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Global: ^EAS(711

Package: Enrollment Application System

Global: ^EAS(711


Information

FileMan FileNo FileMan Filename Package
711 1010EZ MAPPING Enrollment Application System

Description

Accessed By FileMan Db Calls, Total: 2

Package Total Routines
Enrollment Application System 2 EAS1070P    EASEZU2    

Pointed To By FileMan Files, Total: 1

Package Total FileMan Files
Enrollment Application System 1 1010EZ HOLDING(#712)[#712.01(.01)]    

Fields, Total: 11

Field # Name Loc Type Details
.01 ASSIGNED DATA NAME 0;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<3)!'(X'?1P.E) X
  • LAST EDITED:  OCT 09, 2000
  • HELP-PROMPT:  Answer must be 3-50 characters in length.
  • DESCRIPTION:  
    This unique descriptive name is used to group related 10-10EZ data elements.
  • CROSS-REFERENCE:  711^B
    1)= S ^EAS(711,"B",$E(X,1,30),DA)=""
    2)= K ^EAS(711,"B",$E(X,1,30),DA)
  • CROSS-REFERENCE:  711^AB^MUMPS
    1)= S ^EAS(711,"AB",X,DA)=""
    2)= K ^EAS(711,"AB",X,DA)
    3)= DO NOT DELETE
.1 DATA KEY 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<1) X
  • LAST EDITED:  OCT 09, 2000
  • HELP-PROMPT:  Answer must be 1-12 characters in length.
  • DESCRIPTION:  The Data Key is a unique identifier that associates this data element with a specific Section and Question in the On-Line 10-10EZ. Format is: Section_;_Question
    where Section and Question refer to specific data locations
    on the 10-10EZ; each Section;Question identifier has been
    mapped to a particular VistA database field (in most cases).
  • CROSS-REFERENCE:  711^C
    1)= S ^EAS(711,"C",$E(X,1,30),DA)=""
    2)= K ^EAS(711,"C",$E(X,1,30),DA)
    3)= DO NOT DELETE
1 ACTIVE 0;3 SET
************************REQUIRED FIELD************************
  • 'A' FOR ACTIVE;
  • 'I' FOR INACTIVE;

  • LAST EDITED:  OCT 17, 2000
  • DESCRIPTION:  
    This provides a means to inactivate the mapping between a 10-10EZ data element and the VistA database without destroying the mapping for Applications already processed and filed to VistA.
  • CROSS-REFERENCE:  711^A
    1)= S ^EAS(711,"A",$E(X,1,30),DA)=""
    2)= K ^EAS(711,"A",$E(X,1,30),DA)
    3)= DO NOT DELETE
1.1 INACTIVATE DATE 0;4 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 08, 2000
  • DESCRIPTION:  
    If the mapping between a 10-10EZ data element and the VistA database is 'inactivated', this field holds the date on which the inactivation occurred.
1.2 VERSION # 0;5 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  DEC 11, 2000
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    The version number of the On-Line 10-10EZ software which utilizes this 1010EZ-to-VistA mapping.
2 MAP-TO FILE 1;1 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  OCT 06, 2000
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    This is the file number of the VistA database file which holds the field to which this 10-10EZ data element has been mapped.
3 MAP-TO SUB-FILE 1;2 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  OCT 06, 2000
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    This is the sub-file number of the VistA database sub-file which holds the field to which this 10-10EZ data element has been mapped.
4 MAP-TO FIELD 1;3 FREE TEXT
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
  • LAST EDITED:  MAR 03, 2001
  • HELP-PROMPT:  Answer must be 1-8 characters in length.
  • DESCRIPTION:  
    This is the field number within the VistA database file or sub-file to which this 10-10EZ data element has been mapped.
5 DISPLAY NAME 2;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  OCT 24, 2000
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    The shortened name for this 10-10EZ data element employed within the 1010EZ module List Manager interface.
6 DIR(0) 3;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • LAST EDITED:  NOV 02, 2000
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  M code to set DIR(0) for a call to the FileMan Reader can be placed here. If present, this code will be used when the data element is being updated within the "Update Field (UF)" action of the EAS EZ 1010EZ PROCESSING
    option.
    WRITE AUTHORITY: @
10 TRANSFORM T;E1,245 MUMPS

  • INPUT TRANSFORM:  K:$L(X)>245 X D:$D(X) ^DIM
  • LAST EDITED:  OCT 06, 2000
  • HELP-PROMPT:  This is Standard MUMPS code.
  • DESCRIPTION:  
    Certain 10-10EZ data elements cannot be used directly to overwrite VistA database fields; instead they require some transformation. This field contains the M code needed to perform the needed data transformation.
    WRITE AUTHORITY: @

Found Entries, Total: 239

ASSIGNED DATA NAME: UNKNOWN    ASSIGNED DATA NAME: TYPE OF BENEFIT-HEALTH SERVICES    ASSIGNED DATA NAME: TYPE OF BENEFIT-NURSING HOME    ASSIGNED DATA NAME: TYPE OF BENEFIT-DOMICILIARY    ASSIGNED DATA NAME: TYPE OF BENEFIT-DENTAL    ASSIGNED DATA NAME: TYPE OF BENEFIT-ENROLLMENT    ASSIGNED DATA NAME: FACILITY TO RECEIVE 1010EZ    ASSIGNED DATA NAME: APPLICANT LAST NAME    
ASSIGNED DATA NAME: APPLICANT FIRST NAME    ASSIGNED DATA NAME: APPLICANT MIDDLE NAME    ASSIGNED DATA NAME: APPLICANT SUFFIX NAME    ASSIGNED DATA NAME: APPLICANT OTHER NAME    ASSIGNED DATA NAME: APPLICANT SEX    ASSIGNED DATA NAME: APPLICANT SOCIAL SECURITY NUMBER    ASSIGNED DATA NAME: APPLICANT CLAIM NUMBER    ASSIGNED DATA NAME: APPLICANT DATE OF BIRTH    
ASSIGNED DATA NAME: RELIGION    ASSIGNED DATA NAME: APPLICANT STREET ADDRESS    ASSIGNED DATA NAME: APPLICANT CITY    ASSIGNED DATA NAME: APPLICANT STATE    ASSIGNED DATA NAME: APPLICANT ZIP    ASSIGNED DATA NAME: APPLICANT COUNTY    ASSIGNED DATA NAME: APPLICANT HOME PHONE AREA CODE    ASSIGNED DATA NAME: APPLICANT HOME PHONE NUMBER    
ASSIGNED DATA NAME: APPLICANT WORK PHONE AREA CODE    ASSIGNED DATA NAME: APPLICANT WORK PHONE NUMBER    ASSIGNED DATA NAME: APPLICANT WORK PHONE EXTENSION    ASSIGNED DATA NAME: MARITAL STATUS    ASSIGNED DATA NAME: LAST BRANCH OF SERVICE    ASSIGNED DATA NAME: LAST ENTRY DATE    ASSIGNED DATA NAME: LAST DISCHARGE DATE    ASSIGNED DATA NAME: LAST DISCHARGE TYPE    
ASSIGNED DATA NAME: SERVICE NUMBER    ASSIGNED DATA NAME: PURPLE HEART    ASSIGNED DATA NAME: PRISONER OF WAR    ASSIGNED DATA NAME: SERVICE-CONNECTED    ASSIGNED DATA NAME: RATED PERCENTAGE    ASSIGNED DATA NAME: VA PENSION    ASSIGNED DATA NAME: RETIRED FROM MILITARY    ASSIGNED DATA NAME: DISABILITY RETIREMENT FROM MILITARY    
ASSIGNED DATA NAME: REGULAR RETIREMENT FROM MILITARY    ASSIGNED DATA NAME: TOXINS IN GULF WAR    ASSIGNED DATA NAME: AGENT ORANGE    ASSIGNED DATA NAME: RADIATION EXPOSURE    ASSIGNED DATA NAME: DENTAL INJURY    ASSIGNED DATA NAME: SPINAL CORD INJURY    ASSIGNED DATA NAME: ELIGIBLE FOR MEDICAID    ASSIGNED DATA NAME: MEDICARE PART A    
ASSIGNED DATA NAME: MEDICARE PART A EFFECTIVE DATE    ASSIGNED DATA NAME: MEDICARE PART B    ASSIGNED DATA NAME: MEDICARE PART B EFFECTIVE DATE    ASSIGNED DATA NAME: MEDICARE CLAIM NUMBER    ASSIGNED DATA NAME: SIGNEE ON MEDICARE CARD    ASSIGNED DATA NAME: APPLICANT EMPLOYMENT STATUS    ASSIGNED DATA NAME: APPLICANT DATE OF RETIREMENT    ASSIGNED DATA NAME: APPLICANT EMPLOYER    
ASSIGNED DATA NAME: APPLICANT EMPLOYER STREET ADDRESS    ASSIGNED DATA NAME: APPLICANT EMPLOYER CITY    ASSIGNED DATA NAME: APPLICANT EMPLOYER STATE    ASSIGNED DATA NAME: APPLICANT EMPLOYER ZIP    ASSIGNED DATA NAME: APPLICANT EMPLOYER PHONE AREA CODE    ASSIGNED DATA NAME: APPLICANT EMPLOYER PHONE NUMBER    ASSIGNED DATA NAME: APPLICANT EMPLOYER PHONE EXTENSION    ASSIGNED DATA NAME: SPOUSE EMPLOYMENT STATUS    
ASSIGNED DATA NAME: SPOUSE DATE OF RETIREMENT    ASSIGNED DATA NAME: SPOUSE EMPLOYER    ASSIGNED DATA NAME: SPOUSE EMPLOYER STREET ADDRESS    ASSIGNED DATA NAME: SPOUSE EMPLOYER CITY    ASSIGNED DATA NAME: SPOUSE EMPLOYER STATE    ASSIGNED DATA NAME: SPOUSE EMPLOYER ZIP    ASSIGNED DATA NAME: SPOUSE EMPLOYER PHONE AREA CODE    ASSIGNED DATA NAME: SPOUSE EMPLOYER PHONE NUMBER    
ASSIGNED DATA NAME: SPOUSE EMPLOYER PHONE EXTENSION    ASSIGNED DATA NAME: APPLICANT HAS INSURANCE    ASSIGNED DATA NAME: APPLICANT INSURANCE COMPANY    ASSIGNED DATA NAME: APPLICANT INSURANCE POLICY HOLDER    ASSIGNED DATA NAME: APPLICANT INSURANCE POLICY NUMBER    ASSIGNED DATA NAME: APPLICANT INSURANCE GROUP CODE    ASSIGNED DATA NAME: SPOUSE HAS INSURANCE    ASSIGNED DATA NAME: SPOUSE INSURANCE COMPANY    
ASSIGNED DATA NAME: SPOUSE INSURANCE POLICY HOLDER    ASSIGNED DATA NAME: SPOUSE INSURANCE POLICY NUMBER    ASSIGNED DATA NAME: SPOUSE INSURANCE GROUP CODE    ASSIGNED DATA NAME: NEXT-OF-KIN LAST NAME    ASSIGNED DATA NAME: NEXT-OF-KIN FIRST NAME    ASSIGNED DATA NAME: NEXT-OF-KIN STREET ADDRESS    ASSIGNED DATA NAME: NEXT-OF-KIN CITY    ASSIGNED DATA NAME: NEXT-OF-KIN STATE    
ASSIGNED DATA NAME: NEXT-OF-KIN ZIP    ASSIGNED DATA NAME: NEXT-OF-KIN RELATIONSHIP    ASSIGNED DATA NAME: NEXT-OF-KIN HOME PHONE AREA CODE    ASSIGNED DATA NAME: NEXT-OF-KIN HOME PHONE NUMBER    ASSIGNED DATA NAME: NEXT-OF-KIN WORK PHONE AREA CODE    ASSIGNED DATA NAME: NEXT-OF-KIN WORK PHONE NUMBER    ASSIGNED DATA NAME: NEXT-OF-KIN WORK PHONE EXTENSION    ASSIGNED DATA NAME: E-CONTACT LAST NAME    
ASSIGNED DATA NAME: E-CONTACT FIRST NAME    ASSIGNED DATA NAME: E-CONTACT STREET ADDRESS    ASSIGNED DATA NAME: E-CONTACT CITY    ASSIGNED DATA NAME: E-CONTACT STATE    ASSIGNED DATA NAME: E-CONTACT ZIP    ASSIGNED DATA NAME: E-CONTACT RELATIONSHIP    ASSIGNED DATA NAME: E-CONTACT HOME PHONE AREA CODE    ASSIGNED DATA NAME: E-CONTACT HOME PHONE NUMBER    
ASSIGNED DATA NAME: E-CONTACT WORK PHONE AREA CODE    ASSIGNED DATA NAME: E-CONTACT WORK PHONE NUMBER    ASSIGNED DATA NAME: E-CONTACT WORK PHONE EXTENSION    ASSIGNED DATA NAME: DESIGNEE    ASSIGNED DATA NAME: NEED RELATED TO JOB INJURY    ASSIGNED DATA NAME: NEED RELATED TO ACCIDENT    ASSIGNED DATA NAME: SPOUSE LAST NAME    ASSIGNED DATA NAME: SPOUSE FIRST NAME    
ASSIGNED DATA NAME: SPOUSE MIDDLE NAME    ASSIGNED DATA NAME: SPOUSE SUFFIX NAME    ASSIGNED DATA NAME: CHILD1 LAST NAME    ASSIGNED DATA NAME: CHILD1 FIRST NAME    ASSIGNED DATA NAME: CHILD1 MIDDLE NAME    ASSIGNED DATA NAME: CHILD1 SUFFIX NAME    ASSIGNED DATA NAME: SPOUSE SOCIAL SECURITY NUMBER    ASSIGNED DATA NAME: SPOUSE DATE OF BIRTH    
ASSIGNED DATA NAME: CHILD1 DATE OF BIRTH    ASSIGNED DATA NAME: SPOUSE STREET    ASSIGNED DATA NAME: SPOUSE CITY    ASSIGNED DATA NAME: SPOUSE STATE    ASSIGNED DATA NAME: SPOUSE ZIP    ASSIGNED DATA NAME: CHILD1 SOCIAL SECURITY NUMBER    ASSIGNED DATA NAME: SPOUSE HOME PHONE AREA CODE    ASSIGNED DATA NAME: SPOUSE HOME PHONE NUMBER    
ASSIGNED DATA NAME: CHILD1 RELATIONSHIP    ASSIGNED DATA NAME: DATE OF MARRIAGE TO SPOUSE    ASSIGNED DATA NAME: DATE CHILD1 BECAME DEPENDENT    ASSIGNED DATA NAME: AMOUNT CONTRIBUTED TO SP    ASSIGNED DATA NAME: AMOUNT CONTRIBUTED TO CHILD1    ASSIGNED DATA NAME: CHILD1 EDUCATION EXPENSES    ASSIGNED DATA NAME: CHILD1 PERMANENTLY DISABLED    ASSIGNED DATA NAME: CHILD1 18-23 IN SCHOOL    
ASSIGNED DATA NAME: CHILD(N) LAST NAME    ASSIGNED DATA NAME: CHILD(N) FIRST NAME    ASSIGNED DATA NAME: CHILD(N) MIDDLE NAME    ASSIGNED DATA NAME: CHILD(N) SUFFIX NAME    ASSIGNED DATA NAME: CHILD(N) SOCIAL SECURITY NUMBER    ASSIGNED DATA NAME: CHILD(N) DATE OF BIRTH    ASSIGNED DATA NAME: CHILD(N) RELATIONSHIP    ASSIGNED DATA NAME: DATE CHILD(N) BECAME DEPENDENT    
ASSIGNED DATA NAME: AMOUNT CONTRIBUTED TO CHILD(N)    ASSIGNED DATA NAME: CHILD(N) EDUCATION EXPENSES    ASSIGNED DATA NAME: CHILD(N) PERMANENTLY DISABLED    ASSIGNED DATA NAME: CHILD(N) 18-23 IN SCHOOL    ASSIGNED DATA NAME: APPLICANT GROSS ANNUAL INCOME    ASSIGNED DATA NAME: SPOUSE GROSS ANNUAL INCOME    ASSIGNED DATA NAME: CHILD1 EMPLOYMENT INCOME    ASSIGNED DATA NAME: APPLICANT OTHER INCOME AMOUNTS    
ASSIGNED DATA NAME: SPOUSE OTHER INCOME AMOUNTS    ASSIGNED DATA NAME: CHILD1 OTHER INCOME AMOUNTS    ASSIGNED DATA NAME: APPLICANT FARM OR BUSINESS    ASSIGNED DATA NAME: APPLICANT TOTAL NON-REIMBURSED MEDICAL EXPENSES    ASSIGNED DATA NAME: APPLICANT FUNERAL EXPENSES    ASSIGNED DATA NAME: APPLICANT EDUCATION EXPENSES    ASSIGNED DATA NAME: APPLICANT CASH IN BANK    ASSIGNED DATA NAME: SPOUSE CASH IN BANK    
ASSIGNED DATA NAME: APPLICANT LAND/BLDGS. LESS MORTGAGES    ASSIGNED DATA NAME: SPOUSE LAND/BLDGS. LESS MORTGAGES    ASSIGNED DATA NAME: APPLICANT OTHER PROPERTY, ASSETS LESS AMT. OWED    ASSIGNED DATA NAME: SPOUSE OTHER PROPERTY, ASSETS LESS AMT. OWED    ASSIGNED DATA NAME: DESIGNEE LAST NAME    ASSIGNED DATA NAME: DESIGNEE FIRST NAME    ASSIGNED DATA NAME: DESIGNEE STREET ADDRESS    ASSIGNED DATA NAME: DESIGNEE CITY    
ASSIGNED DATA NAME: DESIGNEE STATE    ASSIGNED DATA NAME: DESIGNEE ZIP    ASSIGNED DATA NAME: DESIGNEE RELATIONSHIP    ASSIGNED DATA NAME: DESIGNEE HOME PHONE AREA CODE    ASSIGNED DATA NAME: DESIGNEE HOME PHONE NUMBER    ASSIGNED DATA NAME: DESIGNEE WORK PHONE AREA CODE    ASSIGNED DATA NAME: DESIGNEE WORK PHONE NUMBER    ASSIGNED DATA NAME: DESIGNEE WORK PHONE EXTENSION    
ASSIGNED DATA NAME: AMOUNT CONTRIBUTED TO SPOUSE    ASSIGNED DATA NAME: APPLICANT MOTHER MAIDEN NAME    ASSIGNED DATA NAME: APPLICANT SPANISH, HISPANIC, OR LATIN    ASSIGNED DATA NAME: APPLICANT RACE - AMERICAN INDIAN OR ALASKA NATIVE    ASSIGNED DATA NAME: APPLICANT RACE - BLACK OR AFRICAN AMERICAN    ASSIGNED DATA NAME: APPLICANT RACE - NATIVE HAWAIIAN OR OTHER PACIFIC    ASSIGNED DATA NAME: APPLICANT RACE - ASIAN    ASSIGNED DATA NAME: APPLICANT RACE - WHITE    
ASSIGNED DATA NAME: APPLICANT RACE - UNANSWERED    ASSIGNED DATA NAME: APPLICANT PLACE OF BIRTH CITY    ASSIGNED DATA NAME: APPLICANT PLACE OF BIRTH STATE    ASSIGNED DATA NAME: SEEN AT VA LOCATION    ASSIGNED DATA NAME: SEEN AT VA MED FACILITY    ASSIGNED DATA NAME: EMAIL    ASSIGNED DATA NAME: APPOINTMENT REQUESTED    ASSIGNED DATA NAME: COMBAT AFTER 11/11/1998    
ASSIGNED DATA NAME: NOSE/THROAT RADIUM    ASSIGNED DATA NAME: APPLICANT INSURANCE ADDRESS    ASSIGNED DATA NAME: APPLICANT INSURANCE CITY    ASSIGNED DATA NAME: APPLICANT INSURANCE STATE    ASSIGNED DATA NAME: APPLICANT INSURANCE ZIP    ASSIGNED DATA NAME: APPLICANT INSURANCE PHONE AREA CODE    ASSIGNED DATA NAME: APPLICANT INSURANCE PHONE NUMBER    ASSIGNED DATA NAME: OTHER(N) INSURANCE COMPANY    
ASSIGNED DATA NAME: OTHER(N) INSURANCE POLICY HOLDER    ASSIGNED DATA NAME: OTHER(N) INSURANCE POLICY NUMBER    ASSIGNED DATA NAME: OTHER(N) INSURANCE GROUP CODE    ASSIGNED DATA NAME: OTHER(N) INSURANCE ADDRESS    ASSIGNED DATA NAME: OTHER(N) INSURANCE CITY    ASSIGNED DATA NAME: OTHER(N) INSURANCE STATE    ASSIGNED DATA NAME: OTHER(N) INSURANCE ZIP    ASSIGNED DATA NAME: OTHER(N) INSURANCE PHONE AREA CODE    
ASSIGNED DATA NAME: OTHER(N) INSURANCE PHONE NUMBER    ASSIGNED DATA NAME: MILITARY COMP NOT VA COMP    ASSIGNED DATA NAME: SPOUSE MAIDEN NAME    ASSIGNED DATA NAME: APPLICANT FARM OR BUSINESS INCOME    ASSIGNED DATA NAME: SPOUSE FARM OR BUSINESS INCOME    ASSIGNED DATA NAME: CHILD1 FARM OR BUSINESS INCOME    ASSIGNED DATA NAME: CHILD(N) CHILD #    ASSIGNED DATA NAME: CHILD(N) EMPLOYMENT INCOME    
ASSIGNED DATA NAME: CHILD(N) FARM/BUS INCOME    ASSIGNED DATA NAME: CHILD(N) OTHER INCOME AMOUNTS    ASSIGNED DATA NAME: ASSET(N) CHILD #    ASSIGNED DATA NAME: ASSET(N) CASH IN BANK    ASSIGNED DATA NAME: ASSET(N) LAND/BLDGS. LESS MORTGAGES    ASSIGNED DATA NAME: ASSET(N) OTHER PROPERTY, ASSETS LESS AMT. OWED    ASSIGNED DATA NAME: CHILD1 CASH IN BANK    ASSIGNED DATA NAME: CHILD1 LAND/BLDGS. LESS MORTGAGES    
ASSIGNED DATA NAME: CHILD1 OTHER PROPERTY, ASSETS LESS AMT. OWED    ASSIGNED DATA NAME: APPLICANT CASH IN BANK2    ASSIGNED DATA NAME: APPLICANT REAL PROPERTY LESS MORTGAGES2    ASSIGNED DATA NAME: APPLICANT STOCKS BONDS ASSETS LESS DEBTS2    ASSIGNED DATA NAME: APPLICANT EMPLOYMENT INCOME    ASSIGNED DATA NAME: SPOUSE EMPLOYMENT INCOME    ASSIGNED DATA NAME: CHILD1 GROSS ANNUAL INCOME2    ASSIGNED DATA NAME: DISABILITY DISCHARGE CLAIMED    
ASSIGNED DATA NAME: APPLICANT CELLULAR PHONE AREA CODE    ASSIGNED DATA NAME: APPLICANT CELLULAR PHONE NUMBER    ASSIGNED DATA NAME: APPLICANT PAGER PHONE AREA CODE    ASSIGNED DATA NAME: APPLICANT PAGER PHONE NUMBER    ASSIGNED DATA NAME: APPLICANT PROVINCE    ASSIGNED DATA NAME: APPLICANT POSTAL CODE    ASSIGNED DATA NAME: APPLICANT COUNTRY    
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