Patient Registration Data Fields

Defense Healthcare
Management Systems
Patient Registration Data Fields
September 12, 2018

Distribution Statement D: Distribution authorized to the
Department of Defense and U.S. DoD contractors only;
Administrative or Operational Use; 23AUG2017. Other
requests shall be referred to Mr. Matthew G. Hudson,
Contracting Officer, DHMSM, Space and Naval Warfare
Systems Command.

PEO DHMS

Patient Registration Data Fields
• The screen captures reflect the data fields associated with the patient registration
process in MHS GENESIS.
• The following patient type was selected to show the data fields associated with a
dependent family member: Dependent Family Member of an active duty service
member
• Test data was used to support this requirement.

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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Patient Registration – Patient Contact
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Below is the main registration window with data entry fields that range from Last Name to LPE Created
All
highlighted data fields are required entry fields
The data fields boarded in RED reflect data provided by DEERS after the DEERS retrieve function is
performed. Test PHI/PII data has also been blocked from this presentation.
The 11 tabs from left to right have additional data entry fields to be completed in order to fully register
the patient
− Patient Contact Information Tab: Consists of data fields capturing home and temporary addresses

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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Patient Registration – Patient Contact

• The 2nd part of the Patient Contact Information Tab consists of data fields capturing birth
address and telephone contact information

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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Patient Registration – Patient Info.
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Patient Information Tab: Consists of personal demographic data entry fields

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The 2nd part of the patient information data fields consists of information associated with the military
service-member

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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Patient Registration – Encounter Info.
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Encounter Information Tab: Consists of data fields related to the encounter

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The 2nd part of the encounter information tab consists of data fields on confidentiality and registration
dates

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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Patient Registration – Insurance
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Insurance Tabs: There are several insurance tabs to capture insurance data of patients with multiple
plans

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The 2nd part of the insurance tab captures health plan data

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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Patient Registration – Emergency Contact
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Emergency Contacts Tab: Consists of emergency contact and next of kin contact data fields

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Upon completion of all required data fields the patient is registered

PEO DHMS

Distribution Statement D: Distribution authorized to the Department of Defense and U.S. DoD contractors only. Other requests for this document shall be referred to the DHMSM Contracting Officer.

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