| Parent File | Name | Number | Package | 
|---|---|---|---|
| PROSTHETICS PATIENT(#665) | HOME OXYGEN PRESCRIPTION | 665.193 | Prosthetics | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | DATE | 0;1 | DATE | 
  | 
| 2 | EXPIRATION DATE | 0;3 | DATE | 
  | 
| 3 | DESCRIPTION | 1;0 | WORD-PROCESSING #665.1933 | 
  | 
| 4 | A&B LETTERS SENT | 0;5 | FREE TEXT | 
  | 
| 30 | PRIMARY ICD DIAGNOSIS CODE | BA1;1 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
  | 
| 30.1 | PRIMARY AGENT ORANGE | BA1;2 | SET | 
  | 
| 30.2 | PRIMARY IONIZED RADIATION | BA1;3 | SET | 
  | 
| 30.3 | PRIMARY SERVICE CONNECTED | BA1;4 | SET | 
  | 
| 30.4 | PRIMARY ENVIRONMENTAL CONT. | BA1;5 | SET | 
  | 
| 30.5 | PRIMARY MST | BA1;6 | SET | 
  | 
| 30.6 | PRIMARY HEAD/NECK CANCER | BA1;7 | SET | 
  | 
| 30.7 | PRIMARY COMBAT VET | BA1;8 | SET | 
  | 
| 31 | SECONDARY ICD DIAGNOSIS CODE 1 | BA2;1 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
  | 
| 31.1 | SECONDARY AGENT ORANGE 1 | BA2;2 | SET | 
  | 
| 31.2 | SECONDARY IONIZED RADIATION 1 | BA2;3 | SET | 
  | 
| 31.3 | SECONDARY SERVICE CONNECTED 1 | BA2;4 | SET | 
  | 
| 31.4 | SECONDARY ENVIRONMENTAL CONT 1 | BA2;5 | SET | 
  | 
| 31.5 | SECONDARY MST 1 | BA2;6 | SET | 
  | 
| 31.6 | SECONDARY HEAD/NECK CANCER 1 | BA2;7 | SET | 
  | 
| 31.7 | SECONDARY COMBAT VET 1 | BA2;8 | SET | 
  | 
| 32 | SECONDARY ICD DIAGNOSIS CODE 2 | BA3;1 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
  | 
| 32.1 | SECONDARY AGENT ORANGE 2 | BA3;2 | SET | 
  | 
| 32.2 | SECONDARY IONIZED RADIATION 2 | BA3;3 | SET | 
  | 
| 32.3 | SECONDARY SERVICE CONNECTED 2 | BA3;4 | SET | 
  | 
| 32.4 | SECONDARY ENVIRONMENTAL CONT 2 | BA3;5 | SET | 
  | 
| 32.5 | SECONDARY MST 2 | BA3;6 | SET | 
  | 
| 32.6 | SECONDARY HEAD/NECK CANCER 2 | BA3;7 | SET | 
  | 
| 32.7 | SECONDARY COMBAT VET 2 | BA3;8 | SET | 
  | 
| 33 | SECONDARY ICD DIAGNOSIS CODE 3 | BA4;1 | POINTER TO ICD DIAGNOSIS FILE (#80) | ICD DIAGNOSIS(#80)
  | 
| 33.1 | SECONDARY AGENT ORANGE 3 | BA4;2 | SET | 
  | 
| 33.2 | SECONDARY IONIZED RADIATION 3 | BA4;3 | SET | 
  | 
| 33.3 | SECONDARY SERVICE CONNECTED 3 | BA4;4 | SET | 
  | 
| 33.4 | SECONDARY ENVIRONMENTAL CONT 3 | BA4;5 | SET | 
  | 
| 33.5 | SECONDARY MST 3 | BA4;6 | SET | 
  | 
| 33.6 | SECONDARY HEAD/NECK CANCER 3 | BA4;7 | SET | 
  | 
| 33.7 | SECONDARY COMBAT VET 3 | BA4;8 | SET | 
  | 
| 100 | PFSS NEW PRESCRIPTION FLAG | PFSS;1 | SET | 
  | 
| 101 | REQUESTOR | PFSS;2 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  |