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- CAPTION: EXAM NUMBER
- ITEM NAME: EXAM REFERENCE #
- FIELD NUMBER: .001
- LOOKUP LOCAL VARIABLE NAME: TIUCPFN
- EXAMPLE ENTRY: 53901
- CLINICIAN MUST DICTATE: YES
- REQUIRED FIELD?: YES
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- CAPTION: EXAMINING PHYSICIAN
- ITEM NAME: EXAMINING PHYSICIAN
- FIELD NUMBER: .07
- EXAMPLE ENTRY: WELBY,MARCUS MD
- CLINICIAN MUST DICTATE: YES
- REQUIRED FIELD?: YES
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- CAPTION: PATIENT NAME
- ITEM NAME: PATIENT NAME
- EXAMPLE ENTRY: VETERAN,JOHN Q.
- CLINICIAN MUST DICTATE: YES
- REQUIRED FIELD?: YES
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- CAPTION: PATIENT SSN
- ITEM NAME: PATIENT SSN
- FIELD NUMBER: .02
- LOOKUP LOCAL VARIABLE NAME: TIUSSN
- EXAMPLE ENTRY: 555-12-2346
- CLINICIAN MUST DICTATE: YES
- REQUIRED FIELD?: YES
- TRANSFORM CODE: S X=$TR(X,"/-","")
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- CAPTION: DATE OF EXAM
- ITEM NAME: EXAM DATE
- FIELD NUMBER: .06
- EXAMPLE ENTRY: 03/25/99
- CLINICIAN MUST DICTATE: YES
- REQUIRED FIELD?: YES
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- CAPTION: EXAM TYPE
- ITEM NAME: EXAM TYPE
- EXAMPLE ENTRY: POST-TRAUMATIC STRESS DISORDER (PTSD)
- CLINICIAN MUST DICTATE: YES
- REQUIRED FIELD?: NO
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