FileMan FileNo | FileMan Filename | Package |
---|---|---|
19707.15 | VEN EHP ASQ TRANSACTION | PCC New Encounter Form |
Package | Total | Routines |
---|---|---|
PCC New Encounter Form | 2 | VENPCCQ1 VENPCCQ2 |
Package | Total | Routines |
---|---|---|
PCC New Encounter Form | 2 | VENPCCQ1 VENPCCQ2 |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | PATIENT IEN | 0;1 | NUMBER | ************************REQUIRED FIELD************************
|
.02 | ASQ TEST DATE | 0;2 | FREE TEXT |
|
.03 | ASQ FORM (MOS) | 0;3 | NUMBER |
|
.04 | CHRONOLOGICAL AGE (MOS) | 0;4 | NUMBER |
|
.05 | ACTUAL DATE OF BIRTH | 0;5 | FREE TEXT |
|
.06 | ADJUSTED DATE OF BIRTH | 0;6 | FREE TEXT |
|
.07 | GESTATIONAL AGE AT BIRTH (WKS) | 0;7 | NUMBER |
|
.08 | VISIT IEN | 0;8 | NUMBER |
|
1.01 | DATE RESULTS ENTERED | 1;1 | DATE |
|
1.02 | FINE MOTOR CUTOFF | 1;2 | NUMBER |
|
1.03 | GROSS MOTOR | 1;3 | NUMBER |
|
1.04 | GROSS MOTOR CUTOFF | 1;4 | NUMBER |
|
1.05 | COMMUNICATION | 1;5 | NUMBER |
|
1.06 | COMMUNICATION CUTOFF | 1;6 | NUMBER |
|
1.07 | SOCIAL | 1;7 | NUMBER |
|
1.08 | SOCIAL CUTOFF | 1;8 | NUMBER |
|
1.09 | PROBLEM SOLVING | 1;9 | NUMBER |
|
1.1 | PROBLEM SOLVING CUTOFF | 1;10 | NUMBER |
|
1.11 | FINE MOTOR | 1;11 | NUMBER |
|