FileMan FileNo | FileMan Filename | Package |
---|---|---|
453 | APPLICANT | PAID |
Package | Total | FileMan Files |
---|---|---|
Integrated Billing | 1 | INSURANCE COMPANY(#36)[747.21] |
Interim Management Support | 1 | NATIONAL SERVICE(#730)[747.23] |
Kernel | 1 | STATE(#5)[4, 747.06, 747.12, 747.18, 747.362, #453.05(1), #453.06(4), #453.074767(1), #453.11(1.3)] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | APPLICANT NAME | 0;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
1 | SOCIAL SECURITY NUMBER | 0;2 | FREE TEXT |
|
1.5 | DATE OF BIRTH | 0;12 | DATE |
|
2 | STREET ADDRESS | 0;3 | FREE TEXT |
|
3 | CITY | 0;4 | FREE TEXT |
|
4 | STATE | 0;5 | POINTER TO STATE FILE (#5) | STATE(#5)
|
5 | ZIP CODE | 0;6 | FREE TEXT |
|
6 | HOME TELEPHONE NUMBER | 0;7 | FREE TEXT |
|
7 | DAYTIME TELEPHONE NUMBER | 0;8 | FREE TEXT |
|
8 | CITIZENSHIP | 0;9 | SET |
|
747.01 | APPOINTMENT DESIRED | QAR;1 | SET |
|
747.02 | REFERENCE A | QAR;2 | FREE TEXT |
|
747.03 | A ADDRESS1 | QAR;3 | FREE TEXT |
|
747.04 | A ADDRESS2 | QAR;4 | FREE TEXT |
|
747.05 | A CITY | QAR;5 | FREE TEXT |
|
747.06 | A STATE | QAR;6 | POINTER TO STATE FILE (#5) | STATE(#5)
|
747.07 | A ZIP | QAR;7 | FREE TEXT |
|
747.08 | REFERENCE B | QAR21;1 | FREE TEXT |
|
747.09 | B ADDRESS1 | QAR21;2 | FREE TEXT |
|
747.1 | B ADDRESS2 | QAR21;3 | FREE TEXT |
|
747.11 | B CITY | QAR21;4 | FREE TEXT |
|
747.12 | B STATE | QAR21;5 | POINTER TO STATE FILE (#5) | STATE(#5)
|
747.13 | B ZIP | QAR21;6 | FREE TEXT |
|
747.14 | REFERENCE C | QAR1;1 | FREE TEXT |
|
747.15 | C ADDRESS1 | QAR1;2 | FREE TEXT |
|
747.16 | C ADDRESS2 | QAR1;3 | FREE TEXT |
|
747.17 | C CITY | QAR1;4 | FREE TEXT |
|
747.18 | C STATE | QAR1;5 | POINTER TO STATE FILE (#5) | STATE(#5)
|
747.19 | C ZIP | QAR1;6 | FREE TEXT |
|
747.2 | APP DATE | QAR1;7 | DATE |
|
747.21 | INSURANCE CO | QAR1;8 | POINTER TO INSURANCE COMPANY FILE (#36) | INSURANCE COMPANY(#36)
|
747.22 | SPECIALTY | QAR17;0 | POINTER Multiple #453.17 | 453.17
|
747.23 | SERVICE | QAR2;1 | POINTER TO NATIONAL SERVICE FILE (#730) | NATIONAL SERVICE(#730)
|
747.24 | MANDATORY TRAINING | QAR3;0 | Multiple #453.01 | 453.01
|
747.25 | TYPE OF APPOINTMENT | QAR2;2 | SET |
|
747.26 | APPLICATION DATE | QAR2;3 | DATE |
|
747.27 | CERTIFICATION | QAR4;0 | POINTER Multiple #453.02 | 453.02
|
747.28 | PROFESSIONAL ORGANIZATION | QAR5;0 | Multiple #453.03 | 453.03
|
747.29 | HONORS/OFFICES HELD | QAR6;0 | Multiple #453.04 | 453.04
|
747.3 | VAF 10-2850 COMPLETE (Y/N) | QAR2;4 | SET |
|
747.31 | VAF 10-2850 SIGNED/COS (Y/N) | QAR2;5 | SET |
|
747.32 | VAF 10-2850 LICENSE DATA (Y/N) | QAR2;6 | SET |
|
747.33 | BOARD ELIGIBLE | QAR16;0 | POINTER Multiple #453.16 | 453.16
|
747.34 | FSMB MSG. SENT | QAR2;7 | SET |
|
747.35 | LICENSES | QAR7;0 | Multiple #453.05 | 453.05
|
747.36 | DEA # | QAR2;9 | FREE TEXT |
|
747.361 | DEA EXPIRATION DATE | QAR2;8 | DATE |
|
747.362 | STATE ISSUING DEA NUMBER | QAR2;16 | POINTER TO STATE FILE (#5) | STATE(#5)
|
747.363 | DEA VERIFICATION | QAR2;17 | SET |
|
747.364 | DEA CHALLENGES (Y/N) | QAR2;26 | SET |
|
747.38 | V.A. EMPLOYMENT START DATE | QAR2;11 | DATE |
|
747.39 | SERVICE COMPUTATION DATE | QAR2;12 | DATE |
|
747.4 | END OF PROBATIONARY PERIOD | QAR2;13 | DATE |
|
747.41 | PRIMARY DEGREE | QAR2;14 | POINTER ***** TO AN UNDEFINED FILE (#747.7), STORED IN ^QA(747.7) ******* |
|
747.42 | SCHOOL ATTENDED | QAR8;0 | Multiple #453.06 | 453.06
|
747.43 | DATE REAPPRAISAL IS DUE | QAR2;15 | DATE |
|
747.45 | CONTINUING EDUCATION PROGRAM | QAR9;0 | Multiple #453.07 | 453.07
|
747.47 | ALIEN VISA | QAR2;18 | SET |
|
747.48 | FINAL STATUS OF FILE | QAR2;19 | SET |
|
747.49 | FINAL STATUS COMMENTS | 1;0 | WORD-PROCESSING #453.08 |
|
747.5 | CLINICAL BACKGROUND | QAR10;0 | POINTER Multiple #453.09 | 453.09
|
747.51 | ECFMG CERT. ISSUED | QAR2;20 | DATE |
|
747.511 | ECFMG VERIFICATION | QAR2;10 | SET |
|
747.512 | ECFMG CERTIFICATE # | QAR2;25 | FREE TEXT |
|
747.52 | FSMB SCREENING REQUEST DATE | QAR11;0 | DATE Multiple #453.1 | 453.1
|
747.53 | HEALTH STATEMENT,APPLICANT | QAR2;21 | DATE |
|
747.54 | HEALTH STATEMENT,COLLEAGUE | QAR12;0 | DATE Multiple #453.12 | 453.12
|
747.55 | DATE REFERENCE RECEIVED | QAR13;0 | SET Multiple #453.13 | 453.13
|
747.56 | BYLAWS AGREEMENT | QAR2;22 | DATE |
|
747.57 | RECOMMENDATION SIGNATURES | QAR14;0 | SET Multiple #453.14 | 453.14
|
747.58 | LICENSURE CHALLENGES ? | QAR2;23 | SET |
|
747.59 | PERTINENT CLINICAL INFORMATION | QAR15;0 | WORD-PROCESSING #453.15 |
|
747.6 | CLIN PRIVILEGES CHALLENGES ? | QAR2;24 | SET |
|
747.61 | NPDB QUERIED ? | QAR18;1 | SET |
|
747.62 | DATE SENT TO NPDB ? | QAR18;2 | DATE |
|
747.621 | DATE REC'D FROM NPDB | QAR18;5 | DATE |
|
747.63 | RESULTS OF QUERY ? | QAR18;3 | SET |
|
747.64 | PLACE OF BIRTH | QAR1;9 | FREE TEXT |
|
747.65 | VA CAUTIONARY LIST CHECKED? | QAR18;4 | SET |
|
747.66 | INTERNSHIP/RESIDENCY | QAR19;0 | Multiple #453.11 | 453.11
|
747.67 | CONTROL/SUBSTANCE CERT (Y/N) | QAR20;0 | SET Multiple #453.074767 | 453.074767
|
ICR LINK | Subscribing Package(s) | Fields Referenced | Description |
---|---|---|---|
ICR #101 |