| Parent File | Name | Number | Package |
|---|---|---|---|
| QA CHS ADMISSION(#9002157) | REVIEW | 9002157.02 | Quality Assurance |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | DATE REVIEWED | 0;1 | DATE |
|
| .02 | INDICATIONS FOR EXTENDED STAY | 0;2 | FREE TEXT |
|
| .03 | REVIEWER | 0;3 | POINTER TO PROVIDER FILE (#6) | PROVIDER(#6)
|