The Master Data Model for Veteran Care

Developer Documentation » MVDM » Patient

Patient

Patient

No Description

Fileman ID: 2

Base VDM Class: Patient-2

Property Summary

Property Count: 190

Type Count
STRING 24
ENUMERATION 27
DATE 2
POINTER 42
BOOLEAN 25
NUMERIC 15
OBJECT 27
DATE-TIME 27
UNKNOWN 1

Sub-Object Count: 65

ID Label Field ID
1 Contact Information Contact_Information-2_3226
2 Eligibility/Benefit Eligibility_Benefit-2_322
3 Group Provider Info Group_Provider_Info-2_332
4 Group Reference Information Group_Reference_Information-2_3129
5 Health Care Code Information Health_Care_Code_Information-2_31211
6 Healthcare Services Delivery Healthcare_Services_Delivery-2_3227
7 Subscriber Additional Info Subscriber_Additional_Info-2_3229
8 Subscriber Dates Subscriber_Dates-2_3228
9 Subscriber Reference Id Subscriber_Reference_Id-2_32291
10 Agent Orange Exposure agentOrangeExposure
11 Alias alias
12 Appointment appointment
13 Archived Data archivedData
14 Confidential Address Category categories
15 Cd History Date cdHistoryDate
16 Cd Reason cdReason
17 Cd Status Conditions cdStatusConditions
18 Cd Status Procedures cdStatusProcedures
19 Civil Guardian civilGuardian
20 Claim claim
21 Cmor History cmorHistory
22 Combat Service combatService
23 Combat Service combatService
24 Confidential Address confidentialAddress
25 Contacts contacts
26 Date Of Archive dateOfArchive
27 Date Of Dental Treatment dateOfDentalTreatment
28 Designee designee
29 Disposition Log-In Date/Time dispositionLoginDateTime
30 Employer employer
31 Enrollment Clinic enrollmentClinic
32 Enrollment Data enrollmentData
33 Ethnicity Information ethnicityInformation
34 Grenada Service grenadaService
35 Icn History icnHistory
36 Ineligibility ineligibility
37 Insurance Type insuranceType
38 Lebanon Service lebanonService
39 Military Service militaryService
40 Military Service Episode militaryServiceEpisodes
41 Panama Service panamaService
42 Patient Contact patientContact
43 Patient Eligibilities patientEligibilities
44 Permanent Address permanentAddress
45 Persian Gulf Service persianGulfService
46 Ph Date/Time Updated phDateTimeUpdated
47 Pow Status powStatus
48 Primary Emergency Contact primaryEmergencyContact
49 Primary Next Of Kin primaryNextOfKin
50 Race Information raceInformation
51 Radiation Exposure radiationExposure
52 Rated Disabilities (Va) ratedDisabilities
53 Secondary Emergency Contact secondaryEmergencyContact
54 Secondary Next Of Kin secondaryNextOfKin
55 Service Connected serviceConnected
56 Service Connected Conditions serviceConnectedConditions
57 Service [Oef Or Oif] serviceOefOrOifs
58 Somalia Service somaliaService
59 Southwest Asian Conditions southwestAsianConditions
60 Spouse spouse
61 Temporary Address temporaryAddress
62 Treatment Factors treatmentFactors
63 Va Guardian vaGuardian
64 Vietnam Service vietnamService
65 Yugoslavia Service yugoslaviaService

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Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Name
  name
STRING name      
Sex
  sex
ENUMERATION sex     MALE: M
FEMALE: F
Self Identified Gender
  selfIdentifiedGender
ENUMERATION self_identified_gender     Transmale/Transman/Female-to-Male: TM
Transfemale/Transwoman/Male-to-Female: TF
individual chooses not to answer: N
Other: O
Female: F
Male: M
Date Of Birth
  dateOfBirth
DATE date_of_birth      
Marital Status
  maritalStatus
POINTER marital_status     Marital_Status-11
Race
  race
POINTER race     Race-10
Occupation
  occupation
STRING occupation      
Religious Preference
  religiousPreference
POINTER religious_preference     Religion-13
Duplicate Status
  duplicateStatus
ENUMERATION duplicate_status     CHECK DUPLICATE RECORDS FILE: 1
NO UNRESOLVED DUPLICATES: 0
Patient Merged To
  patientMergedTo
POINTER patient_merged_to     Patient-2
Is Check For Duplicate
  isCheckForDuplicate
BOOLEAN check_for_duplicate     true: 1
Social Security Number
  socialSecurityNumber
STRING social_security_number      
Pseudo Ssn Reason
  pseudoSsnReason
ENUMERATION pseudo_ssn_reason     NO SSN ASSIGNED: N
SSN UNKNOWN/FOLLOW-UP REQUIRED: S
REFUSED TO PROVIDE: R
Ssn Verification Status
  ssnVerificationStatus
ENUMERATION ssn_verification_status     VERIFIED: 4
INVALID: 2
Remarks
  remarks
STRING remarks      
Place Of Birth City
  placeOfBirthCity
STRING place_of_birth_city      
Place Of Birth State
  placeOfBirthState
POINTER place_of_birth_state     State-5
Entered By
  enteredBy
POINTER who_entered_patient     New_Person-200
Entered Date
  enteredDate
DATE date_entered_into_file      
Entered Patient Method
  enteredPatientMethod
ENUMERATION how_was_patient_entered     10-10T REGISTRATION: 1
Ward Location
  wardLocation
STRING ward_location      
Roombed
  roombed
STRING roombed      
Current Movement
  currentMovement
POINTER current_movement     Patient_Movement-405
Treating Specialty
  treatingSpecialty
POINTER treating_specialty     Facility_Treating_Specialty-45_7
Provider
  provider
POINTER provider     New_Person-200
Attending Physician
  attendingPhysician
POINTER attending_physician     New_Person-200
Current Admission
  currentAdmission
POINTER current_admission     Patient_Movement-405
Last Dmms Episode Number
  lastDmmsEpisodeNumber
NUMERIC last_dmms_episode_number      
Lodger Ward Location
  lodgerWardLocation
STRING lodger_ward_location      
Current Room
  currentRoom
POINTER current_room     RoomBed-405_4
Exclude From Facility Dir
  excludeFromFacilityDir
BOOLEAN exclude_from_facility_dir     false: 0
true: 1
Permanent Address
  permanentAddress
OBJECT GENERATED     permanentAddress
Temporary Address
  temporaryAddress
OBJECT GENERATED     temporaryAddress
Patient Contact
  patientContact
OBJECT GENERATED     patientContact
Current Means Test Status
  currentMeansTestStatus
POINTER current_means_test_status     Means_Test_Status-408_32
Confidential Address
  confidentialAddress
OBJECT GENERATED     confidentialAddress
Ineligibility
  ineligibility
OBJECT GENERATED     ineligibility
Fee Hospital Id
  feeHospitalId
ENUMERATION fee_hospital_id     CANCELLED: C
ISSUED: I
Emergency Response Indicator
  emergencyResponseIndicator
ENUMERATION emergency_response_indicator     HURRICANE KATRINA: K
Fathers Name
  fathersName
STRING fathers_name      
Mothers Name
  mothersName
STRING mothers_name      
Mothers Maiden Name
  mothersMaidenName
STRING mothers_maiden_name      
Rated Incompetent
  ratedIncompetent
BOOLEAN rated_incompetent     false: 0
true: 1
Date Ruled Incompetent By VA
  dateRuledIncompetentByVA
DATE-TIME date_ruled_incompetent_va      
Date Ruled Incompetent By Civil
  dateRuledIncompetentByCivil
DATE-TIME date_ruled_incompetent_civil      
Contacts
  contacts
OBJECT GENERATED     contacts
Service Connected
  serviceConnected
OBJECT GENERATED     serviceConnected
Claim
  claim
OBJECT GENERATED     claim
Insurance Type
  insuranceType
OBJECT insurance_type     insuranceType
Treatment Factors
  treatmentFactors
OBJECT GENERATED     treatmentFactors
Military Service
  militaryService
OBJECT GENERATED     militaryService
Proj 112 Shad
  proj112Shad
BOOLEAN proj_112_shad     false: 0
true: 1
Date Of Death
  dateOfDeath
DATE-TIME date_of_death      
Death Entered By
  deathEnteredBy
POINTER death_entered_by     New_Person-200
Source Of Notification
  sourceOfNotification
ENUMERATION source_of_notification     VBA: 4
INPATIENT AT VAMC: 1
NON-VA MEDICAL FACILITY: 2
OTHER: 9
NEXT OF KIN/FAMILY/FRIEND: 8
VA INSURANCE: 5
NCA: 7
SSA: 6
DEATH CERTIFICATE ON FILE: 3
Date Of Death Last Updated
  dateOfDeathLastUpdated
DATE-TIME date_of_death_last_updated      
Last Edited By
  lastEditedBy
POINTER last_edited_by     New_Person-200
Collateral Sponsors Name
  collateralSponsorsName
POINTER collateral_sponsors_name     Patient-2
Military Disability Retirement
  militaryDisabilityRetirement
BOOLEAN military_disability_retirement     false: 0
true: 1
Discharge Due To Disability
  dischargeDueToDisability
BOOLEAN discharge_due_to_disability     false: 0
true: 1
Primary Eligibility Code
  primaryEligibilityCode
POINTER primary_eligibility_code     Eligibility_Code-8
Eligibility Status
  eligibilityStatus
ENUMERATION eligibility_status     PENDING VERIFICATION: P
PENDING RE-VERIFICATION: R
VERIFIED: V
Eligibility Status Date
  eligibilityStatusDate
DATE-TIME eligibility_status_date      
Eligibility Verif Source
  eligibilityVerifSource
ENUMERATION eligibility_verif_source     VISTA: V
HEC: H
Eligibility Interim Response
  eligibilityInterimResponse
DATE-TIME eligibility_interim_response      
Eligibility Verif Method
  eligibilityVerifMethod
STRING eligibility_verif_method      
Eligibility Status Entered By
  eligibilityStatusEnteredBy
POINTER eligibility_status_entered_by     New_Person-200
User Enrollee Valid Through
  userEnrolleeValidThrough
DATE-TIME user_enrollee_valid_through      
User Enrollee Site
  userEnrolleeSite
POINTER user_enrollee_site     Institution-4
Disability Ret From Military
  disabilityRetFromMilitary
ENUMERATION disability_ret_from_military     YES, RECEIVING MILITARY RETIREMENT IN LIEU OF VA COMPENSATION: 2
YES, RECEIVING MILITARY RETIREMENT: 1
UNKNOWN: 3
NO: 0
Receiving Aa Benefits
  receivingAaBenefits
ENUMERATION receiving_aa_benefits     UNKNOWN: U
YES: Y
NO: N
Amount Of Aid Attendance
  amountOfAidAttendance
NUMERIC amount_of_aid__attendance      
Receiving Housebound Benefits
  receivingHouseboundBenefits
ENUMERATION receiving_housebound_benefits     UNKNOWN: U
YES: Y
NO: N
Amount Of Housebound
  amountOfHousebound
NUMERIC amount_of_housebound      
Receiving Social Security
  receivingSocialSecurity
ENUMERATION receiving_social_security     UNKNOWN: U
YES: Y
NO: N
Amount Of Social Security
  amountOfSocialSecurity
NUMERIC amount_of_social_security      
Receiving A Va Pension
  receivingAVaPension
ENUMERATION receiving_a_va_pension     UNKNOWN: U
YES: Y
NO: N
Amount Of Va Pension
  amountOfVaPension
NUMERIC amount_of_va_pension      
Amount Of Military Retirement
  amountOfMilitaryRetirement
NUMERIC amount_of_military_retirement      
Receiving Military Retirement
  receivingMilitaryRetirement
ENUMERATION receiving_military_retirement     UNKNOWN: U
YES: Y
NO: N
Amount Of Gi Insurance
  amountOfGiInsurance
NUMERIC amount_of_gi_insurance      
Gi Insurance Policy
  giInsurancePolicy
ENUMERATION gi_insurance_policy     UNKNOWN: U
YES: Y
NO: N
Amount Of Ssi
  amountOfSsi
NUMERIC amount_of_ssi      
Receiving Sup Security Ssi
  receivingSupSecuritySsi
ENUMERATION receiving_sup_security_ssi     UNKNOWN: U
YES: Y
NO: N
Amount Of Other Retirement
  amountOfOtherRetirement
NUMERIC amount_of_other_retirement      
Type Of Other Retirement
  typeOfOtherRetirement
ENUMERATION type_of_other_retirement     CIVIL: C
COMBINATIONS OF TYPES: X
OTHER: O
MILITARY: M
RAILROAD: R
BLACK LUNG: B
Amount Of Other Income
  amountOfOtherIncome
NUMERIC amount_of_other_income      
Total Annual Va Check Amount
  totalAnnualVaCheckAmount
NUMERIC total_annual_va_check_amount      
Primary Long Id
  primaryLongId
STRING primary_long_id      
Primary Short Id
  primaryShortId
STRING primary_short_id      
Service Dental Injury
  serviceDentalInjury
BOOLEAN service_dental_injury     false: N
true: Y
Service Teeth Extracted
  serviceTeethExtracted
BOOLEAN service_teeth_extracted     false: N
true: Y
Date Of Dental Treatment
  dateOfDentalTreatment
OBJECT date_of_dental_treatment     dateOfDentalTreatment
Rated Disabilities Va
  ratedDisabilitiesVa
OBJECT rated_disabilities_va     ratedDisabilities
Service Connected Conditions
  serviceConnectedConditions
OBJECT service_connected_conditions     serviceConnectedConditions
Eligible For Medicaid
  eligibleForMedicaid
BOOLEAN eligible_for_medicaid     false: 0
true: 1
Date Medicaid Last Asked
  dateMedicaidLastAsked
DATE-TIME date_medicaid_last_asked      
Medicaid Number
  medicaidNumber
STRING medicaid_number      
Pension Award Effective Date
  pensionAwardEffectiveDate
DATE-TIME pension_award_effective_date      
Pension Award Reason
  pensionAwardReason
POINTER pension_award_reason     Pension_Award_Reasons-27_18
Pension Terminated Date
  pensionTerminatedDate
DATE-TIME pension_terminated_date      
Pension Terminated Reason 1
  pensionTerminatedReason1
POINTER pension_terminated_reason_1     Pension_Award_Reasons-27_18
Pension Terminated Reason 2
  pensionTerminatedReason2
POINTER pension_terminated_reason_2     Pension_Award_Reasons-27_18
Pension Terminated Reason 3
  pensionTerminatedReason3
POINTER pension_terminated_reason_3     Pension_Award_Reasons-27_18
Pension Terminated Reason 4
  pensionTerminatedReason4
POINTER pension_terminated_reason_4     Pension_Award_Reasons-27_18
Class Ii Dental Indicator
  classIiDentalIndicator
BOOLEAN class_ii_dental_indicator     false: N
true: Y
Dental Appl Due Before Date
  dentalApplDueBeforeDate
DATE-TIME dental_appl_due_before_date      
Pension Indicator Lock
  pensionIndicatorLock
BOOLEAN pension_indicator_lock     false: N
true: Y
Pension Award Lock
  pensionAwardLock
BOOLEAN pension_award_lock     false: N
true: Y
Veteran Catastrophically Disabled
  veteranCatastrophicallyDisabled
BOOLEAN veteran_catastrophically_disabled     false: N
true: Y
Decided By
  decidedBy
STRING decided_by      
Date Of Decision
  dateOfDecision
DATE-TIME date_of_decision      
Facility Making Determination
  facilityMakingDetermination
POINTER facility_making_determination     Institution-4
Review Date
  reviewDate
DATE-TIME review_date      
Method Of Determination
  methodOfDetermination
ENUMERATION method_of_determination     PHYSICAL EXAMINATION: 3
MEDICAL RECORD REVIEW: 2
Date Veteran Requested Cd Eval
  dateVeteranRequestedCdEval
DATE-TIME date_veteran_requested_cd_eval      
Date Facility Initiated Review
  dateFacilityInitiatedReview
DATE-TIME date_facility_initiated_review      
Date Veteran Was Notified
  dateVeteranWasNotified
DATE-TIME date_veteran_was_notified      
Cd Status Diagnoses
  cdStatusDiagnoses
POINTER cd_status_diagnoses     Catastrophic_Disability_Reasons-27_17
Cd Status Procedures
  cdStatusProcedures
OBJECT cd_status_procedures     cdStatusProcedures
Cd Status Conditions
  cdStatusConditions
OBJECT cd_status_conditions     cdStatusConditions
Cd History Date
  cdHistoryDate
OBJECT cd_history_date     cdHistoryDate
Cd Descriptors
  cdDescriptors
POINTER cd_descriptors     Catastrophic_Disability_Reasons-27_17
Current Moh Indicator
  currentMohIndicator
BOOLEAN current_moh_indicator     false: N
true: Y
Is Test Patient
  isTestPatient
BOOLEAN test_patient_indicator     false: 0
true: 1
Alias
  alias
OBJECT alias     alias
Race Information
  raceInformation
OBJECT race_information     raceInformation
Enrollment Clinic
  enrollmentClinic
OBJECT enrollment_clinic     enrollmentClinic
Ethnicity Information
  ethnicityInformation
OBJECT ethnicity_information     ethnicityInformation
Current Enrollment
  currentEnrollment
POINTER current_enrollment     Patient_Enrollment-27_11
Preferred Facility
  preferredFacility
POINTER preferred_facility     Institution-4
Source Designation
  sourceDesignation
ENUMERATION source_designation     PCP INACTIVE: PI
VISTA: V
PCP ACTIVE: PA
ESR: E
Reactions
  reactions
BOOLEAN reactions     false: N
true: Y
Heightcm
  heightcm
NUMERIC heightcm      
Weightkg
  weightkg
NUMERIC weightkg      
Spinal Cord Injury
  spinalCordInjury
ENUMERATION spinal_cord_injury     QUADRIPLEGIA-NONTRAUMATIC: 4
QUADRIPLEGIA-TRAUMATIC: 2
NOT APPLICABLE: X
PARAPLEGIA-TRAUMATIC: 1
PARAPLEGIA-NONTRAUMATIC: 3
Laboratory Reference
  laboratoryReference
POINTER laboratory_reference     Lab_Data-63
Lab Referral Ref
  labReferralRef
POINTER lab_referral_ref     Referral_Patient-67
Cnh Current
  cnhCurrent
BOOLEAN cnh_current     false: N
true: Y
Dental Classification
  dentalClassification
POINTER dental_classification     Dental_Classification-220_2
Dental Eligibility Expiration
  dentalEligibilityExpiration
DATE-TIME dental_eligibility_expiration      
Patient Eligibilities
  patientEligibilities
OBJECT patient_eligibilities     patientEligibilities
Patient Type
  patientType
POINTER type-391     Type_Of_Patient-391
Condition
  condition
ENUMERATION condition     SERIOUSLY ILL: S
Date Entered On Si List
  dateEnteredOnSiList
DATE-TIME date_entered_on_si_list      
Current Pc Practitioner
  currentPcPractitioner
POINTER current_pc_practitioner     New_Person-200
Current Pc Team
  currentPcTeam
POINTER current_pc_team     Team-404_51
Integration Control Number
  integrationControlNumber
NUMERIC integration_control_number      
Icn Checksum
  icnChecksum
STRING icn_checksum      
Coordinating Master Of Record
  coordinatingMasterOfRecord
POINTER coordinating_master_of_record     Institution-4
Locally Assigned Icn
  locallyAssignedIcn
BOOLEAN locally_assigned_icn     true: 1
Subscription Control Number
  subscriptionControlNumber
POINTER subscription_control_number     Subscription_Control-774
Cmor Activity Score
  cmorActivityScore
NUMERIC cmor_activity_score      
Score Calculation Date
  scoreCalculationDate
DATE-TIME score_calculation_date      
Temporary Id Number
  temporaryIdNumber
STRING temporary_id_number      
Foreign Id Number
  foreignIdNumber
STRING foreign_id_number      
Full Icn
  fullIcn
STRING full_icn      
Full Icn History
  fullIcnHistory
STRING full_icn_history      
Icn History
  icnHistory
OBJECT icn_history     icnHistory
Cmor History
  cmorHistory
OBJECT cmor_history     cmorHistory
Multiple Birth Indicator
  multipleBirthIndicator
ENUMERATION multiple_birth_indicator     *MULTIPLE BIRTH*: Y
NO: N
Disposition Login Date Time
  dispositionLoginDateTime
OBJECT disposition_login_date_time     dispositionLoginDateTime
Received Va Care Previously
  receivedVaCarePreviously
BOOLEAN received_va_care_previously     false: N
true: Y
Most Recent Date Of Care
  mostRecentDateOfCare
DATE-TIME most_recent_date_of_care      
Appointment Request Date
  appointmentRequestDate
DATE-TIME appointment_request_date      
Most Recent Location Of Care
  mostRecentLocationOfCare
POINTER most_recent_location_of_care     Institution-4
2 Nd Most Recent Date Of Care
  2ndMostRecentDateOfCare
DATE-TIME _2nd_most_recent_date_of_care      
2 Nd Most Recent Location
  2ndMostRecentLocation
POINTER _2nd_most_recent_location     Institution-4
Most Recent 1010 Ez
  mostRecent1010ez
POINTER most_recent_1010ez     _1010Ez_Holding-712
Combat Indicated On 1010 Ez
  combatIndicatedOn1010ez
BOOLEAN combat_indicated_on_1010ez     false: 0
true: 1
Disability Discharge On 1010 Ez
  disabilityDischargeOn1010ez
BOOLEAN disability_discharge_on_1010ez     false: 0
true: 1
Appointment Request On 1010 Ez
  appointmentRequestOn1010ez
BOOLEAN appointment_request_on_1010ez     false: 0
true: 1
Appointment Request Status
  appointmentRequestStatus
ENUMERATION appointment_request_status     CANCELLED: C
IN PROCESS/VETERAN CONTACTED: I
FILLED: F
EWL: E
Date Status Last Edited
  dateStatusLastEdited
DATE-TIME date_status_last_edited      
Appointment Request Comment
  appointmentRequestComment
STRING appointment_request_comment      
Date Comment Last Edited
  dateCommentLastEdited
DATE-TIME date_comment_last_edited      
Fugitive Felon Flag
  fugitiveFelonFlag
BOOLEAN fugitive_felon_flag     true: 1
Fff Entered By
  fffEnteredBy
POINTER fff_entered_by     New_Person-200
Fff Date Entered
  fffDateEntered
DATE-TIME fff_date_entered      
Fff Removed By
  fffRemovedBy
POINTER fff_removed_by     New_Person-200
Fff Date Removed
  fffDateRemoved
DATE-TIME fff_date_removed      
Fff Removal Remarks
  fffRemovalRemarks
STRING fff_removal_remarks      
Appointment
  appointment
OBJECT appointment     appointment
Is Veteran
  isVeteran
BOOLEAN veteran_y_n     false: N
true: Y
Archived Data
  archivedData
OBJECT archived_data     archivedData
Vts Patient Flag
  vtsPatientFlag
BOOLEAN vts_patient_flag     false: 0
true: 1
Initial Ods Treatment Received
  initialOdsTreatmentReceived
DATE-TIME initial_ods_treatment_received      
Recalled To Active Duty
  recalledToActiveDuty
ENUMERATION recalled_to_active_duty     NATIONAL GUARD: 1
RESERVES: 2
NO: 0
Patient Rank
  patientRank
  rank-2      
Network Identifier
  networkIdentifier
STRING network_identifier      

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Sub-Objects

1. Contact Information

Field ID: Contact_Information-2_3226

Fileman Sub-File ID: 2.3226

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Name
  name
STRING name      
*Communication Number
  communcationNumber
STRING communication_number      
Communication Qualifier
  communicationQualifier
POINTER communication_qualifier     X12_271_Contact_Qualifier-365_021
Communication Number
  communicationNumber
STRING communication_number-2_3226-1      

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2. Eligibility/Benefit

Field ID: Eligibility_Benefit-2_322

Fileman Sub-File ID: 2.322

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Eb Number
  ebNumber
NUMERIC eb_number   INDEXED
REQUIRED
 
Eligibility/Benefit Info
  eligibilityBenefitInfo
POINTER eligibility_benefit_info     X12_271_Eligibility_Benefit-365_011
Coverage Level
  coverageLevel
POINTER coverage_level     X12_271_Coverage_Level-365_012
*Service Type
  serviceType
POINTER service_type     X12_271_Service_Type-365_013
Insurance Type
  insuranceType
POINTER insurance_type     X12_271_Insurance_Type-365_014
Plan Coverage Description
  planCoverageDescription
STRING plan_coverage_description      
Time Period Qualifier
  timePeriodQualifier
POINTER time_period_qualifier     X12_271_Time_Period_Qualifier-365_015
Monetary Amount
  monetaryAmount
STRING monetary_amount      
Percent
  percent
NUMERIC percent      
Quantity Qualifier
  quantityQualifier
POINTER quantity_qualifier     X12_271_Quantity_Qualifier-365_016
Quantity
  quantity
STRING quantity      
Authorization/Certification
  authorizationCertification
POINTER authorization_certification     X12271_Yes_No_Response_Code-365_033
In Plan
  inPlan
POINTER in_plan     X12271_Yes_No_Response_Code-365_033
Procedure Coding Method
  procedureCodingMethod
POINTER procedure_coding_method     X12_271_Procedure_Coding_Method-365_035
Procedure Code
  procedureCode
STRING procedure_code      
Procedure Modifier 1
  procedureModifier1
STRING procedure_modifier_1      
Procedure Modifier 2
  procedureModifier2
STRING procedure_modifier_2      
Procedure Modifier 3
  procedureModifier3
STRING procedure_modifier_3      
Procedure Modifier 4
  procedureModifier4
STRING procedure_modifier_4      
Notes
  notes
STRING notes      
Entity Id Code
  entityIdCode
POINTER entity_id_code     X12_271_Entity_Identifier_Code-365_022
Entity Type
  entityType
POINTER entity_type     X12_271_Entity_Type_Qualifier-365_043
Name
  name
STRING name      
Entity Id
  entityId
STRING entity_id      
Entity Id Qualifier
  entityIdQualifier
POINTER entity_id_qualifier     X12_271_Identification_Qualifier-365_023
Entity Relationship Code
  entityRelationshipCode
POINTER entity_relationship_code     X12_271_Entity_Relationship_Code-365_031
Address Line 1
  addressLine1
STRING address_line_1      
Address Line 2
  addressLine2
STRING address_line_2      
City
  city
STRING city      
State
  state
POINTER state     State-5
Zip
  zip
STRING zip      
Country Code
  countryCode
STRING country_code      
Location
  location
STRING location      
Location Qualifier
  locationQualifier
POINTER location_qualifier     X12_271_Location_Qualifer-365_034
Subdivision Code
  subdivisionCode
STRING subdivision_code      
Provider Code
  providerCode
POINTER provider_code     X12_271_Provider_Code-365_024
Reference Id
  referenceId
STRING reference_id      
Reference Id Qualifier
  referenceIdQualifier
POINTER reference_id_qualifier     X12_271_Reference_Identification-365_028
Contact Information
  contactInformation
OBJECT contact_information     Contact_Information-2_3226
Healthcare Services Delivery
  healthcareServicesDelivery
OBJECT healthcare_services_delivery     Healthcare_Services_Delivery-2_3227
Subscriber Dates
  subscriberDates
OBJECT subscriber_dates     Subscriber_Dates-2_3228
Subscriber Additional Info
  subscriberAdditionalInfo
OBJECT subscriber_additional_info     Subscriber_Additional_Info-2_3229
Subscriber Reference Id
  subscriberReferenceId
OBJECT subscriber_reference_id     Subscriber_Reference_Id-2_32291
Service Types
  serviceTypes
POINTER service_types     X12_271_Service_Type-365_013

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3. Group Provider Info

Field ID: Group_Provider_Info-2_332

Fileman Sub-File ID: 2.332

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Provider Code
  providerCode
POINTER provider_code     X12_271_Provider_Code-365_024
Prov Reference Id
  provReferenceId
STRING prov_reference_id      

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4. Group Reference Information

Field ID: Group_Reference_Information-2_3129

Fileman Sub-File ID: 2.3129

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Reference Id (Group)
  referenceIdGroup
STRING reference_id_group      
Ref Id Qualifier (Group)
  refIdQualifierGroup
POINTER ref_id_qualifier_group     X12_271_Reference_Identification-365_028
Description
  description
STRING description      

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5. Health Care Code Information

Field ID: Health_Care_Code_Information-2_31211

Fileman Sub-File ID: 2.31211

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Diagnosis Code
  diagnosisCode
POINTER diagnosis_code     Icd_Diagnosis-80
Diagnosis Code Qualifier
  diagnosisCodeQualifier
STRING diagnosis_code_qualifier      
Primary Or Secondary?
  primaryOrSecondary
ENUMERATION primary_or_secondary     PRIMARY: P
SECONDARY: S

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6. Healthcare Services Delivery

Field ID: Healthcare_Services_Delivery-2_3227

Fileman Sub-File ID: 2.3227

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Benefit Quantity
  benefitQuantity
NUMERIC benefit_quantity      
Quantity Qualifier
  quantityQualifier
POINTER quantity_qualifier     X12_271_Quantity_Qualifier-365_016
Sample Selection Modulus
  sampleSelectionModulus
STRING sample_selection_modulus      
Units Of Measurement
  unitsOfMeasurement
POINTER units_of_measurement     X12_271_Units_Of_Measurement-365_029
Time Periods
  timePeriods
NUMERIC time_periods      
Time Period Qualifier
  timePeriodQualifier
POINTER time_period_qualifier     X12_271_Time_Period_Qualifier-365_015
Delivery Frequency
  deliveryFrequency
POINTER delivery_frequency     X12_271_Delivery_Frequency_Code-365_025
Delivery Pattern
  deliveryPattern
POINTER delivery_pattern     X12_271_Delivery_Pattern-365_036

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7. Subscriber Additional Info

Field ID: Subscriber_Additional_Info-2_3229

Fileman Sub-File ID: 2.3229

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Place Of Service
  placeOfService
POINTER place_of_service     Place_Of_Service-353_1
Diagnosis
  diagnosis
POINTER diagnosis     Icd_Diagnosis-80
Qualifier
  qualifier
POINTER qualifier     X12_271_Code_List_Qualifier-365_044
Nature Of Injury Code
  natureOfInjuryCode
POINTER nature_of_injury_code     X12_271_Nature_Of_Injury_Codes-365_045
Nature Of Injury Category
  natureOfInjuryCategory
STRING nature_of_injury_category      
Nature Of Injury Text
  natureOfInjuryText
STRING nature_of_injury_text      

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8. Subscriber Dates

Field ID: Subscriber_Dates-2_3228

Fileman Sub-File ID: 2.3228

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Date
  date
STRING date      
Date Qualifier
  dateQualifier
POINTER date_qualifier     X12_271_Date_Qualifier-365_026
Date Format
  dateFormat
POINTER date_format     X12_271_Date_Format_Qualifier-365_032

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9. Subscriber Reference Id

Field ID: Subscriber_Reference_Id-2_32291

Fileman Sub-File ID: 2.32291

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Sequence
  sequence
NUMERIC sequence   INDEXED
REQUIRED
 
Reference Id
  referenceId
STRING reference_id      
Reference Id Qualifier
  referenceIdQualifier
POINTER reference_id_qualifier     X12_271_Reference_Identification-365_028
Description
  description
STRING description      

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10. Agent Orange Exposure

Field ID: agentOrangeExposure

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Exposure Indicated
  exposureIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
Registration Date
  registrationDate
DATE-TIME CUSTOM      
Reported To Co
  reportedToCo
DATE-TIME CUSTOM      
Exam Date
  examDate
DATE-TIME CUSTOM      
Registration Number
  registrationNumber
NUMERIC CUSTOM      
Exposure Location
  exposureLocation
ENUMERATION CUSTOM     VIETNAM: V
OTHER: O
KOREAN DMZ: K

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11. Alias

Field ID: alias

Fileman Sub-File ID: 2.01

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Alias
  alias
STRING alias   REQUIRED  
Alias Ssn
  aliasSsn
STRING alias_ssn      
Alias Components
  aliasComponents
POINTER alias_components     Name_Components-20

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12. Appointment

Field ID: appointment

Fileman Sub-File ID: 2.98

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Appointment Date/Time
  appointmentDateTime
IEN CUSTOM      
Clinic
  clinic
POINTER clinic   REQUIRED Hospital_Location-44
Status
  status
ENUMERATION status     INPATIENT APPOINTMENT: I
NO ACTION TAKEN: NT
NO-SHOW: N
CANCELLED BY PATIENT & AUTO-REBOOK: PCA
NO-SHOW & AUTO RE-BOOK: NA
CANCELLED BY CLINIC: C
CANCELLED BY CLINIC & AUTO RE-BOOK: CA
CANCELLED BY PATIENT: PC
Lab Date/Time
  labDateTime
DATE-TIME lab_date_time      
X-Ray Date/Time
  xrayDateTime
DATE-TIME xray_date_time      
Ekg Date/Time
  ekgDateTime
DATE-TIME ekg_date_time      
Routing Slip Printed
  routingSlipPrinted
BOOLEAN routing_slip_printed     true: Y
Routing Slip Print Date
  routingSlipPrintDate
DATE-TIME routing_slip_print_date      
Purpose Of Visit
  purposeOfVisit
ENUMERATION purpose_of_visit     10-10: 2
UNSCHED. VISIT: 4
C&P: 1
SCHEDULED VISIT: 3
Appointment Type
  appointmentType
POINTER appointment_type     Appointment_Type-409_1
Special Survey Disposition
  specialSurveyDisposition
NUMERIC special_survey_disposition      
Number Of Collateral Seen
  numberOfCollateralSeen
NUMERIC number_of_collateral_seen      
Auto-Rebooked Appt. Date/Time
  autorebookedApptDateTime
DATE-TIME autorebooked_appt_date_time      
Collateral Visit
  collateralVisit
BOOLEAN collateral_visit     true: 1
No-Show/Cancelled By
  noshowCancelledBy
POINTER noshow_cancelled_by     New_Person-200
No-Show/Cancel Date/Time
  noshowCancelDateTime
DATE-TIME noshow_cancel_date_time      
Cancellation Reason
  cancellationReason
POINTER cancellation_reason     Cancellation_Reasons-409_2
Cancellation Remarks
  cancellationRemarks
STRING cancellation_remarks      
Appt. Cancelled
  apptCancelled
POINTER appt_cancelled     Hospital_Location-44
Data Entry Clerk
  dataEntryClerk
POINTER data_entry_clerk     New_Person-200
Date Appt. Made
  dateApptMade
DATE-TIME date_appt_made      
Outpatient Encounter
  outpatientEncounter
POINTER outpatient_encounter     Outpatient_Encounter-409_68
Encounter Forms Printed
  encounterFormsPrinted
BOOLEAN encounter_forms_printed     false: 0
true: 1
Encounter Forms As Add-Ons
  encounterFormsAsAddons
BOOLEAN encounter_forms_as_addons     false: 0
true: 1
Encounter Conversion Status
  encounterConversionStatus
ENUMERATION encounter_conversion_status     NOT CONVERTED: 0
CONVERTED: 1
Appointment Type Sub-Category
  appointmentTypeSubcategory
POINTER appointment_type_subcategory     Sharing_Agreement_SubCategory-35_2
Scheduling Request Type
  schedulingRequestType
ENUMERATION scheduling_request_type     AUTO REBOOK: A
MULTIPLE APPT. BOOKING: M
OTHER THAN 'NEXT AVA.' (CLINICIAN REQ.): C
'NEXT AVAILABLE' APPT.: N
OTHER THAN 'NEXT AVA.' (PATIENT REQ.): P
WALKIN APPT.: W
OTHER THAN 'NEXT AVA.' APPT.: O
Next Ava. Appt. Indicator
  nextAvaApptIndicator
ENUMERATION next_ava_appt_indicator     'NEXT AVA.' APPT. INDICATED BY USER: 1
'NEXT AVA.' APPT. INDICATED BY CALCULATION: 2
NOT INDICATED TO BE A 'NEXT AVA.' APPT.: 0
'NEXT AVA.' APPT. INDICATED BY USER & CALCULATION: 3
Desired Date Of Appointment
  desiredDateOfAppointment
DATE-TIME desired_date_of_appointment      
Follow-Up Visit
  followupVisit
BOOLEAN followup_visit     false: 0
true: 1

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13. Archived Data

Field ID: archivedData

Fileman Sub-File ID: 2.12

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Data Type
  dataType
ENUMERATION data_type   INDEXED
REQUIRED
SPECIAL SURVEY DISP: SSD
APPOINTMENT: S
CLINIC ENROLLMENT: DE
Date Of Archive
  date_of_archive
OBJECT CUSTOM     dateOfArchive

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14. Confidential Address Category

Field ID: categories

Fileman Sub-File ID: 2.141

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Confidential Address Category
  addressCategory
ENUMERATION CUSTOM   INDEXED
REQUIRED
ELIGIBILITY/ENROLLMENT: 1
MEDICAL RECORDS: 4
APPOINTMENT/SCHEDULING: 2
COPAYMENTS/VETERAN BILLING: 3
ALL OTHERS: 5
Confidential Category Active
  categoryActive
BOOLEAN CUSTOM     false: N
true: Y

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15. Cd History Date

Field ID: cdHistoryDate

Fileman Sub-File ID: 2.399

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Cd History Date
  cdHistoryDate
DATE-TIME cd_history_date   INDEXED
REQUIRED
 
Veteran Catastrophically Disabled?
  veteranCatastrophicallyDisabled
BOOLEAN veteran_catastrophically_disabled     false: N
true: Y
Decided By
  decidedBy
STRING decided_by      
Date Of Decision
  dateOfDecision
DATE-TIME date_of_decision      
Facility Making Determination
  facilityMakingDetermination
POINTER facility_making_determination     Institution-4
Review Date
  reviewDate
DATE-TIME review_date      
Method Of Determination
  methodOfDetermination
ENUMERATION method_of_determination     AUTOMATED RECORD REVIEW: 1
PHYSICAL EXAMINATION: 3
MEDICAL RECORD REVIEW: 2
Date Veteran Requested Cd Eval
  dateVeteranRequestedCdEval
DATE-TIME date_veteran_requested_cd_eval      
Date Facility Initiated Review
  dateFacilityInitiatedReview
DATE-TIME date_facility_initiated_review      
Date Veteran Was Notified
  dateVeteranWasNotified
DATE-TIME date_veteran_was_notified      
Cd Reason
  cdReason
OBJECT cd_reason     cdReason

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16. Cd Reason

Field ID: cdReason

Fileman Sub-File ID: 2.409

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Cd Reason
  cdReason
POINTER cd_reason   INDEXED
REQUIRED
Catastrophic_Disability_Reasons-27_17
Affected Extremity
  affectedExtremity
ENUMERATION affected_extremity     RIGHT LOWER EXTREMITY: RLE
Bilateral Lower Extremity: BLE
LEFT LOWER EXTREMITY: LLE
LEFT UPPER EXTREMITY: LUE
Bilateral Upper Extremity: BLU
RIGHT UPPER EXTREMITY: RUE
Score
  score
NUMERIC score      
Permanent Indicator
  permanentIndicator
ENUMERATION permanent_indicator     UNKNOWN: 3
PERMANENT: 1
NOT PERMANENT: 2

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17. Cd Status Conditions

Field ID: cdStatusConditions

Fileman Sub-File ID: 2.398

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Cd Status Conditions
  cdStatusConditions
POINTER cd_status_conditions   INDEXED
REQUIRED
Catastrophic_Disability_Reasons-27_17
Score
  score
NUMERIC score      
Permanent Indicator
  permanentIndicator
ENUMERATION permanent_indicator     UNKNOWN: 3
PERMANENT: 1
NOT PERMANENT: 2

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18. Cd Status Procedures

Field ID: cdStatusProcedures

Fileman Sub-File ID: 2.397

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Cd Status Procedures
  cdStatusProcedures
POINTER cd_status_procedures   INDEXED
REQUIRED
Catastrophic_Disability_Reasons-27_17
Affected Extremity
  affectedExtremity
ENUMERATION affected_extremity     Right Lower Extremity: RLE
Bilateral Lower Extremity: BLE
Left Lower Extremity: LLE
Left Upper Extremity: LUE
Bilateral Upper Extremity: BUE
Right Upper Extremity: RUE

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19. Civil Guardian

Field ID: civilGuardian

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Name
  name
STRING CUSTOM      
Relationship
  relationship
STRING CUSTOM      
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Institution
  institution
STRING CUSTOM      

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20. Claim

Field ID: claim

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Claim Number
  claimNumber
STRING CUSTOM      
Claim Folder Location
  claimFolderLocation
POINTER CUSTOM     Institution-4
Covered By Health Insurance
  coveredByHealthInsurance
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N

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21. Cmor History

Field ID: cmorHistory

Fileman Sub-File ID: 2.0993

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Cmor History
  cmorHistory
NUMERIC cmor_history   REQUIRED  
Cmor Activity Score
  cmorActivityScore
NUMERIC cmor_activity_score      
Cmor Score Calculation Date
  cmorScoreCalculationDate
DATE-TIME cmor_score_calculation_date      
Cmor Change Date
  cmorChangeDate
DATE-TIME cmor_change_date      

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22. Combat Service

Field ID: combatService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
BOOLEAN CUSTOM     false: N
true: Y
Service Location
  serviceLocation
POINTER CUSTOM     Pow_Period-22
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      
Combat Veteran End Date
  combatVeteranEndDate
DATE-TIME CUSTOM      
Cv Date Edited
  cvDateEdited
DATE-TIME CUSTOM      

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23. Combat Service

Field ID: combatService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Status Indicated
  statusIndicated
BOOLEAN CUSTOM     false: N
true: Y
Current Status
  currentStatus
ENUMERATION CUSTOM     CONFIRMED: 3
IN PROCESS: 2
PENDING: 1
Current Remarks
  currentRemarks
ENUMERATION CUSTOM     UNDELIVERABLE MAIL: 6
VAMC: 5
ENTERED IN ERROR: 3
UNACCEPTABLE DOCUMENTATION: 1
NO DOCUMENTATION REC'D: 2
UNSUPPORTED PURPLE HEART: 4
Division
  division
POINTER CUSTOM     Institution-4

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24. Confidential Address

Field ID: confidentialAddress

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Address Category
  addressCategory
OBJECT CUSTOM     categories
Active
  active
BOOLEAN CUSTOM     false: N
true: Y
Street 1
  street1
STRING CUSTOM      
County
  county
NUMERIC CUSTOM      
Change Date Time
  changeDateTime
DATE-TIME CUSTOM      
Change Site
  changeSite
POINTER CUSTOM     Institution-4
Province
  province
STRING CUSTOM      
Postal Code
  postalCode
STRING CUSTOM      
Country
  country
POINTER CUSTOM     Country_Code-779_004
Street 2
  street2
STRING confidential_street_line_2      
Street 3
  street3
STRING confidential_street_line_3      
City
  city
STRING confidential_address_city      
State
  state
POINTER confidential_address_state     State-5
Zip Code
  zipCode
STRING CUSTOM      
Start Date
  startDate
DATE-TIME confidential_start_date      
End Date
  endDate
DATE-TIME confidential_end_date      

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25. Contacts

Field ID: contacts

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Primary Next Of Kin
  primaryNextOfKin
OBJECT CUSTOM     primaryNextOfKin
Secondary Next Of Kin
  secondaryNextOfKin
OBJECT CUSTOM     secondaryNextOfKin
Va Guardian
  vaGuardian
OBJECT CUSTOM     vaGuardian
Civil Guardian
  civilGuardian
OBJECT CUSTOM     civilGuardian
Employer
  employer
OBJECT CUSTOM     employer
Spouses Employer
  spousesEmployer
OBJECT CUSTOM     spouse
Primary Emergency Contact
  primaryEmergencyContact
OBJECT CUSTOM     primaryEmergencyContact
Secondary Emergency Contact
  secondaryEmergencyContact
OBJECT CUSTOM     secondaryEmergencyContact
Designee
  designee
OBJECT CUSTOM     designee

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26. Date Of Archive

Field ID: dateOfArchive

Fileman Sub-File ID: 2.13

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Date Of Archive
  dateOfArchive
DATE-TIME date_of_archive   REQUIRED  
Tape #
  tapeNumber
STRING tape_number      
Begin Archive Date
  beginArchiveDate
DATE-TIME begin_archive_date      
End Archive Date
  endArchiveDate
DATE-TIME end_archive_date      
Number Of Records Archived
  numberOfRecordsArchived
NUMERIC number_of_records_archived      

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27. Date Of Dental Treatment

Field ID: dateOfDentalTreatment

Fileman Sub-File ID: 2.11

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Date Of Dental Treatment
  dateOfDentalTreatment
DATE-TIME date_of_dental_treatment   REQUIRED  
Condition
  condition
STRING condition      
Date Condition First Noticed
  dateConditionFirstNoticed
DATE-TIME date_condition_first_noticed      

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28. Designee

Field ID: designee

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Work Phone Number
  workPhoneNumber
STRING CUSTOM      
Is Same As Next Of Kin
  isSameAsNextOfKin
BOOLEAN CUSTOM     false: N
true: Y
Name
  name
STRING CUSTOM      
Change Date Time
  changeDateTime
DATE-TIME designee_change_date_time      
Relationship To Patient
  relationshipToPatient
STRING CUSTOM      
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Name Components
  nameComponents
POINTER CUSTOM     Name_Components-20

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29. Disposition Log-In Date/Time

Field ID: dispositionLoginDateTime

Fileman Sub-File ID: 2.101

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Log In Date/Time
  logInDateTime
DATE-TIME log_in_date_time   INDEXED
REQUIRED
 
10-10T Registration
  1010tRegistration
BOOLEAN _1010t_registration     false: 0
true: 1
Status
  status
ENUMERATION status     APPLICATION WITHOUT EXAM: 2
10/10 VISIT: 0
UNSCHEDULED: 1
Type Of Benefit Applied For
  type_of_benefit_applied_for
ENUMERATION CUSTOM     OUTPATIENT MEDICAL: 3
DOMICILIARY: 2
HOSPITAL: 1
OUTPATIENT DENTAL: 4
NURSING HOME CARE: 5
Type Of Care Applied For
  typeOfCareAppliedFor
ENUMERATION type_of_care_applied_for     STERILIZATION: 3
PREGNANCY: 4
DENTAL: 1
PLASTIC SURGERY: 2
ALL OTHER: 5
Facility Applying To
  facilityApplyingTo
POINTER facility_applying_to     Medical_Center_Division-40_8
Who Entered 10/10
  who_entered_10_10
POINTER CUSTOM     New_Person-200
Log Out Date Time
  logOutDateTime
DATE-TIME log_out_date_time      
Disposition
  disposition
POINTER disposition     Disposition-37
Reason For Late Disposition
  reasonForLateDisposition
POINTER reason_for_late_disposition     Disposition_Late_Reason-30
Who Dispositioned
  whoDispositioned
POINTER who_dispositioned     New_Person-200
Description Of Incident
  descriptionOfIncident
STRING description_of_incident      
*Eligible For Medicaid
  eligibleForMedicaid
BOOLEAN eligible_for_medicaid     false: 0
true: 1
Registration Eligibility Code
  registrationEligibilityCode
POINTER registration_eligibility_code     Eligibility_Code-8
Elig Verified At Registration
  eligVerifiedAtRegistration
BOOLEAN elig_verified_at_registration     false: 0
true: 1
Sc At Registration
  scAtRegistration
BOOLEAN sc_at_registration     false: 0
true: 1
Sc% At Registration
  scAtRegistration2_101-16
NUMERIC sc_at_registration-2_101-16      
Amis 420 Segment
  amis420Segment
POINTER amis_420_segment     Amis_Segment-391_1
Outpatient Encounter
  outpatientEncounter
POINTER outpatient_encounter     Outpatient_Encounter-409_68
Encounter Conversion Status
  encounterConversionStatus
ENUMERATION encounter_conversion_status     NOT CONVERTED: 0
CONVERTED: 1
Need Related To Occupation
  needRelatedToOccupation
ENUMERATION need_related_to_occupation     UNKNOWN: U
YES: Y
NO: N
Workmen'S Comp Claim Filed
  workmensCompClaimFiled
BOOLEAN workmens_comp_claim_filed     false: N
true: Y
Workmen'S Comp Claim Number
  workmensCompClaimNumber
STRING workmens_comp_claim_number      
Need Related To An Accident
  needRelatedToAnAccident
ENUMERATION need_related_to_an_accident     UNKNOWN: U
YES: Y
NO: N
Injury Caused By
  injuryCausedBy
STRING injury_caused_by      
Injuring Parties Insurance
  injuringPartiesInsurance
POINTER injuring_parties_insurance     Insurance_Company-36
Filed Against Injuring Party
  filedAgainstInjuringParty
BOOLEAN filed_against_injuring_party     false: N
true: Y
Attorney'S Name
  attorneysName
STRING attorneys_name      
A-Address 1
  aaddress1
STRING aaddress_1      
A-Address 2
  aaddress2
STRING aaddress_2      
A-Address 3
  aaddress3
STRING aaddress_3      
A-City
  acity
STRING acity      
A-State
  astate
POINTER astate     State-5
A-Zip Code
  azipCode
STRING azip_code      
A-Phone
  aphone
STRING aphone      
A-Zip+4
  azip4
STRING azip4      
Active
  active
ENUMERATION active   INDEXED ACTIVE: 1
Attorney'S Name Components
  attorneysNameComponents
POINTER attorneys_name_components     Name_Components-20
Ods At Registration?
  odsAtRegistration
BOOLEAN ods_at_registration     false: 0
true: 1
Ods Registration Entry
  odsRegistrationEntry
  ods_registration_entry-2_101      

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30. Employer

Field ID: employer

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Name
  name
STRING CUSTOM      
Status
  status
ENUMERATION CUSTOM     EMPLOYED PART TIME: 2
SELF EMPLOYED: 4
RETIRED: 5
UNKNOWN: 9
NOT EMPLOYED: 3
EMPLOYED FULL TIME: 1
ACTIVE MILITARY DUTY: 6
Date Of Retirement
  dateOfRetirement
DATE-TIME CUSTOM      
Is Government Agency
  isGovernmentAgency
BOOLEAN CUSTOM     false: N
true: Y
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      

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31. Enrollment Clinic

Field ID: enrollmentClinic

Fileman Sub-File ID: 2.001

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Enrollment Clinic
  enrollmentClinic
POINTER enrollment_clinic   INDEXED
REQUIRED
Hospital_Location-44
Enrollment Data
  enrollmentData
OBJECT enrollment_data     enrollmentData
Current Status
  currentStatus
ENUMERATION current_status     INACTIVE: I

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32. Enrollment Data

Field ID: enrollmentData

Fileman Sub-File ID: 2.011

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Date Of Enrollment
  dateOfEnrollment
DATE-TIME date_of_enrollment   REQUIRED  
Opt Or Ac
  optOrAc
ENUMERATION opt_or_ac     OPT: O
AC: A
Date Of Discharge
  dateOfDischarge
DATE-TIME date_of_discharge      
Reason For Discharge
  reasonForDischarge
STRING reason_for_discharge      
Review Date
  reviewDate
DATE-TIME review_date      

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33. Ethnicity Information

Field ID: ethnicityInformation

Fileman Sub-File ID: 2.06

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Ethnicity Information
  ethnicityInformation
POINTER ethnicity_information   INDEXED
REQUIRED
Ethnicity-10_2
Method Of Collection
  methodOfCollection
POINTER method_of_collection     Race_And_Ethnicity_Collection_Method-10_3

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34. Grenada Service

Field ID: grenadaService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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35. Icn History

Field ID: icnHistory

Fileman Sub-File ID: 2.0992

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Icn History
  icnHistory
NUMERIC icn_history   REQUIRED  
Icn Checksum
  icnChecksum
NUMERIC icn_checksum      
Cmor
  cmor
POINTER cmor     Institution-4
Date/Time Of Change
  dateTimeOfChange
DATE-TIME date_time_of_change      

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36. Ineligibility

Field ID: ineligibility

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Ineligible Date
  ineligibleDate
DATE-TIME CUSTOM      
Missing Person Date
  missingPersonDate
DATE-TIME CUSTOM      
Missing Or Ineligible
  missingOrIneligible
STRING CUSTOM      
Ineligible Twx Source
  ineligibleTwxSource
ENUMERATION CUSTOM     REGIONAL OFFICE: 2
VAMC: 1
RPC: 3
Ineligible Twx City
  ineligibleTwxCity
STRING CUSTOM      
Ineligible Twx State
  ineligibleTwxState
POINTER CUSTOM     State-5
Ineligible Varo Decision
  ineligibleVaroDecision
STRING CUSTOM      
Missing Person Twx Source
  missingPersonTwxSource
ENUMERATION CUSTOM     REGIONAL OFFICE: 2
VAMC: 1
RPC: 3
Missing Person Twx City
  missingPersonTwxCity
STRING CUSTOM      
Missing Person Twx State
  missingPersonTwxState
POINTER CUSTOM     State-5

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37. Insurance Type

Field ID: insuranceType

Fileman Sub-File ID: 2.312

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Insurance Type
  insuranceType
POINTER insurance_type   INDEXED
REQUIRED
Insurance_Company-36
Group Plan
  groupPlan
POINTER group_plan     Group_Insurance_Plan-355_3
Coordination Of Benefits
  coordinationOfBenefits
ENUMERATION coordination_of_benefits     PRIMARY: 1
TERTIARY: 3
SECONDARY: 2
*Subscriber Id
  subscriberId
STRING subscriber_id      
Date Entered
  dateEntered
DATE-TIME date_entered      
Entered By
  enteredBy
POINTER entered_by     New_Person-200
Date Last Verified
  dateLastVerified
DATE-TIME date_last_verified      
Verified By
  verifiedBy
POINTER verified_by     New_Person-200
Date Last Edited
  dateLastEdited
DATE-TIME date_last_edited      
Last Edited By
  lastEditedBy
POINTER last_edited_by     New_Person-200
Comment - Patient Policy
  commentPatientPolicy
STRING comment__patient_policy      
Source Of Information
  sourceOfInformation
POINTER source_of_information     Source_Of_Information-355_12
Date Of Source Of Information
  dateOfSourceOfInformation
DATE-TIME date_of_source_of_information      
*Group Number
  groupNumber
STRING group_number      
Send Bill To Employer
  sendBillToEmployer
BOOLEAN send_bill_to_employer     false: 0
true: 1
Subscriber'S Employer Name
  subscribersEmployerName
STRING subscribers_employer_name      
Employer Claims Street Address
  employerClaimStreetAddress
STRING employer_claims_street_address      
Employ Claim St Address Line 2
  employClaimStAddressLine2
STRING employ_claim_st_address_line_2      
Employ Claim St Address Line 3
  employClaimStAddressLine3
STRING employ_claim_st_address_line_3      
Employer Claims City
  employerClaimsCity
STRING employer_claims_city      
Employer Claims State
  employerClaimsState
POINTER employer_claims_state     State-5
Employer Claims Zip Code
  employerClaimsZipCode
STRING employer_claims_zip_code      
Employer Claims Phone
  employerClaimsPhone
STRING employer_claims_phone      
Esghp
  esghp
BOOLEAN esghp     false: 0
true: 1
Employment Status
  employmentStatus
ENUMERATION employment_status     SELF EMPLOYED: 4
PART TIME: 2
RETIRED: 5
UNKNOWN: 9
NOT EMPLOYED: 3
FULL TIME: 1
ACTIVE MILITARY: 6
Retirement Date
  retirementDate
DATE-TIME retirement_date      
Insurance Expiration Date
  insuranceExpirationDate
DATE-TIME insurance_expiration_date      
Insured'S Dob
  insuredsDob
DATE-TIME insureds_dob      
Insured'S Branch
  insuredsBranch
POINTER insureds_branch     Branch_Of_Service-23
Insured'S Rank
  insuredsRank
STRING insureds_rank      
Policy Not Billable
  policyNotBillable
BOOLEAN policy_not_billable     false: 0
true: 1
Insured'S Ssn
  insuredsSsn
STRING insureds_ssn      
Insured'S Street 1
  insuredsStreet1
STRING insureds_street_1      
Insured'S Street 2
  insuredsStreet2
STRING insureds_street_2      
Insured'S City
  insuredsCity
STRING insureds_city      
Insured'S State
  insuredsState
POINTER insureds_state     State-5
Insured'S Zip
  insuredsZip
STRING insureds_zip      
Insured'S Phone
  insuredsPhone
STRING insureds_phone      
Insured'S Sex
  insuredsSex
ENUMERATION insureds_sex     MALE: M
FEMALE: F
Insured'S Country
  insuredsCountry
STRING insureds_country      
Insured'S Country Subdivision
  insuredsCountrySubdivision
STRING insureds_country_subdivision      
Primary Care Provider
  primaryCareProvider
STRING primary_care_provider      
Primary Provider Phone
  primaryProviderPhone
STRING primary_provider_phone      
Pt. Relationship - Hipaa
  ptRelationshipHipaa
ENUMERATION pt_relationship__hipaa     INJURED PLAINTIFF: 41
ORGAN DONOR: 39
SELF: 18
CHILD: 19
FATHER: 33
SIGNIFICANT OTHER: 29
MOTHER: 32
EMPLOYEE: 20
SPOUSE: 01
LIFE PARTNER: 53
OTHER RELATIONSHIP: G8
Eiv Auto-Update
  eivAutoupdate
BOOLEAN eiv_autoupdate     false: 0
true: 1
Pharmacy Relationship Code
  pharmacyRelationshipCode
POINTER pharmacy_relationship_code     Bps_Ncpdp_Patient_Relationship_Code-9002313_19
Pharmacy Person Code
  pharmacyPersonCode
STRING pharmacy_person_code      
Patient Id
  patientId
STRING patient_id      
Subscriber'S Sec Qualifier(1)
  subscribersSecQualifier1
ENUMERATION subscribers_sec_qualifier1     Insurance Policy Number: IG
Client Number: 23
Social Security Number: SY
Subscriber'S Sec Id(1)
  subscribersSecId1
STRING subscribers_sec_id1      
Subscriber'S Sec Qualifier(2)
  subscribersSecQualifer2
ENUMERATION subscribers_sec_qualifier2     Insurance Policy Number: IG
Client Number: 23
Social Security Number: SY
Subscriber'S Sec Id(2)
  subscribersSecId2
STRING subscribers_sec_id2      
Subscriber'S Sec Qualifier(3)
  subscribersSecQualifer3
ENUMERATION subscribers_sec_qualifier3     Insurance Policy Number: IG
Client Number: 23
Social Security Number: SY
Subscriber'S Sec Id(3)
  subscribersSecId3
STRING subscribers_sec_id3      
Patient'S Sec Qualifier(1)
  patientsSecQualifer1
ENUMERATION patients_sec_qualifier1     Insurance Policy Number: IG
Client Number: 23
Social Security Number: SY
Patient'S Secondary Id(1)
  patientsSecondaryId1
STRING patients_secondary_id1      
Patient'S Sec Qualifier(2)
  patientsSecQualifier2
ENUMERATION patients_sec_qualifier2     Insurance Policy Number: IG
Client Number: 23
Social Security Number: SY
Patient'S Secondary Id(2)
  patientsSecondaryId2
STRING patients_secondary_id2      
Patient'S Sec Qualifier(3)
  patientsSecQualifier3
ENUMERATION patients_sec_qualifier3     Insurance Policy Number: IG
Client Number: 23
Social Security Number: SY
Patient'S Secondary Id(3)
  patientsSecondaryId3
STRING patients_secondary_id3      
Whose Insurance
  whoseInsurance
ENUMERATION whose_insurance     VETERAN: v
SPOUSE: s
OTHER: o
Name Of Insured
  nameOfInsured
STRING name_of_insured      
Subscriber Id
  subscriberId
STRING subscriber_id-2_312-7_02      
Effective Date Of Policy
  effectiveDateOfPolicy
DATE-TIME effective_date_of_policy      
Requested Service Date
  requestedServiceDate
DATE-TIME requested_service_date      
Requested Service Type
  requestedServiceType
POINTER requested_service_type     X12_271_Service_Type-365_013
Group Reference Information
  groupReferenceInformation
OBJECT group_reference_information     Group_Reference_Information-2_3129
Group Provider Info
  groupProviderInfo
OBJECT group_provider_info     Group_Provider_Info-2_332
Health Care Code Information
  healthCareCodeInformation
OBJECT health_care_code_information     Health_Care_Code_Information-2_31211
Military Info Status Code
  militaryInfoStatusCode
POINTER military_info_status_code     X12_271_Military_Personnel_Info_Status_Code-365_039
Military Employment Status
  militaryEmploymentStatus
POINTER military_employment_status     X12_271_Military_Employment_Status_Code-365_046
Military Govt Affiliation Code
  militaryGovtAffiliationCode
POINTER military_govt_affiliation_code     X12_271_Military_Govt_Service_Affiliation-365_041
Military Personnel Description
  militaryPersonnelDescription
STRING military_personnel_description      
Military Service Rank Code
  militaryServieRankCode
POINTER military_service_rank_code     X12_271_Military_Service_Rank-365_042
Date Time Period Format Qual
  dateTimePeriodFormatQual
POINTER date_time_period_format_qual     X12_271_Date_Format_Qualifier-365_032
Date Time Period
  dateTimePeriod
STRING date_time_period      
*Group Name
  groupName
STRING group_name      
Pt. Relationship To Insured
  ptRelationshipToInsured
ENUMERATION pt_relationship_to_insured     PATIENT: 01
ORGAN DONOR: 11
NATURAL CHILD: 03
DO NOT USE: 18
FATHER: 33
INJURED PLANTIFF: 15
SIGNIFICANT OTHER: 34
MOTHER: 32
EMPLOYEE: 08
SPOUSE: 02
LIFE PARTNER: 35
OTHER RELATIONSHIP: 36
*Name Of Insured
  nameOfInsured
STRING name_of_insured-2_312-17      
Eligibility/Benefit
  eligibilityBenefit
OBJECT eligibility_benefit     Eligibility_Benefit-2_322

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38. Lebanon Service

Field ID: lebanonService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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39. Military Service

Field ID: militaryService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Period Of Service
  periodOfService
POINTER CUSTOM     Period_Of_Service-21
Discharge Type Last
  dischargeTypeLast
POINTER CUSTOM     Type_Of_Discharge-25
Branch Last
  branchLast
POINTER CUSTOM     Branch_Of_Service-23
Entry Date Last
  entryDateLast
DATE-TIME CUSTOM      
Separation Date Last
  separationDateLast
DATE-TIME CUSTOM      
Service Number Last
  serviceNumberLast
STRING CUSTOM      
Second Episode
  secondEpisode
BOOLEAN CUSTOM     false: N
true: Y
Discharge Type Ntl
  dischargeTypeNtl
POINTER CUSTOM     Type_Of_Discharge-25
Branch Ntl
  branchNtl
POINTER CUSTOM     Branch_Of_Service-23
Component Last
  componentLast
ENUMERATION CUSTOM     ACTIVATED RESERVE: V
ACTIVATED NG: G
REGULAR: R
Component Ntl
  componentNtl
ENUMERATION CUSTOM     ACTIVATED RESERVE: V
ACTIVATED NG: G
REGULAR: R
Component Nntl
  componentNntl
ENUMERATION CUSTOM     ACTIVATED RESERVE: V
ACTIVATED NG: G
REGULAR: R
Entry Date Ntl
  entryDateNtl
DATE-TIME CUSTOM      
Separation Date Ntl
  separationDateNtl
DATE-TIME CUSTOM      
Service Number Ntl
  serviceNumberNtl
STRING CUSTOM      
Third Episode
  thirdEpisode
BOOLEAN CUSTOM     false: N
true: Y
Discharge Type Nntl
  dischargeTypeNntl
POINTER CUSTOM     Type_Of_Discharge-25
Branch Nntl
  branchNntl
POINTER CUSTOM     Branch_Of_Service-23
Entry Date Nntl
  entryDateNntl
DATE-TIME CUSTOM      
Separation Date Nntl
  separationDateNntl
DATE-TIME CUSTOM      
Service Number Nntl
  serviceNumberNntl
STRING CUSTOM      
Verification Date
  verificationDate
DATE-TIME CUSTOM      
Filipino Veteran Proof
  filipinoVeteranProof
ENUMERATION CUSTOM     NO PROOF: NO
REPORT OF BIRTH ABROAD OF US CITIZEN: BA
US BIRTH CERTIFICATE: BC
VERIFICATION OF PERMANENT RESIDENCY: PR
VA COMPENSATION AT FULL DOLLAR RATE: VA
US PASSPORT: PP
VERIFICATION OF NATURALIZATION: NA
Service Oef Or Oif
  serviceOefOrOif
OBJECT CUSTOM     serviceOefOrOifs
Military Service Episode
  militaryServiceEpisode
OBJECT military_service_episode     militaryServiceEpisodes
Vietnam Service
  vietnamService
OBJECT CUSTOM     vietnamService
Persian Gulf Service
  persianGulfService
OBJECT CUSTOM     persianGulfService
Somalia Service
  somaliaService
OBJECT CUSTOM     somaliaService
Yugoslavia Service
  yugoslaviaService
OBJECT CUSTOM     yugoslaviaService
Lebanon Service
  lebanonService
OBJECT CUSTOM     lebanonService
Grenada Service
  grenadaService
OBJECT CUSTOM     grenadaService
Panama Service
  panamaService
OBJECT CUSTOM     panamaService
Pow Status
  powStatus
OBJECT CUSTOM     powStatus
Combat Service
  combatService
OBJECT CUSTOM     combatService
Purple Heart Status
  purpleHeartStatus
OBJECT CUSTOM     combatService
Purple Heart Date Time Updated
  purpleHeartDateTimeUpdated
OBJECT CUSTOM     phDateTimeUpdated

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40. Military Service Episode

Field ID: militaryServiceEpisodes

Fileman Sub-File ID: 2.3216

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Entry Date
  entryDate
DATE-TIME CUSTOM   INDEXED
REQUIRED
 
Service Separation Date
  separationDate
DATE-TIME CUSTOM      
Service Branch
  branch
POINTER CUSTOM     Branch_Of_Service-23
Service Component
  component
ENUMERATION CUSTOM     ACTIVATED RESERVE: V
ACTIVATED NG: G
REGULAR: R
Service Number
  number
STRING CUSTOM      
Service Discharge Type
  dischargeType
POINTER CUSTOM     Type_Of_Discharge-25
Data Locked
  dataLocked
BOOLEAN CUSTOM     false: 0
true: 1

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41. Panama Service

Field ID: panamaService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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42. Patient Contact

Field ID: patientContact

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Phone Number Residence
  phoneNumberResidence
STRING CUSTOM      
Cellular Number Change Source
  cellularNumberChangeSource
ENUMERATION CUSTOM     HBSC: HBSC
VAMC: VAMC
VOA: VOA
HEC: HEC
Cellular Number Change Site
  cellularNumberChangeSite
POINTER CUSTOM     Institution-4
Pager Number Change Date Time
  pagerNumberChangeDateTime
DATE-TIME CUSTOM      
Pager Number Change Source
  pagerNumberChangeSource
ENUMERATION CUSTOM     HBSC: HBSC
VAMC: VAMC
VOA: VOA
HEC: HEC
Pager Number Change Site
  pagerNumberChangeSite
POINTER CUSTOM     Institution-4
Confidential Phone Number
  confidentialPhoneNumber
STRING CUSTOM      
Phone Number Work
  phoneNumberWork
STRING CUSTOM      
Residence Number Change Date Time
  residenceNumberChangeDateTime
DATE-TIME CUSTOM      
Residence Number Change Source
  residenceNumberChangeSource
ENUMERATION CUSTOM     HBSC: HBSC
VAMC: VAMC
VOA: VOA
HEC: HEC
Residence Number Change Site
  residenceNumberChangeSite
POINTER CUSTOM     Institution-4
Email Address
  emailAddress
STRING CUSTOM      
Email Address Indicator
  emailAddressIndicator
BOOLEAN CUSTOM     false: N
true: Y
Email Address Indicator Date Time
  emailAddressIndicatorDateTime
DATE-TIME CUSTOM      
Phone Number Cellular
  phoneNumberCellular
STRING CUSTOM      
Pager Number
  pagerNumber
STRING CUSTOM      
Email Address Change Date Time
  emailAddressChangeDateTime
DATE-TIME CUSTOM      
Email Address Change Source
  emailAddressChangeSource
ENUMERATION CUSTOM     HBSC: HBSC
VAMC: VAMC
VOA: VOA
HEC: HEC
Email Address Change Site
  emailAddressChangeSite
POINTER CUSTOM     Institution-4
Cellular Number Change Date Time
  cellularNumberChangeDateTime
DATE-TIME CUSTOM      

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43. Patient Eligibilities

Field ID: patientEligibilities

Fileman Sub-File ID: 2.0361

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Eligibility
  eligibility
POINTER eligibility   INDEXED
REQUIRED
Eligibility_Code-8
Long Id
  longId
STRING long_id      
Short Id
  shortId
STRING short_id      

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44. Permanent Address

Field ID: permanentAddress

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
County
  county
NUMERIC CUSTOM      
Province
  province
STRING CUSTOM      
Postal Code
  postalCode
STRING CUSTOM      
Country
  country
POINTER CUSTOM     Country_Code-779_004
Change Date Time
  changeDateTime
DATE-TIME CUSTOM      
Change Source
  changeSource
ENUMERATION CUSTOM     USPS: USPS
VOA: VOA
VAMC: VAMC
HBSC: HBSC
BVA: BVA
LACS: LACS
HEC: HEC
NCOA: NCOA
VAINS: VAINS
Change Site
  changeSite
POINTER CUSTOM     Institution-4
Bad Address Indicator
  badAddressIndicator
ENUMERATION CUSTOM     ADDRESS NOT FOUND: 4
OTHER: 3
UNDELIVERABLE: 1
HOMELESS: 2
Change User
  changeUser
POINTER CUSTOM     New_Person-200

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45. Persian Gulf Service

Field ID: persianGulfService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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46. Ph Date/Time Updated

Field ID: phDateTimeUpdated

Fileman Sub-File ID: 2.0534

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Ph Date/Time Updated
  phDateTimeUpdated
DATE-TIME CUSTOM   INDEXED
REQUIRED
 
Ph?
  ph
BOOLEAN CUSTOM     false: N
true: Y
Ph Status
  phStatus
ENUMERATION CUSTOM     CONFIRMED: 3
IN PROCESS: 2
PENDING: 1
Ph Remarks
  phRemarks
ENUMERATION CUSTOM     UNDELIVERABLE MAIL: 6
VAMC: 5
ENTERED IN ERROR: 3
UNACCEPTABLE DOCUMENTATION: 1
NO DOCUMENTATION REC'D: 2
UNSUPPORTED PURPLE HEART: 4
Ph User
  phUser
STRING CUSTOM      

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47. Pow Status

Field ID: powStatus

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Status Indicated
  statusIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
Confinement Location
  confinementLocation
POINTER CUSTOM     Pow_Period-22
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      
Status Verified
  statusVerified
DATE-TIME CUSTOM      

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48. Primary Emergency Contact

Field ID: primaryEmergencyContact

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Phone Number
  phoneNumber
STRING CUSTOM      
Change Date Time
  changeDateTime
DATE-TIME CUSTOM      
Is Same As Next Of Kin
  isSameAsNextOfKin
BOOLEAN CUSTOM     false: N
true: Y
Name
  name
STRING CUSTOM      
Relationship To Patient
  relationshipToPatient
STRING CUSTOM      
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Name Components
  nameComponents
POINTER CUSTOM     Name_Components-20

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49. Primary Next Of Kin

Field ID: primaryNextOfKin

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Work Phone Number
  workPhoneNumber
STRING CUSTOM      
Primary Nok Change Date Time
  primaryNokChangeDateTime
DATE-TIME CUSTOM      
Name
  name
STRING CUSTOM      
Relationship To Patient
  relationshipToPatient
STRING CUSTOM      
Is Address Same As Patients
  isAddressSameAsPatients
BOOLEAN CUSTOM     false: N
true: Y
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Name Components
  nameComponents
POINTER CUSTOM     Name_Components-20

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50. Race Information

Field ID: raceInformation

Fileman Sub-File ID: 2.02

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Race Information
  raceInformation
POINTER race_information   INDEXED
REQUIRED
Race-10
Method Of Collection
  methodOfCollection
POINTER method_of_collection     Race_And_Ethnicity_Collection_Method-10_3

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51. Radiation Exposure

Field ID: radiationExposure

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Exposure Indicated
  exposureIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
Registration Date
  registrationDate
DATE-TIME CUSTOM      
Exposure Method
  exposureMethod
ENUMERATION CUSTOM     H/N AND ATMOSPHERIC TESTING: 4
OTHER: 7
HIROSHIMA/NAGASAKI: 2
EXPOSURE AT NUCLEAR FACILITY: 6
UNDERGROUND NUCLEAR TESTING: 5
ATMOSPHERIC NUCLEAR TESTING: 3

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52. Rated Disabilities (Va)

Field ID: ratedDisabilities

Fileman Sub-File ID: 2.04

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Rated Disabilities (Va)
  ratedDisabilitiesVa
POINTER rated_disabilities_va   REQUIRED Disability_Condition-31
Disability %
  disability
NUMERIC disability_      
Service Connected
  serviceConncted
BOOLEAN service_connected     false: 0
true: 1
Extremity Affected
  extremityEffected
ENUMERATION extremity_affected     RIGHT UPPER: RU
LEFT LOWER: LL
BOTH LOWER: BL
LEFT UPPER: LU
RIGHT LOWER: RL
BOTH UPPER: BU
Original Effective Date
  originalEffectiveDate
DATE-TIME original_effective_date      
Current Effective Date
  currentEffectiveDate
DATE-TIME current_effective_date      

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53. Secondary Emergency Contact

Field ID: secondaryEmergencyContact

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Work Phone Number
  workPhoneNumber
STRING CUSTOM      
Name
  name
STRING CUSTOM      
Change Date Time
  changeDateTime
DATE-TIME CUSTOM      
Relationship To Patient
  relationshipToPatient
STRING CUSTOM      
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Name Components
  nameComponents
POINTER CUSTOM     Name_Components-20

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54. Secondary Next Of Kin

Field ID: secondaryNextOfKin

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Work Phone Number
  workPhoneNumber
STRING CUSTOM      
Secondary Nok Change Date Time
  secondaryNokChangeDateTime
DATE-TIME CUSTOM      
Name
  name
STRING CUSTOM      
Relationship To Patient
  relationshipToPatient
STRING CUSTOM      
Address Same As Patients
  addressSameAsPatients
BOOLEAN CUSTOM     false: N
true: Y
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Name Components
  nameComponents
POINTER CUSTOM     Name_Components-20

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55. Service Connected

Field ID: serviceConnected

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Is Service Connected
  isServiceConnected
BOOLEAN CUSTOM     false: N
true: Y
Award Date
  awardDate
DATE-TIME CUSTOM      
Pt Effective Date
  ptEffectiveDate
DATE-TIME CUSTOM      
Eff Date Combined Sc Eval
  effDateCombinedScEval
DATE-TIME CUSTOM      
Service Connected Percentage
  serviceConnectedPercentage
NUMERIC CUSTOM      
Receiving Va Disability
  receivingVaDisability
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
Amount Of Va Disability
  amountOfVaDisability
NUMERIC CUSTOM      
Pt
  pt
BOOLEAN CUSTOM     false: N
true: Y
Unemployable
  unemployable
BOOLEAN CUSTOM     false: N
true: Y
Monetary Ben Verify Date
  monetaryBenVerifyDate
DATE-TIME CUSTOM      
Ineligible Reason
  ineligibleReason
STRING CUSTOM      
Agency Allied Country
  agencyAlliedCountry
POINTER CUSTOM     Other_Federal_Agency-35
Category Of Beneficiary
  categoryOfBeneficiary
POINTER CUSTOM     Category_Of_Beneficiary-45_82

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56. Service Connected Conditions

Field ID: serviceConnectedConditions

Fileman Sub-File ID: 2.05

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Connected Conditions
  serviceConnectedConditions
STRING service_connected_conditions   REQUIRED  
Percentage
  percentage
NUMERIC percentage      

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57. Service [Oef Or Oif]

Field ID: serviceOefOrOifs

Fileman Sub-File ID: 2.3215

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Location Of Service
  locationOfService
ENUMERATION CUSTOM   INDEXED
REQUIRED
UNKNOWN OEF/OIF: 3
OIF: 1
OEF: 2
Oef/Oif From Date
  oefOifFromDate
DATE-TIME CUSTOM      
Oef/Oif To Date
  oefOifToDate
DATE-TIME CUSTOM      
Data Locked
  dataLocked
BOOLEAN CUSTOM     false: 0
true: 1
Recorded Date/Time
  recordedDateTime
DATE-TIME CUSTOM      
Entered By Site
  enteredBySite
POINTER CUSTOM     Institution-4

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58. Somalia Service

Field ID: somaliaService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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59. Southwest Asian Conditions

Field ID: southwestAsianConditions

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Southwest Asia Conditions?
  exposureIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
Sw Asia Cond Registration Date
  registrationDate
DATE-TIME CUSTOM      
Sw Asia Cond Exam Date
  examDate
DATE-TIME CUSTOM      

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60. Spouse

Field ID: spouse

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Name
  name
STRING CUSTOM      
Occupation
  occupation
STRING CUSTOM      
Status
  status
ENUMERATION CUSTOM     EMPLOYED PART TIME: 2
SELF EMPLYED: 4
RETIRED: 5
UNKNOWN: 9
NOT EMPLOYED: 3
EMPLOYED FULL TIME: 1
ACTIVE MILITARY DUTY: 6
Retirement Date
  retirementDate
DATE-TIME CUSTOM      
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      

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61. Temporary Address

Field ID: temporaryAddress

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Active
  active
BOOLEAN CUSTOM     false: N
true: Y
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
Street 3
  street3
STRING CUSTOM      
County
  county
NUMERIC CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Start Date
  startDate
DATE-TIME CUSTOM      
End Date
  endDate
DATE-TIME CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Province
  province
STRING CUSTOM      
Postal Code
  postalCode
STRING CUSTOM      
Country
  country
POINTER CUSTOM     Country_Code-779_004
Change Date Time
  changeDateTime
DATE-TIME CUSTOM      
Change Site
  changeSite
POINTER CUSTOM     Institution-4

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62. Treatment Factors

Field ID: treatmentFactors

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Radiation Exposure
  radiationExposure
OBJECT CUSTOM     radiationExposure
Agent Orange Exposure
  agentOrangeExposure
OBJECT CUSTOM     agentOrangeExposure
Southwest Asian Conditions
  southwestAsianConditions
OBJECT CUSTOM     southwestAsianConditions

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63. Va Guardian

Field ID: vaGuardian

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Name
  name
STRING CUSTOM      
Relationship
  relationship
STRING CUSTOM      
Street 1
  street1
STRING CUSTOM      
Street 2
  street2
STRING CUSTOM      
City
  city
STRING CUSTOM      
State
  state
POINTER CUSTOM     State-5
Zip Code
  zipCode
STRING CUSTOM      
Phone Number
  phoneNumber
STRING CUSTOM      
Institution
  institution
POINTER CUSTOM     Institution-4

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64. Vietnam Service

Field ID: vietnamService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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65. Yugoslavia Service

Field ID: yugoslaviaService

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Service Indicated
  serviceIndicated
ENUMERATION CUSTOM     UNKNOWN: U
YES: Y
NO: N
From Date
  fromDate
DATE-TIME CUSTOM      
To Date
  toDate
DATE-TIME CUSTOM      

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Document generated on August 31st 2017, 2:55:48 pm