NATL ONC/CHEMO INF FY21-Q4 (907)    ENCOUNTER FORM (357)

Name Value
NAME NATL ONC/CHEMO INF FY21-Q4
SIMPLEX/DUPLEX SIMPLEX
BRIEF DESCRIPTION National Oncology & Chemotherapy Infusion July 2021
TYPE OF USE OUTPATIENT ENCOUNTER FORM
COMPILED? NO
USE ICR? YES
TOOLKIT YES
RIGHT MARGIN 133
PAGE LENGTH 80
NUMBER OF PAGES 9
SCANNED/MANUAL DATA ENTRY YES
PAPER SIZE LETTER (8 1/2 x 11)
ORIENTATION PORTRAIT
TEXT SIZE 133 COLUMNS x 80 LINES
VERSION 3
PAGE INFORMATION
  • 1
    SCANNABLE?:   YES, PAGE SCANNABLE
  • 2
    SCANNABLE?:   YES, PAGE SCANNABLE