STANDARD DATA DICTIONARY #221 -- DENTAL TREATMENT (AMIS) FILE 6/27/25 PAGE 1
STORED IN ^DENT(221, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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The Treatment file contains all dental treatments for each patient entered by the date of treatment and the provider ID #. This is
the core of the dental package where all dental activities are recorded. Entries are usually recorded in this file on a daily
basis.
IDENTIFIED BY:
"Z0": I $D(^(0)),$P(^(0),U,1) S Z=Y,Y=$P(^(0),U,1) X ^DD("DD") W ?25,Y S Y=Z K Z
"Z1": W:$D(^DENT(221,+Y,0)) ?45,$P(^(0),U,10)
"Z2": W:$D(^(0)) ?52,$P(^(0),U,2)
CROSS
REFERENCED BY: RELEASED BY(A), STATION.DIVISION(A1), PROVIDER NUMBER(AC1), DATE(AD), DENTAL PATIENT(AE), DATE RELEASED(AG),
DATE(B), PROVIDER NUMBER(C), SSN(D), PATIENT (POINTER)(E)
221,.01 DATE 0;1 DATE (Required)
INPUT TRANSFORM: S %DT(0)="-NOW",%DT="ESTX" D ^%DT K %DT(0) S X=Y K:Y<1 X I $D(X) D IEN1^DENTE1
LAST EDITED: DEC 09, 1994
HELP-PROMPT: Enter the date and time for this treatment sitting
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 221^B^MUMPS
1)= S ^DENT(221,"B",X,DA)=""
2)= K ^DENT(221,"B",X,DA)
CROSS-REFERENCE: 221^AD^MUMPS
1)= Q
2)= I $P(^DENT(221,DA,0),"^",40)'="" K ^DENT(221,"A",$P(^DENT(221,DA,0),"^",40),$P(X,".",1),DA) S Z
=$P(^DENT(221,DA,0),"^",3) I Z S Z=$S($D(^DENT(220.5,Z,0)):$P(^(0),"^",2),1:"") K:Z'="" ^DENT(221,"
AC",$P(^DENT(221,DA,0),"^",40),$P(X,".",1),Z,DA)
2. If station.division isn't null, then kill the A cross reference which is composed of
(221,"A",station,date,record#).
If there is data in dental provider field, and the number is a dental provider with INACTIVE status
(file 220.5) then kill the "AC" cross reference composed of (221,"AC",station,date,status,recn)
221,.3 STATION.DIVISION 0;40 FREE TEXT (Required)
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) S DIC="^DENT(225,",DIC(0)="QEMZ" D ^DIC S:Y>0 X=$P(Y(0),U,1) K:Y'>0 X
K DIC
LAST EDITED: JAN 13, 1995
HELP-PROMPT: Select the appropriate station (division) number for this Dental treatment entry
DESCRIPTION:
This is the three digit station number.
EXECUTABLE HELP: S:$D(D) ZD=D S X="?",DIC="^DENT(225,",DIC(0)="QEM" D ^DIC D:$D(DENTFUL) N^DENTDNJ2 S DIC=DIE S:$D(Z
D) D=ZD K ZD
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 221^A1^MUMPS
1)= D STASETT^DENTXREF(X)
2)= D STAKILT^DENTXREF(X)
**update all xrefs that use Station as part of their key (fields .3,.4,60,61) **
1. Set the "A1" xref composed of (221,"A1",Station,Date,Record#). If data is not released set the
A xref composed of (221,"A",Station,Date,Record #).
2. Kill "A1" xref composed of (221,"A1",Station,Date,Record#). If data is released kill the A
xref composed of (221,"A",Station,Date,Record #).
CROSS-REFERENCE: 221^A1^MUMPS
1)= S ^DENT(221,"A1",X,$P($P(^DENT(221,DA,0),U,1),".",1),DA)=""
2)= K ^DENT(221,"A1",X,$P($P(^DENT(221,DA,0),U,1),".",1),DA)
221,.4 PROVIDER NUMBER 0;10 FREE TEXT (Required)
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>4!($L(X)<4)!'(X?4N) X
LAST EDITED: JAN 11, 1995
HELP-PROMPT: ANSWER MUST BE 4 CHARACTERS IN LENGTH
DESCRIPTION:
ENTER IN THIS FIELD THE PROVIDER CODE NUMBER
NOTES: TRIGGERED by the DENTAL PROVIDER field of the DENTAL TREATMENT (AMIS) File
CROSS-REFERENCE: 221^C
1)= S ^DENT(221,"C",$E(X,1,30),DA)=""
2)= K ^DENT(221,"C",$E(X,1,30),DA)
CROSS-REFERENCE: 221^AC1^MUMPS
1)= I $P(^DENT(221,DA,0),"^",40)'="" D AC1SET^DENTXREF
2)= I $P(^DENT(221,DA,0),"^",40)'="" D AC1KILL^DENTXREF
If there is data in station.division field then kill or set the "AC1" x-ref which is composed of
(221,"AC1",Station,Date,Provider#,Record#)
If the data has not been released (released by field) set or kill the "AC" cross reference composed
of (221,"AC",Station,Date,Provider#,Record#).
221,.5 DENTAL PROVIDER 0;3 POINTER TO DENTAL PROVIDER FILE (#220.5) (Required)
INPUT TRANSFORM: S DIC("S")="I $P(^(0),""^"",2)'="""",'$P(^(0),""^"",3)" D ^DIC K DIC S DIC=$G(DIE),X=+Y K:Y<0 X
LAST EDITED: FEB 05, 2004
HELP-PROMPT: Select the appropriate dental provider by name or provider number.
DESCRIPTION:
This is the dental provider. Names are entered lastname,first name.
SCREEN: S DIC("S")="I $P(^(0),""^"",2)'="""",'$P(^(0),""^"",3)"
EXPLANATION: The dental provider must have a dental provider number and must be an active provider.
CROSS-REFERENCE: ^^TRIGGER^221^.4
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^DENT(221,D0,0)):^(0),1:"") S X=$P(Y(1),U,10),X=X S
DIU=X K Y S X=DIV S X=$P($G(^DENT(220.5,X,0)),"^",2) S DIH=$G(^DENT(221,DIV(0),0)),DIV=X S $P(^(0),
U,10)=DIV,DIH=221,DIG=.4 D ^DICR
2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^DENT(221,D0,0)):^(0),1:"") S X=$P(Y(1),U,10),X=X S
DIU=X K Y S X="" S DIH=$G(^DENT(221,DIV(0),0)),DIV=X S $P(^(0),U,10)=DIV,DIH=221,DIG=.4 D ^DICR
CREATE VALUE)= S X=$P($G(^DENT(220.5,X,0)),"^",2)
DELETE VALUE)= @
FIELD)= PROVIDER NUMBER
221,1 SSN 0;2 FREE TEXT (Required)
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)<9!($L(X)>10)!(X'?9N."P") X
LAST EDITED: JUL 31, 1986
HELP-PROMPT: Enter this patient's social security number. Answer must be 9 digits or 9 digits followed by one
"P".
WRITE AUTHORITY: ^
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 221^D
1)= S ^DENT(221,"D",$E(X,1,30),DA)=""
2)= K ^DENT(221,"D",$E(X,1,30),DA)
221,2 DENTAL PATIENT 0;39 FREE TEXT (Required)
INPUT TRANSFORM: I $D(X),X'="GROUP" S DIC="^DENT(220,",DIC(0)="ELMQ",DLAYGO=220 D ^DIC K DLAYGO K:+Y'>0 X I $D(X) S
(DFN,DENTDFN)=+Y D DEM^VADPT S X=VADM(1),DENTSSN=$P(VADM(2),"^")
LAST EDITED: FEB 25, 1988
HELP-PROMPT: Select the patient being treated or enter the word "GROUP" for a group patient education treatment
sitting.
EXECUTABLE HELP: S:$D(D) ZD=D S X="?",DIC="^DENT(220,",DIC(0)="EM" D ^DIC S DIC=DIE S:$D(ZD) D=ZD K ZD D:$D(DENTFUL)
N^DENTDNJ2
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 221^AE^MUMPS
1)= D DPSET^DENTE3
2)= D DPKILL^DENTE3
221,3 PATIENT (POINTER) 0;4 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: JUL 06, 1986
HELP-PROMPT: Select the appropriate patient for this sitting.
CROSS-REFERENCE: 221^E
1)= S ^DENT(221,"E",$E(X,1,30),DA)=""
2)= K ^DENT(221,"E",$E(X,1,30),DA)
221,4.5 PATIENT CATEGORY 0;19 POINTER TO DENTAL CLASSIFICATION FILE (#220.2) (Required)
LAST EDITED: JUL 06, 1986
HELP-PROMPT: Select the appropriate patient category for this sitting.
DESCRIPTION: Category 19 includes only priority 1, continued after priority 1 inpatient care. Category 21
includes only priority 2, continued after priority 2 inpatient care. Category 22 includes only
priority 3, continued after priority 3 inpatient care and active duty military personnel, military
retirees, and CHAMPVA.
221,5 BED SECTION 0;6 POINTER TO DENTAL BED SECTION FILE (#220.4)
LAST EDITED: JUL 25, 1985
HELP-PROMPT: Select the appropriate bed section code (1-15) for this Patient Category. A bed section can
only be entered for inpatients (Patient Categories 1 thru 3 and 6 thru 8.
221,6 SCREENING/COMPLETE EXAM 0;7 SET
'S' FOR SCREENING;
'C' FOR COMPLETE;
LAST EDITED: JUL 23, 1985
HELP-PROMPT: Select 'S' for screening or 'C' for complete exam
DESCRIPTION: SCREENING EXAMINATION The screening examination includes an evaluation of the oral and perioral
soft tissues and a visual estimate of dental status without a tooth by tooth charting. Radiographs
usually will not be taken, but may be if PROFESSIONALLY DETERMINED to be necessary as for an
emergency. A chart review (patient not present at time of review) is also classed as a screening
exam. When a chart review is entered the provider must also mark ADMIN PROCEDURE on the screen to
avoid a "patient visit" count. Note: Providers must be aware of significant medical problems;
therefore, a medical and dental history and/or medical record review must be included. Recall
examinations (may be less than six months) would be included in this area. The screening
examination is an essential part of the admission physical examination. All INPATIENT screening
examinations will be placed in a Priority 1 Category. If the inpatient does not fall into
Emergency, Extended Care, NHCU, Dom, or Special Provisions, s/he would be placed in the Compelling
Medical Need Category. All OUTPATIENT screening examinations will be placed in Priority 1.
COMPLETE EXAMINATION A complete examination includes dental charting on a tooth by tooth basis as
well as the comprehensive evaluation of the oral and perioral soft tissues. A head and neck exam is
included as an essential portion of the complete examination. A thorough review of the medical
chart and medical history with the pertinent medical findings noted on the dental record are
included in the complete examination. A complete examination will be accomplished for a patient
who is to receive treatment other than emergency care. Complete examinations will be recorded in
the appropriate inpatient or outpatient category/priority.
221,6.2 INTERDISCIPLINARY CONSULT 0;42 SET
'1' FOR INTERDISC. CONSULT;
LAST EDITED: MAY 03, 1985
HELP-PROMPT: Enter a '1' or 'I' for an interdisciplinary consultation.
DESCRIPTION: Count those that were instituted via Form 513 (Consultation Request), a telephone request with
following Form 513 and Form 10-10 or 10-10m with progress notes attached. All INPATIENT
interdisciplinary consultations will be placed in a Priority 1 category. If the inpatient does not
fall into Emergency, Extended Care, NHCU, Dom, or Special Provisions, s/he would be placed in the
Compelling Medical Need Category. All OUTPATIENT interdisciplinary consultations will be placed in
a Priority 1 Category.
221,6.4 EVALUATION 0;43 SET
'1' FOR EVALUATION;
LAST EDITED: MAY 03, 1985
HELP-PROMPT: Enter a '1' or an 'E' for an evaluation
DESCRIPTION: No more than one evaluation per provider can be counted on the same visit. Evaluations are
identified as medical/dental workups, (e.g., periodontal, surgical, endodontic, etc.) on those
patients for whom a complete screening examination has already been performed. Evaluations may be
in conjunction with review of a medical record, the initiation of an interdisciplinary consultion
or with a medical or dental emergency workup on a patient for whom no definitive treatment is
delivered. An evaluation made by the staff mentor for trainees at a scheduled treatment visit prior
to carrying out a specific treatment procedure is counted as education time. All other INPATIENT
evaluations will be placed in a Priority 1 Category. If the inpatient does not fall into
Emergency, Extended Care, NHCU, Dom, or Special Provisions, s/he would be placed in the Compelling
Medical Need Category. All OUTPATIENT evaluations will be placed in a Priority 1 Category.
221,6.6 PRE AUTH/2ND OPINION EXAM 0;44 SET
'2' FOR PRE-AUTH/2ND OPINION;
LAST EDITED: NOV 15, 1985
HELP-PROMPT: Enter a '2' or 'P' for a pre-authorization/second opinion exam.
DESCRIPTION: A pre-authorization exam is performed on a fee basis patient in order to determine treatment needs
prior to authorization of the patient to a fee- for-service provider. A second opinion exam is
performed when the original estimate on a fee basis dental case exceeds $500.00.
221,6.7 SPOT CHECK EXAM 0;27 SET
'1' FOR STAFF;
'3' FOR FEE;
LAST EDITED: NOV 18, 1985
HELP-PROMPT: If a spot check examination was performed on this patient, enter a '1' or 'S' if it was for a
patient treated by staff and a '3' or 'F' if treated by a fee dentist.
221,6.8 SPOT CHECK DISCREPANCY # 0;45 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>3)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUL 23, 1985
HELP-PROMPT: Enter a number from 0 to 3 to indicate the category of discrepancy.
DESCRIPTION: The DISCREPANCY categories are defined as follows:
1 = MINOR discrepancy only
2 = MAJOR discrepancy-- QUALITY ONLY
3 = MAJOR discrepancy- MISREPRESENTATION ONLY
221,7 ADMIN PROCEDURE 0;8 SET
'1' FOR ADMIN PROCEDURE;
LAST EDITED: SEP 05, 1985
HELP-PROMPT: Enter a '1' or 'A' for an administrative procedure.
DESCRIPTION: An entry should be made in this field when a case, a service or a procedure has been
administratively completed or terminated without an actual patient visit (i.e., chart review,
telephone call, death, etc.).
221,7.1 COMPLETIONS/TERMINATIONS 0;41 SET
'2' FOR COMPLETION;
'3' FOR TERMINATION;
LAST EDITED: NOV 18, 1985
HELP-PROMPT: Enter a '2' or 'C' for a completion or a '3' or 'T' for a termination.
DESCRIPTION: COMPLETIONS
A case is completed when all treatment authorized has been accomplished. Only one count should be
taken for a patient during any single period of hospitalization unless the patient is under long
term care. In the case of long term care patients, including NHC and Dom patients, a count for a
completed case may be taken once in each six months if re-examination indicated need for another
episode of care. For outpatients, only one complete case count may be taken per episode of care
for which a treatment plan was established, even if there were intervening terminations. If, after
an outpatient case has been completed and s/he is eligible for recall, another episode of care may
begin with the recall examination if treatment is indicated. Treatment plans will not be segmented
for the purpose of multiple completions during an episode of care. For cases administratively
completed, also make an entry in the ADMIN PROCEDURE field.
TERMINATIONS
A case is terminated when an episode of care is interrupted or stopped short of completion of the
authorized treatment plan. Examples of this would be the death of a patient, discharge to OPT
status, closure of the case due to failed appointments, health reasons, or at the patient's
request. For cases administratively terminated, also make an entry in the ADMIN PROCEDURE field.
221,8 X-RAYS EXTRAORAL # 0;9 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUL 26, 1985
HELP-PROMPT: Enter a whole number from 0 to 4.
DESCRIPTION: Enter the number of EXTRAORAL radiographs taken on this patient for panoramic, cephalometric or
other extraoral procedures.
221,10 X-RAYS INTRAORAL # 0;11 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>24)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: FEB 27, 1986
HELP-PROMPT: Enter a whole number from 0 to 24.
DESCRIPTION: Enter the number of INTRAORAL radiographs taken for this patient for PA, bitewing, occlusal and
other intraoral procedures.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,11 PROPHY NATURAL DENTITION 0;12 SET
'1' FOR YES;
LAST EDITED: MAY 03, 1985
HELP-PROMPT: Enter a '1' or 'Y' for yes for an oral prophylaxis on natural dentition.
DESCRIPTION: In special circumstances, when a patient is of such a difficult nature that two or more
appointments are needed to complete the prophylaxis,credit for each treatment episode may be
recorded. If a patient is on a formal recall status, such as head and neck cancer patients who are
being followed after radiation treatment,credit may be taken at each prophylaxis appointment. A
prophylaxis will include a complete review of preventive oral disease instructions.
221,12 PROPHY DENTURE 0;13 SET
'1' FOR YES;
LAST EDITED: MAY 03, 1985
HELP-PROMPT: Enter a '1' or 'Y' for yes if the patient had one or more complete and/or partial removable
prostheses cleaned and polished by any provider.
DESCRIPTION: If a patient had a prophylaxis of natural dentition and a removeable prothesis cleaned on the same
visit, an entry can be made for both procedures.
221,14 NEOPLASM CONFIRMED MALIGNANT # 0;15 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>2)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: NOV 23, 1985
HELP-PROMPT: Enter a number from 0 to 2 indicating the number of confirmed malignant neoplasms initially
recognized by a member of the Dental Service.
DESCRIPTION: Activities surrounding the confirmation should include patient/family counseling and discussion
with other hospital services (laboratory, surgery, etc.) for diagnostic interpretation and
treatment planning. All confirmed malignant neoplasms on INPATIENTS will be placed in a Priority 1
Category. If the inpatient does not fall into Extended Care, NHCU, Dom, or Special Provisions, s/he
would be placed in the Compelling Medical Need Category. All confirmed malignant neoplasms on
OUTPATIENTS will be placed in the appropriate Priority 1 Category.
221,15 NEOPLASM REMOVED # 0;16 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 30, 1985
HELP-PROMPT: Enter a whole number from 0 to 4 indicating the number of neoplasms removed (including excisional
biopsies).
DESCRIPTION: All neoplasms removed for INPATIENTS will be placed in a Priority 1 Category. If the inpatient
does not fall into Extended Care, NHCU, Dom, or Special Provisions, s/he would be placed in the
Compelling Medical Need Category. All neoplasms removed for OUTPATIENTS will be placed in the
appropriate Priority 1 Category.
221,16 BIOPSY/SMEAR # 0;17 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: AUG 05, 1985
HELP-PROMPT: Enter a whole number from 0 to 4 indicating the number of biopsies/smears.
DESCRIPTION: Enter the number of incisional biopsies (separate lesions) plus the number of cytological smears
(one smear per patient) taken. All biopsies and cytological smears performed on INPATIENTS will be
placed in a Priority 1 Category. If the inpatient does not fall into Extended Care, NHCU, Dom, or
Special Provisions, s/he would be placed in the Compelling Medical Need Category. All biopsies and
cytological smears performed on OUTPATIENTS will be placed in the appropriate Priority 1 Category.
221,17 FRACTURE # 0;18 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 30, 1985
HELP-PROMPT: Enter a whole number from 0 to 4 indicating the number of maxillofacial fractures (surgical sites
or procedures) reduced.
DESCRIPTION: For multiple fractures in the same bone (e.g., bilateral condylar or a bilateral combination of
body and condyle) count only as one fracture reduction if only one surgical site/procedure was
used. The computer generated weighted value includes all post-operative visits. All maxillofacial
fractures reduced for INPATIENTS will be placed in a Priority 1 Category. If the inpatient does
not fall into Emergency, Extended Care, NHCU, Dom, or Special Provisions, s/he would be placed in
the Compelling Medical Need Category. All Maxillofacial fractures reduced for OUTPATIENTS will be
placed in the appropriate Priority 1 Category.
221,19 OTHER SIGNIF. SURG. (CTV) 0;20 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>50 W !,"WARNING!! Normal range for Other Significan
t Surgery is 1 to 50",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 99 indicating the weighted value (CTV's) for the surgical procedure
performed.
DESCRIPTION: OTHER SIGNIFICANT SURGERY CTV'S
1. Salivary Gland Surgery 16.0
2. Dislocation 3.0
3. Laceration/suturing 6.0
4. Incision and Drainage 4.0
5. Orthognathic Surgery 65.0
6. Frenectomy* 6.0
7. Alveoplasty* (per quadrant) 4.0
8. Exostoses removal* 4.0
9. Apicoectomy 10.0
10. Tooth hemisection,
Root amputation* 10.0
11. Vestibuloplasty*
Sulcus revision,
Ridge extension (W/O skin graft) 12.0
Graft procedure 16.0
12. Endosteal Implants** 9.0
13. All other surgeries 6.0
* These procedures will be reported at one-half of the listed units
when done in conjunction with a quadrant of periodontal surgery.
** Requires VAMC Research and Development Committee approval.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,21 SURFACES RESTORED # 0;22 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>24)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>11 W !,"WARNING!! Normal range for Surfaces Restore
d is 1 to 11",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 24 indicating the number of surfaces restored with permanent
restorative material.
DESCRIPTION: DO NOT record the number of teeth restored or the number of restorations or temporary restorations
in this field. They must be recorded under Other Significant Treatment.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,22 ROOT CANAL THERAPY # 0;23 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>8)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>5 W !,"WARNING!! Normal range for Root Canal Therapy
is 1 to 5",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 8 indicating the number of root canals permanently filled. DO NOT
enter the number of teeth treated.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,23 PERIODONTAL QUADS (SURGICAL) # 0;24 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAR 02, 1988
HELP-PROMPT: Enter a whole number from 0 to 4 indicating the number of quadrant equivalents of periodontal
surgery.
DESCRIPTION: A quadrant may have fewer than eight (8) teeth present or treated, that is, a full quadrant of
teeth is not required. If two to eight teeth are present in the same arch and any number cross the
midline, count as only ONE quadrant. DO NOT INCLUDE SCALING AND CURETTAGE IN THIS AREA EVEN IF
LOCAL ANESTHESIA IS USED. If scaling and curettage are done as part of the surgical procedure, do
not take additional credit by entering both the periodontal surgery and the scaling. Included in
the periodontal surgery is the chart review, local anesthesia, post-operative instructions,
treating of complications, suture removal and pack changes.
NOTE: ADDITIONAL SURGICAL PROCEDURES, FRENECTOMY, ALVEOPLASTY, EXOSTOSES REMOVAL, TOOTH
HEMISECTION, ROOT AMPUTATION, AND/OR VESTIBULOPLASTY, WHICH ARE PERFORMED AT THE TIME OF
PERIODONTAL SURGERY ARE ENTERED AS A SEPARATE PROCEDURE UNDER OTHER SIGNIFICANT SURGERY AND ARE
WEIGHTED AT ONE-HALF THE LISTED VALUE IF PERFORMED IN THE SAME SURGICAL SITE.
221,24 PERIO QUADS (ROOT PLANE) # 0;25 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 30, 1985
HELP-PROMPT: Enter a whole number from 0 to 4 indicating the number of quadrant equivalents of subgingival
curettage and/or root planing.
DESCRIPTION: This must not be part of a periodontal surgery procedure performed in the same quadrant on the same
visit. A quadrant may have fewer than eight (8) teeth present or treated, that is, a full quadrant
of teeth is not required. If two to eight teeth are present in the same arch and any number cross
the midline, count as only ONE quadrant. If nine or more teeth are present in the same arch, count
as two quadrants. DO NOT COUNT AS QUADRANTS OF ROOT PLANING AND CURETTAGE A PROPHYLAXIS PERFORMED
BY A DENTIST, EFDA, OR HYGIENIST. That is, do not count a supragingival scaling (such as using a
cavitron alone) and polishing as a curettage.
221,25 PATIENT ED. (CTV) 0;26 SET
'0' FOR NONE;
'3' FOR INDIVIDUAL;
'4' FOR GROUP;
LAST EDITED: JUN 03, 1985
HELP-PROMPT: Enter a '0' or 'N' for none, a '3' or 'I' for individual , or a '4' or 'G' for group patient
instruction.
DESCRIPTION: Enter the weighted value of preventive dentistry instructions. DO NOT LIST THE NUMBER OF MINUTES.
These instructions may be given by any provider. However, NO CREDIT IS RECORDED AT THE SAME
APPOINTMENT when a prophylaxis or another treatment procedure is being accomplished by the same
provider (an increase in CTV credits recognizes time spent for patient instruction during other
scheduled treatment procedures). The main pupose of this field is to record a specific appointment
scheduled for a single patient or for a group training session to provide oral hygiene
instructions, diet counseling, plaque scoring, etc. For an individual patient, enter the service
code, a weighted value of three (3), and the patient's name for each instructional session. For a
group session, enter the service code, a weighted value of four (4), and the word "GROUP" in place
of a patient's name for all instructional sessions. All group instructions will be entered under
the appropriate patient category for the majority of the group in attendance. The patient category
determination for individual instructional sessions will be reported the same as for other services
provided for that individual. Preventive Dentistry instructions presented for employees are
recorded as education/training time.
221,27 INDIVIDUAL CROWNS # 0;28 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>28)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>10 W !,"WARNING!! Normal range for Individual Crown
s is 1 to 10",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 28 indicating the number of permanent crowns cemented.
DESCRIPTION: The crowns cemented are not part of a fixed prosthesis. Included in this field are all types of
permanent crowns such as, 3/4, porcelain fused to metal, porcelain jacket, full gold, etc.
Temporary crowns are NOT to be counted in this field.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,28 POST & CORES # 0;29 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>28)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>8 W !,"WARNING!! Normal range for Post and Cores is
1 to 8",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 28 indicating the number of teeth on which a post/core or
overdenture coping was cemented.
DESCRIPTION: Enter a post/core or overdenture coping regardless of whether that tooth will have a crown as part
of a fixed prosthesis or have an individual crown placed on it. This field includes all types of
posts/cores (i.e., cast, pre-prepared types, and/or threaded systems).
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,29 FIXED PARTIALS (ABUT) # 0;30 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>24)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>10 W !,"WARNING!! Normal range for Fixed Partials (
Abutments) is 1 to 10",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 24 indicating the number of abutment units contained in the fixed
prosthesis inserted.
DESCRIPTION: Temporary bridges for this treatment episode are NOT counted in this field. This category includes
all types of fixed prostheses with the exception of Acid Etched, Resin Bonded Retainers. These
types of prostheses are recorded under Splints and Special Procedures.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,30 FIXED PARTIALS (PONT ONLY) # 0;31 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>28)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUN 03, 1985
HELP-PROMPT: Enter a whole number from 0 to 28 indicating the number of PONTIC UNITS contained in the fixed
prosthesis inserted.
DESCRIPTION: PONTIC UNITS of temporary bridges for this treatment episode are NOT counted in this field. This
field includes all types of fixed prostheses except Acid Etched, Resin Bonded Retainers. These are
reported under SPLINTS AND SPECIAL PROCEDURES.
221,31 REMOVABLE PARTIALS # 0;32 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>2)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 30, 1985
HELP-PROMPT: Enter a whole number from 0 to 2 indicating the number of R.P.D.'s that were delivered to the
patient.
DESCRIPTION: Acrylic R.P.D.'s may be counted here ONLY if the clasp assembly contains definitive occlusal rests.
Transitional (temporary) tissue supported partials are counted in the SPLINTS AND SPECIAL
PROCEDURES field. R.P.D. relines or rebases are counted under OTHER SIGNIFICANT TREATMENT.
221,32 COMPLETE DENTURES # 0;33 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>2)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAY 30, 1985
HELP-PROMPT: Enter a whole number from 0 to 2 indicating the number of COMPLETE DENTURE units (each separate
prosthesis is one unit) delivered to the patient.
DESCRIPTION: All COMPLETE DENTURES are counted at the time of insertion or disposition of the dentures.
Complete Denture relines or rebases are to be credited under the field OTHER SIGNIFICANT TREATMENT.
221,33 PROSTHETIC REPAIR # 0;34 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>2 W !,"WARNING!! Normal range for Prosthetic Repair
s is 1 to 2",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 2 indicating the number of removable dentures and special appliances
that were repaired for this patient.
DESCRIPTION: Each repair is counted at the time of delivery to the patient or other disposition. Fixed
prostheses with broken facings which have been repaired are reported in the Other Significant
Treatment section. If the patient does not come to the clinic for the prosthetic repair, an entry
must be made in the Admin Procedure field.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,34 SPLINTS & SPEC. PROCS. (CTV) 0;35 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>50 W !,"WARNING!! Normal range for Splints and Spec
ial Procedures is 1 to 50",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 99 indicating the weighted value (CTV's) assigned to the special
appliance delivered to the patient or disposed of for the patient.
DESCRIPTION: WEIGHTED VALUES (CTV'S)
1. Periodontal or trauma splinting,
orthodontic bands and/or brackets 1.0/tooth
2. Flouride carriers (custom) 3.0/patient
3. Facial moulage 9.0
4. Tissue borne partial prosth. 12.0
5. Oral hygiene aids for handicapped pts. 9.0
6. Acrylic cranial plate 18.0
7. Mandibular guidance appliance 36.0
8. Radiation stent 12.0
9. Surgical stent or night guard 9.0
10. Dynamic bite opening device 36.0
11. Intraoral obturator (includes basic prosthesis) 50.0
12. Speech aid prosthesis (includes basic prosthesis) 50.0
13. Palatal lift prosthesis (includes basic prosthesis) 50.0
14. Stock occular prosthesis 50.0
15. Ear prosthesis 50.0
16. Custom occular prosthesis 75.0
17. Facial prosthesis 75.0
18. Resin bonded retainers 3.0/unit
19. Orthodontic appliance adjustment 2.0/visit
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,35 EXTRACTIONS # 0;36 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>32)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>10 W !,"WARNING!! Normal range for Extractions is 1
to 10",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 32 indicating the number of non-impacted (erupted) teeth extracted.
DESCRIPTION: These extractions are considered as simple extractions since no flap was necessary for surgical
exposure to extract the tooth or root. Flaps in conjuction with an alveoplasty do not indicate a
surgical extraction. This entry includes all post-operative care and instructions.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,36 SURGICAL EXTRACTIONS # 0;37 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>32)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>3 W !,"WARNING!! Normal range for Impactions is 1 t
o 3",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 32 indicating the number of teeth surgically extracted.
DESCRIPTION: This includes any type of impaction or an erupted tooth for which an intentional flap is required.
This entry includes all post-operative care and instructions.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,37 OTHER SIGNIFICANT TREAT (CTV) 0;38 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>39)!(X<0)!(X?.E1"."1N.N) X I $D(X),X>16 W !,"WARNING!! Normal range for Other Significan
t Treatments is 1 to 16",*7 D YN^DENTCRD1
LAST EDITED: MAY 23, 1986
HELP-PROMPT: Enter a whole number from 0 to 39 indicating the weighted values (CTV's) of the procedure
performed.
DESCRIPTION: WEIGHTED VALUES (CTV's)
1. Blood pressure recording 1.0/patient.
2. Topical flouride treatment 2.0/patient.
3. Drug injection (not local anesthetic) 1.0/patient.
4. Prescription writing (Pharmacy) 1.0/patient.
5. Temporary restoration 2.0/patient.
6. Nitrous oxide sedation 2.0/patient.
7. Complete or partial denture adj. (not constructed
by treating clinic during this episode of care.) 2.0/patient.
8. Occulusal equilibration (not isolated adjustments) 2.0/quadrant.
9. Recementation of crown 2.0
10. Recementation of fixed bridge 3.0
11. Crown or bridge facing repair or recementation 3.0
12. Tissue conditioning or chairside reline 3.0/visit
13. Temporary crown (not constructed by treating clinic
during this episode of care.) 3.0
14. Temporary bridge (not constructed by treating clinic
during this episode of care.) 6.0
15. Bleaching of teeth 4.0/visit
16. Attachments (intra or extra coronal,
semi-precision or precision) 5.0/attach.
17. Full mouth periodontal charting 6.0/patient.
18. I.V. sedation/medication 6.0/patient.
19. Dental admissions (no O.R.) 9.0/patient.
20. Reline or rebase of a complete or partial denture 12.0/unit
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
221,38 OPERATING ROOM 0;14 SET
'1' FOR YES;
LAST EDITED: MAY 30, 1985
HELP-PROMPT: Enter a '1' or 'Y' for yes if this patient was treated in the operating room.
DESCRIPTION: These cases will not be credited to a resident provider. They must be credited to a dental staff
provider or a dental consultant or attending.
221,39 FACTOR (NOT USED) 0;21 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAY 08, 1985
HELP-PROMPT: NO ENTRY IS PERMITTED IN THIS FIELD AT THIS TIME.
221,40 CHANGE/DELETE 0;5 SET
'C' FOR CHANGE;
'D' FOR DELETE;
LAST EDITED: OCT 07, 1987
221,60 RELEASED BY .1;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JUN 19, 1995
CROSS-REFERENCE: 221^A^MUMPS
1)= I $P(^DENT(221,DA,0),"^",40)'="" D ASET^DENTXREF
2)= I $P(^DENT(221,DA,0),"^",40)'="" D AKILL^DENTXREF
1. Set Logic: KILL "A" xref composed of (221,"A",Station,Date,Record#). If provider # has data
KILL the "AC" xref composed of (221,"AC",Station,Date,Provider#,Record#).
2. Kill Logic: SET "A" xref composed of (221,"A",Station,Date,Record#). If provider # has data
SET the "AC" xref composed of (221,"AC",Station,Date,Provider#,Record#).
221,61 DATE RELEASED .1;2 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: DEC 09, 1994
CROSS-REFERENCE: 221^AG^MUMPS
1)= I $P(^DENT(221,DA,0),"^",40)'="" S ^DENT(221,"AG",$P(^DENT(221,DA,0),"^",40),X,DA)=""
2)= I $P(^DENT(221,DA,0),"^",40)'="" K ^DENT(221,"AG",$P(^DENT(221,DA,0),"^",40),X,DA)
FILES POINTED TO FIELDS
DENTAL BED SECTION (#220.4) BED SECTION (#5)
DENTAL CLASSIFICATION (#220.2) PATIENT CATEGORY (#4.5)
DENTAL PROVIDER (#220.5) DENTAL PROVIDER (#.5)
NEW PERSON (#200) RELEASED BY (#60)
PATIENT (#2) PATIENT (POINTER) (#3)
INPUT TEMPLATE(S):
DENTENDM AUG 24, 1988 USER #0
DENTENDU AUG 24, 1988 USER #0
DENTGENM AUG 24, 1988 USER #0
DENTGENU AUG 24, 1988 USER #0
DENTORAM APR 21, 1989 USER #0
DENTORAU APR 21, 1989 USER #0
DENTPERIM AUG 24, 1988 USER #0
DENTPERIU AUG 24, 1988 USER #0
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):