GLOBAL MAP DATA DICTIONARY #631 -- HBHC PATIENT FILE 9/29/25 PAGE 1
STORED IN ^HBHC(631, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0)
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This file is the HBHC Patient file and contains demographic, admission, discharge, and record transmission data.
CROSS
REFERENCED BY: DISCHARGE DATE(AC), DATE(AD), FORM 3 TRANSMIT STATUS(AE), FORM 5 TRANSMIT STATUS(AF),
FORM 3 MAIL MESSAGE DATE(AG), FORM 5 MAIL MESSAGE DATE(AH), EVALUATION DATE(AI), MEDICAL FOSTER HOME PATIENT(AJ),
MEDICAL FOSTER HOME NAME(AK), NAME(B)
^HBHC(631,D0,0)= (#.01) NAME [1P:2] ^ (#1) EVALUATION DATE [2D] ^ (#2) STATE CODE [3P:631.8] ^ (#3) COUNTY CODE [4N] ^ (#4) ZIP
==>CODE [5F] ^ (#5) ELIGIBILITY @ EVALUATION [6S] ^ ^ (#7) PERIOD OF SERVICE [8P:631.7] ^ ^ ^ (#10) MARITAL
==>STATUS @ EVALUATION [11S] ^ (#11) LIVING ARRANGEMENTS @ EVAL [12S] ^ (#12) LAST AGENCY PROVIDING CARE [13S] ^
==>(#13) TYPE OF LAST CARE AGENCY [14S] ^ (#14) ADMIT/REJECT ACTION [15S] ^ (#15) REJECT/WITHDRAW REASON
==>[16P:631.1] ^ (#16) REJECT/WITHDRAW DISPOSITION [17S] ^ (#17) DATE [18D] ^ (#18) PRIMARY DIAGNOSIS @ ADMISSION
==>[19P:80] ^ (#19) VISION @ ADMISSION [20S] ^ (#20) HEARING @ ADMISSION [21S] ^ (#21) EXPRESSIVE COMMUNICATION @
==>ADM [22P:631.2] ^ (#22) RECEPTIVE COMMUNICATION @ ADM [23P:631.3] ^ (#23) BATHING @ ADMISSION [24S] ^ (#24)
==>DRESSING @ ADMISSION [25S] ^ (#25) TOILET USAGE @ ADMISSION [26S] ^ (#26) TRANSFERRING @ ADMISSION [27S] ^ (#27)
==>EATING @ ADMISSION [28S] ^ (#28) WALKING @ ADMISSION [29S] ^ (#29) BOWEL CONTINENCE @ ADMISSION [30S] ^ (#30)
==>BLADDER CONTINENCE @ ADMISSION [31S] ^ (#31) MOBILITY @ ADMISSION [32S] ^ (#32) ADAPTIVE TASKS @ ADMISSION [33S]
==>^ (#33) BEHAVIOR PROBLEMS @ ADMISSION [34S] ^ (#34) DISORIENTATION @ ADMISSION [35S] ^ (#35) MOOD DISTURBANCE @
==>ADMISSION [36S] ^ (#36) CAREGIVER LIMITATIONS @ ADM [37S] ^ (#37) PERSON COMPLETING EVL/ADM FORM [38P:631.4] ^
==>(#38) DATE EVAL/ADM FORM COMPLETED [39D] ^ (#39) DISCHARGE DATE [40D] ^ (#40) ELIGIBILITY @ DISCHARGE [41S] ^
==>(#41) MARITAL STATUS @ DISCHARGE [42S] ^ (#42) LIVING ARRANGEMENTS @ D/C [43S] ^ (#43) DISCHARGE STATUS [44S] ^
==>(#44) TRANSFER DESTINATION [45S] ^ (#45) TYPE OF DESTINATION AGENCY [46S] ^ (#46) PRIMARY DIAGNOSIS @ DISCHARGE
==>[47P:80] ^ (#47) VISION @ DISCHARGE [48S] ^ (#48) HEARING @ DISCHARGE [49S] ^ (#49) EXPRESSIVE COMMUNICATION @
==>D/C [50P:631.2] ^ (#50) RECEPTIVE COMMUNICATION @ D/C [51P:631.3] ^ (#51) BATHING @ DISCHARGE [52S] ^ (#52)
==>DRESSING @ DISCHARGE [53S] ^ (#53) TOILET USAGE @ DISCHARGE [54S] ^ (#54) TRANSFERRING @ DISCHARGE [55S] ^
^HBHC(631,D0,1)= (#55) EATING @ DISCHARGE [1S] ^ (#56) WALKING @ DISCHARGE [2S] ^ (#57) BOWEL CONTINENCE @ DISCHARGE [3S] ^ (#58)
==>BLADDER CONTINENCE @ DISCHARGE [4S] ^ (#59) MOBILITY @ DISCHARGE [5S] ^ (#60) ADAPTIVE TASKS @ DISCHARGE [6S] ^
==>(#61) BEHAVIOR PROBLEMS @ DISCHARGE [7S] ^ (#62) DISORIENTATION @ DISCHARGE [8S] ^ (#63) MOOD DISTURBANCE @
==>DISCHARGE [9S] ^ (#64) CAREGIVER LIMITATIONS @ D/C [10S] ^ (#65) PERSON COMPLETING D/C FORM [11P:631.4] ^ (#66)
==>DATE DISCHARGE FORM COMPLETED [12D] ^ (#67) CASE MANAGER [13P:631.4] ^ (#68) SECONDARY DIAGNOSES @ ADM [14F] ^
==>(#69) CAUSE OF DEATH [15F] ^ (#70) SECONDARY DIAGNOSES @ D/C [16F] ^ (#71) FORM 3 TRANSMIT STATUS [17S] ^ (#72)
==>FORM 5 TRANSMIT STATUS [18S] ^ (#73) FORM 3 FILED IN HBHC(634) DATE [19D] ^ (#74) FORM 3 BATCH INITIAL MM MSG #
==>[20F] ^ (#75) FORM 3 MAIL MESSAGE DATE [21D] ^ (#76) FORM 5 FILED IN HBHC(634) DATE [22D] ^ (#77) FORM 5 BATCH
==>INITIAL MM MSG # [23F] ^ (#78) FORM 5 MAIL MESSAGE DATE [24D] ^ (#79) FORM 3 TRANSMIT FLAG EDIT DATE [25D] ^
==>(#80) FORM 3 TRANSMIT FLAG EDIT DUZ [26P:200] ^ (#81) FORM 5 TRANSMIT FLAG EDIT DATE [27D] ^ (#82) FORM 5
==>TRANSMIT FLAG EDIT DUZ [28P:200] ^ (#87) REFERRED WHILE INPATIENT [29S] ^
^HBHC(631,D0,2)= (#83) FORM 3 RE-TRANS BATCH MM MSG # [1F] ^ (#84) FORM 3 RE-TRANSMIT DATE [2D] ^ (#85) FORM 5 RE-TRANS BATCH MM
==>MSG # [3F] ^ (#86) FORM 5 RE-TRANSMIT DATE [4D] ^
^HBHC(631,D0,3)= (#88) MEDICAL FOSTER HOME PATIENT [1S] ^ (#89) MEDICAL FOSTER HOME NAME [2P:633.2] ^
^HBHC(631,D0,4,0)=^631.01D^^ (#90) RATE PAID
^HBHC(631,D0,4,D1,0)= (#.01) RATE PAID START DATE [1D] ^ (#1) RATE PAID AMOUNT [2N] ^
^HBHC(631,D0,5)= (#91) PARENT SITE [1P:40.8] ^
INPUT TEMPLATE(S):
^DIE(1341)= HBHC DISCHARGE
^DIE(1343)= HBHC UPDATE DISCHARGE
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):