GLOBAL MAP DATA DICTIONARY #162.4 -- VA FORM 10-7078 FILE                                                         9/29/25    PAGE 1
STORED IN ^FB7078(  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                          (VERSION 3.5)   
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This file contains the information associated with a 7078 authorization.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


CROSS
REFERENCED BY: AUTHORIZATION FROM DATE(AA), VETERAN(AB), STATUS(AC), VETERAN(AC1), AUTHORIZATION TO DATE(AD), 
               REFERENCE NUMBER(B), VENDOR(C), VETERAN(D)



^FB7078(D0,0)= (#.01) REFERENCE NUMBER [1F] ^ (#1) VENDOR [2V] ^ (#2) VETERAN [3P:2] ^ (#3) AUTHORIZATION FROM DATE [4D] ^ (#4) 
            ==>AUTHORIZATION TO DATE [5D] ^ (#5) AUTHORITY [6P:43.4] ^ (#6) ESTIMATED AMOUNT [7N] ^ (#8) USER ENTERING [8P:200] ^ 
            ==>(#9) STATUS [9S] ^ (#10) DATE OF ISSUE [10D] ^ (#.5) FEE PROGRAM [11P:161.8] ^ (#12) REASON FOR PENDING 
            ==>DISPOSITION [12S] ^ (#.013) USER WHO CANCELLED [13P:200] ^ (#.014) DATE CANCELLED [14D] ^ (#3.5) DATE OF ADMISSION 
            ==>[15D] ^ (#4.5) DATE OF DISCHARGE [16D] ^ (#15) REFERRING PROVIDER [17P:200] ^ 
^FB7078(D0,1,0)=^162.47^^  (#7) AUTHORIZED SERVICES
^FB7078(D0,1,D1,0)= (#.01) AUTHORIZED SERVICES [1W] ^ 
^FB7078(D0,LOG1,0)=^162.492D^^  (#292) USER AUDIT
^FB7078(D0,LOG1,D1,0)= (#.01) DATE/TIME EDITED [1D] ^ (#1) EDITED BY [2P:200] ^ (#2) COMMENTS [3F] ^ 


INPUT TEMPLATE(S):
^DIE(1037)= FBCH EDIT 7078    
^DIE(1024)= FBCH ENTER 7078    
^DIE(1032)= FBNH ENTER 7078    

PRINT TEMPLATE(S):
^DIPT(591)= FBCH 7078 CANCEL    

SORT TEMPLATE(S):
^DIBT(302)= FBCH 7078 CANCEL    

FORM(S)/BLOCK(S):