DD2796 DD2796 – Post-Deployment Health Assessment 402 fields
Field NameSectionDescription Values / FormatDomainCrosswalk
FORM_TYPE META Type of Form POST ADMIN Exact Match (all same field name)
FORM_VERSION META DoD Form Version DD2796_202312 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_ARRIVAL DEM Date arrived theater YYYYMMDD DEPLOYMENT Semantic Match – DD2796 & ANAM
D_DEPART DEM Date departed theater YYYYMMDD DEPLOYMENT Unique to DD2796
COUNTRY1 DEM Country 1 Text Field DEPLOYMENT Semantic Match – DD2795 & DD2796
COUNTRY1_MONTHS DEM Time at location (months) 00-99 DEPLOYMENT Unique to DD2796
COUNTRY2 DEM Country 2 Text Field DEPLOYMENT Unique to DD2796
COUNTRY2_MONTHS DEM Time at location (months) 00-99 DEPLOYMENT Unique to DD2796
COUNTRY3 DEM Country 3 Text Field DEPLOYMENT Unique to DD2796
COUNTRY3_MONTHS DEM Time at location (months) 00-99 DEPLOYMENT Unique to DD2796
COUNTRY4 DEM Country 4 Text Field DEPLOYMENT Unique to DD2796
COUNTRY4_MONTHS DEM Time at location (months) 00-99 DEPLOYMENT Unique to DD2796
COUNTRY5 DEM Country 5 Text Field DEPLOYMENT Unique to DD2796
COUNTRY5_MONTHS DEM Time at location (months) 00-99 DEPLOYMENT Unique to DD2796
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)
HEALTH_CHANGE 2 Compared to before deployment, how would you rate your health in general now 1=Much better now than when I deployed 2=Somewhat OTHER Unique to DD2796
HEALTH_CHANGE_WORSE1 2 Somewhat worse now than before I deployed (please explain) Text Field OTHER Unique to DD2796
HEALTH_CHANGE_WORSE2 2 Much worse now than before I deployed (please explain) Text Field OTHER Unique to DD2796
TOBACCO_USE 3 How often did you smoke tobacco (for example cigarettes, cigars, pipe, or hookah 0=Not at All 1=Some Days 2=Just about every day OTHER Unique to DD2796
INJURED 4 Were you wounded, injured, assaulted or otherwise hurt during your deployment? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
INJ_PROB 4 If yes, are you still having any problems or concerns related to the events? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
INJ_PROB_OTHER 4 if yes, are you still having any problems or concerns related to the events, pl Text Field OTHER Unique to DD2796
DEPLOY_DANGER 5a During your deployment: Did you ever feel like you were in great danger of being Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2796
DEPLOY_KILLED 5b During your deployment: Did you encounter dead bodies or see people killed or w Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2796
DEPLOY_WEAPON 5c During your deployment: Did you engage in direct combat where you discharged a w Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2796
TIMES_SEEN 6 Since you returned from deployment, how many times have you gone to a health car 0=No visits, 1=1 visit, 2=2-3 visits, 3=4-5 visits OTHER Unique to DD2796
REC_CARE_MH 7 During this deployment, did you receive care for combat stress or a mental healt Y=Yes, N=No, blank=missing OTHER Unique to DD2796
REC_CARE_MH_TEXT 7 If yes, please explain Text Field OTHER Unique to DD2796
HOSPITALIZED 8 During this deployment, did you have to spend one or more nights in a hospital a Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HOSPITALIZED_TEXT 8 If hospitalized during deployment, reasons/dates Text Field OTHER Unique to DD2796
DIFF_PHYSICAL 9 During the PAST MONTH, how difficult have physical health problems (illness or i 1=Not difficult at all, 2=Somewhat difficult, 3=Ve OTHER Unique to DD2796
EXP_BLAST 10a1 During this deployment, did any of the following happen to you: Blast or explosi Y=Yes, N=No, blank=missing TBI_BLAST Semantic Match – DD2796 & ANAM
EXP_BLAST_LT25 10a1 If yes, please estimate your distance from the closest blast or explosion: Less Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
EXP_BLAST_25_50 10a1 If yes, please estimate your distance from the closest blast or explosion: Betwe Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
EXP_BLAST_50_100 10a1 If yes, please estimate your distance from the closest blast or explosion: Betwe Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
EXP_BLAST_GT100 10a1 If yes, please estimate your distance from the closest blast or explosion: Great Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
EXP_CRASH 10a2 During this deployment, did any of the following happen to you: Vehicular accide Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2796
EXP_WOUND_HEAD 10a3a During this deployment, did any of the following happen to you: fragment or bull Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
EXP_WOUND_OTHER 10a3a During this deployment, did any of the following happen to you: fragment or bull Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
EXP_OTHER_INJ 10a4 During this deployment, did any of the following happen to you: other injury (e. Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_TEXT 10a If yes to any of the above, please explain Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
IMMED_LOC 10b1 As a result of any of the events in 10.a, did you receive jolt or blow to your h Y=Yes, N=No, blank=missing TBI_BLAST Semantic Match – DD2796 & ANAM
IMMED_LOC_LENGTH 10b1 If yes, for about how long were you knocked out 1=Less than five minutes, 2=5-30 minutes, 3=30+ mi TBI_BLAST Unique to DD2796
IMMED_MEMORY 10b2 Losing memory of events before or after the injury Y=Yes, N=No, blank=missing TBI_BLAST Semantic Match – DD2796 & ANAM
IMMED_DAZED 10b3 Seeing stars, becoming disoriented, functioning differently, or nearly blacking Y=Yes, N=No, blank=missing TBI_BLAST Semantic Match – DD2796 & ANAM
NUM_JOLT 10c How many total times during this deployment did you receive a blow or jolt to yo 0=0 1=1 2=2 3=3 4=more than 3 TBI_BLAST Semantic Match – DD2796 & ANAM
NUM_JOLT_TEXT 10c If more than 3, list number of times Text Field TBI_BLAST Unique to DD2796
PAIN_STOMACH 11a During the PAST MONTH, how much have you been bothered by: stomach pain 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
PAIN_BACK 11b During the PAST MONTH, how much have you been bothered by: back pain 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
PAIN_ARMS_LEGS 11c During the PAST MONTH, how much have you been bothered by: pain in the arms, leg 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
CRAMPS 11d During the PAST MONTH, how much have you been bothered by: menstrual cramps or 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
HEADACHES 11e During the PAST MONTH, how much have you been bothered by: headaches 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Semantic Match – DD2796 & ANAM
CHEST_PAIN 11f During the PAST MONTH, how much have you been bothered by: chest pain 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
DIZZINESS 11g During the PAST MONTH, how much have you been bothered by: dizziness 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
FAINTING 11h During the PAST MONTH, how much have you been bothered by: fainting spells 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
HEART_RACE 11i During the PAST MONTH, how much have you been bothered by: feeling your heart po 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
SHORTNESS_BREATH 11j During the PAST MONTH, how much have you been bothered by: shortness of breath 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
PAIN_SEX 11k During the PAST MONTH, how much have you been bothered by: pain or problems duri 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
DIARRHEA 11l During the PAST MONTH, how much have you been bothered by: constipation, loose b 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
NAUSEA 11m During the PAST MONTH, how much have you been bothered by: nausea, gas, or indig 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
LOW_ENERGY 11n During the PAST MONTH, how much have you been bothered by: feeling tired or havi 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
TROUBLE_SLEEPING 11o During the PAST MONTH, how much have you been bothered by: trouble sleeping 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Semantic Match – DD2796 & ANAM
TROUBLE_CONCENTRATING 11p During the PAST MONTH, how much have you been bothered by: Trouble concentrating 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Semantic Match – DD2796 & ANAM
MEMORY_PROBLEMS 11q During the PAST MONTH, how much have you been bothered by: memory problems 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Semantic Match – DD2796 & ANAM
BALANCE_PROBLEMS 11r During the PAST MONTH, how much have you been bothered by: balance problems 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
HEARING_NOISES 11s During the PAST MONTH, how much have you been bothered by: noises in your head 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
TROUBLE_HEARING 11t During the PAST MONTH, how much have you been bothered by: trouble hearing 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
SENSITIVE_LIGHT 11u During the PAST MONTH, how much have you been bothered by: sensitivity to bright 0=Not bothered at all, 1=Bothered a little, 2=both MENTAL_HEALTH Unique to DD2796
IRRITABLE 11v During the PAST MONTH, how much have you been bothered by: becoming easily anno 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
FEVER 11w During the PAST MONTH, how much have you been bothered by: fever 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
COUGH 11x During the PAST MONTH, how much have you been bothered by: cough lasting more th 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
NUMBNESS 11y During the PAST MONTH, how much have you been bothered by: numbness or tingling 0=Not bothered at all, 1=Bothered a little, 2=both MENTAL_HEALTH Unique to DD2796
HARD_MAKING_DECISIONS 11z During the PAST MONTH, how much have you been bothered by: hard to make up your 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
RED_EYES 11aa During the PAST MONTH, how much have you been bothered by: watery, red eyes 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
DIMMING_VISION 11bb During the PAST MONTH, how much have you been bothered by: dimming of vision, li 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
SKIN_RASH 11cc During the PAST MONTH, how much have you been bothered by: skin rash and/or les 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
PAIN_URINATION 11dd During the PAST MONTH, how much have you been bothered by: pain with urination, 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
PAIN_TOOTH 11ee During the PAST MONTH, how much have you been bothered by: bleeding gums, tooth 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
STRESSOR_NONE 12a 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 12a Legal 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_MONEY 12a Financial 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SPIRIT 12a Spiritual 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SUB 12a Substance abuse (including alcohol) 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_FAM 12a Family/relationship 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_WORK 12a Employment 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SLEEP 12a Sleep 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_MH 12a Behavioral health 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_OTH 12a Other 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSORS_TEXT 12a Please list and explain Text Field STRESSORS Exact Match (all same field name)
STRESSORS_HELP 12b 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)
CARE_MENTAL 13 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 13 If yes, please explain Text Field OTHER Exact Match (all same field name)
CURRENT_MEDS 14 What prescription or over-the-counter medications (including herbals/supplements 0=None, 1=Yes response (Medications) OTHER Exact Match (all same field name)
CURRENT_MEDS_TEXT 14 If yes, please list. Text Field OTHER Exact Match (all same field name)
ETOH_OFTEN 15a How often do you have a drink containing alcohol 0=Never 1=Monthly or Less 2=2-4 times a month 3=2- SUBSTANCE_USE Exact Match (all same field name)
ETOH_DAY 15b 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 mor SUBSTANCE_USE Exact Match (all same field name)
ETOH_BINGE 15c How often do you have six or more drinks on one occasion 0=Never 1=Less than monthly 2=Monthly 3=Weekly 4=D SUBSTANCE_USE Exact Match (all same field name)
NIGHTMARES 16a Have you ever had any experience that was so frightening , horrible, or upsettin Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
AVOID_SITUATIONS 16b Have you ever had any experience that was so frightening , horrible, or upsettin Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
ON_GUARD 16c Have you ever had any experience that was so frightening , horrible, or upsettin Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
DETACHED 16d Have you ever had any experience that was so frightening , horrible, or upsettin Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
BLAME 16e 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 16f 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 16g 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 16h 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 16i 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 16j 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 16k 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 16l 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 16m 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 16n 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 16o 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 16p 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 16q 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 16r 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 16s 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 16t 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 16u 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 16v 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 16w How difficult have these problems (16f. through 16v.) 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 17a Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at All 1=Few or several days 2=More than hal MENTAL_HEALTH Exact Match (all same field name)
WEEKS_DEPRESSED 17b Over the LAST 2 WEEKS, how often have you been bothered by the following problem 0=Not at All 1=Few or several days 2=More than hal MENTAL_HEALTH Exact Match (all same field name)
WEEKS_SLEEP 17c 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 17d 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 17e 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 17f 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 17g 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 17h 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 17i How difficult have these problems (17a.through17h.) 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)
WORRIED_EXPOSURE 18 Are you worried about your health because you believe you were exposed to someth Y=Yes, N=No, blank=missing OTHER Unique to DD2796
EXPOSURE_TEXT 18 If yes, please explain Text Field OTHER Unique to DD2796
OPEN_BURN_PIT 19a During this deployment were you based or stationed at a location where an open b Y=Yes, N=No, U=Not Sure EXPOSURE_ENVIRONMENT Unique to DD2796
AIRBORNE_CHEM 19b During this deployment were you exposed to toxic airborne chemicals or other air Y=Yes, N=No, U=Not Sure EXPOSURE_ENVIRONMENT Unique to DD2796
ENROLLED_BURN_PIT 19c Are you enrolled in the Airborne Hazards and Open Burn Pit Registry? Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
REGISTER_BURN_PIT 19d if you are eligible , do you elect to enroll in the Airborne Hazards Open Burn Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_CHEM 20 Do you think you were exposed to any chemical, biological, or radiological warfa Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_CHEM_TEXT 20 If yes, please explain Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_DU 21 Were you in a vehicle hit by a depleted uranium (DU) round; inside a destroyed v Y=Yes, N=No, U=Don't know EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_DU_TEXT 21 If yes, please explain Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_MALARIA 22 Were you told to take medicines to prevent malaria Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
CHLOROQUINE 22 Anti-malarial medications received: Chloroquine 0=Blank, 1=Yes EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_CHLORO 22 Took all pills: Chloroquine (Aralen®) Y=Yes, C=Yes (currently taking), N=No EXPOSURE_ENVIRONMENT Unique to DD2796
DOXYCYLINE 22 Anti-malarial medications received: Doxycycline 0=Blank, 1=Yes EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_DOXY 22 Took all pills: Doxycycline (Vibramycin®) Y=Yes, C=Yes (currently taking), N=No EXPOSURE_ENVIRONMENT Unique to DD2796
MALARONE 22 Anti-malarial medications received: MALARONE 0=Blank, 1=Yes OTHER Unique to DD2796
MEDS_MAL 22 Took all pills: Malarone® Y=Yes, C=Yes (currently taking), N=No OTHER Unique to DD2796
MEFLOQUINE 22 Anti-malarial medications received: MEFLOQUINE 0=Blank, 1=Yes EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_MEF 22 Took all pills: Mefloquine (Lariam®) Y=Yes, C=Yes (currently taking), N=No OTHER Unique to DD2796
PRIMAQUINE 22 Anti-malarial medications received: PRIMAQUINE 0=Blank, 1=Yes EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_PRIM 22 Took all pills: Primaquine Y=Yes, C=Yes (currently taking), N=No OTHER Unique to DD2796
TAFENOQUINE 22 Anti-malarial medications received: TAFENOQUINE 0=Blank, 1=Yes OTHER Unique to DD2796
OTHER_MALARIA 22 Anti-malarial medications received: OTHER 0=Blank, 1=Yes EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_TAF 22 Took all pills: Tafenoquine Y=Yes, C=Yes (currently taking), N=No OTHER Unique to DD2796
MEDS_OTHER 22 Took all Pills: Other Y=Yes, C=Yes (currently taking), N=No OTHER Unique to DD2796
MEDS_OTHER_TEXT 22 Other malaria medication name Text Field OTHER Unique to DD2796
UNK_MALARIA 22 Anti-malarial medications received: Given pills but do not know drug name 0=Blank, 1=Yes EXPOSURE_ENVIRONMENT Unique to DD2796
MEDS_UNK 22 Took all pills: given pills but do not know drug name Y=Yes, N=No, blank=missing OTHER Unique to DD2796
BITTEN 23 Were you bitten or scratched by an animal during your deployment Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
BITTEN_TEXT 23 If yes, please explain what kind of animal was involved, your injury, and what h Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
REQ_PROVIDER 24 Would you like to schedule an appointment with a health care provider to discuss Y=Yes, N=No, blank=missing REFERRAL_ACTION Unique to DD2796
REQ_STRESS 25 Are you interested in receiving information or assistance for a stress, emotiona Y=Yes, N=No, blank=missing REFERRAL_ACTION Unique to DD2796
REQ_FAMILY 26 Are you interested in receiving assistance for a family or relationship concern? Y=Yes, N=No, blank=missing REFERRAL_ACTION Unique to DD2796
REQ_CHAPLAIN 27 Would you like to schedule a visit with a chaplain or a community support counse Y=Yes, N=No, blank=missing REFERRAL_ACTION Unique to DD2796
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)
HP_D_ARRIVAL META Deployer reports arriving in theater on YYYYMMDD DEPLOYMENT Unique to DD2796
HP_D_DEPART META Deployer reports departing theater on YYYYMMDD DEPLOYMENT Unique to DD2796
SELF_HEALTH_FOLLOWUP HP1a Self health Rating 0=Not answered, 1=Deployer Indicated Concern OTHER Exact Match (all same field name)
HP_SELF_DEPLOY_TEXT HP1a Self Health Rating Deployer Response Text Field DEPLOYMENT Unique to DD2796
HP_SELF_PROVIDER_TEXT HP1a Self Health Rating Provider Comments Text Field OTHER Unique to DD2796
HP_HEALTH_CHANGE HP1b Change in health post-deployment 0=Not answered, 1=Deployer Indicated Concern OTHER Unique to DD2796
HP_DEP_HEALTH_CHANGE_TEXT HP1b Change in health post-deployment Deployer's Response Text Field OTHER Unique to DD2796
HP_HEALTH_CHANGE_TEXT HP1b Change in health post-deployment Provider comments Text Field OTHER Unique to DD2796
HP_INURY_CONCERN HP2a Did deployer mark that he/she is still having a problem or concern related to a Y=Yes, N=No, X=Not answered by deployer, blank=mis OTHER Unique to DD2796
HP_INURY_CONCERN_REF HP2b Refer for evaluation? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HP_INJURY_NO_REF HP2b Refer for evaluation? If no to 2b. 1=Already under care, 2=Already has referral, 3=no OTHER Unique to DD2796
HP_INJURY_NO_REF_TEXT HP2b Refer for evaluation, if no to 2b, Other Reason explain Text Field REFERRAL_ACTION Unique to DD2796
HP_DEPLOY_DANGER HP3 Deployment experiences : Danger of being killed 0=Not answered, 1=Yes response DEPLOYMENT Unique to DD2796
HP_DEPLOY_DANGER_TEXT HP3 Deployment experiences : Danger of being killed (Provider comments) Text Field DEPLOYMENT Unique to DD2796
HP_DEPLOY_BODIES HP3 Deployment experiences : Encountered bodies or saw people killed or wounded 0=Not answered, 1=Yes response DEPLOYMENT Unique to DD2796
HP_DEPLOY_BODIES_TEXT HP3 Deployment experiences : Encountered bodies or saw people killed or wounded: ( Text Field DEPLOYMENT Unique to DD2796
HP_DEPLOY_WEAPON HP3 Deployment experiences : In direct combat and discharged weapon 0=Not answered, 1=Yes response DEPLOYMENT Unique to DD2796
HP_DEPLOY_WEAPON_TEXT HP3 Deployment experiences : In direct combat and discharged weapon: (Provider Com Text Field DEPLOYMENT Unique to DD2796
HP_VISITS HP4 Address concerns identified on deployer question: Health care visits since retu 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_VISITS_DEPLOYER_TEXT HP4 Address concerns identified on deployer question: Health care visits since retu Text Field DEPLOYMENT Unique to DD2796
HP_VISITS_TEXT HP4 Address concerns identified on deployer question: Health care visits since retu Text Field OTHER Unique to DD2796
HP_COMBAT HP4 Address concerns identified on deployer question: Health care combat since retu 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_COMBAT_DEPLOYER_TEXT HP4 Address concerns identified on deployer question: Health care combat since retu Text Field DEPLOYMENT Unique to DD2796
HP_COMBAT_TEXT HP4 Address concerns identified on deployer question: Health care combat since retu Text Field OTHER Unique to DD2796
HP_HOSPITALIZED HP4 Address concerns identified on deployer question: Hospitalized since return 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_HOSPITALIZED_DEPLOYER_TEXT HP4 Address concerns identified on deployer question: Hospitalized since return (De Text Field DEPLOYMENT Unique to DD2796
HP_HOSPITALIZED_TEXT HP4 Address concerns identified on deployer question: Hospitalized since return (Pr Text Field OTHER Unique to DD2796
HP_LIMITATIONS HP4 Address concerns identified on deployer question: Physical Limitations/problems 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_LIMITATIONS_DEPLOYER_TEXT HP4 Address concerns identified on deployer question: Physical Limitations/problems Text Field DEPLOYMENT Unique to DD2796
HP_LIMITATIONS_TEXT HP4 Address concerns identified on deployer question: Physical Limitations/problems( Text Field OTHER Unique to DD2796
HP_INJURY HP5a Did deployer have an injury based on their responses to question 10.a.? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HP_CONCUSSION HP5b Did deployer have a possible concussion based on their responses to questions 10 Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
HP_CONCUSSION_REF HP5c Did the deployer have a possible concussion based on their responses to question Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
HP_CONCUSSION_NOREF HP5c Evaluate injury history and concussion-related experiences and symptoms: Refer f 1=Already under care, 2=Already has referral, 3=no TBI_BLAST Unique to DD2796
HP_CONCUSSION_NOREF_TEXT HP5c Refer for evaluation, Other Reason explain Text Field TBI_BLAST Unique to DD2796
HP_BOTHERED_LOT HP6 List of symptoms reported as “Bothered a Lot” on Deployer Questions 11a. through Text Field OTHER Unique to DD2796
HP_BOTHERED_LITTLE HP6 List of symptoms reported as “Bothered a Little” on Deployer Questions 11a. thro Text Field OTHER Unique to DD2796
HP_PHQ_15 HP6 Physical symptom (PHQ-15) severity score for Deployer Questions 11a. through 11o 1=Minimal <4 (0-4) , 2=Low 5-9, 3=Medium 10-14, 4= MENTAL_HEALTH Unique to DD2796
HP_POST_DEP_SYMPTOMS HP6a Does deployer have evidence of high generalized post-deployment physical symptom Y=Yes, N=No, X=Not answered by deployer, blank=mis OTHER Unique to DD2796
HP_POST_DEP_REF HP6b Based on deployer's responses to deployer questions 1a. Through 11ee. Is a refer Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HP_POST_DEP_NOREF HP6b Is a referral indicated? If no, other reason 1=Already under care, 2=Already has referral, 3=no OTHER Unique to DD2796
HP_POST_DEP_TEXT HP6b Based on deployer's responses to deployer questions 11a. Through 11ee. Is a refe Text Field OTHER Unique to DD2796
HP_STRESSOR HP7 Major life stressor as reported on deployer question 12: Did deployer mark they Y=Yes, N=No, X=Not answered by deployer, blank=mis STRESSORS Unique to DD2796
HP_STRESSOR_TEXT HP7 If yes, ask additional questions to determine level of problem Text Field STRESSORS Unique to DD2796
HP_DEPLOYER_STRESS_TEXT HP7 Major life stressor as reported on deployer question 9: Did deployer mark they h Text Field DEPLOYMENT Unique to DD2796
HP_STRESSOR_REF HP7 Consider need for referral. Referral indicated? Y=Yes, N=No, blank=missing STRESSORS Unique to DD2796
HP_STRESSOR_NOREF HP7 Consider need for referral. Referral indicated? If no 1=Already under care, 2=Already has referral, 3=no STRESSORS Unique to DD2796
HP_STRESSOR_NOREF_TEXT HP7 Consider need for referral. Referral indicated? If no, other reason, explain Text Field STRESSORS Unique to DD2796
HP_MENTAL_HEALTH HP8 Self-reported history of prescription or over-the-counter medications as describ 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_MENTAL_HEALTH_DEP_TEXT HP8 Self-reported history of prescription or over-the-counter medications as describ Text Field OTHER Unique to DD2796
HP_MENTAL_HEALTH_TEXT HP8 Self-reported history of prescription or over-the-counter medications as describ Text Field OTHER Unique to DD2796
HP_OTC_MEDS HP8 Self-reported history of prescription or over-the-counter medications as describ 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_OTC_MEDS_DEP_TEXT HP8 Self-reported history of prescription or over-the-counter medications as describ Text Field OTHER Unique to DD2796
HP_OTC_MEDS_TEXT HP8 Self-reported history of prescription or over-the-counter medications as describ Text Field OTHER Unique to DD2796
AUDITC_SCREEN HP9 Deployer's AUDIT-C screening score 0-12, N=Not answered by deployer, blank=missing SUBSTANCE_USE Exact Match (all same field name)
ETOH_WEEK_PROVIDER HP9 Number of drinks per week 0-99 SUBSTANCE_USE Exact Match (all same field name)
ETOH_TOTAL_PROVIDER HP9 Number of drinks per occasion 0-99 SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH HP9 Referral indicated for evaluation ETOH Y=Yes, N=No, blank=missing SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH_NEG HP9 Reason for no referral (state if AUDIT-C score was 8+) 1=Already under care, 2=Already has referral, 3=no SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH_TEXT HP9 Other reason for referral Text Field SUBSTANCE_USE Exact Match (all same field name)
PTSD_REPORTED HP10a Did deployer mark yes on three or more of questions 16a. through 16e? Y=Yes, N=No, X=Not answered by deployer, blank=mis MENTAL_HEALTH Exact Match (all same field name)
PCLC_SCORE HP10b If yes, deployer’s responses to questions 16f. through 16v. resulted in a PCL-C 0-99, X=Not answered or incomplete MENTAL_HEALTH Semantic Match – All 3 Schemas
PCLC_INCOMPLETE HP10b 16f. through 16w. were not answered or are incomplete 1=Checked, 0=Not Checked MENTAL_HEALTH Exact Match (all same field name)
PCLC_MATRIX HP10b 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 HP10 Referral indicated for PTSD Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REF_PTSD_NEG HP10 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 HP10 Other reason for referral Text Field MENTAL_HEALTH Exact Match (all same field name)
DEPRESSION_REPORTED HP11a Did deployer mark “More than half the days” or “Nearly every day” on question 17 Y=Yes, N=No, X=Not answered by deployer, blank=mis MENTAL_HEALTH Exact Match (all same field name)
PHQ8_SCORE HP11b If yes, deployer’s responses to questions 17a. through 17h. resulted in a total 0-99, X=not answered or incomplete, blank=missing MENTAL_HEALTH Semantic Match – All 3 Schemas
PHQ8_INCOMPLETE HP11b 17c. through 17i. were not answered or incomplete. 1=Checked, 0=Not Checked MENTAL_HEALTH Exact Match (all same field name)
PHQ8_MATRIX HP11b 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 HP11c Referral indicated for Depression Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REF_DEPRESSION_NEG HP11c 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 HP11c Other reason for referral Text Field MENTAL_HEALTH Exact Match (all same field name)
EXPOSURE_CONCERNS HP12 Did deployer indicate a worry or possible exposure? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
EXP_ANIMAL_BITES HP12 Deployer's exposure concern: Animal Bites Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_ANIMAL_BODIES HP12 Deployer's exposure concern: Animal Bodies (dead) Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_CHLORINE HP12 Deployer's exposure concern: Chlorine Gas Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_URANIUM HP12 Deployer's exposure concern: Depleted Uranium Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_VIBRATION HP12 Deployer's exposure concern: Excessive Vibration Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_FOG_OILS HP12 Deployer's exposure concern: Fog oils (smoke screen) Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_GARBAGE HP12 Deployer's exposure concern: Garbage Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_HUMAN_BODIES HP12 Deployer's exposure concern: Human Blood, body fluids, body parts, or dead bodi Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_POLLUTION HP12 Deployer's exposure concern: Industrial pollution Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_INSECT_BITES HP12 Deployer's exposure concern: Insect bites Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_RADIATION HP12 Deployer's exposure concern: Ionizing radiation Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_FUELS HP12 Deployer's exposure concern: JP8 or other fuels Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_LASER HP12 Deployer's exposure concern: Lasers Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_NOISE HP12 Deployer's exposure concern: Loud noises Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_PAINTS HP12 Deployer's exposure concern: Paints Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2796
EXP_PEST_ENVIRO HP12 Deployer's exposure concern: Pesticides Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_MICROWAVE HP12 Deployer's exposure concern: Radar/Microwaves Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SAND HP12 Deployer's exposure concern: Sand/Dust Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SMOKE_TRASH HP12 Deployer's exposure concern: Smoke from burning trash or feces Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2796
EXP_SMOKE_OIL HP12 Deployer's exposure concern: Smoke from oil fire Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SOLVENTS HP12 Deployer's exposure concern: Solvents Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SMOKE_HEATER HP12 Deployer's exposure concern: Tent Heater Smoke Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_FUMES_EXHAUST HP12 Deployer's exposure concern: Vehicle or truck exhaust fumes Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_WARFARE_AGENT HP12 Deployer's exposure concern: Chemical, biological, radiological warfare agent Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_OTHER HP12 Deployer's exposure concern: Other exposures to toxic chemicals or materials, s Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_OTHER_TEXT HP12 Deployer's exposure concern: Other exposures, please list Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
HP_EXP_REF HP12b Referral indicated Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_EXP_NOREF HP12b Reason for no referral 1=Already under care, 2=Already has referral, 3=no EXPOSURE_ENVIRONMENT Unique to DD2796
HP_EXP_NOREF_TEXT HP12b Other reason for referral Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
HP_DU HP13 Did deployer mark "Yes" or "don't know" on questions 21? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HP_DU_REF HP13 Referral indicated for uranium exposure Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HP_DU_NOREF HP13 Reason for no referral 1=Already under care, 2=Already has referral, 3=no OTHER Unique to DD2796
HP_DU_NOREF_TEXT HP13 Other reason for referral Text Field REFERRAL_ACTION Unique to DD2796
HP_MALARIA_DEPLOYMENT HP14 Deployer reports having deployed to Text Field DEPLOYMENT Unique to DD2796
HP_MALARIA HP14 Deployment location required malaria prophylaxis Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_MALARIA_COMPLY HP14 Did deployer receive anti-malarial prophylaxis AND report compliance? Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_MALARIA_PRESCRIPTION HP14 If no, determine need for prophylaxis. Prescription indicated? Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_MALARIA_NO_TEXT HP14 If no, briefly state reason Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
HP_BITTEN HP15 Did deployer mark "yes" on animal bite/scratch? Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_BITTEN_REF HP15 If yes, based on details of event and care received is a referral and/or follow- Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_BITTEN_NOREF HP15 If yes, based on details of event and care received is a referral and/or follow- 1=was appropriately treated, 2=already under care, EXPOSURE_ENVIRONMENT Unique to DD2796
HP_BITTEN_NOREF_TEXT HP15 If yes, based on details of event and care received is a referral and/or follow- Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
SUICIDE_A HP16a 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 HP16b 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 HP16c 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 HP16d 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 HP16e1 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 HP16e2 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 HP16f1 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 HP16f2 Was this within the past three months? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_G_TEXT HP16g Conduct further risk assessment Text Field MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_RISK HP16h 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 HP17a Ask, “Over the past month have you had thoughts or concerns that you might hurt Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
VIOLENCE_TEXT HP17a If yes, ask additional questions to determine extent of problem (target, plan, i Text Field OTHER Exact Match (all same field name)
VIOLENCE_RISK HP17b Does member pose a current risk to others? Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
VIOLENCE_RISK_TEXT HP17b Does member pose a current risk to others? If no, briefly state reason Text Field OTHER Exact Match (all same field name)
DEP_DEC_FORM HP18 deployer declined to complete form 1=Checked, 0=Not Checked OTHER Exact Match (all same field name)
DEP_DEC_ASSESS HP18 deployer declined to complete interview 1=Checked, 0=Not Checked OTHER Exact Match (all same field name)
REFER_NONE HP19a Summary of Providers identified concerns needing referral: None identified 1=Checked, 0=Not Checked REFERRAL_ACTION Exact Match (all same field name)
REFER_PH HP19b Summary of Providers identified concerns needing referral: Physical Health Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_DENTAL HP19c Summary of Providers identified concerns needing referral: Dental Health Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_CONCUSSION HP19d Summary of Providers identified concerns needing referral: Concussion Y=Yes, N=No, blank=missing TBI_BLAST Unique to DD2796
REFER_MH HP19e Summary of Providers identified concerns needing referral: Mental health sympto Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_ETOH HP19f Summary of Providers identified concerns needing referral: alcohol use Y=Yes, N=No, blank=missing SUBSTANCE_USE Exact Match (all same field name)
REFER_PTSD HP19g Summary of Providers identified concerns needing referral: PTSD symptoms Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REFER_DEPRESSION HP19h Summary of Providers identified concerns needing referral: Depression Symptoms Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REFER_ENVIRO HP19i Summary of Providers identified concerns needing referral: Environment/work exp Y=Yes, N=No, blank=missing REFERRAL_ACTION Unique to DD2796
REFER_URANIUM HP19j Summary of Providers identified concerns needing referral: Depleted Uranium Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
REFER_MALARIA HP19k Summary of Providers identified concerns needing referral: Malaria Prophylaxis Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
REFER_HARM HP19l Summary of Providers identified concerns needing referral: Risk of Self-harm Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_VIOLENCE HP19m Summary of Providers identified concerns needing referral: Risk of violence Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_OTHER HP19n Summary of Providers identified concerns needing referral: Other, list Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_OTHER_TEXT HP19n Summary of Providers identified concerns needing referral: Other, list Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_PRIMARY HP20a 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 HP20b 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 HP20c 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 HP20d 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 HP20e 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 HP20e 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 HP20e 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 HP20e 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 HP20e 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 HP20e 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 HP20e 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 HP20e 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 HP20e List of other specialty referral Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_CARE HP20f 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 HP20g 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 HP20j 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 HP20j List of other specialty referral Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_COMMENTS HP21 Referral comments Text Field REFERRAL_ACTION Exact Match (all same field name)
REQ_HP_MED_APPT HP22 Request Medical Appointment 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_MED_APPT_TEXT HP22 Request Medical Appointment (Comments) Text Field REFERRAL_ACTION Unique to DD2796
REQ_HP_STRESS HP22 Request info on stress/emotional/alcohol 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_STRESS_TEXT HP22 Request info on stress/emotional/alcohol (Comments) Text Field REFERRAL_ACTION Unique to DD2796
REQ_HP_FAMILY HP22 Family/Relationship concern assistance 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_FAMILY_TEXT HP22 Family/Relationship concern assistance (Comments) Text Field REFERRAL_ACTION Unique to DD2796
REQ_HP_CHAPLAIN HP22 Chaplain/counselor visit request 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_CHAPLAIN_TEXT HP22 Chaplain/counselor visit request (Comments) Text Field REFERRAL_ACTION Unique to DD2796
APPOINTMENT_ASSIST HP23 Appointment Assistance Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
APPOINTMENT_ASSIST_TEXT HP23 Appointment Assistance (Comments) Text Field ADMIN Unique to DD2796
BLOOD_SPECIMEN_REQ HP23 Information on post-deployment blood specimen requirement Y=Checked, N=Not checked OTHER Unique to DD2796
CONTRACT_SUP HP23 Contract support Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
CONTRACT_SUP_TEXT HP23 Contract support text Text Field ADMIN Exact Match (all same field name)
COMMUNITY HP23 Community Service Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
COMMUNITY_TEXT HP23 Community Service text Text Field ADMIN Exact Match (all same field name)
CHAPLAIN HP23 Chaplain Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
HEALTH_ED HP23 Health Education and Information Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
HEALTH_RESOURCES HP23 Health Care Benefits and Resources Information Y=Checked, N=Not checked OTHER Exact Match (all same field name)
IN_TRANS HP23 In Transition Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
FAM_SUPPORT HP23 Family Support Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
ONE_SOURCE HP23 Military one source Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
TRICARE HP23 TRICARE PROVIDER Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
VA_MED HP23 VA Medical Center or Community Clinic Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
VET HP23 Vet Center Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
OTHER_SUPPORT HP23 Other Supplemental services recommended Y=Checked, N=Not checked OTHER Exact Match (all same field name)
OTHER_SUPPORT_TEXT HP23 Other Supplemental services recommended text Text Field OTHER Exact Match (all same field name)
APPOINTMENT_NONE HP23 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)