No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 |
Client
Name
|
||
2 |
Phone
|
||
3 | Fax No | ||
4 | Address 1 | ||
5 | Zip Code | ||
6 | City | ||
7 | State | ||
8 | Client Email | ||
9 | Sender Email (For Result) | ||
10 | Ordering Method |
No. | Field Name | Field Type | Min/Max Length |
---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Contact Title | ||
2 | Primary Contact Name | ||
3 | Primary Contact Phone | ||
4 | Primary Contact Email |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Critical Contact Name | ||
2 | Critical Contact Phone | ||
3 | Critical Contact Email |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Physician Not Required | ||
2 | User Type | ||
3 | Physician First Name | ||
4 | Physician Last Name | ||
5 | Full Name | ||
6 | NPI # | ||
7 | State License | ||
8 | Account Activation Type | ||
9 | UserName | ||
10 | Password | ||
11 | Email (Associated with Account Login) | ||
12 | Assigned This Client as Default |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Title | ||
2 | Name | ||
3 | Address | ||
4 |
Phone
|
||
5 |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | UPS | ||
2 | Fedex | ||
3 | Courier | ||
4 | Day and Time | ||
5 | Location of Specimen Pickup |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Requisition / Panel List | ||
2 | Requisition | ||
3 | Panel Name | ||
4 | Projected Quantity |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Rapid COVIDNo19 IGG/IGM | ||
2 | COVID |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Name |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Date of Request | ||
2 | Item Type | ||
3 | Item Description | ||
4 | Quantity Per Order | ||
5 | Quantity | ||
6 | Comments |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Add Station for this Client | ||
2 | Station Name | ||
3 | Primary Contact | ||
4 | Phone Number | ||
5 | Fax Number |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Veterinarian Full Name |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Sales Group | ||
2 | Sales Rep | ||
3 | Physician Name | ||
4 | Test Type (Requisitions) | ||
5 | Is Active |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Reference Lab | ||
2 | Lab Code | ||
3 | Test Type (Requisitions) |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Lab Name | ||
2 | Lab Code | ||
3 | Test Type (Requisitions) | ||
4 | Requisiton (Group ID) |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Day of Week | ||
2 | Start Time | ||
3 | End Time | ||
4 | Operation Status | ||
5 | Total Per Slot | ||
6 | Slot Per Hours |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 | Brows File | ||
5 | Date and Time |
No. | Field Name | Field Type | Min/Max Length | |
---|---|---|---|---|
No. | Field Name | Required | Min/Max Length |
---|---|---|---|
1 |
User
Type
|
||
2 |
Full
Name
|
||
3 | NPI # | ||
4 | State License Number | ||
5 | Account Type | ||
6 | UserName | ||
7 | Password | ||
8 | Re-enter Password | ||
9 | Generate Password | ||
10 | |||
11 | Physician Signature | ||
12 | User Role |
No. | Field Name | Field Type | Min/Max Length |
---|---|---|---|
No. | Tab Order | Tab Name | Status | Fields |
---|---|---|---|---|
Active
Users
|
||||
Inactive
Users
|
||||
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Readonly |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Single Selection | ||||||||
Text | ||||||||
Single Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Flag | ||||||||
Numeric | ||||||||
Flag | ||||||||
Numeric | ||||||||
Flag | ||||||||
Text | ||||||||
Multi-Selection | ||||||||
Multi Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Text |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Text | ||||||||
Text |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Multi Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Multi Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
No. | Portal Type | Insurance Type | Current Status | Available Action | Condition | Status on Admin | Status on Physician | Status on Patient | Status on Sale |
---|---|---|---|---|---|---|---|---|---|
1 |
|
||||||||
2 |
|
||||||||
3 |
|
||||||||
4 |
|
||||||||
|
Action | Reporting Rule Name | Minimum Age | Maximum Age | Gender | Minimum Negative Value | Maximum Negative Value | Minimum Low Value | Maximum Low Value | Minimum Medium Value | Maximum Medium Value | Minimum High Value | Maximum High Value | Minimum Critical High Value | Maximum Critical High Value | Status |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Edit
Delete
|
|||||||||||||||
Edit
Delete
|
|||||||||||||||
Edit
Delete
|
|||||||||||||||
Edit
Delete
|
|||||||||||||||
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Readonly |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Single Selection | ||||||||
Text | ||||||||
Single Selection | ||||||||
Switch |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Flag | ||||||||
Multi Selection | ||||||||
Text | ||||||||
File Upload |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Text |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Text | ||||||||
Text |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Multi Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
No. | Portal Type | Insurance Type | Current Status | Available Action | Condition | Status on Admin | Status on Physician | Status on Patient | Status on Sale |
---|---|---|---|---|---|---|---|---|---|
1 |
|
||||||||
2 |
|
||||||||
3 |
|
||||||||
4 |
|
||||||||
|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Readonly |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Single Selection | ||||||||
Text | ||||||||
Single Selection | ||||||||
Switch |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Text | ||||||||
Text |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Multi Selection | ||||||||
Multi Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
No. | Portal Type | Insurance Type | Current Status | Available Action | Condition | Status on Admin | Status on Physician | Status on Patient | Status on Sale |
---|---|---|---|---|---|---|---|---|---|
1 |
|
||||||||
2 |
|
||||||||
3 |
|
||||||||
4 |
|
||||||||
|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Single Selection | ||||||||
Single Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Text | ||||||||
Text | ||||||||
Date | ||||||||
Single Selection | ||||||||
Text | ||||||||
Text | ||||||||
Numeric | ||||||||
Single Selection | ||||||||
Single Selection | ||||||||
Single Selection | ||||||||
Text | ||||||||
Text | ||||||||
Text | ||||||||
Text | ||||||||
Single Selection | ||||||||
Single Selection | ||||||||
Text | ||||||||
Text | ||||||||
Text | ||||||||
Single Selection | ||||||||
Text | ||||||||
Text |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Text | ||||||||
Date | ||||||||
Date | ||||||||
Date | ||||||||
Single Selection |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Single Selection | ||||||||
Single Selection | ||||||||
Single Selection | ||||||||
Single Selection | ||||||||
Text | ||||||||
Text | ||||||||
Text | ||||||||
File | ||||||||
File |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Signature | ||||||||
Signature |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min Length | Max Length |
---|---|---|---|---|---|---|---|---|
Flag | ||||||||
Text | ||||||||
Single Selection | ||||||||
Text | ||||||||
Signature |
Sort Order | Field Name | Type | UI Type | Portal Type | Required | Visible | Min/Max Length |
---|---|---|---|---|---|---|---|