|
Name |
Type |
Discontinued? |
|
1 |
PAT_ENC_CSN_ID |
NUMERIC |
No |
|
|
|
A unique serial number for this encounter. This number is unique across all patients and encounters in the system. |
|
|
2 |
CONTACT_DATE |
DATETIME |
No |
|
|
|
The date (calendar format) on which the encounter took place. |
|
|
3 |
SELF_EGHP_YN |
VARCHAR |
No |
|
|
|
YES if the patient has employer group health plan (EGHP) coverage based on own or a family member's current or former employment. |
May contain organization-specific values: Yes |
Category Entries: |
Yes |
No |
|
|
4 |
OTHER_EGHP_YN |
VARCHAR |
No |
|
|
|
YES if the patient is covered by another employer group health plan (EGHP) in addition to the one listed under Primary EGHP. |
May contain organization-specific values: Yes |
Category Entries: |
Yes |
No |
|
|
5 |
EGHP_INSURED_NAME |
VARCHAR |
No |
|
|
|
Name of the person whose employer group health plan (EGHP) covers the patient. |
|
|
6 |
EGHP_REL_SUBSCRB_C_NAME |
VARCHAR |
No |
|
|
|
Relationship of the subscriber to the patient. |
May contain organization-specific values: Yes |
Category Entries: |
Self |
Spouse |
Child |
Employee |
Unknown |
|
|
7 |
EGHP_PCP |
VARCHAR |
No |
|
|
|
Name of the patient's Primary Care Provider. |
|
|
8 |
EGHP_EMPLOYER_NAME |
VARCHAR |
No |
|
|
|
The employer that sponsors the employer group health plan (EGHP). |
|
|
9 |
EGHP_EMPL_ADR_1 |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) subscriber's employer address line 1. |
|
|
10 |
EGHP_EMPL_ADR_2 |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) subscriber's employer address line 2. |
|
|
11 |
EGHP_EMPL_PHONE |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) subscriber's employer phone number. |
|
|
12 |
EGHP_EMPL_CITY |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) subscriber's employer city. |
|
|
13 |
EGHP_EMPL_ZIP |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) subscriber's employer zip |
|
|
14 |
EGHP_INSUR_COMPANY |
VARCHAR |
No |
|
|
|
Name of the employer group health plan (EGHP). |
|
|
15 |
CVG_HMO_YN |
VARCHAR |
No |
|
|
|
YES if coverage is an HMO. |
May contain organization-specific values: Yes |
Category Entries: |
Yes |
No |
|
|
16 |
EGHP_POLICY_NUMBER |
VARCHAR |
No |
|
|
|
Patient's member number for the employer group health plan (EGHP). |
|
|
17 |
EGHP_GROUP_NUMBER |
VARCHAR |
No |
|
|
|
Group number of the employer group health plan (EGHP). |
|
|
18 |
EGHP_INSUR_ADR_1 |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) address line 1. |
|
|
19 |
EGHP_INSUR_ADR_2 |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) address line 2. |
|
|
20 |
EGHP_INSUR_CITY |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) city. |
|
|
21 |
EGHP_INSUR_ZIP |
VARCHAR |
No |
|
|
|
Employer group health plan (EGHP) Zip. |
|
|
22 |
EGHP_PAT_SUP_INF_C |
VARCHAR |
No |
|
|
|
Used to store whether or not the patient refused to provide information pertaining to the MSPQ EGHP question. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
|
|
23 |
EGHP_BEN_PKG |
VARCHAR |
No |
|
|
|
The benefit package number or policy ID number for the employer group health plan. |
|
|
24 |
EGHP_CUR_EMPL_YN |
VARCHAR |
No |
|
|
|
Yes if the employer group health plan is through the subscriber's current employment. Some questionnaires use this instead of Covered by Employer Group Health Plan (I EPT 4672). |
The category values for this column were already listed for column: EGHP_PAT_SUP_INF_C |
|
|
25 |
MSP_SELF_NUMBER_EMPLOYEES_C_NAME |
VARCHAR |
No |
|
|
|
MSP Item: tracks the number of employees of the patient's GHP provider |
May contain organization-specific values: No |
Category Entries: |
1-19 |
20-99 |
100+ |
|
|