| Parent File | Name | Number | Package | 
|---|---|---|---|
| 853.805 | QUESTIONNAIRE | 853.81 | VA Point of Service | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | DATE/TIME STORED | 0;1 | DATE | ************************REQUIRED FIELD************************ 
  | 
| .02 | SURVEY CREATOR | 0;2 | POINTER TO NEW PERSON FILE (#200) | ************************REQUIRED FIELD************************ NEW PERSON(#200)
  | 
| 1 | QUESTIONNAIRE RESPONSE | 1;0 | Multiple #853.811 | 853.811
  | 
| 2 | DATE/TIME TAKEN | 0;3 | DATE | ************************REQUIRED FIELD************************ 
  | 
| 3 | DATE/TIME LAST MODIFIED | 0;4 | DATE | ************************REQUIRED FIELD************************ 
  | 
| 4 | INTERVIEWER STAFF | 0;5 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200)
  | 
| 5 | SURVEY CALCULATED VALUE | 1;1 | FREE TEXT | 
  | 
| 6 | COMPLETION STATUS | 2;1 | SET | 
 
  | 
| 7 | PATIENT SAFETY | 2;2 | SET | 
 
  | 
| 8 | IMMEDIATE ACTION | 2;3 | SET | 
 
  | 
| 11 | QUESTIONNAIRE TEMPLATE ID | 0;7 | POINTER TO VPS QUESTIONNAIRE IDENTIFIERS FILE (#853.85) | ************************REQUIRED FIELD************************ VPS QUESTIONNAIRE IDENTIFIERS(#853.85)
  | 
| 12 | SURVEY CREATOR | 0;8 | POINTER TO NEW PERSON FILE (#200) | ************************REQUIRED FIELD************************ NEW PERSON(#200)
  | 
| 20 | QUESTIONS | 3;0 | Multiple #853.811 | 853.811
  |