WV PATIENT-HEADER-2 (266)    BLOCK (.404)

Name Value
NAME WV PATIENT-HEADER-2
DATA DICTIONARY NUMBER 790
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