| Parent File | Name | Number | Package | 
|---|---|---|---|
| PATIENT(#9000001) | NATIONAL IDENTIFIERS | 9000001.42 | IHS Patient | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | ID | 0;1 | FREE TEXT | 
 | 
| .02 | SOURCE | 0;2 | POINTER TO AGENCY FILE (#4.11) | ************************REQUIRED FIELD************************AGENCY(#4.11) 
 | 
| .03 | ENTRY DATE | 0;3 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .04 | ACTIVATION DATE | 0;4 | DATE | ************************REQUIRED FIELD************************ 
 | 
| .05 | EXPIRATION/INACTIVATION DATE | 0;5 | DATE | 
 |