{"aaData": [["DATE OF BIRTH", "
PID07
\n", "
YES
\n", "
PATIENT
\n", "
.03
\n", "
YES
\n", "", "", "", "
S Y=$P(VADM(3),\"^\",1)
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S Y=$P(VADM(3),\"^\",1) D:Y D^DIQ
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PID12
\n", "
YES
\n", "
PATIENT
\n", "
.117
\n", "", "", "
YES
\n", "", "
S Y=$P($G(^DIC(5,+VAPA(5),1,+VAPA(7),0)),\"^\",3)
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S Y=$P(VAPA(7),\"^\",2)
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ZCT051K1
\n", "
YES
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PATIENT
\n", "
.213
\n", "", "", "
NO
\n", "", "
S DR=.213 D LOOK^IVMPREC9
\n", "
S DR=.213 D LOOK^IVMPREC9
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ZCT052K1
\n", "
YES
\n", "
PATIENT
\n", "
.214
\n", "", "", "
NO
\n", "", "
S DR=.214 D LOOK^IVMPREC9
\n", "
S DR=.214 D LOOK^IVMPREC9
\n"], ["K-CITY", "
ZCT053K1
\n", "
YES
\n", "
PATIENT
\n", "
.216
\n", "", "", "
NO
\n", "", "
S DR=.216 D LOOK^IVMPREC9
\n", "
S DR=.216 D LOOK^IVMPREC9
\n"], ["K-STATE", "
ZCT054K1
\n", "
YES
\n", "
PATIENT
\n", "
.217
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.217 D LOOK^IVMPREC9
\n", "
S DR=.217,DIQ(0)=\"E\" D LOOK^IVMPREC9
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ZCT055K1
\n", "
YES
\n", "
PATIENT
\n", "
.218
\n", "", "", "
NO
\n", "", "
S DR=.218 D LOOK^IVMPREC9
\n", "
S DR=.218 D LOOK^IVMPREC9
\n"], ["K-PHONE NUMBER", "
ZCT06K1
\n", "
YES
\n", "
PATIENT
\n", "
.219
\n", "", "", "
NO
\n", "", "
S DR=.219 D LOOK^IVMPREC9
\n", "
S DR=.219 D LOOK^IVMPREC9
\n"], ["K-WORK PHONE NUMBER", "
ZCT07K1
\n", "
YES
\n", "
PATIENT
\n", "
.21011
\n", "", "", "
NO
\n", "", "
S DR=.21011 D LOOK^IVMPREC9
\n", "
S DR=.21011 D LOOK^IVMPREC9
\n"], ["K2-NAME OF SECONDARY NOK", "
ZCT03K2
\n", "
YES
\n", "
PATIENT
\n", "
.2191
\n", "", "", "
NO
\n", "", "
S DR=.2191 D LOOK^IVMPREC9
\n", "
S DR=.2191 D LOOK^IVMPREC9
\n"], ["K2-RELATIONSHIP TO PATIENT", "
ZCT04K2
\n", "
YES
\n", "
PATIENT
\n", "
.2192
\n", "", "", "
NO
\n", "", "
S DR=.2192 D LOOK^IVMPREC9
\n", "
S DR=.2192 D LOOK^IVMPREC9
\n"], ["PHONE NUMBER [RESIDENCE]", "
PID13
\n", "
YES
\n", "
PATIENT
\n", "
.131
\n", "", "", "
YES
\n", "", "
S Y=$P(VAPA(8),\"^\")
\n", "
S Y=$P(VAPA(8),\"^\")
\n"], ["K2-STREET ADDRESS [LINE 1]", "
ZCT051K2
\n", "
YES
\n", "
PATIENT
\n", "
.2193
\n", "", "", "
NO
\n", "", "
S DR=.2193 D LOOK^IVMPREC9
\n", "
S DR=.2193 D LOOK^IVMPREC9
\n"], ["K2-STREET ADDRESS [LINE 2]", "
ZCT052K2
\n", "
YES
\n", "
PATIENT
\n", "
.2194
\n", "", "", "
NO
\n", "", "
S DR=.2194 D LOOK^IVMPREC9
\n", "
S DR=.2194 D LOOK^IVMPREC9
\n"], ["K2-CITY", "
ZCT053K2
\n", "
YES
\n", "
PATIENT
\n", "
.2196
\n", "", "", "
NO
\n", "", "
S DR=.2196 D LOOK^IVMPREC9
\n", "
S DR=.2196 D LOOK^IVMPREC9
\n"], ["K2-STATE", "
ZCT054K2
\n", "
YES
\n", "
PATIENT
\n", "
.2197
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.2197 D LOOK^IVMPREC9
\n", "
S DR=.2197,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["K2-ZIP CODE", "
ZCT055K2
\n", "
YES
\n", "
PATIENT
\n", "
.2198
\n", "", "", "
NO
\n", "", "
S DR=.2198 D LOOK^IVMPREC9
\n", "
S DR=.2198 D LOOK^IVMPREC9
\n"], ["K2-PHONE NUMBER", "
ZCT06K2
\n", "
YES
\n", "
PATIENT
\n", "
.2199
\n", "", "", "
NO
\n", "", "
S DR=.2199 D LOOK^IVMPREC9
\n", "
S DR=.2199 D LOOK^IVMPREC9
\n"], ["K2-WORK PHONE NUMBER", "
ZCT07K2
\n", "
YES
\n", "
PATIENT
\n", "
.211011
\n", "", "", "
NO
\n", "", "
S DR=.211011 D LOOK^IVMPREC9
\n", "
S DR=.211011 D LOOK^IVMPREC9
\n"], ["D-NAME OF DESIGNEE", "
ZCT03D1
\n", "
YES
\n", "
PATIENT
\n", "
.341
\n", "", "", "
NO
\n", "", "
S DR=.341 D LOOK^IVMPREC9
\n", "
S DR=.341 D LOOK^IVMPREC9
\n"], ["D-RELATIONSHIP TO PATIENT", "
ZCT04D1
\n", "
YES
\n", "
PATIENT
\n", "
.342
\n", "", "", "
NO
\n", "", "
S DR=.342 D LOOK^IVMPREC9
\n", "
S DR=.342 D LOOK^IVMPREC9
\n"], ["D-STREET ADDRESS [LINE 1]", "
ZCT051D1
\n", "
YES
\n", "
PATIENT
\n", "
.343
\n", "", "", "
NO
\n", "", "
S DR=.343 D LOOK^IVMPREC9
\n", "
S DR=.343 D LOOK^IVMPREC9
\n"], ["D-STREET ADDRESS [LINE 2]", "
ZCT052D1
\n", "
YES
\n", "
PATIENT
\n", "
.344
\n", "", "", "
NO
\n", "", "
S DR=.344 D LOOK^IVMPREC9
\n", "
S DR=.344 D LOOK^IVMPREC9
\n"], ["D-CITY", "
ZCT053D1
\n", "
YES
\n", "
PATIENT
\n", "
.346
\n", "", "", "
NO
\n", "", "
S DR=.346 D LOOK^IVMPREC9
\n", "
S DR=.346 D LOOK^IVMPREC9
\n"], ["D-STATE", "
ZCT054D1
\n", "
YES
\n", "
PATIENT
\n", "
.347
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.347 D LOOK^IVMPREC9
\n", "
S DR=.347,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["D-ZIP CODE", "
ZCT055D1
\n", "
YES
\n", "
PATIENT
\n", "
.348
\n", "", "", "
NO
\n", "", "
S DR=.348 D LOOK^IVMPREC9
\n", "
S DR=.348 D LOOK^IVMPREC9
\n"], ["D-PHONE NUMBER", "
ZCT06D1
\n", "
YES
\n", "
PATIENT
\n", "
.349
\n", "", "", "
NO
\n", "", "
S DR=.349 D LOOK^IVMPREC9
\n", "
S DR=.349 D LOOK^IVMPREC9
\n"], ["D-WORK PHONE NUMBER", "
ZCT07D1
\n", "
YES
\n", "
PATIENT
\n", "
.34011
\n", "", "", "
NO
\n", "", "
S DR=.34011 D LOOK^IVMPREC9
\n", "
S DR=.34011 D LOOK^IVMPREC9
\n"], ["EMPLOYMENT STATUS", "
ZEM03
\n", "
YES
\n", "
PATIENT
\n", "
.31115
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.31115 D LOOK^IVMPREC9
\n", "
S DR=.31115,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["EMPLOYER NAME", "
ZEM04
\n", "
YES
\n", "
PATIENT
\n", "
.3111
\n", "", "", "
NO
\n", "", "
S DR=.3111 D LOOK^IVMPREC9
\n", "
S DR=.3111 D LOOK^IVMPREC9
\n"], ["OCCUPATION", "
ZEM05
\n", "
YES
\n", "
PATIENT
\n", "
.07
\n", "", "", "
NO
\n", "", "
S DR=.07 D LOOK^IVMPREC9
\n", "
S DR=.07 D LOOK^IVMPREC9
\n"], ["EMPLOYER ADDR [LINE 1]", "
ZEM061
\n", "
YES
\n", "
PATIENT
\n", "
.3113
\n", "", "", "
NO
\n", "", "
S DR=.3113 D LOOK^IVMPREC9
\n", "
S DR=.3113 D LOOK^IVMPREC9
\n"], ["EMPLOYER ADDR [LINE 2]", "
ZEM062
\n", "
YES
\n", "
PATIENT
\n", "
.3114
\n", "", "", "
NO
\n", "", "
S DR=.3114 D LOOK^IVMPREC9
\n", "
S DR=.3114 D LOOK^IVMPREC9
\n"], ["EMPLOYER ADDR [LINE 3]", "
ZEM068
\n", "
YES
\n", "
PATIENT
\n", "
.3115
\n", "", "", "
NO
\n", "", "
S DR=.3115 D LOOK^IVMPREC9
\n", "
S DR=.3115 D LOOK^IVMPREC9
\n"], ["EMPLOYER CITY", "
ZEM063
\n", "
YES
\n", "
PATIENT
\n", "
.3116
\n", "", "", "
NO
\n", "", "
S DR=.3116 D LOOK^IVMPREC9
\n", "
S DR=.3116 D LOOK^IVMPREC9
\n"], ["EMPLOYER STATE", "
ZEM064
\n", "
YES
\n", "
PATIENT
\n", "
.3117
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.3117 D LOOK^IVMPREC9
\n", "
S DR=.3117,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["EMPLOYER ZIP", "
ZEM065
\n", "
YES
\n", "
PATIENT
\n", "
.3118
\n", "", "", "
NO
\n", "", "
S DR=.3118 D LOOK^IVMPREC9
\n", "
S DR=.3118 D LOOK^IVMPREC9
\n"], ["EMPLOYER TELEPHONE", "
ZEM07
\n", "
YES
\n", "
PATIENT
\n", "
.3119
\n", "", "", "
NO
\n", "", "
S DR=.3119 D LOOK^IVMPREC9
\n", "
S DR=.3119 D LOOK^IVMPREC9
\n"], ["RETIREMENT DATE", "
ZEM09
\n", "
YES
\n", "
PATIENT
\n", "
.31116
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.31116 D LOOK^IVMPREC9
\n", "
S DR=.31116,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYMENT STATUS", "
ZEM03S
\n", "
YES
\n", "
PATIENT
\n", "
.2515
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.2515 D LOOK^IVMPREC9
\n", "
S DR=.2515,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["RATED INCOMPETENT?", "
ZPD08
\n", "
NO
\n", "
PATIENT
\n", "
.293
\n", "
YES
\n", "
YES
\n", "", "
NO
\n", "
S DR=.293 D LOOK^IVMPREC9
\n", "
S DR=.293 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER NAME", "
ZEM04S
\n", "
YES
\n", "
PATIENT
\n", "
.251
\n", "", "", "
NO
\n", "", "
S DR=.251 D LOOK^IVMPREC9
\n", "
S DR=.251 D LOOK^IVMPREC9
\n"], ["SPOUSE'S OCCUPATION", "
ZEM05S
\n", "
YES
\n", "
PATIENT
\n", "
.2514
\n", "", "", "
NO
\n", "", "
S DR=.2514 D LOOK^IVMPREC9
\n", "
S DR=.2514 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER ADDR LINE 1", "
ZEM061S
\n", "
YES
\n", "
PATIENT
\n", "
.252
\n", "", "", "
NO
\n", "", "
S DR=.252 D LOOK^IVMPREC9
\n", "
S DR=.252 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER ADDR LINE 2", "
ZEM062S
\n", "
YES
\n", "
PATIENT
\n", "
.253
\n", "", "", "
NO
\n", "", "
S DR=.253 D LOOK^IVMPREC9
\n", "
S DR=.253 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER ADDR LINE 3", "
ZEM068S
\n", "
YES
\n", "
PATIENT
\n", "
.254
\n", "", "", "
NO
\n", "", "
S DR=.254 D LOOK^IVMPREC9
\n", "
S DR=.254 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER CITY", "
ZEM063S
\n", "
YES
\n", "
PATIENT
\n", "
.255
\n", "", "", "
NO
\n", "", "
S DR=.255 D LOOK^IVMPREC9
\n", "
S DR=.255 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER STATE", "
ZEM064S
\n", "
YES
\n", "
PATIENT
\n", "
.256
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.256 D LOOK^IVMPREC9
\n", "
S DR=.256,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER ZIP", "
ZEM065S
\n", "
YES
\n", "
PATIENT
\n", "
.257
\n", "", "", "
NO
\n", "", "
S DR=.257 D LOOK^IVMPREC9
\n", "
S DR=.257 D LOOK^IVMPREC9
\n"], ["SPOUSE'S EMPLOYER TELEPHONE", "
ZEM07S
\n", "
YES
\n", "
PATIENT
\n", "
.258
\n", "", "", "
NO
\n", "", "
S DR=.258 D LOOK^IVMPREC9
\n", "
S DR=.258 D LOOK^IVMPREC9
\n"], ["SPOUSE'S RETIREMENT DATE", "
ZEM09S
\n", "
YES
\n", "
PATIENT
\n", "
.2516
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.2516 D LOOK^IVMPREC9
\n", "
S DR=.2516,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["DATE OF DEATH", "
ZPD09
\n", "
YES
\n", "
PATIENT
\n", "
.351
\n", "
YES
\n", "", "", "
NO
\n", "
S Y=$P($G(^DPT(DFN,.35)),\"^\")
\n", "
S Y=$P($G(^DPT(DFN,.35)),\"^\") D:Y D^DIQ
\n"], ["PHONE NUMBER [WORK]", "
PID13W
\n", "
YES
\n", "
PATIENT
\n", "
.132
\n", "", "", "
YES
\n", "", "
S DR=.132 D LOOK^IVMPREC9
\n", "
S DR=.132 D LOOK^IVMPREC9
\n"], ["FATHER'S NAME", "
ZPD06
\n", "
YES
\n", "
PATIENT
\n", "
.2401
\n", "", "", "
NO
\n", "", "
S DR=.2401 D LOOK^IVMPREC9
\n", "
S DR=.2401 D LOOK^IVMPREC9
\n"], ["MOTHER'S NAME", "
ZPD07
\n", "
YES
\n", "
PATIENT
\n", "
.2402
\n", "", "", "
NO
\n", "", "
S DR=.2402 D LOOK^IVMPREC9
\n", "
S DR=.2402 D LOOK^IVMPREC9
\n"], ["RESIDENCE NUMBER CHANGE DT/TM", "
RF171P
\n", "
YES
\n", "
PATIENT
\n", "
.1321
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.1321 D LOOK^IVMPREC9
\n", "
S DR=.1321 D LOOK^IVMPREC9
\n"], ["RESIDENCE NUMBER CHANGE SOURCE", "
RF162P
\n", "
YES
\n", "
PATIENT
\n", "
.1322
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.1322 D LOOK^IVMPREC9
\n", "
S DR=.1322 D LOOK^IVMPREC9
\n"], ["RESIDENCE NUMBER CHANGE SITE", "
RF161P
\n", "
YES
\n", "
PATIENT
\n", "
.1323
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.1323 D LOOK^IVMPREC9
\n", "
S DR=.1323 D LOOK^IVMPREC9
\n"], ["STREET ADDR CASS", "
ZAV03
\n", "
YES
\n", "
PATIENT
\n", "
.1118
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.1118 D LOOK^IVMPREC9
\n", "
S DR=.1118 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDR CASS", "
ZAV04
\n", "
YES
\n", "
PATIENT
\n", "
.12115
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.12115 D LOOK^IVMPREC9
\n", "
S DR=.12115 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDR CASS", "
ZAV02
\n", "
YES
\n", "
PATIENT
\n", "
.14117
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14117 D LOOK^IVMPREC9
\n", "
S DR=.14117 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDR CASS", "
ZAV01
\n", "
YES
\n", "
PATIENT
\n", "
.1159
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1159 D LOOK^IVMPREC9
\n", "
S DR=.1159 D LOOK^IVMPREC9
\n"], ["ELIGIBLE FOR MEDICAID?", "
ZPD12
\n", "
NO
\n", "
PATIENT
\n", "
.381
\n", "
YES
\n", "
YES
\n", "", "
YES
\n", "
S DR=.381 D LOOK^IVMPREC9
\n", "
S DR=.381 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDRESS CATEGORY", "
PID117C
\n", "
YES
\n", "
PATIENT
\n", "
.141
\n", "
NO
\n", "
NO
\n", "
NO
\n", "", "
S DA(1)=DFN,DA=IEN,DIC=\"^DPT(DA(1),.141,IEN,\" D ^DIC
\n", "
S DA(1)=DFN,DA=IEN,DIC=\"^DPT(DA(1),.141,IEN,\" D ^DIC
\n"], ["CONFIDENTIAL STREET [LINE 1]", "
PID111C
\n", "
YES
\n", "
PATIENT
\n", "
.1411
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1411 D LOOK^IVMPREC9
\n", "
S DR=.1411 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL STREET [LINE 2]", "
PID112C
\n", "
YES
\n", "
PATIENT
\n", "
.1412
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1412 D LOOK^IVMPREC9
\n", "
S DR=.1412 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL STREET [LINE 3]", "
PID118C
\n", "
YES
\n", "
PATIENT
\n", "
.1413
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1413 D LOOK^IVMPREC9
\n", "
S DR=.1413 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDRESS CITY", "
PID113C
\n", "
YES
\n", "
PATIENT
\n", "
.1414
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1414 D LOOK^IVMPREC9
\n", "
S DR=.1414 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDRESS STATE", "
PID114C
\n", "
YES
\n", "
PATIENT
\n", "
.1415
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1415 D LOOK^IVMPREC9
\n", "
S DR=.1415 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDRESS ZIP CODE", "
PID115C
\n", "
YES
\n", "
PATIENT
\n", "
.1416
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1416 D LOOK^IVMPREC9
\n", "
S DR=.1416 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDR COUNTRY", "
PID116C
\n", "
YES
\n", "
PATIENT
\n", "
.14116
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14116 D LOOK^IVMPREC9
\n", "
S DR=.14116 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDR PROVINCE", "
PID114CF
\n", "
YES
\n", "
PATIENT
\n", "
.14114
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14114 D LOOK^IVMPREC9
\n", "
S DR=.14114 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDR POSTAL CODE", "
PID115CF
\n", "
YES
\n", "
PATIENT
\n", "
.14115
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14115 D LOOK^IVMPREC9
\n", "
S DR=.14115 D LOOK^IVMPREC9
\n"], ["DATE MEDICAID LAST ASKED?", "
ZPD13
\n", "
NO
\n", "
PATIENT
\n", "
.382
\n", "
YES
\n", "", "", "", "
S DR=.382 D LOOK^IVMPREC9
\n", "
S DR=.382 D LOOK^IVMPREC9,D^DIQ:Y
\n"], ["CONFIDENTIAL ADDRESS COUNTY", "
PID119C
\n", "
YES
\n", "
PATIENT
\n", "
.14111
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14111 D LOOK^IVMPREC9
\n", "
S DR=.14111 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL PHONE NUMBER", "
PID13CA
\n", "
YES
\n", "
PATIENT
\n", "
.1315
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1315 D LOOK^IVMPREC9
\n", "
S DR=.1315 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL START DATE", "
PID1112C
\n", "
YES
\n", "
PATIENT
\n", "
.1417
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1417 D LOOK^IVMPREC9
\n", "
S DR=.1417 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL END DATE", "
PID1113C
\n", "
YES
\n", "
PATIENT
\n", "
.1418
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1418 D LOOK^IVMPREC9
\n", "
S DR=.1418 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDR CHANGE DT/TM", "
RF171CA
\n", "
YES
\n", "
PATIENT
\n", "
.14112
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14112 D LOOK^IVMPREC9
\n", "
S DR=.14112 D LOOK^IVMPREC9
\n"], ["CONFIDENTIAL ADDR CHANGE SITE", "
RF161CA
\n", "
YES
\n", "
PATIENT
\n", "
.14113
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.14113 D LOOK^IVMPREC9
\n", "
S DR=.14113 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDRESS [LINE 1]", "
PID111R
\n", "
YES
\n", "
PATIENT
\n", "
.1151
\n", "", "", "
NO
\n", "", "
S DR=.1151 D LOOK^IVMPREC9
\n", "
S DR=.1151 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDRESS [LINE 2]", "
PID112R
\n", "
YES
\n", "
PATIENT
\n", "
.1152
\n", "", "", "
NO
\n", "", "
S DR=.1152 D LOOK^IVMPREC9
\n", "
S DR=.1152 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDRESS [LINE 3]", "
PID118R
\n", "
YES
\n", "
PATIENT
\n", "
.1153
\n", "", "", "
NO
\n", "", "
S DR=.1153 D LOOK^IVMPREC9
\n", "
S DR=.1153 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL CITY", "
PID113R
\n", "
YES
\n", "
PATIENT
\n", "
.1154
\n", "", "", "
NO
\n", "", "
S DR=.1154 D LOOK^IVMPREC9
\n", "
S DR=.1154 D LOOK^IVMPREC9
\n"], ["INSTITUTION (VA)", "
ZGD04
\n", "
NO
\n", "
PATIENT
\n", "
.2911
\n", "
YES
\n", "", "", "", "
S DR=.2911 D LOOK^IVMPREC9 S Y=$P($G(^DIC(4,+Y,0)),\"^\")
\n", "
S DR=.2911 D LOOK^IVMPREC9 S Y=$P($G(^DIC(4,+Y,0)),\"^\")
\n"], ["RESIDENTIAL STATE", "
PID114R
\n", "
YES
\n", "
PATIENT
\n", "
.1155
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.1155 D LOOK^IVMPREC9
\n", "
S DR=.1155 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ZIP+4", "
PID115R
\n", "
YES
\n", "
PATIENT
\n", "
.1156
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.1156 D LOOK^IVMPREC9
\n", "
S DR=.1156 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL COUNTRY", "
PID116R
\n", "
YES
\n", "
PATIENT
\n", "
.11573
\n", "", "", "
NO
\n", "", "
S DR=.11573 D LOOK^IVMPREC9
\n", "
S DR=.11573 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL PROVINCE", "
PID114RF
\n", "
YES
\n", "
PATIENT
\n", "
.11571
\n", "", "", "
NO
\n", "", "
S DR=.11571 D LOOK^IVMPREC9
\n", "
S DR=.11571 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL POSTAL CODE", "
PID115RF
\n", "
YES
\n", "
PATIENT
\n", "
.11572
\n", "", "", "
NO
\n", "", "
S DR=.11572 D LOOK^IVMPREC9
\n", "
S DR=.11572 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL COUNTY", "
PID119R
\n", "
YES
\n", "
PATIENT
\n", "
.1157
\n", "", "", "
NO
\n", "", "
S DR=.1157 D LOOK^IVMPREC9
\n", "
S DR=.1157 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDR CHANGE DT/TM", "
RF171RA
\n", "
YES
\n", "
PATIENT
\n", "
.1158
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1158 D LOOK^IVMPREC9
\n", "
S DR=.1158 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDR CHANGE SITE", "
RF161RA
\n", "
YES
\n", "
PATIENT
\n", "
.11581
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.11581 D LOOK^IVMPREC9
\n", "
S DR=.11581 D LOOK^IVMPREC9
\n"], ["RESIDENTIAL ADDR CHANGE SOURCE", "
RF162RA
\n", "
YES
\n", "
PATIENT
\n", "
.11582
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.11582 D LOOK^IVMPREC9
\n", "
S DR=.11582 D LOOK^IVMPREC9
\n"], ["K-POSTAL CODE", "
ZCT055K1F
\n", "
YES
\n", "
PATIENT
\n", "
.223
\n", "", "", "
NO
\n", "", "
S DR=.223 D LOOK^IVMPREC9
\n", "
S DR=.223 D LOOK^IVMPREC9
\n"], ["RELATIONSHIP (VA)", "
ZGD05
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2913 D LOOK^IVMPREC9
\n", "
S DR=.2913 D LOOK^IVMPREC9
\n"], ["K-PROVINCE", "
ZCT054K1F
\n", "
YES
\n", "
PATIENT
\n", "
.222
\n", "", "", "
NO
\n", "", "
S DR=.222 D LOOK^IVMPREC9
\n", "
S DR=.222 D LOOK^IVMPREC9
\n"], ["K-COUNTRY", "
ZCT056K1
\n", "
YES
\n", "
PATIENT
\n", "
.221
\n", "", "", "
NO
\n", "", "
S DR=.221 D LOOK^IVMPREC9
\n", "
S DR=.221 D LOOK^IVMPREC9
\n"], ["K2-POSTAL CODE", "
ZCT055K2F
\n", "
YES
\n", "
PATIENT
\n", "
.2103
\n", "", "", "
NO
\n", "", "
S DR=.2103 D LOOK^IVMPREC9
\n", "
S DR=.2103 D LOOK^IVMPREC9
\n"], ["K2-PROVINCE", "
ZCT054K2F
\n", "
YES
\n", "
PATIENT
\n", "
.2102
\n", "", "", "
NO
\n", "", "
S DR=.2102 D LOOK^IVMPREC9
\n", "
S DR=.2102 D LOOK^IVMPREC9
\n"], ["K2-COUNTRY", "
ZCT056K2
\n", "
YES
\n", "
PATIENT
\n", "
.2101
\n", "", "", "
NO
\n", "", "
S DR=.2101 D LOOK^IVMPREC9
\n", "
S DR=.2101 D LOOK^IVMPREC9
\n"], ["E-POSTAL CODE", "
ZCT055E1F
\n", "
YES
\n", "
PATIENT
\n", "
.3308
\n", "", "", "
NO
\n", "", "
S DR=.3308 D LOOK^IVMPREC9
\n", "
S DR=.3308 D LOOK^IVMPREC9
\n"], ["E-PROVINCE", "
ZCT054E1F
\n", "
YES
\n", "
PATIENT
\n", "
.3307
\n", "", "", "
NO
\n", "", "
S DR=.3307 D LOOK^IVMPREC9
\n", "
S DR=.3307 D LOOK^IVMPREC9
\n"], ["E-COUNTRY", "
ZCT056E1
\n", "
YES
\n", "
PATIENT
\n", "
.3306
\n", "", "", "
NO
\n", "", "
S DR=.3306 D LOOK^IVMPREC9
\n", "
S DR=.3306 D LOOK^IVMPREC9
\n"], ["E2-POSTAL CODE", "
ZCT055E2F
\n", "
YES
\n", "
PATIENT
\n", "
.331014
\n", "", "", "
NO
\n", "", "
S DR=.331014 D LOOK^IVMPREC9
\n", "
S DR=.331014 D LOOK^IVMPREC9
\n"], ["E2-PROVINCE", "
ZCT054E2F
\n", "
YES
\n", "
PATIENT
\n", "
.331013
\n", "", "", "
NO
\n", "", "
S DR=.331013 D LOOK^IVMPREC9
\n", "
S DR=.331013 D LOOK^IVMPREC9
\n"], ["SEX", "
PID08
\n", "
YES
\n", "
PATIENT
\n", "
.02
\n", "
YES
\n", "", "", "", "
S Y=$P(VADM(5),\"^\",1)
\n", "
S Y=$P(VADM(5),\"^\",2)
\n"], ["STREET ADDRESS [LINE 1] (VA)", "
ZGD061
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2914 D LOOK^IVMPREC9
\n", "
S DR=.2914 D LOOK^IVMPREC9
\n"], ["E2-COUNTRY", "
ZCT056E2
\n", "
YES
\n", "
PATIENT
\n", "
.331012
\n", "", "", "
NO
\n", "", "
S DR=.331012 D LOOK^IVMPREC9
\n", "
S DR=.331012 D LOOK^IVMPREC9
\n"], ["D-POSTAL CODE", "
ZCT055D1F
\n", "
YES
\n", "
PATIENT
\n", "
.34014
\n", "", "", "
NO
\n", "", "
S DR=.34014 D LOOK^IVMPREC9
\n", "
S DR=.34014 D LOOK^IVMPREC9
\n"], ["D-PROVINCE", "
ZCT054D1F
\n", "
YES
\n", "
PATIENT
\n", "
.34013
\n", "", "", "
NO
\n", "", "
S DR=.34013 D LOOK^IVMPREC9
\n", "
S DR=.34013 D LOOK^IVMPREC9
\n"], ["D-COUNTRY", "
ZCT056D1
\n", "
YES
\n", "
PATIENT
\n", "
.34012
\n", "", "", "
NO
\n", "", "
S DR=.34012 D LOOK^IVMPREC9
\n", "
S DR=.34012 D LOOK^IVMPREC9
\n"], ["STREET ADDRESS [LINE 2] (VA)", "
ZGD062
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2915 D LOOK^IVMPREC9
\n", "
S DR=.2915 D LOOK^IVMPREC9
\n"], ["K-RELATIONSHIP TYPE", "
ZCT11K1
\n", "
YES
\n", "
PATIENT
\n", "
.224
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.224 D LOOK^IVMPREC9
\n", "
S DR=.224 D LOOK^IVMPREC9
\n"], ["CITY (VA)", "
ZGD063
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2916 D LOOK^IVMPREC9
\n", "
S DR=.2916 D LOOK^IVMPREC9
\n"], ["K2-RELATIONSHIP TYPE", "
ZCT11K2
\n", "
YES
\n", "
PATIENT
\n", "
.2104
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.2104 D LOOK^IVMPREC9
\n", "
S DR=.2104 D LOOK^IVMPREC9
\n"], ["E-RELATIONSHIP TYPE", "
ZCT11E1
\n", "
YES
\n", "
PATIENT
\n", "
.3309
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.3309 D LOOK^IVMPREC9
\n", "
S DR=.3309 D LOOK^IVMPREC9
\n"], ["E2-RELATIONSHIP TYPE", "
ZCT11E2
\n", "
YES
\n", "
PATIENT
\n", "
.331015
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.331015 D LOOK^IVMPREC9
\n", "
S DR=.331015 D LOOK^IVMPREC9
\n"], ["D-RELATIONSHIP TYPE", "
ZCT11D1
\n", "
YES
\n", "
PATIENT
\n", "
.34015
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.34015 D LOOK^IVMPREC9
\n", "
S DR=.34015 D LOOK^IVMPREC9
\n"], ["DESIGNEE CHANGE DATE/TIME", "
ZCT10D1
\n", "
YES
\n", "
PATIENT
\n", "
.3412
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.3412 D LOOK^IVMPREC9
\n", "
S DR=.3412,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["E-CONTACT CHANGE DATE/TIME", "
ZCT10E1
\n", "
YES
\n", "
PATIENT
\n", "
.33012
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.33012 D LOOK^IVMPREC9
\n", "
S DR=.33012,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["E2-CONTACT CHANGE DATE/TIME", "
ZCT10E2
\n", "
YES
\n", "
PATIENT
\n", "
.33112
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.33112 D LOOK^IVMPREC9
\n", "
S DR=.33112,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["PRIMARY NOK CHANGE DATE/TIME", "
ZCT10K1
\n", "
YES
\n", "
PATIENT
\n", "
.21012
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.21012 D LOOK^IVMPREC9
\n", "
S DR=.21012,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["SECONDARY NOK CHANGE DT/TM", "
ZCT10K2
\n", "
YES
\n", "
PATIENT
\n", "
.211012
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.211012 D LOOK^IVMPREC9
\n", "
S DR=.211012,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["PREFERRED LANGUAGE", "
ZPD46
\n", "
YES
\n", "
PATIENT
\n", "
2.07
\n", "
YES
\n", "", "", "", "
S Y=$P(VADM(13,1),\"^\",2)
\n", "
S Y=$P(VADM(13,1),\"^\",2)
\n"], ["STATE (VA)", "
ZGD064
\n", "
NO
\n", "
PATIENT
\n", "
.115
\n", "
YES
\n", "
YES
\n", "", "", "
S DR=.2917 D LOOK^IVMPREC9
\n", "
S DR=.2917 D LOOK^IVMPREC9
\n"], ["LANGUAGE DATE TIME", "
ZPD47
\n", "
YES
\n", "
PATIENT
\n", "
2.07
\n", "
YES
\n", "", "", "", "
S Y=$P(VADM(13),\"^\",1)
\n", "
S Y=$P(VADM(13),\"^\",1) D:Y D^DIQ
\n"], ["WORK NUMBER CHANGE DT/TM", "
RF171PW
\n", "
YES
\n", "
PATIENT
\n", "
.1326
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.1326 D LOOK^IVMPREC9
\n", "
S DR=.1326 D LOOK^IVMPREC9
\n"], ["TEMPORARY COUNTRY CODE", "
ZTA101
\n", "
YES
\n", "
PATIENT
\n", "
.12116
\n", "", "", "
NO
\n", "", "
S DR=.12116 D LOOK^IVMPREC9
\n", "
S DR=.12116 D LOOK^IVMPREC9
\n"], ["TEMPORARY TELEPHONE", "
ZTA102
\n", "
YES
\n", "
PATIENT
\n", "
.1219
\n", "
NO
\n", "", "
NO
\n", "", "
S DR=.1219 D LOOK^IVMPREC9
\n", "
S DR=.1219 D LOOK^IVMPREC9
\n"], ["TEMPORARY EXTENSION", "
ZTA104
\n", "
YES
\n", "
PATIENT
\n", "
.12117
\n", "", "", "
NO
\n", "", "
S DR=.12117 D LOOK^IVMPREC9
\n", "
S DR=.12117 D LOOK^IVMPREC9
\n"], ["ZIP (VA)", "
ZGD065
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2918 D LOOK^IVMPREC9
\n", "
S DR=.2918 D LOOK^IVMPREC9
\n"], ["PHONE (VA)", "
ZGD07
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2919 D LOOK^IVMPREC9
\n", "
S DR=.2919 D LOOK^IVMPREC9
\n"], ["DATE RULED INCOMPETENT (VA)", "
ZGD08
\n", "
NO
\n", "
PATIENT
\n", "
.291
\n", "
YES
\n", "", "", "", "
S DR=.291 D LOOK^IVMPREC9
\n", "
S DR=.291 D LOOK^IVMPREC9,D^DIQ:Y
\n"], ["PRIMARY ELIGIBILITY CODE", "
ZEL02
\n", "
NO
\n", "
PATIENT
\n", "
.361
\n", "
YES
\n", "
YES
\n", "", "
YES
\n", "
D ELIG^VADPT S Y=+VAEL(1) K VAEL,VAERR
\n", "
D ELIG^VADPT S Y=+VAEL(1) K VAEL,VAERR
\n"], ["CLAIM FOLDER NUMBER", "
ZEL06
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "
YES
\n", "
S DR=.313 D LOOK^IVMPREC9
\n", "
S DR=.313 D LOOK^IVMPREC9
\n"], ["ELIGIBILITY STATUS", "
ZEL10
\n", "
NO
\n", "
PATIENT
\n", "
.3611
\n", "
YES
\n", "
YES
\n", "", "
YES
\n", "
S DR=.3611 D LOOK^IVMPREC9
\n", "
S DR=.3611 D LOOK^IVMPREC9
\n"], ["GUARDIAN (VA)", "
ZGD03
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "", "
S DR=.2912 D LOOK^IVMPREC9
\n", "
S DR=.2912 D LOOK^IVMPREC9
\n"], ["CLAIM FOLDER LOCATION", "
ZEL07
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "
YES
\n", "
S DR=.314 D LOOK^IVMPREC9 Q:Y=\"\" S Y=$P($G(^DIC(4,Y,99)),\"^\")_$P($G(^DIC(4,Y,0)),\"^\")
\n", "
S DR=.314 D LOOK^IVMPREC9 Q:Y=\"\" S Y=$P($G(^DIC(4,Y,99)),\"^\")_$P($G(^DIC(4,Y,0)),\"^\")
\n"], ["ELIGIBILITY STATUS DATE", "
ZEL11
\n", "
NO
\n", "
PATIENT
\n", "
.3612
\n", "
YES
\n", "", "", "
YES
\n", "
S DR=.3612 D LOOK^IVMPREC9
\n", "
S DR=.3612 D LOOK^IVMPREC9,D^DIQ:Y
\n"], ["ELIGIBILITY VERIF. METHOD", "
ZEL13
\n", "
NO
\n", "
PATIENT
\n", "", "", "", "", "
YES
\n", "
S DR=.3615 D LOOK^IVMPREC9
\n", "
S DR=.3615 D LOOK^IVMPREC9
\n"], ["ADDRESS CHANGE DT/TM", "
RF171
\n", "
YES
\n", "
PATIENT
\n", "
.118
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.118 D LOOK^IVMPREC9
\n", "
S DR=.118 D LOOK^IVMPREC9
\n"], ["ADDRESS CHANGE SOURCE", "
RF162
\n", "
YES
\n", "
PATIENT
\n", "
.119
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.119 D LOOK^IVMPREC9
\n", "
S DR=.119 D LOOK^IVMPREC9
\n"], ["ADDRESS CHANGE SITE", "
RF161
\n", "
YES
\n", "
PATIENT
\n", "
.12
\n", "
YES
\n", "
YES
\n", "
YES
\n", "", "
S DR=.12 D LOOK^IVMPREC9
\n", "
S DR=.12 D LOOK^IVMPREC9
\n"], ["SOURCE OF NOTIFICATION", "
ZPD31
\n", "
YES
\n", "
PATIENT
\n", "
.353
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.353 D LOOK^IVMPREC9
\n", "
S DR=.353 D LOOK^IVMPREC9
\n"], ["DATE OF DEATH LAST UPDATED", "
ZPD32
\n", "
YES
\n", "
PATIENT
\n", "
.354
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.354 D LOOK^IVMPREC9
\n", "
S DR=.354 D LOOK^IVMPREC9
\n"], ["PROVINCE", "
PID114F
\n", "
YES
\n", "
PATIENT
\n", "
.1171
\n", "", "", "
YES
\n", "", "
S DR=.1171 D LOOK^IVMPREC9
\n", "
S DR=.1171 D LOOK^IVMPREC9
\n"], ["POSTAL CODE", "
PID115F
\n", "
YES
\n", "
PATIENT
\n", "
.1172
\n", "", "", "
YES
\n", "", "
S DR=.1172 D LOOK^IVMPREC9
\n", "
S DR=.1172 D LOOK^IVMPREC9
\n"], ["STREET ADDRESS [LINE 1]", "
PID111
\n", "
YES
\n", "
PATIENT
\n", "
.111
\n", "", "", "
YES
\n", "", "
S Y=$P(VAPA(1),\"^\")
\n", "
S Y=$P(VAPA(1),\"^\")
\n"], ["COUNTRY", "
PID116
\n", "
YES
\n", "
PATIENT
\n", "
.1173
\n", "", "", "
YES
\n", "", "
S DR=.1173 D LOOK^IVMPREC9
\n", "
S DR=.1173 D LOOK^IVMPREC9
\n"], ["BAD ADDRESS INDICATOR", "
PID117
\n", "
YES
\n", "
PATIENT
\n", "
.121
\n", "", "", "
YES
\n", "", "
S DR=.121 D LOOK^IVMPREC9
\n", "
S DR=.121 D LOOK^IVMPREC9
\n"], ["STREET ADDRESS [LINE 3]", "
PID118
\n", "
YES
\n", "
PATIENT
\n", "
.113
\n", "", "", "
YES
\n", "", "
S Y=$P(VAPA(3),\"^\")
\n", "
S Y=VAPA(3)
\n"], ["PAGER NUMBER", "
PID13B
\n", "
YES
\n", "
PATIENT
\n", "
.135
\n", "", "", "
YES
\n", "", "
S DR=.135 D LOOK^IVMPREC9
\n", "
S DR=.135 D LOOK^IVMPREC9
\n"], ["CELLULAR NUMBER", "
PID13C
\n", "
YES
\n", "
PATIENT
\n", "
.134
\n", "", "", "
YES
\n", "", "
S DR=.134 D LOOK^IVMPREC9
\n", "
S DR=.134 D LOOK^IVMPREC9
\n"], ["EMAIL ADDRESS", "
PID13E
\n", "
YES
\n", "
PATIENT
\n", "
.133
\n", "", "", "
YES
\n", "", "
S DR=.133 D LOOK^IVMPREC9
\n", "
S DR=.133 D LOOK^IVMPREC9
\n"], ["PAGER CHANGE DT/TM", "
RF171B
\n", "
YES
\n", "
PATIENT
\n", "
.1312
\n", "", "", "
YES
\n", "", "
S DR=.1312 D LOOK^IVMPREC9
\n", "
S DR=.1312 D LOOK^IVMPREC9
\n"], ["PAGER CHANGE SOURCE", "
RF162B
\n", "
YES
\n", "
PATIENT
\n", "
.1313
\n", "", "", "
YES
\n", "", "
S DR=.1313 D LOOK^IVMPREC9
\n", "
S DR=.1313 D LOOK^IVMPREC9
\n"], ["PAGER CHANGE SITE", "
RF161B
\n", "
YES
\n", "
PATIENT
\n", "
.1314
\n", "", "", "
YES
\n", "", "
S DR=.1314 D LOOK^IVMPREC9
\n", "
S DR=.1314 D LOOK^IVMPREC9
\n"], ["CELL PHONE CHANGE DT/TM", "
RF171C
\n", "
YES
\n", "
PATIENT
\n", "
.139
\n", "", "", "
YES
\n", "", "
S DR=.139 D LOOK^IVMPREC9
\n", "
S DR=.139 D LOOK^IVMPREC9
\n"], ["STREET ADDRESS [LINE 2]", "
PID112
\n", "
YES
\n", "
PATIENT
\n", "
.112
\n", "", "", "
YES
\n", "", "
S Y=$P(VAPA(2),\"^\")
\n", "
S Y=VAPA(2)
\n"], ["CELL PHONE CHANGE SOURCE", "
RF162C
\n", "
YES
\n", "
PATIENT
\n", "
.1311
\n", "", "", "
YES
\n", "", "
S DR=.1311 D LOOK^IVMPREC9
\n", "
S DR=.1311 D LOOK^IVMPREC9
\n"], ["CELL PHONE CHANGE SITE", "
RF161C
\n", "
YES
\n", "
PATIENT
\n", "
.13111
\n", "", "", "
YES
\n", "", "
S DR=.13111 D LOOK^IVMPREC9
\n", "
S DR=.13111 D LOOK^IVMPREC9
\n"], ["EMAIL CHANGE DT/TM", "
RF171E
\n", "
YES
\n", "
PATIENT
\n", "
.136
\n", "", "", "
YES
\n", "", "
S DR=.136 D LOOK^IVMPREC9
\n", "
S DR=.136 D LOOK^IVMPREC9
\n"], ["EMAIL CHANGE SOURCE", "
RF162E
\n", "
YES
\n", "
PATIENT
\n", "
.137
\n", "", "", "
YES
\n", "", "
S DR=.137 D LOOK^IVMPREC9
\n", "
S DR=.137 D LOOK^IVMPREC9
\n"], ["EMAIL CHANGE SITE", "
RF161E
\n", "
YES
\n", "
PATIENT
\n", "
.138
\n", "", "", "
YES
\n", "", "
S DR=.138 D LOOK^IVMPREC9
\n", "
S DR=.138 D LOOK^IVMPREC9
\n"], ["MOTHER'S MAIDEN NAME", "
PID06
\n", "
YES
\n", "
PATIENT
\n", "
.2403
\n", "", "", "
NO
\n", "", "
S DR=.2403 D LOOK^IVMPREC9
\n", "
S DR=.2403 D LOOK^IVMPREC9
\n"], ["RACE", "
PID10
\n", "
YES
\n", "
PATIENT
\n", "
2
\n", "", "", "
NO
\n", "", "
S Y=$P(VADM(12),\"^\")
\n", "
S Y=$P(VADM(12),\"^\",2)
\n"], ["MARITAL STATUS", "
PID16
\n", "
YES
\n", "
PATIENT
\n", "
.05
\n", "
YES
\n", "", "
NO
\n", "", "
S Y=$P(VADM(10),\"^\")
\n", "
S Y=$P(VADM(10),\"^\",2)
\n"], ["RELIGION", "
PID17
\n", "
YES
\n", "
PATIENT
\n", "
.08
\n", "
YES
\n", "", "
NO
\n", "", "
S Y=$P(VADM(9),\"^\")
\n", "
S Y=$P(VADM(9),\"^\",2)
\n"], ["ETHNICITY", "
PID22
\n", "
YES
\n", "
PATIENT
\n", "
6
\n", "
YES
\n", "", "
NO
\n", "", "
S Y=$P($G(VADM(11,1)),\"^\")
\n", "
S Y=$P($G(VADM(11,1)),\"^\",2)
\n"], ["SPINAL CORD INJURY", "
ZPD30
\n", "
NO
\n", "
PATIENT
\n", "
57.4
\n", "", "", "
NO
\n", "", "
S DR=57.4 D LOOK^IVMPREC9
\n", "
S DR=57.4,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["PSEUDO SSN REASON", "
ZPD34
\n", "
YES
\n", "
PATIENT
\n", "
.0906
\n", "", "", "
NO
\n", "", "
S DR=.0906 D LOOK^IVMPREC9
\n", "
S DR=.0906,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS ACTIVE", "
ZTA02
\n", "
YES
\n", "
PATIENT
\n", "
.12105
\n", "", "", "
NO
\n", "", "
S DR=.12105 D LOOK^IVMPREC9
\n", "
S DR=.12105 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS BEGIN DATE", "
ZTA03
\n", "
YES
\n", "
PATIENT
\n", "
.1217
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.1217 D LOOK^IVMPREC9
\n", "
S DR=.1217,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS END DATE", "
ZTA04
\n", "
YES
\n", "
PATIENT
\n", "
.1218
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.1218 D LOOK^IVMPREC9
\n", "
S DR=.1218,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS [LINE] 1", "
ZTA051
\n", "
YES
\n", "
PATIENT
\n", "
.1211
\n", "", "", "
NO
\n", "", "
S DR=.1211 D LOOK^IVMPREC9
\n", "
S DR=.1211 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS [LINE] 2", "
ZTA052
\n", "
YES
\n", "
PATIENT
\n", "
.1212
\n", "", "", "
NO
\n", "", "
S DR=.1212 D LOOK^IVMPREC9
\n", "
S DR=.1212 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS [LINE] 3", "
ZTA058
\n", "
YES
\n", "
PATIENT
\n", "
.1213
\n", "", "", "
NO
\n", "", "
S DR=.1213 D LOOK^IVMPREC9
\n", "
S DR=.1213 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS CITY", "
ZTA053
\n", "
YES
\n", "
PATIENT
\n", "
.1214
\n", "", "", "
NO
\n", "", "
S DR=.1214 D LOOK^IVMPREC9
\n", "
S DR=.1214 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS STATE", "
ZTA054
\n", "
YES
\n", "
PATIENT
\n", "
.1215
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.1215 D LOOK^IVMPREC9
\n", "
S DR=.1215,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["CITY", "
PID113
\n", "
YES
\n", "
PATIENT
\n", "
.114
\n", "", "", "
YES
\n", "", "
S Y=$P(VAPA(4),\"^\")
\n", "
S Y=$P(VAPA(4),\"^\")
\n"], ["TEMPORARY ADDRESS ZIP", "
ZTA055
\n", "
YES
\n", "
PATIENT
\n", "
.1216
\n", "", "", "
NO
\n", "", "
S DR=.1216 D LOOK^IVMPREC9
\n", "
S DR=.1216 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS COUNTRY", "
ZTA056
\n", "
YES
\n", "
PATIENT
\n", "
.1223
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.1223 D LOOK^IVMPREC9
\n", "
S DR=.1223 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS COUNTY", "
ZTA059
\n", "
YES
\n", "
PATIENT
\n", "
.12111
\n", "
YES
\n", "
YES
\n", "
NO
\n", "", "
S DR=.12111 D LOOK^IVMPREC9
\n", "
S DR=.12111 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS PROVINCE", "
ZTA054F
\n", "
YES
\n", "
PATIENT
\n", "
.1221
\n", "", "", "
NO
\n", "", "
S DR=.1221 D LOOK^IVMPREC9
\n", "
S DR=.1221 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS POSTAL CODE", "
ZTA055F
\n", "
YES
\n", "
PATIENT
\n", "
.1222
\n", "", "", "
NO
\n", "", "
S DR=.1222 D LOOK^IVMPREC9
\n", "
S DR=.1222 D LOOK^IVMPREC9
\n"], ["TEMPORARY ADDRESS TELEPHONE", "
ZTA07
\n", "
YES
\n", "
PATIENT
\n", "
.1219
\n", "", "", "
NO
\n", "", "
S DR=.1219 D LOOK^IVMPREC9
\n", "
S DR=.1219 D LOOK^IVMPREC9
\n"], ["TEMP ADDR LAST UPDATED DT/TM", "
ZTA08
\n", "
YES
\n", "
PATIENT
\n", "
.12113
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.12113 D LOOK^IVMPREC9
\n", "
S DR=.12113,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["TEMP ADDR LAST UPDATED SITE", "
ZTA09
\n", "
YES
\n", "
PATIENT
\n", "
.12114
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.12114 D LOOK^IVMPREC9
\n", "
S DR=.12114 D LOOK^IVMPREC9
\n"], ["E-NAME", "
ZCT03E1
\n", "
YES
\n", "
PATIENT
\n", "
.331
\n", "", "", "
NO
\n", "", "
S DR=.331 D LOOK^IVMPREC9
\n", "
S DR=.331 D LOOK^IVMPREC9
\n"], ["E-RELATIONSHIP TO PATIENT", "
ZCT04E1
\n", "
YES
\n", "
PATIENT
\n", "
.332
\n", "", "", "
NO
\n", "", "
S DR=.332 D LOOK^IVMPREC9
\n", "
S DR=.332 D LOOK^IVMPREC9
\n"], ["STATE", "
PID114
\n", "
YES
\n", "
PATIENT
\n", "
.115
\n", "
YES
\n", "", "
YES
\n", "", "
S Y=$P(VAPA(5),\"^\")
\n", "
S Y=$P(VAPA(5),\"^\",2)
\n"], ["E-STREET ADDRESS [LINE 1]", "
ZCT051E1
\n", "
YES
\n", "
PATIENT
\n", "
.333
\n", "", "", "
NO
\n", "", "
S DR=.333 D LOOK^IVMPREC9
\n", "
S DR=.333 D LOOK^IVMPREC9
\n"], ["E-STREET ADDRESS [LINE 2]", "
ZCT052E1
\n", "
YES
\n", "
PATIENT
\n", "
.334
\n", "", "", "
NO
\n", "", "
S DR=.334 D LOOK^IVMPREC9
\n", "
S DR=.334 D LOOK^IVMPREC9
\n"], ["E-CITY", "
ZCT053E1
\n", "
YES
\n", "
PATIENT
\n", "
.336
\n", "", "", "
NO
\n", "", "
S DR=.336 D LOOK^IVMPREC9
\n", "
S DR=.336 D LOOK^IVMPREC9
\n"], ["E-STATE", "
ZCT054E1
\n", "
YES
\n", "
PATIENT
\n", "
.337
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.337 D LOOK^IVMPREC9
\n", "
S DR=.337,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["E-ZIP CODE", "
ZCT055E1
\n", "
YES
\n", "
PATIENT
\n", "
.338
\n", "", "", "
NO
\n", "", "
S DR=.338 D LOOK^IVMPREC9
\n", "
S DR=.338 D LOOK^IVMPREC9
\n"], ["E-PHONE NUMBER", "
ZCT06E1
\n", "
YES
\n", "
PATIENT
\n", "
.339
\n", "", "", "
NO
\n", "", "
S DR=.339 D LOOK^IVMPREC9
\n", "
S DR=.339 D LOOK^IVMPREC9
\n"], ["E-WORK PHONE NUMBER", "
ZCT07E1
\n", "
YES
\n", "
PATIENT
\n", "
.33011
\n", "", "", "
NO
\n", "", "
S DR=.33011 D LOOK^IVMPREC9
\n", "
S DR=.33011 D LOOK^IVMPREC9
\n"], ["E2-NAME OF SECONDARY CONTACT", "
ZCT03E2
\n", "
YES
\n", "
PATIENT
\n", "
.3311
\n", "", "", "
NO
\n", "", "
S DR=.3311 D LOOK^IVMPREC9
\n", "
S DR=.3311 D LOOK^IVMPREC9
\n"], ["E2-RELATIONSHIP TO PATIENT", "
ZCT04E2
\n", "
YES
\n", "
PATIENT
\n", "
.3312
\n", "", "", "
NO
\n", "", "
S DR=.3312 D LOOK^IVMPREC9
\n", "
S DR=.3312 D LOOK^IVMPREC9
\n"], ["ZIP+4", "
PID115
\n", "
YES
\n", "
PATIENT
\n", "
.1112
\n", "
YES
\n", "", "
YES
\n", "", "
S Y=$P(VAPA(11),\"^\")
\n", "
S Y=$P(VAPA(11),\"^\",2)
\n"], ["E2-STREET ADDRESS [LINE 1]", "
ZCT051E2
\n", "
YES
\n", "
PATIENT
\n", "
.3313
\n", "", "", "
NO
\n", "", "
S DR=.3313 D LOOK^IVMPREC9
\n", "
S DR=.3313 D LOOK^IVMPREC9
\n"], ["E2-STREET ADDRESS [LINE 2]", "
ZCT052E2
\n", "
YES
\n", "
PATIENT
\n", "
.3314
\n", "", "", "
NO
\n", "", "
S DR=.3314 D LOOK^IVMPREC9
\n", "
S DR=.3314 D LOOK^IVMPREC9
\n"], ["E2-CITY", "
ZCT053E2
\n", "
YES
\n", "
PATIENT
\n", "
.3316
\n", "", "", "
NO
\n", "", "
S DR=.3316 D LOOK^IVMPREC9
\n", "
S DR=.3316 D LOOK^IVMPREC9
\n"], ["E2-STATE", "
ZCT054E2
\n", "
YES
\n", "
PATIENT
\n", "
.3317
\n", "
YES
\n", "", "
NO
\n", "", "
S DR=.3317 D LOOK^IVMPREC9
\n", "
S DR=.3317,DIQ(0)=\"E\" D LOOK^IVMPREC9
\n"], ["E2-ZIP CODE", "
ZCT055E2
\n", "
YES
\n", "
PATIENT
\n", "
.3318
\n", "", "", "
NO
\n", "", "
S DR=.3318 D LOOK^IVMPREC9
\n", "
S DR=.3318 D LOOK^IVMPREC9
\n"], ["E2-PHONE NUMBER", "
ZCT06E2
\n", "
YES
\n", "
PATIENT
\n", "
.3319
\n", "", "", "
NO
\n", "", "
S DR=.3319 D LOOK^IVMPREC9
\n", "
S DR=.3319 D LOOK^IVMPREC9
\n"], ["E2-WORK PHONE NUMBER", "
ZCT07E2
\n", "
YES
\n", "
PATIENT
\n", "
.331011
\n", "", "", "
NO
\n", "", "
S DR=.331011 D LOOK^IVMPREC9
\n", "
S DR=.331011 D LOOK^IVMPREC9
\n"], ["K-NAME OF PRIMARY NOK", "
ZCT03K1
\n", "
YES
\n", "
PATIENT
\n", "
.211
\n", "", "", "
NO
\n", "", "
S DR=.211 D LOOK^IVMPREC9
\n", "
S DR=.211 D LOOK^IVMPREC9
\n"], ["K-RELATIONSHIP TO PATIENT", "
ZCT04K1
\n", "
YES
\n", "
PATIENT
\n", "
.212
\n", "", "", "
NO
\n", "", "
S DR=.212 D LOOK^IVMPREC9
\n", "
S DR=.212 D LOOK^IVMPREC9
\n"]]}