STANDARD DATA DICTIONARY #354.71 -- IB COPAY TRANSACTIONS FILE 3/24/25 PAGE 1
STORED IN ^IBAM(354.71, *** 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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DO NOT delete entries in this file. DO NOT edit data in this file with VA File Manager.
This file stores individual transactions for outpatient medication copayments. The transactions in this file will be used to store
detailed information about a patient's rx copayments, including amounts billed and not billed. There should be transactions stored
in this file for both this facility and other treating facilities through out the VA system.
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: @
POINTED TO BY: COPAY EXCEEDING CAP field (#106.6) of the PRESCRIPTION File (#52)
COPAY EXCEEDING CAP field (#14) of the RETURN TO STOCK LOG sub-field (#52.07) of the PRESCRIPTION File (#52)
COPAY EXCEEDING CAP field (#9.1) of the REFILL sub-field (#52.1) of the PRESCRIPTION File (#52)
IB COPAY TRANSACTION NUMBER field (#.19) of the INTEGRATED BILLING ACTION File (#350)
PARENT TRANSACTION ENTRY field (#.1) of the IB COPAY TRANSACTIONS File (#354.71)
CROSS
REFERENCED BY: STATUS(AC), TRANS EFFECTIVE DATE(AE), PARENT TRANSACTION ENTRY(AF), TRANSACTION NUMBER(B)
INDEXED BY: PATIENT & TRANS EFFECTIVE DATE (AD)
LAST MODIFIED: DEC 20,2016@15:22:52
354.71,.01 TRANSACTION NUMBER 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X
LAST EDITED: FEB 06, 2001
HELP-PROMPT: Answer with the transaction number.
DESCRIPTION: This is the transaction number. The format is:
Station number (3 digits) - Sequential Number
CROSS-REFERENCE: 354.71^B
1)= S ^IBAM(354.71,"B",$E(X,1,30),DA)=""
2)= K ^IBAM(354.71,"B",$E(X,1,30),DA)
354.71,.02 PATIENT 0;2 POINTER TO IB PATIENT COPAY ACCOUNT FILE (#354.7) (Required)
LAST EDITED: FEB 16, 2001
HELP-PROMPT: Enter the patient's name
DESCRIPTION: This is the pointer to the patient copay account. The ien stored here is the same as the patient's
dfn.
RECORD INDEXES: AD (#65)
354.71,.03 TRANS EFFECTIVE DATE 0;3 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 21, 2001
HELP-PROMPT: Enter the effective date of this transaction
DESCRIPTION: This is the effective date of the transaction that is used to determine the month/year in which to
count the transaction amount towards the patient's cap.
CROSS-REFERENCE: 354.71^AE
1)= S ^IBAM(354.71,"AE",$E(X,1,30),DA)=""
2)= K ^IBAM(354.71,"AE",$E(X,1,30),DA)
This index is used to sort by the effective date of the transaction.
RECORD INDEXES: AD (#65)
354.71,.04 IB ACTION POINTER 0;4 POINTER TO INTEGRATED BILLING ACTION FILE (#350)
LAST EDITED: NOV 16, 2000
HELP-PROMPT: Answer with an entry in the Integrated Billing Action file.
DESCRIPTION: This is a pointer to the INTEGRATED BILLING ACTION (#350) file. This will only be filled in for
entries that have been billed.
354.71,.05 STATUS 0;5 SET (Required)
'P' FOR PENDING TRANSMISSION;
'C' FOR COMPLETE;
'Y' FOR CANCELLED PENDING TRANSMISSION;
'X' FOR CANCELLED COMPLETE;
LAST EDITED: APR 20, 2001
HELP-PROMPT: Enter the status of this transaction.
DESCRIPTION:
This is the status of this transaction.
CROSS-REFERENCE: 354.71^AC
1)= S ^IBAM(354.71,"AC",$E(X,1,30),DA)=""
2)= K ^IBAM(354.71,"AC",$E(X,1,30),DA)
This cross reference is used to find transactions based upon their status. The nightly background
job uses this to find transactions that have not completed their transmissions to other facilities.
354.71,.06 RESULTING FROM 0;6 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>25!($L(X)<1) X
LAST EDITED: APR 20, 2001
HELP-PROMPT: Enter the internal pointer information indicating the event source.
DESCRIPTION: This is a soft link pointer to indicate where this transaction came from. The information should
be in the following format:
Station Number:File Number:IEN;refill number (if any)
354.71,.07 UNITS 0;7 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: JAN 30, 2001
HELP-PROMPT: Enter the number of units for this transaction.
DESCRIPTION:
This is the number of units for this transaction.
354.71,.08 TOTAL CHARGE 0;8 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<.01)!(X?.E1"."3.N) X
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Enter the total charge for this account transaction.
DESCRIPTION:
This is the total charge for this transaction.
354.71,.09 BRIEF DESCRIPTION 0;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<3) X
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Answer with a description of this transaction.
DESCRIPTION:
This is descriptive information regarding this transaction.
354.71,.1 PARENT TRANSACTION ENTRY 0;10 POINTER TO IB COPAY TRANSACTIONS FILE (#354.71)
LAST EDITED: AUG 22, 2001
HELP-PROMPT: Answer with the parent of this transaction entry.
DESCRIPTION: This is a pointer to the parent transaction entry. If this is the same as this entry, then this is
the parent.
CROSS-REFERENCE: 354.71^AF
1)= S ^IBAM(354.71,"AF",$E(X,1,30),DA)=""
2)= K ^IBAM(354.71,"AF",$E(X,1,30),DA)
Used to look up the parents of a transaction.
354.71,.11 BILLED AMOUNT 0;11 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<0)!(X?.E1"."3.N) X
LAST EDITED: FEB 01, 2006
HELP-PROMPT: Type a Dollar amount between 0 and 9999999.99, 2 Decimal Digits
DESCRIPTION:
This is the amount that was billed for this transaction.
354.71,.12 NON-BILLABLE AMOUNT 0;12 NUMBER
INPUT TRANSFORM: S:X["$" X=$P(X,"$",2) K:X'?.N.1".".2N!(X>9999999.99)!(X<0)!(X?.E1"."3.N) X
LAST EDITED: FEB 01, 2006
HELP-PROMPT: Type a Dollar amount between 0 and 9999999.99, 2 Decimal Digits
DESCRIPTION:
This is the non-billable amount for this transaction.
354.71,.13 INSTITUTION 0;13 POINTER TO INSTITUTION FILE (#4)
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Answer with an institution name.
DESCRIPTION:
This pointer indicates where this account transaction came from.
354.71,.14 USER ADDING ENTRY 0;14 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Answer with the person's name who added this entry.
DESCRIPTION: This is the person who added this entry. This may be a remote person since they are also stored in
the New Person file.
354.71,.15 DATE ENTRY ADDED 0;15 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Enter the date when this entry was added.
DESCRIPTION:
This indicates when this entry was added.
354.71,.16 USER LAST UPDATING 0;16 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Answer with the person who last updated this transaction.
DESCRIPTION:
This is the person who last updated this transaction.
354.71,.17 DATE LAST UPDATED 0;17 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
LAST EDITED: APR 20, 2001
HELP-PROMPT: Answer with the last date/time there was an update to this transaction.
DESCRIPTION:
This is the last date/time this transaction was updated.
354.71,.18 ACTION TYPE 0;18 POINTER TO IB ACTION TYPE FILE (#350.1)
LAST EDITED: JUN 08, 2001
HELP-PROMPT: Answer with the appropriate action type.
DESCRIPTION:
This pointer to the action type identifies what action type this transaction was created with.
354.71,.19 CANCELLATION REASON 0;19 POINTER TO IB CHARGE REMOVE REASONS FILE (#350.3)
LAST EDITED: SEP 12, 2001
HELP-PROMPT: Answer with the reason to cancel this charge.
DESCRIPTION:
This is the reason this transaction is cancelled.
354.71,.2 COPAYMENT TIER 0;20 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: MAR 17, 2016
HELP-PROMPT: Enter the tier this copayment was charged, whole number between 1 and 999.
DESCRIPTION: This is the tier used to determine this charge rate for this copayment. It should be a numeric
value between 1 and 999, 0 decimal digits.
354.71,1 TRANSMISSION RECORD 1;0 POINTER Multiple #354.711
DESCRIPTION: This is a record of transmission(s) to each facility that is a treating facility for the patient.
This record will indicate if a transmission has been accepted or not at the individual facilities.
354.711,.01 TRANSMISSION FACILITY 0;1 POINTER TO INSTITUTION FILE (#4)
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Enter a facility name.
DESCRIPTION:
This multiple is a list of facilities a transmission would go to for this transaction.
CROSS-REFERENCE: 354.711^B
1)= S ^IBAM(354.71,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^IBAM(354.71,DA(1),1,"B",$E(X,1,30),DA)
354.711,.02 TRANSMISSION STATUS 0;2 SET
'0' FOR NOT COMPLETED;
'1' FOR COMPLETED/ACCEPTED;
LAST EDITED: NOV 17, 2000
HELP-PROMPT: Enter the status for this facility's transmission.
DESCRIPTION:
This is the status of this facility's transmission.
FILES POINTED TO FIELDS
IB ACTION TYPE (#350.1) ACTION TYPE (#.18)
IB CHARGE REMOVE REASONS
(#350.3) CANCELLATION REASON (#.19)
IB COPAY TRANSACTIONS (#354.71) PARENT TRANSACTION ENTRY (#.1)
IB PATIENT COPAY ACCOUNT
(#354.7) PATIENT (#.02)
INSTITUTION (#4) INSTITUTION (#.13)
TRANSMISSION RECORD:TRANSMISSION FACILITY (#.01)
INTEGRATED BILLING ACTION
(#350) IB ACTION POINTER (#.04)
NEW PERSON (#200) USER ADDING ENTRY (#.14)
USER LAST UPDATING (#.16)
File #354.71
Record Indexes:
AD (#65) RECORD REGULAR IR SORTING ONLY
Short Descr: This is the main transaction sorting cross reference.
Description: This is used to sort all transactions by patient, and then by the month/year they apply to.
Set Logic: S ^IBAM(354.71,"AD",X(1),X(2),DA)=""
Kill Logic: K ^IBAM(354.71,"AD",X(1),X(2),DA)
Whole Kill: K ^IBAM(354.71,"AD")
X(1): PATIENT (354.71,.02) (Subscr 1) (forwards)
X(2): TRANS EFFECTIVE DATE (354.71,.03) (Subscr 2) (forwards)
Transform (Storage): S X=$E(X,1,5)_"00"
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):