STANDARD DATA DICTIONARY #356.9 -- INPATIENT DIAGNOSIS FILE 3/24/25 PAGE 1
STORED IN ^IBT(356.9, *** 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 designed to hold all inpatient diagnoses.
Per VHA Directive 10-93-142, this file definition should not be modified.
DD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY: ONSET DATE THIS VISIT (#.03)[R], TYPE (#.04)
"WRITE": N Y S Y=$G(^(0)) W " ",$P($G(^DPT(+$P($G(^DGPM(+$P(Y,U,2),0)),U,3),0)),U)
POINTED TO BY: ADMITTING REASON (ICD) field (#.3) of the CLAIMS TRACKING File (#356)
CROSS
REFERENCED BY: DIAGNOSIS(ADG), ADMISSION MOVEMENT(ADG1), TYPE(ADG2), DIAGNOSIS(ADGPM), ADMISSION MOVEMENT(ADGPM1),
ADMISSION MOVEMENT(APD), ONSET DATE THIS VISIT(APD1), TYPE(ATP), ADMISSION MOVEMENT(ATP1), DIAGNOSIS(B),
ADMISSION MOVEMENT(C), ONSET DATE THIS VISIT(D)
356.9,.01 DIAGNOSIS 0;1 POINTER TO ICD DIAGNOSIS FILE (#80) (Required)
INPUT TRANSFORM: S DIC("S")="I $$ICD9ACT^IBACSV(+Y,$P($G(^IBT(356.9,+$G(DA),0)),U,3))" D ^DIC K DIC S DIC=$G(DIE),X=
+Y K:Y<0 X
LAST EDITED: APR 21, 2003
DESCRIPTION:
This is the diagnosis for this patient for this episode of care.
SCREEN: S DIC("S")="I $$ICD9ACT^IBACSV(+Y,$P($G(^IBT(356.9,+$G(DA),0)),U,3))"
EXPLANATION: Only active diagnosis codes may be selected.
CROSS-REFERENCE: 356.9^B
1)= S ^IBT(356.9,"B",$E(X,1,30),DA)=""
2)= K ^IBT(356.9,"B",$E(X,1,30),DA)
CROSS-REFERENCE: 356.9^ADG^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,4)=3&($P(^(0),U,2)) ^IBT(356.9,"ADG",+$P(^(0),U,2),X,DA)=""
2)= K ^IBT(356.9,"ADG",+$P(^IBT(356.9,DA,0),U,2),X,DA)
Cross-reference of admitting diagnosis by admission movement.
CROSS-REFERENCE: 356.9^ADGPM^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,2) ^IBT(356.9,"ADGPM",+$P(^(0),U,2),X,DA)=""
2)= K ^IBT(356.9,"ADGPM",+$P(^IBT(356.9,DA,0),U,2),X,DA)
Cross-reference of all diagnosis by admission movement
356.9,.02 ADMISSION MOVEMENT 0;2 POINTER TO PATIENT MOVEMENT FILE (#405)
INPUT TRANSFORM: S DIC("S")="I $P(^(0),U,2)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: SEP 01, 1993
DESCRIPTION: This field should point to the admission movement of the inpatient episode that this diagnosis is
for. For ASIH movements it should point to the admission in the acute setting.
SCREEN: S DIC("S")="I $P(^(0),U,2)=1"
EXPLANATION: Must be an admission movement
CROSS-REFERENCE: 356.9^C
1)= S ^IBT(356.9,"C",$E(X,1,30),DA)=""
2)= K ^IBT(356.9,"C",$E(X,1,30),DA)
CROSS-REFERENCE: 356.9^APD^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,3) ^IBT(356.9,"APD",X,-$P(^(0),U,3),DA)=""
2)= K ^IBT(356.9,"APD",X,-$P(^IBT(356.9,DA,0),U,3),DA)
cross reference of all diagnoses by tracking id and inverse date
CROSS-REFERENCE: 356.9^ATP1^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,4) ^IBT(356.9,"ATP",X,$P(^(0),U,4),DA)=""
2)= K ^IBT(356.9,"ATP",X,+$P(^IBT(356.9,DA,0),U,4),DA)
Cross reference of primary diagnosis for a tracking entry so only one diagnosis can be primary
CROSS-REFERENCE: 356.9^ADG1^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,4)=3&(+^(0)) ^IBT(356.9,"ADG",X,+^(0),DA)=""
2)= K ^IBT(356.9,"ADG",X,+^IBT(356.9,DA,0),DA)
Cross-reference of admitting diagnosis by admission movement.
CROSS-REFERENCE: 356.9^ADGPM1^MUMPS
1)= S:+^IBT(356.9,DA,0) ^IBT(356.9,"ADGPM",X,+^(0),DA)=""
2)= K ^IBT(356.9,"ADGPM",X,+^IBT(356.9,DA,0),DA)
Cross-reference of all diagnoses by admission movement.
356.9,.03 ONSET DATE THIS VISIT 0;3 DATE (Required)
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X K:$G(X)+.9<+$G(^DGPM(+$P(^IBT(356.9,DA,0),U,2),0)) X
LAST EDITED: SEP 02, 1993
HELP-PROMPT: Dates must be during the admission.
DESCRIPTION: This is the date of the onset of this diagnosis for this episode of care. If the diagnosis is for
an admission then the date of onset should be within the dates of admission and discharge. If the
diagnosis is for an outpatient visit then the date of onset should be the visit date.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 356.9^D
1)= S ^IBT(356.9,"D",$E(X,1,30),DA)=""
2)= K ^IBT(356.9,"D",$E(X,1,30),DA)
CROSS-REFERENCE: 356.9^APD1^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,2) ^IBT(356.9,"APD",+$P(^(0),U,2),-X,DA)=""
2)= K ^IBT(356,"APD",+$P(^IBT(356.9,DA,0),U,2),-X,DA)
cross reference of all diagnoses by tracking id and inverse date.
356.9,.04 TYPE 0;4 SET
'1' FOR PRIMARY;
'2' FOR SECONDARY;
'3' FOR ADMITTING;
LAST EDITED: SEP 01, 1993
DESCRIPTION: Enter 'PRIMARY' if this is the primary diagnosis for this date, enter 'SECONDARY' if this is not
the primary diagnosis for this date. Enter "ADMITTING" if this is the admitting diagnosis.
SCREEN: S DIC("S")="I $$DICS^IBTRED1(Y)"
EXPLANATION: Only one diagnosis can be primary or admitting diagnosis for an admission.
CROSS-REFERENCE: 356.9^ATP^MUMPS
1)= S:$P(^IBT(356.9,DA,0),U,2) ^IBT(356.9,"ATP",$P(^(0),U,2),X,DA)=""
2)= K ^IBT(356.9,"ATP",+$P(^IBT(356.9,DA,0),U,2),X,DA)
Cross reference of primary diagnosis for a tracking entry so only one diagnosis can be primary at a
time.
CROSS-REFERENCE: 356.9^ADG2^MUMPS
1)= S:X=3&($P(^IBT(356.9,DA,0),U,2))&(+^(0)) ^IBT(356.9,"ADG",+$P(^(0),U,2),+^(0),DA)=""
2)= K ^IBT(356.9,"ADG",+$P(^IBT(356.9,DA,0),U,2),+^(0),DA)
Cross-reference of admitting diagnosis by admission movement.
356.9,.05 POA INDICATOR 0;5 SET
'Y' FOR Yes;
'N' FOR No;
'U' FOR Insufficient Documentation;
'W' FOR Clinically Undetermined;
LAST EDITED: FEB 18, 2014
HELP-PROMPT: Enter the value that correctly indicates if this condition was present at the time the patient was
admitted.
DESCRIPTION: The Present On Admission (POA) for the Inpatient Diagnosis indicates if this condition was present
at the time the patient was admitted.
One of the following values should be assigned in accordance with the official coding guidelines:
Y = Present at the time of inpatient admission N = Not present at the time of inpatient admission U
= Documentation is insufficient to determine if condition is present
on admission W = Provider is unable to clinically determine whether condition was
present on admission or not
FILES POINTED TO FIELDS
ICD DIAGNOSIS (#80) DIAGNOSIS (#.01)
PATIENT MOVEMENT (#405) ADMISSION MOVEMENT (#.02)
INPUT TEMPLATE(S):
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