ࡱ> JRlnprtvxz| ~!!""5##w$y 92&bjbj G&{{@v^v^kkkkklllX&nql`R:*S@S@S>YҸ2D`$HT Ek,^XX|,^,^ kk@S@SPzxzxzx,^T k@Sk@Szx,^zxzxb?$U@S0*[Vkcef0nk UUk9,,^,^zx,^,^,^,^,^  zxyl,^,^,^,^,^,^,^,^,^,^,^,^,^,^,^,^v^ j: Clinical Case Registries (CCR) Version 1.5 HYPERLINK \l "TOC" INCLUDEPICTURE "http://vaww.vhaco.va.gov/vhacio/images/OILogos/VistAWhite.jpg" \* MERGEFORMATINET  Technical Manual / Security Guide Documentation Revised January 2013 For Patch ROR*1.5*20 THIS PAGE INTENTIONALLY LEFT BLANK Revision History DateDescriptionAuthorRoleMarch, 2013Final release for Patch ROR*1.5*20. See  REF _Ref347992301 \h  \* MERGEFORMAT Table 18 for Details.John Sanders Connie Ray Steve Baxter Edward Micyus Karen JociusProject Manager M Developer Software Quality Assurance Analyst Delphi Developer Tech WriterTBDPlaceholder for Patch ROR*1.5*19 to incorporate ICD10 codes. See  REF _Ref347992427 \h  \* MERGEFORMAT Table 17 for Details.TBDTBDAugust, 2012Final release for Patch ROR*1.5*18. See  REF _Ref331664104 \h  \* MERGEFORMAT Table 16 for Details.John Sanders Connie Ray Linda Berry Edward Micyus Dan ZaudtkeProject Manager M Developer Software Quality Assurance Analyst Delphi Developer Tech WriterApril, 2012Final release for Patch ROR*1.5*17. See  REF _Ref320866525 \h  \* MERGEFORMAT Table 15 for Details. John Sanders Connie Ray Linda Berry Edward Micyus Dan ZaudtkeProject Manager M Developer Software Quality Assurance Analyst Delphi Developer Tech WriterSeptember, 2011Final release for Patch ROR*1.5*15. See  REF _Ref302645128 \h \* MERGEFORMAT Table 14 for Details. John Sanders Connie Ray Linda Berry Edward Micyus Dan ZaudtkeProject Manager M Developer Software Quality Assurance Analyst Delphi Developer Tech WriterMarch 2011Patch ROR*1.5*14. See Table 13 for details.Vida Dunie Angela Saunders Linda Berry Ed MicyusTech Writer M Developer Software Quality Assurance Analyst Delphi DeveloperDecember, 2010Final release for Patch ROR*1.5*13. See Table 12 for details. Kenneth RikardProject ManagerEdward MicyusDeveloperAngela SaundersDeveloperLinda BerrySoftware Quality Assurance AnalystVJ McDonaldTechnical WriterJuly, 2009Technical Writer/SQA review and matchup with CCR User Manual for Patch ROR*1.5*8Kenneth RikardProject ManagerVJ McDonaldTechnical WriterLinda BerrySoftware Quality Assurance AnalystOctober, 2008With patch ROR*1.5*3, the possible values of the parameter were updated to include the M flag.A. ScottProject ManagerT. DawsonTechnical WriterFebruary, 2006Completely updated for version 1.5Sergey GavrilovDeveloperxe "manual:revisions"xe "revisions:to manual" THIS PAGE INTENTIONALLY LEFT BLANK Table of Contents  TOC \o "2-3" \h \z \t "Heading 1,1,Revision,1,Title,1,Reply/Forward Headers,1,Same Page,1,H1,1,H2,2,H3,3,H1_NoNum,1,Table of Contents,1,H3_NoNum,3,H2_NoNum,2"  HYPERLINK \l "_Toc347985172" Revision History  PAGEREF _Toc347985172 \h v  HYPERLINK \l "_Toc347985173" Table of Contents  PAGEREF _Toc347985173 \h viii  HYPERLINK \l "_Toc347985174" List of Tables  PAGEREF _Toc347985174 \h ix  HYPERLINK \l "_Toc347985175" List of Figures  PAGEREF _Toc347985175 \h xi  HYPERLINK \l "_Toc347985176" 1. Preface  PAGEREF _Toc347985176 \h 2  HYPERLINK \l "_Toc347985177" 1.1. Typographical Conventions Used in the Manual  PAGEREF _Toc347985177 \h 2  HYPERLINK \l "_Toc347985178" 1.2. Navigating Hyperlinks  PAGEREF _Toc347985178 \h 3  HYPERLINK \l "_Toc347985179" 1.3. Screen Displays and Text Notes  PAGEREF _Toc347985179 \h 3  HYPERLINK \l "_Toc347985180" 1.4. Clinical Case Registries Software Application  PAGEREF _Toc347985180 \h 3  HYPERLINK \l "_Toc347985181" 1.5. Purpose of the Manual  PAGEREF _Toc347985181 \h 4  HYPERLINK \l "_Toc347985182" 1.6. Recommended Users  PAGEREF _Toc347985182 \h 4  HYPERLINK \l "_Toc347985183" 1.7. Related Documents  PAGEREF _Toc347985183 \h 4  HYPERLINK \l "_Toc347985184" 2. Introduction  PAGEREF _Toc347985184 \h 5  HYPERLINK \l "_Toc347985185" 2.1. Overview  PAGEREF _Toc347985185 \h 5  HYPERLINK \l "_Toc347985186" 2.2. Software Features and Functions  PAGEREF _Toc347985186 \h 6  HYPERLINK \l "_Toc347985187" 2.3. About Clinical Case Registries 1.5  PAGEREF _Toc347985187 \h 6  HYPERLINK \l "_Toc347985188" 2.3.1. Decommissioned Software  PAGEREF _Toc347985188 \h 7  HYPERLINK \l "_Toc347985189" 2.3.2. CCR Patches ROR*1.5*X  PAGEREF _Toc347985189 \h 7  HYPERLINK \l "_Toc347985190" 2.4. Obtaining Software and Documentation  PAGEREF _Toc347985190 \h 22  HYPERLINK \l "_Toc347985191" 2.5. VistA Documentation on the Intranet  PAGEREF _Toc347985191 \h 23  HYPERLINK \l "_Toc347985192" 2.6. Accessibility Features in Clinical Case Registries 1.5  PAGEREF _Toc347985192 \h 23  HYPERLINK \l "_Toc347985193" 3. Implementation and Maintenance  PAGEREF _Toc347985193 \h 25  HYPERLINK \l "_Toc347985194" 3.1. Implementation  PAGEREF _Toc347985194 \h 25  HYPERLINK \l "_Toc347985195" 3.2. Maintenance  PAGEREF _Toc347985195 \h 25  HYPERLINK \l "_Toc347985196" 3.2.1. Re-index the ACL cross-reference  PAGEREF _Toc347985196 \h 25  HYPERLINK \l "_Toc347985197" 3.2.2. Edit Lab Search Criteria  PAGEREF _Toc347985197 \h 26  HYPERLINK \l "_Toc347985198" 3.2.3. Edit Registry Parameters  PAGEREF _Toc347985198 \h 27  HYPERLINK \l "_Toc347985199" 3.2.4. Historical Data Extraction  PAGEREF _Toc347985199 \h 29  HYPERLINK \l "_Toc347985200" 3.2.5. Print Log Files  PAGEREF _Toc347985200 \h 30  HYPERLINK \l "_Toc347985201" 3.2.6. Pending Patients  PAGEREF _Toc347985201 \h 31  HYPERLINK \l "_Toc347985202" 3.3. Manual Historical Data Extraction  PAGEREF _Toc347985202 \h 32  HYPERLINK \l "_Toc347985203" 3.3.1. Overview  PAGEREF _Toc347985203 \h 32  HYPERLINK \l "_Toc347985204" 3.3.2. Historical Data Extraction Menu  PAGEREF _Toc347985204 \h 32  HYPERLINK \l "_Toc347985205" 3.3.3. Data Extraction Instructions  PAGEREF _Toc347985205 \h 33  HYPERLINK \l "_Toc347985206" 3.3.4. Data Transmission Instructions  PAGEREF _Toc347985206 \h 40  HYPERLINK \l "_Toc347985207" 4. CCR Structure and Process Overview  PAGEREF _Toc347985207 \h 43  HYPERLINK \l "_Toc347985208" 5. CCR Files  PAGEREF _Toc347985208 \h 47  HYPERLINK \l "_Toc347985209" 5.1. Files and Globals List  PAGEREF _Toc347985209 \h 47  HYPERLINK \l "_Toc347985210" 5.2. File Diagrams (Pointers)  PAGEREF _Toc347985210 \h 50  HYPERLINK \l "_Toc347985211" 6. Globals  PAGEREF _Toc347985211 \h 54  HYPERLINK \l "_Toc347985212" 6.1. Upgrade Installation  PAGEREF _Toc347985212 \h 54  HYPERLINK \l "_Toc347985213" 6.2. Initial Installation  PAGEREF _Toc347985213 \h 54  HYPERLINK \l "_Toc347985214" 6.3. Temporary Globals  PAGEREF _Toc347985214 \h 54  HYPERLINK \l "_Toc347985215" 7. Routines  PAGEREF _Toc347985215 \h 55  HYPERLINK \l "_Toc347985216" 7.1. Routine List for CCR 1.5  PAGEREF _Toc347985216 \h 55  HYPERLINK \l "_Toc347985217" 7.2. Routine Sub-Namespaces  PAGEREF _Toc347985217 \h 62  HYPERLINK \l "_Toc347985218" 7.3. XINDEX  PAGEREF _Toc347985218 \h 63  HYPERLINK \l "_Toc347985219" 8. Exported Options  PAGEREF _Toc347985219 \h 64  HYPERLINK \l "_Toc347985220" 9. Archiving and Purging  PAGEREF _Toc347985220 \h 67  HYPERLINK \l "_Toc347985221" 9.1. Archiving  PAGEREF _Toc347985221 \h 67  HYPERLINK \l "_Toc347985222" 9.2. Purging  PAGEREF _Toc347985222 \h 67  HYPERLINK \l "_Toc347985223" 10. Protocols  PAGEREF _Toc347985223 \h 68  HYPERLINK \l "_Toc347985224" 10.1. HL7 Protocols  PAGEREF _Toc347985224 \h 68  HYPERLINK \l "_Toc347985225" 10.2. Event Protocols  PAGEREF _Toc347985225 \h 68  HYPERLINK \l "_Toc347985226" 11. Application Program Interfaces  PAGEREF _Toc347985226 \h 70  HYPERLINK \l "_Toc347985227" 12. External Interfaces  PAGEREF _Toc347985227 \h 72  HYPERLINK \l "_Toc347985228" 13. External Relations  PAGEREF _Toc347985228 \h 73  HYPERLINK \l "_Toc347985229" 13.1. Required Patches  PAGEREF _Toc347985229 \h 73  HYPERLINK \l "_Toc347985230" 13.2. Database Integration Agreements (DBIAs)  PAGEREF _Toc347985230 \h 74  HYPERLINK \l "_Toc347985231" 14. Internal Relations  PAGEREF _Toc347985231 \h 81  HYPERLINK \l "_Toc347985232" 15. Package-wide Variables  PAGEREF _Toc347985232 \h 82  HYPERLINK \l "_Toc347985233" 16. Software Product Security  PAGEREF _Toc347985233 \h 83  HYPERLINK \l "_Toc347985234" 16.1. Alerts  PAGEREF _Toc347985234 \h 83  HYPERLINK \l "_Toc347985235" 16.2. Remote Systems  PAGEREF _Toc347985235 \h 83  HYPERLINK \l "_Toc347985236" 16.3. Contingency Planning  PAGEREF _Toc347985236 \h 83  HYPERLINK \l "_Toc347985237" 16.4. Interfacing  PAGEREF _Toc347985237 \h 83  HYPERLINK \l "_Toc347985238" 16.5. Electronic Signatures  PAGEREF _Toc347985238 \h 83  HYPERLINK \l "_Toc347985239" 16.6. Security Keys  PAGEREF _Toc347985239 \h 84  HYPERLINK \l "_Toc347985240" Index  PAGEREF _Toc347985240 \h 210  List of Tables  TOC \h \z \c "Table"  HYPERLINK \l "_Toc347985241" Table 1 Typographical Conventions  PAGEREF _Toc347985241 \h 2  HYPERLINK \l "_Toc347985242" Table 2 Graphical Conventions  PAGEREF _Toc347985242 \h 2  HYPERLINK \l "_Toc347985243" Table 3 Patch ROR*1.5*1 Description  PAGEREF _Toc347985243 \h 7  HYPERLINK \l "_Toc347985244" Table 4 Patch ROR*1.5*2 Description  PAGEREF _Toc347985244 \h 8  HYPERLINK \l "_Toc347985245" Table 5 Patch ROR*1.5*3 Description  PAGEREF _Toc347985245 \h 9  HYPERLINK \l "_Toc347985246" Table 6 Patch ROR*1.5*4 Description  PAGEREF _Toc347985246 \h 9  HYPERLINK \l "_Toc347985247" Table 7 Patch ROR*1.5*5 Description  PAGEREF _Toc347985247 \h 9  HYPERLINK \l "_Toc347985248" Table 8 Patch ROR*1.5*6 Description  PAGEREF _Toc347985248 \h 9  HYPERLINK \l "_Toc347985249" Table 9 Patch ROR*1.5*7 Description  PAGEREF _Toc347985249 \h 9  HYPERLINK \l "_Toc347985250" Table 10 Patch ROR*1.5*8 Description  PAGEREF _Toc347985250 \h 10  HYPERLINK \l "_Toc347985251" Table 11 Patch ROR*1.5*10 Description  PAGEREF _Toc347985251 \h 10  HYPERLINK \l "_Toc347985252" Table 12 Patch ROR*1.5*13 Description  PAGEREF _Toc347985252 \h 13  HYPERLINK \l "_Toc347985253" Table 13 Patch ROR*1.5*14 Description  PAGEREF _Toc347985253 \h 15  HYPERLINK \l "_Toc347985254" Table 14 Patch ROR*1.5*15 Description  PAGEREF _Toc347985254 \h 16  HYPERLINK \l "_Toc347985255" Table 15 Patch ROR*1.5*17 Description  PAGEREF _Toc347985255 \h 18  HYPERLINK \l "_Toc347985256" Table 16 Patch ROR*1.5*18 Description  PAGEREF _Toc347985256 \h 19  HYPERLINK \l "_Toc347985257" Table 17 Placeholder for Patch ROR*1.5*19 Description  PAGEREF _Toc347985257 \h 21  HYPERLINK \l "_Toc347985258" Table 18 Patch ROR*1.5*20 Description  PAGEREF _Toc347985258 \h 22  HYPERLINK \l "_Toc347985259" Table 19 Software and Documentation Sources  PAGEREF _Toc347985259 \h 22  HYPERLINK \l "_Toc347985260" Table 20 CCR Menu Options  PAGEREF _Toc347985260 \h 25  HYPERLINK \l "_Toc347985261" Table 21 Task Information  PAGEREF _Toc347985261 \h 36  HYPERLINK \l "_Toc347985262" Table 22 Status Values  PAGEREF _Toc347985262 \h 36  HYPERLINK \l "_Toc347985263" Table 23 Files and Globals Exported with CCR  PAGEREF _Toc347985263 \h 47  HYPERLINK \l "_Toc347985264" Table 24 CCR 1.5 Routine List  PAGEREF _Toc347985264 \h 55  HYPERLINK \l "_Toc347985265" Table 25 Routine Sub-Namespaces  PAGEREF _Toc347985265 \h 62  HYPERLINK \l "_Toc347985266" Table 26 Exported Options  PAGEREF _Toc347985266 \h 64  HYPERLINK \l "_Toc347985267" Table 27 Event Protocols  PAGEREF _Toc347985267 \h 68  HYPERLINK \l "_Toc347985268" Table 28 Application Program Interfaces  PAGEREF _Toc347985268 \h 70  HYPERLINK \l "_Toc347985269" Table 29 Prerequisite Patches  PAGEREF _Toc347985269 \h 74  HYPERLINK \l "_Toc347985270" Table 30 Database Integration Agreements  PAGEREF _Toc347985270 \h 74  HYPERLINK \l "_Toc347985271" Table 31 Typographic Conventions (Segment Definitions)  PAGEREF _Toc347985271 \h 97  HYPERLINK \l "_Toc347985272" Table 32 HL7 Abbreviated Column Headings  PAGEREF _Toc347985272 \h 98  HYPERLINK \l "_Toc347985273" Table 33 HL7 Data Types  PAGEREF _Toc347985273 \h 98  HYPERLINK \l "_Toc347985274" Table 34 Diagnostic Service Section ID (HL7 Table 0074)  PAGEREF _Toc347985274 \h 98  HYPERLINK \l "_Toc347985275" Table 35 Segment Definition Examples  PAGEREF _Toc347985275 \h 100  HYPERLINK \l "_Toc347985276" Table 36 Batch Header Segments  PAGEREF _Toc347985276 \h 100  HYPERLINK \l "_Toc347985277" Table 37 BHS-9 Batch Name/ID/Type  PAGEREF _Toc347985277 \h 102  HYPERLINK \l "_Toc347985278" Table 38 Batch Trailer Segment  PAGEREF _Toc347985278 \h 103  HYPERLINK \l "_Toc347985279" Table 39 Clinical Study Phase Segment  PAGEREF _Toc347985279 \h 104  HYPERLINK \l "_Toc347985280" Table 40 Clinical Study Registration Segment  PAGEREF _Toc347985280 \h 105  HYPERLINK \l "_Toc347985281" Table 41 Message Acknowledgment Segment  PAGEREF _Toc347985281 \h 110  HYPERLINK \l "_Toc347985282" Table 42 Message Header Segment  PAGEREF _Toc347985282 \h 110  HYPERLINK \l "_Toc347985283" Table 43 Observation Request  PAGEREF _Toc347985283 \h 113  HYPERLINK \l "_Toc347985284" Table 44 Observation/Result Segment  PAGEREF _Toc347985284 \h 128  HYPERLINK \l "_Toc347985285" Table 45 Common Order Segment  PAGEREF _Toc347985285 \h 142  HYPERLINK \l "_Toc347985286" Table 46 Patient ID Segment  PAGEREF _Toc347985286 \h 147  HYPERLINK \l "_Toc347985287" Table 47 Patient Visit Segment  PAGEREF _Toc347985287 \h 153  HYPERLINK \l "_Toc347985288" Table 48 Pharmacy/Treatment Encoded Order Segment  PAGEREF _Toc347985288 \h 160  HYPERLINK \l "_Toc347985289" Table 49 Rated Disabilities Segment  PAGEREF _Toc347985289 \h 169  HYPERLINK \l "_Toc347985290" Table 50 Service Period Segment  PAGEREF _Toc347985290 \h 171  HYPERLINK \l "_Toc347985291" Table 51 Inpatient Segment  PAGEREF _Toc347985291 \h 174  HYPERLINK \l "_Toc347985292" Table 52 Outpatient Segment  PAGEREF _Toc347985292 \h 179  HYPERLINK \l "_Toc347985293" Table 53 Drug Segment  PAGEREF _Toc347985293 \h 181  HYPERLINK \l "_Toc347985294" Table 54 HL-7 Tables  PAGEREF _Toc347985294 \h 183  List of Figures  TOC \h \z \c "Figure"  HYPERLINK \l "_Toc347985295" Figure 1 Re-index the ACL Cross-reference  PAGEREF _Toc347985295 \h 25  HYPERLINK \l "_Toc347985296" Figure 2 Edit Lab Search Criteria  PAGEREF _Toc347985296 \h 26  HYPERLINK \l "_Toc347985297" Figure 3 Edit Registry Parameters  PAGEREF _Toc347985297 \h 27  HYPERLINK \l "_Toc347985298" Figure 4 Historical Data Extraction  PAGEREF _Toc347985298 \h 29  HYPERLINK \l "_Toc347985299" Figure 5 Print Log Files  PAGEREF _Toc347985299 \h 30  HYPERLINK \l "_Toc347985300" Figure 6 Pending Patients  PAGEREF _Toc347985300 \h 31  HYPERLINK \l "_Toc347985301" Figure 7 Historical Data Extraction Menu  PAGEREF _Toc347985301 \h 32  HYPERLINK \l "_Toc347985302" Figure 8 Create the Output Directory  PAGEREF _Toc347985302 \h 33  HYPERLINK \l "_Toc347985303" Figure 9 Define Output Directory Name in Data Extraction Parameters  PAGEREF _Toc347985303 \h 34  HYPERLINK \l "_Toc347985304" Figure 10 - Create Data Extraction Task  PAGEREF _Toc347985304 \h 34  HYPERLINK \l "_Toc347985305" Figure 11 Start Data Extraction Task  PAGEREF _Toc347985305 \h 35  HYPERLINK \l "_Toc347985306" Figure 12 Display Extraction Status  PAGEREF _Toc347985306 \h 36  HYPERLINK \l "_Toc347985307" Figure 13 Stop a Task  PAGEREF _Toc347985307 \h 37  HYPERLINK \l "_Toc347985308" Figure 14 Display Task Log  PAGEREF _Toc347985308 \h 38  HYPERLINK \l "_Toc347985309" Figure 15 Start a Task  PAGEREF _Toc347985309 \h 39  HYPERLINK \l "_Toc347985310" Figure 16 Create Extraction Tasks  PAGEREF _Toc347985310 \h 40  HYPERLINK \l "_Toc347985311" Figure 17 Typical VMS FTP Session  PAGEREF _Toc347985311 \h 42  HYPERLINK \l "_Toc347985312" Figure 18 Pointer Matrix Legend  PAGEREF _Toc347985312 \h 50  HYPERLINK \l "_Toc347985313" Figure 19 File Pointers  PAGEREF _Toc347985313 \h 50  HYPERLINK \l "_Toc347985314" Figure 20 File Pointers  PAGEREF _Toc347985314 \h 51  HYPERLINK \l "_Toc347985315" Figure 21 Pointers  PAGEREF _Toc347985315 \h 53  HYPERLINK \l "_Toc347985316" Figure 22 Sample Usage (RORAPI01 Routine)  PAGEREF _Toc347985316 \h 71  HYPERLINK \l "_Toc347985317" Figure 23 - Sample Output (RORAPI01 Routine)  PAGEREF _Toc347985317 \h 71  THIS PAGE INTENTIONALLY LEFT BLANK Preface Typographical Conventions Used in the Manual Fonts and other conventions shown in  REF _Ref233443442 \h \* MERGEFORMAT Table 1 are used throughout this document. Conventions for the use of graphic icons and other symbols are shown in  REF _Ref233443489 \h \* MERGEFORMAT Table 2. xe "typographical conventions"xe "conventions:typographical"xe "fonts"xe "typefaces"xe "icons"xe "symbols"xe "green text"xe "dashed underlining"xe "keyboard keys"xe "keys:keyboard"xe "names:registry"xe "names:reports"xe "names:field"xe "names:patches"xe "names:software applications"xe "names:GUI panels"xe "names:GUI panes"xe "names:GUI tabs"xe "names:GUI command icons"xe "names:GUI buttons"xe "names:documents"xe "names:standards" Table  SEQ Table \* ARABIC 1 Typographical Conventions FontUsed forExamples:Blue text, underlinedHyperlink to another document or URLHYPERLINK "ftp://ftp.fo-slc.med.va.gov/"ftp.fo-slc.med.va.govGreen text, dashed underliningHyperlink to a place in this documentCCR accesses several other HYPERLINK \l "Glos_VistA"Veterans Health Information Systems and Technology Architecture (VistA) filesCourier NewPatch namesROR*1.5*2, XYZ file #798.1VistA menu optionsACL Re-index the ACL cross-referenceVistA filenamesXxxVistA field namesXxxFranklin Gothic Demi Keyboard keys< F1 >, < Alt >, < L >, [Enter]Microsoft Sans SerifSoftware Application namesClinical Case Registries (CCR)Registry namesCCR:HIVGUI database field namesComment fieldGUI report namesProcedures reportMicrosoft Sans Serif boldGUI panel, pane, tab, button and command icon namesOther Registries panel [Delete] buttonTimes New RomanNormal text designed for use by designated Registry Coordinators, Managers, and Clinicians.Times New Roman ItalicText emphasisIt is very importantNational and International Standard namesInternational Statistical Classification of Diseases and Related Health ProblemsDocument namesClinical Case Registries User Manual xe "graphical conventions"xe "conventions:graphical" Table  SEQ Table \* ARABIC 2 Graphical Conventions GraphicUsed forInformation of particular interest regarding the current subject matter xe "icon:note"A tip or additional information that may be helpful to the user xe "icon:tip"A warning concerning the current subject matter xe "icon:warning"Information about the history of a function or operation; provided for reference only. xe "icon:history" Navigating Hyperlinks Throughout this document, you will find hyperlinks of various types like those indicated in  REF _Ref233443442 \h \* MERGEFORMAT Table 1, above. Some will be to other places in this document, while others will take you to websites or other documents stored online. If the hyperlink is to another place in this document, use the web toolbar back button ( ) to return to the point in the document where you clicked the link. If the link is external and takes you to a website, use the back button in your browser to return. If you do not see the back button in the program you are using to read this document, use your program's View menu to turn on the Web toolbar. For example, in Microsoft Word 2003, first click View, then Toolbars; make sure the Web toolbar is selected. Screen Displays and Text Notes In this manual, the VistA users response is shown in bold type, xe "screen display:user response"xe "user response"xe "screen display:bold type"but it does not appear on the screen as bold. The bold part of the entry is the letter, or letters, that you must type so that the computer can identify the response. In most cases, you only have to enter the first few letters. This increases speed and accuracy. Every response you type must be followed by pressing the [Return] keyxe "user response:Return/Enter key" (or [Enter] for some keyboards). In VistA screen shots, whenever the Return or Enter key should be pressed, you will see the symbol . xe "screen display:"This symbol is not shown but is implied if there is bold input. Within the rollnscroll part of the system, Help frames may be accessed from most prompts by entering one, two, or three question marks (?, ??, or ???). xe "user response:question marks" Within the examples of actual terminal dialogues, additional information about the dialogue may be shown. This information is enclosed in brackets, for example, {type ward name here}, and it does not appear on the screen. xe "user response:{bracketed information}" Clinical Case Registries Software Application The Clinical Case Registries (CCR) softwarexe "CCR:software"xe "software:CCR"xe "application:CCR"xe "CCR:application" application supports the maintenance of local and national registries for clinical and resource trackingxe "tracking:clinical" of care for patients with certain clinical conditions. National registriesxe "registries " for HYPERLINK \l "Glos_HepatitisC"Hepatitis C (CCR:HEPC) xe "CCR:HEP" and HYPERLINK \l "Glos_HIV"Human Immunodeficiency Virus (CCR:HIV) xe "CCR:HIV" are available. Sixteen local registries were added in ROR*1.5*18. Data in local registries are not transmitted to the national database. This application allows access to important demographic and clinical dataxe "data:clinical"xe "data:demographic" on all VHA patients with these conditions, and provides many capabilities to VA facilities that provide care and treatment to patients with these conditions, including clinical categorization of patients and automatic transmission of data in the two national registries to the VA's HYPERLINK \l "Glos_NCR"National Case Registry xe "National Case Registry" It also provides clinical and administrative reportsxe "reports:clinical"xe "reports:administrative" for local medical center use. CCR accesses several other HYPERLINK \l "Glos_VistA"Veterans Health Information Systems and Technology Architecture (VistA) filesxe "files:VistA" that contain information regarding other diagnosesxe "files:diagnoses", prescriptionsxe "files:prescriptions", surgical proceduresxe "files:surgical procedures", laboratory testsxe "files:laboratory tests", radiology examsxe "files:radiology exams", patient demographicsxe "files:patient demographics", hospital admissionsxe "files:admissions", and clinical visitsxe "files:visits". This access allows identified clinical staff to take advantage of the wealth of data supported through VistA. Purpose of the Manual The Clinical Case Registries User Manual provides detailed instructions for using the CCR software and its HYPERLINK \l "Glos_GUI"graphical user interface (GUI).xe "user interface:graphical"xe "graphical user interface"xe "GUI" This document, the CCR Technical Manual / Security Guide, provides more technical information about the CCR application. Throughout this document, the acronym CCRxe "acronym:CCR"xe "CCR:acronym" always refers to the application and its features, not to the individual registries. The HIV and Hepatitis C registries are referred to as CCR:HIVxe "registry:HIV" and CCR:HEPCxe "registry:HEPC", respectively: see HYPERLINK \l "App_A"Appendix A and HYPERLINK \l "App_B"Appendix B for registry-specific information. Recommended Users The Information Resource Management (IRM) staff is required for installation and support of the CCR v1.5. xe "users:IRM"xe "users:Information Resource Management" Related Documents These related documentsxe "documents:related"xe "related documents" are available at HYPERLINK "http://www.va.gov/vdl/application.asp?appid=126"http://www.va.gov/vdl/application.asp?appid=126. Clinical Case Registries 1.5 Installation & Implementation Guidexe "CCR:Installation & Implementation Guide"xe "Installation & Implementation Guide" Clinical Case Registries 1.5 Release Notesxe "CCR:Release Notes"xe "Release Notes" Clinical Case Registries 1.5 User Manualxe "CCR:User Manual"xe "User Manual" Introduction The Clinical Case Registries (CCR)xe "CCR:features of"xe "CCR:overview of") software application collects data on the population of veterans with certain clinical conditions, namely HYPERLINK \l "Glos_HepatitisC"Hepatitis Cxe "data:Hepatitis C" and HYPERLINK \l "Glos_HIV"Human Immunodeficiency Virusxe "data:Human Immunodeficiency Virus"xe "data:HIV" (HIV) infections. Overview The Clinical Case Registries (CCR) xe "CCR:version 1.5" software uses pre-defined selection rulesxe "CCR:selection rules"xe "selection rules" that identify patients with a disease-related HYPERLINK \l "Glos_ICD9"ICD-9 codexe "ICD-9 codes"xe "codes:ICD-9" or a positive result on a laboratory test and adds them to the registry. Patients added to local registries are automatically confirmed. Patients added to national registries are added in a pending state. Pending patientsxe "pending patient review"xe "review:pending patient" are reviewed by the local registry coordinatorxe "registry coordinator"xe "coordinator:registry" and if the data confirm the diagnosis, the local registry coordinator confirms the patientxe "comfirming pending patient"xe "pending patient:confirming" in the registry. A nightly background processxe "nightly background process"xe "process:nightly background"xe "process:data transmission" transmits a set of predefined data via HYPERLINK \l "Glos_HL7"HL7xe "HL7" to the national CCR databasexe "CCR:national database"xe "national CCCR database" at HYPERLINK \l "Glos_CDCO"Corporate Data Center Operations (CDCO).xe "CDCO"xe "Corporate Data Center Operations" Data from the national registries is aggregated in the same message. The CCR software creates a limited set of database elements to be stored locallyxe "data:stored in local VistA system" in the VistA system, and focuses on assuring that the local listing is complete and accurate, that the desired data elements are extracted, and that data elements are appropriately transmitted to the national database. Note: Effective with Patch ROR*1.5*14, the extract code pulls Purchased Care Data. New ZIN/ZSV/ZRX segments were added to the HL7 message for this purpose (see updated tables starting on page HYPERLINK \l "FieldDef"166). This change is transparent and seamless to users; no changes in process or method were made. Note: Effective with Patch ROR*1.5*18, if the user who performed the nightly task is not a valid user, CCR will abort with an access violation. If this error occurs, double-check the user permissions. The task needs to be rescheduled by an active user with the ROR VA IRM key. Note: Effective with Patch ROR*1.5*20, the Clinical Case Registries (CCR) application was brought into 508 compliance in many areas.  If there is more new data than is allowed by the registry parameter for a single CCR HL7 batch message (currently, five megabytes), the software will send several messagesxe "messages:multiple"xe "multiple messages" during a single night. Data from the registries is used for both clinical and administrative reportingxe "reports:clinical data"xe "reports:administrative data" on both a local and national level. Each facility can produce local reportsxe "reports:local"xe "local reports" (information related to patients seen in their system.). Reports from the national database are used to monitor clinical and administrative trendsxe "monitoring:trends"xe "trend monitoring", including issues related to patient safety, quality of care and disease evolution across the national population of patients. Software Features and Functions CCR provides these key features: xe "CCR:key features"xe "key features" Easy data access and navigation of the data files via the GUI.xe "CCR:data access"xe "CCR:navigation" Semi-automatic sign-onxe "CCR:semiautomatic sign-on"xe "CCR:single sign-on" to the VistA databases via the web-based GUI; xe "CCR:GUI"xe "CCR:graphical user interface" a separate VistA log-in is not required, nor is emulation softwarexe "CCR:emulation software" such as !KEAxe "!KEA" or Attachmate Reflection.xe "Reflection" Automated development of local listsxe "local patient lists"xe "lists:local patients" of patients with evidence of HIV or Hepatitis C infection.xe "lists:patients with evidence of HIV"xe "lists:patients with evidence of HEPC" Automatic transmission of patient dataxe "data:automatic transmission" from the local registry lists to a national database. Robust reporting capabilities. xe "reports:robust capabilities" CCR also provides the following functions: Tracking of patient outcomes relating to treatment. xe "tracking patient outcomes"xe "patient outcomes:tracking"xe "outcomes:tracking" Identification and tracking of important trendsxe "tracking trends"xe "trends:tracking" in treatment response, xe "trends:treatment response"xe "treatment response trends" adverse events, xe "trends:adverse events"xe "adverse events:trends" and time on therapy. xe "trends:time on therapy"xe "time on therapy:trends" Monitoring quality of carexe "monitoring:quality of care"xe "quality of care" using both process and patient outcome measures. xe "monitoring:process measures"xe "monitoring:patient outcome measures" About Clinical Case Registries 1.5 Version 1.5 of the CCR software (published via Patch ROR*1.5*1) introduced a single software package to support both the CCR:HEPC Registry and the CCR:HIV Registry (also called the Immunology Case Registry (ICR)). CCR provides access to both xe "HIV Registry" \t "See CCR:HIV"CCR:HIV and xe "Hepatitis C Registry" \t "See CCR:HEPC"CCR:HEPC from a single interface; previously, these two registries were created and maintained through two separate software packages. Since the functional requirements for these registries were substantially the same, they were combined. CCR 1.5 has also been enhanced by automation of the data collection systemxe "CCR:data collection automation"xe "data collection automation" and transformed from an administrative database into a clinically relevant tool for patient management. Each patch released since the original iteration of CCR 1.5 has added improvements and fixes; see  REF _Ref233166341 \h \* MERGEFORMAT CCR Patches ROR*1.5*X for details. Decommissioned Software Immunology Case Registry v2.1xe "software:Immunology Case Registry v2.1" xe "software:decommissioned"Patients from ICR xe "ICR" \t "See CCR:HIV"version 2.1 were migrated to CCR:HIV during the installation of patch ROR*1*5 (March 2004). After a transitional period when the two packages were used concurrently, ICR xe "ICR" \t "See CCR:HIV"2.1 was removed from service by patch IMR*2.1*21 (October 2005). Hepatitis C Case Registry v1.0xe "software:Hepatitis C Case Registry v1.0" xe "software:decommissioned"Hepatitis C Case Registry (HCCR) xe "HCCR" \t "See CCR:HEPC" v1.0 was removed from service with the release of CCR 1.5. Historical patient data from the previous Hepatitis C Registry was migrated to CCR:HEPC. CCR Patches ROR*1.5*X Changes provided by patches in the ROR*1.5xe "ROR*1.5 series patches"xe "patches:ROR*1.5 series" series are shown in the following tables. Under Type, E indicates an enhancement, F indicates a fix, and M denotes a modification (as to data). To jump to a particular patch, click (or +) a green link below. HYPERLINK \l "P01"Patch ROR*1.5*1HYPERLINK \l "P02"Patch ROR*1.5*2HYPERLINK \l "P03"Patch ROR*1.5*3HYPERLINK \l "P04"Patch ROR*1.5*4HYPERLINK \l "P05"Patch ROR*1.5*5HYPERLINK \l "P06"Patch ROR*1.5*6HYPERLINK \l "P07"Patch ROR*1.5*7HYPERLINK \l "P08"Patch ROR*1.5*8(Patch ROR*1.5*9: maintenance patch; not documented herein)HYPERLINK \l "P10"Patch ROR*1.5*10HYPERLINK \l "P11"Patch ROR*1.5*13HYPERLINK \l "_Patch_ROR*1.5*14"Patch ROR*1.5*14HYPERLINK \l "Patch_15"Patch ROR*1.5*15(Patch ROR*1.5*16: maintenance patch; not documented herein) REF _Ref320866891 \h  \* MERGEFORMAT Patch ROR*1.5*17 REF _Ref332870066 \h  \* MERGEFORMAT Patch ROR*1.5*18 REF _Ref347992083 \h  \* MERGEFORMAT Patch ROR*1.5*20 Patch ROR*1.5*1 Table  SEQ Table \* ARABIC 3 Patch ROR*1.5*1 Description Patch Number#DescriptionTypeROR*1.5*11Selected (Date) and Selection Rule columns added to the patient list on the Registry tab.E2When a report is opened, the Task Manager tab is activated.E3The Mode field is added to the Local Fields and Other Registries panels of the Report parameters to provide patient include and exclude filters.E4A Delete button is added to the Patient Data Editor dialog box.E5A Patients panel is added to the Procedures report to use selected procedures performed and selected procedures not performed within a date range.E6A Procedures panel is added to the Procedures report to indicate whether a procedure is an inpatient or outpatient oneE7The ICD-9 panel of the Diagnoses report is modified to be able to define groups and add ICD-9 codes to the groups.E8The Check if patient ever had an AIDS-OI checkbox is automatically selected and the Date of AIDS-OI field is populated if an indicator disease Def box is selected in Section VIII of the CDC form in the Clinical Status section.E9A new patient search parameter is added for the Registry tab: # followed by the patients 11-digit coded SSN.E10The output format of the Combined Meds and Labs report is modified.E11The Patient Medication History report is modified with the addition of two radio buttons, Consider All and Selected Only to the Select Patient panel.E12Fixed Microsoft Windows Server 2003 issue.F13Fixed missing CDC bitmap error.F14Fixed incorrect printing of the CDC form.F Patch ROR*1.5*2 Table  SEQ Table \* ARABIC 4 Patch ROR*1.5*2 Description Patch Number#DescriptionTypeROR*1.5*21Fixed RPC Broker timeout issue.F2Fixed issues with duplicates in patient list.F3Fixed issues with lower-case characters in lab tests and medications data.F4Fixed issue with Reporting date entry not accepting -T.F5Fixed issue with un-checking of local fields in the Patient Data Editor not being saved.F6Fixed issues with run-time errors using $QUERY on non-Cach platforms.F7Fixed issues with non-SSN patient identifier appearing on reports at non-VA sites.F Patch ROR*1.5*3 Table  SEQ Table \* ARABIC 5 Patch ROR*1.5*3 Description Patch Number#DescriptionTypeROR*1.5*31Accommodated Patch RA*5*75 (Radiology), which introduced a Reason for Study data field.E2Addition of Task Control flag (M) which signals the system to disable HL7 messaging.E Patch ROR*1.5*4 Table  SEQ Table \* ARABIC 6 Patch ROR*1.5*4 Description Patch Number#DescriptionTypeROR*1.5*41Added two additional ICD-9 codes needed for the nightly ROR registry update and data extraction.E Patch ROR*1.5*5 Table  SEQ Table \* ARABIC 7 Patch ROR*1.5*5 Description Patch Number#DescriptionTypeROR*1.5*51Fixed issue with Procedures without a Provider not being sent to AAC.F2Added drug identified as needed for nightly ROR registry update and data extraction.E Patch ROR*1.5*6 Table  SEQ Table \* ARABIC 8 Patch ROR*1.5*6 Description Patch Number#DescriptionTypeROR*1.5*61Added generic drug RALTEGRAVIR to VA GENERIC file #50.6.E Patch ROR*1.5*7 Table  SEQ Table \* ARABIC 9 Patch ROR*1.5*7 Description Patch Number#DescriptionTypeROR*1.5*71Added generic drug ETRAVIRINE to VA GENERIC file #50.6.E Patch ROR*1.5*8 Table  SEQ Table \* ARABIC 10 Patch ROR*1.5*8 Description Patch Number#DescriptionTypeROR*1.5*81Fixes the access violation seen when selecting Diagnoses Report (Remedy Tickets HD0000000262208 and HD0000000262209).F2Inserts a Comment Field in the Pending Patient File necessary for tracking special conditions for a patient (see CCR User Manual, Pending Comment).E3Adds the Comments panel to the Patient Data Editor screen (see 2 above).E4Adds the Comment field to Processing Pending Patient screen (see 2 above).E5Refreshes the Processing Pending Patient screen when comment is added or deleted (see 2 above).E6Adds radio buttons Include, Exclude, or Ignore to provide a filter limiting reports to patients who have diagnoses based on International Classification of Diseases, 9th edition (ICD-9) codes in Common Templates or Your Templates. This filter applies to all reports except the Diagnoses Report.E7Modifies the Combined Meds and Labs report to require the user to assign a group name.E8Modifies the Combined Meds and Labs report to provide the option to limit lab results to most recent.F9Modifies the Combined Meds and Labs report to "Include All" or "Selected Only" for lab results (Remedy Ticket HD0000000232223).E10Modifies the Combined Meds and Labs report, Pharmacy Prescription Utilization report, and the Patient Medication History report to include a new method of handling Investigational Drugs and Registry Medications on the Medications panel drop-down list.E Patch ROR*1.5*10 Table  SEQ Table \* ARABIC 11 Patch ROR*1.5*10 Description #DescriptionType1Adds new ICD-9 diagnosis groups to the Common Templates:MHCC155.0 MAL NEO LIVER, PRIMARYEsophageal Varices456.0ESOPHAG VARICES W BLEED456.1ESOPH VARICES W/O BLEED456.20BLEED ESOPH VAR OTH DIS456.21ESOPH VARICE OTH DIS NOS2aAdds LOINC codes to CCR:HIV Patient ID: MLOINC_NUMSHORTNAMELONG_COMMON_NAME34591-8HIV1 Ab Fld Ql EIAHIV 1 Ab [Presence] in Body fluid by Immunoassay34592-6HIV1 Ab Fld Ql IBHIV 1 Ab [Presence] in Body fluid by Immunoblot (IB)43009-0HIV1+2 IgG Ser QlHIV 1+2 IgG Ab [Presence] in Serum43010-8HIV1+2 Ab XXX QlHIV 1+2 Ab [Presence] in Unspecified specimen43185-8HIV 1 & 2 Ab Patrn Ser IB-ImpHIV 1 & 2 Ab band pattern [interpretation] in Serum by Immunoblot (IB)43599-0HIV1 Ab Ser IF-aCncHIV 1 Ab [Units/volume] in Serum by Immunofluorescence44533-8HIV1+2 Ab Ser Donr QlHIV 1+2 Ab [Presence] in Serum from donor44607-0HIV1 Ser EIA-ImpHIV 1 [interpretation] in Serum by Immunoassay44873-8HIV1+2 Ab Ser Ql IBHIV 1+2 Ab [Presence] in Serum by Immunoblot (IB)49580-4HIV1+2 Ab XXX Ql RapidHIV 1+2 Ab [Presence] in Unspecified specimen by Rapid test49905-3HIV1 Ab XXX Ql RapidHIV 1 Ab [Presence] in Unspecified specimen by Rapid test5221-7HIV1 Ab Ser Ql IBHIV 1 Ab [Presence] in Serum by Immunoblot (IB)53379-4HIV1 Ab XXX QlHIV 1 Ab [Presence] in Unspecified specimen54086-4HIV1+2 IgG Bld.Dot QlHIV 1+2 IgG Ab [Presence] in Blood dot (filter paper)2bAdds LOINC Codes to CCR:HEPC Patient ID:MLOINC NUMSHORTNAMELONG_COMMON_NAME47365-2HCV Ab Ser Donr Ql EIAHepatitis C virus Ab [Presence] in Serum from donor by Immunoassay47441-1HCV Ab Ser Donr QlHepatitis C virus Ab [Presence] in Serum from donor48576-3HCV RNA XXX Ql bDNAHepatitis C virus RNA [Presence] in Unspecified specimen by Probe & signal amplification method51655-9HCV RNA Fld Ql PCRHepatitis C virus RNA [Presence] in Body fluid by Probe & target amplification method51657-5HCV Ab Fld QlHepatitis C virus Ab [Presence] in Body fluid3Updates (by changing date selection criteria) the Microbiology data extraction code to capture missing Microbiology data. Extract now uses completion date and/or date collected. Prior to this patch, the Microbiology data extraction was pulling data based on the 'completion date' (DATE REPORT COMPLETED, #.03 in the MICROBIOLOGY sub-file #63.05 of the LAB DATA file #63) alone. It was found that many sites do not populate that field, causing microbiology data to be omitted from the nightly extract to the central registry. The extract will now pull data based on the 'date collected' (DATE/TIMESPECIMEN TAKEN, #.01) if the 'completion date' is null.E4Corrects Problem List Extraction by using DATE RESOLVED versus DATE RECORDED. Previously, the Problem List Extraction was pulling data from the wrong field (DATE RECORDED, #1.09) to populate the 'date resolved' field in the extract. Data is now correctly pulled from the DATE RESOLVED field (#1.07) of the PROBLEM file (#9000011).F5Adds new OBR and OBX segments to the nightly extract to pull Immunization data and Skin Test data for Registry patients (see CCR Technical Manual). The nightly and historical extracts have been enhanced to include OBR and OBX segments for Immunization data and Skin Test data for registry patients. Immunization data and Skin Test data will be pulled if the DATE LAST MODIFIED (#.13 in the VISIT file (#9000010) is within the extract range. For details of the data included in the segments, please refer to the CCR Technical Manual.E6Changes nightly data extract to include patients on the Pending list. The CCR data extract (both nightly and historical) previously included data for 'confirmed' patients only. It will now include data for 'pending' patients as well. Previously, the DON'T SEND field (#11) in the ROR REGISTRY RECORD file (#798) was set to 'true' when a pending patient was added to the registry. With patch 10, the DON'T SEND field will be set to 'true' for test patients only. E7Adds three new reports: EModel for End-Stage Liver Disease (MELD) Score by RangeBody Mass Index (BMI) by RangeRenal Function by RangeThese reports can be executed from the GUI application. See the User Manual for additional report information.8Modifies existing report headers to reflect the Other Diagnosis filter (added by ROR*1.5*8)E9Adds ALL REGISTRY MEDICATIONS to the Medications Selection panel via a new [All Registry Meds] button. This is included in the Combined Meds and Labs, Patient Medication History, and Pharmacy Prescription Utilization reports.E10Adds new checkbox to display Pending Comments on the List of Registry Patients report. The "List of Registry Patients" report has been enhanced to include a "Pending Comments" column added to the Report Options. If this option is checked, an additional column called Pending Comments will be added as the right-most column of the report. If the Registry Status' Pending check box is not checked, the Pending Comments option will be disabled.E11Replaces Direct global and FileMan reads to the International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) files with calls using supported Application Program Interfaces (APIs). To support encapsulation of data in the ICD-9-CM package, direct global and FileMan reads previously used in the ROR namespace were replaced with calls using supported ICD-9-CM APIs. These supported APIs retrieve Diagnosis information needed by the CCR application for the extracts and reports.E12Modifies Other Diagnosis filter to allow the user to remove group header from the selected box when the user removes a group from the selected panel. If the user highlights the header and presses the delete key, the header will be deleted. In addition, if the user highlights the header and hits the left arrow, the header will be deleted. Previously, the header was not being removed from the selected box. Reports with the 'Other Diagnoses' filter have been modified to display the selected diagnoses in the report header. One of the three formats shown below will be displayed on the report, depending on what the user selected. Diagnoses: All Diagnoses: Include abc, def, etc. Diagnoses: Exclude abc, def, etc.M13Modifies the Help About popup to conform to VA standards, including hyperlinks to reference documents.E14Modifies the online help file to make it HYPERLINK \l "Glos_CSH"context-sensitive.E15Updates the GUI application to work toward adherence to the HYPERLINK \l "Glos_508"Section 508 standards. M16Reports XML code have been updated to address a bug introduced in Internet Explorer 7 that was causing page breaks to not work correctly.F Patch ROR*1.5*13 Table  SEQ Table \* ARABIC 12 Patch ROR*1.5*13 Description #DescriptionType1Adds LOINC code 57006 to the VA HEPC entry of the Lab Search criteria in the ROR LAB SEARCH file (#798.9), sub-file LAB TEST (#2).M2Enhances the nightly and historical HL7 extracts to include ORC and RXE segments for Non-VA medications for registry patients. Non-VA medication data will be pulled if the DOCUMENTED DATE (#11) or the DISCONTINUED DATE (#6) in the NON-VA MEDS sub-file (#52.2) of the PHARMACY PATIENT file (#55) is within the extract range. E3Enhances the Patient Medication History report to allow users to select the most recent fill only, or all fills. The report output has been enhanced to include a column displaying the number of fills remaining.E4Reports BMI by Range, MELD Score by Range, and Renal Function by Range have been enhanced to allow users to sort the report output by the calculations. The BMI by Range report can be sorted by the BMI score. The MELD Score by Range report can be sorted by the MELD or the MELD-Na score. The Renal Function by Range report can be sorted by the CrCL or the eGFR score.E5All reports (except Outpatient Utilization, Inpatient Utilization, List of Registry Patients, and Current Inpatient List) will allow users to select specific clinics or divisions. All reports (except List of Registry Patients and Current Inpatient List) will allow users to select specific patients.E6When users want to select specific medications in the Combined Meds And Labs report or the Patient Medication History report, the text in the search box will automatically convert to uppercase.E7The CCR GUI application will now check VistA for the CCR server version, and it will display a message if the CCR GUI and the CCR server version are out of sync with each other.E8The CCR GUI was updated to work towards becoming fully compliant with the HYPERLINK \l "Glos_508"Section 508 standards.9An historical data extraction for Non-VA meds is added to the ROR HISTORICAL DATA EXTRACTION file (#799.6). It will automatically execute during the next nightly extract, and there is no manual intervention required by the sites. The extraction date range for this historical data extraction is 1/1/1985 through current date (installation date).E Patch ROR*1.5*14 Table  SEQ Table \* ARABIC 13 Patch ROR*1.5*14 Description #Type1The 13 risk factors for the HIV registry have been changed from mandatory to optional.E2Currently, within the Patient Data Editor in the HIV registry, the user is prompted to click a checkbox if the patient "ever had an AIDS OI." This prompt and checkbox has been replaced with the question "Did the patient ever have an AIDS OI?" and the option to select either Yes, No, or Unknown has been added to the checkbox.E3The following mandatory question has been added to the Patient Data Editor: "Was your VHA facility/station the first health care setting (VA or non-VA) to diagnose HIV?" along with a checkbox to select either Yes, No or Unknown.E4A new column has been added to the List of Registry Patients Report that allows the user to select "Diagnosed at this facility." This column indicates whether this facility was the first health care setting (VA or Non-VA) to diagnose HIV.E5The nightly extract has been enhanced to include Purchased Care data for registry patients.E6The "MELD Score by Range" report has been renamed to "Liver Score By Range". E7The "Liver Score by Range" report now includes the list of LOINC codes used in the report.E8The "Renal Score by Range" report now includes the list of LOINC codes used in the report. E9The "Liver Score by Range" report now includes APRI and FIB-4 calculations. E10Patients will be automatically confirmed into the HEPC Registry if they have a positive Hepatitis C Virus (HCV) viral load test result.E11This patch brings the Clinical Case Registries (CCR) application into 508 compliance in many areas.E12A historical data extraction for Purchased Care is added to the ROR HISTORICAL DATA EXTRACTION file (#799.6) for automatic execution during the next nightly extract.E Patch ROR*1.5*15 Table  SEQ Table \* ARABIC 14 Patch ROR*1.5*15 Description #DescriptionType1Three new HCV generic Drugs, Telaprevir, Boceprevir and Rilpivirine were approved by the FDA in May, 2011. These three medications have been added to the ROR GENERIC DRUG (#799.51) file and can now be selected on reports to provide information about the patients who are taking the new medications.E2The Renal Function by Range Report has been enhanced to include a new option for calculating the eGFR called the CKD-EPI equation. The CKD-EPI GFR is an estimate of glomerular filtration (GFR) using serum creatinine and demographic factors. It is a relatively new equation that is believed to be superior to the MDRD GFR equation. If selected, the CKD-EPI scores are summarized on the report by chronic kidney disease stageE3The result ranges panel on the Renal Function by Range report will include a note that reads, "Lab tests used to calculate renal function are identified by LOINC code. Your local lab ADPAC should be contacted regarding errors in LOINC codes."M4The header on the Renal Function by Range report currently reads, "Lab tests used to calculate Cockcroft-Gault and/or eGFR by MDRD scores are identified by LOINC code." This text will be updated to read, "Lab tests used in calculations are identified by LOINC code."M5The cover sheet text of the Renal Function by Range report will be amended to include the list of LOINC codes that are used. The new text on the Renal Function by Range report will read, "Lab tests used to calculate scores are identified by LOINC code. Your local lab ADPAC should be contacted regarding errors in LOINC codes."E6The Liver Score by Range report has been modified to display only those tests used in the calculation of the liver scores selected by the user If the user selects the APRI and/or FIB4 tests, then the Bili, Cr, INR, and Na rows should not appear on the report. If the user selects the MELD and/or MELDNA tests, then the AST, Platelet, and ALT rows should not appear on the report.M7The result ranges panel on the Liver Score by Range report will include a note that reads, "Lab tests used in calculations are identified by LOINC code. Your local lab ADPAC should be contacted regarding errors in LOINC codes."M8Users may now use Diagnosed at this VA as a local field. This is a CCR:HIV only option. E9Users may now type ?? or click the All Divisions button to display all Divisions in the left-hand pick box.E10The CDC Form has been modified to correct the transposition of check box values for the Bisexual male and Intravenous/injection drug user questions.F11The CDC Form has been modified to check the appropriate checkbox if the user selects 'yes' to the question Received Clotting Factor for Hemophilia/Coagulation disorder.F12An invalid date check and error message have been added for the question, Received transfusion of blood/blood components (other than clotting factor) on the Risk Factors tab in the Patient Editor.E13A future date check and error message have been added for the question, Received transfusion of blood/blood components (other than clotting factor) on the Risk Factors tab in the Patient Editor.E14A future date check and error message have been added for the question, Did the patient ever have an AIDS OI? on the Clinical Status in the Patient Editor.E15An historical data extraction for Non-VA Meds has been added to the ROR HISTORICAL DATA EXTRACTION file (#799.6) for automatic execution during the next nightly extract.E16The Date Range panels (Date Range, Medications Date Range, Lab Tests Date Range and Utilization Date Range) were re-designed for easier use with Assistive Technology.M Patch ROR*1.5*17 Table  SEQ Table \* ARABIC 15 Patch ROR*1.5*17 Description #DescriptionType1A new HIV generic drug, EMTRICI./RILPIVIRINE/TENOFOVIR (Complera) was approved by the Food and Drug Administration (FDA). This new medication has been added to the ROR GENERIC DRUG (#799.51) file and can now be selected on reports to provide information about the patients taking the new medication.E2The List of Registry Patients report has been enhanced to allow users to specify an Only Confirmed After date. If the user selects this feature, the Pending box will be disabled. This will allow users to generate a list of recently confirmed patients that have been added to the registry after a specific date.E3A new diagnosis group, Post Traumatic Stress Disorder (PTSD), has been added to the common templates. The ICD code for PTSD is 309.81.E4Lab test selection on the Lab Utilization report, the Combined Meds and Labs report, the DAA Lab Monitoring report and the Edit Site Parameters option in the GUI has been changed to be case insensitive. For example, if a user enters "zinc" as a search criterion, all test names for "zinc" will be returned regardless of the case of the test name in file #60 (e.g. zinc, Zinc, ZINC, zINC, etc.). This problem was reported in Remedy ticket #215842.M5The text on the Result Ranges panel and the report header of the Liver Score by Range report have been modified to provide additional instruction.M6The text on the Result Ranges panel and the report header of the Renal Function by Range report have been modified to provide additional instruction.M7A new HepC report, Potential DAA Candidates, has been added to identify patients who may be eligible for the new HepC Direct Acting Anti-Viral(DAA) medications. The user may request a list of HepC patients with treatment histories of 'naive' and/or 'experienced'. Patients who are 'naive' have never taken any registry medications. Patients who are 'experienced' have not received DAA medications but have taken other registry medications. The user may choose to exclude experienced patients who have fills for other registry medications within a specified number of days.E8A new HepC report, DAA Lab Monitoring, has been added to monitor laboratory results for patients who have taken DAAs. The user may display the two most recent test results prior to the first DAA fill date as well as selected lab test results for X weeks after the first DAA fill date. The user may also restrict the lab test results after the first DAA fill date to be the most recent. Any registry medications for the patient filled 60 days before the first DAA fill date through today display automatically on the report.E9The preview and printing of the CDC form has been modified to correct the transposition of check box values for the risk factors, Bisexual male and the Intravenous/injection drug user.F10An installation problem with the CCR help file referenced in Remedy ticket #233500 is corrected.F11This patch brings the Clinical Case Registries (CCR) application into 508 compliance in many areas.F Patch ROR*1.5*18 Table  SEQ Table \* ARABIC 16 Patch ROR*1.5*18 Description #DescriptionType1This patch is designed to allow reporting tools used with the national Hepatitis C and HIV registries to be used with local registries. Sixteen new local registries are added based on ICD9 codes provided by the national Office of Public Health/Population Health. The new registries represent patient diagnostic groups for: Alzheimer's Disease Amputation Breast Cancer Cerebrovascular Disease (CVD) Chronic Obstructive Pulmonary Disease (COPD) Chronic Renal Disease (CRD) Congestive Heart Failure (CHF) Diabetes Dyslipidemia Hypertension Ischemic Heart Disease (IHD) Low Vision/Blind Mental Health Multiple Sclerosis Osteoarthritis Rheumatoid ArthritisE2An option, Initialize new registries (one time) is provided to schedule the initial build of the new registries. The option is locked with the ROR VA IRM security key. It is run one time and will search for patients with qualifying ICD9 codes linked to outpatient visits, problem lists and inpatient stays back to 1/1/1985. Patients added to a local registry are automatically confirmed. The confirmation date is set to the earliest date of the qualifying ICD9 code. Registries are not available to users until they are initialized.E3Once the registries are initialized, the nightly job (ROR TASK) searches for new patients with qualifying ICD9 codes. Patients added to one of the 16 local registries are automatically confirmed. The confirmation date is set to the date of the qualifying ICD code.E4Only data from the national registries for HIV and Hepatitis C will be transmitted to the national database.M5Two new security keys have been added, ROR VA GENERIC ADMIN and ROR VA GENERIC USER. These keys only provide access to the local registries. Users assigned the new ROR VA GENERIC ADMIN key will have the ability to delete patients from any of the sixteen local registries. Patients are deleted immediately and the deletion is logged in the technical log. If the patient has a future qualifying result, the patient is added back to the appropriate registry. Users with the ROR VA GENERIC USER key will have the ability to run reports on all the local registries.E6It will no longer be necessary to run the option, Re-index the ACL cross-reference manually after assigning or un-assigning a security key. The user's access privileges will be automatically updated at the time the user logs on.M7The Select a Registry screen displayed when the user logs on, will list all the registries to which the user has keys. The national registries for Hepatitis C and HIV will be listed first. The local registries will be listed next in alphabetical order separated from the national registries by a blank line.E8The Patient screen for local registries does not include a Pending only checkbox or a Pending Comments column because patients added to local registries are automatically confirmed.E9Site parameters can be customized for local registries. The site parameters screen displays tabs for Lab Tests, Notifications and Local Fields. A generic tab on the right side of the screen displays laboratory tests. Select local laboratory tests under the Registry Lab tab and move them to the right. Once a laboratory test is added, it is displayed in the middle pane of the Registry Lab Patient Data Editor. The names of VistA users who need to receive notifications about problems in registry processes can be added under the Notifications tab. Local fields can also be added to individual local registries. These fields are used to include/exclude patients from reports.M10The following reports can be run for local registries: BMI by Range Report Clinic Follow Up Report Combined Meds and Labs Report Current Inpatient List Report Diagnosis Report General Utilization and Demographics Report Procedures Report Radiology Utilization Report Inpatient Utilization Report Lab Utilization Report Liver Score by Range Report Outpatient Utilization Report Patient Medication History Report Pharmacy Prescription Utilization Report Renal Function by Range ReportM11The List of Registry Patients can be run for local registries but has been modified for use with local registries. The Pending checkbox has been removed from the Report Status panel. Pending comments and First diagnosed at this facility checkboxes have been removed from the Report Options panel.M12The following reports are not supported for local registries: DAA Lab Monitoring Report Potential DAA Candidates Report Registry Lab Tests by Range Report Registry Medications Report VERA Reimbursement ReportM13If the user has keys for the registries, the Other Registries selection panel will display those registries. Registries listed in this panel can be used to include/exclude patients on reports.F14The Common Template for Depression has been deleted and replaced with two new Common Templates for Major Depression and Other Depression. These templates are used to filter patients based on diagnoses when running reports.M15ROR TASK has been modified to automatically update all registries. It is no longer necessary to list registries in the TASK PARAMETERS field. The description of the option has been modified to reflect this change.E16The Select Patient panel has been added to the DAA Lab Monitoring report.E Patch ROR*1.5*19 Table  SEQ Table \* ARABIC 17 Placeholder for Patch ROR*1.5*19 Description #DescriptionType1To be provided by VA ICD10 development team2 Patch ROR*1.5*20 Table  SEQ Table \* ARABIC 18 Patch ROR*1.5*20 Description #DescriptionType1VA Product COBICISTAT/ELVITEGRAVIR/EMTRICITABINE/TENOFOVIR DF TAB, ORAL VA Generic COBICISTAT/ELVITEGRAVIR/EMTRICITABINE/TENOFOVIR VA Product: COBICISTAT/ELVITEGRAVIR/EMTRICITABINE/TENOFOVIR DFTAB,ORAL VA Generic Name: COBICISTAT/ELVITEGRAVIR/EMTRICITABINE/TENOFOVIR Dosage Form: TAB, ORAL Strength:(5) Units: Nat' Formulary Name: COBICISTAT/ELVITEGRAVIR/EMTRICITABINE/TENOFOVIR TAB,ORAL VA Print Name: STRIBILD ORAL TAB VA Product Identifier: C1522 Transmit to CMOP: Yes VA Dispense Unit: TABE2This patch brings the Clinical Case Registries (CCR) application into 508 compliance in many areas. Obtaining Software and Documentation The CCRxe "CCR:downloading software"xe "downloading CCR software" software (ROR 1_5) and documentation files are available for downloading from the following Office of Information Field Offices (OIFO) ANONYMOUS SOFTWARE directories. The preferred method of obtaining the files is to use HYPERLINK \l "Glos_FTP"File Transfer Protocol (FTP) xe "FTP"xe "File Transfer Protocol" from HYPERLINK "ftp://download.vista.med.va.gov/"ftp://download.vista.med.va.gov/. This transmits the file from the first available FTP server. Sites may also elect to retrieve software directly from a specific server as shown in  REF _Ref233529382 \h \* MERGEFORMAT Table 19. Table  SEQ Table \* ARABIC 19 Software and Documentation Sourcesxe "sources:software and documentation"xe "software:sources"xe "documentation:sources" OIFOFTP Address DirectoryAlbanyHYPERLINK "ftp://ftp.fo-albany.med.va.gov"ftp.fo-albany.med.va.govanonymous.softwareHinesHYPERLINK "ftp://ftp.fo-hines.med.va.gov"ftp.fo-hines.med.va.govanonymous.softwareSalt Lake CityHYPERLINK "ftp://ftp.fo-slc.med.va.gov/"ftp.fo-slc.med.va.govanonymous.softwareThe CCR software and accompanying guides and manuals are distributed as the following set of files: xe "software:distribution"xe "software:files" Table 20 Files Included in Distribution File NameContentsRetrieval FormatROR1_5.KIDCCR Initial version 1.5 build (usually needed only for initial build, as at a new site)ASCIIROR1_5P20GUI.ZIPZipped GUI distributive % CCRSETUP.EXEBINARYROR1_5P20DOC1.ZIPZipped DOC distributive, which includes both .PDF and .DOC formats: % User Manual (ROR1_5_20UM)BINARYROR1_5P20DOC2.ZIP% Installation and Implementation Guide (ROR1_5_20IG) % Technical Manual / Security Guide (ROR1_5_20TM) % Release Notes (ROR1_5_20RN)BINARYVistA Documentation on the Intranet Documentationxe "documentation:in VistA Document Library" for this product, including all of the software manuals, is available in the VistA Document Library (VDL). The Clinical Case Registries documentation may be found at HYPERLINK "http://www.va.gov/vdl/application.asp?appid=126"http://www.va.gov/vdl/application.asp?appid=126. For additional information about the CCR, access the CCRxe "CCR:intranet Home Page" Home Page at the following address: HYPERLINK "http://vista.med.va.gov/ClinicalSpecialties/CCR"http://VistA.med.va.gov/ClinicalSpecialties/CCR/. Training links and informationxe "training:hyperlinks"xe "training:information" are also available at HYPERLINK "http://vaww.vistau.med.va.gov/vistau/ccr/"http://vaww.VistAu.med.va.gov/VistAu/CCR/.xe "training:VistA University"xe "training:VistAU" Accessibility Features in Clinical Case Registries 1.5 Keyboard shortcutsxe "keyboard:shortcuts"xe "shortcuts:keyboard"xe "keyboard:shortcuts" xe "CCR;accessibility"xe "accessibility features" make the CCR GUI accessible to a wide range of users, including those with limited dexterity, low vision, or other disabilities. See the Clinical Case Registries User Manual (available at HYPERLINK "http://www.va.gov/vdl/application.asp?appid=126"http://www.va.gov/vdl/application.asp?appid=126) for a complete list of keyboard shortcuts.  Implementation and Maintenance Implementation Not applicable. Maintenance The Clinical Case Registries Maintenance menu [RORMNT MAIN] xe "RORMNT MAIN"xe "CCR:Maintenance menu"xe "Maintenance menu" has the following options which sites can use to customizexe "software:customize"xe "software:maintain" and maintain their use of the software: Table  SEQ Table \* ARABIC 20 CCR Menu Options OptionDescriptionACL REF _Ref233167180 \h \* MERGEFORMAT Re-index the ACL cross-reference xe "Maintenance menu:ACL option"xe "Maintenance menu:Re-Index the ACL cross-reference option"ELS REF _Ref233167194 \h \* MERGEFORMAT Edit Lab Search Criteria xe "Maintenance menu:ELS option"xe "Maintenance menu:Edit Lab Search Criteria option"ERP REF _Ref233167205 \h \* MERGEFORMAT Edit Registry Parameters xe "Maintenance menu:ERP option"xe "Maintenance menu:Edit Registry Parameters option"HDE REF _Ref233167220 \h \* MERGEFORMAT Historical Data Extraction xe "Maintenance menu:HDE option"xe "Maintenance menu:Historical Data Extraction option"PLF REF _Ref233167236 \h \* MERGEFORMAT Print Log Files xe "Maintenance menu:PLF option"xe "Maintenance menu:Print Log Files option"PP REF _Ref233167244 \h \* MERGEFORMAT Pending Patients xe "Maintenance menu:PP option"xe "Maintenance menu:Pending Patients option" Re-index the ACL cross-reference Note: Effective with Patch ROR*1.5*18, the ACL Re-Index is no longer required. The ACL cross-reference of the ROR REGISTRY PARAMETERS file (#798.1) xe "Maintenance menu:Re-Index the ACL cross-reference option" should be rebuilt after changes in the allocation of the security keys associated with any registry. Usually, this is done by the nightly task (the Registry Update & Data Extraction [ROR TASK] option). However, if you want the changes to take effect immediately, you can rebuild this cross-reference manually: Figure  SEQ Figure \* ARABIC 1 Re-index the ACL Cross-reference ACL Re-index the ACL cross-reference ELS Edit Lab Search Criteria ERP Edit Registry Parameters HDE Historical Data Extraction ... PLF Print Log Files PP Pending Patients ... Select Clinical Case Registries Maintenance Option: ACL Do you want to reindex the ACL cross-reference? NO// YES Done.  Edit Lab Search Criteria This option allows you to enter the Lab Search criteriaxe "Maintenance menu:Edit Lab Search Criteria option" used by the registry update process. The criteria are updated via CCR patches and should not be edited without approval from the HYPERLINK \l "Glos_CQM"Center for Quality Management in Public Health (CQM) and Product Support (PS). Figure  SEQ Figure \* ARABIC 2 Edit Lab Search Criteria ACL Re-index the ACL cross-reference ELS Edit Lab Search Criteria ERP Edit Registry Parameters HDE Historical Data Extraction ... PLF Print Log Files PP Pending Patients ... Select Clinical Case Registries Maintenance Option: ELS Edit Lab Search Criteria Select ROR LAB SEARCH NAME: VA HIV Select LOINC CODE: 33807 Are you adding '33807' as a new LOINC CODE (the 35TH for this ROR LAB SEARCH)? No// Y (Yes) INDICATOR: P Positive Result INDICATED VALUE: Select LOINC CODE: STATUS:  Each criterion includes one or more triads that consist of LOINC CODE, INDICATOR, and an optional INDICATED VALUE. The indicator defines the comparison operation applied to the Lab result. The Lab result is compared to the value of the INDICATED VALUE parameter. For example, if the internal value of this field is equal to 3 (Greater Than) and the value of the INDICATED VALUE field is 5, then this indicator will be evaluated as True for all numeric Lab results values greater than 5. The only exceptions are the Use Reference Range and Positive Result indicators; they ignore the value. The Use Reference Range indicator checks to see if the result value is outside of the reference range defined for the Lab test. The Positive Result indicator selects a test result if the value is equal to P or contains POS, DETEC or REA and does not contain NEG, NO or IND. For example, the POSITIVE, POS, REACT, and DETECTABLE values will be picked up. At the same time, the NON-REACT, INDETERMINATE, and NEG values will be skipped. Note: All string comparisons are case-insensitive. The STATUS field allows users to temporarily inactivate the whole lab search criterion. Edit Registry Parameters This option allows you to review/edit the registry parameters. xe "Maintenance menu:Edit Registry Parameters option" These values can alter the way the system works on a site-by-site basis. Figure  SEQ Figure \* ARABIC 3 Edit Registry Parameters ACL Re-index the ACL cross-reference ELS Edit Lab Search Criteria ERP Edit Registry Parameters HDE Historical Data Extraction ... PLF Print Log Files PP Pending Patients ... Select Clinical Case Registries Maintenance Option: ERP Edit Registry Parameters Select ROR REGISTRY PARAMETERS REGISTRY NAME: VA HEPC Hepatitis C Registry REGISTRY UPDATED UNTIL: DEC 18,2005// DATA EXTRACTED UNTIL: DEC 18,2005// EXTRACT PERIOD FOR NEW PATIENT: 7300// ENABLE LOG: YES// Select LOG EVENT: REGISTRY STATUS: Select NOTIFICATION: CCRUSER,TWO Are you adding 'CCRUSER,TWO' as a new NOTIFICATION (the 2ND for this ROR REGISTRY PARAMETERS)? No// Y (Yes) Select NOTIFICATION: LAG DAYS: 7// ALERT FREQUENCY: 2/ / ENABLE PROTOCOLS: YES// MAXIMUM MESSAGE SIZE: 5//  This option is typically run during the implementation phase to enter Notifications and Log Event Types. All other parameters are set during the package installation and should not be edited without approval from PS or package developers. The REGISTRY UPDATED UNTIL and DATA EXTRACTED UNTIL parameters are initialized during the package installation; they will be subsequently updated by the nightly task. These fields should only be edited in situations such as a system failure. The EXTRACT PERIOD FOR NEW PATIENT parameter defines the number of days subtracted from the date a new patient first selection rule was passed that the extract process uses when extracting data. The value of this parameter for national registries cannot be changed by the users. The ENABLE LOG field allows you to turn the CCR log on or off. The log stores messages generated by different CCR processes (mostly, by the nightly task). The LOG EVENT multiple allows the system to monitor the registry on various levels. If this field is left empty (default), all events except debug messages are recorded in the log file. If the multiple contains one or more records, only events specified by these records and error messages will be recorded. Possible event types are: Debug Information Data Quality Warning Database Error Error Debug messages are intended for registry troubleshooting. These messages are exclusions from the above rule; they are not logged if ENABLE LOG is set to Yes and the LOG EVENT multiple is empty. Their recording can only be explicitly enabled. Information messages can be used as formatting elements (headers, trailers, separators, etc.) and as a source of additional information that may be helpful in the troubleshooting process. Data Quality messages indicate possible issues with the data in the FileMan files, such as missing or invalid values, ambiguous data, etc. Database Error messages most of these error messages are generated by the FileMan DBS calls. Usually, these messages indicate serious problems with the database. Database errors are recorded regardless of content of the LOG EVENT multiple. Error messages indicate fatal problems during the execution. Usually, processing of the patient data (or even the registry as a whole) stops after these errors. Errors are recorded regardless of content of the LOG EVENT multiple. You may enter a new LOG EVENT, if you wish select the type of event and if you want to enable recording of these events. If the list is empty, recording of all events is enabled. Otherwise, only events from the list and error messages will be recorded. If you need to temporarily exclude the registry from the registry updates and data extractions, set the REGISTRY STATUS parameter to INACTIVE (1). Users referenced by the NOTIFICATION multiple receive VistA alerts about problems with the CCR software (such as data transmission problems). Value of the LAG DAYS parameter defines an overlap of the data searches during the registry updates and a data extraction delay during the regular data extractions. See the Technical Description of the field in the data dictionary for more information. Value of the ALERT FREQUENCY parameter determines how often e-mail notifications and VistA alerts are sent to the CDCO and local staff in case of problems with the site's CCR software (data extraction problems, unsent HL7 messages, etc.). For example, if the nightly task runs every night and the ALERT FREQUENCY is 2, then alerts and notifications will be sent every other night. If the ENABLE PROTOCOLS parameter is set to Yes (default), event protocols will be used by the package to speed up the registry processing. The protocols create references to the patient events in the ROR PATIENT EVENTS file (#798.3). Only those patients that have new references will be processed by the next registry update. Note: If several registries are updated at the same time and at least one of them has this field set to Yes, all these registries will be processed using event references. The MAXIMUM MESSAGE SIZE parameter defines the maximum size (in megabytes) of a batch HL7 message that can be sent to the CDCO. If this field is empty or contains 0, the size is not limited. Note: You must coordinate your intentions with CDCO support personnel if you are going to edit this field. Historical Data Extraction This option displays the Historical Data Extraction menu. xe "Maintenance menu:Historical Data Extraction option" See the  REF _Ref127261071 \h \* MERGEFORMAT Manual Historical Data Extraction section below for details. Figure  SEQ Figure \* ARABIC 4 Historical Data Extraction DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display Task Log Select Historical Data Extraction Option:  Print Log Files This option allows you to print the CCR log files. xe "Maintenance menu:Print Log Files option" It provides a history of all events that have occurred within the provided time frame. Figure  SEQ Figure \* ARABIC 5 Print Log Files ACL Re-index the ACL cross-reference ELS Edit Lab Search Criteria ERP Edit Registry Parameters HDE Historical Data Extraction ... PLF Print Log Files PP Pending Patients ... Select Clinical Case Registries Maintenance Option: PLF Print Log Files START WITH START DATE/TIME: // T-1 (FEB 08, 2006) GO TO START DATE/TIME: LAST// DEVICE: HOME// CLINICAL REGISTRIES LOG FILE(S) FEB 9,2006 15:02 PAGE 1 DATE/TIME TYPE PATIENT NAME (DFN) MESSAGE ADDITIONAL INFO -------------------------------------------------------------------------------- LOG DATE/TIME: FEB 8,2006 08:34 FEB 8,2006 08:34 Information ROR 1.5 PRE-INSTALL STARTED VA HEPC VA HIV FEB 8,2006 08:34 Information Removing old selection rule references... FEB 8,2006 08:34 Information The references have been removed. FEB 8,2006 08:34 Information Clearing the ROR TASK file... ...  Note: Logs that are older than 31 days are automatically purged by the nightly task. Pending Patients When you select this option, you are offered the List of Pending Errors option. xe "Maintenance menu:Pending Patients option" This option lists all patients whose data caused errors during the Registry Update process. The option prints a report containing list of patients referenced by the ERROR multiples of the ROR PATIENT EVENTS file (#798.3). The list is sorted by the value of the COUNTER field. This field indicates how many times an error was recorded for the patient. Figure  SEQ Figure \* ARABIC 6 Pending Patients ACL Re-index the ACL cross-reference ELS Edit Lab Search Criteria ERP Edit Registry Parameters HDE Historical Data Extraction ... PLF Print Log Files PP Pending Patients ... Select Clinical Case Registries Maintenance Option: PP Pending Patients LPE List of Pending Errors Select Pending Patients Option: LPE List of Pending Errors DEVICE: HOME// LIST OF PENDING PATIENT ERRORS FEB 9,2006 15:11 PAGE 1 PATIENT NAME DFN REGISTRY -------------------------------------------------------------------------------- COUNTER: 14 CCRPATIENT,ONE 19937 VA HEPC CCRPATIENT,TWO 11866 VA HEPC COUNTER: 5 CCRPATIENT,THREE 10075623 VA HIV ...  This report can be used to find patients ignored by the registry update (until someone fixes the error(s) and resets value of the COUNTER field to 1). Manual Historical Data Extraction Overview If it is necessary to re-extract a large amount of registry data in the specified date range due to new data elements, problems in the data extraction code, etc., then the manual historical data extraction should be used. xe "Maintenance menu:Historical Data Extraction option" The historical data extraction process runs independent of the nightly task. It gathers historical data for each registry patient and writes it to the host operating system files in HL7 format. Several menu options are provided to initiate and control the process. Any data errors found will be reported on a log file, and the job will continue on to the next patient on the registry to get historical data. You can check the status of the run using the user interface. The user interface shows when the job is completed and indicates if any data errors were found. After errors are fixed, the job can be re-run. This second run goes through all patients having errors during the first run and automatically creates an additional file. This process continues until the interface indicates that all patients are processed. After all patients have data extracted successfully, you can transmit all files created by this process to the national database using FTP or any other means. Historical Data Extraction Menu Manual historical data extraction menu options are accessible from the Historical Data Extraction [RORHDT MAIN] menu: xe "Maintenance menu:Historical Data Extraction menu" Figure  SEQ Figure \* ARABIC 7 Historical Data Extraction Menu Select OPTION NAME: RORHDT MAIN DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display Task Log Select Historical Data Extraction Option: ED CT Create Extraction Tasks EE Edit data extraction Select Edit Option:  DS Display Extraction Status This option displays the status of a selected data extraction. The historical data extraction start and end dates, the output directory name, processed registries, and task table are displayed. ED Edit This option offers two more edit options when selected: CT Create Extraction Tasks This option spreads historical data processing over several tasks in order to speed up the process. EE Edit Data Extraction This option allows users to edit parameters of a manual historical data extraction in the ROR HISTORICAL DATA EXTRACTION file (#799.6). ST Start a Task This option starts a data extraction task that was created with the Create Extraction Tasks option. TT Stop a Task This option allows you to stop a running task and de-queue a scheduled task. The task can be restarted later. In that case, it will try to re-extract data that was not extracted during the previous runs due to errors. Then it will continue the extraction from the first unprocessed record from the group of patients defined for the task. DL Display Task Log This option lets users see a log of any running/finished data extraction task. If any errors have been found, they will be logged here. Any errors should be fixed and then the task re-started. Data Extraction Instructions Follow the steps below to perform the historical data extraction: Create the output directory. Historical data extraction tasks create files containing historical data for registry patients. The host file system directory for these files must be created and defined in the parameters of the historical data extraction before the extraction tasks are run. xe "Historical Data Extraction:Create the Output Directory" In VMS, create the directory as follows: Figure  SEQ Figure \* ARABIC 8 Create the Output Directory $ CREATE/DIR/PROT=(OWNER:RWD) VA2S$:[RORHDT] $ SET SECUR /ACL=(IDENTIFIER={VistA},ACCESS=READ+WRITE) VA2$:[000000]RORHDT.DIR Replace the {VistA} in the SET command with the VMS username (or UIC) associated with the VistA TaskMan processes. Note: See Appendix A for instructions on creating the output directory in a Windows environment. Define the name of the output directory in the data extraction parameters. Use the Edit data extraction [RORHDT EDIT EXTRACTION] optionxe "Historical Data Extraction menu:Define Output Directory Name option" to populate the historical data extraction parameters with the name of the output directory: Figure  SEQ Figure \* ARABIC 9 Define Output Directory Name in Data Extraction Parameters CT Create Extraction Tasks EE Edit data extraction Select Edit Option: EE Edit data extraction Select a Data Extraction: ROR-TEST OUTPUT DIRECTORY: // VA2$:[RORHDT] Create the data extraction task(s). Use the Create Extraction Tasks [RORHDT CREATE] optionxe "Historical Data Extraction menu:Create Data Extraction Task option" to define the data extraction tasks: Figure  SEQ Figure \* ARABIC 10 - Create Data Extraction Task CT Create Extraction Tasks EE Edit data extraction Select Edit Option: CT Create Extraction Tasks Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] No tasks have been defined Number of unique patients: 3385 Maximum number of patients per batch: 750 Number of data extraction tasks: 5 Create the new task table? NO// YES New task table has been created.  Start the data extraction task(s). Use the Start a Task [RORHDT START] optionxe "Historical Data Extraction menu:Start a Task option" to start the data extraction task(s). The user can select a task using a value from the ID column: Figure  SEQ Figure \* ARABIC 11 Start Data Extraction Task DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display Task Log Select Historical Data Extraction Option: ST Start a Task Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] ID File Name Task Status 1 ROR-605-01.HDT 2 ROR-605-02.HDT 3 ROR-605-03.HDT 4 ROR-605-04.HDT 5 ROR-605-05.HDT Task ID: (1-5): 1 Task #85179 has been scheduled.  It is not necessary to wait until the previous task finishes before scheduling the next one. You can schedule several tasks at the same time. Make sure that the system has enough resources for this and there will be no negative impact on the response time during business hours. Wait for task(s) completion. The person who schedules the data extraction tasks will receive VistA alerts when they are complete (one alert per task). Meanwhile, you can use the Display Task Log [RORHDT LOG] option to display the data extraction status of a selected registry. The task log includes historical data extraction start and end dates, the output directory name, affected registries, and the task table.  REF _Ref232396862 \h \* MERGEFORMAT Table 21 shows the information displayed for each task in the table: xe "Historical Data Extraction menu:Task Information" Table  SEQ Table \* ARABIC 21 Task Information TaskDescriptionIDInternal Entry Number of the task (IEN).File NameA unique name based on site name and sequential number of the task. This file will contain the extracted results when the task has run; it will reside in the designated output directory.TaskTask number assigned by TaskMan to the data extraction taskStatusStatus of the data extraction task The eight Status values are shown in  REF _Ref232396822 \h \* MERGEFORMAT Table 22. xe "Historical Data Extraction menu:Task Information:Status values" Table  SEQ Table \* ARABIC 22 Status Values StatusMeaningActive: PendingTask is scheduled but is not currently runningActive: RunningTask is currently runningActive: StoppingTask was requested to stop but has not responded yetInactive: FinishedTask has finished successfullyInactive: AvailableTask was created without being scheduled or was edited without being rescheduledInactive: InterruptedTask was stopped by a userInactive: CrashedTask has stopped running due to a crashInactive: ErrorsTask has completed but some patient data was not processed completely due to errorsIn the example below, one of the tasks has the status of Inactive: Errors. Figure  SEQ Figure \* ARABIC 12 Display Extraction Status DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display task log Select Historical Data Extraction Option: DS Display Extraction Status Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] ID File Name Task Status 1 ROR-605-01.HDT 85179 Inactive: Errors 2 ROR-605-02.HDT 3 ROR-605-03.HDT 4 ROR-605-04.HDT 5 ROR-605-05.HDT Enter RETURN to continue or '^' to exit: If you need to stop a task (e.g. due to a slow system response), use the Stop a Task [RORHDT STOP] option. You will be prompted to select a data extraction, and then the task table and task selection prompt will display. The system displays the De-queue the task? prompt (if the task is already running, the Stop the task? prompt displays instead). If NO is entered, no changes are made to the selected task. If YES is selected, the task is de-queued (or stopped). Figure  SEQ Figure \* ARABIC 13 Stop a Task DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display Task Log Select Historical Data Extraction Option: TT Stop a Task Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] ID File Name Task Status 1 ROR-605-01.HDT 85179 Inactive: Errors 2 ROR-605-02.HDT 85180 Active: Running 3 ROR-605-03.HDT 4 ROR-605-04.HDT 5 ROR-605-05.HDT Task ID: (1-5): 2 Stop the task #85180? NO// YES The task #85180 has been stopped/unscheduled. The task #85180 has not responded to the stop request yet.  Examine the task log(s). If one or more data extraction tasks with problems are identified at the previous step, use the Display Task Log [RORHDT LOG] menu option to examine the logs of those tasks. You are prompted to select a data extraction, and then the task table and task selection prompt displays. Figure  SEQ Figure \* ARABIC 14 Display Task Log DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display Task Log Select Historical Data Extraction Option: DL Display Task Log Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] ID File Name Task Status 1 ROR-605-01.HDT 85179 Inactive: Errors 2 ROR-605-02.HDT 85180 Inactive: Interrupted 3 ROR-605-03.HDT 4 ROR-605-04.HDT 5 ROR-605-05.HDT Task ID: (1-5): 1 DEVICE: HOME// TASK LOG FILE JAN 27,2006 13:25 PAGE 1 DATE/TIME TYPE PATIENT (DFN) MESSAGE ADDITIONAL INFO ----------------------------------------------------------------------- JAN 27,2006 13:20 Information HISTORICAL DATA EXTRACTION STARTED VA ICR JAN 27,2006 13:29 Database Error CCRPATIENT,TEN (7145502) Cannot obtain results of the Lab tests Invalid patient identifier passed No patient found with requested identifier Location: LABRSLTS+16^RORUTL02 JAN 27,2006 13:44 Information HISTORICAL DATA EXTRACTION FINISHED Patients: 1020 Errors: 1 Time (sec): 9 Patients/sec: 0.66  In addition to the warnings and error messages, a task log also shows the date and time that the task was started and when it finished, how many patients were processed, the amount of errors that were encountered, the time (in seconds) that the task took to complete, and the average processing rate (patients per second). If there are errors, fix them and restart the tasks with errors. After fixing the errors, restart the task(s) that had errors using the Start a Task [RORHDT START] option. This creates new files containing only the data for those patients who had errors during the previous run. As shown in the example below, the rescheduling dialog is slightly different from that described in step 4: Figure  SEQ Figure \* ARABIC 15 Start a Task DS Display Extraction Status ED Edit ... ST Start a Task TT Stop a Task DL Display Task Log Select Historical Data Extraction Option: ST Start a Task Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] ID File Name Task Status 1 ROR-605-01.HDT 85179 Inactive: Errors 2 ROR-605-02.HDT 85180 Inactive: Interrupted 3 ROR-605-03.HDT 4 ROR-605-04.HDT 5 ROR-605-05.HDT Task ID: (1-5): 1 Data will be written to the 'ROR-605-01-01.HDT' file. Task #85182 has been scheduled.  If you decide to begin the historical data extraction process from scratch, first delete all historical data files from the output directory, then recreate the task table as shown below, and then return to step 4. Figure  SEQ Figure \* ARABIC 16 Create Extraction Tasks CT Create Extraction Tasks EE Edit data extraction Select Edit Option: CT Create Extraction Tasks Select a Data Extraction: ROR-TEST Name: ROR-TEST Registries: VA HEPC Date Range: JAN 01, 1980 -- JAN 25, 2006 Output Dir: VA2$:[RORHDT] ID File Name Task Status 1 ROR-605-01-01.HDT 85179 Inactive: Errors 2 ROR-605-02.HDT 85180 Inactive: Interrupted 3 ROR-605-03.HDT 4 ROR-605-04.HDT 5 ROR-605-05.HDT Overwrite the existing task table? NO// YES Number of unique patients: 3385 Maximum number of patients per batch: 750 Number of data extraction tasks: 5 Create the new task table? NO// YES New task table has been created.  The only difference from the step 3 is the additional Overwrite the existing task table? prompt. Answer YES to that question. Data Transmission Instructions Background Information You should transfer the historical data files to the national database via FTP. If the files were created in VMS, you can use the VMS FTP client. If you are using a Windows server, use either a command line or GUI client.  Note: Historical data files must be transmitted in binary mode. Data Transmission Instruction Follow the steps below to transmit the data using the VMS FTP (see the VMS documentation and/or online help for more details): Obtain the IP address, user name, and password for the FTP account. Enter the FTP command with the IP address as a parameter. Wait for the Name (): prompt and enter your user name. Wait for the Password: prompt, and then enter your password (the characters of the password do not display on the screen). Change the transfer mode to binary using the SET TYPE IMAGE command. Send the historical data files (*.HDT) from the output directory using the PUT command: FTP> PUT {disk and directory name}*.HDT Wait until the transfer is complete, and then verify that all files have uploaded successfully. Disconnect and exit the FTP client using the EXIT command. The screen capture below shows a typical VMS FTP session: Figure  SEQ Figure \* ARABIC 17 Typical VMS FTP Session $ FTP 10.168.97.208 220 Palo Alto CQM0 Server Connected to 10.168.97.208. Name (10.168.97.208): stn499 331 Please specify the password. Password: 230 Login successful. FTP> SET TYPE IMAGE 200 Switching to Binary mode. FTP> PUT VA2$:[RORHDT]*.HDT 200 PORT command successful. Consider using PASV. 150 Ok to send data. 226 File receive OK. local: VA2$:[RORHDT]ROR-605-01.HDT;1 remote: ror-605-01.hdt 93003 bytes sent in 00:00:00.69 seconds (130.31 Kbytes/s) 200 PORT command successful. Consider using PASV. 150 Ok to send data. 226 File receive OK. local: VA2$:[RORHDT]ROR-605-02.HDT;1 remote: ror-605-02.hdt 91391 bytes sent in 00:00:00.51 seconds (174.31 Kbytes/s) FTP> EXIT 221 Goodbye.  Note: For information on using the Windows FTP client, see HYPERLINK \l "App_B"Appendix B. CCR Structure and Process Overview CCR consists of several parts: Data stored in VistA database files HYPERLINK \l "Glos_M"M Programs in the ROR namespace HYPERLINK \l "Glos_DD"Data Dictionaries necessary to achieve the specified requirements A HYPERLINK \l "Glos_Delphi"Delphi-based HYPERLINK \l "Glos_GUI"graphical user interface (GUI) front-end application Relevant HYPERLINK \l "Glos_RPC"Remote Procedure Call (RPC) protocols   EMBED Visio.Drawing.11  THIS PAGE INTENTIONALLY LEFT BLANK CCR Files Files and Globals List The following files and globals are exported with the CCR software: Table  SEQ Table \* ARABIC 23 Files and Globals Exported with CCR File NumberFile NameGlobal NameDescription798ROR REGISTRY RECORD ^RORDATA(798,The ROR REGISTRY RECORD file contains records of local registries. Each record associates a patient with a registry and contains registry-specific and additional service information.798.1ROR REGISTRY PARAMETERS^ROR(798.1,Records of the ROR REGISTRY PARAMETERS file contain various registry parameters and the data that indicates current registry state. Every registry must have a record in this file.798.2ROR SELECTION RULE ^ROR(798.2,The ROR SELECTION RULE file contains definitions of the selection rules that are used to screen patients for addition to the registries.798.3ROR PATIENT EVENTS^RORDATA(798.3,The ROR PATIENT EVENTS file is used to store references to those patients that were processed with errors and were not added to the registry, even if they potentially should have been added (see the ERROR multiple). Moreover, the data references generated by the event protocols are stored in this file (see the EVENT multiple). These references are used to speed up the regular registry updates.798.4ROR PATIENT ^RORDATA(798.4,The ROR PATIENT file contains patient information that is common for all local registries (mostly, demographic information). Demographic data from this file is compared to that from the PATIENT file (#2) to determine if it has been changed since the last registry data extraction. These fields are updated with the values from the PATIENT file and the UPDATE DEMOGRAPHICS flag is set to Yes in all active registry records of the patient.798.5ROR ICD SEARCH^ROR(798.5,This file stores all the ICD diagnostic codes used to identify patients for a given registry during the Registry Update process. The B cross reference for the ICD code is used in the EXPRESSION field of the ROR SELECTION RULES file (#798.2). The file design allows CCR to support an unlimited number of codes selected from the ICD DIAGNOSIS file (#80). 798.6ROR PHARMACY CODE^ROR(798.6,This file contains a list of pointers to the VA DRUG CLASS file (#50.605). Within the Pharmacy package each class is linked to a group of medications. Each class on this file has an associated registry; the AC cross-reference groups all entries by registry.798.7ROR LOG ^RORDATA(798.7,The ROR LOG file is used for recording different kinds of events (errors, debug messages, etc.) that are generated by the CCR software.798.8ROR TASK ^RORDATA(798.8,The ROR TASK file enhances the functionality of TaskMan and supports the package APIs used by the GUI to schedule and control the tasks, and view and print the reports.798.9ROR LAB SEARCH^ROR(798.9,Lab search criteria are stored in this file. These criteria are referenced by the selection rules and used in the search for Lab results. Update by (11): LOINC value 57006 is added to the VA HEPC Lab Search criteria in sub-file LAB TEST (#2).799.1ROR LIST ITEM ^ROR(799.1,This file contains code sets used within different registries.799.2ROR METADATA^ROR(799.2,The ROR METADATA file contains descriptors of the files, data elements and APIs used by the registry update subsystem (search engine). These descriptors define relationships between files (file-processing tree) used by the search engine, data elements, and APIs.799.31ROR XML ITEM ^ROR(799.31,The ROR XML ITEM file contains a list of XML tags and attributes that can be used in the reports. 799.33ROR DATA AREA ^ROR(799.33,The ROR DATA AREA stores codes and names of the data areas referenced by the DATA AREA (the ROR HISTORICAL DATA EXTRACTION file) and the EVENT (the ROR PATIENT EVENTS file) multiples.799.34ROR REPORT PARAMETERS ^ROR(799.34,The ROR REPORT PARAMETERS file stores the report definitions that are used by the ROR REPORT SCHEDULE remote procedure to schedule the reports.799.4ROR HIV RECORD ^RORDATA(799.4,The ROR HIV RECORD file stores the patients' data specific to the Human Immunodeficiency Virus Registry (CCR:HIV).799.49ROR AIDS INDICATOR DISEASE^ROR(799.49,The ROR AIDS INDICATOR DISEASE file contains definitions of the AIDS indicator diseases referenced by Part VIII of the HIV CDC form. 799.51ROR GENERIC DRUG^ROR(799.51,This file contains a list of registry specific generic drugs. 799.53ROR LOCAL FIELD^ROR(799.53,The ROR LOCAL FIELD file stores definitions of local registry-specific fields created at the site.799.6ROR HISTORICAL DATA EXTRACTION^RORDATA(799.6,Records of this file store parameters of the historical data extractions (backpulls) performed on the registries and reflect status of these data extractions. File Diagrams (Pointers) Figure  SEQ Figure \* ARABIC 18 Pointer Matrix Legend  Figure  SEQ Figure \* ARABIC 19 File Pointers File Name (File #) Type*File Name (File #) File Pointed To Pointer Field Pointer FieldROR HIV RECORD (#799.4)REGISTRY RECORD.............(N C)((798) ROR REGISTRY *PATIENT NAME(ROR PATIENTREGISTRY(ROR REGISTRY PARAM*CONFIRMED BY(NEW PERSONDELETED BY(NEW PERSONmSELECTI:SELECTI*(ROR SELECTION RULESELECTI:LOCATION*(INSTITUTIONmLOCAL F:LOCAL F*(ROR LOCAL FIELDROR REGISTRY RECORD (#798)REGISTRY....................(N C)((798.1) ROR REGISTR*ROR REGISTRY RECORD (#798.31)ERROR:REGISTRY..............(N )(PROTOCOL(PROTOCOLROR PHARMACY CODE (#798.6)REGISTRY....................(N C)(AUTOMATIC BACKPU*(ROR HISTORICAL DAT*ROR LOG (#798.73) REGISTRY .................. (N )(mNOTIFIC:NOTIFIC*(NEW PERSONROR TASK (#798.8) REGISTRY .................. (N C)(mREPORT :REPORT *(ROR REPORT PARAMET*ROR LIST ITEM (#799.1) REGISTRY .................. (N )(mLOCAL T:LOCAL T* (LABORATORY TESTROR GENERIC DRUG (#799.51) REGISTRY .................. (N )(LOCAL T:LAB GRO* (ROR LIST ITEMROR LOCAL FIELD (#799.53) REGISTRY .................. (N )(MLOCAL D:LOCAL D* (DRUGLOCAL D:DRUG GR* (ROR LIST ITEMROR REGISTRY RECORD (#798.01) SELECTION RULE ............ (N )(798.2 ROR SELECTI*798.3 ROR PATIENT*PATIENT NAME(PATIENTmERROR:REGISTRY(RCR REGISTRY PARAM*EVENT:DATA AREA(ROR DATA AREAROR REGISTRY RECORD (#798)PATIENT NAME .............. (N C L)(798.4 ROR PATIENT ROR HISTORICAL DATA (#799.641) TASK:ERROR ................ (N C L)(PATIENT NAME (PATIENTPERIOD OF SERVICE(PERIOD OF SERVICE798.6 ROR PHARMAC*DRUG CLASS(VA DRUG CLASSREGISTRY(RCR REGISTRY PARAM*ROR TASK (#798.8) LOG ....................... (N C )(798.7 ROR LOGUSERNEW PERSONmREGISTRY:REGISTRYROR REGISTRY PARAM*MESSAGE:PATIENTPATIENT Figure  SEQ Figure \* ARABIC 20 File Pointers File Name (File #)Type*File Name (File #)File Pointed ToPointer FieldPointer FieldROR HIV RECORD (#799.4) REGISTRY RECORD ........... (N C )(798 ROR REGISTRY *PATIENT NAME ROR PATIENTREGISTRYROR REGISTRY PARAM*CONFIRMED BY NEW PERSONDELETED BYNEW PERSONmSELECTI:SELECTI*ROR SELECTION RULESELECTI:LOCATIO* INSTITUTIONmLOCAL F:LOCAL F* ROR LOCAL FIELDROR REGISTRY RECORD (#798) 798.1 ROR REGISTR*REGISTRY .................. (N C )(ROR PATIENT EVENTS (#798.31) ERROR:REGISTRY ............ (N ) ( PROTOCOL (PROTOCOL ROR PHARMACY CODE (#798.6) REGISTRY .................. (N C )(AUTOMATIC BACKPU(ROR HISTORICAL DAT*ROR LOG (#798.73)REGISTRY .................. (N )(mNOTIFIC:NOTIFIC*(NEW PERSONROR TASK (#798.8)  REGISTRY .................. (N C )(mREPORT :REPORT *(ROR REPORT PARAMET*ROR LIST ITEM (#799.1)  REGISTRY .................. (N )(mLOCAL T:LOCAL T*(LABORATORY TESTROR GENERIC DRUG (#799.51)  REGISTRY .................. (N )(LOCAL T:LAB GRO*(ROR LIST ITEMROR LOCAL FIELD (#799.53) REGISTRY .................. (N )(mLOCAL D:LOCAL D*(DRUGLOCAL D:DRUG GR*ROR LIST ITEMROR REGISTRY RECORD (#798.01) SELECTION RULE ............(N )(798.2 ROR SELECT* 798.3 ROR PATIENT*PATIENT NAME (PATIENTmERROR:REGISTRY (ROR REGISTRY PARAM*EVENT:DATA AREA (ROR DATA AREAROR REGISTRY RECORD (#798)  PATIENT NAME .............. (N C L )(798.4 ROR PATIENTROR HISTORICAL DATA (#799.641) TASK:ERROR ................(N C L )(PATIENT NAME(PATIENTPERIOD OF SERVICE(PERIOD OF SERVICE m 798.5 ROR ICD SEARCH ICD CODE:ICD CODE ( ICD DIAGNOSIS798.6 ROR PHARMAC*DRUG CLASS(VA DRUG CLASSREGISTRY(ROR REGISTRY PARAM*ROR TASK (#798.8)  LOG .......................(N C )(798.7 ROR LOGUSER(NEW PERSONmREGISTRY:REGISTRY(ROR REGISTRY PARAM*MESSAGE:PATIENT(PATIENT798.8 ROR TASKREGISTRY(ROR REGISTRY PARAM*REPORT(ROR REPORT PARAMET*USER(NEW PERSONLOG(ROR LOGmREPORT :REPORT *(ROR XML ITEMmREPO:ATTR:ATTR*(ROR XML ITEMROR REGISTRY PARAMET (#798.128) LOCAL TEST NAME:LAB GROUP .(N )(799.1 ROR LIST IT* LOCAL DRUG NAME:DRUG GROUP(N )(REGISTRY(ROR REGISTRY PARAM*ROR GENERIC DRUG 9#799.51) DRUG GROUP ................(N )(ROR METADATA (#799.2)  PARENT .................... (N )(799.2 ROR METADATAPARENT(ROR METADATAROR TASK (#798.87)  REPORT ELEMENT ............ (N )(799.31 ROR XML IT* REPORT ELEMENT:ATTRIBUTE .. (N C )(ROR PATIENT EVENTS (#798.32)  EVENT:DATA AREA ........... (N )(799.33 ROR DATA A*ROR HISTORICAL DATA (#799.61)  DATA AREA .................(N )(799.34 ROR REPORT*ROR REGISTRY PARAMET (#798.12) REPORT STATS ..............(N )(ROR TASK (#798.8)  REPORT ....................(N )(799.4 ROR HIV REC*REGISTRY RECORD (ROR REGISTRY RECORDSTATION(INSTITUTIONCDC FORM COMPLET*(NEW PERSONONSET OF ILLNESS*(STATEAIDS DX STATE(STATEmAIDS IN:AIDS IN*(ROR AIDS INDICATOR*ROR HIV RECORD (#799.41)  AIDS INDICATOR DISEASE .... (N )(799.49 ROR AIDS I*799.51 ROR GENERI*REGISTRY(ROR REGISTRY PARAM*DRUG GROUP(ROR LIST ITEMVA GENERIC(VA GENERICROR REGISTRY RECORD (#798.02) LOCAL FIELD ...............(N C )(799.53 ROR LOCAL *REGISTRY(ROR REGISTRY PARAM*ROR REGISTRY PARAMET (#798.1)  AUTOMATIC BACKPULL ........(N )(799.6 ROR HISTORImDATA AR:DATA AR* ROR DATA AREAmTASK:ERROR:ERRORROR PATIENT Figure  SEQ Figure \* ARABIC 21 Pointers  EMBED Visio.Drawing.11  Globals Upgrade Installation No new globals are exported/allocated by the ROR 1.5 build if you install it an account that already has CCR v1.0 installed. Initial Installation Two new globals are created during an initial installation of the KIDS build ROR 1.5: ^RORxe "KIDS Build:Global ^ROR" and ^RORDATA.xe "KIDS Build:Global ^RORDATA" The ^ROR global is quite small and mostly static. It contains the registry parameters, selection rules, Lab search definitions, etc. The ^RORDATA global is a dynamic global and under most circumstances will be large. It will contain the registries, error logs, list of the event references, reports, etc. The sustained growth of ^RORDATA depends on the number of new patients in the registries (about 200 bytes per patient). In the first couple of weeks, however, the global will grow faster because of the error logs (the ROR LOG file) and event references (the EVENT multiple of the ROR PATIENT EVENTS file). Both files are self-maintained and the nightly task (the Registry Update & Data Extraction [ROR TASK] option) purges the old records from these files automatically. The initial growth of these files depends on activity level (number of events) and quality of the data (number of error messages stored in the logs) at your site. Temporary Globals The CCR package uses the ^TMP and ^XTMP globals quite intensively, especially during the initial registry population. Please make sure that these globals are allocated in the database with enough free space. Routines Routine List for CCR 1.5 The HYPERLINK \l "Glos_M"M routines listed in  REF _Ref249959130 \h \* MERGEFORMAT Table 24 are included in KIDS build ROR 1.5. The second line of each of these routines now looks like: ;;1.5;CLINICAL CASE REGISTRIES;**[Patch List]**;Feb 17, 2006;Build [nn] The following M routines are included in CCR 1.5. Entries shaded in yellow were created/changed by Patch ROR*1.5*20. Note: Effective with Patch ROR*1.5*14, file checksums are no longer included in this manual. They are always included with the patch description, and can be checked with CHECK1^XTSUMBLD. Table  SEQ Table \* ARABIC 24 CCR 1.5 Routine List RoutineShort DescriptionRORCLINICAL CASE REGISTRIESROR01CLINICAL CASE REGISTRIESROR02CLINICAL CASE REGISTRIESROR10NIGHTLY TASK UTILITIESROR11NIGHTLY TASK UTILITIESRORAPI01CLINICAL REGISTRIES APIRORBINBINARY OPERATIONSRORDDDATA DICTIONARY UTILITIESRORDD01DATA DICTIONARY UTILITIESRORERRERROR PROCESSINGRORERR20LIST OF ERROR MESSAGESROREVT01EVENT PROTOCOLSROREXPRPREPARATION FOR DATA EXTRACTIONROREXTDATA EXTRACTION & TRANSMISSIONROREXT01EXTRACTION & TRANSMISSION PROCESS ROREXT02DEFAULT MESSAGE BUILDER ROREXT03REGISTRY DATA EXTRACTION (OVERFLOW)ROREXTUTDATA EXTRACT UTILITIESRORHDTHISTORICAL DATA EXTRACTIONRORHDT01HISTORICAL DATA EXTRACTION STATUSRORHDT02CREATE EXTRACTION TASK RECORDSRORHDT03MANIPULATIONS WITH EXTRACTION TASKSRORHDT04HISTORICAL DATA EXTRACTION PROCESSRORHDT05HISTORICAL DATA EXTRACTION FUNCTIONSRORHDT06HISTORICAL DATA EXTRACTION PARAMETERSRORHDTACDATA EXTRACTION ACTION CONFIRMATIONSRORHDTUTHISTORICAL DATA EXTRACTION UTILITIESRORHIV03CONVERSION OF THE FILE #158RORHIVUTHIV UTILITIESRORHL01HL7 PATIENT DATA: PID,ZSP,ZRDRORHL02HL7 REGISTRY DATA: CSP,CSR,CSSRORHL03HL7 PHARMACY: ORC,RXERORHL031HL7 PHARMACY: UTILITIESRORHL04HL7 RADIOLOGY: OBR,OBXRORHL05HL7 AUTOPSY: OBRRORHL06HL7 LIVER BIOPSY: OBR,OBXRORHL07HL7 INPATIENT PHARMACY: ORC,RXERORHL071HL7 IV PHARMACY: ORC,RXERORHL08HL7 INPATIENT DATA: PV1,OBRRORHL081HL7 INPATIENT DATA: OBXRORHL09HL7 OUTPATIENT DATA: PV1,OBR,OBXRORHL10HL7 SURGICAL PATHOLOGY DATA: OBR,OBXRORHL11HL7 CYTOPATHOLOGY DATA: OBR,OBXRORHL12HL7 MICROBIOLOGY DATA: OBRRORHL121HL7 MICROBIOLOGY DATA: OBXRORHL13HL7 MEDICAL PROCEDURES (EKG): OBR,OBXRORHL14HL7 ALLERGY DATA: OBR,OBXRORHL15HL7 IV DATA: OBR, OBXRORHL16HL7 VITALS DATA: OBR,OBXRORHL17HL7 PROBLEM LIST: OBR,OBXRORHL18HL7 IMMUNIZATION: OBR, OBXRORHL19HL7 SKIN TEST: OBR, OBXRORHL20HL7 NON-VA MEDS: ORC, RXERORHL21HL7 PURCHASED CARE: ZIN, ZSV, ZRXRORHL7HL7 UTILITIESRORHL7AHL7 UTILITIESRORHLUT1HL7 UTILITIES (HIGH LEVEL)RORKIDSINSTALL UTILITIES (LOW-LEVEL)RORLOCKLOCKS AND TYRANSACTIONSRORLOGLOG FILE MANAGEMENTRORLOG01LOG FILE MANAGEMENT (UTILITIES)RORNTEGKERNEL - Package checksum checkerRORNTEG0KERNEL - Package checksum checkerRORP000CCR V1.5 INSTALLATION ROUTINERORP000ACCR V1.5 PRE-INSTALL CODERORP000BCCR V1.5 POST-INSTALL CODERORP011CCR POST-INIT PATCH 13 RORP015CCR PRE/POST-INIT PATCHRORP017POST INSTALL PATCH 17RORP018POST INSTALL PATCH 18RORPUT01EDIT LOINC AND DRUG CODE MULTIPLESRORPUT02DATA TRANSPORT FOR KIDSRORREP01REGISTRY COMPARISON REPORTRORREP02VERSION COMPARISON REPORT (ICR)RORRP007RPC: LOGS & MESSAGESRORRP010RPC: TASK MANAGERRORRP011RPC: TASK MANAGER (REPORTS)RORRP012RPC: MISCELLANEOUSRORRP013RPC: ACCESS & SECURITYRORRP014RPC: REGISTRY INFO & PARAMETERSRORRP015RPC: DIVISIONS AND HOSPITAL LOCATIONSRORRP016RPC: ICD-9 CODESRORRP017RPC: DRUGS AND CLASSESRORRP018RPC: LIST OF LAB TESTSRORRP019RPC: LIST OF PATIENTSRORRP020RPC: PATIENT DATA UTILITIESRORRP021RPC: PATIENT DATARORRP022RPC: SELECTION RULESRORRP023RPC: REGISTRY COORDINATORSRORRP024RPC: VISTA USERSRORRP025RPC: RORICR CDC LOADRORRP026RPC: CDC UTILITIESRORRP027RPC: RORICR CDC SAVERORRP029RPC: ADDRESS UTILITIESRORRP030RPC: PATIENT DELETERORRP031RPC: LOCAL LAB TEST NAMESRORRP032RPC: LOCAL DRUG NAMESRORRP033RPC: HIV PATIENT LOADRORRP034RPC: HIV PATIENT SAVE/CANCELRORRP035RPC: GENERIC DRUG NAMESRORRP036RPC: HEPC PATIENT LOADRORRP037RPC: HEPC PATIENT SAVE/CANCELRORRP038RPC: USER AND PACKAGE PARAMETERSRORRP040RPC: LOCAL REGISTRY FIELDSRORRP041RPC: REGISTRY-SPECIFIC LAB RESULTSRORRP042RPC: CPT CODESRORSET01REGISTRY SETUP ROUTINERORSET02REGISTRY INITIALIZATION FOR LOCAL REGISTRIESRORSETU1SETUP UTILITIES (USER INTERFACE)RORSETU2SETUP UTILITIES (REGISTRY)RORTSITEPREPARE TEST SITES FOR GOING LIVERORTMPTEMPORARY GLOBAL STORAGERORTSKTASK MANAGER RORTSK01(SUB)TASK UTILITIESRORTSK02TASK MANAGER UTILITIESRORTSK03TASK MANAGER OVERFLOW CODERORTSK10REPORT RETRIEVING UTILITIESRORTSK11REPORT CREATION UTILITIESRORTSK12REPORT STATS UTILITIESRORTSK13PARSER FOR REPORT PARAMETERSRORTSK14PARSER FOR REPORT PARAMETERS (TOOLS)RORTXTTEXT RESOURCE UTILITIESRORUPDREGISTRY UPDATERORUPD01PROCESSING OF THE FILESRORUPD04PROCESSING OF THE LAB DATARORUPD05REGISTRY UPDATE (MULTITASK)RORUPD06REGISTRY UPDATE (MISCELLANEOUS)RORUPD07PROCESSING OF THE 'PROBLEM' FILERORUPD08PROCESSING OF 'VISIT' & 'V POV' FILESRORUPD09PROCESSING OF THE 'PTF' FILERORUPD50UPDATE THE PATIENT IN THE REGISTRIESRORUPD51UPDATE PATIENT'S DEMOGRAPHIC DATA (1)RORUPD52UPDATE PATIENT'S DEMOGRAPHIC DATA (2)RORUPD62HIV-SPECIFIC REGISTRY UPDATE CODERORUPDUTREGISTRY UPDATE UTILITIESRORUPEXSELECTION RULE EXPRESSION PARSERRORUPP01PATIENT EVENTS (ERRORS)RORUPP02PATIENT EVENTS (EVENTS)RORUPRSELECTION RULES PREPARATIONRORUPR1SELECTION RULES PREPARATIONRORUTL01UTILITIESRORUTL02UTILITIESRORUTL03ENCRYPTION/DECRYPTIONRORUTL04REGISTRY STAT REPORTRORUTL05MISCELLANEOUS UTILITIESRORUTL06DEVELOPER ENTRY POINTSRORUTL07TEST ENTRY POINTSRORUTL08REPORT PARAMETERS UTILITIESRORUTL09LIST ITEM UTILITIESRORUTL10LAB DATA SEARCHRORUTL11ACCESS AND SECURITY UTILITIES RORUTL14PHARMACY DATA SEARCHRORUTL15PHARMACY DATA SEARCH (TOOLS) RORUTL16PHARMACY DATA SEARCH (UTILITIES)RORUTL17REGISTRY INFORMATION UTILITIESRORUTL18MISCELLANEOUS UTILITIESRORUTL19PATIENT DATA UTILITIESRORVM001MAINTENANCE OPTIONSRORX000DUMMY REPORTRORX001LIST OF REGISTRY PATIENTSRORX002CURRENT INPATIENT LISTRORX003GENERAL UTLIZATION AND DEMOGRAPHICS RORX003AGENERAL UTLIZATION AND DEMOGRAPHICSRORX004CLINIC FOLLOW UP RORX005INPATIENT UTILIZATIONRORX005AINPATIENT UTILIZATION (QUERY) RORX005BINPATIENT UTILIZATION (SORT)RORX005CINPATIENT UTILIZATION (STORE)RORX006LAB UTILIZATIONRORX006ALAB UTILIZATION (QUERY & SORT) RORX006CLAB UTILIZATION (STORE)RORX007RADIOLOGY UTILIZATIONRORX007ARADIOLOGY UTILIZATION (OVERFLOW) RORX008VERA REIMBURSEMENT REPORTRORX008AVERA REIMBURSEMENT REPORT RORX009PHARMACY PRESCRIPTION UTILIZATIONRORX009APRESCRIPTION UTILIZ. (QUERY & SORT) RORX009CPRESCRIPTION UTILIZ. (STORE)RORX010LAB TESTS BY RANGE REPORT RORX011PATIENT MEDICATION HISTORY RORX012COMBINED MEDS AND LABS REPORTRORX012ACOMBINED MEDS AND LABS (QUERY & STORE) RORX013DIAGNOSIS CODES REPORTRORX013ADIAGNOSIS CODES (QUERY & SORT) RORX013CDIAGNOSIS CODES (STORE)RORX014REGISTRY MEDICATIONS REPORTRORX014AREGISTRY MEDS REPORT (QUERY & SORT) RORX015PROCEDURES (CPT) REPORTRORX015APROCEDURES (QUERY & SORT) RORX015CPROCEDURES (STORE)RORX016OUTPATIENT UTILIZATIONRORX016AOUTPATIENT UTILIZATION (QUERY) RORX016BOUTPATIENT UTILIZATION (SORT)RORX016COUTPATIENT UTILIZATION (STORE)RORX018BMI BY RANGE REPORT RORX019LIVER SCORE BY RANGE REPORT RORX019ALIVER SCORE BY RANGE REPORTRORX020RENAL FUNCTION BY RANGE REPORT RORX020ARENAL FUNCTION BY RANGE REPORTRORX020BRENAL FUNCTION BY RANGE REPORTRORX021HCV DAA CANDIDATES REPORTRORX021AHCV DAA CANDIDATES(QUERY & STORE)RORX022LAB DAA MONITOR REPORTRORX022ALAB DAA MONITOR (CONT.)RORXU001REPORT UTILITIES RORXU002REPORT BUILDER UTILITIES RORXU003REPORT BUILDER UTILITIESRORXU004REPORT UTILITIES (STATISTICS)RORXU005REPORT BUILDER UTILITIESRORXU006REPORT PARAMETERS RORXU007PHARMACY-RELATED REPORT PARAMETERSRORXU009REPORT MODIFICATION UTILITYRORXU010REPORT MODIFICATION UTILITY Routine Sub-Namespaces xe "Routines:Sub Namespaces"xe "Sub Namespaces"xe "Namespaces:Sub Namespaces" Table  SEQ Table \* ARABIC 25 Routine Sub-Namespaces NamespaceDescriptionRORAPI*Supported APIsRORDD*Routines used by the Data DictionaryRORERR*Error processingROREVT*Event protocolsROREX*Regular data extraction & transmissionRORHDT*Historical data extractionRORHIV*HIV Registry-specific routinesRORHL*HL7 utilitiesRORKIDS*Low-level installation utilities (KIDS)RORLOCK*Locks and transactionsRORLOG*Error recordingRORPnnn*Patch installation routines (KIDS) (nnn = patch number)RORPUT*High-level installation utilitiesRORREP*Roll-and-scroll reportsRORRP*Remote proceduresRORSET*Registry setup routinesRORTXT*Text resource routinesRORUP*Registry updateRORUTL*UtilitiesRORVM*Entry points for VistA menu optionsRORXnnn*XML reports (nnn = report code)RORXU*Utilities for XML reportsXINDEX XINDEX xe "Routines:XINDEX"is a routine that produces a report called the VA Cross-Reference. xe "reports:VA Cross Reference"xe "VA Cross Reference Report"xe "Cross Reference Report" This report is a cross-reference listing of one routine or a group of routines. XINDEX provides a summary of errors and warnings for routines that do not comply with VA programming standards and conventions, a list of local and global variables and what routines they are referenced in, and a listing of internal and external routine calls. XINDEX is invoked from programmer mode: D ^XINDEX. When selecting routines, select ROR*. Exported Options The menus and optionsxe "options:exported"xe "exported options" exported by the build ROR 1.5 are all located in the ROR namespace. Individual options can be viewed by using the Option Function Inquiry [XUINQUIRE] option. xe "option:Option Function Inquiry"xe "option:XUINQUIRE" This option can be found on the Menu Management [XUMAINT] menu, xe "menu:Menu Management"xe "menu:XUMAINT" which is a sub-menu of the Systems Manager Menu [EVE] menu. xe "menu:Systems Manager Menu"xe "menu:EVE" A diagram of the structure of the CCR menu and its options can be produced by using the Diagram Menus [XUUSERACC] optionxe "option:Diagram Menus"xe "option:XUUSERACC". Choosing XUUSERACC permits you to further select Menu Diagrams (with Entry/Exit Actions) [XUUSERACC1] xe "option:Systems Menu Diagrams (with Entry/Exit Actions"xe "option:XUUSERACC1" or Abbreviated Menu Diagrams [XUUSERACC2] xe "option:Abbreviated Menu Diagrams"xe "option:XUUSERACC2" options. Table  SEQ Table \* ARABIC 26 Exported Options Option NameDescriptionBroker Context [ROR GUI]This option holds the references to the package RPC Broker Calls used by the GUI to create an application context (for security purposes). xe "option:Broker Context"xe "option:ROR GUI" Registry Setup [ROR SETUP]This option allows the user to enter parameters of the registry setup process, and to schedule the task that will populate the registry. xe "option:Registry Setup"xe "option:ROR SETUP"Registry Update & Data Extraction [ROR TASK]This option starts the registry update and data extraction task that processes registries defined by the TASK PARAMETERS field. The field must contain a list of registry names separated by commas. xe "option:Registry Update & Data Extraction"xe "option:ROR TASK" The following task parameters are optional. They can be defined on the second page of the option scheduling form (as the pairs of the variable names and values). RORFLCLR (Default: ) and RORFLSET (Default: EX) xe "task parameter:RORFLCLR"xe "task parameter:ROR SETUP" These two parameters override the values of the flags that control the processing. Add the flags to the RORFLCLR variablexe "variable:clear:RORFLCLR" to clear them and to the RORFLSET variablexe "variable:set:RORFLSET" to set them. Below are the possible values of the parameters (can be combined): D Run the task(s) in Debug Mode E Use the event references (file #798.3) S Run the data extraction in single-task mode X Suspend the data extraction task in the same way as the registry update M Disable the HL7 messaging for local (user defined) registries. When the M flag is set, HL7 messages will not be transmitted to Austin. RORMNTSK (Default: 2-3-AUTO) xe "task parameter:RORMNTSK" Maximum number of the registry update subtasks. If this parameter is less than 2, all patients will be processed by the single main task. Otherwise, all patients can be distributed among several subtasks. If N-M-AUTO is passed as the value of this parameter and difference between the end and start dates of the registry update is more than M days then N subtasks will be started. Otherwise, the single task will run. RORSUSP (Default: )xe "task parameter:RORSUSP" Suspension parameters of the registry update and data extraction subtasks. The subtasks are not suspended by default. Parameter should contain start and end times of the suspension (in external format) separated by the -. For example, the 7:00-18:00 value will suspend the subtasks from 7am until 6pm each day except weekends and holidays.Create Extraction Tasks [RORHDT CREATE]This option spreads historical data processing over several tasks in order to speed up the process. xe "option:RORHDT CREATE"xe "option:Create Extraction Tasks"Edit [RORHDT EDIT]This option displays a submenu when selected. The submenu contains options that are used to create and edit the parameters of the historical data extraction. xe "option:RORHDT EDIT"xe "option:Edit [ Extraction Tasks]"Edit data extraction [RORHDT EDIT EXTRACTION]This option allows users to edit parameters of manual historical data extraction in the ROR HISTORICAL DATA EXTRACTION file (#799.6). xe "option:RORHDT EDIT EXTRACTION"xe "option:Edit data extraction"Edit Task Descriptor [RORHDT EDIT TASK]This option allows users to edit parameters of historical data extraction tasks in the ROR HISTORICAL DATA EXTRACTION file (#799.6). xe "option:RORHDT EDIT TASK"xe "option:Edit Task Description"Display Task Log [RORHDT LOG]The Display Task Log option lets users see a log of any running or finished data extraction task. If any errors have been found, they will be logged here. Any errors should be fixed and then the task re-started. xe "option:RORHDT LOG"xe "option:Display Task Log"Historical Data Extraction [RORHDT MAIN]This is a top level management option for the historical data extraction that gathers historical data for each registry patient that exists on the ROR REGISTRY RECORD file (#798) and creates flat text files that can be sent by FTP to a pre-defined area at the AAC. This is done independently of daily updates and extracts and requires some intervention of an IRM. xe "option:RORHDT MAIN"xe "option:Historical Data Extraction"Start a Task [RORHDT START]This option starts a data extraction task that was created with the Create Extraction Tasks option. xe "option:RORHDT START"xe "option:Start a Task"Display Extraction Status [RORHDT STATUS]This option displays the status of a selected data extraction. The historical data extraction start and end dates, the output directory name, processed registries, and task table are displayed. xe "option:RORHDT STATUS"xe "option:Display Extraction Status"Stop a Task [RORHDT STOP]This option allows users to stop a running task or de-queue a task that is scheduled to run in the future. xe "option:RORHDT STOP"xe "option:Stop a Task"ICR Version Comparison Report [RORICR VERSION COMPARISON]Provides a detailed comparison between the CCR:HIV and Immunology Case Registry v2.1. The ICR was officially retired on October 27, 2005 (patch IMR*2.1*21) and replaced by CCR:HIV. xe "option:RORICR VERSION COMPARISON"xe "option:ICR Version Comparison Report" This option is left for compatibility. If ICR v2.1 is not installed in the account, then the option will display an error message and quit.Re-index the ACL cross-reference [RORMNT ACL REINDEX]This option lets users re-index the ACL cross-reference of the ROR REGISTRY PARAMETERS file (#798.1). This cross-reference should be rebuilt after changes in the allocation of the security keys associated with any registry. xe "option:RORMNT ACL REINDEX"xe "option:Re-index the ACL cross reference"Edit Lab Search Criteria [RORMNT EDIT LAB SEARCH]This option is used to edit the Lab search criteria (stored in the ROR LAB SEARCH file (#798.9)) that are used by the registry update process to find patients with positive registry-specific Lab results. xe "option:RORMNT EDIT LAB SEARCH"xe "option:Edit Lab Search Criteria"Edit Registry Parameters [RORMNT EDIT REG PARAMS]This option can be used to edit registry parameters in the ROR REGISTRY PARAMETERS file (#798.1).Initialize new registries (one time) [ROR INITIALIZE]This option allows the user to schedule the task that will populate the sixteen new registries added in ROR*1.5*18. Clinical Case Registries Maintenance [RORMNT MAIN]This menu contains miscellaneous maintenance options for the CCR package. Usually, they should be used only for troubleshooting. xe "option:RORMNT MAIN"xe "option:Clinical Case Registries Maintenance"List of Pending Errors [RORMNT PENDING ERRORS LIST]The option prints a report containing list of patients (referenced by the ERROR multiples of the ROR PATIENT EVENTS file (#798.3)) having erroneous data. The list is sorted by value of the COUNTER field (number of times that an error was recorded for a patient). xe "option:RORMNT PENDING ERRORS LIST"xe "option:List of Pending Errors" This report can be used to find patients ignored by the registry update (until someone fixes the error(s) and resets value of the COUNTER field to 1).Pending Patients [RORMNT PENDING PATIENTS]This menu groups the options used for maintenance of the ROR PATIENT EVENTS file (#798.3) containing event and error references. xe "option:RORMNT PENDING PATIENTS"xe "option:Pending Patients"Print Log Files [RORMNT PRINT LOGS]This option can be used to print messages recorded by the CCR software. xe "option:RORMNT PRINT LOGS"xe "option:Print Log Files" Archiving and Purging Archiving No archiving functions are necessary with the CCR software. xe "CCR:archiving" Purging xe "CCR:purginging"Old event references are automatically purged by the nightly task (the [ROR TASK] option) from the EVENT multiple (2) of the ROR PATIENT EVENTS file (#798.3) no later than 60 days after they were entered there by the event protocols. xe "file:ROR PATIENT EVENTS file (#798.3)" xe "ROR PATIENT EVENTS file (#798.3)" ROR LOG file (#798.7) xe "file:ROR LOG file (#798.7)" xe "ROR LOG file (#798.7)" entries are automatically purged 31 days after they are entered into this file. Old tasks are automatically purged from the ROR TASK file (#798.8) xe "file:ROR task file (#798.8)" xe "ROR TASK file (#798.8)" 14 days after they are completed (the creation date is used for incomplete tasks). Protocols The following HYPERLINK \l "Glos_Protocol"protocols are exported with the KIDS build ROR 1.5. HL7 Protocols ROR-SITE-DRIVERxe "HL7 protocol:ROR-SITE-DRIVER" xe "protocol:ROR-SITE-DRIVER" xe "ROR-SITE-DRIVER" ROR-SITE-SUBSCRIBERxe "HL7 protocol:ROR-SITE-SUBSCRIBER" xe "protocol:ROR-SITE-SUBSCRIBER" xe "ROR-SITE-SUBSCRIBER" Event Protocols Three event protocols are used by CCR, as outlined in  REF _Ref233448983 \h \* MERGEFORMAT Table 27. Table  SEQ Table \* ARABIC 27 Event Protocols ProtocolDescriptionROR EVENT LABThis protocol is used by the CCR package to maintain references to patients who have new lab results. The protocol should be subscribed to the LR7O ALL EVSEND RESULTS protocol (this is done by the KIDS during the installation). xe "event protocol:ROR-EVENT-LAB" xe "protocol:ROR-EVENT-LAB" xe "ROR-EVENT-LAB" If at least one of the defined registries enables event protocols, this protocol will process the Lab events and create references in the ROR PATIENT EVENTS file (#798.3). xe "file:ROR-PATIENT-EVENTS (798.3)" xe "ROR-PATIENT-EVENTS (798.3)" Otherwise, the protocol will be executed (if it is not disabled or unsubscribed manually) but will not call the processing routine (LAB^ROREVT01). xe "routine:LAB^ROREVT01" xe "LAB^ROREVT01"ROR EVENT PTFThis protocol is used by the CCR package to maintain references to patients who have new admissions. ).xe "event protocol:ROR-EVENT-PTF" xe "protocol:ROR-EVENT-PTF" xe "ROR-EVENT-PTF" The protocol should be subscribed to the DGPM MOVEMENT EVENT protocol (this is done by the KIDS during the installation).xe "event protocol: DPGM MOVEMENT EVENT" xe "protocol: DPGM MOVEMENT EVENT" xe "DPGM MOVEMENT EVENT" If at least one of the defined registries enables event protocols, this protocol will process the movement events and create references in the ROR PATIENT EVENTS file (#798.3). Otherwise, the protocol will be executed (if it is not disabled or unsubscribed manually) but will not call the processing routine (PTF^ROREVT01). xe "routine:PTF^ROREVT0 1"ROR EVENT VISITThis protocolxe "event protocol:ROR-EVENT-VISIT" xe "protocol:ROR-EVENT-VISIT"xe "ROR-EVENT-VISIT"is used by the CCR package to maintain references to patients who have new data in the V-files (VISIT, V POV, etc). The protocol should be subscribed to the PXK VISIT DATA EVENT protocolxe "event protocol:ROR DATA EVENT0" xe "protocol:ROR-EVENT-PTF"xe "ROR-EVENT-PTF"(this is done by the KIDS during the installation). If at least one of the defined registries enables event protocols, this protocol will process the Lab events and create references in the ROR PATIENT EVENTS file (#798.3). Otherwise, the protocol will be executed (if it is not disabled or unsubscribed manually) but will not call the processing routine (VISIT^ROREVT01). Application Program Interfaces The Data Base Agreement (DBIA) #4166 defines two controlled-subscription HYPERLINK \l "Glos_API"Application Program Interfaces (APIs) that are supplied by CCR. The first of these APIs enumerates patients of the given registry (CCR:HEPC or CCR:HIV), and the other API enumerates registries within which the patient exists. Table  SEQ Table \* ARABIC 28 Application Program Interfaces APIDescription$$PATITER^RORAPI01(IDESC,REGNAME,MODE)Creates an HYPERLINK \l "Glos_Iterator"iterator of patients in the registry, whereIDESCRefers to a local variable where the iterator descriptor will be createdREGNAMEIs the Registry name[MODE]Is a bit flag which defines the iteration mode (default = 3)1Active patients (confirmed and not deleted)2(reserved)Return Values<0Error code0OK$$NEXTPAT^RORAPI01(IDESC)Returns the next patient in the registry, whereIDESCRefers to the iterator descriptor created by $$PATITER^RORAPI01.Return Values<0Error codeNo more patients in the registry>0Patient IEN (DFN)$$REGITER^RORAPI01(IDESC,PATIEN,MODE)Creates an HYPERLINK \l "Glos_Iterator"iterator of patient registries, whereIDESCRefers to a local variable where the iterator descriptor will be createdPATIENIs the Patient IEN (DFN)[MODE]Is a bit flag which defines the iteration mode (default = 3)1Registries where the patient is active (confirmed and not deleted)2(reserved)Return Values<0Error code0OK$$NEXTREG^RORAPI01(IDESC)Returns the next patient in the registry, whereIDESCRefers to the iterator descriptor created by $$REGITER^RORAPI01.Return Values<0Error codeNo more patients in the registry>0Registry IEN Below is a usage example for these APIs taken from the source code of the RORAPI01 routine: Figure  SEQ Figure \* ARABIC 22 Sample Usage (RORAPI01 Routine) N BUF,IPD,IRD,PATIEN,RC,REGIEN W !, Patient Registries W !, ------- ---------- ;--- Initialize the patient iterator S RC=$$PATITER^RORAPI01(.IPD,VA HEPC) I RC<0 W RC= ,RC,! Q ;--- Browse through the registry patients F S PATIEN=$$NEXTPAT^RORAPI01(.IPD) Q:PATIEN'>0 D . W !,$J(PATIEN,10), . ;--- Initialize the registry iterator . S RC=$$REGITER^RORAPI01(.IRD,PATIEN) . I RC<0 W RC= ,RC Q . ;--- Browse through the patient's registry records . S BUF= . F S REGIEN=$$NEXTREG^RORAPI01(.IRD) Q:REGIEN'>0 D . . S BUF=BUF_,_REGIEN . W $P(BUF,,,2,999) ;--- W ! QThe following screenshot illustrates the output of the sample code: Figure  SEQ Figure \* ARABIC 23 - Sample Output (RORAPI01 Routine) >D ^RORAPI01 Patient Registries ------- ---------- 40 1 4 1 13 1 90 1 14 1 43 1 5 1 37 2,1 38 1,2External Interfaces The National Database has an HYPERLINK \l "Glos_HL7"HL7 interface. This interface receives all data transmissions sent from all sites nationally, converts the data, and enters it into an HYPERLINK \l "Glos_SQL"SQL-enabled database. External Relations Before the KIDS build ROR 1.5 can be installed, the following software applications and patches must be installed and fully patched in your accounts: Application NameMinimum VersionAutomated Information Collection System (AICS)V 3.0Adverse Reaction Tracking (ART)V 4.0Authorization/Subscription Utility (ASU)V 1.0Consult/Request TrackingV 3.0Gen. Med. Rec.-VitalsV 4.0Health SummaryV 2.7HL7 V 1.6Inpatient Medications (IM)V 5.0KernelV 8.0LaboratoryV 5.2Lexicon UtilityV 2.0National Drug File (NDF)V 4.0Order Entry/Results Reporting (OE/RR)V 3.0Outpatient PharmacyV 7.0Patient Care Encounter (PCE)V 1.0Pharmacy Data Management (PDM)V 1.0Problem ListV 2.0Radiology/Nuclear MedicineV 5.0 RPC BrokerV 1.1RegistrationV 5.3SchedulingV 5.3Text Integration Utilities (TIU)V 1.0ToolKitV. 7.3VA FileManV 22.0Visit TrackingV 2.0 Required Patches Before the installation of the build ROR 1.5, the following patches must be installed: Table  SEQ Table \* ARABIC 29 Prerequisite Patches Application NamePatchesHealth Level SevenHL*1.6*57RegistrationDG*5.3*471, DG*5.3*415, DG*5.3*631Automated Lab InstrumentsLA*5.2*69, LA*5.2*68Lab ServiceLR*5.2*222, LR*5.2*232Medicine or Clinical ProceduresMC*2.3*34 or MD*1.0*1National Drug FilePSN*4.0*53, PSN*4*79, PSN*4.0*104Pharmacy Data ManagementPSS*1.0*101, PSS*1.0*105, PSS*1.0*97Clinical Case RegistriesROR*1*8 (this patch is not required for initial installation)SchedulingSD*5.3*254, SD*5.3*131Database Integration Agreements (DBIAs) The list of approved DBIAs for CCR 1.5 is shown in  REF _Ref335317845 \h  \* MERGEFORMAT Table 30. Table  SEQ Table \* ARABIC 30 Database Integration Agreements File NameFile NumberAccessDBIA #Comment*PATIENT2Browse IENs .02, .03, .06, .09, .351, 6310035S6^VADPT (.1112, .301, .302, .323)10061S$$GETICN^MPIF001 (991.01)2701S-9 node2762P.3721 (multiple)174C63998CEN^VAFHLPID263SCLINIC STOP40.7^DIC(40.7,D0,0) .01, 1, 2 ^DIC(40.7,'C',X,D0)93-CC40.7Read access to the file #40.7557CMEDICAL CENTER DIVISION40.8.01, 1 B, C417CSPECIALTY42.4^DIC(42.4,D0,0) .01 997CCLINIC STOP44^SC(D0,0) 893-AC3.510040SPTF45RPC^DGPTFAPI 3157S80 ^DGPT( 'AAD',3545PAccess to multiple fields92CPTF CLOSE OUT45.84.01 AC994CPHARMACY PATIENT55^PS(55,'AUDS',X,D0,D1) ^PS(55,D0,5, .01, .5, 3, 1, 68 ^PS(55,D0,5,D1,2) 9, 10, 26, 34 ^PS(55,D0,5,D1,1,D2,0) .01, .02, .03 ^PS(55,D0,5,D1,11,D2,0) .01, .02, .05, .03, .04, .06, .07, .08 ^PS(55,D0,'IV', .01, .02, .03, .04, 108, .06, .08, .08, 104, 106, 132, .22 ^PS(55,D0,'IV',D1,AD,D2,0) .01,.02 ^PS(55,D0,'IV',D1,SOL,D2,0) .01, 1 ^PS(55,D0,'IV',D1,LAB,D2,0) 1, 2, 4, 6 2497C^PS(55,D0,5,D1,0) .01, 3, 4, 7, .25, 12, 39 ^PS(55,D0,5,D1,2) 26, 10, 34 ^PS(55,D0,5,D1,1,D2,0) .01, .02 ^PS(55,DFN,5,'AUS',117C^PS(55,D0,'P',D1,0) .01 ^PS(55,DFN,'P','A',DATE,90-BCOCL^PSOORRL, OEL^PSOORRL2400COUTPATIENT SITE59^PS(59,D0,0) .01, .06 ^PS(59,D0,INI) 1001876CLAB60^LAB(60,D0,0) .01, 1, 4, 5 ^LAB(60,'B', ^LAB(60,'C', ^LAB(60,D0,2)91-ACATESTS^ORWLRR2947CCOLLECTION SAMPLE62^LAB(62,0) .012210PLAB DATA6367-CSurgical pathology for liver biopsy2503C91-BCAutopsy node3465P$$GCPR^LA7QRY3556CSPATH^LA7UTL034343CCPATH^LA7UTL034344CGETDATA^LA7UTL1A4335CLABORATORY SITE69.9.01, 95.33557P Environment check routineRAD/NUC MED PATIENT70^RADPT(D0,0) .01 ^RADPT(D0,'DT',D1,0) .01, 2, 3, 4 ^RADPT(D0,'DT',D1,'P',D2,0) 2, 3 6, 7, 8, 13, 14 ^RADPT(D0,'DT',D1,'P',D2,'M',D3,0) .01 ^RADPT(D0,'DT',D1,'P',D2,'CMOD',D3,0) 135 ^RADPT(D0,'DT',D1,'P',D2,'H', .01 65C RAD/NUC MED PROCEDURES71^RAMIS(71,D0,0) .01, 9 , 10 ^RAMIS(71,'D',X,DA) 9118-BC EXAMINATION STATUS72^RA(72,D0,0) .01 ^RA(72,'B',X,DA) .01 ^RA(72,'AA',118-DC RAD/NUC MED REPORTS74^RARPT( 5 ^RARPT(D0,'R', .01 ^RARPT(D0,'I', .01 ^RARPT(D0,'H', .0115-CPLAB LOINC95.3.01, 95.33557PPROTOCOL101.01, 4872C Direct read in the screen; pointed to.GMRV VITAL MEASUREMENT120.5EN1^GMRVUTO ^PXRMINDX(120.5,PI1446 4290C CPATIENT ALLERGIES120.8^GMR(120.8,D0,10,D1,0) REACTION (10,.01) OTHER REACTION (10,1)190-BCFEE BASIS PAYMENT162, sub-file 162.02.01, 1.55107CFEE BASIS PAYMENT162, sub-file 162.03.01, 5, 16, 28, 305107CFEE BASIS PHARMACY INVOICE162.1 sub-file 162.11.01, 1, 2, 9, 1.5, 1.6, 155409CVA FORM 10-7078162.43.5, 4.55104CFEE BASIS INVOICE162.54, 5, 6, 6.5, 6.6, 8, 19, 24, 30, 31, 32, 33, 34, 40, 41, 42, 43, 44, 54not yet availablePPATIENT MOVEMENT405.01, .03, .06, .17 ^DGPM('AMV1', ^DGPM('ATT1',1480CELECTROCARDIOGRAM (EKG)691.5GET^MCARAPI3780PGET^MDAPI13854PHL7 ERROR MESSAGE FILE771.7.014493PVISIT90000101905CSELECTED^VSIT (returns selected visits)1900-FC $$LOOKUP^VSIT (looks up a visit and returns its information)1900-GC1906CENCEVENT^PXKENC1889-FC Access to the 'AA' x-ref2309CV POV9000010.07POV^PXAPIIB1554PV IMMUNIZATION9000010.11C x-ref, .01, .03, .06, .07, 1201, 1202, 811015521PV SKIN9000010.12C x-ref, .01, .03, .04, .05, .06, 1201, 1202, 811015520PPROBLEM9000011ACTIVE^GMPLUTL928C$$MOD^GMPLUTL32644CFileMan captioned output of entire PROBLEM record. 2308CGETFLDS^GMPLEDT32977CSubscription to the DGPM MOVEMENT EVENTS protocol1181CGET^GMPLWP4743C9000010.18 9000010.23 9000010.11 9000010.16 9000010.07 9000010.06 9000010.12 9000010.15 9000010 9000010.13 9000010Subscription to the PXK VISIT DATA EVENT protocol1298CSubscription to the LR7O ALL EVSEND RESULTS3565CBHS^HLFNC34481P$$EMPL^DGSEC43646CBLDPID^VAFCQRY3630CEN^VAFHLZRD4535P$$EN^VAFHLZSP4536PZERO^PSS50, NDF^PSS50, DATA^PSS504533SZERO^PSN50P64540SC^PSN50P65, IEN^PSN50P654543SLIST^DIC2051SGET1^DIQ, GETS^DIQ2056SFILE^DIC2053S$$CODEN^ICPTCOD1995S$$CODEN^ICDCODE3990SEN^MXMLPRSE4149SLIST^DIC2051SGET1^DIQ, GETS^DIQ2056SFMADD^XLFDT, FMDIFF^XLFDT, FMTE^XLFDT10103SGET1^DIQ2056SFMADD^XLFDT, FMDIFF^XLFDT10103SGET1^DIQ2056SEN1^RAO7PC12043SFMADD^XLFDT10103SGETS^DIQ2056SFMADD^XLFDT10103SDT^XLFDT, FMADD^XLFDT10103SFMADD^XLFDT10103S$$CODEN^ICPTCOD and $$CPT^ICPTCOD1995SROOT^DILFD2055SGETS^DIQ2056SGETCPT^SDOE2546SMultiple APIs in SDQ routine2548S$$CODEN^ICDCODE and $$ICDOP^ICDCODE3990SFMADD^XLFDT10103SAPIs in routine SDQ: ACRP Interface Toolkit2548SFMADD^XLFDT10103SADM^VADPT2325CGET1^DIQ, GETS^DIQ2056SAPIs in routine SDQ2548SDT^XLFDT, FMADD^XLFDT10103S^ICD9( 5388SZERO^PSS50, NDF^PSS50, DATA^PSS504533SZERO^PSN50P64540SC^PSN50P65, IEN^PSN50P654543SLIST^DIC2051SGET1^DIQ, GETS^DIQ2056SEN^GMVPXRM3647CGETIEN^GMVGETVT5047SLN^XLFMTH10105SDEM^VADPT10061SPWR^XLFMTH10105SHL7TFM^XLFDT10103SDirect read of XUSEC global10076S* Comments: C = Controlled; P = Private; S = Supported Internal Relations There are no internal relations with this software. Package-wide Variables There are no package-wide variables in this software Software Product Security Only users with CCR HYPERLINK \l "Glos_SecurityKeys"security keys have access to the registries. CCR transmits data to the national database through the VA network. This network has security protection in place. All patients Social Security Numbers (SSNs) are encrypted before transmission to an agreed-upon standard. The fields sent to CDCO become readable upon receipt of the data; however, only high-level users have access to the unencrypted fields when viewing the national database. Alerts The system produces the following VA Alerts: AlertAddresseeWhen an access violation occursCoordinatorsWhen the first update is completed (an e-mail is also sent to the mail group)Initiator of the setupWhen a report (or a generic task) is readyInitiator of the report (generic task)Unsent HL7 message (an e-mail is also sent to the mail group)CoordinatorsProblems with the nightly taskCoordinatorsHistorical data extraction task finishedInitiator of the taskError during the pre- or post-install (if scheduled)Initiator of the build installationRemote Systems Data will be transmitted to the National CCR Registry via the HYPERLINK \l "Glos_VistA"VistA HYPERLINK \l "Glos_HL7"HL7 system. Contingency Planning Sites utilizing CCR should develop a local contingency plan to be used in the event of product problems in a live environment. The facility contingency plan must identify the procedure for maintaining functionality provided by this package in the event of system outage. Field station Information Security Officers (ISOs) may obtain assistance from their Regional Information Officer (RISO). Interfacing No interfacing is used in the CCR software. Electronic Signatures No electronic signatures are used in the CCR software. Security Keys Users must have a valid VistA account and must be assigned at least one of the following VistA HYPERLINK \l "Glos_SecurityKeys"security keys: ROR VA GENERIC USER or ROR VA GENERIC ADMIN ROR VA HEPC USER or ROR VA HEPC ADMIN ROR VA HIV USER or ROR VA HIV ADMIN ROR VA IRM Users with the ROR VA HIV/HEPC USERxe "USER security key" key will be displayed on the Show Registry Users window as User.  Users will have GUI access that will enable them to run reports for the specified registry. The ROR VA GENERIC USER key grants the user access to the local registries added in Patch 18. Users with this security key will be able to run reports. Users with the ROR VA HIV/HEPC ADMINxe "ADMIN security key" key will be displayed on the Show Registry Users window as Administrator.  Administrators will have full GUI access that will enable them to run reports, create local fields, and edit, confirm and delete patient records for the specified registry. The ROR VA GENERIC ADMIN key grants the user administration access to the local registries added in Patch 18. Users with the ROR VA IRMxe "IRM:security key" key will be displayed on the Show Registry Users window as HYPERLINK \l "Glos_IRM"IRM.  IRM Users will have full GUI access that will enable them to run reports, create local fields, and edit, confirm and delete patient records. Users with this security key will have access to all CCR files in VistA but no access to the GUI. This key should be assigned to the IRM personnel authorized to maintain and troubleshoot the CCR package. If any unauthorized users access this system, a VA alert will be sent to persons identified to receive registry notifications stating the date and time of the violation, the name of the user who attempted to access the system, and a record of the access violation will be written to the Access Violations folder of the Technical Log. Note: Only users having these keys can access the records of the ROR REGISTRY RECORD (#798), ROR REGISTRY PARAMETERS (#798.1), ROR PATIENT (#798.4), ROR LOG (#798.7), ROR TASK (#798.8), and ROR HIV RECORD (#799.4) files via FileMan. Creating an Output Directory in Windows Graphical User Interface Double-click the My Computer icon on the desktop. Choose a drive, then right-click the drive icon and select Properties from the pop-up menu. Make sure that the drive has enough free space for the new directory (about 500Mb), then click Cancel to close the Properties window. Double-click the drive icon. From the File menu, select New | Folder, then type RORHDT over the New Folder name. Press < Enter >. Close the window. Command Prompt From the Start menu, select Run. The Run dialog box appears.  In the Open: field, enter CMD and click < OK >. The Command Prompt window opens:  In most cases, the current drive will be C: and you will see the C:\> prompt. To create the directory on a different drive, type the letter of the drive followed by a colon (e.g., D:), and then press < Enter >. At the command prompt, type the DIR command followed by < Enter > to make sure that the drive has enough free space (about 500Mb). Look for a message like this at the end of the output: N Dir(s) nn,nnn,nnn bytes free.  Type MKDIR followed by a space and the name of directory \RORHDT and press . Type DIR \RORHDT and press to make sure that the directory has been created. C:\>D: D:\>DIR Volume in drive D is DATA Volume Serial Number is 924D-6524 Directory of D:\ 12/18/2001 10:48a CacheSys 08/30/2001 01:37p VISTA 2 Dir(s) 16,823,896,064 bytes free D:\>MKDIR \RORHDT D:\>DIR \RORHDT Volume in drive D is DATA Volume Serial Number is 924D-6524 Directory of D:\RORHDT 05/08/2002 09:32a . 05/08/2002 09:32a .. 0 File(s) 0 bytes 2 Dir(s) 16,823,896,064 bytes free D:\> Type EXIT and press to close the command prompt window. Using the Windows FTP Client Transmit Using FTP Client Use these steps to transmit the data using the Windows NT/2000/XP FTP client (see Windows documentation and/or online help for more details): From the Start menu, select Run In the Open: field, enter FTP and click < OK >. The FTP client window opens and the ftp> prompt is displayed.  Enter the OPEN command with the IP address 10.168.97.208 as a parameter; At the Name (): prompt, enter your user name. At the Password: prompt, enter your password. The characters of the password will not be displayed on the screen. Use the BIN command to change the transfer mode to binary, then initiate transfer of historical data files (*.HDT) from the output directory using the MPUT command: FTP> MPUT {disk and directory name}\*.HDT Confirm transmission of each file by pressing . Use the QUIT command to disconnect and exit the FTP client. The following screen capture shows a typical Windows FTP session: ftp> OPEN 10.168.97.208 Connected to 10.168.97.208. 220 Palo Alto CQM0 Server User (10.168.97.208): {your username} 331 Please specify the password. Password: {your password} 230 Login successful. ftp> BIN 200 Switching to Binary mode. ftp> MPUT D:\RORHDT\*.HDT mput d:\rorhdt\ROR-605-01.HDT? 200 PORT command successful. Consider using PASV. 150 Ok to send data. 226 File receive OK. ftp: 93003 bytes sent in 0.84Seconds 110.59Kbytes/sec. mput d:\rorhdt\ROR-605-02.HDT? 200 PORT command successful. Consider using PASV. 150 Ok to send data. 226 File receive OK. ftp: 91391 bytes sent in 0.98Seconds 93.25Kbytes/sec. ftp> QUIT Note: If you need to transmit or retransmit a single file, use the PUT command: ftp> PUT {disk and directory name}\{file name} Example: ftp> PUT D:\RORHDT\ ROR-605-01.HDT HL7 Message Definitions The CCR package sends patient data to the national registry as HYPERLINK \l "Glos_HL7"HL7 batch messages of CSU type. Each patient will be transmitted as an individual CSU message within the batch message. Typographic Conventions The following conventions are specific to this appendix only. See paragraph  REF _Ref272397552 \w \p \h \* MERGEFORMAT 1.1 above for other typographic conventions. The HL7 segments in the table are color-coded according to their purpose: HL7 structure segments are highlighted in 15% gray (BHS, MSH, and BTS). Patient demographic data segments are highlighted in light green (PID, ZSP, and ZRD). Patients clinical data (registry-independent) segments are highlighted in turquoise (OBR, OBX, ORC, and RXE). Patients registry-specific data segments are highlighted in ivory (CSP, CSS, OBR, and OBX). Square brackets [ ] denote optional segments (groups of segments). Curly brackets { } denote repeatable segments (groups of segments). CSU Clinical Trials Message (Event type C09) The function of this message is to pass information relating to patients on the locally identified registries to a centralized database. The message includes patient demographics; registry information; and relevant clinical data. Normalized Structure of the CSU Message Segment IDDescriptionCommentsHYPERLINK \l "_BHS__Batch"BHS {Batch HeaderHYPERLINK \l "_MSH__Message_Header_Segment"MSH {Message HeaderHYPERLINK \l "_PID__Patient"PIDPatient IdentificationPatient Demographics[ HYPERLINK \l "_ZSP__Service_1"ZSP ]Service Period[ { HYPERLINK \l "_ZRD__Rated_Disabilities_Segment"ZRD } ]Rated Disabilities[ { HYPERLINK \l "_ZSP__Service"PV1 } ]Patient visitAdmissions/Outpatient dataHYPERLINK \l "_CSR__Clinical_Study_Registration_S"CSR [ {Clinical Study RegistrationClinical Case Registry dataHYPERLINK \l "_CSP__Clinical_Study_Phase_Segment"CSP {Clinical Study Phase[ {HYPERLINK \l "_OBR"OBRObservation RequestInpatient/Outpatient, Radiology, Autopsy, Surgical Pathology, Cytopathology, Microbiology, Medical Procedures (EKG), Allergy, Immunization, IV, Skin Test, Vitals, Problem List, and Laboratory data{ HYPERLINK \l "_OBX__Observation/Result_Segment"OBX }Observation/Result} ] [ {HYPERLINK \l "_ORC__Common_Order_Segment"ORCCommon OrderPharmacy/Drug data{ HYPERLINK \l "_RXE__Pharmacy/Treatment_Encoded_Or"RXE }Pharmacy/Treatment Encoded Order} ][ { HYPERLINK \l "_ORC__Common_Order_Segment"ZIN }InpatientPurchased Care data{ HYPERLINK \l "_RXE__Pharmacy/Treatment_Encoded_Or"ZSV }Outpatient{ HYPERLINK \l "_RXE__Pharmacy/Treatment_Encoded_Or"ZRX }Pharmacy ]}} ]}} HYPERLINK \l "_BTS__Batch"BTSBatch Trailer Expanded Structure of the CSU Message Segment IDDescriptionCommentsHYPERLINK \l "_BHS__Batch"BHSBatch HeaderHYPERLINK \l "_MSH__Message_Header Segment"MSH {Message HeaderHYPERLINK \l "_PID__Patient_ID Segment"PIDPseudo-patient IdentificationRegistry State This group of segments is sent for each registry included in the data transmission.HYPERLINK \l "_CSR__Clinical_Study Registration S"CSRClinical Study Registration}[ {HYPERLINK \l "_MSH__Message_Header Segment"MSH [Message HeaderHYPERLINK \l "_PID__Patient"PIDPatient IdentificationPatients Demographic and Clinical Data This group of segments is sent only if the corresponding data has been modified/added since the last data transmission.[ HYPERLINK \l "_ZSP__Service_1"ZSP ]Service Period[ { HYPERLINK \l "_ZRD__Rated_Disabilities Segment"ZRD } ]Rated Disabilities[ { HYPERLINK \l "_ZSP__Service"PV1 } ]Patient visitHYPERLINK \l "_CSR__Clinical_Study Registration S"CSRClinical Study Registration[ {HYPERLINK \l "_OBR"OBRObservation Request{ HYPERLINK \l "_OBX__Observation/Result_Segment"OBX }Observation/Result} ] [ {HYPERLINK \l "_ORC__Common_Order Segment"ORCCommon Order{ HYPERLINK \l "_RXE__Pharmacy/Treatment_Encoded Or"RXE }Pharmacy/Treatment Encoded Order} ]] [ {HYPERLINK \l "_PID__Patient"PIDPatient IdentificationPatients Registry Data This group of segments contains the patient's registry data. It is sent for each registry included in the transmission if the patient belongs to that registry.HYPERLINK \l "_CSR__Clinical_Study Registration S"CSRClinical Study Registration{ HYPERLINK \l "_CSP__Clinical_Study Phase Segment"CSP }Clinical Study Phase} ]} ] HYPERLINK \l "_BTS__Batch"BTSBatch TrailerSample CSU Message BHS|^~\&|ROR SITE|640^PALO-ALTO.MED.VA.GOV^DNS|ROR AAC| |20050303020252-0800||^P^CSU~C09^2.4^AL^NE||64038648827| MSH|^~\&|ROR SITE||||||CSU^C09^CSU_C09|640105760888-1 |P|2.4|||AL|NE|USA PID|1||0^^^^U||PSEUDO^PATIENT CSR|VA HEPC^1.5||640^PALO ALTO HCS^99VA4|0^^^^U^3^20 PID|1||0^^^^U||PSEUDO^PATIENT CSR|VA HIV^1.5||640^PALO ALTO HCS^99VA4|0^^^^U^0^101 MSH|^~\&|ROR SITE||||||CSU^C09^CSU_C09|640105760888-2 |P|2.4|||AL|NE|US PID|1||1243567890V123456^^^USVHA&&0363^NI^VA FACILITY ID&640&L~325500^^^USVHA&&0363^PI^VA FACILITY ID&640&L||||19630408|M||2106-3-SLF^WHITE^0005^2106-3^WHITE^CDC|^^^^95123||||||||00007600044| ||2186-5-SLF^NOT HISPANIC OR LATINO^0189^2186-5^NOT HISPANIC OR LATINO^CDC||||||| ZSP|1|1|30|8||0|0|19700325 ZRD|1|7709^HODGKINS DISEASE|100|1 PV1|1|O|640^^^^^408|P|||10935^^^^^^^^^^^^PHYSICIAN||||||||||| |8710273|||||||||||||||||||||||||200403020815-0800||||||0 CSR|CCR^1.5||640^PALO ALTO HCS^99VA4|325500^^^USVHA^PI OBR|1||45353453|OP^Outpatient^C4|||1997040593-000600|||||||||||| |||||PHY||||||||||||||||||||499^HINES OIFO^99VA4 OBR|2||110120021658|93000^ELECTROCARDIOGRAM^C4||199504151100-0600|199505161100-0600|||||||||||||||||EC|F|||||||||||||||||| |612GF^MARTINEZ OPC/CREC^99VA4 OBX|1|FT|INT^Interpretation^VA080|CHANGES OR SERIAL|RECOMMEND CLINICAL CORRELATION||||||F OBX|2|FT|AUTO^Auto Instrument^VA080||This is the Auto-Instrument Diagnosis, which is a free text word processing field OBR|3||2050600309|81129.0000^Hepatic Function Panel^99VA64|| |20050301101656-0800||||A|^||20050301101656-0800|SER&SER/PLAS&HL7&SER/PLAS&SER/PLAS&LN|30890||||87712\S\CH\S\6949697.898344||20050301111748-0800||LAB| OBX|3||777-3^PLATELETS:NCNC:PT:BLD:QN:AUTOMATED COUNT^LN ^85570.0000^Platelet Count Whole Blood^99VA64||3.6|g/dL|3.3-4.8||||F||2|20020129082501-0700|612GF^MARTINEZ O PC/CREC^99VA4 |617-VA612GF^ OBX|4||LABC|LCOMM|Lab Comments go here||||||F ZIN|36520|20040408|20040409|1|9153.70|6445.16|20040817|DRG202|20040408|20040409|1|571.2|456.20|456.8|305.1|303.90|42.33|44.43ZSV|2943-169-1-1|20000908||76091|OPT SERVICES/TREATMENT FOR NSC DISABILITIES|611.72|OUTPATIENT HOSPITAL (22)ZRX|8344-1|6532803|19931221|CONDYLOX|PODOFILOX 0.5% TOP SOLN|0.5%|1 PID|2||1243567890V123456^^^USVHA&&0363^NI^VA FACILITY ID&640&L~325500^^^USVHA&&0363^PI^VA FACILITY ID&640&L||||19630408|M||2106-3-SLF^WHITE^0005^2106-3^WHITE^CDC|^^^^95123||||||||00007600044| ||2186-5-SLF^NOT HISPANIC OR LATINO^0189^2186-5^NOT HISPANIC OR LATINO^CDC||||||| CSR|VA HEPC^1.5||640^PALO ALTO HCS^99VA4 |325500^^^USVHA^PI||20040328||||7^Automatically Added - ICD9^99VA799_1||0^NO~1^YES~1^YES~0^NO~0^NO~0^NO~0^NO~0 ^NO~0^NO~0^NO~0^NO~0^NO~9^UNKNOWN CSP|0^UPDATE|20050225020252-0800|20050226020252-0800 CSP|1^SELECT|200502241415-0800 BTS|2 ACK Commit Acknowledgement Message The CCR uses original HL7 acknowledgment rules. The responding application is required to send only a commit acknowledgment when the message is received and safely stored. Structure of the Message Segment IDDescriptionOPTRPCommentsHYPERLINK \l "_BHS__Batch"BHSBatch HeaderRHYPERLINK \l "_MSA__Message_Acknowledgment Segmen"MSAMessage AcknowledgmentRHYPERLINK \l "_BTS__Batch"BTSBatch TrailerRSample ACK Message BHS|^~\&|ROR AAC||ROR SITE||20050303020500||^^ACK^2.4 |CA|23423423423|64038648827 MSA|CA|64038648827 BTS|1 THIS PAGE INTENTIONALLY LEFT BLANK HL7 Segment Definitions Typographic Conventions The following conventions are specific to this appendix only. See paragraph  REF _Ref272397607 \w \p \h \* MERGEFORMAT 1.1 above for other typographic conventions. Table  SEQ Table \* ARABIC 31 Typographic Conventions (Segment Definitions) NotationDescriptionExampleBoldLiteralDNS<>Name that represents the corresponding value[]Optional element(s)[ss]|Or+|-DDDay (1-31)05MMMonth (1-12)10NDigit (0-9)YY2-digit year05YYYY4-digit year2005HhHours (0-23)15MmMinutes (0-59)05SsSeconds (0-59)43ZzzzTime zone0600BlueHyperlink. You can click on it to open the corresponding section in this document, external document, or website.HYPERLINK \l "SeeExamples1"See NotesN/AField, component, or sub-component is not used by the package. Usually, it is empty but might have a value, which will be ignored.Example vs. ValueDescription of an element contains either the Example or the Value row. In the latter case, the element always has the provided value. HL7 Segment Table Definitions For each HL7 segment, the data elements contained in the segment are described in table format under  REF _Ref242756419 \h \* MERGEFORMAT Field Definitions in the following sections. The abbreviated column headings contained in the tables and associated HL7 data types are also defined. Table  SEQ Table \* ARABIC 32 HL7 Abbreviated Column Headings Column HeadingDefinitionSEQSequence of data element in segmentLENMaximum length of data elementDTData TypeOPTRequired/Optional (R=Required, O=Optional)RP/#Repeats/Maximum number of repetitions (Y for repeats)TBL#Number of corresponding HL7 user defined/supported tableELEMENT NAMEHL7 Element Name with VistA file and field location Table  SEQ Table \* ARABIC 33 HL7 Data Types Column HeadingDefinitionCECoded ElementIDCoded values for HL7 tablesSISequence IDTSDate/Time StampXCNExtended Composite ID number for name and persons Table  SEQ Table \* ARABIC 34 Diagnostic Service Section ID (HL7 Table 0074) ValueDescriptionAUAudiologyBGBlood gasesBLBBlood bankCUSCardiac UltrasoundCTHCardiac catheterizationCTCAT scanCHChemistryCPCytopathologyECElectrocardiac (e.g., EKG, EEC, Holter)ENElectroneuro (EEG, EMG,EP,PSG)HMHematologyICUBedside ICU MonitoringIMGDiagnostic ImagingIMMImmunologyLABLaboratoryMBMicrobiologyMCBMycobacteriologyMYCMycologyNMSNuclear medicine scanNMRNuclear magnetic resonanceNRSNursing service measuresOUSOB UltrasoundOTOccupational TherapyOTHOtherOSLOutside LabPARParasitologyPATPathology (gross and histopathology, not surgical)PHRPharmacyPTPhysical TherapyPHYPhysician (Hx. Dx, admission note, etc.)PFPulmonary functionRADRadiologyRXRadiographRUSRadiology ultrasoundRCRespiratory Care (therapy)RTRadiation therapySRSerologySPSurgical PathologyTXToxicologyURNUrinalysisVUSVascular UltrasoundVRVirologyXRCCineradiographReference Table Values Within the segment information are references to tables (TBL#), when applicable. Table  SEQ Table \* ARABIC 35 Segment Definition Examples FormatValid Values^^DNS640^PALO-ALTO.MED.VA.GOV^DNSYYYYMMDD[hhmm[ss]] [+|-zzzz] 20050303020252-0800 20050303020252 200503030202+0600 200503030202 20050303 BHS Batch Header Segment Table  SEQ Table \* ARABIC 36 Batch Header Segments SEQLENDTOPTRP/#TBL#Field NameCCR11STRBatch Field SeparatorHYPERLINK \l "_BHS-1_Batch_Field_Separator"See Notes24STRBatch Encoding CharactersHYPERLINK \l "_BHS-2_Batch_Encoding_Characters"See Notes315STRBatch Sending ApplicationHYPERLINK \l "_BHS-3_Sending_Application"See Notes472STRBatch Sending FacilityHYPERLINK \l "_BHS-4_Sending_Facility"See Notes515STRBatch Receiving ApplicationHYPERLINK \l "_BHS-5_Receiving_Application"See Notes620STOBatch Receiving FacilityN/A726TSRBatch Creation Date/TimeHYPERLINK \l "_BHS-7_Date/Time_Of"See Notes840STOBatch SecurityN/A923STRBatch Name/ID/TypeHYPERLINK \l "_BHS-9_Batch_Name/ID/Type"See Notes1080STCBatch CommentHYPERLINK \l "_BHS-10_Batch_Comment"See Notes1120STRBatch Control IDHYPERLINK \l "_BHS-11_Batch_Control_ID"See Notes1220STCReference Batch Control IDHYPERLINK \l "_BHS-12_Reference_Batch"See NotesField Definitions BHS-1 Batch Field Separator Definition:This field contains the separator between the segment ID and the first real field, BHS-2 Batch Encoding Characters. As such it serves as the separator and defines the character to be used as a separator for the rest of the message.Value:| (ASCII 124) BHS-2 Batch Encoding Characters Definition:This field contains four characters in the following order: the component separator; repetition separator; escape character; and subcomponent separator.Value:^~\& (ASCII 94, 126, 92, and 38, respectively) BHS-3 Batch Sending Application Definition:This field uniquely identifies the sending application among all other applications within the network enterprise. The network enterprise consists of all those applications that participate in the exchange of HL7 messages within the enterprise. Entirely site-defined.Value:ACK: ROR AAC CSU: ROR SITE BHS-4 Batch Sending Facility SEQDTTBL#Component NameCCR1ISHYPERLINK \l "T0362"0362Namespace IDStation Number2STUniversal IDStation Domain Name3IDHYPERLINK \l "T0301"0301Universal ID TypeDNSDefinition:This field contains the address of one of several occurrences of the same application within the sending system. Entirely site-defined.Value:640^PALO-ALTO.MED.VA.GOV^DNS BHS-5 Batch Receiving Application Definition:This field uniquely identifies the receiving application among all other applications within the network enterprise. The network enterprise consists of all those applications that participate in the exchange of HL7 messages within the enterprise. Entirely site-defined.Value:ACK: ROR SITE CSU: ROR AAC BHS-7 Batch Creation Date/Time Definition:This field contains the date/time that the sending system created the message. If the time zone is specified, it will be used throughout the message as the default time zone.Value:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:20050303020252-0800 BHS-9 Batch Name/ID/Type Table  SEQ Table \* ARABIC 37 BHS-9 Batch Name/ID/Type SEQDTTBL#Component NameCCR1IDN/A2IDHYPERLINK \l "T0103"0103Processing ID3ID~4ID0104Version ID2.45IDHYPERLINK \l "T0155"0155Accept ACK Type6IDHYPERLINK \l "T0155"0155Application ACK TypeDefinition:This field contains the Processing ID, Message Type, Trigger Event, and several other characteristics of the message. The CCR package sends a CSU message type with the trigger event C09. The CCR package always requests the commit acknowledgement but it does not require the application acknowledgement.Example:ACK: ^P^ACK^2.4 CSU: ^P^CSU~C09^2.4^AL^NE BHS-10 Batch Comment Definition:This field is a comment field that is not further defined in the HL7 protocol.Example:ACK: CA Historical CSU: HISTORICAL DATA Nightly CSU: N/A BHS-11 Batch Control ID Definition:This field is used to uniquely identify a particular batch. It is echoed back in the BHS-12 Reference Batch Control ID field of the commit acknowledgement.Example:64038648827 BHS-12 Reference Batch Control ID Definition:This field contains the value of BHS-11 Batch Control ID when this batch was originally transmitted. Value:CSU: N/A ACK: Value of BHS-11 Batch Control ID from the original CSU batch.Example:64038648827 Sample BHS Segments ACK BHS|HYPERLINK \l "_BHS-2_Encoding_Characters" \o "Batch Encoding Characters"^~\&|HYPERLINK \l "_BHS-3_Sending_Application" \o "Batch Sending Application"ROR AAC||HYPERLINK \l "_MSH-5_Receiving_Application" \o "Batch Receiving Application"ROR SITE||HYPERLINK \l "_MSH-6_Receiving_Facility" \o "Batch Creation Date/Time"20050303020500HYPERLINK \l "_MSH__Message"||^^ACK^2.4 |HYPERLINK \l "_BHS-10_Batch_Comment"CA|HYPERLINK \l "_BHS-11_Batch_Control_ID"23423423423|HYPERLINK \l "_BHS-12_Reference_Batch_Control ID"64040054123 CSU BHS|HYPERLINK \l "_BHS-2_Encoding_Characters" \o "Batch Encoding Characters"^~\&|HYPERLINK \l "_BHS-3_Sending_Application" \o "Batch Sending Application"ROR SITE|HYPERLINK \l "_BHS-4_Sending_Facility" \o "Batch Sending Facility"640^PALO-ALTO.MED.VA.GOV^DNS|HYPERLINK \l "_MSH-5_Receiving_Application" \o "Batch Receiving Application"ROR AAC| |HYPERLINK \l "_MSH-6_Receiving_Facility" \o "Batch Creation Date/Time"20050303020252-0800||HYPERLINK \l "_MSH__Message" \o "Batch Name/ID/Type"^P^CSU~C09^2.4^AL^NE||HYPERLINK \l "_BHS-11_Batch_Control_ID" \o "Batch Control ID"64038648827| BTS Batch Trailer Segment Table  SEQ Table \* ARABIC 38 Batch Trailer Segment SEQLENDTOPTRP/#TBL#Field NameCCR110STRBatch Message CountHYPERLINK \l "_BTS-1_Batch_Message_Count"See Notes280STOBatch CommentN/A3100NMOYBatch TotalsN/AField Definitions BTS-1 Batch Message Count Definition:This field stores the count of individual messages contained within the batch.Example:235 Sample BTS Segment BTS|HYPERLINK \l "_BTS-1_Batch_Message" \o "Batch Message Count"235 CSP Clinical Study Phase Segment Table  SEQ Table \* ARABIC 39 Clinical Study Phase Segment SEQLENDTOPTRP/#TBL#Field NameCCR130CERStudy Phase IdentifierHYPERLINK \l "_CSP-1_Study_Phase"See Notes226TSRDate/time Study Phase BeganHYPERLINK \l "_CSP-2_Date/time_Study"See Notes326TSCDate/time Study Phase EndedHYPERLINK \l "_CSP-3_Date/time_Study"See Notes4250CECStudy Phase EvaluabilityN/AThe CSP segments represent different registry-specific events, store the corresponding dates, and/or group the subsequent segments. If a segment with a particular value of the CSP-1 Study Phase ID field is not present in the message, then the corresponding values in the national database should not be changed. Field Definitions CSP-1 Study Phase ID SEQDTTBL#Component NameCCR1STIdentifierRegistry Event Code2STTextRegistry Event Name3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:This field indicates type of the registry-specific event represented by the CSP segment.Tables:IdentifierText0UPDATE1SELECT2ADD3CONFIRM4DELETE5CDCExample:0^UPDATE CSP-2 Date/time Study Phase Began Definition:Meaning of this field depends on the value of the CSP-1 Study Phase ID field:UPDATEStart date/time of the data extractionSELECTDate/time of the earliest selection ruleADDDate/time when the patient was added to the registry (in pending state)CONFIRMDate/time when the patient was confirmed in the registryDELETEDate/time when the patient was deleted from the registryCDCDate/time of CDC data modificationFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502100920-0800 CSP-3 Date/time Study Phase Ended Definition:Meaning of this field depends on the value of the CSP-1 Study Phase ID field:Value:UPDATE: End date/time of the data extraction Otherwise: N/AFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 Sample CSP segment CSP|HYPERLINK \l "_CSP-1_Study_Phase_ID"0^UPDATE|HYPERLINK \l "_CSP-2_Date/time_Study_Phase Began"20010806010000-0600|HYPERLINK \l "_CSP-3_Date/time_Study_Phase Ended"20010806015030-0600 CSR Clinical Study Registration Segment Table  SEQ Table \* ARABIC 40 Clinical Study Registration Segment SEQLENDTOPTRP/#TBL#Field NameCCR160EIRSponsor Study IDHYPERLINK \l "_CSR-1_Sponsor_Study_ID"See Notes260EIOAlternate Study IDN/A3250CERInstitution Registering the PatientHYPERLINK \l "_CSR-3_Institution_Registering_the P"See Notes430CXRSponsor Patient ID HYPERLINK \l "_CSR-4_Sponsor_Patient_ID"See Notes530CXOAlternate Patient ID - CSRN/A626TSCDate/Time Of Patient Study RegistrationHYPERLINK \l "_CSR-6_Date/time_of_Patient Study Re"See Notes7250XCNOYPerson Performing Study RegistrationN/A8250XCNCYStudy Authorizing Provider N/A926TSCDate/time Patient Study Consent SignedHYPERLINK \l "_CSR-9_Date/time_Patient_Study Conse"See Notes10250CECPatient Study Eligibility StatusHYPERLINK \l "_CSR-10_Patient_Study_Eligibility St_1"See Notes1126TSOY/3Study Randomization Date/timeN/A12250CECYRandomized Study ArmHYPERLINK \l "_CSR-12_Randomized_Study_Arm"See Notes13250CEOY/3Stratum for Study RandomizationN/A14250CECPatient Evaluability StatusN/A1526TSCDate/time Ended StudyN/A16250CECReason Ended StudyN/AField Definitions CSR-1 Sponsor Study ID SEQDTTBL#Component NameCCR1STEntity IdentifierRegistry Name2ISNamespace IDSoftware Version Information3STUniversal IDN/A4IDUniversal ID TypeN/A Definition:This field holds the internal registry name, the version number, and the build number of the CCR software:Clinical Data:CCR^.[.[.]]Otherwise:^.[.[.]]Examples:Clinical Data:CCR^1.5.2.1Otherwise:VA HIV^1.5.2.1 CSR-3 Institution Registering the Patient SEQDTTBL#Component NameCCR1ST0005IdentifierStation Number (without suffix)2STTextInstitution Name3STName of Coding System99VA44STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:This field distinguishes the station where the local registry is held.Example:640^PALO ALTO HCS^99VA4 CSR-4 Sponsor Patient ID SEQDTTBL#Component NameCCR1STIDPatient IEN (DFN)2STCheck Digit3IDHYPERLINK \l "T0061"0061Code of the Check Digit Scheme4HD0363Assigning Authority5IDHYPERLINK \l "T0203"0203Identifier Type Code6HDAssigning FacilityNumber of pending patients7DTEffective DateNumber of reports that have been run since the last transmission8DTExpiration DateN/A Definition:Clinical Data:Both patients clinical and patients registry CSR segments contain the Internal Entry Number (DFN) of the patients record at the sending facility in this field: ^^^USVHA^PIRegistry Data:See Clinical DataRegistry State:CSR segments in the Registry State section of the batch utilize the following format of this field: 0^^^^U^^Examples:15^^^USVHA^PI0^^^^U^3^20 CSR-6 Date/time of Patient Study Registration Definition:Clinical Data:N/ARegistry Data:Date when the patient was added to the registry (in pending state)Registry State:N/AFormat:YYYYMMDDExamples:20050210 CSR-9 Date/time Patient Study Consent Signed Definition:Clinical Data:N/ARegistry Data:Date of the AIDS OI (Clinical AIDS) is sent in this field if the corresponding check-box is selected on the Patient Edit dialog box.Registry State:N/AFormat:YYYYMMDDExamples:20050210 CSR-10 Patient Study Eligibility Status SEQDTTBL#Component NameCCR1ST0005IdentifierCode2STTextDescription3STName of Coding System99VA799_14STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:Clinical Data:N/ARegistry Data:Reason for addition of the patient to the registryRegistry State:N/ATables:CodeDescription7Automatically Added - ICD98Reason for addition of the patient to the registry9Automatically Added - ICD9 and LabExample:7^Automatically Added - ICD9^ 99VA799_1 CSR-12 Randomized Study Arm SEQDTTBL#Component NameCCR1ST0005IdentifierCode2STTextDescription3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:Clinical Data:N/ARegistry Data:Risk factors. 14th component indicates whether this site was the first site (VA or Non-VA) to diagnose HIV in the patient. Number of repetitions is registry-specific.Registry State:N/ATables:CodeDescription0NO1YES9UNKNOWNExample:0^NO~1^YES~1^YES~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~1^YES 0^NO~9^UNKNOWN ~~~~~~~~~~~~~9^UNKNOWN Sample CSR segment CSR|HYPERLINK \l "_CSR-1_Sponsor_Study_ID"VA HEPC^1.5||HYPERLINK \l "_CSR-3_Institution_Registering_the P"640^PALO ALTO HCS^99VA4|HYPERLINK \l "_CSR-4_Sponsor_Patient_ID"325500^^^USVHA^PI| |HYPERLINK \l "_CSR-6_Date/time_of_Patient Study Re"20040328|||HYPERLINK \l "_CSR-10_Patient_Study_Eligibility St"20050210|HYPERLINK \l "_CSR-10_Patient_Study_Eligibility St_1"7^Automatically Added - ICD9^99VA7991| |HYPERLINK \l "_CSR-12_Randomized_Study_Arm"0^NO~1^YES~1^YES~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~0^NO~9^UNKNOWN~1^YES MSA Message Acknowledgment Segment Table  SEQ Table \* ARABIC 41 Message Acknowledgment Segment SEQLENDTOPTRP/#TBL#Field NameCCR12IDRHYPERLINK \l "T0008"0008Acknowledgment CodeHYPERLINK \l "_MSA-1"See Notes220STRMessage Control IDHYPERLINK \l "_MSA-2"See Notes380STOText MessageHYPERLINK \l "_MSA-3"See Notes415NMOExpected Sequence NumberN/A51IDB0102Delayed Acknowledgment TypeN/A6250CEO0357Error ConditionN/AField Definitions MSA-1 Acknowledgment Code Definition:This field holds the acknowledgment code, which defines whether the message was accepted or rejected.Example:CA MSA-2 Message Control ID Definition:This field contains the message control ID of the message sent by the sending system. This allows the sending system to associate the response with the original message.Example:64038648827 MSA-3 Text Message Definition:This field will describe an error condition in the event of an AE or AR being returned. Sample MSA Segment MSA|HYPERLINK \l "_MSA-1_Acknowledgment_Code"CA|HYPERLINK \l "_MSA-2_Message_Control_ID"64038648827 MSH Message Header Segment Table  SEQ Table \* ARABIC 42 Message Header Segment SEQLENDTOPTRP/#TBL#Field NameCCR11STRField SeparatorHYPERLINK \l "_MSH-1_Field_Separator_1"See Notes24STREncoding CharactersHYPERLINK \l "_MSH-2_Encoding_Characters"See Notes3180HDO0361Sending ApplicationHYPERLINK \l "_MSH-3_Sending_Application"See Notes4180HDO0362Sending FacilityN/A5180HDO0361Receiving ApplicationN/A6180HDO0362Receiving FacilityN/A726TSRDate/Time Of MessageN/A840STOSecurityN/A915CMR0076/ 0003Message TypeHYPERLINK \l "_MSH-9_Message_Type"See Notes1020STRMessage Control IDHYPERLINK \l "_MSH-10_Message_Control"See Notes113PTRProcessing IDHYPERLINK \l "_MSH-11_Processing_ID"See Notes1260VIDR0104Version IDHYPERLINK \l "_MSH-12_Version_ID"See Notes1315NMOSequence NumberN/A14180STOContinuation PointerN/A152IDOHYPERLINK \l "T0155"0155Accept Acknowledgment TypeHYPERLINK \l "_MSH-15_Accept_Acknowledgment"See Notes162IDOHYPERLINK \l "T0155"0155Application Acknowledgment TypeHYPERLINK \l "_MSH-16_Application_Acknowledgment"See Notes173IDO0399Country CodeHYPERLINK \l "_MSH-17_Country_Code"See Notes1816IDOY0211Character SetN/A19250CEOPrincipal Language Of MessageN/A2020IDO0356Alternate Character Set Handling SchemeN/A2110IDOY0449Conformance Statement IDN/AField Definitions MSH-1 Field Separator Definition:This field contains the separator between the segment ID and the first real field, MSH-2 Encoding Characters. As such it serves as the separator and defines the character to be used as a separator for the rest of the message.Example:| (ASCII 124) MSH-2 Encoding Characters Definition:This field contains the four characters in the following order: the component separator; repetition separator; escape character; and subcomponent separator.Example:^~\& (ASCII 94, 126, 92, and 38, respectively) MSH-3 Sending Application Definition:This field uniquely identifies the sending application among all other applications within the network enterprise. The network enterprise consists of all those applications that participate in the exchange of HL7 messages within the enterprise. Entirely site defined.Example:ROR SITE MSH-9 Message Type SEQDTTBL#Component NameCCR1ID0076Message TypeCSU2ID0003Trigger EventC093ID0354Message StructureCSU_C09 Definition:This field contains the message type and trigger event for the message. The CCR package sends a CSU message type with the trigger event C09.Example:CSU^C09^CSU_C09 MSH-10 Message Control ID Definition:This field contains a number or other identifier that uniquely identifies the message. The receiving system echoes this ID back to the sending system in the Message Acknowledgment segment (MSA).Example:640105354833-1 MSH-11 Processing ID SEQDTTBL#Component NameCCR1IDHYPERLINK \l "T0103"0103Processing ID2IDHYPERLINK \l "T0207"0207Processing ModeN/A Definition:This field identifies the current status of the interface, the component is used to indicate if the area and circumstances of the transmission. The CDCO should not file training or debugging data into their production database.Example:P MSH-12 Version ID Definition:This field is matched by the receiving system to its own HL7 version to be sure the message will be interpreted correctly.Example:2.4 MSH-15 Accept Acknowledgment Type Definition:This field defines whether the sending system requires an acknowledgment from the receiving system when a message is accepted. The CCCR package always requests the accept (commit) acknowledgment.Example:AL MSH-16 Application Acknowledgment Type Definition:This field defines whether the sending system requires an acknowledgment from the receiving system when a message has been validated by the application. The CCR package does not use application acknowledgments.Example:NE MSH-17 Country Code Definition:This field contains the country of origin for the message.Example:USA Sample MSH Segment MSH|HYPERLINK \l "_MSH-2_Encoding_Characters" \o "Encoding Characters"^~\&|HYPERLINK \l "_MSH-3_Sending_Application" \o "Sending Application"ROR SITE||||||HYPERLINK \l "_MSH-4_Sending_Facility" \o "Message Type"CSU^C09^CSU_C09|HYPERLINK \l "_MSH-10_Message_Control" \o "Message Control ID"640105760888-2|HYPERLINK \l "_MSH-11_Processing_ID" \o "Processing ID"P|HYPERLINK \l "_MSH-12_Version_ID" \o "Version ID"2.4|| |HYPERLINK \l "_MSH-15_Accept_Acknowledgment" \o "Accept Acknowledgment Type"AL|HYPERLINK \l "_MSH-16_Application_Acknowledgment" \o "Application Acknowledgment Type"NE|HYPERLINK \l "_MSH-17_Country_Code" \o "Country Code"USA OBR Observation Request Table  SEQ Table \* ARABIC 43 Observation Request SEQLENDTOPTRP/#TBL#Field NameCCR14SIOSet ID - OBRHYPERLINK \l "_OBR-1_Set_ID_ OBR"See Notes222EICPlacer Order NumberN/A322EICFiller Order Number HYPERLINK \l "_OBR-3_Filler_Order_Number_1"See Notes4250CERUniversal Service IdentifierHYPERLINK \l "_OBR-4_Universal_Service_ID"See Notes52IDXPriority - OBRN/A626TSXRequested Date/TimeHYPERLINK \l "_OBR-6_Requested_Date/Time"See Notes726TSCObservation Date/TimeHYPERLINK \l "_OBR-7_Observation_Date/Time"See Notes826TSOObservation End Date/TimeHYPERLINK \l "_OBR-8_Observation_End_Date/Time"See Notes920CQOCollection VolumeN/A10250XCNOYCollector IdentifierN/A111IDO0065Specimen Action CodeHYPERLINK \l "_OBR-11_Specimen_Action_Code"See Notes12250CEODanger CodeHYPERLINK \l "_OBR-12_Danger_Code"See Notes13300STORelevant Clinical Info.HYPERLINK \l "_OBR-13_Relevant_Clinical_Info."See Notes1426TSCSpecimen Received Date/TimeHYPERLINK \l "_OBR-14_Specimen_Received_Date/Time"See Notes15300CMO0070Specimen SourceHYPERLINK \l "_OBR-15_Specimen_Source"See Notes16250XCNOYOrdering ProviderHYPERLINK \l "_OBR-16_Ordering_Provider_1"See Notes17250XTNOY/2Order Callback Phone NumberN/A1860STOPlacer Field 1HYPERLINK \l "_OBR-18_Placer_Field_1"See Notes1960STOPlacer Field 2N/A2060STOFiller Field 1HYPERLINK \l "_OBR-20_Filler_Field_1_1"See Notes2160STOFiller Field 2HYPERLINK \l "_OBR-21_Filler_Field_2"See Notes2226TSCResults Rpt/Status Chng - Date/TimeHYPERLINK \l "_OBR-22_Results_Rpt/Status_Chng - Da"See Notes2340CMOCharge to PracticeN/A2410IDO0074Diagnostic Serv Sect IDHYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"See Notes251IDC0123Result StatusHYPERLINK \l "_OBR-25_Result_Status"See Notes26400CMOParent ResultHYPERLINK \l "_OBR-26_Parent_Result"See Notes27200TQOYQuantity/TimingN/A28250XCNOY/5Result Copies ToN/A29200CMOParent HYPERLINK \l "_OBR-29_Parent"See Notes3020IDO0124Transportation ModeN/A31250CEOYReason for StudyN/A32200CMOPrincipal Result InterpreterN/A33200CMOYAssistant Result InterpreterN/A34200CMOYTechnicianN/A35200CMOYTranscriptionistN/A3626TSOScheduled Date/TimeN/A374NMONumber of Sample ContainersN/A38250CEOYTransport Logistics of Collected SampleN/A39250CEOYCollector's CommentN/A40250CEOTransport Arrangement ResponsibilityHYPERLINK \l "_OBR-40_Transport_Arrangement_Respon"See Notes4130IDO0224Transport ArrangedN/A421IDO0225Escort RequiredN/A43250CEOYPlanned Patient Transport CommentN/A44250CEO0088Procedure CodeHYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"See Notes45250CEOY0340Procedure Code ModifierN/A46250CEOY0411Placer Supplemental Service InformationHYPERLINK \l "_OBR-46_Placer_Supplemental_Service "See Notes47250CEOY0411Filler Supplemental Service InformationN/AField Definitions OBR-1 Set ID OBR Definition:This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc.Example:2 OBR-3 Filler Order Number SEQDTTBL#Component NameCCR1STEntity Identifier2ISNamespace ID3STUniversal ID4IDUniversal ID TypeDefinition:Allergy:IEN in the PATIENT ALLERGIES file (#120.8)Autopsy:Accession NumberCytopathology:Accession NumberImmunization:IEN in the IMMUNIZATION file (#9000010.11, #.01)Inpatient:IEN in the PTF file (#45)IV:Order NumberLaboratory data:Accession Number (Host UID)Med. Proc. (EKG):IEN in the ELECTROCARDIOGRAM (EKG) file (#691.5)Microbiology:Accession NumberOutpatient:IEN in the VISIT file (#9000010)Problem list:IEN in the INSTITUTION file (#4) concatenated with the Problem Number (values of the .06 and .07 fields of the PROBLEM file (# 9000011) accordingly). The number can have decimal places.Radiology:Case NumberSkin Test:IEN in the SKIN TEST file (#9000010.12, #.01)Surgical Pathology:Accession NumberExample:Allergy:123Autopsy:AU 02 462820Cytopathology:CY 02 345Immunization:123Inpatient:2495Outpatient:904726IV:123431345Laboratory data:CH 02 1234Med. Proc. (EKG):110120021658Microbiology:324MI33221Problem list:24452.11Radiology:6989273.8975-1^072601-1445Skin Test:123Surgical Pathology:SP 95 345 OBR-4 Universal Service ID SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding System4STAlternate Identifier5STAlternate Text6STName of Alternate Coding SystemDefinition:This field contains the identifier code for the requested observation/test.Allergy:Generic Hard-coded CPT-4 CodeAutopsy:Generic Hard-coded CPT-4 CodeCytopathology:Generic Hard-coded CPT-4 CodeImmunization:Generic Hard-coded CPT-4 Code Inpatient:Generic Hard-coded CPT-4 CodeIV:Generic Hard-coded CPT-4 CodeLaboratory data:NLT Code and Test NameMed. Proc. (EKG):Generic Hard-coded CPT-4 CodeMicrobiology:Generic Hard-coded CPT-4 CodeOutpatient:Generic Hard-coded CPT-4 CodeProblem list:Generic Hard-coded CPT-4 CodeRadiology:The Procedure Name will appear in the text part of this segment and the identifier will be the CPT code that relates to the procedure name.Skin Test:Generic Hard-coded CPT-4 CodeSurgical Pathology:Generic Hard-coded CPT-4 CodeVitals:Generic Hard-coded CPT-4 CodeDistinguishing between records for Allergy, IV, Medical Procedures, Lab, Radiology, Autopsy, Surgical and Cytopathology results can be done by a combination of OBR-4 and OBR-24.Example:Laboratory data:83020.0000^Hemoglobin^99VA64Radiology:71020^CHEST X-RAY^C4^58^CHEST PA\T\LAT^99RAPValue:Allergy:95000^ALLERGY^C4Autopsy:88099^UNLISTED NECROPSY PROC^C4Cytopathology:88108^CYTOPATHOLOGY, CONCENT^C4Immunization:90749^IMMUNIZATION^C4Inpatient:IP^Inpatient^C4IV:90780^IV^C4Med. Proc. (EKG):93000^ELECTROCARDIOGRAM^C4Microbiology:87999^MICROBIOLOGY^C4Outpatient:OP^Outpatient^C4Problem list:90125^HOSPITAL CARE,NEW, INTERMED.^C4Skin Test:86486^SKIN TEST^C4Surgical Pathology:88300^LEVEL I - SURGICAL PAT^C4Vitals:94150^VITAL CAPACITY TEST^C4 OBR-6 Requested Date/Time Definition:This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc.Med. Proc. (EKG):Date/Time of the EKGProblem list:Date/Time when the problem was entered into the PROBLEM file (#9000011)Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBR-7 Observation Date/Time Definition:This field contains the identifier code for the requested observation/test:Allergy:Origination DateAutopsy:Autopsy DateCytopathology:Exam DateInpatient:Admission Date/TimeIV:Start TimeLaboratory data:Date/Time when the specimen was takenMed. Proc. (EKG):Date/Time of the last successful transfer through the automated interface (populated only if received from an instrument)Microbiology:Accession DateOutpatient:Visit Date/TimeProblem list:Approximate date when the problem appearedRadiology:Exam Date/TimeSkin Test:Date ReadSurgical Pathology:Date/Time when the specimen was takenVitals:N/ADistinguishing between records for Allergy, IV, Medical Procedures, Lab, Radiology, Autopsy, Surgical and Cytopathology results can be done by a combination of OBR-4 and OBR-24.Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBR-8 Observation End Date/Time Definition:This field is populated only in the following segments:Autopsy:Date of the final autopsy diagnosesIV:Stop DateProblem List:Date/Time when the problem was resolved or inactivatedSurgical Pathology:Date/Time when the report was completed Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBR-11 Specimen Action Code Definition:This field is populated only in the following segments:Laboratory:Specimen Action CodeMicrobiology:Indicates whether the urine screen is positive or negative.Tables:ValueUrine ScreenNNegativePPositiveExample:P OBR-12 Danger Code SEQDTTBL#Component NameCCR1ST0005IdentifierN/A2STText3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/ADefinition:This field is populated only in the following segments:Laboratory Data:Infection Warning (value of the PAT. INFO. field (#.091) of the LAB DATA file (#63))Format:Free Text OBR-13 Relevant Clinical Info. Definition:This field is populated only in the following segments:Autopsy:ReactantImmunization:CommentsIV:ScheduleMicrobiology:Site SpecimenProblem List:Diagnosis Code (ICD-9)Skin Test:CommentsExample:Autopsy:ONIONImmunization:HISTORY OF ALLERGYIV:ONCEMicrobiology:PERITONEALProblem List:097.1Skin Test:positive 9.9cm OBR-14 Specimen Received Date/Time Definition:This field is populated only in the following segments:Laboratory Data:Collection Date/TimeProblem List:Date when the problem was resolved or inactivatedFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBR-15 Specimen Source SEQDTTBL#Component NameCCR1CESpecimen SourceLOINC2TXAdditivesN/A3TXFree TextN/A4CEBody SiteN/A5CESite ModifierN/A6CECollection ModifierN/A7CESpecimen RoleN/ADefinition:This field is populated only in the following segment:Laboratory Data:Specimen SourceExample:UR&Urine&HL70070&UR&Urine&LN OBR-16 Ordering Provider SEQDTTBL#Component NameCCR1STID NumberIEN of the user in the NEW PERSON file (#200)2FNFamily NameN/A3STGiven NameN/A4STSecond and further given names or initials thereofN/A5STSuffix (e.g., JR or III)N/A6STPrefix (e.g., DR)N/A7IS0360Degree (e.g., MD)N/A8IS0297Source TableN/A9HDAssigning AuthorityN/A10ID0200Name Type CodeN/A11STIdentifier Check DigitN/A12ID0061Code identifying the check digit scheme employedN/A13ISIdentifier Type CodeProvider Class Name14HDAssigning FacilityN/A15ID0465Name Representation CodeN/A16CE0448Name ContextN/A17DRName Validity RangeN/A18ID0444Name Assembly OrderN/A Definition:This field identifies the individual who ordered the test. Provider name is not used to ensure the patient privacy protection.Format:Allergy:^^^^^^^^^^^^Autopsy:Cytopathology:N/AImmunization:^^^^^^^^^^^^Inpatient:N/AIV:N/ALaboratory Data:Med. Proc. (EKG):N/AMicrobiology:N/AOutpatient:N/AProblem list:^^^^^^^^^^^^Radiology:^^^^^^^^^^^^Skin Test:^^^^^^^^^^^^Surgical Pathology:Vitals:N/AExample:2177^^^^^^^^^^^^PHYSICIAN OBR-18 Placer Field 1 Definition:This field is populated only in the following segment:Laboratory Data:Name of the Auto-instrumentFormat:^ OBR-20 Filler Field 1 Definition:This field is populated only in the following segments:Allergy:Allergy typeIV:Infusion rateLaboratory Data:Reference to the node in the LAB DATA file (#63)Microbiology:Collection SampleProblem List:Condition of the RecordFormat:Allergy:TextIV:TextLaboratory Data:\S\\S\ (\S\ - encoded ^ character)Microbiology:Problem List:Tables:CodeCondition of the Problem RecordHHiddenPPermanentTTranscribedExamples:Allergy:FOODIV:INFUSE OVER 30 MINLaboratory Data:42058\S\CH\S\6949770.89857Microbiology:FLD-PERITONEALProblem List:P OBR-21 Filler Field 2 Definition:This field is populated only in the following segment:Microbiology:Sputum ScreenFormat:Free Text OBR-22 Results Rpt/Status Chng - Date/Time Definition:This field is populated only in the following segment:Autopsy:Date/Time the report is releasedLaboratory Data:Date/Time the report is releasedProblem List:Date/Time Last ModifiedFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBR-24 Diagnostic Service Section ID Definition:This field is the section of the diagnostic service where the observation was performed.Value:Allergy:TXAutopsy:SPCytopathology:CPImmunization:OTHInpatient:PHYIV:IMMLaboratory Data:LABMed. Proc. (EKG):ECMicrobiology:MBOutpatient:PHYProblem list:TXRadiology:RADSkin Test:OTHSurgical Pathology:SPVitals:EC OBR-25 Result Status Definition:This field is the section of the diagnostic service where the observation was performed.Value:Allergy:Observed/HistoricalMed. Proc. (EKG):Confirmation StatusMicrobiology:Sterility ControlProblem list:Status of the ProblemTables:ValueAllergyMed Proc (EKG)MicrobiologyProblem StatusFObservedConfirmedPositiveActiveRHistoricalUnconfirmedNegativeInactiveExample:F OBR-26 Parent Result SEQDTTBL#Component NameCCR1CEOBX-3 observation identifier of parent result2STOBX-4 sub-ID of parent result3TXPart of OBX-5 observation result from parentDefinition:This field is populated only in the following segment:Laboratory Data:The PARENT RESULT uniquely identifies the parent results OBX segment related to this order. OBR-29 Parent SEQDTTBL#Component NameCCR1EIParent's Placer Order Number2EIParent's Filler Order NumberDefinition:This field is populated only in the following segment:Laboratory Data:This field relates a child to its parent when a parent-child relationship exists. OBR-40 Transport Arrangement Responsibility SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding SystemVA4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/ADefinition:This field is populated in the following segments only:IV:TypeTables:ValueIV Type TectAAdmixtureCChemotherapyHHyperalPPiggybackSSyringeExample:IV: P^Piggyback^VA OBR-44 Procedure Code SEQDTTBL#Component NameCCR1ST0005IdentifierStation Number (without suffix)2STTextInstitution Name3STName of Coding System99VA44STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:The OBR-44 holds the station/division that placed the order. This field is empty in the Allergy and Laboratory segments.Example:640^PALO ALTO HCS^99VA4 OBR-46 Placer Supplemental Service Information SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:The OBR-46 contains supplemental service information sent from the placer system to the filler system for the universal procedure code reported in OBR-4, Universal Service ID. This field will be used to provide ordering information detail that is not available in other, specific fields in the OBR segment. Multiple supplemental service information elements may be reported. [Source: HL7 Standard v24, 4.5.3.46]Autopsy:Value of the SERVICE field (14.5) of the LAB DATA file (#63)Format:^Example:Autopsy: S^SURGERY Sample OBR Segments Allergy OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"1||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"AL 99 5|HYPERLINK \l "_OBR-4_Universal_Service_ID"95000^ALLERGY^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"1995051611-000600|||||||| |HYPERLINK \l "_OBR-16_Ordering_Provider_1"8491^^^^^^^^^^^^STAFF PHYSICIAN||HYPERLINK \l "_OBR-18_Placer_Field_1"DF||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"TX|HYPERLINK \l "_OBR-25_Result_Status"R Autopsy OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"2||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"AU 99 5|HYPERLINK \l "_OBR-4_Universal_Service_ID"88099^UNLISTED NECROPSY PROC^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"199505161100-0600|HYPERLINK \l "_OBR-8_Observation_End_Date/Time"199505200900-0600||||||||||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"SP||||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4||HYPERLINK \l "_OBR-46_Placer_Supplemental_Service "S^SURGERY Cytopathology OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"3||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"AU 99 5|HYPERLINK \l "_OBR-4_Universal_Service_ID"88108^CYTOPATHOLOGY, CONCENT^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"199505161100-0600|||||||||||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"CP||||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Inpatient OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"4||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"23443|HYPERLINK \l "_OBR-4_Universal_Service_ID"IP^Inpatient^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"1997040593-000600||||||||| ||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"PHY||||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Immunizations OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"2||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"24917|HYPERLINK \l "_OBR-4_Universal_Service_ID"90749^IMMUNIZATION^C4||||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"OTH IV OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"5||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"IV 99 5|HYPERLINK \l "_OBR-4_Universal_Service_ID"90780^IV^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"1995051611-000600 |HYPERLINK \l "_OBR-8_Observation_End_Date/Time"1996030312-000600|||||HYPERLINK \l "_OBR-13_Relevant_Clinical_Info."Schedule goes here free text|||||| |HYPERLINK \l "_OBR-18_Placer_Field_1"Infusion Rate||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"IMM||||||||||||||||HYPERLINK \l "_OBR-40_Transport_Arrangement_Respon"P^Piggyback^VA^^^^||| |HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Laboratory data OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"6||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"2050600309|HYPERLINK \l "_OBR-4_Universal_Service_ID"81129.0000^Hepatic Function Panel^99VA64|| |HYPERLINK \l "_OBR-7_Observation_Date/Time"20050301101656-0800||||HYPERLINK \l "_OBR-11_Specimen_Action_Code"A|HYPERLINK \l "_OBR-13_Relevant_Clinical_Info"^||HYPERLINK \l "_OBR-16_Ordering_Provider"20050301101656-0800|HYPERLINK \l "_OBR-15_Specimen_Source"SER&SER/PLAS&HL7&SER/PLAS&SER/PLAS&LN|HYPERLINK \l "_OBR-16_Ordering_Provider_1"30890||||HYPERLINK \l "_OBR-20_Filler_Field_1_1"87712\S\CH\S\6949697.898344||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID"20050301111748-0800||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"LAB Med. Proc. (EKG) OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"7||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"110120021658|HYPERLINK \l "_OBR-4_Universal_Service_ID"93000^ELECTROCARDIOGRAM^C4||HYPERLINK \l "_OBR-6_Requested_Date/Time"199504151100-0600|HYPERLINK \l "_OBR-7_Observation_Date/Time"199505161100-0600|||||||||||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"EC|HYPERLINK \l "_OBR-25_Result_Status"F|||||||||||||||||| |HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"612GF^MARTINEZ OPC/CREC^99VA4 Microbiology OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"8||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"MI 99 5|HYPERLINK \l "_OBR-4_Universal_Service_ID"87999^MICROBIOLOGY^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"1997040511-000600||||HYPERLINK \l "_OBR-11_Specimen_Action_Code"P ||HYPERLINK \l "_OBR-13_Relevant_Clinical_Info."BLOOD|||||||HYPERLINK \l "_OBR-20_Filler_Field_1_1"Sample type free text|HYPERLINK \l "_OBR-21_Filler_Field_2"Sputum Screen free text|||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"MB|HYPERLINK \l "_OBR-25_Result_Status"F|||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Outpatient OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"9||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"45353453|HYPERLINK \l "_OBR-4_Universal_Service_ID"OP^Outpatient^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"1997040593-000600|||||||||||| |||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"PHY||||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Problem List OBR|1||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"640.016|90125HYPERLINK \l "_OBR-4_Universal_Service_ID"^HOSPITAL CARE,NEW, INTERMED.^C4||HYPERLINK \l "_OBR-6_Requested_Date/Time"20100119|20091101|20100119|||||070.0|20091201||HYPERLINK \l "_OBR-16_Ordering_Provider_1"35220^^^^^^^^^^^^STAFF PHYSICIAN||||P||HYPERLINK \l "_OBR-6_Requested_Date/Time"20100119||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"TX|HYPERLINK \l "_OBR-25_Result_Status"R|||||||||||||||||||HYPERLINK "http://vaww.oed.portal.va.gov/projects/registries/Application Data/Microsoft/SharePoint Drafts/partners.harris.com/vap/vaprograms/TEMP/Temporary Directory 1 for ROR1_5P11DOC2.ZIP/l"499^HINES OIFO^99VA4 Radiology OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"2||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"6989798.8767-1^020101-1327^L|HYPERLINK \l "_OBR-4_Universal_Service_ID"75736^ANGIO PELVIC SELECT OR SUPRASELECT S&I^C4^288^ANGIO CAROTID CEREBRAL BILAT S\T\I^99RAP|||HYPERLINK \l "_OBR-7_Observation_Date/Time"200102011232-0600|||||||||HYPERLINK \l "_OBR-16_Ordering_Provider_1"2177^^^^^^^^^^^^STAFF RADIOLOGIST||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"RAD|||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Skin Test OBR|1||2111|86486^SKIN TEST^C4|||20010523|||||||||35220^^^^^^^^^^^^STAFF PHYSICIAN||||||||OTH Surgical Pathology OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"3||HYPERLINK \l "_OBR-3_Filler_Order_Number_1"SP 99 5|HYPERLINK \l "_OBR-4_Universal_Service_ID"88300^ LEVEL I SURGICAL PAT^C4|||HYPERLINK \l "_OBR-7_Observation_Date/Time"19990316 |HYPERLINK \l "_OBR-8_Observation_End_Date/Time"199508021100-0600||||||||HYPERLINK \l "_OBR-16_Ordering_Provider_1"329||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"SP||||||||||||||||||| |HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 Vitals OBR|HYPERLINK \l "_OBR-1_Set_ID_ OBR"4|||HYPERLINK \l "_OBR-4_Universal_Service_ID"94150^VITAL CAPACITY TEST^C4||||||||||||||||||||HYPERLINK \l "_OBR-24_Diagnostic_Serv_Sect ID_1"EC ||||||||||||||||||||HYPERLINK \l "_OBR-44_Transport_Arrangement_Respon"499^HINES OIFO^99VA4 OBX Observation/Resultxe "observation/result" Segment Table  SEQ Table \* ARABIC 44 Observation/Result Segment SEQLENDTOPTRP/#TBL#Field NameCCR14SIOSet ID - OBXHYPERLINK \l "_OBX-1_Set_ID_ OBX"See Notes22IDCHYPERLINK \l "T0125"0125Value TypeHYPERLINK \l "_OBX-2_Value_Type"See Notes3250CERObservation IdentifierHYPERLINK \l "_OBX-3_Observation_Identifier"See Notes420STCObservation Sub-IDHYPERLINK \l "_OBX-4_Observation_Sub-ID"See Notes565536*CYObservation ValueHYPERLINK \l "_OBX-5_Observation_Value"See Notes6250CEOUnitsHYPERLINK \l "_OBX-6_Units_1"See Notes760STOReference RangesHYPERLINK \l "_OBX-7_References_Range"See Notes85ISOY/5HYPERLINK \l "T0078"0078Abnormal FlagsHYPERLINK \l "_OBX-8_Abnormal_Flags"See Notes95NMOProbabilityN/A102IDOY0080Nature of Abnormal TestN/A111IDR0085Observation Result StatusHYPERLINK \l "OBX_11"See Notes1226TSODate Last Observation Normal ValueHYPERLINK \l "_OBX-12_Date_Last_Observation Normal"See Notes1320STOUser Defined Access ChecksHYPERLINK \l "_OBX-14"See Notes1426TSODate/Time of the ObservationHYPERLINK \l "_OBX-14"See Notes15250CEOProducer's IDHYPERLINK \l "_OBX-15_Producers_ID"See Notes16250XCNOYResponsible ObserverHYPERLINK \l "_OBX-16_Responsible_Observer_1"See Notes17250CEOYObservation MethodHYPERLINK \l "_OBX-17"See Notes1822EIOYEquipment Instance IdentifierN/A1926TSODate/Time of the AnalysisN/AField Definitions OBX-1 Set ID OBX Definition:This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number will be one, for the second occurrence, the sequence number will be two, etc.Example:2 OBX-2 Value Type Definition:This field identifies the format of the observation value in OBX-5.Tables:A subset of the HYPERLINK \l "T0125"HL7 Table 0125 Value type is used.ValueDescriptionCECoded EntryFTFormatted Text (Display)NMNumericSTString DataTSTime Stamp (Date & Time)Example:ST OBX-3 Observation Identifier SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding System4STAlternate Identifier5STAlternate Text6STName of Alternate Coding System7STAlternate Identifier 28STAlternate Text 29STName of Alternate Coding System 2Definition:This field identifies the segment.Format:Allergy:CLAS^Drug Class^VA080 INGR^Ingredients^VA080 RCTS^Reactions^VA080Autopsy:AUCD^Clinical Diagnosis^VA080 AUPD^Pathological Diagnosis^VA080Cytopathology:BCH^Brief Clinical History^VA080 CDIAG^Cytopathology Diagnosis^VA080 ICD9^ICD9^VA080 MICRO^Microscopic Description^VA080 OF^Operative Findings^VA080 PDIAG^Preoperative Diagnosis^VA080 POPDIAG^Postoperative Diagnosis^VA080 SPEC^Specimen^VA080Inpatient:INAD^Admitting Diagnosis^VA080 INBED^Bed-section Diagnosis^VA080 INDIS^Discharge Diagnosis^VA080 INOTR^Other Diagnosis^VA080 INPRI^Primary Dis. Diagnosis^VA080 INSURG^Surgical Procedures^VA080Immunization:^Immunization NameIV:ADD^Additive^VA080 OTPR^Other Print Info^VA080 SOL^Solution^VA080Laboratory Data:[^LN^][^^99VA64^]^^99VA63 LABC^Lab Comment^VA080Med. Proc. (EKG):AUTO^Auto Instrument^VA080 INT^Interpretation^VA080Microbiology:AFB-Bay Pines^TB Report^VA080 BACT^Bact^VA080 BACT-Bay Pines^Bact Smear/Prep^VA080 COMP^Specimen Comment^VA080 FUNG^Fungus-Yeast^VA080 FUNGC^F-Y Comment^VA080 GRAM^Gram Stain^VA080 MYCO^Mycobacterium^VA080 MYCOAF^Myco Anti-F^VA080 MYCOAO^Myco Anti-O^VA080 MYCOC^Myco Comment^VA080 MYCO-Bay Pines^Mycology Smear/Prep^VA080 ORG^Organism^VA080 ORGA^Org Antibiotic^VA080 ORGAF^Org Antibiotic-F^VA080 ORGAO^Org Antibiotic-O^VA080 ORGC^Org Comment^VA080 PAR^Parasite^VA080 PARQ^Stage^VA080 PARC^Comment^VA080 PARA-Bay Pines^Para Smear/Prep^VA080 PARP^Parasite Remark^VA080 VIRUS^Virus^VA080 VIRUSR^Virology RPT^VA080Outpatient:OCPT^Procedures^VA080 OICD9^Diagnosis^VA080Problem List:EXPR^Expression^VA080 NOTE^Note Narrative^VA080 PRVN^Provider Narrative^VA080Radiology:CH^Clinical History^VA080 IT^Impression Text^VA080 RT^Report Text^VA080Skin Test:^Skin Test nameSurgical Pathology:BCH^Brief Clinical History^VA080 GDESC^Gross Decription^VA080 ICD9^ICD-9 Code^VA080 MDESC^Microscopic Description^VA080 OF^Operative Findings^VA080 PDIAG^Preoperative Diagnosis^VA080 POPDIAG^Postoperative Diagnosis^VA080 SPDIAG^Surgical Pathology Diagnosis^VA080 SPEC^Specimen^VA080Vitals:Bay Pines^Blood Pressure^VA080 HT^Height^VA080 P^Pulse^VA080 PN^Pain^VA080 R^Respiration^VA080 T^Temperature^VA080 WT^Weight^VA080Example:Laboratory Data:718-7^HEMOGLOBIN:MCNC:PT:BLD:QN^LN ^83020.0000^Hemoglobin^99VA64^CH386^HGB^99VA63 OBX-4 Observation Sub-ID Definition:This field contains the result observed by the observation producer. This field is populated in the following cases only:Laboratory Data:If OBX-3 contains the LOINC code and this field is blank then this is the main lab OBX segment. If OBX-3 contains LABC^Lab Comment and this field contains LCOMM, then the OBX-5 will contain the Lab Comment.Med. Proc. (EKG):If OBX-3 contains INT^Interpretation, then this field may contain the Interpretation Code Modifier for Medical Procedure data. Microbiology:If OBX-3 contains MYCOAF^Myco Anti-F, MYCOAO^Myco Anti-O, ORGAF^Org Antibiotic-F, or ORGAO^Org Antibiotic-O, then this field contains the microbiology field name.Vitals:Unique identifier for the record.Example:Med. Proc. (EKG): CHANGES OR SERIALLaboratory Data: LCOMMMicrobiology: STRVitals: 2355 OBX-5 Observation Value Definition:This field contains the result(s) observed by the observation producer. The format depends on the data type in OBX-2 and the content depends on OBX-3. Vitals: ^^ - these values are always separated by the ^ character (even if other component separator is used), then the whole string is encoded according to the HL7 standard.Vitals:^^ These values are always separated by the ^ character (even if other component separator is used), then the whole string is encoded according to the HL7 standard.Example:Vitals: 34\S\Weak\S\QER Otherwise: 103.9Notes:This field can be repeated in the following segments:Allergy:CLAS^Drug Class^VA080Cytopathology:ICD9^ICD9^VA080Immunization:Reaction^ContraindicatedInpatient:INBED^Bed-section Diagnosis^VA080 INDIS^Discharge Diagnosis^VA080 INOTR^Other Diagnosis^VA080 INSURG^Surgical Procedures^VA080Skin Test:Results^ReadingSurgical Pathology:ICD9^ICD-9 Code^VA080This field can contain multi-line text in the following segments (lines are separated by .br enclosed in HL7 escape character):Autopsy:AUCD^Clinical Diagnosis^VA080 AUPD^Pathological Diagnosis^VA080Cytopatholgy:BCH^Brief Clinical History^VA080 CDIAG^Cytopathology Diagnosis^VA080 MICRO^Microscopic Description^VA080 OF^Operative Findings^VA080 PDIAG^Preoperative Diagnosis^VA080 POPDIAG^Postoperative Diagnosis^VA080Med. Proc. (EKG):AUTO^Auto Instrument^VA080Problem List:NOTE^Note Narrative^VA080Radiology:CH^Clinical History^VA080 IT^Impression Text^VA080 RT^Report Text^VA080Surgical Pathology:BCH^Brief Clinical History^VA080 GDESC^Gross Decription^VA080 MDESC^Microscopic Description^VA080 OF^Operative Findings^VA080 PDIAG^Preoperative Diagnosis^VA080 POPDIAG^Postoperative Diagnosis^VA080 SPEC^Specimen^VA080 OBX-6 Units SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/ADefinition:This field is populated in the following cases only:Inpatient:Bed Section, if OBX-3 contains INOTR^Other Diagnosis or INBED^Bedsection DiagnosisLaboratory Data:Unit of the observation valueMicrobiology:Quantity (free text), if OBX-3 contains any of these values: FUNG^Fungus-Yeast MYCO^Mycobacterium PARQ^StageVitals:Value in metric systemExamples:Inpatient:94^INTERMEDIATE MEDICINE LTCLaboratory Data:GM/DLMicrobiology:Vitals:182.88 OBX-7 Reference Ranges Definition:This field is populated in the following cases only:IV:Strength for additive, if OBX-3 contains ADD^Additive Volume for solution, if OBX-3 contains SOL^Solution.Laboratory Data:-Microbiology: - Minimum Inhibitory Concentration (LAB DATA file (#63) ( MICROBIOLOGY multiple (5) ( ORGANISM multiple (12) ( ANTIBIOTIC multiple (200) ( 'MIC(ug/ml)' field (1)), if OBX-3 contains ORGA^Org Antibiotic; Acid Fast Stain result, if OBX-3 contains AFB-SP^TB Report (LAB DATA file (#63) ( MICROBIOLOGY multiple (5) ( ACID FAST STAIN (24)).Vitals:Body Mass, if OBX-3 contains WT^WeightExamples:IV:37 MGLaboratory Data:3.4-5.0Microbiology:23Vitals:27 OBX-8 Abnormal Flags Definition:This field is populated in the following segments only:Laboratory Data:Flag on Values for lab testsExample:Laboratory Data:LL OBX-11 Observation Result Status Definition:This field contains the observation result status.Tables:A subset of the HYPERLINK \l "T0085"HL7 Table 0085 Observation result status codes interpretation is used.ValueDescriptionCRecord coming over is a correction and thus replaces a final resultFFinal results; Can only be changed with a corrected resultISpecimen in lab; results pendingPPreliminary resultsExample:F OBX-12 Date Last Observation Normal Value Definition:This field is populated in the following cases only:Allergy:Reactions Date/Time EnteredInpatient:Bed-section End Date/Time, if OBX-3 contains INBED^Bedsection DiagnosisFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBX-13 User Defined Access Checks Definition:This field is populated in the following cases only:Microbiology: - Minimum Bactericidal Concentration (LAB DATA file (#63) ( MICROBIOLOGY multiple (5) ( ORGANISM multiple (12) ( ANTIBIOTIC multiple (200) ( 'MBC(ug/ml)' field (2)), if OBX-3 contains ORGA^Org Antibiotic.Example:222 OBX-14 Date/Time of the Observation Definition:This field is populated in the following cases only:Immunization:Event Date/Time Inpatient:Bed Section Start Date, if OBX-3 contains INBED^Bedsection Diagnosis; Surgical Procedure Date, if OBX-3 contains INSURG^Surgical Procedures; Other Procedure Date, if OBX-3 contains INOTR^Other Diagnosis.Laboratory Data:Collection Date/TimeMicrobiology:Date/Time of the TB report approval, if OBX-3 contains AFB-SP^TB Report)Skin Tests:Event Date/TimeVitals:Date/Time of MeasurementFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200502101015-0800 OBX-15 Producers ID SEQDTTBL#Component NameCCR1ST0005IdentifierStation Number2STTextInstitution Name3STName of Coding System99VA44STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:This field is populated in the following cases only:Laboratory DataExample:499^HINES OIFO^99VA4 OBX-16 Responsible Observer SEQDTTBL#Component NameCCR1STID NumberIEN of the user in the NEW PERSON file (#200)2FNFamily Name3STGiven Name4STSecond and further given names or initials thereof5STSuffix (e.g., JR or III)6STPrefix (e.g., DR)7IS0360Degree (e.g., MD)N/A8IS0297Source TableN/A9HDAssigning AuthorityN/A10ID0200Name Type CodeN/A11STIdentifier Check DigitN/A12ID0061Code identifying the check digit scheme employedN/A13ISIdentifier Type CodeProvider Class Name14HDAssigning FacilityN/A15ID0465Name Representation CodeN/A16CE0448Name ContextN/A17DRName Validity RangeN/A18ID0444Name Assembly OrderN/A Definition:This field identifies the provider. It is populated in the following cases only:Laboratory Data:Technician who performed the analysis: -^^^Outpatient:Procedure Provider and the Providers Class Name: ^^^^^^^^^^^^Example:2177^^^^^^^^^^^^PHYSICIAN OBX-17 Observation Method SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding System4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:This field is populated in the following cases only:Laboratory Data:Observation Method ^^99VA64_2Example:.3112^CHEM 1^99VA64_2 OBX-19 Date/Time of the Analysis SEQDTTBL#Component NameCCR1ST0005Identifier Definition:This field is populated in the following cases only:Immunization:Visit Date/Time Skin Test:Visit Date/TimeExample:200502101015-0800 Sample OBX Segments Allergy OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INGR^Ingredients^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Drug ingredients text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"CLAS^Drug Class^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Drug Class Text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"RCTS^Reactions^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Reactions Text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|HYPERLINK \l "_OBX-12_Date_Last_Observation Normal"20021203 Autopsy OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"AUCD^Clinical Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Text Line #1\.br\Text Line #2||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"AUPD^Pathological Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Cytopathology OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"SPEC^Specimen^VA080||HYPERLINK \l "_OBX-5_Observation_Value"BLADDER WASH||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"BCH^Brief clinical History^VA080||HYPERLINK \l "_OBX-5_Observation_Value"HX BLADDER CA||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"MICRO^Microscopic Examination^VA080||HYPERLINK \l "_OBX-5_Observation_Value"CLASS I (Absence of atypical cells.)|||||| HYPERLINK \l "_OBX-11_Observation_Result_Status"F Inpatient OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INAD^Admitting Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"309.4||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INPRI^Primary Dis Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"204.9||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INDIS^Discharge Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"301.2||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"4|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-4_Observation_Sub-ID"INBED^Bedsection Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"301.3~303.2|HYPERLINK \l "_OBX-6_Units"Bed Section|||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|HYPERLINK \l "_OBX-12_Date_Last_Observation Normal"199504151100-0600||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"199404151100-0600 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"5|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INSURG^Surgical Procedures^VA080||HYPERLINK \l "_OBX-5_Observation_Value"84.3~34.3||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|| |HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"199504151100-0600 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"6|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INOTR^Other Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"83.1~93.1|HYPERLINK \l "_OBX-6_Units"Bed Section|||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"199504151100-0600 Immunization OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2||HYPERLINK \l "_OBX-3_Observation_Identifier"^TETANUS DIPTHERIA (TD-ADULT)||^0|||||||||20000315|||||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"200003151100-0400 IV OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"ADD^Additive^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Addative text||HYPERLINK \l "_OBX-7_References_Range"300||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"SOL^Solution^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Solution text||HYPERLINK \l "_OBX-7_References_Range"300ml||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"OTPR^Other Print info.^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Other print text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Laboratory Data OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|| HYPERLINK \l "_OBX-3_Observation_Identifier" 777-3^PLATELETS:NCNC:PT:BLD:QN:AUTOMATED COUNT^LN ^85570.0000^Platelet Count Whole Blood^99VA64||HYPERLINK \l "_OBX-5_Observation_Value"3.6|HYPERLINK \l "_OBX-6_Units"g/dL|HYPERLINK \l "_OBX-7_References_Range"3.3-4.8||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F||HYPERLINK \l "_OBX-13_User_Defined_Access Checks"2|HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"20020129082501-0700|HYPERLINK \l "_OBX-15_Producers_ID"612GF^MARTINEZ O PC/CREC^99VA4 |HYPERLINK \l "_OBX-16_Responsible_Observer"617-VA612GF^ OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2||HYPERLINK \l "_OBX-3_Observation_Identifier"LABC|HYPERLINK \l "_OBX-4_Observation_Sub-ID"LCOMM|HYPERLINK \l "_OBX-5_Observation_Value"Lab Comments go here||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|| HYPERLINK \l "_OBX-3_Observation_Identifier" 777-3^PLATELETS:NCNC:PT:BLD:QN:AUTOMATED COUNT^LN ^85570.0000^Platelet Count Whole Blood^99VA64|HYPERLINK \l "_OBX-4_Observation_Sub-ID"PRICE|HYPERLINK \l "_OBX-5_Observation_Value"300||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F |||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"200502281000-0800|HYPERLINK \l "_OBX-13_User_Defined_Access Checks"640^PALO ALTO HEALTH CARE SYSTEM - PALO ALTO DIVSION^99VA4|HYPERLINK \l "_OBX-16_Responsible_Observer_1"2785-640^DEVINZI^LARCY|HYPERLINK \l "_OBX-17_Observation_Method".3112^CHEM 1^99VA64_2| Med. Proc. (EKG) OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"INT^Interpretation^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"CHANGES OR SERIAL|HYPERLINK \l "_OBX-5_Observation_Value"RECOMMEND CLINICAL CORRELATION||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"AUTO^Auto Instrument^VA080||HYPERLINK \l "_OBX-5_Observation_Value"This is the Auto-Instrument Diagnosis, which is a free text word processing field||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Microbiology OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"BACT^Bact^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Bact Remarks||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"GRAM^Gram Stain^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Gram Stain Text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"ORGC^Org Comment^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Org Comment||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"4|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"ORG^Organism^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Organism Comment||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"5|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"ORGQ^Quantitiy^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Organism Quantity||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"6|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PAR^Parasite^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Parasite Text|HYPERLINK \l "_OBX-6_Units"T|||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"7|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PARQ^Quantity^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Parasite Quantity Text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"8|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PARC^Comment^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Parasite Comment Text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"9|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PARP^Parasite Remark^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Parasite Remark||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"10|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"COMP^Specimen Comment^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Specimen Comment||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Outpatient OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"OCPT^Procedures^VA080||HYPERLINK \l "_OBX-5_Observation_Value"93455||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|||| |HYPERLINK \l "_OBX-16_Responsible_Observer"2177^^^^^^^^^^^^PHYSICIAN OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"OICD9^Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"309.2||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Problem List OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PRVN^Provider Narrative^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Mood Disorder in conditions classified elsewhere (ICD-9-CM 293.83)||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"EXPR^Expression^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Unresolved||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"NOTE^Note Narrative^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Note goes here||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Radiology OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"RT^Report Text^VA080||HYPERLINK \l "_OBX-5_Observation_Value"This is where the report test goes||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"IT^Impression Text^VA080||HYPERLINK \l "_OBX-5_Observation_Value"This is where the impression text goes||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"ACH^Additional Clinical History^VA080||HYPERLINK \l "_OBX-5_Observation_Value"This is where the additional clinical information goes||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Skin Test OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1||HYPERLINK \l "_OBX-3_Observation_Identifier"^PPD||HYPERLINK \l "_OBX-5_Observation_Value"N^2|||||||||20010518|||||200105181015-0400 Surgical Pathology OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"SPEC^Specimen^VA080||HYPERLINK \l "_OBX-5_Observation_Value"This is the specimen text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"BCH^Brief clinical History^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Clinical history text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PDIAG^Preoperative Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Preoperative diagnosis text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"4|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"OF^Operative Findings^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Operative findings text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"5|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"POPDIAG^Postoperative Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Preoperative text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"6|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"GDESC^Gross Decription^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Gross description text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"7|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"MDESC^Microscopic Description^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Microscopic description text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"8|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"SPDIAG^Surgical Pathology Diagnosis^VA080||HYPERLINK \l "_OBX-5_Observation_Value"Surgical pathology text||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"9|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"ICD9^ICD9^VA080||HYPERLINK \l "_OBX-5_Observation_Value"304.6||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F Vitals OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"1|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"BP^Blood Pressue^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"5853632|HYPERLINK \l "_OBX-5_Observation_Value"136/72\S\SITTING\S\L ARM;SITTING;CUFF;ADULT||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"20050228091501-0800 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"2|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"T^Tempreture^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"5853636|HYPERLINK \l "_OBX-5_Observation_Value"98.2\S\\S\ORAL|HYPERLINK \l "_OBX-6_Units"36.8|||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F |||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"20050228091501-0800 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"3|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"R^Respiration^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"5853635|HYPERLINK \l "_OBX-5_Observation_Value"13\S\\S\SPONTANEOUS||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F |||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"200502280915-0800 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"4|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"P^Pulse^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"5853634|HYPERLINK \l "_OBX-5_Observation_Value"76\S\\S\RADIAL;PALPATED||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F |||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"20050228091501-0800 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"5|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"PN^Pain^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"5853633|HYPERLINK \l "_OBX-5_Observation_Value"0\S\\S\||||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F|||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"20050228091501-0800 OBX|HYPERLINK \l "_OBX-1_Set_ID_ OBX"6|HYPERLINK \l "_OBX-2_Value_Type"FT|HYPERLINK \l "_OBX-3_Observation_Identifier"WT^Weight^VA080|HYPERLINK \l "_OBX-4_Observation_Sub-ID"5844022|HYPERLINK \l "_OBX-5_Observation_Value"195.7\S\\S\|HYPERLINK \l "_OBX-6_Units"88.95|HYPERLINK \l "_OBX-7_References_Range"27||||HYPERLINK \l "_OBX-11_Observation_Result_Status"F |||HYPERLINK \l "_OBX-14_Date/Time_of_the Observation"200502281300-0800 ORC Common Order Segment Table  SEQ Table \* ARABIC 45 Common Order Segment SEQLENDTOPTRP/#TBL#Field NameCCR12IDRN0119Order ControlHYPERLINK \l "_ORC-1_Order_Control"See Notes222EICPlacer Order NumberHYPERLINK \l "_ORC-2_Placer_Order_Number"See Notes322EICFiller Order NumberN/A422EIOPlacer Group NumberN/A52IDON0038Order Status HYPERLINK \l "ORC_5"See Notes61IDO0121Response FlagN/A7200TQOYQuantity/TimingN/A8200CMOParentN/A926TSODate/Time of TransactionHYPERLINK \l "ORC_9"See Notes10250XCNOYEntered ByN/A11250XCNOYVerified ByN/A12250XCNOYOrdering Provider HYPERLINK \l "_ORC-12_Ordering_Provider"See Notes1380PLOEnterers LocationN/A14250XTNOY/2Call Back Phone NumberN/A1526TSOOrder Effective Date/TimeHYPERLINK \l "_ORC-15_Order_Effective_Date/Time"See Notes16250CEOOrder Control Code ReasonHYPERLINK \l "_ORC-16_Order_Control_Code Reason"See Notes17250CEOEntering OrganizationHYPERLINK \l "_ORC-17_Entering_Organization"See Notes18250CEOEntering DeviceN/A19250XCNOYAction ByN/A20250CEO0339Advanced Beneficiary Notice CodeN/A21250XONOYOrdering Facility NameN/A22250XADOYOrdering Facility AddressN/A23XTNOYXTNOrdering Facility Phone NumberN/A24XADOYXADOrdering Provider AddressN/A25CWEONCWEOrder Status ModifierN/A Field Definitions ORC-1 Order Control Definition:This field determines the function of the order segment. For this interface the code will be set to indicate results follow.Example:NW ORC-2 Placer Order Number SEQDTTBL#Component NameCCR1STEntity IdentifierNumber2ISNamespace IDType3STUniversal IDN/A4IDUniversal ID TypeN/A Definition:This field contains an order number associated with the pharmacy data to follow.Inpatient:^IPOutpatient:^OPNon-VA Meds:<52.2 IEN>^NVA Example:1000000429^OP ORC-5 Order Status Definition:This field contains the status of the order. Inpatient:N/AOutpatient:N/ANon-VA Meds: [???]^IP (Active) [???]^DC (Discontinued) Example:[???]^IP [???]^DC  ORC-9 Date/Time of Transaction Definition:This field is populated in the following cases only:Outpatient:Release Date/TimeNon-VA Meds: Documented Date/Time Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:20041006 ORC-12 Ordering Provider SEQDTTBL#Component NameCCR1STID NumberIEN of the user in the NEW PERSON file (#200)2FNFamily NameN/A3STGiven NameN/A4STSecond and further given names or initials thereofN/A5STSuffix (e.g., JR or III)N/A6STPrefix (e.g., DR)N/A7IS0360Degree (e.g., MD)N/A8IS0297Source TableN/A9HDAssigning AuthorityN/A10ID0200Name Type CodeN/A11STIdentifier Check DigitN/A12ID0061Code identifying the check digit scheme employedN/A13ISIdentifier Type CodeProvider Class Name14HDAssigning FacilityN/A15ID0465Name Representation CodeN/A16CE0448Name ContextN/A17DRName Validity RangeN/A18ID0444Name Assembly OrderN/A Definition:This field identifies the individual responsible for the request. Names are not used to ensure data protection.Format:Documented By IEN^^^^^^^^^^^^PROVIDER CLASS Example:2177^^^^^^^^^^^^PHD ORC-15 Order Effective Date/Time Definition:This field contains the order start date/time.Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200503140944-0800 ORC-16 Order Control Code Reason SEQDTTBL#Component NameCCR1ST0005IdentifierN/A2STTextN/A3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextNEW6STName of Alternate Coding SystemN/A Definition:This field identifies the reason for the order. For this interface, it will be set to new.Value:^^^^NEW ORC-17 Entering Organization SEQDTTBL#Component NameCCR1ST0005IdentifierStation Number2STTextInstitution Name3STName of Coding System99VA644STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:This field distinguishes the station where the order was made.Format:Station Number^Station Name^99VA4 Value:499^HINES OIFO^99VA4 Sample ORC Segments Inpatient ORC|HYPERLINK \l "_ORC-1_Order_Control"NW|HYPERLINK \l "_ORC-2_Placer_Order_Number"7338989V2726709^IP||||||||||HYPERLINK \l "_ORC-12_Ordering_Provider"43882^^^^^^^^^^^^RESIDENT|| |HYPERLINK \l "_ORC-15_Order_Effective_Date/Time"200503140944-0800|HYPERLINK \l "_ORC-16_Order_Control_Code Reason"^^^^NEW|HYPERLINK \l "_ORC-17_Entering_Organization"640^PALO ALTO HCS^99VA4 Outpatient ORC|HYPERLINK \l "_ORC-1_Order_Control"NW|HYPERLINK \l "_ORC-2_Placer_Order_Number"5666184^OP|||||||HYPERLINK \l "_ORC-9_Date/Time_of_Transaction"20040517|||HYPERLINK \l "_ORC-12_Ordering_Provider"7114^^^^^^^^^^^^NURSE PRACTITIONER|||HYPERLINK \l "_ORC-15_Order_Effective_Date/Time"20040507|HYPERLINK \l "_ORC-16_Order_Control_Code Reason"^^^^NEW|HYPERLINK \l "_ORC-17_Entering_Organization"640^PALO ALTO HCS^99VA4 Non-VA Meds ORC|NW|1^NVA|||IP||||20070210150448-0500|||2229^^^^^^^^^^^^PHYSICIAN||||^^^^NEW|442^CHEYENNE VAMC^99VA4 PID Patient ID Segment Table  SEQ Table \* ARABIC 46 Patient ID Segment SEQLENDTOPTRP/#TBL#Field NameCCR14SIOSet ID - PIDHYPERLINK \l "_PID-1_Set_ID"See Notes220CXBPatient IDN/A3250CXRYPatient Identifier ListHYPERLINK \l "_PID-3_Patient_ID"See Notes420CXBYAlternate Patient ID - PIDN/A5250XPNRYPatient NameHYPERLINK \l "_PID-5_Patient_Name_1"See Notes6250XPNOYMothers Maiden NameN/A726TSODate/Time of BirthHYPERLINK \l "_PID-7_Date/Time_of_Birth"See Notes81ISOHYPERLINK \l "T0001"0001SexHYPERLINK \l "_PID-8_Sex"See Notes9250XPNOYPatient AliasN/A10250CEOY0005Race and Collection MethodHYPERLINK \l "_PID-10_Race_and"See Notes11250XADOYPatient AddressHYPERLINK \l "_PID-11_Patient_address"See Notes124ISB0289County CodeN/A13250XTNOYPhone Number - HomeN/A14250XTNOYPhone Number - BusinessN/A15250CEO0296Primary LanguageN/A16250CEO0002Marital StatusN/A17250CEO0006ReligionN/A18250CXOPatient Account NumberN/A1916STBSSN Number - PatientHYPERLINK \l "_PID-19_SSN_"See Notes2025DLNODriver's License Number - PatientN/A21250CXOYMother's IdentifierN/A22250CEOY0189Ethnic GroupHYPERLINK \l "_PID-22_Ethnicity_and"See Notes23250STOBirth PlaceN/A241IDO0136Multiple Birth IndicatorN/A252NMOBirth OrderN/A26250CEOY0171CitizenshipN/A27250CEO0172Veterans Military StatusN/A28250CEO0212Nationality N/A2926TSOPatient Death Date and TimeHYPERLINK \l "_PID-29_Patient_Death"See Notes301IDO0136Patient Death IndicatorN/A311IDO0136Identity Unknown IndicatorN/A3220ISOY0445Identity Reliability CodeN/A3326TSOLast Update Date/TimeN/A3440HDOLast Update FacilityN/A35250CEC0446Species CodeN/A36250CEC0447Breed CodeN/A3780STOStrainN/A38250CEO20429Production Class CodeN/AField Definitions PID-1 Set ID PID Definition:This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc.Value:2 PID-3 Patient Identifier List SEQDTTBL#Component NameCCR1STID2STCheck Digit3IDHYPERLINK \l "T0061"0061Code of the Check Digit Scheme4HD0363Assigning Authority5IDHYPERLINK \l "T0203"0203Identifier Type Code6HDAssigning Facility7DTEffective DateN/A8DTExpiration DateN/A Definition:This field contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.). Currently, the CCR package uses 2 identifiers: Patient IEN (DFN) and Integration Control Number (if available). Patient IEN is concatenated with the station number by the receiver to create a unique identifier.ICN:^^^USVHA&&0363^NI^VA FACILITY ID&&LPatient EIN:^^^USVHA&&0363^PI^VA FACILITY ID&&LRegistry State:PID segments in the registry-wide section of the batch utilize the following format of this field: 0^^^^UExample:1243567890V123456^^^USVHA&&0363^NI^VA FACILITY ID&640&L ~325500^^^USVHA&&0363^PI^VA FACILITY ID&640&L PID-5 Patient Name Definition:Clinical Data:Registry Data:Despite the fact that the Patient Name field is a required one, it is not populated in regular PID segments due to patient privacy and security reasons.Registry State:PID segments in the registry-wide section of the batch have PSEUDO^PATIENT string in this field.Example:PSEUDO^PATIENT PID-7 Date/Time of Birth Definition:This field contains the patients date of birth.Format:YYYYMMDD (either day or both month and day can be zeros)Example:19521027 PID-8 Sex Definition:This field contains the patients sex.Tables:A subset of the HYPERLINK \l "T0001"HL7 Table 0001 - Administrative sex is used:ValueDescriptionFFemaleMMaleOOtherUUnknownExample:F PID-10 Race and Collection Method SEQDTTBL#Component NameCCR1ST0005Identifier2STText3STName of Coding System4STAlternate Identifier5STAlternate Text6STName of Alternate Coding System Definition:This field refers to the patients race.Format:The Identifier has the following format: -.Tables:IDRace1002-5AMERICAN INDIAN OR ALASKA NATIVE2028-9ASIAN2054-5BLACK OR AFRICAN MAERICAN2076-8NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER2106-3WHITE0000-0DECLINED TO ANSWER9999-4UNKNOWN BY PATIENTIDCollection methodSLFSELF IDENTIFICATIONPRXPROXYOBSOBSERVERUNKUNKNOWNExample:2106-3-SLF^WHITE^0005^2106-3^WHITE^CDC PID-11 Patient address SEQDTTBL#Component NameCCR1STStreet AddressN/A2STOther DesignationN/A3STCityN/A4STState or ProvinceN/A5STZIP or Postal Code6ID0399CountryN/A7ID0190Address TypeN/A8STOther Geographic DesignationN/A9IS0289County/Parish CodeN/A10IS0288Census TractN/A11ID0465Address Representation CodeN/A12DRAddress Validity RangeN/A Definition:This field contains the mailing address of the patient. The CCR HL7 interface sends only the zip code.Format:NNNNN[-NNN]Example:^^^^60141-7008 PID-19 SSN Number - Patient Definition:This field contains the encoded social security number of the patient.Format:NNNNNNNNNNN[P] (11 digits followed by optional indicator of a pseudo-SSN).Example:60129282062 PID-22 Ethnic Group SEQDTTBL#Component NameCCR1STIdentifier2STText3STName of Coding System4STAlternate Identifier5STAlternate Text6STName of Alternate Coding System Definition:This field refers to the patients ethnicity.Format:The Identifier has the following format: -.Tables:IDEthnicity2135-2HISPANIC OR LATINO2165-5NOT HISPANIC OR LATINO0000-0DECLINED TO ANSWER9999-4UNKNOWN BY PATIENTIDCollection methodSLFSELF IDENTIFICATIONPRXPROXYOBSOBSERVERUNKUNKNOWNExample:2186-5-SLF^NOT HISPANIC OR LATINO^0189 ^2186-5^NOT HISPANIC OR LATINO^CDC PID-29 Patient Death Date and Time Definition:This field contains the date on which the patient death occurred.Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:195210271230 Sample PID Segment PID|HYPERLINK \l "_PID-2_Patient_ID"1||HYPERLINK \l "_PID-3_Patient_Identifier_List"1243567890V123456^^^USVHA&&0363^NI^VA FACILITY ID&640&L~325500^^^USVHA&&0363^PI^VA FACILITY ID&640&L||||HYPERLINK \l "_PID-7_Date/Time_of_Birth" \o "Date/Time of Birth"19630408|HYPERLINK \l "_PID-8_Sex" \o "Sex"M||HYPERLINK \l "_PID-10_Race_and" \o "Race"2106-3-SLF^WHITE^0005^2106-3^WHITE^CDC|HYPERLINK \l "_PID-11_Patient_address" \o "Patient Address"^^^^95123||||||||HYPERLINK \l "_PID-19_SSN_" \o "SSN Number - Patient"00007600044| ||HYPERLINK \l "_PID-22_Ethnicity_and" \o "Ethnic Group"2186-5-SLF^NOT HISPANIC OR LATINO^0189^2186-5^NOT HISPANIC OR LATINO^CDC|||||||HYPERLINK \l "_PID-29_Patient_Death" \o "Patient Death Date and Time" PV1 Patient Visit Segment Table  SEQ Table \* ARABIC 47 Patient Visit Segment SEQLENDTOPTRP/#TBL#Field NameCCR14SIOSet ID - PV1HYPERLINK \l "_PV1-1_Set_ID_ PV1"See Notes21ISR0004Patient ClassHYPERLINK \l "_PV1-2_Patient_Class"See Notes380PLOAssigned Patient LocationHYPERLINK \l "_PV1-3_Assigned_Patient_Location"See Notes42ISO0007Admission TypeHYPERLINK \l "_PV1-4_Admission_Type"See Notes5250CXOPreadmit NumberN/A680PLOPrior Patient LocationHYPERLINK \l "_PV1-6_Prior_Patient_Location"See Notes7250XCNOY0010Attending DoctorHYPERLINK \l "_PV1-7_Attending_Doctor"See Notes8250XCNOY0010Referring DoctorN/A9250XCNBY0010Consulting DoctorN/A103ISO0069Hospital ServiceN/A1180PLOTemporary LocationN/A122ISO0087Preadmit Test IndicatorN/A132ISO0092Re-admission IndicatorN/A146ISO0023Admit SourceN/A152ISOY0009Ambulatory StatusN/A162ISO0099VIP IndicatorN/A17250XCNOY0010Admitting DoctorN/A182ISO0018Patient TypeN/A1930CXOVisit NumberHYPERLINK \l "_PV1_-_19_ Visit Number"See Notes2050FCOY0064Financial ClassN/A212ISO0032Charge Price IndicatorN/A222ISO0045Courtesy CodeN/A232ISO0046Credit RatingN/A242ISOY0044Contract CodeN/A258DTOYContract Effective DateN/A2612NMOYContract AmountN/A273NMOYContract PeriodN/A282ISO0073Interest CodeN/A291ISO0110Transfer to Bad Debt CodeN/A308DTOTransfer to Bad Debt DateN/A3110ISO0021Bad Debt Agency CodeN/A3212NMOBad Debt Transfer AmountN/A3312NMOBad Debt Recovery AmountN/A341ISO0111Delete Account IndicatorN/A358DTODelete Account DateN/A363ISO0112Discharge DispositionHYPERLINK \l "_PV1_-_36_ Discharge Disposition"See Notes3725CMO0113Discharged to LocationN/A38250CEO0114Diet TypeN/A392ISO0115Servicing FacilityN/A401ISB0116Bed StatusN/A412ISO0117Account StatusN/A4280PLOPending LocationN/A4380PLOPrior Temporary LocationN/A4426TSOAdmit Date/TimeHYPERLINK \l "_PV1-44_Admit_Date/Time"See Notes4526TSODischarge Date/TimeHYPERLINK \l "_PV1-45_Discharge_Date/Time"See Notes4612NMOCurrent Patient BalanceN/A4712NMOTotal ChargesN/A4812NMOTotal AdjustmentsN/A4912NMOTotal PaymentsN/A50250CXO0203Alternate Visit IDN/A511ISO0326Visit IndicatorHYPERLINK \l "_PV1-51_Visit_Indicator"See Notes52250XCNBY0010Other Healthcare ProviderN/AField Definitions PV1-1 Set ID PV1 Definition:This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc.Example:1 PV1-2 Patient Class Definition:This field is used to categorize patients by the type of admission.Tables:ValueDescriptionIInpatientOOutpatientExample:I PV1-3 Assigned Patient Location SEQDTTBL#Component NameCCR1ISPoint of CareStation Number2ISRoomN/A3ISBedN/A4HDFacilityN/A5ISLocation StatusN/A6ISPerson Location TypeClinic Stop Code (for outpatients)7ISBuildingN/A8ISFloorN/A9STLocation DescriptionN/A Definition:This field identifies the station where the admission took place.Inpatient:Station number for inpatient admissions is returned by the $$SITE^VASITE function and its suffix is removed.Outpatient:IEN of the station for outpatient visits is returned by the ENCEVENT^ PXKENC procedure. The station number is extracted from the corresponding record of the MEDICAL CENTER DIVISION file (#40.8) and stored as is (potentially, with the suffix). Outpatient visits also have the Person Location Type component set to the clinic stop code.Format:Inpatient:Outpatient:^^^^^Example:Inpatient:499Outpatient:499UX^^^^^203 PV1-4 Admission Type Definition:Inpatient:N/AOutpatient:Admission TypeTables:ValueDescriptionAAncillaryCCredit StopPPrimaryOOccasion of ServiceSStop CodeExample:P PV1-6 Prior Patient Location SEQDTTBL#Component NameCCR1ISPoint of CareN/A2ISRoomN/A3ISBedIEN of the bed section (specialty) in the SPECIALTY file (#42.4)4HDFacilityN/A5ISLocation StatusN/A6ISPerson Location TypeN/A7ISBuildingN/A8ISFloorN/A9STLocation DescriptionName of the bed section (the .01 field of the file #42.4) Definition:Inpatient:Bed section at the time of dischargeOutpatient:N/AExample:^^71^^^^^^LONG TERM PSYCHIATRY(>45 DAYS) PV1-7 Attending Doctor SEQDTTBL#Component NameCCR1STID NumberUser IEN in the NEW PERSON file (#200)2FNFamily NameN/A3STGiven NameN/A4STSecond and further given names or initials thereofN/A5STSuffix (e.g., JR or III)N/A6STPrefix (e.g., DR)N/A7IS0360Degree (e.g., MD)N/A8IS0297Source TableN/A9HDAssigning AuthorityN/A10ID0200Name Type CodeN/A11STIdentifier Check DigitN/A12ID0061Code identifying the check digit scheme employedN/A13ISIdentifier Type CodeProvider Class Name14HDAssigning FacilityN/A15ID0465Name Representation CodeN/A16CE0448Name ContextN/A17DRName Validity RangeN/A18ID0444Name Assembly OrderN/A Definition:Inpatient:N/AOutpatient:Attending Physician(s). Provider names are not used to ensure the patient privacy protection.Example:2177^^^^^^^^^^^^PHYSICIAN PV1-19 Visit Number SEQDTTBL#Component NameCCR1STIDIEN of the Visit2STCheck DigitN/A3ID0061Code identifying the check digit scheme employedN/A4HDAssigning AuthorityN/A5ID0203Identifier Type CodeN/A6HDAssigning FacilityN/A7DTEffective DateN/A8DTExpiration DateN/A Definition:This field contains the IEN of the visit and can be used to link up with the OBR segment for this visit.Inpatient:IEN of the record of the PTF CLOSE OUT file (#45.84)Outpatient:IEN of the record of the VISIT file (#9000010)Example:8710273 PV1-36 Discharge Disposition Definition:This field contains theInpatient:Disposition Code of the patient at time of dischargeOutpatient:N/ATables:ValueDescription1REGULAR2NBC OR WHILE ASIH3EXPIRATION 6 MONTH LIMIT4IRREGULAR5TRANSFER6DEATH WITH AUTOPSY7DEATH WITHOUT AUTOPSYExample:4 PV1-44 Admit Date/Time Definition:Inpatient:Admission Date/TimeOutpatient:Visit Date/TimeFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200403020815-0800 PV1-45 Discharge Date/Time Definition:Inpatient:Discharge Date/TimeOutpatient:N/AFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200403020815-0800 PV1-51 Visit Indicator Definition:Inpatient:N/AOutpatient:Indicates if the visit has been deletedTables:ValueDescription0Active1DeletedExample:0 Sample PV1 Segment PV1|HYPERLINK \l "_PV1-1_Set_ID_ PV1"1|HYPERLINK \l "_PV1-2_Patient_Class"O|HYPERLINK \l "_PV1-3_Assigned_Patient_Location"640^^^^^408|HYPERLINK \l "_PV1-4_Admission_Type"P|||HYPERLINK \l "_PV1-7_Attending_Doctor"10935^^^^^^^^^^^^PHYSICIAN||||||||||| |HYPERLINK \l "_PV1-19_Visit_Number"8710273|||||||||||||||||||||||||HYPERLINK \l "_PV1-44_Admit_Date/Time"200403020815-0800||||||HYPERLINK \l "_PV1-51_Visit_Indicator"0 RXE Pharmacy/Treatment Encoded Order Segment Table  SEQ Table \* ARABIC 48 Pharmacy/Treatment Encoded Order Segment SEQLENDTOPTRP/#TBL#Field NameCCR1200TQRQuantity/TimingHYPERLINK \l "_RXE-1_Quantity/Timing"See Notes2250CER0292Give CodeHYPERLINK \l "_RXE-2_Give_Code"See Notes320NMRGive Amount - MinimumHYPERLINK \l "_RXE-3_Give_Amount_- Minimum"See Notes420NMOGive Amount - MaximumHYPERLINK \l "_RXE-4_Give_Amount_- Maximum"See Notes5250CERGive UnitsHYPERLINK \l "_RXE-5_Give_Units"See Notes6250CEOGive Dosage FormHYPERLINK \l "_RXE-6_Give_Dosage_Form"See Notes7250CEOYProviders Administration InstructionsHYPERLINK \l "_RXE-7_Providers_Administration_Ins"See Notes8200CMCDeliver-to LocationN/A91IDO0167Substitution StatusN/A1020NMCDispense AmountHYPERLINK \l "_RXE-10_Dispense_Amount"See Notes11250CECDispense UnitsN/A123NMONumber of RefillsN/A13250XCNCYOrdering Providers DEA NumberN/A14250XCNOYPharmacist/Treatment Suppliers Verifier IDN/A1520STCPrescription NumberHYPERLINK \l "_RXE-15"See Notes1620NMCNumber of Refills RemainingN/A1720NMCNumber of Refills/Doses DispensedHYPERLINK \l "_RXE-17_Number_of_Refills/Doses Disp_1"See Notes1826TSCD/T of Most Recent Refill or Dose DispensedHYPERLINK \l "_RXE-18_D/T_of_Most Recent Refill or"See Notes1910CQCTotal Daily DoseHYPERLINK \l "_RXE-19_Total_Daily_Dose"See Notes201IDOHYPERLINK \l "T0136"0136Needs Human ReviewHYPERLINK \l "_RXE-20_Needs_Human_Review"See Notes21250CEOYPharmacy/Treatment Suppliers Special Dispensing InstructionsHYPERLINK \l "_RXE-21_Pharmacy/Treatment_Supplier"See Notes2220STCGive Per (Time Unit)HYPERLINK \l "_RXE-22_Give_Per_(Time Unit)"See Notes236STOGive Rate AmountHYPERLINK \l "_RXE-23_Give_Rate_Amount"See Notes24250CEOGive Rate UnitsHYPERLINK \l "_RXE-24_Give_Rate_Units"See Notes2520NMOGive StrengthN/A26250CEOGive Strength UnitsN/A27250CEOYGive IndicationHYPERLINK \l "_RXE-27_Give_Indication"See Notes2820NMODispense Package SizeN/A29250CEODispense Package Size UnitN/A302IDO0321Dispense Package MethodHYPERLINK \l "_RXE-30_Dispense_Package_Method"See Notes31250CEOYSupplementary CodeN/AField Definitions RXE-1 Quantity/Timing SEQDTTBL#Component NameCCR1CQQuantityN/A2CMIntervalN/A3STDurationN/A4TSStart Date/TimeN/A5TSEnd Date/TimeN/A6STPriorityN/A7STConditionN/A8TXText9ID0472ConjunctionN/A10CMOrder SequencingN/A11CEOccurrence DurationN/A12NMTotal OccurrencesN/A Definition:This field is used by the pharmacy supplier to express the fully coded version of the drug or treatment timing.Inpatient:Text element of this field contains the ScheduleOutpatient:Non-VA Meds:dosage^schedule^^start date^discontinued date^^^medication route Example:Inpatient:^^^^^^^Comprehensive Met Panel results from HINES DEVELOPMENTOutpatient:Non-VA Meds:  RXE-2 Give Code SEQDTTBL#Component NameCCR1STIdentifierNDC2STTextVA Product name3STName of Coding SystemPSNDF4STAlternate IdentifierNDF IEN concatenated with the VA drug class code5STAlternate TextGeneric Name6STName of Alternate Coding System99PSD Definition:This field identifies the medical substance provided to the patient.Format:Non-VA MedsNDC code^VA Product Name^PSNDF^NDF IEN concatenated with the VA drug class code^Generic name^99PSD Example:Non-VA Meds:Other0002-1615-02^MAGNESIUM SULFATE 50% 1GM/2ML AMP^PSNDF^31-TN406^MAGNESIUM SO4 4MEQ/ML INJ^99PSDNote:Non-VA MedsIf no IEN for the DRUG file (#50) exists for the Non-VA med drug, RXE-2 will contain data in RXE-2-5 only: the Orderable Item and Dose Form  RXE-3 Give Amount - Minimum Definition:This field contains the ordered amount. This field is required but it is not used by the Clinical Case Registries.Example: RXE-4 Give Amount - Maximum Definition:Inpatient:N/AOutpatient:Maximum Number of RefillsExample:5 RXE-5 Give Units SEQDTTBL#Component NameCCR1STIdentifierN/A2STTextN/A3STName of Coding SystemN/A4STAlternate IdentifierDrug Unit IEN (IEN of the record of the DRUG UNITS file (#50.607)).5STAlternate TextDrug Unit Name (value of the .01 field of the DRUG UNITS file (#50.607)).6STName of Alternate Coding System99PSU Definition:This field contains the units for the Give Amount field.Example:^^^130^MIC/1.5ML^99PSU RXE-6 Give Dosage Form Definition:Inpatient:N/AOutpatient:Release Date/TimeFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200403020815-0800 RXE-7 Providers Administration Instructions SEQDTTBL#Component NameCCR1STIdentifierN/A2STTextSIG3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:Inpatient:N/AOutpatient:Ordering providers instructions to the person administering the drug. This field corresponds to the SIG, and it is free text.Non-VA Meds:Format:^Disclaimer text (Limited to 4000 characters)Example:^APP 1 PATCH TO SKIN QAM AND REMOVE HS (TO REPLACE NITROGLYCERIN 6.5MG SA CAP) RXE-10 Dispense Amount Definition:Inpatient:N/AOutpatient:This field contains the amount dispensed. Valid entries are between 1 and 99999999 with up to 2 decimal places allowed.Format:NNNNNNNN[.N[N]]Example:900.75 RXE-15 Prescription Number Definition:Inpatient:N/AOutpatient:Refill IndicatorNon-VA Meds:CPRS order number Tables:ValueDescription1Refill2PartialExample:1 RXE-17 Number of Refills/Doses Dispensed Definition:Inpatient:N/AOutpatient:Refill NumberExample:3 RXE-18 D/T of Most Recent Refill or Dose Dispensed Definition:Inpatient:Last date/time when the dose should be given (stop date/time)Outpatient:Date/time when the most recent fill/refill was dispensed (fill date/time)Format:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200403020815-0800 RXE-19 Total Daily Dose SEQDTTBL#Component NameCCR1NMQuantity2CEUnitsN/A Definition:Inpatient:N/AOutpatient:Total Daily Dose. Valid entries range from 1 to 90.Example:15 RXE-20 Needs Human Review Definition:Inpatient:N/AOutpatient:Indicator of whether the drug has been transmitted to CMOPExample:Y RXE-21 Pharmacy/Treatment Suppliers Special Dispensing Instructions SEQDTTBL#Component NameCCR1STIdentifier2STTextN/A3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:Inpatient:Medication RouteOutpatient:Clinic Stop CodeNon-VA Meds:Pharmacy/Treatment Suppliers Special Dispensing Instructions Format:Non-VA Meds:Clinic Stop Code^^^Clinic IEN & Clinic Name Example:Inpatient:OralOutpatient:208Non-VA Meds: RXE-22 Give Per (Time Unit) Definition:Inpatient:N/AOutpatient:Last Dispensed Date/TimeFormat:YYYYMMDD[hhmm[ss]] [+|-zzzz]Example:200403020815-0800 RXE-23 Give Rate Amount Definition:Inpatient:N/AOutpatient:Unit CostExample:30.45 RXE-24 Give Rate Units SEQDTTBL#Component NameCCR1STIdentifier2STTextN/A3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:Inpatient:Units per Dose. Valid entries range from 0 to 30, with up to 2 decimal places.Outpatient:N/AFormat:NN[.N[N]]Example:12.25 RXE-27 Give Indication SEQDTTBL#Component NameCCR1STIdentifier2STText3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:Inpatient:N/AOutpatient:Patient StatusExample:6^OTHER FEDERAL RXE-30 Dispense Package Method Definition:Inpatient:N/AOutpatient:Mail/WindowTables:ValueDescriptionADAutomatic Dispensing MailTRTraditional WindowExample:TR Sample RXE Segments Inpatient RXE|HYPERLINK \l "_RXE-1_Quantity/Timing"^^^^^^^QID PRN|HYPERLINK \l "_RXE-2_Give_Code"17478-0216-12^NAPHAZOLINE HCL 0.1% SOLN,OPH^PSNDF^900-OP800^NAPHAZOLINE HCL 0.1% OPH SOLN^99PSD|HYPERLINK \l "_RXE-3_Give_Amount_- Minimum"|||||||||||||||HYPERLINK \l "_RXE-18_D/T_of_Most Recent Refill or"200505301100-0800|||HYPERLINK \l "_RXE-21_Pharmacy/Treatment_Supplier"BOTH EYE|||HYPERLINK \l "_RXE-24_Give_Rate_Units"1 Outpatient RXE|HYPERLINK \l "_RXE-1_Quantity/Timing"| HYPERLINK \l "_RXE-2_Give_Code" 00056-0510-30^EFAVIRENZ 600MG TAB^PSNDF^3528-AM800 ^EFAVIRENZ 600MG TAB^99PSD|HYPERLINK \l "_RXE-3_Give_Amount_- Minimum"|HYPERLINK \l "_RXE-4_Give_Amount_- Maximum"6|HYPERLINK \l "_RXE-5_Give_Units"^^^20^MG^99PSU|HYPERLINK \l "_RXE-6_Give_Dosage_Form"20050302|HYPERLINK \l "_RXE-7_Providers_Administration_Ins"^TAKE ONE TABLET BY MOUTH EVERY DAY|||HYPERLINK \l "_RXE-10_Dispense_Amount"30|||||1||HYPERLINK \l "_RXE-17_Number_of_Refills/Doses Disp"4|HYPERLINK \l "_RXE-18_D/T_of_Most Recent Refill or"20050228|HYPERLINK \l "_RXE-19_Total_Daily_Dose"30|HYPERLINK \l "_RXE-20_Needs_Human_Review"Y|HYPERLINK \l "_RXE-21_Pharmacy/Treatment_Supplier"324 |HYPERLINK \l "_RXE-22_Give_Per_(Time Unit)"200503021422-0800|HYPERLINK \l "_RXE-23_Give_Rate_Amount"8.0047||||HYPERLINK \l "_RXE-27_Give_Indication"3^SC LESS THAN 50%|||HYPERLINK \l "_RXE-30_Dispense_Package_Method"AD Non-VA Meds RXE|30 MILLILITERS^EVERY DAY AS NEEDED^^20070101^20070610083028-0500^^^MOUTH|00395-1670-16^MILK OF MAGNESIA^PSNDF^2206-GA108^MILK OF MAGNESIA^99PSD|||||**IF NO IMPROVEMENT IN 12 HOURS CALL MD**||||||||3359826||||||323^^^1175&HBPCPHARMACY ZRD Rated Disabilities Segment Table  SEQ Table \* ARABIC 49 Rated Disabilities Segment SEQLENDTOPTRP/#TBL#Field NameCCR14SIRSet ID ZRDHYPERLINK \l "_ZRD-1_Set_ID_1"See Notes24CERDisability ConditionHYPERLINK \l "_ZRD-2_Rated_Disabilities"See Notes33NMRDisability %HYPERLINK \l "_ZRD-3_Disability_%"See Notes41ISOHYPERLINK \l "TVA001"VA001Service ConnectedHYPERLINK \l "_ZRD-4_Service_Connected"See Notes530STOService Connected ConditionsN/A63NMOPercentageN/A71ISO0136Service Dental InjuryN/A81ISO0136Service Teeth ExtractedN/A98DTODate of Dental TreatmentN/A10100STOConditionN/A118DTODate Condition First NotedN/AZRD-1 Set ID ZRD Definition:This field contains the number that identifies this transaction. For the first occurrence of the segment, the sequence number shall be one, for the second occurrence, the sequence number shall be two, etc.Example:2 ZRD-2 Disability Condition SEQDTTBL#Component NameCCR1STIdentifierDX Code2STTextCondition Name3STName of Coding SystemN/A4STAlternate IdentifierN/A5STAlternate TextN/A6STName of Alternate Coding SystemN/A Definition:This field holds the disability condition for this patient.CodeSee the DISABILITY CONDITION file (#31) for possible values of the DX Code and Condition Name. Some examples are provided below:CodeCondition Name5000OSTEOMYELITIS5001BONE DISEASE5002RHEUMATOID ARTHRITIS5003DEGENERATIVE ARTHRITIS5004ARTHRITISExample:5002^RHEUMATOID ARTHRITIS ZRD-3 Disability % Definition:This field holds the percentage at which the VA rated this disability for this patient.Format:Values range from 0 to 100.Example:45 ZRD-4 Service Connected Definition:This field indicates if the disability is service connected.CodeValueDescription0Not Service Connected1Service ConnectedExample:1 Sample ZRD Segment ZRD|HYPERLINK \l "_ZRD-1_Set_ID_1" \o "Set ID ZRD"1|HYPERLINK \l "_ZRD-2_Rated_Disabilities" \o "Rated Disabilities (VA)"7709^HODGKINS DISEASE|HYPERLINK \l "_ZRD-3_Disability_%" \o "Disability %"100|HYPERLINK \l "_ZRD-4_Service_Connected" \o "Service Connected"1 ZSP Service Period Segment Table  SEQ Table \* ARABIC 50 Service Period Segment SEQLENDTOPTRP/#TBL#Field NameCCR14SIRSet ID ZSPHYPERLINK \l "_ZSP-1_Set_ID"See Notes21IDRHYPERLINK \l "TVA001"VA001Service Connected?HYPERLINK \l "_ZSP-2_Service_Connected?"See Notes33NMOService Connected PercentageHYPERLINK \l "_ZSP-3_Service_Connected"See Notes42ISOVA011Period of ServiceHYPERLINK \l "_ZSP-4_Period_of"See Notes51STOVietnam Service IndicatedHYPERLINK \l "_ZSP-5_Vietnam_Service"See Notes61IDOHYPERLINK \l "TVA001"VA001Permanent & Total DisabilityHYPERLINK \l "_ZSP-6_Permanent_&"See Notes71IDOHYPERLINK \l "TVA001"VA001UnemployableHYPERLINK \l "_ZSP-7_Unemployable"See Notes826TSOSC Award DateHYPERLINK \l "_ZSP-8_SC_Award"See NotesField Definitions ZSP-1 Set ID ZSP Definition:This field holds the Set ID. The set ID is 1 by default.Example:1 ZSP-2 Service Connected? Definition:This field indicates if the patient condition is service connected.CodeValueDescription0Not Service Connected1Service ConnectedExample:0 ZSP-3 Service Connected Percentage Definition:This field holds the percentage of service connection.Format:Values range from 0 to 100.Example:60 ZSP-4 Period of Service Definition:This field holds the period of service that best describes the patient.Tables:ValueDescription0KOREAN1WORLD WAR I2WORLD WAR II3SPANISH AMERICAN4PRE-KOREAN5POST-KOREAN6OPERATION DESERT SHIELD7VIETNAM ERA8POST-VIETNAM9OTHER OR NONE...YCAV/NPSNMERCHANT MARINE Example:9 ZSP-5 Vietnam Service Indicated Definition:This field indicates if the patient served in Vietnam.Tables:ValueDescriptionNNoUUnknownYYesExample:N ZSP-6 Permanent & Total Disability Definition:This field indicates if the patient is permanently and totally disabled due to a service-connected condition.Tables:ValueDescription0Not P&T Disabled1P&T DisabledExample:0 ZSP-7 Unemployable Definition:This field indicates if the patient is unemployable due to a service connected condition.Tables:ValueDescription0Employable1UnemployableExample:1 ZSP-8 SC Award Date Definition:This field contains the date on which the service connection is effective. If no date has been entered, the null string will be sent.Format:YYYYMMDDExample:19761205 Sample ZSP Segment ZSP|HYPERLINK \l "_ZSP-1_Set_ID" \o "Set ID - ZSP"1|HYPERLINK \l "_ZSP-2_Service_Connected?" \o "Service Connected?"1|HYPERLINK \l "_ZSP-3_Service_Connected" \o "Service Connected Percentage"30|HYPERLINK \l "_ZSP-4_Period_of" \o "Period of Service"8|HYPERLINK \l "_ZSP-5_Vietnam_Service" \o "Vietnam Service Indicated"|HYPERLINK \l "_ZSP-6_Permanent_&" \o "Permanent & Total Disability"0|HYPERLINK \l "_ZSP-7_Unemployable" \o "Unemployable"0|HYPERLINK \l "_ZSP-8_SC_Award" \o "SC Award Date"19700325 ZIN Purchased Care Inpatient Segment Table  SEQ Table \* ARABIC 51 Inpatient Segment SEQLENDTOPTRP/#TBL#Field NameCCR110NMRKeyHYPERLINK \l "ZIN01"See Notes28DTOTreatment From DateHYPERLINK \l "ZIN02"See Notes38DTOTreatment To DateHYPERLINK \l "ZIN03"See Notes42NMODischarge Type CodeHYPERLINK \l "ZIN04"See Notes59STOBilled ChargesHYPERLINK \l "ZIN05"See Notes68STOAmount PaidHYPERLINK \l "ZIN06"See Notes78DTRDate FinalizedHYPERLINK \l "ZIN07"See Notes830STODischarge DRGHYPERLINK \l "ZIN08"See Notes98DTODate of AdmissionHYPERLINK \l "ZIN09"See Notes108DTODate of DischargeHYPERLINK \l "ZIN10"See Notes115NMOCovered DaysHYPERLINK \l "ZIN11"See Notes127STOICD 1HYPERLINK \l "ZIN12"See Notes137STOICD 2HYPERLINK \l "ZIN13"See Notes147STOICD 3HYPERLINK \l "ZIN14"See Notes157STOICD 4HYPERLINK \l "ZIN15"See Notes167STOICD 5HYPERLINK \l "ZIN16"See Notes176STOProcedure 1HYPERLINK \l "ZIN17"See Notes186STOProcedure 2HYPERLINK \l "ZIN18"See Notes196STOProcedure 3HYPERLINK \l "ZIN19"See Notes206STOProcedure 4HYPERLINK \l "ZIN20"See Notes216STProcedure 5HYPERLINK \l "ZIN21"See Notes  Field Definitions ZIN-1 Key Definition:This is the IEN in the FEE BASIS INVOICE file (#162.5). This is a unique key representing the inpatient record for the patient.Example:1567 ZIN-2 Treatment From Date Definition:This is the TREATMENT FROM DATE (#5) in the FEE BASIS INVOICE file (#162.5). This is the starting date for the invoice.Example:20110228 ZIN-3 Treatment To Date Definition:This is the TREATMENT TO DATE (#6) in the FEE BASIS INVOICE file (#162.5). This is the ending date for the invoice.Example:20110228 ZIN-4 Discharge Type Code Definition:This is the DISCHARGE TYPE CODE (#6.5) in the FEE BASIS INVOICE file (#162.5). It is a pointer to the FEE BASIS DISPOSITION CODE file (#162.6). This is the type of discharge associated with the invoice.Code:ValueDescription1TO HOME OR SELF CARE2TO ANOTHER SHORT-TERM FACILITY3TO SKILLED NURSING FACILITY4TO INTERMEDIATE NURSING FACILITY5TO ANOTHER TYPE OF FACILITY6TO HOME FOR HOME HEALTH SERVICES7LEFT AGAINST MEDICAL ADVICE8DIED9STILL A PATIENTExample:4 ZIN-5 Billed Charges Definition:This is the BILLED CHARGES field (#6.6) in the FEE BASIS INVOICE file (#162.5). It is the amount that the VA was initially billed by the vendor for an inpatient stay.Example:1284.91 ZIN-6 Amount Paid Definition:This is the AMOUNT PAID field (#8) in the FEE BASIS INVOICE file (#162.5). It is the amount actually paid to the vendor for the service provided.Example:1284.91 ZIN-7 Date Finalized Definition:This is the DATE FINALIZED field (#19) in the FEE BASIS INVOICE file (#162.5). It is the date the invoice was vouchered by Fiscal.Example:20110228 ZIN-8 Discharge DRG Definition:This is the external value of the DISCHARGE DRG field (#24) in the FEE BASIS INVOICE file (#162.5). It is the grouped DRG.Example:DRG202 ZIN-9 Date of Admission Definition:This is the DATE OF ADMISSION field (#3.5) in the VA FORM 10-7078 file (#162.4). Example:20110228 ZIN-10 Date of Discharge Definition:This is the DATE OF DISCHARGE field (#4.5) in the VA FORM 10-7078 file (#162.4).Example:20110228 ZIN-11 Covered Days Definition:This is the COVERED DAYS field (#54) in the FEE BASIS INVOICE file (#162.5). The number of inpatient days that will be paid.Example:1 ZIN-12 ICD 1 Definition:This is the ICD1 field (#30) in the FEE BASIS INVOICE file (#162.5). The first valid ICD code associated with this payment.Example:303.00 ZIN-13 ICD 2 Definition:This is the ICD2 field (#31) in the FEE BASIS INVOICE file (#162.5). The second valid ICD code associated with this payment.Example:303.00 ZIN-14 ICD 3 Definition:This is the ICD3 field (#32) in the FEE BASIS INVOICE file (#162.5). The third valid ICD code associated with this payment.Example:303.00 ZIN-15 ICD 4 Definition:This is the ICD4 field (#33) in the FEE BASIS INVOICE file (#162.5). The fourth valid ICD code associated with this payment.Example:303.00 ZIN-16 ICD 5 Definition:This is the ICD5 field (#34) in the FEE BASIS INVOICE file (#162.5). The fifth valid ICD code associated with this payment.Example:303.00ZIN-17 Procedure 1 Definition:This is the PROC1 field (#40) in the FEE BASIS INVOICE file (#162.5). The first valid procedure code associated with this payment.Example:94.68 ZIN-18 Procedure 2 Definition:This is the PROC2 field (#41) in the FEE BASIS INVOICE file (#162.5). The second valid procedure code associated with this payment.Example:94.68 ZIN-19 Procedure 3 Definition:This is the PROC3 field (#42) in the FEE BASIS INVOICE file (#162.5). The third valid procedure code associated with this payment.Example:94.68 ZIN-20 Procedure 4 Definition:This is the PROC4 field (#43) in the FEE BASIS INVOICE file (#162.5). The fourth valid procedure code associated with this payment.Example:94.68 ZIN-21 Procedure 5 Definition:This is the PROC5 field (#44) in the FEE BASIS INVOICE file (#162.5). The fifth valid procedure code associated with this payment.Example:94.68 Sample ZIN Segment ZIN|36520|20040408|20040409|1|9153.70|6445.16|20040817|DRG202|20040408|20040409|1|571.2|456.20|456.8|305.1|303.90|42.33|44.43 ZSV Purchased Care Outpatient Segment Table  SEQ Table \* ARABIC 52 Outpatient Segment SEQLENDTOPTRP/#TBL#Field NameCCR128STRKeyHYPERLINK \l "ZSV01"See Notes28DTODate of TreatmentHYPERLINK \l "ZSV02"See Notes32NMOFee Program CodeHYPERLINK \l "ZSV03"See Notes45STRService Provided (CPT code)HYPERLINK \l "ZSV04"See Notes5200STOPurpose of VisitHYPERLINK \l "ZSV05"See Notes67STOPrimary DiagnosisHYPERLINK \l "ZSV06"See Notes760STOPlace of ServiceHYPERLINK \l "ZSV07"See Notes Field Definitions ZSV-1 Key Definition:This is a combination of 4 IENs: FEE BASIS PAYMENT file (#162), sub-file #162.01, sub-file #162.02, and #162.03. This is a unique key representing the outpatient record for the patient.Example:4561-1-2-1 ZSV-2 Date of Treatment Definition:This is the INITIAL TREATMENT DATE (#.01) in the FEE BASIS PAYMENT file (#162), sub-file #162.02. The date that the treatment/service took place.Example:20110228 ZSV-3 Fee Program Code Definition:This is the internal value of the *FEE PROGRAM field (#1.5) in the FEE BASIS PAYMENT file (#162). It is a pointer to the FEE BASIS PROGRAM file (#161.8). This is the Fee Basis program that this payment is related to.Code:ValueDescription2OUTPATIENT3PHARMACY4COMP & PENSION5DENTAL6CIVIL HOSPITAL7CONTRACT NURSING HOME8CHAMPVA9CONTRACT READJUSTMENT COUNSELING10CONTRACT HALFWAY HOUSES11HOME HEALTH SERVICES12OTHER INSTITUTIONAL SERVICES13DIALYSIS14OXYGEN SERVICES15STATE HOMEExample:4 ZSV-4 Service Provided (CPT code) Definition:This is the SERVICE PROVIDED field (#.01) in the FEE BASIS PAYMENT file (#162), sub-file #162.03. It is a pointer to the CPT file (#81). It represents the outpatient and ancillary service provided to the Fee Basis patient.Example:74170 ZSV-5 Purpose of Visit Definition:This is the PURPOSE OF VISIT field (#16) in the FEE BASIS PAYMENT file (#162), sub-file #162.03. It is the purpose that the veteran received the service provided.Example:OPT SERVICES/TREATMENT FOR NSC DISABILITIES ZSV-6 Primary Diagnosis Definition:This is the PRIMARY DIAGNOSIS field (#28) in the FEE BASIS PAYMENT file (#162), sub-file #162.03. It is the primary diagnosis of the patient.Example:592.0 ZSV-7 Place of Service Definition:This is the PLACE OF SERVICE field (#30) in the FEE BASIS PAYMENT file (#162), sub-file #162.03. It is where the service was administered to the veteran. Example:1284.91 Sample ZSV Segment ZSV|2184-169-1-1|20040509||74170|OPT SERVICES/TREATMENT FOR NSC DISABILITIES|592.0|OUTPATIENT HOSPITAL (22) ZRX Purchased Care Drug Segment Table  SEQ Table \* ARABIC 53 Drug Segment SEQLENDTOPTRP/#TBL#Field NameCCR116STRKeyHYPERLINK \l "ZRX01"See Notes28STOPrescription NumberHYPERLINK \l "ZRX02"See Notes38DTODate Rx FilledHYPERLINK \l "ZRX03"See Notes445STRDrug NameHYPERLINK \l "ZRX04"See Notes540STOGeneric Drug NameHYPERLINK \l "ZRX05"See Notes620STODrug StrengthHYPERLINK \l "ZRX06"See Notes715STODrug QuantityHYPERLINK \l "ZRX07"See Notes Field Definitions ZRX-1 Key Definition:This is a combination of 2 IENs: FEE BASIS PHARMACY INVOICE file (#162.1), and sub-file #162.11. This is a unique key representing the drug record for the patient.Example:6543-1 ZRX-2 Prescription Number Definition:This is the PRESCRIPTION NUMBER field (#.01) in the FEE BASIS PHARMACY INVOICE file (#162.1), sub-file #162.11.Example:1234567 ZRX-3 Date Rx Filled Definition:This is the DATE PRESCRIPTION FILLED field (#2) in the FEE BASIS PHARMACY INVOICE file (#162.1), sub-file #162.11.Example:19931221 ZRX-4 Drug Name Definition:This is the DRUG NAME field (#1) in the FEE BASIS PHARMACY INVOICE file (#162.1), sub-file #162.11.Example:CONDYLOX ZRX-5 Generic Drug Name Definition:This is the GENERIC DRUG field (#9) in the FEE BASIS PHARMACY INVOICE file (#162.1), sub-file #162.11.Example:PODOFILOX 0.5% TOP SOLN ZRX-6 Drug Strength Definition:This is the STRENGTH field (#1.5) in the FEE BASIS PHARMACY INVOICE file (#162.1), sub-file #162.11.Example:0.5% ZRX-7 Drug Quantity Definition:This is the QUANTITY field (#1.6) in the FEE BASIS PHARMACY INVOICE file (#162.1), sub-file #162.11.Example:30 Sample ZRX Segment ZRX|6543-1|1234567|19931221|CONDYLOX|PODOFILOX 0.5% TOP SOLN|0.5%|1 HL7 Tables Table  SEQ Table \* ARABIC 54 HL-7 Tables TableTypeNameValueDescription0001UserAdministrative sexAAmbiguousFFemaleMMaleNNot applicableOOtherUUnknown0004UserPatient classBObstetricsCCommercial AccountEEmergencyIInpatientNNot ApplicableOOutpatientPPreadmitRRecurring patientUUnknown0005UserRace1002-5American Indian or Alaska Native2028-9Asian2054-5Black or African American2076-8Native Hawaiian or Other Pacific Islander2106-3White2131-1Other Race0008HL7Acknowledgment codeAAOriginal mode: Application Accept - Enhanced mode: Application acknowledgment: AcceptAEOriginal mode: Application Error - Enhanced mode: Application acknowledgment: ErrorAROriginal mode: Application Reject - Enhanced mode: Application acknowledgment: RejectCAEnhanced mode: Accept acknowledgment: Commit AcceptCEEnhanced mode: Accept acknowledgment: Commit ErrorCREnhanced mode: Accept acknowledgment: Commit Reject0061HL7Check digit schemeISOISO 7064: 1983M10Mod 10 algorithmM11Mod 11 algorithmNPICheck digit algorithm in the US National Provider Identifier0078UserAbnormal Flags<Below absolute low-off instrument scale>Above absolute high-off instrument scaleAAbnormal (applies to non-numeric results)AAVery abnormal (applies to non-numeric units, analogous to panic limits for numeric units)BBetter--use when direction not relevantDSignificant change downHAbove high normalHHAbove upper panic limitsIIntermediate*LBelow low normalLLBelow lower panic limitsMSModerately susceptible*NNormal (applies to non-numeric results)nullNo range defined, or normal ranges don't applyRResistant*SSusceptible*USignificant change upVSVery susceptible*WWorse--use when direction not relevant0085HL7Observation result status codes interpretationCRecord coming over is a correction and thus replaces a final resultDDeletes the OBX recordFFinal results; Can only be changed with a corrected result.ISpecimen in lab; results pendingNNot asked; used to affirmatively document that the observation identified in the OBX was not sought when the universal service ID in OBR-4 implies that it would be sought.OOrder detail description only (no result)PPreliminary resultsRResults entered -- not verifiedSPartial resultsUResults status change to final without retransmitting results already sent as preliminary (e.g., radiology changes status from preliminary to final)WPost original as wrong, e.g., transmitted for wrong patientXResults cannot be obtained for this observation0103HL7Processing IDDDebuggingPProductionTTraining0125HL7Value typeADAddressCECoded EntryCFCoded Element With Formatted ValuesCKComposite ID With Check DigitCNComposite ID And NameCPComposite PriceCXExtended Composite ID With Check DigitDTDateEDEncapsulated DataFTFormatted Text (Display)MOMoneyNMNumericPNPerson NameRPReference PointerSNStructured NumericSTString Data.TMTimeTNTelephone NumberTSTime Stamp (Date & Time)TXText Data (Display)XADExtended AddressXCNExtended Composite Name And Number For PersonsXONExtended Composite Name And Number For OrganizationsXPNExtended Person NameXTNExtended Telecommunications Number0136HL7Yes/no indicatorNNoYYes0155HL7Accept/application acknowledgment conditionsALAlwaysERError/reject conditions onlyNENeverSUSuccessful completion only0203UserIdentifier typeAMAmerican ExpressANAccount numberBABank Account NumberBRBirth registry numberBRNBreed Registry NumberDIDiner's Club cardDLDriver's license numberDNDoctor numberDRDonor Registration NumberDSDiscover CardEIEmployee numberENEmployer numberFIFacility IDGIGuarantor internal identifierGNGuarantor external identifierHCHealth Card NumberJHNJurisdictional health number (Canada)LNLicense numberLRLocal Registry IDMAMedicaid numberMCMedicare numberMCNMicrochip NumberMRMedical record numberMSMasterCardNENational employer identifierNHNational Health Plan IdentifierNINational unique individual identifierNNxxxNational Person Identifier where xxx is the ISO table 3166 3-character (alphabetic) country codeNPINational provider identifierPENPension NumberPIPatient internal identifierPNPerson numberPRNProvider numberPTPatient external identifierRRRailroad Retirement numberRRIRegional registry IDSLState licenseSRState registry IDSSSocial Security numberUUnspecifiedUPINMedicare/HCFA's Universal Physician Identification numbersVNVisit numberVSVISAWCWIC identifierWCNWorkers' Comp NumberXXOrganization identifier0207HL7Processing modeAArchiveIInitial loadRRestore from archiveTCurrent processing, transmitted at intervals (scheduled or on demand). This is the default mode (if the value is omitted).0301HL7Universal ID typeDNSAn Internet dotted name. Either in ASCII or as integersGUIDSame as UUID.HCDThe CEN Healthcare Coding Scheme Designator. (Identifiers used in DICOM follow this assignment scheme.)HL7Reserved for future HL7 registration schemesISOAn International Standards Organization Object IdentifierL, M, NThese are reserved for locally defined coding schemes.RandomUsually a base64 encoded string of random bits. The uniqueness depends on the length of the bits. Mail systems often generate ASCII string unique names, from a combination of random bits and system names. UUIDThe DCE Universal Unique Identifierx400An X.400 MHS format identifierx500An X.500 directory name0362UserSending/receiving facilityNNNStation number from the INSTITUTION file (#4) without suffix.VA001LocalYes/No0No1Yes Glossary  HYPERLINK \l "G_A" AHYPERLINK \l "G_B"BHYPERLINK \l "G_C"CHYPERLINK \l "G_D"DHYPERLINK \l "G_E"EHYPERLINK \l "G_F"FHYPERLINK \l "G_G"GHYPERLINK \l "G_H"HHYPERLINK \l "G_I"IHYPERLINK \l "G_K"KHYPERLINK \l "G_L"LHYPERLINK \l "G_M"MHYPERLINK \l "G_N"NHYPERLINK \l "G_O"OHYPERLINK \l "G_P"PHYPERLINK \l "G_R"RHYPERLINK \l "G_S"SHYPERLINK \l "G_T"THYPERLINK \l "G_U"UHYPERLINK \l "G_V"VHYPERLINK \l "G_X"XHYPERLINK \l "G_09"0-9Control-click character to see entries; missing character means no entries for that character. Term or AcronymDescription0 - 9508See HYPERLINK \l "Glos_508"Section 508 Term or AcronymDescriptionAAACSee HYPERLINK \l "Glos_CDCO"Corporate Data Center Operations.Access CodeWith each sign-on to HYPERLINK \l "Glos_VistA"VistA, the user must enter two codes to be recognized and allowed to proceed: the Access Code and Verify Code. The Access Code is assigned by IRM Service and is used by the computer to recognize the user. Each user has a unique access code. The only way this code can be changed is for the IRM Service to edit it. When the code is established by IRM, it is encrypted; that is, it is scrambled according to a cipher. The code is stored in the computer only in this encrypted form. Thus, even if the access code is viewed, the viewer cannot determine what the user actually types to tell the computer this code. See also HYPERLINK \l "Glos_VerifyCode"Verify Code.Acquired Immunodeficiency Syndrome (AIDS)AIDS is a disease of the human immune system caused by the human immunodeficiency virus (HIV). This condition progressively reduces the effectiveness of the immune system and leaves individuals susceptible to opportunistic infections and tumors.ADPACSee HYPERLINK \l "Glos_ADPAC"Automated Data Processing Application Coordinator.AIDSSee HYPERLINK \l "Glos_AIDS"Acquired Immunodeficiency Syndrome.AITCSee HYPERLINK \l "Glos_AITC"Austin Information Technology CenterAMISSee HYPERLINK \l "Glos_AMIS"Automated Management Information SystemAntiretroviral (medications)Medications for the treatment of infection by HYPERLINK \l "Glos_retrovirus"retroviruses, primarily HYPERLINK \l "Glos_HIV"HIV. See also HYPERLINK \l "Glos_HAART"Highly Active Antiretroviral Therapy.APISee HYPERLINK \l "Glos_API"Application Program Interface.Application Program Interface (API)The interface (calling conventions) by which an application program accesses operating system and other services. An API is defined at source code level and provides a level of abstraction between the application and the HYPERLINK \l "Glos_Kernel"kernel (or other privileged utilities) to ensure the portability of the code. An API can also provide an interface between a high level language and lower level utilities and services which were written without consideration for the calling conventions supported by compiled languages. In this case, the API's main task may be the translation of parameter lists from one format to another and the interpretation of call-by-value and call-by-reference arguments in one or both directions. See also  REF _Ref233446493 \w \h \* MERGEFORMAT 11,  REF _Ref233446451 \h \* MERGEFORMAT Application Program Interfaces.ARVSee HYPERLINK \l "Glos_ARV"Antiretroviral (medications).Austin Automation Center (AAC)See HYPERLINK \l "Glos_CDCO"Corporate Data Center OperationsAustin Information Technology Center (AITC)AITC is a recognized, award-winning Federal data center within the Department of Veterans Affairs (VA). It provides a full complement of cost-efficient e-government solutions to support the information technology (IT) needs of customers within the Federal sector. AITC has also implemented a program of enterprise best practice initiatives with major vendor partners that ensures customers receive enhanced, value-added IT services through the implementation of new technologies at competitive costs.Automated Data Processing Application Coordinator (ADPAC)The ADPAC is the person responsible for planning and implementing new work methods and technology for employees throughout a medical center. ADPACs train employees and assist users when they [Run] into difficulties, and needs to know how all components of the system work. ADPACs maintain open communication with their supervisors and Service Chiefs, as well as their counterparts in Fiscal and Acquisitions and Materiel Management (A&MM), or Information Resource Management (IRM).Automated Management Information System (AMIS)The VHA Decision Support System (DSS) is a national automated management information system based on commercial software to integrate data from clinical and financial systems for both inpatient and outpatient care. The commercial software is utilized with interfaces developed to transport data into the system from the HYPERLINK \l "Glos_VistA"Veterans Health Information Systems and Technology Architecture (VistA), the National Patient Care Database (NPCD), the Patient Treatment File (PTF), and various VA financial information systems. The VHA began implementation of DSS in 1994. Full implementation was completed in 1999 and DSS is now used throughout the VA healthcare system.HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionBB-Type OptionIn VistA, an option designed to be run only by the HYPERLINK \l "Glos_RPCBroker"RPC Broker, and which cannot be run from the menu system.Borland DelphiSee HYPERLINK \l "Glos_Delphi"DelphiHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionCCCOWSee HYPERLINK \l "Glos_CCOW"Clinical Context Object WorkgroupCCRSee HYPERLINK \l "Glos_CCR"Clinical Case RegistriesCDCSee HYPERLINK \l "Glos_CDC"Centers for Disease Control and PreventionCDCOSee HYPERLINK \l "Glos_CDCO"Corporate Data Center OperationsCenter for Quality Management in Public Health (CQM)CQM, based in the VA Palo Alto Health Care System, functions as part of the VA Public Health Strategic Health Care Group at VA Central Office in Washington, DC. CQM was first established with a primary focus on HIV care; the mission expanded to include Hepatitis C issues in January 2001. In line with the mission of its organizational parent, the CQM mission further expanded to include work on various issues and conditions with public health significance, including operational support and management of data from the Clinical Case Registries (CCR) software.Centers for Disease Control and Prevention (CDC)The CDC is one of the major operating components of the United States Department of Health and Human Services. It includes a number of Coordinating Centers and Offices which specialize in various aspects of public health, as well as the National Institute for Occupational Safety and Health (NIOSH). See HYPERLINK "http://www.cdc.gov/about/organization/cio.htm"http://www.cdc.gov/about/organization/cio.htmCenter for Quality Management in Public Health (CQM)CQM, based in the VA Palo Alto Health Care System, functions as part of the VA Public Health Strategic Health Care Group at VA Central Office in Washington, DC. CQM was first established with a primary focus on HIV care; the mission expanded to include Hepatitis C issues in January 2001. In line with the mission of its organizational parent, the CQM mission further expanded to include work on various issues and conditions with public health significance, including operational support and management of data from the Clinical Case Registries (CCR) software.Clinical Case Registries (CCR)The Clinical Case Registriesxe "Features of CCR" (CCR)xe "CCR:overview of" application collects data on the population of veterans with certain clinical conditions, namely HYPERLINK \l "Glos_HepatitisC"Hepatitis C and HYPERLINK \l "Glos_HIV"Human Immunodeficiency Virus (HIV) infections. Clinical Context Object Workgroup (CCOW)CCOW is an HYPERLINK \l "Glos_HL7"HL7 standard protocol designed to enable disparate applications to synchronize in real-time, and at the user-interface level. It is vendor independent and allows applications to present information at the desktop and/or portal level in a unified way. CCOW is the primary standard protocol in healthcare to facilitate a process called "Context Management." Context Management is the process of using particular "subjects" of interest (e.g., user, patient, clinical encounter, charge item, etc.) to 'virtually' link disparate applications so that the end-user sees them operate in a unified, cohesive way. Context Management can be utilized for both CCOW and non-CCOW compliant applications. The CCOW standard exists to facilitate a more robust, and near "plug-and-play" interoperability across disparate applications. Context Management is often combined with HYPERLINK \l "Glos_SSO"Single Sign On applications in the healthcare environment, but the two are discrete functions. Single Sign On is the process that enables the secure access of disparate applications by a user through use of a single authenticated identifier and password.Comma-Delimited Values (CDV)See HYPERLINK \l "Glos_CSV"Comma-Separated ValuesComma-Separated Values (CSV)Separated or delimited data files use specific characters (delimiters) to separate its values. Most database and spreadsheet programs are able to read or save data in a delimited format. The comma-separated values file format is a delimited data format that has fields separated by the comma character and records separated by newlines. Excel can import such a file and create a spreadsheet from it.Computerized Patient Record System (CPRS)A Computerized Patient Record (CPR) is a comprehensive database system used to store and access patients healthcare information. CPRS is the Department of Veterans Affairs electronic health record software. The CPRS organizes and presents all relevant data on a patient in a way that directly supports clinical decision making. This data includes medical history and conditions, problems and diagnoses, diagnostic and therapeutic procedures and interventions. Both a graphic user interface version and a character-based interface version are available. CPRS provides a single interface for health care providers to review and update a patients medical record, and to place orders, including medications, special procedures, x-rays, patient care nursing orders, diets, and laboratory tests. CPRS is flexible enough to be implemented in a wide variety of settings for a broad spectrum of health care workers, and provides a consistent, event-driven, Windows-style interface.Contextor softwareSentillion Contextor can be embedded within an application to implement most of HYPERLINK \l "Glos_CCOW"CCOW's context participant behaviors. Contextor is compatible with any CCOW-compliant context manager and is designed to simplify writing applications that support the CCOW standard. It includes these development environment components: CCOW-compliant code samples of Windows and Web applications Development-only version of Sentillion Context Manager Development tools for simulating and observing the behavior of a context-enabled desktop Configuration and administration toolCorporate Data Center Operations (CDCO)Federal data center within the Department of Veterans Affairs (VA). As a franchise fund, or fee-for-service organization, CDCO-Austin provides cost-efficient IT enterprise solutions to support the information technology needs of customers within the Federal sector. Formerly the Austin Automation Center (AAC); formerly the Austin Information Technology Center (AITC). See HYPERLINK "http://www.aac.va.gov/index.php"http://www.aac.va.gov/index.php.CPRSSee HYPERLINK \l "Glos_CPRS"Computerized Patient Record SystemCPTSee HYPERLINK \l "Glos_CPT"Current Procedural TerminologyCQMSee HYPERLINK \l "Glos_CQM"Center for Quality Management in Public HealthCSVSee HYPERLINK \l "Glos_CSV"Comma-Separated ValuesCurrent Procedural Terminology (CPT)CPT is the most widely accepted medical nomenclature used to report medical procedures and services under public and private health insurance programs. CPT codes describe a procedure or service identified with a five-digit CPT code and descriptor nomenclature. The CPT code set accurately describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. The current version is the CPT 2009. Note: CPT is a registered trademark of the American Medical Association.HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionDDatabase Integration Agreement (DBIA)M code is not compiled and linked, so any code is open to anyone to call. The same is true for the data. This permits an incredible level of integration between applications, but it is too open for some software architects' liking. The VA has instituted Database Integration Agreements to enforce external policies and procedures to avoid unwanted dependencies.Data DictionaryA data structure that stores meta-data, i.e. data about data. The term data dictionary has several uses; most generally it is thought of as a set of data descriptions that can be shared by several applications. In practical terms, it usually means a table in a database that stores the names, field types, length, and other characteristics of the fields in the database tables. DBIASee HYPERLINK \l "Glos_DBIA"Database Integration AgreementDelphiDelphi is a software development package, formerly from Borland and now developed by Embarcadero Technologies. This is the software that was used to produce the CCR application. See also HYPERLINK "http://www.embarcadero.com/products/delphi"http://www.embarcadero.com/products/delphiDFNSee HYPERLINK \l "Glos_FileNumber"File NumberHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionEEpoetinEpoetin Alfa is used for treating anemia in certain patients with kidney failure, HIV, or cancer.Extensible Mark-up Language (XML)An initiative from the W3C defining an extremely simple dialect of HYPERLINK \l "Glos_SGML"SGML suitable for use on the World-Wide Web.Extract Data DefinitionA set of file and field numbers which identify the data that should be retrieved during the extraction process.Extract ProcessThis process is run after the HYPERLINK \l "Glos_UpdateProcess"update process. This function goes through patients on the local registry and, depending on their status, extracts all available data for the patient since the last extract was run. This process also updates any demographic data held in the local registry for all existing patients that have changed since the last extract. The extract transmits any collected data for the patient to the national database via HYPERLINK \l "Glos_HL7"HL7. HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionFFDASee Food and Drug AdministrationFile NumberIn HYPERLINK \l "Glos_VistA"VistA, the local/facility patient record number (patient file internal entry number).FileManFileMan is a set of HYPERLINK \l "Glos_M"M utilities written in the late 1970s and early 1980s which allow the definition of data structures, menus and security, reports, and forms. Its first use was in the development of medical applications for the Veterans Administration (now the Department of Veterans Affairs). Since it was a work created by the government, the source code cannot be copyrighted, placing that code in the public domain. For this reason, it has been used for rapid development of applications across a number of organizations, including commercial products.File Transfer Protocol (FTP)FTP is a client-server protocol which allows a user on one computer to transfer files to and from another computer over a network. It is defined in HYPERLINK "http://www.ietf.org/rfc/rfc959.txt"STD 9, RFC 959.Food and Drug Administration (FDA)FDA is an agency of the United States Department of Health and Human Services and is responsible for regulating and supervising the safety of foods, dietary supplements, drugs, vaccines, biological medical products, blood products, medical devices, radiation-emitting devices, veterinary products, and cosmetics. The FDA also enforces section 361 of the Public Health Service Act and the associated regulations, including sanitation requirements on interstate travel as well as specific rules for control of disease on products ranging from pet turtles to semen donations for assisted reproductive medicine techniques.FTPSee HYPERLINK \l "Glos_FTP"File Transfer ProtocolFunction keyA key on a computer or terminal keyboard which can be programmed so as to cause an operating system command interpreter or application program to perform certain actions. On some keyboards/computers, function keys may have default actions, accessible on power-on. For example, is traditionally the function key used to activate a help system.HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionGGlobalsHYPERLINK \l "Glos_M"M uses globals, variables which are intrinsically stored in files and persist beyond the program or process completion. Globals appear as normal variables with the caret character in front of the name. For example, the M statement SET ^A(first_name)=Bob will result in a new record being created and inserted in the file structure, persistent just as a file persists in an operating system. Globals are stored, naturally, in highly structured data files by the language and accessed only as M globals. Huge databases grow randomly rather than in a forced serial order, and the strength and efficiency of M is based on its ability to handle all this flawlessly and invisibly to the programmer. For all of these reasons, one of the most common M programs is a database management system. HYPERLINK \l "Glos_FileMan"FileMan is one such example. M allows the programmer much wider control of the data; there is no requirement to fit the data into square boxes of rows and columns.Graphical User Interface (GUI)A graphical user interface (or GUI, often pronounced gooey) is a graphical (rather than purely textual) user interface to a computer. A GUI is a particular case of user interface for interacting with a computer which employs graphical images and widgets in addition to text to represent the information and actions available to the user. Usually the actions are performed through direct manipulation of the graphical elements. A GUI takes advantage of the computers graphics capabilities to make the program easier to use. Sources: HYPERLINK "http://en.wikipedia.org/wiki/GUI"http://en.wikipedia.org/wiki/GUI HYPERLINK "http://www.webopedia.com/TERM/G/Graphical_User_Interface_GUI.html"http://www.webopedia.com/TERM/G/Graphical_User_Interface_GUI.html See also HYPERLINK \l "Glos_UI"User InterfaceGUISee: HYPERLINK \l "Glos_GUI"Graphical User InterfaceHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionHHAARTSee HYPERLINK \l "Glos_HAART"Highly Active Antiretroviral TreatmentHealth Level 7 (HL7)One of several American National Standards Institute (ANSI)accredited Standards Developing Organizations operating in the healthcare arena. "Level Seven" refers to the highest level of the International Standards Organization's (ISO) communications model for Open Systems Interconnection (OSI) the application level. The application level addresses definition of the data to be exchanged, the timing of the interchange, and the communication of certain errors to the application. The seventh level supports such functions as security checks, participant identification, availability checks, exchange mechanism negotiations and, most importantly, data exchange structuring. HL7 focuses on the interface requirements of the entire health care organization. Source: HYPERLINK "http://www.hl7.org/about/index.cfm"http://www.hl7.org/about/index.cfm.Hep C; HEPCHYPERLINK \l "Glos_HepatitisC"Hepatitis C; the Hepatitis C RegistryHepatitis CA liver disease caused by the hepatitis C virus (HCV). HCV infection sometimes results in an acute illness, but most often becomes a chronic condition that can lead to cirrhosis of the liver and liver cancer. See HYPERLINK "http://www.cdc.gov/hepatitis/index.htm"http://www.cdc.gov/hepatitis/index.htmHighly Active Antiretroviral Treatment (HAART)Antiretroviral drugs are medications for the treatment of infection by retroviruses, primarily HYPERLINK \l "Glos_HIV"HIV. When several such drugs, typically three or four, are taken in combination, the approach is known as highly active antiretroviral therapy, or HAART. The American National Institutes of Health and other organizations recommend offering antiretroviral treatment to all patients with HYPERLINK \l "Glos_AIDS"AIDS.HIVSee HYPERLINK \l "Glos_HIV"Human Immunodeficiency VirusHL7See HYPERLINK \l "Glos_HL7"Health Level 7HTMLSee HYPERLINK \l "Glos_HTML"Hypertext Mark-up LanguageHuman Immunodeficiency Virus (HIV)HIV is a lentivirus (a member of the retrovirus family) that can lead to acquired immunodeficiency syndrome (HYPERLINK \l "Glos_AIDS"AIDS), a condition in humans in which the immune system begins to fail, leading to life-threatening opportunistic infections. HIV is different from most other viruses because it attacks the immune system. The immune system gives our bodies the ability to fight infections. HIV finds and destroys a type of white blood cell (T cells or CD4 cells) that the immune system must have to fight disease. See HYPERLINK "http://www.cdc.gov/hiv/topics/basic/index.htm"http://www.cdc.gov/hiv/topics/basic/index.htm.hypertextA term coined around 1965 for a collection of documents (or "nodes") containing cross-references or "links" which, with the aid of an interactive browser program, allow the reader to move easily from one document to another.Hypertext Mark-up Language (HTML)A HYPERLINK \l "Glos_hypertext"hypertext document format used on the World-Wide Web. HTML is built on top of HYPERLINK \l "Glos_SGML"SGML. "Tags" are embedded in the text. A tag consists of a "<", a "directive" (in lower case), zero or more parameters and a ">". Matched pairs of directives, like "" and "" are used to delimit text which is to appear in a special place or style.HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionIICD-9International Statistical Classification of Diseases and Related Health Problems, ninth edition (commonly abbreviated as ICD-9) provides numeric codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. Every health condition can be assigned to a unique category and given a code, up to six characters long. Such categories can include a set of similar diseases. The -9 refers to the ninth edition of these codes; the tenth edition has been published, but is not in widespread use at this time. See also HYPERLINK \l "Glos_CPT"Current Procedural TerminologyICNSee HYPERLINK \l "Glos_ICN"Integration Control NumberICRSee HYPERLINK \l "Glos_ICR"Immunology Case RegistryIENSee HYPERLINK \l "Glos_IEN"Internal Entry NumberImmunology Case Registry (ICR)Former name for HYPERLINK \l "Glos_CCR"Clinical Case Registries HIV (CCR:HIV).Information Resources Management (IRM)The service which is involved in planning, budgeting, procurement and management-in-use of VA's information technology investments.Integration Control Number (ICN)The national VA patient record number.InterfaceAn interface defines the communication boundary between two entities, such as a piece of software, a hardware device, or a user.Internal Entry Number (IEN)The number which uniquely identifies each item in the VistA database.IRM, IRMSSee HYPERLINK \l "Glos_IRM"Information Resources ManagementiteratorAn object or routine for accessing items from a list, array or stream one at a time.HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionK!KEATerminal emulation software. No longer in use in VHA; replaced by Reflection.KernelThe VistA software that enables VistA applications to coexist in a standard operating system independent computing environment.KeysSee HYPERLINK \l "Glos_SecurityKeys"Security KeysHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionLLaboratory Information Manager (LIM)Manager of the laboratory files in VistA. Additional duties include creation of new tests, interface set-up and maintenance of instruments, coordination with staff outside of lab to create quick orders, order sets and other HYPERLINK \l "Glos_CPRS"Computerized Patient Record System functions.Local Registry The local file of patients that were grandfathered into the registry or have passed the selection rules and been added to the registry.Local Registry UpdateThis process adds new patients (that have had data entered since the last update was run and pass the selection rules) to the local registry.Logical Observation Identifiers Names and Codes (LOINC)LOINC is designed to facilitate the exchange and pooling of clinical results for clinical care, outcomes management, and research by providing a set of universal codes and names to identify laboratory and other clinical observations. The Regenstrief Institute, Inc., an internationally renowned healthcare and informatics research organization, maintains the LOINC database and supporting documentation. See HYPERLINK "http://loinc.org/"http://loinc.org/LOINCSee HYPERLINK \l "Glos_LOINC"Logical Observation Identifiers Names and CodesHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionMMM is a procedural, interpreted, multi-user, general-purpose programming language designed to build and control massive databases. It provides a simple abstraction that all data values are strings of characters, and that all data can be structured as multiple dimensional arrays. MUMPS data structures are sparse, using strings of characters as subscripts. M was formerly (and is still commonly) called MUMPS, for Massachusetts General Hospital Utility Multiprogramming System.Massachusetts General Hospital Utility Multi-Programming SystemSee HYPERLINK \l "Glos_M"M.Message (HL7)An Individual message is, according to the HL7 standard, an "atomic unit of data transferred between systems." HL7 defines a series of electronic messages to support administrative, logistical, financial as well as clinical processes. Since 1987 the standard has been updated regularly. Structurally all individual message contains a header. Some contains body and others don't. All HL7 messages are made up of segments, composites and primitive data types. An HL7 message consists of the following data elements: Message type, Message event and Message structure. The standard also allows, however, the notion of a logical message, whose data is physically broken down to more than one individual messages and correlated together using a logical message id in message headers. The breakup of a message into individual messages is driven primarily by message length negotiated between parties engaging in message exchanges. Sources: HYPERLINK "http://publib.boulder.ibm.com/infocenter/wbihelp/v6rxmx/index.jsp?topic=/com.ibm.wbia_adapters.doc/doc/healthcare/hl7mst34.htm"http://publib.boulder.ibm.com/infocenter/wbihelp/v6rxmx/index.jsp?topic=/com.ibm.wbia_adapters.doc/doc/healthcare/hl7mst34.htm and HYPERLINK "http://www.hl-7.org/HL7-messages.asp"http://www.hl-7.org/HL7-messages.asp.MDISee HYPERLINK \l "Glos_MDI"Multiple Document InterfaceMedical SAS DatasetsThe VHA Medical SAS Datasets are national administrative data for VHA-provided health care utilized primarily by veterans, but also by some non-veterans (e.g., employees, research participants).Message (HL7)A message is the atomic unit of data transferred between systems. It is comprised of a group of segments in a defined sequence. Each message has a message type that defines its purpose. For example, the ADT (admissions/discharge/transfer) Message type is used to transmit portions of a patients ADT data from one system to another. A three character code contained within each message identifies its type. Source: Health Level Seven, Health Level Seven, Version 2.3.1, copyright 1999, p. E-18., quoted in HYPERLINK "http://www.va.gov/vdl/VistA_Lib/Infrastructure/Health_Level_7_(HL7)/hl71_6p93sp.doc"http://www.va.gov/vdl/VistA_Lib/Infrastructure/Health_Level_7_(HL7)/hl71_6p93sp.doc.MiddlewareIn computing, middleware consists of software agents acting as an intermediary between different application components. It is used most often to support complex, distributed applications. The software agents involved may be one or many.Multiple Document Interface (MDI)MDI is a Windows function that allows an application to display and lets the user work with more than one document at the same time. This interface improves user performance by allowing them to see data coming from different documents, quickly copy data from one document to another and many other functions. These files have the .MDI filename extension.MUMPSSee HYPERLINK \l "Glos_M"MHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionNNamespaceA logical partition on a physical device that contains all the artifacts for a complete HYPERLINK \l "Glos_M"M system, including HYPERLINK \l "Glos_Globals"globals, HYPERLINK \l "Glos_Routine"routines, and libraries. Each namespace is unique, but data can be shared between namespaces with proper addressing within the routines. In VistA, namespaces are usually dedicated to a particular function. The ROR namespace, for example, is designed for use by HYPERLINK \l "Glos_CCR"CCR.National Case Registry (NCR)All sites running the CCR software transmit their data to the central database for the registry.National Patient Care Database (NPCD)The NPCD is the source data for the VHA Medical SAS Datasets. NPCD is the VHA's centralized relational database (a data warehouse) that receives encounter data from VHA clinical information systems. It is updated daily. NPCD records include updated patient demographic information, the date and time of service, the practitioner(s) who provided the service, the location where the service was provided, diagnoses, and procedures. NPCD also holds information about patients' assigned Primary Care Provider and some patient status information such as exposure to Agent Orange, Ionizing Radiation or Environmental Contaminants, Military Sexual Trauma, and Global Assessment of Functioning.NPCDSee HYPERLINK \l "Glos_NPCD"National Patient Care DatabaseHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionOOffice of Information and Technology Field Office (OI&TFO)As directed by the Chief Information Officer (CIO), the Office of Information & Technology (OI&T) delivers available adaptable, secure and cost effective technology services to the Department of Veterans Affairs (VA) and acts as a steward for all VA's IT assets and resources. Field Offices are located at various sites around the nation.OIFOSee HYPERLINK \l "Glos_OITFO"Office of Information and Technology Field OfficeOI&TFOSee HYPERLINK \l "Glos_OITFO"Office of Information and Technology Field OfficeHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionPpeginterferonPeginterferon alfa-2b is made from human proteins that help the body fight viral infections. Peginterferon alfa-2b is used to treat chronic hepatitis C in adults, often in combination with another medication called HYPERLINK \l "Glos_Ribavirin"ribavirin.ProtocolA protocol is a convention or standard that controls or enables the connection, communication, and data transfer between two computing endpoints. In its simplest form, a protocol can be defined as the rules governing the syntax, semantics, and synchronization of communication. Protocols may be implemented by hardware, software, or a combination of the two. HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionRReflectionTerminal emulation software used to connect personal computers to mainframe servers made by IBM, Hewlett Packard and other manufacturers running UNIX, VMS and other operating systems.RegistryThe VHA Registries Program supports the population-specific data needs of the enterprise including (but not limited to) the HYPERLINK \l "Glos_CCR"Clinical Case Registries, Oncology Tumor Registry, Traumatic Brain Injury Registry, Embedded Fragment Registry and Eye Trauma Registry.Registry MedicationA defined list of medications used for a particular registry.Remote Procedure Call (RPC)A type of protocol that allows one program to request a service from a program located on another computer network. Using RPC, a system developer need not develop specific procedures for the server. The client program sends a message to the server with appropriate arguments and the server returns a message containing the results of the program executed. In this case, the GUI client uses an RPC to log the user on to VistA. And to call up, and make changes to, data that resides on a VistA server. See also HYPERLINK \l "Glos_RPCBroker"Remote Procedure Call (RPC) BrokerRemote Procedure Call (RPC) BrokerA piece of middleware software that allows programmers to make program calls from one computer to another, via a network. The RPC Broker establishes a common and consistent foundation for client/server applications being written under the VistA umbrella. The RPC Broker acts as a bridge connecting the client application front-end on the workstation (in this case, the Delphi Query Tool application) to the M based data and business rules on the server. It serves as the communications medium for messaging between VistA client/server applications. Upon receipt, the message is decoded, the requested remote procedure call is activated, and the results are returned to the calling application. Thus, the RPC Broker helps bridge the gap between the traditionally proprietary VA software and other types of software. See also HYPERLINK \l "Glos_RPC"Remote Procedure Call (RPC)RetrovirusAny of a family of single-stranded RNA viruses having a helical envelope and containing an enzyme that allows for a reversal of genetic transcription, from RNA to DNA rather than the usual DNA to RNA, the newly transcribed viral DNA being incorporated into the host cell's DNA strand for the production of new RNA retroviruses: the family includes the AIDS virus and certain oncogene-carrying viruses implicated in various cancers.ribavirinRibavirin is an antiviral medication. Ribavirin must be used together with an interferon alfa product (such as HYPERLINK \l "Glos_Peginterferon"Peginterferon)to treat chronic hepatitis C.Roll-and-scroll, rollnscrollScrolling is a display framing technique that allows the user to view a display as moving behind a fixed frame. The scrolling action typically causes the data displayed at one end of the screen to move across it, toward the opposite end. When the data reach the opposite edge of the screen they are removed (i.e., scroll off of the screen). Thus, old data are removed from one end while new data are added at the other. This creates the impression of the display page being on an unwinding scroll, with only a limited portion being visible at any time from the screen; i.e., the display screen is perceived as being stationary while the displayed material moves (scrolls) behind it. Displays may be scrolled in the top-bottom direction, the left-right direction, or both. Traditionally, VistA data displays have been referred to as roll-and-scroll for this reason.RORThe ROR HYPERLINK \l "Glos_Namespace"namespace in HYPERLINK \l "Glos_M"M, used for the CCR application and related VistA data files.RoutineA set of programming instructions designed to perform a specific limited task. RPCSee HYPERLINK \l "Glos_RPC"Remote Procedure Call (RPC)RPC BrokerSee HYPERLINK \l "Glos_RPCBroker"Remote Procedure Call BrokerHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionSSection 508Section 508 of the Rehabilitation Act as amended, HYPERLINK "http://frwebgate.access.gpo.gov/cgi-bin/getdoc.cgi?dbname=browse_usc&docid=Cite:+29USC794d"29 U.S.C. Section 794(d), requires that when Federal agencies develop, procure, maintain, or use electronic and information technology, they shall ensure that this technology is accessible to people with disabilities. Agencies must ensure that this technology is accessible to employees and members of the public with disabilities to the extent it does not pose an undue burden. Section 508 speaks to various means for disseminating information, including computers, software, and electronic office equipment. The Clinical Case Registry must be 508 compliant, able to extract data as needed including HYPERLINK \l "Glos_SNOMED"SNOMED codes.Security KeysCodes which define the characteristic(s), authorization(s), or privilege(s) of a specific user or a defined group of users. The VistA option file refers to the security key as a lock. Only those individuals assigned that lock can used a particular VistA option or perform a specific task that is associated with that security key/lock.Selection RulesA pre-defined set of rules that define a registry patient. Sensitive InformationAny information which requires a degree of protection and which should be made available only to authorized system users.ServerIn information technology, a server is a computer system that provides services to other computing systemscalled clientsover a network. The server is where VistA M-based data and Business Rules reside, making these resources available to the requesting server.SGMLSee HYPERLINK \l "Glos_SGML"Standardized Generic Markup LanguageSingle Sign On (SSO)Single Sign On is the process that enables the secure access of disparate applications by a user through use of a single authenticated identifier and password.Site ConfigurableA term used to refer to features in the system that can be modified to meet the needs of each local site.SNOMEDSee HYPERLINK \l "Glos_SNOMED"Systematized Nomenclature of MedicineSQLSee HYPERLINK \l "Glos_SQL"Structured Query LanguageStandardized Generic Markup Language (SGML)A generic markup language for representing documents. SGML is an International Standard that describes the relationship between a documents content and its structure. SGML allows document-based information to be shared and re-used across applications and computer platforms in an open, vendor-neutral format.Structured Query Language (SQL)An industry-standard language for creating, updating and, querying relational database management systems. SQL was developed by IBM in the 1970s for use in System R. It is the de facto standard as well as being an ISO and ANSI standard. It is often embedded in general purpose programming languages.Systematized Nomenclature of Medicine (SNOMED)SNOMED is a terminology that originated as the systematized nomenclature of pathology (SNOP) in the early 1960s under the guidance of the College of American Pathologists. In the late 1970s, the concept was expanded to include most medical domains and renamed SNOMED. The core content includes text files such as the concepts, descriptions, relationships, ICD-9 mappings, and history tables. SNOMED represents a terminological resource that can be implemented in software applications to represent clinically relevant information comprehensive (>350,000 concepts) multi-disciplinary coverage but discipline neutral structured to support data entry, retrieval, maps etc.HYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionTTechnical Services Project Repository (TSPR)The TSPR is the central data repository and database for VA Health IT (VHIT) project information. See HYPERLINK "http://tspr.vista.med.va.gov/tspr/default.htm"http://tspr.VistA.med.va.gov/tspr/default.htmTerminal emulation softwareA program that allows a personal computer (PC) to act like a (particular brand of) terminal. The PC thus appears as a terminal to the host computer and accepts the same escape sequences for functions such as cursor positioning and clearing the screen. Attachmate Reflection is widely used in VHA for this purpose.Tool tipsTool tips are hints assigned to menu items which appear when the user hovers the mouse pointer over a menu.TSPRSee HYPERLINK \l "Glos_TSPR"Technical Services Project RepositoryHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionUUpdate ProcessWhen patient records are first selected by the CCR, their status is marked as Pending. These patient records are identified via the automatic nightly registry update process and must be validated before being confirmed in the registry. User Interface (UI)A user interface is the means by which people (the users) interact with a particular machine, device, computer program or other complex tool (the system). The user interface provides one or more means of: Input, which allows the users to manipulate the system Output, which allows the system to produce the effects of the users manipulation The interface may be based strictly on text (as in the traditional roll and scroll IFCAP interface), or on both text and graphics. In computer science and human-computer interaction, the user interface (of a computer program) refers to the graphical, textual and auditory information the program presents to the user, and the control sequences (such as keystrokes with the computer keyboard and movements of the computer mouse) the user employs to control the program. See also HYPERLINK \l "Glos_GUI"Graphical User InterfaceHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionVVERASee HYPERLINK \l "Glos_VERA"Veterans Equitable Resource AllocationVergenceVergence software from Sentillion provides a single, secure, efficient and safe point of access throughout the healthcare enterprise, for all types of caregivers and applications. Vergence unifies single sign-on, role-based application access, context management, strong authentication and centralized auditing capabilities into one fully integrated, out-of-the box clinical workstation solution. See HYPERLINK "http://www.sentillion.com/solutions/datasheets/Vergence-Overview.pdf"http://www.sentillion.com/solutions/datasheets/Vergence-Overview.pdf.Verify CodeWith each sign-on to VistA, the user must enter two codes to be recognized and allowed to proceed: the Access Code and Verify Code. Like the Access Code, the Verify Code is also generally assigned by IRM Service and is also encrypted. This code is used by the computer to verify that the person entering the access code can also enter a second code correctly. Thus, this code is used to determine if users can verify who they are. See also HYPERLINK \l "Glos_AccessCode"Access CodeVeterans Equitable Resource Allocation (VERA)Since 1997, the VERA System has served as the basis for allocating the congressionally appropriated medical care budget of the Department of Veterans Affairs (VA) to its regional networks. A 2001 study by the RAND Corporation showed that [in] spite of its possible shortcomings, VERA appeared to be designed to meet its objectives more closely than did previous VA budget allocation systems. See HYPERLINK "http://www.rand.org/pubs/monograph_reports/MR1419/"http://www.rand.org/pubs/monograph_reports/MR1419/Veterans Health Information Systems and Technology Architecture (VistA)VistA is a comprehensive, integrated health care information system composed of numerous software modules. See HYPERLINK "http://www.va.gov/vista_monograph/docs/2008VistAHealtheVet_Monograph.pdf"http://www.va.gov/VistA_monograph/docs/2008VistAHealtheVet_Monograph.pdf and HYPERLINK "http://www.virec.research.va.gov/DataSourcesName/VISTA/VISTA.htm"http://www.virec.research.va.gov/DataSourcesName/VISTA/VISTA.htm.Veterans Health Administration (VHA)VHA administers the United States Veterans Healthcare System, whose mission is to serve the needs of Americas veterans by providing primary care, specialized care, and related medical and social support services.VHASee HYPERLINK \l "Glos_VHA"Veterans Health AdministrationVeterans Integrated Service Network (VISN)HYPERLINK \l "Glos_VHA"VHA organizes its local facilities into networks called VISNS (VA Integrated Service Networks). At the VISN level, VistA data from multiple local facilities may be combined into a data warehouse.VISNSee HYPERLINK \l "Glos_VISN"Veterans Integrated Service NetworkVistASee HYPERLINK \l "Glos_VistA"Veterans Health Information Systems and Technology ArchitectureHYPERLINK \l "G_contents"BACK to Glossary Contents Term or AcronymDescriptionXXMLSee HYPERLINK \l "Glos_XML"Extensible Mark-up LanguageHYPERLINK \l "G_contents"BACK to Glossary Contents THIS PAGE INTENTIONALLY LEFT BLANK Index  INDEX \h "A" \c "2" \z "1033"  ! !KEA, 6 A CCR, 23 accessibility features, 23 acronym CCR, 4 ADMIN security key, 84 adverse events trends, 6 application CCR, 3 C CCR acronym, 4 application, 3 archiving, 67 data access, 6 data collection automation, 6 downloading software, 22 emulation software, 6 features of, 5 graphical user interface, 6 GUI, 6 HEP, 3 HIV, 3 Installation & Implementation Guide, 4 intranet Home Page, 23 key features, 6 Maintenance menu, 25 national database, 5 navigation, 6 overview of, 5, 194 purginging, 67 Release Notes, 4 selection rules, 5 semiautomatic sign-on, 6 single sign-on, 6 software, 3 User Manual, 4 version 1.5, 5 CDCO, 5 codes ICD-9, 5 comfirming pending patient, 5 conventions graphical, 2 typographical, 2 coordinator registry, 5 Corporate Data Center Operations, 5 Cross Reference Report, 63 D dashed underlining, 2 data automatic transmission, 6 clinical, 3 demographic, 3 Hepatitis C, 5 HIV, 5 Human Immunodeficiency Virus, 5 stored in local VistA system, 5 data collection automation, 6 documentation in VistA Document Library, 23 sources, 22 documents related, 4 downloading CCR software, 22 DPGM MOVEMENT EVENT, 68 E event protocol DPGM MOVEMENT EVENT, 68 ROR DATA EVENT0, 68 ROR-EVENT-LAB, 68 ROR-EVENT-PTF, 68 ROR-EVENT-VISIT, 68 exported options, 64 F Features of CCR, 194 file ROR LOG file (#798.7), 67 ROR PATIENT EVENTS file (#798.3), 67 ROR task file (#798.8), 67 ROR-PATIENT-EVENTS (798.3), 68 File Transfer Protocol, 22 files admissions, 4 diagnoses, 4 laboratory tests, 4 patient demographics, 4 prescriptions, 4 radiology exams, 4 surgical procedures, 4 visits, 4 VistA, 4 fonts, 2 FTP, 22 G graphical conventions, 2 graphical user interface, 4 green text, 2 GUI, 4 H HCCR. See CCR:HEPC Hepatitis C Registry. See CCR:HEPC Historical Data Extraction Create the Output Directory, 33 Historical Data Extraction menu Create Data Extraction Task option, 34 Define Output Directory Name option, 34 Start a Task option, 34 Task Information, 36 Status values, 36 HIV Registry. See CCR:HIV HL7, 5 HL7 protocol ROR-SITE-DRIVER, 68 ROR-SITE-SUBSCRIBER, 68 I ICD-9 codes, 5 icon history, 3 note, 2 tip, 2 warning, 3 icons, 2 ICR. See CCR:HIV, See CCR:HIV Installation & Implementation Guide, 4 IRM security key, 84 K key features, 6 keyboard shortcuts, 23 keyboard keys, 2 keys keyboard, 2 KIDS Build Global ^ROR, 54 Global ^RORDATA, 54 L LAB^ROREVT01, 68 lists local patients, 6 patients with evidence of HEPC, 6 patients with evidence of HIV, 6 local patient lists, 6 local reports, 6 M Maintenance menu, 25 ACL option, 25 Edit Lab Search Criteria option, 25, 26 Edit Registry Parameters option, 25, 27 ELS option, 25 ERP option, 25 HDE option, 25 Historical Data Extraction menu, 32 Historical Data Extraction option, 25, 29, 32 Pending Patients option, 25, 31 PLF option, 25 PP option, 25 Print Log Files option, 25, 30 Re-Index the ACL cross-reference option, 25 manual revisions, vi menu EVE, 64 Menu Management, 64 Systems Manager Menu, 64 XUMAINT, 64 messages multiple, 6 monitoring patient outcome measures, 6 process measures, 6 quality of care, 6 trends, 6 multiple messages, 6 N names documents, 2 field, 2 GUI buttons, 2 GUI command icons, 2 GUI panels, 2 GUI panes, 2 GUI tabs, 2 patches, 2 registry, 2 reports, 2 software applications, 2 standards, 2 Namespaces Sub Namespaces, 62 National Case Registry, 4 national CCCR database, 5 nightly background process, 5 O observation/result, 128 option Abbreviated Menu Diagrams, 64 Broker Context, 64 Clinical Case Registries Maintenance, 66 Create Extraction Tasks, 65 Diagram Menus, 64 Display Extraction Status, 65 Display Task Log, 65 Edit [ Extraction Tasks], 65 Edit data extraction, 65 Edit Lab Search Criteria, 66 Edit Task Description, 65 Historical Data Extraction, 65 ICR Version Comparison Report, 66 List of Pending Errors, 66 Option Function Inquiry, 64 Pending Patients, 66 Print Log Files, 66 Registry Setup, 64 Registry Update & Data Extraction, 64 Re-index the ACL cross reference, 66 ROR GUI, 64 ROR SETUP, 64 ROR TASK, 64 RORHDT CREATE, 65 RORHDT EDIT, 65 RORHDT EDIT EXTRACTION, 65 RORHDT EDIT TASK, 65 RORHDT LOG, 65 RORHDT MAIN, 65 RORHDT START, 65 RORHDT STATUS, 65 RORHDT STOP, 65 RORICR VERSION COMPARISON, 66 RORMNT ACL REINDEX, 66 RORMNT EDIT LAB SEARCH, 66 RORMNT MAIN, 66 RORMNT PENDING ERRORS LIST, 66 RORMNT PENDING PATIENTS, 66 RORMNT PRINT LOGS, 66 Start a Task, 65 Stop a Task, 65 Systems Menu Diagrams (with Entry/Exit Actions, 64 XUINQUIRE, 64 XUUSERACC, 64 XUUSERACC1, 64 XUUSERACC2, 64 options exported, 64 outcomes tracking, 6 P patches ROR*1.5 series, 7 patient outcomes tracking, 6 pending patient confirming, 5 pending patient review, 5 process data transmission, 5 nightly background, 5 protocol DPGM MOVEMENT EVENT, 68 ROR-EVENT-LAB, 68 ROR-EVENT-PTF, 68 ROR-EVENT-VISIT, 68 ROR-SITE-DRIVER, 68 ROR-SITE-SUBSCRIBER, 68 Q quality of care, 6 R Reflection, 6 registries, 3 registry HEPC, 4 HIV, 4 registry coordinator, 5 related documents, 4 Release Notes, 4 reports administrative, 4 administrative data, 6 clinical, 4 clinical data, 6 local, 6 robust capabilities, 6 VA Cross Reference, 63 review pending patient, 5 revisions to manual, vi ROR LOG file (#798.7), 67 ROR PATIENT EVENTS file (#798.3), 67 ROR TASK file (#798.8), 67 ROR*1.5 series patches, 7 ROR-EVENT-LAB, 68 ROR-EVENT-PTF, 68 ROR-EVENT-VISIT, 68 RORMNT MAIN, 25 ROR-PATIENT-EVENTS (798.3), 68 ROR-SITE-DRIVER, 68 ROR-SITE-SUBSCRIBER, 68 routine LAB^ROREVT01, 68 PTF^ROREVT0 1, 68 Routines Sub Namespaces, 62 XINDEX, 63 S screen display , 3 bold type, 3 user response, 3 selection rules, 5 shortcuts keyboard, 23 software CCR, 3 customize, 25 decommissioned, 7 distribution, 23 files, 23 Hepatitis C Case Registry v1.0, 7 Immunology Case Registry v2.1, 7 maintain, 25 sources, 22 sources software and documentation, 22 Sub Namespaces, 62 symbols, 2 T task parameter ROR SETUP, 64 RORFLCLR, 64 RORMNTSK, 64 RORSUSP, 64 time on therapy trends, 6 tracking clinical, 3 tracking patient outcomes, 6 tracking trends, 6 training hyperlinks, 23 information, 23 VistA University, 23 VistAU, 23 treatment response trends, 6 trend monitoring, 6 trends adverse events, 6 time on therapy, 6 tracking, 6 treatment response, 6 typefaces, 2 typographical conventions, 2 U user interface graphical, 4 User Manual, 4 user response, 3 {bracketed information}, 3 question marks, 3 Return/Enter key, 3 USER security key, 84 users Information Resource Management, 4 IRM, 4 V VA Cross Reference Report, 63 variable clear RORFLCLR, 64 set RORFLSET, 64   CDCO was formerly known as the Austin Automation Center (AAC). 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F$Ifgd*M$P$Ifa$gdH2kd$$IfH4F$ N>  ff06    44 Hap ffyt:       KB:11 $Ifgd:  & F$gd*MgdU1kdi$$IfH4F$ N> ff06    44 Hapffyt     $Ifgd:   kdZ$$IfTHrxz@ $r 2ffffffffff064 H4+ap2ffffffffffytBT       $$IfgdU1 $$$Ifa$gdU1      J<<<1 $$IfgdU1 $$$Ifa$gdU1kd$$IfTHrxz@ $r064 H4+aytBT      ?111 $$$Ifa$gdU1kdQ$$IfTHrxz@ $r064 H4+aytBT $$IfgdU1      ?11 $$$Ifa$gdU1kd$$IfTHrxz@ $r064 H4+aytBT $$IfgdU1  " S T V 1kd$$IfTHrxz@ $r064 H4+aytBT $$IfgdU1 $$$Ifa$gdU1V Y Z i v w 1kd$$IfTHrxz@ $r064 H4+aytBT $$IfgdU1 $$$Ifa$gdU1w y | }    5kdE$$IfTHrxz@ $r064 H4+aytBT $IfgdU1 $$Ifa$gdU1       C5$P$Ifa$gd<4Wkd$$IfH0$N:  ff0644 Hap ffytF $$$Ifgdd7$$$P$Ifa$gdd7gdB ^`gdB  p q z 4&$P$Ifa$gd<4Wkd$$IfHF$N> ff06    44 Hapffyt $$Ifgd<4W & F$Ifgd<4W  o p q z           +,-69:;Xdorstu纱窱ɣ͜ɒɣɺɺxr hR,0J$hehR,OJQJmHnHsH tH  hBhR,hBhR,0J5 h$hR, h@hR, hhR,hhR,0JhehR,mHnHsH tH hR, hjhR,hhR,0J5hhR,0J0hehR,CJOJQJ^JaJmHnHsH tH )z     3%$P$Ifa$gd<4Wkd$$IfH4F$`N> ff06    44 Hapffyt $$Ifgd & F$Ifgd<4W     I;$P$Ifa$gd<4Wkd$$IfH4F$ N>  ff06    44 Hap ffyt6W $$Ifgd<4W & F$Ifgd<4WLGG?1$P$Ifa$gd_M & F$gd*MgdBkdP$$IfHF$N> ff06    44 Hapffyt}(,-69j\$P$Ifa$gd_Mkd9$$IfH0$N:  ff0644 Hap ffytH2 $$IfgdH29:;XdosuphZMB $$IfgdH2 & F$Ifgd*M$P$Ifa$gd_M & F$gd*MgdBkd$$IfH0$N:  ff0644 Hap ffytH2stuaSF1 $If^`gdH2 & F$Ifgd*M$P$Ifa$gdH2kd$$IfH4:F$`N>  ff06    44 Hap ffytBaSD$P$IfgdB$P$Ifa$gd_Mkd\$$IfH4F$ N>  ff06    44 Hap ffytH2 < ALSTU^uw~k$hehR,OJQJmHnHsH tH  hBhR,hehR,mHnHsH tH  h@hR,h=hR,0J h=hR,CJOJQJ^JaJhjhR,OJQJhR,hjhR,0JhjhR,0J5hjhR,0J ho|<hR,hjhR,^J hjhR,h: hR,0J&uld[[[[[ $Ifgd= & F$gd*MgdBkd!$$IfHp0$N:  ff0644 Hap ffytBkd$$IfTHrxz@ $r 2ffffffffff064 H4+ap2ffffffffffyt=T $$IfgdU1 $$$Ifa$gdU1J<<<1 $$IfgdU1 $$$Ifa$gdU1kd $$IfTHrxz@ $r064 H4+ayt=T?111 $$$Ifa$gdU1kd$$IfTHrxz@ $r064 H4+ayt=T $$IfgdU1 !#&?11 $$$Ifa$gdU1kd$$IfTHrxz@ $r064 H4+ayt=T $$IfgdU1&'<1kdA$$IfTHrxz@ $r064 H4+ayt=T $$IfgdU1 $$$Ifa$gdU11kd$$IfTHrxz@ $r064 H4+ayt=T $$IfgdU1 $$$Ifa$gdU1 5kd$$IfTHrxz@ $r064 H4+ayt=T $IfgdU1 $$Ifa$gdU1TU^uL=$P$IfgdH2kdx$$IfH^0$N:  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$$Ifa$gdH2kd$$IfH4 F$`N> @@ff3f3f06    44 Hapff3f3fytH2&14567CPQR[\]?@AI]^_`efgpĻδʭեĻΓέΚʊhBXhR,0J5hBXhR,0J hBXhR,hzhR,OJQJhR,OJQJ h]B`hR, h{hR,h: hR,0J hR,0JhR, hjhR,hehR,mHnHsH tH (hehR,OJQJ^JmHnHsH tH  hX"hR,/L@($ $If^`a$gdH2 $$Ifa$gdH2kd$$IfH4F$ N>  ff06    44 Hap ffytH2 $If^`gdH2L>3 $$IfgdH2$P$Ifa$gd_Mkd{ $$IfH4F$ N>  ff06    44 Hap ffytH2 $If^`gdH2&15uphZMB $$IfgdH2 & F$Ifgd*M$P$Ifa$gd_M & F$gd*Mgd{kd@ $$IfH0$N:  ff0644 Hap ffytH2567CQaSF; $$IfgdH2 & F$Ifgd*M$P$Ifa$gdH2kd $$IfH4F$`N>  ff06    44 Hap ffytH2QR[]aSH $$IfgdH2$P$Ifa$gd_Mkd $$IfH4F$ N>  ff06    44 Hap ffytH2]^_uphZMB $$IfgdH2 & F$Ifgd*M$P$Ifa$gd_M & F$gd*Mgd{kdy $$IfH0$N:  ff0644 Hap ffytH2@aSF; $$IfgdH2 & F$Ifgd*M$P$Ifa$gdH2kd( $$IfH4F$`N>  ff06    44 Hap ffytH2@AIfaSJ $IfgdBX$P$Ifa$gd_Mkd $$IfH4F$ N>  ff06    44 Hap ffytH2fgpug\ $$IfgdH2$P$Ifa$gd_Mkd$$IfH0$N:  ff0644 Hap ffytH2p;<=FHILgs~%*9<Q`a./ӾӾӧğhzhR,OJQJhR,OJQJ h]B`hR, h@hR,h=hR,0J hR,0JhehR,mHnHsH tH hR,hjhR,0J ho|<hR,hjhR,^J hjhR,hBXhR,0J:uph_____ $IfgdD` & 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/ alyteh$$Ifl!vh#v #v8#vh#v$ #v#v:V l t0$5 585h5$ 55/ / / / / /  / /  / / / / alyt^o$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt^o$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/  / / / / /  / / / /  / / / alyt^o$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt^o$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt\Ev$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/  / / / / /  / / / /  / / alyt\Ev$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / alyt\E$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt'5v$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/  / / / / /  / / / /  / / alyt'5v$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / alyt'5$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / / /  / / alyt'5$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alyt'5$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt.$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alyt<$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / / /  / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0$5 585h5555/ / / / / / /  / / / /  / / alytDZ$$Ifl!vh#v #v8#vh#v#v#v#v:V l t0EPRINTxCompObjsObjInfoOlePres000$      " !"#$%&'()*+,-./0123456789:;<=>?@ABCDEFGHIJKLMNOPQRSTUVWXYZ[\]^_`abcdefghik#nopqrstuvwxyz{|}~lOia8 EMFx PrP,F, EMF+@``FpdEMF+0@?@ @ @ @$̙p@p@?CA!b $$=='% % V0(((( ( (((% % $$AAFEMF+@@4u?@H<p@AuBCAuBCp@p@p@p@A@$$==_888% % V0(( ( ((((% % $$AA( FEMF+*@$BBp@p@@0$=ARIAL6@8,ROR AIDS INDICATOR DISEASEz>"">f>"">>"">>"">v>"">?"">?"">7?"">@00?"">@8?"">@??"">T?"">i?"">p?"">‚?""> ?""> ?""> Ƞ?""> ?"">?"">`F?"">9?"">@?"">2?"">x?"">`?"">??   RpArial6Ow?<4``wl|x6h=|OwPw`68Pwr`wl |\ N DPw|||{||h |||{||  hקRwdv% TAALROR AIDS INDICATOR DISEASE% F@4EMF++@ @$p@ABA( $$=='% % V0'3(((h(h(% % $$AAFEMF+@@4u?@H<p@ IB B IB BAp@Ap@ IB@$$==_888% % V0(4((h(h(((% % $$AA( FEMF+*@$BBp@A@0$9>ARIAL6@H<PKF=*>@>*>??   ( RpArialArial 6Ow<4``wl|x||@|=|Ꙁ|| c @w|h h||||w!+w @w cdv% TX ,AA *LPPK % F@4EMF++@ @$ BACA$$==% % V0&3hh(( (( h% % $$AAFEMF+@@4u?@H< B IBuBC IBuBCA BA B IB@$$==_888% % V0%4h(( (( hh(% % $$AA( FEMF+*@$BB BA6@pdNUMBERc=*>>*>'>*>c>*>>*>@?*>??   % Tp,d,AA,*LXNUMBER % FpdEMF++@ @4(?@ @ ,/B}/B%B}/B: $$==_888"% % W$((i/Z% % $$AA( : F4(EMF+ @$p@ IBBA$$==% % V02'K(((hh(((% % $$AAFEMF+@D8u?@@H<p@B BB B IBp@ IBp@B@$$==_888% % V01(L(hh((((% % $$AA( F4(EMF+ @$ B IBCA$$==% % V0&2Kh(h( ( (h(% % $$AAFEMF+@D8u?@@H< BBuBCBuBC IB B IB BB@$$==_888% % V0%1Lh( ( (h(h% % $$AA( F4(EMF+ @$̙uNCp@?CA( $$=='% % V0 ( ( (% % $$AAFEMF+@D8u?@@H<uNCA:CA:Cp@uNCp@uNCA@$$==_888% % V0 ( ( % % $$AA( FEMF+*@$BBuNCp@@0$=ARIAL6@ ROR PATIENT?"">%4?"">EJ?"">@^?"">@f?"">y?"">`?"">`͏?"">?"">@=?"">?"">??   ( RpArialArial Arial||@|=|Ꙁ|| d @w|h h||||w!+w @w ddv% T RAA  LdROR PATIENT% F@4EMF++@ @$urCACA( $$=='% % V03(((((% % $$AAFEMF+@D8u?@@H<urC IB:C IB:CAurCAurC IB@$$==_888% % V04((((((% % $$AA( FEMF+*@$BBurCA@0$9>ARIAL6@ PATIENT NAMEc=*>>*>v>*>>*>>*>>*>?*>]$?*>>.?*>@G?*>_?*>@}?*>??   ( RpArialArial Arial||@|=|Ꙁ|| e @w|h h||||w!+w @w edv% TZ,AA* LdPATIENT NAME   % FpdEMF++@ @4(?@ @ #wC}/Ba)C}/B: $$==_888"% % W$(^/}% % $$AA( : F4(EMF+ @$urC IBCA$$==% % V02K((((((% % $$AAFEMF+@D8u?@@H<urCB:CB:C IBurC IBurCB@$$==_888% % V01L(((((% % $$AA( F4(EMF+ @$̙:Cp@CA( $$=='% % V0+(""((% % $$AAFEMF+@D8u?@@H<:CAq DAq Dp@:Cp@:CA@$$==_888% % V0,""((% % $$AA( FEMF+*@$BB:Cp@@0$=ARIAL6@ ROR DATA AREAc>"">y>"">>"">@?"">@?"">Y$?"">8?"">CJ?"">^?"">f?"">@@{?"">?"">a?"">??   ( RpArialArial Arial||@|=|Ꙁ|| f @w|h h||||w!+w @w fdv% TAA LhROR DATA AREA% F@4EMF++@ @$:CABA( $$=='% % V0+3("("% % $$AAFEMF+@D8u?@@H<:C IBq D IBq DA:CA:C IB@$$==_888% % V0,4("("(% % $$AA( FEMF+*@$BB:CA@0$9>ARIAL6@pdNUMBERc=*>>*>'>*>c>*>>*>@?*>??   ( RpArialArial Arial||@|=|Ꙁ|| g @w|h h||||w!+w @w gdv% Tp,AA*LXNUMBER % FpdEMF++@ @4(?@ @ C}/BiC}/B: $$==_888"% % W$(/=% % $$AA( : F4(EMF+ @$:C IBBA$$==% % V02+K(""((% % $$AAFEMF+@D8u?@@H<:CBq DBq D IB:C IB:CB@$$==_888% % V01,L""((% % $$AA( F4(EMF+ @$̙qDp@@CA( $$=='% % V0r3('(('(3(3(('(% % $$AAFEMF+@D8u?@@H<qDAqLDAqLDp@qDp@qDA@$$==_888% % V0q4('(3(3(('(('% % $$AA( FL@EMF+*@$BBqDp@@0$=ARIAL6@ROR PATIENT EVENTS>"">>"">@k ?"">!?"">)?"">`Q?"">b?"">j?"">@}?"">?"">ő?"">?"">`5?"">?""> .?"">s?"">#?"">??   ( RpArialArial Arial||@|=|Ꙁ|| h @w|h h||||w!+w @w hdv% T AALpROR PATIENT EVENTS% F@4EMF++@ @$q%DACA( $$=='% % V033h)h)((3((3h)% % $$AAFEMF+@D8u?@@H<q%D IBqLD IBqLDAq%DAq%D IB@$$==_888% % V044h)((3((3h)h)(% % $$AA( FEMF+*@$BBq%DA@0$9>ARIAL6@ PATIENT NAMEc=*>>*>v>*>>*>>*>>*>?*>]$?*>>.?*>@G?*>_?*>@}?*>??   ( RpArial   |Arial||@|=|Ꙁ|| i @w|h h||||w!+w @w idv% T,AA* LdPATIENT NAME   % FpdEMF++@ @4(?@ @ &D}/B?D}/B: $$==_888"% % W$(/)/% % $$AA( : F4(EMF+ @$q%D IBCB$$==% % V023Wh)(h)h(3h(3(h)(% % $$AAFEMF+@D8u?@@H<q%DBqLDBqLD IBq%D IBq%DB@$$==_888% % V014Xh)h(3h(3(h)(h)h% % $$AA( FEMF+*@$BBq%D IB6@xREGISTRYc=V>>V>v~>V>>V>M>V>>V>?V>C,?V>??   % T|3BAA@L\REGISTRY   % FEMF++@ *@$BBq%D IB6@ DATA AREAc=>>>v~>>>>>>>>?>@R(?> @?>??   % TCRAAP L`DATA AREA   % F@4EMF++@ @$̙qRDp@BA( $$=='% % V0L4(4(<(<(4(% % $$AAFEMF+@D8u?@@H<qRDAqpDAqpDp@qRDp@qRDA@$$==_888% % V0J4(<(<(4(4% % $$AA( FEMF+*@$BBqRDp@@0$=ARIAL6@ ROR XML ITEM/Z>"">->"">m>"">>"">P>"">?"">R(?"">9?"">A?"">I?"">Z?"">m?"">??   ( RpArialArial   ||@|=|Ꙁ|| j @w|h h||||w!+w @w jdv% T`AA` LdROR XML ITEM % F@4EMF++@ @$q[DABA( $$=='% % V0n366((<((<6% % $$AAFEMF+@D8u?@@H<q[D IBqpD IBqpDAq[DAq[D IB@$$==_888% % V0m46((<((<66(% % $$AA( FEMF+*@$BBq[DA@0$9>ARIAL6@\PNAMEc=*>>*>v~>*>w>*>??   ( RpArialArial Arial||@|=|Ꙁ|| k @w|h h||||w!+w @w kdv% Tdt,AAt*LTNAME % FpdEMF++@ @4(?@ @ \D}/B9fD}/B: $$==_888"% % W$p(/=79% % $$AA( : F4(EMF+ @$q[D IBBA$$==% % V0n2K6(6(<(<(6(% % $$AAFEMF+@D8u?@@H<q[DBqpDBqpD IBq[D IBq[DB@$$==_888% % V0m1L6(<(<(6(6% % $$AA( FEMF+@D8?@@, qD BfD B@$$==_888% % W$6$u)('h#h% % $$AA( F\PEMF+@<0UD-Bq D BUDBUD-B@( $$=='%  % V,*!:,#"h##%  % $$AAF4(EMF+ @$̙p@B?CA( $$=='% % V0z((( ( ( ( (% % $$AAFEMF+@D8u?@@H<p@uCuBCuCuBCBp@Bp@uC@$$==_888% % V0y(( ( ( ( ((( % % $$AA( F$EMF+*@$BBp@B@0$=ARIAL6@ROR HIV RECORD@'?"">?"">-?"">\B?"">CJ?"">^?"">f?"">@y?"">ʀ?"">?"">`?"">ў?"">?""> '?"">??   ( RpArialArial Arialw Xw||@|=|Ꙁ|| l @w|h h||||w!+w @w ldv% T4AA4LhROR HIV RECORD% F@4EMF++@ @$ BuCCA( $$=='% % V0&h( h ( ( ( h( % % $$AAFEMF+@D8u?@@H< Bu*CuBCu*CuBCuC BuC Bu*C@$$==_888% % V0%h ( ( ( h( h % % $$AA( F0$EMF+*@$BB BuC@0$9>ARIAL6@REGISTRY RECORDc=*>>*>v~>*>>*>M>*>>*>?*>C,?*>@C?*>@M?*>g?*>??*>v?*>J?*> !?*>??   ( RpArialArial Arial||@|=|Ꙁ|| m @w|h h||||w!+w @w mdv% T,AA,LlREGISTRY RECORD    % FpdEMF++@ @4(?@ @ ,/B{#Co-C{#C: $$==_888"% % W$(> > % % $$AA( : F4(EMF+ @$ Bu*CCA$$==% % V0&h h( ( ( ( h % % $$AAFEMF+@D8u?@@H< BuBCuBCuBCuBCu*C Bu*C BuBC@$$==_888% % V0%h( ( ( ( h h( % % $$AA( FthEMF+*@$BB Bu*C@0$=ARIAL6@AIDS INDICATOR DISEASEc="">>"">c$>"">v>"">8>"">>"">>"">>""> ?"">f?"">%?"">@8?"">@JJ?"">@j`?"">t?"">|?"">`?"">ঌ?"">@#?"">?"">?"">`?"">??   ( RpArialArial Arial||@|=|Ꙁ|| n @w|h h||||w!+w @w ndv% T,AA,LxAIDS INDICATOR DISEASE% F@4EMF++@ @$̙:CBSCA( $$=='% % V0"z((( `( `(% % $$AAFEMF+@D8u?@@H<:CuCCuCCB:CB:CuC@$$==_888% % V0!y(( `( `((( % % $$AA( FEMF+*@$BB:CB@0$=ARIAL6@`TROR HISTORICAL DATA EXTRACTIONܝ="">!>"">y>"">>"">>"">>"">>"">B ?"">?"">1?"">@MF?"">@4N?"">b?"">Iw?"">T?"">`H?"">?""> Ӝ?""> ?"">ȯ?"">?"">`8?"">?"">d?""> ?"">?"">4?"">?"">`?"">0@"">??   ( RpArialArial Arial||@|=|Ꙁ|| o @w|h h||||w!+w @w odv% T*AA*LROR HISTORICAL DATA EXTRACTION% F@4EMF++@ @$:CuC/CA( $$=='% % V0Fh( h ` `( h( % % $$AAFEMF+@D8u?@@H<:Cu*CCu*CCuC:CuC:Cu*C@$$==_888% % V0Eh ` `( h( h % % $$AA( FEMF+*@$BB:CuC@0$9>ARIAL6@\PNAMEc=*>>*>v~>*>w>*>??   ( RpArialArial Arial||@|=|Ꙁ|| p @w|h h||||w!+w @w pdv% TdLqAALLTNAME % FpdEMF++@ @4(?@ @ C{#Cq(C{#C: $$==_888"% % W$Hv> &> % % $$AA( : F4(EMF+ @$:Cu*C/CB$$==% % V0Fh h ` ` h % % $$AAFEMF+@D8u?@@H<:CuNCCuNCCu*C:Cu*C:CuNC@$$==_888% % V0Eh ` ` h h % % $$AA( FEMF+*@$BB:Cu*C@0$=ARIAL6@h\ERRORc=>>>V>>>>>>??   ( RpArialArial Arial||@|=|Ꙁ|| q @w|h h||||w!+w @w qdv% TlLpAALLXERROR% FEMF++@ *@$BB:Cu*C6@ DATA AREAc=3> >3>V>3>9>3>*>3>>3>>3> ?3>x?3>??   % TLAAL L`DATA AREA% F@4EMF++@ @$uNCABA$$==% % V03  (((( % % $$AAFEMF+@D8u?@@H<uNC IBurC IBurCAuNCAuNC IB@$$==_888% % V04 ((((  (% % $$AA( FEMF+*@$BBuNCA@0$9>ARIAL6@H<PKF=*>@>*>??   ( RpArialArial Arial||@|=|Ꙁ|| r @w|h h||||w!+w @w rdv% TX,AA*LPPK % F@4EMF++@ @$uNC IBBA$$==% % V02K ( ((( (% % $$AAFEMF+@D8u?@@H<uNCBurCBurC IBuNC IBuNCB@$$==_888% % V01L ((( ( % % $$AA( F4(EMF+ @$zCABA$$==% % V03((% % $$AAFEMF+@D8u?@@H<zC IB:C IB:CAzCAzC IB@$$==_888% % V04(((% % $$AA( F|pEMF+*@$BBzCA6@H<PK=*>(=>*>??   % TX,AA*LPPK % F@4EMF++@ @$zC IBBA$$==% % V02K(((% % $$AAFEMF+@D8u?@@H<zCB:CB:C IBzC IBzCB@$$==_888% % V01L((% % $$AA( F4(EMF+ @$qDABA$$==% % V0r3('('(h)(h)('% % $$AAFEMF+@D8u?@@H<qD IBq%D IBq%DAqDAqD IB@$$==_888% % V0q4('(h)(h)('('(% % $$AA( F|pEMF+*@$BBqDA6@H<PKF=*>@>*>??   % TX|,AA|*LPPK % F@4EMF++@ @$qD IBBB$$==% % V0r2W('(('hh)hh)(('(% % $$AAFEMF+@D8u?@@H<qDBq%DBq%D IBqD IBqDB@$$==_888% % V0q1X('hh)hh)(('(('h% % $$AA( F4(EMF+ @$qRDA BA$$==% % V0Lo344(6(64% % $$AAFEMF+@D8u?@@H<qRD IBq[D IBq[DAqRDAqRD IB@$$==_888% % V0Jp44(6(644(% % $$AA( F|pEMF+*@$BBqRDA6@H<PK=*>.8>*>??   % TXTe,AAT*LPPK % F@4EMF++@ @$qRD IB BA$$==% % V0L2oK4(466(4(% % $$AAFEMF+@D8u?@@H<qRDBq[DBq[D IBqRD IBqRDB@$$==_888% % V0J1pL466(4(4% % $$AA( F4(EMF+ @$p@uCBA$$==% % V0'(( ( h h( (( % % $$AAFEMF+@D8u?@@H<p@u*C Bu*C BuCp@uCp@u*C@$$==_888% % V0(( h h( (( ( % % $$AA( F|pEMF+*@$BBp@uC6@H<PKF=*>@>*>??   % TX AA LPPK % F@4EMF++@ @$p@u*CBA$$==% % V0'( (( h( h ( % % $$AAFEMF+@D8u?@@H<p@uBC BuBC Bu*Cp@u*Cp@uBC@$$==_888% % V0((( h( h ( (( % % $$AA( F4(EMF+ @$:CuCBA$$==% % V0"G(( ( h h( (( % % $$AAFEMF+@D8u?@@H<:Cu*C:Cu*C:CuC:CuC:Cu*C@$$==_888% % V0!H( h h( (( ( % % $$AA( F|pEMF+*@$BB:CuC6@H<PKF=*>@>*>??   % TX,=AA,LPPK % F@4EMF++@ @$:Cu*CBB$$==% % V0"G( ( h h ( % % $$AAFEMF+@D8u?@@H<:CuNC:CuNC:Cu*C:Cu*C:CuNC@$$==_888% % V0!H( h h ( ( % % $$AA( FEMF+@D8?@@, BBB33B@$$==_888% % W$`Ve}((% % $$AA( F\PEMF+@<0BBBB BBBB@( $$=='%  % V,]JhZ(w%  % $$AAFEMF+@D8?@@, :CB:C33B@$$==_888% % W$PVU}((% % $$AA( F\PEMF+@<0CB:CBõCBCB@$$==%  % V,MJXZ(w%  % $$AAFEMF+@D8?@@, :CB:C33B@$$==_888% % W$V}((% % $$AA( F\PEMF+@<0CB:CBõCBCB@$$==%  % V,JZ(w%  % $$AAF4(EMF+ @$̙:C:C@CA( $$=='% % V0: #((% % $$AAFEMF+@D8u?@@H<:C:C:C:C:C:C:C:C:C:C@$$==_888% % V09 $(((% % $$AA( FtEMF+*@$BB:C:C@0$=ARIAL6@ROR REGISTRY PARAMETERS0>"">>"">˭>"">>"">>"">@?"">?"">0?"">8?"">K?"">:]?"">q?""> _?"">R?"">Ϗ?"">`?"">Y?""> ?"">x?"">`?"">`?""> ?""> f?"">??   ( RpArialArial Arialw2 Xw||@|=|Ꙁ|| s @w|h h||||w!+w @w sdv% TKAAKL|ROR REGISTRY PARAMETERS % F@4EMF++@ @$:C:CCA( $$=='% % V0^";(((% % $$AAFEMF+@D8u?@@H<:C:C:C:C:C:C:C:C:C:C@$$==_888% % V0]!<((% % $$AA( FEMF+*@$BB:C:C@0$9>ARIAL6@ REGISTRY NAMEc=*>>*>v~>*>>*>M>*>>*>?*>C,?*>@C?*>@M?*>g?*>??*>o?*>??   ( RpArialArial Arial||@|=|Ꙁ|| t @w|h h||||w!+w @w tdv% Td%4AAd2 LhREGISTRY NAME    % FpdEMF++@ @4(?@ @ CCCC: $$==_888"% % W$`07=>#>% % $$AA( : F4(EMF+ @$:C:CCpB$$==% % V0^:whh% % $$AAFEMF+@D8u?@@H<:C:C:C:C:C:C:C:C:C:C@$$==_888% % V0]9xhhh% % $$AA( FL@EMF+*@$BB:C:C@0$=ARIAL6@AUTOMATIC BACKPULLc=V>>V>V>V>9>V>y>V>>V>?V>G?V>.!?V>5?V>=?V>P?V>@c?V>x?V>`?V>?V> L?V>5?V>??   ( RpArialArial Arial ||@|=|Ꙁ|| u @w|h h |||w!+w @w udv% Td=JAAdHLpAUTOMATIC BACKPULL % FEMF++@ *@$BB:C:C6@ REPORT STATSc=> >>V>>j>>>>>>?> ?>?>0?>C?>XU?>??   % TdJWAAdU LdREPORT STATS% FEMF++@ *@$BB:C:C6@ LAB GROUPc=3>V=3>D>3>>3>Ɨ>3>>3>>3> ?3>8!?3>??   % TdWdAAdb L`LAB GROUP% FEMF++@ *@$BB:C:C6@ DRUG GROUPc= ? > ?:]> ?> ?> ?> ?@? ?? ?*? ?5?? ???   % TddqAAdo L`DRUG GROUP% F@4EMF++@ @$:C:CBA$$==% % V0:"_;(((% % $$AAFEMF+@D8u?@@H<:C:C:C:C:C:C:C:C:C:C@$$==_888% % V09!`<((% % $$AA( FEMF+*@$BB:C:C@0$9>ARIAL6@H<PKF=*>@>*>??   ( RpArialArial Arial||@|=|Ꙁ|| v @w|h h||||w!+w @w vdv% TXD%U4AAD2LPPK % F@4EMF++@ @$:C:CBpB$$==% % V0::_whh% % $$AAFEMF+@D8u?@@H<:C:C:C:C:C:C:C:C:C:C@$$==_888% % V099`xhhh% % $$AA( FEMF+@D8?@@, :C:C:C\C@$$==_888% % W$  % % $$AA( F\PEMF+@<0C W]C:CuNCõC W]CC W]C@( $$=='%  % V,X   X %  % $$AAF4(EMF+ @$̙R@ẅC?CA( $$=='% % V0 $XX8X 8X X% % $$AAFEMF+@D8u?@@H<R@ẑCuECẑCuECẅCR@ẅCR@ẑC@$$==_888% % V0 %X8X 8X XX8% % $$AA( FXLEMF+*@$BBR@ẅC@0$=ARIAL6@ROR REGISTRY RECORDR>"">g>"">>"">^?"">E?"">@-?"">@?"">V?"">^?"">q?"">`?"">ً?""> V?"">I?"">?"">` ?"">P?"">`?""> ?"">??   ( RpArialArial Arialw Xw||@|=|Ꙁ|| w @w|h h||||w!+w @w wdv% T$AA$LtROR REGISTRY RECORD% F@4EMF++@ @$ BẑCCARIAL6@ PATIENT NAMEc=P>>P>v>P>>P>>P>>P>?P>]$?P>>.?P>@G?P>_?P>@}?P>??   ( RpArialArial Arial||@|=|Ꙁ|| x @w|h h||||w!+w @w xdv% T,*9AA,7 LdPATIENT NAME   % FpdEMF++@ @4(?@ @ ,/B/CRC/C: $$==_888"% % W$(5<% % $$AA( : FEMF+*@$BB BẑC6@xREGISTRYc=U>>U>v~>U>>U>M>U>>U>?U>C,?U>??   % T|,:oIAA,GL\REGISTRY   % FpdEMF++@ @4(?@ @ ,/B/C5B/C: $$==_888"% % W$(EsL% % $$AA( : F4(EMF+ @$ B:CCB$$==% % V0&Rwh(hhX hX (h(% % $$AAFEMF+@D8u?@@H< B:CuEC:CuEC:C B:C B:C@$$==_888% % V0%QxhhX hX (h(hh% % $$AA( F$EMF+*@$BB B:C@0$=ARIAL6@SELECTION RULEc=>>>P>>>>>>>>>>?>?>q/?>X7?>@K?>n`?>?p?>??   ( RpArialArial Arial||@|=|Ꙁ|| y @w|h h||||w!+w @w ydv% T,VcAA,aLhSELECTION RULE% FEMF++@ *@$BB B:C6@ LOCAL FIELDc=3>V=3>P>3>k>3>\>3>>3>>3>?3> ?3>?3>x/?3>??   % T,cnpAA,n LdLOCAL FIELD% F@4EMF++@ @$R@ẑCBARIAL6@H<PKF=P>0>P>??   ( RpArialArial Arial||@|=|Ꙁ|| z @w|h h||||w!+w @w zdv% TX *9AA 7LPPK % F|EMF++@ *@$BBR@ẑC6@H<PKF=U>0>U>??   % TX :IAA GLPPK % F@4EMF++@ @$R@:CBB$$==% % V0R'wX(Xhhhh(X(% % $$AAFEMF+@D8u?@@H<R@:C B:C B:CR@:CR@:C@$$==_888% % V0Q(xXhhhh(X(Xh% % $$AA( FEMF+@D8?@@, BuBCB}C@$$==_888% % W$`e(( (% % $$AA( F\PEMF+@<0 B{|CBẅCB{|C B{|C@( $$=='%  % V,]h w(w%  % $$AAFEMF+@D8?@@4(uEC:CuZC:CuZC33B@$$==_888% % W(V1X   % % $$AA( F\PEMF+@<0UCBuZCBk_CBUCB@$$==%  % V,JZX   X %  % $$AAFEMF+@D8?@@, uEC:ChC:C@$$==_888% % W$D/IX hh% % $$AA( F\PEMF+@<0=ʕCC:C:C=ʕCõC=ʕCC@$$==%  % V,+A;Lh%  % $$AAFEMF+@D8?@@4(qDBqD:CfD:C@$$==_888% % W(T'h'h h% % $$AA( F\PEMF+@<0UDõC:C:CUDCUDõC@$$==%  % V,  h  %  % $$AAF4(EMF+ @$̙q(DBCA( $$=='% % V0z3(*(*( (3( (3(*% % $$AAFEMF+@D8u?@@H<q(DuCqLDuCqLDBq(DBq(DuC@$$==_888% % V0y4(*( (3( (3(*(*( % % $$AA( FEMF+*@$BBq(DB@0$=ARIAL6@|pROR LOGC>"">,?"">L(?"">@@D?"">@V?"">@>l?"">??   ( RpArialArial Arialw= Xw||@|=|Ꙁ|| { @w|h h||||w!+w @w {dv% TxAAL\ROR LOG% F@4EMF++@ @$q1DuCBA( $$=='% % V03h,( h, (3 (3( h,( % % $$AAFEMF+@D8u?@@H<q1Du*CqLDu*CqLDuCq1DuCq1Du*C@$$==_888% % V04h, (3 (3( h,( h, % % $$AA( FEMF+*@$BBq1DuC@0$9>ARIAL6@pdNUMBERc=*>>*>'>*>c>*>>*>@?*>??   ( RpArialArial Arial||@|=|Ꙁ|| | @w|h h||||w!+w @w |dv% TpAALXNUMBER % FpdEMF++@ @4(?@ @ 2D{#CdAD{#C: $$==_888"% % W$ ,> Z0> % % $$AA( : F4(EMF+ @$q1Du*CBA$$==% % V03h, h,( (3( (3 h, % % $$AAFEMF+@D8u?@@H<q1DuBCqLDuBCqLDu*Cq1Du*Cq1DuBC@$$==_888% % V04h,( (3( (3 h, h,( % % $$AA( FEMF+*@$BBq1Du*C6@xREGISTRYc=*>>*>v~>*>>*>M>*>>*>?*>C,?*>??   % T|AAL\REGISTRY   % F@4EMF++@ @$q(DuCBA$$==% % V0(*( (* h, h,( (*( % % $$AAFEMF+@D8u?@@H<q(Du*Cq1Du*Cq1DuCq(DuCq(Du*C@$$==_888% % V0(* h, h,( (*( (* % % $$AA( F|pEMF+*@$BBq(DuC6@H<PKF=*>@>*>??   % TXAALPPK % F@4EMF++@ @$q(Du*CBA$$==% % V0(* (*( h,( h, (* % % $$AAFEMF+@D8u?@@H<q(DuBCq1DuBCq1Du*Cq(Du*Cq(DuBC@$$==_888% % V0(*( h,( h, (* (*( % % $$AA( F4(EMF+ @$̙q]>D:CCA( $$=='% % V0 #//(8(8/% % $$AAFEMF+@D8u?@@H<q]>D:Cq]bD:Cq]bD:Cq]>D:Cq]>D:C@$$==_888% % V0 $/(8(8//(% % $$AA( FEMF+*@$BBq]>D:C@0$=ARIAL6@ ROR REPORT \>=r>= ?=c ?=J(?=D:C6@ PARAMETERS>ff>>ff>?ff>~?ff>@ -?ff>D?ff>W?ff>i?ff> |?ff>K?ff>??   % Tf"AA  L`PARAMETERS % F@4EMF++@ @$qFD:CBA( $$=='% % V0";1(188(1(% % $$AAFEMF+@D8u?@@H<qFD:Cq]bD:Cq]bD:CqFD:CqFD:C@$$==_888% % V0!<188(1(1% % $$AA( FEMF+*@$BBqFD:C@0$9>ARIAL6@\PCODEc=*>>*>>*>w>*>??   ( RpArialArial Arial||@|=|Ꙁ|| ~ @w|h h||||w!+w @w ~dv% Td %E4AA 2LTCODE % FpdEMF++@ @4(?@ @ GDC3QDC: $$==_888"% % W$0J71>f4>% % $$AA( : F4(EMF+ @$qFD:CBA$$==% % V0:S11(8(81% % $$AAFEMF+@D8u?@@H<qFD:Cq]bD:Cq]bD:CqFD:CqFD:C@$$==_888% % V09T1(8(811(% % $$AA( F4(EMF+ @$q]>D:CBA$$==% % V0";/(/11(/(% % $$AAFEMF+@D8u?@@H<q]>D:CqFD:CqFD:Cq]>D:Cq]>D:C@$$==_888% % V0!</11(/(/% % $$AA( F|pEMF+*@$BBq]>D:C6@H<PKF=*>0>*>??   % TX%4AA2LPPK % F@4EMF++@ @$q]>D:CBA$$==% % V0:S//(1(1/% % $$AAFEMF+@D8u?@@H<q]>D:CqFD:CqFD:Cq]>D:Cq]>D:C@$$==_888% % V09T/(1(1//(% % $$AA( FEMF+@D8?@@, :C:C{:D:C@$$==_888% % W$DIh.h% % $$AA( F\PEMF+@<0:DCq]>D:C:DõC:DC@( $$=='%  % V,AL./h..%  % $$AAF4(EMF+ @$̙qSDBCA( $$=='% % V0Lz44( =( =4% % $$AAFEMF+@D8u?@@H<qSDuCqwDuCqwDBqSDBqSDuC@$$==_888% % V0Ky4( =( =44( % % $$AA( FEMF+*@$BBqSDB@0$=ARIAL6@xROR TASKu>"">E ?"">e ?"">@4?"">@@7N?"">b?"">u?"">??   ( RpArialArial Arialw Xw||@|=|Ꙁ||  @w|h h||||w!+w @w dv% T|yAAyL\ROR TASK% F@4EMF++@ @$q[DuCBA( $$=='% % V0n6( 6 = =( 6( % % $$AAFEMF+@D8u?@@H<q[Du*CqwDu*CqwDuCq[DuCq[Du*C@$$==_888% % V0m6 = =( 6( 6 % % $$AA( FEMF+*@$BBq[DuC@0$9>ARIAL6@ TASK NUMBERc=*>>*>n>*>>*>->*>>*>?*>@R(?*>E?*>]?*>_u?*>??   ( RpArialArial Arial||@|=|Ꙁ||  @w|h h||||w!+w @w dv% TtAAt LdTASK NUMBER  % FpdEMF++@ @4(?@ @ \D{#CuD{#C: $$==_888"% % W$p=7> B=> % % $$AA( : F4(EMF+ @$q[Du*CBA$$==% % V0n6 6( =( = 6 % % $$AAFEMF+@D8u?@@H<q[DuBCqwDuBCqwDu*Cq[Du*Cq[DuBC@$$==_888% % V0m6( =( = 6 6( % % $$AA( F4(EMF+ @$qSDuCBA$$==% % V0Lo4( 4 6 6( 4( % % $$AAFEMF+@D8u?@@H<qSDu*Cq[Du*Cq[DuCqSDuCqSDu*C@$$==_888% % V0Kp4 6 6( 4( 4 % % $$AA( F|pEMF+*@$BBqSDuC6@H<PK=*>V5>*>??   % TXUfAAULPPK % F@4EMF++@ @$qSDu*CBA$$==% % V0Lo4 4( 6( 6 4 % % $$AAFEMF+@D8u?@@H<qSDuBCq[DuBCq[Du*CqSDu*CqSDuBC@$$==_888% % V0Kp4( 6( 6 4 4( % % $$AA( FEMF+@D8?@@, q^DuBCq^D|C@$$==_888% % W$x}7( 7% % $$AA( F\PEMF+@<0_D{{Cq^D:C`]D{{C_D{{C@( $$=='%  % V,u 77X77%  % $$AAFEMF+@D8?@@, qdDBqdD33B@$$==_888% % W$V}(9(9% % $$AA( F\PEMF+@<0`cDBqdDBeDB`cDB@$$==%  % V,JZ8(9w98%  % $$AAFEMF+@D8?@@, qSDuCfPDuC@$$==_888% % W$>O4 4 % % $$AA( F\PEMF+@<0UPDk#CqLDuCUPDCUPDk#C@$$==%  % V,2B47 (3 4 47 %  % $$AAF4(EMF+ @$̙p@:C? 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_CSR-1_Sponsor_Study_ID$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+TDyK %_CSR-3_Institution_Registering_the P$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+TDyK _CSR-4_Sponsor_Patient_ID$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+TDyK %_CSR-6_Date/time_of_Patient Study Re$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+TDyK %_CSR-9_Date/time_Patient_Study Conse$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+TDyK '_CSR-10_Patient_Study_Eligibility St_1$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+TDyK _CSR-12_Randomized_Study_Arm$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 H4+T$$If!vh#v#v#v#v#v#v#v#vK:V H065Z5s5w5x5y5554 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_Toc31771266 _Toc232396249_MSH-3_Sending_Application _Toc31771267 _Toc232396250_MSH-4_Sending_Facility_MSH-9_Message_Type _Toc31771272 _Toc232396251_MSH-10_Message_Control _Toc31771273 _Toc232396252_MSH-11_Processing_ID _Toc31771274 _Toc232396253_MSH-12_Version_ID _Toc31771275 _Toc232396254_MSH-15_Accept_Acknowledgment _Toc31771276 _Toc232396255"_MSH-16_Application_Acknowledgment _Toc31771277 _Toc232396256_MSH-17_Country_Code _Toc31771278 _Toc232396257 _Toc31771279 _Toc110408647 _Toc226975162 _Toc228789337 _Toc232396258 _Toc233014221 _Toc233167508 _Toc31771280_OBR _Toc110408648 _Toc226975163 _Toc228789338 _Toc232396259 _Toc233014222 _Toc233167509 _Toc235322115 _Toc347985283 _Toc110408649 _Toc226975164 _Toc228789339 _Toc232396260 _Toc233014223 _Toc233167510 _Toc235322116 _Ref242675667_OBR-1_Set_ID_ _OBR _Toc232396261_OBR-3_Filler_Order_Number_OBR-2_Placer_Order_Number_OBR-3_Filler_Order_Number_1 _Toc232396262_OBR-4_Universal_Service_ID _Toc232396263 OLE_LINK6 OLE_LINK7 OLE_LINK12 OLE_LINK13_OBR-6_Requested_Date/Time _Toc232396264_OBR-7_Observation_Date/Time _Toc232396265 _OBR-8_Observation_End_Date/Time _Toc232396266_OBR-11_Specimen_Action_Code _Toc232396267_OBR-13_Relevant_Clinical_Info_OBR-12_Danger_Code _Toc232396268_OBR-13_Relevant_Clinical_Info. _Toc232396269_OBR-16_Ordering_Provider#_OBR-14_Specimen_Received_Date/Time _Toc232396270_OBR-15_Specimen_Source _Toc232396271_OBR-16_Ordering_Provider_1 _Toc232396272_OBR-18_Placer_Field_1 _Toc232396273_OBR-19_Placer_Field_2_OBR-20_Filler_Field_1_1 _Toc232396274_OBR-21_Filler_Field_2 _Toc232396275_OBR-24_Diagnostic_Serv_Sect_ID$_OBR-22_Results_Rpt/Status_Chng_-_Da _Toc232396276!_OBR-24_Diagnostic_Serv_Sect_ID_1 _Toc232396277_OBR-25_Result_Status _Toc232396278_OBR-25_Result_Status_1_OBR-26_Parent_Result _Toc232396279_OBR-29_Parent _Toc232396280$_OBR-40_Transport_Arrangement_Respon _Toc232396281$_OBR-44_Transport_Arrangement_Respon_OBR-44_Procedure_Code _Toc232396282$_OBR-46_Placer_Supplemental_Service_ _Toc232396283 OLE_LINK10 OLE_LINK11 _Toc110408650 _Toc226975165 _Toc228789340 _Toc232396284 _Toc233014224 _Toc233167511 _Toc235322117 _Toc232396285 _Toc232396286 _Toc232396287 _Toc232396288 _Toc232396289 _Toc232396290 _Toc232396291 _Toc232396292 _Toc232396293 _Toc232396294 _Toc232396295 _Toc232396296 _Toc232396297!_OBX_ _Observation/Result_Segment _Toc110408651 _Toc226975166 _Toc228789341 _Toc232396298 _Toc233014225 _Toc233167512 _Toc347985284 OLE_LINK76 OLE_LINK77 OLE_LINK79 _Toc110408652 _Toc226975167 _Toc228789342 _Toc232396299 _Toc233014226 _Toc233167513_OBX-1_Set_ID_ _OBX _Toc232396300_OBX-2_Value_Type _Toc232396301_OBX-3_Observation_Identifier _Toc232396302 OLE_LINK46 OLE_LINK47 OLE_LINK48 OLE_LINK49_OBX-4_Observation_Sub-ID _Toc232396303_OBX-5_Observation_Value _Toc232396304_OBX-6_Units_1 _Toc232396305_OBX-7_References_Range _Toc232396306_OBX-8_Abnormal_Flags _Toc232396307 _Toc232396308OBX_11$_OBX-12_Date_Last_Observation_Normal _Toc232396309_OBX-14$_OBX-14_Date/Time_of_the_Observation _Toc232396310 _Toc232396311"_OBX-13_User_Defined_Access_Checks_OBX-15_Producer s_ID _Toc232396312_OBX-16_Responsible_Observer_OBX-16_Responsible_Observer_1 _Toc232396313_OBX-17_OBX-17_Observation_Method _Toc232396314 _Toc110408653 _Toc226975168 _Toc228789343 _Toc232396315 _Toc233014227 _Toc233167514 _Toc232396316 _Toc232396317 _Toc232396318 _Toc232396319 _Toc232396320 _Toc232396321 _Toc232396322 _Toc232396323 _Toc232396324 _Toc232396325 _Toc232396326 _Toc232396327 _Toc232396328_ORC_ _Common_Order_Segment _Toc110408654 _Toc226975169 _Toc228789344 _Toc232396329 _Toc233014228 _Toc233167515 _Toc347985285 _Toc110408655 _Toc226975170 _Toc228789345 _Toc232396330 _Toc233014229 _Toc233167516_ORC-1_Order_Control _Toc232396331_ORC-2_Placer_Order_Number _Toc232396332_ORC-9_Date/Time_of_TransactionORC_5 _Toc232396333ORC_9_ORC-12_Ordering_Provider _Toc232396334!_ORC-15_Order_Effective_Date/Time _Toc232396335!_ORC-16_Order_Control_Code_Reason _Toc232396336_ORC-17_Entering_Organization _Toc232396337 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