| FileMan FileNo | FileMan Filename | Package |
|---|---|---|
| 727.818 | CLINIC II EXTRACT | DSS Extracts |
| Package | Total | Routines |
|---|---|---|
| DSS Extracts | 1 | ECX335PT |
| Package | Total | FileMan Files |
|---|---|---|
| Registration | 2 | POW PERIOD(#22)[17] PATIENT(#2)[4] |
| DSS Extracts | 1 | DSS EXTRACT LOG(#727)[2] |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | SEQUENCE NUMBER | 0;1 | NUMBER | ************************REQUIRED FIELD************************
|
| 1 | YEAR MONTH | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 2 | EXTRACT NUMBER | 0;3 | POINTER TO DSS EXTRACT LOG FILE (#727) | ************************REQUIRED FIELD************************ DSS EXTRACT LOG(#727)
|
| 3 | FACILITY | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 4 | PATIENT NO. - DFN | 0;5 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
|
| 5 | SSN | 0;6 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 6 | NAME | 0;7 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 7 | IN OUT PATIENT INDICATOR | 0;8 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 8 | DAY | 0;9 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 9 | PRIMARY STOP CODE | 0;10 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 10 | MASTER PATIENT INDEX | 0;11 | FREE TEXT |
|
| 11 | SEX | 0;12 | SET | ************************REQUIRED FIELD************************
|
| 12 | DATE OF BIRTH | 0;13 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 13 | ELIGIBILITY | 0;14 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 14 | VETERAN | 0;15 | SET | ************************REQUIRED FIELD************************
|
| 15 | RACE | 0;16 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 16 | POW STATUS | 0;17 | SET |
|
| 17 | POW LOCATION | 0;18 | POINTER TO POW PERIOD FILE (#22) | POW PERIOD(#22)
|
| 18 | RADIATION STATUS | 0;19 | SET |
|
| 19 | AGENT ORANGE STATUS | 0;20 | SET |
|
| 20 | MST STATUS | 0;21 | SET |
|
| 21 | STATE | 0;22 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 22 | COUNTY | 0;23 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 23 | ZIP+4 | 0;24 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 24 | ENROLLMENT LOCATION | 0;25 | FREE TEXT |
|
| 25 | PLACEHOLDER1 | 0;26 | FREE TEXT |
|
| 26 | PROVIDER | 0;27 | FREE TEXT |
|
| 27 | PROVIDER PERSON CLASS | 0;28 | FREE TEXT |
|
| 28 | PROVIDER NPI | 0;29 | FREE TEXT |
|
| 29 | SHARING AGREEMENT PAYOR | 0;30 | FREE TEXT |
|
| 30 | SHARING AGREEMENT INSURANCE | 0;31 | FREE TEXT |
|
| 31 | RADIATION ENCOUNTER INDICATOR | 0;32 | SET |
|
| 32 | AO ENCOUNTER INDICATOR | 0;33 | SET |
|
| 33 | MST ENCOUNTER INDICATOR | 0;34 | SET |
|
| 34 | DSS DEPT. | 0;35 | FREE TEXT |
|
| 35 | ICD-9 CODES | 1;1 | FREE TEXT | ************************REQUIRED FIELD************************
|