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The following table lists the Data Repository data fields and sub-data fields for encounter information. The sub-data fields are Encounter Primary, Encounter Secondary, and Encounter Tertiary. Encounter Information is represented by the data field icon.
| Data Fields |
|---|
| Admitting Physician |
| Enc Rendering Prov Address 1 |
| Enc Rendering Prov Address 2 |
| Enc Rendering Prov City |
| Enc Rendering Prov City, State Zip |
| Enc Rendering Prov State |
| Enc Rendering Prov Zip |
| Encounter Adjustments |
| Encounter Admit Date |
| Encounter Admit Time |
| Encounter All Insurance Balance |
| Encounter Attending |
| Encounter Authorization Nbr Primary |
| Encounter Authorization Nbr Secondary |
| Encounter Authorization Nbr Tertiary |
| Encounter Balance |
| Encounter Balance (including unposted transactions) |
| Encounter Charges |
| Encounter Complaint |
| Encounter Date |
| Encounter Discharge Date |
| Encounter Discharge Time |
| Encounter Facility Address |
| Encounter Facility Fax Number |
| Encounter Facility Name |
| Encounter Facility Phone Number |
| Encounter ID (Barcode) |
| Encounter Insurance1 Balance |
| Encounter Insurance2 Balance |
| Encounter Insurance3 Balance |
| Encounter Location Address |
| Encounter Location Name |
| Encounter Location Phone |
| Encounter Marketing Comments |
| Encounter Marketing Data |
| Encounter Marketing Plan |
| Encounter Number |
| Encounter Number (Doc Mgmt Advanced) |
| Encounter Number (Doc Mgmt Separator) |
| Encounter Number - Bar Code Entry |
| Encounter Occurrence Code |
| Encounter Onset Date |
| Encounter Onset Time |
| Encounter Patient Balance |
| Encounter Payments |
| Encounter Payments Unposted and Posted |
| Encounter Provider Claim Value 1 |
| Encounter Provider Claim Value 2 |
| Encounter Refunds |
| Encounter Rendering Physician |
| Encounter Rendering Provider Demographics Address 1 |
| Encounter Rendering Provider Demographics Address 2 |
| Encounter Rendering Provider Demographics Business Phone |
| Encounter Rendering Provider Demographics City, State Zip |
| Encounter Rendering Provider Demographics Name |
| Encounter Rendering Provider Demographics Name First Last |
| Encounter State |
| Encounter Status |
| Encounter Sup Prov Address 1 |
| Encounter Sup Prov Address 2 |
| Encounter Sup Prov City |
| Encounter Sup Prov City, State Zip |
| Encounter Sup Prov Claim Value 1 |
| Encounter Sup Prov Claim Value 2 |
| Encounter Sup Prov State |
| Encounter Sup Prov Zip |
| Encounter Supervising Provider |
| Encounter Supervising Provider Nbr |
| Encounter Time |
| Encounter Total Balance |
| Encounter Unapplieds |
| First Consulting |
| Guarantor Address 1 |
| Guarantor Address 2 |
| Guarantor City |
| Guarantor City, State Zip |
| Guarantor Country |
| Guarantor First Last Name |
| Guarantor First Name |
| Guarantor Last Name |
| Guarantor Name |
| Guarantor Name With Prefix/Suffix |
| Guarantor Nick Name |
| Guarantor Phone |
| Guarantor State |
| Guarantor Zip |
| Head of Household Family Info Annual Income (most recent) |
| Head of Household Family Info Eff Date (most recent) |
| Head of Household Family Info Exp Date (most recent) |
| Head of Household Family Info Family Size (most recent) |
| Head of Household Family Info Verify Date (most recent) |
| Referring Location |
| Referring Prov Address 1 |
| Referring Prov Address 2 |
| Referring Prov City |
| Referring Prov Fax |
| Referring Prov Other 1 Phone |
| Referring Prov Phone |
| Referring Prov State |
| Referring Prov Zip |
| Referring Provider Name |
| Referring Provider Name First Last |
| Referring Provider Payer # |
| Rendering Chrg1 Claim Value 2 |
| Rendering Chrg2 Claim Value 2 |
| Rendering Chrg3 Claim Value 2 |
| Rendering Chrg4 Claim Value 2 |
| Rendering Chrg5 Claim Value 2 |
| Rendering Chrg6 Claim Value 2 |
| Rendering Group # |
| Rendering Provider # |
| Second Consulting |
| Location of accident |
| Type of injury |
| Encounter User-Defined Field 3 |
| Encounter User-Defined Field 4 |
| Clinical User-Defined Field 1 |
| Clinical User-Defined Field 2 |
| Clinical User-Defined Field 3 |
| Clinical User-Defined Field 4 |
| Enc Specific 1 UD Field |
| Encounter Specific Field 2 through Encounter Specific Field 50 |
| Encounter Bill & Collection User-Defined Field 1 |
| Encounter Bill & Collection User-Defined Field 2 |
| Encounter Bill & Collection User-Defined Field 3 |
| Encounter Bill & Collection User-Defined Field 4 |
| Data Fields | Description |
|---|---|
| | |
| Encounter Primary Adjustments | Encounter Primary Adjustments |
| Encounter Primary Allowed Amounts | Encounter Primary Allowed Amounts |
| Encounter Primary City | Encounter Primary City |
| Encounter Primary City, State Zip | Encounter Primary City, State Zip |
| Encounter Primary Contact Full Name | Encounter Primary Contact Full Name |
| Encounter Primary Copay Amount | Encounter Primary Co-pay Amount |
| Encounter Primary Deductible | Encounter Primary Deductible |
| Encounter Primary Deductions | Encounter Primary Deductions |
| Encounter Primary Group # | Encounter Primary Group # |
| Encounter Primary Group Name | Encounter Primary Group Name |
| Encounter Primary Insured Address Line 1 | Encounter Primary Insured Address Line 1 |
| Encounter Primary Insured Address Line 2 | Encounter Primary Insured Address Line 2 |
| Encounter Primary Insured City | Encounter Primary Insured City |
| Encounter Primary Insured Country | Encounter Primary Insured Country |
| Encounter Primary Insured County | Encounter Primary Insured County |
| Encounter Primary Insured DOB | Encounter Primary Insured DOB |
| Encounter Primary Insured Employer | Encounter Primary Insured Employer |
| Encounter Primary Insured Name | Encounter Primary Insured Name |
| Encounter Primary Insured Occupation | Encounter Primary Insured Occupation |
| Encounter Primary Insured Relationship Code to Patient | Encounter Primary Insured Relationship Code to Patient |
| Encounter Primary Insured Relationship to Patient | Encounter Primary Insured Relationship to Patient |
| Encounter Primary Insured Sex | Encounter Primary Insured Sex |
| Encounter Primary Insured SSN | Encounter Primary Insured SSN |
| Encounter Primary Insured State | Encounter Primary Insured State |
| Encounter Primary Insured Work Phone | Encounter Primary Insured Work Phone |
| Encounter Primary Insured Zip | Encounter Primary Insured Zip |
| Encounter Primary Last Payment Date | Encounter Primary Last Payment Date |
| Encounter Primary Name | Encounter Primary Name |
| Encounter Primary Payments | Encounter Primary Payments |
| Encounter Primary Phone | Encounter Primary Phone |
| Encounter Primary Plan # | Encounter Primary Plan # |
| Encounter Primary Policy # | Encounter Primary Policy # |
| Encounter Primary Policy Eff Date | Encounter Primary Policy Eff Date |
| Encounter Primary Policy Exp Date | Encounter Primary Policy Exp Date |
| Encounter Primary State | Encounter Primary State |
| Encounter Primary Street Address 1 | Encounter Primary Street Address 1 |
| Encounter Primary Street Address 2 | Encounter Primary Street Address 2 |
| Encounter Primary Zip | Encounter Primary Zip |
| Payer User-Defined 1 Name | Payer User-Defined 1 Name |
| | |
| Encounter Sec City | Encounter Secondary City |
| Encounter Sec City, State Zip | Encounter Secondary City, State Zip |
| Encounter Sec Group # | Encounter Secondary Group # |
| Encounter Sec Group Na... | Encounter Secondary Group Name |
| Encounter Sec Name | Encounter Secondary Name |
| Encounter Sec Phone | Encounter Secondary Phone |
| Encounter Sec Plan # | Encounter Secondary Plan # |
| Encounter Sec Policy # | Encounter Secondary Policy # |
| Encounter Sec Prov Addr... | Encounter Sec Prov Address1 |
| Encounter Sec Prov Addr... | Encounter Sec Prov Address2 |
| Encounter Sec Prov City, State… | Encounter Secondary Provider City, State Zip |
| Encounter Sec Prov Claim Val 1 | Encounter Secondary Provider Claim Value 1 |
| Encounter Sec Prov Claim Val 2 | Encounter Secondary Provider Claim Value 2 |
| Encounter Sec Provider Name | Encounter Secondary Provider Name |
| Encounter Sec Provider Name First Last | Prints the secondary provider's name as First Middle Last. For example, John Jimmy Smith instead of Smith, John Jimmy |
| Encounter Sec Ref Prov Name | Encounter Secondary Referring Provider Name |
| Encounter Sec Ref Prov Payer # | Encounter Secondary Referring Provider Payer # |
| Encounter Sec Renderin... | Encounter Secondary Rendering Group # |
| Encounter Sec Renderin... | Encounter Secondary Rendering Provider # |
| Encounter Sec State | Encounter Secondary State |
| Encounter Sec Street Ad... | Encounter Secondary Street Address 1 |
| Encounter Sec Street Ad... | Encounter Secondary Street Address 2 |
| Encounter Sec Zip | Encounter Secondary Zip |
| Encounter Secondary Co... | Encounter Secondary Contact Full Name |
| Encounter Secondary Ins... | Encounter Secondary Insured Address Line 1 |
| Encounter Secondary Ins... | Encounter Secondary Insured Address Line 2 |
| Encounter Secondary Ins... | Encounter Secondary Insured City |
| Encounter Secondary Ins... | Encounter Secondary Insured Country |
| Encounter Secondary Ins... | Encounter Secondary Insured County |
| Encounter Secondary Ins... | Encounter Secondary Insured DOB |
| Encounter Secondary Ins... | Encounter Secondary Insured Employer |
| Encounter Secondary Ins... | Encounter Secondary Insured Name |
| Encounter Secondary Ins... | Encounter Secondary Insured Occupation |
| Encounter Secondary Ins... | Encounter Secondary Insured Relationship to Patient |
| Encounter Secondary Ins... | Encounter Secondary Insured Sex |
| Encounter Secondary Ins... | Encounter Secondary Insured SSN |
| Encounter Secondary Ins... | Encounter Secondary Insured State |
| Encounter Secondary Ins... | Encounter Secondary Insured Work Phone |
| Encounter Secondary Ins... | Encounter Secondary Insured Zip |
| | |
| Encounter Tert Prov Address 1 | Encounter Tertiary Provider Address 1 |
| Encounter Tert Prov Address 2 | Encounter Tertiary Provider Address 2 |
| Encounter Tert Prov Clai... | Encounter Tertiary Provider Claim Value 1 |
| Encounter Tert Prov Clai... | Encounter Tertiary Provider Claim Value 2 |
| Encounter Tert Ref Prov... | Encounter Tertiary Referring Provider Name |
| Encounter Tert Ref Prov... | Encounter Tertiary Referring Provider Payer # |
| Encounter Tert Renderin... | Encounter Tertiary Rendering Group # |
| Encounter Tert Renderin... | Encounter Tertiary Rendering Provider # |
| Encounter Tertiary Conta... | Encounter Tertiary Contact Full Name |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Address Line 1 |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Address Line 2 |
| Encounter Tertiary Insure... | Encounter Tertiary Insured City |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Country |
| Encounter Tertiary Insure... | Encounter Tertiary Insured County |
| Encounter Tertiary Insure... | Encounter Tertiary Insured DOB |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Employer |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Name |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Occupation |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Relationship to Patient |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Sex |
| Encounter Tertiary Insure... | Encounter Tertiary Insured SSN |
| Encounter Tertiary Insure... | Encounter Tertiary Insured State |
| Encounter Tertiary Insure... | Encounter Tertiary Insured Work Phone |
| Encounter Tertiary Insure... | Insured Zip |
| Encounter Tertiary Provider City, State Zip | Encounter Tertiary Provider City, State Zip |
| Encounter Tertiary Provider Name | Encounter Tertiary Provider Name |
| Encounter Tertiary Provider Name First Last | Prints the tertiary provider's name as First Middle Last. For example, John Jimmy Smith instead of Smith, John Jimmy |