STANDARD DATA DICTIONARY #391.1 -- AMIS SEGMENT FILE 3/24/25 PAGE 1
STORED IN ^DG(391.1, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.3)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
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This file contains the various AMIS segments. The .001 (Number) field should be defined as the segment number.
DD ACCESS: @
RD ACCESS: d
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
POINTED TO BY: AMIS 420 SEGMENT field (#17) of the DISPOSITION LOG-IN DATE/TIME sub-field (#2.101) of the PATIENT File (#2)
CROSS
REFERENCED BY: NAME(B)
391.1,.001 NUMBER NUMBER
INPUT TRANSFORM: K:+X'=X!(X>5000)!(X<1)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 1 and 5000, 0 Decimal Digits
DESCRIPTION:
This field is for storing the internal reference number of the AMIS Segment as it is created.
TECHNICAL DESCR:
This is the AMIS segment number (e.g. 401).
391.1,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>40!($L(X)<3)!'(X'?1P.E) X
HELP-PROMPT: ANSWER MUST BE 3-40 CHARACTERS IN LENGTH
DESCRIPTION:
This field stores the name of the AMIS Segment added to the file, e.g. 100% SC VETERANS.
TECHNICAL DESCR: This is the text description of the AMIS Segment. This is pointed to by the AMIS 420 SEGMENT field
of the DISPOSITION LOG-IN DATE/TIME multiple of the PATIENT File.
CROSS-REFERENCE: 391.1^B
1)= S ^DG(391.1,"B",$E(X,1,30),DA)=""
2)= K ^DG(391.1,"B",$E(X,1,30),DA)
391.1,.02 INACTIVE 0;2 SET
'0' FOR NO;
'1' FOR YES;
LAST EDITED: FEB 04, 1988
HELP-PROMPT: Enter '1' if this segment should not be selectable.
DESCRIPTION: This field entry indicates whether or not the specified AMIS Segment has been inactivated. It is a
set of codes where '0' stands for NO and '1' stands for YES.
TECHNICAL DESCR: This field indicates whether or not the AMIS Segment has been inactivated. Note that the
INACTIVATION DATE field (#.03) is alternatively used to determine the activation status, based on
the date.
391.1,.03 INACTIVATION DATE 0;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 31, 1992
HELP-PROMPT: This field should not be modified unless directed by your ISC.
DESCRIPTION:
This field stores the date/time on which the AMIS Segment is inactivated.
TECHNICAL DESCR: Some AMIS Segments were inactivated as of a given date. Prior to this date, the segment is active.
After the date it is not (e.g. AMIS 419).
391.1,50 DIVISION D;0 POINTER Multiple #391.11
DESCRIPTION: This multiple contains information entered for each AMIS Segment, including the Division and REPORT
MONTH/YEAR multiple.
These fields should not be enter/edited via FM without ISC guidance.
TECHNICAL DESCR: This multiple is a pointer to the MEDICAL CENTER DIVISION FILE (#40.8). It contains a multiple,
REPORT MONTH/YEAR (#391.12). As such, data is stored with the hierarchy of AMIS Segment, then
Division, then MONTH/YEAR. This entire multiple will be created by the AMIS 400 report generation
if a patient is dispositioned from this division. The division is DINUMed with the Medical Center
Division File.
391.11,.01 DIVISION 0;1 POINTER TO MEDICAL CENTER DIVISION FILE (#40.8)
LAST EDITED: FEB 04, 1988
HELP-PROMPT: This data should not be enter/edited via FM without your ISC's direction.
DESCRIPTION:
This is a pointer to the MEDICAL CENTER DIVISION FILE (#40.8).
TECHNICAL DESCR:
This is a pointer to the MEDICAL CENTER DIVISION FILE (#40.8).
CROSS-REFERENCE: 391.11^B
1)= S ^DG(391.1,DA(1),"D","B",$E(X,1,30),DA)=""
2)= K ^DG(391.1,DA(1),"D","B",$E(X,1,30),DA)
391.11,50 REPORT MONTH/YEAR MY;0 DATE Multiple #391.12
LAST EDITED: MAY 25, 1993
DESCRIPTION: This multiple contains the monthly AMIS report data. This data should not be changed without the
direction of your ISC.
TECHNICAL DESCR: This multiple contains the monthly AMIS report data and status fields to help manage the
generation of the report data.
391.12,.01 REPORT MONTH/YEAR 0;1 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X I $D(X) K:'+$E(X,4,5) X I $D(X) S X=$E(X,1,5)_"00",DINUM=X
LAST EDITED: FEB 25, 1989
HELP-PROMPT: This contains the month/year of the AMIS report.
DESCRIPTION: This is the month/year of the AMIS report. This data should not be changed the direction of
your ISC.
TECHNICAL DESCR:
This is the month/year of the AMIS report.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 391.12^AR^MUMPS
1)= S ^DG(391.1,"AR",X,DA(2),DA(1))=""
2)= K ^DG(391.1,"AR",X,DA(2),DA(1))
391.12,.02 ORIGINALLY CREATED BY 0;2 POINTER TO NEW PERSON FILE (#200) (Required)
LAST EDITED: OCT 17, 1990
HELP-PROMPT: Name of user who initially generated report.
DESCRIPTION:
This field contains the a pointer to the person who initially generated the report.
TECHNICAL DESCR:
This is a pointer to the NEW PERSON File.
391.12,.03 DATE ORIGINALLY CREATED 0;3 DATE (Required)
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 04, 1988
HELP-PROMPT: The date on which this report was originally generated.
DESCRIPTION:
This field contains the date this report was initially created.
TECHNICAL DESCR:
This field is used to manage AMIS report generation.
391.12,.04 LAST GENERATED BY 0;4 POINTER TO NEW PERSON FILE (#200) (Required)
LAST EDITED: OCT 17, 1990
HELP-PROMPT: Name of person who last generated this report.
DESCRIPTION:
This field contains the name of the person who last generated this report.
TECHNICAL DESCR:
This field is used to manage AMIS report generation.
391.12,.05 DATE LAST GENERATED 0;5 DATE (Required)
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 04, 1988
HELP-PROMPT: The date on which this report was last generated.
DESCRIPTION:
This field contains the last date on which this report was generated.
TECHNICAL DESCR:
This is used to manage AMIS report generation.
391.12,.06 BALANCE FLAG 0;6 SET
'1' FOR AMIS SEGMENTS IN BALANCE;
'0' FOR AMIS SEGMENTS OUT OF BALANCE;
LAST EDITED: NOV 01, 1990
HELP-PROMPT: This should not be edited without the direction of your ISC.
DESCRIPTION:
This flag indicates if the AMIS segment is in/out of balance.
TECHNICAL DESCR: This is a data validation check. AMIS reports summarize patient data; this field will indicate
that the AMIS is out of balance if the data are inconsistent.
391.12,1 NUMBER OF APPLICATIONS A1;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: FEB 04, 1988
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the Number of Applications (e.g. for AMIS 401, the number of SC 100%
veterans who applied for care).
TECHNICAL DESCR:
This is a counter field for the number of applications, for a given AMIS Segment.
391.12,2 HOSP CARE RECEIVED A1;2 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the total number of patients that received Hospital Care.
TECHNICAL DESCR:
This is the number of patients whose AMIS 401-420 Disposition group is 'Hosp Admit'.
391.12,3 HOSP WAIT LIST A1;3 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the total number of patients that are on the Hospital waiting list.
TECHNICAL DESCR: This field contains the total number of patients whose AMIS 401-420 Disposition Group is "Hosp
W/L".
391.12,4 NHCU CARE RECEIVED A1;4 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the total number of patients who received care on the Nursing Home Care
Unit.
TECHNICAL DESCR: This field contains the total number of patients whose AMIS 401-420 Disposition Group is "NHCU
Admit".
391.12,5 NHCU WAIT LIST A1;5 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients who are on the waiting list for the Nursing Home
Care Unit.
TECHNICAL DESCR: This field contains the total number of patients whose AMIS 401-420 Disposition Group is "NHCU
W/L".
391.12,6 DOMICILIARY CARE RECEIVED A1;6 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients that were dispositioned to recieve domiciliary care.
TECHNICAL DESCR: This field contains the total number of patients whose AMIS 401-420 Disposition Group is "Dom
Admit".
391.12,7 DOM WAIT LIST A1;7 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of applications that were dispositioned as DOMICILIARY WAITING
LIST.
TECHNICAL DESCR:
This field contains the total number of patients whose AMIS 401-420 Group is "Dom W/L".
391.12,8 OUTPATIENT CARE RECEIVED A1;8 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who received outpatient care.
TECHNICAL DESCR: This field contains the total number of patients whose AMIS 401-420 Group is "OP Care Rec". It
also includes patients who have been dispositioned to something other than "Ineligible", "Low
Priority", or "Trt Mo Unavail" but whose AMIS Disposition Group is one of the following: a)
Community b) Fee Basis c) Other d) OP Care Rec e) Other VA.
391.12,9 EXAMINED, NO FURTHER CARE A1;9 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients for whom no care is required.
TECHNICAL DESCR:
This field contains the total number of patients whose AMIS 401-420 Group is "No Care Req".
391.12,10 CANCELLED A1;10 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients whose disposition was cancelled.
TECHNICAL DESCR:
This field contains the total number of patients whose AMIS 401-420 Group is "Cancel".
391.12,11 INELIG-DENTAL A1;11 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for dental care and are ineligible.
TECHNICAL DESCR:
This is one of the two ineligible types and who have a TYPE OF CARE APPLIED FOR of 'Dental'.
391.12,12 INELIG-PLASTIC SURGERY A1;12 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for plastic surgery and are ineligible.
TECHNICAL DESCR: This field contians the number of patients whose disposition type is one of the two ineligible
types and who have a TYPE OF CARE APPLIED FOR of 'Plastic Surgery'.
391.12,13 INELIG-STERILIZATION A1;13 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for sterilization and are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF CARE APPLIED FOR is 'Sterilization'.
391.12,14 INELIG-PREGNANCY A1;14 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for pregnancy care but are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF CARE APPLIED FOR is 'Pregnancy'.
391.12,15 INELIG-OTHER A1;15 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients who applied for care other than dental, plastic
surgery, sterilization or pregnancy and are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF CARE APPLIED FOR is not 'Dental', 'Plastic Surgery', 'Sterilization',
or 'Pregnancy'.
391.12,16 INELIG-HOSP CARE A1;16 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for hospital care and are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF BENEFIT APPLIED FOR is 'Hospital'.
391.12,17 INELIG-NHCU CARE A1;17 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients who applied for care on the Nursing Home Care Unit
and are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF BENEFIT APPLIED FOR is 'Nursing Home'.
391.12,18 INELIG-DOMICILIARY CARE A1;18 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for domiciliary care and are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF BENEFIT APPLIED FOR is 'Domiciliary'.
391.12,19 INELIG-OPT CARE A1;19 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients who applied for outpatient care are are ineligible.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the two ineligible
types and whose TYPE OF BENEFIT APPLIED FOR is other than 'Hospital', "Nursing Home', or
'Domiciliary'.
391.12,20 INELIG-TO COMMUNITY A1;20 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients who are ineligible and were dispositioned to the
community.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'Ineligible-Disp
Community'. The disposition group must be defined as "Community" or this will be counted as
Block 20.
391.12,21 INELIG-TO OTHER A1;21 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients are ineligible for care but where not dispositioned
to the community.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'Ineligible-Disp Other'.
The disposition group must be defined as 'Other'.
391.12,22 TRT MOD UNAVAIL-HOSP A1;22 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT IS 'Hospital'.
TECHNICAL DESCR: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT IS'Hospital'.
391.12,23 TRT MOD UNAVAIL-NHCU A1;23 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT APPLIED FOR is 'Nursing Home'.
TECHNICAL DESCR: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT APPLIED FOR is 'Nursing Home'.
391.12,24 TRT MOD UNAVAIL-DOM A1;24 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT APPLIED FOR is 'Domiciliary'.
TECHNICAL DESCR: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT APPLIED FOR is 'Domiciliary'.
391.12,25 TRT MOD UNAVAIL-OPT A1;25 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT APPLIED FOR is other than 'Hospital', 'Nursing Home', or 'Domiciliary'.
TECHNICAL DESCR: This field contains the number of patients whose treatment modality is unavailable and whose
TYPE OF BENEFIT APPLIED FOR is other than 'Hospital', 'Nursing Home', or 'Domiciliary'.
391.12,26 TRT MOD UNAVAIL-TO COMMUNITY A1;26 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'Trt Mod Unavail-Disp
Community'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'Trt Mod Unavail-Disp
Community. Note that the Disposition Group must be defined as 'Community'.
391.12,27 TRT MOD UNAVAIL-OTHER VA A1;27 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: DEC 13, 1994
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'TRT MOD UNAVAIL-DISP
OTHER VA'. Note that the Disposition Group must be defined as 'Other VA".
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'TRT MOD UNAVAIL-DISP
OTHER VA'. Note that the Disposition Group must be defined as 'Other VA".
391.12,28 TRT MOD UNAVAIL-TO FEE A1;28 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'TRT MOD UNAVAIL-DISP FEE
BASIS'. Note that the Disposition Group must be defined as 'FEE BASIS'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'TRT MOD UNAVAIL-DISP FEE
BASIS'. Note that the Disposition Group must be defined as 'FEE BASIS'.
391.12,29 TRT MOD UNAVAIL-TO OTHER A1;29 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'TRT MOD UNAVAIL-DISP
OTHER'. Note that the Disposition Group must be defined as 'Other'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'TRT MOD UNAVAIL-DISP
OTHER'. Note that the Disposition Group must be defined as 'Other'.
391.12,30 LOW PRIORITY-HOSP CARE A1;30 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS 'Hospital'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS 'Hospital'.
391.12,31 LOW PRIORITY-NHCU CARE A1;31 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS 'Nursing Home'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS 'Nursing Home'.
391.12,32 LOW PRIORITY-DOM CARE A1;32 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS 'Domiciliary'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS 'Domiciliary'.
391.12,33 LOW PRIORITY-OPT CARE A1;33 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS other than 'Hospital', 'Nursing Home', or
'Domiciliary'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is one of the four Low
Priority types and whose TYPE OF BENEFIT IS other than 'Hospital', 'Nursing Home', or
'Domiciliary'.
391.12,34 LOW PRIORITY-TO COMMUNITY A1;34 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP
COMMUNITY'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP
COMMUNITY'.
391.12,35 LOW PRIORITY-TO OTHER VA A1;35 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP OTHER
VA'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP OTHER
VA'.
391.12,36 LOW PRIORITY-TO FEE A1;36 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP FEE
BASIS'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP FEE
BASIS'.
391.12,37 LOW PRIORITY-TO OTHER A1;37 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP OTHER'.
TECHNICAL DESCR:
This field contains the number of patients whose disposition type is 'LOW PRIORITY-DISP OTHER'.
391.12,38 PENDING DETERMINATION A1;38 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION:
This field contains the number of patients whose disposition type is 'PENDING DETERMINATION'.
TECHNICAL DESCR:
This field contains the number of patients whose disposition type is 'PENDING DETERMINATION'.
391.12,39 WON'T PAY DEDUCTIBLE A1;39 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the number of patients whose disposition type is 'REFUSED TO PAY
DEDUCTIBLE'.
TECHNICAL DESCR: This field contains the number of patients whose disposition type is 'REFUSED TO PAY
DEDUCTIBLE'.
391.12,40 NON-VETERAN APPLICANTS A1;40 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>9999)!(X<0)!(X?.E1"."1N.N) X
HELP-PROMPT: Type a Number between 0 and 9999, 0 Decimal Digits
DESCRIPTION: This field contains the total number of patients who were registered with a NON-VETERAN
eligibility code.
TECHNICAL DESCR: Regardless of disposition type, registration type, etc. the total number of patients who were
registered with a NON-VETERAN eligibility code will be displayed in this block - segment 420
only.
FILES POINTED TO FIELDS
MEDICAL CENTER DIVISION (#40.8) DIVISION:DIVISION (#.01)
NEW PERSON (#200) REPORT MONTH/YEAR:ORIGINALLY CREATED BY (#.02)
LAST GENERATED BY (#.04)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):