| Parent File | Name | Number | Package |
|---|---|---|---|
| ADVANCE DIRECTIVE(#9000040) | DATE OF ENTRY | 9000040.11 | IHS Patient |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | DATE OF ENTRY | 0;1 | DATE |
|
| .02 | ADVANCE DIRECTIVE | 0;2 | SET |
|
| .03 | TYPE | 0;3 | POINTER TO ELIGIBILITY MODIFIERS FILE (#9000030) | ELIGIBILITY MODIFIERS(#9000030)
|
| .04 | REASON | 0;4 | FREE TEXT |
|