Parent File | Name | Number | Package |
---|---|---|---|
VIST REFERRAL ROSTER(#2042.5) | REFERRAL DATE | 2042.51 | Visual Impairment Service Team |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | REFERRAL DATE | 0;1 | DATE |
|
1 | PLACE OF REFERRAL | 0;2 | POINTER TO VIST REFERRAL FACILITY FILE (#2042) | VIST REFERRAL FACILITY(#2042)
|
2 | TYPE OF REFERRAL (AMIS) | 2;1 | SET |
|
3 | STATUS OF APPLICATION | 2;2 | SET |
|
4 | DATE OF NOTIFICATION | 0;3 | DATE |
|
5 | BLIND REHAB ADMISSION DATE | 0;4 | DATE |
|
6 | BLIND REHAB DISCHARGE DATE | 0;5 | DATE |
|
7 | TYPE OF DISCHARGE | 0;6 | SET |
|