Full Schema Crosswalk

336 field mappings total. Click any row for details.
★ 0 bookmarked
Concept / Description Match Domain DD2795 Field DD2795 Description DD2796 Field DD2796 Description ANAM Field ANAM Description DD2900 Field DD2900 Desc Values / Format
★ DoD/EDIPI ID (Primary Join Key) Primary Join Key IDENTITY DODID DoD ID number (formerly EDIPI) DODID DoD ID number (formerly EDIPI) DOD_id DoD ID number DODID DoD ID number (formerly EDIPI) 9999999999
★ Last Name Exact Match (all same field name) augmented DEMOGRAPHICS LNAME Last Name LNAME Last Name sub_tbdFirstName [Demographics] First name of individual LNAME Last Name Text Field
★ First Name Exact Match (all same field name) augmented DEMOGRAPHICS FNAME First Name FNAME First Name sub_tbdFirstName [Demographics] First name of individual FNAME First Name Text Field
★ Middle Initial Exact Match (all same field name) augmented DEMOGRAPHICS MI Middle Initial MI Middle Initial sub_tbdMiddleName [Demographics] Middle Initial/name of individual (previously MI Middle Initial Text Field
★ Date of Birth Exact Match (all same field name) augmented DEMOGRAPHICS DOB Date of Birth DOB Date of Birth sub_tbdDOB [Demographics] Date of birth DOB Date of Birth YYYYMMDD
★ Sex / Gender Semantic Match – All 3 Schemas DEMOGRAPHICS SEX Sex SEX Sex sub Sex SEX Sex M=Male, F=Female
★ Pay Grade / Rank Semantic Match – All 3 Schemas DEMOGRAPHICS GRADE Pay Grade GRADE Pay Grade sub tbdPayGrade GRADE Pay Grade E01=E1, E02=E2, E03=E3, E04=E4, E05=E5,
★ Military Service Branch Semantic Match – All 3 Schemas DEPLOYMENT FORM_SERVICE Service Branch FORM_SERVICE Service Branch Service Most reliable source of Service Member's Branch FORM_SERVICE Service Branch F=Air Force, A=Army, N=Navy, M=Marine Co
★ Reserve/Guard/Active Component Exact Match (all same field name) DEPLOYMENT FORM_COMPONENT Component FORM_COMPONENT Component FORM_COMPONENT Component A=Active Duty, N=National Guard, R=Reser
★ Unit Name Exact Match (all same field name) augmented DEMOGRAPHICS UNIT_NAME Unit Name UNIT_NAME Unit Name sub_tbdUIC [Demographics] Unit Identification Code (Home UIC) UNIT_NAME Unit Name Text Field
★ Unit Location Exact Match (all same field name) augmented DEMOGRAPHICS UNIT_LOC Duty Station/Location UNIT_LOC Duty Station/Location sub_tbdOperation [Demographics] Military operation UNIT_LOC Duty Station/Location Text Field
★ Phone Number Semantic Match – All 3 Schemas DEMOGRAPHICS PHONE Current Phone PHONE Current Phone sub tbdPhone1 PHONE Current Phone Text Field
★ Assessment/Event Date Semantic Match – All 3 Schemas DEPLOYMENT D_EVENT Today's Date (date on form) D_EVENT Today's Date (date on form) Overall_assessment_date Date of last completed module in an assessment session (incl D_EVENT Today's Date (date on form) YYYYMMDD
★ Post-Deployment Arrival Date Semantic Match – DD2796 & ANAM DEPLOYMENT D_ARRIVAL Date arrived theater Overall_assessment_date Date of last completed module in an assessment session (incl YYYYMMDD
★ Operation Name Semantic Match – All 3 Schemas DEPLOYMENT OPERATION_NAME Name of Operation OPERATION_NAME sub tbdOperation Text Field
★ Country of Deployment Semantic Match – DD2795 & DD2796 augmented DEPLOYMENT COUNTRY Country COUNTRY1 Country 1 sub_tbdOperation [Demographics] Military operation Text Field
★ PCL-C / PTSD Screen – Total Severity Score Semantic Match – All 3 Schemas MENTAL_HEALTH PCLC_SCORE If yes, deployer’s responses to questions 11f. through 11v. PCLC_SCORE If yes, deployer’s responses to questions 16f. through 16v. pcc_PCLSum [Post-Traumatic Stress Assessment] Total severity across all PCLC_SCORE If yes, deployer’s responses to questions 13f. thr 0-99, X=not answered or incomplete, blan
★ PCL-C / Post-Traumatic Stress – Symptom Cluster Q1-5 Semantic Match – All 3 Schemas MENTAL_HEALTH PCLC_MATRIX PTSD Intervention Matrix, Self-Reported Level of Functioning PCLC_MATRIX PTSD Intervention Matrix, Self-Reported Level of Functioning pcc_Set1 [Post-Traumatic Stress Assessment] Number of items rated 3 o PCLC_MATRIX PTSD Intervention Matrix, Self-Reported Level of F 1 - Not difficult at all or somewhat dif
★ Depression Score (PHQ-8 vs ANAM Mood Scale) Semantic Match – All 3 Schemas MENTAL_HEALTH PHQ8_SCORE If yes, deployer’s responses to questions 12a. through 12h. PHQ8_SCORE If yes, deployer’s responses to questions 17a. through 17h. moo_DEPRESSION_PercAdjCat [Mood Scale] SumAdjCat divided by the max possible score (ma PHQ8_SCORE If yes, deployer’s responses to questions 14a. thr 0-99, X=12c-12i not answered or incomple
★ PHQ-8 Item-Level Matrix Exact Match (all same field name) MENTAL_HEALTH PHQ8_MATRIX Depression Intervention Matrix, Self-Reported Level of Funct PHQ8_MATRIX Depression Intervention Matrix, Self-Reported Level of Funct PHQ8_MATRIX Depression Intervention Matrix, Self-Reported Leve 1 - Not difficult at all or somewhat dif
★ Anger Score (ANAM Mood Scale) Unique to ANAM augmented COGNITIVE ANGRY_OUTBURSTS Have you been bothered by that problem in the PAST MONTH. Fe ANGRY_OUTBURSTS Have you been bothered by that problem in the PAST MONTH. Fe moo_ANGER_PercAdjCat [Mood Scale] SumAdjCat divided by the max possible score (ma ANGRY_OUTBURSTS Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Sleep Disturbance / Sleepiness Scale Semantic Match – DD2796 & ANAM PHYSICAL_SYMPTOMS TROUBLE_SLEEPING During the PAST MONTH, how much have you been bothered by: t slp_SubjResp [Sleepiness Scale] Likert scale response (1 to 7) TROUBLE_SLEEPING During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ Headache / Total NSI Symptom Severity (DD vs ANAM) Semantic Match – DD2796 & ANAM PHYSICAL_SYMPTOMS HEADACHES During the PAST MONTH, how much have you been bothered by: h nsi_SymptomSeverity [Neurobehavioral Symptom Inventory] Total severity across al HEADACHES During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ Memory / Cognitive NSI Symptom Severity Semantic Match – DD2796 & ANAM OTHER MEMORY_PROBLEMS During the PAST MONTH, how much have you been bothered by: m nsi_COGNITIVE_SymptomSeverity [Neurobehavioral Symptom Inventory] Total severity for cogni MEMORY_PROBLEMS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ Concentration / Cognitive NSI Symptom Severity Semantic Match – DD2796 & ANAM OTHER TROUBLE_CONCENTRATING During the PAST MONTH, how much have you been bothered by: T nsi_COGNITIVE_SymptomSeverity [Neurobehavioral Symptom Inventory] Total severity for cogni TROUBLE_CONCENTRATING During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ Referred for PTSD Exact Match (all same field name) MENTAL_HEALTH REF_PTSD Referral indicated for PTSD REF_PTSD Referral indicated for PTSD REF_PTSD Referral indicated for PTSD Y=Yes, N=No, blank=missing
★ Referred for Depression Exact Match (all same field name) MENTAL_HEALTH REF_DEPRESSION Referral for depression education REF_DEPRESSION Referral indicated for Depression REF_DEPRESSION Referral for depression education Y=Yes, N=No, blank=missing
★ Suicide Risk Assessment Exact Match (all same field name) MENTAL_HEALTH SUICIDE_RISK Does deployer pose a current risk for harm to self? SUICIDE_RISK Does deployer pose a current risk for harm to self? SUICIDE_RISK Does deployer pose a current risk for harm to self Y=Yes, N=No, blank=missing
★ Violence Risk Assessment Exact Match (all same field name) OTHER VIOLENCE_RISK Does member pose a current risk to others? VIOLENCE_RISK Does member pose a current risk to others? VIOLENCE_RISK Does member pose a current risk to others? Y=Yes, N=No, blank=missing
★ PTSD – Nightmares Exact Match (all same field name) MENTAL_HEALTH NIGHTMARES Have you ever had any experience that was so frightening, ho NIGHTMARES Have you ever had any experience that was so frightening , h NIGHTMARES Have you ever had any experience that was so frigh Y=Yes, N=No, blank=missing
★ PTSD – Intrusive Memories Exact Match (all same field name) MENTAL_HEALTH MEMORIES Have you been bothered by that problem in the PAST MONTH. Re MEMORIES Have you been bothered by that problem in the PAST MONTH. Re MEMORIES Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ PTSD – Avoidance of Situations Exact Match (all same field name) MENTAL_HEALTH AVOID_SITUATIONS Have you ever had any experience that was so frightening, ho AVOID_SITUATIONS Have you ever had any experience that was so frightening , h AVOID_SITUATIONS Have you ever had any experience that was so frigh Y=Yes, N=No, blank=missing
★ PTSD – Hypervigilance Exact Match (all same field name) OTHER ON_GUARD Have you ever had any experience that was so frightening, ho ON_GUARD Have you ever had any experience that was so frightening , h ON_GUARD Have you ever had any experience that was so frigh Y=Yes, N=No, blank=missing
★ PHQ – Depressed mood weeks Exact Match (all same field name) MENTAL_HEALTH WEEKS_DEPRESSED Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_DEPRESSED Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_DEPRESSED Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ PHQ – Anhedonia weeks Exact Match (all same field name) MENTAL_HEALTH WEEKS_LITTLE_INTEREST Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_LITTLE_INTEREST Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_LITTLE_INTEREST Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ Blast Exposure Semantic Match – DD2796 & ANAM TBI_BLAST EXP_BLAST During this deployment, did any of the following happen to y tbq BLAST_NumEvents Y=Yes, N=No, blank=missing
★ Immediate LOC after blast Semantic Match – DD2796 & ANAM TBI_BLAST IMMED_LOC As a result of any of the events in 10.a, did you receive jo tbq Unc1min Y=Yes, N=No, blank=missing
★ Immediate Memory Loss Semantic Match – DD2796 & ANAM TBI_BLAST IMMED_MEMORY Losing memory of events before or after the injury tbq NotRemembering Y=Yes, N=No, blank=missing
★ Dazed / Confused after event Semantic Match – DD2796 & ANAM TBI_BLAST IMMED_DAZED Seeing stars, becoming disoriented, functioning differently, tbq Dazed Y=Yes, N=No, blank=missing
★ Number of blast/jolt events Semantic Match – DD2796 & ANAM TBI_BLAST NUM_JOLT How many total times during this deployment did you receive tbq BLAST_NumEvents 0=0 1=1 2=2 3=3 4=more than 3
★ Concentration – symptom vs speed Semantic Match – DD2796 & ANAM OTHER TROUBLE_CONCENTRATING During the PAST MONTH, how much have you been bothered by: T cds Throughput TROUBLE_CONCENTRATING During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ Alcohol Use Frequency Exact Match (all same field name) SUBSTANCE_USE ETOH_OFTEN How often do you have a drink containing alcohol? ETOH_OFTEN How often do you have a drink containing alcohol ETOH_OFTEN How often do you have a drink containing alcohol? 0=Never, 1=Monthly, 2=2-4 times a month,
★ Binge Drinking Exact Match (all same field name) SUBSTANCE_USE ETOH_BINGE How often do you have six or more drinks on one occasion? ETOH_BINGE How often do you have six or more drinks on one occasion ETOH_BINGE How often do you have six or more drinks on one oc 0=never, 1=Less than monthly, 2=monthly,
★ Referred for Alcohol Use Exact Match (all same field name) SUBSTANCE_USE REF_ETOH Referral indicated for evaluation ETOH REF_ETOH Referral indicated for evaluation ETOH REF_ETOH Referral indicated for evaluation ETOH Y=Yes, N=No, blank=missing
★ Stressor – Family Exact Match (all same field name) STRESSORS STRESSOR_FAM Family/relationship STRESSOR_FAM Family/relationship STRESSOR_FAM Family/relationship 1=Checked, 0=Not Checked
★ Stressor – Work Exact Match (all same field name) STRESSORS STRESSOR_WORK Employment STRESSOR_WORK Employment STRESSOR_WORK Employment 1=Checked, 0=Not Checked
★ Stressor – Sleep Exact Match (all same field name) STRESSORS STRESSOR_SLEEP Sleep STRESSOR_SLEEP Sleep STRESSOR_SLEEP Sleep 1=Checked, 0=Not Checked
★ Referred for Mental Health Exact Match (all same field name) REFERRAL_ACTION REFER_MH Concerns identified: Mental health symptoms REFER_MH Summary of Providers identified concerns needing referral: REFER_MH Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Referred – Harm Risk Exact Match (all same field name) REFERRAL_ACTION REFER_HARM Concerns identified: Risk of self-harm REFER_HARM Summary of Providers identified concerns needing referral: R REFER_HARM Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Referred for Depression Exact Match (all same field name) MENTAL_HEALTH REFER_DEPRESSION Concerns identified: Depression symptoms REFER_DEPRESSION Summary of Providers identified concerns needing referral: D REFER_DEPRESSION Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Referred for PTSD Exact Match (all same field name) MENTAL_HEALTH REFER_PTSD Concerns identified: PTSD symptoms REFER_PTSD Summary of Providers identified concerns needing referral: P REFER_PTSD Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Referred – Environmental Exposure Unique to DD2796 REFERRAL_ACTION REFER_ENVIRO Summary of Providers identified concerns needing referral: REFER_ENVIRO Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Form Type (PRE / POST) Exact Match (all same field name) ADMIN FORM_TYPE Type of Form FORM_TYPE Type of Form FORM_TYPE Type of Form PRE
★ Form Version String Exact Match (all same field name) ADMIN FORM_VERSION DoD Form Version FORM_VERSION DoD Form Version FORM_VERSION DoD Form Number DD2795_202012
★ Current Address Exact Match (all same field name) DEMOGRAPHICS ADDR Current Address ADDR Current Address ADDR Current Address Text Field
★ Have you been bothered by that problem in the PAST MONTH. Feeling jump Exact Match (all same field name) MENTAL_HEALTH ALERT Have you been bothered by that problem in the PAST MONTH. Fe ALERT Have you been bothered by that problem in the PAST MONTH. Fe ALERT Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Have you been bothered by that problem in the PAST MONTH. Feeling irri Exact Match (all same field name) MENTAL_HEALTH ANGRY_OUTBURSTS Have you been bothered by that problem in the PAST MONTH. Fe ANGRY_OUTBURSTS Have you been bothered by that problem in the PAST MONTH. Fe ANGRY_OUTBURSTS Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Appointment Assistance Exact Match (all same field name) ADMIN APPOINTMENT_ASSIST Appointment Assistance APPOINTMENT_ASSIST Appointment Assistance APPOINTMENT_ASSIST Appointment Assistance Y=Checked, N=Not checked
★ No Supplemental Services Required Exact Match (all same field name) ADMIN APPOINTMENT_NONE No Supplemental Services Required APPOINTMENT_NONE No Supplemental Services Required APPOINTMENT_NONE No Supplemental Services Required Y=Checked, N=Not checked
★ Deployer's AUDIT-C screening score Exact Match (all same field name) SUBSTANCE_USE AUDITC_SCREEN Deployer's AUDIT-C screening score AUDITC_SCREEN Deployer's AUDIT-C screening score AUDITC_SCREEN Deployer's AUDIT-C screening score 0-12, N=not answered, blank=missing
★ Have you been bothered by that problem in the PAST MONTH. Avoid activi Exact Match (all same field name) MENTAL_HEALTH AVOID_ACTIVITIES Have you been bothered by that problem in the PAST MONTH. Av AVOID_ACTIVITIES Have you been bothered by that problem in the PAST MONTH. Av AVOID_ACTIVITIES Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Have you been bothered by that problem in the PAST MONTH. Avoid thinki Exact Match (all same field name) MENTAL_HEALTH AVOID_THINK Have you been bothered by that problem in the PAST MONTH. Av AVOID_THINK Have you been bothered by that problem in the PAST MONTH. Av AVOID_THINK Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Felt guilt or unable to stop blaming yourself or others for the event( Exact Match (all same field name) MENTAL_HEALTH BLAME Felt guilt or unable to stop blaming yourself or others for BLAME Felt guilt or unable to stop blaming yourself or others for BLAME Felt guilt or unable to stop blaming yourself or o Y=Yes, N=No, blank=missing
★ In the PAST YEAR did you receive care for any mental health condition Exact Match (all same field name) OTHER CARE_MENTAL In the PAST YEAR did you receive care for any mental health CARE_MENTAL In the PAST YEAR, did you receive care for any mental health CARE_MENTAL In the PAST YEAR, did you receive care for any men Y=Yes, N=No, blank=missing
★ If yes, please explain Exact Match (all same field name) OTHER CARE_MENTAL_TEXT If yes, please explain CARE_MENTAL_TEXT If yes, please explain CARE_MENTAL_TEXT If yes, please explain Text Field
★ Current Cell Phone Exact Match (all same field name) DEMOGRAPHICS CELL Current Cell Phone CELL Current Cell Phone CELL Current Cell Phone Text Field
★ Date Certified Exact Match (all same field name) ADMIN CERTIFY_DATE Date Certified CERTIFY_DATE Date Certified CERTIFY_DATE Date Certified YYYYMMDD
★ Certify review process has been completed Exact Match (all same field name) ADMIN CERT_PROVIDER Certify review process has been completed CERT_PROVIDER Certify review process has been completed CERT_PROVIDER Certify review process has been completed 1=Checked, 0=Not Checked
★ Chaplain Exact Match (all same field name) ADMIN CHAPLAIN Chaplain CHAPLAIN Chaplain CHAPLAIN Chaplain Y=Checked, N=Not checked
★ Current CITY Exact Match (all same field name) DEMOGRAPHICS CITY Current CITY CITY Current CITY CITY Current CITY Text Field
★ Community Service Exact Match (all same field name) ADMIN COMMUNITY Community Service COMMUNITY Community Service COMMUNITY Community Service Y=Checked, N=Not checked
★ Community Service text Exact Match (all same field name) ADMIN COMMUNITY_TEXT Community Service text COMMUNITY_TEXT Community Service text COMMUNITY_TEXT Community Service text Text Field
★ Have you been bothered by that problem in the PAST MONTH. Having diffi Exact Match (all same field name) MENTAL_HEALTH CONCENTRATE Have you been bothered by that problem in the PAST MONTH. Ha CONCENTRATE Have you been bothered by that problem in the PAST MONTH. Ha CONCENTRATE Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Contract support Exact Match (all same field name) ADMIN CONTRACT_SUP Contract support CONTRACT_SUP Contract support CONTRACT_SUP Contract support Y=Checked, N=Not checked
★ Contract support text Exact Match (all same field name) ADMIN CONTRACT_SUP_TEXT Contract support text CONTRACT_SUP_TEXT Contract support text CONTRACT_SUP_TEXT Contract support text Text Field
★ What prescription or over-the- counter medications (including herbals/ Exact Match (all same field name) OTHER CURRENT_MEDS What prescription or over-the- counter medications (includin CURRENT_MEDS What prescription or over-the-counter medications (including CURRENT_MEDS What prescription or over-the-counter medications 0=None, 1=Yes response (Medications)
★ If yes, please list. Exact Match (all same field name) OTHER CURRENT_MEDS_TEXT If yes, please list. CURRENT_MEDS_TEXT If yes, please list. CURRENT_MEDS_TEXT If yes, please list. Text Field
★ Did deployer mark “More than half the days” or “Nearly every day” on q Exact Match (all same field name) MENTAL_HEALTH DEPRESSION_REPORTED Did deployer mark “More than half the days” or “Nearly every DEPRESSION_REPORTED Did deployer mark “More than half the days” or “Nearly every DEPRESSION_REPORTED Did deployer mark “More than half the days” or “Ne Y=Yes, N=No, X=Not answered by deployer,
★ Deployer declined to complete interview Exact Match (all same field name) OTHER DEP_DEC_ASSESS Deployer declined to complete interview DEP_DEC_ASSESS deployer declined to complete interview DEP_DEC_ASSESS Deployer declined to complete interview/assessment 1=Checked, 0=Not Checked
★ Deployer declined to complete form Exact Match (all same field name) OTHER DEP_DEC_FORM Deployer declined to complete form DEP_DEC_FORM deployer declined to complete form DEP_DEC_FORM Deployer declined to complete form 1=Checked, 0=Not Checked
★ Have you ever had any experience that was so frightening, horrible, or Exact Match (all same field name) MENTAL_HEALTH DETACHED Have you ever had any experience that was so frightening, ho DETACHED Have you ever had any experience that was so frightening , h DETACHED Have you ever had any experience that was so frigh Y=Yes, N=No, blank=missing
★ Have you been bothered by that problem in the PAST MONTH. Loss of inte Exact Match (all same field name) MENTAL_HEALTH DISINTEREST Have you been bothered by that problem in the PAST MONTH. Lo DISINTEREST Have you been bothered by that problem in the PAST MONTH. Lo DISINTEREST Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Have you been bothered by that problem in the PAST MONTH. Feeling dist Exact Match (all same field name) MENTAL_HEALTH DISTANT Have you been bothered by that problem in the PAST MONTH. Fe DISTANT Have you been bothered by that problem in the PAST MONTH. Fe DISTANT Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Have you been bothered by that problem in the PAST MONTH. Feeling as i Exact Match (all same field name) MENTAL_HEALTH DOOM Have you been bothered by that problem in the PAST MONTH. Fe DOOM Have you been bothered by that problem in the PAST MONTH. Fe DOOM Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Have you been bothered by that problem in the PAST MONTH. Repeated, di Exact Match (all same field name) MENTAL_HEALTH DREAMS Have you been bothered by that problem in the PAST MONTH. Re DREAMS Have you been bothered by that problem in the PAST MONTH. Re DREAMS Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Current DSN Exact Match (all same field name) OTHER DSN Current DSN DSN Current DSN DSN Current DSN Text Field
★ Current Email Exact Match (all same field name) DEMOGRAPHICS EMAIL Current Email EMAIL Current Email EMAIL Current Email Text Field
★ How many drinks containing alcohol do you have on a typical day when y Exact Match (all same field name) SUBSTANCE_USE ETOH_DAY How many drinks containing alcohol do you have on a typical ETOH_DAY How many drinks containing alcohol do you have on a typical ETOH_DAY How many drinks containing alcohol do you have on 1=1 or 2, 2=3 or 4, 3=5 or 6, 4=7 to 9,
★ Number of drinks per occasion Exact Match (all same field name) SUBSTANCE_USE ETOH_TOTAL_PROVIDER Number of drinks per occasion ETOH_TOTAL_PROVIDER Number of drinks per occasion ETOH_TOTAL_PROVIDER Number of drinks per occasion 0-99
★ Number of drinks per week Exact Match (all same field name) SUBSTANCE_USE ETOH_WEEK_PROVIDER Number of drinks per week ETOH_WEEK_PROVIDER Number of drinks per week ETOH_WEEK_PROVIDER Number of drinks per week 0-99
★ Family Support Exact Match (all same field name) ADMIN FAM_SUPPORT Family Support FAM_SUPPORT Family Support FAM_SUPPORT Family Support Y=Checked, N=Not checked
★ Other Grade Exact Match (all same field name) DEMOGRAPHICS GRADE_OTHER Other Grade GRADE_OTHER Other Grade GRADE_OTHER Other Grade Text Field
★ HCP provider's Address and City Exact Match (all same field name) PROVIDER HCP_ADDR HCP provider's Address and City HCP_ADDR HCP provider's Address and City HCP_ADDR HCP provider's Address and City Text Field
★ HCP Digital Signature Exact Match (all same field name) PROVIDER HCP_DIG_SIG HCP Digital Signature HCP_DIG_SIG HCP Digital Signature HCP_DIG_SIG HCP Digital Signature 1=Signed, 0=Not signed
★ HCP provider's Email Exact Match (all same field name) PROVIDER HCP_EMAIL HCP provider's Email HCP_EMAIL HCP provider's Email HCP_EMAIL HCP provider's Email Text Field
★ Facility Name Exact Match (all same field name) PROVIDER HCP_FACILITY Facility Name HCP_FACILITY Facility Name HCP_FACILITY Facility Name Text Field
★ HCP provider's First Name Exact Match (all same field name) PROVIDER HCP_FNAME HCP provider's First Name HCP_FNAME HCP provider's First Name HCP_FNAME HCP provider's First Name Text Field
★ HCP provider's Last Name Exact Match (all same field name) PROVIDER HCP_LNAME HCP provider's Last Name HCP_LNAME HCP provider's Last Name HCP_LNAME HCP provider's Last Name Text Field
★ HCP provider's Middle Name Exact Match (all same field name) PROVIDER HCP_MNAME HCP provider's Middle Name HCP_MNAME HCP provider's Middle Name HCP_MNAME HCP provider's Middle Name Text Field
★ HCP provider's Phone number Exact Match (all same field name) PROVIDER HCP_PHONE HCP provider's Phone number HCP_PHONE HCP provider's Phone number HCP_PHONE HCP provider's Phone number Text Field
★ HCP provider's Service Branch Exact Match (all same field name) DEPLOYMENT HCP_SERVICE HCP provider's Service Branch HCP_SERVICE HCP provider's Service Branch HCP_SERVICE HCP provider's Service Branch F=Air Force, A=Army, N=Navy, M=Marine Co
★ HCP provider's STATE Exact Match (all same field name) PROVIDER HCP_STATE HCP provider's STATE HCP_STATE HCP provider's STATE HCP_STATE HCP provider's STATE Text Field
★ HCP provider's Status Exact Match (all same field name) PROVIDER HCP_STATUS HCP provider's Status HCP_STATUS HCP provider's Status HCP_STATUS HCP provider's Status A=AD, G=Guard, R=Reservist, AGR=AGR, CIV
★ HCP provider's Status Text Exact Match (all same field name) PROVIDER HCP_STATUS_TEXT HCP provider's Status Text HCP_STATUS_TEXT HCP provider's Status Text HCP_STATUS_TEXT HCP provider's Status Text Text Field
★ HCP provider's Title Exact Match (all same field name) PROVIDER HCP_TITLE HCP provider's Title HCP_TITLE HCP provider's Title HCP_TITLE HCP provider's Title PHY=MD/DO, NP=NP, PA=PA, APN=APN, IDC=ID
★ Unit Name Exact Match (all same field name) PROVIDER HCP_UNIT Unit Name HCP_UNIT Unit Name HCP_UNIT Unit Name Text Field
★ HCP provider's ZIP Code Exact Match (all same field name) PROVIDER HCP_ZIP HCP provider's ZIP Code HCP_ZIP HCP provider's ZIP Code HCP_ZIP HCP provider's ZIP Code Text Field
★ Overall, how would you rate your health during the PAST MONTH? Exact Match (all same field name) OTHER HEALTH_ASSESSMENT Overall, how would you rate your health during the PAST MONT HEALTH_ASSESSMENT Overall, how would you rate your health during the PAST MONT HEALTH_ASSESSMENT Overall, how would you rate your health during the E=Excellent, V=Very Good, G=Good, F=Fair
★ Health Education and Information Exact Match (all same field name) ADMIN HEALTH_ED Health Education and Information HEALTH_ED Health Education and Information HEALTH_ED Health Education and Information Y=Checked, N=Not checked
★ Health Care Benefits and Resources Information Exact Match (all same field name) OTHER HEALTH_RESOURCES Health Care Benefits and Resources Information HEALTH_RESOURCES Health Care Benefits and Resources Information HEALTH_RESOURCES Health Care Benefits and Resources Information Y=Checked, N=Not checked
★ Have you been bothered by that problem in the PAST MONTH. Trouble fall Exact Match (all same field name) MENTAL_HEALTH INSOMNIA Have you been bothered by that problem in the PAST MONTH. Tr INSOMNIA Have you been bothered by that problem in the PAST MONTH. Tr INSOMNIA Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ In Transition Exact Match (all same field name) ADMIN IN_TRANS In Transition IN_TRANS In Transition IN_TRANS In Transition Y=Checked, N=Not checked
★ How difficult have these problems (11f. through 11v.) made it for you Exact Match (all same field name) MENTAL_HEALTH LIFE_DIFFICULT How difficult have these problems (11f. through 11v.) made i LIFE_DIFFICULT How difficult have these problems (16f. through 16v.) made i LIFE_DIFFICULT How difficult have these problems (13f. through 13 0=Not difficult at all, 1=Somewhat diffi
★ Have you been bothered by that problem in the PAST MONTH. Feeling emot Exact Match (all same field name) MENTAL_HEALTH NUMB Have you been bothered by that problem in the PAST MONTH. Fe NUMB Have you been bothered by that problem in the PAST MONTH. Fe NUMB Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Military one source Exact Match (all same field name) ADMIN ONE_SOURCE Military one source ONE_SOURCE Military one source ONE_SOURCE Military one source Y=Checked, N=Not checked
★ Other Supplemental services recommended Exact Match (all same field name) OTHER OTHER_SUPPORT Other Supplemental services recommended OTHER_SUPPORT Other Supplemental services recommended OTHER_SUPPORT Other Supplemental services recommended Y=Checked, N=Not checked
★ Other Supplemental services recommended text Exact Match (all same field name) OTHER OTHER_SUPPORT_TEXT Other Supplemental services recommended text OTHER_SUPPORT_TEXT Other Supplemental services recommended text OTHER_SUPPORT_TEXT Other Supplemental services recommended text Text Field
★ 11f. through 11w. were not answered or are incomplete Exact Match (all same field name) MENTAL_HEALTH PCLC_INCOMPLETE 11f. through 11w. were not answered or are incomplete PCLC_INCOMPLETE 16f. through 16w. were not answered or are incomplete PCLC_INCOMPLETE 13f. through 13w. were not answered or are incompl 1=Checked, 0=Not Checked
★ 11c. through 11i. were not answered or incomplete. Exact Match (all same field name) MENTAL_HEALTH PHQ8_INCOMPLETE 11c. through 11i. were not answered or incomplete. PHQ8_INCOMPLETE 17c. through 17i. were not answered or incomplete. PHQ8_INCOMPLETE 14c. through 14i. were not answered or incomplete. 1=Checked, 0=Not Checked
★ Have you been bothered by that problem in the PAST MONTH. Having physi Exact Match (all same field name) MENTAL_HEALTH PHYS_REACTION Have you been bothered by that problem in the PAST MONTH. Ha PHYS_REACTION Have you been bothered by that problem in the PAST MONTH. Ha PHYS_REACTION Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ POC Address Exact Match (all same field name) OTHER POC_ADDR POC Address POC_ADDR POC Address POC_ADDR POC Address Text Field
★ POC CITY Exact Match (all same field name) OTHER POC_CITY POC CITY POC_CITY POC CITY POC_CITY POC CITY Text Field
★ POC Email Exact Match (all same field name) OTHER POC_EMAIL POC Email POC_EMAIL POC Email POC_EMAIL POC Email Text Field
★ POC Name Exact Match (all same field name) OTHER POC_NAME POC Name POC_NAME POC Name POC_NAME POC Name Text Field
★ POC Phone Exact Match (all same field name) OTHER POC_PHONE POC Phone POC_PHONE POC Phone POC_PHONE POC Phone Text Field
★ POC STATE Exact Match (all same field name) OTHER POC_STATE POC STATE POC_STATE POC STATE POC_STATE POC STATE Text Field
★ POC ZIP Code Exact Match (all same field name) OTHER POC_ZIP POC ZIP Code POC_ZIP POC ZIP Code POC_ZIP POC ZIP Code Text Field
★ Did deployer mark yes on three or more of questions 11a. through 11e? Exact Match (all same field name) MENTAL_HEALTH PTSD_REPORTED Did deployer mark yes on three or more of questions 11a. thr PTSD_REPORTED Did deployer mark yes on three or more of questions 16a. thr PTSD_REPORTED Did deployer mark yes on three or more of question Y=Yes, N=No, X=Not answered by deployer,
★ Concerns identified: Dental health Exact Match (all same field name) REFERRAL_ACTION REFER_DENTAL Concerns identified: Dental health REFER_DENTAL Summary of Providers identified concerns needing referral: D REFER_DENTAL Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Concerns identified: Alcohol use Exact Match (all same field name) SUBSTANCE_USE REFER_ETOH Concerns identified: Alcohol use REFER_ETOH Summary of Providers identified concerns needing referral: a REFER_ETOH Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ No concerns identified Exact Match (all same field name) REFERRAL_ACTION REFER_NONE No concerns identified REFER_NONE Summary of Providers identified concerns needing referral: N REFER_NONE Summary of Providers identified concerns needing r 1=Checked, 0=Not Checked
★ Concerns identified: Other Exact Match (all same field name) REFERRAL_ACTION REFER_OTHER Concerns identified: Other REFER_OTHER Summary of Providers identified concerns needing referral: REFER_OTHER Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Concerns identified: Other (list) Exact Match (all same field name) REFERRAL_ACTION REFER_OTHER_TEXT Concerns identified: Other (list) REFER_OTHER_TEXT Summary of Providers identified concerns needing referral: REFER_OTHER_TEXT Summary of Providers identified concerns needing r Text Field
★ Concerns identified: Physical health Exact Match (all same field name) REFERRAL_ACTION REFER_PH Concerns identified: Physical health REFER_PH Summary of Providers identified concerns needing referral: P REFER_PH Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Concerns identified: Risk of violence Exact Match (all same field name) REFERRAL_ACTION REFER_VIOLENCE Concerns identified: Risk of violence REFER_VIOLENCE Summary of Providers identified concerns needing referral: REFER_VIOLENCE Summary of Providers identified concerns needing r Y=Yes, N=No, blank=missing
★ Referral to Substance abuse program Exact Match (all same field name) REFERRAL_ACTION REFTIME_ABUSE Referral to Substance abuse program REFTIME_ABUSE Referral to Substance abuse program REFTIME_ABUSE Referral to Substance abuse program 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - Audiology Exact Match (all same field name) REFERRAL_ACTION REFTIME_AUDIOLOGY Referral indicated - Audiology REFTIME_AUDIOLOGY Referral indicated - Audiology REFTIME_AUDIOLOGY Referral indicated - Audiology 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral to Case manager Exact Match (all same field name) REFERRAL_ACTION REFTIME_CARE Referral to Case manager REFTIME_CARE Referral to Case manager REFTIME_CARE Referral to Case manager 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral comments Exact Match (all same field name) REFERRAL_ACTION REFTIME_COMMENTS Referral comments REFTIME_COMMENTS Referral comments REFTIME_COMMENTS Referral comments Text Field
★ Referral indicated - Dental Exact Match (all same field name) REFERRAL_ACTION REFTIME_DENTAL Referral indicated - Dental REFTIME_DENTAL Referral indicated - Dental REFTIME_DENTAL Referral indicated - Dental 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - dermatologic Exact Match (all same field name) REFERRAL_ACTION REFTIME_DERM Referral indicated - dermatologic REFTIME_DERM Referral indicated - dermatologic REFTIME_DERM Referral indicated - dermatologic 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - OB/GYN Exact Match (all same field name) REFERRAL_ACTION REFTIME_GYN Referral indicated - OB/GYN REFTIME_GYN Referral indicated - OB/GYN REFTIME_GYN Referral indicated - OB/GYN 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - Behavioral Health in Primary Care Exact Match (all same field name) REFERRAL_ACTION REFTIME_MENTAL_PRIMARY Referral indicated - Behavioral Health in Primary Care REFTIME_MENTAL_PRIMARY Referral indicated - Behavioral Health in Primary Care REFTIME_MENTAL_PRIMARY Referral indicated - Behavioral Health in Primary 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - Mental Health Exact Match (all same field name) REFERRAL_ACTION REFTIME_MENTAL_SPECIAL Referral indicated - Mental Health REFTIME_MENTAL_SPECIAL Referral indicated - Mental Health REFTIME_MENTAL_SPECIAL Referral indicated - Mental Health 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Other referral listed Exact Match (all same field name) REFERRAL_ACTION REFTIME_OTHER Other referral listed REFTIME_OTHER Other referral listed REFTIME_OTHER Other referral listed 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - Other specialty care Exact Match (all same field name) REFERRAL_ACTION REFTIME_OTHER_SPEC Referral indicated - Other specialty care REFTIME_OTHER_SPEC Referral indicated - Other specialty care REFTIME_OTHER_SPEC Referral indicated - Other specialty care 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ List of other specialty referral Exact Match (all same field name) REFERRAL_ACTION REFTIME_OTHER_TEXT List of other specialty referral REFTIME_OTHER_TEXT List of other specialty referral REFTIME_OTHER_TEXT List of other specialty referral Text Field
★ Referral indicated - Podiatry Exact Match (all same field name) REFERRAL_ACTION REFTIME_PODIATRY Referral indicated - Podiatry REFTIME_PODIATRY Referral indicated - Podiatry REFTIME_PODIATRY Referral indicated - Podiatry 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - Primary Care, Family Practice, Internal Medicine Exact Match (all same field name) REFERRAL_ACTION REFTIME_PRIMARY Referral indicated - Primary Care, Family Practice, Internal REFTIME_PRIMARY Referral indicated - Primary Care, Family Practice, Internal REFTIME_PRIMARY Referral indicated - Primary Care, Family Practice 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral indicated - PT Exact Match (all same field name) REFERRAL_ACTION REFTIME_PT Referral indicated - PT REFTIME_PT Referral indicated - PT REFTIME_PT Referral indicated - PT 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Referral to other specialty care listed Exact Match (all same field name) REFERRAL_ACTION REFTIME_SPEC_OTHER Referral to other specialty care listed REFTIME_SPEC_OTHER Referral to other specialty care listed REFTIME_SPEC_OTHER Referral to other specialty care listed 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ List of other specialty referral Exact Match (all same field name) REFERRAL_ACTION REFTIME_SPEC_OTH_TEXT List of other specialty referral REFTIME_SPEC_OTH_TEXT List of other specialty referral REFTIME_SPEC_OTH_TEXT List of other specialty referral Text Field
★ Referral indicated -TBI/Rehab Med Exact Match (all same field name) REFERRAL_ACTION REFTIME_TBI Referral indicated -TBI/Rehab Med REFTIME_TBI Referral indicated -TBI/Rehab Med REFTIME_TBI Referral indicated -TBI/Rehab Med 0=Within 24 hours, 1=Within 7 days, 2=Wi
★ Reason for no referral Exact Match (all same field name) MENTAL_HEALTH REF_DEPRESSION_NEG Reason for no referral REF_DEPRESSION_NEG Reason for no referral REF_DEPRESSION_NEG Reason for no referral 1=Already under care, 2=Already has refe
★ Other reason for referral Exact Match (all same field name) MENTAL_HEALTH REF_DEPRESSION_TEXT Other reason for referral REF_DEPRESSION_TEXT Other reason for referral REF_DEPRESSION_TEXT Other reason for referral Text Field
★ Reason for no referral Exact Match (all same field name) SUBSTANCE_USE REF_ETOH_NEG Reason for no referral REF_ETOH_NEG Reason for no referral (state if AUDIT-C score was 8+) REF_ETOH_NEG Reason for no referral 1=Already under care, 2=Already has refe
★ Other reason for referral Exact Match (all same field name) SUBSTANCE_USE REF_ETOH_TEXT Other reason for referral REF_ETOH_TEXT Other reason for referral REF_ETOH_TEXT Other reason for referral Text Field
★ Reason for no referral Exact Match (all same field name) MENTAL_HEALTH REF_PTSD_NEG Reason for no referral REF_PTSD_NEG Reason for no referral REF_PTSD_NEG Reason for no referral 1=Already under care, 2=Already has refe
★ Other reason for referral Exact Match (all same field name) MENTAL_HEALTH REF_PTSD_TEXT Other reason for referral REF_PTSD_TEXT Other reason for referral REF_PTSD_TEXT Other reason for referral Text Field
★ Have you been bothered by that problem in the PAST MONTH. Suddenly act Exact Match (all same field name) MENTAL_HEALTH RELIVING Have you been bothered by that problem in the PAST MONTH. Su RELIVING Have you been bothered by that problem in the PAST MONTH. Su RELIVING Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Self health rating Exact Match (all same field name) OTHER SELF_HEALTH_FOLLOWUP Self health rating SELF_HEALTH_FOLLOWUP Self health Rating 0=Not answered, 1=Deployer indicated con
★ Other Defense Agency Exact Match (all same field name) DEPLOYMENT SERVICE_OTHER Other Defense Agency SERVICE_OTHER Other Defense Agency SERVICE_OTHER Other Defense Agency Text Field
★ Current STATE Exact Match (all same field name) DEMOGRAPHICS STATE Current STATE STATE Current STATE STATE Current STATE Text Field
★ Are you currently in treatment or getting professional help for this c Exact Match (all same field name) STRESSORS STRESSORS_HELP Are you currently in treatment or getting professional help STRESSORS_HELP Are you currently in treatment or getting professional help STRESSORS_HELP Are you currently in treatment or getting professi Y=Yes, N=No, blank=missing
★ Please list and explain Exact Match (all same field name) STRESSORS STRESSORS_TEXT Please list and explain STRESSORS_TEXT Please list and explain STRESSORS_TEXT Please list and explain Text Field
★ Legal Exact Match (all same field name) STRESSORS STRESSOR_LEGAL Legal STRESSOR_LEGAL Legal STRESSOR_LEGAL Legal 1=Checked, 0=Not Checked
★ Behavioral health Exact Match (all same field name) STRESSORS STRESSOR_MH Behavioral health STRESSOR_MH Behavioral health STRESSOR_MH Behavioral health 1=Checked, 0=Not Checked
★ Financial Exact Match (all same field name) STRESSORS STRESSOR_MONEY Financial STRESSOR_MONEY Financial STRESSOR_MONEY Financial 1=Checked, 0=Not Checked
★ Over the PAST MONTH, which major life stressors, if any, have you expe Exact Match (all same field name) STRESSORS STRESSOR_NONE Over the PAST MONTH, which major life stressors, if any, hav STRESSOR_NONE Over the PAST MONTH, which major life stressors, if any, hav STRESSOR_NONE Over the PAST MONTH, which major life stressors, i 1=Checked (None), 0=Not Checked
★ Other Exact Match (all same field name) STRESSORS STRESSOR_OTH Other STRESSOR_OTH Other STRESSOR_OTH Other 1=Checked, 0=Not Checked
★ Spiritual Exact Match (all same field name) STRESSORS STRESSOR_SPIRIT Spiritual STRESSOR_SPIRIT Spiritual STRESSOR_SPIRIT Spiritual 1=Checked, 0=Not Checked
★ Substance abuse (including alcohol) Exact Match (all same field name) STRESSORS STRESSOR_SUB Substance abuse (including alcohol) STRESSOR_SUB Substance abuse (including alcohol) STRESSOR_SUB Substance abuse (including alcohol) 1=Checked, 0=Not Checked
★ Over the PAST MONTH, have you wished you were dead or wished you could Exact Match (all same field name) MENTAL_HEALTH SUICIDE_A Over the PAST MONTH, have you wished you were dead or wished SUICIDE_A Over the PAST MONTH, have you wished you were dead or wished SUICIDE_A Over the PAST MONTH, have you wished you were dead Y=Yes, N=No, blank=missing
★ Have you actually had any thoughts of killing yourself? Exact Match (all same field name) MENTAL_HEALTH SUICIDE_B Have you actually had any thoughts of killing yourself? SUICIDE_B Have you actually had any thoughts of killing yourself? SUICIDE_B Have you actually had any thoughts of killing your Y=Yes, N=No, blank=missing
★ Over the PAST MONTH, have you been thinking about how you might do thi Exact Match (all same field name) MENTAL_HEALTH SUICIDE_C Over the PAST MONTH, have you been thinking about how you mi SUICIDE_C Over the PAST MONTH, have you been thinking about how you mi SUICIDE_C Over the PAST MONTH, have you been thinking about Y=Yes, N=No, blank=missing
★ Over the PAST MONTH, have you had these thoughts and had some intentio Exact Match (all same field name) MENTAL_HEALTH SUICIDE_D Over the PAST MONTH, have you had these thoughts and had som SUICIDE_D Over the PAST MONTH, have you had these thoughts and had som SUICIDE_D Over the PAST MONTH, have you had these thoughts a Y=Yes, N=No, blank=missing
★ Over the PAST MONTH, have you started to work out or worked out the de Exact Match (all same field name) MENTAL_HEALTH SUICIDE_E1 Over the PAST MONTH, have you started to work out or worked SUICIDE_E1 Over the PAST MONTH, have you started to work out or worked SUICIDE_E1 Over the PAST MONTH, have you started to work out Y=Yes, N=No, blank=missing
★ At any time in the PAST MONTH, did you intend to carry out this plan? Exact Match (all same field name) MENTAL_HEALTH SUICIDE_E2 At any time in the PAST MONTH, did you intend to carry out t SUICIDE_E2 At any time in the PAST MONTH, did you intend to carry out t SUICIDE_E2 At any time in the PAST MONTH, did you intend to c Y=Yes, N=No, blank=missing
★ In your lifetime, have you ever done anything, started to do anything, Exact Match (all same field name) MENTAL_HEALTH SUICIDE_F1 In your lifetime, have you ever done anything, started to do SUICIDE_F1 In your lifetime, have you ever done anything, started to do SUICIDE_F1 In your lifetime, have you ever done anything, sta Y=Yes, N=No, blank=missing
★ Was this within the past three months? Exact Match (all same field name) MENTAL_HEALTH SUICIDE_F2 Was this within the past three months? SUICIDE_F2 Was this within the past three months? SUICIDE_F2 Was this within the past three months? Y=Yes, N=No, blank=missing
★ Conduct further risk assessment Exact Match (all same field name) MENTAL_HEALTH SUICIDE_G_TEXT Conduct further risk assessment SUICIDE_G_TEXT Conduct further risk assessment SUICIDE_G_TEXT Conduct further risk assessment Text Field
★ TRICARE PROVIDER Exact Match (all same field name) ADMIN TRICARE TRICARE PROVIDER TRICARE TRICARE PROVIDER TRICARE TRICARE PROVIDER Y=Checked, N=Not checked
★ Have you been bothered by that problem in the PAST MONTH. Trouble reme Exact Match (all same field name) MENTAL_HEALTH TROUBLE_MEMORY Have you been bothered by that problem in the PAST MONTH. Tr TROUBLE_MEMORY Have you been bothered by that problem in the PAST MONTH. Tr TROUBLE_MEMORY Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Have you been bothered by that problem in the PAST MONTH. Feeling very Exact Match (all same field name) MENTAL_HEALTH UPSET Have you been bothered by that problem in the PAST MONTH. Fe UPSET Have you been bothered by that problem in the PAST MONTH. Fe UPSET Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ VA Medical Center or Community Clinic Exact Match (all same field name) ADMIN VA_MED VA Medical Center or Community Clinic VA_MED VA Medical Center or Community Clinic VA_MED VA Medical Center or Community Clinic Y=Checked, N=Not checked
★ Vet Center Exact Match (all same field name) ADMIN VET Vet Center VET Vet Center VET Vet Center Y=Checked, N=Not checked
★ Over the past month have you had thoughts or concerns that you might h Exact Match (all same field name) OTHER VIOLENCE Over the past month have you had thoughts or concerns that y VIOLENCE Ask, “Over the past month have you had thoughts or concerns VIOLENCE Over the past month have you had thoughts or conce Y=Yes, N=No, blank=missing
★ Explain 8B Exact Match (all same field name) OTHER VIOLENCE_RISK_TEXT Explain 8B VIOLENCE_RISK_TEXT Does member pose a current risk to others? If no, briefly st VIOLENCE_RISK_TEXT Does member pose a current risk to others? If no, Text Field
★ Comments on violence/harm eval Exact Match (all same field name) OTHER VIOLENCE_TEXT Comments on violence/harm eval VIOLENCE_TEXT If yes, ask additional questions to determine extent of prob VIOLENCE_TEXT Over the past month have you had thoughts or conce Text Field
★ Have you been bothered by that problem in the PAST MONTH. Being “super Exact Match (all same field name) MENTAL_HEALTH WATCHFUL Have you been bothered by that problem in the PAST MONTH. Be WATCHFUL Have you been bothered by that problem in the PAST MONTH. Be WATCHFUL Have you been bothered by that problem in the PAST 0=Not at all, 1=A little bit, 2=Moderate
★ Over the LAST 2 WEEKS, how often have you been bothered by the followi Exact Match (all same field name) MENTAL_HEALTH WEEKS_APPETITE Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_APPETITE Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_APPETITE Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ Over the LAST 2 WEEKS, how often have you been bothered by the followi Exact Match (all same field name) MENTAL_HEALTH WEEKS_CONCENTRATE Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_CONCENTRATE Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_CONCENTRATE Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ Over the LAST 2 WEEKS, how often have you been bothered by the followi Exact Match (all same field name) MENTAL_HEALTH WEEKS_FAILURE Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_FAILURE Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_FAILURE Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ Over the LAST 2 WEEKS, how often have you been bothered by the followi Exact Match (all same field name) MENTAL_HEALTH WEEKS_LETHARGIC_JUMPY Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_LETHARGIC_JUMPY Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_LETHARGIC_JUMPY Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ How difficult have these problems (12a.through12h.) made it for you to Exact Match (all same field name) MENTAL_HEALTH WEEKS_PROBLEMS How difficult have these problems (12a.through12h.) made it WEEKS_PROBLEMS How difficult have these problems (17a.through17h.) made it WEEKS_PROBLEMS How difficult have these problems (14a.-14h.) made 0=Not difficult at all, 1=Somewhat diffi
★ Over the LAST 2 WEEKS, how often have you been bothered by the followi Exact Match (all same field name) MENTAL_HEALTH WEEKS_SLEEP Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_SLEEP Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_SLEEP Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ Over the LAST 2 WEEKS, how often have you been bothered by the followi Exact Match (all same field name) MENTAL_HEALTH WEEKS_TIRED Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_TIRED Over the LAST 2 WEEKS, how often have you been bothered by t WEEKS_TIRED Over the LAST 2 WEEKS, how often have you been bot 0=Not at all, 1=Few or several days, 3=M
★ Current ZIP Code Exact Match (all same field name) DEMOGRAPHICS ZIP Current ZIP Code ZIP Current ZIP Code ZIP Current ZIP Code Text Field
★ Date departed theater Unique to DD2796 DEPLOYMENT D_DEPART Date departed theater D_DEPART Date departed theater YYYYMMDD
★ Compared to before deployment, how would you rate your health in gener Unique to DD2796 OTHER HEALTH_CHANGE Compared to before deployment, how would you rate your healt HEALTH_CHANGE Compared to before your most recent deployment, ho 1=Much better now than when I deployed 2
★ Somewhat worse now than before I deployed (please explain) Unique to DD2796 OTHER HEALTH_CHANGE_WORSE1 Somewhat worse now than before I deployed (please explain) HEALTH_CHANGE_WORSE1 Somewhat worse now than before I deployed (please Text Field
★ Much worse now than before I deployed (please explain) Unique to DD2796 OTHER HEALTH_CHANGE_WORSE2 Much worse now than before I deployed (please explain) HEALTH_CHANGE_WORSE2 Much worse now than before I deployed (please expl Text Field
★ Were you wounded, injured, assaulted or otherwise hurt during your dep Unique to DD2796 OTHER INJURED Were you wounded, injured, assaulted or otherwise hurt durin INJURED Were you wounded, injured, assaulted or otherwise Y=Yes, N=No, blank=missing
★ If yes, are you still having any problems or concerns related to the e Unique to DD2796 OTHER INJ_PROB If yes, are you still having any problems or concerns relate INJ_PROB If yes, are you still having any problems or conce Y=Yes, N=No, blank=missing
★ During your deployment: Did you ever feel like you were in great dange Unique to DD2796 DEPLOYMENT DEPLOY_DANGER During your deployment: Did you ever feel like you were in g DEPLOY_DANGER During your deployment: a) Did you ever feel like Y=Yes, N=No, blank=missing
★ During your deployment: Did you encounter dead bodies or see people k Unique to DD2796 DEPLOYMENT DEPLOY_KILLED During your deployment: Did you encounter dead bodies or se DEPLOY_KILLED During your deployment: b) Did you encounter dead Y=Yes, N=No, blank=missing
★ During your deployment: Did you engage in direct combat where you disc Unique to DD2796 DEPLOYMENT DEPLOY_WEAPON During your deployment: Did you engage in direct combat wher DEPLOY_WEAPON During your deployment: c) Did you engage in direc Y=Yes, N=No, blank=missing
★ Since you returned from deployment, how many times have you gone to a Unique to DD2796 OTHER TIMES_SEEN Since you returned from deployment, how many times have you TIMES_SEEN Since you returned from deployment, how many times 0=No visits, 1=1 visit, 2=2-3 visits, 3=
★ During this deployment, did you have to spend one or more nights in a Unique to DD2796 OTHER HOSPITALIZED During this deployment, did you have to spend one or more ni HOSPITALIZED Since you returned from deployment, have you been Y=Yes, N=No, blank=missing
★ If hospitalized during deployment, reasons/dates Unique to DD2796 OTHER HOSPITALIZED_TEXT If hospitalized during deployment, reasons/dates HOSPITALIZED_TEXT If you have been hospitalized since you have retur Text Field
★ During the PAST MONTH, how difficult have physical health problems (il Unique to DD2796 OTHER DIFF_PHYSICAL During the PAST MONTH, how difficult have physical health pr DIFF_PHYSICAL During the PAST MONTH, how difficult have physical 1=Not difficult at all, 2=Somewhat diffi
★ During the PAST MONTH, how much have you been bothered by: stomach pai Unique to DD2796 PHYSICAL_SYMPTOMS PAIN_STOMACH During the PAST MONTH, how much have you been bothered by: s PAIN_STOMACH During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: back pain Unique to DD2796 PHYSICAL_SYMPTOMS PAIN_BACK During the PAST MONTH, how much have you been bothered by: b PAIN_BACK During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: pain in the Unique to DD2796 PHYSICAL_SYMPTOMS PAIN_ARMS_LEGS During the PAST MONTH, how much have you been bothered by: p PAIN_ARMS_LEGS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: menstrual Unique to DD2796 OTHER CRAMPS During the PAST MONTH, how much have you been bothered by: CRAMPS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: chest pain Unique to DD2796 PHYSICAL_SYMPTOMS CHEST_PAIN During the PAST MONTH, how much have you been bothered by: c CHEST_PAIN During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: dizziness Unique to DD2796 PHYSICAL_SYMPTOMS DIZZINESS During the PAST MONTH, how much have you been bothered by: DIZZINESS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: fainting s Unique to DD2796 PHYSICAL_SYMPTOMS FAINTING During the PAST MONTH, how much have you been bothered by: FAINTING During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: feeling you Unique to DD2796 OTHER HEART_RACE During the PAST MONTH, how much have you been bothered by: f HEART_RACE During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: shortness Unique to DD2796 PHYSICAL_SYMPTOMS SHORTNESS_BREATH During the PAST MONTH, how much have you been bothered by: SHORTNESS_BREATH During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: pain or pro Unique to DD2796 PHYSICAL_SYMPTOMS PAIN_SEX During the PAST MONTH, how much have you been bothered by: p PAIN_SEX During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: constipatio Unique to DD2796 PHYSICAL_SYMPTOMS DIARRHEA During the PAST MONTH, how much have you been bothered by: c DIARRHEA During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: nausea, gas Unique to DD2796 PHYSICAL_SYMPTOMS NAUSEA During the PAST MONTH, how much have you been bothered by: n NAUSEA During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: feeling tir Unique to DD2796 OTHER LOW_ENERGY During the PAST MONTH, how much have you been bothered by: f LOW_ENERGY During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: balance pr Unique to DD2796 OTHER BALANCE_PROBLEMS During the PAST MONTH, how much have you been bothered by: BALANCE_PROBLEMS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: noises in Unique to DD2796 PHYSICAL_SYMPTOMS HEARING_NOISES During the PAST MONTH, how much have you been bothered by: HEARING_NOISES During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: trouble hea Unique to DD2796 PHYSICAL_SYMPTOMS TROUBLE_HEARING During the PAST MONTH, how much have you been bothered by: t TROUBLE_HEARING During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: sensitivity Unique to DD2796 MENTAL_HEALTH SENSITIVE_LIGHT During the PAST MONTH, how much have you been bothered by: s SENSITIVE_LIGHT During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: becoming e Unique to DD2796 PHYSICAL_SYMPTOMS IRRITABLE During the PAST MONTH, how much have you been bothered by: IRRITABLE During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: fever Unique to DD2796 PHYSICAL_SYMPTOMS FEVER During the PAST MONTH, how much have you been bothered by: f FEVER During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: cough lasti Unique to DD2796 PHYSICAL_SYMPTOMS COUGH During the PAST MONTH, how much have you been bothered by: c COUGH During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: numbness or Unique to DD2796 MENTAL_HEALTH NUMBNESS During the PAST MONTH, how much have you been bothered by: n NUMBNESS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: hard to ma Unique to DD2796 OTHER HARD_MAKING_DECISIONS During the PAST MONTH, how much have you been bothered by: HARD_MAKING_DECISIONS During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: watery, red Unique to DD2796 OTHER RED_EYES During the PAST MONTH, how much have you been bothered by: w RED_EYES During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: dimming of Unique to DD2796 PHYSICAL_SYMPTOMS DIMMING_VISION During the PAST MONTH, how much have you been bothered by: d DIMMING_VISION During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: skin rash Unique to DD2796 PHYSICAL_SYMPTOMS SKIN_RASH During the PAST MONTH, how much have you been bothered by: SKIN_RASH During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: pain with Unique to DD2796 PHYSICAL_SYMPTOMS PAIN_URINATION During the PAST MONTH, how much have you been bothered by: PAIN_URINATION During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ During the PAST MONTH, how much have you been bothered by: bleeding g Unique to DD2796 PHYSICAL_SYMPTOMS PAIN_TOOTH During the PAST MONTH, how much have you been bothered by: PAIN_TOOTH During the PAST MONTH, how much have you been both 0=Not bothered at all, 1=Bothered a litt
★ Are you worried about your health because you believe you were exposed Unique to DD2796 OTHER WORRIED_EXPOSURE Are you worried about your health because you believe you we WORRIED_EXPOSURE Are you worried about your health because you beli Y=Yes, N=No, blank=missing
★ If yes, please explain Unique to DD2796 OTHER EXPOSURE_TEXT If yes, please explain EXPOSURE_TEXT Are you worried about your health because you beli Text Field
★ During this deployment were you based or stationed at a location where Unique to DD2796 EXPOSURE_ENVIRONMENT OPEN_BURN_PIT During this deployment were you based or stationed at a loca OPEN_BURN_PIT During this deployment were you based or stationed Y=Yes, N=No, U=Not Sure
★ During this deployment were you exposed to toxic airborne chemicals or Unique to DD2796 EXPOSURE_ENVIRONMENT AIRBORNE_CHEM During this deployment were you exposed to toxic airborne ch AIRBORNE_CHEM During this deployment were you exposed to toxic a Y=Yes, N=No, U=Not Sure
★ Are you enrolled in the Airborne Hazards and Open Burn Pit Registry? Unique to DD2796 EXPOSURE_ENVIRONMENT ENROLLED_BURN_PIT Are you enrolled in the Airborne Hazards and Open Burn Pit R ENROLLED_BURN_PIT Are you enrolled in the Airborne Hazards and Open Y=Yes, N=No, blank=missing
★ if you are eligible , do you elect to enroll in the Airborne Hazards Unique to DD2796 EXPOSURE_ENVIRONMENT REGISTER_BURN_PIT if you are eligible , do you elect to enroll in the Airborne REGISTER_BURN_PIT if you are eligible , do you elect to enroll in th Y=Yes, N=No, blank=missing
★ Were you bitten or scratched by an animal during your deployment Unique to DD2796 EXPOSURE_ENVIRONMENT BITTEN Were you bitten or scratched by an animal during your deploy BITTEN Were you bitten or scratched by an animal during y Y=Yes, N=No, blank=missing
★ If yes, please explain what kind of animal was involved, your injury, Unique to DD2796 EXPOSURE_ENVIRONMENT BITTEN_TEXT If yes, please explain what kind of animal was involved, you BITTEN_TEXT Were you bitten or scratched by an animal during y Text Field
★ Would you like to schedule an appointment with a health care provider Unique to DD2796 REFERRAL_ACTION REQ_PROVIDER Would you like to schedule an appointment with a health care REQ_PROVIDER Would you like to schedule an appointment with a h Y=Yes, N=No, blank=missing
★ Are you interested in receiving information or assistance for a stress Unique to DD2796 REFERRAL_ACTION REQ_STRESS Are you interested in receiving information or assistance fo REQ_STRESS Are you interested in receiving information or ass Y=Yes, N=No, blank=missing
★ Are you interested in receiving assistance for a family or relationshi Unique to DD2796 REFERRAL_ACTION REQ_FAMILY Are you interested in receiving assistance for a family or r REQ_FAMILY Are you interested in receiving assistance for a f Y=Yes, N=No, blank=missing
★ Would you like to schedule a visit with a chaplain or a community supp Unique to DD2796 REFERRAL_ACTION REQ_CHAPLAIN Would you like to schedule a visit with a chaplain or a comm REQ_CHAPLAIN Would you like to schedule a visit with a chaplain Y=Yes, N=No, blank=missing
★ Self Health Rating Deployer Response Unique to DD2796 DEPLOYMENT HP_SELF_DEPLOY_TEXT Self Health Rating Deployer Response HP_SELF_DEPLOY_TEXT Self Health Rating Deployer Response Text Field
★ Self Health Rating Provider Comments Unique to DD2796 OTHER HP_SELF_PROVIDER_TEXT Self Health Rating Provider Comments HP_SELF_PROVIDER_TEXT Self Health Rating Provider Comments Text Field
★ Change in health post-deployment Unique to DD2796 OTHER HP_HEALTH_CHANGE Change in health post-deployment HP_HEALTH_CHANGE Change in health post-deployment 0=Not answered, 1=Deployer Indicated Con
★ Change in health post-deployment Deployer's Response Unique to DD2796 OTHER HP_DEP_HEALTH_CHANGE_TEXT Change in health post-deployment Deployer's Response HP_DEP_HEALTH_CHANGE_TEXT Change in health post-deployment Deployer's Respon Text Field
★ Change in health post-deployment Provider comments Unique to DD2796 OTHER HP_HEALTH_CHANGE_TEXT Change in health post-deployment Provider comments HP_HEALTH_CHANGE_TEXT Change in health post-deployment Provider comment Text Field
★ Did deployer mark that he/she is still having a problem or concern rel Unique to DD2796 OTHER HP_INURY_CONCERN Did deployer mark that he/she is still having a problem or c HP_INURY_CONCERN Did deployer mark that he/she is still having a pr Y=Yes, N=No, X=Not answered by deployer,
★ Refer for evaluation? Unique to DD2796 OTHER HP_INURY_CONCERN_REF Refer for evaluation? HP_INURY_CONCERN_REF Refer for evaluation? Y=Yes, N=No, blank=missing
★ Refer for evaluation? If no to 2b. Unique to DD2796 OTHER HP_INJURY_NO_REF Refer for evaluation? If no to 2b. HP_INJURY_NO_REF Refer for evaluation? If no to 3. 1=Already under care, 2=Already has refe
★ Refer for evaluation, if no to 2b, Other Reason explain Unique to DD2796 REFERRAL_ACTION HP_INJURY_NO_REF_TEXT Refer for evaluation, if no to 2b, Other Reason explain HP_INJURY_NO_REF_TEXT Refer for evaluation, if no to 3, Other Reason exp Text Field
★ Deployment experiences : Danger of being killed Unique to DD2796 DEPLOYMENT HP_DEPLOY_DANGER Deployment experiences : Danger of being killed HP_DEPLOY_DANGER Deployment experiences as reported in deployer que 0=Not answered, 1=Yes response
★ Deployment experiences : Danger of being killed (Provider comments) Unique to DD2796 DEPLOYMENT HP_DEPLOY_DANGER_TEXT Deployment experiences : Danger of being killed (Provider co HP_DEPLOY_DANGER_TEXT Deployment experiences as reported in deployer que Text Field
★ Deployment experiences : Encountered bodies or saw people killed or w Unique to DD2796 DEPLOYMENT HP_DEPLOY_BODIES Deployment experiences : Encountered bodies or saw people k HP_DEPLOY_BODIES Deployment experiences as reported in deployer que 0=Not answered, 1=Yes response
★ Deployment experiences : Encountered bodies or saw people killed or w Unique to DD2796 DEPLOYMENT HP_DEPLOY_BODIES_TEXT Deployment experiences : Encountered bodies or saw people k HP_DEPLOY_BODIES_TEXT Deployment experiences as reported in deployer que Text Field
★ Address concerns identified on deployer question: Health care visits Unique to DD2796 OTHER HP_VISITS Address concerns identified on deployer question: Health ca HP_VISITS Address concerns identified on deployer question 5 0=Not answered, 1=Yes response
★ Address concerns identified on deployer question: Health care visits Unique to DD2796 DEPLOYMENT HP_VISITS_DEPLOYER_TEXT Address concerns identified on deployer question: Health ca HP_VISITS_DEPLOYER_TEXT Address concerns identified on deployer question 5 Text Field
★ Address concerns identified on deployer question: Health care visits Unique to DD2796 OTHER HP_VISITS_TEXT Address concerns identified on deployer question: Health ca HP_VISITS_TEXT Address concerns identified on deployer question 5 Text Field
★ Address concerns identified on deployer question: Health care combat Unique to DD2796 OTHER HP_COMBAT Address concerns identified on deployer question: Health ca HP_COMBAT Deployment experiences as reported in deployer que 0=Not answered, 1=Yes response
★ Address concerns identified on deployer question: Health care combat Unique to DD2796 OTHER HP_COMBAT_TEXT Address concerns identified on deployer question: Health ca HP_COMBAT_TEXT Deployment experiences as reported in deployer que Text Field
★ Address concerns identified on deployer question: Hospitalized since Unique to DD2796 OTHER HP_HOSPITALIZED Address concerns identified on deployer question: Hospitali HP_HOSPITALIZED Address concerns identified on deployer question 5 0=Not answered, 1=Yes response
★ Address concerns identified on deployer question: Hospitalized since Unique to DD2796 DEPLOYMENT HP_HOSPITALIZED_DEPLOYER_TEXT Address concerns identified on deployer question: Hospitali HP_HOSPITALIZED_DEPLOYER_TEXT Address concerns identified on deployer question 5 Text Field
★ Address concerns identified on deployer question: Hospitalized since Unique to DD2796 OTHER HP_HOSPITALIZED_TEXT Address concerns identified on deployer question: Hospitali HP_HOSPITALIZED_TEXT Address concerns identified on deployer question 5 Text Field
★ Address concerns identified on deployer question: Physical Limitation Unique to DD2796 OTHER HP_LIMITATIONS Address concerns identified on deployer question: Physical HP_LIMITATIONS Address concerns identified on deployer question 5 0=Not answered, 1=Yes response
★ Address concerns identified on deployer question: Physical Limitations Unique to DD2796 DEPLOYMENT HP_LIMITATIONS_DEPLOYER_TEXT Address concerns identified on deployer question: Physical L HP_LIMITATIONS_DEPLOYER_TEXT Address concerns identified on deployer question 5 Text Field
★ Address concerns identified on deployer question: Physical Limitations Unique to DD2796 OTHER HP_LIMITATIONS_TEXT Address concerns identified on deployer question: Physical L HP_LIMITATIONS_TEXT Address concerns identified on deployer question 5 Text Field
★ List of symptoms reported as “Bothered a Lot” on Deployer Questions 11 Unique to DD2796 OTHER HP_BOTHERED_LOT List of symptoms reported as “Bothered a Lot” on Deployer Qu HP_BOTHERED_LOT Post-deployment general symptoms/health concerns: Text Field
★ List of symptoms reported as “Bothered a Little” on Deployer Questions Unique to DD2796 OTHER HP_BOTHERED_LITTLE List of symptoms reported as “Bothered a Little” on Deployer HP_BOTHERED_LITTLE Post-deployment general symptoms/health concerns: Text Field
★ Physical symptom (PHQ-15) severity score for Deployer Questions 11a. t Unique to DD2796 MENTAL_HEALTH HP_PHQ_15 Physical symptom (PHQ-15) severity score for Deployer Questi HP_PHQ_15 Physical symptom (PHQ-15) severity score 1=Minimal <4 (0-4) , 2=Low 5-9, 3=Medium
★ Does deployer have evidence of high generalized post-deployment physic Unique to DD2796 OTHER HP_POST_DEP_SYMPTOMS Does deployer have evidence of high generalized post-deploym HP_POST_DEP_SYMPTOMS Does deployer have evidence of high generalized po Y=Yes, N=No, X=Not answered by deployer,
★ Based on deployer's responses to deployer questions 1a. Through 11ee. Unique to DD2796 OTHER HP_POST_DEP_REF Based on deployer's responses to deployer questions 1a. Thro HP_POST_DEP_REF Based on deployer’s responses to deployer question Y=Yes, N=No, blank=missing
★ Is a referral indicated? If no, other reason Unique to DD2796 OTHER HP_POST_DEP_NOREF Is a referral indicated? If no, other reason HP_POST_DEP_NOREF Reason for no referral 1=Already under care, 2=Already has refe
★ Based on deployer's responses to deployer questions 11a. Through 11ee. Unique to DD2796 OTHER HP_POST_DEP_TEXT Based on deployer's responses to deployer questions 11a. Thr HP_POST_DEP_TEXT Other reason for referral Text Field
★ Major life stressor as reported on deployer question 12: Did deployer Unique to DD2796 STRESSORS HP_STRESSOR Major life stressor as reported on deployer question 12: Did HP_STRESSOR Did deployer mark they have a concern or a difficu Y=Yes, N=No, X=Not answered by deployer,
★ If yes, ask additional questions to determine level of problem Unique to DD2796 STRESSORS HP_STRESSOR_TEXT If yes, ask additional questions to determine level of probl HP_STRESSOR_TEXT If yes, deployer's concern Text Field
★ Major life stressor as reported on deployer question 9: Did deployer m Unique to DD2796 DEPLOYMENT HP_DEPLOYER_STRESS_TEXT Major life stressor as reported on deployer question 9: Did HP_DEPLOYER_STRESS_TEXT If yes, ask additional questions to determine leve Text Field
★ Consider need for referral. Referral indicated? Unique to DD2796 STRESSORS HP_STRESSOR_REF Consider need for referral. Referral indicated? HP_STRESSOR_REF Consider need for referral. Referral indicated? Y=Yes, N=No, blank=missing
★ Consider need for referral. Referral indicated? If no Unique to DD2796 STRESSORS HP_STRESSOR_NOREF Consider need for referral. Referral indicated? If no HP_STRESSOR_NOREF Consider need for referral. Referral indicated? If 1=Already under care, 2=Already has refe
★ Consider need for referral. Referral indicated? If no, other reason, e Unique to DD2796 STRESSORS HP_STRESSOR_NOREF_TEXT Consider need for referral. Referral indicated? If no, other HP_STRESSOR_NOREF_TEXT Consider need for referral. Referral indicated? If Text Field
★ Self-reported history of prescription or over-the-counter medications Unique to DD2796 OTHER HP_MENTAL_HEALTH Self-reported history of prescription or over-the-counter me HP_MENTAL_HEALTH Address concerns as reported in deployer questions 0=Not answered, 1=Yes response
★ Self-reported history of prescription or over-the-counter medications Unique to DD2796 OTHER HP_MENTAL_HEALTH_DEP_TEXT Self-reported history of prescription or over-the-counter me HP_MENTAL_HEALTH_DEP_TEXT Address concerns as reported in deployer questions Text Field
★ Self-reported history of prescription or over-the-counter medications Unique to DD2796 OTHER HP_MENTAL_HEALTH_TEXT Self-reported history of prescription or over-the-counter me HP_MENTAL_HEALTH_TEXT Address concerns as reported in deployer questions Text Field
★ Self-reported history of prescription or over-the-counter medications Unique to DD2796 OTHER HP_OTC_MEDS Self-reported history of prescription or over-the-counter me HP_OTC_MEDS Address concerns as reported in deployer questions 0=Not answered, 1=Yes response
★ Self-reported history of prescription or over-the-counter medications Unique to DD2796 OTHER HP_OTC_MEDS_DEP_TEXT Self-reported history of prescription or over-the-counter me HP_OTC_MEDS_DEP_TEXT Address concerns as reported in deployer questions Text Field
★ Self-reported history of prescription or over-the-counter medications Unique to DD2796 OTHER HP_OTC_MEDS_TEXT Self-reported history of prescription or over-the-counter me HP_OTC_MEDS_TEXT Address concerns as reported in deployer questions Text Field
★ Did deployer indicate a worry or possible exposure? Unique to DD2796 OTHER EXPOSURE_CONCERNS Did deployer indicate a worry or possible exposure? EXPOSURE_CONCERNS Did deployer indicate a worry or possible exposure Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Animal Bites Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_ANIMAL_BITES Deployer's exposure concern: Animal Bites EXP_ANIMAL_BITES Deployer's exposure concern: Animal Bites Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Animal Bodies (dead) Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_ANIMAL_BODIES Deployer's exposure concern: Animal Bodies (dead) EXP_ANIMAL_BODIES Deployer's exposure concern: Animal Bodies (dead) Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Chlorine Gas Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_CHLORINE Deployer's exposure concern: Chlorine Gas EXP_CHLORINE Deployer's exposure concern: Chlorine Gas Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Depleted Uranium Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_URANIUM Deployer's exposure concern: Depleted Uranium EXP_URANIUM Deployer's exposure concern: Depleted Uranium Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Excessive Vibration Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_VIBRATION Deployer's exposure concern: Excessive Vibration EXP_VIBRATION Deployer's exposure concern: Excessive Vibration Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Fog oils (smoke screen) Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_FOG_OILS Deployer's exposure concern: Fog oils (smoke screen) EXP_FOG_OILS Deployer's exposure concern: Fog oils (smoke scree Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Garbage Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_GARBAGE Deployer's exposure concern: Garbage EXP_GARBAGE Deployer's exposure concern: Garbage Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Human Blood, body fluids, body parts, or Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_HUMAN_BODIES Deployer's exposure concern: Human Blood, body fluids, body EXP_HUMAN_BODIES Deployer's exposure concern: Human Blood, body fl Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Industrial pollution Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_POLLUTION Deployer's exposure concern: Industrial pollution EXP_POLLUTION Deployer's exposure concern: Industrial pollution Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Insect bites Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_INSECT_BITES Deployer's exposure concern: Insect bites EXP_INSECT_BITES Deployer's exposure concern: Insect bites Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Ionizing radiation Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_RADIATION Deployer's exposure concern: Ionizing radiation EXP_RADIATION Deployer's exposure concern: Ionizing radiation Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: JP8 or other fuels Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_FUELS Deployer's exposure concern: JP8 or other fuels EXP_FUELS Deployer's exposure concern: JP8 or other fuels Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Lasers Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_LASER Deployer's exposure concern: Lasers EXP_LASER Deployer's exposure concern: Lasers Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Loud noises Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_NOISE Deployer's exposure concern: Loud noises EXP_NOISE Deployer's exposure concern: Loud noises Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Paints Unique to DD2796 PHYSICAL_SYMPTOMS EXP_PAINTS Deployer's exposure concern: Paints EXP_PAINTS Deployer's exposure concern: Paints Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Pesticides Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_PEST_ENVIRO Deployer's exposure concern: Pesticides EXP_PEST_ENVIRO Deployer's exposure concern: Pesticides Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Radar/Microwaves Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_MICROWAVE Deployer's exposure concern: Radar/Microwaves EXP_MICROWAVE Deployer's exposure concern: Radar/Microwaves Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Sand/Dust Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_SAND Deployer's exposure concern: Sand/Dust EXP_SAND Deployer's exposure concern: Sand/Dust Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Smoke from burning trash or feces Unique to DD2796 PHYSICAL_SYMPTOMS EXP_SMOKE_TRASH Deployer's exposure concern: Smoke from burning trash or fe EXP_SMOKE_TRASH Deployer's exposure concern: Smoke from burning t Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Smoke from oil fire Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_SMOKE_OIL Deployer's exposure concern: Smoke from oil fire EXP_SMOKE_OIL Deployer's exposure concern: Smoke from oil fire Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Solvents Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_SOLVENTS Deployer's exposure concern: Solvents EXP_SOLVENTS Deployer's exposure concern: Solvents Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Tent Heater Smoke Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_SMOKE_HEATER Deployer's exposure concern: Tent Heater Smoke EXP_SMOKE_HEATER Deployer's exposure concern: Tent Heater Smoke Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Vehicle or truck exhaust fumes Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_FUMES_EXHAUST Deployer's exposure concern: Vehicle or truck exhaust fumes EXP_FUMES_EXHAUST Deployer's exposure concern: Vehicle or truck exha Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Chemical, biological, radiological warfar Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_WARFARE_AGENT Deployer's exposure concern: Chemical, biological, radiologi EXP_WARFARE_AGENT Deployer's exposure concern: Chemical, biological, Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Other exposures to toxic chemicals or ma Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_OTHER Deployer's exposure concern: Other exposures to toxic chemi EXP_OTHER Deployer's exposure concern: Other exposures to t Y=Yes, N=No, blank=missing
★ Deployer's exposure concern: Other exposures, please list Unique to DD2796 EXPOSURE_ENVIRONMENT EXP_OTHER_TEXT Deployer's exposure concern: Other exposures, please list EXP_OTHER_TEXT Deployer's exposure concern: Other exposures, plea Text Field
★ Referral indicated Unique to DD2796 EXPOSURE_ENVIRONMENT HP_EXP_REF Referral indicated HP_EXP_REF Referral indicated Y=Yes, N=No, blank=missing
★ Reason for no referral Unique to DD2796 EXPOSURE_ENVIRONMENT HP_EXP_NOREF Reason for no referral HP_EXP_NOREF Reason for no referral 1=Already under care, 2=Already has refe
★ Other reason for referral Unique to DD2796 EXPOSURE_ENVIRONMENT HP_EXP_NOREF_TEXT Other reason for referral HP_EXP_NOREF_TEXT Other reason for referral Text Field
★ Did deployer mark "yes" on animal bite/scratch? Unique to DD2796 EXPOSURE_ENVIRONMENT HP_BITTEN Did deployer mark "yes" on animal bite/scratch? HP_BITTEN Did deployer mark "yes" on animal bite/scratch? Y=Yes, N=No, blank=missing
★ If yes, based on details of event and care received is a referral and/ Unique to DD2796 EXPOSURE_ENVIRONMENT HP_BITTEN_REF If yes, based on details of event and care received is a ref HP_BITTEN_REF If yes, based on details of event and care receive Y=Yes, N=No, blank=missing
★ If yes, based on details of event and care received is a referral and/ Unique to DD2796 EXPOSURE_ENVIRONMENT HP_BITTEN_NOREF If yes, based on details of event and care received is a ref HP_BITTEN_NOREF If yes, based on details of event and care receive 1=was appropriately treated, 2=already u
★ If yes, based on details of event and care received is a referral and/ Unique to DD2796 EXPOSURE_ENVIRONMENT HP_BITTEN_NOREF_TEXT If yes, based on details of event and care received is a ref HP_BITTEN_NOREF_TEXT If yes, based on details of event and care receive Text Field
★ Request Medical Appointment Unique to DD2796 REFERRAL_ACTION REQ_HP_MED_APPT Request Medical Appointment REQ_HP_MED_APPT Request Medical Appointment 0=Not answered, 1=Yes response
★ Request Medical Appointment (Comments) Unique to DD2796 REFERRAL_ACTION REQ_HP_MED_APPT_TEXT Request Medical Appointment (Comments) REQ_HP_MED_APPT_TEXT Request Medical Appointment (Comments) Text Field
★ Request info on stress/emotional/alcohol Unique to DD2796 REFERRAL_ACTION REQ_HP_STRESS Request info on stress/emotional/alcohol REQ_HP_STRESS Request info on stress/emotional/alcohol 0=Not answered, 1=Yes response
★ Request info on stress/emotional/alcohol (Comments) Unique to DD2796 REFERRAL_ACTION REQ_HP_STRESS_TEXT Request info on stress/emotional/alcohol (Comments) REQ_HP_STRESS_TEXT Request info on stress/emotional/alcohol (Comments Text Field
★ Family/Relationship concern assistance Unique to DD2796 REFERRAL_ACTION REQ_HP_FAMILY Family/Relationship concern assistance REQ_HP_FAMILY Family/Relationship concern assistance 0=Not answered, 1=Yes response
★ Family/Relationship concern assistance (Comments) Unique to DD2796 REFERRAL_ACTION REQ_HP_FAMILY_TEXT Family/Relationship concern assistance (Comments) REQ_HP_FAMILY_TEXT Family/Relationship concern assistance (Comments) Text Field
★ Chaplain/counselor visit request Unique to DD2796 REFERRAL_ACTION REQ_HP_CHAPLAIN Chaplain/counselor visit request REQ_HP_CHAPLAIN Chaplain/counselor visit request 0=Not answered, 1=Yes response
★ Chaplain/counselor visit request (Comments) Unique to DD2796 REFERRAL_ACTION REQ_HP_CHAPLAIN_TEXT Chaplain/counselor visit request (Comments) REQ_HP_CHAPLAIN_TEXT Chaplain/counselor visit request (Comments) Text Field
★ Appointment Assistance (Comments) Unique to DD2796 ADMIN APPOINTMENT_ASSIST_TEXT Appointment Assistance (Comments) APPOINTMENT_ASSIST_TEXT Appointment Assistance (Comments) Text Field