| Parent File | Name | Number | Package |
|---|---|---|---|
| OTH ELIGIBILITY PATIENT(#33) | DENIED REQUEST | 33.03 | Registration |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | SEQUENCE | 0;1 | NUMBER |
|
| .02 | DATE REQUEST SUBMITTED | 0;2 | DATE |
|
| .03 | DENIED AUTHORIZATION COMMENT | 0;3 | FREE TEXT |
|
| .04 | DENIED AUTH ENTERED USER | 0;4 | FREE TEXT |
|
| .05 | DATE/TIME ENTERED/EDITED | 0;5 | DATE |
|
| .06 | DENIED AUTH FACILITY | 0;6 | POINTER TO INSTITUTION FILE (#4) | INSTITUTION(#4)
|
| .07 | CREATION DATE/TIME | 0;7 | DATE |
|