File CLINIC_EXTRACT(727.827) Data List

SEQUENCE NUMBER YEAR MONTH OVERBOOKED INDICATOR SECONDARY PROVIDER #2 PC SECONDARY PROVIDER #2 NPI SECONDARY PROVIDER #3 SECONDARY PROVIDER #3 PC SECONDARY PROVIDER #3 NPI SECONDARY PROVIDER #4 SECONDARY PROVIDER #4 PC SECONDARY PROVIDER #4 NPI SECONDARY PROVIDER #5 SECONDARY PROVIDER #5 PC *PLACEHOLDER SECONDARY PROVIDER #5 NPI ED DISPOSITION CODE PRIMARY ICD-10 CODE SECONDARY ICD-10 CODE #1 SECONDARY ICD-10 CODE #2 SECONDARY ICD-10 CODE #3 SECONDARY ICD-10 CODE #4 ENCOUNTER SC VIETNAM SECONDARY PROVIDER #6 TREATING SPECIALITY SECONDARY PROVIDER #6 PC SECONDARY PROVIDER #6 NPI SECONDARY PROVIDER #7 SECONDARY PROVIDER #7 PC SECONDARY PROVIDER #7 NPI CAMP LEJEUNE STATUS ENCOUNTER CAMP LEJEUNE PRIMARY PROCEDURE COMBAT VETERAN INDICATOR COMBAT VETERAN LOCATION TIME CLINIC IEN NEW FEEDER KEY PATIENT DIVISION CPT, QTY & MODIFIERS #1 CPT, QTY & MODIFIERS #2 CPT, QTY & MODIFIERS #3 CPT, QTY & MODIFIERS #4 CPT, QTY & MODIFIERS #5 CPT, QTY & MODIFIERS #6 CPT, QTY & MODIFIERS #7 PLACEHOLD PRIMARY CARE TEAM CPT, QTY & MODIFIERS #8 CPT, QTY & MODIFIERS #9 CPT, QTY & MODIFIERS #10 CPT, QTY & MODIFIERS #11 CPT, QTY & MODIFIERS #12 CPT, QTY & MODIFIERS #13 CPT, QTY & MODIFIERS #14 CPT, QTY & MODIFIERS #15 CPT, QTY & MODIFIERS #16 CPT, QTY & MODIFIERS #17 PLACEHOLD PC PROVIDER CPT, QTY & MODIFIERS #18 CPT, QTY & MODIFIERS #19 CPT, QTY & MODIFIERS #20 CPT, QTY & MODIFIERS #21 CPT, QTY & MODIFIERS #22 CPT, QTY & MODIFIERS #23 CPT, QTY & MODIFIERS #24 CPT, QTY & MODIFIERS #25 SERVICE CONNECTED STATUS NON-COUNT FLAG PLACEHOLD PC PROV PERSON CLASS PLACEHOLD CERNER1 ADMISSION DATE ADMISSION TIME PLACEHOLD CERNER2 NEW MPI PROVIDER TAXONOMY PROVIDER STATION FEEDER LOCATION CPRS PROVIDER STATION SELF IDENTIFIED GENDER PROVIDER PROVIDER PERSON CLASS PLACEHOLD CPT QTY & MODS #1 EXTRACT NUMBER PLACEHOLD CPT QTY & MODS #2 PLACEHOLD CPT QTY & MODS #3 PLACEHOLD CPT QTY & MODS #4 PLACEHOLD CPT QTY & MODS #5 PLACEHOLD CPT QTY & MODS #6 PLACEHOLD CPT QTY & MODS #7 PLACEHOLD CPT QTY & MODS #8 PLACEHOLDER FACILITY DATE OF BIRTH ELIGIBILITY VETERAN PLACEHOLD RACE POW STATUS POW LOCATION RADIATION STATUS RADIATION ENCOUNTER INDICATOR PATIENT NO. - DFN AGENT ORANGE STATUS AGENT ORANGE ENC INDICATOR PLACEHOLD MPI PLACEHOLD DSS PRODUCT DEPT SEX ZIP+4 ENCOUNTER ELIGIBILITY MST STATUS SSN MST ENCOUNTER INDICATOR PLACEHOLD SHARE AGREEMNT PAYOR PLACEHOLD SHARE AGREEMNT INSUR ENROLLMENT LOCATION STATE CODE COUNTY CODE PLACEHOLD ASSOC PC PROVIDER PLACEHOLD AS PC PROV PERSON CL DOM,PRRTP AND SAARTP INDICATOR NAME ENROLLMENT CATEGORY ENROLLMENT STATUS SHAD STATUS PURPLE HEART INDICATOR PERIOD OF SERVICE OBSERVATION PATIENT INDICATOR ENCOUNTER NUMBER AGENT ORANGE LOCATION PRODUCTION DIVISION CODE APPOINTMENT TYPE IN/OUT PATIENT INDICATOR PURPOSE OF VISIT PLACEHOLD MEANS TEST HEAD & NECK CANCER INDICATOR PLACEHOLD ETHNICITY PLACEHOLD RACE 1 CBOC STATUS INDICATOR PLACEHOLD DSS IP # ENROLLMENT PRIORITY USER ENROLLEE PATIENT TYPE DAY CV STATUS ELIGIBILITY CV ELIGIBILITY END DATE ENCOUNTER CV PLACEHOLD NAT'L PAT REC FLAG SW ASIA CONDITIONS ENCOUNTER SWAC ERI ENC HEAD/NECK CA OEF/OIF OEF/OIF RETURN DATE PLACEHOLD FEEDER KEY PLACEHOLD ASSOC PC PROV NPI PLACEHOLD PC PROVIDER NPI PROVIDER NPI COUNTRY CODE ENCOUNTER SHAD PATCAT SECONDARY PROVIDER #1 SECONDARY PROVIDER #1 PC SECONDARY PROVIDER #1 NPI SECONDARY PROVIDER #2