- AGTXDOC ;IHS/ASDS/EFG - EXPORT RECORD DOCUMENTATION ;
- ;;7.1;PATIENT REGISTRATION;;AUG 25,2005
- ;
- ;NOTE:
- ;The piece numbers are -AFTER- SET'ing to the export global, b/c
- ;Unique Registration ID is -INSERTED- as piece 2 to all records.
- ;This means that, as of patch 14, you have to subtract 1 from the
- ;piece numbers, below, when you're actually reading the AGTX*
- ;routines.
- ;
- ;; DEMOGRAPHICS RECORD LAYOUT
- ;;--------------------------------------------------------------------
- ;;*** RG1 RECORD LAYOUT ***
- ;; Piece #
- ;; 01 "RG1"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 ASUFAC OF HRN IN 04
- ;; 04 HRN OF ASUFAC IN 03
- ;; 05 LAST NAME
- ;; 06 FIRST NAME
- ;; 07 MIDDLE NAME
- ;; 08 CLASSIFICATION CODE
- ;; 09 DATE OF BIRTH
- ;; 10 SEX
- ;; 11 SOCIAL SECURITY NUMBER
- ;; 12 TRIBE CODE
- ;; 13 BLOOD QUANTUM
- ;; 14 FATHER LAST NAME
- ;; 15 FATHER FIRST NAME
- ;; 16 FATHER MIDDLE INITIAL
- ;; 17 COMMUNITY OF RESIDENCE
- ;; 18 MAILING ADDRESS STREET
- ;; 19 MAILING ADDRESS TOWN
- ;; 20 MAILING ADDRESS STATE
- ;; 21 MAILING ADDRESS ZIP
- ;;--------------------------------------------------------------------
- ;;*** RG2 RECORD LAYOUT ***
- ;; 01 "RG2"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 MOTHER MAIDEN NAME LAST
- ;; 04 MOTHER MAIDEN NAME FIRST
- ;; 05 MOTHER MAIDEN NAME MIDDLE INITIAL
- ;; 06 DATE OF DEATH
- ;; 07 MEDICARE A ELIGIBLE
- ;; 08 MEDICARE A ENROLL NUMBER
- ;; 09 MEDICARE A SUFFIX
- ;; 10 MEDICARE A ELIGIBILITY
- ;; 11 MEDICARE B ELIGIBLE
- ;; 12 MEDICARE B ENROLL NUMBER
- ;; 13 MEDICARE B SUFFIX
- ;; 14 MEDICARE B ELIGIBILITY
- ;; 15 MEDICARE AB ELIGIBLE
- ;; 16 MEDICARE AB ENROLL NUMBER
- ;; 17 MEDICARE AB SUFFIX
- ;; 18 MEDICARE AB ELIGIBILITY
- ;; 19 MEDICAID ELIGIBLE
- ;; 20 MEDICAID NUMBER
- ;; 21 MEDICAID SUFFIX
- ;; 22 MEDICAID ELIGIBILITY DATE
- ;; 23 VETERAN
- ;; 24 BLUE CROSS ELIGIBLE
- ;; 25 OTHER ELIGIBLE
- ;; 26 CHS ELIGIBILITY
- ;; 27 PATIENT SIGNED
- ;; 28 ADD/MODIFY CODE
- ;; 29 OPT/MM RELEASE DATE
- ;; 30 ELIGIBILITY CODE
- ;; 31 DATE ESTABLISHED
- ;; 32 SSN VERIFICATION STATUS
- ;; 33 MEDICAID STATE OF ELIGIBILITY
- ;; 34 MEDICAID TYPE OF COVERAGE
- ;; 35 DATE OF LAST UPDATE
- ;;--------------------------------------------------------------------
- ;;*** RG3 RECORD LAYOUT ***
- ;; 01 "RG3"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03
- ;; 04
- ;; 05
- ;; 06
- ;; 07
- ;; 08
- ;; 09
- ;;--------------------------------------------------------------------
- ;;*** RG4 RECORD LAYOUT ***
- ;; 01 "RG4"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 ASUFAC OF HRN IN 07
- ;; 04 FIRST LETTER OF LN
- ;; 05 FIRST LETTER OF FN
- ;; 06 SEX
- ;; 07 HRN OF ASUFAC IN 03
- ;; 08 OFFICIAL REGISTERING FACILITY (Y/N/blank) OF ASUFAC IN 09
- ;; 09 ASUFAC OF HRN IN 10
- ;; 10 HRN OF ASUFAC IN 09
- ;;--------------------------------------------------------------------
- ;;*** RG5 RECORD LAYOUT ***
- ;; 01 "RG5"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 ELIGIBILITY ENROLLMENT NUMBER
- ;; 04 SUFFIX
- ;; 05 ELIG TYPE: 1=A, 2=B, 3=AB, 4=M
- ;; 06 DATE OF BIRTH
- ;; 07 ELIG BEGIN DATE
- ;; 08 MEDICARE LAST NAME
- ;; 09 MEDICARE FIRST NAME
- ;; 10 MEDICARE MIDDLE NAME
- ;; 11 MEDICAID LAST NAME
- ;; 12 MEDICAID FIRST NAME
- ;; 13 MEDICAID MIDDLE NAME
- ;; 14 MEDICARE DATE OF BIRTH
- ;; 15 MEDICAID DATE OF BIRTH
- ;; 16 MEDICARE A ELIG. END DATE
- ;; 17 MEDICARE B ELIG. END DATE
- ;; 18 MEDICARE AB ELIG. END DATE
- ;; 19 MEDICAID ELIG. END DATE
- ;; 20 ASUFAC FROM RPMS SITE FILE
- ;;--------------------------------------------------------------------
- ;;*** RG6 Communities
- ;; 01 "RG6"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 DATE MOVED TO COMMUNITY
- ;; 04 COMMUNITY CODE Community/County/State
- ;; 05 ASUFAC FROM RPMS SITE FILE
- ;;--------------------------------------------------------------------
- ;;*** RG7 Aliases
- ;; 01 "RG7"
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 ALIAS LAST NAME
- ;; 04 ALIAS FIRST NAME
- ;; 05 ALIAS MIDDLE NAME
- ;; 06 ASUFAC FROM RPMS SITE FILE
- ;;--------------------------------------------------------------------
- ;;*** RG8 Insurance Eligibilities
- ;; 01 "RG8" MCR MCD RRE PVT
- ;; 02 UNIQUE REGISTRATION ID
- ;; 03 INSURANCE CATEGORY ("MCR"/"MCD"/"RRE"/"PVT")
- ;; 04 ELIGIBILITY BEGIN DATE .01 .01 .01 .06
- ;; 05 ELIGIBILITY END DATE .02 .02 .02 .07
- ;; 06 COVERAGE TYPE .03 .03 .03
- ;; 07 INSURER NAME .02 .02 .02 .01
- ;; 08 INSURER EIN obtain from INSURER file
- ;; 09 POLICY NUMBER .03 .03 .04
- ;; 10 NUMBER PREFIX/SUFFIX .04 .03
- ;; 11 LAST NAME
- ;; 12 FIRST NAME
- ;; 13 MIDDLE NAME
- ;; 14 DATE OF BIRTH 2102 2102 2102
- ;; 15 MCD GENDER .07
- ;; 16 MCD STATE .04
- ;; 17 PVT INS VERIFIED COVERAGE DATE .09
- ;; 18 PVT INS PERSON CODE .12
- ;; 19 POLICY HOLDER LAST NAME
- ;; 20 POLICY HOLDER FIRST NAME
- ;; 21 POLICY HOLDER MIDDLE NAME
- ;; 22 MEDICAID PLAN NAME .11
- ;; 23 MEDICAID CASE NUMBER .13
- ;; 24 MEDICAID RATE CODE .12
- ;; 25 MEDICAID DATE OF LAST UPDATE .08
- ;; 26 MEDICARE SECONDARY PAYER .05
- ;; 27 RELATIONSHIP TO INSURED .06 .05
- ;; 28 ASUFAC FROM RPMS SITE FILE
- ;; 29 MCR/MCD/RRE NAME 2101 2101 2101
- ;