| Parent File | Name | Number | Package | 
|---|---|---|---|
| DS INCOMPLETE CHART(#9009012.5) | SURGERY DATE | 9009012.51 | IHS Changes To ADT | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | SURGERY DATE | 0;1 | DATE | 
 | 
| 1 | DATE OP REPORT DICTATED | 0;2 | DATE | 
 | 
| 2 | DATE OP REPORT RVCD | 0;3 | DATE | 
 | 
| 3 | PROVIDER | P;0 | POINTER Multiple #9009012.513 | 9009012.513 | 
| 4 | COMMENTS | 0;4 | FREE TEXT | 
 | 
| 5 | SERVICE | 0;5 | POINTER TO FACILITY TREATING SPECIALTY FILE (#45.7) | FACILITY TREATING SPECIALTY(#45.7) |