# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | sequence number(+) | 0;1 | NUMERIC | The record number for this extract entry. | ||
1 | year month | 0;2 | FREE TEXT | AM | A six character string representing the year and the month for which this extract was performed. | |
2 | extract number | 0;3 | POINTER | 727 | AC | The corresponding entry in the DSS EXTRACT LOG file (#727) for this extract. |
3 | facility | 0;4 | FREE TEXT | Identifies the facility for this extract record. | ||
4 | patient no. - dfn | 0;5 | POINTER | 2 | The name of the patient for this extract record. | |
5 | ssn | 0;6 | FREE TEXT | The patient's social security number. | ||
6 | name | 0;7 | FREE TEXT | The first four characters of the patient's last name. | ||
7 | in out patient indicator | 0;8 | POINTER | 40.9 | Indicates whether the patient was an inpatient or an outpatient for this extract entry. | |
8 | day | 0;9 | FREE TEXT | This 8-character string represents the date on which the admission occurred. | ||
9 | primary care team | 0;10 | FREE TEXT | The primary care team assigned to this patient. | ||
10 | sex | 0;11 | SET OF CODES | M:MALE F:FEMALE | Data is M if this patient is a male, or F if female. | |
11 | date of birth | 0;12 | FREE TEXT | The patient's date of birth between December 31,1870 and today's date represented by an 8-character numeric string. | ||
12 | religion | 0;13 | POINTER | 13 | The current religious preference of this patient. | |
13 | employment status | 0;14 | SET OF CODES | 1:EMPLOYED FULL TIME 2:EMPLOYED PART TIME 3:NOT EMPLOYED 4:SELF EMPLOYED 5:RETIRED 6:ACTIVE DUTY MILITARY 9:UNKNOWN | The patient's current employment status. | |
14 | health insurance | 0;15 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Data is Y if the patient is covered by a health insurance policy, N if the patient isn't covered by any policy, or U if unknown. | |
15 | state | 0;16 | FREE TEXT | The state in which the patient resides. | ||
16 | county | 0;17 | FREE TEXT | County in which patient resides. | ||
17 | zip code | 0;18 | FREE TEXT | Zip code for the city in which the patient resides. | ||
18 | eligibility | 0;19 | FREE TEXT | Appropriate eligibility code based on veteran or non-veteran status. | ||
19 | veteran | 0;20 | BOOLEAN | Y:YES N:NO | Data is Y if this patient is a veteran, N if not. | |
20 | vietnam | 0;21 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Data is Y if this patient served in Vietnam, N if not, or U if unknown. | |
21 | agent orange | 0;22 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Data is Y if this patient was exposed to agent orange, N if not, or U if unknown. | |
22 | radiation | 0;23 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Data is Y if this patient claims exposure to ionizing radiation, N if not, or U if unknown. | |
23 | pow | 0;24 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Data is Y if this patient was confined as a prisoner of war, N if not, or U if unknown. | |
24 | period of service | 0;25 | FREE TEXT | The period of service which best classifies this patient based on eligibility code. | ||
25 | means test | 0;26 | SET OF CODES | A:CATEGORY A B:CATEGORY B C:CATEGORY C P:PENDING ADJUDICATION R:REQUIRES MEANS TEST N:MEANS TEST NOT REQUIRED E:EXEMPT I:INCOMPLETE L:NO LONGER APPLICABLE M:NON-EXEMPT | The current means test category for this patient. | |
26 | marital status | 0;27 | POINTER | 11 | Current marital status for this patient. | |
27 | ward | 0;28 | POINTER | 44 | Current ward for this patient. | |
28 | treating specialty | 0;29 | POINTER | 42.4 | The name of the treating specialty associated with this extract record. | |
29 | attending physician | 0;30 | FREE TEXT | The attending physician assigned to this patient with this movement. | ||
30 | episode number | 0;31 | POINTER | 405 | Current movement number for this patient. | |
31 | drg | 0;32 | POINTER | 80.2 | Current DRG for this patient with this movement. | |
32 | diagnosis | 0;33 | FREE TEXT | ICD diagnosis for this patient. | ||
33 | time | 0;34 | FREE TEXT | A 6-character numeric string which represents the time of day at which the admission occurred. | ||
34 | primary care provider | 0;35 | FREE TEXT | The primary care provider assigned to this patient. | ||
35 | race | 0;36 | FREE TEXT | Race ABBREVIATION for this patient. |
Not Referenced