STANDARD DATA DICTIONARY #161.5 -- FEE CH REPORT OF CONTACT FILE                                                  6/27/25    PAGE 1
STORED IN ^FBAA(161.5,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 3.5)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
Stores report of contact information for contract (civil) hospital program.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


              DD ACCESS: @
              RD ACCESS: #
              WR ACCESS: #
             DEL ACCESS: #
           LAYGO ACCESS: #
           AUDIT ACCESS: #
IDENTIFIED BY: VETERAN (#2)

CROSS
REFERENCED BY: ASSOCIATED REQUEST(B), VETERAN(D)



161.5,.01     ASSOCIATED REQUEST     0;1 POINTER TO FEE NOTIFICATION/REQUEST FILE (#162.2)

              INPUT TRANSFORM:  S:$D(X) DINUM=X
              DESCRIPTION:
                                This is the report of contact associated with a notification/ request in contract hospital.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  161.5^B 
                                1)= S ^FBAA(161.5,"B",$E(X,1,30),DA)=""
                                2)= K ^FBAA(161.5,"B",$E(X,1,30),DA)


161.5,1       VENDOR                 0;2 POINTER TO FEE BASIS VENDOR FILE (#161.2) (Required)

              DESCRIPTION:
                                This is the Fee Basis Vendor, associated with the Contract Hospital Notification/Request.  


161.5,2       VETERAN                0;3 POINTER TO PATIENT FILE (#2)

              LAST EDITED:      AUG 14, 1990 
              DESCRIPTION:
                                This is the name of the veteran who is requesting contract hospital services from the VA.  

              CROSS-REFERENCE:  161.5^D 
                                1)= S ^FBAA(161.5,"D",$E(X,1,30),DA)=""
                                2)= K ^FBAA(161.5,"D",$E(X,1,30),DA)


161.5,3       INITIAL DATE OF CONTACT 0;4 DATE

              INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
              DESCRIPTION:
                                This field corresponds to the Date/Time field of the Fee Notification/Request file.  


161.5,4       AUTHORIZATION FROM DATE 0;5 DATE

              INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      MAR 12, 1993 
              DESCRIPTION:
                                This field contains the date/time of admission of the veteran.  


161.5,5       TYPE OF CONTACT        0;6 SET (Required)

                                'T' FOR telephone; 
                                'P' FOR personal; 
              DESCRIPTION:
                                This is a way of identifying how the report of contact was initiated.  


161.5,6       PERSON CONTACTED       0;7 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>40!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-40 characters in length. 
              DESCRIPTION:
                                This is the name of the person who called.  


161.5,6.5     PHONE # OF PERSON CONTACTED 1;4 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
              LAST EDITED:      AUG 16, 1990 
              HELP-PROMPT:      Answer must be 3-20 characters in length. 
              DESCRIPTION:
                                The phone number of the person with whom initial contact was made.  


161.5,7       STREET ADDRESS[1] OF CONTACT 0;8 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This is the street address of person who called.  


161.5,8       STREET ADDRESS[2] OF CONTACT 0;9 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This is a continuation line for the street address of the person who called.  


161.5,9       CITY OF CONTACT        0;10 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<2) X
              HELP-PROMPT:      Answer must be 2-30 characters in length. 
              DESCRIPTION:
                                This is the city of the person who called.  


161.5,10      STATE OF CONTACT       0;11 POINTER TO STATE FILE (#5)

              DESCRIPTION:
                                This is the state of the person who called.  


161.5,11      ZIP CODE OF CONTACT    0;12 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>5!($L(X)<5)!'(X?5N) X
              HELP-PROMPT:      Answer must be 5 characters in length. 
              DESCRIPTION:
                                This is the zip code associated with the address of the person who called.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


161.5,12      ATTENDING PHYSICIAN    0;13 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              LAST EDITED:      AUG 31, 1990 
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This is the name of the attending physician treating the patient at the contract hospital.  


161.5,13      ATTEND.PHYSICIAN TELEPHONE NO. 0;14 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-20 characters in length. 
              DESCRIPTION:
                                This is the number where the attending physician may be reached.  


161.5,14      TENTATIVE DIAGNOSIS    1;1 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>45!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-45 characters in length. 
              DESCRIPTION:
                                Initial diagnosis given at the time of notification.  


161.5,15      INSURANCE TYPE         1;2 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This allows the user to document any other insurance the veteran may have.  


161.5,16      MODE OF TRANSPORTATION 1;3 POINTER TO BENEFICIARY TRAVEL MODE OF TRANSPORTATION FILE (#392.4)

              LAST EDITED:      AUG 16, 1990 
              DESCRIPTION:      This field allows the user to enter in the planned transportation of the veteran at time of
                                transfer from contract hospital.  


161.5,16.5    VETERAN HAVE OTHER INSURANCE 1;5 FREE TEXT

              INPUT TRANSFORM:  I $D(X) D YN^FBAAUTL3
              OUTPUT TRANSFORM: D OUTYN^FBAAUTL3
              LAST EDITED:      MAR 18, 1994 
              HELP-PROMPT:      Answer 'Yes' or '1' for YES and 'No' or '0' for NO. 
              DESCRIPTION:
                                If the user answers 'Yes' to this question then they will be asked Insurance type.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


161.5,17      DATE/TIME OF CONTACT   2;0 DATE Multiple #161.517

              DESCRIPTION:      This multiple allows the CH user to enter contacts that were made with the VA on behalf of a
                                patient who was admitted to a non-VA facility for treatment.  


161.517,.01     DATE/TIME OF CONTACT   0;1 DATE

                INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      AUG 14, 1990 
                DESCRIPTION:      The date and time initial contact was made with the VA on behalf of a patient who was admitted to
                                  a non-VA facility for treatment.  

                NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:  161.517^B 
                                  1)= S ^FBAA(161.5,DA(1),2,"B",$E(X,1,30),DA)=""
                                  2)= K ^FBAA(161.5,DA(1),2,"B",$E(X,1,30),DA)


161.517,1       NARRATIVE              1;0   WORD-PROCESSING #161.5171

                DESCRIPTION:
                                  This contains the contents of the report of contact.  





161.517,2       USER                     0;2 POINTER TO NEW PERSON FILE (#200) (Required)

                  DESCRIPTION:
                                    This field captures the name of the user who enters the report of contact.  




161.5,18      APPROVING OFFICIAL     1;6 POINTER TO NEW PERSON FILE (#200)

              LAST EDITED:      AUG 17, 1990 
              DESCRIPTION:
                                This is the official who is approving/disapproving the contract hospitalization.  


161.5,19      DATE/TIME OF ADMISSION 1;7 DATE

              INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      MAR 12, 1993 
              DESCRIPTION:
                                The date and time the veteran was admitted to a non-VA facility for care.  

              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER



      FILES POINTED TO                      FIELDS

BENEFICIARY TRAVEL MODE OF TRA 
                   (#392.4)       MODE OF TRANSPORTATION (#16)

FEE BASIS VENDOR (#161.2)         VENDOR (#1)

FEE NOTIFICATION/REQUEST 
                   (#162.2)       ASSOCIATED REQUEST (#.01)

NEW PERSON (#200)                 APPROVING OFFICIAL (#18)
                                  DATE/TIME OF CONTACT:USER (#2)

PATIENT (#2)                      VETERAN (#2)

STATE (#5)                        STATE OF CONTACT (#10)



INPUT TEMPLATE(S):
FBCH ADD ROC                  AUG 17, 1990@09:03  USER #0    
FBCH EDIT ROC                 AUG 18, 1993@19:57  USER #10116
FBCH ENTER ROC                AUG 19, 1993@12:41  USER #705  

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