File STATION_ORDER(791810) Data List
| ORDER DATE/TIME |
TYPE OF ORDER |
STATUS OF ORDER |
PATIENT |
ENTERING USER |
STATUS DATE |
PURCHASE ORDER NUMBER |
ORDERED/REQUESTED BY |
ORDER/REQUEST DATE |
APPROVED BY |
APPROVAL DATE |
TRANSMISSION BATCH |
CONTRACTOR'S INVOICE NUMBER |
ENTERED FROM THIS MENU |
ADDRESS LINE 1 |
ADDRESS LINE 2 |
ADDRESS LINE 3 |
CITY |
STATE |
ZIP CODE |
BEGIN DATE |
END DATE |
REMARKS |
DISAPPROVAL REASON |
CANCEL REASON |
DATE PATIENT REQUESTED CARE |
DELIVERY CATEGORY |
RELEASED BY |
RELEASE DATE |
AUDIOLOGICAL ASSESSMENT DATE |
LINE ITEM |
TYPE OF HEARING AID FITTING |
AUTHORIZED USAGE |
ITEM TO BE REPLACED BY DDC? |
PROSTHETICS ORDER |
DISABILITY CODE |
ELIGIBILITY |
ELIGIBILITY ENTERED BY |
ELIGIBILITY ENTERED BY USER? |
DATE ELIGIBILITY ENTERED |
PROPOSED ELIGIBILITY |
PE ENTERED BY |
PE ENTRY DATE/TIME |
ELIGIBILITY COMMENT |
SENSITIVE PATIENT RECORD |
MESSAGE DATE/TIME |
AUTHORIZED HEARING AIDS |
STATION NUMBER-NAME |