| Parent File | Name | Number | Package | 
|---|---|---|---|
| CAPRI TEMPLATES(#396.17) | FORM SAVE BUFFER | 396.19 | Automated Medical Information Exchange | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | DATE/TIME | 0;1 | DATE | ************************REQUIRED FIELD************************ 
  | 
| 1 | SAVE DATA | 1;0 | WORD-PROCESSING #396.191 | 
  | 
| 2 | COMMENTS | 2;1 | FREE TEXT | 
  | 
| 3 | TEMPLATES UTILIZED | 3;0 | WORD-PROCESSING #396.193 | 
  |