DD2900 DD2900 - Post-Deployment Health Re-Assessment 331 fields
Field NameSectionDescription Values / FormatDomainCrosswalk
FORM_TYPE General Type of Form PDHRA or DHA4 or DHA5 or MHA or SEP ADMIN Exact Match (all same field name)
FORM_VERSION General DoD Form Number DD2900_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)
PRIMARY_LAST_LOC General Primary location of last deployment Text Field OTHER –
D_DEPART General Date departed theater YYYYMMDD DEPLOYMENT Unique to DD2796
TOT_DEPLOY_5YRS General Total deployments in the past 5 years 1=1, 2=2, 3=3, 4=4, 5=5 or more DEPLOYMENT –
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 your most recent deployment, how would you rate your health i 1=Much better now than before I deployed, 2=Somewh 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
INJURED 3 Were you wounded, injured, assaulted or otherwise hurt during your deployment? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
INJ_PROB 3 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_TEXT 3 If yes to if yes, are you still having any problems or concerns related to the Text Field OTHER –
DEPLOY_DANGER 4 During your deployment: a) Did you ever feel like you were in great danger of be Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2796
DEPLOY_KILLED 4 During your deployment: b) Did you encounter dead bodies or see people killed or Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2796
DEPLOY_WEAPON 4 During your deployment: c) Did you engage in direct combat where you discharged Y=Yes, N=No, blank=missing DEPLOYMENT Unique to DD2796
TIMES_SEEN 5 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
HOSPITALIZED 6 Since you returned from deployment, have you been hospitalized? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HOSPITALIZED_TEXT 6 If you have been hospitalized since you have returned from deployment, please li Text Field OTHER Unique to DD2796
DIFF_PHYSICAL 7 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
PAIN_STOMACH 8a 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 8b 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 8c 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 8d 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 8e 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 8f 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 8g 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 8h 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 8i 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 8j 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 8k During the PAST MONTH, how much have you been bothered by: Pain or problems dur 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
DIARRHEA 8l During the PAST MONTH, how much have you been bothered by: constipation, loose 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
NAUSEA 8m During the PAST MONTH, how much have you been bothered by: nausea, gas, or inges 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
LOW_ENERGY 8n During the PAST MONTH, how much have you been bothered by: feeling tired or hav 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Unique to DD2796
TROUBLE_SLEEPING 8o 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 8p During the PAST MONTH, how much have you been bothered by: trouble concentratin 0=Not bothered at all, 1=Bothered a little, 2=both OTHER Semantic Match – DD2796 & ANAM
MEMORY_PROBLEMS 8q 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 8r 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 8s 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 8t 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 8u 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 8v 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 8w 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 8x 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 8y 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 8z 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 8aa 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 8bb 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 8cc During the PAST MONTH, how much have you been bothered by: skin rash and/or lesi 0=Not bothered at all, 1=Bothered a little, 2=both PHYSICAL_SYMPTOMS Unique to DD2796
PAIN_URINATION 8dd 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 8ee 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 9a 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 9a Legal 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_MONEY 9a Financial 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SPIRIT 9a Spiritual 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SUB 9a Substance abuse (including alcohol) 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_FAM 9a Family/relationship 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_WORK 9a Employment 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_SLEEP 9a Sleep 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_MH 9a Behavioral health 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSOR_OTH 9a Other 1=Checked, 0=Not Checked STRESSORS Exact Match (all same field name)
STRESSORS_TEXT 9a Please list and explain Text Field STRESSORS Exact Match (all same field name)
STRESSORS_HELP 9b 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 10 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 10 If yes, please explain Text Field OTHER Exact Match (all same field name)
CURRENT_MEDS 11 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 11 If yes, please list. Text Field OTHER Exact Match (all same field name)
ETOH_OFTEN 12a 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 12b 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 12c 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 13a 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 13b 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 13c 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 13d 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 13e 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 13f 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 13g 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 13h 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 13i 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 13j 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 13k 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 13l 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 13m 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 13n 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 13o 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 13p 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 13q 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 13r 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 13d 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 13t 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 13u 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 13v 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 13w How difficult have these problems (13f. through 13v.) 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 14a 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 14b 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 14c 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 14d 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 14e 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 14f 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 14g 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 14h 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 14i How difficult have these problems (14a.-14h.) made it for you to do your work, t 0=Not difficult at all, 1=Somewhat difficult, 2=Ve MENTAL_HEALTH Exact Match (all same field name)
WORRIED_EXPOSURE 15 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 15 Are you worried about your health because you believe you were exposed to someth Text Field OTHER Unique to DD2796
OPEN_BURN_PIT 16a 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 16b 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 16c 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 16d 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
BITTEN 17 Were you bitten or scratched by an animal during your deployment? Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
BITTEN_TEXT 17 Were you bitten or scratched by an animal during your deployment? If yes, please Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
REQ_PROVIDER 18 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 19 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 20 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 21 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)
RECENT_DEP_COUNTRY General Deployer reports most recent deployment was to ________________ Text Field DEPLOYMENT –
NUM_DEP_FIVE_YEARS General Has deployed ___________ times before in the last 5 years Text Field OTHER –
HP_SELF_HEALTH_CONCERN HP1a Self health Rating 0=Not answered, 1=Deployer Indicated Concern OTHER –
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 3. 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 3, Other Reason explain Text Field REFERRAL_ACTION Unique to DD2796
HP_DEPLOY_DANGER HP3 Deployment experiences as reported in deployer question 4: Danger of being kille 0=Not answered, 1=Yes response DEPLOYMENT Unique to DD2796
HP_DEPLOY_DANGER_TEXT HP3 Deployment experiences as reported in deployer question 4: Danger of being kille Text Field DEPLOYMENT Unique to DD2796
HP_DEPLOY_BODIES HP3 Deployment experiences as reported in deployer question 4: Encountered bodies o 0=Not answered, 1=Yes response DEPLOYMENT Unique to DD2796
HP_DEPLOY_BODIES_TEXT HP3 Deployment experiences as reported in deployer question 4: Encountered bodies o Text Field DEPLOYMENT Unique to DD2796
HP_COMBAT HP3 Deployment experiences as reported in deployer question 4: In direct combat and 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_COMBAT_TEXT HP3 Deployment experiences as reported in deployer question 4: In direct combat and Text Field OTHER Unique to DD2796
HP_VISITS HP4 Address concerns identified on deployer question 5 through 7: Health care visit 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_VISITS_DEPLOYER_TEXT HP4 Address concerns identified on deployer question 5 through 7: Health care visit Text Field DEPLOYMENT Unique to DD2796
HP_VISITS_TEXT HP4 Address concerns identified on deployer question 5 through 7: Health care visit Text Field OTHER Unique to DD2796
HP_HOSPITALIZED HP4 Address concerns identified on deployer question 5 through 7: Hospitalized sinc 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_HOSPITALIZED_DEPLOYER_TEXT HP4 Address concerns identified on deployer question 5 through 7: Hospitalized sinc Text Field DEPLOYMENT Unique to DD2796
HP_HOSPITALIZED_TEXT HP4 Address concerns identified on deployer question 5 through 7: Hospitalized sinc Text Field OTHER Unique to DD2796
HP_LIMITATIONS HP4 Address concerns identified on deployer question 5 through 7: Physical Limitati 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_LIMITATIONS_DEPLOYER_TEXT HP4 Address concerns identified on deployer question 5 through 7: Physical Limitati Text Field DEPLOYMENT Unique to DD2796
HP_LIMITATIONS_TEXT HP4 Address concerns identified on deployer question 5 through 7: Physical Limitatio Text Field OTHER Unique to DD2796
HP_BOTHERED_LOT HP5 Post-deployment general symptoms/health concerns: List of symptoms reported as Text Field OTHER Unique to DD2796
HP_BOTHERED_LITTLE HP5 Post-deployment general symptoms/health concerns: List of symptoms reported as Text Field OTHER Unique to DD2796
HP_PHQ_15 HP5 Physical symptom (PHQ-15) severity score 1=Minimal <4 (0-4) , 2=Low 5-9, 3=Medium 10-14, 4= MENTAL_HEALTH Unique to DD2796
HP_POST_DEP_SYMPTOMS HP5a Does deployer have evidence of high generalized post- deployment physical sympto Y=Yes, N=No, X=Not answered by deployer, blank=mis OTHER Unique to DD2796
HP_POST_DEP_REF HP5b Based on deployer’s responses to deployer questions 8a. through 8ee. is a referr Y=Yes, N=No, blank=missing OTHER Unique to DD2796
HP_POST_DEP_NOREF HP5b Reason for no referral 1=Already under care, 2=Already has referral, 3=no OTHER Unique to DD2796
HP_POST_DEP_TEXT HP5b Other reason for referral Text Field OTHER Unique to DD2796
HP_STRESSOR 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 DD2796
HP_STRESSOR_TEXT HP6a If yes, deployer's concern Text Field STRESSORS Unique to DD2796
HP_DEPLOYER_STRESS_TEXT HP6b If yes, ask additional questions to determine level of problem Text Field DEPLOYMENT Unique to DD2796
HP_STRESSOR_REF HP6c Consider need for referral. Referral indicated? Y=Yes, N=No, blank=missing STRESSORS Unique to DD2796
HP_STRESSOR_NOREF HP6c 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 HP6c Consider need for referral. Referral indicated? If no, other reason, explain Text Field STRESSORS Unique to DD2796
HP_MENTAL_HEALTH HP7 Address concerns as reported in deployer questions : History of mental health c 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_MENTAL_HEALTH_DEP_TEXT HP7 Address concerns as reported in deployer questions : History of mental health c Text Field OTHER Unique to DD2796
HP_MENTAL_HEALTH_TEXT HP7 Address concerns as reported in deployer questions : History of mental health c Text Field OTHER Unique to DD2796
HP_OTC_MEDS HP7 Address concerns as reported in deployer questions : Medications 0=Not answered, 1=Yes response OTHER Unique to DD2796
HP_OTC_MEDS_DEP_TEXT HP7 Address concerns as reported in deployer questions: Medications (Deployer's res Text Field OTHER Unique to DD2796
HP_OTC_MEDS_TEXT HP7 Address concerns as reported in deployer questions: Medications (Provider's res Text Field OTHER Unique to DD2796
AUDITC_SCREEN HP8a 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 HP8A Number of drinks per week 0-99 SUBSTANCE_USE Exact Match (all same field name)
ETOH_TOTAL_PROVIDER HP8A Number of drinks per occasion 0-99 SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH HP8b Referral indicated for evaluation ETOH Y=Yes, N=No, blank=missing SUBSTANCE_USE Exact Match (all same field name)
REF_ETOH_NEG HP8B 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 HP8B Other reason for referral Text Field SUBSTANCE_USE Exact Match (all same field name)
PTSD_REPORTED HP9A Did deployer mark yes on three or more of questions 13a. through 13e? Y=Yes, N=No, X=Not answered by deployer, blank=mis MENTAL_HEALTH Exact Match (all same field name)
PCLC_SCORE HP9B If yes, deployer’s responses to questions 13f. through 13v. resulted in a PCL-C 0-99, X=Not answered or incomplete MENTAL_HEALTH Semantic Match – All 3 Schemas
PCLC_INCOMPLETE HP9B 13f. through 13w. were not answered or are incomplete 1=Checked, 0=Not Checked MENTAL_HEALTH Exact Match (all same field name)
PCLC_MATRIX HP9C 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 HP9C Referral indicated for PTSD Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REF_PTSD_NEG HP9C 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 HP9C Other reason for referral Text Field MENTAL_HEALTH Exact Match (all same field name)
DEPRESSION_REPORTED HP10A Did deployer mark “More than half the days” or “Nearly every day” on question 14 Y=Yes, N=No, X=Not answered by deployer, blank=mis MENTAL_HEALTH Exact Match (all same field name)
PHQ8_SCORE HP10B If yes, deployer’s responses to questions 14a. through 14h. resulted in a total 0-99, X=not answered or incomplete, blank=missing MENTAL_HEALTH Semantic Match – All 3 Schemas
PHQ8_INCOMPLETE HP10B 14c. through 14i. were not answered or incomplete. 1=Checked, 0=Not Checked MENTAL_HEALTH Exact Match (all same field name)
PHQ8_MATRIX HP10B 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 HP10C Referral for depression education Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
REF_DEPRESSION_NEG HP10C 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 HP10C Other reason for referral Text Field MENTAL_HEALTH Exact Match (all same field name)
EXPOSURE_CONCERNS HP11A Did deployer indicate a worry or possible exposure? Y=Yes, N=No, blank=missing OTHER Unique to DD2796
EXP_ANIMAL_BITES HP11A Deployer's exposure concern: Animal Bites Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_ANIMAL_BODIES HP11 Deployer's exposure concern: Animal Bodies (dead) Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_CHLORINE HP11 Deployer's exposure concern: Chlorine Gas Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_URANIUM HP11 Deployer's exposure concern: Depleted Uranium Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_VIBRATION HP11 Deployer's exposure concern: Excessive Vibration Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_FOG_OILS HP11 Deployer's exposure concern: Fog oils (smoke screen) Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_GARBAGE HP11 Deployer's exposure concern: Garbage Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_HUMAN_BODIES HP11 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 HP11 Deployer's exposure concern: Industrial pollution Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_INSECT_BITES HP11 Deployer's exposure concern: Insect bites Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_RADIATION HP11 Deployer's exposure concern: Ionizing radiation Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_FUELS HP11 Deployer's exposure concern: JP8 or other fuels Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_LASER HP11 Deployer's exposure concern: Lasers Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_NOISE HP11 Deployer's exposure concern: Loud noises Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_PAINTS HP11 Deployer's exposure concern: Paints Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2796
EXP_PEST_ENVIRO HP11 Deployer's exposure concern: Pesticides Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_MICROWAVE HP11 Deployer's exposure concern: Radar/Microwaves Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SAND HP11 Deployer's exposure concern: Sand/Dust Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SMOKE_TRASH HP11 Deployer's exposure concern: Smoke from burning trash or feces Y=Yes, N=No, blank=missing PHYSICAL_SYMPTOMS Unique to DD2796
EXP_SMOKE_OIL HP11 Deployer's exposure concern: Smoke from oil fire Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SOLVENTS HP11 Deployer's exposure concern: Solvents Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_SMOKE_HEATER HP11 Deployer's exposure concern: Tent Heater Smoke Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_FUMES_EXHAUST HP11 Deployer's exposure concern: Vehicle or truck exhaust fumes Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_WARFARE_AGENT HP11 Deployer's exposure concern: Chemical, biological, radiological warfare agent Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
EXP_OTHER HP11 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 HP11 Deployer's exposure concern: Other exposures, please list Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
HP_EXP_REF HP11b Referral indicated Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_EXP_NOREF HP11b Reason for no referral 1=Already under care, 2=Already has referral, 3=no EXPOSURE_ENVIRONMENT Unique to DD2796
HP_EXP_NOREF_TEXT HP11b Other reason for referral Text Field EXPOSURE_ENVIRONMENT Unique to DD2796
HP_BITTEN HP12A Did deployer mark "yes" on animal bite/scratch? Y=Yes, N=No, blank=missing EXPOSURE_ENVIRONMENT Unique to DD2796
HP_BITTEN_REF HP12B 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 HP12B 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 HP12B 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 HP13a 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 HP13b 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 HP13c 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 HP13d 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 HP13e1 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 HP13e2 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 HP13f1 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 HP13f2 Was this within the past three months? Y=Yes, N=No, blank=missing MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_G_TEXT HP13g Conduct further risk assessment Text Field MENTAL_HEALTH Exact Match (all same field name)
SUICIDE_RISK HP13h 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 HP14A 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 HP14A Over the past month have you had thoughts or concerns that you might hurt or los Text Field OTHER Exact Match (all same field name)
VIOLENCE_RISK HP14B Does member pose a current risk to others? Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
VIOLENCE_RISK_TEXT HP14B 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 HP15 Deployer declined to complete form Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
DEP_DEC_ASSESS HP15 Deployer declined to complete interview/assessment Y=Yes, N=No, blank=missing OTHER Exact Match (all same field name)
REFER_NONE HP16A Summary of Providers identified concerns needing referral: None identified 1=Checked, 0=Not Checked REFERRAL_ACTION Exact Match (all same field name)
REFER_PH HP16B 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 HP16C Summary of Providers identified concerns needing referral: Dental Health Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_MH HP16D 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 HP16E 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 HP16F 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 HP16G 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 HP16H Summary of Providers identified concerns needing referral: Environment/work exp Y=Yes, N=No, blank=missing REFERRAL_ACTION Unique to DD2796
REFER_HARM HP16I 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 HP16J 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 HP16K Summary of Providers identified concerns needing referral: Other Y=Yes, N=No, blank=missing REFERRAL_ACTION Exact Match (all same field name)
REFER_OTHER_TEXT HP16K Summary of Providers identified concerns needing referral: Other (list) Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_PRIMARY HP17A 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 HP17B 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 HP17C 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 HP17D 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 HP17E 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 HP17E 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 HP17E 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 HP17E 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 HP17E 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 HP17E 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 HP17E 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 HP17E 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 HP17E List of other specialty referral Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_CARE HP17F 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 HP17G 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 HP17H 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 HP17H List of other specialty referral Text Field REFERRAL_ACTION Exact Match (all same field name)
REFTIME_COMMENTS HP18 Referral comments Text Field REFERRAL_ACTION Exact Match (all same field name)
REQ_HP_MED_APPT HP19 Request Medical Appointment 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_MED_APPT_TEXT HP19 Request Medical Appointment (Comments) Text Field REFERRAL_ACTION Unique to DD2796
REQ_HP_STRESS HP19 Request info on stress/emotional/alcohol 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_STRESS_TEXT HP19 Request info on stress/emotional/alcohol (Comments) Text Field REFERRAL_ACTION Unique to DD2796
REQ_HP_FAMILY HP19 Family/Relationship concern assistance 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_FAMILY_TEXT HP19 Family/Relationship concern assistance (Comments) ` REFERRAL_ACTION Unique to DD2796
REQ_HP_CHAPLAIN HP19 Chaplain/counselor visit request 0=Not answered, 1=Yes response REFERRAL_ACTION Unique to DD2796
REQ_HP_CHAPLAIN_TEXT HP19 Chaplain/counselor visit request (Comments) Text Field REFERRAL_ACTION Unique to DD2796
APPOINTMENT_ASSIST HP20 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
CONTRACT_SUP HP20 Contract support Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
CONTRACT_SUP_TEXT HP20 Contract support text Text Field ADMIN Exact Match (all same field name)
COMMUNITY HP20 Community Service Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
COMMUNITY_TEXT HP20 Community Service text Text Field ADMIN Exact Match (all same field name)
CHAPLAIN HP20 Chaplain Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
HEALTH_ED HP20 Health Education and Information Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
HEALTH_RESOURCES HP20 Health Care Benefits and Resources Information Y=Checked, N=Not checked OTHER Exact Match (all same field name)
IN_TRANS HP20 In Transition Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
FAM_SUPPORT HP20 Family Support Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
ONE_SOURCE HP20 Military one source Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
TRICARE HP20 TRICARE PROVIDER Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
VA_MED HP20 VA Medical Center or Community Clinic Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
VET HP20 Vet Center Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
OTHER_SUPPORT HP20 Other Supplemental services recommended Y=Checked, N=Not checked OTHER Exact Match (all same field name)
OTHER_SUPPORT_TEXT HP20 Other Supplemental services recommended text Text Field OTHER Exact Match (all same field name)
APPOINTMENT_NONE HP20 No Supplemental Services Required Y=Checked, N=Not checked ADMIN Exact Match (all same field name)
CERT_PROVIDER General Certify review process has been completed 1=Checked, 0=Not Checked ADMIN Exact Match (all same field name)
HCP_DIG_SIG General HCP Digital Signature 1=Signed, 0=Not signed PROVIDER Exact Match (all same field name)
CERTIFY_DATE General Date Certified YYYYMMDD ADMIN Exact Match (all same field name)