This field is hidden when viewing the formVisit ID CodeThis field is hidden when viewing the formVisit Data– Fill Out Other Fields –Missing or incorrect visit Z codeThis field is hidden when viewing the formSection BreakThis field is hidden when viewing the formVisit IDThis field is hidden when viewing the formPatient Name First Last This field is hidden when viewing the formPatient MRN on filePatient: , Patient in UrgentIQ(Required) Multiple VISITS in Uiq for today for this patient that need to be consolidated to a single visit Patient DID NOT push to UIQ and so patient was typed into UIQ manually Multiple Patient records (MRNs) for the same patient found in UIQ Patient DID NOT push into UIQ, but there was already a patient MRN that we used as the patient for this visit This field is hidden when viewing the formUIQ MRN Number to use as primary for todayUIQ MRN Number to use as primary for todayAny other secondary UIQ MRN numbers to merge into primary (comma separated list)MRN currently in patient recordUIQ VISIT ID Number to use as primary for todayAny other secondary UIQ VISIT ID numbers to merge into primary (comma separated list)