EA1 Record Entry Field Locations

Medical Segment 2

Number Position Field Name Data Entry Screen
01 1-3 Record Type (Auto Fill)
02 4 Reserved (Not Supported)
03 5-22 Patient ID

(See CAO Record Patient ID)

04 23-57 Alternate Facility ID Setup > Lookup Lists > Facilities and Laboratories > [Change] > Identification tab > Facility ID or NPI (See Note 1)
05 38-52 Reserved (Not Supported)
06 53-82 Alternate Facility Address 1 Setup > Lookup Lists > Facilities/Laboratories > [Change] > General tab > Address 1 (See Note 1)
07 83-112 Alternate Facility Address 2 Setup > Lookup Lists > Facilities/Laboratories > [Change] > General tab > Address 2 (See Note 1)
08 113-132 Alternate Facility City Setup > Lookup Lists > Facilities/Laboratories > [Change] > General tab > City (See Note 1)
09 133-134 Alternate Facility State Setup > Lookup Lists > Facilities/Laboratories > [Change] > General tab > State (See Note 1)
10 135-143 Alternate Facility Zip Code Setup > Lookup Lists > Facilities/Laboratories > [Change] > General tab > Zip Code (See Note 1)
11 144-160 Medical Record Number Patient List > [Change] > General Tab > Patient ID
12 161-168 Return to Work Date Patient List > Case/Diagnosis button > Case Information button > General tab > Returned to work
13 169-176 Date of Initial Consultation Patient List > Case/Diagnosis button > Case Information button > General tab > Consult/Surgery Date
14 177-184 Admission Date 2 Patient List > Case/Diagnosis button > Case Information button > General tab > Second Admission Date
15 185-192 Discharge Date 2 Patient List > Case/Diagnosis button > Case Information button > Inpatient tab > Second Discharge Date
16 193-207 Supervising Provider ID Setup > Preferences > Provider Preferences > [Change] > General tab > Supervisor
17 208-222 Reserved (Not Supported)
18 223-242 Supervising Provider Last Name Setup > Preferences > Provider Preferences > [Change] > General tab > Supervisor
19 243-254 Supervising Provider First Name Setup > Preferences > Provider Preferences > [Change] > General tab > Supervisor
20 255 Supervising Provider Middle Initial Setup > Preferences > Provider Preferences > [Change] > General tab > Supervisor
21 256-257 Supervising Provider Setup > Preferences > Provider Preferences > [Change] > General tab > Supervisor
22 258-277 EMT/Paramedic Last Name (Not Supported)
23 278-289 EMT/Paramedic First Name (Not Supported)
24 290 EMT/Paramedic Middle Initial (Not Supported)
25 291-298 Date Care Was Assumed (Not Supported)
26 299-303 Diagnosis Code 5 Patient List > Case/Diagnosis button > Diagnosis button > Diagnosis > Change > Axis 1 tab > Axis I and II Codes (or Diagnosis Code 1-8)
  and
Patient List > Transaction button > Service > Diagnosis tab > Diagnosis Code Selection Checked
27 304-308 Diagnosis Code 6 Patient List > Case/Diagnosis button > Diagnosis button > Diagnosis > Change > Axis 1 tab > Axis I and II Codes (or Diagnosis Code 1-8)
  and
Patient List > Transaction button > Service > Diagnosis tab > Diagnosis Code Selection Checked
28 309-313 Diagnosis Code 7 Patient List > Case/Diagnosis button > Diagnosis button > Diagnosis > Change > Axis 1 tab > Axis I and II Codes (or Diagnosis Code 1-8)
  and
Patient List > Transaction button > Service > Diagnosis tab > Diagnosis Code Selection Checked
29 314-318 Diagnosis Code 8 Patient List > Case/Diagnosis button > Diagnosis button > Diagnosis > Change > Axis 1 tab > Axis I and II Codes (or Diagnosis Code 1-8)
  and
Patient List > Transaction button > Service > Diagnosis tab > Diagnosis Code Selection Checked
30 319-320 Filler National (Not Supported)

Note 1: Field can be set for a single patient by going to Patient List > Case/Diagnosis button > Inpatient tab