STANDARD DATA DICTIONARY #712 -- 1010EZ HOLDING FILE 9/29/25 PAGE 1
STORED IN ^EAS(712, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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Each record in this file holds the contents of an On-Line 10-10EZ Application as received via e-mail at this site. As the 10-10EZ
Application is processed by the user, processing audit information is also stored here.
This file may not be directly edited through FileMan.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
POINTED TO BY: MOST RECENT 1010EZ field (#1010.156) of the PATIENT File (#2)
CROSS
REFERENCED BY: LINK TO FILE #2(AC), APPLICATION #(B), APPLICANT NAME(C), CLOSE DATE(CLS), APPLICANT SSN&DOB(D),
FILING DATE(FIL), ENTRY DATE(NEW), PRINT DATE(PRT), REVIEW DATE(REV), DATE SIGNED BY APPLICANT(SIG),
WEB SUBMISSION ID(W)
712,.01 APPLICATION # 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999999)!(X<101)!(X?.E1"."1N.N) X
LAST EDITED: OCT 06, 2000
HELP-PROMPT: Type a Number between 101 and 9999999, 0 Decimal Digits
DESCRIPTION:
A unique sequential identifier assigned by the 1010EZ module to each Application.
CROSS-REFERENCE: 712^B
1)= S ^EAS(712,"B",$E(X,1,30),DA)=""
2)= K ^EAS(712,"B",$E(X,1,30),DA)
712,.1 WEB SUBMISSION ID 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
LAST EDITED: FEB 22, 2001
HELP-PROMPT: Answer must be 1-20 characters in length.
DESCRIPTION:
The unique identifier assigned by the On-Line 10-10EZ software to each submitted Application.
CROSS-REFERENCE: 712^W
1)= S ^EAS(712,"W",$E(X,1,30),DA)=""
2)= K ^EAS(712,"W",$E(X,1,30),DA)
3)= DO NOT DELETE
Cross-reference on Web Submission ID.
712,.2 RELATED MESSAGE # 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
LAST EDITED: OCT 08, 2000
HELP-PROMPT: Answer must be 1-20 characters in length.
DESCRIPTION: This is the internal entry number of the VistA MailMan message that contains the 10-10EZ
Application. The message was processed by the EAS EZ SERVER into this file.
712,1 APPLICANT NAME 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: FEB 26, 2001
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION:
The Applicant's name as entered in the On-Line 10-10EZ.
CROSS-REFERENCE: 712^C
1)= S ^EAS(712,"C",$E(X,1,30),DA)=""
2)= K ^EAS(712,"C",$E(X,1,30),DA)
3)= DO NOT DELETE
Used by 'quick lookup' option to retrieve 1010-EZ by Applicant Name.
712,2 APPLICANT SSN&DOB 0;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>24!($L(X)<1) X
LAST EDITED: FEB 26, 2001
HELP-PROMPT: Answer must be 1-24 characters in length.
DESCRIPTION: This free text field contains the Applicant's social security number and date of birth as entered
in the On-Line 10-10EZ.
Format is: nnn-nn-nnnn_&_mm/dd/yyyy
CROSS-REFERENCE: 712^D
1)= S ^EAS(712,"D",$E(X,1,30),DA)=""
2)= K ^EAS(712,"D",$E(X,1,30),DA)
3)= DO NOT DELETE
Used by 'quick lookup' option to retrieve 1010-EZ by Applicant SSN.
712,3 ENTRY DATE 0;6 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 28, 2001
DESCRIPTION: This is the date that the incoming 10-10EZ Application was received and entered into this holding
file record.
CROSS-REFERENCE: 712^NEW^MUMPS
1)= S ^EAS(712,"NEW",$E(X,1,30),DA)=""
2)= K ^EAS(712,"NEW",$E(X,1,30),DA) D APPINDEX^EASEZU2(DA)
3)= DO NOT DELETE
This "NEW" index is used by the 1010EZ processor to obtain the list of New Applications.
712,3.1 ENTERED BY 0;7 POINTER TO NEW PERSON FILE (#200) (Required)
LAST EDITED: OCT 08, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) responsible
for entering the 10-10EZ Application into this holding file.
By default, this field will contain the IEN for the VistA POSTMASTER (i.e., .5).
712,3.2 SOURCE 0;8 SET (Required)
'W' FOR WEB;
'V' FOR VISTA;
LAST EDITED: OCT 08, 2000
DESCRIPTION: The data in this field indicates the source of the 10-10EZ Application. By default, all
Applications have a source of "Web".
712,3.3 VETERAN TYPE 0;9 SET
'1' FOR SC 50-100%;
'2' FOR SC <50%;
'3' FOR SC 0%;
'4' FOR POW;
'5' FOR PURPLE HEART;
'6' FOR MIL. RETIREE;
'7' FOR NSC;
LAST EDITED: OCT 13, 2000
DESCRIPTION: This field contains the Veteran Type indicator as supplied by the Applicant to the On-Line 10-10EZ.
The available indicators are:
SC 50-100% SC <50% SC 0% POW PURPLE HEART MIL. RETIREE NSC
712,3.4 LINK TO FILE #2 0;10 POINTER TO PATIENT FILE (#2)
LAST EDITED: FEB 22, 2001
DESCRIPTION: This field contains the internal entry number of the record in the PATIENT file (#2), which has
been linked with the Applicant identified in this 10-10EZ.
The linkage is established by the user through the "Link to Patient File (LZ)" action within the
EAS EZ 1010EZ PROCESSING option.
CROSS-REFERENCE: 712^AC
1)= S ^EAS(712,"AC",$E(X,1,30),DA)=""
2)= K ^EAS(712,"AC",$E(X,1,30),DA)
3)= DO NOT DELETE
712,3.5 NEW PATIENT 0;11 SET
'1' FOR NEW PATIENT;
LAST EDITED: OCT 16, 2000
DESCRIPTION: If the user created a new record in the PATIENT file (#2) when "Link to Patient File (LZ)" action
was performed, then this field will contain a "1". Otherwise, it is null.
712,3.6 VERSION # 0;12 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>8!($L(X)<1) X
LAST EDITED: DEC 11, 2000
HELP-PROMPT: Answer must be 1-8 characters in length.
DESCRIPTION:
The version number of the On-Line 10-10EZ software which transmitted the 10-10EZ to VistA.
712,3.7 EXPECT COPY FROM VET 0;13 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: NOV 01, 2000
DESCRIPTION: When completing the On-Line 10-10EZ, the Applicant must indicate whether or not he will print the
10-10EZ from the web application in order to sign and send to the VHA site.
If this field holds a "YES", then the site should expect a signed copy of the 10-10EZ via surface
mail from the Applicant.
If this fields holds a "NO", then site personnel should begin processing of the 10-10EZ, generate a
print-out and send it to the Applicant for signature.
712,3.8 FINANCIAL DISCLOSURE 0;14 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: OCT 26, 2000
DESCRIPTION: Applicant's with certain Veteran Type indicators such as "NSC", must indicate during the On-Line
10-10EZ process whether or not they intend to disclose financial information.
The "YES" or "NO" in this field indicates whether the Applicant has agreed to provide financial
information.
712,4 DATE SIGNED BY APPLICANT 1;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 28, 2001
DESCRIPTION: The date in this field is the date the user verified receipt of a signed 10-10EZ from the
Applicant.
Data is entered into this field when the user takes the "Verify Signature (VZ)" action within the
EAS EZ 1010EZ PROCESSING option.
CROSS-REFERENCE: 712^SIG^MUMPS
1)= S ^EAS(712,"SIG",$E(X,1,30),DA)=""
2)= K ^EAS(712,"SIG",$E(X,1,30),DA) D APPINDEX^EASEZU2(DA)
3)= DO NOT DELETE
This "SIG" index is used by the 1010EZ processor to obtain the list of Signed Applications.
712,4.1 VERIFY DATE 1;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 06, 2000
DESCRIPTION: The date in this field is the date the user verified receipt of a signed 10-10EZ from the
Applicant.
Data is entered into this field when the user takes the "Verify Signature (VZ)" action within the
EAS EZ 1010EZ PROCESSING option.
712,4.2 VERIFIED BY 1;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 06, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who verified
the Applicant's signature on the printed 10-10EZ form. This is the user that executed the "Verify
Signature (VZ)" action.
712,4.3 APPLICANT E-MAIL 1;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: OCT 17, 2000
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION:
This is the internet e-mail address supplied by the Applicant in the On-Line 10-10EZ.
712,4.4 APPOINTMENT REQUESTED 1;5 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: NOV 14, 2000
DESCRIPTION: This field indicates whether or not the Applicant wishes to request an appointment at the medical
center.
712,4.5 APPLYING TO 1;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>6!($L(X)<3) X
LAST EDITED: NOV 15, 2000
HELP-PROMPT: Answer must be 3-6 characters in length.
DESCRIPTION: The Station Number for the facility to which the Applicant has directed the Application.
This would indicate the Preferred Facility for Enrollment.
712,5.1 REVIEW DATE 2;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 28, 2001
DESCRIPTION: The date in this field is the date the user linked the Applicant to the site's Patient database.
Data is entered into this field when the user takes the "Link to Patient File (LZ)" action within
the EAS EZ 1010EZ PROCESSING option.
CROSS-REFERENCE: 712^REV^MUMPS
1)= S ^EAS(712,"REV",$E(X,1,30),DA)=""
2)= K ^EAS(712,"REV",$E(X,1,30),DA) D APPINDEX^EASEZU2(DA)
3)= DO NOT DELETE
This "REV" index is used by the 1010EZ processor to obtain the list of In Review Applications.
712,5.2 REVIEWED BY 2;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 06, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who linked
the Applicant with the site's Patient database. This is the user that executed the "Link to
Patient File (LZ)" action within the EAS EZ 1010EZ PROCESSING option.
712,6.1 PRINT DATE 2;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 28, 2001
DESCRIPTION: The date in this field is the date that the user first printed this 10-10EZ Application. Data is
entered into this field when the user takes the "Print 1010EZ (PZ)" action within the EAS EZ 1010EZ
PROCESSING option.
The Application may be printed any number of times, but only the first print data is recorded.
CROSS-REFERENCE: 712^PRT^MUMPS
1)= S ^EAS(712,"PRT",$E(X,1,30),DA)=""
2)= K ^EAS(712,"PRT",$E(X,1,30),DA) D APPINDEX^EASEZU2(DA)
3)= DO NOT DELETE
This "PRT" index is used by the 1010EZ processor to obtain the list of Printed, Pending Signature
Applications.
712,6.2 PRINTED BY 2;4 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 06, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who first
printed this 10-10EZ Application. This is the user who first executed the "Print 1001EZ (PZ)"
action within the EAS EZ 1010EZ PROCESSING option.
712,7.1 FILING DATE 2;5 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 14, 2004
DESCRIPTION: The date in this field is the date the user filed the Application data to the site's Patient
database.
Data is entered into this field when the user takes the "File 1010EZ (FZ)" action within the EAS EZ
1010EZ PROCESSING option.
CROSS-REFERENCE: 712^FIL^MUMPS
1)= S ^EAS(712,"FIL",$E(X,1,30),DA)=""
2)= K ^EAS(712,"FIL",$E(X,1,30),DA) D APPINDEX^EASEZU2(DA)
3)= DO NOT DELETE
This "FIL" index is used by the 1010EZ processor to obtain the list of Filed Applications. Filed
Applications are removed from the index 30 days post-filing.
712,7.2 FILED BY 2;6 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 06, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who filed
the Application data into the site's Patient database. This is the user that executed the "File
1010EZ (FZ)" action within the EAS EZ 1010EZ PROCESSING option.
712,8.1 UPDATE DATE 2;7 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 06, 2000
DESCRIPTION: The date in this field is the date that the user first updated (i.e., directly edited) any 10-10EZ
Application data. Data is entered into this field the first time the user takes the "Update Field
(UF)" action within the EAS EZ 1010EZ PROCESSING option.
712,8.2 UPDATED BY 2;8 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 06, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who first
updated any data in this 10-10EZ Application. This is the user who first executed the "Update Field
(UF)" action within the EAS EZ 1010EZ PROCESSING option for this Application.
712,9.1 CLOSE DATE 2;9 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 28, 2001
DESCRIPTION: The date in this field is the date the user inactivated this 10-10EZ Application.
Data is entered into this field when the user takes the "Inactivate 1010EZ (IZ)" action within the
EAS EZ 1010EZ PROCESSING option.
CROSS-REFERENCE: 712^CLS^MUMPS
1)= S ^EAS(712,"CLS",$E(X,1,30),DA)=""
2)= K ^EAS(712,"CLS",$E(X,1,30),DA) D APPINDEX^EASEZU2(DA)
3)= DO NOT DELETE
This "CLS" index is used by the 1010EZ processor to obtain the list of Inactivated Applications.
Inactivated Applications are removed from the index 30 days post-inactivation.
712,9.2 CLOSED BY 2;10 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 06, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who
inactivated this 10-10EZ Application. This is the user that executed the "Inactivate 1010EZ (IZ)"
action within the EAS EZ 1010EZ PROCESSING option for this Application.
712,9.3 FILING TASK 2;11 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: FEB 05, 2001
HELP-PROMPT: Answer must be 1-10 characters in length.
DESCRIPTION: Contains the identity of the background task which will file the data from the 10-10EZ Holding file
to other VistA files.
This is set from the ZTSK variable returned by the call to ^%ZTLOAD.
TECHNICAL DESCR:
If this field is not null, then the filing task is still in process.
712,10 DATA ELEMENTS 10;0 POINTER Multiple #712.01 (Add New Entry without Asking)
DESCRIPTION: This multiple field holds a subrecord for each data element provided by the Applicant in the
On-Line 10-10EZ.
712.01,.01 DATA ELEMENT ID 0;1 POINTER TO 1010EZ MAPPING FILE (#711) (Required) (Multiply asked)
LAST EDITED: MAR 07, 2001
DESCRIPTION:
This field holds an internal entry number to the 1010EZ MAPPING file (#711).
CROSS-REFERENCE: 712.01^B
1)= S ^EAS(712,DA(1),10,"B",$E(X,1,30),DA)=""
2)= K ^EAS(712,DA(1),10,"B",$E(X,1,30),DA)
712.01,.1 MULTIPLE NUMBER 0;2 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>20)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 10, 2000
HELP-PROMPT: Type a Number between 1 and 20, 0 Decimal Digits
DESCRIPTION: For all data elements except Additional Dependent data, the Multiple Number is set the default of
1.
For Additional Dependents, each data element associated with a given dependent are grouped by the
same, unique Multiple Number. The first Additional Dependent has a Multiple Number of 1, the
second Additional Dependent has a Multiple Number of 2, and so forth.
712.01,1 INCOMING DATA 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>120!($L(X)<1) X
LAST EDITED: NOV 20, 2000
HELP-PROMPT: Answer must be 1-120 characters in length.
DESCRIPTION: This field holds the original, incoming data entered by the Applicant in the On-Line 10-10EZ
Application.
712.01,1.1 ACCEPT 0;3 SET
'1' FOR ACCEPT;
'2' FOR ALWAYS ACCEPT;
'-1' FOR NEVER ACCEPT;
LAST EDITED: FEB 05, 2001
DESCRIPTION: This field is set to "1", if the user has 'accepted' the data. The data is accepted if the user
executes the "Accept Field (AF)" action within the EAS EZ 1010EZ PROCESSING option.
712.01,1.2 UPDATE DATE 0;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 31, 2000
DESCRIPTION: The date in this field is the date that the user updated (i.e., directly edited) this specific
10-10EZ Application data element.
712.01,1.3 UPDATE BY 0;5 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 31, 2000
DESCRIPTION: This field holds the internal entry number of the person in the NEW PERSON file (#200) who
updated this specific 10-10EZ Application data element. This is the user who executed the "Update
Field (UF)" action within the EAS EZ 1010EZ PROCESSING option for this data element.
712.01,1.5 UPDATE DATA 1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>120!($L(X)<1) X
LAST EDITED: DEC 06, 2000
HELP-PROMPT: Answer must be 1-120 characters in length.
DESCRIPTION: This field holds the result of the direct edit to the data element by the user when "Update Field
(UF)" action was executed.
712.01,2 REPLACED VISTA DATA 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>180!($L(X)<1) X
LAST EDITED: OCT 31, 2000
HELP-PROMPT: Answer must be 1-180 characters in length.
DESCRIPTION: If the Applicant was matched to an existing VistA Patient database record, and if that Patient
had existing data for the database field that correlates with this 10-10EZ data element, the
VistA data will be recorded here before it is overwritten.
It is therefore possible to restore any overwritten VistA field in the Patient record that was
replaced by 10-10EZ data.
712.01,2.1 IEN LINK 2;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>24!($L(X)<1) X
LAST EDITED: OCT 16, 2000
HELP-PROMPT: Answer must be 1-24 characters in length.
DESCRIPTION: This is the internal entry number of the VistA database record that has been matched to the data
contained in this 10-10EZ data element.
712,12 SERVICES REQUESTED 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>240!($L(X)<1) X
LAST EDITED: NOV 14, 2000
HELP-PROMPT: Answer must be 1-240 characters in length.
DESCRIPTION: This free text field holds whatever the Applicant entered in the On-Line 10-10EZ to indicate the VA
services in which he is interested.
712,13 COMMENTS 4;0 WORD-PROCESSING #712.013
DESCRIPTION: This word-processing field holds whatever the Applicant entered in the On-Line 10-10EZ in the
Comments section of the Application.
LAST EDITED: NOV 14, 2000
FILES POINTED TO FIELDS
1010EZ MAPPING (#711) DATA ELEMENTS:DATA ELEMENT ID (#.01)
NEW PERSON (#200) ENTERED BY (#3.1)
VERIFIED BY (#4.2)
REVIEWED BY (#5.2)
PRINTED BY (#6.2)
FILED BY (#7.2)
UPDATED BY (#8.2)
CLOSED BY (#9.2)
DATA ELEMENTS:UPDATE BY (#1.3)
PATIENT (#2) LINK TO FILE #2 (#3.4)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):