Manual entry

Enter or correct a CVR

Use this to log a single visit by hand, or to fix a row that was rejected from a batch upload. Field order matches the CVR Manual Appendix 1; validation runs as you type.

No PHI on this prototype

Visit

Site/Clinic Number

cols 1–7 · numeric

Client Number

cols 8–16 · numeric

Date of Visit

cols 17–24 · CCYYMMDD

Purpose of Visit

cols 25–25 · alphameric

Provider of Services

cols 106–109 · alphameric

Step 1 of 7

Live validation

!
reason_no_method_before
Required when beginning method = None (10)

Generated record (preview)

       1000000012026041711995031529                                                                11872 2   01                            1002  65150    4210203001800012     9101                                                                                     1

271 chars · CR/LF on submit