File GMR_ALLERGY_SITE_PARAMETERS(120.84) Data List
| NAME |
TOP 10 REACTIONS |
FDA DATA REQUIRED |
E/E DESCRIPTION ACTIVE |
REPORTER NAME |
REPORTER ADDRESS1 |
REPORTER ADDRESS2 |
REPORTER ADDRESS3 |
REPORTER CITY |
REPORTER STATE |
REPORTER ZIP |
REPORTER PHONE |
OCCUPATION |
AUTOVERIFY FOOD/DRUG/OTHER |
*CONVERSION OF NKA |
AUTOVERIFY OBSERVED/HISTORICAL |
AUTOVERIFY LOGICAL OPERATOR |
REQUIRE ORIGINATOR COMMENTS |
*LAST DFN CONVERTED |
*CONVERSION TASK NUMBER |
*CONVERSION FINISHED |
DIVISION |
MARK ID BAND FLAG |
METHOD OF NOTIFICATION |
ALERT ID BAND/CHART MARK |
NEW ADMISSION CHART MARK |
*3.0 CONVERSION LAST DFN |
*3.0 TASK NUMBER |
NKA CONVERSION |