Parent File | Name | Number | Package |
---|---|---|---|
853.81 | QUESTIONNAIRE RESPONSE | 853.811 | VA Point of Service |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | RESPONSE IDENTIFIER | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
.02 | DATE/TIME TAKEN | 0;2 | DATE |
|
.03 | DATE/TIME LAST MODIFIED | 0;3 | DATE |
|
.04 | COMPLETION STATUS | 0;4 | SET | ************************REQUIRED FIELD************************
|
.05 | PATIENT SAFETY | 0;5 | SET | ************************REQUIRED FIELD************************
|
.06 | IMMEDIATE ACTION | 0;6 | SET |
|
1 | APPOINTMENT CHECK-IN | 1;0 | Multiple #853.8111 | 853.8111
|
2 | ADDITIONAL CALCULATED VALUE | 2;0 | Multiple #853.8112 | 853.8112
|
3 | QUESTIONS | 3;0 | Multiple #853.8113 | 853.8113
|
4 | SURVEY CALCULATED VALUE | 4;1 | FREE TEXT | ************************REQUIRED FIELD************************
|