Children (Oldest, Next Oldest, Etc.)
1-19
Sponsor (Prime Beneficiary)
2
Spouse of Sponsor
3
Mother or Stepmother of Sponsor
4
Father or Stepfather of Sponsor
45
Mother-in-Law of Sponsor
5
Father-in-Law of Sponsor
55
Other Bonafide Dependents
60-69
Civilian Emergencies
Stillborns Carded for Record Only (CRO)
99
Table 1-7. Family member prefix.
o. Social Security Number (SSN). Enter the SSN of the sponsor (AD, retired
member, deceased member, member of reserve components, or prime beneficiary).
p. Organization. Enter military patient's unit of assignment at the time of initial
admission or CRO.
q. Marital status. Enter the appropriate marital status data code from table 1-8.
This is a required field for all patients.
Description
Abbreviation
Data Code
Annulled
Ann
A
Divorced
Div
D
Interlocutory
Inter
I
Legally Separated
Sep
L
Married
Marr
M
Single, never Married
Sing
S
Widowed
Wid
W
Unknown
Unk
Z
Table 1-8. Marital Status
r. Hour of admission. Using the 2400 system, enter time patient is admitted. For
newborn, infants, enter the time of birth.
s. Branch/Corps. Enter branch for enlisted personnel and other service officers
and corps for active or retired Army officers. For all others leave blank.
MD0752
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