GLOBAL MAP DATA DICTIONARY #161.5 -- FEE CH REPORT OF CONTACT FILE                                                9/29/25    PAGE 1
STORED IN ^FBAA(161.5,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 3.5)   
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Stores report of contact information for contract (civil) hospital program.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


CROSS
REFERENCED BY: ASSOCIATED REQUEST(B), VETERAN(D)



^FBAA(161.5,D0,0)= (#.01) ASSOCIATED REQUEST [1P:162.2] ^ (#1) VENDOR [2P:161.2] ^ (#2) VETERAN [3P:2] ^ (#3) INITIAL DATE OF 
                ==>CONTACT [4D] ^ (#4) AUTHORIZATION FROM DATE [5D] ^ (#5) TYPE OF CONTACT [6S] ^ (#6) PERSON CONTACTED [7F] ^ 
                ==>(#7) STREET ADDRESS[1] OF CONTACT [8F] ^ (#8) STREET ADDRESS[2] OF CONTACT [9F] ^ (#9) CITY OF CONTACT [10F] ^ 
                ==>(#10) STATE OF CONTACT [11P:5] ^ (#11) ZIP CODE OF CONTACT [12F] ^ (#12) ATTENDING PHYSICIAN [13F] ^ (#13) 
                ==>ATTEND.PHYSICIAN TELEPHONE NO. [14F] ^ 
^FBAA(161.5,D0,1)= (#14) TENTATIVE DIAGNOSIS [1F] ^ (#15) INSURANCE TYPE [2F] ^ (#16) MODE OF TRANSPORTATION [3P:392.4] ^ (#6.5) 
                ==>PHONE # OF PERSON CONTACTED [4F] ^ (#16.5) VETERAN HAVE OTHER INSURANCE [5F] ^ (#18) APPROVING OFFICIAL 
                ==>[6P:200] ^ (#19) DATE/TIME OF ADMISSION [7D] ^ 
^FBAA(161.5,D0,2,0)=^161.517D^^  (#17) DATE/TIME OF CONTACT
^FBAA(161.5,D0,2,D1,0)= (#.01) DATE/TIME OF CONTACT [1D] ^ (#2) USER [2P:200] ^ 
^FBAA(161.5,D0,2,D1,1,0)=^161.5171^^  (#1) NARRATIVE
^FBAA(161.5,D0,2,D1,1,D2,0)= (#.01) NARRATIVE [1W] ^ 


INPUT TEMPLATE(S):
^DIE(1039)= FBCH ADD ROC    
^DIE(1040)= FBCH EDIT ROC    
^DIE(1038)= FBCH ENTER ROC    

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):