STANDARD DATA DICTIONARY #356.25 -- CLAIMS TRACKING ROI FILE 3/24/25 PAGE 1
STORED IN ^IBT(356.25, *** 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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Per VHA Directive 2004-038, this file should not be modified or edited with VA Fileman.
This file stores Release of Information (ROI) data collected that relates to a specific patient/drug/insurance combination for the
effective dates. A claim that includes a sensitive drug is checked against this file for a billing determination. Claims that do
not pass the check are determined to be not ECME billable. Bills that do not pass the check cannot be authorized.
CROSS
REFERENCED BY: ROI ENTRY(B)
INDEXED BY: PATIENT & DRUG & INSURANCE COMPANY (AC)
356.25,.01 ROI ENTRY 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1N.N) X S:$D(X) DINUM=X
LAST EDITED: MAY 19, 2008
HELP-PROMPT: Type a Number between 1 and 999999999, 0 Decimal Digits
DESCRIPTION:
This is the main ROI entry number. This is DINUM'd to the entry.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 356.25^B
1)= S ^IBT(356.25,"B",$E(X,1,30),DA)=""
2)= K ^IBT(356.25,"B",$E(X,1,30),DA)
356.25,.02 PATIENT 0;2 POINTER TO PATIENT FILE (#2)
LAST EDITED: NOV 02, 2007
HELP-PROMPT: Select the patient associated with this ROI
DESCRIPTION:
This is the patient for this ROI entry.
RECORD INDEXES: AC (#807)
356.25,.03 DRUG 0;3 POINTER TO DRUG FILE (#50) (Required)
LAST EDITED: NOV 21, 2007
HELP-PROMPT: Select the drug to which this ROI is related
DESCRIPTION: This is the Drug the ROI has been used for in the past and will be automatically applied to in the
future within the effective dates.
RECORD INDEXES: AC (#807)
356.25,.04 INSURANCE COMPANY 0;4 POINTER TO INSURANCE COMPANY FILE (#36) (Required)
INPUT TRANSFORM: S DIC("S")="I $G(DFN),$D(^DPT(DFN,.312,""B"",Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: AUG 12, 2008
HELP-PROMPT: The list below are the Patient's Insurance Companies.
DESCRIPTION: Below are the Patient's Insurance Companies.
Please select from this list for the Insurance Company this ROI was used for. The Insurance
Company will automatically be used for future prescriptions.
SCREEN: S DIC("S")="I $G(DFN),$D(^DPT(DFN,.312,""B"",Y))"
EXPLANATION: Please select one of these Insurance Companies.
RECORD INDEXES: AC (#807)
356.25,.05 EFFECTIVE DATE 0;5 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: NOV 19, 2007
HELP-PROMPT: Enter the effective date of this ROI
DESCRIPTION:
This is the effective date of the ROI.
356.25,.06 EXPIRATION DATE 0;6 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 2008
HELP-PROMPT: Enter the date this ROI expires
DESCRIPTION:
This is the date that the ROI expires.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
356.25,.07 ACTIVE? 0;7 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: MAY 16, 2008
HELP-PROMPT: Please answer YES to make this ROI active, or NO to inactivate the ROI.
DESCRIPTION: Inactivating an ROI entry has the same effect as deleting an entry except that the entry is left as
a history.
356.25,1.01 DATE ROI ADDED 1;1 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: NOV 03, 2007
HELP-PROMPT: Enter the date this ROI was entered
DESCRIPTION:
This is the date/time this ROI was added to the file.
356.25,1.02 USER ADDING ENTRY 1;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 26, 2007
HELP-PROMPT: Enter the user adding this entry
DESCRIPTION:
This is the user that added this ROI entry
356.25,1.03 DATE ROI LAST UPDATED 1;3 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
LAST EDITED: JUN 13, 2007
HELP-PROMPT: Enter the date/time this ROI was last edited
TECHNICAL DESCR:
This is the date this ROI entry was last edited/updated.
356.25,1.04 USER LAST UPDATING 1;4 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JUN 13, 2007
HELP-PROMPT: Enter the user last updating
DESCRIPTION:
This is the user that last updated this ROI entry.
356.25,1.05 DATE LAST USED 1;5 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: NOV 07, 2007
HELP-PROMPT: Enter the date/time this ROI was used.
DESCRIPTION:
This was the last time this ROI was used for a claim or a potential claim.
356.25,2.01 COMMENT 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
LAST EDITED: MAY 16, 2008
HELP-PROMPT: Answer must be 1-100 characters in length.
FILES POINTED TO FIELDS
DRUG (#50) DRUG (#.03)
INSURANCE COMPANY (#36) INSURANCE COMPANY (#.04)
NEW PERSON (#200) USER ADDING ENTRY (#1.02)
USER LAST UPDATING (#1.04)
PATIENT (#2) PATIENT (#.02)
File #356.25
Record Indexes:
AC (#807) RECORD REGULAR IR SORTING ONLY
Short Descr: ROI PATIENT DRUG INSURANCE X-REF
Set Logic: S ^IBT(356.25,"AC",X(1),X(2),X(3),DA)=""
Kill Logic: K ^IBT(356.25,"AC",X(1),X(2),X(3),DA)
Whole Kill: K ^IBT(356.25,"AC")
X(1): PATIENT (356.25,.02) (Subscr 1) (forwards)
X(2): DRUG (356.25,.03) (Subscr 2) (forwards)
X(3): INSURANCE COMPANY (356.25,.04) (Subscr 3) (forwards)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):