GLOBAL MAP DATA DICTIONARY #727.826 -- PROSTHETICS EXTRACT FILE 3/24/25 PAGE 1
STORED IN ^ECX(727.826, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 3.0)
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This file contains the data elements as specified by the Decision Support System (DSS) Program Office 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 PIMS 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. This file is intended to be used for validation
purposes only. 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 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.
CROSS
REFERENCED BY: EXTRACT NUMBER(AC)
^ECX(727.826,D0,0)= (#.01) SEQUENCE NUMBER [1N] ^ (#1) YEAR MONTH [2F] ^ (#2) EXTRACT NUMBER [3P:727] ^ (#3) FACILITY [4F] ^ (#4)
==>PATIENT NO. DFN [5P:2] ^ (#5) SSN [6F] ^ (#6) NAME [7F] ^ (#7) IN OUTPATIENT INDICATOR [8S] ^ (#8) DATE OF
==>SERVICE [9F] ^ (#9) FEEDER LOCATION [10F] ^ (#10) FEEDER KEY [11F] ^ (#11) QUANTITY [12N] ^ (#12) PLACEHOLD
==>PRIMARY CARE TEAM [13F] ^ (#13) PLACEHOLD PC PROVIDER [14F] ^ (#14) PCE CPT/HCPCS CODE & MODIFIERS [15F] ^
==>(#15) PLACEHOLDER [16F] ^ (#16) PLACEHOLDER [17F] ^ (#17) PLACEHOLDER [18F] ^ (#18) PLACEHOLDER [19F] ^ (#19)
==>PLACEHOLDER [20F] ^ (#20) AGENT ORANGE STATUS [21S] ^ (#21) RADIATION EXPOSURE STATUS [22S] ^ (#22) SW ASIA
==>CONDITIONS [23S] ^ (#23) PATIENT ELIGIBILITY [24F] ^ (#24) PLACEHOLD COST OF TRANSACTION [25F] ^ (#25)
==>PLACEHOLD LAB LABOR COST [26F] ^ (#26) PLACEHOLD LAB MATERIAL COST [27F] ^ (#27) BILLING STATUS [28S] ^ (#28)
==>VET/NON VET [29S] ^ (#29) TYPE OF TRANSACTION [30S] ^ (#30) REQUESTING STATION [31F] ^ (#31) RECEIVING
==>STATION [32F] ^ (#32) PSAS HCPCS CODE [33F] ^
^ECX(727.826,D0,1)= (#33) ZIP CODE [1F] ^ (#34) DATE OF BIRTH [2F] ^ (#35) SEX [3S] ^ (#36) AMIS GROUPER [4N] ^ (#37) PLACEHOLDER
==>[5F] ^ (#38) PLACEHOLD MPI [6F] ^ (#39) PLACEHOLDER [7F] ^ (#40) PLACEHOLD PC PROV PERSON CLASS [8F] ^ (#41)
==>PLACEHOLD RACE [9F] ^ (#42) POW STATUS [10S] ^ (#43) POW LOCATION [11F] ^ (#44) PLACEHOLD SHARE AGREEMNT
==>PAYOR [12F] ^ (#45) PLACEHOLD SHARE AGREEMNT INSUR [13P:36] ^ (#46) MST STATUS [14S] ^ (#47) ENROLLMENT
==>LOCATION [15F] ^ (#48) STATE [16F] ^ (#49) COUNTY [17F] ^ (#50) PLACEHOLD ASSOC PC PROVIDER [18F] ^ (#51)
==>PLACEHOLD AS PC PROV PERSON CL [19F] ^ (#52) PLACEHOLDER [20F] ^ (#53) DOM,PRRTP AND SAARTP INDICATOR [21S] ^
==>(#54) ENROLLMENT CATEGORY [22F] ^ (#55) ENROLLMENT STATUS [23P:27.15] ^ (#56) PLACEHOLDER [24F] ^ (#57)
==>PURPLE HEART INDICATOR [25S] ^ (#58) PERIOD OF SERVICE [26F] ^ (#59) OBSERVATION PATIENT INDICATOR [27S] ^
==>(#60) ENCOUNTER NUMBER [28F] ^ (#61) AGENT ORANGE LOCATION [29F] ^ (#62) CNH STATUS [30S] ^ (#63) PRODUCTION
==>DIVISION CODE [31F] ^ (#64) HEAD & NECK CANCER INDICATOR [32S] ^ (#65) PLACEHOLD ETHNICITY [33F] ^ (#66)
==>PLACEHOLD RACE 1 [34F] ^ (#67) PLACEHOLD DSS IP # [35N] ^ (#68) ENROLLMENT PRIORITY [36F] ^ (#69) USER
==>ENROLLEE [37S] ^ (#70) PATIENT TYPE [38S] ^ (#71) CV STATUS ELIGIBILITY [39S] ^ (#72) CV ELIGIBILITY END DATE
==>[40F] ^ (#73) PLACEHOLD ENCOUNTER CV [41S] ^ (#74) NATIONAL PATIENT RECORD FLAG [42S] ^ (#75) ERI [43F] ^
==>(#76) PLACEHOLD AGENT ORANGE ENC [44S] ^ (#77) PLACEHOLD ENCOUNTER SWAC [45S] ^ (#78) PLACEHOLD ENC HEAD/NECK
==>CA [46S] ^ (#79) PLACEHOLD ENCOUNTER MST [47S] ^ (#80) PLACEHOLD RADIATION ENCOUNTER [48S] ^
^ECX(727.826,D0,2)= (#81) OEF/OIF [1F] ^ (#82) OEF/OIF RETURN DATE [2F] ^ (#83) NPPD CODE [3F] ^ (#84) NPPD ENTRY DATE [4F] ^
==>(#85) PLACEHOLD ASSOC PC PROV NPI [5F] ^ (#86) PLACEHOLD PC PROVIDER NPI [6F] ^ (#87) COUNTRY CODE [7F] ^
==>(#88) SHAD STATUS [8S] ^ (#89) PLACEHOLD ENCOUNTER SHAD [9S] ^ (#90) LABOR HOURS [10N] ^ (#91) PATCAT [11S] ^
==>(#92) PRIMARY ICD-10 CODE [12F] ^ (#93) SECONDARY ICD-10 CODE #1 [13F] ^ (#94) SECONDARY ICD-10 CODE #2 [14F]
==>^ (#95) SECONDARY ICD-10 CODE #3 [15F] ^ (#96) SECONDARY ICD-10 CODE #4 [16F] ^ (#97) PLACEHOLD ENCOUNTER SC
==>[17S] ^ (#98) VIETNAM [18S] ^ (#99) CAMP LEJEUNE STATUS [19S] ^ (#100) PLACEHOLD ENC CAMP LEJEUNE [20S] ^
==>(#101) COMBAT VETERAN INDICATOR [21S] ^ (#102) COMBAT VETERAN LOCATION [22F] ^ (#103) FORM REQUESTED ON [23F]
==>^ (#104) UNIT OF ISSUE [24F] ^ (#105) NEW COST OF TRANSACTION [25N] ^ (#106) NEW LAB LABOR COST [26N] ^
==>(#107) NEW LAB MATERIAL COST [27N] ^ (#108) NEW MPI [28F] ^ (#109) SELF IDENTIFIED GENDER [29S] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):