STANDARD DATA DICTIONARY #162.4 -- VA FORM 10-7078 FILE 3/24/25 PAGE 1
STORED IN ^FB7078( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 3.5)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the information associated with a 7078 authorization.
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 (#2)[R], STATUS (#9)
POINTED TO BY: ASSOCIATED 7078/583 field (#.055) of the AUTHORIZATION sub-field (#161.01) of the FEE BASIS PATIENT File (#161)
ASSOCIATED 7078 field (#.03) of the FEE BASIS CNH AUTHORIZATION RATE File (#161.23)
ASSOCIATED 7078/583 field (#27) of the SERVICE PROVIDED sub-field (#162.03) of the INITIAL TREATMENT DATE sub-field
(#162.02) of the VENDOR sub-field (#162.01) of the FEE BASIS PAYMENT File (#162)
ASSOCIATED 7078/583 field (#26) of the PRESCRIPTION NUMBER sub-field (#162.11) of the FEE BASIS PHARMACY INVOICE
File (#162.1)
ASSOCIATED 7078 field (#16) of the FEE NOTIFICATION/REQUEST File (#162.2)
ASSOCIATED 7078/583 field (#4) of the FEE BASIS INVOICE File (#162.5)
CROSS
REFERENCED BY: AUTHORIZATION FROM DATE(AA), VETERAN(AB), STATUS(AC), VETERAN(AC1), AUTHORIZATION TO DATE(AD),
REFERENCE NUMBER(B), VENDOR(C), VETERAN(D)
LAST MODIFIED: OCT 14,2016@13:53:19
162.4,.01 REFERENCE NUMBER 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>12!($L(X)<7) X
LAST EDITED: JUL 26, 1996
HELP-PROMPT: Answer must be 7-11 characters in length and populated by calls to IFCAP.
DESCRIPTION:
This number is internally generated and tracked by the IFCAP software.
TECHNICAL DESCR: The format of this field is determined in the IFCAP software. The field is populated by using the
obligation number and the reference number. Sample format - C12345.0002
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 162.4^B
1)= S ^FB7078("B",$E(X,1,30),DA)=""
2)= K ^FB7078("B",$E(X,1,30),DA)
162.4,.013 USER WHO CANCELLED 0;13 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: SEP 22, 1992
DESCRIPTION:
This field contains the name of the supervisor who cancelled the 7078.
162.4,.014 DATE CANCELLED 0;14 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 22, 1992
DESCRIPTION:
This field contains the date that a supervisor cancelled the 7078.
162.4,.5 FEE PROGRAM 0;11 POINTER TO FEE BASIS PROGRAM FILE (#161.8) (Required)
LAST EDITED: FEB 10, 1989
DESCRIPTION: This field contains the valid Fee Program associated with this 7078, as defined in the Fee Basis
Program file (i.e. Outpatient Medical, Contract Hospital, Community Nursing Home).
162.4,1 VENDOR 0;2 VARIABLE POINTER (Required)
FILE ORDER PREFIX LAYGO MESSAGE
161.2 1 FB y FEE VENDOR
OUTPUT TRANSFORM: S Y(0)=Y Q:Y']"" S Z0=$P(^FB7078(D0,0),U,2) I $P(Z0,";",2)="FBAAV(" S Y=$S($D(^FBAAV(+Z0,0)):$E($P
(^(0),U),1,20)_" "_$P(^(0),U,2),1:"") K Z0
LAST EDITED: SEP 04, 1990
DESCRIPTION:
This is the vendor that is entered in the request/ notification process.
CROSS-REFERENCE: 162.4^C
1)= S ^FB7078("C",$E(X,1,30),DA)=""
2)= K ^FB7078("C",$E(X,1,30),DA)
162.4,2 VETERAN 0;3 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: AUG 20, 1993
DESCRIPTION:
This is the veteran that was entered in the request/ notification process.
CROSS-REFERENCE: 162.4^D
1)= S ^FB7078("D",$E(X,1,30),DA)=""
2)= K ^FB7078("D",$E(X,1,30),DA)
CROSS-REFERENCE: 162.4^AB^MUMPS
1)= S ^FB7078("AB",$E(X,1,30),$P($P(^FB7078(DA,0),"^",1),".",1),DA)=""
2)= K ^FB7078("AB",$E(X,1,30),$P($P(^FB7078(DA,0),"^",1),".",1),DA)
CROSS-REFERENCE: 162.4^AC1^MUMPS
1)= S:$P(^FB7078(DA,0),U,9)]"" ^FB7078("AC",$E($P(^FB7078(DA,0),U,9),1,30),X,DA)=""
2)= K:$P(^FB7078(DA,0),U,9)]"" ^FB7078("AC",$E($P(^FB7078(DA,0),U,9),1,30),X,DA)
Cross reference by status and veteran.
162.4,3 AUTHORIZATION FROM DATE 0;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 01, 1990
DESCRIPTION: This is the date that is entered in the 'Authorization From Date' field during the
request/notification process.
CROSS-REFERENCE: 162.4^AA^MUMPS
1)= S ^FB7078("AA",$P(^FB7078(DA,0),U,11),$E(X,1,30),DA)=""
2)= K ^FB7078("AA",$P(^FB7078(DA,0),U,11),$E(X,1,30),DA)
162.4,3.5 DATE OF ADMISSION 0;15 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 15, 1993
DESCRIPTION: This is the date that is entered in the 'Date of Admission' field during the request/notification
process.
162.4,4 AUTHORIZATION TO DATE 0;5 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X),$P(^FB7078(DA,0),U,4)>X K X W !!,"To Date cannot be earlier
than the From Date!",!
LAST EDITED: MAY 10, 1993
DESCRIPTION:
This is the date you determine the VA will no longer cover the veteran.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 162.4^AD^MUMPS
1)= S ^FB7078("AD",$P(^FB7078(DA,0),"^",11),$E(X,1,30),DA)=""
2)= K ^FB7078("AD",$P(^FB7078(DA,0),"^",11),$E(X,1,30),DA)
162.4,4.5 DATE OF DISCHARGE 0;16 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X I $D(X),$P(^FB7078(DA,0),U,5)>X K X W !!,"Date of Discharge cannot
be earlier than the Authorization To Date!",!
LAST EDITED: MAR 15, 1993
DESCRIPTION:
This is the actual date of discharge.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
162.4,5 AUTHORITY 0;6 POINTER TO VA ADMITTING REGULATION FILE (#43.4) (Required)
LAST EDITED: JAN 30, 1989
DESCRIPTION:
This field is the Admitting Authority used for the authorization.
162.4,6 ESTIMATED AMOUNT 0;7 NUMBER (Required)
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<.01)!(X?.E1"."3.N) X
LAST EDITED: NOV 17, 2008
HELP-PROMPT: Type a Dollar amount between .01 and 9999999.99, 2 Decimal Digits
DESCRIPTION: This dollar amount is the best estimate of costs that will be incurred by the veteran. This dollar
amount is passed to IFCAP.
162.4,7 AUTHORIZED SERVICES 1;0 WORD-PROCESSING #162.47
DESCRIPTION: This is a word processing field that should contain a statement similar to the following:
"Hospitalization and Professional care necessary until the
patients condition is stabilized or improved enough to permit
transfer without hazard to a VA or other Federal facility for
continued treatment." or "Hospitalization and Professional Care".
LAST EDITED: JAN 17, 1991
162.4,8 USER ENTERING 0;8 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: APR 05, 1990
DESCRIPTION:
This is the name of the user that enters the authorization.
162.4,9 STATUS 0;9 SET
'C' FOR COMPLETE;
'I' FOR INCOMPLETE;
'DC' FOR CANCELLED;
LAST EDITED: AUG 20, 1993
DESCRIPTION: The status of the 7078/authorization remains 'Incomplete' until a discharge date is entered. At
that time the status is updated to complete and a corresponding authorization is built in file 161.
CROSS-REFERENCE: 162.4^AC^MUMPS
1)= S:+$P(^FB7078(DA,0),U,3) ^FB7078("AC",$E(X,1,30),$P(^FB7078(DA,0),U,3),DA)=""
2)= K:+$P(^FB7078(DA,0),U,3) ^FB7078("AC",$E(X,1,30),$P(^FB7078(DA,0),U,3),DA)
Cross-reference by status and patient.
162.4,10 DATE OF ISSUE 0;10 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
DESCRIPTION:
This is the date the user sets up the 7078.
162.4,12 REASON FOR PENDING DISPOSITION 0;12 SET
'1' FOR FOLLOW-UP/NOT STABLE;
'2' FOR AWAITING DISCHARGE/TRANSFER;
LAST EDITED: JAN 24, 1989
DESCRIPTION: If the status of a 7078 is Incomplete, that is the discharge date has not been entered, the user is
prompted with this field. Once the status of the 7078 is Complete this field is set to null.
162.4,15 REFERRING PROVIDER 0;17 POINTER TO NEW PERSON FILE (#200)
INPUT TRANSFORM: S DIC("S")="I $$PROVIDER^FBAAAUT(+Y)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: APR 18, 2008
HELP-PROMPT: Enter the VA Physician who made the referral to the Non-VA facility.
DESCRIPTION: The VA physician who made the referral on behalf of the veteran to the non-VA hospital for
inpatient health care services.
SCREEN: S DIC("S")="I $$PROVIDER^FBAAAUT(+Y)"
EXPLANATION: Types of users allowed should only be providers.
162.4,16 REFERRING PROVIDER NPI ; COMPUTED
MUMPS CODE: S Y(162.4,16,1)=$S($D(^FB7078(D0,0)):^(0),1:"") S X=$P(Y(162.4,16,1),U,17),X=X S X=X,X=$$REFNPI^FBC
H78(X)
ALGORITHM: FB REF PROV NPI(INTERNAL(REFERRING PROVIDER))
LAST EDITED: APR 16, 2008
162.4,292 USER AUDIT LOG1;0 DATE Multiple #162.492
DESCRIPTION: The user audit tracks users that enter or edit the authorization. This includes edits to the
authorization rate or patient movements for nursing home authorizations.
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 one exception. During the install the patch attempts to create an entry in
the multiple for each pre-existing authorization using data from the DATE OF ISSUE (#10) and USER
ENTERING (#8) fields.
INDEXED BY: EDITED BY (AU)
162.492,.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 authorization was entered or edited.
DESCRIPTION:
This field is automatically populated by the software.
UNEDITABLE
CROSS-REFERENCE: 162.492^B
1)= S ^FB7078(DA(1),"LOG1","B",$E(X,1,30),DA)=""
2)= K ^FB7078(DA(1),"LOG1","B",$E(X,1,30),DA)
162.492,1 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 authorization.
DESCRIPTION:
This field is automatically populated by the software.
UNEDITABLE
FIELD INDEX: AU (#1393) REGULAR IR SORTING ONLY
Short Descr: Index of users that edited the authorization.
Description: This is a regular cross-reference of the users that entered or edited the authorization. It is
accessed during payment processing to enforce separation of duty.
Set Logic: S ^FB7078(DA(1),"LOG1","AU",X,DA)=""
Kill Logic: K ^FB7078(DA(1),"LOG1","AU",X,DA)
Whole Kill: K ^FB7078(DA(1),"LOG1","AU")
X(1): EDITED BY (162.492,1) (Subscr 1) (forwards)
162.492,2 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 PROGRAM (#161.8) FEE PROGRAM (#.5)
FEE BASIS VENDOR (#161.2) VENDOR (#1)
NEW PERSON (#200) USER WHO CANCELLED (#.013)
USER ENTERING (#8)
REFERRING PROVIDER (#15)
USER AUDIT:EDITED BY (#1)
PATIENT (#2) VETERAN (#2)
VA ADMITTING REGULATION (#43.4) AUTHORITY (#5)
INPUT TEMPLATE(S):
FBCH EDIT 7078 OCT 12, 1993@14:18 USER #705
FBCH ENTER 7078 MAY 30, 2008@11:19 USER #0
FBNH ENTER 7078 MAR 04, 2008@19:08 USER #0
PRINT TEMPLATE(S):
FBCH 7078 CANCEL OCT 08, 1992@15:05 USER #705 CANCELLED 7078s
Listing of cancelled 7078s
SORT TEMPLATE(S):
FBCH 7078 CANCEL MAY 18, 1993@11:08 USER #705
SORT BY: @STATUS// From 'DC' To 'DC^DC'
WITHIN STATUS, SORT BY: @DATE CANCELLED//
Listing of cancelled 7078s
FORM(S)/BLOCK(S):