| Parent File | Name | Number | Package |
|---|---|---|---|
| OPC(#40.1) | VISIT DATE | 40.11 | Registration |
| Field # | Name | Loc | Type | Details |
|---|---|---|---|---|
| .01 | VISIT DATE | 0;1 | DATE | ************************REQUIRED FIELD************************
|
| .02 | SEX | 0;6 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .03 | BIRTH YEAR | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .09 | SSN | 0;3 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .116 | ZIP CODE | 0;5 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .16 | TRANSMITTED PATIENT NAME | 0;16 | FREE TEXT |
|
| .323 | PERIOD OF SERVICE | 0;8 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .361 | VETERAN ELIGIBILITY CODE | 0;9 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .3611 | NON-VETERAN ELIGIBILTY CODE | 0;10 | FREE TEXT | ************************REQUIRED FIELD************************
|
| .525 | POW | 0;7 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 2 | PURPOSE OF VISIT | 0;11 | FREE TEXT |
|
| 3 | LOCATION OF VISIT | 0;12 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 4 | CLINIC STOPS | 0;13 | FREE TEXT |
|
| 5 | SPECIAL SURVEY BLOCKS | 0;14 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 6 | *SPECIAL SERVICES BLOCKS | 0;15 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 7 | FACILITY NUMBER | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 8 | MEANS TEST INDICATOR | MT;1 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 9 | DEPENDENTS | MT;2 | FREE TEXT | ************************REQUIRED FIELD************************
|
| 9.5 | MEANS TEST INCOME | MT;3 | FREE TEXT |
|
| 10 | AMBULATORY PROCEDURE BLOCK | AP;1 | FREE TEXT |
|
| 15 | APPOINTMENT TYPE | AT;1 | POINTER TO APPOINTMENT TYPE FILE (#409.1) | APPOINTMENT TYPE(#409.1)
|
| 17 | FISCAL YEAR | 0;17 | FREE TEXT |
|
| 18 | PSEUDO SSN | 0;18 | FREE TEXT |
|
| 20 | SUSPENDED DATE | SUS;1 | DATE |
|
| 21 | RELEASE DATE | SUS;2 | DATE |
|