32
Item
Description
Patient ID (Required)
Enter the Patient ID using a maximum of 20 characters.
First name (Required)
Enter the patient’s first name using a maximum of 30 characters.
Last name (Required)
Enter the patient’s last name using a maximum of 30 characters.
Date of birth
Enter in the MM-DD-YYYY format or select from the pulldown
menu.
Sex
Select from the pulldown menu.
Wake time
Enter in the 24-hour format.
Bedtime
Enter in the 24-hour format.
Device
Select from the pulldown menu.
Recorder ID
Enter the recorder ID using a maximum of 2 characters between
0 to 9.
Pressure
Select from the pulldown menu.
Cuff size
Select from the pulldown menu.
Display
Select from the pulldown menu.
Buzzer
Select from the pulldown menu.
Meas. pattern (Pattern
of measurement)
Select from the pulldown menu.
Height
Enter the patient’s height in 0-99999. (Place a decimal point as
necessary.)
Weight
Enter the patient’s weight in 0-99999. (Place a decimal point as
necessary.)
Address
Enter the patient’s address using a maximum of 50 characters.
Telephone
Enter the patient’s telephone number using a maximum of 20
characters between 0 to 9 and a hyphen (-).
Enter the patient’s e-mail address using a maximum of 50
characters.
Insurance
Enter the patient’s insurance carrier..
Referring physician
Enter the doctor’s name using a maximum of 30 characters.
Medications
Enter the patient’s medications using a maximum of 60
characters.
Comment 1
Enter comments using a maximum of 200 characters.
Comment 2
Enter comments using a maximum of 200 characters.