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DBIA268-A ICR (268)

DBIA268-A    ICR (268)

Name Value
NUMBER 268
IA # 268
FILE NUMBER 2
GLOBAL ROOT DPT(
DATE CREATED 1993/08/25
CUSTODIAL PACKAGE REGISTRATION
CUSTODIAL ISC Albany
USAGE Private
TYPE File
DBIC APPROVAL STATUS APPROVED
NAME DBIA268-A
ORIGINAL NUMBER 268
GENERAL DESCRIPTION
The PDX team has permission to access the MAS Duplicate
Checker, DPTDUP.  This routine will be used as a filter in adding new or
selecting existing patients.

The following fields are accessed by PDX for extract, display, edit and load.

[ MINIMAL ] Following is a list of fields used when creating a new
patient.  Note: Temporary address is only filled in if
active and dates valid.

FILE NO.    FIELD NO  NONODE;PIECE   DESCRIPT
2           .01       0;1          NAME
.02       0;2          SEX
.03       0;3          DATE OF BIRTH
.05       0;5          MARITAL STATUS
.08       0;8          RELIGIOUS PREFERENCE
.09       0;9          SOCIAL SECURITY NUMBER
.111      .11;1        STREET ADDRESS [LINE 1]
.112      .11;2        STREET ADDRESS [LINE 2]
.113      .11;3        STREET ADDRESS [LINE 3]
.114      .11;4        CITY
.115      .11;5        STATE
.116      .11;6        ZIP CODE
.117      .11;7        COUNTY
.131      .13;1        PHONE NUMBER [RESIDENCE]
.301      .3;1         SERVICE CONNECTED?
.302      .3;2         SERVICE CONNECTED PERCENTAGE
.323      .32;3        PERIOD OF SERVICE
.361      .36;1        PRIMARY ELIGIBILITY CODE
391       TYPE;1       TYPE
1901      VET;1        VETERAN (Y/N)?
.12105    .121;9       TEMPORARY ADDRESS ENTER/EDIT?
.1211     .121;1       TEMPORARY STREET [LINE 1]
.12111    .121;11      TEMPORARY ADDRESS COUNTY
.12112    .121;12      TEMPORARY ZIP+4
.1212     .121;2       TEMPORARY STREET [LINE 2]
.1213     .121;3       TEMPORARY STREET [LINE 3]
.1214     .121;4       TEMPORARY CITY
.1215     .121;5       TEMPORARY STATE
.1216     .121;6       TEMPORARY ZIP CODE
.1217     .121;7       TEMPORARY ADDRESS START DATE
.1218     .121;8       TEMPORARY ADRESS END DATE
.1219     .121;10      TEMPORARY PHONE NUMBER

[ MAS ]  Following is the list of the MAS fields PDX extracts.  These
fields are compared agianst the local database and the
differences are displayed.  The user is given the choice to
update the local data with the PDX data. (Read/Write Access)

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2           .01       0;1          NAME
.02       0;2          SEX
.03       0;3          DATE OF BIRTH
.05       0;5          MARITAL STATUS
.07       0;7          OCCUPATION
.08       0;8          RELIGIOUS PREFERENCE
.09       0;9          SOCIAL SECURITY NUMBER
.091      0;10         REMARKS
.092      0;11         PLACE OF BIRTH [CITY]
.093      0;12         PLACE OF BIRTH [STATE]
.111      .11;1        STREET ADDRESS [LINE 1]
.112      .11;2        STREET ADDRESS [LINE 2]
.113      .11;3        STREET ADDRESS [LINE 3]
.114      .11;4        CITY
.115      .11;5        STATE
.116      .11;6        ZIP CODE
.117      .11;7        COUNTY
.1211     .121;1       TEMPORARY STREET [LINE 1]
.1212     .121;2       TEMPORARY STREET [LINE 2]
.1213     .121;3       TEMPORARY STREET [LINE 3]
.1217     .121;7       TEMPORARY ADDRESS START DATE
.1218     .121;8       TEMPORARY ADDRESS END DATE
.1219     .121;10      TEMPORARY PHONE NUMBER
.131      .13;1        PHONE NUMBER [RESIDENCE]
.132      .13;2        PHONE NUMBER [WORK]
.152      .15;2        INELIGIBLE DATE
.153      .15;3        MISSING PERSON DATE
.1651     INE;1        INELIGIBLE TWX SOURCE
.1653     INE;3        INELIGIBLE TWX CITY
.1654     INE;4        INELIGIBLE TWX STATE
.1656     INE;6        INELIGIBLE VARO DECISION
.1657     INE;7        MISSING PERSON TWX SOURCE
.1658     INE;8        MISSING PERSON TWX CICITY
.1659     INE;9        MISSING PERSON TWX STATE
.211      .21;1        K-NAME OF PRIMARY NOK
.212      .21;2        K-RELATIONSHIP TO PATIENT
.213      .21;3        K-STREET ADDRESS [LINE 1]
.214      .21;4        K-STREET ADDRESS [LINE 2]
.215      .21;5        K-STREET ADDRESS [LINE 3]
.216      .21;6        K-CITY
.217      .21;7        K-STATE
.218      .21;8        K-ZIP CODE
.219      .21;9        K-PHONE NUMBER
.2191     .211;1       K2-NAME OF SECONDARY NOK
.2192     .211;2       K2-RELATIONSHIP TO PATIENT
.2193     .211;3       K2-STREET ADDRESS [LINE 1]
.2194     .211;4       K2-STREET ADDRESS [LINE 2]
.2195     .211;5       K2-STREET ADDRESS [LINE 3]
.2196     .211;6       K2-CITY
.2197     .211;7       K2-STATE
.2198     .211;8       K2-ZIP CODE
.2199     .211;9       K2-PHONE NUMBER
.2401     .24;1        FATHER'S NAME
.2402     .24;2        MOTHER'S NAME
.2403     .24;3        MOTHER'S MAIDEN NAME
.251      .25;1        SPOUSE'S EMPLOYER NAME
.252      .25;2        SPOUSE'S EMP STREET [LINE 1]
.253      .25;3        SPOUSE'S EMP STREET [LINE 2]
.254      .25;4        SPOUSE'S EMP STREET [LINE 3]
.255      .25;5        SPOUSE'S EMPLOYER'S CITY
.256      .25;6        SPOUSE'S EMPLOYER'S STATE
.257      .25;7        SPOUSE'S EMP ZIP CODE
.258      .25;8        SPOUSE'S EMP PHONE NUMBER
.301      .3;1         SERVICE CONNECTED?
.302      .3;2         SERVICE CONNECTED PERCENTAGE
.3025     .3;11        RECEIVING VA DISABILITY?
.303      .3;3         AMOUNT OF VA DISABILITY
.306      .3;6         MONETARY BEN. VERIFY DATE
.307      .3;7         INELIGIBLE REASON
.3111     .311;1       EMPLOYER NAME
.31115    .311;15      EMPLOYMENT STATUS
.3112     .311;2       GOVERNMENT AGENCY
.3113     .311;3       EMPLOYER STREET [LINE 1]
.3114     .311;4       EMPLOYER STREET [LINE 2]
.3115     .311;5       EMPLOYER STREET [LINE 3]
.3116     .311;6       EMPLOYER CITY
.3117     .311;7       EMPLOYER STATE
.3118     .311;8       EMPLOYER ZIP CODE
.3119     .311;9       EMPLOYER PHONE NUMBER
.312      .31;2        CLAIM FOLDER LOCATION
.313      .31;3        CLAIM NUMBER
.32101    .321;1       VIETNAM SERVICE INDICATED?
.32102    .321;2       AGENT ORANGE EXPOS. INDICATED?
.32103    .321;3       RADIATION EXPOSURE INDICATED?
.32104    .321;4       VIETNAM FROM DATE
.32105    .321;5       VIETNAM TO DATE
.32107    .321;7       AGENT ORANGE REGISTRATION DATE
.32109    .321;9       AGENT ORANGE EXAM DATE
.3211     .321;10      AGENT ORANGE REGISTRATION #
.32111    .321;11      RADIATION REGISTRATION DATE
.3212     .321;12      RADIATION EXPOSURE METHOD
.322      .32;2        SERVICE VERIFICATION DATE
.323      .32;3        PERIOD OF SERVICE
.324      .32;4        SERVICE DISCHARGE TYPE [LAST]
.325      .32;5        SERVICE BRANCH [LAST]
.326      .32;6        SERVICE ENTRY DATE [LAST]
.327      .32;7        SERVICE SEPARATION DATE [LAST]
.328      .32;8        SERVICE NUMBER [LAST]
.329      .32;9        SERVICE DISCHARGE TYPE [NTL]
.3291     .32;10       SERVICE BRANCH [NTL]
.3292     .32;11       SERVICE ENTRY DATE [NTL]
.3293     .32;12       SERVICE SEPARATION DATE [NTL]
.3294     .32;13       SERVICE NUMBER [NTL]
.3295     .32;14       SERVICE DISCHARGE TYPE [NNTL]
.3296     .32;15       SERVICE BRANCH [NNTL]
.3297     .32;16       SERVICE ENTRY DATE [NNTL]
.3298     .32;17       SERVICE SEPARATION DATE [NNTL]
.3299     .32;18       SERVICE NUMBER [NNTL]
.331      .33;1        E-NAME
.3311     .331;1       E2-NAME OF SECONDARY CONTACT
.3312     .331;2       E2-RELATIONSHIP TO PATIENT
.3313     .331;3       E2-STREET ADDRESS [LINE 1]
.3314     .331;4       E2-STREET ADDRESS [LINE 2]
.3315     .331;5       E2-STREET ADDRESS [LINE 3]
.3316     .331;6       E2-CITY
.3317     .331;7       E2-STATE
.3318     .331;8       E2-ZIP CODE
.3319     .331;9       E2-PHONE NUMBER
.332      .33;2        E-RELATIONSHIP TO PATIENT
.333      .33;3        E-STREET ADDRESS [LINE 1]
.334      .33;4        E-STREET ADDRESS [LINE 2]
.335      .33;5        E-STREET ADDRESS [LINE 3]
.336      .33;6        E-CITY
.337      .33;7        E-STATE
.338      .33;8        E-ZIP CODE
.339      .33;9        E-PHONE NUMBER
.341      .34;1        D-NAME OF DESIGNEE
.342      .34;2        D-RELATIONSHIP TO PATIENT
.343      .34;3        D-STREET ADDRESS [LINE 1]
.344      .34;4        D-STREET ADDRESS [LINE 2]
.345      .34;5        D-STREET ADDRESS [LINE 3]
.346      .34;6        D-CITY
.347      .34;7        D-STATE
.348      .34;8        D-ZIP CODE
.349      .34;9        D-PHONE NUMBER
.361      .36;1        PRIMARY ELIGIBILITY CODE
.3611     .361;1       ELIGIBILITY STATUS
.3612     .361;2       ELIGIBILITY STATUS DATE
.3614     .361;4       ELIGIBILITY INTERIM RESPONSE
.3615     .361;5       ELIGIBILITY VERIF. METHOD
.3616     .361;6       ELIGIBILITY STATUS ENTERED BY
.362      .36;2        DISABILITY RET. FROM MILITARY?
.36205    .362;12      RECEIVING A&A BENEFITS?
.3621     .362;1       AMOUNT OF AID & ATTENDANCE
.36215    .362;13      RECEIVING HOUSEBOUND BENEFITS?
.3622     .362;2       AMOUNT OF HOUSEBOUND
.36225    .362;15      RECEIVING SOCIAL SECURITY?
.3623     .362;3       AMOUNT OF SOCIAL SECURITY
.36235    .362;14      RECEIVING A VA PENSION?
.3624     .362;4       AMOUNT OF VA PENSION
.3625     .362;5       AMOUNT OF MILITARY RETIREMENT
.36255    .362;16      RECEIVING MILITARY RETIREMENT?
.3626     .362;6       AMOUNT OF GI INSURANCE
.36265    .362;17      GI INSURANCE POLICY?
.3627     .362;7       AMOUNT OF SSI
.36275    .362;19      RECEIVING SUP. SECURITY (SSI)?
.3628     .362;8       AMOUNT OF OTHER RETIREMENT
.36285    .362;18      TYPE OF OTHER RETIREMENT
.3629     .362;9       AMOUNT OF OTHER INCOME
.368      .36;8        SERVICE DENTAL INJURY?
.369      .36;9        SERVICE TEETH EXTRACTED?
.525      .52;5        POW STATUS INDICATED?
.526      .52;6        POW CONFINEMENT LOCATION
.527      .52;7        POW FROM DATE
.528      .52;8        POW TO DATE
.5291     .52;11       COMBAT SERVICE INDICATED?
.5292     .52;12       COMBAT SERVICE LOCATION
.5293     .52;13       COMBAT FROM DATE
.5294     .52;14       COMBAT TO DATE
57.4      57;4         SPINAL CORD INJURY
391       TYPE;1       TYPE
1010.15   1010.15;5    RECEIVED VA CARE PREVIOUSLY?
1010.151  1010.15;1    MOST RECENT DATE OF CARE
1010.152  1010.15;2    MOST RECENT LOCATION OF CARE
1010.153  1010.15;3    2ND MOST RECENT DATE OF CARE
.21011    .21;11       K-WORK PHONE NUMBER
.211011   .211;11      K2-WORK PHONE NUMBER
.381      .38;1        ELIGIBLE FOR MEDICAID?
.3221     .322;1       LEBANON SERVICE INDICATED?
.3222     .322;2       LEBANON FROM DATE
.3223     .322;3       LEBANON TO DATE
.3224     .322;4       GRENADA SERVICE INDICATED?
.3225     .322;5       GRENADA FROM DATE
.3226     .322;6       GRENADA TO DATE
.3227     .322;7       PANAMA SERVICE INDICATED?
.3228     .322;8       PANAMA FROM DATE
.3229     .322;9       PANAMA TO DATE
.32201    .322;10      PERSIAN GULF SERVICE?
.322011   .322;11      PERSIAN GULF FROM DATE
.322012   .322;12      PERSIAN GULF TO DATE
.322013   .322;13      ENV CONTAM INDICATED?
.322014   .322;14      REGISTRATION DATE
.322015   .322;15      EXAM DATE
.322016   .322;16      SOMALIA SERVICE INDICATED?
.322017   .322;17      SOMALIA FROM DATE
.322018   .322;18      SOMALIA TO DATE
.304      .3;4         P&T
.305      .3;5         UNEMPLOYABLE
.3012     .3;12        SC AWARD DATE
.293      .29;12       RATED INCOMPETENT?
.292      .29;2        DATE RULED INCOMPETENT (CIVIL)
.291      .29;1        DATE RULED INCOMPETENT (VA)
.36205    .362;12      RECEIVING A&A BENEFITS?
.36215    .362;13      RECEIVING HOUSEBOUND BENEFITS?
.36235    .362;14      RECEIVING A VA PENSION?
.3025     .3;11        RECEIVING VA DISABILITY?
.36295    .36295;20    TOTAL ANNUAL VA CHECK AMOUNT

.36265    .362;17      GI INSURANCE POLICY?
.3626     .362;6       AMOUNT OF GI INSURANCE

.34011    .34;11       D-WORK PHONE NUMBER
.2514     .25;14       SPOUSE'S OCCUPATION
.2515     .25;15       SPOUSE'S EMPLOYMENT STATUS
1010.154  1010.15;4    2ND MOST RECENT LOCATION
1901      VET;1        VETERAN (Y/N)?
.33011    .33;11       E-WORK PHONE NUMBER
.331011   .331;11      E2-WORK PHONE NUMBER
.1112     .11;12       ZIP+4
.12105    .121;9       TEMPORARY ADDRESS ENTER/EDIT?
.12111    .121;11      TEMPORARY ADDRESS COUNTY
.12112    .121;12      TEMPORARY ZIP+4
.382      .38;2        DATE MEDICAID LAST ASKED

FILE NO.     FIELD NO  NODE;PIECE   DESCRIPT
2.04       .01       0;1          RATED DISABILITIES (VA)
2         0;2          DISABILITY %
3         0;3          SERVICE CONNECTED

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.001      .01       0;1          ENROLLMENT CLINIC

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.16       .01       0;1          MISSING OR INELIGIBLE

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.01       .01       0;1          ALIAS
1         0;2          ALIAS SSN

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.05       .01       0;1          SERVICE CONNECTED CONDITIONS
.02       0;2          PERCENTAGE

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.101      .01       0;1          LOG IN DATE/TIME
2         0;3          TYPE OF BENEFIT APPLIED FOR
3         0;4          FACILITY APPLYING TO
20        2;1          NEED RELATED TO OCCUPATION
23        2;4          NEED RELATED TO AN ACCIDENT

[ ELIGIBILITY ]

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.0361      .01       0;1          ELIGIBILITY

[ DENTAL ] Extract the five most recent

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.11        .01       0;1          DATE OF DENTAL TREATMENT
2         0;2          CONDITION
3         0;3          DATE CONDITION FIRST NOTICED

[ APPOINTMENT ] Extract the five most recent

FILE NO.    FIELD NO  NODE;PIECE   DESCRIPT
2.98        .01       0;1          CLINIC
3         0;2          STATUS
9         0;7          PURPOSE OF VISIT
9.5       0;16         APPOINTMENT TYPE

The PDX development team has permission to access ^DPT (directly) for the
verification of a valid DFN.  This is done extensively through out PDX.  Other
places ^DPT is accessed directly.
a)  $O thru eligibility multiple
b)  $O thru appointments multiple
c)  $O thru dental appointments multiple
GLOBAL REFERENCE SEE DESCRIPTION
STATUS Active
DURATION Till Otherwise Agreed
ID DPT(
SUBSCRIBING PACKAGE
SUBSCRIBING PACKAGE ISC
PATIENT DATA EXCHANGE Albany