| FIELD |
-
- FIELD ORDER: 1
- CAPTION: * * * EDIT PATIENT CASE DATA * * *
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 1,22
-
- FIELD ORDER: 10
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Elig Code: "_IOINHI_$P($$ELIG^WVUTL9(WVDFN),U,2)
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 6,4
-
- FIELD ORDER: 11
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"MST: "_IOINHI_$$MST^WVUTL1A(WVDFN)
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 7,10
-
- FIELD ORDER: 2
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Patient Name: "_IOINHI_$$NAME^WVUTL1(WVDFN)_"("_$$AGE^WVUTL1(WVDFN)_")"_IOINORM
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 3,1
-
- FIELD ORDER: 3
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_$$PNLAB^WVUTL5()_IOINHI_$$SSN^WVUTL1(WVDFN)_IOINORM
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 3,52
-
- FIELD ORDER: 4
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Street: "_IOINHI_$$STREET^WVUTL1(WVDFN)_IOINORM
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 4,7
-
- FIELD ORDER: 5
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Patient Phone: "_IOINHI_$$HPHONE^WVUTL1(WVDFN)
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 4,45
-
- FIELD ORDER: 6
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Cty/St/Zip: "_IOINHI_$$CTYSTZ^WVUTL1(WVDFN)_IOINORM
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 5,3
-
- FIELD ORDER: 7
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Pr Provider: "_IOINHI_$E($$PROVI^WVUTL1A(WVDFN),1,20)
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 5,47
-
- FIELD ORDER: 8
- CAPTION: !M
- EXECUTABLE CAPTION: S Y=IOINORM_"Veteran: "_IOINHI_$$VET^WVUTL1A(WVDFN)
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 6,51
-
- FIELD ORDER: 9
- CAPTION: ________________________________________________________________________________
- FIELD TYPE: CAPTION ONLY
- CAPTION COORDINATE: 8,1
|
