Appointment/Encounter Information Data Field Descriptions for Form and Label Templates

Data Fields	Description
Encounter Appointment Date	Encounter Appointment Date
Location Address	Appointment Location
Location Address 2	Location Address 2
Location City, State Zip	Appointment Location City, State Zip
*Location Name	Appointment Location Name
Location Phone	Appointment Location Phone Number
Referring Physician	Referring Physician
Rendering Physician	Rendering Physician
Rendering Provider Address 1	Rendering Provider Address 1
Rendering Provider Address 2	Rendering Provider Address 2
Rendering Provider Business Phone	Rendering Provider Business Phone
Rendering Provider City, State Zip	Rendering Provider City, State Zip

File Maintenance Help for NextGen® Enterprise 8

Encounter Information Data Field Descriptions for Form and Label Templates

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 Ins

File Maintenance Help for NextGen® Enterprise 8

Employer Information Data Fields for Form and Label Templates

Data Repository lists data fields for Employer Information. The data fields use the information from NextGen® Enterprise PM on the General tab of the Employer Maintenance window. Employee Occupation Employee Work Extension Employee Work Phone Employer Address 1 Employer Address 2 Employer Billing Address 1 Employer Billing Address 2 Employer Billing City Employer Billing State Employer Billing Zip Employer City Employer City, State Zip Employer Corp Address 1 Employer Corp Address 2 Employer Corp City Employer Corp State Employer Corp Zip Employer Full Name Employer Phone Employer State Employer Zip Sec Employer Address 1 Sec Employer Address 2 Sec Employer City, State Zip Sec Employer Full Name Sec Employer Phone Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Practice Information Data Fields for Form and Label Templates

Data Repository data fields for Practice Information. Practice Address 1 Practice Address 2 Practice City Practice City, State Zip Practice Logo Practice Name Practice Phone Practice State Practice Tax ID # Practice Zip Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Appointment Information Data Field Descriptions for Form and Label Templates

The following table lists the Data Repository data fields for Appointment Information. Appointment Information is represented by the data field icon. Data Fields Description Appointment Date Appointment Date Appointment Details Appointment Details Appointment Event Appointment Event Appointment ID (Barcode) Appointment ID Barcode Appointment Number Appointment Number *Appointment Resource Appointment Resource Appointment Time Appointment Time Future Appointment <1-25> Date Future Appointment <1-25> Event Future Appointment <1-25> Location Address Future Appointment <1-25> Location City, State Zip Future Appointment <1-25> Location Name Future Appointment <1-25> Location Phone Future Appointment <1-25> Resource Future Appointment <1-25> Time Note: These fields use the next 25 future appointment after the appointment you are printing from. Future Appointment <1-25> Date Future Appointment <1-25> Event Future Appointment <1-25> Location Address Future Appointment <1-25> Location City, Sta

File Maintenance Help for NextGen® Enterprise 8

Recall Information Data Fields for Form and Label Templates

Data Repository data fields for Recall Information. Recall Plan Event Recall Plan Expected Retur… Recall Plan Location Address Recall Plan Location City, S… Recall Plan Location Name Recall Plan Location Phone Recall Plan Name Recall Plan Physician Name Recall Plan Resource Desc… Parent topic: Data Field Descriptions for Form, Form Enhanced, and Label Templates

File Maintenance Help for NextGen® Enterprise 8

Account Information Data Field Descriptions for Form and Label Templates

The following table lists the Data Repository data fields for Account Information. Data Fields Description Account Information (only when printing from Account) Account All Insurance Balance Account All Insurance Balance Account Budget Created Date Account Budget Created Date Account Budget Delinquent Date Account Budget Delinquent Date Account Budget Number of Payments Account Budget Number of Payments Account Budget Payment Amount Account Budget Payment Amount Account Budget Termination Date Account Budget Termination Date Account Card Expiration Date Account Card Expiration Date Account Holder Name Account Holder Name Account Card Last 4Digits Account Card Last 4Digits Account Card Type Account Card Type Account Credit Card Transaction Repons... Account Credit Card Transaction Response Number Account Credit Rating Account Credit Rating Account Guarantor City Account Guarantor City Account Guarantor City, State Zip Account Guarantor City, State Zip Account Guarantor Country Account G

Appointment/Encounter Information Data Field Descriptions for Form and Label Templates

Recommendations

Encounter Information Data Field Descriptions for Form and Label Templates

Employer Information Data Fields for Form and Label Templates

Practice Information Data Fields for Form and Label Templates

Appointment Information Data Field Descriptions for Form and Label Templates

Recall Information Data Fields for Form and Label Templates

Account Information Data Field Descriptions for Form and Label Templates

Appointment/Encounter Information Data Field Descriptions for Form and Label Templates

Encounter Information Data Field Descriptions for Form and Label Templates

Employer Information Data Fields for Form and Label Templates

Practice Information Data Fields for Form and Label Templates

Appointment Information Data Field Descriptions for Form and Label Templates

Recall Information Data Fields for Form and Label Templates

Account Information Data Field Descriptions for Form and Label Templates