Elation Fields that require specific selections to integrate

Integration fields that require specific answers for an Elation integration to work properly.

The following Integration fields required specific choices setup in your Zentake forms in order for them to integrate successfully. You will want to use either a Dropdown or Single Choice field type for the integration to work properly.

*They are case sensitive - copy and paste these exactly into your form is a good idea.

Pronouns

• He/Him/His
• She/Her/Hers
• They/Them/Theirs
• Option Not Listed

Gender Identity

• Man
• Woman
• Transgender man
• Transgender woman
• Nonbinary
• Two spirit
• Unspecified
• Unknown
• Option not listed
• Prefer not to say

Sexual Orientation

• Straight
• Gay
• Lesbian
• Bisexual
• Queer
• Asexual
• Unknown
• Option not listed
• Prefer not to say

Sex at Birth

• Male
• Female
• Other
• Unknown

Race

• American Indian or Alaska Native
• Asian
• Black or African American
• Native Hawaiian or Other Pacific Islander
• White
• No race specified

Ethnicity 

• Hispanic or Latino
• Not Hispanic or Latino
• Declined to specify
• No ethnicity specified
• Declined to specify

Emergency Contact Relationship

• Caregiver
• Child
• Friend
• Grandparent
• Guardian
• Parent
• Sibling
• Spouse
• Other

Guarantor

• Spouse
• Child
• Other

Relationship to Insured

• Self
• Spouse
• Child
• Other

Coverage (Insurance)

• Medicare Part B
• Medicare Advantage
• Medicaid
• Commercial - HMSA
• Commercial - SFHP
• Commercial - Other
• Worker's Compensation

Language (examples) 

Enter the language exactly how it is in Elation, (excluding what is in parenthesis)

Examples:

• English
• Spanish; Castilian
• Chinese - Mandarin
• Chinese - Cantonese
• Portuguese
• French
• Tagalog

Patient Status

• Active
• Prospect