| Parent File | Name | Number | Package | 
|---|---|---|---|
| VA PATIENT(#2) | DISPOSITION LOG-IN DATE/TIME | 2.101 | Registration | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | LOG IN DATE/TIME | 0;1 | DATE | 
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| .2 | 10-10T REGISTRATION | 0;20 | SET | 
 
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| 1 | STATUS | 0;2 | SET | ************************REQUIRED FIELD************************ 
 
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| 2 | TYPE OF BENEFIT APPLIED FOR | 0;3 | SET | ************************REQUIRED FIELD************************ 
 
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| 2.1 | TYPE OF CARE APPLIED FOR | 0;11 | SET | ************************REQUIRED FIELD************************ 
 
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| 3 | FACILITY APPLYING TO | 0;4 | POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) | MEDICAL CENTER DIVISION(#40.8) 
 | 
| 4 | WHO ENTERED 10/10 | 0;5 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200) 
 | 
| 5 | LOG OUT DATE TIME | 0;6 | DATE | ************************REQUIRED FIELD************************ 
 | 
| 6 | DISPOSITION | 0;7 | POINTER TO DISPOSITION FILE (#37) | ************************REQUIRED FIELD************************DISPOSITION(#37) 
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| 8 | REASON FOR LATE DISPOSITION | 0;8 | POINTER TO DISPOSITION LATE REASON FILE (#30) | DISPOSITION LATE REASON(#30) 
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| 9 | WHO DISPOSITIONED | 0;9 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200) 
 | 
| 10 | DESCRIPTION OF INCIDENT | 1;1 | FREE TEXT | 
 | 
| 12 | *ELIGIBLE FOR MEDICAID | 0;12 | SET | 
 
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| 13 | REGISTRATION ELIGIBILITY CODE | 0;13 | POINTER TO ELIGIBILITY CODE FILE (#8) | ************************REQUIRED FIELD************************ELIGIBILITY CODE(#8) 
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| 14 | ELIG VERIFIED AT REGISTRATION | 0;14 | SET | ************************REQUIRED FIELD************************ 
 
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| 15 | SC AT REGISTRATION | 0;15 | SET | ************************REQUIRED FIELD************************ 
 
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| 16 | SC% AT REGISTRATION | 0;16 | NUMBER | ************************REQUIRED FIELD************************ 
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| 17 | AMIS 420 SEGMENT | 0;17 | POINTER TO AMIS SEGMENT FILE (#391.1) | AMIS SEGMENT(#391.1) 
 | 
| 18 | OUTPATIENT ENCOUNTER | 0;18 | POINTER TO OUTPATIENT ENCOUNTER FILE (#409.68) | OUTPATIENT ENCOUNTER(#409.68) 
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| 19 | ENCOUNTER CONVERSION STATUS | 0;19 | SET | 
 
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| 20 | NEED RELATED TO OCCUPATION | 2;1 | SET | ************************REQUIRED FIELD************************ 
 
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| 21 | WORKMEN'S COMP CLAIM FILED | 2;2 | SET | 
 
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| 22 | WORKMEN'S COMP CLAIM NUMBER | 2;3 | FREE TEXT | 
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| 23 | NEED RELATED TO AN ACCIDENT | 2;4 | SET | ************************REQUIRED FIELD************************ 
 
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| 24 | INJURY CAUSED BY | 2;5 | FREE TEXT | 
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| 25 | INJURING PARTIES INSURANCE | 2;6 | POINTER TO INSURANCE COMPANY FILE (#36) | INSURANCE COMPANY(#36) 
 | 
| 26 | FILED AGAINST INJURING PARTY | 2;7 | SET | 
 
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| 30 | ATTORNEY'S NAME | 3;1 | FREE TEXT | 
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| 31 | A-ADDRESS 1 | 3;2 | FREE TEXT | 
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| 32 | A-ADDRESS 2 | 3;3 | FREE TEXT | 
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| 33 | A-ADDRESS 3 | 3;4 | FREE TEXT | 
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| 34 | A-CITY | 3;5 | FREE TEXT | 
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| 35 | A-STATE | 3;6 | POINTER TO STATE FILE (#5) | STATE(#5) 
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| 36 | A-ZIP CODE | 3;7 | FREE TEXT | 
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| 37 | A-PHONE | 3;8 | FREE TEXT | 
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| 38 | A-ZIP+4 | 3;9 | FREE TEXT | 
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| 50 | ACTIVE | 0;10 | SET | 
 
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| 99 | PROGRAMMERS USE | COMPUTED DATE | 
 | |
| 100.21 | ATTORNEY'S NAME COMPONENTS | 0;21 | POINTER TO NAME COMPONENTS FILE (#20) | NAME COMPONENTS(#20) 
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| 11500.01 | ODS AT REGISTRATION? | ODS;1 | SET | 
 
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| 11500.02 | ODS REGISTRATION ENTRY | ODS;2 | POINTER ** TO AN UNDEFINED FILE ** | 
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