VOE utilizes such a field. Actually it already exists in VistA. Look at field 41 in file 9000001.

Jim Gray

----- Original Message ----- From: "J. Michael Towry" <[EMAIL PROTECTED]>
To: <hardhats-members@lists.sourceforge.net>
Sent: Tuesday, January 24, 2006 1:39 PM
Subject: RE: [Hardhats-members] What is the best (automated) way to update existing patient records?


Granted that having a patient ID that will be unique throughout all time and space is not an insignificant problem. However, what I'm trying to deal with
here is a much smaller subset of that universal domain. That is, a small
office with a practice management system already assigns patient IDs that
are unique within their particular instance of the system. Ideally, they
could just store that ID away in some available field of the Vista patient
record when adding it (via import of a CSV-file generated by the practice
management system) and use that as a unique identifier when synching patient
data from the practice management system to Vista.


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