File PROSTHETIC_SUSPENSE(668) Data List
| SUSPENSE DATE |
VETERAN |
PROVISIONAL DIAGNOSIS |
ICD |
INITIAL ACTION DATE |
ACTION DATE |
COMPLETION NOTE |
REQUESTOR |
STATUS |
OIF/OEF |
INITIAL ACTION BY |
CANCELLED BY |
CANCEL DATE |
ORDER |
STATION |
REQUESTING FACILITY |
URGENCY |
CONSULT |
CANCEL NOTE |
DATE RX WRITTEN |
CONSULT REQUEST SERVICE |
FORWARDED BY |
ORDERING PROVIDER |
SUSPENSE FORM |
PRIMARY ICD DIAGNOSIS CODE |
PRIMARY AGENT ORANGE |
PRIMARY IONIZED RADIATION |
PRIMARY SERVICE-CONNECTED |
PRIMARY ENVIRONMENTAL CONT. |
PRIMARY MST |
PRIMARY HEAD/NECK CANCER |
PRIMARY COMBAT VET |
SECONDARY ICD DIAGNOSIS 1 |
SECONDARY AGENT ORANGE 1 |
SECONDARY IONIZED RADIATION 1 |
SECONDARY SERVICE-CONNECTED 1 |
SECONDARY ENVIRON. CONT. 1 |
SECONDARY MST 1 |
SECONDARY HEAD/NECK CANCER 1 |
SECONDARY COMBAT VET 1 |
SECONDARY ICD DIAGNOSIS 2 |
SECONDARY AGENT ORANGE 2 |
SECONDARY IONIZED RADIATION 2 |
SECONDARY SERVICE-CONNECTED 2 |
SECONDARY ENVIRON. CONT. 2 |
SECONDARY MST 2 |
SECONDARY HEAD/NECK CANCER 2 |
SECONDARY COMBAT VET 2 |
SECONDARY ICD DIAGNOSIS 3 |
SECONDARY AGENT ORANGE 3 |
SECONDARY IONIZED RADIATION 3 |
SECONDARY SERVICE-CONNECTED 3 |
SECONDARY ENVIRON. CONT. 3 |
SECONDARY MST 3 |
SECONDARY HEAD/NECK CANCER 3 |
SECONDARY COMBAT VET 3 |
DESCRIPTION OF ITEM/SERVICES |
COMPLETION DATE |
COMPLETED BY |
INITIAL ACTION NOTE |
SUSPENDED BY |
PATIENT 2319 |
AMIS GROUPER |
TYPE OF REQUEST |