| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | name(+) | 0;1 | POINTER | 2 | B | This is the name of the patient, same as the PATIENT file in MAS. |
| 2 | station(+) | 0;2 | POINTER | 4 | This is the Station that maintains the Patient's 2319. | |
| 5.5 | date of clothing allowance | 6;0 | MULTIPLE | 665.02 | This is a multiple field. It contains the dates of clothing allowance determinations. | |
| 10 | prosthetic disability code | 1;0 | MULTIPLE | 665.01 | This field stores the Prosthetic Disability Code for the patient. | |
| 12 | psc issue card | 5;0 | MULTIPLE | 665.012 | This field stores the information of Prosthetic Service Card issued to a patient. | |
| 14 | other data | 4;0 | WORD-PROCESSING | This is a word-processing field that records other patient data. | ||
| 19.1 | home oxygen eligibility(+) | RMPOA;1 | SET OF CODES | 1:SC/OP 2:SC/IP 3:NSC/IP 4:NSC/OP | Enter the Home Oxygen eligibility code. | |
| 19.11 | special nsc/op category | RMPOA;5 | SET OF CODES | 1:SPECIAL LEGISLATION 2:A & A 3:PHC 4:ELIGIBILITY REFORM | Entry is made only for NSC/OP eligible patients. | |
| 19.12 | home oxygen contract location | RMPOA;7 | POINTER | 669.9 | The Home Oxygen program is administered via a contract to a vendor. Each patient receives services from only one vendor. That vendor usually has a contract with a medical center (site) to provide those services. This is the site that administers that contract. | |
| 19.13 | home oxygen letter to be sent | RMPOA;8 | POINTER | 665.2 | ALTR | Indicates that a letter needs to be sent for this patient. |
| 19.14 | ho letter 1 date | RMPOA;9 | DATE-TIME | This is the date/time when Home Oxygen letter 1 was printed or deleted. | ||
| 19.15 | ho letter 1 code | RMPOA;10 | SET OF CODES | P:PRINTED D:DELETED | The code signifies if Home Oxygen letter 1 was printed or deleted. | |
| 19.16 | ho letter 2 date | RMPOA;11 | DATE-TIME | This is the date/time when Home Oxygen Letter 2 was printed or deleted. | ||
| 19.17 | ho letter 2 code | RMPOA;12 | SET OF CODES | P:PRINTED D:DELETED | The code which signifies Home Oxygen Letter 2 was printed or deleted. | |
| 19.18 | ho letter 3 date | RMPOA;13 | DATE-TIME | This is the date/time when Home Oxygen Letter 3 was printed or deleted. | ||
| 19.19 | ho letter 3 code | RMPOA;14 | SET OF CODES | P:PRINTED D:DELETED | The code signifies that signifies a HOme Oxygen Letter 3 was printed or deleted. | |
| 19.2 | home oxygen activation date(+) | RMPOA;2 | DATE-TIME | AHO | This is the date when the patient was activated as a home oxygen patient. The first prescription date will be the same as this date. | |
| 19.3 | home oxygen prescription | RMPOB;0 | MULTIPLE | 665.193 | Contains data specific to this prescription such as the dates, items, services, vendors, quantity, cost, etc. | |
| 19.4 | home oxygen item | RMPOC;0 | MULTIPLE | 665.194 | ||
| 19.5 | home oxygen inactivation date | RMPOA;3 | DATE-TIME | Enter the date that the home oxygen treatment was discontinued. Do not enter this field until the actual date of discontinuance. | ||
| 19.6 | home oxygen inactivat. reason | RMPOA;4 | SET OF CODES | D:DISCONTINUED BY PATIENT R:Rx EXPIRED M:MD DISCONTINUED P:PATIENT DECEASED I:INPATIENT STATUS E:ENTERED IN ERROR | Enter a code (P, R, M, D, I, or E) for the reason for discontinue of home oxygen therapy. | |
| 19.7 | home oxygen inactivated by | RMPOA;6 | POINTER | 200 | User who inactivated home oxygen patient. | |
| 20 | height (inches) | 10;1 | NUMERIC | This field stores the height (in inches) of the patient. | ||
| 21 | weight (pounds) | 10;2 | NUMERIC | This field stores the weight of the patient in pounds. | ||
| 22 | eye color | 10;3 | SET OF CODES | B:BLACK BL:BLUE GR:GREEN GY:GRAY BR:BROWN H:HAZEL W:WHITE P:PINK | This field stores the eye color of the patient. | |
| 23 | hair color | 10;4 | SET OF CODES | B:BLACK BR:BROWN A:AUBURN GY:GRAY W:WHITE BL:BLONDE R:RED | This field stores the hair color of the patient. | |
| 30 | critical comments | 8;0 | WORD-PROCESSING | Stores patient notes/critical comments for prosthetics. |