| Name | Description | Type | Additional information |
|---|---|---|---|
| PatientID | string |
Required |
|
| Date | string |
Required |
|
| Time | string |
Required |
|
| ProviderID | string |
Required |
|
| DepartmentID | string |
Required |
|
| Duration | integer |
Required |
|
| Sponsor | string |
None. |
|
| Htn | boolean |
None. |
|
| Diab | boolean |
None. |
|
| WtMgmt | boolean |
None. |
|
| PayorId | string |
None. |
|
| MemberId | string |
None. |
|
| ConvertTime | boolean |
None. |