| 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************************ 
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| .02 | SEX | 0;6 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| .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 | 
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| .323 | PERIOD OF SERVICE | 0;8 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| .361 | VETERAN ELIGIBILITY CODE | 0;9 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| .3611 | NON-VETERAN ELIGIBILTY CODE | 0;10 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| .525 | POW | 0;7 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 2 | PURPOSE OF VISIT | 0;11 | FREE TEXT | 
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| 3 | LOCATION OF VISIT | 0;12 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 4 | CLINIC STOPS | 0;13 | FREE TEXT | 
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| 5 | SPECIAL SURVEY BLOCKS | 0;14 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 6 | *SPECIAL SERVICES BLOCKS | 0;15 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 7 | FACILITY NUMBER | 0;2 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 8 | MEANS TEST INDICATOR | MT;1 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 9 | DEPENDENTS | MT;2 | FREE TEXT | ************************REQUIRED FIELD************************ 
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| 9.5 | MEANS TEST INCOME | MT;3 | FREE TEXT | 
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| 10 | AMBULATORY PROCEDURE BLOCK | AP;1 | FREE TEXT | 
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| 15 | APPOINTMENT TYPE | AT;1 | POINTER TO APPOINTMENT TYPE FILE (#409.1) | APPOINTMENT TYPE(#409.1) 
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| 17 | FISCAL YEAR | 0;17 | FREE TEXT | 
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| 18 | PSEUDO SSN | 0;18 | FREE TEXT | 
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| 20 | SUSPENDED DATE | SUS;1 | DATE | 
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| 21 | RELEASE DATE | SUS;2 | DATE | 
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