ASSISTIVE DEVICE ORDER (30)    ORDER TYPE (791810.1)

Name Value
NAME ASSISTIVE DEVICE ORDER
TYPE ABBREVIATION O
PATIENT OR STATION PATIENT
DISPLAY COSTS? DISPLAY COSTS
SHORT NAME AD-ORD
NON-CONTRACT ITEMS DO NOT ALLOW NON-CONTRACT ITEMS
ASK TO VIEW ADDRESS ASK TO VIEW ADDRESS
ITEM EDIT STRING .06;.02;D @("SECOND"_U_"RMPFET7");D @("COMPON"_U_"RMPFET7")
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
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Dis. Code
    VARIABLE NAME:   RMPFDC
  • EDIT FIELD NUMBER:   4
    FIELD NUMBER IN 791810:   10.05
    REQUIRED FOR COMPLETION:   REQUIRED FOR COMPLETION
    PROMPT:   Deliv. Cat.
    VARIABLE NAME:   RMPFCAT
  • EDIT FIELD NUMBER:   5
    FIELD NUMBER IN 791810:   S RMPFMOD=""
  • EDIT FIELD NUMBER:   6
    FIELD NUMBER IN 791810:   10.01
    PROMPT:   Remarks
    VARIABLE NAME:   RMPFRMK
PRODUCT GROUP(S)
AVAILABLE TO ROES MENU #
DISABILITIES ALLOWED
  • DEAF
  • AMP
  • BLD
  • ORTH
ITEM REQUIREMENTS STRING .01;.06