Parent File | Name | Number | Package |
---|---|---|---|
VIST ROSTER(#2040) | EYE EXAM DATE & VISUAL STATUS | 2040.04 | Visual Impairment Service Team |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | EYE EXAM DATE | 0;1 | DATE |
|
1 | EYE DIAGNOSIS NARRATIVE | 0;2 | FREE TEXT |
|
2 | VISUAL ACUITY RIGHT EYE | 0;3 | FREE TEXT |
|
3 | VISUAL ACUITY LEFT EYE | 0;4 | FREE TEXT |
|
4 | VISUAL FIELD RIGHT EYE | 0;5 | FREE TEXT |
|
5 | VISUAL FIELD LEFT EYE | 0;6 | FREE TEXT |
|