Patient Letter Merge Fields

Field Name

Field Type

Description

PatientInfoAdmissionDate

String

Patient admission date.

PatientInfoAge

String

Patient's age.

PatientInfoCity

String

Patient's city.

PatientInfoCountry

String

Patient's country.

PatientInfoDischargeDate

String

Patient's discharge date.

PatientInfoDOB

String

Patient's date of birth.

PatientInfoDoctorFax

String

Doctor's fax.

PatientInfoDoctorName

String

Doctor's name.

PatientInfoDoctorPhone

String

Doctor's phone number.

PatientInfoEmployerName

String

Patient's employer name.

PatientInfoFacilityCity

String

Facility city.

PatientInfoFacilityCountry

String

Facility country.

PatientInfoFacilityFax

String

Facility fax.

PatientInfoFacilityName

String

Facility name.

PatientInfoFacilityPhone

String

Facility phone.

PatientInfoFacilityState

String

Facility state.

PatientInfoFacilityStreet1

String

Facility address line 1.

PatientInfoFacilityStreet2

String

Facility address line 2.

PatientInfoFacilityZipCode

String

Facility ZIP Code.

PatientInfoGarraantorRecNumber

String

Patient's guarantor ID number.

PatientInfoKinCity

String

City for patient's next of kin.

PatientInfoKinCountry

String

Country for patient's next of kin.

PatientInfoKinName

String

Name of patient's next of kin.

PatientInfoKinPhone

String

Phone number for patient's next of kin.

PatientInfoKinState

String

State for patient's next of kin.

PatientInfoKinStreet1

String

Address line 1 for patient's next of kin.

PatientInfoKinStreet2

String

Address line 2 for patient's next of kin.

PatientInfoKinZipCode

String

ZIP Code for patient's next of kin.

PatientInfoName

String

Patient's name.

PatientInfoRecNum

String

Patient's ID number.

PatientInfoPhone

String

Patient's phone number.

PatientInfoServiceDate

String

Patient's service date.

PatientInfoSex

String

Patient's gender.

PatientInfoSSN

String

Patient's SSN.

PatientInfoState

String

Patient's state.

PatientInfoStreet1

String

Patient's address line 1.

PatientInfoStreet2

String

Patient's address line 2.

PatientInfoWorkPhone

String

Patient's work phone number.

PatientInfoZipCode

String

Patient's ZIP Code.