| INPUT PARAMETER |
-
- DATA ARRAY
- PARAMETER TYPE: LIST
- REQUIRED: YES
- SEQUENCE NUMBER: 1
- DESCRIPTION:
Input: DATA: Array
(9): Other Reason Comment
(90): OTHER DELIVERY
(91): OTHER DELIVERY TEXT
(92): IN PERSON PICKUP
(93): BY MAIL SAME ADDRESS
(94): BY MAIL NEW ADDRESS
(95): BY MAIL NEW ADDRESS TEXT
(96): MEDICAL RECORDS FLAG
(97): MEDICAL RECORDS TEXT
(98): ADMINISTRATIVE RECORDS FLAG
(99): ADMINISTRATIVE RECORDS TEXT
(10): Priority (0 - Normal , 1 - High)
(100): LEGAL RECORDS FOR TORTS FLAG
(101): LEGAL RECORDS FOR TORTS TEXT
(11): Release Drug Abuse Info? **(0 - Don't Release , 1 - Release)
(12): ' ' Alcoholism Info?**
(13): ' ' HIV Info?**
(14): ' ' Sickle Cell Anemia?**
(15): ' ' Copy of Hospital Summary?**
(16): ' ' Copy of Outpatient Treatment Notes?**
(17): ' ' Other info?**
(18): Mail to address (Pointer to 19620.92)
(1): Patient DFN
(19): Patient address (Pointer to 19620.92)
(20): ROI IEN (Add new if null)
(21): Status (Default to Open if (20) is null)
(22): Exemptions 1 thru 9 This is a multi-piece value delimited by ";"
in the following exemption order: 1;2;3;4;5;6;7a;7b;7c;7d;7e;7f;8;9
A one in the above positions means that exemption was used
(23): Expedite Requested (0 = No, 1 = Yes)
(24): Expedite Granted (0 = No, 1 = Yes)
(25): 38 USC 5701 (0 = No, 1 = Yes)
(26): 38 USC 5705 (0 = No, 1 = Yes)
(2): Purpose
(27): 35 USC 205 (0 = No, 1 = Yes)
(28): 38 USC 7332 (0 = No, 1 = Yes)
(29): OTHER EXEMPTION (Free text)
(30): Document Print Order (Free text)
(31): Document Print Order Continuation (Free text)
(32): No Exceptions Required (0=N/A, 1=No Exceptions Required)
(33): Date Expedited Requested (FM Format)
(34): Expedited Adjudicated
(35): Date Expedited Adjudicated (FM Format)
(36): 41 USC 253B (0 = No, 1 = Yes)
(3): ROI Clerk (IFN)
(37): 5 USC APP 3 (0 = No, 1 = Yes)
(38): Fee Waiver Requested (0 = No, 1 = Yes)
(39): Fee Waiver Requested Date
(40): Fee Waiver Adjudicated (0 = No, 1 = Yes)
(41): Fee Waiver Adjudicated Date
(42): Fee Waiver Granted (0 = No, 1 = Yes)
(43): No Records (0 = No, 1 = Yes)
(44): Referral (0 = No, 1 = Yes)
(45): Records Not Reasonably Described (0 = No, 1 = Yes)
(46): Not an Agency Record (0 = No, 1 = Yes)
(4): Requestor (IFN)
(47): Duplicate Request (0 = No, 1 = Yes)
(48): Delivery Type (0-6)
(49): Received Type (0-3)
(50): Medically Sensitive
(51): Address type
null or 0 = undefined
1 = Primary
2 = Temporary
3 = Confidential
(52): How Created
(5): Received Date (FM Format)
W = Wizard
P = Multiple Patient
R = Multiple Requestor
(53): HEALTH SUMMARY
(54): INPATIENT DISCHARGE SUMMARY
(55): INPATIENT DISCHARGE SUMMARY TEXT
(56): PROGRESS NOTES SPECIFIC CLINICS
(57): PROGRESS NOTES SPECIFIC CLINICS TEXT
(58): PROGRESS NOTES SPECIFIC PROVIDER
(59): PROGRESS NOTES SPECIFIC PROVIDER TEXT
(6): Authority for request (Pointer to 19620.51)
(60): PROGRESS NOTES DATE RANGE
(61): PROGRESS NOTES DATE RANGE TEXT
(62): CLINICAL PROCEDURES
(63): CLINICAL PROCEDURES TEXT
(64): LAB RESULTS SPECIFIC TESTS
(65): LAB RESULTS SPECIFIC TESTS TEXT
(66): LAB RESULTS DATE RANGE
(67): LAB RESULTS DATE RANGE TEXT
(68): RADIOLOGY REPORTS
(69): RADIOLOGY REPORTS TEXT
(7): Type of request (Pointer to 19620.61)
(70): ACTIVE MEDICATIONS
(71): OTHER
(72): OTHER TEXT
(73): FLU VACCINATION
(74): FLU VACCINATION TEXT
(75): ACTIVE MEDS TEXT
(76): TREATMENT
(77): BENEFITS
(78): LEGAL
(79): EMPLOYMENT
(8): Requestor type (Pointer to 19620.71)
(80): OTHER PURPOSE
(81): OTHER PURPOSE TEXT
(82): DO NOT RELEASE
(83): ONE TIME DISCLOSURE
(84): EXPIRE ON
(85): EXPIRE ON DATE
(86): EXPIRE CONDITIONS
(87): EXPIRE CONDITIONS TEXT
(88): PAPER DELIVERY
(89): CD ROM DELIVERY
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