GLOBAL MAP DATA DICTIONARY #33 -- OTH ELIGIBILITY PATIENT FILE 3/24/25 PAGE 1 STORED IN ^DGOTH(33, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.3) ----------------------------------------------------------------------------------------------------------------------------------- This file contains data required for tracking the status of the eligibility for emergency Mental Health care for patients with Other Than Honorable Discharge type. CROSS REFERENCED BY: OTH PATIENT(B) INDEXED BY: PENDING AUTH REQUEST (Y/N) (C), START DATE (D), ELIGIBILITY FACTOR TYPE (E), ELIGIBILITY CHANGE DATE/TIME (F) ^DGOTH(33,D0,0)= (#.01) OTH PATIENT [1P:2] ^ (#.02) OTH STATUS [2S] ^ (#.03) PENDING AUTH REQ DATE [3D] ^ (#.04) PENDING REQUEST ==>ENTERED BY [4F] ^ (#.05) PENDING AUTH SYS DATE/TIME [5D] ^ (#.06) PENDING AUTH REQUEST FACILITY [6P:4] ^ (#.07) ==>PENDING AUTH REQUEST (Y/N) [7S] ^ (#.08) PEND AUTH CREATION DATE/TIME [8D] ^ ^DGOTH(33,D0,1,0)=^33.01^^ (#1) OTH 365 DAY CLOCK ^DGOTH(33,D0,1,D1,0)= (#.01) 365 DAY PERIOD NUMBER [1N] ^ (#.02) START DATE [2D] ^ ^DGOTH(33,D0,1,D1,1,0)=^33.11^^ (#1) OTH 90 DAY CLOCK ^DGOTH(33,D0,1,D1,1,D2,0)= (#.01) 90 DAY PERIOD NUMBER [1N] ^ (#.02) START DATE [2D] ^ (#.03) AUTH REQUEST SUBMITTED DATE [3D] ^ ==>(#.04) APPROVED AUTH REC DATE [4D] ^ (#.05) AUTH ENTER/EDIT USER [5F] ^ (#.06) SYS AUTH ENTER/EDIT ==>DATE/TIME [6D] ^ (#.07) AUTHORIZED BY CMO NAME [7F] ^ (#.08) FACILITY [8P:4] ^ (#.09) SYS AUTH ==>CREATION DATE/TIME [9D] ^ (#.1) DATE REQUEST SUBMITTED [10D] ^ ^DGOTH(33,D0,2,0)=^33.02DA^^ (#2) ELIGIBILITY CHANGES ^DGOTH(33,D0,2,D1,0)= (#.01) ELIGIBILITY CHANGE DATE/TIME [1D] ^ (#.02) ELIGIBILITY CODE [2P:8] ^ (#.03) ELIGIBILITY FACTOR TYPE ==>[3S] ^ (#.04) ELIG CHANGE REASON [4S] ^ (#.05) FACILITY [5P:4] ^ (#.06) ENTERED BY [6F] ^ (#.07) FACILITY ==>[7P:4] ^ ^DGOTH(33,D0,3,0)=^33.03A^^ (#3) DENIED REQUEST ^DGOTH(33,D0,3,D1,0)= (#.01) SEQUENCE [1N] ^ (#.02) DATE REQUEST SUBMITTED [2D] ^ (#.03) DENIED AUTHORIZATION COMMENT [3F] ^ ==>(#.04) DENIED AUTH ENTERED USER [4F] ^ (#.05) DATE/TIME ENTERED/EDITED [5D] ^ (#.06) DENIED AUTH FACILITY ==>[6P:4] ^ (#.07) CREATION DATE/TIME [7D] ^ INPUT TEMPLATE(S): PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):