STANDARD DATA DICTIONARY #162.2 -- FEE NOTIFICATION/REQUEST FILE                                                  3/24/25    PAGE 1
STORED IN ^FBAA(162.2,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 3.5)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file contains the information gathered when a site is notified that a veteran has been admitted to a civil hospital.  
 
Per VHA Directive 10-93-142, this file definition should not be modified.  


              DD ACCESS: @
              RD ACCESS: #
              WR ACCESS: #
             DEL ACCESS: #
           LAYGO ACCESS: #
IDENTIFIED BY: VENDOR (#1)[R], VETERAN (#3)[R]

POINTED TO BY: ASSOCIATED REQUEST field (#.01) of the FEE CH REPORT OF CONTACT File (#161.5) 
               

CROSS
REFERENCED BY: ASSOCIATED 7078(AM), DATE/TIME(B), VENDOR(C), VETERAN(D)

INDEXED BY:    VENDOR & DATE OF MEDICAL DETERMINATION & VETERAN & SUSPENSE CODE (AI)


    LAST MODIFIED: OCT 14,2016@13:53:19

162.2,.01     DATE/TIME              0;1 DATE (Required) (Multiply asked)

              INPUT TRANSFORM:  S %DT="ESTXR",%DT(0)="-NOW" D ^%DT K %DT(0) S X=Y K:Y<1 X
              LAST EDITED:      OCT 23, 1990 
              DESCRIPTION:
                                Date and Time that the vendor notifies the COJ of this episode of hospitalization.  

              DELETE TEST:      .01,0)= I $P(^FBAA(162.2,DA,0),"^",17)]"" W !!,*7,"Cannot delete a Request because a 7078 entry has
                                 already been established!",!

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

              CROSS-REFERENCE:  162.2^B 
                                1)= S ^FBAA(162.2,"B",$E(X,1,30),DA)=""
                                2)= K ^FBAA(162.2,"B",$E(X,1,30),DA)


162.2,1       VENDOR                 0;2 POINTER TO FEE BASIS VENDOR FILE (#161.2) (Required)

              LAST EDITED:      JAN 31, 2000 
              DESCRIPTION:
                                Name of the vendor who is notifying you of a veteran request for care.  

              CROSS-REFERENCE:  162.2^C 
                                1)= S ^FBAA(162.2,"C",$E(X,1,30),DA)=""
                                2)= K ^FBAA(162.2,"C",$E(X,1,30),DA)

              RECORD INDEXES:   AI (#71)

162.2,2       PERSON WHO CALLED      0;3 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 free text field that contains the name of the person who is notifying you.  


162.2,3       VETERAN                0;4 POINTER TO PATIENT FILE (#2) (Required)

              LAST EDITED:      JAN 31, 2000 
              DESCRIPTION:
                                This is name of the veteran who is requesting services from the VA.  

              CROSS-REFERENCE:  162.2^D 
                                1)= S ^FBAA(162.2,"D",$E(X,1,30),DA)=""
                                2)= K ^FBAA(162.2,"D",$E(X,1,30),DA)

              RECORD INDEXES:   AI (#71)

162.2,3.5     DATE/TIME OF ADMISSION 0;19 DATE (Required)

              INPUT TRANSFORM:  S %DT="ESTXR",%DT(0)="-NOW" D ^%DT K %DT(0) S X=Y K:Y<1 X
              LAST EDITED:      MAR 12, 1993 
              DESCRIPTION:
                                This field contains the date and time of admission to the civil hospital.  

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


162.2,4       AUTHORIZED FROM DATE/TIME 0;5 DATE (Required)

              INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT K %DT(0) S X=Y D DATCK^FBCHREQ1 K:Y<1!$G(FBOUT) X,FBOUT
              LAST EDITED:      MAR 12, 1993 
              DESCRIPTION:      This field contains the date and time that you begin accepting responsibility for bills incurred if
                                the veteran is found to be legally and medically entitled.  

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


162.2,5       ADMITTING DIAGNOSIS    0;6 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>45!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-45 characters in length. 
              DESCRIPTION:      This is the admitting diagnosis of the veteran which is usually obtained from the person who
                                called.  


162.2,6       ATTENDING PHYSICIAN    0;7 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              HELP-PROMPT:      Answer must be 3-30 characters in length. 
              DESCRIPTION:
                                This field is a free text field. Please enter the name of the attending physician for this patient.  


162.2,6.5     ATTEN.PHYSICIAN PHONE NUMBER 0;18 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
              LAST EDITED:      AUG 31, 1990 
              HELP-PROMPT:      Answer must be 3-20 characters in length. 
              DESCRIPTION:      This field contains the phone number of the attending physician while the patient was residing in
                                the non-VA facility.  


162.2,7       USER ENTERING NOTIFICATION 0;8 POINTER TO NEW PERSON FILE (#200)

              LAST EDITED:      APR 05, 1990 
              DESCRIPTION:
                                This field contains the name of the user who entered the notification.  


162.2,8       LEGAL ENTITLEMENT      0;9 FREE TEXT (audited)

              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 or 'No' or '0' for NO. 
              DESCRIPTION:      If a veteran is determined not to be legally entitled then s/he is assumed not medically entitled
                                and the status of the request becomes complete.  

              AUDIT:            EDITED OR DELETED
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


162.2,9       DATE OF LEGAL DETERMINATION 0;10 DATE

              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              DESCRIPTION:
                                This is the date that the legal entitlement was entered into the computer.  


162.2,10      USER ENTERING LEGAL DETERM. 0;11 POINTER TO NEW PERSON FILE (#200)

              LAST EDITED:      APR 05, 1990 
              DESCRIPTION:
                                The user who entered the legal entitlement.  


162.2,11      MEDICAL ENTITLEMENT    0;12 FREE TEXT (audited)

              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:      Once the legal entitlement has been determined the medical entitlement must be determined following 
                                VA regulations.  

              AUDIT:            EDITED OR DELETED
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


162.2,12      DATE OF MEDICAL DETERMINATION 0;13 DATE

              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JAN 31, 2000 
              DESCRIPTION:
                                Date the user entered the Medical determination.  

              RECORD INDEXES:   AI (#71)

162.2,13      USER ENTERING MEDICAL DETERM. 0;14 POINTER TO NEW PERSON FILE (#200)

              LAST EDITED:      APR 05, 1990 
              DESCRIPTION:
                                Name of the user who entered the medical determination.  


162.2,14      SUSPENSE CODE          0;16 POINTER TO FEE BASIS SUSPENSION FILE (#161.27)

              LAST EDITED:      JAN 31, 2000 
              DESCRIPTION:      A pointer to the Fee Basis Suspension file, allows the user to enter in a suspense reason for Legal
                                or Medical denial.  

              RECORD INDEXES:   AI (#71)

162.2,15      DESCRIPTION OF SUSPENSION 1;0   WORD-PROCESSING #162.215   (NOWRAP)

              DESCRIPTION:      If the user enters a '4' for 'other' in the suspense field s/he can enter a word processing text
                                for reason why.  


                LAST EDITED:      JAN 31, 1989 



162.2,16      ASSOCIATED 7078        0;17 POINTER TO VA FORM 10-7078 FILE (#162.4)

              LAST EDITED:      SEP 22, 1992 
              DESCRIPTION:      This field is set by the system when the user sets-up a 7078 for an associated request. This
                                prevents multiple 7078's for one request.  

              CROSS-REFERENCE:  162.2^AM^MUMPS 
                                1)= S ^FBAA(162.2,"AM",$E(X,1,30),DA)=""
                                2)= K ^FBAA(162.2,"AM",$E(X,1,30),DA)
                                This cross-reference is used to locate a notification that has a 7078 associated with it.  It is
                                used in the 'Cancel a 7078' option which allows the code to break the association with the request.  
                                This usually is only used when a 7078 is entered in error.  



162.2,17      REFERRING PROVIDER     2;1 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="I $$PROVIDER^FBAAAUT(+Y)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      APR 17, 2008 
              HELP-PROMPT:      Enter the VA Physician who made the referral to the Non-VA facility. 
              DESCRIPTION:      The VA physician who made the referral on behalf of the veteran to the non-VA hospital for
                                inpatient health care services.  

              SCREEN:           S DIC("S")="I $$PROVIDER^FBAAAUT(+Y)"
              EXPLANATION:      Types of users allowed should only be providers

162.2,100     REQUEST STATUS         0;15 SET (Required)

                                '1' FOR PENDING ENTITLEMENT; 
                                '2' FOR PENDING PHYSICIAN CONTACT; 
                                '3' FOR COMPLETE; 
              LAST EDITED:      JAN 20, 1989 
              DESCRIPTION:      This status is determined based on the medical and legal entitlement questions being answered. The
                                status is 'Pending Entitlement' until the legal entitlement is determined. The status goes to
                                'Pending Physician Contact' until the Medical determination has been entered.  


162.2,292     USER AUDIT             LOG1;0 DATE Multiple #162.292

              DESCRIPTION:
                                The user audit tracks users that enter or edit the notification.  

              TECHNICAL DESCR:  The USER AUDIT multiple was added by patch FB*3.5*154 and does not reflect actions taken prior to
                                patch installation with the following exceptions.  During the install the patch attempts to create
                                up to three entries in the multiple for each pre-existing notification using data from the DATE OF 
                                LEGAL DETERMINATION (#9), USER ENTERING LEGAL DETERM. (#10), DATE OF MEDICAL DETERMINATION (#12),
                                USER ENTERING MEDICAL DETERM. (#13) and USER ENTERING NOTIFICATION (#7) fields.  


              INDEXED BY:       EDITED BY (AU)

162.292,.01     DATE/TIME EDITED       0;1 DATE

                INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:X<1 X
                LAST EDITED:      FEB 03, 2014 
                HELP-PROMPT:      Enter the date/time the notification was entered or edited. 
                DESCRIPTION:
                                  This field is automatically populated by the software.  

                                  UNEDITABLE
                CROSS-REFERENCE:  162.292^B 
                                  1)= S ^FBAA(162.2,DA(1),"LOG1","B",$E(X,1,30),DA)=""
                                  2)= K ^FBAA(162.2,DA(1),"LOG1","B",$E(X,1,30),DA)


162.292,1       EDITED BY              0;2 POINTER TO NEW PERSON FILE (#200)

                LAST EDITED:      FEB 03, 2014 
                HELP-PROMPT:      Select the user that entered or edited the notification. 
                DESCRIPTION:
                                  This field is automatically populated by the software.  

                                  UNEDITABLE
                FIELD INDEX:      AU (#1392)    REGULAR    IR    SORTING ONLY
                    Short Descr:  Index of users that edited the notification.
                    Description:  This is a regular cross-reference of the users that entered or edited the notification.  It is
                                  accessed during payment processing to enforce separation of duty.  
                      Set Logic:  S ^FBAA(162.2,DA(1),"LOG1","AU",X,DA)=""
                     Kill Logic:  K ^FBAA(162.2,DA(1),"LOG1","AU",X,DA)
                     Whole Kill:  K ^FBAA(162.2,DA(1),"LOG1","AU")
                           X(1):  EDITED BY  (162.292,1)  (Subscr 1)  (forwards)


162.292,2       COMMENTS               0;3 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>60!($L(X)<3) X
                LAST EDITED:      FEB 03, 2014 
                HELP-PROMPT:      Answer must be 3-60 characters in length. 
                DESCRIPTION:      This field contains optional comments about the nature of the edit. This field is automatically
                                  populated by the software.  

                                  UNEDITABLE




      FILES POINTED TO                      FIELDS

FEE BASIS SUSPENSION (#161.27)    SUSPENSE CODE (#14)

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

NEW PERSON (#200)                 USER ENTERING NOTIFICATION (#7)
                                  USER ENTERING LEGAL DETERM. (#10)
                                  USER ENTERING MEDICAL DETERM. (#13)
                                  REFERRING PROVIDER (#17)
                                  USER AUDIT:EDITED BY (#1)

PATIENT (#2)                      VETERAN (#3)

VA FORM 10-7078 (#162.4)          ASSOCIATED 7078 (#16)


File #162.2

  Record Indexes:

  AI (#71)    RECORD    REGULAR    IR    SORTING ONLY
      Short Descr:  Compound cross-reference on vendor, date, veteran, and suspense code.
      Description:  The "AI" cross-reference is a compound cross-reference on fields in the FEE NOTIFICATION/REQUEST file. It is
                    defined as 
                      ^FBAA(162.2,vendor,date,veteran,suspense_code,da) 
                     where vendor        is the VENDOR (#1) 
                           date          is the DATE OF MEDICAL DETERMINATION (#12) 
                           veteran       is the VETERAN (#3) 
                           suspense_code is the SUSPENSE CODE (#14) 
                           da            is the IEN of the FEE NOTIFICATION/REQUEST 
        Set Logic:  S ^FBAA(162.2,"AI",X(1),X(2),X(3),X(4),DA)=""
       Kill Logic:  K ^FBAA(162.2,"AI",X(1),X(2),X(3),X(4),DA)
       Whole Kill:  K ^FBAA(162.2,"AI")
             X(1):  VENDOR  (162.2,1)  (Subscr 1)  (forwards)
             X(2):  DATE OF MEDICAL DETERMINATION  (162.2,12)  (Subscr 2)  (forwards)
             X(3):  VETERAN  (162.2,3)  (Subscr 3)  (forwards)
             X(4):  SUSPENSE CODE  (162.2,14)  (Subscr 4)  (forwards)


INPUT TEMPLATE(S):
FBCH ENTER REQUEST            JUN 18, 2013@16:21  USER #0    
FBCH REOPEN REQUEST           SEP 08, 1992@10:18  USER #705  
     Reopen CH request/notification

PRINT TEMPLATE(S):
FBCH PENDING REQUEST          MAR 15, 1993@11:47  USER #1555                           FEE NOTIFICATION/REQUEST PENDING ENTITLEMENT
     Fee notifications/requests pending entitlement

SORT TEMPLATE(S):
FBCH PENDING REQUEST          SEP 17, 1992@14:34  USER #705  
SORT BY: ]REQUEST STATUS//     From '1'  To '2^2'
     Fee notifications/requests pending entitlement


FORM(S)/BLOCK(S):