NAME |
DIAGNOSIS CODES |
BLOCK |
DIAGNOSIS CODES |
SUBCOLUMN HEADER APPEARANCE |
R |
SUBCOLUMNS SEPARATED WITH? |
LINE |
EXTRA LINES FOR SELECTIONS |
0 |
GROUP HEADER APPEARANCE |
UBSC |
SELECTION INTERFACE |
DG SELECT ICD-9 DIAGNOSIS CODES |
UNDERLINE SELECTIONS? |
YES |
DYNAMIC SELECTIONS |
NO |
NUMBER OF OTHER |
0 |
SUBCOLUMN NUMBER |
-
- 1
- SUBCOLUMN HEADER: CODE
- SUBCOLUMN WIDTH: 7
- TYPE OF SUBCOLUMN: TEXT
- SUBCOLUMN'S DATA: 1
- ALLOW EDITING OF TEXT?: NO
-
- 2
- SUBCOLUMN HEADER: DIAGNOSIS
- SUBCOLUMN WIDTH: 30
- 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
|