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					EI Preschool GSD Screen Shot Document

GSD




Deloitte Consulting LLP

2/24/2009
Agenda

 Introduction & Welcome

 Overview of Sessions
   Logistics
   Our Approach to Systems Development Lifecycle
   General System Design Overview
   Project Timeline
   Session Schedule

 Wrap-up




                                                -1-
Introduction & Welcome




          -2-
Ice Breaker

   Name


   Role


   Organization




                   -3-
Overview of Sessions




          -4-
Logistics

 Restrooms are located …




 There will be a break for lunch around noon




 There will be a short break in the morning and afternoon




                                           -5-
Our Approach to System Development Lifecycle
Deloitte follows a standard System Development Lifecycle to consistently deliver high quality
systems meeting user requirements.
                      We are
                       here


           Define              Design           Develop               Test               Deploy




 Gather             Create System      Develop Code        Create Test Plan    Create Training
  Requirements        Design                                                       Documents
                                         Conduct Internal    Create Test
 Document           Conduct Design     HCSIS Testing        Scenarios            Conduct End User
  Requirements        Sessions                                                     Training Sessions
                                                              Conduct User
 Assess ACAP and    Document Design                         Acceptance Testing  Complete
  Autism Waitlist                                                                  Deployment
  Requirements       Validate Design                                              Activities

 Validate
  Requirements




                                                  -6-
General System Design Overview
 General System Design (GSD) is a phase where the HCSIS Team analyzes the Requirements and determines
  how HCSIS will be designed to meet the Requirements
            The HCSIS Team has developed proposed screen mock-ups which are a representation of how HCSIS might look
            These are not “functioning” screens; the system has not already been modified with these changes
            These screen mock-ups are still proposed; they are not finalized

 GSD Sessions are an opportunity for you to:
            Understand how HCSIS will work
            Review the proposed HCSIS screens
            Define general security and access to the screens
            Provide feedback on the proposed design

 Think like a system user in these sessions - guidelines to keep in mind as we review the screens:
              The less clicks, the better
              Only ask for data that you really need
              Limit the amount of information on a screen
              The screens should be in a logical order
              The fields in a screen should be logically grouped
              Strike a balance between data integrity and duplicate data entry
                    – Do you trust that the user will do something correctly the first time? Do you want to confirm their actions?
                    – Our recommendation is to save confirmation and additional steps for processes that are either extremely important or
                      are not reversible




                                                                     -7-
Project Timeline

Below is a break out of the SDLC phases:

                        2008                                                                        2009
         O             N            D                          J           F       M                                 A           M



    Hold
                   Document           Validate
Requirements
                  Requirements      Requirements
  Session
                                                   12/19



Requirements
                                                                      Document          Validate
                                                       Hold Design
Gather input from all                                                 System           General
                                                        Session
                                                                       Design           Design
stakeholders and subject matter                                                                    3/15
experts
Validate    business processes
                                                      General System Design
 Define client needs for the                                                                             Perform        Document    Validate
                                                       Define how the system will meet                   Detailed        Detailed   Detailed
system
                                                      requirements                                        Design          Design     Design
                                                                                                                                                5/15
Validate    requirements for the
                                                      Validatedesign with
system
                                                      stakeholders and subject matter
                                                                                                   Detailed System Design
                                                      experts
                                                                                                   Define the technical design of
                                                                                                   the system needed to meet
                                                                                                   requirements



                                                                     -8-
Session Schedule
Following is the schedule for gathering detailed requirements for SIS Assessment enhancements:

     Schedule                     Date                                 Goal

      Session 1              February 26, 2009




      Session 2               March 2, 2009




      Session 3               March 3, 2009




      Session 4               March 6, 2009




      Session 5               March 11, 2009



                                                 -9-
Reference Table: EI0004


               Table Name              Value


                 EI0004              Family Home



                 EI0004              Foster Care



                 EI0004               Homeless



                 EI0004              Kinship Care



                 EI0004                Shelter




                            - 10 -
Reference Table: EI0005
 Diagnosis for EI

                     Table Name                           Value

                       EI0005              Autism/Pervasive Development Disorder


                       EI0005                   Blindness/Visual Impairment


                       EI0005                           Deaf-Blind


                       EI0005                  Deafness/Hearing Impairment


                       EI0005                  Developmentally Delayed Only


                       EI0005                    Elevated lead blood levels


                       EI0005                  Fetal Alcohol Syndrome/Effects


                       EI0005                        Genetic conditions




                                  - 11 -
Reference Table: EI0005
 Diagnosis for EI

                     Table Name                       Value



                       EI0005                    Physical Disability




                       EI0005                       Pre-maturity




                       EI0005              Serious Emotional Disturbance




                       EI0005              Speech & Language Impairment




                                  - 12 -
Reference Table: EI0006
 Original Source of Referral

                       Table Name                         Value

                          EI0006                     CAPTA Referral


                          EI0006                  Child Care Programs


                          EI0006              CONNECT Direction Service


                          EI0006               Early Intervention Provider


                          EI0006                EPSDT Screening Facility


                          EI0006                      Family Center


                          EI0006               Head Start/Early Head Start


                          EI0006             Hospital or Pre/Postnatal facility




                                    - 13 -
Reference Table: EI0006
 Original Source of Referral

                       Table Name                       Value


                          EI0006                         Other



                          EI0006             Other Health Care Providers



                          EI0006             Other Social Service Agencies



                          EI0006               Parents/Family Members



                          EI0006                      Physicians



                          EI0006                Public Health Facilities




                                    - 14 -
Reference Table: EI0007
 Referral Reasons

                     Table Name                             Value

                       EI0007                    Affected by illegal substance


                       EI0007              Cognitive development & skill acquisition


                       EI0007                     Communications mastery


                       EI0007               Confirmed elevated lead blood levels


                       EI0007                       Environmental issues


                       EI0007                   General developmental check


                       EI0007                          Low birth weight


                       EI0007                  Medical diagnosis or conditions




                                  - 15 -
Reference Table: EI0007
 Referral Reasons

                     Table Name                         Value


                       EI0007                           Other



                       EI0007                   Physical development



                       EI0007                       Sensory status



                       EI0007               Social/emotional development



                       EI0007              Substantiated child abuse/neglect




                                  - 16 -
Reference Table: IT0074
 County Code

                Table Name             Value

                  IT0074               Adams


                  IT0074              Allegheny


                  IT0074              Armstrong


                  IT0074               Beaver


                  IT0074               Bedford


                  IT0074               Berks


                  IT0074                Blair


                  IT0074              Bradford




                             - 17 -
Reference Table: IT0074
 County Code

                Table Name             Value

                  IT0074              Cambria


                  IT0074              Cameron


                  IT0074               Carbon


                  IT0074               Centre


                  IT0074              Chester


                  IT0074               Clarion


                  IT0074              Clearfield


                  IT0074               Clinton




                             - 18 -
Reference Table: IT0074
 County Code

                Table Name              Value

                  IT0074              Cumberland


                  IT0074               Dauphin


                  IT0074               Delaware


                  IT0074                 Elk


                  IT0074                 Erie


                  IT0074               Fayette


                  IT0074                Forest


                  IT0074               Franklin




                             - 19 -
Reference Table: IT0074
 County Code

                Table Name              Value

                  IT0074              Huntingdon


                  IT0074                Indiana


                  IT0074               Jefferson


                  IT0074                Juniata


                  IT0074              Lackawanna


                  IT0074               Lancaster


                  IT0074               Lawrence


                  IT0074               Lebanon




                             - 20 -
Reference Table: IT0074
 County Code

                Table Name              Value

                  IT0074               Lycoming


                  IT0074               McKean


                  IT0074                Mercer


                  IT0074                 Mifflin


                  IT0074                Monroe


                  IT0074              Montgomery


                  IT0074               Montour


                  IT0074              Northampton




                             - 21 -
Reference Table: IT0074
 County Code

                Table Name              Value

                  IT0074                 Perry


                  IT0074              Philadelphia


                  IT0074                 Pike


                  IT0074                 Potter


                  IT0074               Schuylkill


                  IT0074                Snyder


                  IT0074               Somerset


                  IT0074                Sullivan




                             - 22 -
Reference Table: IT0074
 County Code

                Table Name               Value

                  IT0074                 Union


                  IT0074                Venango


                  IT0074                Warren


                  IT0074               Washington


                  IT0074                 Wayne


                  IT0074              Westmoreland


                  IT0074                Wyoming


                  IT0074                  York




                             - 23 -
Reference Table: N/A
 N/A

               Table Name            Value




                  N/A                 N/A




                            - 24 -
Reference Table: PRE001
 SSN, MA, BSU, Medicare

                   Table Name             Value



                      PRE001              BSU




                      PRE001               MA




                      PRE001             Medicare




                      PRE001              SSN




                                - 25 -
Reference Table: PRE002
 T_ADDNL_RE_TABLE_VALUE

                Table Name                    Value




                  PRE002              T_ADDNL_RE_TABLE_VALUE




                             - 26 -
Reference Table: PRE003
 RE0151

               Table Name            Value




                 PRE003              RE0151




                            - 27 -
Reference Table: PRE004
 RE0152

               Table Name            Value




                 PRE004              RE0152




                            - 28 -
Reference Table: PRE005
 RE0153

               Table Name            Value




                 PRE005              RE0153




                            - 29 -
Reference Table: PRE006
 RE0077

               Table Name            Value




                 PRE006              RE0077




                            - 30 -
Reference Table: PRE009
 N/A SCs

               Table Name            Value




                 PRE009              N/A SCs




                            - 31 -
Reference Table: RE0002
 SSN Provided

                 Table Name                 Value



                   RE0002                  Religious




                   RE0002                  Unknown




                   RE0002              Would Not Provide




                              - 32 -
Reference Table: RE0004
 Relationship to Individual

                       Table Name                    Value

                          RE0004             Alternate Decision Maker


                          RE0004                     Brother


                          RE0004             Court Appointed Guardian


                          RE0004                    Daughter


                          RE0004                     Father


                          RE0004                    Guardian


                          RE0004                    Husband


                          RE0004                     Mother




                                    - 33 -
Reference Table: RE0004
 Relationship to Individual

                       Table Name            Value



                          RE0004              Self




                          RE0004             Sister




                          RE0004              Son




                          RE0004             Wife




                                    - 34 -
Reference Table: RE0007
 Gender

               Table Name            Value




                 RE0007              Female




                 RE0007               Male




                            - 35 -
Reference Table: RE0008
 Ethinicity

               Table Name              Value




                 RE0008                Hispanic




                 RE0008              Non-Hispanic




                            - 36 -
Reference Table: RE0009
 Primary Language

                     Table Name                   Value

                       RE0009                    Albanian


                       RE0009                    Amharic


                       RE0009                     Arabic


                       RE0009                    Armenian


                       RE0009                     Bengali


                       RE0009              Bosnian (Serbo-Croat)


                       RE0009                   Cambodian


                       RE0009              Chinese; Cantonese




                                  - 37 -
Reference Table: RE0009
 Primary Language

                     Table Name            Value

                       RE0009              Croatian


                       RE0009              Czech


                       RE0009              English


                       RE0009               Farsi


                       RE0009              Filipino


                       RE0009              French


                       RE0009              German


                       RE0009               Greek




                                  - 38 -
Reference Table: RE0009
 Primary Language

                     Table Name              Value

                       RE0009              Hindi (India)


                       RE0009                Hmong


                       RE0009              Hungarian


                       RE0009                  Ibo


                       RE0009              Indonesian


                       RE0009                 Italian


                       RE0009               Japanese


                       RE0009                Korean




                                  - 39 -
Reference Table: RE0009
 Primary Language

                     Table Name                 Value

                       RE0009                 Lithuanian


                       RE0009                   Malay


                       RE0009              Malayalam (India)


                       RE0009              Other Language


                       RE0009               Pashto/Pushtu


                       RE0009                   Polish


                       RE0009                 Portuguese


                       RE0009               Punjabi/Panjabi




                                  - 40 -
Reference Table: RE0009
 Primary Language

                     Table Name            Value

                       RE0009              Serbian


                       RE0009               Sign


                       RE0009              Slovak


                       RE0009              Slovene


                       RE0009              Somali


                       RE0009              Spanish


                       RE0009              Swahili


                       RE0009               Tamil




                                  - 41 -
Reference Table: RE0009
 Primary Language

                     Table Name              Value




                       RE0009                Urdu




                       RE0009              Vietnamese




                                  - 42 -
Reference Table: RE0011
 Consumer Address Type

                   Table Name                  Value



                     RE0011                   Mailing




                     RE0011                 Residential




                     RE0011              Residential/Mailing




                                - 43 -
Reference Table: RE0024
 Race

               Table Name                          Value


                 RE0024              American Indian or Alaskan Native



                 RE0024                            Asian



                 RE0024                  Black or African American



                 RE0024              Native Hawaiian or Pacific Islander



                 RE0024                            Other



                 RE0024                            White




                            - 44 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025                 ABINGTON


                      RE0025              ABINGTON HEIGHTS


                      RE0025              ALBERT GALLATIN


                      RE0025               ALIQUIPPA BORO


                      RE0025              ALLEGHENY VALLEY


                      RE0025              ALLENTOWN CITY


                      RE0025              ALLY CLARION VA.


                      RE0025               ALTOONA AREA




                                 - 45 -
Reference Table: RE0025
 School District

                    Table Name               Value

                      RE0025               ANTIETAM


                      RE0025              APOLLO RIDGE


                      RE0025              ARMSTRONG


                      RE0025              ATHENS AREA


                      RE0025              AUSTIN AREA


                      RE0025              AVELLA AREA


                      RE0025              AVON GROVE


                      RE0025              AVONWORTH




                                 - 46 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                BANGOR AREA


                      RE0025                 BEAVER AREA


                      RE0025                BEDFORD AREA


                      RE0025              BELLE VERNON AREA


                      RE0025               BELLEFONTE AREA


                      RE0025               BELLWOOD ANTIS


                      RE0025              BENSALEM TOWNSHIP


                      RE0025                 BENTON AREA




                                 - 47 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              BERMUDIAN SPRINGS


                      RE0025                BERWICK AREA


                      RE0025                 BETHEL PARK


                      RE0025               BETHLEHEM AREA


                      RE0025              BETHLEHEM CENTER


                      RE0025               BIG BEAVER FALLS


                      RE0025                 BIG SPRING


                      RE0025                 BLACKHAWK




                                 - 48 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025               BLOOMSBURG AREA


                      RE0025                BLUE MOUNTAIN


                      RE0025                  BLUE RIDGE


                      RE0025               BOYERTOWN AREA


                      RE0025                BRADFORD AREA


                      RE0025              BRANDYWINE HEIGHTS


                      RE0025               BRENTWOOD BORO


                      RE0025                 BRISTOL BORO




                                 - 49 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025               BROOKVILLE AREA


                      RE0025              BROWNSVILLE AREA


                      RE0025              BRYNWATHYN BORO


                      RE0025              BURGETTSTOWN AREA


                      RE0025                   BURRELL


                      RE0025                 BUTLER AREA


                      RE0025               CALIFORNIA AREA


                      RE0025               CAMBRIA HEIGHTS




                                 - 50 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025              CANNON MCMILLAN


                      RE0025                CANTON AREA


                      RE0025              CARBONDALE AREA


                      RE0025               CARLISLE AREA


                      RE0025                 CARLYNTON


                      RE0025              CARMICHAELS AREA


                      RE0025              CATASAUQUA AREA


                      RE0025                 CENTENNIAL




                                 - 51 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025               CENTRAL CAMBRIA


                      RE0025               CENTRAL COLUMBIA


                      RE0025               CENTRAL DAUPHIN


                      RE0025                CENTRAL FULTON


                      RE0025               CENTRAL GREENE


                      RE0025                CENTRAL YORK


                      RE0025              CHAMBERSBURG AREA


                      RE0025                  CHARLEROI




                                 - 52 -
Reference Table: RE0025
 School District

                    Table Name                    Value

                      RE0025                 CHELTENHAM TWP.


                      RE0025                 CHESTER UPLAND


                      RE0025                 CHESTNUT RIDGE


                      RE0025                   CHICHESTER


                      RE0025                  CLAIRTON CITY


                      RE0025                  CLARION AREA


                      RE0025              CLARION LIMESTONE AREA


                      RE0025                CLAYSBURG KIMMEL




                                 - 53 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025                   COCALICO


                      RE0025                   COLONIAL


                      RE0025                COLUMBIA BORO


                      RE0025               COMMODORE PERRY


                      RE0025              CONEMAUGH TWP. AREA


                      RE0025               CONEMAUGH VALLEY


                      RE0025               CONESTOGA VALLEY


                      RE0025               CONEWAGO VALLEY




                                 - 54 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025               CONRAD WEISER


                      RE0025                  CORNELL


                      RE0025              CORNWALL LEBANON


                      RE0025                 CORRY AREA


                      RE0025              COUDERSPORT AREA


                      RE0025                COUNCIL ROCK


                      RE0025               CRANBERRY AREA


                      RE0025              CRAWFORD CENTRAL




                                 - 55 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              CURWENSVILLE AREA


                      RE0025                   DALLAS


                      RE0025              DALLASTOWN AREA


                      RE0025              DANIEL BOONE AREA


                      RE0025               DANNVILLE AREA


                      RE0025                 DEER LAKES


                      RE0025               DELAWARE VALLEY


                      RE0025                 DERRY AREA




                                 - 56 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                 DOVER AREA


                      RE0025               DOWINGTON AREA


                      RE0025                 DUBOIS AREA


                      RE0025                  DUNMORE


                      RE0025                DUQUESNE CITY


                      RE0025               EAST ALLEGHENY


                      RE0025              EAST LANCASTER CO.


                      RE0025                EAST LYCOMING




                                 - 57 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025              EAST STROUDSBURG


                      RE0025              EASTERN LEBANON CO.


                      RE0025                 EASTERN YORK


                      RE0025                 EASTON AREA


                      RE0025              ELIZABETH FORWARD


                      RE0025              ELIZABETHTOWN AREA


                      RE0025                   ELK LAKE


                      RE0025               ELLWOOD CITY AREA




                                 - 58 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025               EVERETT AREA


                      RE0025              EXETER TOWNSHIP


                      RE0025               FAIRFIELD AREA


                      RE0025                 FAIRVIEW


                      RE0025               FANNETT METAL


                      RE0025               FARRELL AREA


                      RE0025               FERNDALE AREA


                      RE0025              FLEETWOOD AREA




                                 - 59 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              FOREST CITY REGN


                      RE0025                FOREST HILLS


                      RE0025                FORT CHERRY


                      RE0025                FORT LEBOEUF


                      RE0025              FOX CHAPEL AREA


                      RE0025                FRANKLIN AREA


                      RE0025              FRANKLIN REGIONAL


                      RE0025                  FRAZIER




                                 - 60 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025               GALETON AREA


                      RE0025               GARNET VALLEY


                      RE0025                  GATEWAY


                      RE0025              GENERAL MCLANE


                      RE0025              GETTYSBURG AREA


                      RE0025                  GIRARD


                      RE0025                 GLENDALE


                      RE0025              GOVERNOR MIFFLIN




                                 - 61 -
Reference Table: RE0025
 School District

                    Table Name                    Value

                      RE0025                 GREATER LATROBE


                      RE0025              GREATER NANTICOKE AREA


                      RE0025               GREENCASTLE ANTRIM


                      RE0025                GREENSBURG SALEM


                      RE0025                 GREENVILLE AREA


                      RE0025                   GREENWOOD


                      RE0025                 GROVE CITY AREA


                      RE0025                   HALIFAX AREA




                                 - 62 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                 HANOVER AREA


                      RE0025                HANOVER PUBLIC


                      RE0025                HARBOR CREEK


                      RE0025                   HARMONY


                      RE0025               HARRISBURG CITY


                      RE0025               HATBORO HORSHAM


                      RE0025              HAVERFORD TOWNSHIP


                      RE0025                HAZLETON AREA




                                 - 63 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                  HERMITAGE


                      RE0025                  HIGHLANDS


                      RE0025              HOLLIDAYSBURG AREA


                      RE0025                HOMER CENTER


                      RE0025                HOPEWELL AREA


                      RE0025               HUNTINGDON AREA


                      RE0025                 INDIANA AREA


                      RE0025                  INTERBORO




                                 - 64 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                JEANETTE CITY


                      RE0025              JEFFERSON MORGAN


                      RE0025                 JENKINTOWN


                      RE0025              JERSEY SHORE AREA


                      RE0025               JIM THORPE AREA


                      RE0025              JOHNSONBURG AREA


                      RE0025               JUNIATA COUNTY


                      RE0025                JUNIATA VALLEY




                                 - 65 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025               KENNETH CONS


                      RE0025                 KEYSTONE


                      RE0025              KEYSTONE CENTRAL


                      RE0025               KEYSTONE OAKS


                      RE0025                 KISKI AREA


                      RE0025               KUTZTOWN AREA


                      RE0025              LACKAWANNA TRAIL


                      RE0025                LAKE LEHMAN




                                 - 66 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025              LAMPETE STRASBG


                      RE0025                 LANCASTER


                      RE0025                  LAUREL


                      RE0025              LAUREL HIGHLANDS


                      RE0025                  LEBANON


                      RE0025              LEECHBURG AREA


                      RE0025               LEIGHTON AREA


                      RE0025              LEWISBURG AREA




                                 - 67 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025               LITTLESTOWN AREA


                      RE0025                LOWER DAUPHIN


                      RE0025                 LOWER MERION


                      RE0025              LOWER MORELAND TWP.


                      RE0025              LOYALSOCK TOWNSHIP


                      RE0025                 MAHANOY AREA


                      RE0025                MANHEIM CENTRAL


                      RE0025               MANHEIM TOWNSHIP




                                 - 68 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                  MARS AREA


                      RE0025                  MCGUFFEY


                      RE0025               MCKEESPORT AREA


                      RE0025              MECHANICSBURG AREA


                      RE0025                 MERCER AREA


                      RE0025                 METHACTION


                      RE0025               MEYERSDALE AREA


                      RE0025                  MID VALLEY




                                 - 69 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                  MID-WEST


                      RE0025                MIFFLIN COUNTY


                      RE0025              MIFFLINSBURG AREA


                      RE0025              MILLCREEK TOWNSHIP


                      RE0025              MILLERSBURG AREA


                      RE0025                MILLVILLE AREA


                      RE0025                 MILTON AREA


                      RE0025               MINERSVILLE AREA




                                 - 70 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025                   MONACA


                      RE0025                MONESSEN CITY


                      RE0025              MONTGOMERY AREA


                      RE0025                  MONTOUR


                      RE0025              MONTOURSVILLE AREA


                      RE0025                MONTROSE AREA


                      RE0025                    MOON


                      RE0025               MORRISVILLE BORO




                                 - 71 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025              MOUNT UNION AREA


                      RE0025               MOUNTAIN VIEW


                      RE0025              MT. CARMEL AREA


                      RE0025              MT.PLEASANT AREA


                      RE0025              MUHLENBERG TWP.


                      RE0025                   MUNCY


                      RE0025               NAZARETH AREA


                      RE0025                 NESHAMINY




                                 - 72 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025                NEW CASTLE AREA


                      RE0025               NEW HOPE SOLEBURY


                      RE0025              NEW KENSINGTON ARNLD


                      RE0025                    NEWPORT


                      RE0025                NORRISTOWN AREA


                      RE0025                NORTH ALLEGHENY


                      RE0025              NORTH CLARION COUNTY


                      RE0025                  NORTH EAST




                                 - 73 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025                 NORTH POCONO


                      RE0025                NORTH SCHUYLKILL


                      RE0025                   NORTH STAR


                      RE0025               NORTHAMPTON AREA


                      RE0025              NORTHEAST BRADFORD


                      RE0025               NORTHEASTERN YORK


                      RE0025              NORTHERN BEDFORD CO.


                      RE0025               NORTHERN CAMBRIA




                                 - 74 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025               NORTHERN POTTER


                      RE0025                NORTHERN TIOGA


                      RE0025               NORTHERN YORK CO.


                      RE0025                  NORTHGATE


                      RE0025                NORTHWEST AREA


                      RE0025                 NORTHWESTERN


                      RE0025              NORTHWESTERN LEHIGH


                      RE0025                    NORWIN




                                 - 75 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025                OLD FORGE


                      RE0025                OLEY VALLEY


                      RE0025              OSWAYO VALLEY


                      RE0025               OTTO ELDRED


                      RE0025              OWEN J. ROBERTS


                      RE0025               OXFORD AREA


                      RE0025                 PALISADES


                      RE0025              PALMERTON AREA




                                 - 76 -
Reference Table: RE0025
 School District

                    Table Name                Value

                      RE0025                PARKLAND


                      RE0025              PEN ARGYL AREA


                      RE0025              PENN CAMBRIA


                      RE0025               PENN CREST


                      RE0025               PENN DELCO


                      RE0025                PENN HILLS


                      RE0025               PENN MANOR


                      RE0025              PENN TRAFFORD




                                 - 77 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025                  PENNS VALLEY


                      RE0025                   PENNSBURY


                      RE0025                 PEQUEA VALLEY


                      RE0025               PERKIOMEN VALLEY


                      RE0025                PETERS TOWNSHIP


                      RE0025                PHILADELPHIA CITY


                      RE0025              PHILLIPSBURG OSCEOLA


                      RE0025               PHOENIXVILLE AREA




                                 - 78 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025                PITTSBURGH


                      RE0025               PITTSTON AREA


                      RE0025              PLEASANT VALLEY


                      RE0025               PLUM BOROUGH


                      RE0025              POCONO MOUNTAIN


                      RE0025               PORT ALLEGANY


                      RE0025               PORTAGE AREA


                      RE0025                POTTSGROVE




                                 - 79 -
Reference Table: RE0025
 School District

                    Table Name                    Value

                      RE0025               PUNXSUTAWNEY AREA


                      RE0025                  PURCHASE LINE


                      RE0025                  QUAKER VALLEY


                      RE0025              QUAKERTOWN COMMUNITY


                      RE0025                RADNOR TOWNSHIP


                      RE0025                    READING


                      RE0025                  RED LION AREA


                      RE0025                 REDBANK VALLEY




                                 - 80 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025                 RIDGWAY AREA


                      RE0025                    RIDLEY


                      RE0025                   RINGGOLD


                      RE0025                   RIVERSIDE


                      RE0025              RIVERSIDE BEAVER CO.


                      RE0025                   RIVERVIEW


                      RE0025                ROCHESTER AREA


                      RE0025                ROCKWOOD AREA




                                 - 81 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              SALISBURY ELK LICK


                      RE0025                SALISBURY TWP.


                      RE0025               SAUCON VALLEY


                      RE0025                 SAYRE AREA


                      RE0025              SCHUYLKILL HAVEN A


                      RE0025              SCHUYLKILL VALLEY


                      RE0025                SCRANTON CITY


                      RE0025                SELINSGROVE




                                 - 82 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              SHAKSVILLE STNYCRK


                      RE0025                 SHALER AREA


                      RE0025                SHAMOKIN AREA


                      RE0025                 SHARON CITY


                      RE0025               SHARPSVILLE AREA


                      RE0025              SHENANDOAH VALLEY


                      RE0025                SHENANGO AREA


                      RE0025                  SHIKELAMY




                                 - 83 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025               SMETHPORT AREA


                      RE0025              SO. EASTERN GREENE


                      RE0025              SO. HUNTINGDON CO.


                      RE0025              SO. WILLIAMSPORT AR.


                      RE0025                   SOLANCO


                      RE0025                SOMERSET AREA


                      RE0025               SOUDERTON AREA


                      RE0025               SOUTH ALLEGHENY




                                 - 84 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025               SOUTH EASTERN


                      RE0025              SOUTH FAYETTE TWP.


                      RE0025              SOUTH MIDDLETON


                      RE0025                 SOUTH PARK


                      RE0025               SOUTH SIDE AREA


                      RE0025               SOUTH WESTERN


                      RE0025              SOUTHEAST DELCO


                      RE0025              SOUTHERN FULTON




                                 - 85 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              SOUTHERN YORK CO.


                      RE0025               SOUTHMORELAND


                      RE0025                 SPRING COVE


                      RE0025              SPRING FORD AREA


                      RE0025                SPRING GROVE


                      RE0025                 SPRINGFIELD


                      RE0025               SPRINGFIELD TWP.


                      RE0025                ST. MARYS AREA




                                 - 86 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025               STEELTON-HIGHSPIRE


                      RE0025                    STO ROX


                      RE0025               STROUDSBURG AREA


                      RE0025                  SULLIVAN CO.


                      RE0025               SUSQUEHANNA COMM


                      RE0025              SUSQUEHANNA TOWNSHIP


                      RE0025                   SUSQUENITA


                      RE0025                  TAMAQUA AREA




                                 - 87 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025              TREDYFFRIN EASTOWN


                      RE0025                   TRI VALLEY


                      RE0025                  TRINITY AREA


                      RE0025                   TROY AREA


                      RE0025              TULPENHOCKEN AREA


                      RE0025               TUNKHANNOCK AREA


                      RE0025              TURKEYFT VALLEY AREA


                      RE0025                  TUSCARORA




                                 - 88 -
Reference Table: RE0025
 School District

                    Table Name                    Value

                      RE0025                  TYRONE AREA


                      RE0025                U MORELAND TWP.


                      RE0025                     UNION


                      RE0025                   UNION AREA


                      RE0025                 UNION CITY AREA


                      RE0025                UNIONTOWN AREA


                      RE0025              UNIONVILLE CHADS FORD


                      RE0025                     UNITED




                                 - 89 -
Reference Table: RE0025
 School District

                    Table Name                  Value

                      RE0025              UPPER DAUPHIN AREA


                      RE0025                 UPPER DUBLIN


                      RE0025              UPPER MERION AREA


                      RE0025               UPPER PERKIOMEN


                      RE0025                UPPER ST. CLAIR


                      RE0025                VALLEY GROVE


                      RE0025                 VALLEY VIEW


                      RE0025              W. JEFFERSON HILLS




                                 - 90 -
Reference Table: RE0025
 School District

                    Table Name                 Value

                      RE0025              WARREN COUNTY


                      RE0025                WARRIOR RUN


                      RE0025                 WARWICK


                      RE0025                WASHINGTON


                      RE0025              WATTSBURG AREA


                      RE0025              WAYNE HIGHLANDS


                      RE0025              WAYNESBORO AREA


                      RE0025              WEATHERLY AREA




                                 - 91 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025               WEST BRANCH AREA


                      RE0025              WEST CHESTER AREA


                      RE0025                 WEST GREENE


                      RE0025              WEST MIDDLESEX AREA


                      RE0025               WEST MIFFLIN AREA


                      RE0025                  WEST PERRY


                      RE0025                  WEST SHORE


                      RE0025                WEST YORK AREA




                                 - 92 -
Reference Table: RE0025
 School District

                    Table Name                    Value

                      RE0025                 WESTMONT HILLTOP


                      RE0025                 WHITEHALL COPLAY


                      RE0025                WILKES-BARRE AREA


                      RE0025                 WILKINSBURG BORO


                      RE0025                   WILLIAM PENN


                      RE0025                  WILLIAMS VALLEY


                      RE0025              WILLIAMSBURG COMMUNITY


                      RE0025                WILLIAMSPORT AREA




                                 - 93 -
Reference Table: RE0025
 School District

                    Table Name                   Value

                      RE0025                  WILSON AREA


                      RE0025                 WINDBER AREA


                      RE0025                 WISSAHICKON


                      RE0025                WOODLAND HILLS


                      RE0025                WYALUSING AREA


                      RE0025                 WYOMING AREA


                      RE0025              WYOMING VALLEY WEST


                      RE0025                WYOMISSING AREA




                                 - 94 -
Reference Table: RE0025
 School District

                    Table Name            Value




                      RE0025              YOUGH




                                 - 95 -
Reference Table: RE0026
 Suffix

               Table Name            Value


                 RE0026                I


                 RE0026                II


                 RE0026               III


                 RE0026               IV


                 RE0026               Jr


                 RE0026               Sr


                 RE0026               V




                            - 96 -
Reference Table: RE0028
 Special suit indicator

                           Table Name                                    Value

                             RE0028                Ebensburg (person who has left Ebensburg Center)


                             RE0028                                    Embreeville


                             RE0028                    Embreeville Center, Community Companion


                             RE0028                  Hamburg (person who has left Hamburg Center)


                             RE0028                  Laurelton (person who has left Laurelton Center)


                             RE0028              Mayview MR Unit (person who has left Mayview MR Unit)


                             RE0028                 Member of both Embreeville and Pennhurst Class


                             RE0028                            Money Follows the Person




                                        - 97 -
Reference Table: RE0028
 Special suit indicator

                           Table Name                                  Value


                             RE0028                                    Ruth L.


                             RE0028              Selinsgrove (person who has left Selinsgrove Center)


                             RE0028                    Somerset (person who has left Somerset)


                             RE0028                    Torrance (person who has left Torrance)


                             RE0028                                   Western


                             RE0028                    Western Center, Community Companion


                             RE0028              White Haven (person who has left Whitehaven Center)




                                        - 98 -
Reference Table: RE0029
 Role

               Table Name                       Value

                 RE0029                      Caregiver 'C'

                 RE0029                 Fiscal Guardianship 'F'

                 RE0029                   Legal Guardian 'G'

                 RE0029                      Living Will 'L'

                 RE0029               Personal Guardianship 'E'

                 RE0029                  Power of Attorney 'A'

                 RE0029                   Primary Contact 'P'

                 RE0029               Representative Payee 'R'

                 RE0029              Substitute Decision Maker 'D'

                 RE0029               Support Team Member 'S'




                            - 99 -
Reference Table: RE0030
 Form Type

               Table Name                      Value

                 RE0030               Annual Medical Evaluation


                 RE0030                Conference and Appeal


                 RE0030                    MA 162 Notice


                 RE0030                       MR 250


                 RE0030                       MR 251


                 RE0030                       MR 457


                 RE0030                       PA 1768


                 RE0030                      Waiver 459




                            - 100 -
Reference Table: RE0036
 Insurance/Third Party Liability Type

                       Table Name                              Value

                          RE0036                           Auto Insurance


                          RE0036                           Basic Coverage


                          RE0036                     Black Lung Medical Benefits


                          RE0036                           Dental Benefits


                          RE0036                             Drug Plan


                          RE0036                   Health Maintenance Organization


                          RE0036                         Hospital Plan Only


                          RE0036                          LTC Patient Pay




                                         - 101 -
Reference Table: RE0036
 Insurance/Third Party Liability Type

                       Table Name                          Value


                          RE0036                   Medicare A Supplemental



                          RE0036                         Medicare B



                          RE0036                   Medicare B Supplemental



                          RE0036                         Patient Pay



                          RE0036                       Vision Benefits



                          RE0036                   Workmen's Compensation




                                         - 102 -
Reference Table: RE0037
 Provider Type

                  Table Name                         Value



                    RE0037               Health Maintenance Organization




                    RE0037                           Other




                    RE0037                   Primary Care Physician




                               - 103 -
Reference Table: RE0053
 Form Status for OMR and OMAP/OSP

                   Table Name                   Value


                     RE0053                    Completed



                     RE0053                    Incomplete



                     RE0053                    Received



                     RE0053                     Started



                     RE0053                    Submitted




                                     - 104 -
Reference Table: RE0055
 Citizenship

                Table Name                       Value


                  RE0055                       Illegal Alien



                  RE0055                     Permanent Alien



                  RE0055                        Refugee



                  RE0055               Refugee Unaccompanied Minor



                  RE0055                     Temporary Alien



                  RE0055                       US Citizen




                             - 105 -
Reference Table: RE0061
 Additional diagnosis category

                      Table Name                    Value

                         RE0061                     Allergies


                         RE0061                 Breast Diseases


                         RE0061                     Cancer


                         RE0061                  Cardiovascular


                         RE0061               Congenital Disorder


                         RE0061                      Dental


                         RE0061                   Dermatology


                         RE0061              Developmental Disorder




                                   - 106 -
Reference Table: RE0061
 Additional diagnosis category

                      Table Name                 Value

                         RE0061                 General


                         RE0061               GI (Digestive)


                         RE0061                 GI (Liver)


                         RE0061               Hematology


                         RE0061              Musculoskeletal


                         RE0061                 Nervous


                         RE0061                Psychiatry


                         RE0061                Pulmonary




                                   - 107 -
Reference Table: RE0061
 Additional diagnosis category

                      Table Name             Value




                         RE0061              Sensory




                         RE0061              Urology




                                   - 108 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                            Value

                           RE0062                               Acne


                           RE0062                Affective Disorders, Bipolar Disorder


                           RE0062                  Affective Disorders, Depression


                           RE0062                            Amenorrhea


                           RE0062                     Anemia, Congenital other


                           RE0062               Anemia, Congenital Thallesemia major


                           RE0062               Anemia, Congenital Thallesemia minior


                           RE0062                      Anemia, Folate deficient




                                      - 109 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                   Value

                           RE0062                                   Angelman


                           RE0062                        Anxiety Disorders, Generalized


                           RE0062               Anxiety Disorders, Obsessive-Compulsive Disorder


                           RE0062                       Anxiety Disorders, Panic Attacks


                           RE0062                          Appendicitis, No peritonitis


                           RE0062                            Appendicitis, Peritonitis


                           RE0062                                     ARDS


                           RE0062                          Arrhythmia, Atrial fibrillation




                                      - 110 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                    Value

                           RE0062                        Arrhythmia, Bundle branch block


                           RE0062                         Arrhythmia, Long QT syndrome


                           RE0062                 Arrhythmia, Supraventricular tachycardia (svt)


                           RE0062                             Arrhythmia, Unspecified


                           RE0062                        Arrhythmia, Ventricular fibrillation


                           RE0062                       Arrhythmia, Ventricular tachycardia


                           RE0062               Arthritis, Osteoarthritis (degenerative joint disease)


                           RE0062                              Arthritis, Rheumatoid




                                      - 111 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                   Value

                           RE0062                   Atherosclerotic coronary artery disease, MI


                           RE0062               Atherosclerotic coronary artery disease, Unspecified


                           RE0062                            Atlanto Axial Subluxation


                           RE0062                                Atopic dermatitis


                           RE0062                                Atrial Fibrillation


                           RE0062                     Attention Deficit Hyperactivity Disorder


                           RE0062                    Autism/Pervasive Development Disorder


                           RE0062                                Basal Cell Cancer




                                      - 112 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                         Value

                           RE0062                            Blind


                           RE0062                Blindness/Visual Impairment


                           RE0062               Bowel Obstruction, Large bowel


                           RE0062                Bowel Obstruction, Recurrent


                           RE0062               Bowel Obstruction, Small bowel


                           RE0062               Bowel Obstruction, Unspecified


                           RE0062               Bowel Perforation, No peritonitis


                           RE0062                Bowel Perforation, Peritonitis




                                      - 113 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                         Value

                           RE0062                   Brain anomalies, Other


                           RE0062               Brain anomalies, Schizencephaly


                           RE0062                       Breast Cancer


                           RE0062                      Cancer, Bladder


                           RE0062                        Cancer, Bone


                           RE0062                        Cancer, Brain


                           RE0062                       Cancer, Breast


                           RE0062                      Cancer, Cervical




                                      - 114 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                 Value

                           RE0062                   Cancer, Leukemia (CGL, CML, All AML)


                           RE0062                               Cancer, Liver


                           RE0062                               Cancer, Lung


                           RE0062               Cancer, Lymphoma (Hodgekins, Non-Hodgekins)


                           RE0062                             Cancer, Metastatic


                           RE0062                      Cancer, Oral (gum palate, throat)


                           RE0062                              Cancer, Ovarian


                           RE0062                             Cancer, Pancreas




                                      - 115 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                  Value

                           RE0062                              Cancer, Testicular


                           RE0062                               Cancer, Thyroid


                           RE0062                               Cancer, Uterine


                           RE0062                     Cardiomyopathy, Unknown etiology


                           RE0062                            Cardiomyopathy, Viral


                           RE0062                                 Cataract(s)


                           RE0062               Celiac sprue (Malabsorption), Gluten intolerance


                           RE0062               Celiac sprue (Malabsorption), Lactose intolerance




                                      - 116 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                            Value

                           RE0062                    Cerebral Palsy, Hemiplegia


                           RE0062                     Cerebral Palsy, Hypotonic


                           RE0062                    Cerebral Palsy, Quadriplegia


                           RE0062                    Cerebral Palsy, Unspecified


                           RE0062               Cerebrovascular accident, Hemorrhagic


                           RE0062                Cerebrovascular accident, Ischemic


                           RE0062                Cerebrovascular accident, Unknown


                           RE0062                          CHF, both sides




                                      - 117 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                          Value

                           RE0062                       CHF, unspecified


                           RE0062               Childhood Disintegrative Disorder


                           RE0062                     Chromosomal, Other


                           RE0062                  Chromosomal, Trisomy 18


                           RE0062               Chromosomal, Trisomy 21 (Down)


                           RE0062                  Chronic Active Hepatitis A


                           RE0062                  Chronic Active Hepatitis B


                           RE0062                  Chronic Active Hepatitis C




                                      - 118 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                      Value

                           RE0062                                 Cirrhosis, Congenital


                           RE0062                                   Cirrhosis, Other


                           RE0062                                Conduct Disorder (CD)


                           RE0062                 Congenital heart disease, Atrial septal defect (ASD)


                           RE0062                     Congenital heart disease, Ebstein's anomaly


                           RE0062                           Congenital heart disease, other


                           RE0062                     Congenital heart disease, Tetrology of fallot


                           RE0062               Congenital heart disease, Ventricular septal defect (VSD)




                                      - 119 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                              Value

                           RE0062                   Congenital liver disease, Gilbert's


                           RE0062               Congenital liver disease, Hemochromatosis


                           RE0062                    Congenital liver disease, Other


                           RE0062                         Constipation, Chronic


                           RE0062                       Constipation, Megacolon


                           RE0062                             Contractures


                           RE0062                          COPD/emphysema


                           RE0062                         Deaf/ Hard of Hearing




                                      - 120 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                             Value

                           RE0062                              Decubiti


                           RE0062                         Dementia, Alcoholic


                           RE0062                       Dementia, Alzheimer's


                           RE0062                 Dementia, Organic Brain Syndrome


                           RE0062                       Dementia, Unspecified


                           RE0062                   Developmentally Delayed Only


                           RE0062                 Diabetes Mellitis, Insulin dependent


                           RE0062               Diabetes Mellitis, Non-insulin dependent




                                      - 121 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                        Value

                           RE0062                         Dry Skin


                           RE0062                      Dysmenorrhea


                           RE0062                          Ear wax


                           RE0062                          Eczema


                           RE0062                 Elevated lead blood levels


                           RE0062                       Environment


                           RE0062               Fetal Alcohol Syndrome/Effects


                           RE0062                 Fibrocystic Breast Disease




                                      - 122 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                             Value

                           RE0062                               Fungal


                           RE0062                    Gall bladder disease, Infection


                           RE0062                    Gall bladder disease, Stones


                           RE0062                               Gastritis


                           RE0062                          Genetic conditions


                           RE0062               GERD (Gastroesophageal reflux disease)


                           RE0062                     GERD, Barrett's Esophagitis


                           RE0062                         GERD, Esophagitis




                                      - 123 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                             Value

                           RE0062                         GI Bleed, Lower GI


                           RE0062                          GI Bleed, Polyps


                           RE0062                        GI Bleed, Unspecified


                           RE0062                         GI Bleed, Upper GI


                           RE0062                  Gingival hyperplasia, Dilantin Use


                           RE0062                 Gingival hyperplasia, no dilantin use


                           RE0062                                 Gout


                           RE0062               Head Trauma, Concussion without bleed




                                      - 124 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                         Value

                           RE0062               Head Trauma, Subdural hematoma,


                           RE0062                  Head Trauma, Unspecified


                           RE0062                     Headaches, Migraine


                           RE0062                      Headaches, Other


                           RE0062                     Headaches, Tension


                           RE0062                   Heart murmur, Functional


                           RE0062                  Heart murmur, Unspecified


                           RE0062                Heart murmur, Valvular disease




                                      - 125 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                        Value

                           RE0062                    Hepatitis Carrier C


                           RE0062                      Hiatal Hernia


                           RE0062                Hydrocephalous/Shunted


                           RE0062               Hydrocephalous/Unshunted


                           RE0062                Hydronephrosis, Pilateral


                           RE0062                Hydronephrosis, Unilateral


                           RE0062               Hyperlipidemia, Cholesterol


                           RE0062               Hyperlipidemia, Triglycerides




                                      - 126 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                          Value

                           RE0062               Hypertension/High blood Pressure


                           RE0062                       Hyperthyroidism


                           RE0062                   Hypogammaglobulinemia


                           RE0062                        Hypogonadism


                           RE0062                      Hypoparathyroidism


                           RE0062               Hypothalamic-pituitary dysfunction


                           RE0062                        Hypothyroidism


                           RE0062                   Impulse Control Disorder




                                      - 127 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                Value

                           RE0062               Inflammatory bowel disease, Ulcerative colitis


                           RE0062                 Inflammatory bowel disease, Unspecified


                           RE0062                      Intermittent Explosive Disorder


                           RE0062                             Irregular menses


                           RE0062                          Irritable bowel disease


                           RE0062                           Kidney failure, Acute


                           RE0062                           Kidney failure, CAPD


                           RE0062                          Kidney failure, Chronic




                                      - 128 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                      Value

                           RE0062               Kidney failure, Transplant


                           RE0062                    Kidney stones


                           RE0062                       Kyphosis


                           RE0062                 Lactose Intolerance


                           RE0062                         Latex


                           RE0062                   Low Birth Weight


                           RE0062                        Lupus


                           RE0062               Malformation, Malrotation




                                      - 129 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                              Value

                           RE0062                        Malformation, Volvulus


                           RE0062                              Medication


                           RE0062                              Melanoma


                           RE0062                             Menopausal


                           RE0062               Mental Retardation/Intellectual Disability


                           RE0062                Metabolic, Congenital hypothyroidism


                           RE0062                          Metabolic, MSUD


                           RE0062                           Metabolic, Other




                                      - 130 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                    Value

                           RE0062               Movement disorder, Extrapyramidal Syndrome (EPS)


                           RE0062                    Movement disorder, Gilles de la Tourette's


                           RE0062                      Movement disorder, Tardive Dyskinesia


                           RE0062               Multiple congenital anomalies, no syndrome identified


                           RE0062                                Multiple Sclerosis


                           RE0062                                   Myocarditis


                           RE0062                           Neurodegenerative Disorder


                           RE0062                Neurofibromatosis, Central nervous system tumors




                                      - 131 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                    Value

                           RE0062                                Neurogenic bladder


                           RE0062                      Neuroleptic Malignant Syndrome (NMS)


                           RE0062           Neuromuscular Disorder, Amyotrophic Lateral Sclerosis (ALS)


                           RE0062               Neuromuscular Disorder, Spinal Muscular Atrophy (SMA)


                           RE0062                                      Obesity


                           RE0062                        Oppositional Defiant Disorder (ODD)


                           RE0062                              Osteoporosis, Fractures


                           RE0062                             Osteoporosis, No fractures




                                      - 132 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                     Value

                           RE0062                  Ovarian Cancer


                           RE0062                   Ovarian Failure


                           RE0062                     Overweight


                           RE0062               Pancreatic insufficiency


                           RE0062               Parkinsonism, Advanced


                           RE0062                 Parkinsonism, Early


                           RE0062               Parkinsonism, Midstage


                           RE0062                 Periodontal disease




                                      - 133 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                               Value

                           RE0062                Pervasive Developmental Disorder, Autism


                           RE0062               Pervasive Developmental Disorder, PPD, Nos


                           RE0062                           Physical Disability


                           RE0062                         Pneumonia, Aspiration


                           RE0062                         Pneumonia, Recurrent


                           RE0062                      Pneumonia, viral or bacterial


                           RE0062                        Polycystic kidney disease


                           RE0062                             Polyeythemia




                                      - 134 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                Value

                           RE0062                               Pre-maturity


                           RE0062                         Premenstrual Syndrome


                           RE0062                             Prostate Cancer


                           RE0062                                Psoriasis


                           RE0062                                Psoriasis


                           RE0062               Psychotic Disorders, Psychotic Disorder, Nos


                           RE0062               Psychotic Disorders, Schizoaffective Disorder


                           RE0062                   Psychotic Disorders, Schizophrenia




                                      - 135 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                      Value

                           RE0062                     Scleroderma


                           RE0062                       Scoliosis


                           RE0062                      Seborrhea


                           RE0062                 Seizures, Grand mal


                           RE0062               Seizures, Lennox-gastaut


                           RE0062               Seizures, Partial complex


                           RE0062                  Seizures, Petit mal


                           RE0062                   Seizures, Status




                                      - 136 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                                Value

                           RE0062                               Sinus disease


                           RE0062                              Sleep Disorder


                           RE0062                      Speech & Language Impairment


                           RE0062                         Stein-Leventhal Syndrome


                           RE0062               Syndrome of Inappropriate Antidiuretic Hormone


                           RE0062                       Syndrome, Cornelia de Lange


                           RE0062                          Syndrome, Fetal Alcohol


                           RE0062                           Syndrome, Klippel Fiel




                                      - 137 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                     Value

                           RE0062               Syndrome, Sturge Weber


                           RE0062                 Syndrome, Williams


                           RE0062                 Thrombocytopenia


                           RE0062                 Trauma, Fractures


                           RE0062                   Trauma, Head


                           RE0062                Trauma, No fractures


                           RE0062                 Tuberous Sclerosis


                           RE0062                    Tumor, Other




                                      - 138 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                           Value

                           RE0062                   Ulcer disease, Esophageal


                           RE0062                     Ulcer disease, Gastric


                           RE0062                     Ulcer disease, Gastric


                           RE0062                   Ulcer disease, Unspecified


                           RE0062                   Ulcer disease, Unspecified


                           RE0062                Urinary tract infections, Chronic


                           RE0062               Urinary tract infections, Occasional


                           RE0062                         Uterine Cancer




                                      - 139 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                            Value

                           RE0062               Valvular disease, Mitral valve prolapse


                           RE0062                Valvular disease, Pulmonic bicuspid


                           RE0062                    Valvular disease, Tricuspid


                           RE0062                   Valvular disease, Unspecified


                           RE0062                         Vision, Cataracts


                           RE0062                         Vision, Glaucoma


                           RE0062                         Vision, Hyperopia


                           RE0062                           Vision, Myopia




                                      - 140 -
Reference Table: RE0062
 Additional diagnosis

                         Table Name                      Value



                           RE0062                  Vision, Presbyopia




                           RE0062                Vision, Retinal disease




                           RE0062                  Vision, Strabismus




                           RE0062               Vision, Visual impairment




                                      - 141 -
Reference Table: RE0070
 EI-Type of Documentation

                     Table Name                     Value


                       RE0070                  Medical Necessity



                       RE0070                   Medical Records



                       RE0070                        Other



                       RE0070               Parents Rights Agreement



                       RE0070                Permission to Evaluate



                       RE0070                Release of Information




                                  - 142 -
Reference Table: RE0159
 EI Inactivity Status Code

                       Table Name                            Value

                          RE0159                       Active in Tracking


                          RE0159                        Active with Plan


                          RE0159                Attempts to contact unsuccessful


                          RE0159                           Deceased


                          RE0159              Eligibility Part B community services


                          RE0159              Eligible for IDEA Part B (<33 months)


                          RE0159                       Moved out of state


                          RE0159                  Moved within Pennsylvania




                                    - 143 -
Reference Table: RE0159
 EI Inactivity Status Code

                       Table Name                                 Value


                          RE0159              Not eligible for Part B - referrals (<33 months)


                          RE0159                       Parent declined EI services


                          RE0159                         Parent refused Tracking


                          RE0159              Part B eligibility not determined (<33 months)


                          RE0159                                 Referred


                          RE0159                Successful completion of plan (IFSP/IEP)


                          RE0159                      Withdrawn by parent/guardian




                                    - 144 -
Reference Table: SC0002
 Service Type

                 Table Name                  Value



                   SC0002                  Coordinate




                   SC0002                    Locate




                   SC0002                    Monitor




                   SC0002               Other/Non-billable




                              - 145 -
Reference Table: SC0003
 Category

               Table Name                                  Value

                 SC0003                                   Adult Day


                 SC0003               Assistive Technology/Specialized Medical Equipment


                 SC0003                                    Budget


                 SC0003                                 Case Transfer


                 SC0003                             Community Integration


                 SC0003                                  Daily Living


                 SC0003                                  Educational


                 SC0003                                   Eligibility




                            - 146 -
Reference Table: SC0003
 Category

               Table Name                           Value

                 SC0003                        Health and Safety


                 SC0003                              Other


                 SC0003               Personal Emergency Response System


                 SC0003                              Plan


                 SC0003                             PUNS


                 SC0003                             Referral


                 SC0003                             Respite


                 SC0003                     SC Individual Monitoring




                            - 147 -
Reference Table: SC0003
 Category

               Table Name             Value




                            - 148 -
Reference Table: SC0004
 Service subcategory

                        Table Name                                Value

                          SC0004                                 Agency


                          SC0004                 Base Mental Retardation Case Management


                          SC0004                              Determination


                          SC0004                          Development/Revision


                          SC0004               Employment Services (Competitive Employment)


                          SC0004                      Home and Community Services


                          SC0004                                 Incident


                          SC0004                         Personal Support Services




                                     - 149 -
Reference Table: SC0004
 Service subcategory

                        Table Name                           Value

                          SC0004                        Respite Services


                          SC0004                      Specialized Supports


                          SC0004                      Supported Integration


                          SC0004                           Therapies


                          SC0004                     Transportation Services


                          SC0004                          TSM - Base


                          SC0004                   TSM - Consolidated Waiver


                          SC0004               TSM - Person Family Directed Waiver




                                     - 150 -
Reference Table: SC0004
 Service subcategory

                        Table Name             Value




                                     - 151 -
Reference Table: SC0005
 Follow-up

               Table Name               Value



                 SC0005                Completed




                 SC0005               Not Required




                 SC0005                Required




                            - 152 -
Reference Table: SC0008
 Service Location

                     Table Name                  Value



                       SC0008                  Community




                       SC0008               Individual's Home




                       SC0008               SC Entity Office




                                  - 153 -
Reference Table: SC0096
 EI Case Closure Reasons

                    Table Name                                   Value

                      SC0096                      Attempts to contact unsuccessful


                      SC0096                                   Deceased


                      SC0096                               Eligible for Part B


                      SC0096               Eligible for Part B - exit to other comm. services


                      SC0096                              Moved out of state


                      SC0096                         Moved within Pennsylvania


                      SC0096                          Not eligible for EI services


                      SC0096                   Not eligible for Part B - exit, no referrals




                                 - 154 -
Reference Table: SC0096
 EI Case Closure Reasons

                    Table Name                             Value



                      SC0096                       Parent refused Tracking




                      SC0096                   Part B eligibility not determined




                      SC0096               Successful completion of plan (IFSP/IEP)




                      SC0096                    Withdrawn by parent/guardian




                                 - 155 -
Reference Table: SW0003
 SYSTEM: State

                  Table Name               Value

                    SW0003                Alabama


                    SW0003                 Alaska


                    SW0003                Arizona


                    SW0003                Arkansas


                    SW0003                California


                    SW0003               Canal Zone


                    SW0003                Colorado


                    SW0003               Connecticut




                               - 156 -
Reference Table: SW0003
 SYSTEM: State

                  Table Name             Value

                    SW0003               Florida


                    SW0003               Georgia


                    SW0003               Guam


                    SW0003               Hawaii


                    SW0003                Idaho


                    SW0003               Illinois


                    SW0003               Indiana


                    SW0003                Iowa




                               - 157 -
Reference Table: SW0003
 SYSTEM: State

                  Table Name                Value

                    SW0003                 Louisiana


                    SW0003                  Maine


                    SW0003                 Maryland


                    SW0003               Massachusetts


                    SW0003                 Michigan


                    SW0003                 Minnesota


                    SW0003                Mississippi


                    SW0003                 Missouri




                               - 158 -
Reference Table: SW0003
 SYSTEM: State

                  Table Name                 Value

                    SW0003                  Nevada


                    SW0003               New Hampshire


                    SW0003                New Jersey


                    SW0003                New Mexico


                    SW0003                 New York


                    SW0003               North Carolina


                    SW0003                North Dakota


                    SW0003                 Not In U.S.




                               - 159 -
Reference Table: SW0003
 SYSTEM: State

                  Table Name                Value

                    SW0003                  Oregon


                    SW0003               Pennsylvania


                    SW0003                Puerto Rico


                    SW0003               Rhode Island


                    SW0003               South Carolina


                    SW0003               South Dakota


                    SW0003                Tennessee


                    SW0003                   Texas




                               - 160 -
Reference Table: SW0003
 SYSTEM: State

                  Table Name                Value


                    SW0003               Virgin Islands



                    SW0003                  Virginia



                    SW0003               Washington



                    SW0003               West Virginia



                    SW0003                Wisconsin



                    SW0003                 Wyoming




                               - 161 -
Reference Table: SW0004
 SYSTEM: Yes No

                   Table Name             Value




                     SW0004                No




                     SW0004                Yes




                                - 162 -
Reference Table: SW0048
 Yes No

              Table Name             Value




                SW0048                No




                SW0048                Yes




                           - 163 -

				
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