| Description | Short Desc | Field Type | Attribution Type | Length | Primary | Sticky | Mandatory | Prefilled |
| Facility | Facility | Attribution Type | Facility | 50 | Yes | No | Yes | Yes |
| Medical Record No. | Med Rec # | Text | 20 | No | No | No | No | |
| Account No. | Account # | Text | 20 | Yes | No | Yes | No | |
| Patient Type | Patient Ty | Attribution Type | Patient Type | 50 | No | Yes | No | Yes |
| Admit Date | Admit Date | Date | 10 | No | No | No | No | |
| Discharge Date | Dschg Date | Date | 10 | No | No | No | No | |
| Review Date | Rev Date | Date | 10 | No | Yes | No | No | |
| Physician | Physician | Attribution Type | Physician | 50 | No | Yes | No | Yes |
| Department | Department | Attribution Type | Department | 50 | No | Yes | No | Yes |
| DRG | DRG | Attribution Type | DRG | 50 | No | No | No | Yes |
| Coder | Coder | Attribution Type | Coder | 50 | No | No | No | No |
| User | User | Attribution Type | User | 50 | No | No | No | Yes |
| Description | Short Desc | Field Type | Attribution Type | Length |
| Physician | Physician | Attribution Type | Physician | 50 |
| Department | Department | Attribution Type | Department | 50 |
| New DRG | New DRG | Attribution Type | DRG | 50 |
| New Code | New Code | Numeric | 7 |
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