| NAME |
PRIMARY DIAGNOSIS |
| BLOCK |
PRIMARY DIAGNOSIS |
| SUBCOLUMNS SEPARATED WITH? |
SPACE/LINE/SPACE |
| EXTRA LINES FOR SELECTIONS |
0 |
| GROUP HEADER APPEARANCE |
SC |
| 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 |
-
- 4
- SUBCOLUMN HEADER: CODE
- SUBCOLUMN WIDTH: 7
- TYPE OF SUBCOLUMN: TEXT
- SUBCOLUMN'S DATA: 1
- ALLOW EDITING OF TEXT?: NO
-
- 3
- SUBCOLUMN HEADER: DIAGNOSIS
- SUBCOLUMN WIDTH: 34
- TYPE OF SUBCOLUMN: TEXT
- SUBCOLUMN'S DATA: 2
- ALLOW EDITING OF TEXT?: YES
-
- 5
- SUBCOLUMN HEADER: ADD
- TYPE OF SUBCOLUMN: MARKING
- MARKING AREA: BUBBLE (use for scanning)
- DO NOT UNDERLINE MARKING AREA?: YES
- DATA QUALIFIER: ADD TO PROBLEM LIST
- SELECTION RULE: ANY NUMBER
-
- 1
- 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
|
