| DPT(D0,.21) |
| FIELD NUMBER |
ACCESS |
FIELD DESCRIPTION |
FIELD NAME |
LOCATION |
.211 |
Direct Global Read & w/Fileman |
The name of the primary next-of-kin for this applicant.
|
K-NAME OF PRIMARY NOK |
.21;1 |
.212 |
Direct Global Read & w/Fileman |
If a primary next-of-kin is specified, the relationship
of that person to the applicant.
|
K-RELATIONSHIP TO PATIENT |
.21;2 |
.218 |
Direct Global Read & w/Fileman |
If a primary next-of-kin is specified, the zip code in
which his/her city lies.
|
K-ZIP CODE |
.21;8 |
.219 |
Direct Global Read & w/Fileman |
If a primary next-of-kin is specified, that person's
telephone number.
|
K-PHONE NUMBER |
.21;9 |
.2125 |
Direct Global Read & w/Fileman |
'Y' if the next-of-kin should be contacted at the same
address and phone number as the applicant, otherwise 'N'.
|
K-ADDRESS SAME AS PATIENT'S? |
.21;10 |
|
DPT(D0,.211) |
| FIELD NUMBER |
ACCESS |
FIELD DESCRIPTION |
FIELD NAME |
LOCATION |
.2191 |
Direct Global Read & w/Fileman |
If a primary next-of-kin is specified, the secondary
next-of-kin name.
|
K2-NAME OF SECONDARY NOK |
.211;1 |
.2192 |
Direct Global Read & w/Fileman |
If a secondary next-of-kin is specified, the relationship
of that person to the applicant.
|
K2-RELATIONSHIP TO PATIENT |
.211;2 |
.2198 |
Direct Global Read & w/Fileman |
If a secondary NOK is specified, the zip code for the
city in which that person resides.
|
K2-ZIP CODE |
.211;8 |
.2199 |
Direct Global Read & w/Fileman |
If a secondary NOK is specified, e telephone number at
which that person may be reached.
|
K2-PHONE NUMBER |
.211;9 |
.21925 |
Direct Global Read & w/Fileman |
'Y' if the secondary NOK should be contacted at the same
address and phone number as the applicant, otherwise 'N'.
|
K2-ADDRESS SAME AS PATIENT'S? |
.211;10 |
|
DPT(D0,.34) |
| FIELD NUMBER |
ACCESS |
FIELD DESCRIPTION |
FIELD NAME |
LOCATION |
.341 |
Direct Global Read & w/Fileman |
The name of the person designated by the applicant to
receive his/her personal effects.
|
D-NAME OF DESIGNEE |
.34;1 |
.342 |
Direct Global Read & w/Fileman |
If a designee is specified, the relationship of that
person to the applicant.
|
D-RELATIONSHIP TO PATIENT |
.34;2 |
.348 |
Direct Global Read & w/Fileman |
If a designee is specified, the zip code for the city in
which s/he resides.
|
D-ZIP CODE |
.34;8 |
.349 |
Direct Global Read & w/Fileman |
If a designee is specified, the telephone number at which
that person may be reached.
|
D-PHONE NUMBER |
.34;9 |
.3405 |
Direct Global Read & w/Fileman |
If a primary NOK is defined, 'Y' if that person is also
the designee appointed by the applicant, otherwise 'N' for no.
|
D-DESIGNEE SAME AS NOK? |
.34;10 |
|
DPT(D0,.321) |
| FIELD NUMBER |
ACCESS |
FIELD DESCRIPTION |
FIELD NAME |
LOCATION |
.32102 |
Read w/Fileman |
For this veteran applicant, 'Y' if s/he was exposed to
the chemical agent orange, 'N' if not, or 'U' if unknown.
|
AGENT ORANGE EXPOS. INDICATED? |
.321;2 |
.32103 |
Read w/Fileman |
For this veteran applicant, 'Y' if s/he was exposed to
ionizing radiation while in the military, 'N' if not exposed, or 'U' if
unknown.
|
RADIATION EXPOSURE INDICATED? |
.321;3 |
|
DPT(D0,.322) |
| FIELD NUMBER |
ACCESS |
FIELD DESCRIPTION |
FIELD NAME |
LOCATION |
.32201 |
Read w/Fileman |
If the patient served in the Persian Gulf during the war
(anytime after August 2, 1990), 'Y'. If the patient did not serve in the
Persian Gulf during this timeframe, 'N'. 'U" if this information could not be
obtained from the patient.
|
PERSIAN GULF SERVICE? |
.322;10 |
|
