File PATIENT_ENROLLMENT(27.11) Data List
| APPLICATION DATE |
PATIENT |
SOURCE OF ENROLLMENT |
ENROLLMENT STATUS |
REASON CANCELED/DECLINED |
FACILITY RECEIVED |
ENROLLMENT PRIORITY |
EFFECTIVE DATE |
PRIOR ENROLLMENT RECORD |
ENROLLMENT DATE |
ENROLLMENT END DATE |
ENROLLMENT SUBGROUP |
REASON FOR CLOSED APPLICATION |
PT APPLIED FOR ENROLLMENT? |
REGISTRATION ONLY REASON |
REGISTRATION ONLY DATE |
SOURCE OF REGISTRATION |
CANCELED/DECLINED REMARKS |
ELIGIBILITY CODE |
SERVICE CONNECTED |
SERVICE CONNECTED PERCENTAGE |
POW STATUS INDICATED |
RECEIVING A&A BENEFITS |
RECEIVING HOUSEBOUND BENEFITS |
RECEIVING A VA PENSION |
TOTAL ANNUAL VA CHECK AMOUNT |
DISABILITY RET. FROM MILITARY |
MEDICAID |
EXPOSED TO AGENT ORANGE |
RADIATION EXPOSURE INDICATED |
SOUTHWEST ASIA CONDITIONS |
MEANS TEST STATUS |
VETERAN CATASTROPHICALLY DISABLED |
PURPLE HEART INDICATED? |
UNEMPLOYABLE |
COMBAT VETERAN END DATE |
PROJ 112/SHAD |
DISCHARGED DUE TO DISABILITY |
AGENT ORANGE EXPOSURE LOCATION |
MEDAL OF HONOR INDICATED? |
CAMP LEJEUNE INDICATED? |
CAMP LEJEUNE DATE |
CAMP LEJEUNE CHANGE SITE |
CAMP LEJEUNE SOURCE |
MOH AWARD DATE |
MOH STATUS DATE |
MOH COPAYMENT EXEMPTION DATE |
EXPANDED MH CARE TYPE |
DATE/TIME ENTERED |
ENTERED BY |
RADIATION EXPOSURE METHOD |