DD2795 DD2795 – Pre-Deployment Health Assessment 251 fields
Field NameSectionDescription Values / FormatDomainCrosswalk
FORM_TYPE META Type of Form PRE ADMIN Exact Match (all same field name)
FORM_VERSION META DoD Form Version DD2795_202012 ADMIN Exact Match (all same field name)
LNAME DEM Last Name Text Field DEMOGRAPHICS Exact Match (all same field name)
FNAME DEM First Name Text Field DEMOGRAPHICS Exact Match (all same field name)
MI DEM Middle Initial Text Field DEMOGRAPHICS Exact Match (all same field name)
DODID DEM DoD ID number (formerly EDIPI) 9999999999 IDENTITY Primary Join Key
D_EVENT DEM Today's Date (date on form) YYYYMMDD DEPLOYMENT Semantic Match – All 3 Schemas
DOB DEM Date of Birth YYYYMMDD DEMOGRAPHICS Exact Match (all same field name)
SEX DEM Sex M=Male, F=Female DEMOGRAPHICS Semantic Match – All 3 Schemas
FORM_SERVICE DEM Service Branch F=Air Force, A=Army, N=Navy, M=Marine Corps, S=Spa DEPLOYMENT Semantic Match – All 3 Schemas
SERVICE_OTHER DEM Other Defense Agency Text Field DEPLOYMENT Exact Match (all same field name)
FORM_COMPONENT DEM Component A=Active Duty, N=National Guard, R=Reserves, X=Civ DEPLOYMENT Exact Match (all same field name)
GRADE DEM Pay Grade E01=E1, E02=E2, E03=E3, E04=E4, E05=E5, E06=E6, E0 DEMOGRAPHICS Semantic Match – All 3 Schemas
GRADE_OTHER DEM Other Grade Text Field DEMOGRAPHICS Exact Match (all same field name)
UNIT_NAME DEM Unit Name Text Field DEMOGRAPHICS Exact Match (all same field name)
UNIT_LOC DEM Duty Station/Location Text Field DEMOGRAPHICS Exact Match (all same field name)
PHONE DEM Current Phone Text Field DEMOGRAPHICS Semantic Match – All 3 Schemas
CELL DEM Current Cell Phone Text Field DEMOGRAPHICS Exact Match (all same field name)
DSN DEM Current DSN Text Field OTHER Exact Match (all same field name)
EMAIL DEM Current Email Text Field DEMOGRAPHICS Exact Match (all same field name)
ADDR DEM Current Address Text Field DEMOGRAPHICS Exact Match (all same field name)
CITY DEM Current CITY Text Field DEMOGRAPHICS Exact Match (all same field name)
STATE DEM Current STATE Text Field DEMOGRAPHICS Exact Match (all same field name)
ZIP DEM Current ZIP Code Text Field DEMOGRAPHICS Exact Match (all same field name)
POC_NAME DEM POC Name Text Field OTHER Exact Match (all same field name)
POC_PHONE DEM POC Phone Text Field OTHER Exact Match (all same field name)
POC_EMAIL DEM POC Email Text Field OTHER Exact Match (all same field name)
POC_ADDR DEM POC Address Text Field OTHER Exact Match (all same field name)
POC_CITY DEM POC CITY Text Field OTHER Exact Match (all same field name)
POC_STATE DEM POC STATE Text Field OTHER Exact Match (all same field name)
POC_ZIP DEM POC ZIP Code Text Field OTHER Exact Match (all same field name)
D_DEPLOY DEM Estimated Date of deployment YYYYMMDD DEPLOYMENT Unique to DD2795
COUNTRY DEM Country Text Field DEPLOYMENT Semantic Match – DD2795 & DD2796
OPERATION_NAME DEM Name of Operation Text Field DEPLOYMENT Semantic Match – All 3 Schemas
DEPLOY_PREV DEM Previous deployments 0=None, 1=1, 2=2, 3=3, 4=4, 5=5 or more, blank=not DEPLOYMENT Unique to DD2795
DEP_PRIMARY DEM Primary country of last deployment Text Field OTHER Unique to DD2795
D_RET_PREV DEM Date of Return from previous deployment YYYYMMDD OTHER Unique to DD2795
HEALTH_ASSESSMENT 1 Overall, how would you rate your health during the PAST MONTH? E=Excellent, V=Very Good, G=Good, F=Fair, P=Poor OTHER Exact Match (all same field name)
LIGHT_DUTY 2 Are you CURRENTLY on a profile, limited duty, waiting on a MOS/Medical Retention Y=Yes, N=No, U=Don't know PHYSICAL_SYMPTOMS Unique to DD2795
LIGHT_DUTY_REASON 2 Reason for light duty Text Field PHYSICAL_SYMPTOMS Unique to DD2795
TOBACCO 3 How often do you smoke tobacco 0=Not at all, 1=some days, 2=just about every day OTHER Unique to DD2795
PREGNANT 4 Are you pregnant or is there a chance 1=Currently or may be pregnant, 2=pregnant within OTHER Unique to DD2795
CONTRA_COUNSEL 5 Do you wish to receive contraceptive counseling? Y=Yes, N=No, blank=missing OTHER Unique to DD2795
CARE_HEAD 6 In the past year did you receive care for a head injury? Y=Yes, N=No, blank=missing OTHER Unique to DD2795
CARE_HEAD_TEXT 6 Please Explain (head) Text Field OTHER Unique to DD2795
CURRENT_MEDS 7 What prescription or over-the- counter medications (including herbals/supplement 0=None, 1=Yes response (Medications) OTHER Exact Match (all same field name)
CURRENT_MEDS_TEXT 7 If yes, please list. Text Field OTHER Exact Match (all same field name)
CARE_MENTAL 8 In the PAST YEAR did you receive care for any mental health condition or concer Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
CARE_MENTAL_TEXT 8 If yes, please explain Text Field OTHER Exact Match (all same field name)
NOISES 9a Noises in your head or ears (such as ringing, buzzing, crickets, humming, tone, 0=Not bothered at all, 1=Bothered a little, 2=Both EXPOSURE_ENVIRONMENT Unique to DD2795
HEARING 9b Trouble hearing Past month 0=Not bothered at all, 1=Bothered a little, 2=Both PHYSICAL_SYMPTOMS Unique to DD2795
ETOH_OFTEN 10a How often do you have a drink containing alcohol? 0=Never, 1=Monthly, 2=2-4 times a month, 3=2-3 tim SUBSTANCE_USE Exact Match (all same field name)
ETOH_DAY 10b How many drinks containing alcohol do you have on a typical day when you are dri 1=1 or 2, 2=3 or 4, 3=5 or 6, 4=7 to 9, 5=10 or mo SUBSTANCE_USE Exact Match (all same field name)
ETOH_BINGE 10c How often do you have six or more drinks on one occasion? 0=never, 1=Less than monthly, 2=monthly, 3=weekly, SUBSTANCE_USE Exact Match (all same field name)
NIGHTMARES 11a Have you ever had any experience that was so frightening, horrible, or upsetting Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
AVOID_SITUATIONS 11b Have you ever had any experience that was so frightening, horrible, or upsetting Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
ON_GUARD 11c Have you ever had any experience that was so frightening, horrible, or upsetting Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
DETACHED 11d Have you ever had any experience that was so frightening, horrible, or upsetting Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
BLAME 11e Felt guilt or unable to stop blaming yourself or others for the event(s) or any Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
MEMORIES 11f Have you been bothered by that problem in the PAST MONTH. Repeated, disturbing m 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
DREAMS 11g Have you been bothered by that problem in the PAST MONTH. Repeated, disturbing d 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
RELIVING 11h Have you been bothered by that problem in the PAST MONTH. Suddenly acting or fee 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
UPSET 11i Have you been bothered by that problem in the PAST MONTH. Feeling very upset whe 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
PHYS_REACTION 11j Have you been bothered by that problem in the PAST MONTH. Having physical reacti 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
AVOID_THINK 11k Have you been bothered by that problem in the PAST MONTH. Avoid thinking about o 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
AVOID_ACTIVITIES 11l Have you been bothered by that problem in the PAST MONTH. Avoid activities or si 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
TROUBLE_MEMORY 11m Have you been bothered by that problem in the PAST MONTH. Trouble remembering im 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
DISINTEREST 11n Have you been bothered by that problem in the PAST MONTH. Loss of interest in th 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
DISTANT 11o Have you been bothered by that problem in the PAST MONTH. Feeling distant or cut 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
NUMB 11p Have you been bothered by that problem in the PAST MONTH. Feeling emotionally nu 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
DOOM 11q Have you been bothered by that problem in the PAST MONTH. Feeling as if your fut 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
INSOMNIA 11r Have you been bothered by that problem in the PAST MONTH. Trouble falling or sta 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
ANGRY_OUTBURSTS 11s Have you been bothered by that problem in the PAST MONTH. Feeling irritable or h 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
CONCENTRATE 11t Have you been bothered by that problem in the PAST MONTH. Having difficulty conc 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
WATCHFUL 11u Have you been bothered by that problem in the PAST MONTH. Being “super alert” or 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
ALERT 11v Have you been bothered by that problem in the PAST MONTH. Feeling jumpy or easil 0=Not at all, 1=A little bit, 2=Moderately, 3=Quit MENTAL_HEALTH Exact Match (all same field name)
LIFE_DIFFICULT 11w How difficult have these problems (11f. through 11v.) made it for you to do your 0=Not difficult at all, 1=Somewhat difficult, 2=Ve MENTAL_HEALTH Exact Match (all same field name)
WEEKS_LITTLE_INTEREST 12a Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_DEPRESSED 12b Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_SLEEP 12c Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_TIRED 12d Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_APPETITE 12e Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_FAILURE 12f Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_CONCENTRATE 12g Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_LETHARGIC_JUMPY 12h Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at all, 1=Few or several days, 3=More than h MENTAL_HEALTH Exact Match (all same field name)
WEEKS_PROBLEMS 12i How difficult have these problems (12a.through12h.) made it for you to do your w 0=Not difficult at all, 1=Somewhat difficult, 2=Ve MENTAL_HEALTH Exact Match (all same field name)
STRESSOR_NONE 13a Over the PAST MONTH, which major life stressors, if any, have you experienced th 1=Checked (None), 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_LEGAL 13a Legal 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_MONEY 13a Financial 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SPIRIT 13a Spiritual 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SUB 13a Substance abuse (including alcohol) 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_FAM 13a Family/relationship 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_WORK 13a Employment 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SLEEP 13a Sleep 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_MH 13a Behavioral health 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_OTH 13a Other 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSORS_TEXT 13a Please list and explain Text Field STRESSORS Exact Match (all same field name)
STRESSORS_HELP 13b Are you currently in treatment or getting professional help for this concern? Y=Yes, N=No, blank=missing STRESSORS Exact Match (all same field name)
CONCERN_OTHER 14 Are you concerned about any other health condition(s) or health risk exposures n Y=Yes, N=No (None) OTHER Unique to DD2795
CONCERN_TEXT 14 Please list and explain Text Field OTHER Unique to DD2795
HCP_LNAME HCP1 HCP provider's Last Name Text Field PROVIDER Exact Match (all same field name)
HCP_FNAME HCP2 HCP provider's First Name Text Field PROVIDER Exact Match (all same field name)
HCP_MNAME HCP3 HCP provider's Middle Name Text Field PROVIDER Exact Match (all same field name)
HCP_SERVICE HCP4 HCP provider's Service Branch F=Air Force, A=Army, N=Navy, M=Marine Corps, S=Spa DEPLOYMENT Exact Match (all same field name)
HCP_STATUS HCP5 HCP provider's Status A=AD, G=Guard, R=Reservist, AGR=AGR, CIV=Civ, CTR= PROVIDER Exact Match (all same field name)
HCP_STATUS_TEXT HCP5 HCP provider's Status Text Text Field PROVIDER Exact Match (all same field name)
HCP_TITLE HCP6 HCP provider's Title PHY=MD/DO, NP=NP, PA=PA, APN=APN, IDC=IDC, IDHST=I PROVIDER Exact Match (all same field name)
HCP_EMAIL HCP7 HCP provider's Email Text Field PROVIDER Exact Match (all same field name)
HCP_FACILITY HCP8 Facility Name Text Field PROVIDER Exact Match (all same field name)
HCP_UNIT HCP9 Unit Name Text Field PROVIDER Exact Match (all same field name)
HCP_ADDR HCP10 HCP provider's Address and City Text Field PROVIDER Exact Match (all same field name)
HCP_STATE HCP11 HCP provider's STATE Text Field PROVIDER Exact Match (all same field name)
HCP_ZIP HCP12 HCP provider's ZIP Code Text Field PROVIDER Exact Match (all same field name)
HCP_PHONE HCP13 HCP provider's Phone number Text Field PROVIDER Exact Match (all same field name)
DEPLOYING_TO_PROVIDER META Providers input Text Field DEPLOYMENT Unique to DD2795
HAS_DEPLOYED_PROVIDER META Providers input 0-99 DEPLOYMENT Unique to DD2795
LAST_RETURNED_PROVIDER META Providers input YYYYMMDD OTHER Unique to DD2795
SELF_HEALTH_FOLLOWUP HP1 Self health rating 0=Not answered, 1=Deployer indicated concern or ye OTHER Exact Match (all same field name)
SELF_HEALTH_DEPLOYER HP1 Self health rating Deployers Response Text Field DEPLOYMENT Unique to DD2795
SELF_HEALTH_PROVIDER HP1 Self health rating Providers comments Text Field OTHER Unique to DD2795
MEB_FOLLOWUP HP1 MEB or PEB 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
MEB_DEPLOYER HP1 MEB or PEB Text Field DEPLOYMENT Unique to DD2795
MEB_PROVIDER HP1 MEB or PEB Text Field OTHER Unique to DD2795
MDM_FOLLOWUP HP1 Medical, dental, or mental health concern 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
MDM_DEPLOYER HP1 Medical, dental, or mental health concern Text Field DEPLOYMENT Unique to DD2795
MDM_PROVIDER HP1 Medical, dental, or mental health concern Text Field OTHER Unique to DD2795
PREGNANT_FOLLOWUP HP1 I am or may be pregnant 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
PREGNANT_DEPLOYER HP1 I am or may be pregnant Text Field DEPLOYMENT Unique to DD2795
PREGNANT_PROVIDER HP1 I am or may be pregnant Text Field OTHER Unique to DD2795
DELIVERED6_FOLLOWUP HP1 Pregnant or just delivered within the past 6-months 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
DELIVERED6_DEPLOYER HP1 Pregnant or just delivered within the past 6-months Text Field DEPLOYMENT Unique to DD2795
DELIVERED6_PROVIDER HP1 Pregnant or just delivered within the past 6-months Text Field OTHER Unique to DD2795
DELIVERED12_FOLLOWUP HP1 Pregnant and delivered 6 ~ 12 months ago 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
DELIVERED12_DEPLOYER HP1 Pregnant and delivered 6 ~ 12 months ago Text Field DEPLOYMENT Unique to DD2795
DELIVERED12_PROVIDER HP1 Pregnant and delivered 6 ~ 12 months ago Text Field OTHER Unique to DD2795
DELIVERED00_FOLLOWUP HP1 Not pregnant or delivered in past 12 months 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
DELIVERED00_DEPLOYER HP1 Not pregnant or delivered in past 12 months Text Field DEPLOYMENT Unique to DD2795
DELIVERED00_PROVIDER HP1 Not pregnant or delivered in past 12 months Text Field OTHER Unique to DD2795
CONTRA_COUNSEL_FOLLOWUP HP1 Contraceptive counseling 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
CONTRA_COUNSEL_DEPLOYER HP1 Contraceptive counseling Text Field DEPLOYMENT Unique to DD2795
CONTRA_COUNSEL_PROVIDER HP1 Contraceptive counseling Text Field OTHER Unique to DD2795
HEAD_FOLLOWUP HP1 Head injury 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
HEAD_DEPLOYER HP1 Head injury Text Field DEPLOYMENT Unique to DD2795
HEAD_PROVIDER HP1 Head injury Text Field OTHER Unique to DD2795
MED_FOLLOWUP HP1 Medications 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
MED_DEPLOYER HP1 Medications Text Field DEPLOYMENT Unique to DD2795
MED_PROVIDER HP1 Medications Text Field OTHER Unique to DD2795
HX_MH_FOLLOWUP HP1 History of mental Health Care 0=Not answered, 1=Deployer indicated concern or ye OTHER Unique to DD2795
HX_MH_DEPLOYER HP1 History of mental Health Care Text Field DEPLOYMENT Unique to DD2795
HX_MH_PROVIDER HP1 History of mental Health Care Text Field OTHER Unique to DD2795
HEARING_REPORTED HP2a Did deployer mark he/she bothered by noises in ears or trouble hearing Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2795
REF_HEARING HP2b Is referral indicated for hearing problem Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2795
REF_HEARING_NEG HP2b Why not referred 1=Already under care, 2=Already has referral, 3=no PHYSICAL_SYMPTOMS Unique to DD2795
REF_HEARING_TEXT HP2b Other reason for referral Text Field PHYSICAL_SYMPTOMS Unique to DD2795
AUDITC_SCREEN HP3a Deployer's AUDIT-C screening score 0-12, N=not answered, blank=missing SUBSTANCE_USE Exact Match (all same field name)
ETOH_WEEK_PROVIDER HP3a Number of drinks per week 0-99 SUBSTANCE_USE Exact Match (all same field name)
ETOH_TOTAL_PROVIDER HP3a Number of drinks per occasion 0-99 SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH HP3b Referral indicated for evaluation ETOH Y=Yes, N=No, blank=missing SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH_NEG HP3b Reason for no referral 1=Already under care, 2=Already has referral, 3=no SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH_TEXT HP3b Other reason for referral Text Field SUBSTANCE_USE Exact Match (all same field name)
PTSD_REPORTED HP4a Did deployer mark yes on three or more of questions 11a. through 11e? Y=Yes, N=No, X=Not answered by deployer, blank=mis MENTAL_HEALTH Exact Match (all same field name)
PCLC_SCORE HP4b If yes, deployer’s responses to questions 11f. through 11v. resulted in a PCL-C 0-99, X=not answered or incomplete, blank=missing MENTAL_HEALTH Semantic Match – All 3 Schemas
PCLC_INCOMPLETE HP4b 11f. through 11w. were not answered or are incomplete 1=Checked, 0=Not Checked MENTAL_HEALTH Exact Match (all same field name)
PCLC_MATRIX HP4b PTSD Intervention Matrix, Self-Reported Level of Functioning 1 - Not difficult at all or somewhat difficult; 2= MENTAL_HEALTH Semantic Match – All 3 Schemas
REF_PTSD HP4c Referral indicated for PTSD Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REF_PTSD_NEG HP4c Reason for no referral 1=Already under care, 2=Already has referral, 3=no MENTAL_HEALTH Exact Match (all same field name)
REF_PTSD_TEXT HP4c Other reason for referral Text Field MENTAL_HEALTH Exact Match (all same field name)
DEPRESSION_REPORTED HP5a Did deployer mark “More than half the days” or “Nearly every day” on question 12 Y=Yes, N=No, X=Not answered by deployer, blank=mis MENTAL_HEALTH Exact Match (all same field name)
PHQ8_SCORE HP5b If yes, deployer’s responses to questions 12a. through 12h. resulted in a total 0-99, X=12c-12i not answered or incomplete, blank= MENTAL_HEALTH Semantic Match – All 3 Schemas
PHQ8_INCOMPLETE HP5b 11c. through 11i. were not answered or incomplete. 1=Checked, 0=Not Checked MENTAL_HEALTH Exact Match (all same field name)
PHQ8_MATRIX HP5b Depression Intervention Matrix, Self-Reported Level of Functioning 1 - Not difficult at all or somewhat difficult; 2= MENTAL_HEALTH Exact Match (all same field name)
REF_DEPRESSION HP5c Referral for depression education Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REF_DEPRESSION_NEG HP5c Reason for no referral 1=Already under care, 2=Already has referral, 3=no MENTAL_HEALTH Exact Match (all same field name)
REF_DEPRESSION_TEXT HP5c Other reason for referral Text Field MENTAL_HEALTH Exact Match (all same field name)
STRESSORS_REPORTED HP6a Did deployer mark they have a concern or a difficulty with a major life stressor Y=Yes, N=No, X=Not answered by deployer, blank=mis STRESSORS Unique to DD2795
STRESSORS_DEPLOYERS_CONCERN HP6a Deployer's Concern Text Field DEPLOYMENT Unique to DD2795
STRESSORS_COMMENTS HP6b If yes, ask additional questions to determine level of problem: Text Field STRESSORS Unique to DD2795
REF_STRESSORS HP6c Referral for STRESSORS Y=Yes, N=No, blank=missing STRESSORS Unique to DD2795
REF_STRESSORS_NEG HP6c Reason for no referral 1=Already under care, 2=Already has referral, 3=no STRESSORS Unique to DD2795
REF_STRESSORS_OTHER HP6c Other reason for referral Text Field STRESSORS Unique to DD2795
SUICIDE_A HP7a Over the PAST MONTH, have you wished you were dead or wished you could go to sle Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_B HP7b Have you actually had any thoughts of killing yourself? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_C HP7c Over the PAST MONTH, have you been thinking about how you might do this? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_D HP7d Over the PAST MONTH, have you had these thoughts and had some intention of actin Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_E1 HP7e1 Over the PAST MONTH, have you started to work out or worked out the details of h Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_E2 HP7e2 At any time in the PAST MONTH, did you intend to carry out this plan? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_F1 HP7f1 In your lifetime, have you ever done anything, started to do anything, or prepar Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_F2 HP7f2 Was this within the past three months? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_G_TEXT HP7g Conduct further risk assessment Text Field MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_RISK HP7h Does deployer pose a current risk for harm to self? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
VIOLENCE HP8a Over the past month have you had thoughts or concerns that you might hurt or los Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
VIOLENCE_TEXT HP8a Comments on violence/harm eval Text Field OTHER Exact Match (all same field name)
VIOLENCE_RISK HP8b Does member pose a current risk to others? Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
VIOLENCE_RISK_TEXT HP8b Explain 8B Text Field OTHER Exact Match (all same field name)
MED_HX_REV HP9 Medical History Review 1=Completed, 2=No health records available, blank= OTHER Unique to DD2795
SIGNIF_FDN HP9a Significant findings Text Field OTHER Unique to DD2795
MED_LIMIT_DEPLOY HP9b Evidence of deployment limiting condition Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2795
DEP_DEC_FORM HP10 Deployer declined to complete form 1=Checked, 0=Not Checked OTHER Exact Match (all same field name)
DEP_DEC_ASSESS HP10 Deployer declined to complete interview 1=Checked, 0=Not Checked OTHER Exact Match (all same field name)
REFER_NONE HP11a No concerns identified 1=Checked, 0=Not Checked REFERRAL_ACTION Exact Match (all same field name)
REFER_PH HP11b Concerns identified: Physical health Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_DENTAL HP11c Concerns identified: Dental health Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_ETOH HP11d Concerns identified: Alcohol use Y=Yes, N=No, blank=missing SUBSTANCE_USE Exact Match (all same field name)
REFER_PTSD HP11e Concerns identified: PTSD symptoms Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REFER_DEPRESSION HP11f Concerns identified: Depression symptoms Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REFER_MH HP11g Concerns identified: Mental health symptoms Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_HARM HP11h Concerns identified: Risk of self-harm Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_VIOLENCE HP11i Concerns identified: Risk of violence Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_OTHER HP11j Concerns identified: Other Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_OTHER_TEXT HP11j Concerns identified: Other (list) Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_PRIMARY HP12a Referral indicated - Primary Care, Family Practice, Internal Medicine 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_MENTAL_PRIMARY HP12b Referral indicated - Behavioral Health in Primary Care 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_MENTAL_SPECIAL HP12c Referral indicated - Mental Health 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_DENTAL HP12d Referral indicated - Dental 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_OTHER_SPEC HP12e Referral indicated - Other specialty care 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_AUDIOLOGY HP12e Referral indicated - Audiology 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_DERM HP12e Referral indicated - dermatologic 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_GYN HP12e Referral indicated - OB/GYN 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_PT HP12e Referral indicated - PT 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_TBI HP12e Referral indicated -TBI/Rehab Med 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_PODIATRY HP12e Referral indicated - Podiatry 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_SPEC_OTHER HP12e Referral to other specialty care listed 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_SPEC_OTH_TEXT HP12e List of other specialty referral Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_CARE HP12f Referral to Case manager 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_ABUSE HP12g Referral to Substance abuse program 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_OTHER HP12h Other referral listed 0=Within 24 hours, 1=Within 7 days, 2=Within 30 da REFERRAL_ACTION Exact Match (all same field name)
REFTIME_OTHER_TEXT HP12h List of other specialty referral Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_COMMENTS HP13 Referral comments Text Field REFERRAL_ACTION Exact Match (all same field name)
MED_DISP HP14 Final Medical Disposition 1=deployable, 2=Deployable with conditions, 3=not OTHER Unique to DD2795
MED_DISP_TEXT HP15 Medical Disposition Comments Text Field OTHER Unique to DD2795
APPOINTMENT_ASSIST HP16 Appointment Assistance Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
APPOINT_ASSIST_TEXT HP16 Appointment assistance text Text Field ADMIN Unique to DD2795
CONTRACT_SUP HP16 Contract support Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
CONTRACT_SUP_TEXT HP16 Contract support text Text Field ADMIN Exact Match (all same field name)
COMMUNITY HP16 Community Service Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
COMMUNITY_TEXT HP16 Community Service text Text Field ADMIN Exact Match (all same field name)
CHAPLAIN HP16 Chaplain Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
HEALTH_ED HP16 Health Education and Information Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
HEALTH_RESOURCES HP16 Health Care Benefits and Resources Information Y=Checked, N=Not checked OTHER Exact Match (all same field name)
IN_TRANS HP16 In Transition Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
FAM_SUPPORT HP16 Family Support Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
ONE_SOURCE HP16 Military one source Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
TRICARE HP16 TRICARE PROVIDER Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
VA_MED HP16 VA Medical Center or Community Clinic Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
VET HP16 Vet Center Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
OTHER_SUPPORT HP16 Other Supplemental services recommended Y=Checked, N=Not checked OTHER Exact Match (all same field name)
OTHER_SUPPORT_TEXT HP16 Other Supplemental services recommended text Text Field OTHER Exact Match (all same field name)
APPOINTMENT_NONE HP16 No Supplemental Services Required Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
CERT_PROVIDER META Certify review process has been completed 1=Checked, 0=Not Checked ADMIN Exact Match (all same field name)
HCP_DIG_SIG META HCP Digital Signature 1=Signed, 0=Not signed PROVIDER Exact Match (all same field name)
CERTIFY_DATE META Date Certified YYYYMMDD ADMIN Exact Match (all same field name)