Questionnaire

Contents

    Template Merge Fields

    Template Field NameDescription
    PATIENT_TITLE
    PATIENT_INITIAL
    PATIENT_FIRST_NAME
    PATIENT_LAST_NAME
    PATIENT_ADDRESSED_AS
    PATIENT_SALUTATION
    PATIENT_KAKnown As
    PATIENT_TEMPERATURE
    PATIENT_O2_SATURATION
    ADDRESS_LINE_1
    ADDRESS_LINE_2
    ADDRESS_LINE_3
    ADDRESS_LINE_4
    ADDRESS_LINE_5
    ADDRESS_LINE_6
    PRE_APPOINTMENT_DATE
    UPON_ARRIVAL_DATE
    MC_FORMTEXT
    MC_YES_PRE
    MC_NO_PRE
    MC_YES_UPON
    MC_NO_UPON
    TODAYS_DATE
    Updated on 20th January 2021