4	Quarterly Assessment	Z1	Record type	1	2	2	Always mandatory	numeric	
4	Quarterly Assessment	X1	Record ID	3	10	10	Always mandatory	numeric	omhrs:RecordID
4	Quarterly Assessment	X2	Submission Type	13	1	1	Always mandatory	alphanumeric	omhrs:SubmissionType
4	Quarterly Assessment	X30	Chart Number	14	12	12	Always mandatory	alphanumeric	omhrs:ChartNumber
4	Quarterly Assessment	AA3	Case Record Number	26	12	12	Always mandatory	alphanumeric	omhrs:CaseRecordNumber
4	Quarterly Assessment	AA5	Unit Identifier	38	2	2	Mandatory for new or correction	numeric	omhrs:UnitIdentifier
4	Quarterly Assessment	A1	Assessment Reference Date	40	8	8	Always mandatory	date	omhrs:AssessmentReferenceDate
4	Quarterly Assessment	A2	Reason for Assessment	48	1	1	Mandatory for new or correction	numeric	omhrs:ReasonForAssessment
4	Quarterly Assessment	A3b	Status at Time of Assessment	49	1	1	Mandatory for new or correction	numeric	omhrs:InpatientStatusAtTimeOfAssessment
4	Quarterly Assessment	X9b	Forensic Status at Assessment	50	1	1	Mandatory under other conditions	numeric	omhrs:ForensicStatusAtAssessment
4	Quarterly Assessment	A4a	Capacity/Competency - Consent to Treatment	51	1	1	Mandatory for new or correction	numeric	omhrs:CapacityCompetencyConsentToTreatment
4	Quarterly Assessment	A4b	Capacity/Competency - Manage	52	1	1	Mandatory for new or correction	numeric	omhrs:CapacityCompetencyManage
4	Quarterly Assessment	A4c	Capacity/Competency - Clinical Record	53	1	1	Mandatory for new or correction	numeric	omhrs:CapacityCompetencyClinicalRecord
4	Quarterly Assessment	A4d	Capacity/Competency - Legal Guardian/Substitute Decision-Maker	54	1	1	Mandatory for new or correction	numeric	omhrs:CapacityCompetencyLegalGuardianSubstituteDecisionMaker
4	Quarterly Assessment	A5a	Police Intervention for Violent behaviour	55	1	1	Mandatory for new or correction	numeric	omhrs:PoliceInterventionForNonviolentBehaviour
4	Quarterly Assessment	A5b	Police Intervention for non-violent behaviour	56	1	1	Mandatory for new or correction	numeric	omhrs:PoliceInterventionForViolentBehaviour
4	Quarterly Assessment	B1a	Facial Expression	57	1	1	Mandatory for new or correction	numeric	omhrs:FacialExpression
4	Quarterly Assessment	B1b	Tearfulness	58	1	1	Mandatory for new or correction	numeric	omhrs:Tearfulness
4	Quarterly Assessment	B1c	Decreased Energy	59	1	1	Mandatory for new or correction	numeric	omhrs:DecreasedEnergy
4	Quarterly Assessment	B1d	Made Negative Statements	60	1	1	Mandatory for new or correction	numeric	omhrs:MadeNegativeStatements
4	Quarterly Assessment	B1e	Self-Deprecation	61	1	1	Mandatory for new or correction	numeric	omhrs:SelfDeprecation
4	Quarterly Assessment	B1f	Guilt/Shame	62	1	1	Mandatory for new or correction	numeric	omhrs:GuiltShame
4	Quarterly Assessment	B1g	Hopelessness	63	1	1	Mandatory for new or correction	numeric	omhrs:Hopelessness
4	Quarterly Assessment	B1h	Inflated Self-worth	64	1	1	Mandatory for new or correction	numeric	omhrs:InflatedSelfWorth
4	Quarterly Assessment	B1i	Hyper-Arousal	65	1	1	Mandatory for new or correction	numeric	omhrs:HyperArousal
4	Quarterly Assessment	B1j	Irritability	66	1	1	Mandatory for new or correction	numeric	omhrs:Irritability
4	Quarterly Assessment	B1k	Increased Sociability or Hypersexuality	67	1	1	Mandatory for new or correction	numeric	omhrs:IncreasedSociabilityOrHypersexuality
4	Quarterly Assessment	B1l	Pressured Speech/Racing Thoughts	68	1	1	Mandatory for new or correction	numeric	omhrs:PressuredSpeechRacingThoughts
4	Quarterly Assessment	B1m	Labile Affect	69	1	1	Mandatory for new or correction	numeric	omhrs:LabileAffect
4	Quarterly Assessment	B1n	Flat or Blunted Affect	70	1	1	Mandatory for new or correction	numeric	omhrs:FlatOrBluntedAffect
4	Quarterly Assessment	B1o	Anxious Complaints	71	1	1	Mandatory for new or correction	numeric	omhrs:AnxiousComplaints
4	Quarterly Assessment	B1p	Fears/Phobias	72	1	1	Mandatory for new or correction	numeric	omhrs:FearsPhobias
4	Quarterly Assessment	B1q	Obsessive Thoughts	73	1	1	Mandatory for new or correction	numeric	omhrs:ObsessiveThoughts
4	Quarterly Assessment	B1r	Compulsive Behaviour	74	1	1	Mandatory for new or correction	numeric	omhrs:CompulsiveBehaviour
4	Quarterly Assessment	B1s	Intrusive Thoughts/Flashbacks	75	1	1	Mandatory for new or correction	numeric	omhrs:IntrusiveThoughtsFlashbacks
4	Quarterly Assessment	B1t	Episodes of Panic	76	1	1	Mandatory for new or correction	numeric	omhrs:EpisodesOfPanic
4	Quarterly Assessment	B1u	Hallucinations	77	1	1	Mandatory for new or correction	numeric	omhrs:Hallucinations
4	Quarterly Assessment	B1v	Command Hallucinations	78	1	1	Mandatory for new or correction	numeric	omhrs:CommandHallucinations
4	Quarterly Assessment	B1w	Delusions	79	1	1	Mandatory for new or correction	numeric	omhrs:Delusions
4	Quarterly Assessment	B1x	Abnormal Thought Process/Form	80	1	1	Mandatory for new or correction	numeric	omhrs:AbnormalThoughtProcessForm
4	Quarterly Assessment	B1y	Anhedonia	81	1	1	Mandatory for new or correction	numeric	omhrs:Anhedonia
4	Quarterly Assessment	B1z	Loss of Interest	82	1	1	Mandatory for new or correction	numeric	omhrs:LossOfInterest
4	Quarterly Assessment	B1aa	Lack of Motivation	83	1	1	Mandatory for new or correction	numeric	omhrs:LackOfMotivation
4	Quarterly Assessment	B1bb	Reduced Interaction	84	1	1	Mandatory for new or correction	numeric	omhrs:ReducedInteraction
4	Quarterly Assessment	B1cc	Health Complaints	85	1	1	Mandatory for new or correction	numeric	omhrs:HealthComplaints
4	Quarterly Assessment	B1dd	Anger	86	1	1	Mandatory for new or correction	numeric	omhrs:Anger
4	Quarterly Assessment	B1ee	Unusual or Abnormal Physical Movements	87	1	1	Mandatory for new or correction	numeric	omhrs:UnusualOrAbnormalPhysicalMovements
4	Quarterly Assessment	B1ff	Hygiene	88	1	1	Mandatory for new or correction	numeric	omhrs:Hygiene
4	Quarterly Assessment	B1gg	Sleep Problems	89	1	1	Mandatory for new or correction	numeric	omhrs:SleepProblems
4	Quarterly Assessment	B2	Insight into Mental Health	90	1	1	Mandatory for new or correction	numeric	omhrs:InsightIntoMentalHealth
4	Quarterly Assessment	C1	Alcohol	91	1	1	Mandatory for new or correction	numeric	omhrs:Alcohol
4	Quarterly Assessment	C2a	Substance Use - Inhalants	92	1	1	Mandatory for new or correction	numeric	omhrs:SubstanceUseInhalants
4	Quarterly Assessment	C2b	Substance Use - Hallucinogens	93	1	1	Mandatory for new or correction	numeric	omhrs:SubstanceUseHallucinogens
4	Quarterly Assessment	C2c	Substance Use - Cocaine and Crack	94	1	1	Mandatory for new or correction	numeric	omhrs:SubstanceUseCocaineAndCrack
4	Quarterly Assessment	C2d	Substance Use - Stimulants	95	1	1	Mandatory for new or correction	numeric	omhrs:SubstanceUseStimulants
4	Quarterly Assessment	C2e	Substance Use - Opiates	96	1	1	Mandatory for new or correction	numeric	omhrs:SubstanceUseOpiates
4	Quarterly Assessment	C2f	Substance Use - Cannabis	97	1	1	Mandatory for new or correction	numeric	omhrs:SubstanceUseCannabis
4	Quarterly Assessment	C3	Withdrawal Symptoms	98	1	1	Mandatory for new or correction	numeric	omhrs:WithdrawalSymptoms
4	Quarterly Assessment	C4a	Patterns of Drinking or Other Substance Use - Concerns	99	1	1	Mandatory for new or correction	numeric	omhrs:PatternsOfDrinkingOrOtherSubstanceUseConcerns
4	Quarterly Assessment	C4b	Patterns of Drinking or Other Substance Use - Criticism from Others	100	1	1	Mandatory for new or correction	numeric	omhrs:PatternsOfDrinkingOrOtherSubstanceUseCriticismFromOthers
4	Quarterly Assessment	C4c	Patterns of Drinking or Other Substance Use - Feelings of Guilt	101	1	1	Mandatory for new or correction	numeric	omhrs:PatternsOfDrinkingOrOtherSubstanceUseFeelingsOfGuilt
4	Quarterly Assessment	C4d	Patterns of Drinking or Other Substance Use - Nerves	102	1	1	Mandatory for new or correction	numeric	omhrs:PatternsOfDrinkingOrOtherSubstanceUseNerves
4	Quarterly Assessment	C5	Smoking	103	1	1	Mandatory for new or correction	numeric	omhrs:Smoking
4	Quarterly Assessment	C6	Gambling	104	1	1	Mandatory for new or correction	numeric	omhrs:Gambling
4	Quarterly Assessment	D1a	Most recent self-injurious attempt	105	1	1	Mandatory for new or correction	numeric	omhrs:MostRecentSelfInjuriousAttempt
4	Quarterly Assessment	D1b	Intent of Any Self-injurious Attempt Was to Kill him/herself	106	1	1	Mandatory for new or correction	numeric	omhrs:IntentOfAnySelfInjuriousAttemptWasToKillHimherself
4	Quarterly Assessment	D1c	Considered performing a self-injurious act	107	1	1	Mandatory for new or correction	numeric	omhrs:ConsideredPerformingASelfInjuriousAct
4	Quarterly Assessment	D1da	Family, caregiver, friend or staff expresses concern that person is at risk for self-injury	108	1	1	Mandatory for new or correction	numeric	omhrs:FamilyCaregiverFriendOrStaffExpressesConcernThatPersonIsAtRiskForSelfInjury
4	Quarterly Assessment	D1db	Suicide plan - In last 30 days, formulated a scheme to end own life	109	1	1	Mandatory for new or correction	numeric	omhrs:SuicidePlanInLast30DaysFormulatedASchemeToEndOwnLife
4	Quarterly Assessment	D2a	Violence to others	110	1	1	Mandatory for new or correction	numeric	omhrs:ViolenceToOthers
4	Quarterly Assessment	D2b	Intimidation of others or threatened violence	111	1	1	Mandatory for new or correction	numeric	omhrs:IntimidationOfOthersOrThreatenedViolence
4	Quarterly Assessment	D2c	Violent ideation	112	1	1	Mandatory for new or correction	numeric	omhrs:ViolentIdeation
4	Quarterly Assessment	D3	History of sexual violence or assault as perpetrator	113	1	1	Mandatory for new or correction	numeric	omhrs:HistoryOfSexualViolenceOrAssaultAsPerpetrator
4	Quarterly Assessment	E1a	Behaviour Symptoms - Wandering	114	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsWandering
4	Quarterly Assessment	E1b	Behaviour Symptoms - Verbal Abuse	115	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsVerbalAbuse
4	Quarterly Assessment	E1c	Behaviour Symptoms - Physical Abuse	116	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsPhysicalAbuse
4	Quarterly Assessment	E1d	Behaviour Symptoms - Socially Inappropriate/disruptive	117	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsSociallyInappropriateDisruptive
4	Quarterly Assessment	E1e	Behaviour Symptoms - Inappropriate Public Sexual Behaviour	118	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsInappropriatePublicSexualBehaviour
4	Quarterly Assessment	E1f	Behaviour Symptoms - Resists Care	119	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsResistsCare
4	Quarterly Assessment	E1g	Behaviour Symptoms - Elopement attempts/threats	120	1	1	Mandatory for new or correction	numeric	omhrs:BehaviourSymptomsElopementAttemptsThreats
4	Quarterly Assessment	E2	Extreme Behaviour Disturbance	121	1	1	Mandatory for new or correction	numeric	omhrs:ExtremeBehaviourDisturbance
4	Quarterly Assessment	F1a	Memory/Recall - Short-Term	122	1	1	Mandatory for new or correction	numeric	omhrs:MemoryRecallShortTerm
4	Quarterly Assessment	F1b	Memory/Recall - Procedural	123	1	1	Mandatory for new or correction	numeric	omhrs:MemoryRecallProcedural
4	Quarterly Assessment	F2	Cognitive Skills for Daily Decision-Making	124	1	1	Mandatory for new or correction	numeric	omhrs:CognitiveSkillsForDailyDecisionMaking
4	Quarterly Assessment	F3a	Indicators - Easily Distracted	125	1	1	Mandatory for new or correction	numeric	omhrs:IndicatorsEasilyDistracted
4	Quarterly Assessment	F3b	Indicators - Altered Perception	126	1	1	Mandatory for new or correction	numeric	omhrs:IndicatorsAlteredPerception
4	Quarterly Assessment	F3c	Indicators - Disorganized Speech	127	1	1	Mandatory for new or correction	numeric	omhrs:IndicatorsDisorganizedSpeech
4	Quarterly Assessment	F3d	Indicators - Restlessness	128	1	1	Mandatory for new or correction	numeric	omhrs:IndicatorsRestlessness
4	Quarterly Assessment	F3e	Indicators - Lethargy	129	1	1	Mandatory for new or correction	numeric	omhrs:IndicatorsLethargy
4	Quarterly Assessment	F3f	Indicators - Mental Function Varies Over the Day	130	1	1	Mandatory for new or correction	numeric	omhrs:IndicatorsMentalFunctionVariesOverTheDay
4	Quarterly Assessment	F4	Cognitive Decline	131	1	1	Mandatory for new or correction	numeric	omhrs:CognitiveDecline
4	Quarterly Assessment	G1a	ADL - Hygiene	132	1	1	Mandatory for new or correction	numeric	omhrs:ADLHygiene
4	Quarterly Assessment	G1b	ADL - Walking	133	1	1	Mandatory for new or correction	numeric	omhrs:ADLWalking
4	Quarterly Assessment	G1c	ADL - Wheeling	134	1	1	Mandatory for new or correction	numeric	omhrs:ADLWheeling
4	Quarterly Assessment	G1d	ADL - Toilet Use	135	1	1	Mandatory for new or correction	numeric	omhrs:ADLToiletUse
4	Quarterly Assessment	G1e	ADL - Eating	136	1	1	Mandatory for new or correction	numeric	omhrs:ADLEating
4	Quarterly Assessment	G2a	IADL - Meal Prep	137	1	1	Mandatory for new or correction	numeric	omhrs:IADLMealPrep
4	Quarterly Assessment	G2b	IADL - Managing Meds	138	1	1	Mandatory for new or correction	numeric	omhrs:IADLManagingMeds
4	Quarterly Assessment	G2c	IADL - Transportation	139	1	1	Mandatory for new or correction	numeric	omhrs:IADLTransportation
4	Quarterly Assessment	G2d	IADL - Managing Finances	140	1	1	Mandatory for new or correction	numeric	omhrs:IADLManagingFinances
4	Quarterly Assessment	G2e	IADL - Phone Use	141	1	1	Mandatory for new or correction	numeric	omhrs:IADLPhoneUse
4	Quarterly Assessment	G3	Stamina	142	1	1	Mandatory for new or correction	numeric	omhrs:Stamina
4	Quarterly Assessment	G4	ADL Decline	143	1	1	Mandatory for new or correction	numeric	omhrs:ADLDecline
4	Quarterly Assessment	H1	Hearing	144	1	1	Mandatory for new or correction	numeric	omhrs:Hearing
4	Quarterly Assessment	H2	Vision	145	1	1	Mandatory for new or correction	numeric	omhrs:Vision
4	Quarterly Assessment	H3	Making Self Understood	146	1	1	Mandatory for new or correction	numeric	omhrs:MakingSelfUnderstood
4	Quarterly Assessment	I1a	Headache	147	1	1	Mandatory for new or correction	numeric	omhrs:Headache
4	Quarterly Assessment	I1b	Dizziness/Vertigo	148	1	1	Mandatory for new or correction	numeric	omhrs:DizzinessVertigo
4	Quarterly Assessment	I1c	Shortness of Breath	149	1	1	Mandatory for new or correction	numeric	omhrs:ShortnessOfBreath
4	Quarterly Assessment	I1d	Chest Pain/Pressure	150	1	1	Mandatory for new or correction	numeric	omhrs:ChestPainPressure
4	Quarterly Assessment	I1e	Blurred Vision	151	1	1	Mandatory for new or correction	numeric	omhrs:BlurredVision
4	Quarterly Assessment	I1f	Dry Mouth	152	1	1	Mandatory for new or correction	numeric	omhrs:DryMouth
4	Quarterly Assessment	I1g	Increase or Decrease in Normal Appetite	153	1	1	Mandatory for new or correction	numeric	omhrs:IncreaseOrDecreaseInNormalAppetite
4	Quarterly Assessment	I1h	Difficulty urinating	154	1	1	Mandatory for new or correction	numeric	omhrs:DifficultyUrinating
4	Quarterly Assessment	I1i	Nausea	155	1	1	Mandatory for new or correction	numeric	omhrs:Nausea
4	Quarterly Assessment	I1j	Vomiting	156	1	1	Mandatory for new or correction	numeric	omhrs:Vomiting
4	Quarterly Assessment	I1k	Constipation	157	1	1	Mandatory for new or correction	numeric	omhrs:Constipation
4	Quarterly Assessment	I1l	Diarrhea	158	1	1	Mandatory for new or correction	numeric	omhrs:Diarrhea
4	Quarterly Assessment	I1m	Daytime Drowsiness/Sedation	159	1	1	Mandatory for new or correction	numeric	omhrs:DaytimeDrowsinessSedation
4	Quarterly Assessment	I1n	Fatigue/Weakness	160	1	1	Mandatory for new or correction	numeric	omhrs:FatigueWeakness
4	Quarterly Assessment	I1o	Impaired Balance/Ataxia	161	1	1	Mandatory for new or correction	numeric	omhrs:ImpairedBalanceAtaxia
4	Quarterly Assessment	I1p	Emergent Conditions	162	1	1	Mandatory for new or correction	numeric	omhrs:EmergentConditions
4	Quarterly Assessment	I1q	Edema	163	1	1	Mandatory for new or correction	numeric	omhrs:Edema
4	Quarterly Assessment	I2a	Akathisia	164	1	1	Mandatory for new or correction	numeric	omhrs:Akathisia
4	Quarterly Assessment	I2b	Dyskinesia	165	1	1	Mandatory for new or correction	numeric	omhrs:Dyskinesia
4	Quarterly Assessment	I2c	Tremor	166	1	1	Mandatory for new or correction	numeric	omhrs:Tremor
4	Quarterly Assessment	I2d	Rigidity	167	1	1	Mandatory for new or correction	numeric	omhrs:Rigidity
4	Quarterly Assessment	I2e	Slow Shuffling Gait	168	1	1	Mandatory for new or correction	numeric	omhrs:SlowShufflingGait
4	Quarterly Assessment	I2f	Bradykinesia	169	1	1	Mandatory for new or correction	numeric	omhrs:Bradykinesia
4	Quarterly Assessment	I2g	Dystonia	170	1	1	Mandatory for new or correction	numeric	omhrs:Dystonia
4	Quarterly Assessment	I3	Sexual Functioning	171	1	1	Mandatory for new or correction	numeric	omhrs:SexualFunctioning
4	Quarterly Assessment	I4	Self Reported Health	172	1	1	Mandatory for new or correction	numeric	omhrs:SelfReportedHealth
4	Quarterly Assessment	I5	Chewing/Swallowing	173	1	1	Mandatory for new or correction	numeric	omhrs:ChewingSwallowing
4	Quarterly Assessment	I6aa	Major Skin Problems	174	1	1	Mandatory for new or correction	numeric	omhrs:MajorSkinProblems
4	Quarterly Assessment	I6ab	Other Skin Conditions	175	1	1	Mandatory for new or correction	numeric	omhrs:OtherSkinConditions
4	Quarterly Assessment	I6b	Foot Problems	176	1	1	Mandatory for new or correction	numeric	omhrs:FootProblems
4	Quarterly Assessment	I7a	Falls	177	1	1	Mandatory for new or correction	numeric	omhrs:Falls
4	Quarterly Assessment	I8a	Pain Frequency	178	1	1	Mandatory for new or correction	numeric	omhrs:PainFrequency
4	Quarterly Assessment	I8b	Pain Intensity	179	1	1	Mandatory for new or correction	numeric	omhrs:PainIntensity
4	Quarterly Assessment	I9	Bladder Continence	180	1	1	Mandatory for new or correction	numeric	omhrs:BladderContinence
4	Quarterly Assessment	I10	Bowel Continence	181	1	1	Mandatory for new or correction	numeric	omhrs:BowelContinence
4	Quarterly Assessment	I11a	Diabetes Type 1	182	1	1	Mandatory for new or correction	numeric	omhrs:DiabetesType1
4	Quarterly Assessment	I11b	Diabetes Type 2	183	1	1	Mandatory for new or correction	numeric	omhrs:DiabetesType2
4	Quarterly Assessment	I11c	Chronic Obstructive Pulmonary Disease	184	1	1	Mandatory for new or correction	numeric	omhrs:ChronicObstructivePulmonaryDisease
4	Quarterly Assessment	I11d	Congestive Heart Failure	185	1	1	Mandatory for new or correction	numeric	omhrs:CongestiveHeartFailure
4	Quarterly Assessment	I11e	Chronic Renal Failure with Dialysis	186	1	1	Mandatory for new or correction	numeric	omhrs:ChronicRenalFailureWithDialysis
4	Quarterly Assessment	I11f	HIV+	187	1	1	Mandatory for new or correction	numeric	omhrs:HIV
4	Quarterly Assessment	I11g	Hepatitis C	188	1	1	Mandatory for new or correction	numeric	omhrs:HepatitisC
4	Quarterly Assessment	I11h	ICD-10-CA code 1	189	6	6	Mandatory under other conditions	alphanumeric	omhrs:ICD10CACode1
4	Quarterly Assessment	I11i	ICD-10-CA code 2	195	6	6	Mandatory under other conditions	alphanumeric	omhrs:ICD10CACode2
4	Quarterly Assessment	I11j	ICD-10-CA code 3	201	6	6	Mandatory under other conditions	alphanumeric	omhrs:ICD10CACode3
4	Quarterly Assessment	I11k	ICD-10-CA code 4	207	6	6	Mandatory under other conditions	alphanumeric	omhrs:ICD10CACode4
4	Quarterly Assessment	I11l	ICD-10-CA code 5	213	6	6	Mandatory under other conditions	alphanumeric	omhrs:ICD10CACode5
4	Quarterly Assessment	I11m	ICD-10-CA code 6	219	6	6	Mandatory under other conditions	alphanumeric	omhrs:ICD10CACode6
4	Quarterly Assessment	J1a	Serious accident or physical impairment	225	1	1	Mandatory for new or correction	numeric	omhrs:SeriousAccidentOrPhysicalImpairment
4	Quarterly Assessment	J1b	Distressed about health of another person	226	1	1	Mandatory for new or correction	numeric	omhrs:DistressedAboutHealthOfAnotherPerson
4	Quarterly Assessment	J1c	Death of close family member or friend	227	1	1	Mandatory for new or correction	numeric	omhrs:DeathOfCloseFamilyMemberOrFriend
4	Quarterly Assessment	J1d	Child custody issues; birth of adoption of child	228	1	1	Mandatory for new or correction	numeric	omhrs:ChildCustodyIssuesBirthOfAdoptionOfChild
4	Quarterly Assessment	J1e	Conflict-laden or severed relationship, including divorce	229	1	1	Mandatory for new or correction	numeric	omhrs:ConflictLadenOrSeveredRelationshipIncludingDivorce
4	Quarterly Assessment	J1f	Failed or dropped out of education program	230	1	1	Mandatory for new or correction	numeric	omhrs:FailedOrDroppedOutOfEducationProgram
4	Quarterly Assessment	J1g	Major loss of income or serious economic hardship due to poverty	231	1	1	Mandatory for new or correction	numeric	omhrs:MajorLossOfIncomeOrSeriousEconomicHardshipDueToPoverty
4	Quarterly Assessment	J1h	Review hearing - e.g., forensic, certification, capacity hearing	232	1	1	Mandatory for new or correction	numeric	omhrs:ReviewHearing
4	Quarterly Assessment	J1i	Immigration, including refugee status	233	1	1	Mandatory for new or correction	numeric	omhrs:ImmigrationIncludingRefugeeStatus
4	Quarterly Assessment	J1j	Lived in war zone or area of violent conflict (combatant or civilian)	234	1	1	Mandatory for new or correction	numeric	omhrs:LivedInWarZoneOrAreaOfViolentConflictCombatantOrCivilian
4	Quarterly Assessment	J1k	Witnessed severe accident, disaster, terrorism, violence, or abuse	235	1	1	Mandatory for new or correction	numeric	omhrs:WitnessedSevereAccidentDisasterTerrorismViolenceOrAbuse
4	Quarterly Assessment	J1l	Victim of crime - e.g., robbery (exclude assault)	236	1	1	Mandatory for new or correction	numeric	omhrs:VictimOfCrime
4	Quarterly Assessment	J1m	Victim of sexual assault or abuse	237	1	1	Mandatory for new or correction	numeric	omhrs:VictimOfSexualAssaultOrAbuse
4	Quarterly Assessment	J1n	Victim of physical assault or abuse	238	1	1	Mandatory for new or correction	numeric	omhrs:VictimOfPhysicalAssaultOrAbuse
4	Quarterly Assessment	J1o	Victim of emotional abuse	239	1	1	Mandatory for new or correction	numeric	omhrs:VictimOfEmotionalAbuse
4	Quarterly Assessment	J1p	Parental abuse of alcohol or drugs	240	1	1	Mandatory for new or correction	numeric	omhrs:ParentalAbuseOfAlcoholOrDrugs
4	Quarterly Assessment	J2	Life Event Causes Sense of Horror or Intense Fear	241	1	1	Mandatory for new or correction	numeric	omhrs:LifeEventCausesSenseOfHorrorOrIntenseFear
4	Quarterly Assessment	J3a	Other Indicators - History of abuse	242	1	1	Mandatory for new or correction	numeric	omhrs:OtherIndicatorsHistoryOfAbuse
4	Quarterly Assessment	J3b	Other Indicators - Fearful of others	243	1	1	Mandatory for new or correction	numeric	omhrs:OtherIndicatorsFearfulOfOthers
4	Quarterly Assessment	K2	Medical Refusal	244	1	1	Mandatory for new or correction	numeric	omhrs:MedicalRefusal
4	Quarterly Assessment	K3	Stopped Taking Psychotropic Medication	245	1	1	Mandatory for new or correction	numeric	omhrs:PastMedicationSideEffects
4	Quarterly Assessment	K4	Intentional Misuse of Medication	246	1	1	Mandatory for new or correction	numeric	omhrs:IntentionalMisuseOfMedication
4	Quarterly Assessment	K5	Acute Control Medications	247	1	1	Mandatory for new or correction	numeric	omhrs:AcuteControlMedications
4	Quarterly Assessment	K6	Allergy to Drugs	248	1	1	Mandatory for new or correction	numeric	omhrs:AllergyToDrugs
4	Quarterly Assessment	L1a	Formal Care - Psychiatrist	249	1	1	Mandatory for new or correction	numeric	omhrs:FormalCarePsychiatrist
4	Quarterly Assessment	L1b	Formal Care - Nurse Practitioner or MD	250	1	1	Mandatory for new or correction	numeric	omhrs:FormalCareNursePractitionerOrMD
4	Quarterly Assessment	L1c	Formal Care - Social Worker	251	1	1	Mandatory for new or correction	numeric	omhrs:FormalCareSocialWorker
4	Quarterly Assessment	L1d	Formal Care - Psychologist or Psychometrist	252	1	1	Mandatory for new or correction	numeric	omhrs:FormalCarePsychologistOrPsychometrist
4	Quarterly Assessment	L1e	Formal Care - Occupational Therapist	253	1	1	Mandatory for new or correction	numeric	omhrs:FormalCareOT
4	Quarterly Assessment	L1f	Formal Care - Recreational Therapist	254	1	1	Mandatory for new or correction	numeric	omhrs:FormalCareRecreationTherapist
4	Quarterly Assessment	L1g	Formal Care - Addiction Counsellor	255	1	1	Mandatory for new or correction	numeric	omhrs:FormalCareAddictionCounsellor
4	Quarterly Assessment	L1h	Formal Care - Dietician	256	1	1	Mandatory for new or correction	numeric	omhrs:FormalCareDietician
4	Quarterly Assessment	L2a	Nursing - Medical Interventions	257	1	1	Mandatory for new or correction	numeric	omhrs:NursingMedicalInterventions
4	Quarterly Assessment	L2b	Nursing - One-to-One Counselling	258	1	1	Mandatory for new or correction	numeric	omhrs:NursingOneToOneCounselling
4	Quarterly Assessment	L2c	Nursing - Crisis Intervention	259	1	1	Mandatory for new or correction	numeric	omhrs:NursingCrisisIntervention
4	Quarterly Assessment	L2d	Nursing - Family Support	260	1	1	Mandatory for new or correction	numeric	omhrs:NursingFamilySupport
4	Quarterly Assessment	L3a	Treatment - Individual Therapy	261	1	1	Mandatory for new or correction	numeric	omhrs:TreatmentIndividualTherapy
4	Quarterly Assessment	L3b	Treatment - Group Therapy	262	1	1	Mandatory for new or correction	numeric	omhrs:TreatmentGroupTherapy
4	Quarterly Assessment	L3c	Treatment - Family/Couple Therapy	263	1	1	Mandatory for new or correction	numeric	omhrs:TreatmentFamilyCoupleTherapy
4	Quarterly Assessment	L3d	Treatment - Self-help Group	264	1	1	Mandatory for new or correction	numeric	omhrs:TreatmentSelfHelpGroup
4	Quarterly Assessment	L4a	Focus of Intervention - Community Re-integration	265	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionCommunityReIntegration
4	Quarterly Assessment	L4b	Focus of Intervention - Social/Family Functioning	266	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionSocialFamilyFunctioning
4	Quarterly Assessment	L4c	Focus of Intervention - Psychosocial Rehab	267	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionPsychosocialRehab
4	Quarterly Assessment	L4d	Focus of Intervention - Detoxification	268	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionDetoxification
4	Quarterly Assessment	L4e	Focus of Intervention - Alcohol/drug treatment	269	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionAlcoholDrugTreatment
4	Quarterly Assessment	L4f	Focus of Intervention - Vocational Counselling	270	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionVocationalCounselling
4	Quarterly Assessment	L4g	Focus of Intervention - Anger Mgmt	271	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionAngerMgmt
4	Quarterly Assessment	L4h	Focus of Intervention - Eating Disorder	272	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionEatingDisorder
4	Quarterly Assessment	L4i	Focus of Intervention - Behavioural Mgmt	273	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionBehaviouralMgmt
4	Quarterly Assessment	L4j	Focus of Intervention - Post-traumatic Stress	274	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionPostTraumaticStress
4	Quarterly Assessment	L4k	Focus of Intervention - Pain Mgmt	275	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionPainMgmt
4	Quarterly Assessment	L4l	Focus of Intervention - Alternative/non-Traditional Therapy	276	1	1	Mandatory for new or correction	numeric	omhrs:FocusOfInterventionAlternativeNonTraditionalTherapy
4	Quarterly Assessment	L5	Adherence with Treatments, Therapies, Programs	277	1	1	Mandatory for new or correction	numeric	omhrs:AdherenceWithTreatmentsTherapiesPrograms
4	Quarterly Assessment	L6	ECT	278	1	1	Mandatory for new or correction	numeric	omhrs:ECT
4	Quarterly Assessment	X6	Number of ECTs Since Last Assessment	279	2	2	Mandatory for new or correction	numeric	omhrs:NumberOfECTsSinceLastAssessment
4	Quarterly Assessment	M1a	Mechanical Restraint	281	1	1	Mandatory for new or correction	numeric	omhrs:MechanicalRestraint
4	Quarterly Assessment	M1b	Chair Prevents Rising	282	1	1	Mandatory for new or correction	numeric	omhrs:ChairPreventsRising
4	Quarterly Assessment	M1c	Physical/Manual Restraints	283	1	1	Mandatory for new or correction	numeric	omhrs:PhysicalManualRestraints
4	Quarterly Assessment	M1d	Confinement to Unit	284	1	1	Mandatory for new or correction	numeric	omhrs:ConfinementToUnit
4	Quarterly Assessment	M1e	Confinement to Room	285	1	1	Mandatory for new or correction	numeric	omhrs:ConfinementToRoom
4	Quarterly Assessment	M1f	Seclusion Room	286	1	1	Mandatory for new or correction	numeric	omhrs:SeclusionRoom
4	Quarterly Assessment	M2a	Observation - 15 min intervals	287	1	1	Mandatory for new or correction	numeric	omhrs:Observation15MinIntervals
4	Quarterly Assessment	M2b	Observation  - 5 min intervals	288	1	1	Mandatory for new or correction	numeric	omhrs:Observation5MinIntervals
4	Quarterly Assessment	M2c	Observation  - constant for less than 1 hr	289	1	1	Mandatory for new or correction	numeric	omhrs:ObservationConstantForLessThan1Hr
4	Quarterly Assessment	M2d	Observation  - constant for more than 1 hr	290	1	1	Mandatory for new or correction	numeric	omhrs:ObservationConstantForMoreThan1Hr
4	Quarterly Assessment	M3	Psych ICU	291	1	1	Mandatory for new or correction	numeric	omhrs:PsychICU
4	Quarterly Assessment	M4a	Authorized Activities Outside Facility - accompanied by staff	292	1	1	Mandatory for new or correction	numeric	omhrs:AuthorizedActivitiesOutsideFacilityAccompaniedByStaff
4	Quarterly Assessment	M4b	Authorized Activities Outside Facility - not accompanied by staff	293	1	1	Mandatory for new or correction	numeric	omhrs:AuthorizedActivitiesOutsideFacilityNotAccompaniedByStaff
4	Quarterly Assessment	N1a	Height	294	3	3	Mandatory for new or correction	numeric	omhrs:Height
4	Quarterly Assessment	N1b	Weight	297	3	3	Mandatory for new or correction	numeric	omhrs:Weight
4	Quarterly Assessment	N2a	Weight Loss	300	1	1	Mandatory for new or correction	numeric	omhrs:WeightLoss
4	Quarterly Assessment	N2b	Weight Gain	301	1	1	Mandatory for new or correction	numeric	omhrs:WeightGain
4	Quarterly Assessment	N2c	Insufficient Fluid	302	1	1	Mandatory for new or correction	numeric	omhrs:InsufficientFluid
4	Quarterly Assessment	N2d	Decrease in Food	303	1	1	Mandatory for new or correction	numeric	omhrs:DecreaseInFood
4	Quarterly Assessment	N3a	Binge Eating	304	1	1	Mandatory for new or correction	numeric	omhrs:BingeEating
4	Quarterly Assessment	N3b	Unrealistic Fear of Weight Gain	305	1	1	Mandatory for new or correction	numeric	omhrs:UnrealisticFearOfWeightGain
4	Quarterly Assessment	N3c	Fasting	306	1	1	Mandatory for new or correction	numeric	omhrs:Fasting
4	Quarterly Assessment	N4	Polydipsia	307	1	1	Mandatory for new or correction	numeric	omhrs:Polydipsia
4	Quarterly Assessment	O1	Family Roles	308	1	1	Mandatory for new or correction	numeric	omhrs:FamilyRoles
4	Quarterly Assessment	O2a	No Confidant	309	1	1	Mandatory for new or correction	numeric	omhrs:NoConfidant
4	Quarterly Assessment	O2b	Family Overwhelmed by Pt Illness	310	1	1	Mandatory for new or correction	numeric	omhrs:FamilyOverwhelmedByPtIllness
4	Quarterly Assessment	O2c	Pt Hostile Toward Family	311	1	1	Mandatory for new or correction	numeric	omhrs:PtHostileTowardFamily
4	Quarterly Assessment	O2d	Pt Hostile Toward Pt or Staff	312	1	1	Mandatory for new or correction	numeric	omhrs:PtHostileTowardPtOrStaff
4	Quarterly Assessment	O2e	Family Hostile Toward Pt	313	1	1	Mandatory for new or correction	numeric	omhrs:FamilyHostileTowardPt
4	Quarterly Assessment	O2f	Staff Frustration with Pt	314	1	1	Mandatory for new or correction	numeric	omhrs:StaffFrustrationWithPt
4	Quarterly Assessment	O2g	Family Require Unusual Amt of Staff Time	315	1	1	Mandatory for new or correction	numeric	omhrs:FamilyRequireUnusualAmtOfStaffTime
4	Quarterly Assessment	O3	Employment Status	316	1	1	Mandatory for new or correction	numeric	omhrs:EmploymentStatus
4	Quarterly Assessment	O4a	Increase in Lateness/Absenteeism	317	1	1	Mandatory for new or correction	numeric	omhrs:IncreaseInLatenessAbsenteeism
4	Quarterly Assessment	O4b	Poor Productivity/Disruptiveness at School/Work	318	1	1	Mandatory for new or correction	numeric	omhrs:PoorProductivityDisruptivenessAtSchoolWork
4	Quarterly Assessment	O4c	Intent to Quit Work/School	319	1	1	Mandatory for new or correction	numeric	omhrs:IntentToQuitWorkSchool
4	Quarterly Assessment	O4d	Persistent Unemployment	320	1	1	Mandatory for new or correction	numeric	omhrs:PersistentUnemployment
4	Quarterly Assessment	O5	Trade-offs	321	1	1	Mandatory for new or correction	numeric	omhrs:TradeOffs
4	Quarterly Assessment	O6a	Participation in Social Activities	322	1	1	Mandatory for new or correction	numeric	omhrs:ParticipationInSocialActivities
4	Quarterly Assessment	O6b	Visit by Social Relation/Family	323	1	1	Mandatory for new or correction	numeric	omhrs:VisitBySocialRelationFamily
4	Quarterly Assessment	O6c	Contact with Social Relation/Family	324	1	1	Mandatory for new or correction	numeric	omhrs:ContactWithSocialRelationFamily
4	Quarterly Assessment	P1a	Help with Childcare	325	1	1	Mandatory for new or correction	numeric	omhrs:HelpWithChildCare
4	Quarterly Assessment	P1b	Supervision for Personal Safety	326	1	1	Mandatory for new or correction	numeric	omhrs:SupervisionForPersonalSafety
4	Quarterly Assessment	P1c	Crisis Support	327	1	1	Mandatory for new or correction	numeric	omhrs:CrisisSupport
4	Quarterly Assessment	P1d	Support with ADL/IADLs	328	1	1	Mandatory for new or correction	numeric	omhrs:SupportWithADLIADLs
4	Quarterly Assessment	P2a	Pt Expresses Preference to Return to Community	329	1	1	Mandatory for new or correction	numeric	omhrs:PtExpressesPreferenceToReturnToCommunity
4	Quarterly Assessment	P2b	Pt has Support for Discharge	330	1	1	Mandatory for new or correction	numeric	omhrs:PtHasSupportForDischarge
4	Quarterly Assessment	P3	Projected time To Planned Discharge	331	1	1	Mandatory for new or correction	numeric	omhrs:ProjectedTimeToPlannedDischarge
4	Quarterly Assessment	P4	Overall Change in Care Needs	332	1	1	Mandatory for new or correction	numeric	omhrs:OverallChangeInCareNeeds
4	Quarterly Assessment	Q1a	DSM - Neurodevelopmental Disorders	333	1	1	Mandatory under other conditions	numeric	omhrs:DSMNeurodevelopmentalDisorders
4	Quarterly Assessment	Q1b	DSM - Schizophrenia Spectrum and Other Psychotic Disorders	334	1	1	Mandatory under other conditions	numeric	omhrs:DSMSchizophreniaSpectrumAndOtherPsychoticDisorders
4	Quarterly Assessment	Q1c	DSM - Bipolar and Related Disorders	335	1	1	Mandatory under other conditions	numeric	omhrs:DSMBipolarAndRelatedDisorders
4	Quarterly Assessment	Q1d	DSM - Depressive Disorders	336	1	1	Mandatory under other conditions	numeric	omhrs:DSMDepressiveDisorders
4	Quarterly Assessment	Q1e	DSM - Anxiety Disorders	337	1	1	Mandatory under other conditions	numeric	omhrs:DSMAnxietyDisorders
4	Quarterly Assessment	Q1f	DSM - Obsessive-Compulsive and Related Disorders	338	1	1	Mandatory under other conditions	numeric	omhrs:DSMObsessiveCompulsiveAndRelatedDisorders
4	Quarterly Assessment	Q1g	DSM - Trauma- and Stressor-Related Disorders	339	1	1	Mandatory under other conditions	numeric	omhrs:DSMTraumaAndStressorRelatedDisorders
4	Quarterly Assessment	Q1h	DSM - Dissociative Disorders	340	1	1	Mandatory under other conditions	numeric	omhrs:DSMDissociativeDisorders
4	Quarterly Assessment	Q1i	DSM - Somatic Symptom and Related Disorders	341	1	1	Mandatory under other conditions	numeric	omhrs:DSMSomaticSymptomAndRelatedDisorders
4	Quarterly Assessment	Q1j	DSM - Feeding and Eating Disorders	342	1	1	Mandatory under other conditions	numeric	omhrs:DSMFeedingAndEatingDisorders
4	Quarterly Assessment	Q1k	DSM - Elimination Disorders	343	1	1	Mandatory under other conditions	numeric	omhrs:DSMEliminationDisorders
4	Quarterly Assessment	Q1l	DSM - Sleep-Wake Disorders	344	1	1	Mandatory under other conditions	numeric	omhrs:DSMSleepWakeDisorders
4	Quarterly Assessment	Q1m	DSM - Sexual Dysfunctions	345	1	1	Mandatory under other conditions	numeric	omhrs:DSMSexualDysfunctions
4	Quarterly Assessment	Q1n	DSM - Gender Dysphoria	346	1	1	Mandatory under other conditions	numeric	omhrs:DSMGenderDysphoria
4	Quarterly Assessment	Q1o	DSM - Disruptive, Impulse-Control, and Conduct Disorders	347	1	1	Mandatory under other conditions	numeric	omhrs:DSMDisruptiveImpulseControlAndConductDisorders
4	Quarterly Assessment	Q1p	DSM - Substance-Related and Addictive Disorders	348	1	1	Mandatory under other conditions	numeric	omhrs:DSMSubstanceRelatedAndAddictiveDisorders
4	Quarterly Assessment	Q1q	DSM - Neurocognitive Disorders	349	1	1	Mandatory under other conditions	numeric	omhrs:DSMNeurocognitiveDisorders
4	Quarterly Assessment	Q1r	DSM - Personality Disorders	350	1	1	Mandatory under other conditions	numeric	omhrs:DSMPersonalityDisorders
4	Quarterly Assessment	Q1s	DSM - Paraphilic Disorders	351	1	1	Mandatory under other conditions	numeric	omhrs:DSMParaphilicDisorders
4	Quarterly Assessment	Q1t	DSM - Other Mental Disorders	352	1	1	Mandatory under other conditions	numeric	omhrs:DSMOtherMentalDisorders
4	Quarterly Assessment	Q1u	DSM - Medication-Induced Movement Disorders and Other Adverse Effects of Medication	353	1	1	Mandatory under other conditions	numeric	omhrs:DSMMedicationInducedMovementDisordersAndOtherAdverseEffects
4	Quarterly Assessment	Q1v	DSM - Not Applicable	354	1	1	Mandatory under other conditions	numeric	omhrs:DSMNotApplicable
4	Quarterly Assessment	Q2a	DSM-5 code A	355	7	7	Optional	alphanumeric	omhrs:DSMCodeA
4	Quarterly Assessment	Q2b	DSM-5 code B	362	7	7	Optional	alphanumeric	omhrs:DSMCodeB
4	Quarterly Assessment	Q2c	DSM-5 code C	369	7	7	Optional	alphanumeric	omhrs:DSMCodeC
4	Quarterly Assessment	Q2d	DSM-5 code D	376	7	7	Optional	alphanumeric	omhrs:DSMCodeD
4	Quarterly Assessment	Q2e	DSM-5 code E	383	7	7	Optional	alphanumeric	omhrs:DSMCodeE
4	Quarterly Assessment	Q2f	DSM-5 code F	390	7	7	Optional	alphanumeric	omhrs:DSMCodeF
4	Quarterly Assessment	Q3	Intellectual Disability	397	1	1	Mandatory for new or correction	numeric	omhrs:IntellectualDisability
4	Quarterly Assessment	Q4	GAF Score	398	3	3	Mandatory for new or correction	numeric	omhrs:GAFScore
4	Quarterly Assessment	Q5	Patient Type	401	1	1	Mandatory for new or correction	numeric	omhrs:PatientType
4	Quarterly Assessment	R1	Prescribed Medications	402	1	1	Mandatory for new or correction	numeric	omhrs:PrescribedMedications
4	Quarterly Assessment	X75	Days in Alternative Level of Care Since Last Assessment	403	3	3	Mandatory for new or correction	numeric	omhrs:DaysInAlternativeLevelOfCareSinceLastAssessment
4	Quarterly Assessment	X130	Total Days Away From Bed	406	2	2	Mandatory under other conditions	numeric	omhrs:TotalDaysAwayFromBed
4	Quarterly Assessment	X131	Total Days Away From Bed in Q4	408	2	2	Always mandatory	numeric	omhrs:DaysAwayPreviousFiscalYear
4	Quarterly Assessment	X200a	Project Code A	410	6	6	Mandatory under other conditions	alphanumeric	omhrs:ProjectCodeA
4	Quarterly Assessment	X210a	Project Data A	416	200	200	Optional	string	omhrs:ProjectDataA
4	Quarterly Assessment	X200b	Project Code B	616	6	6	Mandatory under other conditions	alphanumeric	omhrs:ProjectCodeB
4	Quarterly Assessment	X210b	Project Data B	622	200	200	Optional	string	omhrs:ProjectDataB
			IAR Assessment Consent Flag	822	1	1		string	AccessLevel
			Date Consent came into effect	823	8	8		date	EffectiveDate
			Time the information was Requested	831	12	12		date	RequestedTime
			Who obtained the IAR Consent	843	15	15		string	NameOrUserID
			Time information was entered	858	12	12		date	TimeRecorded
			Last name	870	40	40		alphanumeric	Lastname
			First name	910	35	35		alphanumeric	Firstname
			Middle name	945	15	15		alphanumeric	Middlename
			Primary Address Line 1	960	60	60		alphanumeric	PrimaryAddressLine1
			Primary Address Line 2	1020	60	60		alphanumeric	PrimaryAddressLine2
			City	1080	30	30		alphanumeric	City
			Province	1110	30	30		alphanumeric	Province
			Country	1140	30	30		alphanumeric	Country
			Postal Code	1170	10	10		alphanumeric	PostalCode
			Primary Phone	1180	20	20		alphanumeric	PrimaryPhone
			Health Card Number	1200	12	12		alphanumeric	OHIPNumber
			OHIP Version	1212	2	2		alphanumeric	OHIPVersion
			Province/territory issuing Health Card Number	1214	3	3		alphanumeric	ProvinceTerritoryIssuingHealthCardNumber
			Sex	1217	1	1		alphanumeric	Sex
			Birthdate	1218	8	8		date	BirthDate
			Estimated Birthdate	1226	1	1		alphanumeric	EstimatedBirthDate
