ࡱ> "'` bjbj }֋ tfMfMfMHOT*%|*R|~.^ $r%t%t%t%t%t%t%$o)h+~%..%4%,,,Hr%,r%,,Bh Nm bӇ]fMJNj<~|%0%jU-(|U-tNm6mU-~o D j,v2 DDD%%L,dDDD%;fMfM  Decision Support System (DSS) FY 2010 Extracts Medical Records Data Definitions Guide Version 9.0 November 2009 Department of Veterans Affairs System Development Support (SDS) Revision History DateRevisionDescriptionProject ManagerTechnical Writer12/05/021.0Initial VersionCrosskey, Johnny01/02/031.0Added Extract FormatAmann, Sheila09/30/032.0Updated with FY04 changesOlinger, Brian02/02/042.0Corrected description at 727.825,16Dawson, Tim12/20/043.0Updated with FY05 changesBeverly JonesBerry Anderson03/10/043.0Updated with Blood Bank Extract (LBB)Beverly JonesBerry Anderson11/14/054.0Updated with FY06 changes Updated descriptions and technical descriptionsBeverly JonesBerry Anderson11/08/065.0Updated with FY07 changes Added Nutrition Extract (NUT) Updated descriptions and technical descriptionsZach FainBerry Anderson11/19/076.0Updated with FY08 changes Updated descriptions and technical descriptionsZach FainBerry Anderson, Corinne Bailey11/14/087.0Updated with FY09 changes Updated descriptions and technical descriptionsRichard MullerTom Rochford06/09/098.0Updated with FY10 changesRichard MullerT. Tanous11/04/099.0Updated with FY10 ChangesRichard MullerKPeacock  Table of Contents  TOC \o "1-3" \h \z \u  HYPERLINK \l "_Toc214424482" Revision History  PAGEREF _Toc214424482 \h i  HYPERLINK \l "_Toc214424483" Table of Contents  PAGEREF _Toc214424483 \h i  HYPERLINK \l "_Toc214424484" Introduction  PAGEREF _Toc214424484 \h i  HYPERLINK \l "_Toc214424485" Medical Records Data Definitions  PAGEREF _Toc214424485 \h 1  HYPERLINK \l "_Toc214424486" #727.802 -- ADMISSION EXTRACT (ADM) File Data Definition  PAGEREF _Toc214424486 \h 1  HYPERLINK \l "_Toc214424487" #727.829 -- BLOOD BANK EXTRACT (LBB) File Data Definition  PAGEREF _Toc214424487 \h 1  HYPERLINK \l "_Toc214424488" #727.827 -- CLINIC EXTRACT (CLI) File Data Definition  PAGEREF _Toc214424488 \h 1  HYPERLINK \l "_Toc214424489" #727.815 -- EVENT CAPTURE LOCAL EXTRACT (ECS) File Data Definition  PAGEREF _Toc214424489 \h 1  HYPERLINK \l "_Toc214424490" #727.813 -- LABORATORY EXTRACT (LAB) File Data Definition  PAGEREF _Toc214424490 \h 1  HYPERLINK \l "_Toc214424491" #727.824 -- LAB RESULTS EXTRACT (LAR) File Data Definition  PAGEREF _Toc214424491 \h 1  HYPERLINK \l "_Toc214424492" #727.812 -- MENTAL HEALTH EXTRACT (MTL) File Data Definition  PAGEREF _Toc214424492 \h 1  HYPERLINK \l "_Toc214424493" #727.805 -- NURSING EXTRACT (NUR) File Data Definition  PAGEREF _Toc214424493 \h 1  HYPERLINK \l "_Toc214424494" #727.832 -- NUTRITION EXTRACT (NUT) File Data Definition  PAGEREF _Toc214424494 \h 1  HYPERLINK \l "_Toc214424495" #727.823 -- PAI EXTRACT (PAI) File Data Definition  PAGEREF _Toc214424495 \h 1  HYPERLINK \l "_Toc214424496" #727.819 -- PHARMACY IV DETAIL EXTRACT (IVP) File Data Definition  PAGEREF _Toc214424496 \h 1  HYPERLINK \l "_Toc214424497" #727.808 -- PHYSICAL MOVEMENT EXTRACT (MOV) File Data Definition  PAGEREF _Toc214424497 \h 1  HYPERLINK \l "_Toc214424498" #727.81 -- PRESCRIPTION EXTRACT (PRE) File Data Definition  PAGEREF _Toc214424498 \h 1  HYPERLINK \l "_Toc214424499" #727.826 -- PROSTHETICS EXTRACT (PRO) File Data Definition  PAGEREF _Toc214424499 \h 1  HYPERLINK \l "_Toc214424500" #727.825 -- QUASAR EXTRACT (ECQ) File Data Definition  PAGEREF _Toc214424500 \h 1  HYPERLINK \l "_Toc214424501" #727.814 -- RADIOLOGY EXTRACT (RAD) File Data Definition  PAGEREF _Toc214424501 \h 1  HYPERLINK \l "_Toc214424502" #727.811 -- SURGERY EXTRACT (SUR) File Data Definition  PAGEREF _Toc214424502 \h 1  HYPERLINK \l "_Toc214424503" #727.817 -- TREATING SPECIALTY CHANGE EXTRACT (TRT) File Data Definition  PAGEREF _Toc214424503 \h 1  HYPERLINK \l "_Toc214424504" #727.809 -- UNIT DOSE LOCAL EXTRACT (UDP) File Data Definition  PAGEREF _Toc214424504 \h 1  Introduction The Decision Support System (DSS) Extracts FY 2009 Extracts V. 3.0 software provides a means of exporting data from selected VistA software modules and transmitting it to a Decision Support System (DSS) database residing at the Austin Information Technology Center (AITC). This transfer is accomplished through a set of extract routines, intermediate files, and transmission routines. Data from VistA packages is stored by the extract routines in the intermediate files, where it is temporarily available for local use and auditing. The data is then transmitted to the AITC, where it is formatted and uploaded into commercial software. After the data has been successfully uploaded into the commercial software, it is purged from the intermediate files. This document is designed to: Provide DSS Teams with technical information regarding each extract. Detail the source from which the data element in each extract is obtained. Provide DSS Teams with the tools to perform additional data validation. The changes made to this document in support of the software changes in the DSS Extract FY10 release are identified in the below table. Extract File NameExtract Abbreviated Name/FileVistA Field Number /NameSRS IDADMISSION EXTRACTADM / 727.80212 Added/Updated religion (.01/13)3.7.2ADMISSION EXTRACTADM / 727.80275 SW Asia Conditions3.7.1ADMISSION EXTRACTADM / 727.80278 Encounter SWAC3.7.1ADMISSION EXTRACTADM / 727.80288 OP Admit Flag3.2.1ADMISSION EXTRACTADM / 727.80289 Country Code (.1173/2)3.2.6CLINIC EXTRACTCLI / 727.82784 SW Asia Conditions3.7.1CLINIC EXTRACTCLI / 727.82785 Encounter SWAC3.7.1CLINIC EXTRACTCLI / 727.82793 Country Code3.2.6Pharmacy IV Detail ExtractIVP / 727.81920 Total Doses per Day3.2.11Pharmacy IV Detail ExtractIVP / 727.81981 SW Asia Conditions3.7.1Pharmacy IV Detail ExtractIVP / 727.81987 Country Code3.2.6PRESCRIPTION EXTRACTPRE / 727.8161 Observation Patient Indicator3.2.9PRESCRIPTION EXTRACTPRE / 727.8186 SW Asia Conditions3.7.1PRESCRIPTION EXTRACTPRE / 727.8189 Encounter SWAC3.7.1PRESCRIPTION EXTRACTPRE / 727.8197 Country Code3.2.6UNIT DOSE LOCAL EXTRACTUDP / 727.80976 SW Asia Conditions3.7.1UNIT DOSE LOCAL EXTRACTUDP / 727.80982 Country Code3.2.6NUTRITION EXTRACTNUT / 727.83231 SW Asia Conditions3.7.1NUTRITION EXTRACTNUT / 727.83264 Country Code3.2.6PROSTHETICS EXTRACTPRO / 727.82622 SW Asia Conditions3.7.1PROSTHETICS EXTRACTPRO / 727.82677 Encounter SWAC3.7.1PROSTHETICS EXTRACTPRO / 727.82687 Country Code3.2.6QUASAR EXTRACTECQ / 727.82536 SW Asia Conditions3.7.1QUASAR EXTRACTECQ / 727.82585 Encounter SWAC3.7.1EVENT CAPTURE LOCAL EXTRACTECS / 727.81536 SW Asia Conditions3.7.1EVENT CAPTURE LOCAL EXTRACTECS / 727.81585 Encounter SWAC3.7.1SURGERY EXTRACTSUR / 727.81197 Encounter SWAC3.7.1SURGERY EXTRACTSUR / 727.811102 SW Asia Conditions3.7.1 Medical Records Data Definitions #727.802 -- ADMISSION EXTRACT (ADM) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the MAS Admission extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.802,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.802,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.802,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.802,3 FACILITYIdentifier for the station and division.It is derived from the DIVISION field (#3.5) in the HOSPITAL LOCATION file (#44) for the entry identified in the LOCATION field (#.04) in the OUTPATIENT ENCOUNTER file (#409.68). This field is a pointer to the MEDICAL CENTER DIVISION file (#40.8).727.802,4 PATIENT NO. DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.802,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing P or 5 leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.802,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.802,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.802,8 DAYDate when patient admission occurred. Format: YYYYMMDDDerived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.802,9 PRIMARY CARE TEAMThe IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to TEAM file (#404.51) is transmitted.727.802,10 SEXGender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data element is taken from the SEX field (#.02) in the PATIENT file (#2).727.802,11 DATE OF BIRTHPatient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.802,12 RELIGIONThe current religious preference of this patient. Values: 1 JUDAISM 2 EASTERN ORTHODOX 3 BAPTIST 4 METHODIST 5 LUTHERAN 6 PRESBYTERIAN 7 UNITED CHURCH OF CHRIST 8 EPISCOPALIAN 9 ADVENTIST 10 ASSEMBLY OF GOD 11 BRETHREN 12 CHRISTIAN SCIENTIST 13 CHURCH OF CHRIST 14 CHURCH OF GOD 15 DISCIPLES OF CHRIST 16 EVANGELICAL COVENANT 17 FRIENDS 18 JEHOVAH'S WITNESSES 19 LATTER DAY SAINTS 20 ISLAM 21 NAZARENE 22 OTHER 23 PENTECOSTAL 24 PROTESTANT 25 PROTESTANT, NO DENOMINATION 26 REFORMED 27 SALVATION ARMY 28 UNITARIAN-UNIVERSALISM 99 ROMAN CATHOLIC CHURCH 100 NATIVE AMERICAN 101 ZEN BUDDHISM 102 UNKNOWN/NO PREFERENCE 103 AFRICAN RELIGIONS 104 AFRO-CARIBBEAN RELIGIONS 105 AGNOSTICISM 106 ANGLICAN 107 ANIMISM 108 ATHEISM 109 BABI & BAHA'I FAITHS 110 BON 111 CAO DAI Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the ADMISSION EXTRACT file (#727.802), RELIGION data is derived from the RELIGIOUS PREFERENCE field (#.08) in the PATIENT file (#2). It is a pointer to the RELIGION file (#13). 112 CELTICISM 113 CHRISTIAN (NON-SPECIFIC) 114 CONFUCIANISM 115 CONGREGATIONAL 116 CYBERCULTURE RELIGIONS 117 DIVINATION 118 FOURTH WAY 119 FREE DAISM 120 FULL GOSPEL 121 GNOSIS 122 HINDUISM 123 HUMANISM 124 INDEPENDENT 125 JAINISM 126 MAHAYANA 127 MEDITATION 128 MESSIANIC JUDAISM 129 MITRAISM 130 NEW AGE 131 NON-ROMAN CATHOLIC 132 OCCULT 133 ORTHODOX 134 PAGANISM 135 PROCESS, THE 136 REFORMED/PRESBYTERIAN 137 SATANISM 138 SCIENTOLOGY 139 SHAMANISM 140 SHIITE (ISLAM) 141 SHINTO 142 SIKISM 143 SPIRITUALISM 144 SUNNI (ISLAM) 145 TAOISM 146 THERAVADA 147 UNIVERSAL LIFE CHURCH 148 VAJRAYANA (TIBETAN) 149 VEDA 150 VOODOO 151 WICCA 152 YAOHUSHUA 153 ZOROASTRIANISM 154 ASKED BUT DECLINED TO ANSWER 727.802,13 EMPLOYMENT STATUSPatient's current employment status Values: 1 = Employed Full Time 2 = Employed Part Time 3 = Not Employed 4 = Self Employed 5 = Retired 6 = Active Military Duty 9 = UnknownUsing the patient pointer (DFN), EMPLOYMENT STATUS data is derived from the EMPLOYMENT STATUS field (#.31115) in the PATIENT file (#2). 727.802,14 HEALTH INSURANCEPatient covered by health insurance? Values: Y = Yes N = NoUsing the patient pointer (DFN), a call is made to the Integrated Billing API, INSURED^IBCNS1. The API returns 1 if the patient is insured or 0 if the patient is not insured. 727.802,15 STATEFIPS 2 character numeric code for the state where the patient resides. Using the patient pointer (DFN), STATE data is derived from the STATE field (#.115) in the PATIENT file (#2) which points to the STATE file (#5). For the STATE file entry, data transmitted is the two character VA STATE CODE, field (#2). 727.802,16 COUNTYThe county code for where the patient resides (FIPS).Using the patient pointer (DFN), COUNTY data is derived from the COUNTY field (#.117) in the PATIENT file (#2). The data transmitted is the three character VA COUNTY CODE field (#2) within the COUNTY field (#3) multiple of the STATE file (#5). 727.802,17 ZIP+4Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.Using the patient pointer (DFN), ZIP CODE data is derived from the ZIP+4 field (#.1112) PATIENT file (#2). 727.802,18 ELIGIBILITYA two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. 727.802,19 VETERANPatient's veteran status Values: Y = Is a veteran N = Is not a veteranUsing the patient pointer (DFN), VETERAN data is derived from the VETERAN (Y/N) field (#1901) in the PATIENT file (#2). The status indicator is returned by SVC^VADPT.727.802,20 VIETNAMVietnam veteran? Values: Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. -DFN field (4) in the ADMISSION EXTRACT file (#727.802), VIETNAM data is derived from the VIETNAM SERVICE INDICATED field (.32101) in the PATIENT file (#2).727.802,21 AGENT ORANGE STATUSIndicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2), AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.802,22 RADIATION STATUSIndicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.802,23 POW STATUSIndicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2) POW STATUS INDICATED field (#.525). The status indicator is returned by SVC^VADPT.727.802,24 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NoneDerived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). The data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character.727.802,25 MEANS TESTThe current means test category for this patient Values: A = Category A B = Category B C = Category C P = Pending Adjudication R = Requires Means Test N = Means Test not Required E = Exempt I = Incomplete L = No Longer Applicable M = Non-ExemptUsing the patient pointer (DFN), MEANS TEST data is derived from the CURRENT MEANS TEST STATUS field (#.14) in the PATIENT file (#2). This field is a pointer to the MEANS TEST STATUS file (#408.32). Using the means test pointer, the data is derived from the CODE field (#.02) in the MEANS TEST STATUS file (#408.32). 727.802,26 MARITAL STATUSPatient's expressed marital status. Values: 1 = Divorced 2 = Married 4 = Widow/Widower 5 = Separated 6 = Never Married 7 = UnknownUsing the patient pointer (DFN), MARITAL STATUS data is derived from the MARITAL STATUS field (#.05) in the PATIENT file (#2). MARITAL STATUS is a pointer to the MARITAL STATUS file (#11).727.802,27 WARDCurrent ward where the patient is located.Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), WARD data is derived from the WARD LOCATION field (#.06) in the PATIENT MOVEMENT file (#405). This ward data is a pointer to the WARD LOCATION file (#42). Using the ward pointer, the data is derived from the HOSPITAL LOCATION FILE POINTER field (#44) in the WARD LOCATION file (#42) which is a pointer to the HOSPITAL LOCATION file (#44). 727.802,28 TREATING SPECIALTYThe PTF CODE of the treating specialty associated with this extract record.Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), TREATING SPECIALTY data is derived from the FACILITY TREATING SPECIALTY field (#.09) in the PATIENT MOVEMENT file (#405). This facility treating specialty data is a pointer to the FACILITY TREATING SPECIALTY file (#45.7). Using the SPECIALTY field (#1) in the FACILITY TREATING SPECIALTY file (#45.7), the pointer to the SPECIALTY file (#42.4) is obtained. Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.802,29 ATTENDING PHYSICIANThe attending physician assigned to this patient at time of admission. Value is an IEN preceded by 2.Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), ATTENDING PHYSICIAN data is derived from the ATTENDING PHYSICIAN field (#.19) in the PATIENT MOVEMENT file (#405). This attending physician data is a pointer to the NEW PERSON file (#200). 727.802,30 MOVEMENT FILE # A number used as an index into patient movement file. Pointer to the PATIENT MOVEMENT file (#405). Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), this is a pointer to the file (#405) record for the patients admission. 727.802,31 DRGVistA Diagnostic Related Group for this admission. Value from DRG file (#80.2)Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), DRG data is derived from the PTF ENTRY field (#.16) in PATIENT MOVEMENT file (#405). This PTF entry data is a pointer to the PTF file (#45). It uses the TRANSFER DRG field (#20) within the 501 field (#50) multiple in the PTF file (#45) to obtain the pointer value to the DRG file (#80.2).727.802,32 DIAGNOSISInternational Classification of Disease code for this admission. Value from ICD DIAGNOSIS file (#80)Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), DIAGNOSIS data is derived from the PTF ENTRY field (#.16) in the PATIENT MOVEMENT file (#405). This PTF entry data is a pointer to the PTF file (#45). Uses the ICD 1 field (#5) within the 501 field (#50) multiple in the PTF file (#45) to obtain the pointer value to the ICD DIAGNOSIS file (#80). This ICD diagnosis pointer value is used to pull the DIAGNOSIS data from the CODE NUMBER field (#.01) in the ICD DIAGNOSIS file (#80).727.802,33 TIMETime when this admission occurred Format: HHMMSSPATIENT MOVEMENT file (#405) DATE/TIME field (#.01). This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default.727.802,34 PRIMARY CARE PROVIDERThe primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number in the NEW PERSON file (#200). 727.802,35 RACEObserved Race Code for this patient. In compliance with OBM instructions, field is no longer updated in VistA. Values remain in VistA and are posted to DSS in case RACE1 field is not populated. See also RACE 1. Only a single value is allowed. Values: 3 = American Indian or Alaska Native A = Asian B = Black or African American D = Declined to Answer H = Native Hawaiian or Other Pacific U = Unknown by Patient W = White NullUsing the patient pointer (DFN), RACE data is shown as the ABBREVIATION field (#2) of the RACE file (#10) entry pointed to by the RACE field (#.06) in the PATIENT file (#2). 727.802,36 PRIMARY WARD PROVIDERThe provider assigned to the ward where the patient is located at the time of admission. Value is IEN preceded by 2.Derived from the PRIMARY CARE PHYSICIAN field (#.08) associated with the PATIENT MOVEMENT file (#405) record for the Treating Specialty Change record related to the Admission record. The value obtained is a pointer to the NEW PERSON file (#200).727.802,37 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.802,38 DSS DEPT.The DSS Department code for the ward associated with the admission movement record. Must contain at least four characters to be a valid code. May be NULL.This code is found in the DSS WARD file (#727.4) using the value of the WARD LOCATION field (#.06) of the PATIENT MOVEMENT file (#405) record for the patient's admission movement. The value found in WARD LOCATION is a pointer to the WARD LOCATION file (#42). Each record in file (#727.4) has a (#.01) field which points to a record in file (#42), and the internal entry number of the File (#727.4) is set to be the same as the record in file (#42) to which it points. Therefore, the WARD LOCATION field (#.06) can be used as a pointer to file (#727.4). 727.802, 39 PLACEHOLDERCurrently NullCurrently Null727.802,40 PLACEHOLDERCurrently NullCurrently Null727.802, 41 PLACEHOLDERCurrently NullCurrently Null727.802,42 ADMISSION ELIGIBILITY A two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD.727.802, 43 MST STATUS The Military Sexual Trauma (MST) status of a patient on the date of the patients admission Values: Y = Screened, reports MST N = Screened, does not report MST D = Screened, declines to answer U = UnknownThe MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST STATUS field (#3). A call is be made to $$GETSTAT^DGMSTAPI (DFN, DGDATE) using the DFN in the PATIENT NO. DFN field (#4) and the date in the day field727.802,44 PLACEHOLDERCurrently null.Currently null727.802,45 SHARING AGREEMENT PAYORAn indicator used for patients participating in sharing agreements. Field rarely contains data. Values: A = Sharing Agreement B = TRICARE C = CAT C / Category C D = CHAMPVA E = CHAMPUS NULLThe ALIAS sub-field (#.01) of the ALIAS multiple field (#1) of the PATIENT file (#2) is used to indicate a patient who participates in a sharing agreement. If the (#.01) field contains any one of the specified key words, then the patient is considered to be included for Sharing Agreement information. Field (#.01) must contain any one of the following key words: SHARING AGREEMENT CHAMPVA TRICARE CAT C CATEGORY C727.802,46 SHARING AGREEMENT INSURANCE Indicates the first insurer for patients who participate in sharing agreements. Field rarely contains data.Data is taken from the INSURANCE TYPE sub-field (#.01) of the INSURANCE TYPE field (#.3121), sub-file (#2.312), of the PATIENT file (#2). This is a pointer value for the INSURANCE COMPANY file (#36). Only the first insurance found in the multiple field is used. The data is stored as free text.727.802,47 ENROLLMENT LOCATION The facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.802, 48 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS this is called Provider Type) Format: V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. This field holds the VA codes associated with the active Person Class of the patients Primary Care Provider as of the date of this extract record.727.802, 49 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.This is a reference to the NEW PERSON file (#200) for the patients Associate Provider for Primary Care727.802, 50 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format: V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5): file (#8932.1). Active Person Class is determined by $$GET^XU4A72 (PERS, DATE), where PERS is the IEN from file (#200). 727.802, 51 PLACEHOLDERCurrently NullCurrently null727.802,52 DOM, PRRTP AND SAARTP INDICATOR Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.802,53 ENROLLMENT CATEGORYPatients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment Status found in this extract. PATIENT ENROLLMENT file (#27.11) CATEGORY (DFN, STATUS)727.802, 54 ENROLLMENT STATUSPatients enrollment status Values: 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15) 727.802, 55 PLACEHOLDERCurrently null.Currently null727.802, 56 PURPLE HEART INDICATORIndicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.802, 57 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation Patient.Derived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the first 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.802, 58 ENCOUNTER NUMBER The unique number assigned for DSS to each patient admission or clinic visit. The number is left justified in the field and is determined by the following: Inpatients - the concatenation of SSN + Admit Date + letter I Outpatients - the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation Encounters - receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the ADM extract, all encounter numbers are for inpatients, except observation cases. Both follow the rules detailed in the paragraph above. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.802, 59 AGENT ORANGE LOCATIONIndicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT FILE (#2)727.802, 60 PRODUCTION DIVISION CODEIdentifies the division/facility where the patient is located.Data comes from the WARD LOCATION field (#.06) in the PATIENT MOVEMENT file (#405). This value is a pointer to the WARD LOCATION file (#42) which in turn is used to get the DIVISION field (#.015) in the WARD LOCATION file (#42), a pointer to the MEDICAL CENTER DIVISION file (#40.8). This value is then used to call the API GETDIV^ECXDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4). 727.802, 61 POW LOCATION If POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2) POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT.727.802, 62 SOURCE OF ADMISSIONIndicates where the admission took place Values: 1 = Hospital 2 = NHCU 3 = Domiciliary 4 = Military Hospital 5 = Community Nursing Home Obtained via the PTF file (#2), SOURCE OF ADMISSION field (#20), which is a pointer to the SOURCE OF ADMISSION file (#45.1), PLACE OF ADMISSION field (#11)727.802, 63 HEAD & NECK CANCER INDICATORIdentifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), using API $GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11) 727.802, 64 ETHNICITYThe patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.802, 65 RACE 1Self-reported by patient as recorded in VistA patient file. In 2006 VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), RACE 1 is derived from the PTF VALUE field (#5) of the RACE file (#10) pointed to by the RACE INFORMATION field (#.01) of the RACE INFORMATION sub file (#2.02) of the PATIENT file (#2). Only those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), is included in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER), that will be the only value included in the RACE1 field.727.802, 66 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Derives the enrollment priority group and the enrollment priority subgroup from the PATIENT ENROLLMENT file (#27.11) 727.802, 67 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.802, 68 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.802, 69 CV STATUS ELIGIBILITYRecords if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.802, 70 CV ELIGIBILITY END DATERecords the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0 The 2nd piece is the Combat Vet End Date.727.802, 71 ENCOUNTER CVRecords if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT) 727.802, 72 NATIONAL PATIENT RECORD FLAGThis field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. It is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. 727.802, 73 ATTENDING PHYSICIAN PC The VA code of the Person Class of the Attending Physician as of the date of this extract record. (In DSS this is called Provider Type.) Format: V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from NEW PERSON file (#200).727.802, 74 PRIMARY WARD PROVIDER PC The VA code of the Person Class of the Primary Ward Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.This field is seven characters in length and contains the VA code associated with the active person class of the Primary Ward Provider. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from NEW PERSON file (#200).727.802, 75 SW ASIA CONDITIONSThis field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Y = Yes N = No U = UnknownDerived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the Patient file (#2) using the patients DFN. The status indicator is returned by SVC^VADPT.727.802, 76 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.802, 77 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Using the VISIT FILE ENTRY field ( .27) in the PATIENT MOVEMENT file (#405), a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the agent orange indicator stored in the AGENT ORANGE EXPOSURE field (#80002) in the VISIT file (#9000010).727.802, 78 ENCOUNTER SWAC Indicates the appropriate response for exposure to Southwest Asia conditions as related to this patient's episode of care. Values: Y = Yes N = No Null Using the VISIT FILE ENTRY field (#.27) in the PATIENT MOVEMENT file (#405), a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the Southwest Asia conditions indicator stored at the SW ASIA CONDITIONS field (#80004) in the VISIT file (#9000010). The value will be stored in the output array subscripted by "PGE". 727.802, 79 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Using the VISIT FILE ENTRY field (#.27) in the PATIENT MOVEMENT file (#405), a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the head/neck cancer data stored at the HEAD AND/OR NECK CANCER field (#80006) in the VISIT file (#9000010).727.802, 80 ENCOUNTER MSTIndicates whether service provided during this patient encounter is related to military sexual trauma. Values: Y = Yes N = No Null Using the VISIT FILE ENTRY field (#.27) in the PATIENT MOVEMENT file (#405) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the military sexual trauma data stored at the MILITARY SEXUAL TRAUMA field (#80005) in the VISIT file (#9000010)..727.802, 81 RADIATION ENCOUNTER INDICATOR Indicates whether service provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = Yes N = No U = Unknown Null Using the VISIT FILE ENTRY field (#.27) in the PATIENT MOVEMENT file (#405), a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the ionizing radiation exposure indicator stored in the IONIZING RADIATION EXPOSURE field (#80003) in the VISIT file (#9000010).727.802, 82 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFDerived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.802, 83 OEF/OEF Return DateThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDDerived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date. 727.802, 84 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.802, 85 Attending Physician NPI A standard, unique life-long identifier of the attending physicianThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.802, 86 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.802, 87 Primary Ward Provider NPIA standard, unique life-long identifier of the primary ward providerThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.802, 88 ADMIT OUTPATIENT TX FLAGThis field contains the patient's source of admission flag. YES, if admit outpatient treatment ('1P'). NO, otherwise. 1 for Yes 0 for No null The value of this field is determined at the run time of the extract. It is set to 1 or YES when the PTF Code is 1P (or Admit Type is Direct, Place of Admission is Hospital and Name or Source of Admission is Outpatient Treatment.727,802, 89 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file.  #727.829 -- BLOOD BANK EXTRACT (LBB) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Blood Bank extract from existing VistA files. Entries into this file are made by extracting data from the sub file (#63.017), TRANSFUSION RECORD, of the LAB DATA file (#63) and from the PATIENT file (#2). Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. This file is intended to be used for validation purposes only. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.829,.01 SEQUENCE NUMBERThe record number for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.829,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.829,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.829,3 FACILITYIdentifier for the station and division.An indicator of the division where this event happened. Using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4). 727.829,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.829,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing P or 5 leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.829,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.829,7 IN/OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientFree text Determined by a call to IN5^VADPT 727.829,8 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the LBB, extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Visit Date = Date Transfused and Stop Code = 108. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.829,9 DATE OF TRANSFUSIONDate blood component(s) transfused. Format: YYYYMMDDDerived from field (#.01) of the TRANSFUSION RECORD sub-file (#63.017) of the LAB DATA file (#63) 727.829,10 TIME OF TRANSFUSIONTime of blood component transfused. Format is HHMMSS. If time cannot be determined, use 000001 as defaultIf time cannot be determined, use 000001 as a default. Field (#.01) of the TRANSFUSION RECORD sub-file (#63.017) of the LAB DATA file (#63).727.829,11 COMPONENTBlood component transfusedObtained from field (#.02) of the TRANSFUSION RECORD sub-file (#63.017) of the LAB DATA file (#63) which is a pointer to the Blood Bank Product file (#66) 727.829,12 COMPONENT ABBREVIATIONAbbreviation of blood componentUse COMPONENT field (#.02) of the TRANSFUSION RECORD sub-file (#63.017) to obtain COMPONENT ABBREVIATION from field (#.02) of the BLOOD PRODUCT file (#66) 727.829,13 NUMBER OF UNITSNumber of pooled units transfused. If units pooled is blank, use a default of '1'.Derived from Field (#.07) of the TRANSFUSION RECORD sub-file (#63.017) of the LAB DATA file (#63). If units are blank use default of 1. 727.829,14 VOLUMEThe volume, in milliliters, of the component or unit transfused. Derived from Field (#.1)of the TRANSFUSION RECORD sub-file (#63.017) of the LAB DATA file (#63) 727.829,15 REACTIONIndicate transfusion reaction occurred. Values: Y = Yes N = NoDerived from Field (#.08) of the TRANSFUSION RECORD sub-file (#63.017) of the LAB DATA file (#63) 727.829,16 REACTION TYPEType of transfusion reaction. Values: 53 = IMMEDIATE HEMOLYTIC 57 = DELAYED HEMOLYTIC 58 = FEBRILE NONHEMOLYTIC 59 = ALLERGIC (IgA) 60 = NO SUSPECTED REACTION 61 = POST TRANSFUSION HEPATITIS 63 = UNRELATED TO TRANSFUSION 66 = URTICARIA (ALLERGIC, NON-IgA) 67 = POSSIBLE ATYPICAL TX RXN 68 = VOLUME OVERLOAD 69 = LEUKOAGGLUTININ 70 = TRANSFUSION RELATED ACUTE LUNG INJURYDerived from the TRANSFUSION REACTION TYPE field (#.11) of the TRANSFUSION RECORDS sub file (#63.017) of the LAB DATA file (#63) which is a pointer to field (#.01) of the BLOOD BANK UTILITY file (#65.4)727.829,17 FEEDER LOCATIONFeeder Location in Blood Bank extract is Blood Bank concatenated with the Facility. Feeder Location in Blood Bank extract is Blood Bank concatenated with the Facility727.829,18 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.829,19 DSS IP # Currently NullCurrently Null727.829,20 ORDERING PROVIDER Provider of the patient transfused. Value: VistA file (#200) IEN preceded by "2"This field is extracted from the PHYSICIAN field (#6.2) located in the BLOOD INVENTORY file (#65) 727.829,21 ORDERING PROVIDER PERSON CLASS The VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The data is derived from the NEW PERSON file (#200), field (#5), PERSON CLASS file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from NEW PERSON file (#200). 727.829,22 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.829,23 UNIT MODIFIEDIndicates if Unit of Blood was modified. Values: Y = Yes N = No NullRetrieves the data from the DISPOSITION field (#4.1) from the BLOOD INVENTORY File (#65). A "disposition" of "modify" triggers a value of "Y" in this field. Otherwise, the field value is set to "N". 727.829,24 UNIT MODIFICATIONType of Unit Modification performed. This field is a length of two (value & blank) and left justified. Values: D = DIVIDED P = POOLED W = WASHED F = FROZEN L = LEUKOCYTE POOR R = REJUVENATED G = DEGLYCEROLIZED I = IRRADIATED S = SEPARATED Field takes the unit IDs from the UNIT ID field (#.01) in the BLOOD INVENTORY File (#65) that have a "disposition" of "modify" in the (UNIT MODIFIED) field and retrieves the modification value(s) from the MODIFY TO field (#3) and the MODIFICATION CRITERIA field (#.06) 727.829,25 REQUESTING PROVIDERThe provider who requested the transfusion. The value of this field is an IEN preceded by a 2. Value is extracted from the PROVIDER field (#6.5), Sub file (#68.02). Sub file (#68.02) is the ACCESSION NUMBER field (#1) in Sub file (#68.01). Sub file (#68.01) is the DATE field (#2). 727.829,26 REQUESTING PROVIDER PCThe VA code associated with the active person class of the Requesting Provider. The format of the field is V999999, where the 999999 is six numeric digits. Data comes from the PROVIDER field (#6.5) of Sub file (#68.02). Sub file (#68.02) is the ACCESSION NUMBER field (#1) in Sub file (#68.01) is the DATE field (#2) in the ACCESSION file (#68). The Person Class is determined by calling the API $$GET^XUA4A71. The Person Class must be active.727.829,27 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Data is derived from the DIV field (#26) of Sub file (#68.02). Sub file (#68.02) is the ACCESSION NUMBER field #1 in Sub file (#68.01). Sub file (#68.01) is the DATE field (#2) in the ACCESSION file (#68).727.829,28 ORDERING PROVIDER NPIA standard, unique life-long identifier of the provider who ordered the intravenous product, lab test, type & cross match or patient feedingIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.829,29 REQUESTING PROVIDER NPIA standard, unique life-long identifier of the provider who requested the transfusionIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.827 -- CLINIC EXTRACT (CLI) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Clinic Visit extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.827,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.827,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.827,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.827,3 FACILITYIdentifier for the station and division.It is derived from the DIVISION field (#3.5) in the HOSPITAL LOCATION file (#44) for the entry identified in the LOCATION field (#.04) in the OUTPATIENT ENCOUNTER file (#409.68). This field is a pointer to the MEDICAL CENTER DIVISION file (#40.8).727.827,4 PATIENT NO. DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.827,5 SSN The patients social security number (Pseudo SSNs are indicated by a trailing Por 5 leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.827,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.827,7 IN/OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientInpatient (3) or Outpatient (1) status on the date of the encounter. Text value is determined by a call to IN5^VADPT.727.827,8 DAYDate when the clinic visit occurred. Format: YYYYMMDDFor scheduled appointments, appended EKG visits, dispositions, standalones, and appended lab and x-ray visits -- OUTPATIENT ENCOUNTER file (#409.68); DATE field (#.01). For appointments which were no-showed PATIENT file (#2) APPOINTMENT multiple file (#1900). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.827,9 FEEDER KEYCode that uniquely identifies a DSS product. Format is SSSCCCTTTPPPPN: SSS = Primary Stop Code CCC = Secondary Stop Code (or 000) TTT = Appointment length in minutes PPPP = Four character code (or 0000) N = no-show indicator (value 0 or N) Action Codes are assigned by DSS personnel to each clinic entry on the Clinics and Stop Codes Worksheet (VistA file # 728.44) to build the CLI feeder key field to be used for every CLI extract record for this clinic. If Action Code: 1 = Primary Stop Code (with 000 in Secondary position and 0000 as 4 character code) 2 = Not used 3 = Not used 4 = Primary Stop Code and Secondary Stop Code and 4 character code value Secondary Stop Code may be entered as 000 Four character code is from National Clinic file (#728.441) 5 = Primary Stop Code and Secondary Stop Code (with 0000 as 4 character code) 6 = Do not build CLI Feeder Key. Do not send record in CLI extract for this clinic.One of the Action Code types may be assigned to the clinic in the CLINICS AND STOP CODES file (#728.44). For all Action Code, SSS and CCC are taken from the CLINICS AND STOP CODES file (#728.44). The DSS STOP CODE field (#3) and DSS CREDIT STOP CODE field (#4) are used for SSS and CCC respectively. If field (#3) is null, the STOP CODE field (#1) and CREDIT STOP CODE field (#2) are used. If field (#1) is null, data is taken from the STOP CODE NUMBER field (#8) and the CREDIT STOP CODE field (#2503) of the HOSPITAL LOCATION file (#44). If field (#8) is null, both SSS and CCC are set to "000". For Action Code type 1, CCC is always "000" and PPPP is always "0000". For Action Code type 4, PPPP is the National Clinic code assigned to this clinic; it is taken from the NATIONAL CLINIC field (#7) of file (#728.44). The original source if this data is the NATIONAL CLINIC file (#728,441). For Action Code type 5, PPPP is always "0000". In all Action Code types, N is set to "N" if the STATUS field (#3) in the APPOINTMENT sub-file (# 2.98) of the PATIENT file (#2) is set to "NO-SHOW". In all styles SSS, CCC, TTT and PPPP are padded with leading zeroes as needed; the Feeder is always exactly 14 characters.727.827, 10 OVERBOOKED INDICATORIndicates if this was an overbook for this appointment.Derived from the OVERBOOK field (#9) of the PATIENT field (#2) multiple within in the APPOINTMENT field (#1900) multiple of the HOSPITAL LOCATION file (#44). 727.827, 11 CLINIC NAMEThe specific clinic associated with the patient encounter. Value is an IEN, a number between 1 and 99999999. Internal entry number of the clinic from the HOSPITAL LOCATION file (#44) 727.816,12 TREATING SPECIALTYThe PTF CODE of the treating specialty associated with this extract record. NULL for outpatients, except if observation patient.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.827, 13 TIMETime for this clinic visit. Format: HHMMSSFor scheduled appointments and appended EKG visits -- TIME is derived from HOSPITAL LOCATION file (#44); APPOINTMENT sub-file (#44.001), APPOINTMENT DATE/TIME field (#.01). For dispositions, standalones, and appended lab and x-ray visits TIME is derived from the OUTPATIENT ENCOUNTER file (#409.68); DATE field (#.01).727.827, 14 PRIMARY CARE TEAMThe IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to file (#404.51) is transmitted. 727.827, 15 PRIMARY CARE PROVIDERThe primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name in the NEW PERSON file (#200). 727.827, 16 PRIMARY CARE PRV PERSON CLASSThe VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. This field holds the VA codes associated with the active Person Class of the patients Primary Care Provider as of the date of this extract record. 727.827, 17 PROVIDERThe provider associated with the patient encounter. This number is IEN preceded by 2.Using the internal entry number for the encounter in the OUTPATIENT ENCOUNTER file (#409.68), the VISIT file (#9000010), ENTRY field (#.05) is determined. This entry is used to make a call to the Patient Care Encounter API, ENCEVENT^PXAPI. The API returns all visit data in the ^TMP("PXKENC",$J) array. The first provider identified as "primary" from the array is used. A default value of null is used if no "primary" provider is found.727.827, 18 PROVIDER PERSON CLASSThe VA Code of the Person Class of the Provider for this record (In DSS, this is called Provider Type) The VA Code always has the format of "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Patient Care Encounter API, ENCEVENT^PXAPI returns provider data. The Kernel function of GET^XUA4A72 returns the data specific Person Class data for a given provider. The field holds the VA Code associated with the active Person Class of the primary Provider associated with the extracted clinic visit. 727.827, 19 CPT CODE QTY & MODIFIERS #1 The first 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data. If no CPT codes are found a default value of 99199 is used.727.827, 20 CPT CODE QTY & MODIFIERS #2The second 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 21 CPT CODE QTY & MODIFIERS #3The third 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 22 CPT CODE QTY & MODIFIERS #4The fourth 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 23 CPT CODE QTY & MODIFIERS #5The fifth 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 24 CPT CODE QTY & MODIFIERS #6The sixth 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 25 CPT CODE QTY & MODIFIERS #7The seventh 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 26 CPT CODE QTY & MODIFIERS #8The eighth 5-character CPT Code for procedure performed, the Quantity or how many times the unique code appears in the record, and up to 5 two-character CPT modifiers.The supported call GETCPT^SDOE returns this data727.827, 27 PRIMARY ICD9 CODEPrimary ICD-9 (diagnosis) code for this clinic visit ICD is an international standard diagnostic classification system providing the basis for national morbidity and mortality statistical data collection to improve the management of healthcare. This system classifies diseases and other health conditions documented on various types of medical records. Using a pointer to the VISIT file (#9000010) a call to the PCE API, ENCEVENT^PXAPI, is made. This returns ICD-9 data as pointers to the ICD DIAGNOSIS file (#80). The remaining ICD-9 pointer values are used to obtain secondary ICD-9 codes, up to 8 secondary codes. Each ICD-9 code is composed of a minimum of 4 characters. There may be fewer than 9 ICD-9 codes for a visit record. 727.827, 28 SECONDARY ICD9 1First Secondary ICD9 code for this clinic visit.The diagnostic code is derived from PCE API ENCEVENT^PXAPI (which calls ENCEVENT^PXKENC). The patients encounter, stored in the Visit file (#9000010), is data input which the API uses. The API retrieves diagnosis information from the V POV (Purpose of Visit) file (#9000010.07). This file links back to the Visit file using the Visit field (#.03) and links forward to the ICD Diagnosis file (#80) using the POV field (#.01). The primary/secondary status is determined using the Primary/Secondary field (#.12).727.827, 29 SECONDARY ICD9 2Second Secondary ICD9 code for this clinic visit.The diagnostic code is derived from PCE API ENCEVENT^PXAPI (which calls ENCEVENT^PXKENC). The patients encounter, stored in the Visit file (#9000010), is data input which the API uses. The API retrieves diagnosis information from the V POV (Purpose of Visit) file (#9000010.07). This file links back to the Visit file using the Visit field (#.03) and links forward to the ICD Diagnosis file (#80) using the POV field (#.01). The primary/secondary status is determined using the Primary/Secondary field (#.12).727.827, 30 SECONDARY ICD9 3Third Secondary ICD9 code for the clinic visit.The diagnostic code is derived from PCE API ENCEVENT^PXAPI (which calls ENCEVENT^PXKENC). The patients encounter, stored in the Visit file (#9000010), is data input which the API uses. The API retrieves diagnosis information from the V POV (Purpose of Visit) file (#9000010.07). This file links back to the Visit file using the Visit field (#.03) and links forward to the ICD Diagnosis file (#80) using the POV field (#.01). The primary/secondary status is determined using the Primary/Secondary field (#.12)..727.827, 31 SECONDARY ICD9 4Fourth Secondary ICD9 code for this clinic visit.The diagnostic code is derived from PCE API ENCEVENT^PXAPI (which calls ENCEVENT^PXKENC). The patients encounter, stored in the Visit file (#9000010), is data input which the API uses. The API retrieves diagnosis information from the V POV (Purpose of Visit) file (#9000010.07). This file links back to the Visit file using the Visit field (#.03) and links forward to the ICD Diagnosis file (#80) using the POV field (#.01). The primary/secondary status is determined using the Primary/Secondary field (#.12).727.827,32 DATE OF BIRTHPatient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.827,33 ELIGIBILITYA two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. 727.827,34 VETERANPatient's veteran status Values: Y = Is a veteran N = Is not a veteranUsing the patient pointer (DFN), VETERAN data is derived from the VETERAN (Y/N) field (#1901) in the PATIENT file (#2). The status indicator is returned by SVC^VADPT.727.827,35 RACEObserved Race Code for this patient. In compliance with OBM instructions, field is no longer updated in VistA. Values remain in VistA and are posted to DSS in case RACE1 field is not populated. See also RACE 1. Only a single value is allowed. Values: 3 = American Indian or Alaska Native A = Asian B = Black or African American D = Declined to Answer H = Native Hawaiian or Other Pacific U = Unknown by Patient W = White NullUsing the patient pointer (DFN), RACE data is shown as the ABBREVIATION field (#2) of the RACE file (#10) entry pointed to by the RACE field (#.06) in the PATIENT file (#2)727.827,36 POW STATUSIndicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2), POW STATUS INDICATED field (#.525). The status indicator is returned by SVC^VADPT.727.827,37 POW LOCATION If POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2), POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT. 727.827,38 RADIATION STATUSIndicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.827, 39 RADIATION ENCOUNTER INDICATORThis indicates whether service provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = Yes N = No U = Unknown Null Derived from the VISIT file (#9000010), IONIZING RADIATION EXPOSURE field (#80003) The Status indicator is returned by API = D ENCEVENT^PXAPI(VISIT)727.827,40 AGENT ORANGE STATUSIndicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.827, 41 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Derived from the VISIT file (#9000010), AGENT ORANGE EXPOSURE field (#80002) The Status indicator is returned by API = D ENCEVENT^PXAPI(VISIT)727.827,42 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.827,43 DSS PRODUCT DEPARTMENTCurrently nullCurrently null727.827,44 SEXGender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data element is taken from the SEX field (#.02) in the PATIENT file (#2)727.827,45 ZIP+4Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.Using the patient pointer (DFN), ZIP CODE data is derived from the ZIP+4 field (#.1112) PATIENT file (#2)727.827, 46 PLACEHOLDERCurrently null727.827, 47 PLACEHOLDERCurrently null727.827,48 ENCOUNTER ELIGIBILITYEligibility code for the encounter based on the purpose of the encounter and the patient's eligibility. NPCD Code Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = ChampVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/Champus In the OUTPATIENT ENCOUNTER file (#409.68), the ELIGIBILITY OF ENCOUNTER field (#.13) points to the ELIGIBILITY CODE file (#8). Then the MAS ELIGIBILITY CODE field (#8) of file (#8) points to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. This code is composed of two or three numeric characters. 727.827,49 MST STATUS Indicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST history file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST status field (#3). A call is made to $$GETSTAT^DGMSTAPI (DFN, DGDATE) using the DFN in the PATIENT NO. DFN field (#4) and the date in the day field.727.827,50 MST ENCOUNTER INDICATORIndicates whether treatment was related to Military Sexual Trauma. Values: Y = Yes N = NoUsing a pointer to the VISIT file (#9000010) a call to the PCE API, ENCEVENT^PXAPI, is made. This call returns visit data, including whether the visit was related to the patients military sexual trauma.727.827,51 SHARING AGREEMENT PAYORAn indicator used for patients participating in sharing agreements. Field rarely contains data. Values: A = Sharing Agreement B = TRICARE C = CAT C / Category C D = CHAMPVA E = CHAMPUS NULLThe ALIAS sub-field (#.01) of the ALIAS multiple field (#1) of the PATIENT file (#2) is used to indicate a patient who participates in a sharing agreement. If the (#.01) field contains any one of the specified key words, then the patient is considered to be included for Sharing Agreement information. Field (#.01) must contain any one of the following key words: SHARING AGREEMENT CHAMPVA TRICARE CAT C CATEGORY C727.827,52 SHARING AGREEMENT INSURANCE COIndicates the first insurer for patients who participate in sharing agreements. Field rarely contains data.Data is taken from the INSURANCE TYPE sub-field (#.01) of the INSURANCE TYPE field (#.3121), sub-file (#2.312), of the PATIENT file (#2). This is a pointer value for the INSURANCE COMPANY file (#36). Only the first insurance found in the multiple field is used. The data is stored as free text.727.827,53 ENROLLMENT LOCATIONThe facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.827,54 STATE CODEFIPS 2 character code for the state where the patient resides. What is FIPS?Using the patient pointer (DFN), STATE data is derived from the STATE field (#.115) in the PATIENT file (#2) which points to the STATE file (#5). For the STATE file entry, data transmitted is the two character VA STATE CODE, field (#2).727.827,55 COUNTY CODEThe county code for where the patient resides (FIPS).Using the patient pointer (DFN), COUNTY data is derived from the COUNTY field (#.117) in the PATIENT file (#2). The data transmitted is the three character VA COUNTY CODE, field (#2) within the COUNTY field (#3) multiple of the STATE file (#5). 727.827,56 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.This is a reference to the NEW PERSON file (#200) for the provider, who is the patients Associate Provider for Primary Care as assigned with the PCMM application727.827, 57 ASSOCIATE PC PROV PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5): file (#8932.1). Active Person Class is determined by $$GET^XU4A72 (PERS, DATE), where PERS is the IEN from file (#200). 727.827,58 PLACEHOLDER Currently Null727.827, 59 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in DSS TREATING SPECIALTY TRANSLATION file (#727.831) which holds a set of codes727.827, 60 ENROLLMENT CATEGORYPatients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment Status found in this extract. PATIENT ENROLLMENT file (#27.11) CATEGORY (DFN, STATUS)727.827, 61 ENROLLMENT STATUS Patients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15)727.827, 62 PLACEHOLDERCurrently NullCurrently Null727.827, 63 PURPLE HEART INDICATORIndicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.827, 64 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NoneDerived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). The data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character.727.827, 65 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation Patient.Derived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the first 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.827, 66 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients - the concatenation of SSN + Admit Date + letter I Outpatients - the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters - receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the CLI, extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Visit Date and Stop Code value of the Primary Stop Code associated with the clinic in which the encounter occurred.Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.827, 67 AGENT ORANGE LOCATIONIndicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT file (#2)727.827, 68 PRODUCTION DIVISION CODEIdentifies the division/facility where the work was performed.Identifies the Division/facility where the clinic is located. Value is retrieved from field (#3.5) of the HOSPITAL LOCATION file (#44) which is a pointer to the INSTITUTION file (#4) and then it uses the RADDIV^ECXDEPT API to retrieve the STATION NUMBER field (#99) in the INSTITUTION file (#4). 727.827, 69 APPOINTMENT TYPEIndicates the type of appointment for which the patient is scheduled 1 = Compensation & Pension 2 = Class II Dental 3 = Organ Donors 4 = Employee 5 = Prima Facia 6 = Research 7 = Collateral of Veteran 8 = Sharing Agreement 9 = Regular 10 = Computer GeneratedObtained from the PATIENT file (#2), APPOINTMENT sub-file (#2.98), APPOINTMENT TYPE field (#9.5) which is a pointer to the APPOINTMENT TYPE file (#409.1)727.827, 70 PURPOSE OF VISIT Indicates the reason for the appointment. Values: 1 = C&P Exam 2 = 10-10 3 = Scheduled Appointment 4 = Unscheduled VisitObtained from the PATIENT file (#2), APPOINTMENT sub-file (#2.98), PURPOSE OF VISIT field (#9)727.827, 71 MEANS TESTThe current means test category for this patient Values: A = Category A B = Category B C = Category C P = Pending Adjudication R = Requires Means Test N = Means Test not Required E = Exempt I = Incomplete L = No Longer Applicable M = Non-ExemptUsing the patient pointer (DFN), MEANS TEST data is derived from the CURRENT MEANS TEST STATUS field (#.14) in the PATIENT file (#2). This field is a pointer to the MEANS TEST STATUS file (#408.32). Using the means test pointer, the data is derived from the CODE field (#.02) in the MEANS TEST STATUS file (#408.32). 727.827, 72 HEAD & NECK CANCER INDICATORIdentifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), using API - $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.827, 73 ETHNICITYThe patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.827, 74 RACE 1Self- reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), RACE 1 is derived from the PTF VALUE field (#5) of the RACE file (#10) pointed to by the RACE INFORMATION field (#.01) of the RACE INFORMATION sub file (#2.02) of the PATIENT file (#2). Only those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), is included in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER) that is the only value included in the RACE1 field. Identifies what is the race of the patient. Method of collection is only self-identification.727.827, 75 CBOC STATUS INDICATOR Indicates if the patient was seen at a Community Based Outpatient Clinic (CBOC) Values: Y = Yes Null = NoIs a pointer to the FACILITY TYPE file (#4.1). CBOC STATUS INDICATOR field is Derived from the FACILITY TYPE field (#13) of the INSTITUTION file (#4). 727.827, 76 DSS IP # Currently nullCurrently null727.827, 77 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Derives the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11)727.827, 78 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.827, 79 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.827, 80 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.827, 81 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date. 727.827, 82 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT) 727.827, 83 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15), this file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. It is retrieved via an API $$GETACT^DGPFAPI (DFN,TARGET_ROOT. 727.827, 84 SW ASIA CONDITIONSThis field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Y = Yes N = No U = UnknownThis field is derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the Patient File (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. 727.827, 85 ENCOUNTER SWAC This field indicates whether treatment provided during this patient encounter is related to exposure to Southwest Asia conditions while serving in the Southwest Asia Theater of operations. Values: Y = Yes N = No Null Using a pointer to the VISIT file (#90000.10) a call to the PCE API, ENCEVENT^PXAPI, is made. This call returns visit data, including whether the visit was related to the patients exposure to Southwest Asia conditions while serving in the Southwest Asia Theater of operations.727.827, 86 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null This field is extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.827, 87 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Using the VISIT FILE ENTRY field (#.05) in the OUTPATIENT ENCOUNTER file (#409.68) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the head/neck cancer data stored in the HEAD AND/OR NECK CANCER field (#80006) in the VISIT file (#9000010).727.827, 88 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.827, 89 OEF/OIF Return DateThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDValue of this field is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date. 727.827, 90 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.827, 91 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.827, 92 Provider NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.827, 93 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file.  #727.815 -- EVENT CAPTURE LOCAL EXTRACT (ECS) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Event Capture extract from the existing Event Capture VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Only the extract load should make entries routine. Since the local site will determine validation techniques, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.815,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.815,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.815,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.815,3 FACILITYIdentifier for the station and division.A free text field that represents the STATION NUMBER field (#99) from the INSTITUTION file (#4). It is derived from the LOCATION field (#3) in the EVENT CAPTURE PATIENT file (#721).727.815,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2)727.815,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.815,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.815,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientInpatient (3) or Outpatient (1) status on the date of the encounter is determined by a call to IN5^VADPT; this is a free text file. 727.815,8 DAY Date when procedure was performed. Format: YYYYMMDD Note: In some instances, Day may reflect date of entry or end of month. Date is pulled from the DATE/TIME OF PROCEDURE field (#2) in the EVENT CAPTURE PATIENT file (#721). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.815,9 DSS UNIT A locally defined group of work products entered for a specific DSS Department Format: IEN of the DSS Unit.A pointer to the DSS UNIT file (#724) DSS unit pointer is pulled from the DSS UNIT field (#6) in the EVENT CAPTURE PATIENT file (#721)727.815,10 CATEGORY Optional grouping below DSS Unit level. Not widely used or recommended. Value is an IEN.The IEN of the Category in the EVENT CAPTURE CATEGORY file (#726). Category is pulled from the CATEGORY field (#7) in the EVENT CAPTURE PATIENT file (#721). 727.815,11 PROCEDURE This field contains the name of the procedure selected for this extract record. (1) The value of this field can be either a national or local product code without quantity or modifiers or a CPT code with quantity and up to five modifiers. (2) If the Procedure Code is a National, append an N to the code. (3) If the Procedure Code is a Local Procedure, append an L to the code. The procedure pointer is pulled from the PROCEDURE field (#8) in the EVENT CAPTURE PATIENT file (#721). It is the CPT code for procedures from the CPT file (#81). For national procedures from the EC NATIONAL PROCEDURE file (#725), it is the NATIONAL NUMBER field (#1)_"N". For local procedures from the EC NATIONAL PROCEDURE file (#725), it is the NATIONAL NUMBER field (#1)_"L". 727.815,12 VOLUME The number of days, or number of timed-specified units, or number of times the procedure was performed. Value is a number between 1 and 9999; no decimal digits.Numeric volume for this procedure associated with this extract record. Volume is pulled from the VOLUME field (#9) in the EVENT CAPTURE PATIENT file (#721). 727.815,13 COST CENTER The cost center associated with the DSS unit for this extract record.A pointer to the COST CENTER file (#420.1) Cost center is derived from the COST CENTER field (#3) in the DSS UNIT file (#724)727.815,14 ORDERING SECTION The IEN of the Ordering Section.This character string is the IEN of the Ordering Section in the MEDICAL SPECIALTY file (#723). The Ordering Section is pulled from the ORDERING SECTION field (#11) in the EVENT CAPTURE PATIENT file (#721). 727.815,15 SECTIONThis is the IEN in file (#723) of the Medical Specialty of the DSS Unit associated with this extract record.This character string represents an IEN in the MEDICAL SPECIALTY file (#723). The data is pulled from the SECTION field (#5) in the EVENT CAPTURE PATIENT file (#721). 727.815,16 PROVIDER The provider associated with the patient encounter. This number is IEN preceded by 2.A character string of format "2"_IEN, where IEN is the internal entry number for the Provider in the NEW PERSON file (#200) Data is derived from the PROVIDER field (#10) in the EVENT CAPTURE PATIENT file (#721). 727.815, 17 PROVIDER PERSON CLASSThe VA Code of the Person Class of the Provider for this patient (In DSS, this is called Provider Type) The VA Code always has the format of "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived from the New Person file (#200), field (#5): file (#8932.1) 727.815,18 PROVIDER #2 Second provider associated with the patient encounter. It represents an assisting Provider who performed the procedure associated with the Event Capture Patient record. This number is IEN preceded by 2. A character string of format "2"_IEN, where IEN is the internal entry number for the Provider in the NEW PERSON file (#200). Data is pulled from the PROVIDER #2 field (#16) in the EVENT CAPTURE PATIENT file (#721). 727.815, 19 PROVIDER #2 PERSON CLASSThe VA Code of the Person Class of the second Provider for this record (In DSS, this is called Provider Type) The VA Code always has the format of "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived from the New Person file (#200), field (#5), file (#8932.1.)727.815,20 PROVIDER #3 Third provider associated with the patient encounter. It represents an assisting Provider who performed the procedure associated with the Event Capture Patient record. This number is IEN preceded by 2. A character string of format "2"_IEN, where IEN is the internal entry number for the Provider in the NEW PERSON file (#200). Data is pulled from the PROVIDER #3 field (#16) in the EVENT CAPTURE PATIENT file (#721). 727.815, 21 PROVIDER #3 PERSON CLASSThe VA Code of the Person Class of the third Provider for this record (In DSS, this is called Provider Type) The VA Code always has the format of "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived from the New Person file (#200), field (#5), file (#8932.1.) 727.815, 22 PLACEHOLDER4Currently NullCurrently Null727.815,23 MOVEMENT FILE # A number used as an index into patient movement file. Pointer to the PATIENT MOVEMENT file (#405). Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), this is a pointer to the file (#405) record for the patients admission. 727.815,24 TREATING SPECIALTY The PTF CODE of the treating specialty associated with this extract record. Only applicable if the patient was an inpatient on the date of the procedure. NULL for outpatients, except if observation patient. This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), then the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.815,25 TIMETime that the Event Capture procedure was performed. Format: HHMMSSTime is extracted from the date information pulled from the DATE/TIME OF PROCEDURE field (#2) in the EVENT CAPTURE PATIENT file (#721). A default of "000300" will be used if field (#2) of file (#721) does not have a time portion. 727.815,26 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to file (#404.51) is transmitted. 727.815,27 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.815,28 PCE CPT CODE & MODIFIERS 5 character CPT Code from PCE, the Quantity or how many times the unique code appears in the record, and up to 5 two character CPT modifiers. Derived from the PCE CPT CODE field (#19) in the EVENT CAPTURE PATIENT file (#721). The source of CPT modifiers is the MODIFIER field (#.01) of the CPT MODIFIER file (#81.3).727.815,29 ICD-9 CODEICD-9 Diagnostic Code for the procedure performed.Derived from the ICD-9 CODE field (#20) in the EVENT CAPTURE PATIENT file (#721), which points to the ICD DIAGNOSIS file (#80).727.815, 30 SECONDARY ICD9 CODE #1First of the Secondary ICD9 codes for this clinic visit.Derived from the ICD-9 CODE field (#20) in the EVENT CAPTURE PATIENT file (#721) which points to the ICD DIAGNOSIS file (#80)727.815, 31 SECONDARY ICD9 CODE #2Second of the Secondary ICD9 code for this clinic visit.Derived from the ICD-9 CODE field (#20) in the EVENT CAPTURE PATIENT file (#721) which points to the ICD DIAGNOSIS file (#80)727.815, 32 SECONDARY ICD9 CODE #3Third of the Secondary ICD9 codes for this clinic visit.Derived from the ICD-9 CODE field (#20) in the EVENT CAPTURE PATIENT file (#721) which points to the ICD DIAGNOSIS file (#80)727.815, 33 SECONDARY ICD9 CODE #4Fourth of the Secondary ICD9 code for this clinic visit.Derived from the ICD-9 CODE field (#20) in the EVENT CAPTURE PATIENT file (#721) which points to the ICD DIAGNOSIS file (#80)727.815,34 AGENT ORANGEIndicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.815,35 RADIATION EXPOSURE Indicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.815,36 SW ASIA CONDITIONSThis field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Y = Yes N = No U = UnknownThis field is derived from the SOUTHWEST CONDITIONS? field (#.322013) in the PATIENT file (#2) using the patients DFN. The status indicator is returned by SVC^VADPT which is called by PAT^ECXUTL3.727.815,37 SERVICE CONNECTEDIndicates if this patient is service connected Values: Y = This patient is service connected N = This patient is not service connectedDerived from the SERVICE CONNECTED field (#24) in the EVENT CAPTURE PATIENT file (#721)727.815,38 SENT TO PCE This field flags data that has been sent from Event Capture to PCE. Values: 1 = Yes 0 = NoThe value for this field is extracted from the EVENT CAPTURE file (#721) SENT TO PCE field (#25) which contains a set of codes: 1:YES 0:NO Translated to Y or N for transmission to AAC.727.815, 39 PLACEHOLDER5Currently NullCurrently Null727.815,40 DSS IDENTIFIER This data element is always exactly 6 characters in length. The DSS Identifier represents the primary and secondary stop codes of the Associated Clinic OR Associated Stop Code of the DSS Unit. Changed for FY2003 to ensure that records pertaining to observation cases contain the correct value. Format: DSS Identifier = PPPSSS Where PPP is Primary Stop Code and SSS is the Secondary Stop Code of the associated clinic in the Event Capture record. DSS Identifier = PPP000 Where PPP is Primary Stop Code and 000 is appended when Secondary Stop Code is not specified, unknown or DSS Unit is set to "NOT send to PCE." DSS Identifier = 000000 Primary Stop Code is not known or the DSS Unit does not have an Associated Stop Code.Derived from: (1) EVENT CAPTURE PATIENT file (#721); ASSOCIATED CLINIC field (#26) (2) HOSPITAL LOCATION file (#44); STOP CODE NUMBER field (#8) and CREDIT STOP CODE field (#2503) (3) CLINIC STOP file (#40.7); AMIS REPORTING STOP CODE field (#1) OR Derived from: (1) EVENT CAPTURE PATIENT file (#721); DSS UNIT field (#6) (2) DSS UNIT file (#724); ASSOCIATED STOP CODE field (#9) (3) CLINIC STOP file (#40.7); AMIS REPORTING STOP CODE field (#1) 727.815, 41 PLACEHOLDERCurrently NullCurrently Null727.815, 42 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.815, 43 DSS PRODUCT DEPARTMENTThe nationally defined DSS Department Code designated for the patient care product.Obtained from the DSS UNIT field (#6), EVENT CAPTURE PATIENT file (#721), which is a pointer to the UNIT NUMBER field (#4) of the DSS Unit file (#724)727.815, 44 PLACEHOLDERCurrently NullCurrently null727.815, 45 PLACEHOLDERCurrently NullCurrently null727.815, 46 PLACEHOLDERCurrently NullCurrently null727.815,47 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. This field will hold the VA codes associated with the active Person Class of the patients Primary Care Provider as of the date of this extract record. 727.815, 48 PLACEHOLDERCurrently null.Currently Null727.815, 49 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.This is a reference to the NEW PERSON file (#200) for the provider, who is the patients Associate Provider for Primary Care as assigned with the PCMM application727.815, 50 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field #5); file (#8932.1). Active Person Class is determined by $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.815, 51 PLACEHOLDERCurrently null.Currently Null727.815, 52 DIVISION Currently NullCurrently Null727.815, 53 MST STATUSIndicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST history file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST status field (#3). A call will be made to $$GETSTAT^DGMSTAPI (DFN, DGDATE) using the DFN in the PATIENT NO. DFN field (#4) and the date in the DAY field (#8).727.815, 54 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.815, 55 DATE OF BIRTHPatient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.815, 56 ENROLLMENT CATEGORYPatients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment STATUS found in this extract. Uses PATIENT ENROLLMENT file (#27.11), CATEGORY (DFN, STATUS)727.815,57 ENROLLMENT STATUSPatients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Derived from the PATIENT ENROLLMENT file (#27.11), ENROLLMENT STATUS field (#.04), which is a pointer to the ENROLLMENT STATUS file (#27.15). In the enrollment field located in PATIENT ENROLLMENT file (#27.11)727.815, 58 PlaceholderCurrently NullCurrently Null727.815, 59 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty T = Other Non-Veteran B = Navy, Marine-Active Duty U = CHAMPVA-Spouse, Child C = Air Force-Active Duty V = CHAMPUS D = Coast Guard- Active Duty W = Czechoslovakia/Poland Svc E = Retired, Uniformed Services X = Persian Gulf War F = Medical Remedial Enlist Y = CAV/NPS G = Merchant Seaman-USPHS Z = Merchant Marine H = Other USPHS Beneficiaries 0 = Korean I = Observation/Examination 1 = World War I J = Office of Workers Comp 2 = World War II K = Job Corps/Peace Corps 3 = Spanish American L = Railroad Retirement 4 = Pre-Korean M = Beneficiaries -Foreign Government 5 = Post-Korean N = Humanitarian (Non-Vet) 6 = Operation Desert Shield O = Champus Restore 7 = Vietnam ERAQ = Other Federal Dependant P = Other Reimbursement. (Non-Vet) 8 = Post-Vietnam R = Donors (Non-Vet) 9 = Other or None S = Special Studies (Non-Vet) Derived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). The data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character. 727.815, 60 PURPLE HEART INDICATORIndicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.815, 61 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator. (Y,N). Indicates that a patient is an Extended Outpatient. Y=Yes N=NoDerived from other fields in this extract. If the TREATING SPECIALTY field #10 contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO.727.815, 62 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the ECS extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Visit Date and Stop Code value = Stop Code value associated the ECS DSS Unit. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.815, 63 AGENT ORANGE LOCATIONIndicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT FILE (#2)727.815, 64 ORDERING DIVISIONCurrently NullCurrently Null727.815, 65 CONTRACT START DATECurrently NullCurrently Null727.815, 66 CONTRACT END DATECurrently NullCurrently Null727.815, 67 CONTRACT TYPECurrently NullCurrently Null727.815, 68 CNH/SH STATUS Community Nursing Home/ State Home (CNH/SH) Indicator Values: Y = Yes N = No Null = NullDerived from the CNH CURRENT field (#148) of the PATIENT file (#2) using the Patient DFN727.815, 69 PRODUCTION DIVISION CODEIdentifies the division/facility where the work was performed.The value is retrieved from the EVENT CAPTURE PATIENT file (#721), LOCATION field (#3) which is a pointer to the INSTITUTION file (#4). It then uses the RADDIV^ECXDEPT DSS API to retrieve the STATION NUMBER field (#99) in the INSTITUTION file (#4).727.815, 70 ELIGIBILITYA two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. 727.815, 71 HEAD & NECK CANCER INDICATORIdentifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11) 727.815, 72 ETHNICITYThe patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.815, 73 RACE 1Self- reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), RACE 1 is derived from the PTF VALUE field (#5) of the RACE file (#10) pointed to by the RACE INFORMATION field (#.01) of the RACE INFORMATION sub file (#2.02) of the PATIENT file (#2). Only those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be include in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER) that will be the only value included in the RACE1 field. Identifies what is the race of the patient. Method of collection is only self-identification.727.815, 74 ENROLLMENT LOCATIONThe facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.815, 75 DSS IP # Currently NullCurrently Null727.815, 76 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11)727.815, 77 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.815, 78 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.815, 79 CV STATUS ELIGIBILITYRecords if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.815, 80 CV ELIGIBILITY END DATERecords the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.815, 81 ENCOUNTER CVRecords if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT) Based on these returns, the value for this field shall be Y =Yes, or Null.727.815, 82 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. NATIONAL PATIENT RECORD FLAG is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. 727.815, 83 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null This field is extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.815, 84 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Using the VISIT field (#28) in the EVENT CAPTURE PATIENT file (#721) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the agent orange indicator stored at the AGENT ORANGE EXPOSURE field (#80002) in the VISIT file (#9000010).727.815, 85 ENCOUNTER SWACIndicates the appropriate response for Southwest Asia conditions as related to this patients episode of care. Values: Y = Yes N = No Null Using the VISIT field (#28) in the EVENT CAPTURE PATIENT file (#721) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the Southwest Asia conditions indicator stored at the SW ASIA CONDITIONS field (#80004) in the VISIT file (#9000010). The value will be stored in the output array subscripted by PGE.727.815, 86 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Using the VISIT field (#28) in the EVENT CAPTURE PATIENT file (#721) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the head/neck cancer data stored in the HEAD AND/OR NECK CANCER field (#80006) in the VISIT file (#9000010).727.815, 87 ENCOUNTER MSTIndicates whether service provided during this patient encounter is related to military sexual trauma. Values: Y = Yes N = No Null Using the VISIT field (#28) in the EVENT CAPTURE PATIENT file (#721) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the military sexual trauma data stored at the MILITARY SEXUAL TRAUMA field (#80005) in the VISIT file (#9000010).727.815, 88 RADIATION ENCOUNTER INDICATORThis indicates whether service provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = Yes N = No U = Unknown Null Using the VISIT field (#28) in the EVENT CAPTURE PATIENT file (#721) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the ionizing radiation exposure indicator stored at the IONIZING RADIATION EXPOSURE field (#80003) in the VISIT file (# 9000010).727.815, 89 NUTRITION DIAGNOSISCurrently Null Currently Null 727.815, 90 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.815, 91 OEF/OIF Return DateThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDThe value of this field is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date. 727.815, 92 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.815, 93 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.815, 94 Provider NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.815, 95 Provider #2 NPIA standard, unique life-long identifier for the second assisting provider of health care servicesIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.815, 96 Provider #3 NPIA standard, unique life-long identifier for the third assisting provider of health care servicesIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.813 -- LABORATORY EXTRACT (LAB) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Laboratory extract from existing VistA files. Entries into this file are made by extracting data by two different methods depending upon whether or not LMIP codes are used. Using LMIP codes, the data are extracted in large part from the WKLD LOG file (#64.03) which is populated by a routine provided by the Laboratory development team. Not using LMIP codes, the data are derived from several Lab files as well as from several other VistA files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.813,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.813,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.813,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.813,3 FACILITYIdentifier for the station and division.Using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4)727.813,4 PATIENT NO. - DFN An identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).Internal entry number (IEN) in the PATIENT file (#2) or the REFERRAL PATIENT file (#67). Derived from the NAME field (#.03) as defined from the PARENT FILE field (#.02) in the LAB DATA file (#63). 727.813,5 SSN IDENTIFYING NUMBER Patient's Social Security Number or the identifying number for a referral-patient.Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.813,6 NAMEThe first four characters of the patient's last name, left justified.If the PATIENT field (#9) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1) is a. PATIENT file (#2) = NAME field (#.01) in the PATIENT file (#2)727.813,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.813,8 DAYDate Lab Test/Specimen was collected. Format: YYYYMMDDDate is inserted in this field by Laboratory routine ECXLABN and is derived from WKLD LOG file (#64.03) DATE/TIME COLLECTED field (#12). The value in DATE/TIME COLLECTED field (#12) of WKLD LOG file (#64.03) originated from routine LRCAPDSS and is derived from WKLD DATA file (#64.1); sub-file ACCESSION WKLD CODE TIME (#64.1111); INVERSE DATE COMPLETED field (#21). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with 01 for the day (DD) portion.727.813,9 ACCESSION AREAThe accession area location indicating where lab specimen was received.Derived from either: 1) HOSPITAL LOCATION field (#14) WKLD LOG file (#64.03), MAJ. SECT. file (#6), ACCESSION WKLD CODE TIME sub-file (#64.1111), WKLD CODE sub-file (#64.111), DATE sub-file (#64.11), WKLD DATA file (#64.1) or HOSPITAL LOCATION field (#14) WKLD LOG file (#64.03), AGENCY CODE Field (#95), INSTITUTION file (#4) For laboratory procedure on a routine medical center patient, this field will contain the internal record number of the Accession Area in the ACCESSION file (#68). For procedure on a referral patient, this field will contain the 2-character Agency Code from the AGENCY CODE field (#95) of the INSTITUTION file (#4) record that represents the referring Institution.727.813,10 ABBREVIATION Abbreviation for the accession area location indicating where lab specimen was received.Derived from the ABBREVIATION field (#.09) in the ACCESSION file (#68) as pointed to by the MAJ. SECT. field (#6) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1)727.813,11 TESTCode for test performed.Derived from the NAME field (#.01) in the LABORATORY TEST FILE (#60) as pointed to by the LAB TEST field (#1) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1)727.813,12 URGENCY OF TESTTurn around time requested.Derived from the URGENCY field (#.01) in the URGENCY FILE (#62.05) as pointed to by the URGENCY field (#22) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1) 727.813,13 TREATING SPECIALTY Indicates treating specialty PTF CODE for this patient or entity.Will be set to null for outpatients.Derived from the NAME field (#.01) in the SPECIALTY file (#42.4), as pointed to by the NAME field (#.01) in the FACILITY TREATING SPECIALTY file (#45.7), as pointed to by the TREATING SPECIALTY field (#16) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.813,14 LOCATIONLocation of patient. If the "File" field in this record = 2, then the location of the patient is a pointer to ward or clinic. If the "File" field in this record = 67, then the location of the patient is the referral station number or the non-VA referral site name.Derived from the NAME field (#.01) of the HOSPITAL LOCATION file (#44) as pointed to by the ORDERING LOCATION field (#20) of the ACCESSION WKLD CODE TIME field (#1) multiple within the CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1). Pointer to patient HOSPITAL LOCATION file (#44), or Referral Station Number from INSTITUTION file (#4), or Non VA Referral Site Name. 727.813,15 PROVIDER The ordering provider for this test for this patient This number is IEN preceded by 2Derived from the NAME field (#.01) of the PROVIDER file (#6) or the NAME field (#.01) of the NEW PERSON file (#200) as pointed to by the PROVIDER field (#15) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1)727.813,16 MOVEMENT FILE #A number used as an index into patient movement file. This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), this field is set to the value of VAIP(1), which is the pointer to the PATIENT MOVEMENT file (#405). 727.813,17 FILEParent file number from which test was extracted Values: 2 = if from PATIENT file 67 = if from REFERRAL PATIENT file (#67).If the PATIENT field (#9) of the ACCESSION WKLD CODE TIME field (#1) multiple within the WKLD CODE field (#1) multiple within the DATE field (#.03) contains a. ^DPT= PATIENT file (#2) b. ^LRT(67, = REFERRAL PATIENT file (#67) 727.813,18 TIMEThe time the specimen was collected. Format: HHMMSS1. Data is inserted in this field by Laboratory routine ECXLABN and is derived from WKLD LOG file (#64.03) DATE/TIME COLLECTED field (#12). 2. The value in field (#12) of file (#64.03) originated from routine LRCAPDSS and is derived from WKLD DATA file (#64.1), ACCESSION WKLD CODE TIME sub-file (#64.1111), INVERSE DATE COMPLETED field (#21).727.813,19 WORKLOAD CODE The LMIP/NLT workload code for this record. MAY correspond to a College of American Pathologists (CAP) code. Derived from the WKLD CODE field (#1) of the WKLD CODE file (#64) as pointed to by the WKLD CODE field (#.01) of the WKLD CODE field (#1) multiple within the DATE field (#.03) multiple of the WKLD DATA file (#64.1)727.813,20 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the ACCESSION DATE and the patient pointer (DFN) a call is made to the Scheduling API, OUTPTTM^SDUTL3. Only the pointer (IEN) to TEAM file (#404.51) is used. 727.813,21 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application on the accession date. This number is IEN preceded by 2Using the ACCESSION DATE and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.813, 22 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.813, 23 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.813, 24 PLACEHOLDERCurrently NullCurrently Null727.813,25 PLACEHOLDER Currently NullCurrently Null727.813, 26 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. The field will hold the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.813, 27 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.Using the ACCESSION DATE and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTAP^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.813, 28 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field #5); file (#8932.1). Active Person Class is determined by $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.813, 29 PLACEHOLDERCurrently NullCurrently Null727.813, 30 DOM, PRRTP AND SAARTP INDICATOR Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.813, 31 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.813, 32 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the LAB extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and Stop Code value = 108. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.813, 33 ORDERING STOP CODEOrdering Stop Code Numeric values 101 through 999.Derived from the pointer in the HOSPITAL LOCATION field (#14) of the WKLD LOG file (#64.03). Using this pointer to the HOSPITAL LOCATION file (#44), the ORDERING STOP CODE is then obtained from the STOP CODE field (#1) of the appropriate entry in the CLINIC AND STOP CODES file (#728.44). If the Treating Specialty field is 18 or 23 or 24 or 36 or 41 or 65 or 94 then fill the ORDERING STOP CODE field with the corresponding Observation Stop Code. Please see table below: Treating Specialty Observation Code 18 293 23 295 24 290 36 294 41 296 65 291 94 292727.813, 34 ORDERING DATEDate test was ordered.Derived from the DATE ORDERED field (#13) of the WKLD LOG FILE (#64.03)727.813, 35 PRODUCTION DIVISIONIdentifies the division/facility where the work was performed.Derived from DSS Extracts file (#728) NAME field (#.01) which is a pointer to INSTITUTION file (#4). It then uses the INSTITUTION file pointer to retrieve the value for STATION NUMBER field (#99). It then uses the station number, and the "D" cross-reference from INSTITUTION file (#4) to get the IEN for the production division. It then uses RADDIV^ECXDEPT DSS API to get the value from the STATION NUMBER field (#99) in the INSTITUTION file (#4).727.813, 36 DSS IP #Currently NullCurrently Null727.813, 37 Ordering Provider Person ClassThe VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Value is based on the PROVIDER field (#13). LABORATORY file (#63) points to the NEW PERSON file (#200) for PROVIDER. File (#200) points to the PERSON CLASS file (#8932.1) for Person Class. The ORDERING PROVIDER PERSON CLASS is derived via the LABORATORY file (#63) which points to the NEW PERSON file (#200) for PROVIDER file (#200) points to the PERSON CLASS file (#8932.1) for Person Class.727.813, 38 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.813, 39 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.813, 40 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.813, 41 Provider NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.813, 42 LOINC CODEA universal standard for identifying laboratory observations.Derived by finding Test (field #11 above) on the LABORATORY TEST file (#60). #727.824 -- LAB RESULTS EXTRACT (LAR) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Laboratory Results extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.824,.01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.824,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.824,2 EXTRACT NUMBER The corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.824,3 FACILITY Identifier for the station and division.This is an indicator of the division where this event happened. Using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4). 727.824,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.824,5 SSN The patients social security number (Pseudo SSNs are indicated by a trailing Por 5 leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.824,6 NAME The first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.824,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls. 727.824,8 DAY Date Lab Test/Specimen was collected. Format: YYYYMMDDDerived from SPECIMEN COLLECTION DATE field (#10) of LAB DSS LAR EXTRACT file (#64.036) which is retrieved from file LAB DATA file (#63), BLOOD BANK sub file (#63.01), DATE/TIME SPECIMEN TAKEN field (#.01). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.824,9 TEST CODECoded value of the lab test as specified by the vendor (Eclipsys).The internal entry number of the lab test in the DSS LAB TEST file (#727.2) padded with leading zeroes to four characters727.824,10 RESULTSResult of the lab test (a number between -10000 and 10000; 4 decimal digits).Results of the test identified in the CHEM, HEM, TOX, RIA, SER, etc. multiple (#4) within the LAB DATA file (#63). (First "^" piece of ^LR(LRDFN,"CH",INVERSE_DATE,TEST_IEN)727.824,12 HI/LO INDICATORIndicates High or Low test result. Values: H = High L = Low NullDerived from the Results indicator of the test identified in the CHEM, HEM, TOX, RIA, SER, etc. multiple (#4) within the LAB DATA file (#63) (Second "^" piece of ^LR(LRDFN,"CH",INVERSE_DATE,TEST_IEN)727.824,13 DATE ORDEREDDate on which the Laboratory test was ordered. YYYYMMDDDerived from the LAB DSS LAR EXTRACT file (#64.036), DATE ORDERED field (#3) This field is always exactly 8 numeric characters in length. If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.824,14 TIME ORDERED Time of day at which the Laboratory test was ordered (6-digit military time).Derived from the LAB DSS LAR EXTRACT file (#64.036), TIME ORDERED field (#4) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default727.824,15 DATE RESULTS READYDate on which the Laboratory test result was ready for reporting.Derived from the LAB DSS LAR EXTRACT file (#64.036), DATE RESULTS AVAIL field (#5) This field is always exactly 8 numeric characters in length. If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.824,16 TIME RESULTS READY Time of day at which the Laboratory test result was ready for reporting.Derived from the LAB DSS LAR EXTRACT file (#64.036), TIME RESULTS AVAIL field (#6) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default.727.824,17 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP(1), which is a pointer to the PATIENT MOVEMENT file (#405).727.824,18 TREATING SPECIALTY The PTF CODE of the treating specialty associated with this extract record. NULL for outpatientsThis field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code.727.824,19 WORKLOAD CODEThe LMIP/NLT workload code for this record. MAY correspond to a College of American Pathologists (CAP) code. Derived from the WKLD CODE field (#1) of the WKLD CODE file (#64) as pointed to by the NATIONAL VA LAB CODE field (#64) of the LABORATORY TEST file (#60) as pointed to by the LOCAL LAB TEST NAME field (#1) multiple within the DSS LAB TEST field (#1) multiple of the DSS LAB TESTS file (#727.2)727.824, 20 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.824, 21 DSS DEPTCurrently NullCurrently Null727.824, 22 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.824, 23 TIME COLLECTED The time the specimen was collected. Format: HHMMSSDerived from the LAR API file (#64.036) time portion of the new DATE/TIME COLLECTED field (#12) 727.824, 24 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation Patient.Derived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO.727.824, 25 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the LAR extract, encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and Stop Code value = 108.Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.824, 26 PRODUCTION DIVISIONIdentifies the division/facility where the work was performed.The value is derived from DSS EXTRACTS file (#728) NAME field (#.01) which is a pointer to INSTITUTION file (#4). It then uses the INSTITUTION file (#4) pointer to retrieve the value for STATION NUMBER field (#99). It then uses the station number, and the "D" cross-reference from INSTITUTION file (#4) to get the IEN for the production division. It then uses RADDIV^ECXDEPT DSS API to get the value from the STATION NUMBER field (#99) in the INSTITUTION file (#4). 727.824, 27 LAB RESULTS TRANSLATIONDerived from a translation table that converts the results field from free text to a numeric value for certain tests. Converted Values: 0 = Negative, Non-Reactive 1 = Positive, Reactive 2 = Borderline, Indeterminate 3 = Test not performed, Qty not sufficient or other reason. 5 = Result cannot be translatedFor free text results entered in the RESULTS field (#10), the LAB RESULTS TRANSLATION field (#27) is derived from the TRANSLATION CODE field (#1) of the LAB RESULTS TRANSLATION file (#727.7)727.824, 28 ORDERING PROVIDER Provider ordering this LAB test. Value: VistA file (#200) IEN preceded by "2"Derived by pointing to the NEW PERSON file (#200) for the field indicating Provider 727.824, 29 ORDERING PROVIDER PERSON CLASSThe VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived by first pointing to the NEW PERSON file (#200) for provider, File NEW PERSON (#200) then points to the PERSON CLASS file (# 8932.1) to check for Person Class727.824, 30 Ordering Provider NPIA standard, unique life-long identifier of the provider who ordered the intravenous product, lab test, type & cross match or patient feedingIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.824, 31 LOINC CODEA universal coding standard for identifying laboratory observations.Derived from the LAB DSS LAR EXTRACT file (#64.036), LOINC CODE field. #727.812 -- MENTAL HEALTH EXTRACT (MTL) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Mental Health extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.812,.01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.812,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.812,2 EXTRACT NUMBER The corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.812,3 FACILITY Identifier for the station and division.Derived from the STATION NUMBER field (#99) of the INSTITUTION file (#4) record pointed to by the NAME field (#.01) of the DSS EXTRACTS file (#728) 727.812,4 PATIENT NO. - DFN An identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.812,5 SSN The patients social security number (Pseudo SSNs are indicated by a trailing P or 5 leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.812,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.812,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.812,8 DAY Date on which the Mental Health activity took place. Format: YYYYMMDDDerived from the one of three possible sources: (1) COMPLETION DATE field (#.01) of the DATE field (#1), (#601.22) sub-file, of the (#1) INSTRUMENT field, (#601.21) sub-file, of the PSYCH INSTRUMENT PATIENT file (#601.1) (2) DATE OF INTERVIEW field (#.05) of the ADDICTION SEVERITY INDEX file (#604) (3) DATE/TIME OF DIAGNOSIS field (#.03) of the DIAGNOSTIC RESULTS MENTAL HEALTH file (#627.8) If the date cannot be determined, then a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.812,9 PLACEHOLDERCurrently NullCurrently Null727.812,10 ADMISSION DATE This 8-character numeric string represents the date on which the patient's admission occurred. Format:YYYYMMDD.Derived from the PATIENT MOVEMENT file (#405), DATE/TIME field (#.01). This field is always exactly 8 numeric characters in length. The standard FM date for the admission is returned by IN5^VADPT.727.812,11 DISCHARGE DATE Final discharge date for this VistA admission. [Admissions to Nursing Homes, RRTP's (DOM), Acute Care create a new admission in VistA and DSS]. Format: YYYYMMDDDerived from the PATIENT MOVEMENT file (#405), DATE/TIME field (#.01). This field is always exactly 8 numeric characters in length. The standard FM date for the discharge is returned by IN5^VADPT.727.812,12 DSS IDENTIFIERStop CodeECXMTL reads the following line and calls the TSMAP^ECXUTL4 API passing the treating specialty. ECXUTL4 matches the treating specialty and maps to the corresponding stop code.727.812,13 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to TEAM file (#404.51) is transmitted. 727.812,14 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE/TIME field (#.01) from the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.812,15 PLACEHOLDER Currently NullCurrently Null727.812,16 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. This field holds the VA codes associated with the active Person Class of the patients Primary Care Provider as of the date of this extract record. 727.812,17 PROVIDER The person who administered or ordered the Mental Health test/interview associated with this extract record.A pointer to the NEW PERSON file (#200) is obtained from one of three possible sources: (1) ORDERED BY field (#2) of the DATE field (#1), (#601.22) sub-file, of the (#1) INSTRUMENT field, (#601.21) sub-file, of the PSYCH INSTRUMENT PATIENT file (#601.2) (2) INTERVIEWER field (#.09) of the ADDICTION SEVERITY INDEX file (#604) (3) DIAGNOSIS BY field (#.04) of the DIAGNOSTIC RESULTS - MENTAL HEALTH file (#627.8) This utility is using the provider assigned by the Primary Care Management Module (PCMM).727.812,18 PLACEHOLDER Currently NullCurrently Null727.812,19 PROVIDER PERSON CLASS The VA Code associated with the active Person Class of the Provider (in DSS, this is called Provider Type). Format: V999999 Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5), file (#8932.1). Active Person Class is determined by $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.812,20 TEST NAMEThe acronym that represents the name of test, interview, or diagnostic data contained in this extract record.The acronym placed in this field will depend upon which Mental Health file is the source of the data. (1) If data is extracted from the PSYCH INSTRUMENT PATIENT file (#601.2), then TEST NAME is derived from the INSTRUMENT field(#.01) of the MH INSTRUMENT file (#601) which is pointed to by the INSTRUMENT field (#.01) of the INSTRUMENT field (#1), sub-file (#601.21), of file (#601.2). (2) If data is extracted from the ADDICTION SEVERITY INDEX file (#604), then TEST NAME is ASI. (3) If data is extracted from the DIAGNOSTIC RESULTS - MENTAL HEALTH file (#627.8), then TEST NAME is GAF. 727.812,21 TEST IENThe internal entry number in the MH INSTRUMENT file (#601) for the test data, if appropriate. If data is extracted from the PSYCH INSTRUMENT PATIENT file (#601.2), then TEST IEN will be the internal entry number of file MH INSTRUMENT file (#601) contained in the INSTRUMENT field (#.01) of the INSTRUMENT field (#1), sub-file (#601.21), of the PSYCH INSTRUMENT PATIENT file (#601.2). If data is extracted form the ADDICTION SEVERITY INDEX file (#604) or the DIAGNOSTIC RESULTS - MENTAL HEALTH file (#627.8), then TEST IEN is null.727.812,22 SCALE NUMBERSCALE NUMBER is an identifying element for data If data is extracted from PSYCH INSTRUMENT PATIENT file (#601.2), then this field contains data taken from the SCALE NUMBER field (#.01) of the TEST SCALE NUMBER field (#16), sub-file (#601.01), of the MH INSTRUMENT file (#601). If data is extracted form the ADDICTION SEVERITY INDEX file (#604) or the DIAGNOSTIC RESULTS727.812,23 SCALE NAMESCALE NAME is an identifying element for data If data is extracted from PSYCH INSTRUMENT PATIENT file (#601.2), then this field contains data taken from the SCALE NAME field (#.5) of the TEST SCALE NUMBER field (#16), sub-file (#601.01), of the MH INSTRUMENT file (#601). If data is extracted from the ADDICTION SEVERITY INDEX file (#604), then SCALE NAME will be one of the seven standard composite score names which are part of the ASI evaluation. These are Medical, Emp/Sup, Alcohol, Drug, Legal, Family, and Psych. If data is extracted from the DIAGNOSTIC RESULTS - MENTAL HEALTH file (#627.8), then SCALE NAME is null.727.812,24 TEST SCOREScore for a Mental Health test, which is expressed as a single, overall score.The Mental Health API UPD^YSDSS is used for this field. If data is extracted from PSYCH INSTRUMENT PATIENT file (#601.2), the TEST SCORE field will contain the resulting score calculated for the following tests: DOM80, DOM81, DOM82, and DOMG. For all other tests contained in the MH INSTRUMENT file (#601) that are pointed to by the INSTRUMENT field (#.01) of the INSTRUMENT field (#1), sub-file (#601.21), of file (#601.2), TEST SCORE will be set to null. If data is extracted from the ADDICTION SEVERITY INDEX file (#604), then TEST SCORE will be set to null. If data is extracted from the DIAGNOSTIC RESULTS - MENTAL HEALTH file (#627.8), the TESTSCORE will contain data from the AXIS 5 field (#65) of file (#627.8).727.812,25 SCALE SCOREScore of one scale of a Mental Health test.The Mental Health API UPD^YSDSS is used for this field. If data is extracted from PSYCH INSTRUMENT PATIENT file (#601.2), the SCALE SCORE field will contain the resulting score calculated for one scale associated with the following tests: BDI, CRS, CAGE, or ZUNG. For all other tests contained in the MH INSTRUMENT file (#601) that are pointed to by the INSTRUMENT field (#.01) of the INSTRUMENT field (#1), sub-file (#601.21), of file (#601.2), SCALE SCORE will be set to null. If data is extracted from the ADDICTION SEVERITY INDEX file (#604), then SCALE SCORE will be the score associated with one of the seven standard composite score names that are part of the ASI evaluation. These are Medical, Emp/Sup, Alcohol, Drug, Legal, Family, and Psych. If data is extracted from the DIAGNOSTIC RESULTS - MENTAL HEALTH file (#627.8), the SCALE SCORE will be null.727.812,26 ATTENDING PHYSICIAN Refers to the ward-attending provider, if an inpatient on the date contained in the DAY field (#8), Value is an IEN preceded by "2." If an outpatient, this field will be null.Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), ATTENDING PHYSICIAN data is derived from the ATTENDING PHYSICIAN field (#.19) in the PATIENT MOVEMENT file (#405). This attending physician data is a pointer to the NEW PERSON file (#200). 727.812,27 WARD PROVIDER If the patient an inpatient on the date contained the DAY field (#8), then WARD PROVIDER will refer to the provider who was the primary ward provider for the patient.Data will be taken from the PRIMARY CARE PHYSICIAN field (#.08) of the PATIENT MOVEMENT file (#405) record for a treating specialty movement. Using the date in the DAY field (#8) and the patient pointer (DFN), a call is made to IN5^VADPT which returns the pertinent patient movement data. If the patient identified in the PATIENT NO DFN field (#4) was an inpatient on the date contained the DAY field (#8), then Ward Provider will refer to the provider who was the primary ward provider for the patient.727.812,28 MASTER PATIENT INDEX Unique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.812,29 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.This is a reference to the NEW PERSON file (#200) for the provider, who is the patients Associate Provider for Primary Care as assigned with the PCMM application727.812,30 PLACEHOLDER Currently NullCurrently Null727.812,31 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5): file (#8932.1). Active Person Class is determined by $$GET^XU4A72 (PERS, DATE), where PERS is he IEN from file (#200). 727.812,32 CLASS FOR ASI Classification for ASI data only.Derived from the CLASS field (#.04) of the ADDICTION SEVERITY INDEX file (#604)727.812,33 SPECIAL FOR ASI Signifies completion status for ASI data only.Derived from the SPECIAL field (#.11) of the ADDICTION SEVERITY INDEX file (#604)727.812, 34 ASI ENCOUNTER DATEDate of ASI encounterThis is the DAY field provided by the Mental Health API. The ASI Encounter Date is derived from the ASI Progress Note.727.812, 35 PURPLE HEART INDICATOR Indicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.812, 36 DOM, PRRTP AND SAARTP INDICATOR Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.812, 37 ENROLLMENT CATEGORY Patients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment STATUS found in this extract. PATIENT ENROLLMENT file (#27.11) CATEGORY (DFN, STATUS)727.812, 38 ENROLLMENT STATUS Patients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15) 727.812, 39 PLACEHOLDERCurrently NullCurrently Null727.812, 40 PERIOD OF SERVICE The period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Value-Description A = Army-Active Duty T = Other Non-Veteran B = Navy, Marine-Active Duty U = CHAMPVA-Spouse, Child C = Air Force-Active Duty V = CHAMPUS D = Coast Guard- Active Duty W = Czechoslovakia/Poland Svc E = Retired, Uniformed Services X = Persian Gulf War F = Medical Remedial Enlist Y = CAV/NPS G = Merchant Seaman-USPHS Z = Merchant Marine H = Other USPHS Beneficiaries 0 = Korean I = Observation/Examination 1 = World War I J = Office of Workers Comp 2 = World War II K = Job Corps/Peace Corps 3 = Spanish American L = Railroad Retirement 4 = Pre-Korean M = Beneficiaries -Foreign Government 5 = Post-Korean N = Humanitarian (Non-Vet) 6 = Operation Desert Shield O = Champus Restore 7 = Vietnam ERAQ = Other Federal Dependant P = Other Reimbursement. (Non-Vet) 8 = Post-Vietnam R = Donors (Non-Vet) 9 = Other or None S = Special Studies (Non-Vet) Derived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). The data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character. 727.812, 41 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.812, 42 ENCOUNTER NUMBER The unique number assigned to each encounter within DSS. The unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the MTL extract: encounter numbers for inpatients & observation cases as above Outpatient encounter numbers should be built with the Date field and Stop Code value =538 Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.812, 43 AGENT ORANGE LOCATION Indicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT file (#2)727.812, 44 PATIENT BIRTH DATE Patient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.812, 45 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Data comes from the DIVISION field (#16), Sub file (#200.02), of the NEW PERSON file (#200). The DIVISION field (#.01) is a pointer to the INSTITUTION file (#4). This value is then used to call the API RADDIV^ECXDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4). 727.812, 46 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.812, 47 HEAD & NECK CANCER INDICATOR Identifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.812, 48 ETHNICITYThe patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.812, 49 RACE 1Self-reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), RACE 1 is derived from the PTF VALUE field (#5) of the RACE file (#10) pointed to by the RACE INFORMATION field (#.01) of the RACE INFORMATION sub file (#2.02) of the PATIENT file (#2). Only those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be include in the RACE 1 field. If any of the RACE INFORMATION values returned is "C" (DECLINED TO ANSWER) that will be the only value included in the RACE1 field.727.812, 50 DSS IP # Currently NullCurrently Null727.812, 51 ENROLLMENT PRIORITY This field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11)727.812, 52 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.812, 53 DIVISION The medical center division associated with the extract data. For DSS purposes, this must correspond to the labor pool that generated the workload. The division identifier is taken from the DSS DIVISION IDENTIFIER file (#727.3). The DIVISION field is then derived as follows: (1) A pointer to the INSTITUTION file (#4) is obtained using the pointer to file #200. This is taken from the DIVISION field (#.01) of the first sub-record of the DIVISION field (#16), sub-file #200.02. (2) A record in the MEDICAL CENTER DIVISION file (#40.8) which points to the same file (#4) record. (3) The IDENTIFIER field (#1) of the DSS DIVISION IDENTIFIER file (#727.3) record which points to the same Medical Center Division.727.812, 54 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.812, 55 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.812, 56 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0 The 2nd piece is the Combat Vet End Date.727.812, 57 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT) 727.812, 58 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. NATIONAL PATIENT RECORD FLAG is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. 727.812, 59 ATTENDING PHYSICIAN PC The VA code of the Person Class of the Attending Physician as of the date of this extract record. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.The data is derived from the NEW PERSON file (#200), field (#5), file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200). 727.812, 60 WARD PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS this is called Provider Type) Format: V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200). 727.812, 61 AGENT ORANGE STATUSIndicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2), AGENT ORANGE EXPOS. INDICATED field (#.32102). The Agent Orange Status indicator is returned by SVC^VADPT.727.812, 62 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.812, 63 Attending Physician NPIA standard, unique life-long identifier of the attending physicianIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.812, 64 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.812, 65 Provider NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.812, 66 Ward Provider NPIA standard, unique life-long identifier of the ward providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.805 -- NURSING EXTRACT (NUR) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Nursing extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.805,01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.805,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.805,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.805, FACILITYIdentifier for the station and division.An indicator of the division where this event happened Using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4)727.805,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.805,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros) Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.805,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN) Name data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.805,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls. 727.805,8 DAYDate on which the Nursing Classification was assigned. Format: YYYYMMDDDerived from the NURS CLASSIFICATION file (#214.6), CLASSIFICATION DATE/TIME field (#.01) 727.805,9 ACUITY LEVELPatients current Nursing AMIS classification or acuity rating.727.805,10 ENTERED BYIndicates how the data was entered. Values: C = Computer U = User727.805,11 CLASSIFIERPerson making the classification. Value is an IENDerived from the CLASSIFIER field (#4) in the NURS CLASSIFICATION file (#214.6). Pointer to the NEW PERSON file (#200) 727.805,12 NURSE LOCATIONWard on which the patient is classifiedDerived from the NURS LOCATION field (#6) in the NURS CLASSIFICATION file (#214.6), which is a pointer to the NURS LOCATION file (#211.4)727.805,13 NURSING BEDSECTIONBed section of the classified patientDerived from the NURSING BED SECTION field (#7) in the NURS CLASSIFICATION file (#214.6), which is a pointer to the NURS AMIS WARD file (#213.3) 727.805,14 MOVEMENT FILE #A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP(1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.805,15 TREATING SPECIALTYThe PTF CODE of the treating specialty associated with this extract record. NULL for outpatients.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.805,16 ADMISSION DATEThis 8-character numeric string represents the date on which the patient's admission occurred. Format:YYYYMMDD.Derived from the PATIENT MOVEMENT file (#405), DATE/TIME field (#.01)727.805,17 ADMISSION TIMETime of day at which the patient admission occurred. Format is HHMMSS.Derived from the PATIENT MOVEMENT file (#405), DATE/TIME field (#.01)727.805,18 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.805,19 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.805, 20 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.805, 21 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.805, 22 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the NUR extract, all encounter numbers are for inpatients, except observation cases. Both use the above rules.Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.805, 23 PRODUCTION DIVISION CODEIdentifies the division/facility where the patient is located.The Value is being resolved by pulling the DSS Extract File (#728) NAME field (#.01) which is a pointer to the INSTITUTION file (#4). We then use the pointer to the INSTITUTION file (#4) to resolve the station number by pulling the value in STATION NUMBER field (#99). 727.805, 24 DSS IP #Currently NullCurrently Null #727.832 -- NUTRITION EXTRACT (NUT) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Nutrition extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.832,01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.832,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.832,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.832,3 FACILITYIdentifier for the station and division.An indicator of the division where this event happened. Using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4). 727.832,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).Derived from the PATIENT field (#.01) in the NUTRITION PERSON file (#115). PATIENT NO. - DFN/IEN is a pointer to the NAME field (.01) of the PATIENT file (#2) or a pointer to the NEW PERSON file (#200). This data represents the patient DFN or the NEW PERSON file IEN.727.832,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros) Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field #4) in the NUTRITION EXTRACT file (#727.832), SSN data is derived from m the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.832,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the NUTRITION EXTRACT file (#727.832), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2) 727.832,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientUsing the date and patient's DFN, a call is made to the Registration's API IN5^VADPT to determine if the patient was an inpatient on the day the meal was provided727.832,8 DAYDate on which the service was provided. Format: YYYYMMDDIf date is present in (#115.16.01), or (#115.17.01), or (#115.18.01), use the date (record is an outpatient). Otherwise use date in (#115.1.01) in the proper admission multiple. (record is an inpatient)727.832,9 TIMETime the service was provided.(6-digit military time). Use Time from DAY/TIME fields in the DAY field Use Time from DAY/TIME fields in the DAY field727.832,10 TREATING SPECIALTYThe PTF CODE of the treating specialty associated with this extract record form the SPECIALTY file (#42.4). NULL for outpatients, except if observation patient.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), then the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.832,11 ORDERING PROVIDERProvider ordering the patient feeding. Value: VistA file (#200) IEN preceded by "2"The NEW PERSON file (#200) IEN for the provider that ordered the diet for the patient. Inpatient diets, inpatient supplemental feedings, inpatient tube feedings use the entry number for the ORDER file (#100) and use it to retrieve CURRENT AGENT/PROVIDER field (#1) which is a pointer to the NEW PERSON file (#200). Inpatient standing orders have no ordering provider. Outpatient recurring meals use the entry number for the ORDER file (#100) and use it to retrieve CURRENT AGENT/PROVIDER field (#1) which is a pointer to the NEW PERSON file (#200). Outpatient tube feedings, outpatient special meals and outpatient guest meals have no ordering provider. In DSS this is called Provider Type.727.832,12 ORDERING PROVIDER PERSON CLASSThe VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5) from Person Class file (#8932.1) using GET^XUA4A72727.832,13 PRIMARY CARE PROVIDERThe primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the patient's DFN and the date of service a call is made to the OUTPTPR^SDUTL3 API to retrieve the primary care team provider. The API returns the IEN for the NEW PERSON file (#200). 727.832,14 PRIMARY CARE PVR PERSON CLASSThe VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Derived from the New Person File (#200), field (#5) from Person Class file (#8932.1) using GET^XUA4A72 Kernel's API727.832,15 PRIMARY CARE TEAMThe IEN of the primary care team assigned to this patient in the PCMM module.Using the patient's IEN from file (#2) and the date of encounter a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to File (#404.51) is transmitted.727.832,16 MASTER PATIENT INDEXUnique national VA patient identifierUsing the patient IEN for the patient file (#2) a call is made to the GETICN^MPIF001 API to retrieve the patient's ICN727.832,17 DATE OF BIRTHPatient's date of birth Format: YYYYMMDD If Date of Birth cannot be determined, then January 1, 1942, is used as default. The data element is always exactly 8 numeric characters in length.Derived from the PATIENT file (#2); DATE OF BIRTH field (#.03)727.832,18 SEXGender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data is derived from the SEX field (#.02) in the PATIENT file (#2)727.832,19 RACE 1 Self- reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), RACE 1 is derived from the PTF VALUE field (#5) of the RACE file (#10) pointed to by the RACE INFORMATION field (#.01) of the RACE INFORMATION sub file (#2.02) of the PATIENT file (#2). Only those RACE INFORMATION values in the RACE INFORMATION sub file (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), is included in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER) that will be the only value included in the RACE 1 field.727.832,20 ETHNICITY The patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null. 727.832,21 VETERAN Patient's veteran status Values: Y = Is a veteran N = Is not a veteranUsing the patient pointer (DFN), VETERAN data is derived from the VETERAN (Y/N) field (#1901) in the PATIENT file (#2). The status indicator is returned by SVC^VADPT.727.832,22 ENROLLMENT STATUS Patients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the Patient Enrollment file (#27.11)727.832,23 ENROLLMENT LOCATION The facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99). 727.832,24 ENROLLMENT CATEGORYPatients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the Patient Enrollment file (#27.11) 727.832,25 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Derives the enrollment priority group and the enrollment priority subgroup from the PATIENT ENROLLMENT file (#27.11) 727.832,26 ELIGIBILITYA two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. This code is composed of two or three numeric characters.  727.832,27 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NoneDerived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). The data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character.727.832,28 AGENT ORANGE STATUS Indicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownUsing the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT file (#2)727.832,29 AGENT ORANGE LOCATION Indicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT FILE (#2)727.832,30 RADIATION STATUS Indicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the PATIENT file (#2), RADIATION EXPOSURE INDICATED field (#.32103). The status indicator is returned by SVC^VADPT.  727.832,31 SW ASIA CONDITIONS This field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Y = Yes N = No U = UnknownThis field is derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the PATIENT file (#2) using the patient DFN. The status indicator is returned by SVC^VADPT. The SVC^VADPT call is made from routine PAT^ECXUTL3.727.832,32 MST STATUS Indicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST STATUS field (#3). A call is be made to $$GETSTAT^DGMSTAPI (DFN, DGDATE) using the DFN in the PATIENT NO. DFN field (#4) and the date in the day field727.832,33 HEAD & NECK CANCER INDICATOR Identifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), using API $GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.832,34 POW STATUS Indicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2), POW STATUS INDICATED field (#.525). The status indicator is returned by SVC^VADPT.727.832,35 POW LOCATIONIf POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2), POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT. 727.832,36 PURPLE HEART INDICATOR Indicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown PATIENT file (#2); CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT.727.832,37 MEANS TESTThe current means test category for this patient Values: A = Category A B = Category B C = Category C P = Pending Adjudication R = Requires Means Test N = Means Test not Required E = Exempt I = Incomplete L = No Longer Applicable M = Non-ExemptUsing the patient pointer (DFN), MEANS TEST data is derived from the CURRENT MEANS TEST STATUS field (#.14) in the PATIENT file (#2). This field is a pointer to the MEANS TEST STATUS file (#408.32). Using the means test pointer, the data is derived from the CODE field (#.02) in the MEANS TEST STATUS file (#408.32). 727.832,38 STATE CODE FIPS 2 character numeric code for the state where the patient resides. Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the NUTRITION EXTRACT file (#727.832), data is derived from the STATE field (#115) in the PATIENT file (#2) which points to the STATE file (#5). From the STATE file record, use the two character VA STATE CODE (#2).727.832,39 COUNTY CODEThe county code for where the patient resides (FIPS). Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the NUTRITION EXTRACT File (#727.832), data is taken from the COUNTY field (#117) in the PATIENT file (#2) which points to a sub file record in the COUNTY multiple field (#3) of the STATE file (#5). A pointer to the STATE file (#5) is obtained from the STATE field (#.115) of the file (#2) record. From the sub file record of field (#3) of file (#5) use the value of the VA COUNTY CODE field (#2).727.832,40 ZIP +4 Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.The patient zip code with optional 4 digit extension as found in the ZIP+4 field (#.1112) of the patient's record in the PATIENT file (#2)727.832,41 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the first 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO.727.832,42 RRTP, PRRTP AND SAARTP INDICATOR Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRPulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes 727.832,43 ENCOUNTER NUMBER The unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the NUT extract, encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and Stop Code value = NUT.Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.832,44 PATIENT DIVISION Division in which patient's bed is locatedUsing the movement record, identify the ward associated with the record and retrieve the facility associated with the ward which is a pointer to the MEDICAL CENTER DIVISION file (#40.8), then use field (#.07) which is a pointer to the INSTITUTION file (#4). Use the GETDIV^ECXDEPT API and retrieve the value from the STATION NUMBER field (#99). 727.832,45 FOOD PRODUCTION DIVISION Division in which the kitchen is located. Take the value in the PRODUCTION LOCATION field located on the DSS Nutrition Division Worksheet and return the value of the division determined there727.832,46 DELIVERY DIVISION Division to which the meal was delivered. Take the value in the DELIVERY LOCATION field located on the DSS Nutrition Division Worksheet and return the value of the division that is determined there. Using the Delivery Location go to the DSS NUTRITION DIVISION WORKSHEET file (#727.46). Find the location name and retrieve the designated division mapped to the Delivery Location.727.832,47 PRODUCT FEEDER KEY Product delivered (1 of 12 possible DSS Products) In all cases, the extract logic should take both the value for the product field and the source file to the worksheet to obtain the correct Feeder Key value. Some items (Ensure, Cranberry Juice, etc) may appear in different source files and will need different Feeder Key values. 12 possible DSS Products: National Diet Products REGULAR FULL LIQS CLEAR LIQS PUREE DYSPH National Supplemental Feeding products SUPP FEED SUPP FEED NC National Tube Feeding Products TF LESS 1 TF MORE 1 TF MIX LESS 1 TF MIX MORE 1 DSS National Standing Order Products ST ORDER ST ORDER NC Records created as follows: INPATIENT MEALS - One record per meal (breakfast, lunch, dinner) between Begin Date and End Date. INPATIENT STANDING ORDERS - One record per standing order for each day between Begin Date and End Date (inclusive). INPATIENT SUPPLEMENTAL FEEDINGS - One record per supplemental feeding (may be up to 12 per day) for each day between Begin Date and End Date (inclusive). INPATIENT TUBE FEEDINGS - One record per product per day for each calendar day between Begin Date and End Date (including both days), (may have multiple records/day if patient is on multiple products). OUTPATIENT RECURRING MEALS - One record per meal. OUTPATIENT TUBE FEEDINGS - One record per day for each product for each day of the month being extracted. OUTPATIENT GUEST MEALS - One record per each guest meal record. Inpatient Meals RECORD = One record per meal (breakfast, lunch, dinner) between Begin Date and End Date: value = DSS Product Feeder Key which is derived from DSS Nutrition Product Worksheet from the Diet DIET = Take value in (#115.1.3.12) to be used in the DSS Nutrition Product Worksheet to determine value reported in Feeder Key QUANTITY = 1 (one) BEGIN DATE = (#115.1.3.8) (EFFECTIVE DATE) END DATE = (#115.1.3.9) (CANCEL DATE) or (#115.1.3.17) (DELETE DATE) Inpatient Standing Orders RECORD = One record per standing order for each day between Begin Date and End Date (inclusive) PRODUCT = Take value in (#115.1.30.1) to be used in DSS Nutrition Product Worksheet to determine value reported in Feeder Key QUANTITY = 1 (one) BEGIN DATE = (#115.1.30.3) END DATE = (#115.1.30.5) Inpatient Supplemental Feedings RECORD = One record per supplemental feeding (may be up to 12 per day) for each day between Begin Date and End Date (inclusive) PRODUCT = take values in (#115.1.20.10); (#115.1.20.12); (#115.1.20.14); (#115.1.20.16); (#115.1.20.18); (#115.1.20.20); (#115.1.20.22); (#115.1.20.24); (#115.1.20.26); (#115.1.20.28); (#115.1.20.30); (#115.1.20.32) to be used in DSS Nutrition Product Worksheet to determine value reported in Feeder Key QUANTITY = 1 (one) BEGIN DATE = (#115.1.20.1) END DATE = (#115.1.20.42) Inpatient Tube Feedings RECORD = one record per product per day for each calendar day between Begin Date and End Date (including both days), (may have multiple records/day if patient is on multiple products). Value on extract is from DSS Nutrition Product Worksheet PRODUCT = (#115.1.40.3.01) (PRODUCT) which points to the DSS Nutrition Product Worksheet QUANTITY = (#115.1.40.3.3) (ML per day per product) BEGIN DATE = Take (#115.1.40.13).to point to file (#100), field (#21) START DATE END DATE = (#115.1.40.11) (DATE CANCEL) Outpatient Recurring Meals RECORD = One record per meal PRODUCT = (#115.16.1) points to (#111.4) which points to PRODUCTION DIET (#116.2.01) which then points to the DSS Nutrition Product Worksheet QUANTITY = 1 (one) BEGIN DATE = (#115.16.01) (Each day's order is entered separately) END DATE = None Outpatient Tube Feedings RECORD = One record per day for each product for each day of the month being extracted that is in the multiple .01, below PRODUCT = (#115.16.19.01) QUANTITY = ( #115.16.19.3) (Total ML per day per day) BEGIN DATE = (#115.16.01) END DATE = None Outpatient Guest Meals RECORD = One record per each guest meal record PRODUCT = (#115.18.50) QUANTITY = 1 (one) BEGIN DATE = Use (#115.18.01) (DAY/TIME) for date of event END DATE = None 727.832,48 FOOD PRODUCTION FACILITY Kitchen location where product was prepared. If inpatient = from DIETETIC WARD (#115.1.13) points to NUTRITION LOCATION (#119.6) which points to PRODUCTION FACILITY (#119.72.2) or If outpatient = If OUTPATIENT RECURRING MEAL (#115.16.1) is present, then use OUTPATIENT LOCATION (#115.16.2) to point to NUTRITION LOCATION (#119.6) which points to PRODUCTION FACILITY (#119.72.2) or If OUTPATIENT TUBE FEEDING (#115.16.19) is present then use OUTPATIENT LOCATION (#115.17.2) use to point to NUTRITION LOCATION (#119.6) which points to PRODUCTION FACILITY (#119.72.2) or If OUTPATIENT GUEST MEAL (#115.18.5) is present then use OUTPATIENT LOCATION (#115.18.4) to point to NUTRITION LOCATION (#119.6) which points to PRODUCTION FACILITY (#119.72.2)727.832,49 DELIVERY LOCATION TYPE Delivery point for product associated with the specific diet that was delivered on the date in the DAY field. Values: T= Tray C= Cafeteria D = Dining RoomUse the NUTRITION PATIENT file (#115), ADMISSION field (#1), DIET field (#3), TYPE OF SERVICE field (#7). It is associated with the specific diet that was delivered on the date in the DAY field.727.832,50 DELIVERY FEEDER LOCATION Patient location where product was delivered which depends on the value in DELIVERY LOCATION TYPE. Depends on value in DELIVERY LOCATION TYPE. IF DELIVERY LOCATION TYPE = "C", Use DIETETIC WARD file (#115.1.13) to point to the NUTRITION LOCATION file (#119.6) to point to the SERVICE POINT file (#119.72). Otherwise, if the DELIVERY LOCATION TYPE = "T" or "D for inpatients, the DIETETIC WARD (#115.1.13) shall be used to point to the ASSOCIATED MAS WARD (#2.5) multiple (#119.63) in the NUTRITION LOCATION file (#119.6) which includes the ASSOCIATED MAS WARD sub-field (#.01). The .01 field is a pointer to the HOSPITAL LOCATION FILE POINTER field (#44) in the WARD LOCATION file (#42),which is a pointer to HOSPITAL LOCATION file (#44). If the DELIVERY LOCATION TYPE = "T" or "D for outpatients, the DIETETIC WARD (#115.1.13) shall be used to point to the ASSOCIATED HOSPITAL LOCATION (#2.6) multiple (#119.64) in the NUTRITION LOCATION file (#119.6) which includes the ASSOCIATED HOSPITAL LOCATION sub-field (#.01). The .01 field is pointer to the HOSPITAL LOCATION file (#44). 727.832,51 QUANTITY Product quantity. If tube feeding, then fill with ml's delivered. Otherwise quantity = 1. There are two source fields for this quantity information. For tube feedings with grams use the QUANTITY field; for tube feeding liquid use PRODUCT MLS/DAY field. Outpatient if outpatient tube feeding is present (#115.16.19) and QUANTITY in (#115.16.19.2) is populated and contains GM then use this value. Otherwise fill with value from PRODUCT MLS/DAY (#115.16.19.3) and if null fill with 1 (one). Inpatient - if TUBE FEEDING (#115.1.40) is present and QUANTITY in (#115.1.40.3.2) is populated and contains GM then use this value. Otherwise fill with value with PRODUCT MLS/DAY field (#115.1.40.3.3) and if null fill with 1 (one). 727.832,52 CBOC STATUS Indicates if the patient was seen at a Community Based Outpatient Clinic (CBOC) Values: Y = Yes Null = NoIs a pointer to the FACILITY TYPE file (#4.1). CBOC STATUS INDICATOR field is derived from the FACILITY TYPE field (#13) of the INSTITUTION file (#4). 727.832,53 USER ENROLLEE Indicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA='U'.- If a veteran has a User Enrollee status for the current or future fiscal year, field is set to 'U'. If there is a past date or no date, send Null.727.832,54 PATIENT TYPE Refers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by looking at the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (# 391). PATIENT TYPE best classifies a patient. 727.832,55 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the PATIENT file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date Based on these returns, the value for this field shall be Y =Yes, E=Eligibility Expired or Null 727.832,56 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF NATIONAL FLAG file (# 26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. Value is retrieved via an API: $$GETACT^DGPFAPI. 727.832,57 ERI Identifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.832,58 ADMISSION DATE This 8-character numeric string represents the date on which the patient's admission occurred. Format:YYYYMMDD.Retrieved from the NUTRITION PERSON file (#115), ADMISSION field (#.01)727.832,59 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.832,60 OEF/OIF RETURN DATE The date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDThe value of this field is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date727.832,61 TF UNITS Indicates the unit of measurement used for the tube feeding. Values: GM ML NullIf this record is for a tube feeding and if the value in the NUT Extract QUANTITY VistA field (#51)/DSS field (#49) is from the QUANTITY field from (#115.1.40.3), then the value for this field is GM. Otherwise, a check is made to validate that the record is a tube feeding; and, if it is, the value for this field is ML. 727.832,62 ORDERING PROVIDER NPI A standard, unique life-long identifier of the provider who ordered the intravenous product, lab test, type & cross match or patient feedingIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.832,63 PRIMARY CARE PROVIDER NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.832, 64 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file.  #727.823 -- PAI EXTRACT (PAI) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Patient Assessment Instrument (PAI) extract from existing VistA files. Entries into this file are made by extracting data from the PAF file (#45.9). Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.823,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.823,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.823,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.823,3 FACILITYCurrently NullCurrently Null.727.823,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.823,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.823,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary.727.823,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientFor the PAI extract, this field is set to 3, indicating inpatient status in the LOCATION TYPE file (#40.9)727.823,8 DAYDate on which this assessment occurred. Format: YYYYMMDDDerived from the PAF file (#45.9); ASSESSMENT DATE field (#2) If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with 01 for the day (DD) portion. . 727.823,9 ADMISSION DATEThis 8-character numeric string represents the date on which the patient's admission occurred. Format:YYYYMMDD.Derived from the PAF file (#45.9); DATE OF ADMISSION/TRANSFER IN field (#7), PATIENT MOVEMENT file (#405); DATE/TIME field (#.01) If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with 01 for the day (DD) portion.727.823,10 ADMISSION TIMETime of day at which the patient admission occurred. Format: HHMMSS.Derived from the PAF file (#45.9), DATE OF ADMISSION/TRANSFER IN field (#7) PATIENT MOVEMENT file (#405), DATE/TIME field (#.01) Derived by using the DATE OF ADMISSION/TRANSFER IN field (#7) in the PAF file (#45.9) to find the corresponding admission in the PATIENT MOVEMENT file (#405). The TIME portion of the DATE/TIME field (#.01) for that admission in the PATIENT MOVEMENT file (#405) is the ADMISSION TIME, padded with trailing zeroes to six digits. This field is always exactly 6 numeric characters in length; if time cannot be determined, 000300 is used as default. 727.823,11 TRANSFER/ADMISSION DATEDate when the patient was admitted or transferred to this long term care wardDerived from the PAF file (#45.9), DATE OF ADMISSION/TRANSFER IN field (#7). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.823,12 TRANSFER/ADMISSION TIMETime when the patient was admitted or transferred to this long term care ward (6-digit military time)Derived from the PAF file (#45.9), DATE OF ADMISSION/TRANSFER in field (#7). This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default.727.823,13 RACEObserved Race Code for this patient. In compliance with OBM instructions, field is no longer updated in VistA. Values remain in VistA and are posted to DSS in case RACE1 field is not populated. See also RACE 1. Only a single value is allowed. Values: 3 = American Indian or Alaska Native A = Asian B = Black or African American D = Declined to Answer H = Native Hawaiian or Other Pacific U = Unknown by Patient W = White NullUsing the patient pointer (DFN), RACE data is shown as the ABBREVIATION field (#2) of the RACE file (#10) entry pointed to by the RACE field (#.06) in the PATIENT file (#2)727.823, 14 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.823,15 DSS DEPT.Currently NullCurrently Null727.823, 16 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.823, 17 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO.  #727.819 -- PHARMACY IV DETAIL EXTRACT (IVP) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Pharmacy IV extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.819,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.819,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.819,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.819,3 FACILITYIdentifier for the station and division.For inpatients: Derived from the DIVISION field (#3.5) in the HOSPITAL LOCATION file (#44) for the ward identified in the WARD LOCATION file (#42). For outpatients with IV orders: Derived from the DIVISION field (#.02) in the IV ROOM file(#59.5) for the IV room identified by the IV ROOM field (#.22) in the IV multiple (#100) of the PHARMACY PATIENT file (#55). 727.819,4 PATIENT NO. DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.819,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.819,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.819,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call to look up the INPAT/OUTPAT CODE field (#5) located in the DSS TREATING SPECIALTY TRANSLATION file (#727.831). The INPAT/OUTPAT code contains the inpatient/outpatient status which is based on the treating specialty value of the record. 727.819,8 DAY Date on which the IV medication was dispensed. Format: YYYYMMDDDerived from the IV EXTRACT DATA file (#728.113), DATE/TIME field (#4) which is set by routine PSIVSTAT and is always the current date/time, i.e., NOW If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.819,9 VA DRUG CLASSIFICATIONVA Drug Classification for the item in this order.Derived from the VA CLASSIFICATION field (#2) in the DRUG file (#50) for the drug identified by the DRUG field (#3) in the IV EXTRACT DATA file (#728.113)727.819,10 QUANTITYDrug quantity dispensed in the unit of issue for that drug. Unit of issue may vary from product to product and site to site. Most common units of issue are milliliters, liters, grams, grams/ml, etc.Quantity is calculated by incrementing a counter based upon the value found in the TRANSACTION TYPE field (#5) in the IV EXTRACT DATA file (#728.113). If TRANSACTION TYPE equals 1 for DISPENSED, the counter is incremented by 1; if 4 for CANCELED, no change is made to the counter; if 2 for RETURNED or 3 for DESTROYED, the counter is decreased by 1. 727.819,11 WARD Current ward where the patient is located.A call is made to IN5^VADPT using the patient IEN and the event date. If an inpatient episode, the value of VAIP (5) ward location is used to get the HOSPITAL LOCATION FILE POINTER field (#44) in the WARD LOCATION file (#42) which is a pointer to the HOSPITAL LOCATION file (#44). 727.819,13 COSTVistA Pharmacy supply cost of drug dispensed. Value is the dollar amount between 0 and 10000; 2 decimal digits.Calculated by multiplying the COST field (#12) in the IV EXTRACT DATA file (#728.113) by the QUANTITY field (#10) in the IV DETAIL EXTRACT file (#727.819) above727.819,14 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP (1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.819,15 TREATING SPECIALTY The PTF CODE of the treating specialty associated with this extract record. NULL for outpatients, except if observation patient.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.819,16 NDCNational Drug Code for the drug/supply item in this order (1 to 15 characters in length).Derived from the NDC field (#31) in the DRUG file (#50) for the drug identified by the DRUG field (#3) in the IV EXTRACT DATA file (#728.113)727.819,17 INVESTIGATIONAL (DEA SPECIAL HANDLING)Indicates if the drug in this record is Investigational. Values: I = Investigational NullDerived from the DEA, SPECIAL HDLG field (#3) in the DRUG file (#50). If the DEA, SPECIAL HDLG field contains an I, this field is set to I. 727.819,18 PHARMACY IV DISPENSING FEE The type of IV dispensed: Values: A = Admixture C = Chemotherapy H = Hyperalimentation P = Piggyback S = SyringeDerived from the TYPE field (#11) of the IV EXTRACT DATA file (#728.113). TYPE is the type of IV dispensed If the TYPE is H for Hyperal (TPN), the SOLUTION VOLUME is calculated. This field is sent as H1 if the volume is less than or equal 1000 ML; H2 if the volume is less than or equal 2000 ML; and H3 if the volume is greater than 2000 ML.727.819,19 NEW FEEDER KEY Code that uniquely identifies a DSS drug/supply product. The feeder key is a seventeen-digit number made up of the pointer to the NATIONAL DRUG file padded to five digits and the twelve digits National Drug Code.Derived for the drug identified by the DRUG field (#6) in the PRESCRIPTION file (#52), which is a pointer to the DRUG file (#50) The PSNDF VA PRODUCT NAME ENTRY field (#22) from the DRUG file (#50), which is a pointer to the VA PRODUCT file (#50.68), is padded to 5 digits. This is concatenated with a 12-digit code derived from the NDC field (#31) from the DRUG file (#50) to form a 17-digit Feeder Key.727.819,20 TOTAL DOSES PER DAY Total doses per day including units. Users holding the ECXPVE security key can edit this field in the extract in order to make corrections.1) For additives, TOTAL DOSES PER DAY is derived from the ADDITIVE STRENGTH field (#6) and the ADDITIVE STRENGTH UNITS field (#7) from the IV EXTRACT DATA file (#728.113). 2) For solutions, TOTAL DOSES PER DAY is derived from the SOLUTION VOLUME field (#8), recorded in MLs, from the IV EXTRACT DATA file (#728.113).727.819,21 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.DATE is defined by the DATE/TIME field (#4) of the IV EXTRACT DATA file (#728.113). Using the DATE and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. Only the pointer (IEN) to File (#404.51) is used. 727.819,22 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. DATE is defined by the DATE/TIME field (#4) of the IV EXTRACT DATA file (#728.113). Using the DATE and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.819,23 IVP TIME Time of day when the IV medication was dispensed (6-digit military time).Derived from the IV EXTRACT DATA file (#728.113), DATE/TIME field (#4) which is set by routine PSIVSTAT and is always the current date/time, i.e., NOW. This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default.727.819,24 ADMISSION DATEThis 8-character numeric string represents the date on which the patient's admission occurred. Format is YYYYMMDD.Derived from the PATIENT MOVEMENT file (#405), TE/TIME field (#.01) This field is always exactly 8 numeric characters in length. If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.819,25 ADMISSION TIMETime of day at which the patient admission occurred. Format is HHMMSS.Derived from the PATIENT MOVEMENT file (#405), DATE/TIME field (#.01) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default. 727.819,26 DSS IDENTIFIER FOR ENCOUNTER Primary and secondary stop codes associated with the clinic, if IV dispensed to outpatient.File (#728.113) contains a pointer to HOSPITAL LOCATION file (#44). Using this pointer, obtain the primary and secondary clinic stop codes from the CLINIC AND STOP CODES file (#728.44).727.819, 27 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.819, 28 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.819,29 PLACEHOLDERCurrently NullCurrently Null727.819, 30 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. The field will hold the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.819, 31 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.DATE is defined by the DATE/TIME field (#4) of the IV EXTRACT DATA file (#728.113). Using the DATE and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTAP^SDUTL3. 727.819, 32 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5), file (#8932.1). Active Person Class is determined by$$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.819, 33 PLACEHOLDERCurrently NullCurrently Null727.819, 34 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.819, 35 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientOBSERVATION PATIENT INDICATOR is derived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the first 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.819, 36 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the IVP extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Visit Date and Stop Code value = PHA. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.816, 37 ORDERING PROVIDERProvider who ordered the IV Product. Value: VistA file (#200) IEN preceded by "2"Derived from PROVIDER field (#9) of the IV EXTRACT DATA file (#728.113) which is populated from the PROVIDER field (#.06) within the IV MULTIPLE (#.01) of the PHARMACY PATIENT file (#55) preceded by a 2. ORDERING PROVIDER is a pointer to the NEW PERSON file (#200).727.816, 38 ORDERING STOP CODE Ordering Stop Code Numeric values 101 through 999.The value is obtained by locating the CLINIC field (#136) on the Pharmacy Patient file (#55), IV multiple (#55.01), which points to the Hospital Location file (#44) field (#8) STOP CODE NUMBER to capture the stop code. The stop code value is placed in the ORDERING STOP CODE field. If the Treating Specialty field is 18 or 23 or 24 or 36 or 41 or 65 or 94 then fill the ORDERING STOP CODE field with the corresponding Observation Stop Code. See table below: Treating Specialty Observation Code 18 293 23 295 24 290 36 294 41 296 65 291 94 292727.816, 39 ORDERING DATEDate order was verified by Nurse.Derived from the DATE VERIFIED BY NURSE field (#17) within the IV MULTIPLE (#.01) of the PHARMACY PATIENT file (#55), if null, then derived from the date portion of the LOG IN DATE/TIME field (#.21) within the IV MULTIPLE (#.01) of the PHARMACY PATIENT file (#55)727.816, 40 REQUESTING PHYSICIANCurrently Null. See Ordering Provider Field.Currently null727.816, 41 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Data comes from the DIVISION field (#.02) of the IV ROOM file (#59.5), which is a pointer to the MEDICAL CENTER DIVISION file (#40.8). This value is then used to call the API GETDIV^ECXDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4). 727.816, 42 MEANS TEST The current means test category for this patient Values: A = Category A B = Category B C = Category C P = Pending Adjudication R = Requires Means Test N = Means Test not Required E = Exempt I = Incomplete L = No Longer Applicable M = Non-ExemptUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the IV DETAIL EXTRACT file (#727.819), MEANS TEST data is derived from the CURRENT MEANS TEST STATUS field (#.14) in the PATIENT file (#2). This field is a pointer to the MEANS TEST STATUS file (#408.32). Using the means test pointer, the data is derived from the CODE field (#.02) in the MEANS TEST STATUS file (#408.32).727.816, 43 ELIGIBILITY A two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. This code is composed of two or three numeric characters.727.816, 44 DATE OF BIRTH Patient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.816, 45 SEXGender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data element is taken from the SEX field (#.02) in the PATIENT file (#2)727.816, 46 STATEFIPS 2 character numeric code for the state where the patient resides. Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the IV DETAIL EXTRACT file (#727.819), data is derived from the STATE field (#.115) in the PATIENT file (#2) which points to the STATE file (#5). From the STATE file record, use the two-character VA STATE CODE field (#2).727.816, 47 COUNTYThe county code for where the patient resides (FIPS).Using the patient pointer (DFN) data is taken from the COUNTY field (#.117) in the PATIENT file (#2) which points to a subfile record in the COUNTY multiple field (#3) of the STATE file (#5). A pointer to the STATE file (#5) is obtained from the STATE field (#.115) of the file (#2) record.727.816, 48 ZIP+4Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.Using the patient pointer (DFN), ZIP CODE data is derived from the ZIP+4 field (#.1112) PATIENT file (#2)727.816, 49 VETERANPatient's veteran status Values: Y = Is a veteran N = Is not a veteranUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the IV DETAIL EXTRACT file (#727.819), VETERAN data is derived from the VETERAN (Y/N). field (#1901) in the PATIENT file (#2)727.816, 50 PERIOD OF SERVICE The period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NonePeriod of Service is derived from the Period of Service field (#.323) in the Patient file (#2) 727.816, 51 POW STATUS Indicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2), POW STATUS INDICATED field (#.525). The status indicator is returned by SVC^VADPT.727.816, 52 POW LOCATION If POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2), POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT.727.816, 53 RADIATION STATUSIndicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.816, 54 AGENT ORANGE STATUSIndicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.816, 55 AGENT ORANGE LOCATIONIndicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Derived from the PATIENT file (#2), AGENT ORANGE EXPOSURE LOCATION field (#.3213). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT. Or If Agent Orange Status is indicated then this is the Agent Orange Exposure location. Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (.3213) of the PATIENT FILE #2. 727.816, 56 PURPLE HEART INDICATORIndicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.816, 57 MST STATUS Indicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST STATUS field (#3). A call will be made to $$GETSTAT^DGMSTAPI(DFN,DGDATE) using the DFN in the PATIENT NO. DFN field and the date in the DAY field727.819, 58 ENROLLMENT LOCATION The facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.819, 59 ENROLLMENT CATEGORY Patients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the ENROLLMENT STATUS 727.819, 60 ENROLLMENT STATUS Patients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15) 727.819, 61 PLACEHOLDERCurrently NullCurrently Null727.819, 62 CNH/SH STATUS Community Nursing Home/ State Home (CNH/SH) Indicator Values: Y = Yes N = No Null = NullDerived from the CNH CURRENT field (#148) of the PATIENT file (#2) using the Patient DFN727.819, 63 PLACEHOLDERCurrently NullCurrently Null727.819, 64 HEAD & NECK CANCER INDICATORIdentifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.819, 65 ETHNICITYThe patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.819, 66 RACE 1Self- reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullOnly those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be include in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER) that will be the only value included in the RACE1 field.727.819, 67 BCMA DRUG DISPENSEDCurrently NullCurrently Null727.819, 68 BCMA DOSE GIVENCurrently NullCurrently Null727.819, 69 BCMA UNIT OF ADMINISTRATIONCurrently NullCurrently Null727.819, 70 BCMA ICU FLAGCurrently Null.Currently Null727.819, 71 ORDERING PROVIDER PERSON CLASS The VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Active Person which is determined by $$GET^AU4A71(PERS,DATE), where PERS is the IEN from NEW PERSON file (#200)727.819, 72 DSS IP # Currently NullCurrently Null727.819, 73 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Field contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11)727.819, 74 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.819, 75 PATIENT TYPE Refers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.819, 76 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.819, 77 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.819, 78 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT).727.819, 79 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. NATIONAL PATIENT RECORD FLAG is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. Field value is Y if the Category I flag is present and active, otherwise it is NULL.727.819,80 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null This field is extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.819,81 SW ASIA CONDITIONSThis field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Values: Y = Yes N = No U = Unknown This field is derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT.727.819,82 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFValue of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.819,83 OEF/OIF RETURN DATEThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDValue of this field is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date. 727.819,84 ASSOCIATE PC PROVIDER NPIA standard, unique life-long identifier of the associate primary care providerThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.819,85 ORDERING PROVIDER NPIA standard unique life-long identifier of the provider who ordered the intravenous productThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.819,86 PRIMARY CARE PROVIDER NPIA standard, unique life-long identifier of the primary care providerThe qualified identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.819, 87 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file.  #727.808 -- PHYSICAL MOVEMENT EXTRACT (MOV) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the MAS Physical Movement (Transfer and Discharge) extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should only be made by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.808,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.808,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.808,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.808,3 FACILITYIdentifier for the station and division.An indicator of the division where this event happened. It is derived from the DIVISION field (#.015) of the WARD LOCATION file (#42) which points to the MEDICAL CENTER DIVISION file (#40.8). This field is a pointer to the MEDICAL CENTER DIVISION file (#40.8). 727.808,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.808,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.808,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.808,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientFor the Physical Movement extract, this field is set to 3. Text value is determined by a call to IN5^VADPT. 727.808,8 DAYDate when this physical movement (from one ward to another or some type of discharge) occurred. Format: YYYYMMDDDerived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion727.808,9 PRODUCTCurrently NullCurrently Null727.808,10 ADMISSION DATEThis 8-character numeric string represents the date on which the patient's admission occurred. Format is YYYYMMDD.Derived from the PATIENT MOVEMENT file (#405); ADMISSION/CHECK-IN MOVEMENT field (#.14) PATIENT MOVEMENT file (#405); DATE/TIME field (#.01)727.808,11 DISCHARGE DATEFinal discharge date for this VistA admission. [Admissions to Nursing Homes, RRTP's (DOM), Acute Care create a new admission in VistA and DSS]. Format: YYYYMMDDDerived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01)727.808,12 MOVEMENT FILE #A number used as an index into patient movement file. Pointer to the PATIENT MOVEMENT file (#405). Using the "ATT1" cross-reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN), this is a pointer to the file (#405) record for the patients admission. 727.808,13 TYPEThe type of movement for this patient Values: 3 = Transfer 2 = Discharge Using the "ATT"_TYPE cross-reference727.808,14 LOSING WARDIndicates the ward the patient is moving from. Value is a pointer.Derived from HOSPITAL LOCATION FILE POINTER field (#44) of the WARD LOCATION file (#42) as pointed to by the WARD LOCATION field (#.06) of the PATIENT MOVEMENT file (#405). LOSING WARD is a pointer to the HOSPITAL LOCATION file (#44). 727.808,15 TREATING SPECIALTYCurrently NullCurrently Null727.808,16 LOSING WARD LOS Length of stay on losing wardCalculated as current movement date minus the date (DATE/TIME field (#.01) of the PATIENT MOVEMENT file (#405)) of the previous physical movement OR Calculated as current movement date minus the date (DATE/TIME field (#.01) of the PATIENT MOVEMENT file (#405) record pointed to by the ADMISSION/CHECK-IN MOVEMENT field (#.14) of the current movement record727.808,17 PLACEHOLDER1Currently NullCurrently Null727.808,18 MOVEMENT TYPEThe MAS code for this movement.Derived from the MAS MOVEMENT TYPE field (#.18) of the PATIENT MOVEMENT file (#405). It is a pointer to the MAS MOVEMENT TYPE file (#405.2). 727.808,19 MOV TIMETime when this patient moved from the losing ward to the gaining ward. (6-digit military time)Derived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01) This field is always exactly 6 numeric characters in length. If time cannot be determined, "000300" is used as default.727.808,20 GAINING WARDIndicates the ward the patient moved to. Value is a pointer.Derived from the HOSPITAL LOCATION FILE POINTER field (#44) of the WARD LOCATION file (#42) as pointed to by the WARD LOCATION field (#.06) of the PATIENT MOVEMENT file (#405). GAINING WARD is a pointer to the HOSPITAL LOCATION file (#44)727.808,21 ADMISSION TIMETime of day at which the patient admission occurred. Format is HHMMSS.Derived from the PATIENT MOVEMENT file (#405); ADMISSION/CHECK-IN MOVEMENT field (#.14) PATIENT MOVEMENT file (#405); DATE/TIME field (#.01) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default727.808,22 PLACEHOLDER2Currently NullCurrently Null727.808,23 PLACEHOLDER3Currently NullCurrently Null727.808, 24 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.808,25 DSS DEPT.DSS Dept. for the patient's gaining wardAssociated with the physical movement record. This code is found in the DSS WARD file (#727.4) using the value of the WARD LOCATION field (#.06) of the PATIENT MOVEMENT file (#405) record for the patient's physical movement. The value found in WARD LOCATION is a pointer to the WARD LOCATION file (#42). Each record in file (#727.4) has a (#.01) field which points to a record in file (#42), and the internal entry number of the file (#727.4) is set to be the same as the record in file (#42) to which it points. Therefore, the WARD LOCATION field (#.06) can be used as a pointer to file (#727.4) as well. Data for this field is taken from the DSS DEPARTMENT field (#1) of the file (#727.4) record for the Losing Ward. 727.808, 26 DOM, PRRTP and SAARTP INDICATOR Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.808, 27 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator This field provides a one-character flag for identifying observation case records. Analogous to Medicare rules, DSS considers Observation cases to be outpatient encounters. An outpatient encounter number is built according to the admitting Treating Specialty with the STOP CODE value being 290-296. The In/Out Code = O. Observation Stop Codes equate to Treating Specialty Values: Treating Specialty Stop Code 18 293 - Neurology 23 295 - SCI 24 290 - Medicine 36 294 - Blind Rehab 41 296 - Rehab Med 65 291 - Surgery 94 292 Psychiatry 1J 297 (Emergency Dept) Observation Indicator Values: Y = Patient is an Observation Patient. N = Patient is not an Observation Patient NullDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.808, 28 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the MOV extract, all encounter numbers are for inpatients, except observation cases. Both use the above rules.Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.808, 29 DISCHARGE PC Patient's primary care provider from the losing ward. Will be null unless the patient is physically discharged from the hospital.DISCHARGE PRIMARY PROVIDER is derived using the DAY field (#8) of this extract and the PATIENT DFN (#4). A call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the providers internal entry number and name from the NEW PERSON file (#200). A 2 is will be prefixed to the pointer value.727.808, 30 DISCHARGE PC TEAMPatient's primary care team from the losing ward. Will be null unless the patient is physically discharged from the hospital.DISCHARGE PRIMARY CARE TEAM is derived using the DAY field (#8) of this extract and the PATIENT DFN field (#4). A call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the teams internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to File #404.51 is extracted.727.808, 31 DISCHARGE ASSOC PC PROVIDERCurrently NullCurrently Null727.808, 32 PRODUCTION DIVISION CODEIdentifies the division/facility where the patient is located.Data comes from the WARD AT DISCHARGE field (#200) in the PATIENT MOVEMENT file (#405). This value is then used to get the NAME field (#.01) in the WARD LOCATION file (#42) which in turn is used to get the DIVISION field (#.015) in the WARD LOCATION file (#42) which is a pointer to the MEDICAL CENTER DIVISION file (#40.8). This value is then used to call the API GETDIV^ECXDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4). 727.808, 33 DISCHARGE PC PROV PERSON CLASS Person Class of the patient's primary care provider from the losing ward. Will be null unless the patient is physically discharged from the hospital.DISCHARGE PC PROV PERSON CLASS is seven characters in length and contains the VA code associated with the active person class of the Discharge Primary Care Provider. The format of the field is V999999, where the 999999 shall be six numeric digits. The data shall be derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the Internal Entry Number (IEN) from the NEW PERSON file (#200). 727.808, 34 DISCHARGE ASSOC PC PROVIDER PC Currently NullCurrently Null727.808, 35 DISCH ASSOC PC PROV NPIA standard, unique life-long identifier of the patient's associate primary care provider from the losing ward Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.808, 36 DISCHARGE PC PROVIDER NPIA standard, unique life-long identifier of the patient's primary care provider from the losing ward Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.81 -- PRESCRIPTION EXTRACT (PRE) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Pharmacy Outpatient (Prescription) extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.81,.01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.81,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.81,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.81,3 FACILITY Identifier for the station and division.An indicator of the division where this event happened. Using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4). 727.81,4 PATIENT NO. - DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2)727.81,5 SSN The patients social security number - (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.81,6 NAME The first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.81,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls. If the MAIL field (#12) value = 1, then the IN OUT code values for this encounter shall be set to 'O' (for Outpatient).727.81,8 DAY Date on which the Prescription fill/refill was released. Format: YYYYMMDDDerived from the PRESCRIPTION file (#52), REFILL sub-file (#52.1), RELEASED DATE/TIME field (#17) or PRESCRIPTION file (#52), PARTIAL DATE sub-file (#52.2), RELEASED DATE/TIME field (#8). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.81,9 DIVISIONThe outpatient pharmacy site for this extract recordFor new prescriptions, DIVISION is derived from the DIVISION field (#20) of the PRESCRIPTION file (#52). For refill prescriptions, DIVISION is derived from the DIVISION field (#8) within the REFILL multiple (#52) of the PRESCRIPTION file (#52). For partial prescriptions, DIVISION is derived from the DIVISION field (#.09) within the PARTIAL DATE multiple (#60) of the PRESCRIPTION file (#52). DIVISION is a pointer to the OUTPATIENT SITE file (#59).727.81,10 PROVIDERThe provider who wrote the prescription for new, refill and partial fills This number is IEN preceded by 2. Derived from the PROVIDER field (#4) in the PRESCRIPTION file (#52) for new prescriptions, or from the PROVIDER field (#15) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions, or from the PROVIDER field (#6) within the PARTIAL DATE multiple (#60) in the PRESCRIPTION file (#52) for partial prescriptions 727.81,11 VA DRUG CLASSIFICATION VA Drug Classification for the drug/supply item in this prescription.Derived from the VA CLASSIFICATION field (#2) in the DRUG file (#50) for the drug identified by the DRUG field (#6) in the PRESCRIPTION file (#52) 727.81,12 MAIL Identifies if prescription was mailed. Values: 1 = mailed from the VAMC 2 =mailed from a CMOPDerived from the MAIL/WINDOW field (#11) in the PRESCRIPTION file (#52) for new prescriptions, or from the MAIL/WINDOW field (#2) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions, or from the MAIL/WINDOW field (#.02) within the PARTIAL DATE multiple (#60) in the PRESCRIPTION file (#52) for partial prescriptions 727.81,13 PROVIDER PERSON CLASS VA code associated with the active Person Class of the provider. (In DSS this is called Provider Type) The VA Code always has the format of "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.A call to $$GET^XUA4A72(PERS,DATE) will be made using the IEN in the PROVIDER and the date in the DAY field727.81,14 NEW Identifies if this is a new prescription. Values: 1= new prescription1. Examine the "AL" cross-reference on the RELEASED DATE/TIME field (#31) of the PRESCRIPTION file (#52) for new prescriptions or the RELEASED DATE/TIME field (#17) within the REFILL multiple (#52) of the PRESCRIPTION file (#52) for refill prescriptions. Cross-reference is ^PSRX("AL",DATE,D0,REFILL# or 0 for new RX). 2. Examine the "AM" cross-reference on the RELEASED DATE/TIME field (#8) within the PARTIAL DATE multiple (#60) of the PRESCRIPTION file (#52) for partial prescriptions. Cross-reference is ^PSRX("AM",DATE,D0,PARTIAL_REFILL#). 727.81,15 PLACEHOLDER2 Currently NullCurrently Null727.81,16 QUANTITYDrug quantity dispensed in the unit of issue for that drug. Unit of issue may vary from product to product and site to site. Quantities may include the number of pills, number of boxes, kits or bottles, or the volume of the bottle in milliliters or liters or other units of issue.Derived from the QTY field (#7) in the PRESCRIPTION file (#52) for new prescriptions, or from the QTY field (#1) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions, or from the QTY field (#.04) within the PARTIAL DATE multiple (#60) in the PRESCRIPTION file (#52) for partial prescriptions727.81,17 COSTVistA Pharmacy supply cost of drug dispensed. Value is the dollar amount between 0 and 10000; 2 decimal digits.Cost is calculated as quantity multiplied by the price. Quantity is derived from the QTY field (#7) in the PRESCRIPTION file (#52) for new prescriptions, or from the QTY field (#1) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions, or from the QTY field (#.04) within the PARTIAL DATE multiple (#60) in the PRESCRIPTION file (#52) for partial prescriptions. Price is derived from the UNIT PRICE OF DRUG is field (#17) in the PRESCRIPTION file (#52) for new prescriptions, or from the CURRENT UNIT PRICE OF DRUG field (#1.2) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions, or from the CURRENT UNIT PRICE OF DRUG field (#.042) within the PARTIAL DATE multiple (#60) in the PRESCRIPTION file (#52) for partial prescriptions. 727.81,18 PLACEHOLDER3Currently NullCurrently Null727.81,19 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP(1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.81,20 TREATING SPECIALTY The treating specialty PTF CODE assigned to this patient when the prescription was issued, if the patient was an inpatient at that time. Otherwise, this field is null.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.81,21 PLACEHOLDER4Currently NullCurrently Null727.81,22 UNIT OF ISSUE Units in which this item was dispensed (1-10 characters).Derived from the DISPENSE UNIT field (#14.5) in the DRUG file (#50) for the item identified by the DRUG field (#6) in the PRESCRIPTION file (#52) 727.81,23 DATE OF BIRTHPatient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.81,24 ELIGIBILITY A two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. 727.81,25 VETERAN Patient's veteran status Values: Y = Is a veteran N = Is not a veteranUsing the patient pointer (DFN), VETERAN data is derived from the VETERAN (Y/N). Field (#1901) in the PATIENT file (#2) 727.81,26 COPAY Indicates whether this prescription was billed for copay Values: 1 = Yes 0 = NoDerived from the existence of the IB NUMBER field (#106) in the PRESCRIPTION file (#52) for new prescriptions or from the IB NUMBER field (#9) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions. If that field is not null, the prescription was billed for copay and this field is set to 1.727.81,27 FEEDER KEY Code that uniquely identifies a DSS drug/supply product. The feeder key is a seventeen-digit number made up of the pointer to the NATIONAL DRUG file padded to five digits and the twelve digits National Drug Code.Derived for the drug identified by the DRUG field (#6) in the PRESCRIPTION file (#52), which is a pointer to the DRUG file (#50). The PSNDF VA PRODUCT NAME ENTRY field (#22) from the DRUG file (#50), which is a pointer to the VA PRODUCT file (#50.68) is padded to 5 digits. This is concatenated with a 12-digit code derived from the NDC field (#31) from the DRUG file (#50) to form a 17-digit Feeder Key.727.81,28 INVESTIGATIONAL (DEA Special Handling) Indicates if the drug in this record is Investigational. Values: I = Investigational NullDerived from the DEA, SPECIAL HDLG field (#3) in the DRUG file (#50). If the DEA, SPECIAL HDLG field contains an I, this field is set to I. 727.81,29 DAYS SUPPLYNumber of days covered by this prescription (a number between 1 and 31; 0 decimal digits).Derived from the DAYS SUPPLY field (#8) in the PRESCRIPTION file (#52) for new prescriptions, or from the DAYS SUPPLY field (#1.1) within the REFILL multiple (#52) in the PRESCRIPTION file (#52) for refill prescriptions, or from the DAYS SUPPLY field (#.041) within the PARTIAL DATE multiple (#60) in the PRESCRIPTION file (#52) for partial prescriptions727.81,30 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the RELEASED DATE/TIME field from the PRESCRIPTION file (#52) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to file (#404.51) is transmitted. 727.81,31 PRIMARY CARE PROVIDERThe primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the RELEASED DATE/TIME field from the PRESCRIPTION file (#52) and the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the PRESCRIPTION EXTRACT file (#727.81), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.81,32 TIMETime of day when the prescription fill/refill was released. Format: HHMMSSDerived from the PRESCRIPTION file (#52), REFILL sub-file (#52.1), RELEASED DATE/TIME field (#17) or PRESCRIPTION file (#52), PARTIAL DATE sub-file (#52.2), RELEASED DATE/TIME field (#8) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default. 727.81,33 RACEObserved Race Code for this patient. In compliance with OBM instructions, field is no longer updated in VistA. Values remain in VistA and are posted to DSS in case RACE1 field is not populated. See also RACE 1. Only a single value is allowed. Values: 3 = American Indian or Alaska Native A = Asian B = Black or African American D = Declined to Answer H = Native Hawaiian or Other Pacific U = Unknown by Patient W = White NullUsing the patient pointer (DFN), RACE data is shown as the ABBREVIATION field (#2) of the RACE file (#10) entry pointed to by the RACE field (#.06) in the PATIENT file (#2)727.81, 34 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.81, 35 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.81,36 SEXGender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data element is taken from the SEX field (#.02) in the PATIENT file (#2)727.81,37 ZIP+4Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.Using the patient pointer (DFN), ZIP CODE data is derived from the ZIP+4 field (#.1112) PATIENT file (#2)727.81,38 PLACEHOLDERCurrently NullCurrently Null727.81,39 PLACEHOLDERCurrently NullCurrently Null727.81,40 STATEFIPS 2 character numeric code for the state where the patient resides. Using the patient pointer (DFN), data is derived from the STATE field (#.115) in the PATIENT file (#2) which points to the STATE file (#5). From the STATE file record, use the two-character VA STATE CODE field (#2).727.81,41 COUNTYThe county code for where the patient resides (FIPS).Using the patient pointer (DFN), COUNTY data is derived from the COUNTY field (#.117) in the PATIENT file (#2). The data transmitted is the three character VA COUNTY CODE, field (#2) within the COUNTY field (#3) multiple of the STATE file (#5). 727.81, 42 PC PROVIDER PERSON CLASSThe VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. The field will hold the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.81, 43 POW STATUSIndicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2), POW STATUS INDICATED Field (#.525). The status indicator is returned by SVC^VADPT.727.81, 44 POW LOCATION If POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2), POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT.727.81, 45 RADIATION STATUSIndicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.81, 46 AGENT ORANGE STATUSIndicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.81, 47 SHARING AGREEMENT PAYOR An indicator used for patients participating in sharing agreements. Field rarely contains data. Values: A = Sharing Agreement B = TRICARE C = CAT C / Category C D = CHAMPVA E = CHAMPUS NULLThe ALIAS sub-field (#.01) of the ALIAS multiple field (#1) of the PATIENT file (#2) is used to indicate a patient who participates in a sharing agreement. If the (#.01) field contains any one of the specified key words, then the patient is considered to be included for Sharing Agreement information. Field (#.01) must contain any one of the following key words: SHARING AGREEMENT CHAMPVA TRICARE CAT C CATEGORY C727.81, 48 SHARING AGREEMENT INSURANCE Indicates the first insurer for patients who participate in sharing agreements. Field rarely contains data.Data is taken from the INSURANCE TYPE sub-field (#.01) of the INSURANCE TYPE field (#.3121), sub-file (#2.312), of the PATIENT file (#2). This is a pointer value for the INSURANCE COMPANY file (#36). Only the first insurance found in the multiple field is used. The data is stored as free text.727.81, 49 MST STATUSIndicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST STATUS field (#3). A call is made to GETSTAT^DGMSTAPI(DFN,DGDATE) using the patient pointer (DFN) and the date in the DAY field. 727.81, 50 ENROLLMENT LOCATIONThe facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.81, 51 ASSOCIATE PC PROVIDERCurrently NullCurrently null.727.81, 52 ASSOC. PC PROV. PERSON CLASSCurrently Null Currently Null727.81, 53 PLACEHOLDERCurrently NullCurrently Null727.81, 54 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.81, 55 PURPLE HEART INDICATORIndicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.81, 56 ENROLLMENT CATEGORYPatients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment STATUS found in this extract727.81, 57 ENROLLMENT STATUSPatients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15)727.81, 58 PLACEHOLDERCurrently NullCurrently Null727.81, 59 CNHU STATUSIdentifies if patient resides in a contract nursing home unitDerived from field (#148) CNHU STATUS of the PATIENT file (#2).727.81, 60 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values; A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NoneDerived from the Period of Service field (#.323) in the Patient file (#2)727.81, 61 OBSERVATION PATIENT INDICATORThis field is derived from the inpatient/outpatient status, treating specialty, DSS Identifier or feeder key and Mail values in the record. Null Y = Patient is an Observation Patient. N = Patient is not an Observation PatientIf the Mail field (#12) for the outpatient encounter has a value of 1 or 2, then regardless of the treating specialty the derived value of the Observation Patient Indicator field (#61) is null. Otherwise the value for Observation Patient Indicator field should be derived based upon the existing logic and rules. Derived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.81, 62 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the PRE extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and Stop Code value = PHA. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.81, 63 AGENT ORANGE LOCATIONIndicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT file (#2)727.81, 64 ORDERING PHYSICIANCurrently NullCurrently Null727.81, 65 ORDERING STOP CODE Ordering Stop Code Numeric values 101 through 999Derived from the CLINIC field (#5) of the PRESCRIPTION and is a pointer to the HOSPITAL LOCATION file (#44). Using this pointer, the ORDERING STOP CODE is then obtained from the appropriate entry in the CLINIC AND STOP CODES file (#728.44). If the Treating Specialty field is 18 or 23 or 24 or 36 or 41 or 65 or 94 then fill the ORDERING STOP CODE field with the corresponding Observation Stop Code. Please see table below. Treating Specialty Observation Code 18 293 23 295 24 290 36 294 41 296 65 291 94 292727.81, 66 ORDERING DATEOrdering Date Format: YYYYMMDDDerived from the ISSUE DATE field (#1) of the PRESCRIPTION file (#52) 727.81, 67 CNH/SH STATUS Community Nursing Home/ State Home (CNH/SH) Indicator Values: Y = Yes N = No Null = NullDerived from the CNH CURRENT field (#148) of the PATIENT file (#2) using the Patient DFN727.81, 68 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Data comes from either the a) DIVISION field (#20) of the PRESCRIPTION file (#52) or b) the DIVISION field (#.09) of Sub file (#52.2) PARTIAL DATE field (#60). These fields point to the OUTPATIENT SITE file (#59). This value is then used to call the API PREDIV^ECXDEPT RADDIV^ECXDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4).727.81, 69 MEANS TEST The current means test category for this patient Values: A = Category A B = Category B C = Category C P = Pending Adjudication R = Requires Means Test N = Means Test not Required E = Exempt I = Incomplete L = No Longer Applicable M = Non-ExemptUsing the patient pointer (DFN), MEANS TEST data is derived from the CURRENT MEANS TEST STATUS field (#.14) in the PATIENT file (#2). This field is a pointer to the MEANS TEST STATUS file (#408.32). Using the means test pointer, the data is derived from the CODE field (#.02) in the MEANS TEST STATUS file (#408.32).727.81, 70 HEAD & NECK CANCER INDICATOR Identifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.81, 71 ETHNICITY The patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.81, 72 RACE 1 Self-reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullOnly those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be include in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER) that will be the only value included in the RACE1 field.727.81, 73 DSS IP #Currently NullCurrently Null727.81, 74 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11)727.81, 75 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.81, 76 PATIENT TYPE Refers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.81, 77 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.81, 78 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.81, 79 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT).727.81, 80 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. NATIONAL PATIENT RECORD FLAG is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. 727.81, 81 RX PATIENT STATUSIndicates the status of the patient at the time the medication was filled. Values: SC = SERVICE CONNECTED AA = A&A OTH = OTHER INP = INPATIENT NON = NON-VARX Patient Status is extracted from the Rx PATIENT STATUS file (#53), field (#6) entitled: SC/A&A/OTHER/INPATIENT/NVA. The 3-character value for this field shall be an abbreviated version of the DATA TYPE/set of codes of this required field. 727.81, 82 NON-VA PRESCRIBER The one character value for this field shall be Y or NULL based on the following data types/set of codes: Values: Y = YES Null = NOExtracted from the New Person file (#200), field (#53.91)727.81, 83 RX ORDER NUMBER The prescription number, which is a whole number between 1 and 999999999. Populated from the RX# field (#.01) located on the Prescription file (#52)727.81, 84 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.81, 85 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Retrieved from the AGENT ORANGE EXPOSURE field (#118) in the PRESCRIPTION file (#52)727.81, 86 ENCOUNTER SWACIndicates the appropriate response for Southwest Asia conditions as related to this patients episode of care. Values: Y = Yes N = No Null Retrieved from the SOUTHWEST ASIA CONDITIONS field (#120) in the PRESCRIPTION file (#52)727.81, 87 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Retrieved from the HEAD AND/OR NECK CANCER field (#121) in the PRESCRIPTION file (#52)727.81, 88 ENCOUNTER MSTIndicates whether service provided during this patient encounter is related to military sexual trauma. Values: Y = Yes N = No Null Retrieved from the MILITARY SEXUAL TRAUMA field (#117) in the PRESCRIPTION file (#52)727.81, 89 SW ASIA CONDITIONS This field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Values: Y = Yes N = No U = Unknown Derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. The SVC^VADPT call is made from routine PAT^ECXUTL3.727.81, 90 RADIATION ENCOUNTER INDICATORThis indicates whether service provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = Yes N = No U = Unknown Null Retrieved from the IONIZING RADIATION EXPOSURE field (#119) in the PRESCRIPTION file (#52)727.81, 91 SERVICE CONNECTED RXIndicates whether the prescription is for a Service Connected condition. Values: Y = Yes N = No Retrieved from the PRESCRIPTION file (#52), SERVICE CONNECTED field (#116)727.81, 92 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.81, 93 OEF/OIF RETURN DATEThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDThe value of this field is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date.727.81, 94 ASSOCIATE PC PROVIDER NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.81, 95 PRIMARY CARE PROVIDER NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.81, 96 PROVIDER NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.81, 97 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file.  #727.826 -- PROSTHETICS EXTRACT (PRO) File Data Definition This file contains the data elements as specified by the Decision Support Office (DSO) for the Prosthetics Extract from existing VistA files. Entries into this file are made by extracting data that originates in the Prosthetics RECORD OF PROS APPLIANCE/REPAIR file (#660). Information respective to the patient for which Prosthetic information is extracted is pulled from the PATIENT file (#2). Once the extracts (making up the records in this file) are approved by the extract manager, entries in this file are loaded into mail messages and transmitted to the commercial vendor. Entries in this file should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.826,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.826,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.826,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.826,3 FACILITYIdentifier for the station and division.It is derived from the DIVISION field (#3.5) in the HOSPITAL LOCATION file (#44) for the entry identified in the LOCATION field (#.04) in the OUTPATIENT ENCOUNTER file (#409.68). This field is a pointer to the MEDICAL CENTER DIVISION file (#40.8). 727.826,4 PATIENT NO. DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).Derived from the PATIENT NAME field (#.02) of the RECORD OF PROS APPLIANCE/REPAIR file (#660). This in turns points to the NAME field (#.01) of the PROSTHETICS PATIENT file (#665). This then points to the NAME field (#.01) of the PATIENT file (#2). 727.826,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros) Derived from the PATIENT NAME field (#.02) of the RECORD OF PROS APPLIANCE/REPAIR file (#660). This in turn points to the NAME field (#.01) of the PROSTHETICS PATIENT file (#665). This then points to the SSN field (#.09) of the PATIENT file The logic changed for FY08 to eliminate invalid SSNs.727.826,6 NAMEThe first four characters of the patient's last name, left justified.Derived from the PATIENT NAME field (#.02) of the RECORD OF PROS APPLIANCE/REPAIR file (#660). This in turn points to the NAME field (#.01) of the PROSTHETICS PATIENT file (#665). 727.826,7 IN OUTPATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.826,8 DATE OF SERVICE Date on which the new or repaired prosthetic appliance was delivered and accepted by the patient. Format: YYYYMMDDDerived from the DELIVERY DATE field (#10) in the RECORD OF PROS APPLIANCE/REPAIR file (#660) 727.826,9 FEEDER LOCATION Location within a facility where the product is produced. If this is a Prosthetics Lab Transaction and the extract header and/or Prosthetic Station is equal to the Receiving Station, the FEEDER LOCATION is constructed as follows: 3-digit station number of the Receiving Station, concatenated with LAB. An example is XXXLAB, where XXX is the Receiving Station number, or 5-digit station number of the Receiving Station (includes the 2-letter division suffix) concatenated with LAB. An example is XXXXXLAB, where XXXXX is the Receiving Station number. If this is a Prosthetics Lab Transaction and the extract header and/or Prosthetic Station is equal to the Requesting Station, the FEEDER LOCATION is constructed as follows: 3-digit station number of the Requesting Station, concatenated with ORD. An example is XXXORD, where XXX is the Requesting Station number, or 5-digit station number of the Requesting Station (includes the 2-letter division suffix) concatenated with ORD. An example is XXXXXORD, where XXXXX is the Requesting Station number. If this is not a Prosthetics Lab Transaction, the FEEDER LOCATION is constructed as follows: 3-digit Station number concatenated with NONL. An example is XXXNONL, where XXX is the Station number, or 5-digit Station number (includes the 2-letter division suffix); concatenated with NONL .An example is XXXXXNONL, where XXXXX is the Station number. Derived from the RECORD OF PROS APPLIANCE/REPAIR file (#660). Depending on how the FEEDER LOCATION is constructed, data is derived from the following fields in the RECORD OF PROS APPLIANCE/REPAIR file (#660): RECEIVING STATION (#70) RECEIVING STATION is a pointer to the INSTITUTION file (#4). REQUESTING STATION (#40) RECEIVING STATION is a pointer to the INSTITUTION file (#4). STATION (#8) This is a pointer to the INSTITUTION file (#4).727.826,10 FEEDER KEYCode that uniquely identifies a DSS product. Format is: HHHHHTSsta_5RRR HHHHH = HCPCS Code T = Transaction type S = Source sta_5 = Three or five character station number RRR = Requesting or Receiving Station HCPCS Code - The 5-character HCPCS Code. Transaction Type Code Values: X = Repair (X) N = Initial Issue (I), Replace (R), or Spare (S) Source Values: V = VA C = Commercial sta_5 and RRR Values: If this is not a Prosthetics Lab Transaction this is Null. If this is a Prosthetics Lab Transaction and FEEDER LOCATION ends in ORD: 3 or 5 character Receiving Station concatenated with REC. If this is a Prosthetics Lab Transaction and FEEDER LOCATION ends in LAB: 3 or 5 character Requesting Station concatenated with REQ. Derived from the RECORD OF PROS APPLIANCE/REPAIR file (#660). Depending how the FEEDER KEY is constructed, the components for the FEEDER KEY are derived from the following fields in the RECORD OF PROS APPLIANCE/REPAIR file (#660): HCPCS (#4.1) - HCPCS is a pointer to the CPT CODE field (#.01) of the CPT file (#81) TYPE OF TRANSACTION (#2) SOURCE (#12) RECEIVING STATION (#70) RECEIVING STATION is a pointer to the INSTITUTION file (#4). REQUESTING STATION (#40) REQUESTING STATION is a pointer to the INSTITUTION file (#4). STATION (#8) STATION is a pointer to the INSTITUTION file (#4). 727.826,11 QUANTITY The number of units issue or units repaired as indicated in the patient's prosthetic record. Unit of issue may vary from product to product and site to site. Right justified padded with leading zeros. Zero decimal digits. (Integers only)Derived from the QTY field (#5) in the RECORD OF PROS APPLIANCE/REPAIR file (#660) If the quantity is not known, a default value of 1 will be assigned to the extract record727.826,12 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE OF SERVICE field and the patient's DFN, OUTPTTM^SDUTL3 returns the teams IEN from the TEAM file (#404.51)727.826,13 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE OF SERVICE field and the patient's DFN, OUTPTPR^SDUTL3 returns the provider's New Person file record internal entry number727.826,14 PCE CPT/HCPCS CODE & MODIFIERS HCPCS code for the item you are selecting. Derived from the HCPCS (#4.1) field in the RECORD OF PROS APPLIANCE/REPAIR file (#660). HCPCS (#4.1) is a pointer to the respective CPT CODE field (#.01) in the CPT file (#81). The source of CPT modifiers is the MODIFIER field (#.01) of the CPT MODIFIER file (#81.3).727.826,15 ICD-9 CODECurrently Null ICD-9 code is not available in PRO.Currently Null727.826, 16 SECONDARY ICD9 CODE #1Currently Null ICD-9 code is not available in PRO.Currently Null727.826, 17 SECONDARY ICD9 CODE #2Currently Null ICD-9 code is not available in PRO.Currently Null727.826, 18 SECONDARY ICD9 CODE #3 Currently Null ICD-9 code is not available in PRO.Currently Null727.826, 19 SECONDARY ICD9 CODE #4Currently Null ICD-9 code is not available in PRO.Currently Null727.826,20 AGENT ORANGE STATUS Indicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.826,21 RADIATION EXPOSURE STATUS Indicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.826,22 SW ASIA CONDITIONS This field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Y = Yes N = No U = UnknownThis field is derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT which is called by PAT^ECXUTL3. The field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.826,23 PATIENT ELIGIBILITY Patients Primary Eligibility Code.Using the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. This code is composed of two or three numeric characters.727.826,24 COST OF TRANSACTION Cost to produce the prosthetic. The value is determined in one of three ways: 1) The value found in VistA TOTAL COST in the patient's prosthetic record when the Form Requested On indicates a commercial acquisition method. 2) The value found in VistA TOTAL LAB COST in the patient's prosthetic record when the value in the FORM REQUESTED ON field is a Lab Transaction (i.e., #2529-3). 3) Has a value of zero when the Form Requested On indicates a stock or inventory issueDerived from the RECORD OF PROS APPLIANCE/REPAIR file (#660). Depending on how the COST OF TRANSACTION is constructed, data is derived from the following fields in the RECORD OF PROS APPLIANCE/REPAIR file (#660): 1) TOTAL COST (#14) 2) TOTAL LAB COST (#48) 3) FORM REQUESTED ON (#11)727.826,25 LAB LABOR COSTTotal cost of the labor to perform the job.Derived from the TOTAL LABOR COST field (#46) in the RECORD OF PROS APPLIANCE/REPAIR file (# 660). The following algorithm is defined: a) If the patient's prosthetic record indicates a Lab Transaction, the value of LAB LABOR COST is equal to the value found for TOTAL LABOR COST. b) If the patient's prosthetic record is not a Lab Transaction, the value of LAB LABOR COST is zero. c) If LAB LABOR COST is not known, and the patient's prosthetic record indicates a Lab Transaction, a zero value is assigned to the extract record. 727.826,26 LAB MATERIAL COSTCost of all materials to perform the job.Derived from the RECORD OF PROS APPLIANCE/REPAIR according to the following algorithm: a) If the patient's prosthetic record indicates a Lab Transaction, the value of LAB MATERIAL COST is equal to the value found for TOTAL MATERIAL COST. b) If the patient's prosthetic record is not a Lab Transaction, the value of LAB MATERIAL COST is zero. c) If LAB MATERIAL COST is not known, and the patient's prosthetic record indicates a Lab Transaction, a zero value is assigned to the extract record. d) LAB MATERIAL COST shall allow for values, which are reported in dollars and cents. The actual value shall be extracted, including the decimal point.727.826,27 BILLING STATUS Utilization Status. Values: 1 = SC/OP 2 = SC/IP 3 = NSC/IP 4 = NSC/OP 5 = OTHERDerived from the PATIENT CATEGORY field (#62) in the RECORD OF PROS APPLIANCE/REPAIR file (#660) for the prosthetic device record extracted727.826,28 VET/NON VET Patient's veteran status Values: Y = Is a veteran N = Is not a veteran Null = UnknownPulled from the VETERAN (Y/N) field (#1901) in the PATIENT file (#2). If the veteran's status is not known, a NULL value will be assigned to the VET/NON VET field. 727.826,29 TYPE OF TRANSACTIONCode that best describes the prosthetic transaction. Values: I = Initial Issue R = Replace S = Spare X = Repair 5 = RentalDerived from the TYPE OF TRANSACTION field (#2) in the RECORD OF PROS APPLIANCE/REPAIR file (#660). If the TYPE OF TRANSACTION is not known, NULL is assigned to the field. 727.826,30 REQUESTING STATION Facility that initiates the request for a Lab prosthetic.Derived by pulling the REQUESTING STATION field (#40) in the RECORD OF PROS APPLIANCE/REPAIR file (#660), which is a pointer to the INSTITUTION file (#4)727.826,31 RECEIVING STATION Lab facility that fills the Lab request and provides the prosthetic to the requesting stationDerived by pulling the RECEIVING STATION field (#70) in the RECORD OF PROS APPLIANCE/REPAIR file (#660), which is a pointer to the INSTITUTION file (#4)727.826,32 PSAS HCPCS CODE This field is used to hold the PSAS VA HCPCS 5- character CPT Code, the Quantity or how many times the unique code appears in the record, and up to up to 5 two-character CPT modifiers. Field length in Vista is 15.The PSAS HCPCS field (#4.5) of the RECORD OF PROS APPLIANCE/REPAIR file (#660) is used. It is a pointer to the PROSTHETICS HCPCS file (#661.1). The HCPCS field (#.01) of file (#661.1) is placed in this extract record field.727.826,33 ZIP CODE Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.Using the patient pointer (DFN), ZIP CODE data is derived from the ZIP+4 field (#.1112) PATIENT file (#2)727.826,34 DATE OF BIRTH Patient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.826,35 SEX Gender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data element is taken from the SEX field (#.02) in the PATIENT file (#2)727.826,36 AMIS GROUPER Number that indicates what items combine to create a prosthetic device.Derived from the AMIS GROUPER field (#68) in the RECORD OF PROS APPLIANCE/REPAIR file (#660). The field is used to sort prosthetic items that combine to create a prosthesis. Decimals are not allowed. 727.826,37 PLACEHOLDER Currently NullCurrently Null727.826,38 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.826,39 DSS Product DepartmentCurrently NullCurrently Null727.826, 40 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. The field will hold the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.826, 41 RACE Observed Race Code for this patient. In compliance with OBM instructions, field is no longer updated in VistA. Values remain in VistA and are posted to DSS in case RACE1 field is not populated. See also RACE 1. Only a single value is allowed. Values: 3 = American Indian or Alaska Native A = Asian B = Black or African American D = Declined to Answer H = Native Hawaiian or Other Pacific U = Unknown by Patient W = White NullUsing the patient pointer (DFN), RACE data is shown as the ABBREVIATION field (#2) of the RACE file (#10) entry pointed to by the RACE field (#.06) in the PATIENT file (#2). Patient race is returned by DEM^VADPT.727.826, 42 POW STATUS Indicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2), POW STATUS INDICATED field (#.525). The status indicator is returned by SVC^VADPT.727.826, 43 POW LOCATION If POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2); POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT.727.826, 44 SHARING AGREEMENT PAYOR An indicator used for patients participating in sharing agreements. Field rarely contains data. Values: A = Sharing Agreement B = TRICARE C = CAT C / Category C D = CHAMPVA E = CHAMPUS NULLThe ALIAS sub-field (#.01) of the ALIAS multiple field (#1) of the PATIENT file (#2) is used to indicate a patient who participates in a sharing agreement. If the (#.01) field contains any one of the specified key words, then the patient is considered to be included for Sharing Agreement information. Field (#.01) must contain any one of the following key words: SHARING AGREEMENT CHAMPVA TRICARE CAT C CATEGORY C727.826, 45 SHARING AGREEMENT INSURANCE Indicates the first insurer for patients who participate in sharing agreements. Field rarely contains data.Data is taken from the INSURANCE TYPE sub-field (#.01) of the INSURANCE TYPE field (#.3121), sub-file (#2.312), of the PATIENT file (#2). This is a pointer value for the INSURANCE COMPANY file (#36). Only the first insurance company found in the multiple field is used. The data is stored as free text.727.826, 46 MST STATUS Indicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The MST status is stored in the MST STATUS field (#3). A call is made to $$GETSTAT^DGMSTAPI(DFN,DGDATE) using the patient DFN and the date in the DAY field. 727.826, 47 ENROLLMENT LOCATIONThe facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.826, 48 STATEFIPS 2- character numeric code for the state where the patient resides.Using the patient pointer (DFN), data is derived from the STATE field (#.115) in the PATIENT file (#2) which points to the STATE file (#5). From the STATE file record, the two-character VA STATE CODE field (#2) is used.727.826, 49 COUNTYThe county code for where the patient resides (FIPS).Using the patient pointer (DFN), data is derived from the COUNTY field (#.117) in the PATIENT file (#2), which points to a subfile record in the COUNTY multiple field (#3) of the STATE file (#5). The three-character VA COUNTY CODE field (#2) within the COUNTY multiple field is used.727.826, 50 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.From the DATE OF SERVICE field and the patient's DFN, OUTPTAP^SDUTL3 returns the provider's New Person file record internal entry number727.826, 51 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5), and file (#8932.1). Active Person Class is determined by $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.826, 52 PLACEHOLDERCurrently Null Currently Null727.826, 53 DOM, PRRTP, AND SAARTP Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.826, 54 ENROLLMENT CATEGORY Patients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the ENROLLMENT STATUS (#55), found in this extract727.826, 55 ENROLLMENT STATUS Patients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11), ENROLLMENT STATUS field (#.04), which is a pointer to the ENROLLMENT STATUS file (#27.15) 727.826, 56 PLACEHOLDERCurrently NullCurrently Null727.826,57 PURPLE HEART INDICATOR Indicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.826, 58 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Value-Description A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NoneDerived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). The data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character. 727.826, 59 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.826, 60 ENCOUNTER NUMBER The unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the PRO extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and Stop Code value = 423. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.826, 61 AGENT ORANGE LOCATION Indicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT file (#2)727.826, 62 CNH/SH STATUS (Community Nursing Home/ State Home)Community Nursing Home/ State Home (CNH/SH) Indicator Values: Y = Yes N = No Null = NullDerived from the CNH CURRENT field (#148) of the PATIENT file (#2) using the Patient DFN727.826, 63 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.The value is derived from the RECORD OF PROS APPLIANCE/REPAIR file (#660), STATION field (#8), which is a pointer to the INSTITUTION file (#4). The RADDIV^ECXDEPT DSS API retrieves the STATION NUMBER field (#99) from the INSTITUTION file (#4).727.826, 64 HEAD AND NECK CANCER INDICATOR Identifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.826, 65 ETHNICITY The patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.826, 66 RACE 1 Self-reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullOnly those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be included in the RACE 1 field. If any of the RACE INFORMATION values returned, is "C" (DECLINED TO ANSWER) that will be the only value included in the RACE1 field.727.826, 67 DSS IP # Currently NullCurrently Null727.826, 68 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11) 727.826, 69 USER ENROLLEE Indicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.826, 70 PATIENT TYPE Refers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.826, 71 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.826, 72 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.826, 73 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT).727.826, 74 NATIONAL PATIENT RECORD FLAGThis field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. NATIONAL PATIENT RECORD FLAG is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. 727.826, 75 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.826, 76 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Using the PCE field (#8.12) in the RECORD OF PROS APPLIANCE/REPAIR file (#606) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the agent orange indicator stored at the AGENT ORANGE EXPOSURE field (#80002) in the VISIT file (#9000010).727.826, 77 ENCOUNTER SWACIndicates the appropriate response for Southwest Asia conditions as related to this patients episode of care. Values: Y = Yes N = No Null Using the PCE field (#8.12) in the RECORD OF PROS APPLIANCE/REPAIR file (#606) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the Southwest Asia conditions indicator stored at the SW ASIA CONDITIONS field (#80004) in the VISIT file (#9000010). The value will be stored in the output array subscripted byPGE.727.826, 78 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Using the PCE field (#8.12) in the RECORD OF PROS APPLIANCE/REPAIR file (#606), a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the head/neck cancer data stored in the HEAD AND/OR NECK CANCER field (#80006) in the VISIT file (#9000010).727.826, 79 ENCOUNTER MSTIndicates whether service provided during this patient encounter is related to military sexual trauma. Values: Y = Yes N = No Null Using the PCE field (#8.12) in the RECORD OF PROS APPLIANCE/REPAIR file (#606) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the military sexual trauma data stored in the MILITARY SEXUAL TRAUMA field (#80005) in the VISIT file (#9000010). 727.826, 80 RADIATION ENCOUNTER INDICATORThis indicates whether service provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = Yes N = No U = Unknown Null Using the PCE field (#8.12) in the RECORD OF PROS APPLIANCE/REPAIR file (#606) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the ionizing radiation exposure indicator stored at the IONIZING RADIATION EXPOSURE field (#80003) in the VISIT file (#9000010).727.826, 81 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.826, 82 OEF/OIF RETURN DATEThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDValue is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date.727.826, 83 NPPD CODEThe National Prosthetics Product Database report line number to which the HCPCS are assignedValue is derived from the PROSTHETIC HCPCS File (#661.1), field (#5) NPPD REPAIR CODE, if the record is a repair record. The value is derived from the PROSTHETIC HCPCS File (#661.1) field (#6) NPPD NEW CODE if the record is for a new issue. Note: The PROSTHETICS (PRO) EXTRACT File (#727.826) already stores whether the record is for repair or a new issue in the TYPE OF TRANSACTION field (#29).727.826, 84 NPPD ENTRY DATEThe date the entry was first made in the VistA Prosthetics PackageThe date value is retrieved from the PROSTHETICS HCPCS File (#660), field (#.01) ENTRY DATE727.826, 85 ASSOCIATE PC PROVIDER NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.826, 86 PRIMARY CARE PROVIDER NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.826, 87 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file. #727.825 -- QUASAR EXTRACT (ECQ) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the QUASAR extract from existing QUASAR VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.825,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.825,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.825,2 EXTRACT NUMBER The corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.825,3 FACILITY Identifier for the station and division.A free text field that represents the facility NAME (#.01) from the INSTITUTION file (#4). It is derived from the SITE NAME field (#.01) in the A&SP SITE PARAMETER file (#509850.8). 727.825,4 PATIENT NO. DFN An identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.825,5 SSN The patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.825,6 NAME The first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.825,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.825,8 DAY Date when speech and audiology procedure was performed. Format: YYYYMMDDDerived from the A&SP CLINIC VISIT file (#509850.6), DATE field (#.01) If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.825,9 DSS UNIT A locally defined group of work products entered for a specific DSS Department Format: IEN of the DSS Unit.A pointer to the DSS UNIT file (#724). The DSS unit pointer is derived from the AUDIOLOGY DSS UNIT LINK field (#727.8251) or from the SPEECH PATHOLOGY DSS UNIT LINK field (#727.8252) in the A&SP SITE PARAMETER file (#509850.8). 727.825,10 CATEGORY Currently Null.Currently Null727.825,11 PROCEDURE This field contains the name of the procedure selected for this extract record. (1) The value of this field can be either a national or local product code without quantity or modifiers or a CPT code with quantity and up to five modifiers. (2) If the Procedure Code is a National, append an N to the code. (3) If the Procedure Code is a Local Procedure, append an L to the code. Derived from the PROCEDURE CODE field (#10) in the A&SP CLINIC VISIT file (#509850.6). It is the CPT code for procedures from the CPT file (#81). 727.825,12 VOLUME The number of times this specific procedure was performed. Value is a number between 1 and 9999; no decimal digits.Numeric volume for this procedure associated with this extract record727.825,13 COST CENTER The cost center associated with the DSS unit for this extract record.Derived from the COST CENTER field (#3) in the DSS UNIT file (#724). The DSS unit pointer is derived from the AUDIOLOGY DSS UNIT LINK field (#727.8251) or from the SPEECH PATHOLOGY DSS UNIT LINK field (#727.8252) in the A&SP SITE PARAMETER file (#509850.8). 727.825,14 ORDERING SECTION The IEN of the Ordering Section.This character string is the IEN of the Ordering Section in the MEDICAL SPECIALTY file (#723). The Ordering Section comes from the MEDICAL SPECIALTY field (#2) in the DSS UNIT file (#724). The DSS unit pointer is derived from the AUDIOLOGY DSS UNIT LINK field (#727.8251) or from the SPEECH PATHOLOGY DSS UNIT LINK field (#727.8252) in the A&SP SITE PARAMETER file (#509850.8). 727.825,15 SECTION This is the IEN in file (#723) of the Medical Specialty of the DSS Unit associated with this extract record.This character string represents an IEN in the MEDICAL SPECIALTY file (#723). This data element is derived from the MEDICAL SPECIALTY field (#2) in the DSS UNIT file (#724). The DSS unit pointer is derived from the AUDIOLOGY DSS UNIT LINK field (#727.8251) or from the SPEECH PATHOLOGY DSS UNIT LINK field (#727.8252) in the A&SP SITE PARAMETER file (#509850.8). 727.825,16 PROVIDER The provider associated with the patient encounter. This number is IEN preceded by 2.A character string of format "2"_IEN, where IEN is the internal entry number for the Provider in the NEW PERSON file (#200). Data is derived from the DIAGNOSIS PROVIDER field (#.14) in the A&SP CLINIC VISIT file (#509850.6).727.825, 17 PROVIDER PERSON CLASS The VA Code of the Person Class of the Provider as of the date of this record. (In DSS, this is called Provider Type) The VA Code always has the format of "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Provider Person Class is derived from the New Person file (#200), field (#5): file (#8932.1)727.825,18 PROVIDER #2 Currently NullCurrently Null727.825, 19 PROVIDER #2 PERSON CLASS Currently NullCurrently Null727.825,20 PROVIDER #3Currently NullCurrently Null727.825, 21 PROVIDER #3 PERSON CLASSCurrently NullCurrently Null727.825,22 PLACEHOLDER4Currently NullCurrently Null727.825,23 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP (1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.825,24 TREATING SPECIALTY The PTF CODE of the treating specialty associated with this extract record. Only applicable if the patient was an inpatient on the date of the procedure. NULL for outpatients, except if observation patient.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.825,25 TIME Time when the procedure was performed. Format: HHMMSSA six-character string of format HHMMSS that represents the time (military time) when the procedure was performed. A default of "000000" will be used in this field. 727.825,26 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE field (#.01) from the A&SP CLINIC VISIT file (#509850.6) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to file (#404.51) is transmitted. 727.825,27 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE field (#.01) from the A&SP CLINIC VISIT file (#509850.6) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.825,28 PCE CPT CODE & MODIFIERS 5 character CPT Code from PCE, the Quantity (or how many times the unique code appears in the record), and up to 5 two character CPT modifiers. Derived from the PROCEDURE CODE field (#10) in the A&SP CLINIC VISIT file (#509850.6). It is the CPT code for procedures from the CPT file (#81). The source of CPT modifiers is the MODIFIER field (#.01) of the CPT MODIFIER file (#81.3).727.825,29 ICD-9 CODE Primary ICD-9 (diagnosis) code for this clinic visitDerived from the first entry in the DIAGNOSTIC CODE field (#3) in the A&SP CLINIC VISIT file (#509850.6). It is a pointer to the A&SP DIAGNOSTIC CONDITION file (#509850.1), which is a DINUMed pointer to the ICD DIAGNOSIS file (#80). The first code entered is always assumed the primary diagnosis. Subsequent codes are assumed to be secondary diagnoses. Using the pointer, ICD-9 CODE is derived from the ICD DIAGNOSIS file (#80). 727.825, 30 SECONDARY ICD9 CODE #1First of the Secondary ICD9 codes for this clinic visit.The diagnostic code pointer is derived from the first entry in the DIAGNOSTIC CODE field (#38) in the A&SP CLINIC VISIT file (#509850.6). It is a pointer to the A&SP DIAGNOSTIC CONDITION file (#509850.1) which is a DINUMed pointer to the ICD DIAGNOSIS file (#80).727.825, 31 SECONDARY ICD9 CODE #2Second of the Secondary ICD9 code for this clinic visit.The diagnostic code pointer is derived from the first entry in the DIAGNOSTIC CODE field (#38) in the A&SP CLINIC VISIT file (#509850.6). It is a pointer to the A&SP DIAGNOSTIC CONDITION file (#509850.1) which is a DINUMed pointer to the ICD DIAGNOSIS file (#80).727.825, 32 SECONDARY ICD9 CODE #3Third of the Secondary ICD9 codes for this clinic visit.The diagnostic code pointer is derived from the first entry in the DIAGNOSTIC CODE field (#38) in the A&SP CLINIC VISIT file (#509850.6). It is a pointer to the A&SP DIAGNOSTIC CONDITION file (#509850.1) which is a DINUMed pointer to the ICD DIAGNOSIS file (#80).727.825, 33 SECONDARY ICD9 CODE #4Fourth of the Secondary ICD9 code for this clinic visit.The diagnostic code pointer is derived from the first entry in the DIAGNOSTIC CODE field (#38) in the A&SP CLINIC VISIT file (#509850.6). It is a pointer to the A&SP DIAGNOSTIC CONDITION file (#509850.1) which is a DINUMed pointer to the ICD DIAGNOSIS file (#80).727.825,34 AGENT ORANGE STATUS Indicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.825,35 RADIATION EXPOSURE Indicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.825,36 SW ASIA CONDITIONS The field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. Y = Yes N = No U = UnknownSouthwest Asia conditions data is derived from the Southwest Asia Conditions? field (23) in the EVENT CAPTURE PATIENT file (#721). 727.825,37 SERVICE CONNECTED Indicates if this patient is service connected Values: Y = This patient is service connected N = This patient is not service connectedDerived from the PATIENT file (#2), SERVICE CONNECTED field (#.301). The percentage is returned by SVC^VADPT.727.825,38 SENT TO PCE Currently NullCurrently Null727.825,39 PLACEHOLDER5Currently NullCurrently Null727.825,40 DSS IDENTIFIER This data element is always exactly 6 characters in length. The DSS Identifier represents the primary and secondary stop codes (if the secondary exists) of the Associated Clinic. Changed for FY2003 to ensure that records pertaining to observation cases contain the correct value. Format: DSS Identifier = PPPSSS Where PPP is Primary Stop Code and SSS is the Secondary Stop Code of the A&SP Clinic visit. DSS Identifier = PPP000 Where PPP is Primary Stop Code and 000 is appended when Secondary Stop Code is not specified, unknown or DSS Unit is set to "NOT send to PCE." DSS Identifier = 000000 Primary Stop Code is not known or the DSS Unit does not have an Associated Stop Code.Derived from: (1) A&SP CLINIC VISIT file (#509850.6) CLINIC LOCATION field (#2.6) (2) HOSPITAL LOCATION file (#44) STOP CODE NUMBER field (#8) and CREDIT STOP CODE field (#2503) (3) CLINIC STOP file (#40.7) AMIS REPORTING STOP CODE field (#1) 727.825, 41 PLACEHOLDER1Currently NullCurrently Null727.825, 42 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.825, 43 DSS PRODUCT DEPARTMENT The nationally defined DSS Department Code designated for the patient care product/Derived from the UNIT NUMBER field (#4) of the DSS UNIT file (#724)727.825, 44 PLACEHOLDERCurrently NullCurrently Null727.825, 45 PLACEHOLDERCurrently NullCurrently Null727.825, 46 PLACEHOLDERCurrently NullCurrently Null727.825,47 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the data specific Person Class data for a given provider. The field will hold the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.825, 48 PLACEHOLDERCurrently NullCurrently Null727.825, 49 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.Using the DATE field (#.01) from the A&SP CLINIC VISIT file (#509850.6) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTAP^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200).727.825, 50 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person Class is determined by. $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.825, 51 PLACEHOLDERCurrently NullCurrently Null727.825, 52 DIVISION The Division associated with the QUASAR record.Is pulled from the DIVISION field (#60) of the A&SP CLINIC VISIT file (#509850.6). The Division field there is a pointer (IEN) to the MEDICAL CENTER DIVISION file (#40.8).727.825, 53 MST STATUSIndicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST history file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST status field (#3). A call is made to $$GETSTAT^DGMSTAPI (DFN, DGDATE) using the DFN in the PATIENT NO. DFN field (#4) and the date in the day field 727.825, 54 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.825, 55 DATE OF BIRTHPatient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.825, 56 ENROLLMENT CATEGORYPatients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment STATUS found in this extract727.825, 57 ENROLLMENT STATUSPatients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15)727.825, 58 PLACEHOLDERPlaceholder for future use727.825, 59 PERIOD OF SERVICEThe period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = ChampVA-Spouse, Child V = Champus W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or None Using the patient pointer (DFN), PERIOD OF SERVICE data is derived from the PERIOD OF SERVICE field (#.323) in the PATIENT file (#2). This field is a pointer to the PERIOD OF SERVICE file (#21). Using the period of service pointer, the data is derived from the CODE field (#.03) in the PERIOD OF SERVICE file (#21). This code is a single alphanumeric character.727.825, 60 PURPLE HEART INDICATOR Indicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.825, 61 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientOBSERVATION PATIENT INDICATOR is derived from other fields in this extract. If the TREATING SPECIALTY field (#24) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.825, 62 ENCOUNTER NUMBER The unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the ECQ extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Visit Date and Stop Code value = first 3 characters in the DSS IDENTIFIER field (#727.825.40). Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.825, 63 AGENT ORANGE LOCATIONIndicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (#.3213) of the PATIENT file (#2)727.825, 64 ORDERING DIVISIONCurrently NullCurrently Null727.825, 65 CONTRACT START DATECurrently NullCurrently Null727.825, 66 CONTRACT END DATECurrently NullCurrently Null727.825, 67 CONTRACT TYPECurrently NullCurrently Null727.825, 68 CNH/SH STATUS Community Nursing Home/ State Home (CNH/SH) Indicator Values: Y = Yes N = No Null = NullDerived from the CNH CURRENT field (#148) of the PATIENT file (#2) using the Patient DFN727.825, 69 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Identifies the Division/facility in which the patient is located. Value is retrieved from the A&SP CLINIC VISIT file (#509850.6), DIVISION field (#60), which is a pointer to the INSTITUTION file (#4) and then it uses the RADDIV^ECXDEPT API to retrieve the STATION NUMBER field (#99) in the INSTITUTION file (#4). 727.825, 70 ELIGIBILITYA two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. 727.825,71 HEAD & NECK INDICATORIdentifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.825, 72 ETHNICITYThe patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2)727.825, 73 RACE 1Self- reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullOnly those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION) will be include in the RACE 1 field. If any of the RACE INFORMATION values returned, are "C" (DECLINED TO ANSWER), that will be the only value included in the RACE1 field.727.825, 74 ENROLLMENT LOCATIONThe facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.825, 75 DSS IP # Currently NullCurrently Null727.825, 76 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11)727.825, 77 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.825, 78 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.825, 79 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.825, 80 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.825, 81 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT).727.825, 82 NATIONAL PATIENT RECORD FLAGThis field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. It is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT. 727.825, 83 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.825, 84 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Using the PCE VISIT IEN field (#125) in the A&SP CLINIC VISIT file (#509850.6) a call shall be made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the agent orange indicator stored at the AGENT ORANGE EXPOSURE field (#80002) in the VISIT file (#9000010).727.825, 85 ENCOUNTER SWACThis field indicates whether treatment provided during this patient encounter is related to exposure to Southwest Asia conditions while serving in the Southwest Asia Theater of operations. Values: Y = Yes N = No Null Using the PCE VISIT IEN field (#125) in the A&SP CLINIC VISIT file (#509850.6) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI . The ENCEVENT^PXAPI returns the Southwest Asia conditions indicator stored at the SW ASIA CONDITIONS field (#80004) in the VISIT file (#9000010). The value will be stored in the output array subscripted by PGE.727.825, 86 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Using the PCE VISIT IEN field (#125) in the A&SP CLINIC VISIT file (#509850.6) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the head/neck cancer data stored in the HEAD AND/OR NECK CANCER field (#80006) in the VISIT file (#9000010).727.825, 87 ENCOUNTER MSTIndicates whether service provided during this patient encounter is related to military sexual trauma. Values: Y = Yes N = No Null Using the PCE VISIT IEN field (#125) in the A&SP CLINIC VISIT file (#509850.6) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the military sexual trauma stored at the MILITARY SEXUAL TRAUMA field (#80005) in the VISIT file (#9000010).727.825, 88 RADIATION ENCOUNTER INDICATORThis indicates whether service provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = Yes N = No U = Unknown Null Using the PCE VISIT IEN field (#125) in the A&SP CLINIC VISIT file (#509850.6) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the ionizing radiation exposure indicator stored in the IONIZING RADIATION EXPOSURE field (#80003) in the VISIT file (# 9000010).727.825, 89 NUTRITION DIAGNOSISCurrently Null Currently Null727.825, 90 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFValue of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.825, 91 OEF/OIF Return DateThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDValue of this field is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date. 727.825, 92 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.825, 93 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.825, 94 Provider NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.825, 95 Provider #2 NPIA standard, unique life-long identifier for the second assisting provider of health care servicesIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.825, 96 Provider #3 NPIA standard, unique life-long identifier for the third assisting provider of health care servicesIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.814 -- RADIOLOGY EXTRACT (RAD) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Radiology extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains a nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.814,.01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.814,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.814,2 EXTRACT NUMBER The corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.814,3 FACILITYIdentifier for the station and division.Derived from the HOSPITAL DIVISION field (#3) within the REGISTERED EXAMS multiple (#2) in the RADIOLOGY PATIENT file (#70) HOSPITAL DIVISION points to the RADIOLOGY DIVISION file (#79) which in turn points to the INSTITUTION file (#4) 727.814,4 PATIENT NO. - DFN An identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.814,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.814,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary.727.814,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to a 1, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number, the field is reset to a 3 indicating inpatient status. 727.814,8 DAYDate on which the Radiology procedure was performed. Format: YYYYMMDDRAD/NUC MED PATIENT file (#70) REGISTERED EXAMS sub-file (#70.02); EXAM DATE field (#.01) The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion727.814,9 CPT CODE & MODIFIERS5- character CPT Code, the Quantity, (or how many times the unique code appears in the record), and up to 5 two character CPT modifiers. Derived from the CPT CODE field (#9) in the RADIOLOGY PROCEDURES file (#71) for the procedure identified in the RADIOLOGY PROCEDURE field (#2) of the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) in the RADIOLOGY PATIENT file (#70). CPT CODE is a pointer to the CPT CODE field (#.01) in the CPT file (#81). 727.814,10 PROCEDURE The radiology procedure (CPT) associated with this case.Derived from the RADIOLOGY PROCEDURE field (#2) within the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) of the RAD/NUC MED PATIENT file (#70). This field in a pointer to the RADIOLOGY PROCEDURES file (#71). 727.814,11 IMAGING LOCATIONThe imaging location where this radiology exam was performedDerived from the IMAGING LOCATION field (#4) within the REGISTERED EXAMS multiple (#2) of the RAD/NUC MED PATIENT file (#70). It is a pointer to the RADIOLOGY LOCATIONS file (#79.1). 727.814,12 LOCATION (WARD OR CLINIC)The patient's ward or clinic locationDerived from the WARD field (#6) within the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) of the RADIOLOGY PATIENT file (#70). Using this WARD LOCATION file (#42) pointer, the data is derived from the HOSPITAL LOCATION FILE POINTER field (#44) in the WARD LOCATION file (#42), which is a pointer to the HOSPITAL LOCATION file (#44). If the patient is not assigned to a ward, data is derived from the PRINCIPAL CLINIC field (#8) within the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) of the RAD/NUC MED PATIENT file (#70). PRINCIPAL CLINIC is a pointer to the HOSPITAL LOCATION file (#44). 727.814,13 SERVICEIndicates the name of the service treating the patientDerived from the SERVICE field (#7) within the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) of the RAD/NUC MED PATIENT file (#70) SERVICE is a pointer to the HOSPITAL SERVICE file (#49) 727.814,14 DIAGNOSTIC CODE Indicates the diagnostic code associated with this examDerived from the PRIMARY DIAGNOSTIC CODE field (#13) within the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) of the RADIOLOGY PATIENT file (#70) DIAGNOSTIC CODE is a pointer to the DIAGNOSTIC CODES file (#78.3) 727.814,15 REQUESTING PHYSICIAN Indicates the person requesting this radiology exam. This number is IEN preceded by 2.Derived from the REQUESTING PHYSICIAN field (#14) within the EXAMINATIONS multiple (#50) of the REGISTERED EXAMS multiple (#2) of the RAD/NUC MED PATIENT file (#70). If REQUESTING PHYSICIAN is a pointer to the NEW PERSON file (#200), it is stored as "2"_pointer value. If REQUESTING PHYSICIAN is a pointer to the PROVIDER file (#6), it is stored as "6"_pointer value. 727.814,16 MODIFIERS Indicates radiology modifiers associated with this examDerived from the MODIFIERS field (#.01) within the MODIFIERS multiple (#125) of the EXAMINATIONS multiple (#50) within the REGISTERED EXAMS multiple (#2) of the RAD/NUC MED PATIENT file (#70). This field consists of a string of pointers to the PROCEDURE MODIFIERS file (#71.2) separated by semi-colons (;).727.814,17 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP(1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.814,18 TREATING SPECIALTY The PTF CODE of the treating specialty associated with this extract record. NULL for outpatients.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code.727.814,19 TIME Time of day when this procedure was performed. Format: HHMMSSDerived from the RAD/NUC MED PATIENT file (#70), REGISTERED EXAMS sub-file (#70.02), EXAM DATE field (#.01) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default. 727.814,20 IMAGING TYPE Indicates the type of imaging used for this radiology exam.Derived from the TYPE OF IMAGING field (#2) within the REGISTERED EXAMS multiple (#2) of the RADIOLOGY PATIENT file (#70). It is a pointer to the IMAGING TYPE file (#79.2). 727.814,21 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the EXAM DATE field (#.01) within the REGISTERED EXAMS multiple (#2) of the RADIOLOGY PATIENT file (#70) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to file (#404.51) is transmitted. 727.814,22 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the EXAM DATE field (#.01) within the REGISTERED EXAMS multiple (#2) of the RADIOLOGY PATIENT file (#70) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.814, 23 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.814, 24 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.814, 25 PLACEHOLDERCurrently NullCurrently Null727.814,26 PLACEHOLDERCurrently NullCurrently Null727.814, 27 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. The field will hold the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.814, 28 ASSOCIATE PC PROVIDER (Associate Primary Care Provider) The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.Using the EXAM DATE field (#.01) within the REGISTERED EXAMS multiple (#2) of the RADIOLOGY PATIENT file (#70) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTAP^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.814, 29 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), field (#5), file (#8932.1). Active Person Class is determined by $$GET^XUA4A72 (PERS,DATE), where PERS is the IEN from file (#200). 727.814, 30 PLACEHOLDERCurrently NullCurrently Null727.814, 31 DOM, PRRTP AND SAARTPIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.814, 32 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.814, 33 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the RAD extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and the Stop Code value dependent on the value in the IMAGING TYPE field. If IMAGING TYPE = 2, then use Stop Code 109 (Nuclear Medicine) to build the encounter number. Otherwise use Stop Code = 105 to build the Encounter Number. (The Stop Code used in the Encounter Number is not necessarily related to the values reported in the RAD STOP CODE or ORDERING STOP CODE fields.)Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.814, 34 RAD STOP CODE The stop code associated with the order. The stop code is based on the IMAGING TYPE field (#20). Examples of stop codes shall include 149, 150 etc.727.814, 35 ORDERING DATEDate exam was ordered.Derived from date portion of the REQUEST ENTERED DATE/TIME field ( #16) of the RAD/NUC MED ORDERS file (#75.1)727.814, 36 PRODUCTION DIVISION CODEIdentifies the division/facility where the work was performed.The value is retrieved from RAD/NUC MED PATIENT file (#70) HOSPITAL DIVISION field (#3) which is a pointer to RAD/NUC MED DIVISION file (#79) which is a pointer to the INSTITUTION file (#4). The RADDIV^ECXDEPT DSS API retrieves the STATION NUMBER field (#99) in the INSTITUTION file (#4).727.814, 37 DSS IP # Currently NullCurrently Null727.814, 38 ORDERING PROVIDER PERSON CLASSThe VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.Value shall be based on the REQUESTING PHYSICIAN field (#13). Once this is located, then the New Person file (#200) points to the Person Class file (#8932.1) for person class. 727.814, 39 INTERPRETING RADIOLOGIST The IEN of the person interpreting this radiology exam.Contains the IEN of the NEW PERSON file (#200) entry and indicates the person interpreting this radiology exam. The IEN of the NEW PERSON file (#200)727.814, 40 INTERPRETING RADIOLOGIST PC The VA code of the Person Class of the interpreting radiologist as of the date of this extract record. (In DSS, this is called Provider Type). Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from NEW PERSON file (#200). 727.814, 41 CLINIC NAME The specific clinic ordering the radiology exams. Value is an IEN, a number between 1 and 99999999. Retrieved from the Hospital Location file (#44). The field value is a number between 1 and 99999999. 727.814, 42 CLINIC STOP CODE The ordering stop code of the clinic that ordered the radiology exam. Retrieved from the Hospital Location file (#44) field (#8) STOP CODE NUMBER and it is a pointer to the CLINIC STOP file (#40.7). The field must be 3 characters in length. 727.814, 43 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.814, 44 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.814, 45 nterpreting Radiologist NPIA standard, unique life-long identifier of the radiologist who interpreted the radiology examIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.814, 46 Primary Care Provider NPIA standard unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.814, 47 Requesting Physician NPI A standard, unique life-long identifier of the physician who requested the radiology examIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.811 -- SURGERY EXTRACT (SUR) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Surgery extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.811,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.811,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.811,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.811,3 FACILITYIdentifier for the station and division.If there is data in the DIVISION field (#50) of the SURGERY file (#130) for the extract record, this is a pointer to the INSTITUTION file (#4). Otherwise, using the NAME field (#.01) pointer from the DSS EXTRACTS file (#728), FACILITY is derived from the STATION NUMBER field (#99) for that pointer number in the INSTITUTION file (#4). 727.811,4 PATIENT NO. - DFN An identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2)727.811,5 SSNThe patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.811,6 NAME The first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.811,7 IN OUT PATIENT INDICATOR Indicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls. 727.811,8 DAY Date on which the procedure associated with this Surgery case was performed. Format: YYYYMMDDDerived from the SURGERY file (#130) DATE OF OPERATION field (#.09) If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.811,9 CASE NUMBER Unique number for surgical case. Value is a pointer.The internal entry number (IEN) of the entry from the SURGERY file (#130) for this extract record727.811,10 SURGICAL SPECIALTY Surgical specialty credited for doing this operative procedure. Values: 048 = Cardiac Surgery 049 = Transplantation 050 = General (OR when not defined below) 051 = Gynecology 052 = Neurosurgery 053 = Ophthalmology 054 = Orthopedics 055 = Otorhinolaryngology (ENT) 056 = Plastic Surgery (Includes Head and Neck) 057 = Proctology 058 = Thoracic Surgery (Inc. Cardiac Surg.) 059 = Urology 060 = Oral Surgery (Dental) 061 = Podiatry 062 = Peripheral Vascular 078 = AnesthesiologyDerived from the NATIONAL SURGICAL SPECIALTY field (#1) in the LOCAL SURGICAL SPECIALTY file (#137.45) for the pointer value found in the SURGERY SPECIALTY field (#.04) of the SURGERY file (#130). SURGICAL SPECIALTY is the three-digit CODE field (#.01) from the SURGICAL SPECIALTY file (#45.3). If no surgical specialty is found, this field is sent as 999. 727.811,11 OR ROOM NUMBER Indicates the OR Room used for the case. Value is a pointer.Derived from the OPERATING ROOM field (#.02) in the SURGERY file (#130). Field #.02 points to the OPERATING ROOM file (#131.7), which in turn is a pointer to the HOSPITAL LOCATION file (#44). The character string stored in this field represents an IEN in file (#44).727.811,12 SURGEON Person who performed the surgery. Format: IEN preceded by 2.Derived from the SURGEON field (#.14) in the SURGERY file (#130) for the surgical case. If the case is a non-OR surgical procedure, the PROVIDER field (#123) from the SURGERY file (#130) is used. In either occurrence, it is a pointer to the NEW PERSON file (#200). 727.811,13 ATTENDING SURGEON Person who oversaw and/or signed off on this surgery. (May be null if same as Surgeon.) Format: IEN preceded by 2.Derived from the ATTEND SURG field (#.164) in the SURGERY file (#130) for the surgical case. If the case is a non-OR surgical procedure, the ATTEND PROVIDER field (#124) from the SURGERY file (#130) is used. In either occurrence, it is a pointer to the NEW PERSON file (#200).727.811,14 ANESTHESIA SUPERVISOR Person who oversaw and/or signed off on the anesthesia for this case. (May be null if same as Principle Anesthetist.) Format: IEN preceded by 2.Derived from the ANESTHESIOLOGIST SUPVR field (#.34) in the SURGERY file (#130) for the surgical case. This field is a pointer to the NEW PERSON file (#200).727.811,15 ANESTHESIA TECHNIQUE Code corresponding to the type of anesthesia technique used during this case. Values: S = Spinal E = Epidural O = Other G = General M = Monitored Anesthesia Care L = LocalDerived from the ANESTHESIA TECHNIQUE field (#.01) within the ANESTHESIA TECHNIQUE multiple (#.37) of the SURGERY file (#130). This anesthesia technique is the principal technique.727.811,16 PRIMARY/ SECONDARY/ PROSTHETICS Indicator for extract record type. Values: P = Primary Procedure S = Secondary Procedure I = ImplantPrincipal procedure indicator is derived from SURGERY File (#130), PRINCIPAL PROCEDURE field (#26). Secondary procedure indicator is derived from SURGERY File (#130), sub-file (#130.16), OTHER PROCEDURE field (#.01). Prosthetics (implant) indicator is derived from SURGERY File (#130), Prosthesis Installed sub-file (#130.01), PROSTHESIS ITEM field (#.01).727.811,17 CPT Currently Null Currently Null727.811,18 PLACEHOLDER1Currently Null Currently Null727.811,19 PATIENT TIME The time, in 15-minute increments, the patient was in the OR. Divided by two if concurrent surgery. Derived from the TIME PAT OUT OR field (#.232) minus the TIME PAT IN OR field (#.205) in the SURGERY file (#130) 727.811,20 OPERATION TIME The time, in 15-minute increments, of the principal operative procedure.Derived from the TIME OPERATION ENDS field (#.23) minus the TIME OPERATION BEGAN field (#.22) in the SURGERY file (#130) for the surgical case. If the case is a non-OR surgical procedure, OPERATION TIME is derived from the TIME PROCEDURE ENDED field (#122) minus the TIME PROCEDURE BEGAN field (#121) in the SURGERY file (#130). 727.811,21 ANESTHESIA TIME The time, in 15-minute increments, of the anesthesia care administered. Divide by two if concurrent surgeryDerived from the ANES CARE END TIME field (#.24) minus the ANES CARE START TIME field (#.21) in the SURGERY file (#130)727.811,22 PROSTHESIS Describes which locally defined implant (if any) was used. Value is a pointer.Derived from the PROSTHESIS ITEM field (#.01) within the PROSTHESIS INSTALLED multiple (#.47) in the SURGERY file (#130). PROSTHESIS ITEM is a pointer to the PROSTHESIS file (#131.9). The character string in this field represents an IEN in the PROSTHESIS file (#130.9).727.811,23 QUANTITYCurrently Null See New Quantity fieldCurrently Null727.811,24 PLACEHOLDER2Currently NullCurrently Null727.811,25 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP(1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.811,26 TREATING SPECIALTYThe PTF CODE of the treating specialty associated with this extract record. NULL for outpatients.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). That pointer value is stored here as a character string; this field represents and IEN in file (# 42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.811,27 CANCELLEDIndicates if the surgery was cancelled or aborted. Values: C = Cancelled A = Aborted Null = Case completed.Determined by: If the CANCEL DATE field (#17) of the SURGERY File (#130) and the NON OR. DSS IDENTIFIER field (#31) of the DSS SURGERY EXTRACT file (#727.811) are both populated, then the value for this field is A. If the CANCEL DATE field (#17) of the SURGERY File (#130) and the TIME PAT IN OR field (#.205) of the SURGERY File (#130) are both populated, then the value for this field is A. If the CANCEL DATE field (#17) of the SURGERY File (#130) is populated, and neither the NON OR DSS IDENTIFIER field (#31) of the DSS SURGERY EXTRACT file (#727.811) nor TIME PAT IN OR field (#.205) of the SURGERY File (#130) is populated, then the value for this field is C. 727.811,28 TIME Time when the patient entered the OR. Format: HHMMSSDerived from the SURGERY file (#130); TIME PAT IN OR field (#.205) The character string always consists of exactly 6 numerics. The field default is "000300".727.811,29 OR TYPE Type of Operating Room used for this surgery case. Values: 1 = General Purpose 2 = Orthopedic 3 = Cardiac 4 = Neurosurgery 5 = Cardiac/Neuro 6 = Ambulatory 7 = Intensive Care Unit 8 = Endoscopy Room 9 = Cystoscopy Room 10 = Ward 11 = Clinic 12 = Dedicated Room 13 = Other LocationFor the OPERATING ROOM field (#.02) identified in the SURGERY file (#130), OR TYPE is derived from the TYPE field (#9) in the OPERATING ROOM file (#131.7). It is a pointer to the OPERATING ROOM TYPE file (#134), which is a national standard operating room types list. That pointer value is stored here as a character string. This field represents an IEN in file 134.727.811,30 ATTENDING'S SERVICEService of the Surgeon. Value is a pointer.An IEN in the NATIONAL SERVICE file (#730). It is derived from the SERVICE/SECTION field (#29) in the NEW PERSON file (#200) for the ATTENDING SURGEON field (#13) in the SURGERY EXTRACT file (#727.811), which is a pointer to the SERVICE/SECTION file (#49). The pointer value found in the NATIONAL SERVICE field (#730) of the SERVICE/SECTION file (#49) points to the NATIONAL SERVICE file (#730). The pointer value to file (#730) is stored in this field as a character string. The character string in this field represents an IEN in the NATIONAL SERVICE file (#730).727.811,31 NON-OR DSS IDENTIFIER Identifies the non-OR location for this procedure if the non-OR portion of the Surgery Package is used.For a non-OR procedure, the NON-OR LOCATION field (#119) in the SURGERY file (#130) points to the HOSPITAL LOCATION file (#44). The pointer is used to examine the DSS UNIT IDENTIFIER field (#8) in the CLINIC AND STOP CODES file (#728.44), to determine if this clinic is used for non-OR surgical procedures.727.811,32 RECOVERY ROOM (PACU) TIME Time, in 15-minute increments that the patient spent in the post anesthesia care unit.Derived from the PAC(U) DISCH TIME field (#1.18) minus the ADMIT PAC(U) TIME field (#1.17) in the SURGERY file (#130). 727.811,33 PLACEHOLDER3Currently NullCurrently Null727.811,34 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE OF OPERATION field (.09) from the SURGERY file (#130) and the patient pointer (DFN) stored in the PATIENT NO. - DFN field (4) in the SURGERY EXTRACT file (#727.811), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to TEAM File (# 404.51) is transmitted.727.811,35 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE OF OPERATION field (#.09) from the SURGERY file (#130) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.811,36 ADMISSION DATE This 8-character numeric string represents the date on which the patient's admission occurred. Format is YYYYMMDD.Source: Field (#.01) MOVEMENT file (#405) If the patient on whom the surgical procedure was performed was an inpatient on the procedure date, then a call to IN5^VADPT returns the Admission Date in VAIP(13,1)727.811, 37 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.811, 38 DSS PRODUCT DEPARTMENTCurrently NullCurrently Null727.811, 39 PLACEHOLDERCurrently NullCurrently Null727.811, 40 PLACEHOLDERCurrently NullCurrently Null727.811, 41 PLACEHOLDERCurrently NullCurrently Null727.811,42 PLACEHOLDERCurrently NullCurrently Null727.811, 43 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Kernel function of GET^XUA4A72 returns the date specific Person Class data for a given provider. The field holds the VA Code associated with the active Person Class of the patient's Primary Care Provider as of the date of this extract record. 727.811, 44 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.Using the DATE OF OPERATION field (#.09) from the SURGERY file (#130) and the patient pointer (DFN), a call is made to the Scheduling API, OUTPTAP^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.811, 45 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.Derived from the NEW PERSON file (#200), Field (#5); file (#8932.1) Active Person Class is determined by $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from file (#200). 727.811, 46 PLACEHOLDERCurrently NullCurrently Null727.811, 47 CPT CODE QUANTITY MODIFIERS 5- character CPT Code, the Quantity (or how many times the unique code appears in the record), and up to up to 5 two character CPT modifiers.For the principal procedure, CPT Code is derived from the PRINCIPAL PROCEDURE CODE field(#27) in the SURGERY file (#130). If the extract record is for a secondary procedure, CPT Code is derived from the OTHER PROCEDURE CPT CODE field (#3) within the OTHER PROCEDURES multiple (#.42) in the SURGERY file (#130). 727.811, 48 DOM, PRRTP AND SAARTP INDICATORIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.811, 49 ENROLLMENT CATEGORY Patients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the Enrollment STATUS found in this extract727.811, 50 ENROLLMENT STATUS Patients enrollment status 1 = Unverified 2 = Verified 3 = Inactive 4 = Rejected 5 = Suspended 6 = Deceased 7 = Cancelled/Declined 8 = Expired 9 = Pending 10 = Not Eligible 11 = Rejected; Fiscal Year 12 = Rejected; Mid-cycle 13 = Rejected; Stop New Enrollments 14 = Rejected; Initial Application by VAMC 15 = Pending; No Eligibility Code in VIVA 16 = Pending; Means Test Required 17 = Pending; Eligibility Status is Unverified 18 = Pending; Other 19 = Not Eligible; Refused to pay co pay 20 = Not Eligible; Ineligible Date 21 = Pending; Purple Heart Unconfirmed 22 = Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11) ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15)727.811, 51 PLACEHOLDERCurrently NullCurrently Null727.811, 52 PERIOD OF SERVICE The period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = ChampVA-Spouse, Child V = Champus W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NoneDerived from the Period of Service field (#.323) in the Patient file (#2)727.811, 53 PURPLE HEART INDICATORIndicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.811, 54 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y= Patient is an Observation Patient N = Patient is not an Observation Patient Derived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.811, 55 ENCOUNTER NUMBER The unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the SUR extract encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and the Stop Code value: For the SUR Extract the Stop Code will be the value of ASSOCIATED CLINIC field (#.021) of the SURGERY file (#130).if populated, else Stop Code field (#82) if populated, else if the SURGICAL SPECIALTY field #8 is 59 indicating Urology, set Stop Code = '430, else set Stop Code = 429. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.811, 56 AGENT ORANGE LOCATION Indicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (.3213) of the PATIENT FILE (#2)727.811, 57 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Data comes from the DIVISION field (#50) of the SURGERY file (#130) which is a pointer to the INSTITUTION field (#4). This value is then used to call the API RADDIV^ECDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4). 727.811, 58 HEAD & NECK CANCER INDICATOR Identifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11). HEAD & NECK CANCER INDICATOR is derived from PTF file (#45), TREATMENT FOR HEAD/NECK CANCER field (#.30).727.811, 59 ETHNICITY The patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above occurs only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.811, 60 RACE 1 Self-reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullOnly those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be include in the RACE 1 field. If any of the RACE INFORMATION values returned, are "C" (DECLINED TO ANSWER), that will be the only value included in the RACE1 field.727.811,61 NEW QUANTITY Quantity of the prosthetic device(s) used for the operative procedure(s). Numbers are between 1 and 99999).Derived from the QUANTITY field (#7) within the PROSTHESIS INSTALLED multiple (#.47) in the SURGERY file (#130) for the PROSTHESIS ITEM referred to in the PROSTHESIS field (#22) of this file727.811,62 DSS IP # Currently NullCurrently Null727.811,63 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the PATIENT ENROLLMENT file (#27.11)727.811,64 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.811,65 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.811,66 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.811,67 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.811,68 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT).727.811,69 ROOM CLEANING TIME The time (converted to 15-minute increments) required to clean the room. Divide by 2 if concurrent surgery. This is derived from the Room Cleaning Time associated with the case for which the record is being created; in the OR CLEAN UP TIME field. If the value in OR CLEAN UP TIME = 0 or null, place 2 (2 15-minute increments) in the new extract field727.811,70 HOLDING AREA TIME HOLDING AREA TIME field shall contain the time (in 15-minute increments) that the patient spent in the holding area. Divide by 2 if concurrent surgery. This is derived by subtracting the TIME PT IN HOLD AREA from TIME PT IN OR and converting the result into the number of 15-minute increments. If the TIME PT IN HOLD AREA = 0 or null, fill the extract field with a null. 727.811,71 NATIONAL PATIENT RECORD FLAG This field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. NATIONAL PATIENT RECORD FLAG is retrieved via an API $$GETACT^DGPFAPI(DFN,TARGET_ROOT.727.811,72 PRINCIPAL ANESTHETIST The principal anesthesiologist or Certified Registered Nurse Anesthetist (CRNA) (or surgeon, if local anesthesia). This field is extracted from field (#.31) PRINC ANESTHETIST located in the Surgery file (#130). Field value is preceded by a 2. 727.811,73 SURGEON PERSON CLASS SURGEON PERSON CLASS is seven characters in length and contains the VA code associated with the active person class of the Surgeon. The format of the field is V999999, where the 999999 shall be six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200). 727.811,74 ATTENDING SURGEON PC ATTENDING SURGEON PC is seven characters in length and contains the VA code associated with the active person class of the Attending Surgeon. The format of the field is V999999, where the 999999 shall be six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200)727.811,75 ANESTHESIA SUPERVISOR PC ANESTHESIA SUPERVISOR PC is seven characters in length and contains the VA code associated with the active person class of the Anesthesia Supervisor. The format of the field is V999999, where the 999999 shall be six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200)727.811,76 PRINCIPAL ANESTHETIST PC PRINCIPLE ANESTHETIST PC is seven characters in length and contains the VA code associated with the active person class of the Principle Anesthetist. The format of the field is V999999, where the 999999 is six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from NEW PERSON file (#200). 727.811,77 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2)727.811,78 AGENT ORANGE ENC INDICATORIndicates whether service provided during this patient encounter is related to exposure to Agent Orange. Values: Y = Yes N = No Null Using the VISIT field (#.015) in the SURGERY file (#130) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the agent orange indicator stored in the AGENT ORANGE EXPOSURE field (#80002) in the VISIT file (#9000010).727.811,79 ENC HEAD/NECK CAIndicates whether service provided during this patient encounter is related to head and/or neck cancer. Values: Y = Yes N = No Null Using the VISIT field (#.015) in the SURGERY file (#130), a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns the head/neck cancer data stored in the HEAD AND/OR NECK CANCER field (#80006) in the VISIT file (#9000010).727.811, 80 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.811, 81 OEF/OIF RETURN DATEThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDValue is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date.727.811, 82 CLINIC POINTERThe IEN to Hospital Location file (#44) identifies clinic associated with Surgery Specialty (field #.04 in Surgery file #130) for this case. Information can be used to confirm Stop Code. up to 6 digits.* If a case is for Non-OR portion of the Surgery package, the value for the CLINIC POINTER is retrieved from the ASSOCIATED CLINIC field (#.021) located in the SURGERY file (#130). If that value in the ASSOCIATED CLINIC is NULL, then the value is obtained from the NON-OR LOCATION field (#119) which is a pointer to the HOSPITAL LOCATION file (#44) located in the SURGERY file (#130). * If a case is not for Non-OR portion of the Surgery package, the value for the CLINIC POINTER is retrieved from the SURGICAL SPECIALTY field (#.04) located in the SURGERY file (#130) which is a pointer to the LOCAL SURGICAL SPECIALTY file (#137.45) for the ASSOCIATED CLINIC field (#2).727.811, 83 CREDIT STOPIdentifies the Credit Stop Code of the clinic associated with the Surgery Specialty for this case.The clinic associated with the Surgery Specialty is a pointer to the HOSPITAL LOCATION File (#44). CREDIT STOP is field (#2503) in the HOSPITAL LOCATION File (#44). Follow pointer to clinic entry in Clinic Stop File (#40.7) to obtain three-character code. 727.811, 84 STOP CODEIdentifies the Primary Stop Code of the clinic associated with the Surgery Specialty for this case.The clinic associated with the Surgery Specialty is a pointer to the HOSPITAL LOCATION file (#44). STOP CODE is field (#8) in the HOSPITAL LOCATION file (#44).727.811, 85 PRIC POSTOP DIAGNOSIS CODEThe POST-OP diagnosis for the Principal ProcedureThe value for this field is retrieved from the PRIN POSTOP DIAGNOSIS CODE field (#.03) which is a pointer to the ICD DIAGNOSIS file (#80) located in the SURGERY PROCEDURE/DIAGNOSIS CODES file (#136)727.811, 86 OTHER POSTOP DIAGNOSIS CODE #1The first associated diagnosis for the Principal Procedure.The value for this field is retrieved from the OTHER POSTOP DIAGNOSIS CODES field (#4) which is a pointer to Multiple (#136.04). The OTHER POSTOP DIAGNOSIS CODE field (#.01) located on MULTIPLE (#136.04) points to the ICD Diagnosis File (#80).727.811, 87 OTHER POSTOP DIAGNOSIS CODE #2The second associated diagnosis for the Principal Procedure.The value for this field is retrieved from the OTHER POSTOP DIAGNOSIS CODES field (#4) which is a pointer to Multiple (#136.04). The OTHER POSTOP DIAGNOSIS CODE field (#.01) located on MULTIPLE (#136.04) points to the ICD Diagnosis File (#80).727.811, 88 OTHER POSTOP DIAGNOSIS CODE #3The third associated diagnosis for the Principal Procedure.The value for this field is retrieved from the OTHER POSTOP DIAGNOSIS CODES field (#4) which is a pointer to Multiple (#136.04). The OTHER POSTOP DIAGNOSIS CODE field (#.01) located on MULTIPLE (#136.04) points to the ICD Diagnosis File (#80).727.811, 89 OTHER POSTOP DIAGNOSIS CODE #4The fourth associated diagnosis for the Principal Procedure.The value for this field is retrieved from the OTHER POSTOP DIAGNOSIS CODES field (#4) which is a pointer to Multiple (#136.04). The OTHER POSTOP DIAGNOSIS CODE field (#.01) located on MULTIPLE (#136.04) points to the ICD Diagnosis File (#80).727.811, 90 OTHER POSTOP DIAGNOSIS CODE #5The fifth associated diagnosis for the Principal Procedure.The value for this field is retrieved from the OTHER POSTOP DIAGNOSIS CODES field (#4) which is a pointer to Multiple (#136.04). The OTHER POSTOP DIAGNOSIS CODE field (#.01) located on MULTIPLE (#136.04) points to the ICD Diagnosis File (#80).727.811, 91 ANESTHESIA SUPERVISOR NPIA standard, unique life-long identifier of the person who oversaw and/or signed off on the anesthesia for the surgical procedureIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.811, 92 Associate PC Provider NPIA standard unique life-long identifier of the associate primary care provider.Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.811, 93 Attending Surgeon NPIA standard, unique life-long identifier of the person who oversaw and/or signed off on the surgical procedureIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.811, 94 Primary Care Provider NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.811, 95 Principal Anesthetist NPI A standard, unique life-long identifier of the principal anesthesiologist or Certified Registered Nurse Anesthetist (CRNA) who provided anesthesia for the surgical procedureIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.811, 96 SURGEON NPI A standard, unique life-long identifier of the person who performed the surgical procedureIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.811,97 ENCOUNTER SWACIndicates if treatment provided during this patient encounter is related to exposure to Southwest Asia conditions while serving in the Southwest Asia Theater of operations. Values: Y = YES N = NOUsing the pointer to the VISIT file (#90000.10) a call to the PCE API ENCEVENT^PXAPI is made. This call returns visit data, including the SW ASIA CONDITIONS field (#80004) in the VISIT file (#9000010).727.811,98 ENCOUNTER IONIZING RADIndicates if treatment provided during this patient encounter is related to exposure to ionizing radiation. Values: Y = YES N = NOUsing the Surgery VISIT field (#.015) in the SURGERY file (#130) a call is made to API VISIT^ECXSCX1 which in turn calls ENCEVENT^PXAPI. The ENCEVENT^PXAPI returns visit data, including the IONIZING RADIATION EXPOSURE field (#80003) in the VISIT file (#9000010).727.811,99 ENCOUNTER MSTIndicates if treatment provided during this patient encounter is related to Military Sexual Trauma. Values: Y = YES N = NOUsing a pointer to the VISIT file (#9000010) a call to the PCE API, ENCEVENT^PXAPI, is made. This call returns visit data, including the MST ENCOUNTER INDICATOR field (#80005) in the VISIT file (#9000010).727.811,100 ENCOUNTER SCIndicates if treatment provided during this patient encounter is Service Connected. Values: Y = YES N = NOUsing a pointer to the VISIT file (#9000010) a call to the PCE API, ENCEVENT^PXAPI, is made. This call returns visit data, including the SERVICE CONNECTED field (#80001) in the VISIT file (#9000010).727.811,101 AGENT ORANGE STATUSIndicates if patient was exposed to Agent Orange. Values: Y = YES N = NO U = UNKNOWNDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT.727.811,102 SW ASIA CONDITIONSThis field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia conditions. Values: Y = YES N = NO U = UNKNOWNThis field is derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the Patient file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT which is called by PAT^ECXUTL3. The field will have a NULL value if the Patient file (#2) record does not indicate a status.727.811,103 RADIATION STATUSIndicates if patient claims exposure to ionizing radiation. Values: Y = YES N = NODerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.811,104 MST STATUSIndicates if patient claims Military Sexual Trauma Values: Y = SCREENED, REPORTS MST N = SCREENED, DOES NOT REPORT MST D = SCREENED, DECLINES TO ANSWER U = UNKNOWNThe MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The MST status is stored in the MST STATUS field (#3). A call is made to $$GETSTAT^DGMSTAPI(DFN,DGDATE) using the patient DFN and the date in the DAY field. #727.817 -- TREATING SPECIALTY CHANGE EXTRACT (TRT) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the MAS Treating Specialty Change extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.817,.01 SEQUENCE NUMBERThe record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.817,1 YEAR MONTH A 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.817,2 EXTRACT NUMBERThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.817,3 FACILITYCurrently NullCurrently Null727.817,4 PATIENT NO. DFNAn identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.817,5 SSN The patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.817,6 NAME The first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.817,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.817,8 DAY Date on which the Treating Specialty change took place. Format: YYYYMMDDDerived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01) If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. .727.817,9 PRODUCTCurrently NullCurrently Null727.817,10 ADMISSION DATE This 8-character numeric string represents the date on which the patient's admission occurred. Format is YYYYMMDD.Derived from the PATIENT MOVEMENT file (#405); ADMISSION/CHECK-IN MOVEMENT field (#.14) PATIENT MOVEMENT FILE (#405); DATE/TIME (#.01) This field is always exactly 8 numeric characters in length. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion. 727.817,11 DISCHARGE DATE Patient's discharge dateDerived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01) This field is always exactly 8 numeric characters in length. If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.817,12 MOVEMENT FILE # A number used as an index into patient movement file. The ^DGPM("ATT3" or "ATT6",DATE,D0) cross-reference is used to obtain the current movement number associated with this patient. It is a pointer to the PATIENT MOVEMENT file (#405). 727.817,13 TYPE The type of movement for this patient Value: 6 = Specialty ChangeUsing the "ATT"_TYPE cross-reference where TYPE=6 (specialty change)727.817,14 NEW TREATING SPECIALTYThe treating specialty code for this patient at the time and date of this record.Internal entry number of SPECIALTY file (#42.4) derived from SPECIALTY field (#1) of FACILITY TREATING SPECIALTY file (#45.7) record pointed to by FACILITY TREATING SPECIALTY field (#.09) of PATIENT MOVEMENT file (#405) record. The movement record is the current treating specialty movement.727.817,15 LOSING TREATING SPECIALTYThe patient's treating specialty code from prior Treating Specialty Record.Using the "ATT3" or "ATT6" cross reference on the PATIENT MOVEMENT file (#405) and the patient pointer (DFN) stored in the PATIENT NO. - DFN field (4) in the TREATING SPECIALTY CHANGE EXTRACT file (#727.817), NEW TREATING SPECIALTY data is derived from the FACILITY TREATING SPECIALTY field (#.09) in the PATIENT MOVEMENT file (#405). This facility treating specialty data is a pointer to the FACILITY TREATING SPECIALTY file (#45.7). Using the SPECIALTY field (#1) in the FACILITY TREATING SPECIALTY file (#45.7), the pointer to the SPECIALTY file (#42.4) is obtained. This Specialty is then the LOSING Specialty for the Treating Specialty change occurring on the date in the TRT extract record.727.817,16 LOSING TREATING SPECIALTY LOSThe length of stay on the prior treating specialty. (A number between 0 and 5000; 0 decimal digits)Calculated as current treating specialty date minus the date (DATE/TIME field (#.01) of the PATIENT MOVEMENT file (#405)) of the last treating specialty change. This field will only be used for actual treating specialty changes. For file (#405) records, which reflect provider-only changes, this field will be null.727.817,17 LOSING ATTENDING PHYSICIANThe Attending Physician associated with the previous treating specialty change record in File #405.Derived from the ATTENDING PHYSICIAN field (#.19) of the PATIENT MOVEMENT file (#405) - If ATTENDING PHYSICIAN is a pointer to the NEW PERSON file (#200), it is stored as "2"_pointer value. If ATTENDING PHYSICIAN is a pointer to the PROVIDER file (#6), it is stored as "6"_pointer value.727.817,18 MOVEMENT TYPEThe MAS code for this movement.Derived from the MAS MOVEMENT TYPE field (#.18) of the PATIENT MOVEMENT file (#405). It is a pointer to the MAS MOVEMENT TYPE file (#405.2). 727.817,19 TRT TIMETime when this change in treating specialty occurred (6-digit military time)Derived from the PATIENT MOVEMENT file (#405); DATE/TIME field (#.01). This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default. 727.817,20 ADMISSION TIMETime of day at which the patient admission occurred. Format is HHMMSS.Derived from the PATIENT MOVEMENT file (#405); ADMISSION/CHECK-IN MOVEMENT field (#.14) PATIENT MOVEMENT FILE (#405); DATE/TIME (#.01) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default. 727.817,21 NEW PRIMARY WARD PROVIDERThe new Primary Provider associated with the current patient movement record in file #405Internal entry number of NEW PERSON file (#200) derived from the PRIMARY CARE PHYSICIAN field (#.08) of the PATIENT MOVEMENT file (#405). The movement record here is the current treating specialty movement. 727.817,22 NEW ATTENDING PHYSICIANThe new Attending Physician associated with the current patient movement record in file #405Internal entry number of NEW PERSON file (#200) derived from the ATTENDING PHYSICIAN field (#.19) of the PATIENT MOVEMENT file (#405). The movement record here is the current treating specialty movement.727.817,23 LOSING PRIMARY WARD PROVIDERThe losing Primary Provider for the patient movement; (i.e., the Primary Provider of the previous treating specialty change record).Internal entry number of NEW PERSON file (#200) derived from the PRIMARY CARE PHYSICIAN field (#.08) of the PATIENT MOVEMENT file (#405). The movement record is not the current treating specialty movement, but the one that corresponds to the previous treating specialty or provider change.727.817, 24 MASTER PATIENT INDEXUnique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.817, 25 DSS DEPT.Currently NullCurrently Null727.817, 26 PLACEHOLDERCurrently NullCurrently Null727.817, 27 PLACEHOLDERCurrently NullCurrently Null727.817, 28 PLACEHOLDERCurrently NullCurrently Null727.817, 29 PLACEHOLDERCurrently NullCurrently Null727.817,30 ATTENDING PHYSICIAN LOSLength of stay with the losing attending physician. Max. value = 9999Calculated as current Attending Physician date minus the date (DATE/TIME field (#.01) of the PATIENT MOVEMENT file (#405) of the last Attending Physician change 727.817,31 PRIMARY WARD PROVIDER LOSThe patient's length of stay with the losing primary ward provider. Max. value = 9999Calculated as current Ward Provider date minus the date (DATE/TIME field (#.01) of the PATIENT MOVEMENT file (#405) of the last Ward Provider change 727.817, 32 DOM, PRRTP AND SAARTP INDICATOR Indicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.817, 33 OBSERVATION PATIENT INDICATORRe-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.817, 34 ENCOUNTER NUMBERThe unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the TRT extract, all encounter numbers are for inpatients, except observation cases. Both follow the rules detailed in the paragraph above. Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.817, 35 PRODUCTION DIVISION CODECurrently NullCurrently Null727.817, 36 LOSING ATTENDING PHYSICIAN PC The active person class of the Losing Attending Physician. The format of the field is V999999, where the 999999 is six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200). 727.817, 37 NEW PRIMARY WARD PROVIDER PC The active person class of the New Primary Ward Provider. The format of the field is V999999, where the 999999 is six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200). 727.817, 38 NEW ATTENDING PHYSICIAN PC The active person class of the New Attending Physician. The format of the field is V999999, where the 999999 is six numeric digits. The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200). 727.817, 39 LOSING PRIMARY WARD PROV PC The active person class of the Losing Primary Ward Provider. The format of the field is V999999, where the 999999 is six numeric digits.  The data is derived from the NEW PERSON file (#200), field (#5); file (#8932.1). Active Person is determined by S ECX=$$GET^XUA4A72(PERS,DATE) where PERS is the IEN from the NEW PERSON file (#200).727.817, 40 LOSING ATTENDING PHYSICIAN NPIA standard, unique life-long identifier of the attending physician associated the with previous treating specialty change record in File (#405)Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.817, 41 LOSING PRIM WARD PROV NPIA standard, unique life-long identifier of the losing primary provider for the patient movement (i.e., the Primary Provider of the previous treating specialty change record)Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.817, 42 NEW ATTENDING PHYSICIAN NPI A standard, unique life-long identifier of the new attending physician associated with the current patient movement record in File (#405)Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.817, 43 NEW PRIMARY WARD PROVIDER NPI A standard, unique life-long identifier of the new primary provider associated with the current patient movement record in File (#405)Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI #727.809 -- UNIT DOSE LOCAL EXTRACT (UDP) File Data Definition This file contains data elements as specified by the Decision Support Office (DSO) for the Pharmacy Unit Dose extract from existing VistA files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross-references are deemed necessary. However, this file contains one nationally determined cross-reference, the "AC" cross-reference on the EXTRACT NUMBER field (#2). This cross-reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan. Field # and NameDescriptionTechnical Description727.809,.01 SEQUENCE NUMBER The record for this extract entryThe internal entry number (IEN) for this record. This entry is DINUMed. 727.809,1 YEAR MONTHA 6-character string representing the year and month for which this extract was performed. Format: YYYYMMA 6-character string representing the year and month for which this extract was performed. Format: YYYYMM727.809,2 EXTRACT NUMBER The corresponding entry in the DSS EXTRACT LOG file (#727) for this extractA pointer to the DSS EXTRACT LOG file (#727). The primary purpose is to pick up the header for the mail message. 727.809,3 FACILITY Identifier for the station and division.An indicator of the division where this event happened. It is derived from the DIVISION field (#.015) of the WARD LOCATION file (#42) which points to the MEDICAL CENTER DIVISION file (#40.8). 727.809,4 PATIENT NO. - DFN An identifying number for the patient at the local site. Value is an IEN from PATIENT file (#2) (DFN).The internal record number for the patient in the PATIENT file (#2) 727.809,5 SSN The patients social security number (Pseudo SSNs are indicated by a trailing Por five leading zeros)Using the patient pointer (DFN), SSN data is derived from the SOCIAL SECURITY NUMBER field (#.09) in the PATIENT file (#2). The logic changed for FY08 to eliminate invalid SSNs.727.809,6 NAMEThe first four characters of the patient's last name, left justified.Using the patient pointer (DFN), NAME data is derived from the NAME field (#.01) in the PATIENT file (#2). The first four characters of the first "," piece are used, padded with trailing spaces if necessary. 727.809,7 IN OUT PATIENT INDICATORIndicates whether the patient was an inpatient or an outpatient for this record. Values: I = Inpatient O = OutpatientThis field is initialized to an "O", indicating an outpatient status. The software then calls IN5^VADPT (using the patient IEN and the event date) and also makes a call which looks up the inpatient/outpatient indicator from the DSS TREATING SPECIALTY TRANSLATION file (#727.831) based on the treating specialty. The field is set to "I" if an inpatient status is found based on these calls.727.809,8 DAY Date on which the Unit Dose was dispensed or returned. Format: YYYYMMDDDerived from one of these methods: (1) UNIT DOSE EXTRACT DATA file (#728.904); DATE field (#2). Data is inserted in this field by Pharmacy routines PSGPLF and PSGAMSA. (2) UNIT DOSE PICK LIST STATS file (#57.6); DATE field (#.01) PICK LIST file (#53.5); START DATE/TIME field (#.03) or DT (i.e., FileMan variable for Today's Date). If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.809,9 VA DRUG CLASSIFICATION VA Drug Classification for the item in this order.Derived from the VA CLASSIFICATION field (#2) in the DRUG file (#50) for the drug identified by the DRUG field (#3) in the UNIT DOSE EXTRACT DATA file (#728.904) 727.809,10 QUANTITY Drug quantity dispensed in the unit of issue for that drug. Unit of issue may vary from product to product and site to site. Quantities may include the number of pills, number of boxes, kits or bottles or the volume of the bottle in milliliters or liters, or other units of issue.Derived from the QUANTITY field (#4) of the UNIT DOSE EXTRACT DATA file (#728.904) 727.809,11 WARD Current ward where the patient is located.Derived from the WARD field (#5) in the UNIT DOSE EXTRACT DATA file (#728.904) which is a pointer to the WARD LOCATION file (#42). Using the ward pointer, the data is derived from the HOSPITAL LOCATION FILE POINTER field (#44) in the WARD LOCATION file (#42) which is a pointer to the HOSPITAL LOCATION file (#44). 727.809,12 PROVIDER The provider assigned to this patient. This number is IEN preceded by 2.Derived from the PROVIDER field (#6) of the UNIT DOSE EXTRACT DATA file (#728.904). It is a pointer to the NEW PERSON file (#200). 727.809,13 COST VistA Pharmacy supply cost of drug dispensed. Value is the dollar amount between 0 and 10000; 2 decimal digits.Derived from the TOTAL COST field (#7) of the UNIT DOSE EXTRACT DATA file (#728.904)727.809,14 MOVEMENT FILE # A number used as an index into patient movement file. A call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status). This field is set to the value of VAIP (1), which is a pointer to the PATIENT MOVEMENT file (#405). 727.809,15 TREATING SPECIALTY The PTF CODE of the treating specialty associated with this extract record. NULL for outpatients, except if observation patient.This field is initialized to a null, indicating an outpatient status. If a call to IN5^VADPT (using the patient IEN and the event date) returns a patient movement number (indicating inpatient status), the value of VAIP(8), which is the pointer to the FACILITY TREATING SPECIALTY file (#45.7), is used to get the SPECIALTY field (#1) which points to the SPECIALTY file (#42.4). Then, the PTF Code is obtained and stored instead of the actual specialty code. 727.809,16 NDC National Drug Code for the drug/supply item in this order (1 to 15 characters in length).Derived from the NDC field (#31) in the DRUG file (#50) for the drug identified by the DRUG field (#3) in the UNIT DOSE EXTRACT DATA file (#728.904) 727.809,17 NEW FEEDER KEY Code that uniquely identifies a DSS drug/supply product. The feeder key is a seventeen-digit number made up of the pointer to the NATIONAL DRUG file padded to five digits and the twelve digits National Drug Code.Derived for the drug identified by the DRUG field (#6) in the PRESCRIPTION file (#52), which is a pointer to the DRUG file (#50) The PSNDF VA PRODUCT NAME ENTRY field (#22) from the DRUG file (#50), which is a pointer to the VA PRODUCT file (#50.68), is padded to 5 digits. This is concatenated with a 12-digit code derived from the NDC field (#31) from the DRUG file (#50) to form a 17-digit Feeder Key.727.809,18 INVESTIGATIONAL (DEA Special Handling) Indicates if the drug in this record is Investigational. Values: I = Investigational NullDerived from the DEA, SPECIAL HDLG field (#3) in the DRUG file (#50). If the DEA, SPECIAL HDLG field contains an I, this field is set to I. 727.809,19 UDP TIME Time that the drug was dispensed. (6-digit military time)(1) UNIT DOSE EXTRACT DATA file (#728.904); DATE field (#2) Data is inserted in this field by Pharmacy routines PSGPLF and PSGAMSA. (2) UNIT DOSE PICK LIST STATS file (#57.6); DATE field (#.01) PICK LIST file (#53.5); START DATE/TIME field (#.03) where only the 1st "." piece (date) is used for DT (i.e., FileMan variable for Today's Date). The source for this data element does NOT provide any time information; only date is provided. Consequently, the UDP TIME field is always set to "000000".727.809,20 ADMISSION DATE This 8-character numeric string represents the date on which the patient's admission occurred. Format:YYYYMMDD.Derived from the UNIT DOSE EXTRACT DATA file (#728.904) DFN field (#1), PATIENT MOVEMENT file (#405), DATE/TIME field (#.01) This field is always exactly 8 numeric characters in length. If the date cannot be determined, a default is used. The default date value is the value of the YEAR MONTH field (#1) concatenated with "01" for the day (DD) portion.727.809,21 ADMISSION TIME Time of day at which the patient admission occurred. Format is HHMMSS.A call to IN5^VADPT (using the patient IEN and the event date) returns the internal file number of the admission associated with this movement. ADMISSION TIME is derived from the DATE/TIME field (#.01) of the PATIENT MOVEMENT file (#405) for the movement found in VAIP (13). ADMISSION TIME is padded with trailing zeros to six digits. UNIT DOSE EXTRACT DATA file (#728.904); DFN field (#1) PATIENT MOVEMENT file (#405); DATE/TIME field (#.01) This field is always exactly 6 numeric characters in length; if time cannot be determined, "000300" is used as default. 727.809, 22 MASTER PATIENT INDEX Unique national VA patient identifierThe Master Patient Index is extracted from $E($$GETICN^MPIF001(DFN), V )727.809, 23 DSS PRODUCT DEPARTMENT Currently NullCurrently Null727.809,24 PLACEHOLDER Currently Null Currently Null727.809, 25 DOM, PRRTP, AND SAARTPIndicates if the patient is admitted to either a RRTP (formerly DOM), PRRTP, or SARRTP at time care is provided. DOM is no longer used. It has changed to Residential Rehabilitation Treatment Program (RRTP) Values: P = GEN PRRTP D = RRTP (DOMICILIARY) S = PRRTP T = PTSD PRRTP H = HOMELESS CWT/TR A = SA CWT/TR B = PTSD CWT/TR C = GEN CWT/TRThe value is pulled from the DOM/PRRTP/SARRTP CODE field in file (#727.831) which holds a set of codes727.809, 26 OBSERVATION PATIENT INDICATOR Re-labeled field from Extended OP to Observation Patient Indicator Y = Patient is an Observation Patient. N = Patient is not an Observation PatientDerived from other fields in this extract. If the TREATING SPECIALTY field (#10) contains values equal to 24, 65, 94, 18, 36, 23, 41, or if the First 3 characters of the value in the FEEDER KEY field (#7) contains values equal to 290-296, then the OBSERVATION PATIENT INDICATOR field is set to YES. Otherwise, this field is set to NO. 727.809, 27 ENCOUNTER NUMBER The unique number assigned to each encounter within DSS. The number is left justified in the field and is determined by the following: Inpatients- the concatenation of SSN + Admit Date + letter I Outpatients- the concatenation of the SSN + Visit Date (Julian format) + Primary Stop Code value Observation encounters- receive an outpatient encounter number with the date of the visit = the Admit Date and the stop code value dependent on the observation treating specialty. The observation treating specialty to stop code translation is: Treating Specialty Stop Code 18 293 (Neurology) 23 295 (SCI) 24 290 (Medicine) 36 294 (Blind Rehab) 41 296 (Rehab Med) 65 291 (Surgery) 94 292 (Psychiatry) 1J 297 (Emergency Dept) In the UDP extract, encounter numbers for inpatients & observation cases as above. Outpatient encounter numbers should be built with the Date field and Stop Code value = PHA.Inpatient If In Out Patient Indicator field (#7) = I (inpatient), concatenate SSN + Current Admit Date + "I (letter I) where SSN is from the SSN field (#5) and Admission Date is from the Admission Date field (#58) Outpatient If In Out Patient Indicator field (#7) = O (outpatient), concatenate SSN + Date + Primary Stop Code where SSN is from extract field (#5) and the date is the 7-character Julian value from the DAY field (#8) Observation If Observation Patient Indicator field (#57) = Y (yes), concatenate SSN + Admit Date + stop code as derived from Treating Specialty. 727.809, 28 PRODUCTION DIVISION CODE Identifies the division/facility where the work was performed.Data comes from the WARD field (#5) of the UNIT DOSE EXTRACT DATA file (#727.904), which is a pointer to the WARD LOCATION file (#42). This value is then used to get the DIVISION field (#.015), a pointer to the MEDICAL CENTER DIVISION file (#40.8), which is then used to call API GETDIV^ECXDEPT to get the STATION NUMBER field (#99) from the INSTITUTION file (#4).727.809, 29 MEANS TEST The current means test category for this patient Values: A = Category A B = Category B C = Category C P = Pending Adjudication R = Requires Means Test N = Means Test not Required E = Exempt I = Incomplete L = No Longer Applicable M = Non-ExemptUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the UNIT DOSE LOCAL EXTRACT file (#727.809), MEANS TEST data is derived from the CURRENT MEANS TEST STATUS field (#.14) in the PATIENT file (#2). This field is a pointer to the MEANS TEST STATUS file (#408.32). Using the means test pointer, the data is derived from the CODE field (#.02) in the MEANS TEST STATUS file (#408.32).727.809, 30 ELIGIBILITY A two or three digit numeric code indicating the Patients Primary Eligibility. Converted to NPCD Eligibility Code from different VistA coding schemes. Values: 10 = SC 50-100% 20 = Aid & Attendance 21 = Housebound 22 = Mexican Border War 23 = WWI 24 = POW 30 = SC 40-49% 31 = SC 30-39% 32 = SC 20-29% 33 = SC 10-19% 34 = SC less than 10% 40 = NSC - VA Pension 50 = NSC 60 = Catastrophic Disability 101 = CHAMPVA 102 = Collateral of Veteran 103 = Employee 104 = Other Federal Agency 105 = Allied Veteran 106 = Humanitarian Emergency 107 = Sharing Agreement 108 = Reimbursable Insurance 109 = Tricare/CHAMPUSUsing the patient pointer (DFN), ELIGIBILITY data is derived from the PRIMARY ELIGIBILITY CODE field (#.361) in the PATIENT file (#2). PRIMARY ELIGIBILITY CODE is a pointer to the ELIGIBILITY CODE file (#8). The data is derived from the MAS ELIGIBILITY CODE field (#8) in the ELIGIBILITY CODE file (#8), which in turn is a pointer to the MAS ELIGIBILITY CODE file (#8.1). The pointer value to file (#8.1) is converted by ELIG^ECXUTL3 to the corresponding eligibility code used by NPCD. 727.809, 31 DATE OF BIRTH Patient's date of birth Format: YYYYMMDDDerived from PATIENT file (#2); DATE OF BIRTH field (#.03)727.809, 32 SEX Gender Values: M = Male F = FemaleUsing the patient pointer (DFN), this data element is taken from the SEX field (#.02) in the PATIENT file (#2)727.809, 33 STATE FIPS 2 character numeric code for the state where the patient resides. Using the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the UNIT DOSE LOCAL EXTRACT file (#727.809), data is derived from the STATE field (#.115) in the PATIENT file (#2) which points to the STATE file (#5). From the STATE file record, use the two-character VA STATE CODE field (#2).727.809, 34 COUNTY The county code for where the patient resides (FIPS).Using the patient pointer (DFN) data is taken from the COUNTY field (#.117) in the PATIENT file (#2) which points to a subfile record in the COUNTY multiple field (#3) of the STATE file (#5). A pointer to the STATE file (#5) is obtained from the STATE field (#.115) of the file (#2) record. From the subfile record of field (#3) of file (#5), use the value of the VA COUNTY CODE field (#2).727.809, 35 ZIP + 4 Zip + 4 is the zip code for where the patient resides using format of nnnnn-nnnn. The 5-character zip code is provided if zip + 4 is not available.Using the patient pointer (DFN), ZIP CODE data is derived from the ZIP+4 field (#.1112) PATIENT file (#2)727.809, 36 VETERAN Patient's veteran status Values: Y = Is a veteran N = Is not a veteranUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the UNIT DOSE LOCAL EXTRACT file (#727.809), VETERAN data is derived from the VETERAN (Y/N). Field (#1901) in the PATIENT file (#2)727.809, 37 PERIOD OF SERVICE The period of service that classifies this patient based on eligibility. This code is a single alphanumeric character. Values: A = Army-Active Duty B = Navy, Marine-Active Duty C = Air Force-Active Duty D = Coast Guard- Active Duty E = Retired, Uniformed Services F = Medical Remedial Enlist G = Merchant Seaman-USPHS H = Other USPHS Beneficiaries I = Observation/Examination J = Office of Workers Comp K = Job Corps/Peace Corps L = Railroad Retirement M = Beneficiaries -Foreign Government N = Humanitarian (Non-Vet) O = Champus Restore P = Other Reimbursement. (Non-Vet) Q = Other Federal Dependant R = Donors (Non-Vet) S = Special Studies (Non-Vet) T = Other Non-Veteran U = CHAMPVA-Spouse, Child V = CHAMPUS W = Czechoslovakia/Poland Svc X = Persian Gulf War Y = CAV/NPS Z = Merchant Marine 0 = Korean 1 = World War I 2 = World War II 3 = Spanish American 4 = Pre-Korean 5 = Post-Korean 6 = Operation Desert Shield 7 = Vietnam ERA 8 = Post-Vietnam 9 = Other or NonePeriod of Service727.809, 38 POW STATUS Indicates if patient was confined as a Prisoner of War Values: Y = Patient was confined as a Prisoner of War N = Patient was not confined as a Prisoner of WarDerived from the PATIENT file (#2), POW STATUS INDICATED Field (#.525). The status indicator is returned by SVC^VADPT.727.809, 39 POW LOCATION If POW Status is indicated, then this is the POW confinement location/period. Values: 1 = World War I 2 = World War II - Europe 3 = World War II - Pacific 4 = Korean 5 = Vietnam 6 = OtherDerived from the PATIENT file (#2); POW CONFINEMENT LOCATION field (#.526). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT.727.809, 40 RADIATION STATUSIndicates if patient claims exposure to ionizing radiation Values: Y= Patient claims exposure to ionizing radiation N = Patient does not claim exposure to ionizing radiation NullDerived from the RADIATION EXPOSURE INDICATED field (#.32103) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. This field will have a NULL value if the PATIENT file (#2) record does not indicate a status.727.809,41 AGENT ORANGE STATUS Indicates whether patient was exposed to Agent Orange Y = Patient was exposed to Agent Orange N = Patient not exposed to Agent Orange U = UnknownDerived from the PATIENT file (#2); AGENT ORANGE EXPOS. INDICATED field (#.32102). The status indicator is returned by SVC^VADPT. 727.809, 42 AGENT ORANGE LOCATION Indicates the location where the patient was exposed to Agent Orange. Values: K = Korean DMZ V = Vietnam Derived from the PATIENT file (#2), AGENT ORANGE EXPOSURE LOCATION field (#.3213). This is a pointer value to the POW PERIOD file (#22). The location indicator is returned by SVC^VADPT. Or Using the Patient Pointer (DFN), AGENT ORANGE LOCATION is derived from the AGENT ORANGE EXPOSURE LOCATION field (.3213) of the PATIENT FILE #2.727.809, 43 PURPLE HEART INDICATOR Indicates whether or not the patient is a Purple Heart recipient Values: Y = Yes Purple Heart recipient N = No not Purple Heart recipient U = Unknown Derived from the PATIENT file (#2) CURRENT PH INDICATOR field (#.531). The status indicator is returned by SVC^VADPT. 727.809, 44 MST STATUS Indicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter Values: Y = Yes, screened reports MST N = Screened, does not report MST D = Screened, declines to answer. U = Unknown The MST HISTORY file (#29.11) holds data regarding military sexual trauma claims and effective dates. The patients MST status is stored in the MST STATUS field (#3). A call is made to $$GETSTAT^DGMSTAPI(DFN,DGDATE) using the DFN in the PATIENT NO. DFN field (#4) and the date in the DAY field (#8) 727.809, 45 CNH/SH STATUS Community Nursing Home/ State Home (CNH/SH) Indicator Values: Y = Yes N = No Null = NullDerived from the CNH CURRENT field (#148) of the PATIENT file (#2) using the Patient DFN727.809, 46 ENROLLMENT LOCATION The facility that the patient chooses to designate as his preferred location for care. Values: Station NumberDerived from the PREFERRED FACILITY field (# 27.02) of the PATIENT file (#2). The PREFERRED FACILITY field (# 27.02) is a pointer to the INSTITUTION file (#4) and is the value in the STATION NUMBER field (#99).727.809, 47 ENROLLMENT CATEGORY Patients enrollment category Values: E = Enrolled N = Not Enrolled P = In Process Derived from the standard call DGENA4 using the INPUT patient DFN and the ENROLLMENT STATUS field (#48) 727.809, 48 ENROLLMENT STATUS Patients enrollment status 1 Unverified 2 Verified 3 Inactive 4 Rejected 5 Suspended 6 Deceased 7 Cancelled/Declined 8 Expired 9 Pending 10 Not Eligible 11 Rejected; Fiscal Year 12 Rejected; Mid-cycle 13 Rejected; Stop New Enrollments 14 Rejected; Initial Application by VAMC 15 Pending; No Eligibility Code in VIVA 16 Pending; Means Test Required 17 Pending; Eligibility Status is Unverified 18 Pending; Other 19 Not Eligible; Refused to pay co pay 20 Not Eligible; Ineligible Date 21 Pending; Purple Heart Unconfirmed 22 Rejected; Below Enrollment Group ThresholdDerived from the PATIENT ENROLLMENT file (#27.11), ENROLLMENT STATUS field (#.04) which is a pointer to the ENROLLMENT STATUS file (#27.15)727.809, 49 PLACEHOLDER Currently NullCurrently Null727.809, 50 PRIMARY CARE TEAM The IEN of the primary care team assigned to this patient in the PCMM module.Using the DATE field (#2) from the UNIT DOSE EXTRACT DATA file (#728.904) and the patient pointer (DFN) stored in the PATIENT NO. DFN field (#4) in the UNIT DOSE LOCAL EXTRACT file (#727.809), a call is made to the Scheduling API, OUTPTTM^SDUTL3. The API returns the team's internal entry number and name from the TEAM file (#404.51). Only the pointer (IEN) to file (#404.51) is transmitted.727.809, 51 PRIMARY CARE PROVIDER The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is the IEN preceded by 2. Using the DATE field (#2) from the UNIT DOSE EXTRACT DATA file (#728.904) and the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the UNIT DOSE LOCAL EXTRACT file (#727.809), a call is made to the Scheduling API, OUTPTPR^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.809, 52 PLACEHOLDERCurrently NullCurrently Null727.809, 53 PC PROVIDER PERSON CLASS The VA code of the Person Class of the Primary Care Provider as of the date of this extract record (In DSS, this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.A call to $$GET^XUA4A72(PERS,DATE) is made using the IEN in the PROVIDER field and the date in the DAY field727.809, 54 ASSOCIATE PC PROVIDER The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. Value is an IEN preceded by 2.Using the DATE field (#2) from the UNIT DOSE EXTRACT DATA file (#728.904) and the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4) in the UNIT DOSE LOCAL EXTRACT file (#727.809), a call is made to the Scheduling API, OUTPTAP^SDUTL3. The API returns the provider's internal entry number and name from the NEW PERSON file (#200). 727.809, 55 PLACEHOLDER Currently Null727.809, 56 ASSOC. PC PROV. PERSON CLASS VA Code of the Person Class of the patients Associate Primary Care Provider. (In DSS, this is called Provider Type.) Format is V999999. Start with a V followed by 6 digits. Pad with zeros to the left of the digits if needed to get exactly 7 characters.A call to $$GET^XUA4A72(PERS,DATE) is made using the IEN in the PROVIDER and the date in the DAY field727.809, 57 ORDERING DATE The date the order was first dispensedDerived from the UNIT DOSE EXTRACT DATA file (#728.904); ORDER DATE field (#9). ORDER DATE is the START DATE/TIME field (#10) of the UNIT DOSE multiple file (#55.06) of the PHARMACY PATIENT file (#55). 727.809, 58 ORDERING STOP CODE Ordering Stop Code. Tracks Outpatient UDP orders. Numeric values 101 through 999.The value is obtained by locating the CLINIC field (#136) on the Pharmacy Patient file (#55), UNIT DOSE multiple (#55.06), which points to the Hospital Location file (#44) field (#8) STOP CODE NUMBER to capture the stop code. The stop code value is placed in the ORDERING STOP CODE field. If the Treating Specialty field is 18 or 23 or 24 or 36 or 41 or 65 or 94 then fill the ORDERING STOP CODE field with the corresponding Observation Stop Code. Please see table below: Treating Specialty Observation Code 18 293 23 295 24 290 36 294 41 296 65 291 94 292727.809, 59 HEAD & NECK CANCER INDICATOR Identifies whether patient has head and/or neck cancer Y = Yes N = NoUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), a call is made to $$GETCUR^DGNTAPI to retrieve the HEAD/NECK CA DX field (#2.01) of the NOSE AND THROAT RADIUM HISTORY file (#28.11)727.809, 60 ETHNICITY The patient's ethnicity code Multiple entries are permitted. If present, multiple values are concatenated and sent as a single value. Values: D = Declined to Answer H = Hispanic or Latino N = Not Hispanic or Latino U = Unknown by PatientUsing the patient pointer (DFN) stored in the PATIENT NO. - DFN field (#4), ETHNICITY is derived from the PTF VALUE field (#5) of the ETHNICITY file (#10.2) pointed to by the ETHNICITY INFORMATION field (#.01) of the ETHNICITY INFORMATION subfile (#2.06) of the PATIENT file (#2). The above will occur only if the METHOD OF COLLECTION field (#.02) of the ETHNICITY INFORMATION sub file (#2.06) is set to 1 (SELF-IDENTIFICATION), otherwise ETHNICITY with be set to null.727.809, 61 RACE 1 Self-reported by patient as recorded in VistA patient file. In 2006, VIReC study concluded more than 30% of records contained no values. Multiple values are possible and common. If present, multiple values are concatenated and sent in a single field. Order of reported values is not significant. Users requiring more detail should check VIReC website for published material. See also RACE field. Values: 3 = American Indian or Alaska Native 8 = Asian 9 = Black or African American A = Native Hawaiian or other Pacific Islander B = White C = Declined to answer D = Unknown by Patient NullOnly those RACE INFORMATION values in the RACE INFORMATION subfile (#2.03) where the METHOD OF COLLECTION field (#.02) set to 1 (SELF-IDENTIFICATION), will be included in the RACE 1 field. If any of the RACE INFORMATION values returned are "C" (DECLINED TO ANSWER), that will be the only value included in the RACE1 field.727.809, 62 BCMA DRUG DISPENSED Currently NullCurrently Null727.809, 63 BCMA DOSE GIVENCurrently NullCurrently Null727.809, 64 BCMA UNIT OF ADMINISTRATIONCurrently NullCurrently Null727.809, 65 BCMA ICU FLAGCurrently NullCurrently Null727.809, 66 ORDERING PERSON CLASS The VA code of the Person Class of the Ordering Provider as of the date of this extract record. (In DSS this is called Provider Type) Format: "V999999. Start with a V and then pad zeros to the left of the numerals, if needed, to get exactly 7 characters.The Active Person is determined by $$GET^XUA4A72(PERS,DATE), where PERS is the IEN from NEW PERSON file (#200)727.809, 67 DSS IP #Currently NullCurrently Null727.809, 68 ENROLLMENT PRIORITYThis field contains the enrollment priority group and the enrollment priority subgroup ENROLLMENT PRIORITY Groups determined for a patient enrollment include: 1 = VA-rated service connected disabilities 50% or higher, determined by VA to be unemployable due to service-connected conditions. 2 = VA-rated service-connected disabilities 30% or 40% 3 = Former Prisoners of War, awarded Purple Heart medal, discharged for a disability incurred or aggravated in the line of duty, VA-rated service connected disabilities of 10%-20%, awarded special eligibility classification under Title 38, U.S.C., 1151 4 = Receiving aid and attendance or housebound benefits from VA, been determined by VA to be catastrophically disabled 5 = Non-service connected veterans and non compensable service connected veterans rated 0% disable by VA with annual income and net worth below the VA National Income Thresholds, receiving VA pension benefits, eligible for Medicaid programs 6 = WWI Veterans, compensable 0% service-connected veterans, exposed to Ionizing Radiation during atmospheric testing or during the occupation of Hiroshima and Nagasaki, Project 112/SHAD participants, currently enrolled Veterans and new enrollees who were discharged from active duty on or after 1/ 28/03 and served in a theater of combat operations after 11/11/98 (eligible for enhanced benefits for 5 years post discharge), Veterans discharged from active duty before 1/28/03 who apply for enrollment on or after 1/28/08 and served in a theater of combat operations after 1/11/98 (eligible for enhanced benefits through 1/27/11) 7 = Veterans with income and/or net worth above the VA national income threshold and income below the VA National Geographic Income Thresholds who agree to pay copays 8 = Others ENROLLMENT PRIORITY Subgroup for Priority 8. 8a = Non-compensable 0% service-connected veterans who were enrolled in VA Health Care System as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status. 8b = Noncompensable 0% service-connected veterans who were enrolled on or after 6/15/09 whose income exceeds the current VA National Income Thresholds or VA National Geographic Income Thresholds by 10% or less. 8c = Non-service-connected veterans enrolled as of 1/16/03 and who have remained enrolled since that date and/or placed in this Subpriority due to changed eligibility status 8d = Non-service connected veterans enrolled on or after 6/15/09 whose income exceeds the current VA National Thresholds or VA National Geographic Income Thresholds by 10% or less. 8e = Not eligible for enrollment Noncompensable 0% service-connected veterans applying for enrollment after 1/16/03. 8g = Not eligible for enrollment. Non-service-connected veterans applying for enrollment after 1/16/03Contains the enrollment priority group and the enrollment priority subgroup from the Patient Enrollment file (#27.11) 727.809, 69 USER ENROLLEEIndicates whether a veteran has User Enrollee status for the current or future fiscal year. Values: U = Yes Null = No (includes past date or no date) SC veterans 50% or over are not required to enroll.Determined by the use of an API: I $$UESTAT^EASUER(DFN) S ECXEUESTA="U"727.809, 70 PATIENT TYPERefers to the various categories of patients, which may be seen at a VA facility. Every patient in the system must have a TYPE specified. Values: AC = Active Duty AL = Allied Veteran CO = Collateral EM = Employee IN = Ineligible MI = Military Retiree NO = Non-Veteran (Other) NS = Non Service Connected Veteran SC = Service Connected Veteran TR = TricareDetermined by the TYPE field of the PATIENT file (#2) which points to the TYPE OF PATIENT entries in file (#391)727.809, 71 CV STATUS ELIGIBILITY Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Values: Y = Yes, qualifies as a CV E = Eligibility Expired (bad DFN or date) Null = No, does not qualify as a CVDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The first piece 1 - qualifies as a CV 0 - does not qualify as a CV -1 - bad DFN or date727.809, 72 CV ELIGIBILITY END DATE Records the Combat Veteran (CV) eligibility expiration date of veteran who served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo). This is 2 years after the veterans last service separation date.Determined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The 2nd piece is the Combat Vet End Date.727.809, 73 ENCOUNTER CV Records if a veteran served on active duty in a theatre of combat operations during a period of war after the Persian Gulf War or in combat against a hostile force during a period of hostilities after November 11, 1998 (Somalia, Yugoslavia, Iraq, Afghanistan or Kosovo) Uses the Combat Vet End Date to determine Combat Veteran Status for this encounter. Values: Y = Yes, vet was eligible on date specified Null = No, vet was not eligible on date specifiedDetermined by the use of API $$CVEDT^DGCV (DFN. DATE) that checks the Combat Vet End Date field (#.5295) from the Patient file (#2) to determine CV Status. API returns three pieces 1^3010106^0. The third piece returns: 1 - vet was eligible on date specified (or DT) 0 - vet was not eligible on date specified (or DT).727.809, 74 National Patient Record FlagThis field records that the patients record contains 1 or more Category 1 (National) Patient Record Flags. Y = Yes - Category 1 flag present and active Otherwise, value is null.Located in the PRF National Flag file (#26.15). This file contains a list of the Category 1 (National) Patient Record Flags that can be assigned to a patient. Category I flags are established at a National level. It is retrieved via an API $$GETACT^DGPFAPI (DFN,TARGET_ROOT.727.809, 75 ERIIdentifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). This field is a length of two (value & blank). Values: K = Hurricane Katrina Null Extracted from the EMERGENCY RESPONSE INDICATOR field (#.181) located in the PATIENT file (#2) 727.809, 76 SW ASIA CONDITIONSThis field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia conditions. Values: Y = Yes N = No U = Unknown This field is derived from the SOUTHWEST ASIA CONDITIONS? field (#.322013) in the PATIENT file (#2) using the patient's DFN. The status indicator is returned by SVC^VADPT. The SVC^VADPT called is made from routine PAT^ECXUTL3.727.809, 77 OEF/OIFIdentifies combat veteran as serving in Operation Enduring Freedom (OEF), Operation Iraqi Freedom (OIF) or either OEF or OIF, but exactly which cannot be determined (Unknown OEF/OIF). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field will be concatenated into this 9-character field. Values: OEF = OEF Deployment date on or after 09/11/01 OIF = OIF Deployment date on or after 03/19/03 UNK = Unknown OEF/OIFThe value of this field is derived from the LOCATION OF SERVICE field (#.01) from SERVICE [OEF OR OIF] sub-file (#2.3215) of field (#.3215) located in the PATIENT File (#2). DSS will capture once, each location where the veteran served. In order to accommodate multiple locations, the values for this field are concatenated into this 9-character field.727.809, 78 OEF/OIF RETURN DATEThe date the veteran left the OEF/OIF area. Otherwise, it is the end date of military pay for this OEF/OIF deployment. In cases of multiple OEF/OIF tours, this field will contain only the most recent return date. Format: YYYYMMDDValue is derived from the OEF/OIF TO DATE field (#.03) from sub-file (#2.3215) of field (#.3215) located in the PATIENT file (#2). In cases of multiple OEF/OIF tours, this field contains only most recent return date.727.809, 79 Associate PC Provider NPIA standard, unique life-long identifier of the associate primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.809, 80 PRIMARY CARE PROVIDER NPIA standard, unique life-long identifier of the primary care providerIdentifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.809, 81 Provider NPIA standard, unique life-long identifier for individuals providing health care services Identifier is retrieved via the supporting Kernel API: $$NPI^XUSNPI727.809, 82 COUNTRY CODEThe value is the code for the country associated with the address.The three-character alpha identifying code is copied from the CODE (#.01) field of the COUNTRY (#779.004) file.     Revision History  PAGE 104 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 November 2008 DSS V. 3.0 FY 2009 Medical Records Data Definitions Guide  PAGE \* Arabic 1 #727.802 Admission Extract (ADM) November 2008 DSS V. 3.0 FY 2009 Medical Records Data Definitions Guide  PAGE \* roman iii November 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE \* roman i November 2008 DSS V. 3.0 FY 2009 Medical Records Data Definitions Guide  PAGE \* roman v #727.802 Admission Extract (ADM) #727.802 Admission Extract (ADM) July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE \* Arabic 105 #727.829 Blood Bank Extract (LBB) #727.829 Blood Bank Extract (LBB)  PAGE 42 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 #727.827 Clinic Extract (CLI) #727.827 Clinic Extract (CLI) #727.815 Event Capture Local Extract (ECS) #727.815 Event Capture Local Extract (ECS) #727.813 Laboratory Extract (LAB) #727.813 Laboratory Extract (LAB) November 2008 DSS V. 3.0 FY 2009 Medical Records Data Definitions Guide  PAGE 57 #727.824 Lab Results Extract (LAR) #727.824 Lab Results Extract (LAR)  PAGE 64 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 #727.812 Mental Health Extract (MTL) #727.812 Mental Health Extract (MTL)  PAGE 70 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 #727.805 Nursing Extract (NUR) #727.805 Nursing Extract (NUR)  PAGE 84 DSS V. 3.0 FY 2009 Medical Records Data Definitions Guide November 2008 #727.832 Nutrition Extract (NUT) #727.832 Nutrition Extract (NUT)  PAGE 88 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 #727.823 PAI Extract (PAI) #727.823 PAI Extract (PAI)  PAGE 103 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 #727.819 Pharmacy IV Detail Extract (IVP) #727.819 Pharmacy IV Detail Extract (IVP)  PAGE 220 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide July 2009 July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE \* Arabic 221 July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE 106 #727.808 Physical Movement Extract (MOV) #727.808 Physical Movement Extract (MOV) July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE 122 #727.81 Prescription Extract (PRE) #727.81 Prescription Extract (PRE) July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE 128 #727.826 Prosthetics Extract (PRO) #727.826 Prosthetics Extract (PRO) July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE 178 #727.825 QUASAR Extract (ECQ) #727.825 QUASAR Extract (ECQ) #727.814 Radiology Extract (RAD) #727.814 Radiology Extract (RAD) #727.811 Surgery Extract (SUR) #727.811 Surgery Extract (SUR) July 2009 DSS V. 3.0 FY 2010 Medical Records Data Definitions Guide  PAGE 202 #727.817 Treating Specialty Change Extract (TRT) #727.817 Treating Specialty Change Extract (TRT) #727.809 Unit Dose Local Extract (UDP) #727.809 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