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 PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):