| Label | Type | Description | Mandatory |
| Updated On | CURAM_DATETIME | The date on which the last update was made to the evidence. | No |
| Received Date | CURAM_DATE | The date on which the evidence was received. | No |
| Effective Date of Change | CURAM_DATE | Date which the evidence becomes effective | No |
| Change Reason | EVIDENCE_CHANGE_REASON | The reason for the evidence change. | No |
| Approval Requested | CURAM_INDICATOR | Approval Requested | No |
| Status | EVIDENCE_DESCRIPTOR_STATUS | The Status of the evidence. | No |
| Level Of Care Type | EVD_LEVEL_OF_CARE_TYPE | Level Of Care Type from the drop-down list of Level Of Care Types, e.g., "Intermediate or Skilled Nursing Care", "Intermediate Care for the Mentally Retarded", "Hospital Care". Your system administrator can add a new level of care type via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | No |
| Certification Start Date | CURAM_DATE | This is the date from which the Level Of Care certification commences. | No |
| Certification End Date | CURAM_DATE | This is the date from which the Level Of Care certification ends. | No |
| Certifier Name | FULL_NAME | | No |
|
|
|
| Updated By |
| Label | Type | Description | Mandatory |
| Updated By | USER_NAME | | No |
|
| Level Of Care Details |
| Label | Type | Description | Mandatory |
| Household Member | FULL_NAME | household Member to whom the Level Of Care evidence applies from the drop-down list of participants. Note that the system displays the primary alternative ID of each of the participants displayed on the drop-down list. In the US, the primary alternative ID is the social security number (SSN). | No |
|
| Level Of Care Certifier Details |
| Label | Type | Description | Mandatory |
| Certifier Type | EVD_CERTIFIER_TYPE | Certifier Type from the drop-down list of Certifier Types, e.g., "Physician", "Recognized Authority". Your system administrator can add a new level of care type via the Code Tables page (see "Code Tables" in the Cúram Administration Guide). | No |
|
| Comments |
| Label | Type | Description | Mandatory |
| Comments | COMMENTS | | No |
|
