LOST HEARING AID REPORT (6) ORDER TYPE (791810.1)

Name	Value
NAME	LOST HEARING AID REPORT
TYPE ABBREVIATION	L
PATIENT OR STATION	STATION
ORDER MESSAGE	AN APPROVED REPORT OF SURVEY MUST BE FORWARDED TO: DDC (905C)
DISPLAY COSTS?	DO NOT DISPLAY COSTS
INACTIVE	ACTIVE
SHORT NAME	LOST A
ASK TO VIEW ADDRESS	DO NOT 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="" VARIABLE NAME: RMPFRMK 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
SPECIAL REQUIREMENTS MODULE	REG