File PATIENT(2) Data List

NAME SEX SELF IDENTIFIED GENDER SEXUAL ORIENTATION SEXUAL ORIENTATION FREE TEXT DATE OF BIRTH AGE MARITAL STATUS RACE OCCUPATION RELIGIOUS PREFERENCE DUPLICATE STATUS PATIENT MERGED TO CHECK FOR DUPLICATE SOCIAL SECURITY NUMBER TERMINAL DIGIT OF SSN 1U4N PSEUDO SSN REASON SSN VERIFICATION STATUS REMARKS PLACE OF BIRTH [CITY] PLACE OF BIRTH [STATE] PLACE OF BIRTH COUNTRY PLACE OF BIRTH PROVINCE WHO ENTERED PATIENT DATE ENTERED INTO FILE HOW WAS PATIENT ENTERED? WARD LOCATION ROOM-BED CURRENT MOVEMENT TREATING SPECIALTY PROVIDER ATTENDING PHYSICIAN CURRENT ADMISSION LAST DMMS EPISODE NUMBER LODGER WARD LOCATION CURRENT ROOM EXCLUDE FROM FACILITY DIR STREET ADDRESS [LINE 1] ZIP+4 STREET ADDRESS CASS IND MAILING ADDR OVERRIDE IND STREET ADDRESS [LINE 2] STREET ADDRESS [LINE 3] CITY STATE RESIDENTIAL ADDRESS [LINE 1] RESIDENTIAL ADDRESS [LINE 2] RESIDENTIAL ADDRESS [LINE 3] RESIDENTIAL CITY RESIDENTIAL STATE RESIDENTIAL ZIP+4 RESIDENTIAL COUNTY RESIDENTIAL PROVINCE RESIDENTIAL POSTAL CODE RESIDENTIAL COUNTRY RESIDENTIAL ADDR CHANGE DT/TM RESIDENTIAL ADDR CHANGE SITE RESIDENTIAL ADDR CHANGE SOURCE RESIDENTIAL ADDR CHANGE USER RESIDENTIAL ADDR CASS IND RESIDENTIAL ADDR OVERRIDE IND ZIP CODE COUNTY PROVINCE POSTAL CODE COUNTRY ADDRESS CHANGE DT/TM ADDRESS CHANGE SOURCE ADDRESS CHANGE SITE BAD ADDRESS INDICATOR TEMPORARY ADDRESS ACTIVE? TEMPORARY STREET [LINE 1] TEMPORARY ADDRESS COUNTY TEMPORARY ZIP+4 TEMPORARY ADDRESS CHANGE DT/TM TEMPORARY ADDRESS CHANGE SITE TEMPORARY ADDR CASS IND TEMPORARY COUNTRY CODE TEMPORARY EXTENSION TEMPORARY STREET [LINE 2] TEMPORARY STREET [LINE 3] TEMPORARY CITY TEMPORARY STATE TEMPORARY ZIP CODE TEMPORARY ADDRESS START DATE TEMPORARY ADDRESS END DATE TEMPORARY PHONE NUMBER ADDRESS CHANGE USER TEMPORARY ADDRESS PROVINCE TEMPORARY ADDRESS POSTAL CODE TEMPORARY ADDRESS COUNTRY PHONE NUMBER [RESIDENCE] CELLULAR NUMBER CHANGE SOURCE CELLULAR NUMBER CHANGE SITE PAGER NUMBER CHANGE DT/TM PAGER NUMBER CHANGE SOURCE PAGER NUMBER CHANGE SITE CONFIDENTIAL PHONE NUMBER EMAIL ADDRESS INDICATOR EMAIL ADDRESS INDICATOR DT/TM EMAIL ADDRESS CHANGE USER CELLULAR NUMBER CHANGE USER PHONE NUMBER [WORK] CONFIDENTIAL COUNTRY CODE RESIDENCE NUMBER CHANGE DT/TM EXTENSION [RESIDENCE] EXTENSION [CELLULAR] EXTENSION [WORK] CONFIDENTIAL EXTENSION RESIDENCE NUMBER CHANGE SOURCE RESIDENCE NUMBER CHANGE SITE RESIDENCE NUMBER CHANGE USER PHONE [WORK] CHANGE USER PHONE [WORK] CHANGE DT/TM COUNTRY CODE [RESIDENCE] COUNTRY CODE [CELLULAR] COUNTRY CODE [WORK] EMAIL ADDRESS PHONE NUMBER [CELLULAR] PAGER NUMBER EMAIL ADDRESS CHANGE DT/TM EMAIL ADDRESS CHANGE SOURCE EMAIL ADDRESS CHANGE SITE CELLULAR NUMBER CHANGE DT/TM CURRENT MEANS TEST STATUS CONFIDENTIAL ADDRESS CATEGORY CONFIDENTIAL ADDRESS ACTIVE? CONFIDENTIAL STREET [LINE 1] CONFIDENTIAL ADDRESS COUNTY CONFIDENTIAL ADDR CHANGE DT/TM CONFIDENTIAL ADDR CHANGE SITE CONFIDENTIAL ADDR PROVINCE CONFIDENTIAL ADDR POSTAL CODE CONFIDENTIAL ADDR COUNTRY CONFIDENTIAL ADDR CASS IND CONFIDENTIAL ADDR CHANGE USER CONFIDENTIAL PHONE CHANGE USER CONFIDENTIAL STREET [LINE 2] CONFIDENTIAL ADDR OVERRIDE IND CONFIDENTIAL STREET [LINE 3] CONFIDENTIAL ADDRESS CITY CONFIDENTIAL ADDRESS STATE CONFIDENTIAL ADDRESS ZIP CODE CONFIDENTIAL START DATE CONFIDENTIAL END DATE INELIGIBLE DATE MISSING PERSON DATE MISSING OR INELIGIBLE INELIGIBLE TWX SOURCE INELIGIBLE TWX CITY INELIGIBLE TWX STATE INELIGIBLE VARO DECISION MISSING PERSON TWX SOURCE MISSING PERSON TWX CITY MISSING PERSON TWX STATE FEE HOSPITAL I.D. EMERGENCY RESPONSE INDICATOR HISTORIC KATRINA ERI DIVISION K2-COUNTRY K-WORK PHONE NUMBER PRIMARY NOK CHANGE DATE/TIME K2-PROVINCE K2-POSTAL CODE K2-RELATIONSHIP TYPE K-NAME OF PRIMARY NOK K2-WORK PHONE NUMBER SECONDARY NOK CHANGE DATE/TIME K-RELATIONSHIP TO PATIENT K-ADDRESS SAME AS PATIENT'S? K-STREET ADDRESS [LINE 1] K-STREET ADDRESS [LINE 2] K-STREET ADDRESS [LINE 3] K-CITY K-STATE K-ZIP CODE K-PHONE NUMBER K2-NAME OF SECONDARY NOK K2-RELATIONSHIP TO PATIENT K2-ADDRESS SAME AS PATIENT'S? K2-STREET ADDRESS [LINE 1] K2-STREET ADDRESS [LINE 2] K2-STREET ADDRESS [LINE 3] K2-CITY K2-STATE K2-ZIP CODE K2-PHONE NUMBER E-ZIP+4 D-ZIP+4 K2-ZIP+4 E2-ZIP+4 EMPLOYER ZIP+4 SPOUSE'S EMP ZIP+4 K-ZIP+4 K-COUNTRY K-PROVINCE K-POSTAL CODE K-RELATIONSHIP TYPE FATHER'S NAME MOTHER'S NAME MOTHER'S MAIDEN NAME PREFERRED NAME PRONOUN PRONOUN DESCRIPTION SPOUSE'S EMPLOYER NAME SPOUSE'S OCCUPATION SPOUSE'S EMPLOYMENT STATUS SPOUSE'S RETIREMENT DATE SPOUSE'S EMP STREET [LINE 1] SPOUSE'S EMP STREET [LINE 2] SPOUSE'S EMP STREET [LINE 3] SPOUSE'S EMPLOYER'S CITY SPOUSE'S EMPLOYER'S STATE SPOUSE'S EMP ZIP CODE SPOUSE'S EMP PHONE NUMBER ZIP+4 (CIVIL) ZIP+4 (VA) DATE RULED INCOMPETENT (VA) INSTITUTION (VA) GUARDIAN (VA) RELATIONSHIP (VA) STREET ADDRESS 1 (VA) STREET ADDRESS 2 (VA) CITY (VA) STATE (VA) ZIP (VA) PHONE (VA) DATE RULED INCOMPETENT (CIVIL) INSTITUTION (CIVIL) GUARDIAN (CIVIL) RELATIONSHIP (CIVIL) STREET ADDRESS 1 (CIVIL) STREET ADDRESS 2 (CIVIL) CITY (CIVIL) STATE (CIVIL) ZIP (CIVIL) PHONE (CIVIL) RATED INCOMPETENT? SERVICE CONNECTED? SC AWARD DATE P&T EFFECTIVE DATE EFF. DATE COMBINED SC% EVAL. SERVICE CONNECTED PERCENTAGE RECEIVING VA DISABILITY? AMOUNT OF VA DISABILITY P&T UNEMPLOYABLE MONETARY BEN. VERIFY DATE INELIGIBLE REASON AGENCY/ALLIED COUNTRY *CATEGORY OF BENEFICIARY EMPLOYER NAME EMPLOYMENT STATUS DATE OF RETIREMENT GOVERNMENT AGENCY EMPLOYER STREET [LINE 1] EMPLOYER STREET [LINE 2] EMPLOYER STREET [LINE 3] EMPLOYER CITY EMPLOYER STATE EMPLOYER ZIP CODE EMPLOYER PHONE NUMBER *CLAIM FOLDER LOCATION INSURANCE TYPE CLAIM NUMBER CLAIM FOLDER LOCATION COVERED BY HEALTH INSURANCE? VIETNAM SERVICE INDICATED? AGENT ORANGE EXPOS. INDICATED? RADIATION EXPOSURE INDICATED? VIETNAM FROM DATE VIETNAM TO DATE AGENT ORANGE REGISTRATION DATE AGENT ORANGE REPORTED TO C.O. AGENT ORANGE EXAM DATE AGENT ORANGE REGISTRATION # RADIATION REGISTRATION DATE PROJ 112/SHAD TOXIC EXPOSURE RISK ACTIVITY PERSIAN GULF INDICATOR PERSIAN GULF LAST CHANGE DATE RADIATION EXPOSURE METHOD AGENT ORANGE EXPOSURE LOCATION FILIPINO VETERAN PROOF SERVICE [OEF OR OIF] MILITARY SERVICE EPISODE CAMP LEJEUNE CAMP LEJEUNE DATE CAMP LEJEUNE CHANGE SITE CAMP LEJEUNE SOURCE CAMP LEJEUNE DATA ENTRY LOCKED SERVICE VERIFICATION DATE PERSIAN GULF SERVICE? PERSIAN GULF FROM DATE PERSIAN GULF TO DATE SOUTHWEST ASIA CONDITIONS? SW ASIA COND REGISTRATION DATE SW ASIA COND EXAM DATE SOMALIA SERVICE INDICATED? SOMALIA FROM DATE SOMALIA TO DATE YUGOSLAVIA SERVICE INDICATED? YUGOSLAVIA FROM DATE YUGOSLAVIA TO DATE LEBANON SERVICE INDICATED? LEBANON FROM DATE LEBANON TO DATE GRENADA SERVICE INDICATED? GRENADA FROM DATE GRENADA TO DATE PANAMA SERVICE INDICATED? PANAMA FROM DATE PANAMA TO DATE PERIOD OF SERVICE SERVICE DISCHARGE TYPE [LAST] SERVICE BRANCH [LAST] SERVICE ENTRY DATE [LAST] SERVICE SEPARATION DATE [LAST] SERVICE NUMBER [LAST] SERVICE SECOND EPISODE? SERVICE DISCHARGE TYPE [NTL] SERVICE BRANCH [NTL] SERVICE COMPONENT [LAST] SERVICE COMPONENT [NTL] SERVICE COMPONENT [NNTL] SERVICE ENTRY DATE [NTL] SERVICE SEPARATION DATE [NTL] SERVICE NUMBER [NTL] SERVICE THIRD EPISODE? SERVICE DISCHARGE TYPE [NNTL] SERVICE BRANCH [NNTL] SERVICE ENTRY DATE [NNTL] SERVICE SEPARATION DATE [NNTL] SERVICE NUMBER [NNTL] E-WORK PHONE NUMBER E-CONTACT CHANGE DATE/TIME E-EMER. CONTACT SAME AS NOK? E-COUNTRY E-PROVINCE E-POSTAL CODE E-RELATIONSHIP TYPE E-NAME E2-WORK PHONE NUMBER E2-COUNTRY E2-PROVINCE E2-POSTAL CODE E2-RELATIONSHIP TYPE E2-NAME OF SECONDARY CONTACT E2-CONTACT CHANGE DATE/TIME E2-RELATIONSHIP TO PATIENT E2-STREET ADDRESS [LINE 1] E2-STREET ADDRESS [LINE 2] E2-STREET ADDRESS [LINE 3] E2-CITY E2-STATE E2-ZIP CODE E2-PHONE NUMBER E-RELATIONSHIP TO PATIENT E-STREET ADDRESS [LINE 1] E-STREET ADDRESS [LINE 2] E-STREET ADDRESS [LINE 3] E-CITY E-STATE E-ZIP CODE E-PHONE NUMBER D-WORK PHONE NUMBER D-COUNTRY D-PROVINCE D-POSTAL CODE D-RELATIONSHIP TYPE D-DESIGNEE SAME AS NOK? D-NAME OF DESIGNEE DESIGNEE CHANGE DATE/TIME D-RELATIONSHIP TO PATIENT D-STREET ADDRESS [LINE 1] D-STREET ADDRESS [LINE 2] D-STREET ADDRESS [LINE 3] D-CITY D-STATE D-ZIP CODE D-PHONE NUMBER DATE OF DEATH DEATH ENTERED BY SOURCE OF NOTIFICATION DATE OF DEATH LAST UPDATED LAST EDITED BY SUPPORTING DOCUMENT TYPE DATE OF DEATH OPTION USED COLLATERAL SPONSOR'S NAME MILITARY DISABILITY RETIREMENT DISCHARGE DUE TO DISABILITY PRIMARY ELIGIBILITY CODE ELIGIBILITY STATUS ELIGIBILITY STATUS DATE ELIGIBILITY VERIF. SOURCE ELIGIBILITY INTERIM RESPONSE ELIGIBILITY VERIF. METHOD ELIGIBILITY STATUS ENTERED BY USER ENROLLEE VALID THROUGH USER ENROLLEE SITE DISABILITY RET. FROM MILITARY? RECEIVING A&A BENEFITS? AMOUNT OF AID & ATTENDANCE RECEIVING HOUSEBOUND BENEFITS? AMOUNT OF HOUSEBOUND RECEIVING SOCIAL SECURITY? *AMOUNT OF SOCIAL SECURITY RECEIVING A VA PENSION? AMOUNT OF VA PENSION *AMOUNT OF MILITARY RETIREMENT RECEIVING MILITARY RETIREMENT? AMOUNT OF GI INSURANCE GI INSURANCE POLICY? AMOUNT OF SSI RECEIVING SUP. SECURITY (SSI)? AMOUNT OF OTHER RETIREMENT TYPE OF OTHER RETIREMENT AMOUNT OF OTHER INCOME TOTAL ANNUAL VA CHECK AMOUNT PRIMARY LONG ID PRIMARY SHORT ID SERVICE DENTAL INJURY? SERVICE TEETH EXTRACTED? DATE OF DENTAL TREATMENT RATED DISABILITIES (VA) SERVICE CONNECTED CONDITIONS ELIGIBLE FOR MEDICAID? DATE MEDICAID LAST ASKED MEDICAID NUMBER PENSION AWARD EFFECTIVE DATE PENSION AWARD REASON PENSION TERMINATED DATE PENSION TERMINATED REASON 1 PENSION TERMINATED REASON 2 PENSION TERMINATED REASON 3 PENSION TERMINATED REASON 4 CLASS II DENTAL INDICATOR DENTAL APPL DUE BEFORE DATE PENSION INDICATOR LOCK PENSION AWARD LOCK VETERAN CATASTROPHICALLY DISABLED? DECIDED BY DATE OF DECISION FACILITY MAKING DETERMINATION REVIEW DATE METHOD OF DETERMINATION DATE VETERAN REQUESTED CD EVAL DATE FACILITY INITIATED REVIEW DATE VETERAN WAS NOTIFIED CD STATUS DIAGNOSES CD STATUS PROCEDURES CD STATUS CONDITIONS CD HISTORY DATE CD DESCRIPTORS POW STATUS INDICATED? POW CONFINEMENT LOCATION POW FROM DATE POW TO DATE POW STATUS VERIFIED COMBAT SERVICE INDICATED? COMBAT SERVICE LOCATION COMBAT FROM DATE COMBAT TO DATE COMBAT VETERAN END DATE CV DATE EDITED CURRENT PH INDICATOR CURRENT PURPLE HEART STATUS CURRENT PURPLE HEART REMARKS PH DIVISION CURRENT MOH INDICATOR MOH AWARD DATE MOH STATUS DATE MOH COPAYMENT EXEMPTION DATE EXPANDED MH CARE TYPE AUTOMATIC CHANGE DATE PRESUMPTIVE PSYCHOSIS CATEGORY INDIAN SELF IDENTIFICATION INDIAN START DATE INDIAN ATTESTATION DATE INDIAN END DATE INDIAN SELF IDENT CHANGE DT/TM INDIAN SELF IDENT CHANGE USER TEST PATIENT INDICATOR ALIAS NAME COMPONENTS K-NAME COMPONENTS K2-NAME COMPONENTS FATHER'S NAME COMPONENTS MOTHER'S NAME COMPONENTS MOTHERS MAIDEN NAME COMPONENTS E-NAME COMPONENTS E2-NAME COMPONENTS D-NAME COMPONENTS DISPOSITION LOG-IN DATE/TIME RECEIVED VA CARE PREVIOUSLY? MOST RECENT DATE OF CARE APPOINTMENT REQUEST DATE ORIGINAL APPOINTMENT REQUEST ORIGINAL APPT REQUEST DATE ORIG APPT REQUEST CHG DT/TM APPT REQUEST 1010EZ CHG DT/TM MOST RECENT LOCATION OF CARE 2ND MOST RECENT DATE OF CARE 2ND MOST RECENT LOCATION MOST RECENT 1010EZ COMBAT INDICATED ON 1010EZ DISABILITY DISCHARGE ON 1010EZ APPOINTMENT REQUEST ON 1010EZ APPOINTMENT REQUEST STATUS DATE STATUS LAST EDITED APPOINTMENT REQUEST COMMENT DATE COMMENT LAST EDITED FUGITIVE FELON FLAG FFF ENTERED BY FFF DATE ENTERED FFF REMOVED BY FFF DATE REMOVED FFF REMOVAL REMARKS INITIAL ODS TREATMENT RECEIVED RECALLED TO ACTIVE DUTY RANK CNH CURRENT APPOINTMENT VETERAN (Y/N)? ARCHIVED DATA COMMUNITY CARE PROGRAM RACE INFORMATION DATE LAST EICD RUN DENTAL CLASSIFICATION DENTAL ELIGIBILITY EXPIRATION CURRENT HEALTH BENEFIT PLAN HISTORY HEALTH BENEFIT PLAN CURRENT ENROLLMENT PREFERRED FACILITY SOURCE DESIGNATION PT APPLIED FOR ENROLLMENT? ENROLLMENT CLINIC VTS PATIENT FLAG PATIENT ELIGIBILITIES TYPE CONDITION DATE ENTERED ON SI LIST *CURRENT PC PRACTITIONER *CURRENT PC TEAM *REACTIONS PH DATE/TIME UPDATED NETWORK IDENTIFIER MHV SOCIALIZATION MHV REGISTERED MHV AUTHENTICATED MHV SECURE MESSAGING MHVREG UPDATE DATE/TIME MHVAUTH UPDATE DATE/TIME MHVSM UPDATE DATE/TIME MHV REGISTER DECLINED TEXT MHV AUTH DECLINED TEXT MHV MSG DECLINED TEXT MHV REGISTER DECLINED REASON MHV AUTH DECLINED REASON MHV MSG DECLINED REASON MHV MSG ACTIONS MHV AUTH ACTIONS *HEIGHT(cm) *WEIGHT(kg) SPINAL CORD INJURY ETHNICITY INFORMATION LABORATORY REFERENCE LAB REFERRAL REF LANGUAGE DATE/TIME DISCHARGED TO CERNER INTEGRATION CONTROL NUMBER ICN CHECKSUM COORDINATING MASTER OF RECORD LOCALLY ASSIGNED ICN SUBSCRIPTION CONTROL NUMBER CMOR ACTIVITY SCORE SCORE CALCULATION DATE TEMPORARY ID NUMBER FOREIGN ID NUMBER FULL ICN INDIVIDUAL TAX ID FULL ICN HISTORY ICN HISTORY CMOR HISTORY MULTIPLE BIRTH INDICATOR ABSENCE DIVISION INPATIENT WARD LAST MEANS TEST