GLOBAL MAP DATA DICTIONARY #396.3 -- 2507 REQUEST FILE 3/24/25 PAGE 1
STORED IN ^DVB(396.3, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.7)
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Holds all 2507 requests generated from Regional Office users.
CROSS
REFERENCED BY: REMARKS MODIFICATION DATE(AC), LAST EXAM ADD DATE(AD), DATE REPORTED TO MAS(ADP1), PRIORITY OF EXAM(ADP2),
TRANSFERRED TO ANOTHER SITE?(AE), REQUEST STATUS(AF), REGIONAL OFFICE NUMBER(AG), DATE STATUS LAST CHANGED(AH),
ORIGINAL 2507 REQUEST(AORQ), REROUTE DATE/TIME(AR), NAME(B), REQUEST DATE(C), SPECIAL CONSIDERATIONS(D),
TRANSCRIPTION DATE(E), CLAIM TYPE(F), INSUFFICIENT REQUEST(G), ELECTRONIC CLAIM FOLDER AVAIL(H)
^DVB(396.3,D0,0)= (#.01) NAME [1P:2] ^ (#1) REQUEST DATE [2D] ^ (#2) REGIONAL OFFICE NUMBER [3P:4] ^ (#3) REQUESTER [4P:200] ^
==>(#4) DATE REPORTED TO MAS [5D] ^ (#5) DATE SCHEDULING COMPLETED [6D] ^ (#6) DATE COMPLETED [7D] ^ (#23.5)
==>REMARKS MODIFICATION DATE [8D] ^ (#23.6) REMARKS MODIFIED BY [9P:200] ^ (#9) PRIORITY OF EXAM [10S] ^ (#10)
==>OTHER DISABILITIES [Line 1] [11F] ^ (#11) TRANSCRIPTION DATE [12D] ^ (#12) DATE APPROVED [13D] ^ (#13) DATE
==>RELEASED [14D] ^ (#14) RELEASED BY [15P:200] ^ (#15) DATE PRINTED BY THE RO [16D] ^ (#16) PRINTED BY [17P:200]
==>^ (#17) REQUEST STATUS [18P:396.33] ^ (#19) CANCELLATION DATE [19D] ^ (#23.3) LAST EXAM ADD DATE [20D] ^
==>(#23.4) LAST PERSON TO ADD EXAM [21P:200] ^ (#28) OWNER DOMAIN [22P:4.2] ^
^DVB(396.3,D0,1)= (#20) CANCELLED BY [1P:200] ^ (#21) CLAIM FOLDER REQUIRED? [2S] ^ (#22) OTHER DOCUMENTS REQUIRED? [3S] ^ (#24)
==>ROUTING LOCATION [4P:40.8] ^ (#25) APPROVED BY [5F] ^ (#26) APPROVAL DATE/TIME [6D] ^ (#29) LAST RATING EXAM
==>DATE [7D] ^ (#30) ORIGINAL REQUEST POINTER [8N] ^ (#10.1) OTHER DISABILITIES [Line 2] [9F] ^ (#10.2) OTHER
==>DISABILITIES [Line 3] [10F] ^
^DVB(396.3,D0,2,0)=^396.323^^ (#23) REMARKS
^DVB(396.3,D0,2,D1,0)= (#.01) REMARKS [1W] ^
^DVB(396.3,D0,3,0)=^396.327P^^ (#27) *EXAM
^DVB(396.3,D0,3,D1,0)= (#.01) *EXAM [1P:396.6] ^ (#1) *STATUS [2S] ^ (#2) *CANCELLATION REASON [3P:396.5] ^ (#3) *DATE OF EXAM
==>[4D] ^ (#4) *EXAMINING PHYSICIAN [5F] ^ (#2.3) *EXAM CANCELLED BY [6P:200] ^ (#2.5) *EXAM CANCELLATION
==>DATE/TIME [7D] ^ (#5) *IS THIS A FEE EXAM? [8S] ^ (#6) *EXAM PLACE [9S] ^ (#.5) *WORKSHEET PRINTED? [10S]
==>^ (#8) *TRANSFERRED OUT TO [11P:4.2] ^ (#9) *DATE TRANSFERRED OUT [12D] ^ (#10) *DATE TRANSFERRED IN [13D]
==>^ (#11) *DATE RETURNED TO OWNER SITE [14D] ^ (#8.5) *TRANSFERRED OUT BY [15F] ^
^DVB(396.3,D0,3,D1,1,0)=^396.3277^^ (#7) *RESULTS
^DVB(396.3,D0,3,D1,1,D2,0)= (#.01) RESULTS [1W] ^
^DVB(396.3,D0,4)= (#31) TRANSFERRED TO ANOTHER SITE? [1S] ^ (#27.5) RETURNED TO OWNER SITE BY [2F] ^ (#32) DATE TRANSFERRED TO
==>OTHER SITE [3D] ^ (#33) DATE TRANSFRD IN FRM REM SITE [4D] ^ (#34) DATE ALL TRANSFERS RETURNED [5D] ^
^DVB(396.3,D0,5)= (#44) ORIGINAL 2507 REQUEST [1P:396.3] ^ (#45) ORIGINAL 2507 PROCESSING TIME [2N] ^ (#21.1) ELECTRONIC CLAIM
==>FOLDER AVAIL [3S] ^
^DVB(396.3,D0,6,0)=^396.34PA^^ (#35) REROUTE DATE/TIME
^DVB(396.3,D0,6,D1,0)= (#.01) REROUTE DATE/TIME [1D] ^ (#1) REROUTE REQUEST IEN [2N] ^ (#2) REROUTE PATIENT IEN [3N] ^ (#3)
==>REROUTE FROM SITE [4F] ^ (#4) REROUTE REASON [5P:396.55] ^ (#5) REROUTE DESCRIPTION [6F] ^ (#.02) REROUTE
==>TO SITE [7F] ^ (#7) REROUTE USER [8P:200] ^ (#8) OLD DIVISION [9P:40.8] ^
^DVB(396.3,D0,6,D1,1,0)=^396.341DA^^ (#6) REROUTE STATUS DATE/TIME
^DVB(396.3,D0,6,D1,1,D2,0)= (#.01) REROUTE STATUS DATE/TIME [1D] ^ (#1) REROUTE STATUS CODE [2S] ^
^DVB(396.3,D0,6,D1,1,D2,1)= (#2) REROUTE REJECTION REASON [1F] ^
^DVB(396.3,D0,6,D1,2)= (#9) REROUTE TO IEN [1N] ^ (#10) REROUTE TO DOMAIN [2N] ^ (#11) REROUTE FROM IEN [3N] ^ (#12) REROUTE FROM
==>DOMAIN [4N] ^
^DVB(396.3,D0,7)= (#7) DATE STATUS LAST CHANGED [1D] ^ (#46) REQUEST UUID [2F] ^
^DVB(396.3,D0,8,0)=^396.31P^^ (#50) SPECIAL CONSIDERATIONS
^DVB(396.3,D0,8,D1,0)= (#.01) SPECIAL CONSIDERATIONS [1P:396.25] ^
^DVB(396.3,D0,9,0)=^396.32P^^ (#9.1) CLAIM TYPE
^DVB(396.3,D0,9,D1,0)= (#.01) CLAIM TYPE [1P:396.27] ^
^DVB(396.3,D0,10)= (#51) INSUFFICIENT REQUEST [1S] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
^DIPT(526)= DVBA C REQUESTS BY DATE RANGE
SORT TEMPLATE(S):
^DIBT(274)= DVBA C REQUESTS BY DATE RANGE
FORM(S)/BLOCK(S):