DBIA3327 ICR (3327)

Name

Value

NUMBER

3327

IA #

3327

FILE NUMBER

GLOBAL ROOT

DPT(

DATE CREATED

2001/03/01

CUSTODIAL PACKAGE

REGISTRATION

USAGE

Private

TYPE

File

DBIC APPROVAL STATUS

APPROVED

NAME

DBIA3327

GENERAL DESCRIPTION

The Enrollment Application System requests ability to
read data via FileMan from numerous fields in the PATIENT (#2) file.

The VistA-resident portion of the 1010EZ module accepts data transmitted to
the site electronically from a web-based application where a veteran has
entered enrollment data.  In a some cases, information about the veteran
applicant will already reside in the site's patient database.  If that  is the
case, then the 1010EZ module is required to display both the newly submitted
data and the existing data for comparison purposes.

The Enrollment Application System requests ability to write data using FileMan
to the same fields in the PATIENT (#2) file.

Since the 1010EZ is a means of initiating enrollment/registration, it is of
course necessary to commit the data to the database.  Medical center users may
review and  edit the data, as needed, before filing.

GLOBAL REFERENCE

FIELD NUMBER

DPT(

FIELD NUMBER	ACCESS	FIELD NAME	LOCATION
.01	Read w/Fileman	NAME	0;1
.02	Both R/W w/Fileman	SEX	0;2
.03	Read w/Fileman	DATE OF BIRTH	0;3
.05	Both R/W w/Fileman	MARITAL STATUS	0;5
.08	Both R/W w/Fileman	RELIGIOUS PREFERENCE	0;8
.09	Read w/Fileman	SOCIAL SECURITY NUMBER	0;9
.091	Both R/W w/Fileman	REMARKS	0;10
.111	Both R/W w/Fileman	STREET ADDRESS [LINE 1]	.11;1
.112	Both R/W w/Fileman	STREET ADDRESS [LINE 2]	.11;2
.114	Both R/W w/Fileman	CITY	.11;4
.115	Both R/W w/Fileman	STATE	.11;5
.116	Both R/W w/Fileman	ZIP CODE	.11;6
.117	Both R/W w/Fileman	COUNTY	.11;7
.131	Both R/W w/Fileman	PHONE NUMBER [RESIDENCE]	.13;1
.132	Both R/W w/Fileman	PHONE NUMBER [WORK]	.13;2
.211	Both R/W w/Fileman	K-NAME OF PRIMARY NOK	.21;1
.212	Both R/W w/Fileman	K-RELATIONSHIP TO PATIENT	.21;2
.213	Both R/W w/Fileman	K-STREET ADDRESS [LINE 1]	.21;3
.214	Both R/W w/Fileman	K-STREET ADDRESS [LINE 2]	.21;4
.216	Both R/W w/Fileman	K-CITY	.21;6
.217	Both R/W w/Fileman	K-STATE	.21;7
.218	Both R/W w/Fileman	K-ZIP CODE	.21;8
.219	Both R/W w/Fileman	K-PHONE NUMBER	.21;9
.21011	Both R/W w/Fileman	K-WORK PHONE NUMBER	.21;11
.2201	Both R/W w/Fileman	E-ZIP+4	.22;1
.2202	Both R/W w/Fileman	D-ZIP+4	.22;2
.2205	Both R/W w/Fileman	EMPLOYER ZIP+4	.22;5
.2206	Both R/W w/Fileman	SPOUSE'S EMP ZIP+4	.22;6
.2207	Both R/W w/Fileman	K-ZIP+4	.22;7
.251	Both R/W w/Fileman	SPOUSE'S EMPLOYER NAME	.25;1
.2515	Both R/W w/Fileman	SPOUSE'S EMPLOYMENT STATUS	.25;15
.252	Both R/W w/Fileman	SPOUSE'S EMP STREET [LINE 1]	.25;2
.255	Both R/W w/Fileman	SPOUSE'S EMPLOYER'S CITY	.25;5
.256	Both R/W w/Fileman	SPOUSE'S EMPLOYER'S STATE	.25;6
.257	Both R/W w/Fileman	SPOUSE'S EMP ZIP CODE	.25;7
.258	Both R/W w/Fileman	SPOUSE'S EMP PHONE NUMBER	.25;8
.301	Both R/W w/Fileman	SERVICE CONNECTED?	.3;1
.302	Both R/W w/Fileman	SERVICE CONNECTED PERCENTAGE	.3;2
.313	Both R/W w/Fileman	CLAIM NUMBER	.31;3
.3192	Both R/W w/Fileman	COVERED BY HEALTH INSURANCE?	.31;11
.3111	Both R/W w/Fileman	EMPLOYER NAME	.311;1
.31115	Both R/W w/Fileman	EMPLOYMENT STATUS	.311;15
.3113	Both R/W w/Fileman	EMPLOYER STREET [LINE 1]	.311;3
.3116	Both R/W w/Fileman	EMPLOYER CITY	.311;6
.3117	Both R/W w/Fileman	EMPLOYER STATE	.311;7
.3118	Both R/W w/Fileman	EMPLOYER ZIP CODE	.311;8
.3119	Both R/W w/Fileman	EMPLOYER PHONE NUMBER	.311;9
.324	Both R/W w/Fileman	SERVICE DISCHARGE TYPE [LAST]	.32;4
.325	Both R/W w/Fileman	SERVICE BRANCH [LAST]	.32;5
.326	Both R/W w/Fileman	SERVICE ENTRY DATE [LAST]	.32;6
.327	Both R/W w/Fileman	SERVICE SEPARATION DATE [LAST]	.32;7
.328	Both R/W w/Fileman	SERVICE NUMBER [LAST]	.32;8
.32102	Both R/W w/Fileman	AGENT ORANGE EXPOS. INDICATED?	.321;2
.32103	Both R/W w/Fileman	RADIATION EXPOSURE INDICATED?	.321;3
.322013	Both R/W w/Fileman	ENVIRONMENTAL CONTAMINANTS?	.322;13
.331	Both R/W w/Fileman	E-NAME	.33;1
.332	Both R/W w/Fileman	E-RELATIONSHIP TO PATIENT	.33;2
.333	Both R/W w/Fileman	E-STREET ADDRESS [LINE 1]	.33;3
.334	Both R/W w/Fileman	E-STREET ADDRESS [LINE 2]	.33;4
.336	Both R/W w/Fileman	E-CITY	.33;6
.337	Both R/W w/Fileman	E-STATE	.33;7
.338	Both R/W w/Fileman	E-ZIP CODE	.33;8
.339	Both R/W w/Fileman	E-PHONE NUMBER	.33;9
.33011	Both R/W w/Fileman	E-WORK PHONE NUMBER	.33;11
.341	Both R/W w/Fileman	D-NAME OF DESIGNEE	.34;1
.3405	Both R/W w/Fileman	D-DESIGNEE SAME AS NOK?	.34;10
.342	Both R/W w/Fileman	D-RELATIONSHIP TO PATIENT	.34;2
.343	Both R/W w/Fileman	D-STREET ADDRESS [LINE 1]	.34;3
.344	Both R/W w/Fileman	D-STREET ADDRESS [LINE 2]	.34;4
.346	Both R/W w/Fileman	D-CITY	.34;6
.347	Both R/W w/Fileman	D-STATE	.34;7
.348	Both R/W w/Fileman	D-ZIP CODE	.34;8
.349	Both R/W w/Fileman	D-PHONE NUMBER	.34;9
.34011	Both R/W w/Fileman	D-WORK PHONE NUMBER	.34;11
.362	Both R/W w/Fileman	DISABILITY RET. FROM MILITARY?	.36;2
.368	Both R/W w/Fileman	SERVICE DENTAL INJURY?	.36;8
.36235	Both R/W w/Fileman	RECEIVING A VA PENSION?	.362;14
.36255	Both R/W w/Fileman	RECEIVING MILITARY RETIREMENT?	.362;16
.381	Both R/W w/Fileman	ELIGIBLE FOR MEDICAID?	.38;1
.525	Both R/W w/Fileman	POW STATUS INDICATED?	.52;5
.531	Read w/Fileman	CURRENT PH INDICATOR	.53;1
.532	Read w/Fileman	CURRENT PURPLE HEART STATUS	.53;2
57.4	Both R/W w/Fileman	SPINAL CORD INJURY	57;4
.133	Both R/W w/Fileman	EMAIL ADDRESS	.13;3
.2516	Both R/W w/Fileman	SPOUSE'S DATE OF RETIREMENT	.25;16
.31116	Both R/W w/Fileman	DATE OF RETIREMENT	.311;16
1010.156	Both R/W w/Fileman	MOST RECENT 1010EZ	1010.15;6
1010.157	Both R/W w/Fileman	COMBAT INDICATED ON 1010EZ	1010.15;7
1010.158	Both R/W w/Fileman	DISABILITY DISCHARGE ON 1010EZ	1010.15;8
1010.159	Both R/W w/Fileman	APPOINTMENT REQUEST ON 1010EZ	1010.15;9
1010.1511	Read w/Fileman	APPOINTMENT REQUEST DATE	1010.15;11
.134	Read w/Fileman	PHONE NUMBER [CELLULAR]	13;4
.135	Read w/Fileman	PAGER NUMBER	13;5

DPT(D0,.01,

FIELD NUMBER	ACCESS	FIELD NAME	LOCATION
.01	Read w/Fileman	ALIAS	0;1

DPT(DO,.02,

FIELD NUMBER	ACCESS	FIELD NAME	LOCATION
.01	Both R/W w/Fileman	RACE INFORMATION	0;1
.02	Both R/W w/Fileman	METHOD OF COLLECTION	0;2

DPT(D0,.06,

FIELD NUMBER	ACCESS	FIELD NAME	LOCATION
.01	Both R/W w/Fileman	ETHNICITY INFORMATION	0;1
.02	Both R/W w/Fileman	METHOD OF COLLECTION	0;2

STATUS

Active

DURATION

Till Otherwise Agreed

DPT(

SUBSCRIBING PACKAGE

SUBSCRIBING PACKAGE	SUBSCRIBING DETAILS
ENROLLMENT APPLICATION SYSTEM	Each data element must pass FileMan validator VAL^DIE before filing by FILE^DIE.