GLOBAL MAP DATA DICTIONARY #74 -- RAD/NUC MED REPORTS FILE 3/24/25 PAGE 1
STORED IN ^RARPT( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.0)
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This file contains the reports for registered exams. These reports are usually first dictated by the interpreting physician before
being entered by the transcriptionist.
The Radiology/Nuclear Medicine software includes an HL7 interface to support report entry using voice recognition systems.
The data in this file has three basic sections:
I. Demographic information about the file
- patient, date reported, date entered etc.
II. Text Data
- clinical history, report and impression
III. Computed Fields that obtain data from patient's exam record
- technician, procedure etc.
The computed fields can be a very efficent way to do File Man prints and searches of exam record data, as opposed to doing prints
and searches through the 'RAD/NUC MED PATIENT' file.
Data Storage
------------
The data for the 'RAD/NUC MED REPORTS file is stored in the ^RARPT( global. This global is very volatile and should be journaled.
It should also be translated if the operating system supports this function.
Because of the large amount of disk space the report text will demand of the system, the module has a 'Purge Data' function that
will allow the site manager to delete the 'REPORT TEXT' and 'CLINCIAL HISTORY' fields on a periodic basis. It is up to the computer
site manager and the imaging coordinator to determine how long this data will remain on-line. The 'IMPRESSION' text will not be
purged.
In the future, the module will also have an archive function.
Input Templates
---------------
The following is a list of input templates used by the package and the entry in the OPTIONS file (#19) that uses the template:
Compiled
Name Routine Description; Option(s)
---- -------- ----------------------
RA REPORT EDIT ^RACTWR* Used to enter/edit reports and associated
information into this file;
RA RPTENTRY
RA VERIFY ^RACTVR* Used to indicate a report has been verified;
REPORT ONLY RA BATCHVERIFY, RA RPTVERIFY
RA PRE-VERIFY REPORT EDIT Used to edit reports and associated
information in this file. Does not allow
report verification; RA RESIDENT PRE-VERIFY
RA PRE-VERIFY REPORT ONLY Used to pre-verify reports;
RA RESIDENT PRE-VERIFY
If any modifications to these input templates are needed for local purposes, then great care should be taken not to degrade any
branching logic in the template.
Print Templates
---------------
Compiled
Name Routine Description; Option(s)
----- -------- ----------------------
RA REPORT ^RACTRT Prints the status of verified reports only.
PRINT STATUS Includes date verified, routing queue, date
printed, printed by ward/clinic.
RA RPTDISTPRINTSTATUS
Sort Templates
--------------
The package does not use any sort templates associated with this file.
CROSS
REFERENCED BY: VERIFIED DATE(AA), DAY-CASE#(ABLTN), REPORT STATUS(ABLTN1), REPORT VERIFIED BY COTS APP(AC),
TRANSCRIPTIONIST(AD), REPORT STATUS(ARES), REPORT STATUS(ASTAT), REPORT STATUS(ASTF), DAY-CASE#(B),
PATIENT NAME(C), OTHER CASE#(SET)
^RARPT(D0,0)= (#.01) DAY-CASE# [1F] ^ (#2) PATIENT NAME [2P:2] ^ (#3) EXAM DATE/TIME [3D] ^ (#4) CASE NUMBER [4N] ^ (#5) REPORT
==>STATUS [5S] ^ (#6) DATE REPORT ENTERED [6D] ^ (#7) VERIFIED DATE [7D] ^ (#8) REPORTED DATE [8D] ^ (#9) VERIFYING
==>PHYSICIAN [9P:200] ^ (#10) ELECTRONIC SIGNATURE CODE [10F] ^ (#13) DATE REPORT PRINTED [11D] ^ (#14)
==>PRE-VERIFICATION DATE/TIME [12D] ^ (#15) PRE-VERIFICATION USER [13P:200] ^ (#16) PRE-VERIFICATION E-SIG [14F] ^ ^
==>^ (#17) STATUS CHANGED TO VERIFIED BY [17P:200] ^ (#18) DATE INITIAL OUTSIDE RPT ENTRY [18D] ^
^RARPT(D0,1,0)=^74.05^^ (#4.5) OTHER CASE#
^RARPT(D0,1,D1,0)= (#.01) OTHER CASE# [1F] ^
^RARPT(D0,2005,0)=^74.02005PA^^ (#2005) IMAGE
^RARPT(D0,2005,D1,0)= (#.01) IMAGE [1P:2005] ^
^RARPT(D0,BA)= (#86) INTERPRETING IMAGING LOCATION [1P:79.1] ^
^RARPT(D0,ERR,0)=^74.06DA^^ (#1000) ERROR REPORTS
^RARPT(D0,ERR,D1,0)= (#.01) DATE/TIME OF RPT SAVE [1D] ^
^RARPT(D0,ERR,D1,RPT,0)=^74.62^^ (#2) ERRONEOUS REPORT
^RARPT(D0,ERR,D1,RPT,D2,0)= (#.01) ERRONEOUS REPORT [1W] ^
^RARPT(D0,H,0)=^74.04^^ (#400) ADDITIONAL CLINICAL HISTORY
^RARPT(D0,H,D1,0)= (#.01) ADDITIONAL CLINICAL HISTORY [1W] ^
^RARPT(D0,I,0)=^74.03^^ (#300) IMPRESSION TEXT
^RARPT(D0,I,D1,0)= (#.01) IMPRESSION TEXT [1W] ^
^RARPT(D0,L,0)=^74.01DA^^ (#100) ACTIVITY LOG
^RARPT(D0,L,D1,0)= (#.01) LOG DATE [1D] ^ (#2) TYPE OF ACTION [2S] ^ (#3) COMPUTER USER [3P:200] ^ (#4) BEFORE DELETION REPORT
==>STATUS [4S] ^ (#5) BEFORE DELETION PRIM. DX CODE [5P:78.3] ^ ^ (#7) BEFORE DELETION PRIM. STAFF [7P:200] ^ ^
==>(#9) BEFORE DELETION PRIM. RESIDENT [9P:200] ^
^RARPT(D0,L,D1,DELDX,0)=^74.16PA^^ (#6) BEFORE DELETION SEC. DX CODE
^RARPT(D0,L,D1,DELDX,D2,0)= (#.01) BEFORE DELETION SEC. DX CODE [1P:78.3] ^
^RARPT(D0,L,D1,DELRES,0)=^74.19PA^^ (#10) BEFORE DELETION SEC. RESIDENT
^RARPT(D0,L,D1,DELRES,D2,0)= (#.01) BEFORE DELETION SEC. RESIDENT [1P:200] ^
^RARPT(D0,L,D1,DELSTF,0)=^74.18PA^^ (#8) BEFORE DELETION SEC. STAFF
^RARPT(D0,L,D1,DELSTF,D2,0)= (#.01) BEFORE DELETION SEC. STAFF [1P:200] ^
^RARPT(D0,NOPURGE)= (#45) NO PURGE INDICATOR [1S] ^
^RARPT(D0,P)= (#25) PROBLEM STATEMENT [E1,240F] ^
^RARPT(D0,PURGE)= (#40) PURGED DATE [1D] ^
^RARPT(D0,R,0)=^74.02^^ (#200) REPORT TEXT
^RARPT(D0,R,D1,0)= (#.01) REPORT TEXT [1W] ^
^RARPT(D0,T)= (#11) TRANSCRIPTIONIST [1P:200] ^
^RARPT(D0,TT)= (#9.1) TELERADIOLOGY PHYSICIAN NAME [1F] ^ (#9.2) TELERADIOLOGY PHYSICIAN NPI [2F] ^ (#9.3) REPORT VERIFIED BY
==>COTS APP [3P:771] ^
INPUT TEMPLATE(S):
^DIE(1088)= RA PRE-VERIFY REPORT EDIT
^DIE(1089)= RA PRE-VERIFY REPORT ONLY
^DIE(1069)= RA REPORT EDIT Compiled: ^RACTWR
^DIE(1073)= RA VERIFY REPORT ONLY Compiled: ^RACTVR
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):