| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | form type id(+) | 0;1 | NUMERIC | B | This number should be unique for the encounter form type. It equals the ien. Editing the form results in a new FORM TYPE ID being assigned. | |
| .02 | date marked for deletion | 0;2 | DATE-TIME | ADEL | The date is when the form was deleted or edited. When the last printed form is accounted for the entry can be deleted. | |
| .03 | source(+) | 0;3 | SET OF CODES | 1:AICS 2:PANDAS 3:TELEFORM 4:PEN 99:OTHER | C | The software that produced the form. |
| .09 | right margin | 0;9 | NUMERIC | The width of the form in characters. | ||
| .1 | page length(+) | 0;10 | NUMERIC | The length of the page. | ||
| .11 | number of pages(+) | 0;11 | NUMERIC | The encounter form may have multiple pages. | ||
| .12 | scannable? | 0;12 | BOOLEAN | 0:NO 1:YES | ||
| .13 | form type id | 0;13 | NUMERIC | |||
| .14 | paper size | 0;14 | SET OF CODES | 1:LETTER (8 1/2 x 11) | ||
| .15 | orientation | 0;15 | SET OF CODES | p:PORTRAIT | ||
| .16 | text size(+) | 0;16 | SET OF CODES | 1:133 COLUMNS x 80 LINES 2:96 COLUMNS x 72 LINES 3:80 COLUMNS x 60 LINES | ||
| .17 | version | 0;17 | NUMERIC | |||
| .2 | date created | 0;20 | DATE-TIME | This is the date that this entry was created. It is triggered when the entry is added. | ||
| .21 | form name | 0;21 | POINTER | 357 | This is the name of the form when this entry was created. It is triggered when the entry is created. | |
| 1 | bubbles | 1;0 | MULTIPLE | 357.951 | The list of bubbles appearing on the form. | |
| 2 | hand print fields | 2;0 | MULTIPLE | 357.952 | ||
| 3 | page information | 3;0 | MULTIPLE | 357.953 | A list of the pages of a form that requires documentation of specific features. | |
| 10 | clinics using this form | 10;0 | MULTIPLE | 357.9501 | These are the clinics that use this form | |
| 11 | pandas headers | 11;0 | MULTIPLE | 357.9511 | A list of headers used by PANDAS. | |
| 12.01 | pandas timestamp | 12;1 | DATE-TIME | The date and time the PANDAS form was last modified. | ||
| 13 | pandas formid | 12;2 | NUMERIC | D | The form identifier used by PANDAS. |