PATFIRST
PATIENT
PATLAST
NEWOHIPNO
VERSNO
PATDOB
PATSEX
PATADD1
PATADD2
PATADD3
PATPOSTCO
AREAHOME
PATHOME
AREABUS
PATBUS
EXTN
PATNO
REGNO
PRVNO
LASTSERV
IDENTIFIER
DIAGCO
PHYSNO
ADMDATE
CONTACT
CONTREAS
IDENT2
MRN
PROVLNAME
PROVIDER
PROVFNAME
PROVTITLE
PAYTYPE
PROVADD1
PROVADD2
PROVPOSTCO
PHYSLNAME
PHYSICIA
PHYSFNAME
PHYSADD1
PHYSADD2
PHYSPCOD
PHONE
FAX