| 39274-6 | Reason for follow-up program CPHS | |
| 39275-3 | Follow-up (referred to) program, name:Txt:Pt:Program referral:Nar:CPHS | |
| 39276-1 | Follow-up (referred to) program, address:Addr:Pt:Program referral:Nom:CPHS | |
| 39277-9 | Follow-up (referred to) program, phone:Tele:Pt:Program referral:Nom:CPHS | |
| 39290-2 | Follow-up (referred to) program, appointment date:Date:Pt:Program referral:Qn:CPHS | |