GLOBAL MAP DATA DICTIONARY #67 -- REFERRAL PATIENT FILE 3/24/25 PAGE 1 STORED IN ^LRT(67, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.2) ----------------------------------------------------------------------------------------------------------------------------------- Referral patients who do not have an SSN or Pseudo-SSN may be added to this file. If the patient HAS an SSN or Pseudo-SSN, they should be in the Patient file! ONLY BILLABLE PATIENTS SHOULD BE ENTERED INTO THIS FILE ! CROSS REFERENCED BY: NAME(B), IDENTIFIER(BS), IDENTIFIER(BS5), IDENTIFIER(C), REFERRAL SOURCE(CN), NAME(D) ^LRT(67,D0,0)= (#.01) NAME [1F] ^ (#.02) SEX [2S] ^ (#.03) DOB [3D] ^ ^ (#.05) MARITAL STATUS [5P:11] ^ (#.06) RACE [6P:10] ^ ^ ==>(#.08) RELIGION [8P:13] ^ (#.09) IDENTIFIER [9F] ^ ^LRT(67,D0,.1)= (#.1) REFERRAL SOURCE [E1,19F] ^ ^LRT(67,D0,.104)= (#.104) PROVIDER [1F] ^ ^LRT(67,D0,.11)= (#.111) STREET ADDRESS [1F] ^ (#.112) STREET ADDRESS 2 [2F] ^ (#.113) STREET ADDRESS 3 [3F] ^ (#.114) CITY [4F] ==>^ (#.115) STATE [5P:5] ^ (#.116) ZIP CODE [6F] ^ ^LRT(67,D0,.13)= (#.131) PHONE [1F] ^ (#.132) OFFICE PHONE [2F] ^ (#.133) PHONE #3 [3F] ^ (#.134) PHONE #4 [4F] ^ ^LRT(67,D0,.35)= (#.351) DATE OF DEATH [1D] ^ ^LRT(67,D0,3)= (#3) Patient Name [1V] ^ ^LRT(67,D0,DPT)= (#2) PATIENT FILE REF [1P:2] ^ ^LRT(67,D0,LR)= (#63) LABORATORY REFERENCE [1P:63] ^ ^LRT(67,D0,NHE)= (#2.2) NHE FILE REF [1P:537010] ^ INPUT TEMPLATE(S): PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):