|
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 |
PAT_EMPLYD_YN |
VARCHAR |
No |
|
|
|
Indicates whether the patient is currently employed for the purposes of the MSPQ. Y indicates that the patient is currently employed. N indicates that the patient is not currently employed or has never been employed. A null value indicates this item was not filled out. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
No, Never Employed |
No, Retired |
Yes, but Retired from Previous Employment |
No, but Not Retired |
|
|
4 |
EMPLOYER_NAME |
VARCHAR |
No |
|
|
|
Name of the patient's employer. |
|
|
5 |
EMPLOYER_SIZE_C_NAME |
VARCHAR |
No |
|
|
|
The size range category ID of the patient's employer. |
May contain organization-specific values: Yes |
Category Entries: |
Fewer than 20 employees |
From 20 to 99 employees |
100 or more employees |
|
|
6 |
EMPLOYER_PHONE |
VARCHAR |
No |
|
|
|
Phone number of the patient's employer. |
|
|
7 |
EMPLOYER_ADR_1 |
VARCHAR |
No |
|
|
|
Line 1 of the patient's employer's address. |
|
|
8 |
EMPLOYER_ADR_2 |
VARCHAR |
No |
|
|
|
Line 2 of the patient's employer's address. |
|
|
9 |
EMPLOYER_CITY |
VARCHAR |
No |
|
|
|
City of the patient's employer. |
|
|
10 |
EMPLOYER_ZIP |
VARCHAR |
No |
|
|
|
Zip code of the patient's employer. |
|
|
11 |
OTHER_EMPLYD_YN |
VARCHAR |
No |
|
|
|
Indicates whether the spouse or other family member is currently employed for the purposes of the MSPQ. Y indicates that the spouse or other family member is currently employed. N indicates that the spouse or other family member is not currently employed or has never been employed. A null value indicates this item was not filled out. |
May contain organization-specific values: No |
Category Entries: |
Yes |
No |
No, Never Employed |
No, Retired |
Yes, but Retired from Previous Employment |
No, but Not Retired |
No, Not Married (single, divorced, widowed) |
|
|
12 |
OTHR_FAM_MEM_NAME |
VARCHAR |
No |
|
|
|
Name of other family members who are employed. |
|
|
13 |
OTHR_FAM_REL_C_NAME |
VARCHAR |
No |
|
|
|
Employed family member's relationship to the patient. |
May contain organization-specific values: Yes |
Category Entries: |
Self |
Spouse |
Child |
Employee |
Unknown |
|
|
14 |
OTHR_EMPLR_NAME |
VARCHAR |
No |
|
|
|
Employed family member employer's name. |
|
|
15 |
OTHR_EMPLR_SIZE_C_NAME |
VARCHAR |
No |
|
|
|
Size of the employer of the other employed family member. |
The category values for this column were already listed for column: EMPLOYER_SIZE_C_NAME |
|
|
16 |
OTHR_EMPLR_PHONE |
VARCHAR |
No |
|
|
|
Phone number of the employer of the other employed family member. |
|
|
17 |
OTHR_EMPLR_ADR_1 |
VARCHAR |
No |
|
|
|
Line 1 of the employer's address of the other employed family member. |
|
|
18 |
OTHR_EMPLR_ADR_2 |
VARCHAR |
No |
|
|
|
Line 2 of the employer's address of the other employed family member. |
|
|
19 |
OTHR_EMPLR_CITY |
VARCHAR |
No |
|
|
|
City of the employer of the other employed family member. |
|
|
20 |
OTHR_EMPLR_STATE_C_NAME |
VARCHAR |
No |
|
|
|
State of the employer of the other employed family member. |
May contain organization-specific values: Yes |
|
|
21 |
OTHR_EMPLR_ZIP |
VARCHAR |
No |
|
|
|
Zip of the employer of the other employed family member. |
|
|
22 |
FAMILY_EMPLR_NAME |
VARCHAR |
No |
|
|
|
Name of the family member's employer. In some questionnaires, this information is instead stored as part of the spouse / other family member employer information, OTHR_EMPLR_*. |
|
|
23 |
FAMILY_EMPLR_ADR_1 |
VARCHAR |
No |
|
|
|
First line of the family member's employer's address. In some questionnaires, this information is instead stored as part of the spouse / other family member employer information, OTHR_EMPLR_*. |
|
|
24 |
FAMILY_EMPLR_ADR_2 |
VARCHAR |
No |
|
|
|
Second line of the family member's employer's address. In some questionnaires, this information is instead stored as part of the spouse / other family member employer information, OTHR_EMPLR_*. |
|
|
25 |
FAMILY_EMPLR_CITY |
VARCHAR |
No |
|
|
|
The City part of the family member's employer's address. |
|
|
26 |
FAMILY_EMPLR_ZIP |
VARCHAR |
No |
|
|
|
The ZIP part of the family member's employer's address. |
|
|
27 |
FAMILY_EMPLR_PHONE |
VARCHAR |
No |
|
|
|
Family member's employer's phone number. In some questionnaires, this information is instead stored as part of the spouse / other family member employer information, OTHR_EMPLR_*. |
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|