.05 |
Write w/Fileman |
MARITAL STATUS |
0;5 |
.08 |
Write w/Fileman |
RELIGIOUS PREFERENCE |
0;8 |
.111 |
Write w/Fileman |
STREET ADDRESS [LINE 1] |
.11;1 |
.112 |
Write w/Fileman |
STREET ADDRESS [LINE 2] |
.11;2 |
.113 |
Write w/Fileman |
STREE ADDRESS [LINE 3] |
.11;3 |
.114 |
Write w/Fileman |
CITY |
.11;4 |
.115 |
Write w/Fileman |
STATE |
.11;5 |
.117 |
Write w/Fileman |
COUNTY |
.11;7 |
.1171 |
Write w/Fileman |
PROVINCE |
.11;8 |
.1172 |
Write w/Fileman |
POSTAL CODE |
.11;9 |
.1173 |
Write w/Fileman |
COUNTRY |
.11;10 |
.1112 |
Write w/Fileman |
ZIP+4 |
.11;12 |
.121 |
Write w/Fileman |
BAD ADDRESS INDICATOR |
.11;16 |
.131 |
Write w/Fileman |
PHONE NUMBER [RESIDENCE] |
.13;1 |
.132 |
Write w/Fileman |
PHONE NUMBER [WORK] |
.13;2 |
.134 |
Write w/Fileman |
PHONE NUMBER [CELLULAR] |
.13;4 |
.133 |
Write w/Fileman |
EMAIL ADDRESS |
.13;3 |
.1211 |
Write w/Fileman |
TEMPORARY STREET [LINE 1] |
.121;1 |
.1212 |
Write w/Fileman |
TEMPORARY STREET [LINE 2] |
.121;2 |
.1213 |
Write w/Fileman |
TEMPORARY STREET [LINE 3] |
.121;3 |
.1214 |
Write w/Fileman |
TEMPORARY CITY |
.121;4 |
.1215 |
Write w/Fileman |
TEMPORARY STATE |
.121;5 |
.1217 |
Write w/Fileman |
TEMPORARY ADDRESS START DATE |
.121;7 |
.1218 |
Write w/Fileman |
TEMPORARY ADDRESS END DATE |
.121;8 |
.12111 |
Write w/Fileman |
TEMPORARY ADDRESS COUNTY |
.121;11 |
.12112 |
Write w/Fileman |
TEMPORARY ZIP+4 |
.121;12 |
.1221 |
Write w/Fileman |
TEMPORARY ADDRESS PROVINCE |
.122;1 |
.1222 |
Write w/Fileman |
TEMPORARY ADDRESS POSTAL CODE |
.122;2 |
.1223 |
Write w/Fileman |
TEMPORARY ADDRESS COUNTRY |
.122;3 |
.1219 |
Write w/Fileman |
TEMPORARY PHONE NUMBER |
.121;10 |
.211 |
Write w/Fileman |
K-NAME OF PRIMARY NOK |
.21;1 |
.212 |
Write w/Fileman |
K-RELATIONSHIP TO PATIENT |
.21;2 |
.213 |
Write w/Fileman |
K-STREET ADDRESS [LINE 1] |
.21;3 |
.214 |
Write w/Fileman |
K-STREET ADDRESS [LINE 2] |
.21;4 |
.215 |
Write w/Fileman |
K-STREET ADDRESS [LINE 3] |
.21;5 |
.216 |
Write w/Fileman |
K-CITY |
.21;6 |
.217 |
Write w/Fileman |
K-STATE |
.21;7 |
.2207 |
Write w/Fileman |
K-ZIP+4 |
.22;7 |
.219 |
Write w/Fileman |
K-PHONE NUMBER |
.21;9 |
.21011 |
Write w/Fileman |
K-WORK PHONE NUMBER |
.21;11 |
.2191 |
Write w/Fileman |
K2-NAME OF SECONDARY NOK |
.211;1 |
.2192 |
Write w/Fileman |
K2-RELATIONSHIP TO PATIENT |
.211;2 |
.2193 |
Write w/Fileman |
K2-STREET ADDRESS [LINE 1] |
.211;3 |
.2194 |
Write w/Fileman |
K2-STREET ADDRESS [LINE 2] |
.211;4 |
.2195 |
Write w/Fileman |
K2-STREET ADDRESS [LINE 3] |
.211;5 |
.2196 |
Write w/Fileman |
K2-CITY |
.211;6 |
.2197 |
Write w/Fileman |
K2-STATE |
.211;7 |
.2203 |
Write w/Fileman |
K2-ZIP+4 |
.22;3 |
.2199 |
Write w/Fileman |
K2-PHONE NUMBER |
.211;9 |
.211011 |
Write w/Fileman |
K2-WORK PHONE NUMBER |
.211;11 |
.331 |
Write w/Fileman |
E-NAME |
.33;1 |
.332 |
Write w/Fileman |
E-RELATIONSHIP TO PATIENT |
.33;2 |
.333 |
Write w/Fileman |
E-STREET ADDRESS [LINE 1] |
.33;3 |
.334 |
Write w/Fileman |
E-STREET ADDRESS [LINE 2] |
.33;4 |
.335 |
Write w/Fileman |
E-STREET ADDRESS [LINE 3] |
.33;5 |
.336 |
Write w/Fileman |
E-CITY |
.33;6 |
.337 |
Write w/Fileman |
E-STATE |
.33;7 |
.2201 |
Write w/Fileman |
E-ZIP+4 |
.22;1 |
.339 |
Write w/Fileman |
E-PHONE NUMBER |
.33;9 |
.33011 |
Write w/Fileman |
E-WORK PHONE NUMBER |
.33;11 |
.3311 |
Write w/Fileman |
E2-NAME OF SECONDARY CONTACT |
.331;1 |
.3312 |
Write w/Fileman |
E2-RELATIONSHIP TO PATIENT |
.331;2 |
.3313 |
Write w/Fileman |
E2-STREET ADDRESS [LINE 1] |
.331;3 |
.3314 |
Write w/Fileman |
E2-STREET ADDRESS [LINE 2] |
.331;4 |
.3315 |
Write w/Fileman |
E2-STREET ADDRESS [LINE 3] |
.331;5 |
.3316 |
Write w/Fileman |
E2-CITY |
.331;6 |
.3317 |
Write w/Fileman |
E2-STATE |
.331;7 |
.2204 |
Write w/Fileman |
E2-ZIP+4 |
.22;4 |
.3319 |
Write w/Fileman |
E2-PHONE NUMBER |
.331;9 |
.331011 |
Write w/Fileman |
E2-WORK PHONE NUMBER |
.331;11 |
.3111 |
Write w/Fileman |
EMPLOYER NAME |
.311;1 |
.3119 |
Write w/Fileman |
EMPLOYER PHONE NUMBER |
.311;9 |
.31115 |
Write w/Fileman |
EMPLOYMENT STATUS |
.311;15 |
.31116 |
Write w/Fileman |
DATE OF RETIREMENT |
.311;16 |
.251 |
Write w/Fileman |
SPOUSE'S EMPLOYER NAME |
.25;1 |
.258 |
Write w/Fileman |
SPOUSE'S EMP PHONE NUMBER |
.25;8 |
.2515 |
Write w/Fileman |
SPOUSE'S EMPLOYMENT STATUS |
.25;15 |
.2516 |
Write w/Fileman |
SPOUSE'S RETIREMENT DATE |
.25;16 |
.12105 |
Both R/W w/Fileman |
TEMPORARY ADDRESS ACTIVE? |
.121;9 |