|
Name |
Type |
Discontinued? |
|
1 |
PAT_ENC_CSN_ID |
NUMERIC |
No |
|
|
|
The unique contact serial number for this contact. This number is unique across all patient encounters in your system. If you use IntraConnect, this is the Unique Contact Identifier (UCI). |
|
|
2 |
CONTACT_DATE |
DATETIME |
No |
|
|
|
The date (calendar format) on which the encounter took place. |
|
|
3 |
NON_WORK_ACC_YN |
VARCHAR |
No |
|
|
|
Indicates whether the illness or injury is the result of a non-work-related accident. Y indicates that the illness or injury is the result of a non-work-related accident. N indicates that the illness or injury is not the result of a non-work-related accident. A null value indicates this item was not filled out. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
|
|
4 |
ACCDNT_TYPE_C_NAME |
VARCHAR |
No |
|
|
|
The accident type category ID for the MSPQ. |
May contain organization-specific values: Yes |
Category Entries: |
Work |
Home |
Auto |
Other |
|
|
5 |
ACCDNT_DATE |
DATETIME |
No |
|
|
|
The accident date for the MSPQ. |
|
|
6 |
ACCDNT_LOCATION_C_NAME |
VARCHAR |
No |
|
|
|
The accident location category ID for the MSPQ. |
May contain organization-specific values: Yes |
Category Entries: |
Home |
Office |
OTHER |
|
|
7 |
ACCDNT_NON_LIAB_YN |
VARCHAR |
No |
|
|
|
Indicates whether non-liability insurance is available. Y indicates that there is non-liability insurance available. N indicates that there is not non-liability insurance available. A null value indicates this item was not filled out. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
|
|
8 |
INSURED_NAME |
VARCHAR |
No |
|
|
|
Name of the non-liability insurance holder. |
|
|
9 |
INSUR_COMPANY |
VARCHAR |
No |
|
|
|
Name of the non-liability insurance company. |
|
|
10 |
NON_LIAB_POLICY |
VARCHAR |
No |
|
|
|
Non-liability insurance policy number. |
|
|
11 |
NON_LIAB_CLAIM |
VARCHAR |
No |
|
|
|
Non-liability insurance claim number. |
|
|
12 |
NON_LIAB_INS_ADR_1 |
VARCHAR |
No |
|
|
|
Line 1 of the non-liability insurance company's address. |
|
|
13 |
NON_LIAB_INS_ADR_2 |
VARCHAR |
No |
|
|
|
Line 2 of the non-liability insurance company's address. |
|
|
14 |
NON_LIAB_INS_CITY |
VARCHAR |
No |
|
|
|
Non-liability insurance company's city. |
|
|
15 |
N_LIAB_INS_STATE_C_NAME |
VARCHAR |
No |
|
|
|
The category ID of the non-liability insurance company's state. |
May contain organization-specific values: Yes |
|
|
16 |
NON_LIAB_INS_ZIP |
VARCHAR |
No |
|
|
|
Non-liability insurance company's zip code. |
|
|
17 |
THRD_PRTY_LIAB_YN |
VARCHAR |
No |
|
|
|
Indicates whether a third party is liable for this accident. Y indicates that a third party is liable for this accident. N indicates that a third party is not liable for this accident. A null value indicates this item was not filled out. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
|
|
18 |
ATTRNY_USD_YN |
VARCHAR |
No |
|
|
|
Indicates whether the patient has an attorney for this injury. Y indicates that the patient has an attorney for this injury. N indicates that the patient does not have an attorney for this injury. A null value indicates this item was not filled out. |
May contain organization-specific values: Yes |
Category Entries: |
Yes |
No |
|
|
19 |
ACCDNT_LIAB_NAME |
VARCHAR |
No |
|
|
|
Name of the party responsible for the accident. |
|
|
20 |
ACCDNT_ATTRNY_NAME |
VARCHAR |
No |
|
|
|
Name of the patient's attorney or the responsible party's attorney. |
|
|
21 |
LIABILITY_POLICY |
VARCHAR |
No |
|
|
|
Liability insurance policy number. |
|
|
22 |
LIABILITY_CLAIM |
VARCHAR |
No |
|
|
|
|
23 |
LIABILITY_ADR_1 |
VARCHAR |
No |
|
|
|
Line 1 of attorney or insurance company's address. |
|
|
24 |
LIABILITY_ADR_2 |
VARCHAR |
No |
|
|
|
Line 2 of attorney or insurance company's address. |
|
|
25 |
LIABILITY_CITY |
VARCHAR |
No |
|
|
|
Attorney or insurance company's city. |
|
|
26 |
LIABILITY_STATE_C_NAME |
VARCHAR |
No |
|
|
|
Attorney or accident liability insurance company's state. |
The category values for this column were already listed for column: N_LIAB_INS_STATE_C_NAME |
|
|
27 |
LIABILITY_ZIP |
VARCHAR |
No |
|
|
|
Attorney or insurance company's ZIP Code. |
|
|
28 |
ATTRNY_PHONE |
VARCHAR |
No |
|
|
|
Attorney or insurance company's telephone number. |
|
|
29 |
HAS_ADDL_LIAB_YN |
VARCHAR |
No |
|
|
|
Indicates whether the patient has additional liability insurers. Y indicates that the patient has additional liability insurers. N indicates that the patient does not have additional liability insurers. A null value indicates this item was not filled out. The additional information will be stored in table PAT_ENC_MSP_ADL_LB. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
|
|
30 |
HAS_ADDL_NLIAB_YN |
VARCHAR |
No |
|
|
|
Indicates whether the patient has additional non-liability insurers. Y indicates that the patient has additional non-liability insurers. N indicates that the patient does not have additional non-liability insurers. A null value indicates this item was not filled out. The additional information will be stored in table PAT_ENC_MSP_ADL_NL. |
The category values for this column were already listed for column: HAS_ADDL_LIAB_YN |
|
|
31 |
NON_LIAB_SUB_ADR_1 |
VARCHAR |
No |
|
|
|
Line 1 of the non-liability insurance subscriber's address. |
|
|
32 |
NON_LIAB_SUB_ADR_2 |
VARCHAR |
No |
|
|
|
Line 2 of the non-liability insurance subscriber's address. |
|
|
33 |
NON_LIAB_SUB_CITY |
VARCHAR |
No |
|
|
|
Non-liability insurance subscriber's city. |
|
|
34 |
NON_LIAB_SUB_ZIP |
VARCHAR |
No |
|
|
|
Non-liability insurance subscriber's zip code. |
|
|
35 |
RESP_PARTY_ADR_1 |
VARCHAR |
No |
|
|
|
Line 1 of the responsible party's address. |
|
|
36 |
RESP_PARTY_ADR_2 |
VARCHAR |
No |
|
|
|
Line 2 of the responsible party's address. |
|
|
37 |
RESP_PARTY_CITY |
VARCHAR |
No |
|
|
|
Responsible party's city. |
|
|
38 |
RESP_PARTY_ZIP |
VARCHAR |
No |
|
|
|
Responsible party's zip code. |
|
|