GLOBAL MAP DATA DICTIONARY #90 -- MEDICAL RECORD FILE 3/24/25 PAGE 1
STORED IN ^MR( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.01)
-----------------------------------------------------------------------------------------------------------------------------------
PHYSICAL EXAMINATION, DSM-III DIAGNOSES AND OTHER FILES FOR THE MEDICAL RECORD
Fields annotated with an "*" are scheduled for deletion from file.
CROSS
REFERENCED BY: NAME(B)
^MR(D0,0)= (#.01) NAME [1P:2] ^
^MR(D0,DX,0)=^90.04PA^^ (#103) *DSM-III DIAGNOSIS
^MR(D0,DX,D1,0)= (#.01) *DSM-III DIAGNOSIS [1P:627] ^ (#2) *STATUS [2S] ^ (#3) *STATUS DATE [3D] ^
^MR(D0,DX,D1,1,0)=^90.05DA^^ (#1) *DSM-III QUALIFIER DATE
^MR(D0,DX,D1,1,D2,0)= (#.01) *DSM-III QUALIFIER DATE [1D] ^ (#1) *DSM-III QUALIFIER [2S] ^ (#2) *ACCESS CODE [3P:200] ^ (#3)
==>*COMMENT [4F] ^ ^ (#6) *OLD COMMENT [6F] ^
^MR(D0,DX1)= (#101) *PRINCIPAL DSM-III DX DATE [1D] ^ (#102) *PRINCIPAL DSM-III DIAGNOSIS [2P:627] ^ (#102.4) *X DSM-III
==>DIAGNOSIS DATE [3D] ^ (#102.6) *X DSM-III DIAGNOSIS [4P:627] ^
^MR(D0,DX2)= (#112) *PRINCIPLE ICD9 DX DATE [1D] ^ (#113) *PRINCIPAL ICD9 DIAGNOSIS [2P:80] ^ (#113.4) *X ICD9 DIAGNOSIS DATE
==>[3D] ^ (#113.6) *X ICD9 DIAGNOSIS [4P:80] ^
^MR(D0,DXM)= (#104) *AXIS 4 [1S] ^ (#105) *AXIS 4 DATE [2D] ^ (#106) *AXIS 4 BY [3P:200] ^ (#107) *AXIS 5 [4S] ^ (#108) *AXIS 5
==>DATE [5D] ^ (#109) *AXIS 5 BY [6P:200] ^
^MR(D0,PDX,0)=^90.06PA^^ (#110) *PAST PRINCIPAL DX
^MR(D0,PDX,D1,0)= (#.01) *PAST PRINCIPAL DX [1P:627] ^ (#1) *DATE PAST PRINCIPAL DX [2D] ^ (#2) *DIAGNOSIS BY [3P:200] ^
^MR(D0,PE,0)=^90.01D^^ (#100) PHY
^MR(D0,PE,D1,0)= (#.01) PHY [1D] ^ (#.02) HEIGHT IN INCHES [2N] ^ (#.03) WEIGHT IN POUNDS [3N] ^ (#.04) TEMP. [4N] ^ (#.05) PULSE
==>[5F] ^ (#.06) B.P. [6F] ^ (#.07) RESPS. [7N] ^ (#32) HEIGHT IN CENTIMETERS [8N] ^ (#33) WEIGHT IN KILOGRAMS [9N]
==>^ (#29) EXAMINER [10P:200] ^ (#34) TEMPERATURE CENTIGRADE [11N] ^
^MR(D0,PE,D1,.8)= (#.9) GENERAL APPEARANCE [1F] ^
^MR(D0,PE,D1,.9)= (#2) HEAD [1S] ^ (#3) EYES [2S] ^ (#4) EARS [3S] ^ (#5) NOSE [4S] ^ (#6) MOUTH [5S] ^ (#7) NECK [6S] ^ (#8)
==>CHEST AND BREASTS [7S] ^ (#9) LUNGS [8S] ^ (#10) HEART [9S] ^ (#11) ABDOMEN [10S] ^ (#12) GENITALIA [11S] ^
==>(#13) PELVIC [12S] ^ (#14) RECTUM [13S] ^ (#15) BACK [14S] ^ (#16) EXTREMITIES [15S] ^ (#17) NEUROLOGICAL [16S]
==>^ (#18) SKIN [17S] ^ (#19) LYMPH [18S] ^
^MR(D0,PE,D1,1)= ^ ^ ^ ^ ^ ^ ^ ^ (#2.9) HEAD AB [9F] ^
^MR(D0,PE,D1,2)= (#3.1) EOM [1S] ^ (#3.2) PUPIL SIZE [2S] ^ (#3.3) FUNDI [3S] ^ (#3.4) RLA [4S] ^ ^ ^ ^ ^ (#3.9) EYES AB [9F]
==>^
^MR(D0,PE,D1,3)= (#4.1) HEARING [1S] ^ (#4.2) EXTERNAL MEATUS [2S] ^ (#4.3) DRUMS [3S] ^ ^ ^ ^ ^ ^ (#4.9) EARS AB [9F] ^
^MR(D0,PE,D1,4)= ^ ^ ^ ^ ^ ^ ^ ^ (#5.9) NOSE AB [9F] ^
^MR(D0,PE,D1,5)= ^ ^ ^ ^ ^ ^ ^ ^ (#6.9) MOUTH AB [9F] ^
^MR(D0,PE,D1,6)= ^ ^ ^ ^ ^ ^ ^ ^ (#7.9) NECK AB [9F] ^
^MR(D0,PE,D1,7)= ^ ^ ^ ^ ^ ^ ^ ^ (#8.9) CHEST AB [9F] ^
^MR(D0,PE,D1,8)= ^ ^ ^ ^ ^ ^ ^ ^ (#9.9) LUNGS AB [9F] ^
^MR(D0,PE,D1,9)= ^ ^ ^ ^ ^ ^ ^ ^ (#10.9) HEART AB [9F] ^
^MR(D0,PE,D1,10)= ^ ^ ^ ^ ^ ^ ^ ^ (#11.9) ABDOMEN AB [9F] ^
^MR(D0,PE,D1,11)= (#12.1) TESTES [1S] ^ (#12.2) EPIDIDYMIDES [2S] ^ (#12.3) PENIS [3S] ^ (#12.4) PROSTATE [4S] ^ ^ ^ ^ ^
==>(#12.9) GENITALIA AB [9F] ^
^MR(D0,PE,D1,12)= ^ ^ ^ ^ ^ ^ ^ ^ (#13.9) PELVIC AB [9F] ^
^MR(D0,PE,D1,13)= ^ ^ ^ ^ ^ ^ ^ ^ (#14.9) RECTUM AB [9F] ^
^MR(D0,PE,D1,14)= ^ ^ ^ ^ ^ ^ ^ ^ (#15.9) BACK AB [9F] ^
^MR(D0,PE,D1,15)= ^ ^ ^ ^ ^ ^ ^ ^ (#16.9) EXTREMITIES AB [9F] ^
^MR(D0,PE,D1,16)= ^ ^ ^ ^ ^ ^ ^ ^ (#17.9) NEUROLOGICAL AB [9F] ^
^MR(D0,PE,D1,17)= ^ ^ ^ ^ ^ ^ ^ ^ (#18.9) SKIN AB [9F] ^
^MR(D0,PE,D1,18)= ^ ^ ^ ^ ^ ^ ^ ^ (#19.9) LYMPH AB [9F] ^
^MR(D0,PE,D1,19,0)=^90.02^^ (#30) COMMENTS
^MR(D0,PE,D1,19,D2,0)= (#.01) COMMENTS [1W] ^
^MR(D0,PE,D1,20,0)=^90.03^^ (#31) INITIAL IMPRESSION
^MR(D0,PE,D1,20,D2,0)= (#.01) INITIAL IMPRESSION [1W] ^
^MR(D0,PHDX,0)=^90.1PA^^ (#115) *ICD9 DIAGNOSIS
^MR(D0,PHDX,D1,0)= (#.01) *ICD9 DIAGNOSIS [1P:80] ^ (#2) *STATUS [2S] ^ (#3) *STATUS DATE [3D] ^
^MR(D0,PHDX,D1,1,0)=^90.11DA^^ (#1) *ICD9 QUALIFIER DATE
^MR(D0,PHDX,D1,1,D2,0)= (#.01) *ICD9 QUALIFIER DATE [1D] ^ (#1) *ICD9 QUALIFIER [2S] ^ (#2) *USER [3P:200] ^ (#3) *COMMENT [4F] ^
^MR(D0,PPDX,0)=^90.16PA^^ (#116) *PAST PRINCIPAL ICD9 DX
^MR(D0,PPDX,D1,0)= (#.01) *PAST PRINCIPAL ICD9 DX [1P:80] ^ (#1) *DATE PAST PRINCIPAL ICD9 DX [2D] ^ (#2) *ICD9 DIAGNOSIS BY
==>[3P:200] ^
^MR(D0,XDX,0)=^90.07PA^^ (#111) *PAST X DIAGNOSIS
^MR(D0,XDX,D1,0)= (#.01) *PAST X DIAGNOSIS [1P:627] ^ (#1) *PAST X DATE [2D] ^ (#2) *DIAGNOSIS BY [3P:200] ^
^MR(D0,XPDX,0)=^90.17PA^^ (#117) *PAST ICD9 X DIAGNOSIS
^MR(D0,XPDX,D1,0)= (#.01) *PAST ICD9 X DIAGNOSIS [1P:80] ^ (#1) *PAST ICD9 X DATE [2D] ^ (#2) *ICD9 X DIAGNOSIS BY [3P:200] ^
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):