| Name | Description | Type | Additional information |
|---|---|---|---|
| DoctorReferred | boolean |
None. |
|
| ReferringDoctor | string |
None. |
|
| SpouseName | string |
None. |
|
| SpouseEmployer | string |
None. |
|
| EmergencyContactName | string |
None. |
|
| EmergencyContactRelation | string |
None. |
|
| EmergencyContactHomePhone | string |
None. |
|
| EmergencyContactWorkPhone | string |
None. |
|
| PrimaryInsuredDOB | date |
None. |
|
| PrimaryInsuredGroup | string |
None. |
|
| PrimaryInsuredSSN | string |
None. |
|
| PrimaryInsuredName | string |
None. |
|
| PrimaryInsuredEmployer | string |
None. |
|
| SecondaryInsurance | string |
None. |
|
| SecondaryInsuranceID | string |
None. |
|
| SecondaryInsuredGroup | string |
None. |
|
| SecondaryInsuredName | string |
None. |
|
| SecondaryInsuredDOB | date |
None. |
|
| SecondaryInsuredRelation | string |
None. |
|
| SelfPay | boolean |
None. |
|
| SocialSecurityNum | string |
None. |
|
| ReasonForVisit | string |
None. |
|
| DateOfLastExam | date |
None. |
|
| LastExaminer | string |
None. |
|
| CurrentlyWear | byte |
None. |
|
| InterestedInContacts | boolean |
None. |
|
| ContactBrand | string |
None. |
|
| AreContactsComfortable | boolean |
None. |
|
| AgeOfGlasses | string |
None. |
|
| AgeOfContacts | string |
None. |
|
| MedicalDoctorName | string |
None. |
|
| MedicalDoctorPhone | string |
None. |
|
| CurrentlyTakingMedications | boolean |
None. |
|
| AllergicToMedications | boolean |
None. |
|
| SurgeriesAndHospitalizations | string |
None. |
|
| HadCrossedEyes | boolean |
None. |
|
| HadLazyEye | boolean |
None. |
|
| HadDroopingEyelid | boolean |
None. |
|
| HadProminentEyes | boolean |
None. |
|
| HadGlaucoma | boolean |
None. |
|
| HadRetinalDisease | boolean |
None. |
|
| HadCataracts | boolean |
None. |
|
| HadEyeInfections | boolean |
None. |
|
| HadEyeInjury | boolean |
None. |
|
| HadDoubleVision | boolean |
None. |
|
| HadEyePain | boolean |
None. |
|
| HadItching | boolean |
None. |
|
| HadTearing | boolean |
None. |
|
| HadBurning | boolean |
None. |
|
| HadRedness | boolean |
None. |
|
| HadFloaters | boolean |
None. |
|
| HadFlashes | boolean |
None. |
|
| HadHalos | boolean |
None. |
|
| IsPregnantOrNursing | boolean |
None. |
|
| Height | string |
None. |
|
| Weight | string |
None. |
|
| InterestedInLaserVision | boolean |
None. |
|
| InterestedInDryEyeTreatment | boolean |
None. |
|
| PreferDiscussWithDoctor | boolean |
None. |
|
| UsesTobacco | boolean |
None. |
|
| TobaccoTypeAmount | string |
None. |
|
| Smokes | boolean |
None. |
|
| SmokeTypeAmount | string |
None. |
|
| UsesIllegalDrugs | boolean |
None. |
|
| IllegalDrugsTypeAmount | string |
None. |
|
| Gonorrhea | boolean |
None. |
|
| Hepatitis | boolean |
None. |
|
| HIV | boolean |
None. |
|
| Syphilis | boolean |
None. |
|
| Signed | boolean |
None. |
|
| SignedName | string |
None. |
|
| SignedDate | date |
None. |
|
| DoctorReviewed | boolean |
None. |
|
| DoctorReviewedDate | date |
None. |
|
| DoctorID | integer |
None. |
|
| FeverWeight | integer |
None. |
|
| Integumetary | integer |
None. |
|
| AllergiesHayFever | integer |
None. |
|
| SinusCongestion | integer |
None. |
|
| RunnyNose | integer |
None. |
|
| PostNasalDrip | integer |
None. |
|
| ChronicCough | integer |
None. |
|
| DryMouth | integer |
None. |
|
| Headaches | integer |
None. |
|
| Migraines | integer |
None. |
|
| Seizures | integer |
None. |
|
| LossOfVision | integer |
None. |
|
| BlurredVision | integer |
None. |
|
| DistortedVision | integer |
None. |
|
| LossOfSideVision | integer |
None. |
|
| DoubleVision | integer |
None. |
|
| Dryness | integer |
None. |
|
| MucousDischarge | integer |
None. |
|
| Redness | integer |
None. |
|
| SandyFeeling | integer |
None. |
|
| Burning | integer |
None. |
|
| ForeignBodySens | integer |
None. |
|
| LightSensitive | integer |
None. |
|
| EyePainSoreness | integer |
None. |
|
| ChronicEyeInfection | integer |
None. |
|
| StyesChalazia | integer |
None. |
|
| FlashesFloaters | integer |
None. |
|
| TiredEye | integer |
None. |
|
| Asthma | integer |
None. |
|
| ChronicBronchitis | integer |
None. |
|
| Emphysema | integer |
None. |
|
| Diabetes | integer |
None. |
|
| HeartPain | integer |
None. |
|
| HighBloodPressure | integer |
None. |
|
| VascularDisease | integer |
None. |
|
| Itching | integer |
None. |
|
| GastrointestinalDiarrhea | integer |
None. |
|
| Constipation | integer |
None. |
|
| ExcessTearingWatery | integer |
None. |
|
| GenitourinaryDiarrhea | integer |
None. |
|
| BonesJointsMuscles | integer |
None. |
|
| RheumatoidArthritis | integer |
None. |
|
| MusclePain | integer |
None. |
|
| JointPain | integer |
None. |
|
| Anemia | integer |
None. |
|
| ThyroidOtherGlands | integer |
None. |
|
| Psychiatric | integer |
None. |
|
| Immunologic | integer |
None. |
|
| ExplinationOfConditions | string |
None. |
|
| SystemReviewQuestion | string |
None. |
|
| BlindnessInFamily | integer |
None. |
|
| BlindnessRelation | string |
None. |
|
| CataractInFamily | integer |
None. |
|
| CataractRelation | string |
None. |
|
| GlaucomaInFamily | integer |
None. |
|
| GlaucomaRelation | string |
None. |
|
| LazyCrossedEyesInFamily | integer |
None. |
|
| LazyCrossedEyesRelation | string |
None. |
|
| MacularDegenerationInFamily | integer |
None. |
|
| MacularDegenerationRelation | string |
None. |
|
| RetinalDetachmentInFamily | integer |
None. |
|
| RetinalDetachmentRelation | string |
None. |
|
| RetinalDiseaseInFamily | integer |
None. |
|
| RetinalDiseaseRelation | string |
None. |
|
| ArthritisInFamily | integer |
None. |
|
| ArthritisRelation | string |
None. |
|
| CancerInFamily | integer |
None. |
|
| CancerRelation | string |
None. |
|
| DiabetesInFamily | integer |
None. |
|
| DiabetesRelation | string |
None. |
|
| HeartDiseaseInFamily | integer |
None. |
|
| HeartDiseaseRelation | string |
None. |
|
| HighBloodPressureInFamily | integer |
None. |
|
| HighBloodPressureRelation | string |
None. |
|
| KidneyDiseaseInFamily | integer |
None. |
|
| KidneyDiseaseRelation | string |
None. |
|
| LupusInFamily | integer |
None. |
|
| LupusRelation | string |
None. |
|
| ThyroidDiseaseInFamily | integer |
None. |
|
| ThyroidDiseaseRelation | string |
None. |
|
| OtherInFamily | integer |
None. |
|
| OtherDescription | string |
None. |
|
| OtherRelation | string |
None. |
|
| created_dt | date |
None. |
|
| VisionInsuredGroup | string |
None. |
|
| patient_id | globally unique identifier |
None. |
|
| patient_review_id | globally unique identifier |
None. |
|
| provider_id | globally unique identifier |
None. |
|
| MedReconciliation | boolean |
None. |
|
| HighCholesterol | integer |
None. |
|
| ADDPsychiatric | integer |
None. |
|
| ADHD | integer |
None. |
|
| Anxiety | integer |
None. |
|
| SocialHistory_Other | string |
None. |
|
| IsArchived | boolean |
None. |
|
| created_by | globally unique identifier |
None. |
|
| updated_dt | date |
None. |
|
| updated_by | globally unique identifier |
None. |
|
| CareReconciliation | boolean |
None. |
|
| start_dt | date |
None. |
|
| weightLoss | integer |
None. |
|
| socialHistoryInfection | string |
None. |
|
| FamilyHistories | Collection of FamilyHistoryModel |
None. |
|
| FamilyHistoryAdditionals | Collection of FamilyHistoryAdditionalModel |
None. |
|
| PatientReview_SocialHistory | Collection of PatientReview_SocialHistoryModel |
None. |
|
| ROS | Collection of ROModel |
None. |
|
| Allergy | Collection of AllergyModel |
None. |
|
| Immunization | Collection of ImmunizationModel |
None. |
|
| Medicalrx | Collection of RXModel |
None. |