Tokens – Informed Financial Consent (IFC Clinic)
Template Tokens
| Token Name | Data as set in the IFC Screen | Notes |
| <<IFCPatFullName>> | Patient name | |
| <<IFCMRN>> | Patient MRN | |
| <<IFCDOB>> | Patient date of birth | |
| <<IFCSexID>> | Patient gender | e.g. M, F |
| <<IFCSex>> | Patient gender | e.g. Male, Female |
| <<IFCAdd1>> | Patient Address Line 1 | |
| <<IFCAdd2>> | Patient Address Line 2 | |
| <<IFCSuburb>> | Patient Address Suburb | |
| <<IFCState>> | Patient Address State | |
| <<IFCPC>> | Patient Address Postcode | |
| <<IFCMobile>> | Patient Mobile | Format 0415 999 999 |
| <<IFCPhoneH>> | Patient Home Phone | Format 99 9999 9999 |
| <<IFCPhoneW>> | Patient Work Phone | Format 99 9999 9999 |
| <<IFCMed>> | Patient Medicare Number | |
| <<IFCMedRef>> | Patient Medicare Reference Number | |
| <<IFCLocId>> | Location | |
| <<IFCLoc>> | Location | |
| <<IFCLocAdd1>> | Location address 1 | |
| <<IFCLocAdd2>> | Location address 2 | |
| <<IFCLocSuburb>> | Location suburb | |
| <<IFCLocState>> | Location state | |
| <<IFCLocPostcode>> | Location postcode | |
| <<IFCLocPhone>> | Location phone | Format 99 9999 9999 |
| <<IFCLocFax>> | Location fax | Format 99 9999 9999 |
| <<IFCLocABN>> | Location ABN | |
| <<IFCDocID>> | Doctor/Surgeon | |
| <<IFCDoc>> | Doctor full name | e.g Michelle ROMERO |
| <<IFCDocFirstN>> | Doctor first name | |
| <<IFCDocLastN>> | Doctor last name | |
| <<IFCDocTitle>> | Doctor title | |
| <<IFCDocProvNo>> | Doctor provider number | |
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<<IFCDocQualif>> |
Doctor Qualification |
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| <<IFCDocSpec>> | Doctor speciality | |
| <<IFCDocSpecID>> | Doctor speciality | |
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<<IFCDocAdd1>> |
Doctor address 1 |
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<<IFCDocAdd2>> |
Doctor address 2 |
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<<IFCDocSuburb>> |
Doctor suburb |
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<<IFCDocState>> |
Doctor state |
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<<IFCDocPostcode>> |
Doctor postcode |
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<<IFCDocABN>> |
Doctor ABN |
Format 99 999 999 999 |
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<<IFCDocPhone>> |
Doctor phone |
Format 99 9999 9999 |
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<<IFCDocFax>> |
Doctor fax |
Format 99 9999 9999 |
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<<IFCDocMob>> |
Doctor Mobile |
Format 9999-999-999 |
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<<IFCDocAccName>> |
Doctor Account Name |
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<<IFCDocBSB>> |
Doctor BSB |
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<<IFCDocAccNum>> |
Doctor Account Number |
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<<IFCDocBank>> |
Doctor Bank Name |
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<<IFCDocBankAdd>> |
Doctor Bank Address |
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| <<IFCFundId>> | Fund | |
| <<IFCFund>> | Fund | e.g. MBP |
| <<IFCFundName>> | Fund | e.g. Medibank |
| <<IFCFundNo>> | Membership number | |
| <<IFCNotes>> | Notes from review screen | |
| <<IFCUser>> | Name of person printing the IFC |
| <<IFCTotalC>> | Sums all charges | |
| <<IFCTotalR>> | Sums all rebates | |
| <<IFCTotGap1>> | Sums all charges – sums all Rebates | |
| <<IFCTotGap2>> | Sums all charges – sums all Fee Level Amount | |
| <<KnownGap>> | This is the Known Gap amount set by the user |
For the grid that will repeat (for the items)
| Token Name | Data to Insert | More Info |
| <<ICT>> | Transaction Type |
I – Invoice |
| <<ICode>> | Item | If in hospital, the code will show with an asterisk after the code |
| <<IDesc>> | Item Description | |
| <<Iid>> | Item Id/Sequence | |
| <<IDOS>> | Date of Service | dd/mm/yyyy |
| <<IQty>> | Quantity | |
| <<Itype>> | Invoice Type | e.g. M – Medicare V – Veterans |
| <<IUnit>> | Unit Price | |
| <<ICharge>> | Charge Amount | |
| <<iGST>> | GST Amount | |
| <<iRebate>> | Rebate Amount | |
| <<iFLAmt>> | Fee Level Amount | |
| <<IFLvl>> | Fee Level | |
| <<iGap1>> | Charge Amount – Rebate Amount | |
| <<iGap2>> | Charge Amount – Fee Level Amount | |
| <<IIH>> | In hospital flag | Shows an asterisk when in hospital |
| <iStext>> | Service text |