Order

Seq	Name	Type	Required	Description
1	Integration	string	Yes	Name of the Client or Vendor
2	OrderID	string	Yes	Client / EMR Order number that will be returned in the results. Limit: 20 characters
3	FacilityID	string	Yes	TridentCare Facility/Center identifier.
4	Timestamp	DateTime	Yes	Date/Time when the order was placed. Format: YYYYMMDDHHMM
5	PatientID	string	Yes	Customer's Patient ID or Patient Medical Record Number. Limit: 20 characters
6	AlternatePatientID	string	No	Limit: 20 characters
7	PatientFName	string	Yes	Patient First Name
8	PatientLName	string	Yes	Patient Last Name
9	PatientMName	String	No	Patient Middle Name
10	PatientDOB	Date	Yes	Date of Birth Format: YYYYMMDD
11	PatientGender	string	Yes	M, F, U
12	PatientStreetAddress	string	Yes*	Required for home clients
13	PatientAddressCity	string	Yes*	Required for home clients
14	PatientAddressState	string	Yes*	Required for home clients
15	PatientAddressZip	string	Yes*	Required for home clients
16	PatientHomePhone	string	Yes*	Required for home clients
17	PatientAccountNo	string	No	Customer's Medical Record Number (MRN) Max 20 characters
18	SSN	string	No	Social Security No
19	Unit	string	Yes
20	Room	string	Yes*	Required for non-correctional institutions
21	Bed	string	Yes*	Required for non-correctional institutions
22	EnteredByFName	string	Yes	Order entered by user first name
23	EnteredByLName	string	Yes	Order entered by user last name
24	ProviderID	string	Yes	Ordering Provider ID - NPI#
25	ProviderFName	string	Yes	Ordering Provider First Name
26	ProviderLName	string	Yes	Ordering Provider Last Name

Seq	Name	Type	Required	Description
1	TestCode	string	Yes	Procedure Code from TridentCare Compendium
2	TestDescription	string	Yes	Procedure description from TridentCare Compendium
3	DOS	Date	Yes	Due Date
4	Priority	string	Yes	R – Routine, S - Stat
5	ClinicalInfo	string	Yes	Additional Clinical Info
6	ReasonForExamCode	string	Yes	ICD10 Code
7	ReasonForExamDescription	string	Yes	ICD10 Description
8	ReasonForPortabilityCategory	string	Yes*	Refer to reasons for portable exams. *Required for X-Ray and EKG Exams only
9	ReasonForPortabilityQuestion	string	Yes*	Refer to reasons for portable exams. *Required for X-Ray and EKG Exams only
10	ReasonForPortableAnswer	string	Yes*	Refer to reasons for portable exams. *Required for X-Ray and EKG Exams only

Seq	Name	Type	Required	Description
1	SeqNumber	int	Yes	Order Notes Sequence Number
2	Comment	string	Yes	Order Notes/Comments

Seq	Name	Type	Required	Description
1	InsurancePlanID	int	Yes
2	InsurancePlanName	string	Yes
3	InsuranceCompanyId	string	Yes
4	InsuranceCompanyName	string	Yes
5	InsuranceCompanyAddress	string	Yes
6	InsuranceCompanyCity	string	Yes
7	InsuranceCompanyAddress	string	Yes
8	InsuranceCompanyState	string	Yes
9	InsuranceCompanyZip	string	Yes
10	InsuranceCoPhoneNumber	string	Yes	Company phone
11	GroupNumber	string	Yes	Group Number
12	GroupName	string	Yes	Group Organization Name
13	InsuredGroupEmpId	string	No	Insured Employee ID
14	GroupEmpName	string	No
15	PlanEffDate	Date	Yes	Plan Effective Date
16	PlanExpDate	Date	Yes	Plan Expiration Date
17	AuthNum	string	No	Authorization number
18	PlanType	string	No
19	InsuredFName	string	Yes	Insured Given Name
20	InsuredLName	string	Yes	Insured Family Name
21	InsuredMName	string	Yes	Insured Middle Name
22	Relationship	string	Yes	Insured Relationship To Patient
23	InsuredDOB	Date	Yes	Insured Date of Birth
24	InsuredStreetAddress	string	Yes
25	InsuredAddressCity	string	Yes
26	InsuredAddressState	string	Yes
27	InsuredAddressZip	string	Yes
28	PolicyNumber	string	Yes

Seq	Name	Type	Required	Description
1	Number	int	Yes	Guarantor Number
2	GivenName	string	Yes	Guarantor First Name
3	FamilyName	string	Yes	Guarantor Last Name
4	SpouseName	string	No	Guarantor Spouse Name
5	StreetAddress	string	Yes	Guarantor Street Address Name
6	AddressCity	string	Yes	Guarantor City Name
7	AddressState	string	Yes	Guarantor Address State
8	AddressZip	string	Yes	Guarantor Zip Code
9	HomePhone	string	Yes	Guarantor Home Phone Number
10	BusinessPhone	string	No	Guarantor Business Phone Number
11	DOB	Date	No	Guarantor Date of Birth
12	Gender	string	No	Guarantor Gender
13	Type	string	No	Guarantor Type
14	Relationship	string	Yes	Guarantor Relationship

Seq	Name	Type	Required	Description
1	SeqNumber	int	Yes	Diagnosis Sequence Number
2	Code	string	Yes	ICD10 Code
3	Description	string	Yes	ICD10 Code Description