MISSING HEARING AID REPORT (12)    ORDER TYPE (791810.1)

Name Value
NAME MISSING HEARING AID REPORT
TYPE ABBREVIATION T
PATIENT OR STATION PATIENT
DISPLAY COSTS? DO NOT DISPLAY COSTS
INACTIVE ACTIVE
SHORT NAME MISS A
NON-CONTRACT ITEMS ALLOW NON-CONTRACT ITEMS
ASK TO VIEW ADDRESS ASK TO VIEW ADDRESS
ITEM EDIT STRING .05;.1
EDIT FIELDS
  • EDIT FIELD NUMBER:   1
    FIELD NUMBER IN 791810:   .08
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Reported By
    VARIABLE NAME:   RMPFADP
  • EDIT FIELD NUMBER:   2
    FIELD NUMBER IN 791810:   .09
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Report Date
    VARIABLE NAME:   RMPFODP
  • EDIT FIELD NUMBER:   3
    FIELD NUMBER IN 791810:   S RMPFMOD=""
  • EDIT FIELD NUMBER:   4
    FIELD NUMBER IN 791810:   10.01
    PROMPT:   Remarks
    VARIABLE NAME:   RMPFRMK
PRODUCT GROUP(S)
AVAILABLE TO ROES MENU #
DISABILITIES ALLOWED
  • DEAF
ITEM REQUIREMENTS STRING .01;.05;.1