Files > PATIENT

name

PATIENT

number

2

location

^DPT(

description

The PATIENT file contains all the patients followed by the medical center/ Outpatient clinic. At a minimum each patient entry must have a NAME, DATE OF BIRTH and SOCIAL SECURITY NUMBER. In order to add a new patient to the PATIENT file the user must also indicate whether or not the patient is requesting to receive care as a VETERAN of the U.S. Armed Forces and specify the TYPE of patient being added to the system. For the most part the information contained in this file is demographic in nature, i.e., address, employment, service history, etc., however data concerning admissions, appointments,etc., is also stored in this file. The ADMISSION sub-field is scheduled to be moved into the new PATIENT MOVEMENT file by the end of calendar year 1989. Care should be used when removing a patient from the PATIENT file since virtually all other DHCP modules do utilize data from this file. Of the many fields in the file you will note that many are preceeded by an asterisk. Those fields are scheduled to be removed from the file due to either lack of use or replacement by another field/file in the next release.

applicationGroups

LR;RA;PS;DG;SD;RT

Fields

#	Name	Location	Type	Details	Index	Description
.01	name(+)	0;1	FREE TEXT		B	Enter the patient's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-30 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.02	sex(+)	0;2	SET OF CODES	M:MALE F:FEMALE	ASX	Enter 'M' if this applicant is a male, or 'F' if female.
.024	self identified gender	.24;4	SET OF CODES	M:Male F:Female TM:Transmale/Transman/Female-to-Male TF:Transfemale/Transwoman/Male-to-Female O:Other N:individual chooses not to answer		This SELF IDENTIFIED GENDER value indicates the patient's view of their sexual orientation, if they choose to provide it.
.03	date of birth(+)	0;3	DATE-TIME		ADOB	Enter the patient's DATE OF BIRTH which must be later than 12/31/1870. DATE OF BIRTH cannot be a date after the beneficiary 'Ineligible Date' or a date after the 'Enrollment Application Date'.
.033	age		COMPUTED			A computer field which, based on today's date (or the patient's date of death, if applicable) and the patient's date of birth, will arrive at his/her age.
.05	marital status(+)	0;5	POINTER	11		Select from the available listing this applicant's current marital status.
.06	race	0;6	POINTER	10		This field is no longer being populated and the values that are on file were collected prior to installation of patch DG*5.3*415.
.07	occupation	0;7	FREE TEXT			If applicable, enter this applicant's current occupation [1-30 characters].
.08	religious preference	0;8	POINTER	13		Select from the available listing the religious preference of this applicant.
.081	duplicate status	0;18	SET OF CODES	0:NO UNRESOLVED DUPLICATES 1:CHECK DUPLICATE RECORDS FILE		This field is currently not being utilized. It will be active when Patient Merge/Purge options are available to the user. Duplicate Status field will be defined at that time. |
.082	patient merged to	0;19	POINTER	2		This field is currently not being utilized. It will be active when Patient Merge/Purge options are available to the user. Patient Merged To: field will be defined at that time. |
.083	check for duplicate	0;20	BOOLEAN	1:YES		This field is currently not being utilized. It will be active when Patient Merge/Purge options are available to the user. Check for Duplicate field will be defined at that time. |
.09	social security number(+)	0;9	FREE TEXT		SSN	Answer with the individual's social security number. Answer must be 9 numbers in length. The SSN will be sent to the SSA for verification. This will be displayed next to the SSN. Once an SSN has received a status of Verified, it is locked from user updating and a "VERIFIED" will be displayed by the SSN field. Only the Identity Management Data QUality Team are able to change a beneficiary's (veteran/non veteran) SSN. If an Invalid per SSA status is received for the SSN, then an "INVALID" will appear next to the invalid SSN of the individual. Facilities should make every effort to obtain the accurate SSN from the individual for any invalid or pseudo SSN entry. If a valid SSN is not known, then a "P" will be entered at the SSN prompt for the system to automatically assign a Pseudo-SSN. If a Pseudo SSN is entered, a Reason for entering it will be required.
.0901	terminal digit of ssn		COMPUTED			This is a computed field which returns the terminal digit value of the patient's social security number. This value is computed to be the last 2 digits of the social security number concatenated with the sixth and seventh digits of the social security number concatenated with the forth and fifth pieces of the social security number concatenated with the first 3 digits of the social security number.
.0905	1u4n		COMPUTED			This is a computed field used to display the first character of the patient's last name concatenated with the last four digits of the patient's social security number. This combination of characters can be used to look-up a patient in DHCP.
.0906	pseudo ssn reason	SSN;1	SET OF CODES	R:REFUSED TO PROVIDE S:SSN UNKNOWN/FOLLOW-UP REQUIRED N:NO SSN ASSIGNED		This field is used to document the reason the individual was assigned a pseudo SSN. Based on your selection, the Pseudo SSN Report (Patient) option located in the Registration Menu can provide you a current report of the reasons entered at this prompt. The following reasons are available for selection: Refused to Provide - use this reason when the individual was asked for his/her SSN and refused to provide the number. SSN Unknown/Follow-up required - use this reason when the individual is not available to ask/answer the request for SSN. The facility should initiate Follow-up activity to obtain the SSN. No SSN Assigned - use this reason when the individual has not been assigned an SSN. This generally applies to spouse or dependents of veterans who are not US citizens and infrequently, non-citizen beneficiaries.
.0907	ssn verification status	SSN;2	SET OF CODES	4:VERIFIED 2:INVALID		This field designates whether or not the SSN has been verified. This field will be received in the HL7 record. It is not editable by the user. Once the SSN is verified by the SSA, it is no longer editable.
.091	remarks	0;10	FREE TEXT			If so desired, you may enter a short remark about this applicant between 3-60 characters. The remark entered should be significant and tact should be exercised since this field is viewable to virtually all other users who have the ability to 'call up' a patient for any purpose.
.092	place of birth [city]	0;11	FREE TEXT			Enter the city in which this applicant was born (or foreign country if born outside the U.S.) [2-20 characters].
.093	place of birth [state]	0;12	POINTER	5		If the applicant was born within the U.S. select from the available listing the state in which s/he was born.
.096	who entered patient	0;15	POINTER	200		The name of the user who first entered this applicant into the patient file.
.097	date entered into file	0;16	DATE-TIME			This field stores the date this patient was initially stored into the PATIENT file. This is filled in automatically once a patient is successfully added to the database.
.098	how was patient entered?	0;17	SET OF CODES	1:10-10T REGISTRATION		How was the patient entered into the system.
.1	ward location	.1;E1,30	FREE TEXT		ACN	The ward location on which this patient is currently residing if an inpatient [2-30 characters].
.101	room-bed	.101;1	FREE TEXT		RM	If desired, for this inpatient, enter the room and bed indicator to which s/he is assigned in 'ROOM-BED' format.
.102	current movement	.102;1	POINTER	405		This field contains the internal entry number of the PATIENT MOVEMENT file denoting the most recent movement for an inpatient. This field is only stored for current inpatients. It must NOT be edited as this could affect the integrity of many options within MAS and other packages. When displaying this field, the date/time of the most recent movement will display.
.103	treating specialty	.103;1	POINTER	45.7	ATR	From the available listing choose the treating specialty to which this inpatient is currently assigned.
.104	provider	.104;1	POINTER	200	APR	From the available listing select the provider who is currently treating this patient.
.1041	attending physician	.1041;1	POINTER	200	AAP	This field contains the attending physician currently responsible for the care of this patient. This field is maintained automatically for all inpatients and must not be edited. Once a patient is discharged, the data in this field is removed.
.105	current admission	.105;1	POINTER	405	ACA	This field contains the internal entry number of the PATIENT MOVEMENT file denoting the current admission for an inpatient. This field is only stored for current inpatients. It must NOT be edited as this could affect the integrity of many options within MAS and other DHCP packages. When displaying this field, the date/time of the current admission will be displayed.
.106	last dmms episode number	.106;1	NUMERIC			This field was added at the request of the DMMS package developed at the Birmingham ISC. It will be utilized in a future release of that package.
.107	lodger ward location	.107;1	FREE TEXT			The ward on which the patient currently resides if the patient is a lodger.
.108	current room	.108;1	POINTER	405.4		This field contains a pointer to the ROOM-BED file denoting the current room-bed in which this inpatient resides. This field is filled in only for inpatients. It must NOT be edited as editing could adversely affect the operation of the MAS package as well as other DHCP packages. This field is filled in automatically by the module.
.109	exclude from facility dir	.109;1	BOOLEAN	0:NO 1:YES		Denotes whether or not the patient wished to be excluded from the Facility Directory for current admission. This field is only stored for current inpatients. It must NOT be edited as this could affect the integrity of many options within PIMS and other packages.
.111	street address [line 1]	.11;1	FREE TEXT			Enter the first line of this applicant's residence street address [3-35 characters].
.1112	zip+4	.11;12	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789).
.112	street address [line 2]	.11;2	FREE TEXT			Enter the second line of this applicant's residence street address [3-30 characters] if the space provided in 'street address' was not sufficient.
.113	street address [line 3]	.11;3	FREE TEXT			Enter the third line of this applicant's residence street address [3-30 characters] if the space provided in 'street address' and 'street address 2' was not sufficient.
.114	city	.11;4	FREE TEXT			Enter the city in which this applicant resides [2-15 characters]. If the space provided is not sufficient please abbreviate the city to the best of your ability.
.115	state	.11;5	POINTER	5		From the available listing choose the state in which this applicant resides.
.116	zip code	.11;6	FREE TEXT			Enter the zip code [5 numerics] for the city in which this applicant resides.
.117	county	.11;7	NUMERIC			If a state of residence is entered select from the available listing the county in which this applicant resides. If no state (or a non-state) is entered no selection is possible.
.1171	province	.11;8	FREE TEXT			Enter a Province if the patient has provided one for his/her foreign address. The entry can be alphanumeric and up to 20 characters in length.
.1172	postal code	.11;9	FREE TEXT			Enter with patient's postal code if the patient has provided one for his/her foreign address. The entry can be alphanumeric and up to 10 characters in length.
.1173	country	.11;10	POINTER	779.004		Enter the country where the patient's permanent address is located. If entering an Army/Air Force Post Office (APO) or a Fleet Post Office (FPO) address select United States as the country.
.118	address change dt/tm	.11;13	DATE-TIME			This field will hold the date and time of the last Address Update.
.119	address change source	.11;14	SET OF CODES	HEC:HEC VAMC:VAMC HBSC:HBSC NCOA:NCOA BVA:BVA VAINS:VAINS USPS:USPS LACS:LACS VOA:VOA		This field will hold the source of the Last address change.
.12	address change site	.11;15	POINTER	4		This field will hold the Site that last changed this patient's address. This field is only populated when the Address Source is listed as VAMC.
.121	bad address indicator	.11;16	SET OF CODES	1:UNDELIVERABLE 2:HOMELESS 3:OTHER 4:ADDRESS NOT FOUND		The Bad Address Indicator field applies to the address at which the patient resides. This field should be set as follows (if applicable): "UNDELIVERABLE" - Bad Address based on returned mail. "HOMELESS" - Patient is known to be homeless. "OTHER" - Other Bad Address Reason Setting this field will prevent a Bad Address from being shared with HEC and other VAMC facilities. Once the Bad Address Indicator is set, incoming "newer" addresses will automatically remove the Bad Address Indicator, and allow the "updated" address to be transmitted to HEC and other VAMC facilities. To manually remove the Bad Address Indicator enter the "@" symbol.
.12105	temporary address active?(+)	.121;9	BOOLEAN	Y:YES N:NO		Enter 'Y' if you wish to enter a temporary address for this applicant at this time, or 'N' if not. A 'NO' response will cause the temporary address 'Start Date' and 'End Date' fields to be automatically deleted while all other temporary address data will remain on file for future use.
.1211	temporary street [line 1]	.121;1	FREE TEXT			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the first line of the temporary street address for this applicant [2-30 characters] otherwise nothing may be entered. This field cannot be deleted as long as the need for a temporary address is indicated.
.12111	temporary address county	.121;11	NUMERIC			If a state is entered for the temporary residence, enter the county in which that residence resides. If a state does not exist for the temporary address, a county can not be entered.
.12112	temporary zip+4	.121;12	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789).
.12113	temporary address change dt/tm	.121;13	DATE-TIME			This field will hold the date and time of the last Temporary Address Update.
.12114	temporary address change site	.121;14	POINTER	4		This field will hold the Site that last changed this patient's temporary address.
.1212	temporary street [line 2]	.121;2	FREE TEXT			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the second line of the temporary street address [2-30 characters], if necessary, otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1213	temporary street [line 3]	.121;3	FREE TEXT			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the third line of the temporary street address [2-30 characters], if necessary, otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1214	temporary city	.121;4	FREE TEXT			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the city in which the temporary address lies [2-30 characters], otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1215	temporary state	.121;5	POINTER	5		If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES select from the available listing the state in which the temporary address lies, otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1216	temporary zip code	.121;6	FREE TEXT			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the zip code assigned to the temporary city [5 numerics], otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1217	temporary address start date	.121;7	DATE-TIME			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the date on which the applicant will commence being contacted at the temporary address indicated, otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1218	temporary address end date	.121;8	DATE-TIME			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the date as of which the applicant will no longer be contacted at that temporary address, otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.1219	temporary phone number	.121;10	FREE TEXT			If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the telephone number at which the applicant can be contacted [4-20 characters] during his/her absence from permanent residence, otherwise nothing may be entered. This field may not be deleted as long as the need for a temporary address is indicated.
.122	address change user	.11;17	POINTER	200		The name of the user who has changed this patient's primary address.
.1221	temporary address province	.122;1	FREE TEXT			Enter a Province if the patient has provided one for his/her foreign address. The entry can be alphanumeric and up to 20 characters in length.
.1222	temporary address postal code	.122;2	FREE TEXT			Enter with patient's postal code if the patient has provided one for his/her foreign address. The entry can be alphanumeric and up to 10 characters in length.
.1223	temporary address country	.122;3	POINTER	779.004		Enter the country where the patient's temporary address is located. If entering an Army/Air Force Post Office (APO) or a Fleet Post Office (FPO) address select United States as the country.
.131	phone number [residence]	.13;1	FREE TEXT		F	Enter the telephone number [4-20 characters] to this applicant's place of residence.
.1311	cellular number change source	.13;10	SET OF CODES	HEC:HEC VAMC:VAMC HBSC:HBSC VOA:VOA		This field will hold the source of the last Cellular number change.
.13111	cellular number change site	.13;11	POINTER	4		This field will hold the site that last changed this patient's Cellular number. This field is only populated when the Cellular Number Change Source is listed as VAMC.
.1312	pager number change dt/tm	.13;12	DATE-TIME			This field will contain the date and time of the last Pager number update.
.1313	pager number change source	.13;13	SET OF CODES	HEC:HEC VAMC:VAMC HBSC:HBSC VOA:VOA		This field will hold the source of the last Pager number change.
.1314	pager number change site	.13;14	POINTER	4		This field will hold the site that last changed this patient's Pager number. This field is only populated when the Pager Number Change Source is listed as VAMC.
.1315	confidential phone number	.13;15	FREE TEXT			If the 'Confidential Address Active' prompt is answered YES, enter the telephone number of the confidential address at which the patient is located [4-20 characters].
.132	phone number [work]	.13;2	FREE TEXT			Enter the office phone number [4-20 characters] where this applicant can be reached while employed, if employed.
.1321	residence number change dt/tm	.132;1	DATE-TIME			This field will contain the date and time of the last Residence phone number update.
.1322	residence number change source	.132;2	SET OF CODES	HEC:HEC VAMC:VAMC HBSC:HBSC VOA:VOA		This field will hold the source of the last Residence phone number change.
.1323	residence number change site	.132;3	POINTER	4		This field will hold the site that last changed this patient's Residence phone number. This field is only populated when the Residence Number Change Source is listed as VAMC.
.133	email address	.13;3	FREE TEXT
.134	phone number [cellular]	.13;4	FREE TEXT			Enter the telephone number [4-20 characters] to the applicant's mobile phone.
.135	pager number	.13;5	FREE TEXT			Enter the applicant's pager number [4-20 characters].
.136	email address change dt/tm	.13;6	DATE-TIME			This field will contain the date and time of the last EMAIL address update.
.137	email address change source	.13;7	SET OF CODES	HEC:HEC VAMC:VAMC HBSC:HBSC VOA:VOA		This field will hold the source of the last EMAIL address change.
.138	email address change site	.13;8	POINTER	4		This field will hold the site that last changed this patient's EMAIL address. This field is only populated when the EMAIL Address Source is listed as VAMC.
.139	cellular number change dt/tm	.13;9	DATE-TIME			This field will contain the date and time of the last Cellular number update.
.14	current means test status	0;14	POINTER	408.32	ACS	This field is computed by the system. It contains the current means test status for a patient.
.141	confidential address category	.14;0	MULTIPLE	2.141		This is a multiple valued field containing the confidential address categories for this applicant.
.14105	confidential address active?(+)	.141;9	BOOLEAN	Y:YES N:NO		Enter 'Y' if you wish to enter a confidential address for this applicant at this time. A 'NO' response will cause the Confidential Start Date and Confidential End Date fields to be automatically deleted while other confidential address information will remain on file for future use.
.1411	confidential street [line 1]	.141;1	FREE TEXT			If the 'Confidential Address Active' prompt is answered YES, the user will be prompted for the first line of the confidential street address. This field cannot be deleted as long as the need for a confidential address is indicated.
.14111	confidential address county	.141;11	NUMERIC			If the 'Confidential Address Active' prompt is answered YES, enter the county for the applicant's confidential address.
.14112	confidential addr change dt/tm	.141;12	DATE-TIME			This field will hold the date and time of the last Confidential Address Update. Any change to the following Confidential Address fields will trigger an update: Confidential Street [Line 1], Confidential Street [Line 2], Confidential Street [Line 3], Confidential Address City, Confidential Address State, Confidential Address Zip Code, Confidential Start Date, Confidential End Date, Confidential Address Active?, Confidential Address County, Confidential Addr Province, Confidential Addr Postal Code, Confidential Addr Country and Confidential Phone Number
.14113	confidential addr change site	.141;13	POINTER	4		This field will hold the Site that last changed this patient's confidential address.
.14114	confidential addr province	.141;14	FREE TEXT			Enter a Province if the patient has provided one for his/her foreign address. The entry can be alphanumeric and up to 20 characters in length.
.14115	confidential addr postal code	.141;15	FREE TEXT			Enter with patient's postal code if the patient has provided one for his/her foreign address. The entry can be alphanumeric and up to 10 characters in length.
.14116	confidential addr country	.141;16	POINTER	779.004		Enter the country where the patient's confidential address is located. If entering an Army/Air Force Post Office (APO) or a Fleet Post Office (FPO) address select United States as the country.
.1412	confidential street [line 2]	.141;2	FREE TEXT			If the 'Confidential Address Active' prompt is answered YES, the user will be prompted for the second line of the confidential street address [2-30 characters]. The second line of the street address is optional and may be left blank.
.1413	confidential street [line 3]	.141;3	FREE TEXT			If the 'Confidential Address Active' prompt is answered YES, the user will be prompted for the third line of the confidential street address. The third line of the street address is optional and may be left blank.
.1414	confidential address city	.141;4	FREE TEXT			If the 'Confidential Address Active' prompt is answered YES, enter the confidential address city for this applicant [2-30 characters]. This field may not be deleted as long as the need for a confidential address is indicated.
.1415	confidential address state	.141;5	POINTER	5		If the 'Confidential Address Active' prompt is answered YES, the user will be asked to select the confidential address state from the available listing. This field may not be deleted as long as the need for a confidential address is indicated.
.1416	confidential address zip code	.141;6	FREE TEXT			If the 'Confidential Address Active' prompt is answered YES, the user will be asked to enter the zip code assigned to the city for the confidential address. This field may not be deleted as long as the need for a confidential address is indicated.
.1417	confidential start date	.141;7	DATE-TIME			If the 'Confidential Address Active' prompt is answered YES, enter the date to begin contacting the applicant at the confidential address.
.1418	confidential end date	.141;8	DATE-TIME			If the 'Confidential Address Active' prompt is answered YES, enter the date the applicant will no longer be contacted at this address.
.152	ineligible date	.15;2	DATE-TIME			If this applicant is ineligible for treatment enter the effective date. Only users who hold the designated security key may enter/edit this field. The Ineligible Date cannot be prior to the beneficiary Date of Birth.
.153	missing person date	.15;3	DATE-TIME			This field contains the date this patient was initially listed as missing.
.16	missing or ineligible	.16;0	WORD-PROCESSING			This is a word processing field to contain information on the patient's ineligibility or information about this missing patient.
.1651	ineligible twx source(+)	INE;1	SET OF CODES	1:VAMC 2:REGIONAL OFFICE 3:RPC		Choose from the available listing the source of the TWX which informed you that this applicant was ineligible for treatment. An ineligible date must be specified in order to enter/edit this field and the user must hold the designated security key. This field may not be deleted as long as an ineligible date is on file.
.1653	ineligible twx city	INE;3	FREE TEXT			Enter the city from which the TWX which informed you this applicant was ineligible for treatment originated [3-30 characters]. An ineligible date must be specified in order to enter/edit this field and the user must hold the designated security key. This field may not be deleted as long as an ineligible date is on file.
.1654	ineligible twx state	INE;4	POINTER	5		Enter the state from which the TWX which informed you this applicant was ineligible for treatment originated. An ineligible date must be specified in order to enter/edit this field and the user must hold the designated security key. This field may not be deleted as long as an ineligible date is on file.
.1656	ineligible varo decision	INE;6	FREE TEXT			Enter the VARO decision concerning this applicant's ineligibility [between 3-75 characters]. An ineligible date must be specified in order to enter/edit this field and the user must hold the designated security key. This field may not be deleted as long as an ineligible date is on file.
.1657	missing person twx source	INE;7	SET OF CODES	1:VAMC 2:REGIONAL OFFICE 3:RPC		If this patient is missing, enter the source of the TWX that originally listed the patient as missing.
.1658	missing person twx city	INE;8	FREE TEXT			If this patient is missing, enter the city where the TWX reporting the patient as missing was originated.
.1659	missing person twx state	INE;9	POINTER	5		If this patient is missing, enter the state where the TWX reporting the patient as missing was originated.
.172	fee hospital i.d.	.17;2	SET OF CODES	I:ISSUED C:CANCELLED		This field is not used by any DHCP packages and has been *'d for deletion with the release of MAS v5.2. It will be removed in a future release of MAS.
.181	emergency response indicator	.18;1	SET OF CODES	K:HURRICANE KATRINA	AERI	Enter the appropriate ER Indicator to identify patients from impacted zip code areas designated by FEMA.
.19	division		COMPUTED			Division of inpatient location
.21011	k-work phone number	.21;11	FREE TEXT			If the person designated as next of kin for this patient is employed, enter the phone number at which the NOK can be reached while at work.
.21012	primary nok change date/time	.212;1	DATE-TIME			This field will hold the date and time of the last Primary Next of Kin Update.
.211	k-name of primary nok	.21;1	FREE TEXT			Enter the primary next of kin's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.211011	k2-work phone number	.211;11	FREE TEXT			If the person designated as secondary next of kin for this patient is employed, enter the phone number that individual can be reached at while at work.
.211012	secondary nok change date/time	.212;2	DATE-TIME			This field will hold the date and time of the last Secondary Next of Kin Update. Any change to the following Secondary Next of Kin fields will trigger an update: K2-Name Of Secondary NOK, K2-Relationship To Patient, K2-Street Address [Line 1], K2-Street Address [Line 2], K2-Street Address [Line 3], K2-City, K2-State, K2-Zip Code, K2-Phone Number, K2-Address Same As Patient's? and K2-Work Phone Number
.212	k-relationship to patient	.21;2	FREE TEXT			If a primary next-of-kin is specified enter the relationship of that person to the applicant [1-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.2125	k-address same as patient's?(+)	.21;10	BOOLEAN	Y:YES N:NO		Enter 'Y' if the next-of-kin should be contacted at the same address and phone number as the applicant, otherwise enter 'N'.
.213	k-street address [line 1]	.21;3	FREE TEXT			If a primary next-of-kin is specified enter the first line of that person's street address [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.214	k-street address [line 2]	.21;4	FREE TEXT			If a primary next-of-kin is specified enter the second line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.215	k-street address [line 3]	.21;5	FREE TEXT			If a primary next-of-kin is specified enter the third line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.216	k-city	.21;6	FREE TEXT			If a primary next-of-kin is specified enter the city in which that person resides [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.217	k-state	.21;7	POINTER	5		If a primary next-of-kin is specified select from the available listing the state in which that person resides, otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.218	k-zip code	.21;8	FREE TEXT			If a primary next-of-kin is specified enter the zip code [5 numerics] in which his/her city lies, otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.219	k-phone number	.21;9	FREE TEXT			If a primary next-of-kin is specified enter that person's telephone number [4-20 characters], otherwise nothing may be entered. This field cannot be deleted as long as a 'next of kin' name is on file.
.2191	k2-name of secondary nok	.211;1	FREE TEXT			Enter the secondary next of kin's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.2192	k2-relationship to patient	.211;2	FREE TEXT			If a secondary next-of-kin is specified enter the relationship of that person to the applicant [1-30 characters]. This field cannot be deleted as long as a secondary NOK is on file.
.21925	k2-address same as patient's?(+)	.211;10	BOOLEAN	Y:YES N:NO		Enter 'Y' if the secondary NOK should be contacted at the same address and phone number as the applicant, otherwise enter 'N'.
.2193	k2-street address [line 1]	.211;3	FREE TEXT			If a secondary NOK is specified enter the first line of that person's street address [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2194	k2-street address [line 2]	.211;4	FREE TEXT			If a secondary NOK is specified enter the second line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2195	k2-street address [line 3]	.211;5	FREE TEXT			If a secondary NOK is specified enter the third line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2196	k2-city	.211;6	FREE TEXT			If a secondary NOK is specified enter the city in which that person resides [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2197	k2-state	.211;7	POINTER	5		If a secondary NOK is specified select from the available listing the state in which that person resides, otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2198	k2-zip code	.211;8	FREE TEXT			If a secondary NOK is specified enter the zip code for the city in which that person resides [5 numerics], otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2199	k2-phone number	.211;9	FREE TEXT			If a secondary NOK is specified enter the telephone number at which that person may be reached [3-20 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary NOK is on file.
.2201	e-zip+4	.22;1	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the Emergency Contact Address.
.2202	d-zip+4	.22;2	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the designee for personal effects' address.
.2203	k2-zip+4	.22;3	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the secondary next-of-kin's address.
.2204	e2-zip+4	.22;4	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the secondary emergency contact's address.
.2205	employer zip+4	.22;5	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the patient employer's address.
.2206	spouse's emp zip+4	.22;6	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the spouse's employer's address.
.2207	k-zip+4	.22;7	FREE TEXT			Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789). This is related to the primary emergency contact's address.
.2401	father's name	.24;1	FREE TEXT			Enter the father's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.2402	mother's name	.24;2	FREE TEXT			Enter the mother's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.2403	mother's maiden name	.24;3	FREE TEXT			Enter the mother's maiden name in 'LAST,FIRST MIDDLE SUFFIX' format. Entry of the LAST name only is permitted and the comma may be omitted. If the response contains no comma, one will be appended to the value. Including the comma, the value must be at least 3 characters in length.
.251	spouse's employer name	.25;1	FREE TEXT			For this married applicant (marital status must be married) enter the name of his/her spouse's employer [3-20 characters].
.2514	spouse's occupation	.25;14	FREE TEXT			If this patient's spouse is currently employed, enter the spouse's occupation here. Otherwise, leave this field blank.
.2515	spouse's employment status(+)	.25;15	SET OF CODES	1:EMPLOYED FULL TIME 2:EMPLOYED PART TIME 3:NOT EMPLOYED 4:SELF EMPLYED 5:RETIRED 6:ACTIVE MILITARY DUTY 9:UNKNOWN		Choose from the available list the choice that most correctly indicates the current employment status for this patient's spouse.
.2516	spouse's retirement date	.25;16	DATE-TIME			For this veteran applicant's spouse, enter the date s/he retired from her/his place of employment.
.252	spouse's emp street [line 1]	.25;2	FREE TEXT			If applicant is married and a spouse's employer name has been entered enter the first line of the spouse's employer's street address [3-35 characters, otherwise nothing may be entered. This field may not be deleted as long as a spouse's employer's name is on file.
.253	spouse's emp street [line 2]	.25;3	FREE TEXT			If applicant is married and a spouse's employer name has been entered enter the second line of the spouse's employer's street address [3-35 characters, if necessary, otherwise nothing may be entered. This field may not be deleted as long as a spouse's employer's name is on file.
.254	spouse's emp street [line 3]	.25;4	FREE TEXT			If applicant is married and a spouse's employer name has been entered enter the third line of the spouse's employer's street address [3-35 characters, if necessary, otherwise nothing may be entered. This field may not be deleted as long as a spouse's employer's name is on file.
.255	spouse's employer's city	.25;5	FREE TEXT			If applicant is married and a spouse's employer name has been entered enter the spouse's employer city [2-20 characters], otherwise nothing may be entered. This field may not be deleted as long as a spouse's employer's name is on file.
.256	spouse's employer's state	.25;6	POINTER	5		If applicant is married and a spouse's employer name has been entered select from the available listing the spouse's employer's state. This field may not be deleted as long as a spouse's employer's name is on file.
.257	spouse's emp zip code	.25;7	FREE TEXT			If applicant is married and spouse's employer name has been entered enter the spouse's employer zip code [5 numerics], otherwise nothing may be entered. This field may not be deleted as long as a spouse's employer's name is on file.
.258	spouse's emp phone number	.25;8	FREE TEXT			If applicant is married and spouse's employer name has been entered enter the spouse's employer telephone number [4-20 characters], otherwise nothing may be entered. This field may not be deleted as long as a spouse's employer's name is on file.
.290012	zip+4 (civil)	.291;12	FREE TEXT			Enter the zip code of the address where the person responsible for handling this patient's funds resides. Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789).
.29013	zip+4 (va)	.29;13	FREE TEXT			If this patient has a VA guardian responsible for handling the patient's funds, enter the guardian's zip code here. Answer with either the 5 digit format (e.g. 12345) or the nine digit format (e.g. 12345-6789 or 123456789).
.291	date ruled incompetent (va)	.29;1	DATE-TIME			Enter the date this patient was ruled to be incompetent to handle his VA funds. The Date Ruled Incompetent cannot be after the Date of Death.
.2911	institution (va)	.29;3	POINTER	4		Enter the VA facility or institution responsible for this patient's VA funds.
.2912	guardian (va)	.29;4	FREE TEXT			Enter the name of the VA representative responsible for this patient's funds.
.2913	relationship (va)	.29;5	FREE TEXT			Enter the relationship to the patient of the VA representative responsible for handling this patient's funds.
.2914	street address 1 (va)	.29;6	FREE TEXT			Enter the first line of the street address of the VA representative responsible for handling this patient's funds.
.2915	street address 2 (va)	.29;7	FREE TEXT			Enter the second line of the street address of the VA representative responsible for handling this patient's funds.
.2916	city (va)	.29;8	FREE TEXT			Enter the city in which the person reponsible for handling this patient's funds resides.
.2917	state (va)	.29;9	POINTER	5		Enter the state in which the person responsible for handling this patient's funds resides.
.2918	zip (va)	.29;10	FREE TEXT			If this patient has a VA guardian responsible for handling the patient's funds, enter the guardian's zip code here.
.2919	phone (va)	.29;11	FREE TEXT			If this patient has a VA guardian responsible for handling the patient's funds, enter the guardian's phone number here.
.292	date ruled incompetent (civil)	.29;2	DATE-TIME			If this patient was ruled incompetent to handle his funds, enter the date he was ruled incompetent. The Date Ruled Incompetent cannot be after the Date of Death.
.2921	institution (civil)	.291;3	FREE TEXT			If this patient has been ruled incompetant to handle his financial matters, enter the instituition reponsible for handling the funds on the patient's behalf.
.2922	guardian (civil)	.291;4	FREE TEXT			If this patient has been ruled incompetant to handle his financial matters, enter the name of the individual responsible for handling the funds on the patient's behalf.
.2923	relationship (civil)	.291;5	FREE TEXT			If this patient has been ruled incompetant to handle his financial funds, and someone else is responsible for handling the funds, enter the relationship of that person to the patient.
.2924	street address 1 (civil)	.291;6	FREE TEXT			Enter the first line of the street address of the person responsible for handling this patient's funds.
.2925	street address 2 (civil)	.291;7	FREE TEXT			Enter the second line of the street address of the person responsible for handling this patient's funds.
.2926	city (civil)	.291;8	FREE TEXT			Enter the city in which the person responsible for this patient's funds resides.
.2927	state (civil)	.291;9	POINTER	5		Enter the state in which the person responsible for handling this patient's funds resides.
.2928	zip (civil)	.291;10	FREE TEXT			Enter the zip code of the address where the person responsible for handling this patient's funds resides.
.2929	phone (civil)	.291;11	FREE TEXT			If this patient has been ruled incompetant to handle his money and another person has been assigned to handle the patient's financial matters, enter that person's phone number here.
.293	rated incompetent?	.29;12	BOOLEAN	0:NO 1:YES		This field was originated for the use of AMIE (Automated Medical Information Exchange). One will receive from DVB the information on whether the patient was rated incompetent by the VA. This may differ from the date rated incompetent field in the patient file.
.301	service connected?(+)	.3;1	BOOLEAN	Y:YES N:NO		Enter 'Y' if this applicant is service connected, 'N' if not. Applicants identified as being non-veterans cannot be entered as service connected. Once eligibility has been verified only users holding the designated security key may enter/edit this field.
.3012	sc award date	.3;12	DATE-TIME			This field contains the effective date of service connection, based on the VBA decision. This can be obtained either through HINQ or the award letter.
.3013	p&t effective date	.3;13	DATE-TIME			Enter the Effective Date the patient was awarded P&T disability status by VARO. This field is optional (not required). But if entered, the date needs to be a precise date, i.e. a day, month and year MUST be included. P&T Effective Date can not be a date prior to the Veteran's 'Date of Birth', a future date, or a date after the Veteran's 'Date of Death'.
.3014	eff. date combined sc% eval.	.3;14	DATE-TIME			Data will be filed automatically from HL7 message from the HEC. This is the date that the combined Service Connected Disability % was awarded.
.302	service connected percentage	.3;2	NUMERIC			If this applicant is service connected (SERVICE CONNECTED prompt must be answered YES) enter the service connected percentage [a number between 0-100]. Once eligibility has been verified only users who hold the designated security key may enter/edit this field. Field may not be deleted as long as service connection is indicated.
.3025	receiving va disability?	.3;11	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he is in receipt of a disability payment, 'N' if not, or 'U' if unknown. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.303	amount of va disability	.3;3	NUMERIC			For this veteran applicant who is in receipt of disability payment (RECEIPT OF DISABILITY PAYMENT prompt must be answered YES) enter the amount received [a number between 0-99999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. Any dollar amomount on file cannot be deleted as long as receipt of disability payment is indicated. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiply it out for you.
.304	p&t	.3;4	BOOLEAN	Y:YES N:NO		This field will contain YES if the patient is determined to be permanently and totally disabled by VARO due to a service connected condition. Answering "YES" will prompt you to enter a P&T Effective Date.
.305	unemployable	.3;5	BOOLEAN	Y:YES N:NO		Is this patient rated unemployable by the VARO due to a service connected condition?
.306	monetary ben. verify date	.3;6	DATE-TIME			Once monetary benefits, and amounts, are verified enter the date of verification. All monetary benefits data fields will become uneditable to any user who does not hold the designated security key once the benefits are verified. Only users who hold the designated security key may enter/edit this field.
.307	ineligible reason	.3;7	FREE TEXT			If this applicant is ineligible for treatment enter the reason [not to exceed 40 characters]. An ineligible date must be specified in order to enter/edit this field and the user must hold the designated security key. This field may not be deleted as long as an ineligible date is on file.
.309	agency/allied country	.3;9	POINTER	35		For this applicant whose eligibility code is either 'OTHER FEDERAL AGENCY' or 'ALLIED VETERAN' select from the available listing the federal agency or allied country, as appropriate, which best classifies this applicant.
.31	*category of beneficiary	.3;10	POINTER	45.82	ACB	This field is no longer used by the MAS package. It was previously updated via a cross-reference on the CATEGORY OF BENEFICIARY field in the PTF file. In a prior release of MAS, the use of category of beneficiary was discontinued and period of service is now solely used. In a future release of MAS, this field will be removed along with the ACB cross-reference on the PATIENT file and the cross-reference in the PTF file which sets this data.
.3111	employer name	.311;1	FREE TEXT			If employment status is indicated and is not unemployed enter the employer name [1-30 characters], otherwise nothing may be entered.
.31115	employment status(+)	.311;15	SET OF CODES	1:EMPLOYED FULL TIME 2:EMPLOYED PART TIME 3:NOT EMPLOYED 4:SELF EMPLOYED 5:RETIRED 6:ACTIVE MILITARY DUTY 9:UNKNOWN		Enter the patient's current employment status. Choose from the available choices.
.31116	date of retirement	.311;16	DATE-TIME			For this veteran applicant, enter the date s/he retired from her/his place of employment.
.3112	government agency	.311;2	BOOLEAN	Y:YES N:NO		If this patient is currently employed by a government agency, respond yes to this question. If the patient is employed by the private sector or currently is unemployed, respond no.
.3113	employer street [line 1]	.311;3	FREE TEXT			If employment status is indicated, applicant is not unemployed and an employer name is entered enter the first line of the employer street address [1-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.3114	employer street [line 2]	.311;4	FREE TEXT			If employment status is indicated, applicant is not unemployed and an employer name is entered enter the second line of the employer street address [1-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.3115	employer street [line 3]	.311;5	FREE TEXT			If employment status is indicated, applicant is not unemployed and an employer name is entered enter the third line of the employer street address [1-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.3116	employer city	.311;6	FREE TEXT			If employment status is indicated, applicant is not unemployed and an employer name is entered enter the employer city [1-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.3117	employer state	.311;7	POINTER	5		If employment status is indicated, applicant is not unemployed and an employer name is entered select from the available listing the employer state, otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.3118	employer zip code	.311;8	FREE TEXT			If employment status is indicated, applicant is not unemployed and an employer name is entered enter the employer zip code [5 numerics], otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.3119	employer phone number	.311;9	FREE TEXT			If employment status is indicated, applicant is not unemployed and an employer name is entered enter the employer telephone number [3-20 characters], otherwise nothing may be entered. This field cannot be deleted as long as an employer name is on file.
.312	*claim folder location	.31;2	FREE TEXT			For this veteran applicant enter, if applicable, the location of his/her VA claim folder [2-40 characters].
.3121	insurance type	.312;0	MULTIPLE	2.312		From the available listing enter the type of insurance under which this applicant is covered regardless of who holds the policy.
.313	claim number	.31;3	FREE TEXT			If the applicant is a veteran enter his/her claim number as 7-8 numerics or by entering the characters 'SS' if his/her claim number is the same as his/her social security number. Once eligibility has been verified only users who hold the designated security key may enter/edit this field.
.314	claim folder location	.31;4	POINTER	4		This is the location of the patient's claim folder. It must be an entry in the INSTITUTION File. Valid facility types: RO (Regional Office) RO&IC (Regional Office and Insurance Center) RO-OC (Regional Office - Outpatient Clinic) RPC (Record Processing Center) M&ROC (Medical and Regional Office Center) M&ROC (M&RO) (Medical and Regional Office Center)
.3192	covered by health insurance?(+)	.31;11	SET OF CODES	Y:YES N:NO U:UNKNOWN		Enter 'Y' if this applicant is covered by a health insurance policy regardless of who holds policy (applicant, spouse, employer, etc.), 'N' if s/he isn't covered by any policy, or 'U' if unknown.
.32101	vietnam service indicated?(+)	.321;1	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he actually served in the Republic of Vietnam, 'N' if not, or 'U' if unknown. Once the service record has been verified only users who hold the designated security key may enter/edit this field.
.32102	agent orange expos. indicated?(+)	.321;2	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he was exposed to the chemical agent orange, 'N' if not, or 'U' if unknown. Exposure cannot be claimed unless the Period of Service (field .323) is answered VIETNAM ERA, which entails those serving in the Korean DMZ between January 1, 1968 and December 31, 1969 or Vietnam. Once the service record has been verified only users who hold the designated security key may enter/edit this field.
.32103	radiation exposure indicated?(+)	.321;3	SET OF CODES	Y:YES N:NO U:UNKNOWN		Enter 'Y' if the veteran was exposed to ionizing radiation 1) at a nuclear device testing site (e.g. the Pacific Islands, NM or NV) or 2) as a POW or while serving in Hiroshima and/or Nagasaki, Japan from August 6, 1945 through July 1, 1946, or 3) served at Department of Energy plants at Paducah, KY, Portsmouth, OH or the K25 area at Oak Ridge, TN for at least 250 days before February 1, 1992 or 4) served at Longshot, Milrow, or Cannikin underground nuclear tests at Amchitka Island, AK prior to January 1, 1974. Veterans exposed by method #3 or #4 are not eligible for copay exemption or enrollment in priority 6 based on their IR exposure. Enter 'N' if not exposed or 'U' if unknown. Once the record has been verified only HEC users may enter/edit this field.
.32104	vietnam from date(+)	.321;4	DATE-TIME			For this veteran applicant who served in the Republic of Vietnam (DID YOU SERVE IN VIETNAM prompt must be answered YES) enter the date on which service in vietnam commenced [between February 28, 1961 and May 7, 1975]. Once the service record is verified only users who hold the designated security key may enter/edit this field. As long as Vietnam service is indicated this date may not be deleted.
.32105	vietnam to date(+)	.321;5	DATE-TIME			For this veteran applicant who served in the Republic of Vietnam (DID YOU SERVE IN VIETNAM prompt must be answered YES) enter the date on which service in Vietnam ended [between February 28, 1961 and May 7, 1975]. Once the service record is verified only user who hold the designated security key may enter/edit this field. As long as Vietnam service is indicated this date may not be deleted.
.32107	agent orange registration date	.321;7	DATE-TIME			For this veteran applicant who was exposed to agent orange (EXPOSED TO AGENT ORANGE prompt must be answered YES) enter the date registered. Once the service record is verified only users who hold the designated security key may enter/edit this field. As long as agent orange exposure is indicated this field may not be deleted.
.32108	agent orange reported to c.o.	.321;8	DATE-TIME			Enter the date on which this patient's claim of exposure to Agent Orange was initially reported to VA Central Office.
.32109	agent orange exam date	.321;9	DATE-TIME			For this veteran applicant who was exposed to agent orange (EXPOSED TO AGENT ORANGE prompt must be answered YES) enter the date s/he was examined for this exposure, if any. Once the service record is verified only users who hold the designated security key may enter/edit this field. As long as agent orange exposure is indicated this field may not be deleted.
.3211	agent orange registration #	.321;10	NUMERIC			For this veteran applicant who was exposed to agent orange (EXPOSED TO AGENT ORANGE prompt must be answered YES) enter the registration number assigned [a number between 1-999999]. Once the service record has been verified only users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as agent orange exposure is indicated.
.32111	radiation registration date	.321;11	DATE-TIME			For this veteran applicant who was exposed to ionizing radiation (WERE YOU EXPOSED TO RADIATION prompt must be answered YES) enter the date registered. Once the service record is verified only users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as ionizing radiation exposure is indicated.
.32115	proj 112/shad	.321;15	BOOLEAN	1:YES 0:NO
.3212	radiation exposure method	.321;12	SET OF CODES	2:HIROSHIMA/NAGASAKI 3:ATMOSPHERIC NUCLEAR TESTING 4:H/N AND ATMOSPHERIC TESTING 5:UNDERGROUND NUCLEAR TESTING 6:EXPOSURE AT NUCLEAR FACILITY 7:OTHER		This field represents the method by which the exposure to ionizing radiation occurred.
.3213	agent orange exposure location(+)	.321;13	SET OF CODES	K:KOREAN DMZ V:VIETNAM O:OTHER		For this veteran applicant who was exposed to agent orange (EXPOSED TO AGENT ORANGE prompt must be answered YES) enter the location where the exposure occurred. Once the service record has been verified only users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as agent orange exposure is indicated.
.3214	filipino veteran proof	.321;14	SET OF CODES	PP:US PASSPORT BC:US BIRTH CERTIFICATE BA:REPORT OF BIRTH ABROAD OF US CITIZEN NA:VERIFICATION OF NATURALIZATION PR:VERIFICATION OF PERMANENT RESIDENCY VA:VA COMPENSATION AT FULL DOLLAR RATE NO:NO PROOF		Enter in this field the documentation that was provided in order to establish US citizenship, lawful permanent US residency, and/or VA Compensation at full-dollar rate for a Filipino Veteran (i.e., a veteran whose Branch of Service is F. Commonwealth, F. Guerilla, or F. Scouts New)
.3215	service [oef or oif]	.3215;0	MULTIPLE	2.3215		This contains the information relating to the deployment of the patient to a conflict location for the operations Iraqi and Enduring Freedom (OIF, OEF respectively). It also includes records of conflict that can be identified as being EITHER OIF OR OEF, but the specific location cannot be determined.
.3216	military service episode	.3216;0	MULTIPLE	2.3216		This contains the definitive military service episode history for the patient and is updated from the Health Eligibility Center (HEC) system. HEC is the authoritative source for this data and it may not be edited in VistA except to add new episodes.
.322	service verification date	.32;2	DATE-TIME			Once the service record has been verified enter the date of verification. All service record data will become uneditable to any user who does not hold the designated security key once the service record is verified. Only users who hold the designated security key may enter/edit this field.
.32201	persian gulf service?(+)	.322;10	SET OF CODES	Y:YES N:NO U:UNKNOWN		If this patient served in the Persian Gulf during the war (anytime after August 2, 1990), enter yes here. If the patient did not serve in the Persian Gulf during this timeframe, enter no. Enter unknown if this information could not be obtained from the patient.
.322011	persian gulf from date(+)	.322;11	DATE-TIME			If this patient served in the Persian Gulf during the war (PERSIAN GULF SERVICE? is answered YES), respond with the date the patient began serving there. The date must be on or after August 2, 1990.
.322012	persian gulf to date(+)	.322;12	DATE-TIME			If this patient served in the Persian Gulf during the war, enter the date the patient's service in that region ended. The date must be after the date selected as PERSIAN GULF FROM DATE which must be on or after August 2, 1990.
.322013	southwest asia conditions?(+)	.322;13	SET OF CODES	Y:YES N:NO U:UNKNOWN		Enter "Y" if veteran claims need for care of conditions related to service in SW Asia. Enter "N" if veteran did not serve in SW Asia or does not claim need for care of conditions related to service in SW Asia. Enter "U" when veteran served in SW Asia, but is unsure of whether conditions may be related to that service. SW Asia Theater of operations is defined as: Iraq, Kuwait, Saudi Arabia, the neutral zone between Iraq and Saudi Arabia, Bahrain, Qatar, the United Arab Emirates, Oman, the Gulf of Aden, the Gulf of Oman, the Persian Gulf, the Arabian Sea, the Red Sea, and the airspace above these locations.
.322014	sw asia cond registration date	.322;14	DATE-TIME			This is the date on which the patient registered for being exposed to Conditions related to service in SW Asia. This date must be after 8/1/1990.
.322015	sw asia cond exam date	.322;15	DATE-TIME			This is the date on which an examination for exposure to Conditions related to service in SW Asia was performed on the patient.
.322016	somalia service indicated?(+)	.322;16	SET OF CODES	Y:YES N:NO U:UNKNOWN		If this patient served in the Somalia, enter yes here. If the patient did not serve in Somalia, enter no. Enter unknown if this information could not be obtained from the patient.
.322022	somalia from date(+)	.322;17	DATE-TIME			If this patient served in Somalia (SOMALIA SERVICE INDICATED? is answered YES), enter the date this patient's service in Somalia began. This date must be on or after September 28, 1992.
.322018	somalia to date(+)	.322;18	DATE-TIME			This is the last date of service in Somalia. This date must be on or after September 28, 1992.
.322019	yugoslavia service indicated?	.322;19	SET OF CODES	Y:YES N:NO U:UNKNOWN		Field stores code indicating if patient served in the Yugolslavia Conflict.
.32202	yugoslavia from date(+)	.322;20	DATE-TIME			Enter the date that service in the Yugoslavia Conflict began for this patient. Earliest possible date is 6/22/1992.
.322021	yugoslavia to date(+)	.322;21	DATE-TIME			The date service in the Yugoslavia Conflict ended for this patient.
.3221	lebanon service indicated?(+)	.322;1	SET OF CODES	Y:YES N:NO U:UNKNOWN		Did this patient serve in Lebanon between the dates of August 23, 1982 and February 26, 1984?
.3222	lebanon from date(+)	.322;2	DATE-TIME			For this veteran applicant who served in Lebanon, enter the date which the applicant's service in Lebanon began. The date must be on or after October 1, 1983. .
.3223	lebanon to date(+)	.322;3	DATE-TIME			For this patient, enter the date the patient's service in Lebanon ended. The 'LEBANON SERVICE INDICATED?' field must be answered yes and the date in this field must be after October 1, 1983.
.3224	grenada service indicated?(+)	.322;4	SET OF CODES	Y:YES N:NO U:UNKNOWN		Enter yes if this patient served in Grenada between the dates of October 23, 1983 and November 21, 1983.
.3225	grenada from date(+)	.322;5	DATE-TIME			Enter the date which this patient began service in Grenada. The 'GRENADA SERVICE INDICATED?' field must be answered YES and the date entered here must be between October 23, 1983 and November 21, 1983.
.3226	grenada to date(+)	.322;6	DATE-TIME			Enter the date which this patient's service in Grenada ended. The 'GRENADA SERVICE INDICATED?' field must be yes and this date must be between October 23, 1983 and November 21, 1983.
.3227	panama service indicated?(+)	.322;7	SET OF CODES	Y:YES N:NO U:UNKNOWN		Respond yes if this patient served in Panama between the dates of December 20, 1989 and January 31, 1990. Enter no if the patient did not serve in Panama during this timeframe. Otherwise, enter unknown if this information could not be obtained from the patient.
.3228	panama from date(+)	.322;8	DATE-TIME			If this patient served in Panama (PANAMA SERVICE INDICATED? is answered YES), enter the date this patient's service in Panama began. The date must be between December 20, 1989 and January 31, 1990.
.3229	panama to date(+)	.322;9	DATE-TIME			If this patient served during the conflict in Panama (PANAMA SERVICE INDICATED? is YES), enter the date the patient's service there ended. The date must be between December 20, 1989 and January 31, 1990.
.323	period of service	.32;3	POINTER	21	APOS	From the available listing select the period of service which best classifies this applicant. The selections displayed are limited based on the eligibility code which must have been entered in order to select a period of service. Once the service record is verified only those users who hold the designated security key may enter/edit this field.
.324	service discharge type [last](+)	.32;4	POINTER	25		For this veteran applicant select from the available listing the discharge type which s/he received for his/her most recent episode of military service. Once the service record is verified only those users who hold the designated security key may enter/edit this field.
.325	service branch [last]	.32;5	POINTER	23		For this veteran applicant select from the available listing the branch of service served in during his/her most recent episode of military service. Once the service record is verified only those users who hold the designated security key may enter/edit this field.
.326	service entry date [last](+)	.32;6	DATE-TIME			For this veteran applicant enter the date s/he commenced his/her most recent episode of military service. If the military service component is ACTIVATED NATIONAL GUARD or ACTIVATED RESERVE, the period entered should be the period of activation, so this date is their first day of active duty for the episode. Once the service record is verified only those users who hold the designated security key may enter/edit this field.
.327	service separation date [last](+)	.32;7	DATE-TIME			For this veteran applicant enter the date s/he ended his/her most recent episode of military service. If the military service component is ACTIVATED NATIONAL GUARD or ACTIVATED RESERVE, the period entered should be the period of activation, so this date is their last day of active duty for this episode. Once the service record is verified only those users who hold the designated security key may enter/edit this field.
.328	service number [last]	.32;8	FREE TEXT			For this veteran applicant enter the service number assigned during his/her most recent episode of military service as either 1-15 characters or enter 'SS' if the social security number and service number are the same. Once the service record has been verified only those users who hold the designated security key may enter/edit this field.
.3285	service second episode?(+)	.32;19	BOOLEAN	Y:YES N:NO		For this veteran applicant enter 'Y' if s/he has more than one episode of military service, or 'N' if not. Once the service record is verified only users who hold the designated security key may enter/edit this field.
.329	service discharge type [ntl](+)	.32;9	POINTER	25		For this veteran applicant who has at least two episodes of military service (ANY OTHER PERIODS OF SERVICE prompt must be answered YES) select from the available listing the type of discharge received from his/her next to last episode of military service. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than one episode of military service is indicated.
.3291	service branch [ntl]	.32;10	POINTER	23		For this veteran applicant who has at least two episodes of military service (ANY OTHER PERIODS OF SERVICE prompt must be answered YES) select from the available listing the branch of service s/he served in during his/her next to last episode of military service. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than one episode of military service is indicated.
.32911	service component [last]	.3291;1	SET OF CODES	R:REGULAR V:ACTIVATED RESERVE G:ACTIVATED NG		For this veteran applicant enter the military service component for his/her most recent episode of military service. Once the service record has been verified only those users who hold the designated security key may enter/edit this field. NATIONAL GUARD IS ONLY VALID FOR BRANCH OF SERVICE ARMY AND AIR FORCE.
.32912	service component [ntl]	.3291;2	SET OF CODES	R:REGULAR V:ACTIVATED RESERVE G:ACTIVATED NG		For this veteran applicant who has at least two episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) enter the military service component for the next to last episode of service. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated. NATIONAL GUARD IS ONLY VALID FOR BRANCH OF SERVICE ARMY AND AIR FORCE.
.32913	service component [nntl]	.3291;3	SET OF CODES	R:REGULAR V:ACTIVATED RESERVE G:ACTIVATED NG		For this veteran applicant who has at least three episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) enter the military service component for the third most recent episode of service. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated. NATIONAL GUARD IS ONLY VALID FOR BRANCH OF SERVICE ARMY AND AIR FORCE.
.3292	service entry date [ntl](+)	.32;11	DATE-TIME			For this veteran applicant who has at least two episodes of military service (ANY OTHER PERIODS OF SERVICE prompt must be answered YES) enter the date on which the next to last episode of service commenced. If the military service component is ACTIVATED NATIONAL GUARD or ACTIVATED RESERVE, the period entered should be the period of activation, so this date is their first day of active duty for the episode. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than one episode of military service is indicated.
.3293	service separation date [ntl](+)	.32;12	DATE-TIME			For this veteran applicant who has at least two episodes of military service (ANY OTHER PERIODS OF SERVICE prompt must be answered YES) enter the date on which the next to last episode of service ended. If the military service component is ACTIVATED NATIONAL GUARD or ACTIVATED RESERVE, the period entered should be the period of activation, so this date is their last day of active duty for this episode. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than one episode of military service is indicated.
.3294	service number [ntl]	.32;13	FREE TEXT			For this veteran applicant who has at least two episodes of military service (ANY OTHER PERIODS OF SERVICE prompt must be answered YES) enter the service number assigned to that next to last episode of service [1-15 characters]. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than one episode of military service is indicated.
.32945	service third episode?(+)	.32;20	BOOLEAN	Y:YES N:NO		Enter 'Y' if this veteran applicant has at least three episodes of military service, or 'N' if not. The ANY OTHER PERIODS OF SERVICE prompt must be answered YES in order to enter a third episode of military service. Once the service record is verified only those users who hold the designated security key may enter/edit this field.
.3295	service discharge type [nntl](+)	.32;14	POINTER	25		For this veteran applicant who has at least three episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) select from the available listing the discharge type received from the third most recent episode of military service. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated.
.3296	service branch [nntl]	.32;15	POINTER	23		For this veteran applicant who has at least three episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) select from the available listing the service branch served in during his/her third most recent episode of service. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated.
.3297	service entry date [nntl](+)	.32;16	DATE-TIME			For this veteran applicant who has at least three episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) enter the date on which the third most recent episode of service commenced. If the military service component is ACTIVATED NATIONAL GUARD or ACTIVATED RESERVE, the period entered should be the period of activation, so this date is their first day of active duty for the episode. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated.
.3298	service separation date [nntl](+)	.32;17	DATE-TIME			For this veteran applicant who has at least three episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) enter the date on which the third most recent episode of service ended. If the military service component is ACTIVATED NATIONAL GUARD or ACTIVATED RESERVE, the period entered should be the period of activation, so this date is their last day of active duty for this episode. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated.
.3299	service number [nntl]	.32;18	FREE TEXT			For this veteran applicant who has at least three episodes of military service (ANOTHER PERIOD OF SERVICE prompt must be answered YES) enter the service number assigned for the third most recent episode of service [1-15 characters]. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as more than two episodes of military service are indicated.
.33011	e-work phone number	.33;11	FREE TEXT			If the emergency contact for this patient is employed, enter the phone number at which this individual may be reached while at work.
.33012	e-contact change date/time	.332;1	DATE-TIME			This field will hold the date and time of the last Emergency Contact Update. Any change to the following Emergency Contact fields will trigger an update: E-Name, E-Relationship To Patient, E-Street Address [Line 1], E-Street Address [Line 2], E-Street Address [Line 3], E-City, E-State, E-Zip Code, E-Phone Number, E-Emer. Contact Same As NOK? and E-Work Phone Number
.3305	e-emer. contact same as nok?(+)	.33;10	BOOLEAN	Y:YES N:NO		If a primary NOK is defined enter 'Y' if that person is also the primary emergency contact, otherwise enter 'N' for no.
.331	e-name	.33;1	FREE TEXT			Enter the primary emergency contact's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.331011	e2-work phone number	.331;11	FREE TEXT			If the person designated as the secondary emergency contact is employed, enter the person's work phone number.
.3311	e2-name of secondary contact	.331;1	FREE TEXT			Enter the secondary emergency contact's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.33112	e2-contact change date/time	.332;2	DATE-TIME			This field will hold the date and time of the last Secondary Emergency Contact Update. Any change to the following Secondary Emergency Contact fields will trigger an update: E2-Name Of Secondary Contact, E2-Relationship To Patient, E2-Street Address [Line 1], E2-Street Address [Line 2], E2-Street Address [Line 3], E2-City, E2-State, E2-Zip Code, E2-Phone Number and E2-Work Phone Number
.3312	e2-relationship to patient	.331;2	FREE TEXT			If a secondary emergency contact is specified enter the relationship of that person to the applicant [2-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3313	e2-street address [line 1]	.331;3	FREE TEXT			If a secondary emergency contact is specified enter the first line of that person's street address [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3314	e2-street address [line 2]	.331;4	FREE TEXT			If a secondary emergency contact is specified enter the second line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3315	e2-street address [line 3]	.331;5	FREE TEXT			If a secondary emergency contact is specified enter the third line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3316	e2-city	.331;6	FREE TEXT			If a secondary emergency contact is specified enter the city in which that person resides [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3317	e2-state	.331;7	POINTER	5		If a secondary emergency contact is specified select from the available listing the state in which that person resides, otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3318	e2-zip code	.331;8	FREE TEXT			If a secondary emergency contact is specified enter the zip code for the city in which s/he resides [5 numerics], otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.3319	e2-phone number	.331;9	FREE TEXT			If a secondary emergency contact is specified enter the telephone number at which that person may be reached [3-20 characters], otherwise nothing may be entered. This field cannot be deleted as long as a secondary emergency contact is on file.
.332	e-relationship to patient	.33;2	FREE TEXT			If a primary emergency contact is specified enter the relationship of that person to the applicant [3-35 characters], otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.333	e-street address [line 1]	.33;3	FREE TEXT			If a primary emergency contact is specified enter the first line of that person's street address [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.334	e-street address [line 2]	.33;4	FREE TEXT			If a primary emergency contact is specified enter the second line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.335	e-street address [line 3]	.33;5	FREE TEXT			If a primary emergency contact is specified enter the third line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.336	e-city	.33;6	FREE TEXT			If a primary emergency contact is specified enter the city in which that person resides [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.337	e-state	.33;7	POINTER	5		If a primary emergency contact is specified select from the available listing the state in which that person resides, otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.338	e-zip code	.33;8	FREE TEXT			If a primary emergency contact is specified enter the zip code for the city in which s/he resides [5 numerics], otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.339	e-phone number	.33;9	FREE TEXT			If a primary emergency contact is specified enter the telephone number [3-20 characters] at which that person may be reached, otherwise nothing may be entered. This field cannot be deleted as long as a primary emergency contact is on file.
.34011	d-work phone number	.34;11	FREE TEXT			If the person designated to receive the patient's personal effects is employed, enter the phone number at which that person may be reached while at work.
.3405	d-designee same as nok?(+)	.34;10	BOOLEAN	Y:YES N:NO		If a primary NOK is defined enter 'Y' if that person is also the designee appointed by the applicant, otherwise enter 'N' for no.
.341	d-name of designee	.34;1	FREE TEXT			Enter the designee's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-35 characters in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one comma. All other characters and parenthetical text will be removed.
.3412	designee change date/time	.332;3	DATE-TIME			This field will hold the date and time of the last Designee Update. Any change to the following Designee fields will trigger an update: D-Name Of Designee, D-Relationship To Patient, D-Street Address [Line 1], D-Street Address [Line 2], D-Street Address [Line 3], D-City, D-State, D-Zip Code, D-Phone Number, D-Designee Same As Nok?, D-Work Phone Number
.342	d-relationship to patient	.34;2	FREE TEXT			If a designee is specified enter the relationship of that person to the applicant [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.343	d-street address [line 1]	.34;3	FREE TEXT			If a designee is specified enter the first line of that person's street address [3-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.344	d-street address [line 2]	.34;4	FREE TEXT			If a designee is specified enter the second line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.345	d-street address [line 3]	.34;5	FREE TEXT			If a designee is specified enter the third line of that person's street address [3-30 characters], if necessary, otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.346	d-city	.34;6	FREE TEXT			If a designee is specified enter the city in which that person resides [1-30 characters], otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.347	d-state	.34;7	POINTER	5		If a designee is specified select from the available listing the state in which that person resides. This field cannot be deleted as long as a designee is on file.
.348	d-zip code	.34;8	FREE TEXT			If a designee is specified enter the zip code for the city in which s/he resides [5 numerics], otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.349	d-phone number	.34;9	FREE TEXT			If a designee is specified enter the telephone number at which that person may be reached [3-20 characters], otherwise nothing may be entered. This field cannot be deleted as long as a designee is on file.
.351	date of death	.35;1	DATE-TIME		AEXP1	Enter the date the patient died. Date needs to be a precise date, i.e. a day, month, and year MUST be included. Date of Death can not be prior to P&T Effective Date Date Ruled Incompetent (Civil and VA) Date of Birth
.352	death entered by	.35;2	POINTER	200		This field records the date a patient's death was initially entered into the DHCP system. This field is created automatically by the MAS module when a date of death is entered either through the 'Death Entry' option or through the 'Discharge a Patient' option.
.353	source of notification	.35;3	SET OF CODES	1:INPATIENT AT VAMC 2:NON-VA MEDICAL FACILITY 3:DEATH CERTIFICATE ON FILE 4:VBA 5:VA INSURANCE 6:SSA 7:NCA 8:NEXT OF KIN/FAMILY/FRIEND 9:OTHER		This is a set of codes that represents who/what notified the VA of the Date of Death.
.354	date of death last updated	.35;4	DATE-TIME			This is a date/time value that represents the date/time the date of death field (.351) was last modified/entered/deleted.
.355	last edited by	.35;5	POINTER	200		This is the local user ID of the person that last made a modification to the date of death (.351) field.
.3601	collateral sponsor's name(+)	.36;11	POINTER	2		If this patient is a collateral responsible for picking up medications or information regarding another patient, that patient's name should be entered here. This sponsor must be a veteran and must exist in the patient file.
.3602	military disability retirement	.36;12	BOOLEAN	1:YES 0:NO
.3603	discharge due to disability	.36;13	BOOLEAN	1:YES 0:NO
.361	primary eligibility code	.36;1	POINTER	8		Select from the available listing the appropriate eligibility code for this applicant. For non-veteran applicants a wide variety of choices are available. For veteran applicants the choices are screened [in the following order] dependent on the responses to other prompts: 1. If the SERVICE CONNECTED prompt (field .301) is answered YES only the following two choices are available: a. If the SERVICE CONNECTED PERCENTAGE prompt (field .302) entered is 50% or greater 'SERVICE CONNECTED 50% TO 100%' can be selected. b. Otherwise, the percentage is assumed to be less than 50% and only 'SC, LESS THAN 50%' may be entered. 2. If the response to the WERE YOU A PRISONER OF WAR field (# .525) is YES and the veteran is not service connected, you must select PRISONER OF WAR as the eligibility code. 3. If the response to the CURRENT PH INDICATOR field (#.531) is YES and the veteran is not service connected and is not a Prisoner of War, you must select PURPLE HEART RECIPIENT as the eligibility code. 4. If the veteran is receiving VA benefits, but does not meet the criteria in items 1 and 2 above, then the following choices may be presented for selection: If RECEIVING A&A BENEFITS is answered YES, the eligibility code AID & ATTENDANCE may be selected. If the RECEIVING HOUSEBOUND BENEFITS is answered YES ,the eligibility code HOUSEBOUND may be selected. If the above two prompts were answered NO, but the RECEIVING A VA PENSION prompt was answered YES, only the NSC, VA PENSION prompt may be selected. 5. If none of the above pertain to this veteran, then the NSC eligibility will be available for selection. ** Dependent on the birthdate of the applicant, the following two eligibility codes may be displayed along with those shown in items 3 through 5 above: WORLD WAR I and MEXICAN BORDER WAR. These would display for veterans not meeting the criteria in items 1 and 2, but whose date of birth is prior to 1907.
.3611	eligibility status	.361;1	SET OF CODES	P:PENDING VERIFICATION R:PENDING RE-VERIFICATION V:VERIFIED		Select from the available listing the appropriate eligibility status for this applicant. Only users who hold the designated security key may enter/edit this field.
.3612	eligibility status date	.361;2	DATE-TIME			Enter the effective date of the eligibility status (ELIG STATUS prompt). Only users who hold the designated security key may enter/edit this field.
.3613	eligibility verif. source	.361;3	SET OF CODES	H:HEC V:VISTA		This field is used to restrict site ability to edit certain data elements when HEC has verified eligibility data.
.3614	eligibility interim response	.361;4	DATE-TIME			If an interim response has been received concerning this applicant's eligibility status enter the date received. Only users who hold the designated security key may enter/edit this field.
.3615	eligibility verif. method	.361;5	FREE TEXT			Enter the method in which the eligibility for this applicant was verified [between 2-50 characters]. Only users who hold the designated security key may enter/edit this field.
.3616	eligibility status entered by	.361;6	POINTER	200		When eligibility is verified (ELIG STATUS="VERIFIED") the name of the user who certified the verification.
.3617	user enrollee valid through	.361;7	DATE-TIME			This field contains the Fiscal Year that the veteran's User Enrollee Status is valid through. This field is populated by the system, no user input is required.
.3618	user enrollee site	.361;8	POINTER	4		This field contains the Site that determined the User Enrollee information for the Veteran. This field is populated by the system, no user input is required.
.362	disability ret. from military?(+)	.36;2	SET OF CODES	0:NO 1:YES, RECEIVING MILITARY RETIREMENT 2:YES, RECEIVING MILITARY RETIREMENT IN LIEU OF VA COMPENSATION 3:UNKNOWN
.36205	receiving a&a benefits?	.362;12	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he is on A&A, 'N' if not, or 'U' if unknown. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.3621	amount of aid & attendance	.362;1	NUMERIC			For this veteran applicant who is receiving A&A benefits (ARE YOU IN RECEIPT OF A&A prompt must be answered YES) enter the amount received [numeric 0-99999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. Any dollar amount on file cannot be deleted as long as receipt of A&A benefits is indicated. f you wish to enter a monthly amount either preceed or follow the dollar figure with an asterisk and I'll multiply it out for you.
.36215	receiving housebound benefits?	.362;13	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he is housebound, 'N' if not, or 'U' if unknown. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.3622	amount of housebound	.362;2	NUMERIC			For this veteran applicant who is housebound (ARE YOU IN RECEIPT OF HB BENEFITS prompt must be answered YES) enter the amount received [a number between 0-99999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as receipt of housebound benefits is indicated. If you wish to enter a monthly amount either preceed of follow it with an asterisk and I'll multiply it out for you.
.36225	receiving social security?	.362;15	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' is s/he is in receipt of social security benefits, 'N' if not, or 'U' if unknown. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.3623	*amount of social security	.362;3	NUMERIC			For this veteran applicant who is in receipt of social security insurance (IN RECEIPT OF SOCIAL SECURITY prompt must be answered YES) enter the amount received [a number between 0-99999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. This field may not be deleted as long as receipt of social security benefits is indicated. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiply it out for you.
.36235	receiving a va pension?	.362;14	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he is in receipt of a pension from the Dept of Veterans Affairs, 'N' if not, or 'U' if unknown. Answering "yes" will prompt you to enter a Pension Award Effective Date and Pension Award Reason. Once monetary benefits have been verified only users holding the designated security key may enter/edit this field.
.3624	amount of va pension	.362;4	NUMERIC			For this veteran applicant who is in receipt of a pension from the Dept of Veterans Affairs (ARE YOU RECEIVING A VA PENSION prompt must be answered YES) enter the amount received [a number between 0-99999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. This field may not be deleted as long as receipt of VA pension is indicated. If you wish to enter a monthly amount either precede or follow it with an asterisk and I'll multiply it out for you.
.3625	*amount of military retirement	.362;5	NUMERIC			For this veteran who is in receipt of military retirement (IN RECEIPT OF MILIT RETIREMENT prompt must be answered YES) enter the amount received [a number between 0-99999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as receipt of military retirement is indicated. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiply it out for you.
.36255	receiving military retirement?	.362;16	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he receives a military retirement, 'N' if not, or 'U' if unknown. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.3626	amount of gi insurance	.362;6	NUMERIC			For this veteran applicant who does have GI insurance (DO YOU HAVE GI INSURANCE prompt must be answered YES) enter the amount received [a number between 1 and 999999]. Once monetary benefits are verified only users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as the veteran is identified as holding GI insurance. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiply it out for you.
.36265	gi insurance policy?	.362;17	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he has GI insurance, 'N' if not, or 'U' if unknown. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.3627	amount of ssi	.362;7	NUMERIC			For this veteran applicant enter the dollar amount of social security insurance s/he receives [a number between 1-99999]. Leave blank if none received. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiply it out for you.
.36275	receiving sup. security (ssi)?	.362;19	SET OF CODES	Y:YES N:NO U:UNKNOWN		This field contains a yes or no reponse indicating whether this patient receives supplemental social security insurance. This field is being *'d for deletion and will be removed in a future release of MAS. This data is no longer updated by the MAS package.
.3628	amount of other retirement	.362;8	NUMERIC			For this veteran applicant enter the amount of other retirement s/he is in receipt of [a number between 1-99999]. Leave blank if none received. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiple it out for you.
.36285	type of other retirement	.362;18	SET OF CODES	B:BLACK LUNG M:MILITARY C:CIVIL R:RAILROAD O:OTHER X:COMBINATIONS OF TYPES		For this veteran applicant choose from the available list the type of other retirement s/he is in receipt of, if any. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field.
.3629	amount of other income	.362;9	NUMERIC			For this veteran applicant enter the amount of other personal income s/he is in receipt of [a number between 1-999999]. Leave blank if none. Once monetary benefits have been verified only users who hold the designated security key may enter/edit this field. If you wish to enter a monthly amount either preceed or follow it with an asterisk and I'll multiply it out for you.
.36295	total annual va check amount	.362;20	NUMERIC			If this applicant is receiving A&A, Housebound, Pension, and/or Disability payments from the VA (at least one of the YES/NO questions relating to the above must be answered YES), enter the annual amount received (0-99999). Once monetary benefits are verified, only users who hold the designated security key may enter/edit this field. This field may not be deleted as long as recipt of VA funds is indicated by one of the four fields related to A&A, Housebound, Pension, and Disability. If you wish to enter a monthly amount either precede or follow it with an asterisk and I'll multiply it out for you.
.363	primary long id	.36;3	FREE TEXT			This field contains the patient's long ID associated with the patient's PRIMARY ELIGIBILITY CODE. For most patients this is the Social Security Number. No user input is needed for this field. It is automatically updated when the PRIMARY ELIGIBILITY CODE field is entered and edited.
.364	primary short id	.36;4	FREE TEXT			This field contains the patient's short ID associated with the patient's PRIMARY ELIGIBILITY CODE. For most patients this is the last four digits of the Social Security Number. No user input is needed for this field. It is automatically updated when the PRIMARY ELIGIBILITY CODE field is entered and edited.
.368	service dental injury?	.36;8	BOOLEAN	Y:YES N:NO		For this veteran applicant enter 'Y' if a dental injury was incurred while serving in the U.S. Armed Forces, or 'N' if not. Once the service record is verified only users who hold the designated security key may enter/edit this field.
.369	service teeth extracted?	.36;9	BOOLEAN	Y:YES N:NO		For this veteran applicant enter 'Y' if teeth were extracted while serving in the U.S. Armed Forces, or 'N' if not. Once the service record is verified only users who hold the designated security key may enter/edit this field.
.37	date of dental treatment	.37;0	MULTIPLE	2.11		For this veteran applicant who either incurred a dental injury (DENTAL INJURY IN SERVICE prompt must be answered YES) or had teeth extracted (TEETH EXTRACTED IN SERVICE prompt must be answered YES) while serving in the U.S. Armed Forces enter the date of dental treatment received. Once the service record is verified only users who hold the designated security key may enter/edit this field.
.3721	rated disabilities (va)	.372;0	MULTIPLE	2.04		From the available listing choose and enter conditions for which the applicant has been verified as being service connected. Only users who hold the designated security key may enter/edit this field.
.3731	service connected conditions	.373;0	MULTIPLE	2.05		Enter conditions as stated by applicant for which s/he claims service connection [1-30 characters].
.381	eligible for medicaid?(+)	.38;1	BOOLEAN	1:YES 0:NO		Enter yes if this patient is eligible to receive medicaid coverage. Otherwise, answer no.
.382	date medicaid last asked(+)	.38;2	DATE-TIME			Enter the date/time the 'ELIGIBLE FOR MEDICAID' question was last asked of this veteran. This data must be asked on a yearly basis as it affects the requirement for a means test (a negative response results in a means test not being required). This field will be stored automatically by the MAS module when editing data on registration or load/edit screen 7. It will not appear for editing.
.383	medicaid number	.38;3	FREE TEXT			This is the patient's assigned MEDICAID number.
.3851	pension award effective date	.385;1	DATE-TIME			It is the Effective Date that the patient was awarded VA Pension Entitlement of Original Award by VBA. This field is optional. But if entered, must be a precise date (Month/Day/Year) (00/00/0000). This date cannot be a future date. This date also cannot be before the veteran's 16th birthday.
.3852	pension award reason	.385;2	POINTER	27.18		Enter the Pension Award Reason only if VA Pension (#.36235) field is equal to "Yes". VistA users are only allowed to enter a Pension Award Reason of "Original Award" (106). This field is optional. If Pension Award Reason is entered, an Award Date must be entered.
.3853	pension terminated date	.385;3	DATE-TIME			The date that the Pension was terminated. The Pension Terminated Date is not editable.
.3854	pension terminated reason 1	.385;4	POINTER	27.18		The first Reason for the Pension Termination. This field is not editable.
.3855	pension terminated reason 2	.385;5	POINTER	27.18		The second Reason for the Pension Termination. This field is not editable.
.3856	pension terminated reason 3	.385;6	POINTER	27.18		The third Reason for the Pension Termination. This field is not editable.
.3857	pension terminated reason 4	.385;7	POINTER	27.18		The fourth Reason for the Pension Termination. This field is not editable.
.3858	class ii dental indicator	.385;8	BOOLEAN	Y:YES N:NO		Class II Dental Indication is for Veterans having a SC non-compensable dental condition(s) or disability shown to have been in existence at the time of discharge or release from active duty (after September 30, 1981). Treatment may be authorized, as reasonably necessary, for a one-time correction of the SC non-compensable condition under certain conditions (38 CFR § 17.16).
.3859	dental appl due before date	.385;9	DATE-TIME			An application for Class II Dental treatment must be made within 180 days after discharge or release (38 CFR § 17.160).
.386	pension indicator lock	.385;10	BOOLEAN	Y:YES N:NO		This field is used to restrict the site's ability to edit the Pension Indicator field 'RECEIVING A VA PENSION?'(#.36253) field. Once an incoming message is received from ESR with any Pension Data, the Pension Indicator field becomes 'display only' and is not editable by the VistA user.
.3861	pension award lock	.385;11	BOOLEAN	Y:YES N:NO		This field is used to restrict the site's ability to edit the Pension Award fields 'PENSION AWARD EFFECTIVE DATE'(#.3851) field and 'PENSION AWARD REASON'(#.3852) field. Once an incoming message is received from ESR with a 'PENSION AWARD EFFECTIVE DATE'(#.3851) field and with a 'PENSION AWARD REASON' (#.3852) field of 'ORIGINAL AWARD', or with a 'PENSION TERMINATED REASON'(#.3854,#.3855, #.3856 or #.3857) field that does not have a NULL value, then the 'PENSION AWARD EFFECTIVE DATE' (#.3851) field and 'PENSION AWARD REASON' (#.3852) field become 'display only' and are not editable by the VistA user.
.39	veteran catastrophically disabled?	.39;6	BOOLEAN	Y:YES N:NO		This field states whether or not the patient is a veteran who has been determined to meet the criteria for CATASTROPHICALLY DISABLED.
.391	decided by	.39;1	FREE TEXT			The name of the VA staff physician who made the determination that the patient was catastrophically disabled.
.392	date of decision	.39;2	DATE-TIME			The date the catastrophic disability determination was made.
.393	facility making determination	.39;3	POINTER	4		The VAMC that made the catastrophic disability determination.
.394	review date	.39;4	DATE-TIME			The date that a review to determine Catastrophic Disability was made. This review may be a medical record review or physical exam review.
.395	method of determination	.39;5	SET OF CODES	2:MEDICAL RECORD REVIEW 3:PHYSICAL EXAMINATION		Added in order to document the review method of how the decision to assign a CD status was determined. Determination may be made by reviewing the veteran's medical record or by performing a physical examination of the veteran. In the future, the capability to fully automate the record review process will be added to the system.
.3951	date veteran requested cd eval	.39;7	DATE-TIME			Documents the date the veteran requested Catastrophically Disabled evaluation.
.3952	date facility initiated review	.39;8	DATE-TIME			Documents the date the VA facility initiated the Catastrophically Disabled review.
.3953	date veteran was notified	.39;9	DATE-TIME			Documents the date the veteran was notified of the Catastrophically Disabled decision by the VA facility.
.396	cd status diagnoses	.396;0	MULTIPLE	2.396		This file contains one or more Diagnoses, which provide the Catastrophic Disability Reasons the patient has been found to be catastrophically disabled.
.397	cd status procedures	.397;0	MULTIPLE	2.397		The status procedure must be a valid procedure in the CD Reasons File (#27.17).
.398	cd status conditions	.398;0	MULTIPLE	2.398		This field contains one or more Conditions, which provide the Catastrophic Disability Reasons the patient has been found to be catastrophically disabled.
.399	cd history date	.399;0	MULTIPLE	2.399		Documents the Catastrophically Disabled History dates for the patient.
.401	cd descriptors	.401;0	MULTIPLE	2.401		This field contains one or more Descriptors, which provide the Catastrophic Disability Reasons the patient has been found to be catastrophically disabled.
.525	pow status indicated?(+)	.52;5	SET OF CODES	Y:YES N:NO U:UNKNOWN		For this veteran applicant enter 'Y' if s/he was confined as a prisoner of war, 'N' if not, or 'U' if unknown. Once the POW Status is verified by the HEC, it is no longer editable.
.526	pow confinement location(+)	.52;6	POINTER	22		For this veteran applicant who was confined as a prisoner of war (WERE YOU A PRISONER OF WAR prompt must be answered YES) enter the war during which confined. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as applicant is identified as a former POW.
.527	pow from date(+)	.52;7	DATE-TIME			For this veteran applicant who was confined as a prisoner of war (WERE YOU A PRISONER OF WAR prompt must be answered YES) enter the date on which confinement commenced. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as applicant is identified as a former POW.
.528	pow to date(+)	.52;8	DATE-TIME			For this veteran applicant who was confined as a prisoner of war (WERE YOU A PRISONER OF WAR prompt must be answered YES) enter the date on which confinement ended. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as applicant is identified as a former POW.
.529	pow status verified	.52;9	DATE-TIME			This field contains the date/time that the POW status was received from HEC. Once the POW status has been received from HEC, it can no longer be edited by the site.
.5291	combat service indicated?(+)	.52;11	BOOLEAN	Y:YES N:NO		For this veteran applicant enter 'Y' if s/he served in a combat zone, or 'N' if not. Once the service record is verified only users who hold the designated security key may enter/edit this field.
.5292	combat service location(+)	.52;12	POINTER	22		For this veteran applicant who served in a combat zone (IN COMBAT prompt must be answered YES) enter the zone in which s/he served. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as combat service is indicated.
.5293	combat from date(+)	.52;13	DATE-TIME			For this veteran who served in a combat zone (IN COMBAT prompt must be answered YES) enter the date on which combat service commenced. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as combat service is indicated.
.5294	combat to date(+)	.52;14	DATE-TIME			For this veteran who served in a combat zone (IN COMBAT prompt must be answered YES) enter the date on which combat service ended. Once the service record is verified only those users who hold the designated security key may enter/edit this field. This field cannot be deleted as long as combat service is indicated.
.5295	combat veteran end date	.52;15	DATE-TIME			This field represents the last day for combat vet eligibility. This field will only be populated by cross-reference when the veteran's combat vet eligibility has been determined. This value will remain after the combat vet eligibility period has expired.
.5296	cv date edited	.52;16	DATE-TIME		E	The CV DATE EDITED field will be stuffed with the current date whenever the COMBAT VET END DATE field (.5295) is changed.
.531	current ph indicator	.53;1	BOOLEAN	Y:YES N:NO	D	This field can be entered by the local site if currently null. Subsequent editing can be done only by the HEC. A response of 'Yes' can be entered only if the patient is a veteran,
.532	current purple heart status	.53;2	SET OF CODES	1:PENDING 2:IN PROCESS 3:CONFIRMED	C	This field cannot be edited locally. If Current Purple Heart Indicator is set to 'Yes' by the local site, a Current Purple Heart Status of 'Pending' will be stuffed into the field. Other editing or updating is done by the HEC.
.533	current purple heart remarks	.53;3	SET OF CODES	1:UNACCEPTABLE DOCUMENTATION 2:NO DOCUMENTATION REC'D 3:ENTERED IN ERROR 4:UNSUPPORTED PURPLE HEART 5:VAMC 6:UNDELIVERABLE MAIL		This field cannot be edited locally. If Current Purple Heart Indicator isset to 'No' by the local site, a Current Purple Heart Remarks of 'VAMC' will be stuffed into the field. Other editing or updating is done by the HEC.
.535	ph division	.53;4	POINTER	4		When site enters a value for CURRENT PH Indicator, a prompt for PH Division will appear. This field will point to the INSTITUTION file (#4), and will hold the division where the PH request was initiated.
.541	current moh indicator	.54;1	BOOLEAN	Y:YES N:NO		This field cannot be edited in VistA. It is set by the Z11 Upload from HEC. A response of 'YES' or 'NO' is indicated only if the patient is a veteran.
.6	test patient indicator	0;21	BOOLEAN	1:YES 0:NO		This field is set by the 'ATP' cross reference on the Social Security Number field (.09) when an SSN containing five leading zeros is entered.
1	alias	.01;0	MULTIPLE	2.01		If this applicant is known by any name other than that entered in the NAME field enter that/those other name(s) here. Any entry to this field will be cross-referenced and the applicant may be called up using this alias.
1.01	name components	NAME;1	POINTER	20
1.02	k-name components	NAME;2	POINTER	20
1.03	k2-name components	NAME;3	POINTER	20
1.04	father's name components	NAME;4	POINTER	20
1.05	mother's name components	NAME;5	POINTER	20
1.06	mothers maiden name components	NAME;6	POINTER	20
1.07	e-name components	NAME;7	POINTER	20
1.08	e2-name components	NAME;8	POINTER	20
1.09	d-name components	NAME;9	POINTER	20
2	race information	.02;0	MULTIPLE	2.02
3	enrollment clinic	DE;0	MULTIPLE	2.001		This multiple field contains the data relating to clinic enrollments for this patient.
6	ethnicity information	.06;0	MULTIPLE	2.06
27.01	current enrollment	ENR;1	POINTER	27.11		The patient's current enrollment.
27.02	preferred facility	ENR;2	POINTER	4		The facility that the patient chooses to designate as his preferred location for care. The facility must have one of the following facility types: CBOC (Community Based Outpatient Clinic) HCS (Health Care System) HEALTHCARE (VA Boston Health Care System) M&ROC (Medical and Regional Office Center) MOC (Mobile Outpatient Clinic) MORC (Mobile Outreach Clinic) NETWORK (VA Healthcare Network Upstate NY) NHC (Nursing Home Care) OC (Outpatient Clinic - Independent) OCMC (Outpatient Clinic - Subordinate) OCS (Outpatient Clinic Substation) OPC (Out Patient Clinic) ORC (Outreach Clinic) RO-OC (Regional Office - Outpatient Clinic) SATELLITE (Satellite Outpatient Clinic) SOC (Satellite Outpatient Clinic) VAMC (VA Medical Center) VANPH (Neural Psychiatric Hospital) VA ROSEBERG (VA Roseburg Health Care System)
27.03	source designation	ENR;3	SET OF CODES	V:VISTA E:ESR PA:PCP ACTIVE PI:PCP INACTIVE		Source designation contains the value of the place the Preferred Facility field (#27.02) was assigned for the patient. Source designation is automatically assigned by the system. The VistA system can only assign a Preferred Facility if the current Source Designation is VistA or Primary Care Provider (PCP) Inactive.
53	*reactions	PI;1	BOOLEAN	Y:YES N:NO
57.1	*height(cm)	57;1	NUMERIC
57.2	*weight(kg)	57;2	NUMERIC
57.4	spinal cord injury	57;4	SET OF CODES	1:PARAPLEGIA-TRAUMATIC 2:QUADRIPLEGIA-TRAUMATIC 3:PARAPLEGIA-NONTRAUMATIC 4:QUADRIPLEGIA-NONTRAUMATIC X:NOT APPLICABLE		If this patient does not have a spinal cord injury, enter X for not applicable in this field. Otherwise, if the patient does have a spinal cord injury, choose from the other available choices the one
63	laboratory reference	LR;1	POINTER	63		This field contains the internal entry number of this patient in the LAB DATA file. This data is entered and maintained by the laboratory package and must NOT be edited under any circumstances. Editing of this data could cause severe repercussions in the laboratory package.
67	lab referral ref	LRT;1	POINTER	67		This field contains the pointer reference to the Referral file of the Laboratory Package. This field is set by the laboratory accessioning software and should not be edited. Changing of this pointer will result IN misidentification of patients that could have dire medical repercussions.
148	cnh current	NHC;1	BOOLEAN	Y:YES N:NO		This field is used to denote when a patient is currently in a contract nursing home. Answer yes if the patient is in a contract nursing home currently. Otherwise, answer no.
220	dental classification	DENT;1	POINTER	220.2		For Dental Package
220.1	dental eligibility expiration	DENT;2	DATE-TIME			For Dental Eligibility
361	patient eligibilities	E;0	MULTIPLE	2.0361		This multiple contains all eligibilities under which this patient can receive care. This includes his primary eligibility and all other eligibilities he may have.
391	type(+)	TYPE;1	POINTER	391		Enter the patient type for this patient. This is selectable from the distributed entries in the TYPE OF PATIENT file. The type selected should be the primary one selectable. For example, if the patient is both an NSC veteran and an employee, the patient type should be NSC VETERAN, not employee. This field is used by the registration screen processor to determine which screens will be editable for this patient. The selection of which screens can be viewed for which types of patients can be made through the 'Patient Type Update' option.
401.3	condition	DAC;1	SET OF CODES	S:SERIOUSLY ILL	AS	Enter 'S' if the patient is seriouslly ill and should be displayed on the Seriouslly Ill Roster. Enter '@' to delete patient from seriouslly ill status.
401.4	date entered on si list(+)	DAC;2	DATE-TIME			Enter the date the patient was placed on the Seriouslly Ill list.
404.01	*current pc practitioner	PC;1	POINTER	200		This field stores the patient's Current Primary Care Practitioner.
404.02	*current pc team	PC;2	POINTER	404.51		This field contains the patients's Primary Care Team.
534	ph date/time updated	PH;0	MULTIPLE	2.0534
991.01	integration control number	MPI;1	NUMERIC		AICN	Machine to machine identifier for a patient.
991.02	icn checksum	MPI;2	FREE TEXT			This checksum is the calculated checksum for the Integration Control Number. It verifies the integrity of the ICN.
991.03	coordinating master of record	MPI;3	POINTER	4	ACMOR	The coordinating site for the patient.
991.04	locally assigned icn	MPI;4	BOOLEAN	1:YES	AICNL	DESIGNATES THAT THE ICN BELONGING TO THIS PATIENT IS LOCAL
991.05	subscription control number	MPI;5	POINTER	774	ASCN2	This field points to a list of subscribers to this patient's data. For example, see details of the MPI/PD messaging implementation. The subscriber list is specific to this patient. Do not change the subscription control number without remembering to update the current subscriber list in file 774 (SUBSCRIPTION CONTROL). Use only documented API calls to create a new subscription control number for a patient.
991.06	cmor activity score	MPI;6	NUMERIC			This score is used to determine the Coordinating Master of Record.
991.07	score calculation date	MPI;7	DATE-TIME			This is the last date that the CMOR ACTIVITY SCORE was calculated at this site.
991.08	temporary id number	MPI;8	FREE TEXT			The Department of Defense (DoD) Defense Eligibility Enrollment Reporting System (DEERS) uses a Temporary Identification Number for individuals (e.g., babies) who do not have or have not provided a Social Security Number (SSN) when the record is added to DEERS. It is used for military dependents only. This DoD TEMPORARY ID NUMBER will be used by the Master Veteran Index to support the linking of patient records across VA and DoD.
991.09	foreign id number	MPI;9	FREE TEXT			The Department of Defense (DoD) Defense Eligibility Enrollment Reporting System (DEERS) uses a Foreign Identification Number for foreign military and foreign nationals when the record is added to DEERS. This DoD FOREIGN ID NUMBER will be used by the Master Veteran Index to support the linking of patient records without a given Social Security Number (SSN) across VA and DoD.
991.1	full icn	MPI;10	FREE TEXT		AFICN	This field can only be edited by CIRN! The entire Integration Control Number (ICN), which is based on the ASTM E-1714 standard format of a 16 digit identifier, 1 character delimiter, 6 digit checksum, followed by an optional 6 digit encryption scheme. ICN is a machine to machine identifier for a patient.
991.91	full icn history	MPIFICNHIS;0	MULTIPLE	2.0991		Maintains the history of all of the full Integration Control Numbers (ICNs) assigned to patients.
992	icn history	MPIFHIS;0	MULTIPLE	2.0992
993	cmor history	MPICMOR;0	MULTIPLE	2.0993
994	multiple birth indicator	MPIMB;1	SET OF CODES	N:NO Y:*MULTIPLE BIRTH*		The MULTIPLE BIRTH INDICATOR will designate whether or not the patient is part of a multiple birth (i.e. to identify twins, etc.).
999	absence division		COMPUTED			Computed field used in Absence list. For programmers only.
999.1	inpatient ward		COMPUTED			For use in historical inpatient list. For programmers only
999.2	last means test		COMPUTED
1000	disposition log-in date/time	DIS;0	MULTIPLE	2.101		The date/time at which this applicant applied for medical benefits, e.g., was registered for care using the 'Registration' option of ADT. This multiple contains information on each registration entered for this patient including the date of registration, date of disposition, and type of disposition.
1010.15	received va care previously?(+)	1010.15;5	BOOLEAN	Y:YES N:NO		Enter 'Y' if this veteran has previously received care in another VA facility, otherwise enter 'N'.
1010.151	most recent date of care	1010.15;1	DATE-TIME			If this veteran has previously received care in another VA facility enter the date of care in that facility.
1010.1511	appointment request date	1010.15;11	DATE-TIME		AEACL	This field contains the date the VA enrolling a patient for the first time was notified that the patient requests an appointment with a provider.
1010.152	most recent location of care	1010.15;2	POINTER	4		If this veteran have previously received care in another VA facility select from the available listing the name of the facility (or facility number) in which care was rendered most recently.
1010.153	2nd most recent date of care	1010.15;3	DATE-TIME			If this applicant has received care in more than one other VA facility enter the date of care received in the next to most recent facility.
1010.154	2nd most recent location	1010.15;4	POINTER	4		If this veteran has received care in more than one other VA facility select from the available listing the name of the facility (or facility number) in which the next to most recent care was received.
1010.156	most recent 1010ez	1010.15;6	POINTER	712		This field was added via patch DG*5.3*597, distributed with EAS*1.0*51. The purpose of this field is to link the PATIENT file record with the Veteran's latest 1010EZ Application to this site. The 1010EZ data is retained in 1010EZ HOLDING File (#712). The internal entry number to file #712 is stored in the MOST RECENT 1010EZ field.
1010.157	combat indicated on 1010ez	1010.15;7	BOOLEAN	0:NO 1:YES		This field was added via patch DG*5.3*597, distributed with EAS*1.0*51. The purpose of this field is to store within the PATIENT file the applicant's answer to the 1010EZ question: DID YOU SERVE IN COMBAT AFTER 11/11/1998? This field may contain any of the following: 0 for "NO" 1 for "YES" null (i.e., not answered)
1010.158	disability discharge on 1010ez	1010.15;8	BOOLEAN	0:NO 1:YES		This field was added via patch DG*5.3*597, distributed with EAS*1.0*51. The purpose of this field is to store within the PATIENT file the applicant's answer to the 1010EZ question: WAS DISCHARGE FROM MILITARY FOR A DISABILITY INCURRED OR AGGRAVATED IN THE LINE OF DUTY? This field may contain any of the following: 0 for "NO" 1 for "YES" null (i.e., not answered)
1010.159	appointment request on 1010ez	1010.15;9	BOOLEAN	0:NO 1:YES		Enter a 'Y' if the veteran applicant has requested an appointment with a VA doctor or provider and wants to be seen as soon as one becomes available. Enter a 'N' if the veteran applicant has not requested an appointment. This question may ONLY be entered ONCE for the veteran. The answer to this question CANNOT be changed after the initial entry.
1010.161	appointment request status	1010.16;1	SET OF CODES	C:CANCELLED E:EWL F:FILLED I:IN PROCESS/VETERAN CONTACTED		This field is the status of the veteran's new appointment requested. This field is entered by the user through the new enrollee appointment request option.
1010.162	date status last edited	1010.16;2	DATE-TIME			This is the date appointment request status was last edited. This field is updated by the computer whenever anyone edits the status information.
1010.163	appointment request comment	1010.16;3	FREE TEXT			This field is entered by the user through the new enrollee appointment request option.
1010.164	date comment last edited	1010.16;4	DATE-TIME			This is the date appointment request comment was last edited. This field is updated by the computer whenever anyone edits the comment information.
1100.01	fugitive felon flag	FFP;1	BOOLEAN	1:YES	AXFFP	This field is in support of Pub. L. 107-103, section 505, and is used to flag a patient who has a fugitive felon warrant outstanding. This information will be provided to the appropriate personnel to enter. Access to this field requires the DGFFP ACCESS key. This field should not be updated directly, but should be entered through the appropriate Fugitive Felon Program options.
1100.02	fff entered by	FFP;2	POINTER	200		This field contains the user who entered the current Fugtitive Felon Flag for this patient. It is automatically entered when the FUGITIVE FELON FLAG field (#1100.01) is entered.
1100.03	fff date entered	FFP;3	DATE-TIME			Date/Time the FUGITIVE FELON FLAG field (#1100.01) was entered. This field is automatically set when the FUGITIVE FELON FLAG field (#1100.01) is set.
1100.04	fff removed by	FFP;4	POINTER	200		This field contains the user who removed the current Fugitive Felon Flag for this patient. It is automatically entered when the FUGITIVE FELON FLAG field (#1100.01) is deleted.
1100.05	fff date removed	FFP;5	DATE-TIME			Date/Time the FUGITIVE FELON FLAG Field (#1100.01) was removed. This field is automatically set when the FUGITIVE FELON FLAG field (#1100.01) is deleted.
1100.09	fff removal remarks	FFP;9	FREE TEXT			If the FFF flag has been cleared for this patient, this field contains a short reason as to why the flag was cleared. This is a free text field which allows up to 80 characters to be entered.
1900	appointment	S;0	MULTIPLE	2.98		This multiple contains information on appointments this patient has had or is scheduled to have. This information includes the date/time of the appointment, the clinic, and the reason for the appointment.
1901	veteran (y/n)?(+)	VET;1	BOOLEAN	Y:YES N:NO		Enter 'Y' if this applicant is over 17 years of age and is a veteran, 'N' if not. If applicant is under 17 years of age and is a veteran only those users holding the designated security may identify him/her as a veteran. Once eligibility is verified only those users who hold the designated security key may enter/edit this field.
1903	archived data	ARCH;0	MULTIPLE	2.12		This multiple is not presently used by the MAS module. Archiving capabilities for the patient file are not yet available. This multiple was distributed in 1987, but the archiving routines were not distributed.
3000	vts patient flag	3000;1	BOOLEAN	0:NO 1:YES		This field indicates whether or not the patient is or wants to be part of the Veteran Transportation Service (VTS).
11500.01	initial ods treatment received	ODS;1	DATE-TIME			Enter the date/time this patient was initially entered as ODS. This field will automatically be created when ODS is selected as the PERIOD OF SERVICE for this patient.
11500.02	recalled to active duty	ODS;2	SET OF CODES	0:NO 1:NATIONAL GUARD 2:RESERVES		Was this operation desert shield patient recalled to active duty? If so select from national guard or reserves. If not, answer no.
11500.03	rank	ODS;3	POINTER	25002.1		Enter the grade/rank of this operation desert shield patient.
537025	network identifier	537025;1	FREE TEXT			This field holds the synonym values from the Network Health Exchange Authorized Site file indicating where a particular patient has been found to have data.