| FIELD |
-
- FIELD ORDER: 1
- CAPTION: FUNCTIONAL ASSESSMENT MEASURE(FAM)
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 1,25
-
- FIELD ORDER: 10
- CAPTION: EMPLOYABILITY
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 8,21
- DATA LENGTH: 21
- CAPTION COORDINATE: 8,6
-
- FIELD ORDER: 19
- CAPTION: ORIENTATION
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 12,59
- DATA LENGTH: 21
- CAPTION COORDINATE: 12,46
-
- FIELD ORDER: 17
- CAPTION: ATTENTION
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 11,59
- DATA LENGTH: 21
- CAPTION COORDINATE: 11,48
-
- FIELD ORDER: 18
- CAPTION: SAFETY JUDGEMENT
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 12,21
- DATA LENGTH: 21
- CAPTION COORDINATE: 12,3
-
- FIELD ORDER: 3
- CAPTION: 1 = Total Assistance
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 4,5
-
- FIELD ORDER: 4
- CAPTION: 2 = Maximal Assistance
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 4,30
-
- FIELD ORDER: 5
- CAPTION: 3 = Moderate Assistance
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 4,55
-
- FIELD ORDER: 6
- CAPTION: 4 = Minimal Assistance
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 5,5
-
- FIELD ORDER: 7
- CAPTION: 5 = Supervision
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 5,30
-
- FIELD ORDER: 8
- CAPTION: 6 = Modified Independence
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 5,55
-
- FIELD ORDER: 21
- CAPTION: SWALLOWING
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 13,59
- DATA LENGTH: 21
- CAPTION COORDINATE: 13,47
-
- FIELD ORDER: 9
- CAPTION: 7 = Complete Independence
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 6,5
-
- FIELD ORDER: 2
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=$P(^SPNL(154.1,DA,0),U,4) X ^DD("DD") S Y="Record Date: "_Y
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 2,1
-
- FIELD ORDER: 11
- CAPTION: CAR TRANSFERS
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 8,59
- DATA LENGTH: 21
- CAPTION COORDINATE: 8,44
-
- FIELD ORDER: 12
- CAPTION: COMMUNITY ACCESS
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 9,21
- DATA LENGTH: 21
- CAPTION COORDINATE: 9,3
-
- FIELD ORDER: 13
- CAPTION: READING
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 9,59
- DATA LENGTH: 21
- CAPTION COORDINATE: 9,50
-
- FIELD ORDER: 15
- CAPTION: WRITING
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 10,59
- DATA LENGTH: 21
- CAPTION COORDINATE: 10,50
-
- FIELD ORDER: 14
- CAPTION: SPEECH CLARITY
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 10,21
- DATA LENGTH: 21
- CAPTION COORDINATE: 10,5
-
- FIELD ORDER: 16
- CAPTION: EMOTIONAL STATUS
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 11,21
- DATA LENGTH: 21
- CAPTION COORDINATE: 11,3
-
- FIELD ORDER: 20
- CAPTION: ADJ TO LIMITATION
- FIELD TYPE: DATA DICTIONARY FIELD
- DATA COORDINATE: 13,21
- DATA LENGTH: 21
- CAPTION COORDINATE: 13,2
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