| 76435-7 | Pt ID | |
| 46098-0 | Sex | |
| 21112-8 | Birth date | |
| 69490-1 | Ethnicity OMB.1997 | |
| 32624-9 | Race | |
| 77244-2 | Total combined household income range in last 12Mo:NRat:12Mo:^Patient:Ord: | |
| 86639-2 | Household size | |
| 52556-8 | Payment sources:Type:Pt:^Patient:Nom: | |
| 87520-3 | Coverage type | |
| 86640-0 | Ltd Eng prof | |
| 72166-2 | Tobac smoke stat | |