| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | roi entry(+) | 0;1 | NUMERIC | B | This is the ROI Special Consent unique identifier. | |
| .02 | patient(+) | 0;2 | POINTER | 2 | C | This is the patient that gave consent to release information related a sensitive condition. |
| .03 | sensitive condition(+) | 0;3 | SET OF CODES | 1:DRUG ABUSE 2:ALCOHOLISM/ALCOHOL ABUSE 3:TESTING FOR OR INFECTION WITH HIV 4:SICKLE CELL ANEMIA | This is the sensitive condition the patient has given consent for release of information. | |
| .04 | effective date(+) | 0;4 | DATE-TIME | This is the effective or begin date of this ROI consent. | ||
| .05 | expiration date(+) | 0;5 | DATE-TIME | This is the expiration or end date of this ROI consent. | ||
| .06 | revoked | 0;6 | BOOLEAN | 1:YES | This indicates if the patient has revoked the release of information consent for this sensitive condition. This field does not override the effective and expiration dates. When a consent is revoked the expiration date should be updated to the date the revocation takes effect. | |
| 1.01 | date entered | 1;1 | DATE-TIME | This is the date/time this ROI consent record was created. | ||
| 1.02 | entered by | 1;2 | POINTER | 200 | This is the user that created this ROI consent record. | |
| 1.03 | date last edited | 1;3 | DATE-TIME | This is the date/time this ROI record was last updated or edited. | ||
| 1.04 | last edited by | 1;4 | POINTER | 200 | This is the user that last updated or edited this ROI record. | |
| 2.01 | comment | 2;1 | FREE TEXT | Enter a comment related to this ROI consent record, including the Insurance Companies the ROI covers. |
Not Referenced