STANDARD DATA DICTIONARY #356.26 -- CLAIMS TRACKING ROI CONSENT FILE 3/24/25 PAGE 1
STORED IN ^IBT(356.26, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file contains the Release of Information (ROI) Special Consents obtained from patients for sensitive conditions.
Per VHA Directive 2004-038, this file definition should not be modified.
CROSS
REFERENCED BY: ROI ENTRY(B), PATIENT(C)
356.26,.01 ROI ENTRY 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Type a number between 1 and 999999999, 0 decimal digits.
DESCRIPTION:
This is the ROI Special Consent unique identifier.
CROSS-REFERENCE: 356.26^B
1)= S ^IBT(356.26,"B",$E(X,1,30),DA)=""
2)= K ^IBT(356.26,"B",$E(X,1,30),DA)
356.26,.02 PATIENT 0;2 POINTER TO PATIENT FILE (#2) (Required)
LAST EDITED: JAN 08, 2013
HELP-PROMPT: Enter the Patient associated with this ROI consent.
DESCRIPTION:
This is the patient that gave consent to release information related a sensitive condition.
CROSS-REFERENCE: 356.26^C
1)= S ^IBT(356.26,"C",$E(X,1,30),DA)=""
2)= K ^IBT(356.26,"C",$E(X,1,30),DA)
3)= DO NOT DELETE
Cross reference of ROI consent by Patient.
356.26,.03 SENSITIVE CONDITION 0;3 SET (Required)
'1' FOR DRUG ABUSE;
'2' FOR ALCOHOLISM/ALCOHOL ABUSE;
'3' FOR TESTING FOR OR INFECTION WITH HIV;
'4' FOR SICKLE CELL ANEMIA;
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Enter the Sensitive Condition associated with this ROI consent.
DESCRIPTION:
This is the sensitive condition the patient has given consent for release of information.
356.26,.04 EFFECTIVE DATE 0;4 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Enter the date this ROI consent becomes effective.
DESCRIPTION:
This is the effective or begin date of this ROI consent.
356.26,.05 EXPIRATION DATE 0;5 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Enter the date this ROI consent expires.
DESCRIPTION:
This is the expiration or end date of this ROI consent.
356.26,.06 REVOKED 0;6 SET
'1' FOR YES;
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Enter Yes if this ROI consent has been revoked.
DESCRIPTION: This indicates if the patient has revoked the release of information consent for this sensitive
condition. This field does not override the effective and expiration dates. When a consent is
revoked the expiration date should be updated to the date the revocation takes effect.
356.26,1.01 DATE ENTERED 1;1 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Enter the date this ROI consent was added.
DESCRIPTION:
This is the date/time this ROI consent record was created.
356.26,1.02 ENTERED BY 1;2 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Enter the person that added this ROI.
DESCRIPTION:
This is the user that created this ROI consent record.
356.26,1.03 DATE LAST EDITED 1;3 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 23, 2013
HELP-PROMPT: Enter the date this ROI record was last edited.
DESCRIPTION:
This is the date/time this ROI record was last updated or edited.
356.26,1.04 LAST EDITED BY 1;4 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: MAR 23, 2013
HELP-PROMPT: Enter the person that last edited this ROI record.
DESCRIPTION:
This is the user that last updated or edited this ROI record.
356.26,2.01 COMMENT 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>60!($L(X)<3) X
LAST EDITED: JAN 07, 2013
HELP-PROMPT: Answer must be 3-60 characters in length.
DESCRIPTION: Enter a comment related to this ROI consent record, including the Insurance Companies the ROI
covers.
FILES POINTED TO FIELDS
NEW PERSON (#200) ENTERED BY (#1.02)
LAST EDITED BY (#1.04)
PATIENT (#2) PATIENT (#.02)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):