|
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_*. |
|
|