Parent File | Name | Number | Package |
---|---|---|---|
PROSTHETICS PATIENT(#665) | DATE OF CLOTHING ALLOWANCE | 665.02 | Prosthetics |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | DATE OF CLOTHING ALLOWANCE | 0;1 | DATE |
|
1 | ELIGIBLE/NOT ELIGIBLE | 0;2 | SET | ************************REQUIRED FIELD************************
|
2 | STATIC/NON-STATIC | 0;3 | SET | ************************REQUIRED FIELD************************
|
3 | CLOTHING ALLOWANCE DESCRIPTION | 1;1 | FREE TEXT |
|
4 | CLOTHING ALLOWANCE EXAM | 0;4 | SET | ************************REQUIRED FIELD************************
|
5 | DATE OF EXAM | 0;5 | DATE |
|
6 | EXAMINER | 0;6 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
|