GLOBAL MAP DATA DICTIONARY #453 -- APPLICANT FILE 3/24/25 PAGE 1
STORED IN ^PRSP(453, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
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THIS FILE IS CURRENTLY BEING USED BY THE CREDENTIALS TRACKING PACKAGE TO CONTAIN APPLICANTS GOING THROUGH THE CREDENTIALING
PROCESS.
CROSS
REFERENCED BY: EDUCATION LEVEL(AEDLEVEL), FSMB MSG. SENT(AFSMB), APPLICANT NAME(B), DEA #(DEA), SOCIAL SECURITY NUMBER(SSN)
^PRSP(453,D0,0)= (#.01) APPLICANT NAME [1F] ^ (#1) SOCIAL SECURITY NUMBER [2F] ^ (#2) STREET ADDRESS [3F] ^ (#3) CITY [4F] ^ (#4)
==>STATE [5P:5] ^ (#5) ZIP CODE [6F] ^ (#6) HOME TELEPHONE NUMBER [7F] ^ (#7) DAYTIME TELEPHONE NUMBER [8F] ^ (#8)
==>CITIZENSHIP [9S] ^ ^ ^ (#1.5) DATE OF BIRTH [12D] ^
^PRSP(453,D0,1,0)=^453.08^^ (#747.49) FINAL STATUS COMMENTS
^PRSP(453,D0,1,D1,0)= (#.01) FINAL STATUS COMMENTS [1W] ^
^PRSP(453,D0,QAR)= (#747.01) APPOINTMENT DESIRED [1S] ^ (#747.02) REFERENCE A [2F] ^ (#747.03) A ADDRESS1 [3F] ^ (#747.04) A
==>ADDRESS2 [4F] ^ (#747.05) A CITY [5F] ^ (#747.06) A STATE [6P:5] ^ (#747.07) A ZIP [7F] ^
^PRSP(453,D0,QAR1)= (#747.14) REFERENCE C [1F] ^ (#747.15) C ADDRESS1 [2F] ^ (#747.16) C ADDRESS2 [3F] ^ (#747.17) C CITY [4F] ^
==>(#747.18) C STATE [5P:5] ^ (#747.19) C ZIP [6F] ^ (#747.2) APP DATE [7D] ^ (#747.21) INSURANCE CO [8P:36] ^
==>(#747.64) PLACE OF BIRTH [9F] ^
^PRSP(453,D0,QAR10,0)=^453.09PA^^ (#747.5) CLINICAL BACKGROUND
^PRSP(453,D0,QAR10,D1,0)= (#.01) CLINICAL BACKGROUND [1P:747.8] ^ (#1) YRS. OF EXPERIENCE [2N] ^
^PRSP(453,D0,QAR11,0)=^453.1DA^^ (#747.52) FSMB SCREENING REQUEST DATE
^PRSP(453,D0,QAR11,D1,0)= (#.01) FSMB SCREENING REQUEST DATE [1D] ^ (#1) DATE REC'D [2D] ^ (#2) REPORT OF SCREENING [3S] ^
^PRSP(453,D0,QAR12,0)=^453.12D^^ (#747.54) HEALTH STATEMENT,COLLEAGUE
^PRSP(453,D0,QAR12,D1,0)= (#.01) HEALTH STATEMENT,COLLEAGUE [1D] ^
^PRSP(453,D0,QAR13,0)=^453.13S^^ (#747.55) DATE REFERENCE RECEIVED
^PRSP(453,D0,QAR13,D1,0)= (#.01) REFERENCES [1S] ^ (#1) DATE [2D] ^
^PRSP(453,D0,QAR14,0)=^453.14S^^ (#747.57) RECOMMENDATION SIGNATURES
^PRSP(453,D0,QAR14,D1,0)= (#.01) RECOMMENDATION SIGNATURES [1S] ^ (#1) DATE [2D] ^
^PRSP(453,D0,QAR15,0)=^453.15^^ (#747.59) PERTINENT CLINICAL INFORMATION
^PRSP(453,D0,QAR15,D1,0)= (#.01) PERTINENT CLINICAL INFORMATION [1W] ^
^PRSP(453,D0,QAR16,0)=^453.16PA^^ (#747.33) BOARD ELIGIBLE
^PRSP(453,D0,QAR16,D1,0)= (#.01) BOARD ELIGIBLE [1P:747.9] ^ (#1) EXPIRATION DATE [2D] ^ (#2) VERIFICATION [3S] ^
^PRSP(453,D0,QAR17,0)=^453.17P^^ (#747.22) SPECIALTY
^PRSP(453,D0,QAR17,D1,0)= (#.01) SPECIALTY [1P:747.9] ^
^PRSP(453,D0,QAR17,D1,1,0)=^453.171PA^^ (#1) SPECIAL PROCEDURES
^PRSP(453,D0,QAR17,D1,1,D2,0)= (#.01) SPECIAL PROCEDURES [1P:747.25] ^
^PRSP(453,D0,QAR18)= (#747.61) NPDB QUERIED ? [1S] ^ (#747.62) DATE SENT TO NPDB ? [2D] ^ (#747.63) RESULTS OF QUERY ? [3S] ^
==>(#747.65) VA CAUTIONARY LIST CHECKED? [4S] ^ (#747.621) DATE REC'D FROM NPDB [5D] ^
^PRSP(453,D0,QAR19,0)=^453.11^^ (#747.66) INTERNSHIP/RESIDENCY
^PRSP(453,D0,QAR19,D1,0)= (#.01) INSTITUTION [1F] ^ (#1) ADDRESS [2F] ^ (#2) SPECIALTY [3P:747.9] ^ (#3) COMPLETION DATE [4D] ^
==>(#4) # OF MONTHS [5N] ^ (#5) VERIFICATION [6S] ^ (#1.1) ADDRESS 2 [7F] ^ (#1.2) CITY [8F] ^ (#1.3)
==>STATE [9P:5] ^ (#1.4) ZIP [10F] ^
^PRSP(453,D0,QAR2)= (#747.23) SERVICE [1P:730] ^ (#747.25) TYPE OF APPOINTMENT [2S] ^ (#747.26) APPLICATION DATE [3D] ^ (#747.3)
==>VAF 10-2850 COMPLETE (Y/N) [4S] ^ (#747.31) VAF 10-2850 SIGNED/COS (Y/N) [5S] ^ (#747.32) VAF 10-2850 LICENSE
==>DATA (Y/N) [6S] ^ (#747.34) FSMB MSG. SENT [7S] ^ (#747.361) DEA EXPIRATION DATE [8D] ^ (#747.36) DEA # [9F]
==>^ (#747.511) ECFMG VERIFICATION [10S] ^ (#747.38) V.A. EMPLOYMENT START DATE [11D] ^ (#747.39) SERVICE
==>COMPUTATION DATE [12D] ^ (#747.4) END OF PROBATIONARY PERIOD [13D] ^ (#747.41) PRIMARY DEGREE [14P:747.7] ^
==>(#747.43) DATE REAPPRAISAL IS DUE [15D] ^ (#747.362) STATE ISSUING DEA NUMBER [16P:5] ^ (#747.363) DEA
==>VERIFICATION [17S] ^ (#747.47) ALIEN VISA [18S] ^ (#747.48) FINAL STATUS OF FILE [19S] ^ (#747.51) ECFMG
==>CERT. ISSUED [20D] ^ (#747.53) HEALTH STATEMENT,APPLICANT [21D] ^ (#747.56) BYLAWS AGREEMENT [22D] ^
==>(#747.58) LICENSURE CHALLENGES ? [23S] ^ (#747.6) CLIN PRIVILEGES CHALLENGES ? [24S] ^ (#747.512) ECFMG
==>CERTIFICATE # [25F] ^ (#747.364) DEA CHALLENGES (Y/N) [26S] ^
^PRSP(453,D0,QAR20,0)=^453.074767SA^^ (#747.67) CONTROL/SUBSTANCE CERT (Y/N)
^PRSP(453,D0,QAR20,D1,0)= (#.01) CONTROL/SUBSTANCE CERT (Y/N) [1S] ^ (#1) STATE [2P:5] ^ (#2) EXPIRATION DATE [3D] ^
^PRSP(453,D0,QAR21)= (#747.08) REFERENCE B [1F] ^ (#747.09) B ADDRESS1 [2F] ^ (#747.1) B ADDRESS2 [3F] ^ (#747.11) B CITY [4F] ^
==>(#747.12) B STATE [5P:5] ^ (#747.13) B ZIP [6F] ^
^PRSP(453,D0,QAR3,0)=^453.01^^ (#747.24) MANDATORY TRAINING
^PRSP(453,D0,QAR3,D1,0)= (#.01) MANDATORY TRAINING [1F] ^ (#1) DATE ATTENDED [2D] ^ (#2) DATE COMPLETED [3D] ^ (#3) RENEWAL DATE
==>[4D] ^
^PRSP(453,D0,QAR4,0)=^453.02P^^ (#747.27) CERTIFICATION
^PRSP(453,D0,QAR4,D1,0)= (#.01) CERTIFICATION [1P:747.9] ^ (#1) DATE [2D] ^ (#2) VERIFICATION [3S] ^ (#1.1) EXPIRATION DATE [4D]
==>^
^PRSP(453,D0,QAR5,0)=^453.03A^^ (#747.28) PROFESSIONAL ORGANIZATION
^PRSP(453,D0,QAR5,D1,0)= (#.01) PROFESSIONAL ORGANIZATION [1F] ^
^PRSP(453,D0,QAR6,0)=^453.04A^^ (#747.29) HONORS/OFFICES HELD
^PRSP(453,D0,QAR6,D1,0)= (#.01) HONORS/OFFICES HELD [1F] ^
^PRSP(453,D0,QAR6,D1,1,0)=^453.41A^^ (#1) SOCIETY
^PRSP(453,D0,QAR6,D1,1,D2,0)= (#.01) SOCIETY [1F] ^
^PRSP(453,D0,QAR7,0)=^453.05A^^ (#747.35) LICENSES
^PRSP(453,D0,QAR7,D1,0)= (#.01) LICENSES [1F] ^ (#1) STATE [2P:5] ^ (#2) EXPIRATION DATE [3D] ^ (#3) LICENSE CHECK [4S] ^
^PRSP(453,D0,QAR8,0)=^453.06^^ (#747.42) SCHOOL ATTENDED
^PRSP(453,D0,QAR8,D1,0)= (#.01) SCHOOL ATTENDED [1F] ^ (#1) ADDRESS [2F] ^ (#2) ADDRESS 2 [3F] ^ (#3) CITY [4F] ^ (#4) STATE
==>[5P:5] ^ (#5) ZIP CODE [6F] ^ (#6) DATE COMPLETED [7D] ^ (#7) VERIFICATION [8S] ^ (#4.5) COUNTRY
==>[9P:747.5] ^ (#9) FSMB SCHOOL CODE [10P:747.11] ^
^PRSP(453,D0,QAR8,D1,1,0)=^453.68P^^ (#8) EDUCATION LEVEL
^PRSP(453,D0,QAR8,D1,1,D2,0)= (#.01) EDUCATION LEVEL [1P:747.7] ^
^PRSP(453,D0,QAR9,0)=^453.07^^ (#747.45) CONTINUING EDUCATION PROGRAM
^PRSP(453,D0,QAR9,D1,0)= (#.01) CONTINUING EDUCATION PROGRAM [1F] ^
^PRSP(453,D0,QAR9,D1,1,0)=^453.71^^ (#1) DESCRIPTION
^PRSP(453,D0,QAR9,D1,1,D2,0)= (#.01) DESCRIPTION [1W] ^
^PRSP(453,D0,QAR9,D1,2)= (#2) DATES ATTENDED [1F] ^ (#3) NUMBER OF C.M.E HOURS [2N] ^ (#4) LOCATION OF PROGRAM [3F] ^
^PRSP(453,D0,QAR9,D1,3,0)=^453.75^^ (#5) C.M.E COMMENTS
^PRSP(453,D0,QAR9,D1,3,D2,0)= (#.01) C.M.E COMMENTS [1W] ^
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