| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | name(+) | 0;1 | FREE TEXT | B | This field represents the HBHC Medical Foster Home (MFH) Name. | |
| 1 | opened date(+) | 0;2 | DATE-TIME | This field represents the Date the Medical Foster Home was Opened. | ||
| 2 | primary caregiver name(+) | 0;3 | FREE TEXT | This field represents the Primary Caregiver Name for the Medical Foster Home (MFH). | ||
| 3 | maximum patients(+) | 0;4 | NUMERIC | This field represents the Maximum Patients for the Medical Foster Home (MFH). | ||
| 4 | bedbound patient maximum(+) | 0;5 | NUMERIC | This field represents the Bedbound Patient Maximum for the Medical Foster Home (MFH). | ||
| 5 | closure date | 0;6 | DATE-TIME | This field represents Date of Medical Foster Home (MFH) Closure. | ||
| 6 | voluntary closure | 0;7 | BOOLEAN | Y:Yes N:No | This field represents whether Medical Foster Home (MFH) Closure was Voluntary. | |
| 7 | address(+) | 0;8 | FREE TEXT | This field represents the Medical Foster Home (MFH) street Address. | ||
| 8 | city(+) | 0;9 | FREE TEXT | This field represents the Medical Foster Home (MFH) City. | ||
| 9 | state code(+) | 0;10 | POINTER | 631.8 | This field represents the 2 digit numeric State Code where Medical Foster Home (MFH) is located. All State Codes must exist in State file (#5). State Code must exist in HBHC VALID STATE CODE file (#631.8). | |
| 10 | zip code(+) | 0;11 | FREE TEXT | This field represents either the 5 digit or 9 digit ZIP Code of Medical Foster Home (MFH). | ||
| 11 | license required(+) | 0;12 | BOOLEAN | Y:Yes N:No | This field represents the 1 digit alphanumeric code indicating whether Medical Foster Home (MFH) Requires a License. | |
| 12 | license expiration date | 0;13 | DATE-TIME | This field represents the Medical Foster Home (MFH) License Expiration Date. | ||
| 13 | nurse inspection | 1;0 | MULTIPLE | 633.213 | This subfile represents the Medical Foster Home (MFH) Nurse Inspection multiple. | |
| 14 | social work inspection | 2;0 | MULTIPLE | 633.214 | This subfile represents Medical Foster Home (MFH) Social Work Inspection multiple. | |
| 15 | dietitian inspection | 3;0 | MULTIPLE | 633.215 | This subfile represents the Medical Foster Home (MFH) Dietitian Inspection multiple. | |
| 16 | fire/safety inspection | 4;0 | MULTIPLE | 633.216 | This subfile represents the Medical Foster Home (MFH) Fire/Safety Inspection multiple. | |
| 17 | phone number(+) | 0;14 | FREE TEXT | This field represents the Phone Number of the Medical Foster Home (MFH). | ||
| 18 | home operation training date | 5;0 | MULTIPLE | 633.218 | This subfile represents the Medical Foster Home (MFH) Home Operation Training Date multiple. | |
| 19 | fire/safety training date | 6;0 | MULTIPLE | 633.219 | This subfile represents the Medical Foster Home (MFH) Fire/Safety Training Date multiple. | |
| 20 | medication management trn date | 7;0 | MULTIPLE | 633.21 | This subfile represents the Medical Foster Home (MFH) Medication Management Training Date multiple. | |
| 21 | personal care training date | 8;0 | MULTIPLE | 633.221 | This subfile represents the Medical Foster Home (MFH) Personal Care Training Date multiple. | |
| 22 | infection control train date | 9;0 | MULTIPLE | 633.222 | This subfile represents the Medical Foster Home (MFH) Infection Control Training Date multiple. | |
| 23 | end of life issues train date | 10;0 | MULTIPLE | 633.223 | This subfile represents the Medical Foster Home (MFH) End of Life Issues Training Date multiple. | |
| 24 | other training date | 11;0 | MULTIPLE | 633.224 | This subfile represents the Medical Foster Home (MFH) Other Training Date multiple. | |
| 25 | county code(+) | 0;15 | NUMERIC | This field represents 3 digit numeric code of County, in State file (#5), of Medical Foster Home (MFH) location. County codes are checked for validity of State Code entered. Input transform also validates State for existance in HBHC VALID STATE CODE file (#631.8). Output transform displays both County Name & County Code in (nnn). | ||
| 26 | caregiver date of birth | 0;16 | DATE-TIME | This field represents the Caregiver Date of Birth. Date must be between 1/1/1920 & 4/30/1987. | ||
| 27 | form 7 transmit status | 12;1 | SET OF CODES | F:Record in Transmit File N:Record Needs Transmitting T:Record Transmitted | AC | This field represents Form 7 (Medical Foster Home (MFH)) Transmit Status. Field will contain either 'F' (Record in Transmit File), 'N' (Record Needs Transmitting), or 'T' (Record Transmitted). Field updated by package only, no user input. |
| 28 | form 7 filed in hbhc(634) | 12;2 | DATE-TIME | This field represents date & time Form 7 (Medical Foster Home (MFH)) record was filed in Transmit (634) file. Field transmitted to Austin for unique record identification purposes. Field updated by package only, no user input. | ||
| 29 | form 7 batch initial mm msg # | 12;3 | FREE TEXT | This field represents MailMan message number of 'First' MailMan message in Austin transmission batch. Record 'may' be transmitted in different message, if multiple messages are transmitted in one transmission batch. Field updated by package only, no user input. | ||
| 30 | form 7 mail message date | 12;4 | DATE-TIME | This field represents date of Form 7 (Medical Foster Home (MFH)) record transmission via MailMan to Austin. Field updated by package only, no user input. | ||
| 31 | form 7 transmit flag edit date | 12;5 | DATE-TIME | This field represents date Form 7 (Medical Foster Home (MFH)) Transmit Status Flag was requested by user to be reset (allowing editing of previously transmitted record). Field updated by package only, no user input. | ||
| 32 | form 7 transmit flag edit duz | 12;6 | POINTER | 200 | This field represents the user requesting Form 7 (Medical Foster Home (MFH)) Transmit Status Flag be reset (allowing editing of previously transmitted record). Field updated by package only, no user input. | |
| 33 | form 7 re-trans batch mm msg # | 12;7 | FREE TEXT | This field represents MailMan message number of 'First' MailMan message in re-transmission batch to Austin. Record 'may' be transmitted in different message, if multiple messages are transmitted in one re-transmission batch. Field updated by package only, no user input. | ||
| 34 | form 7 re-transmit date | 12;8 | DATE-TIME | This field represents date of Form 7 (Medical Foster Home (MFH)) record re-transmission via MailMan to Austin. Field updated by package only, no user input. |