.292
|
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^DD(161.2 | ID1+1 |
| ^DD(2 | ID3+1 |
| ^DPT - [#2] | ID3+1 |
| ^FBAA(162.2 - [#162.2] | IXAISL+1*, IXAIKL+1!, IXAIKEIC+1!, .01DEL.01+1, .01(XREF 1S), .01(XREF 1K), 1(XREF 1S), 1(XREF 1K), 3(XREF 1S), 3(XREF 1K) , 16(XREF 1S), 16(XREF 1K) |
| ^FBAAV - [#161.2] | ID1+1 |
| Name | Field # of Occurrence |
|---|---|
| ^(0 | ID1+1, ID3+1 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| >> %DT | .01+1*, 3.5+1*, 4+1*, 9+1*, 12+1* |
| >> %DT(0 | .01+1*!, 3.5+1*!, 4+1! |
| %I | ID1+1*!, ID3+1*! |
| >> C | ID1+1*, ID3+1* |
| >> DA | IXAISL+1, IXAIKL+1, .01DEL.01+1, .01(XREF 1S), .01(XREF 1K), 1(XREF 1S), 1(XREF 1K), 3(XREF 1S), 3(XREF 1K), 16(XREF 1S) , 16(XREF 1K) |
| DIC | ID1+1, ID3+1, 17+1!* |
| DIC("S" | 17+1*, 17SCR+1* |
| >> DIE | 17+1 |
| FBOUT | 4+1! |
| U | ID1+1, ID3+1 |
| X | .01+1*!, .01(XREF 1S), .01(XREF 1K), 1(XREF 1S), 1(XREF 1K), 2+1!, 3(XREF 1S), 3(XREF 1K), 3.5+1*!, 4+1*! , 5+1!, 6+1!, 6.5+1!, 8+1, 9+1*!, 11+1, 12+1*!, 16(XREF 1S), 16(XREF 1K), 17+1*! |
| X(1 | IXAISL+1, IXAIKL+1 |
| X(2 | IXAISL+1, IXAIKL+1 |
| X(3 | IXAISL+1, IXAIKL+1 |
| X(4 | IXAISL+1, IXAIKL+1 |
| >> Y | ID1+1*, ID3+1*, .01+1, 3.5+1, 4+1, 8OT+1, 9+1, 11OT+1, 12+1, 17+1 |
| >> Y(0 | 8OT+1*, 11OT+1* |