STANDARD DATA DICTIONARY #103 -- ORAM FLOWSHEET FILE 6/27/25 PAGE 1 STORED IN ^ORAM(103, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 3.0) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- This file captures flowsheet data in support of the the Anticoagulation Management Program (AMP), which is a Joint Commission National Patient Safety Goal initiative to use a standardized process for the management of their patients on extended anticoagulation therapy. AMP runs as a Windows Application from the CPRS Tools menu, and assists Clinicians with the expeditious documentation of visits to Anticoagulation Clinics. DD ACCESS: @ RD ACCESS: WR ACCESS: DEL ACCESS: LAYGO ACCESS: AUDIT ACCESS: CROSS REFERENCED BY: PATIENT(B), CLINIC(CL), NEXT LAB(L) 103,.01 PATIENT 0;1 POINTER TO PATIENT FILE (#2) PATIENT NAME INPUT TRANSFORM: S DINUM=X LAST EDITED: MAY 22, 2003 DESCRIPTION: Patient DFN from file 2 NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 103^B 1)= S ^ORAM(103,"B",$E(X,1,30),DA)="" 2)= K ^ORAM(103,"B",$E(X,1,30),DA) 103,1 GOAL INR 0;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Answer must be 1-10 characters in length. DESCRIPTION: Stores the INR GOAL RANGE set by the user in the ANTICOAGULATOR. Contains a free text range, like: 2.0-3.0 103,2 INDICATION 0;3 FREE TEXT INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X LAST EDITED: JUL 28, 2004 HELP-PROMPT: Answer must be 1-50 characters in length. DESCRIPTION: Stores indication set in the Anticoagulator and ICD9 code for the indication. Example: A Flutter=427.32 103,3 NEXT LAB 0;4 DATE INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAY 13, 2009 HELP-PROMPT: (No range limit on date) DESCRIPTION: Fileman date of the next scheduled INR draw. CROSS-REFERENCE: 103^L 1)= S ^ORAM(103,"L",$E(X,1,30),DA)="" 2)= K ^ORAM(103,"L",$E(X,1,30),DA) 3)= ** DO NOT DELETE ** This REGULAR FileMan cross-reference on NEXT LAB will optimize both look-up and sorting by next lab date... 103,4 START DATE 0;5 FREE TEXT INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X LAST EDITED: MAR 08, 2004 HELP-PROMPT: Answer must be 1-15 characters in length. DESCRIPTION: Date patient was started in Anticoagulation clinic; in free text format (request from the field); contains whatever the operator entered. example: 09/26/08 example: unknown 103,5 STOP DATE 0;6 FREE TEXT INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X LAST EDITED: AUG 14, 2003 HELP-PROMPT: Answer must be 1-15 characters in length. DESCRIPTION: Date patient was stopped OR expected to be stopped from needing followup in Anticoagulation clinic; in free text format (request from the field); contains whatever the operator entered. example: 09/26/08 example: indefinite 103,6 DURATION 0;7 FREE TEXT INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X LAST EDITED: JUL 28, 2004 HELP-PROMPT: Answer must be 1-40 characters in length. DESCRIPTION: Expected length of time patient will be followed in Anticoagulation clinic. Example: 6 months 103,7 SPECIAL INSTRUCTIONS 1;0 WORD-PROCESSING #103.07 (NOWRAP) DESCRIPTION: Word processing set of special instrections inputted into the Anticoagulator. Visible in the Anticoagulator and in the Header of the flow sheet on the REPORTS tab. LAST EDITED: NOV 13, 2003 103,8 RISK FACTORS 2;0 WORD-PROCESSING #103.08 DESCRIPTION: Word processing set of risk factors inputted into the Anticoagulator. Visible in the Anticoagulator and in the Header of the flow sheet on the REPORTS tab. LAST EDITED: MAY 20, 2003 103,9 SIGNED AGREEMENT 0;8 SET 'Y' FOR yes; 'N' FOR no; LAST EDITED: MAY 13, 2009 HELP-PROMPT: Does the patient has a signed agreement for treatment? DESCRIPTION: Stores if patient has a signed agreement Y=yes; N or ""=No. 103,10 ORIENTATION 0;9 FREE TEXT INPUT TRANSFORM: K:$L(X)>8!($L(X)<1) X LAST EDITED: MAY 13, 2009 HELP-PROMPT: Answer must be 1-8 characters in length. DESCRIPTION: Free text entry for date of orientation classs. 103,11 FS DATE 3;0 DATE Multiple #103.011 (Add New Entry without Asking) 103.011,.01 FS DATE 0;1 DATE INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 20, 2003 DESCRIPTION: Fileman date of the flow sheet entry. CROSS-REFERENCE: 103.011^B 1)= S ^ORAM(103,DA(1),3,"B",$E(X,1,30),DA)="" 2)= K ^ORAM(103,DA(1),3,"B",$E(X,1,30),DA) 103.011,20 INR 0;3 FREE TEXT INPUT TRANSFORM: K:$L(X)>6!($L(X)<1) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Answer must be 1-6 characters in length. DESCRIPTION: INR value from outside lab; entered throught the Anticoagulator. 103.011,30 LAB DRAW LOC 0;4 FREE TEXT INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Answer must be 1-10 characters in length. DESCRIPTION: Location of lab used for last outside lab draw (HCT or INR) 103.011,40 PILL STRENGTH 0;5 NUMBER INPUT TRANSFORM: K:+X'=X!(X>10)!(X<1)!(X?.E1"."3N.N) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Type a Number between 1 and 10, 2 Decimal Digits DESCRIPTION: Strength of coumadin pill prescribed to patient; in mgs. Currently Anticoagulator only supports using one pill strength for each patient. 103.011,50 TOTAL WEEKLY DOSE 0;6 NUMBER INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."3N.N) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Type a Number between 1 and 99, 2 Decimal Digits DESCRIPTION: Total weekly coumadin dose as established at this flow sheet entry. If "Record Total Weekly dose" is not checked in the ANTICOAGULATER; then this field will contain '---' and nothing will display in that field on the flow sheet (on the REPORTS TAB in CPRS). 103.011,60 DAILY DOSING 0;7 FREE TEXT INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Answer must be 1-50 characters in length. DESCRIPTION: mg of coumadin per day Sun - Sat separated by '|'. example: 5|5|10|5|5|2.5|5 103.011,70 PATIENT NOTICE 0;8 FREE TEXT INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Answer must be 1-10 characters in length. DESCRIPTION: How patient was contacted at this entry. Free text and displays in flow sheet (CPRS REPORTS TAB). 103.011,80 D/T STAMP 0;9 DATE INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 20, 2003 DESCRIPTION: Entry date/time of item into the file. 103.011,90 PROVIDER 0;10 FREE TEXT INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X LAST EDITED: MAY 20, 2003 HELP-PROMPT: Answer must be 1-40 characters in length. DESCRIPTION: Provider (from file 200) that made the entry. 103.011,92 CURRENT INDICATION 0;11 FREE TEXT INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: JUL 02, 2003 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: Indication from the Anticoagulator drop down box, or free text. This is in case the indication changes over the course of treatment. example: A Fib 103.011,95 CURRENT GOAL 0;12 FREE TEXT INPUT TRANSFORM: K:$L(X)>12!($L(X)<1) X LAST EDITED: JUL 02, 2003 HELP-PROMPT: Answer must be 1-12 characters in length. DESCRIPTION: Current goal range, in case it changed over the course of treatment. The current ranges are used to determine the percent in goal, since the patient may have been in goal until the goal changed. Only considered out of goal if they are out of range for this reading; not how this visit compares to the most recent goal range. 103.011,99 COMMENTS 1;0 WORD-PROCESSING #103.1199 DESCRIPTION: Free text information for this flow sheet entry. LAST EDITED: MAY 20, 2003 103.011,100 SHOW VALUE 0;13 SET '0' FOR KEPT APPT; '1' FOR W/I 1 DAY; '2' FOR NO SHOW; LAST EDITED: OCT 17, 2003 DESCRIPTION: RECORDS VALUES FOR A SHOW RATE. WILL LOOK AT TOTAL VISITS WITH THIS FIELD COMPLETED CALCULATING PERCENT WITH ON TIME (0) OR WITHIN ONE DAY (1); SUGGESTS COMPLIANCE. 2= NOSHOW 103.011,104 COMPLICATION 0;2 SET '1' FOR MAJOR BLEED; '2' FOR CLOT; '3' FOR MINOR BLEED; LAST EDITED: SEP 20, 2008 DESCRIPTION: If present, indicates that a complication was noted. Often noted historically, the date will either be the date of the entry OR the date will be in the COMPLICATIONS word processing fields. 103.011,105 COMPLICATION NOTE 2;0 WORD-PROCESSING #103.11105 (NOWRAP) (IGNORE "|") DESCRIPTION: Free text or selected information on complication. LAST EDITED: SEP 20, 2008 DESCRIPTION: Type of complication and any comments. 103.011,110 PATIENT INSTRUCTIONS 3;0 WORD-PROCESSING #103.021 (NOWRAP) (IGNORE "|") LAST EDITED: MAY 06, 2009 HELP-PROMPT: Enter patient instructions (from letter) DESCRIPTION: This is the narrative included in the patient letter for the visit. 103,15 COMPLEXITY 0;10 SET '0' FOR STANDARD PT; '1' FOR COMPLEX PT; '2' FOR INACTIVE PT; LAST EDITED: AUG 15, 2003 DESCRIPTION: INDICATES IF PATIENT IS CURRENTLY COMPLEX, STANDARD OR INACTIVE 103,25 MSG-PHONE 0;11 SET '0' FOR NOT ASKED; '1' FOR NO MSGS; '2' FOR OK MSG; LAST EDITED: JUN 12, 2003 DESCRIPTION: PT PRIVACY ISSUE; indicates if pt approved leaving of msg on phone answering machine. 103,35 MSG WITH 4;0 WORD-PROCESSING #103.035 DESCRIPTION: If patient allows leaving of anticoagulation messages with others at his/her phone number, this indicates WHO is allowed to receive the messages. LAST EDITED: JUN 12, 2003 DESCRIPTION: NAMES OF PEOPLE WHO MAY ANSWER PT PHONE IN WHICH IT IS OK TO LEAVE ANTICOAGULATION INFORMATION WITH. 103,45 AM MEDS 0;12 SET '0' FOR PM MEDS; '1' FOR AM MEDS; '2' FOR UNKNOWN; LAST EDITED: JUN 12, 2003 103,55 SAVE STATUS 0;13 FREE TEXT INPUT TRANSFORM: K:$L(X)>8!($L(X)<1) X LAST EDITED: MAY 13, 2009 HELP-PROMPT: Answer must be 1-8 characters in length. DESCRIPTION: Indicates if this entry is complete ("SAVE") or incomplete ("TEMPSAVE"). 103,60 FEE BASIS 0;14 SET '0' FOR NO; '1' FOR PRIMARY; '2' FOR SECONDARY; LAST EDITED: AUG 21, 2003 DESCRIPTION: ****Not in use for export version; here for legacy systems***** RECORDS IF FEE BASIS IS AUTHORIZED AND IF PRIMARY OR SECONDARY STATUS 103,65 FEE BASIS EXPIRATION 0;15 DATE INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X LAST EDITED: AUG 21, 2003 DESCRIPTION: ****Not in use for export version; here for legacy systems***** DATE WHICH FEE BASIS QUALIFICATION EXPIRES AND NEEDS TO BE REASSESSED. 103,70 FEE BASIS EVALUATED BY 0;16 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X LAST EDITED: AUG 21, 2003 HELP-PROMPT: Answer must be 1-30 characters in length. DESCRIPTION: ****Not in use for export version; here for legacy systems***** PERSON WHO EVALUATED PATIENT FOR FEE BASIS 103,75 OUTSIDE LAB 0;17 DATE INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 29, 2008 DESCRIPTION: *****Note in use for exported version******************* expiration date for outside lab agreement. 103,80 Reminder Date 0;18 DATE INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X LAST EDITED: JUL 28, 2004 DESCRIPTION: If reminder is set; this is the first date it will begin to appear when the Anticoagulator is accessed. It is only viewable in the Anticoagulator. 103,85 REMINDER 5;0 WORD-PROCESSING #103.085 (NOWRAP) DESCRIPTION: Free text item to remind person who is accessing the Anticoagulator on a specific patient that something needs to be done. Will only appear at or after the reminder date (field 80). example: "CBC due" LAST EDITED: JUL 26, 2004 103,90 LOCK 0;19 SET '0' FOR OPEN; '1' FOR LOCKED; LAST EDITED: AUG 23, 2004 DESCRIPTION: IF 1; CHART IS IN USE BY SOMEONE ELSE. 103,91 NEXT DAY CALLBACK 0;20 SET '0' FOR NO; '1' FOR YES; LAST EDITED: OCT 02, 2009 DESCRIPTION: This Boolean field indicates whether the Clinician should wait until the day after the next INR Draw to call the patient. 103,95 RESTRICT LAB DRAWS 6;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>5!($L(X)<1) X LAST EDITED: APR 27, 2006 HELP-PROMPT: Answer must be 1-5 characters in length. DESCRIPTION: Indicates days the patient does not want lab drawn. Represented by a string, example: 135 means Mon,Wed,Friday 103,101 CLINIC 6;2 POINTER TO HOSPITAL LOCATION FILE (#44) INPUT TRANSFORM: S DIC("S")="I $$GOODLOC^ORAMSET(Y)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X LAST EDITED: MAR 23, 2009 HELP-PROMPT: Enter the Clinic which is following the patient. DESCRIPTION: Clinic which is currently following the patient. Clinic determines many of the parameters which will determine the behavior of the Anticoagulation Management Application (e.g., Team List membership, Letterhead values, Visit locations for PCE, etc.). If clinic is missing, it will be assigned when the user files the first flowsheet entry. SCREEN: S DIC("S")="I $$GOODLOC^ORAMSET(Y)" EXPLANATION: Only active clinics may be selected. CROSS-REFERENCE: 103^CL 1)= S ^ORAM(103,"CL",$E(X,1,30),DA)="" 2)= K ^ORAM(103,"CL",$E(X,1,30),DA) 3)= ** DO NOT DELETE! ** This REGULAR whole-file cross-reference by Clinic location allows look-up and sorting of patients who are being followed by any particular clinic. 103,102 CMPLX 6;3 POINTER TO OE/RR LIST FILE (#100.21) LAST EDITED: SEP 20, 2008 DESCRIPTION: THIS FIELD IS NOT IN USE AT THIS TIME. 103,110 OUTSIDE HCT 6;4 FREE TEXT INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: SEP 20, 2008 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: Outside HCT lab value, entered by the pharmacist through the GUI, is stored here in the following format: value | DATE date is not in fileman format example: 21.6|9/19/2008 103,111 ELIGIBLE FOR LMWH BRIDGING 6;5 SET '1' FOR YES; '0' FOR NO; LAST EDITED: MAY 01, 2009 HELP-PROMPT: Indicate whether patient is eligible for LMWH Bridging. DESCRIPTION: Please indicate whether the patient is eligible for perioperative Low Molecular Weight Heparin bridging. 103,112 BRIDGING COMMENTS 7;0 WORD-PROCESSING #103.0112 (NOWRAP) (IGNORE "|") LAST EDITED: MAY 01, 2009 HELP-PROMPT: Enter comments pertaining to LMWH Bridging. DESCRIPTION: Enter any relevant information pertaining to the LMWH Bridging to be used for this patient. FILES POINTED TO FIELDS HOSPITAL LOCATION (#44) CLINIC (#101) OE/RR LIST (#100.21) CMPLX (#102) PATIENT (#2) PATIENT (#.01) INPUT TEMPLATE(S): PRINT TEMPLATE(S): ORAM TEAM LIST JUN 10, 2009@15:56 USER #0 Anticoagulation Next Lab Report SORT TEMPLATE(S): ORAM NEXT LAB SORT JUN 10, 2009@15:34 USER #0 SORT BY: NEXT LAB// (User is asked range) This sort template by next lab simplifies prompting for date range for the Team List Reports. FORM(S)/BLOCK(S):