STANDARD DATA DICTIONARY #351.2 -- SPECIAL INPATIENT BILLING CASES FILE 6/27/25 PAGE 1
STORED IN ^IBE(351.2, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file is used to track inpatient episodes for Category C veterans who have claimed exposure to Agent Orange, Ionizing
Radiation, and Environmental Contaminants.
These episodes, which are normally billed automatically by the system, require individual review to determine if the care provided
was related to the claimed exposure. If the care was determined to be related to exposure, the patient should not be billed, but
the case disposition must be documented.
A case record will automatically be filed at admission for this special group of patients, and updated when the patient is
discharged. The site then has 45 days to disposition the case, i.e. determine if the care was related to the claimed exposure. If
the care was unrelated, and copayment and per diem charges are created in the Cancel/Edit/Add Patient Charges option, the case
record will be automatically dispositioned. If the patient is not going to be billed, the reason for not billing must be entered
into this file.
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: ADMISSION (#.02), PATIENT TYPE (#.03)
CROSS
REFERENCED BY: ADMISSION(AC), BILLING EVENT(AD), PATIENT(B)
351.2,.01 PATIENT 0;1 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: AUG 10, 1993
DESCRIPTION:
This is the patient whose inpatient episode must be tracked.
CROSS-REFERENCE: 351.2^B
1)= S ^IBE(351.2,"B",$E(X,1,30),DA)=""
2)= K ^IBE(351.2,"B",$E(X,1,30),DA)
351.2,.02 ADMISSION 0;2 POINTER TO PATIENT MOVEMENT FILE (#405)
LAST EDITED: AUG 11, 1993
DESCRIPTION:
This field points to the admission in the PATIENT MOVEMENT (#405) file which is being tracked.
CROSS-REFERENCE: 351.2^AC
1)= S ^IBE(351.2,"AC",$E(X,1,30),DA)=""
2)= K ^IBE(351.2,"AC",$E(X,1,30),DA)
351.2,.03 PATIENT TYPE 0;3 SET
'1' FOR AGENT ORANGE;
'2' FOR IONIZING RADIATION;
'3' FOR SOUTHWEST ASIA;
'4' FOR SERVICE CONNECTED;
'5' FOR MILITARY SEXUAL TRAUMA;
'6' FOR HEAD/NECK CANCER;
'7' FOR COMBAT VETERAN;
'8' FOR PROJECT 112/SHAD;
LAST EDITED: AUG 02, 2006
HELP-PROMPT: Please enter a number from 1 to 8 that best represents the exposure being claimed.
DESCRIPTION: This field is used to determine whether the patient has claimed exposure to Agent Orange, Ionizing
Radiation, Southwest Asia, Military Sexual Trauma, Head/Neck Cancer or Project 112/SHAD.
351.2,.04 BILLING EVENT 0;4 POINTER TO INTEGRATED BILLING ACTION FILE (#350)
LAST EDITED: AUG 11, 1993
DESCRIPTION: This field points to the event record in the INTEGRATED BILLING ACTION (#350) file which may be
used to reference all charges associated with the admission.
CROSS-REFERENCE: 351.2^AD
1)= S ^IBE(351.2,"AD",$E(X,1,30),DA)=""
2)= K ^IBE(351.2,"AD",$E(X,1,30),DA)
351.2,.05 PATIENT STATUS 0;5 SET
'1' FOR ADMITTED;
'2' FOR DISCHARGED;
LAST EDITED: AUG 10, 1993
DESCRIPTION: This field indicates whether the patient is admitted or has been discharged. The field is used to
determine if monitoring of the billing case should begin.
351.2,.06 DATE DISCHARGE ENTERED 0;6 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 10, 1993
DESCRIPTION: This field contains the date that the patient's discharge movement was entered into the system.
The date is used as the starting date in the 45-day period in which this case must be
dispositioned.
351.2,.07 CARE RELATED TO CONDITION? 0;7 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: AUG 10, 1993
DESCRIPTION: This field indicates whether this patient's inpatient episode of care has any component at all
which is related to the patient's claimed exposure.
351.2,.08 CASE DISPOSITIONED? 0;8 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: AUG 10, 1993
DESCRIPTION: This field indicates whether this billing case has been fully dispositioned. Once the case has
been dispositioned, then it will no longer be monitored by the nightly billing job.
351.2,1 REASON FOR NON-BILLING 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
LAST EDITED: AUG 10, 1993
HELP-PROMPT: Answer must be 1-80 characters in length.
DESCRIPTION: This field allows the user to enter a free-text comment explaining why this inpatient episode of
care was not billed.
351.2,2.01 USER ADDING ENTRY 2;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: AUG 10, 1993
DESCRIPTION: This field contains a pointer to the user who caused this entry to be created. This would normally
be the user who enters the admission movement for the patient.
351.2,2.02 DATE/TIME ENTRY CREATED 2;2 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 10, 1993
DESCRIPTION:
This is the date/time that the entry was created.
351.2,2.03 USER LAST UPDATING 2;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: AUG 10, 1993
DESCRIPTION:
This field is a pointer to the user who last updated the entry.
351.2,2.04 DATE LAST UPDATED 2;4 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 10, 1993
DESCRIPTION:
This is the date/time that the entry was last updated.
FILES POINTED TO FIELDS
INTEGRATED BILLING ACTION
(#350) BILLING EVENT (#.04)
NEW PERSON (#200) USER ADDING ENTRY (#2.01)
USER LAST UPDATING (#2.03)
PATIENT (#2) PATIENT (#.01)
PATIENT MOVEMENT (#405) ADMISSION (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):