Client Demographics Mapping Document

Column A

Account Organization Name

Company Account>Basic Information>Name

Name

(accountOrganizationName)

Column B

Rethink Account ID

Auto Generated when account set up

Account ID

Column C

Rethink Client ID#

Auto Generated (unique Client ID in URL)

Open

Column D

First Name

Client Demographics

Client First Name

Column E

Middle Name

Client Demographics

Client Middle Name

Column F

Last Name

Client Demographics

Client Last Name

Column G

Location/Facility

Client Demographics

Location/Facility

Column H

Client Status

Client Demographics

Client Status

Column I

Status Active?

Company Account>Client Settings>Client Status

Client Status “Show as Active” Check Box option

Column J

DOB

Client Demographics

DOB

Column K

Age

Client Demographics

Age

Column L

Gender

Client Demographics

Gender

Column M

Street Address

Client Demographics

Client Street Address

Column N

City

Client Demographics

Client City Address

Column O

State

Client Demographics

Client State

Column P

Postal Code

Client Demographics

Client Zip

Column Q

Client ID#

Client Demographics

Client ID#

Column R

UCI#

Client Demographics

UCI#

Column S

Client Order

Client Demographics

Client Order

Column T

Reason for Referral

Client Demographics

Reason for Referral

Column U

Notice of Privacy Practices Provided to Client

Client Demographics

Notice of Privacy Practices Provided to Client

Column V

Service Intensity

Client Demographics

Service Intensity

Column W

Kareo Patient ID

Client Demographics

Kareo Patient ID

Column X

Notes

Client Demographics

Notes

Column Y

DPH Enrollment Number

Client Demographics-DPH setting in jrich selected

Enrollment Number

Column Z

DPH Consent to Access

Client Demographics-DPH setting in jrich selected

Consent to Access

Column AA

DPH Consent to Access Start Date

Client Demographics-DPH setting in jrich selected

Consent to Access Start Date

Column AB

Module

Client Demographics

Module