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The Medical Prescription - Formula Report CAS012/CLN034/OPR011 (Output) is a state level report that shows the total number of participants that have been issued special formula food items. All participants that are in a valid certification period and were issued special formula during the reported month are included in the report. If a participant is issued multiple types of special formula, the participant is counted in the total for each type of special formula. A participant can be counted more than once.
The report is generated when the OK button is clicked on the Generate Medical Prescription - Formula Report screen. This report will also be generated as part of the month-end process.
This section describes the data elements that print on the system output. Because of space constraints, the layout may be slightly different and/or all characters may not print within the space allotted.
Origin of Data Element
This value comes from the GranteeID column of the Grantee table.
Format
This value prints as the literal value.
Origin of Data Element
This value comes from the Name column of the Grantee table.
Format
This value prints as the literal value.
Origin of Data Element
This value comes from the AgencyID column of the Agency table.
Format
This value prints as the literal value.
Origin of Data Element
This value comes from the Name column of the Agency table.
Format
This value prints as the literal value.
Origin of Data Element
This value comes from the ServiceSiteID column of the ServiceSite table.
Format
This value prints as the literal value.
Origin of Data Element
This value comes from the ServiceSiteName column of the ServiceSite table.
Format
This value prints as the literal value.
Origin of Data Element
This value comes from the Description column of the FoodItem table
Format
This value prints as the literal value.
Origin of Data Element
This value is the sum of infants that were prescribed the prescription item in a clinic for the selected month.
Format
This is a six-digit number.
Origin of Data Element
This value is the percentage of infants that were prescribed the prescription item in a clinic for the selected month.
Format
This is a three-digit percentage with two decimal places.
Origin of Data Element
This value is the sum of women and children that were prescribed the prescription item in a clinic for the selected month.
Format
This is a six-digit number.
Origin of Data Element
This value is the percentage of women and children that were prescribed the prescription item in a clinic for the selected month.
Format
This is a three-digit percentage with two decimal places.
Origin of Data Element
This value is the sum of infants, women, and children that were prescribed the prescription item in a clinic for the selected month.
Format
This is a six-digit number.
This report is sorted first by the Grantee ID, then the Agency ID, Clinic ID, and finally the Prescription Item.
A page break will occur on change in Grantee.
A page break will occur on change in Agency.
A page break will occur on change in Clinic.
A page break will occur on change in Prescription Item.
This is the sum of all infants in the report that were prescribed the prescription item.
This is the total percentage of all infants in the report that were prescribed the prescription item.
This is the sum of all women and children in the report that were prescribed the prescription item.
This is the total percentage of all women and children in the report that were prescribed the prescription item.
This is the sum of all infants, women, and children in the report that were prescribed the prescription item.
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Software Version: 2.40.00