.01 |
Pointed to |
ENTRY DATE |
0;1 |
.02 |
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PATIENT NAME |
0;2 |
4 |
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ITEM |
0;6 |
7 |
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VENDOR |
0;9 |
10 |
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DELIVERY DATE |
0;12 |
12 |
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SOURCE |
0;14 |
14 |
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TOTAL COST |
0;16 |
15 |
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HISTORICAL DATA |
0;15 |
62 |
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PATIENT CATEGORY |
AM;3 |
30 |
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PRIMARY ICD DIAGNOSIS CODE |
BA1;1 |
30.1 |
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PRIMARY AGENT ORANGE EXPOSURE |
BA1;2 |
30.2 |
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PRIMARY IONIZED RADIATION |
BA1;3 |
30.3 |
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PRIMARY SERVICE-CONNECTED |
BA1;4 |
30.5 |
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PRIMARY MST |
BA1;6 |
30.4 |
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PRIMARY ENVIRONMENTAL CONT. |
BA1;5 |
30.6 |
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PRIMARY HEAD/NECK CANCER |
BA1;7 |
30.7 |
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PRIMARY COMBAT VET |
BA1;8 |
31 |
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SECONDARY ICD DIAGNOSIS CODE 1 |
BA2;1 |
31.1 |
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SECONDARY AGENT ORANGE 1 |
BA2;2 |
31.2 |
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SECONDARY IONIZED RADIATION 1 |
BA2;3 |
31.3 |
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SECONDARY SERVICE-CONNECTED 1 |
BA2;4 |
31.4 |
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SECONDARY ENVIRONMENTAL CONT 1 |
BA2;5 |
31.5 |
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SECONDARY MST 1 |
BA2;6 |
31.6 |
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SECONDARY HEAD/NECK CANCER 1 |
BA2;7 |
31.7 |
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SECONDARY COMBAT VET 1 |
BA2;8 |
32 |
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SECONDARY ICD DIAGNOSIS 2 |
BA3;1 |
32.1 |
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SECONDARY AGENT ORANGE 2 |
BA3;2 |
32.2 |
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SECONDARY IONIZED RADIATION 2 |
BA3;3 |
32.3 |
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SECONDARY SERVICE-CONNECTED 2 |
BA3;4 |
32.4 |
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SECONDARY ENVIR. CONT. 2 |
BA3;5 |
32.5 |
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SECONDARY MST 2 |
BA3;6 |
32.6 |
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SECONDARY HEAD/NECK CANCER 2 |
BA3;7 |
32.7 |
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SECONDARY COMBAT VET 2 |
BA3;8 |
33 |
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SECONDARY ICD DIAGNOSIS 3 |
BA4;1 |
33.1 |
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SECONDARY AGENT ORANGE 3 |
BA4;2 |
33.2 |
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SECONDARY IONIZED RADIATION 3 |
BA4;3 |
33.3 |
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SECONDARY SERVICE-CONNECTED 3 |
BA4;4 |
33.4 |
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SECONDARY ENVIRON. CONT. 3 |
BA4;5 |
33.5 |
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SECONDARY MST 3 |
BA4;6 |
33.6 |
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SECONDARY HEAD/NECK CANCER 3 |
BA4;7 |
33.7 |
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SECONDARY COMBAT VET 3 |
BA4;8 |