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DG_53_P754.KID
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DG_53_P754.KID
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KIDS Distribution saved on Feb 01, 2011@16:13:58
ESR 3.1/VOA (02/01/2011)
**KIDS**:DG*5.3*754^IVM*2.0*121^
**INSTALL NAME**
DG*5.3*754
"BLD",7090,0)
DG*5.3*754^REGISTRATION^0^3110201^y
"BLD",7090,4,0)
^9.64PA^43^5
"BLD",7090,4,2,0)
2
"BLD",7090,4,2,2,0)
^9.641^2^1
"BLD",7090,4,2,2,2,0)
PATIENT (File-top level)
"BLD",7090,4,2,2,2,1,0)
^9.6411^.34011^26
"BLD",7090,4,2,2,2,1,.03,0)
DATE OF BIRTH
"BLD",7090,4,2,2,2,1,.119,0)
ADDRESS CHANGE SOURCE
"BLD",7090,4,2,2,2,1,.1311,0)
CELLULAR NUMBER CHANGE SOURCE
"BLD",7090,4,2,2,2,1,.1313,0)
PAGER NUMBER CHANGE SOURCE
"BLD",7090,4,2,2,2,1,.1315,0)
CONFIDENTIAL PHONE NUMBER
"BLD",7090,4,2,2,2,1,.137,0)
EMAIL ADDRESS CHANGE SOURCE
"BLD",7090,4,2,2,2,1,.14112,0)
CONFIDENTIAL ADDR CHANGE DT/TM
"BLD",7090,4,2,2,2,1,.152,0)
INELIGIBLE DATE
"BLD",7090,4,2,2,2,1,.21011,0)
K-WORK PHONE NUMBER
"BLD",7090,4,2,2,2,1,.211011,0)
K2-WORK PHONE NUMBER
"BLD",7090,4,2,2,2,1,.211012,0)
SECONDARY NOK CHANGE DATE/TIME
"BLD",7090,4,2,2,2,1,.219,0)
K-PHONE NUMBER
"BLD",7090,4,2,2,2,1,.2199,0)
K2-PHONE NUMBER
"BLD",7090,4,2,2,2,1,.291,0)
DATE RULED INCOMPETENT (VA)
"BLD",7090,4,2,2,2,1,.292,0)
DATE RULED INCOMPETENT (CIVIL)
"BLD",7090,4,2,2,2,1,.3013,0)
P&T EFFECTIVE DATE
"BLD",7090,4,2,2,2,1,.33011,0)
E-WORK PHONE NUMBER
"BLD",7090,4,2,2,2,1,.33012,0)
E-CONTACT CHANGE DATE/TIME
"BLD",7090,4,2,2,2,1,.331011,0)
E2-WORK PHONE NUMBER
"BLD",7090,4,2,2,2,1,.33112,0)
E2-CONTACT CHANGE DATE/TIME
"BLD",7090,4,2,2,2,1,.3319,0)
E2-PHONE NUMBER
"BLD",7090,4,2,2,2,1,.339,0)
E-PHONE NUMBER
"BLD",7090,4,2,2,2,1,.34011,0)
D-WORK PHONE NUMBER
"BLD",7090,4,2,2,2,1,.3412,0)
DESIGNEE CHANGE DATE/TIME
"BLD",7090,4,2,2,2,1,.349,0)
D-PHONE NUMBER
"BLD",7090,4,2,2,2,1,.351,0)
DATE OF DEATH
"BLD",7090,4,2,222)
y^y^p^^^^n^^n
"BLD",7090,4,2,224)
"BLD",7090,4,27.11,0)
27.11
"BLD",7090,4,27.11,2,0)
^9.641^27.11^1
"BLD",7090,4,27.11,2,27.11,0)
PATIENT ENROLLMENT (File-top level)
"BLD",7090,4,27.11,2,27.11,1,0)
^9.6411^.01^1
"BLD",7090,4,27.11,2,27.11,1,.01,0)
ENROLLMENT APPLICATION DATE
"BLD",7090,4,27.11,222)
y^n^p^^^^n^^n
"BLD",7090,4,27.11,224)
"BLD",7090,4,43,0)
43
"BLD",7090,4,43,2,0)
^9.641^43^1
"BLD",7090,4,43,2,43,0)
MAS PARAMETERS (File-top level)
"BLD",7090,4,43,2,43,1,0)
^9.6411^1302^2
"BLD",7090,4,43,2,43,1,1301,0)
AO STA EXP DATE
"BLD",7090,4,43,2,43,1,1302,0)
SWAC STA EXP DATE
"BLD",7090,4,43,222)
y^y^p^^^^n^^n
"BLD",7090,4,43,224)
"BLD",7090,4,391.23,0)
391.23
"BLD",7090,4,391.23,222)
y^y^f^^n^^y^r^n
"BLD",7090,4,408.13,0)
408.13
"BLD",7090,4,408.13,2,0)
^9.641^408.13^1
"BLD",7090,4,408.13,2,408.13,0)
INCOME PERSON (File-top level)
"BLD",7090,4,408.13,2,408.13,1,0)
^9.6411^1.8^8
"BLD",7090,4,408.13,2,408.13,1,1.2,0)
STREET ADDRESS [LINE 1]
"BLD",7090,4,408.13,2,408.13,1,1.3,0)
STREET ADDRESS [LINE 2]
"BLD",7090,4,408.13,2,408.13,1,1.4,0)
STREET ADDRESS [LINE 3]
"BLD",7090,4,408.13,2,408.13,1,1.5,0)
CITY
"BLD",7090,4,408.13,2,408.13,1,1.6,0)
STATE
"BLD",7090,4,408.13,2,408.13,1,1.7,0)
ZIP
"BLD",7090,4,408.13,2,408.13,1,1.8,0)
TELEPHONE NUMBER
"BLD",7090,4,408.13,2,408.13,1,1.9,0)
SPOUSE ADDR LAST DT/TM UPDATED
"BLD",7090,4,408.13,222)
y^y^p^^^^n^^n
"BLD",7090,4,408.13,224)
"BLD",7090,4,"APDD",2,2)
"BLD",7090,4,"APDD",2,2,.03)
"BLD",7090,4,"APDD",2,2,.119)
"BLD",7090,4,"APDD",2,2,.1311)
"BLD",7090,4,"APDD",2,2,.1313)
"BLD",7090,4,"APDD",2,2,.1315)
"BLD",7090,4,"APDD",2,2,.137)
"BLD",7090,4,"APDD",2,2,.14112)
"BLD",7090,4,"APDD",2,2,.152)
"BLD",7090,4,"APDD",2,2,.21011)
"BLD",7090,4,"APDD",2,2,.211011)
"BLD",7090,4,"APDD",2,2,.211012)
"BLD",7090,4,"APDD",2,2,.219)
"BLD",7090,4,"APDD",2,2,.2199)
"BLD",7090,4,"APDD",2,2,.291)
"BLD",7090,4,"APDD",2,2,.292)
"BLD",7090,4,"APDD",2,2,.3013)
"BLD",7090,4,"APDD",2,2,.33011)
"BLD",7090,4,"APDD",2,2,.33012)
"BLD",7090,4,"APDD",2,2,.331011)
"BLD",7090,4,"APDD",2,2,.33112)
"BLD",7090,4,"APDD",2,2,.3319)
"BLD",7090,4,"APDD",2,2,.339)
"BLD",7090,4,"APDD",2,2,.34011)
"BLD",7090,4,"APDD",2,2,.3412)
"BLD",7090,4,"APDD",2,2,.349)
"BLD",7090,4,"APDD",2,2,.351)
"BLD",7090,4,"APDD",27.11,27.11)
"BLD",7090,4,"APDD",27.11,27.11,.01)
"BLD",7090,4,"APDD",43,43)
"BLD",7090,4,"APDD",43,43,1301)
"BLD",7090,4,"APDD",43,43,1302)
"BLD",7090,4,"APDD",408.13,408.13)
"BLD",7090,4,"APDD",408.13,408.13,1.2)
"BLD",7090,4,"APDD",408.13,408.13,1.3)
"BLD",7090,4,"APDD",408.13,408.13,1.4)
"BLD",7090,4,"APDD",408.13,408.13,1.5)
"BLD",7090,4,"APDD",408.13,408.13,1.6)
"BLD",7090,4,"APDD",408.13,408.13,1.7)
"BLD",7090,4,"APDD",408.13,408.13,1.8)
"BLD",7090,4,"APDD",408.13,408.13,1.9)
"BLD",7090,4,"B",2,2)
"BLD",7090,4,"B",27.11,27.11)
"BLD",7090,4,"B",43,43)
"BLD",7090,4,"B",391.23,391.23)
"BLD",7090,4,"B",408.13,408.13)
"BLD",7090,6.3)
46
"BLD",7090,"ABNS",0)
^9.66A^1^1
"BLD",7090,"ABNS",1,0)
DG
"BLD",7090,"ABNS",1,1,0)
^9.661A^^
"BLD",7090,"ABNS","B","DG",1)
"BLD",7090,"ABPKG")
n^n
"BLD",7090,"INI")
EP^DG53754P
"BLD",7090,"INID")
^^n
"BLD",7090,"INIT")
EN^DG53754B
"BLD",7090,"KRN",0)
^9.67PA^8989.52^19
"BLD",7090,"KRN",.4,0)
.4
"BLD",7090,"KRN",.401,0)
.401
"BLD",7090,"KRN",.402,0)
.402
"BLD",7090,"KRN",.403,0)
.403
"BLD",7090,"KRN",.5,0)
.5
"BLD",7090,"KRN",.84,0)
.84
"BLD",7090,"KRN",3.6,0)
3.6
"BLD",7090,"KRN",3.8,0)
3.8
"BLD",7090,"KRN",9.2,0)
9.2
"BLD",7090,"KRN",9.8,0)
9.8
"BLD",7090,"KRN",9.8,"NM",0)
^9.68A^38^36
"BLD",7090,"KRN",9.8,"NM",1,0)
DGENDD^^0^B10373132
"BLD",7090,"KRN",9.8,"NM",2,0)
DGLOCK^^0^B51327037
"BLD",7090,"KRN",9.8,"NM",3,0)
DGRODEBR^^0^B51758161
"BLD",7090,"KRN",9.8,"NM",4,0)
DGROHLR^^0^B17894920
"BLD",7090,"KRN",9.8,"NM",5,0)
DGROHLR1^^0^B36915578
"BLD",7090,"KRN",9.8,"NM",6,0)
DGROHLU^^0^B26960116
"BLD",7090,"KRN",9.8,"NM",7,0)
DGRPC^^0^B27065601
"BLD",7090,"KRN",9.8,"NM",8,0)
DGRPC3^^0^B27710641
"BLD",7090,"KRN",9.8,"NM",9,0)
DGRPCE^^0^B36086453
"BLD",7090,"KRN",9.8,"NM",10,0)
DGRPCE1^^0^B61785296
"BLD",7090,"KRN",9.8,"NM",11,0)
DGRPCF^^0^B24182202
"BLD",7090,"KRN",9.8,"NM",12,0)
VAFHLZRD^^0^B10015130
"BLD",7090,"KRN",9.8,"NM",13,0)
VAFHLZSP^^0^B5338744
"BLD",7090,"KRN",9.8,"NM",14,0)
DGCLEAR^^0^B7082785
"BLD",7090,"KRN",9.8,"NM",15,0)
DGDDDTTM^^0^B5522558
"BLD",7090,"KRN",9.8,"NM",16,0)
DGENPTA^^0^B39663736
"BLD",7090,"KRN",9.8,"NM",17,0)
DGENPTA1^^0^B21277182
"BLD",7090,"KRN",9.8,"NM",18,0)
DGENUPLA^^0^B65304654
"BLD",7090,"KRN",9.8,"NM",19,0)
DGREGTE2^^0^B21234416
"BLD",7090,"KRN",9.8,"NM",20,0)
DGRPCADD^^0^B13888843
"BLD",7090,"KRN",9.8,"NM",23,0)
VAFHLZDP^^0^B8641835
"BLD",7090,"KRN",9.8,"NM",24,0)
VAFHLZEM^^0^B9782974
"BLD",7090,"KRN",9.8,"NM",25,0)
VAFHLIN1^^0^B26305328
"BLD",7090,"KRN",9.8,"NM",26,0)
DG53754P^^0^B126007468
"BLD",7090,"KRN",9.8,"NM",27,0)
DG53754C^^0^B14090704
"BLD",7090,"KRN",9.8,"NM",28,0)
DGENEGT1^^0^B67955645
"BLD",7090,"KRN",9.8,"NM",29,0)
DGENELA4^^0^B68278282
"BLD",7090,"KRN",9.8,"NM",30,0)
DG53754A^^0^B1497395
"BLD",7090,"KRN",9.8,"NM",31,0)
VADPT^^0^B16796389
"BLD",7090,"KRN",9.8,"NM",32,0)
VADPT0^^0^B13592370
"BLD",7090,"KRN",9.8,"NM",33,0)
VADPT1^^0^B44162439
"BLD",7090,"KRN",9.8,"NM",34,0)
VAFCQRY3^^0^B59042687
"BLD",7090,"KRN",9.8,"NM",35,0)
VAFHLZIR^^0^B14809010
"BLD",7090,"KRN",9.8,"NM",36,0)
VAFHLZCT^^0^B9453735
"BLD",7090,"KRN",9.8,"NM",37,0)
DG53754B^^0^B1383730
"BLD",7090,"KRN",9.8,"NM",38,0)
DGRPEIS3^^0^B91146674
"BLD",7090,"KRN",9.8,"NM","B","DG53754A",30)
"BLD",7090,"KRN",9.8,"NM","B","DG53754B",37)
"BLD",7090,"KRN",9.8,"NM","B","DG53754C",27)
"BLD",7090,"KRN",9.8,"NM","B","DG53754P",26)
"BLD",7090,"KRN",9.8,"NM","B","DGCLEAR",14)
"BLD",7090,"KRN",9.8,"NM","B","DGDDDTTM",15)
"BLD",7090,"KRN",9.8,"NM","B","DGENDD",1)
"BLD",7090,"KRN",9.8,"NM","B","DGENEGT1",28)
"BLD",7090,"KRN",9.8,"NM","B","DGENELA4",29)
"BLD",7090,"KRN",9.8,"NM","B","DGENPTA",16)
"BLD",7090,"KRN",9.8,"NM","B","DGENPTA1",17)
"BLD",7090,"KRN",9.8,"NM","B","DGENUPLA",18)
"BLD",7090,"KRN",9.8,"NM","B","DGLOCK",2)
"BLD",7090,"KRN",9.8,"NM","B","DGREGTE2",19)
"BLD",7090,"KRN",9.8,"NM","B","DGRODEBR",3)
"BLD",7090,"KRN",9.8,"NM","B","DGROHLR",4)
"BLD",7090,"KRN",9.8,"NM","B","DGROHLR1",5)
"BLD",7090,"KRN",9.8,"NM","B","DGROHLU",6)
"BLD",7090,"KRN",9.8,"NM","B","DGRPC",7)
"BLD",7090,"KRN",9.8,"NM","B","DGRPC3",8)
"BLD",7090,"KRN",9.8,"NM","B","DGRPCADD",20)
"BLD",7090,"KRN",9.8,"NM","B","DGRPCE",9)
"BLD",7090,"KRN",9.8,"NM","B","DGRPCE1",10)
"BLD",7090,"KRN",9.8,"NM","B","DGRPCF",11)
"BLD",7090,"KRN",9.8,"NM","B","DGRPEIS3",38)
"BLD",7090,"KRN",9.8,"NM","B","VADPT",31)
"BLD",7090,"KRN",9.8,"NM","B","VADPT0",32)
"BLD",7090,"KRN",9.8,"NM","B","VADPT1",33)
"BLD",7090,"KRN",9.8,"NM","B","VAFCQRY3",34)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLIN1",25)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLZCT",36)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLZDP",23)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLZEM",24)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLZIR",35)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLZRD",12)
"BLD",7090,"KRN",9.8,"NM","B","VAFHLZSP",13)
"BLD",7090,"KRN",19,0)
19
"BLD",7090,"KRN",19,"NM",0)
^9.68A^^
"BLD",7090,"KRN",19.1,0)
19.1
"BLD",7090,"KRN",101,0)
101
"BLD",7090,"KRN",409.61,0)
409.61
"BLD",7090,"KRN",771,0)
771
"BLD",7090,"KRN",870,0)
870
"BLD",7090,"KRN",8989.51,0)
8989.51
"BLD",7090,"KRN",8989.52,0)
8989.52
"BLD",7090,"KRN",8994,0)
8994
"BLD",7090,"KRN","B",.4,.4)
"BLD",7090,"KRN","B",.401,.401)
"BLD",7090,"KRN","B",.402,.402)
"BLD",7090,"KRN","B",.403,.403)
"BLD",7090,"KRN","B",.5,.5)
"BLD",7090,"KRN","B",.84,.84)
"BLD",7090,"KRN","B",3.6,3.6)
"BLD",7090,"KRN","B",3.8,3.8)
"BLD",7090,"KRN","B",9.2,9.2)
"BLD",7090,"KRN","B",9.8,9.8)
"BLD",7090,"KRN","B",19,19)
"BLD",7090,"KRN","B",19.1,19.1)
"BLD",7090,"KRN","B",101,101)
"BLD",7090,"KRN","B",409.61,409.61)
"BLD",7090,"KRN","B",771,771)
"BLD",7090,"KRN","B",870,870)
"BLD",7090,"KRN","B",8989.51,8989.51)
"BLD",7090,"KRN","B",8989.52,8989.52)
"BLD",7090,"KRN","B",8994,8994)
"BLD",7090,"QDEF")
^^^^NO^^^^NO^^YES
"BLD",7090,"QUES",0)
^9.62^^
"BLD",7090,"REQB",0)
^9.611^17^15
"BLD",7090,"REQB",1,0)
DG*5.3*733^2
"BLD",7090,"REQB",3,0)
DG*5.3*572^2
"BLD",7090,"REQB",5,0)
DG*5.3*653^2
"BLD",7090,"REQB",6,0)
DG*5.3*144^2
"BLD",7090,"REQB",7,0)
DG*5.3*688^2
"BLD",7090,"REQB",8,0)
DG*5.3*740^2
"BLD",7090,"REQB",9,0)
DG*5.3*803^2
"BLD",7090,"REQB",10,0)
DG*5.3*809^2
"BLD",7090,"REQB",11,0)
DG*5.3*786^2
"BLD",7090,"REQB",12,0)
DG*5.3*707^2
"BLD",7090,"REQB",13,0)
DG*5.3*759^2
"BLD",7090,"REQB",14,0)
DG*5.3*810^2
"BLD",7090,"REQB",15,0)
DG*5.3*804^2
"BLD",7090,"REQB",16,0)
DG*5.3*749^2
"BLD",7090,"REQB",17,0)
IB*2.0*404^2
"BLD",7090,"REQB","B","DG*5.3*144",6)
"BLD",7090,"REQB","B","DG*5.3*572",3)
"BLD",7090,"REQB","B","DG*5.3*653",5)
"BLD",7090,"REQB","B","DG*5.3*688",7)
"BLD",7090,"REQB","B","DG*5.3*707",12)
"BLD",7090,"REQB","B","DG*5.3*733",1)
"BLD",7090,"REQB","B","DG*5.3*740",8)
"BLD",7090,"REQB","B","DG*5.3*749",16)
"BLD",7090,"REQB","B","DG*5.3*759",13)
"BLD",7090,"REQB","B","DG*5.3*786",11)
"BLD",7090,"REQB","B","DG*5.3*803",9)
"BLD",7090,"REQB","B","DG*5.3*804",15)
"BLD",7090,"REQB","B","DG*5.3*809",10)
"BLD",7090,"REQB","B","DG*5.3*810",14)
"BLD",7090,"REQB","B","IB*2.0*404",17)
"DATA",391.23,1,0)
OCCUPATION^2^.07^OCCUPATION^0^I
"DATA",391.23,2,0)
STREET ADDRESS [LINE 1]^2^.111^STREET ADDRESS [Line 1]^1^I
"DATA",391.23,3,0)
ZIP+4^2^.1112^ZIP + 4^1^I
"DATA",391.23,4,0)
STREET ADDRESS [LINE 2]^2^.112^STREET ADDRESS [Line 2]^1^I
"DATA",391.23,5,0)
STREET ADDRESS [LINE 3]^2^.113^STREET ADDRESS [Line 3]^1^I
"DATA",391.23,6,0)
CITY^2^.114^CITY^1^I
"DATA",391.23,7,0)
STATE^2^.115^STATE^1^C
"DATA",391.23,8,0)
ZIP CODE^2^.116^ZIP CODE^1^I
"DATA",391.23,9,0)
COUNTY^2^.117^VA COUNTY CODE^1^I
"DATA",391.23,10,0)
ADDRESS CHANGE DT/TM^2^.118^ADDRESS CHANGE DT/TM^1^I
"DATA",391.23,11,0)
ADDRESS CHANGE SOURCE^2^.119^ADDRESS CHANGE SOURCE^1^I
"DATA",391.23,12,0)
ADDRESS CHANGE SITE^2^.12^ADDRESS CHANGE SITE^1^I
"DATA",391.23,13,0)
TEMPORARY ADDRESS ACTIVE?^2^.12105^TEMPORARY ADDRESS ACTIVE? (ZTA^0^C
"DATA",391.23,14,0)
TEMPORARY STREET [LINE 1]^2^.1211^TEMPORARY STREET [Line 1] (ZTA^0^I
"DATA",391.23,15,0)
TEMPORARY ADDRESS COUNTY^2^.12111^TEMPORARY ADDRESS COUNTY (ZTA ^0^I
"DATA",391.23,16,0)
TEMPORARY ZIP+4^2^.12112^TEMPORARY ZIP+4 (ZTA not retur^0^I
"DATA",391.23,17,0)
TEMPORARY STREET [LINE 2]^2^.1212^TEMPORARY STREET [Line 2] (ZTA^0^I
"DATA",391.23,18,0)
TEMPORARY STREET [LINE 3]^2^.1213^TEMPORARY STREET [Line 3] (ZTA^0^I
"DATA",391.23,19,0)
TEMPORARY CITY^2^.1214^TEMPORARY CITY (ZTA not return^0^I
"DATA",391.23,20,0)
TEMPORARY STATE^2^.1215^TEMPORARY STATE (ZTA not retur^0^E
"DATA",391.23,21,0)
TEMPORARY ZIP CODE^2^.1216^TEMPORARY ZIP CODE (ZTA not re^0^I
"DATA",391.23,22,0)
TEMPORARY ADDRESS START DATE^2^.1217^TEMPORARY ADDRESS START DATE (^0^E
"DATA",391.23,23,0)
TEMPORARY ADDRESS END DATE^2^.1218^TEMPORARY ADDRESS END DATE (ZT^0^I
"DATA",391.23,24,0)
TEMPORARY PHONE NUMBER^2^.1219^TEMPORARY PHONE NUMBER (ZTA no^0^I
"DATA",391.23,25,0)
PHONE NUMBER [RESIDENCE]^2^.131^PHONE NUMBER RESIDENCE ^1^I
"DATA",391.23,26,0)
PHONE NUMBER [WORK]^2^.132^PHONE NUMBER WORK ^0^I
"DATA",391.23,27,0)
CONFIDENTIAL ADDRESS CATEGORY^2.141^.01^CONFIDENTIAL ADDRESS CATEGORY^0^Q
"DATA",391.23,28,0)
CONFIDENTIAL ADDRESS ACTIVE?^2^.14105^CONFIDENTIAL ADDRESS ACTIVE (Y^0^C
"DATA",391.23,29,0)
CONFIDENTIAL STREET [LINE 1]^2^.1411^CONFIDENTIAL ADDRESS LINE 1^0^I
"DATA",391.23,30,0)
CONFIDENTIAL ADDRESS COUNTY^2^.14111^CONFIDENTIAL ADDRESS COUNTY^0^I
"DATA",391.23,31,0)
CONFIDENTIAL STREET [LINE 2]^2^.1412^CONFIDENTIAL ADDRESS LINE 2^0^I
"DATA",391.23,32,0)
CONFIDENTIAL STREET [LINE 3]^2^.1413^CONFIDENTIAL ADDRESS LINE 3^0^I
"DATA",391.23,33,0)
CONFIDENTIAL ADDRESS CITY^2^.1414^CONFIDENTIAL CITY^0^I
"DATA",391.23,34,0)
CONFIDENTIAL ADDRESS STATE^2^.1415^CONFIDENTIAL STATE^0^E
"DATA",391.23,35,0)
CONFIDENTIAL ADDRESS ZIP CODE^2^.1416^CONFIDENTIAL ZIP^0^I
"DATA",391.23,36,0)
CONFIDENTIAL START DATE^2^.1417^CONFIDENTIAL ADDRESS START DAT^0^D
"DATA",391.23,37,0)
CONFIDENTIAL END DATE^2^.1418^CONFIDENTIAL ADDRESS END DATE^0^I
"DATA",391.23,38,0)
K-WORK PHONE NUMBER^2^.21011^Business Phone Number (NK1) (N^0^I
"DATA",391.23,39,0)
K-NAME OF PRIMARY NOK^2^.211^Name (NK1) (Not returned to Vi^0^C
"DATA",391.23,40,0)
K2-WORK PHONE NUMBER^2^.211011^Business Phone Number (NK2) (N^0^I
"DATA",391.23,41,0)
K-RELATIONSHIP TO PATIENT^2^.212^Relationship (NK1) (Not return^0^I
"DATA",391.23,42,0)
K-STREET ADDRESS [LINE 1]^2^.213^STREET ADDRESS [LINE 1] (NK1) ^0^I
"DATA",391.23,43,0)
K-STREET ADDRESS [LINE 2]^2^.214^STREET ADDRESS [LINE 2] (NK1) ^0^I
"DATA",391.23,44,0)
K-STREET ADDRESS [LINE 3]^2^.215^STREET ADDRESS [LINE 3] (NK1) ^0^I
"DATA",391.23,45,0)
K-CITY^2^.216^CITY (NK1) (Not returned to Vi^0^I
"DATA",391.23,46,0)
K-STATE^2^.217^STATE (NK1) (Not returned to V^0^I
"DATA",391.23,47,0)
K-ZIP CODE^2^.218^ZIP (NK1) (Not returned to Vis^0^I
"DATA",391.23,48,0)
K-PHONE NUMBER^2^.219^Phone Number (NK1) (Not return^0^I
"DATA",391.23,49,0)
K2-NAME OF SECONDARY NOK^2^.2191^Name (NK2) (Not returned to Vi^0^E
"DATA",391.23,50,0)
K2-RELATIONSHIP TO PATIENT^2^.2192^Relationship (NK2) (Not return^0^I
"DATA",391.23,51,0)
K2-STREET ADDRESS [LINE 1]^2^.2193^STREET ADDRESS [LINE 1] (NK2) ^0^I
"DATA",391.23,52,0)
K2-STREET ADDRESS [LINE 2]^2^.2194^STREET ADDRESS [LINE 2] (NK2) ^0^I
"DATA",391.23,53,0)
K2-STREET ADDRESS [LINE 3]^2^.2195^STREET ADDRESS [LINE 3] (NK2) ^0^I
"DATA",391.23,54,0)
K2-CITY^2^.2196^CITY (NK2) (Not returned to Vi^0^I
"DATA",391.23,55,0)
K2-STATE^2^.2197^STATE (NK2) (Not returned to V^0^I
"DATA",391.23,56,0)
K2-ZIP CODE^2^.2198^ZIP (NK2) (Not returned to Vis^0^I
"DATA",391.23,57,0)
K2-PHONE NUMBER^2^.2199^Phone Number (NK2) (Not return^0^I
"DATA",391.23,58,0)
EMPLOYER ZIP+4^2^.2205^EMPLOYER ZIP+4^0^I
"DATA",391.23,59,0)
SPOUSE'S EMP ZIP+4^2^.2206^SPOUSE'S EMP ZIP+4^0^I
"DATA",391.23,60,0)
SPOUSE'S EMPLOYER NAME^2^.251^SPOUSE'S EMPLOYER NAME^0^E
"DATA",391.23,61,0)
SPOUSE'S OCCUPATION^2^.2514^SPOUSE'S OCCUPATION^0^I
"DATA",391.23,62,0)
SPOUSE'S EMPLOYMENT STATUS^2^.2515^SPOUSE'S EMPLOYMENT STATUS^0^I
"DATA",391.23,63,0)
SPOUSE'S EMP STREET [LINE 1]^2^.252^SPOUSE'S EMP STREET [LINE 1]^0^I
"DATA",391.23,64,0)
SPOUSE'S EMP STREET [LINE 2]^2^.253^SPOUSE'S EMP STREET [LINE 2]^0^I
"DATA",391.23,65,0)
SPOUSE'S EMP STREET [LINE 3]^2^.254^SPOUSE'S EMP STREET [LINE 3]^0^I
"DATA",391.23,66,0)
SPOUSE'S EMPLOYER'S CITY^2^.255^SPOUSE'S EMPLOYER'S CITY^0^I
"DATA",391.23,67,0)
SPOUSE'S EMPLOYER'S STATE^2^.256^SPOUSE'S EMPLOYER'S STATE^0^I
"DATA",391.23,68,0)
SPOUSE'S EMP PHONE NUMBER^2^.258^SPOUSE'S EMP PHONE NUMBER^0^I
"DATA",391.23,69,0)
EMPLOYER NAME^2^.3111^EMPLOYER NAME^0^E
"DATA",391.23,70,0)
EMPLOYMENT STATUS^2^.31115^EMPLOYMENT STATUS^0^C
"DATA",391.23,71,0)
EMPLOYER STREET [LINE 1]^2^.3113^EMPLOYER STREET LINE 1^0^I
"DATA",391.23,72,0)
EMPLOYER STREET [LINE 2]^2^.3114^EMPLOYER STREET LINE 2^0^I
"DATA",391.23,73,0)
EMPLOYER STREET [LINE 3]^2^.3115^EMPLOYER STREET LINE 3^0^I
"DATA",391.23,74,0)
EMPLOYER CITY^2^.3116^EMPLOYER CITY^0^I
"DATA",391.23,75,0)
EMPLOYER STATE^2^.3117^EMPLOYER STATE^0^I
"DATA",391.23,76,0)
EMPLOYER PHONE NUMBER^2^.3119^EMPLOYER PHONE^0^I
"DATA",391.23,77,0)
VIETNAM FROM DATE^2^.32104^VIETNAM FROM DATE^0^I
"DATA",391.23,78,0)
VIETNAM TO DATE^2^.32105^VIETNAM TO DATE^0^I
"DATA",391.23,79,0)
AGENT ORANGE REGISTRATION DATE^2^.32107^AGENT ORANGE REGISTRATION DATE^0^I
"DATA",391.23,80,0)
AGENT ORANGE EXAM DATE^2^.32109^AGENT ORANGE EXAM DATE^0^I
"DATA",391.23,81,0)
AGENT ORANGE REGISTRATION #^2^.3211^ AGENT ORANGE REGISTRATION #^0^I
"DATA",391.23,82,0)
RADIATION REGISTRATION DATE^2^.32111^RADIATION REGISTRATION DATE^0^I
"DATA",391.23,83,0)
RADIATION EXPOSURE METHOD^2^.3212^RADIATION EXPOSURE METHOD^1^I
"DATA",391.23,84,0)
PERSIAN GULF SERVICE?^2^.32201^PERSIAN GULF SERVICE?^0^C
"DATA",391.23,85,0)
PERSIAN GULF FROM DATE^2^.322011^PERSIAN GULF FROM DATE^0^E
"DATA",391.23,86,0)
PERSIAN GULF TO DATE^2^.322012^PERSIAN GULF TO DATE^0^I
"DATA",391.23,87,0)
SOMALIA SERVICE INDICATED?^2^.322016^SOMALIA SERVICE INDICATED?^0^C
"DATA",391.23,88,0)
SOMALIA FROM DATE^2^.322017^SOMALIA FROM DATE^0^E
"DATA",391.23,89,0)
SOMALIA TO DATE^2^.322018^SOMALIA TO DATE^0^I
"DATA",391.23,90,0)
YUGOSLAVIA SERVICE INDICATED?^2^.322019^YUGOSLAVIA SERVICE INDICATED?^0^C
"DATA",391.23,91,0)
YUGOSLAVIA FROM DATE^2^.32202^YUGOSLAVIA FROM DATE^0^E
"DATA",391.23,92,0)
YUGOSLAVIA TO DATE^2^.322021^YUGOSLAVIA TO DATE^0^I
"DATA",391.23,93,0)
LEBANON SERVICE INDICATED?^2^.3221^LEBANON SERVICE INDICATED?^0^C
"DATA",391.23,94,0)
LEBANON FROM DATE^2^.3222^LEBANON FROM DATE^0^E
"DATA",391.23,95,0)
LEBANON TO DATE^2^.3223^LEBANON TO DATE^0^I
"DATA",391.23,96,0)
GRENADA SERVICE INDICATED?^2^.3224^GRENADA SERVICE INDICATED?^0^C
"DATA",391.23,97,0)
GRENADA FROM DATE^2^.3225^GRENADA FROM DATE^0^E
"DATA",391.23,98,0)
GRENADA TO DATE^2^.3226^GRENADA TO DATE^0^I
"DATA",391.23,99,0)
PANAMA SERVICE INDICATED?^2^.3227^PANAMA SERVICE INDICATED?^0^C
"DATA",391.23,100,0)
PANAMA FROM DATE^2^.3228^PANAMA FROM DATE^0^E
"DATA",391.23,101,0)
PANAMA TO DATE^2^.3229^PANAMA TO DATE^0^I
"DATA",391.23,102,0)
SERVICE DISCHARGE TYPE [LAST]^2^.324^SERVICE DISCHARGE TYPE [LAST]^0^I
"DATA",391.23,103,0)
SERVICE BRANCH [LAST]^2^.325^SERVICE BRANCH [LAST]^0^I
"DATA",391.23,104,0)
SERVICE ENTRY DATE [LAST]^2^.326^SERVICE ENTRY DATE [LAST]^0^E
"DATA",391.23,105,0)
SERVICE SEPARATION DATE [LAST]^2^.327^SERVICE SEPARATION DATE [LAST]^0^I
"DATA",391.23,106,0)
SERVICE NUMBER [LAST]^2^.328^SERVICE NUMBER [LAST]^0^I
"DATA",391.23,107,0)
SERVICE SECOND EPISODE?^2^.3285^SERVICE SECOND EPISODE?^0^C
"DATA",391.23,108,0)
SERVICE DISCHARGE TYPE [NTL]^2^.329^SERVICE DISCHARGE TYPE [NTL]^0^I
"DATA",391.23,109,0)
SERVICE BRANCH [NTL]^2^.3291^SERVICE BRANCH [NTL]^0^I
"DATA",391.23,110,0)
SERVICE ENTRY DATE [NTL]^2^.3292^SERVICE ENTRY DATE [NTL]^0^H
"DATA",391.23,111,0)
SERVICE SEPARATION DATE [NTL]^2^.3293^SERVICE SEPARATION DATE [NTL]^0^I
"DATA",391.23,112,0)
SERVICE NUMBER [NTL]^2^.3294^SERVICE NUMBER [NTL]^0^I
"DATA",391.23,113,0)
SERVICE THIRD EPISODE?^2^.32945^SERVICE THIRD EPISODE?^0^E
"DATA",391.23,114,0)
SERVICE DISCHARGE TYPE [NNTL]^2^.3295^SERVICE DISCHARGE TYPE [NNTL]^0^I
"DATA",391.23,115,0)
SERVICE BRANCH [NNTL]^2^.3296^SERVICE BRANCH [NNTL]^0^I
"DATA",391.23,116,0)
SERVICE ENTRY DATE [NNTL]^2^.3297^SERVICE ENTRY DATE [NNTL]^0^I
"DATA",391.23,117,0)
SERVICE SEPARATION DATE [NNTL]^2^.3298^SERVICE SEPARATION DATE [NNTL]^0^I
"DATA",391.23,118,0)
SERVICE NUMBER [NNTL]^2^.3299^SERVICE NUMBER [NNTL]^0^I
"DATA",391.23,119,0)
E-WORK PHONE NUMBER^2^.33011^Business Phone Number (EC1) (N^0^I
"DATA",391.23,120,0)
E-NAME^2^.331^Name (EC1) (Not returned to Vi^0^C
"DATA",391.23,121,0)
E2-WORK PHONE NUMBER^2^.331011^Business Phone Number (EC2) (N^0^I
"DATA",391.23,122,0)
E2-NAME OF SECONDARY CONTACT^2^.3311^Name (EC2) (Not returned to Vi^0^E
"DATA",391.23,123,0)
E2-RELATIONSHIP TO PATIENT^2^.3312^Relationship (EC2)(Not returne^0^I
"DATA",391.23,124,0)
E2-STREET ADDRESS [LINE 1]^2^.3313^STREET ADDRESS [LINE 1] (EC2) ^0^I
"DATA",391.23,125,0)
E2-STREET ADDRESS [LINE 2]^2^.3314^STREET ADDRESS [LINE 2] (EC2) ^0^I
"DATA",391.23,126,0)
E2-STREET ADDRESS [LINE 3]^2^.3315^STREET ADDRESS [LINE 3] (EC2) ^0^I
"DATA",391.23,127,0)
E2-CITY^2^.3316^CITY (EC2) (Not returned to Vi^0^I
"DATA",391.23,128,0)
E2-STATE^2^.3317^STATE (EC2) (Not returned to V^0^I
"DATA",391.23,129,0)
E2-ZIP CODE^2^.3318^ZIP (EC2) (Not returned to Vis^0^I
"DATA",391.23,130,0)
E2-PHONE NUMBER^2^.3319^Phone Number (EC2) (Not return^0^I
"DATA",391.23,131,0)
E-RELATIONSHIP TO PATIENT^2^.332^Relationship (EC1) (Not return^0^I
"DATA",391.23,132,0)
E-STREET ADDRESS [LINE 1]^2^.333^STREET ADDRESS [LINE 1] (EC1) ^0^I
"DATA",391.23,133,0)
E-STREET ADDRESS [LINE 2]^2^.334^STREET ADDRESS [LINE 2] (EC1) ^0^I
"DATA",391.23,134,0)
E-STREET ADDRESS [LINE 3]^2^.335^STREET ADDRESS [LINE 3] (EC1) ^0^I
"DATA",391.23,135,0)
E-CITY^2^.336^CITY (EC1) (Not returned to Vi^0^I
"DATA",391.23,136,0)
E-STATE^2^.337^STATE (EC1) (Not returned to V^0^I
"DATA",391.23,137,0)
E-ZIP CODE^2^.338^ZIP (EC1) (Not returned to Vis^0^I
"DATA",391.23,138,0)
E-PHONE NUMBER^2^.339^Phone Number (EC1) (Not return^0^I
"DATA",391.23,139,0)
D-WORK PHONE NUMBER^2^.34011^Business Phone Number (DESIG) ^0^I
"DATA",391.23,140,0)
D-NAME OF DESIGNEE^2^.341^Name (DESIG) (Not returned to ^0^C
"DATA",391.23,141,0)
D-RELATIONSHIP TO PATIENT^2^.342^Relationship (DESIG) (Not retu^0^I
"DATA",391.23,142,0)
D-STREET ADDRESS [LINE 1]^2^.343^STREET ADDRESS [LINE 1] (DESIG^0^I
"DATA",391.23,143,0)
D-STREET ADDRESS [LINE 2]^2^.344^STREET ADDRESS [LINE 2] (DESIG^0^I
"DATA",391.23,144,0)
D-STREET ADDRESS [LINE 3]^2^.345^STREET ADDRESS [LINE 3] (DESIG^0^I
"DATA",391.23,145,0)
D-CITY^2^.346^CITY (DESIG) (Not returned to ^0^I
"DATA",391.23,146,0)
D-STATE^2^.347^STATE (DESIG) (Not returned to^0^I
"DATA",391.23,147,0)
D-ZIP CODE^2^.348^ZIP (DESIG) (Not returned to V^0^I
"DATA",391.23,148,0)
D-PHONE NUMBER^2^.349^Phone Number (DESIG) (Not retu^0^I
"DATA",391.23,149,0)
DATE OF DEATH^2^.351^DATE OF DEATH^0^I
"DATA",391.23,150,0)
POW CONFINEMENT LOCATION^2^.526^POW LOCATION^1^I
"DATA",391.23,151,0)
POW FROM DATE^2^.527^POW FROM DATE^1^I
"DATA",391.23,152,0)
POW TO DATE^2^.528^POW TO DATE^1^I
"DATA",391.23,153,0)
COMBAT SERVICE INDICATED?^2^.5291^COMBAT SERVICE INDICATED?^0^C
"DATA",391.23,154,0)
COMBAT SERVICE LOCATION^2^.5292^COMBAT SERVICE LOCATION^0^I
"DATA",391.23,155,0)
COMBAT FROM DATE^2^.5293^COMBAT FROM DATE^0^I
"DATA",391.23,156,0)
COMBAT TO DATE^2^.5294^COMBAT TO DATE^0^I
"DATA",391.23,157,0)
LAST EDITED BY^2^.355^^^I
"DATA",391.23,158,0)
ALIAS^2.01^.01^ALIAS^1^K
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ALIAS SSN^2.01^1^ALIAS SSN ^1^K
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SPONSOR^355.8^.01^SPONSOR NAME^0^i
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MILITARY STATUS^355.8^.02^SPONSOR MILITARY STATUS^0^i
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BRANCH^355.8^.03^SPONSOR BRANCH OF SERVICE^0^i
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RANK^355.8^.04^SPONSOR RANK^0^i
"DATA",391.23,164,0)
FAMILY PREFIX^355.81^.03^SPONSOR PREFIX^0^m
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SPONSOR TYPE^355.81^.04^SPONSOR TYPE^0^m
"DATA",391.23,166,0)
EFFECTIVE DATE^355.81^.05^SPONSOR EFFECTIVE DATE^0^m
"DATA",391.23,167,0)
EXPIRATION DATE^355.81^.06^SPONSOR EXPIRATION DATE^0^m
"DATA",391.23,168,0)
DATE OF BIRTH^355.82^.02^SPONSOR SOCIAL SECURITY NUMBER^0^p
"DATA",391.23,169,0)
MARRIED THIS YEAR^408.22^.14^Married this year^0^s
"DATA",391.23,170,0)
LIVING WITH PATIENT^408.22^.15^Living with Patient^0^s
"DATA",391.23,171,0)
BAD ADDRESS INDICATOR^2^.121^BAD ADDRESS INDICATOR^1^I
"DATA",391.23,172,0)
NAME^38.1^.01^NAME Pointer to Patient File^0^f
"DATA",391.23,173,0)
SECURITY LEVEL^38.1^2^SECURITY LEVEL SENS PATIENT^0^f
"DATA",391.23,174,0)
SPONSOR PERSON NAME^355.82^.01^NAME^0^p
"DATA",391.23,175,0)
SOCIAL SECURITY NUMBER^355.82^.03^SPONSOR SOCIAL SECURITY NUMBER^0^p
"DATA",391.23,176,0)
RACE^2.02^.01^RACE MULTIPLE SUB-FILE^^M
"DATA",391.23,177,0)
ETHNICITY^2.06^.01^ETHNICITY INFORMATION^^O
"DATA",391.23,178,0)
ETHNICITY METHOD OF COLLECTION^2.06^.02^ETHNICITY METHOD OF COLLECTION^^O
"DATA",391.23,179,0)
RACE METHOD OF COLLECTION^2.02^.02^RACE METHOD OF COLLECTION^^M
"DATA",391.23,180,0)
CONFIDENTIAL CATEGORY ACTIVE^2.141^1^CONFIDENTIAL CATEGORY ACTIVE^^Q
"DATA",391.23,181,0)
VIETNAM SERVICE INDICATED?^2^.32101^VIETNAM SERVICE INDICATED?^^C
"DATA",391.23,182,0)
DEATH ENTERED BY^2^.352^DEATH ENTERED BY^^I
"DATA",391.23,183,0)
SOURCE OF NOTIFICATION^2^.353^SOURCE OF NOTIFICATION^^I
"DATA",391.23,184,0)
DATE OF DEATH LAST UPDATED^2^.354^DATE OF DEATH LAST UPDATED^^I
"DATA",391.23,185,0)
POW STATUS INDICATED?^2^.525^POW STATUS INDICATED?^1^I
"DATA",391.23,186,0)
AGENT ORANGE EXPOS. INDICATED?^2^.32102^AGENT ORANGE EXPOS. INDICATED?^^C
"DATA",391.23,187,0)
RADIATION EXPOSURE INDICATED?^2^.32103^RADIATION EXPOSURE INDICATED?^^C
"DATA",391.23,188,0)
AGENT ORANGE EXPOSURE LOCATION^2^.3213^AGENT ORANGE EXPOSURE LOCATION^1^I
"DATA",391.23,189,0)
MARITAL STATUS^2^.05^MARITAL STATUS^0^C
"DATA",391.23,190,0)
PERIOD OF SERVICE^2^.323^^^I
"DATA",391.23,191,0)
PRIMARY ELIGIBILITY CODE^2^.361^PEC for Veteran^0^C
"DATA",391.23,192,0)
TEMPORARY POSTAL CODE^2^.1222^^^I
"DATA",391.23,193,0)
TEMPORARY PROVINCE^2^.1221^TEMPORARY PROVINCE^^I
"DATA",391.23,194,0)
TEMPORARY COUNTRY^2^.1223^TEMPORARY COUNTRY^^I
"DATA",391.23,195,0)
CONFIDENTIAL POSTAL CODE^2^.14115^CONFIDENTIAL POSTAL CODE^^I
"DATA",391.23,196,0)
CONFIDENTIAL PROVINCE^2^.14114^CONFIDENTIAL PROVINCE^^I
"DATA",391.23,197,0)
CONFIDENTIAL COUNTRY^2^.14116^CONFIDENTIAL COUNTRY^^I
"DATA",391.23,201,0)
DATE OF RETIREMENT^2^.31116^RETIRED DATE (SPOUSE)^^I
"DATA",391.23,202,0)
SPOUSE'S RETIREMENT DATE^2^.2516^RETIREMENT DATE (SPOUSE)^^I
"DATA",391.23,203,0)
FILIPINO VETERAN PROOF^2^.3214^FILIPINO VETERAN PROOF^^I
"DATA",391.23,204,0)
SERVICE COMPONENT [LAST]^2^.32911^SERVICE COMPONENT (LAST)^^I
"DATA",391.23,205,0)
SERVICE COMPONENT [NTL]^2^.32912^SERVICE COMPONENT [NTL]^^I
"DATA",391.23,206,0)
SERVICE COMPONENT [NNTL]^2^.32913^SERVICE COMPONENT [NNTL]^^I
"DATA",391.23,207,0)
SOUTHWEST ASIA CONDITIONS^2^.322013^SOUTHWEST ASIA CONDITIONS^^I
"DATA",391.23,208,0)
SW ASIA COND REGISTRATION DATE^2^.322014^SW ASIA COND REGISTRATION DATE^^I
"DATA",391.23,209,0)
SW ASIA COND EXAM DATE^2^.322015^SW ASIA COND EXAM DATE^^I
"DATA",391.23,221,0)
PLACE OF BIRTH [CITY]^2^.092^PLACE OF BIRTH [CITY]^^I
"DATA",391.23,222,0)
PLACE OF BIRTH [STATE]^2^.093^PLACE OF BIRTH [STATE]^^I
"DATA",391.23,223,0)
MOTHER'S NAME^2^.2402^MOTHERS NAME^^I
"DATA",391.23,224,0)
MOTHER'S MAIDEN NAME^2^.2403^MOTHERS MAIDEN NAME^^I
"DATA",391.23,225,0)
MOST RECENT DATE OF CARE^2^1010.151^MOST RECENT DATE OF CARE^^I
"DATA",391.23,226,0)
MOST RECENT LOCATION OF CARE^2^1010.152^MOST RECENT LOCATION OF CARE^^I
"DATA",391.23,227,0)
2ND MOST RECENT DATE OF CARE^2^1010.153^2ND MOST RECENT DATE OF CARE^^I
"DATA",391.23,228,0)
2ND MOST RECENT LOCATION^2^1010.154^2ND MOST RECENT LOCATION^^I
"DATA",391.23,229,0)
SC AWARD DATE^2^.3012^SC AWARD DATE^^I
"DATA",391.23,230,0)
DATE RULED INCOMPETENT (CIVIL)^2^.292^DATE RULED INCOMPETENT (CIVIL)^^I
"DATA",391.23,231,0)
GI INSURANCE POLICY?^2^.36265^GI INSURANCE POLICY^^I
"DATA",391.23,232,0)
AMOUNT OF GI INSURANCE^2^.3626^AMOUNT OF GI INSURANCE^^I
"DATA",391.23,233,0)
INELIGIBLE TWX STATE^2^.1654^INELIGIBLE TWX STATE^0^I
"DATA",391.23,234,0)
INELIGIBLE VARO DECISION^2^.1656^INELIGIBLE VARO DECISION^^I
"DATA",391.23,235,0)
RELIGIOUS PREFERENCE^2^.08^RELIGIOUS PREFERENCE^^I
"DATA",391.23,236,0)
FATHER'S NAME^2^.2401^RELIGIOUS PREFERENCE^^I
"DATA",391.23,244,0)
SERVICE DENTAL INJURY?^2^.368^SERVICE DENTAL INJURY^^I
"DATA",391.23,245,0)
SERVICE TEETH EXTRACTED?^2^.369^SERVICE TEETH EXTRACTED^^I
"DATA",391.23,246,0)
DATE OF DENTAL TREATMENT^2.11^.01^DENTAL TRMT MULTIPLE SUB-FILE^^S
"DATA",391.23,247,0)
RATED INCOMPETENT (Y/N)^2^.293^RATED INCOMPETENT^^I
"DATA",391.23,248,0)
INELIGIBLE TWX CITY^2^.1653^INELIGIBLE TWX CITY^0^I
"DATA",391.23,249,0)
SPINAL CORD INJURY^2^57.4^SPINAL CORD INJURY^^I
"DATA",391.23,250,0)
TEMPORARY ADDRESS CHANGE DT/TM^2^.12113^TEMPORARY ADDR CHANGE DT/TM^^I
"DATA",391.23,251,0)
TEMPORARY ADDR CHANGE SITE^2^.12114^TEMPORARY ADDR CHANGE SITE^^I
"DATA",391.23,252,0)
CONFIDENTIAL ADDR CHANGE DT/TM^2^.14112^CONFIDENTIAL ADDR CHANGE DT/TM^^I