NAME |
DIAGNOSIS CODES |
BLOCK |
DIAGNOSIS CODES |
SUBCOLUMNS SEPARATED WITH? |
ONE SPACE |
EXTRA LINES FOR SELECTIONS |
0 |
GROUP HEADER APPEARANCE |
UBC |
SELECTION INTERFACE |
DG SELECT ICD-9 DIAGNOSIS CODES |
UNDERLINE SELECTIONS? |
NO |
DYNAMIC SELECTIONS |
NO |
NUMBER OF OTHER |
0 |
WHAT TO ALLOCATE SPACE FOR |
NARRATIVE AND CODE |
WHAT TO SEND TO PCE |
CODE ONLY |
SUBCOLUMN NUMBER |
-
- 2
- SUBCOLUMN HEADER: CODE
- SUBCOLUMN WIDTH: 6
- TYPE OF SUBCOLUMN: TEXT
- SUBCOLUMN'S DATA: 1
- ALLOW EDITING OF TEXT?: NO
-
- 5
- SUBCOLUMN WIDTH: 50
- TYPE OF SUBCOLUMN: TEXT
- SUBCOLUMN'S DATA: 2
- ALLOW EDITING OF TEXT?: YES
-
- 4
- SUBCOLUMN HEADER: S
- TYPE OF SUBCOLUMN: MARKING
- MARKING AREA: BUBBLE (use for scanning)
- DO NOT UNDERLINE MARKING AREA?: YES
- DATA QUALIFIER: SECONDARY
- SELECTION RULE: ANY NUMBER
-
- 3
- SUBCOLUMN HEADER: P
- TYPE OF SUBCOLUMN: MARKING
- MARKING AREA: BUBBLE (use for scanning)
- DO NOT UNDERLINE MARKING AREA?: YES
- DATA QUALIFIER: PRIMARY
- SELECTION RULE: EXACTLY ONE
|