| ET1 |
| Sickness Benefit Evidence (en) |
| Yes | No | SICKNESSBENEFIT |
| DET0026001 |
| No | Yes | MEMBERINCOME |
| DET0026003 |
| No | Yes | HOUSEHOLDINCOME |
| DET0026004 |
| No | Yes | HEALTHCAREMEMBER |
| DET0026058 |
| No | Yes | CHIPENROLLMENT |
| DET0026021 |
| Health Insurance Enrollment (en) |
| No | Yes | HEALTHINSURANCEENROLLMENT |
| DET0026020 |
| No | Yes | |
| DET0026012 |
| No | Yes | HCRDEPRIVATION |
| DET0026011 |
| No | Yes | |
| DET0026010 |
| No | Yes | HCRDISABILITY |
| DET0026013 |
| No | Yes | |
| DET0026014 |
| No | Yes | HCRBENEFIT |
| DET0026018 |
| No | Yes | INSURANCE |
| DET0026019 |
| No | Yes | |
| DET0026016 |
| Self-Employment Income (en) |
| No | Yes | |
| DET0026000 |
| No | Yes | INCARCERATIONEVD |
| DET0026002 |
| No | Yes | TAXFILINGSTATUS |
| DET0026006 |
| No | Yes | TAXRELATIONSHIP |
| DET0026007 |
| No | Yes | HCRSTUDENT |
| DET0026008 |
| No | Yes | HCRPREGNANCY |
| DET0026009 |
| Insurance Policy Details (en) |
| No | Yes | |
| DET0026022 |
| No | Yes | |
| DET0026031 |
| No | Yes | SSN |
| DET0026030 |
| No | Yes | INCOME |
| DET0026028 |
| No | Yes | |
| DET0026034 |
| No | Yes | |
| DET0026032 |
| No | Yes | HCRCITIZENSHIP |
| DET0026026 |
| No | Yes | APPLICATIONFILER |
| DET0026025 |
| No | Yes | MARITALSTATUS |
| DET0026027 |
| No | Yes | STATERESIDENCY |
| PDC0000262 |
| No | Yes | GENDER |
| DET0026023 |
| No | Yes | MEMBERRELATIONSHIP |
| DET0026040 |
| No | Yes | SUBSTANCEUSE |
| DET0026041 |
| No | Yes | |
| DET0026039 |
| No | Yes | ADDRESS |
| DET0026042 |
| No | Yes | DHSIDDETAILS |
| DET0026036 |
| Social Security Number (en) |
| No | Yes | EXTERNALSSN |
| DET0026043 |
| No | Yes | CITIZENSHIPSTATUS |
| DET0026044 |
| Incarceration Details (en) |
| No | Yes | INCARCERATION |
| DET0026045 |
| No | Yes | EXTERNALINCOMEDETAILS |
| DET0026046 |
| No | Yes | EXTERNALANNUALTAXRETURN |
| DET0026047 |
| Tax Household Member (en) |
| No | Yes | |
| DET0026048 |
| No | Yes | EXTERNALRESIDENCY |
| DET0026049 |
| No | Yes | RESIDENTIALADDRESS |
| DET0026050 |
| No | Yes | DEMOGRAPHICS |
| DET0026051 |
| No | Yes | ENROLMENT |
| DET0026052 |
| No | Yes | ENROLLEDMEMBER |
| DET0026053 |
| Employer Sponsored Coverage (en) |
| No | Yes | EMPLOYERSPONSOREDCOVERAGE |
| DET0026054 |
| No | Yes | COVEREDMEMBER |
| DET0026055 |
| No | Yes | APPLICANT |
| DET0026056 |
| Authorization Details (en) |
| No | Yes | AUTHORIZATIONDETAILS |
| DET0026057 |
| No | Yes | ENROLLEDPLAN |
| PDC0000264 |
| Birth and Death Details (en) |
| No | Yes | BIRTHDANDDEATHDETAILS |
| DET0026029 |
| Minimum Essential Coverage (en) |
| No | Yes | MEC |
| DET0026059 |
| No | Yes | BENCHMARKPLAN |
| DET0026060 |
| No | Yes | |
| DET0026061 |
| Religious Sect Membership (en) |
| No | Yes | |
| DET0026062 |
| Health care Sharing Ministry Membership (en) |
| No | Yes | |
| DET0026063 |
| No | Yes | FORMERFOSTERCARE |
| DET0026064 |
| Projected Annual Income (en) |
| No | Yes | PROJECTEDANNUALINCOME |
| DET0026065 |
| No | Yes | EXCLUDEDINCOME |
| DET0026066 |
| No | Yes | DEDUCTIONS |
| DET0026067 |
| No | Yes | MEDICALBILLS |
| DET0026068 |
| No | Yes | MILITARYSTATUS |
| DET0026800 |
| Non MAGI Medicaid Eligibility (en) |
| No | Yes | NONMAGIMEDICAIDELIGIBILITY |
| DET0026069 |
| Employer Sponsored Insurance (en) |
| No | Yes | ESI |
| DET0026070 |
| Application Filer Consent (en) |
| No | Yes | APPLICATIONFILERCONSENT |
| DET0026071 |
| No | Yes | PARTICIPANTADDRESS |
| ET26072 |
| No | Yes | ANNUALTAXRETURN |
| DET0026072 |
| No | Yes | NEWBORNDETAILS |
| DET0026073 |
| No | Yes | DEATHSTATUS |
| ET10139 |
| Spend Down Medical Expense (en) |
| No | Yes | ISPSPENDDOWNMEDICALEXPENSE |
| ET10140 |
| No | Yes | ISPPAYIN |
| ET10142 |
| Elective CHIP Enrollee (en) |
| No | Yes | ELECTIVECHIPENROLLEE |
| ET160 |
| No | Yes | EXEMPTION |
| ET161 |
| No | Yes | OUTOFSTATEMONTH |
| ET162 |
| No | Yes | EXTENSION |
| DET0000257 |
| Household Relationship (en) |
| No | Yes | DOMESTICRELATIONSHIP |
| DET0000258 |
| Countable Assistance Period (en) |
| No | Yes | COUNTABLEASSISTANCEPERIOD |
| DET0000256 |
| IS Medicaid Eligibility (en) |
| No | Yes | ISMEDICAIDELIGIBILITY |
| DET0000259 |
| No | Yes | EMPWORKINGHOURS |
| ET10050 |
| No | Yes | ABSENTPARENT |
| ET10051 |
| Absent Parent Child Support (en) |
| No | Yes | ABPARCHILDSUPPORT |
| ET10052 |
| No | Yes | ALIEN |
| ET10053 |
| No | Yes | ALIENSPONSOR |
| ET10054 |
| No | Yes | ALIENSPONSORSHIP |
| ET10055 |
| Authorized Representative (en) |
| Authorised Representative (en_GB) |
| No | Yes | AUTHORIZEDREP |
| ET10056 |
| No | Yes | BOARDER |
| ET10057 |
| No | Yes | BURIALPLAN |
| ET10058 |
| No | Yes | BURIALPLOT |
| ET10059 |
| Child Support Expense (en) |
| No | Yes | CHILDSUPPORTEXPENSE |
| ET10060 |
| Child Immunisation (en_GB) |
| No | Yes | CHILDIMMUNE |
| ET10061 |
| Child Support Enforcement (en) |
| No | Yes | CHILDSUPPORTENFORCEMENT |
| ET10062 |
| No | Yes | CRIMINALHISTORY |
| ET10063 |
| Dependent Care Expense (en) |
| Dependant Care Expense (en_GB) |
| No | Yes | DEPENDENTCAREEXPENSE |
| ET10064 |
| No | Yes | DISABILITY |
| ET10065 |
| No | Yes | EMPLOYMENTEXPENSE |
| ET10066 |
| No | Yes | HOUSEHOLDMEMBER |
| ET10067 |
| No | Yes | LIFEINSURANCE |
| ET10068 |
| No | Yes | LIQUIDRESOURCES |
| ET10069 |
| No | Yes | LIVINGARRANGE |
| ET10070 |
| No | Yes | MEDICALEXPENSE |
| ET10071 |
| Minor Parent Non Residency (en) |
| No | Yes | MINORPARNONRES |
| ET10072 |
| Minor Parent School Attendance (en) |
| No | Yes | MINORPARSCHLATT |
| ET10073 |
| No | Yes | OWNERSHIP |
| ET10074 |
| No | Yes | PREGNANCY |
| ET10075 |
| No | Yes | PROPERTY |
| ET10076 |
| No | Yes | RESOURCETRANSFER |
| ET10077 |
| No | Yes | SHELTEREXPENSE |
| ET10078 |
| No | Yes | STUDENT |
| ET10079 |
| No | Yes | STUDENTEXPENSE |
| ET10080 |
| No | Yes | ABSENCE |
| ET10081 |
| No | Yes | VEHICLE |
| ET10082 |
| Veteran Military Service (en) |
| No | Yes | VETMILITARYSERV |
| ET10083 |
| No | Yes | VOLUNTARYQUIT |
| ET10086 |
| No | Yes | ABAWD |
| ET10087 |
| No | Yes | DEPRIVATION |
| ET10088 |
| No | Yes | FOSTERCARE |
| ET10090 |
| Household Relationship (en) |
| No | Yes | HOUSEHOLDRELATIONSHIP |
| ET10092 |
| No | Yes | WORKREQUIREMENTS |
| ET10093 |
| No | Yes | BENEFIT |
| ET10095 |
| No | Yes | EARNEDINCOME |
| ET10096 |
| No | Yes | EMPLOYMENTOFFER |
| ET10097 |
| No | Yes | PAIDEMPLOYMENT |
| ET10099 |
| No | Yes | TRADEDISPUTE |
| ET10100 |
| No | Yes | UNEARNEDINCOME |
| ET10101 |
| No | Yes | UNPAIDEMPLOYMENT |
| ET10103 |
| No | Yes | UTILITYEXPENSE |
| ET10105 |
| No | Yes | DOMESTICVIOLENCE |
| ET10106 |
| No | Yes | ISPHOUSEHOLDMEALS |
| ET10107 |
| No | Yes | HEADOFHOUSEHOLD |
| ET10111 |
| No | Yes | ASSISTANCEHISTORY |
| ET10112 |
| No | Yes | SELFEMPLOYMENT |
| ET10113 |
| No | Yes | ANTICIPATEDINCOME |
| ET10114 |
| No | Yes | COURTORDEREXPENSE |
| ET10115 |
| Household Meal Group (en) |
| No | Yes | HHOLDMEALSGROUP |
| ET10116 |
| Household Meal Group Member (en) |
| No | Yes | MEALGROUPMEMBER |
| ET10117 |
| No | Yes | ALIMONYEXPENSE |
| ET10118 |
| Third Party Liability Enforcement (en) |
| No | Yes | TPLENFORCEMENT |
| ET10119 |
| No | Yes | ADOPTION |
| ET10120 |
| No | Yes | ADOPTIONPAYMENT |
| ET10121 |
| No | Yes | TRUST |
| ET10122 |
| No | Yes | FOSTERCAREPAYMENT |
| ET10123 |
| No | Yes | LIVINGEXPENSE |
| ET10124 |
| No | Yes | ABSENTPARENTCSE |
| ET10125 |
| No | Yes | UNBORNCHILD |
| ET10126 |
| No | Yes | CONTRIBUTOR |
| ET10127 |
| No | Yes | GROSSRECEIPT |
| ET10128 |
| No | Yes | RESOURCEINCOME |
| ET10129 |
| No | Yes | INCOMEREPORTING |
| ET10130 |
| No | Yes | TRUSTINCOME |
| ET10131 |
| No | Yes | MEDICALINSURANCE |
| ET10132 |
| No | Yes | TRUSTEE |
| ET10133 |
| No | Yes | BUSINESSASSET |
| ET10134 |
| No | Yes | BENEFICIARY |
| ET10135 |
| No | Yes | COVERAGE |
| ET10136 |
| Unearned Rental Income Expenses (en) |
| No | Yes | UNEARNEDRENTALINCOMEEXPENSE |
| ET10137 |
| No | Yes | INCOMEALLOCATION |
| ET10138 |
| Medical Expense Payment (en) |
| No | Yes | MEDICALEXPENSEPAYMENT |
| ET10141 |
| No | Yes | GENERALINSURANCE |
| ET10143 |
| No | Yes | ENTITLEMENT |
| ET10144 |
| Coverage Type Details (en) |
| No | Yes | COVERAGETYPEDETAILS |
| ET10145 |
| No | Yes | LEVELOFCARE |
| ET10146 |
| No | Yes | ANNUITY |
| ET10147 |
| No | Yes | MEDICALINSTITUTION |
| ET10148 |
| Cost of Care Allowance (en) |
| No | Yes | COSTOFCAREALLOWANCE |
| ET10149 |
| No | Yes | SPOUSALCOOPERATION |
| ET10150 |
| No | Yes | ANNUITYBENEFICIARY |
| ET10151 |
| No | Yes | MEDICALSCREENING |
| ET10152 |
| No | Yes | ANNUITYINCOME |
| ET10156 |
| Income Trust Schedule (en) |
| No | Yes | INCOMETRUSTSCHEDULE |
| ET10153 |
| Legal Guardian Expense (en) |
| No | Yes | LEGALGUARDIAN |
| ET10154 |
| No | Yes | EMERGENCY |
| ET10155 |
| Medical Institution Temporary Absence (en) |
| No | Yes | MEDINSTTEMPORARYABSENCE |
| ET10157 |
| No | Yes | ASSIGNEDINCOME |
| ET10158 |
| Spousal Impoverishment (en) |
| No | Yes | ISPSPOUSALIMPOVERISHMENT |
| ET10159 |
| Transfer Sanction Link (en) |
| No | Yes | ISPTRANSFERSANCTIONLINK |
| ET163 |
| Countable Assistance History (en) |
| No | Yes | COUNTABLEASSISTANCEHISTORY |
| ET10160 |
| No | Yes | TRANSFERTOTRUST |
| ET10161 |
| Transfer to Individual (en) |
| No | Yes | TRANSFERTOINDIVIDUAL |
| ET10162 |
| No | Yes | TRANSFERREVERSAL |
| ET7001 |
| No | Yes | WORKREGISTRATION |
| ET7002 |
| Work Non-Participation (en) |
| No | Yes | WORKNONPARTICIPATION |
| ET7003 |
| No | Yes | SOCIALRELATIONSHIP |
| ET10000 |
| No | Yes | HOLDINGEVIDENCE |
| DET0038000 |
| Sample Life Event Type (en) |
| No | Yes | LESAMPLE |
| ET51 |
| No | Yes | PROVIDERINVOICE |
| ET52 |
| Provider Utilization (en) |
| Provider Utilisation (en_GB) |
| No | Yes | PROVIDERUTLIZATION |
| ET53 |
| No | Yes | PROVIDERCONTRACT |
| ET3004 |
| No | Yes | PROVIDERATTENDANCE |
| ET30 |
| No | No | SIMPLEPRODUCT |
| ET36 |
| Simple Liability Product (en) |
| No | No | SIMPLELIABILITYPRODUCT |
| ET500 |
| Sample Sporting Activity Evidence (en) |
| No | Yes | SAMPLESPORTINGACTIVITY |
| ET501 |
| Sample Sporting Activity Expense Evidence (en) |
| No | Yes | SAMPLESPORTINGACTIVITYEXPENSE |
| ET502 |
| Sample Sporting Sponsorship Evidence (en) |
| No | Yes | SPORTINGSPONSORSHIP |
| PDC0000261 |
| No | Yes | |
| PDC0000260 |
| No | Yes | |
| PDC0000258 |
| No | Yes | |
| PDC0000259 |
| No | Yes | |
| PDC0000256 |
| No | Yes | |
| PDC0000257 |
| No | Yes | |
| PDC0000263 |
| No | Yes | |
| PDC0000265 |
| No | Yes | |
| ET3 |
| No | No | TRAINING |
| ET6 |
| Relationship Evidence (en) |
| No | Yes | RELATIONSHIP |
| ET8 |
| Employer Contribution Evidence (en) |
| No | No | EMPCON |
| ET9 |
| Overpayment Evidence (en) |
| No | Yes | OVERPAYMENT |
| ET10 |
| Underpayment Evidence (en) |
| No | Yes | |
| ET11 |
| Contribution Training Evidence (en) |
| No | No | CON_TRAINING |
| ET12 |
| No | No | LOAN |
| ET13 |
| No | No | DRAWDOWN |
| ET14 |
| No | No | REPAYMENT |
| ET15 |
| Unemployment Benefit Evidence (en) |
| No | No | UNEMPLOYMENTBENEFIT |
| ET16 |
| No | No | HEALTHGRANT |
| ET17 |
| No | No | HEALTHGRANTVISIT |
| ET18 |
| Ad hoc Bonus Payment (en) |
| No | No | ADHOCBONUSPAYMENT |
| ET19 |
| No | No | DUACOREEVIDENCE |
| ET20 |
| DUA Earning Since Disaster (en) |
| No | No | DUAEARNINGSINCEDISASTER |
| ET21 |
| DUA Client Previous Year Earning (en) |
| No | No | DUACLIENTPREVIOUSYEAREARNING |
| ET22 |
| DUA Deceased Previous Year Earning (en) |
| No | No | DUADECEASEDPREVIOUSYEAREARNING |
| ET23 |
| DUA User Override Evidence (en) |
| No | No | DUAUSEROVERRIDEEVIDENCE |
| ET31 |
| No | Yes | HOUSEHOLDEVIDENCE |
| ET32 |
| No | Yes | INCOMEEVIDENCE |
| ET33 |
| No | Yes | BENEFITEVIDENCE |
| ET34 |
| No | Yes | RESOURCEEVIDENCE |
| ET35 |
| No | Yes | EXPENSEEVIDENCE |
| ET37 |
| IS Household Evidence (en) |
| No | Yes | ISHOUSEHOLDEVIDENCE |
| ET38 |
| No | Yes | ISBENEFITEVIDENCE |
| ET39 |
| IS Medicaid Evidence (en) |
| No | Yes | ISMEDICAIDEVIDENCE |
| ET40 |
| No | Yes | ISINCOMEEVIDENCE |
| ET41 |
| IS Resource Evidence (en) |
| No | Yes | ISRESOURCEEVIDENCE |
| ET42 |
| IS Shelter Expense Evidence (en) |
| No | Yes | ISSHELTEREXPEVIDENCE |
| ET43 |
| IS Medical Expense Evidence (en) |
| No | Yes | ISMEDICALEXPEVIDENCE |
| ET44 |
| IS Dependent Care Expense Evidence (en) |
| IS Dependant Care Expense Evidence (en_GB) |
| No | Yes | ISDEPCAREEXPEVIDENCE |
| ET45 |
| IS Relationship Evidence (en) |
| No | Yes | ISRSHIPEVIDENCE |
| ET46 |
| IS Emergency Assistance Evidence (en) |
| No | Yes | ISEAEVIDENCE |
| ET47 |
| Benefit Underpayment Evidence (en) |
| No | Yes | BENEFITUNDERPAYMENT |
| ET2 |
| Liability Overbilling Evidence (en) |
| No | Yes | OVERBILLING |
| PET1 |
| No | Yes | EMPLOYER |
| PET2 |
| No | No | PERSON |
| PET3 |
| No | No | CONCERNROLE |
| PET4 |
| No | No | CITIZENSHIP |
| PET5 |
| No | Yes | CONCERNROLEADDRESS |
| PET6 |
| No | Yes | ALTERNATENAME |
| PET7 |
| No | No | EMPLOYMENT |
| PET8 |
| Employment Working Hours (en) |
| No | No | EMPLOYMENTWORKINGHR |
| PET9 |
| No | No | EDUCATION |
| PET10 |
| No | Yes | CONCERNROLEBANKACC |
| PET11 |
| No | Yes | CONCERNROLERELATIONSHIP |
| PET12 |
| No | No | FOREIGNRESIDENCY |
| PET13 |
| Prospect Person Details (en) |
| No | Yes | PROSPECTPERSON |
| PET14 |
| Prospect Employer Details (en) |
| No | Yes | PROSPECTEMPLOYER |
| PET15 |
| No | Yes | CONCERNROLEALTERNATEID |
| ET2503 |
| No | No | SAMPLEINCOME |
