| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | caregiver | 0;1 | FREE TEXT | B | This field is used to enter the name of the caregiver for the veteran. | |
| 1 | caregiver phone | 0;2 | FREE TEXT | This field is used to enter the phone number of caregiver for veteran. | ||
| 2 | relationship | 0;3 | SET OF CODES | R:RELATIVE N:NON-RELATIVE H:HIRED HELP S:SPOUSE | This field is used to enter relationship of caregiver to veteran. | |
| 3 | limitations | 0;4 | SET OF CODES | N:MINIMAL OR NONE M:MODERATE S:MODERATE SEVERE A:NO CAREGIVER | This field is used for the limitation of caregiver. |
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