DEMOGRAPHIC/ELIGIBILITY UPDATE (15)    ORDER TYPE (791810.1)

Name Value
NAME DEMOGRAPHIC/ELIGIBILITY UPDATE
TYPE ABBREVIATION Y
PATIENT OR STATION PATIENT
DISPLAY COSTS? DO NOT DISPLAY COSTS
INACTIVE ACTIVE
SHORT NAME DEMO
ASK TO VIEW ADDRESS ASK TO VIEW ADDRESS
EDIT FIELDS
  • EDIT FIELD NUMBER:   1
    FIELD NUMBER IN 791810:   .08
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Ordered By
    VARIABLE NAME:   RMPFADP
  • EDIT FIELD NUMBER:   2
    FIELD NUMBER IN 791810:   .09
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Order Date
    VARIABLE NAME:   RMPFODP
  • EDIT FIELD NUMBER:   3
    FIELD NUMBER IN 791810:   2.01
    PROMPT:   Disability
    VARIABLE NAME:   RMPFDC
  • 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
SPECIAL REQUIREMENTS MODULE REG