1 Additional history notes
10 Allow Health Information Exchange
11 Allow Immunization Info Sharing
12 Allow Immunization Registry Use
15 Allow SMS (text messages)?
16 Allow telephone messages?
25 Billing Code for Requested Service
35 Burning With Urination
42 Central/South American
45 Chart Storage Locations
49 Cirrhosis Of The Liver
55 Contraceptive Complication (specify)
64 Current every day smoker
65 Current some day smoker
66 Date contraceptive services initially provided
74 Did you receive a copy of the HIPAA Notice?
80 Do Not Resuscitate Order
84 Drivers License or State ID
99 Durable Power of Attorney
100 Eligibility status for Vaccine for Children supplied vaccine
102 Emergency Contact Person
103 Emergency Contact Phone Number
113 Exam and test results
116 Exposure To Foreign Countries
131 Final diagnosis by specialist
132 Findings by specialist
137 Gall Bladder Condition
139 Glaucoma Family History
148 Health Care Operations
160 HIPAA Notice Received
163 Hispanic - Other (Born in US)
164 Hispanic - Other (Born outside US)
172 How did they hear about us
190 Invoice Reference Number Pools
206 Layout-Based Visit Forms
222 Mexican/MexAmer/Chicano
228 Migrant or seasonal worker?
232 Misc Billing Options HCFA
259 Noninsulin Dependent Diabetes
262 Not Hispanic or Latino
275 Payment Adjustment Code
285 PID (Pelvic Inflammatory Disease)
286 Pneumococcal Conjugate 1
287 Pneumococcal Conjugate 2
288 Pneumococcal Conjugate 3
289 Pneumococcal Conjugate 4
296 Prescriptions and/or referrals by specialist
297 Prescriptions/Referrals
299 Presumed diagnosis by specialist
301 Prior Authorization Form
303 Procedure Boolean Results
304 Procedure Lateralities
306 Procedure Report Statuses
307 Procedure Result Abnormal
308 Procedure Result Statuses
310 Procedure Specimen Types
322 Recommendations by specialist
323 Recreational drug use
336 Reserved for use to define Scheduled Vacation Time
337 Reserved to define when a provider may not have available appointments after.
338 Reserved to define when an event did not occur as specified.
339 Reserved todefine when a provider may haveavailable appointments after.
355 Service provided by specialist
359 Shortness Of Breath 2
366 Smoker, current status unknown
367 Social Security Number
372 Start Date at This Clinic
377 Subscriber Relationship
394 Unknown if ever smoked
433 Where may related scanned or paper documents be found?
437 With whom may we leave a message?