STANDARD DATA DICTIONARY #396.4 -- 2507 EXAM FILE 6/27/25 PAGE 1 STORED IN ^DVB(396.4, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.7) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- This file contains all the exams that are associated with the various 2507 requests. NOTICE: This file is part of an implementation of a Nationally Controlled Procedure. Local modifications to this file are prohibited per VHA Directive 10-93-142. DD ACCESS: RD ACCESS: WR ACCESS: DEL ACCESS: LAYGO ACCESS: AUDIT ACCESS: APPLICATION GROUP(S): TIU IDENTIFIED BY: EXAM TYPE (#.03)[R] POINTED TO BY: AMIE EXAMS field (#.01) of the AMIE EXAMS sub-field (#396.1718) of the CAPRI TEMPLATES File (#396.17) CROSS REFERENCED BY: EXAM TYPE(AC), STATUS(AD), EXAM TYPE(AE), 2507 REQUEST(AF), INSUFFICIENT REASON(AIT), EXAM TYPE(AIT2), 2507 REQUEST(APE), 2507 REQUEST(APS), EXAM TYPE(ARQ), EXAM REFERENCE NUMBER(B), 2507 REQUEST(C), EXAM TYPE(F) 396.4,.01 EXAM REFERENCE NUMBER 0;1 NUMBER (Required) INPUT TRANSFORM: K:+X'=X!(X>999999999999)!(X<1)!(X?.E1"."1N.N) X LAST EDITED: DEC 20, 1994 HELP-PROMPT: Type a Number between 1 and 999999999999, 0 Decimal Digits DESCRIPTION: This field contains an entry number of the exam in the 2507 Exam file. It is not related to an Exam number or a worksheet number. TECHNICAL DESCR: This field is generated from the LAST EXAM NUMBER field in the AMIE site parameter file. UNEDITABLE CROSS-REFERENCE: 396.4^B 1)= S ^DVB(396.4,"B",$E(X,1,30),DA)="" 2)= K ^DVB(396.4,"B",$E(X,1,30),DA) 396.4,.02 2507 REQUEST 0;2 POINTER TO 2507 REQUEST FILE (#396.3) (Required) LAST EDITED: NOV 18, 1994 HELP-PROMPT: Enter the request that this exam belongs to. You will select the veteran then which request. DESCRIPTION: This field connects the given record with the 2507 request record that the exam is on. TECHNICAL DESCR: A pointer to the 2507 Request file (396.3). UNEDITABLE CROSS-REFERENCE: 396.4^C 1)= S ^DVB(396.4,"C",$E(X,1,30),DA)="" 2)= K ^DVB(396.4,"C",$E(X,1,30),DA) This is a standard FM cross reference for this field. CROSS-REFERENCE: 396.4^APS^MUMPS 1)= N A S A=^DVB(396.4,DA,0) I $P(A,U,3)]"",$P(A,U,4)]"" S ^DVB(396.4,"APS",$P(^DVB(396.3,$E(X,1,30 ),0),U,1),$P(A,U,3),$P(A,U,4),DA)="" 2)= N A S A=^DVB(396.4,DA,0) I $P(A,U,3)]"",$P(A,U,4)]"" K ^DVB(396.4,"APS",$P(^DVB(396.3,$E(X,1,30 ),0),U,1),$P(A,U,3),$P(A,U,4),DA) This cross reference contains the patient's internal file number, the exam IFN and the exam status. It is set on two other fields .03 and .04. Recross referencing any one of these fields will be acceptable. CROSS-REFERENCE: 396.4^APE^MUMPS 1)= N A,B S A=^DVB(396.3,$E(X,1,30),0) I $P(A,U,1)]"",$P(A,U,2)]"" S B=^DVB(396.4,DA,0) I $P(B,U,3) ]"" S ^DVB(396.4,"APE",$P(A,U,1),$P(^DVB(396.6,$P(B,U,3),0),U,1),$P(A,U,2),DA)="" 2)= N A,B S A=^DVB(396.3,$E(X,1,30),0) I $P(A,U,1)]"",$P(A,U,2)]"" S B=^DVB(396.4,DA,0) I $P(B,U,3) ]"" K ^DVB(396.4,"APE",$P(A,U,1),$P(^DVB(396.6,$P(B,U,3),0),U,1),$P(A,U,2),DA) This cross reference contains the patient's IFN, the exam name, and the request date. It is set on one other field .03. Recross referencing either one of these fields would be acceptable. CROSS-REFERENCE: 396.4^AF^MUMPS 1)= N A S A=$P(^DVB(396.4,DA,0),U,3) I A]"" S ^DVB(396.4,"ARQ"_X,A,DA)="" 2)= N A S A=$P(^DVB(396.4,DA,0),U,3) I A]"" K ^DVB(396.4,"ARQ"_X,A,DA) This cross reference is used to quickly find the correct exams that are related to a specific request. 396.4,.03 EXAM TYPE 0;3 POINTER TO AMIE EXAM FILE (#396.6) (Required) LAST EDITED: NOV 18, 1994 HELP-PROMPT: Enter the name of the exam for this request. DESCRIPTION: Contains the name of the exam. TECHNICAL DESCR: This field is a pointer to the 2507 Exam File (396.6). UNEDITABLE CROSS-REFERENCE: 396.4^ARQ^MUMPS 1)= N A S A=$P(^DVB(396.4,DA,0),U,2) I A]"" S ^DVB(396.4,"ARQ"_A,$E(X,1,30),DA)="" 2)= N A S A=$P(^DVB(396.4,DA,0),U,2) I A]"" K ^DVB(396.4,"ARQ"_A,$E(X,1,30),DA) This cross reference is to aid in the look up on the 2507 exam file 396.4 CROSS-REFERENCE: 396.4^AC^MUMPS 1)= N A S A=^DVB(396.4,DA,0) I $P(A,U,2)]"",$P(A,U,4)]"" S ^DVB(396.4,"APS",$P(^DVB(396.3,$P(A,U,2) ,0),U,1),$E(X,1,30),$P(A,U,4),DA)="" 2)= N A S A=^DVB(396.4,DA,0) I $P(A,U,2)]"",$P(A,U,4)]"" K ^DVB(396.4,"APS",$P(^DVB(396.3,$P(A,U,2) ,0),U,1),$E(X,1,30),$P(A,U,4),DA) This cross reference contains the patient's internal file number, the exam IFN and the exam status. It is set on two other fields .02 and .04. Recross referencing any one of these fields will be acceptable. CROSS-REFERENCE: 396.4^AE^MUMPS 1)= N A S A=$P(^DVB(396.4,DA,0),U,2) I A]"" S A=^DVB(396.3,A,0) I $P(A,U,1)]"",$P(A,U,2)]"" S ^DVB( 396.4,"APE",$P(A,U,1),$P(^DVB(396.6,$E(X,1,30),0),U,1),$P(A,U,2),DA)="" 2)= N A S A=$P(^DVB(396.4,DA,0),U,2) I A]"" S A=^DVB(396.3,A,0) I $P(A,U,1)]"",$P(A,U,2)]"" K ^DVB( 396.4,"APE",$P(A,U,1),$P(^DVB(396.6,$E(X,1,30),0),U,1),$P(A,U,2),DA) This cross reference contains the patient's IFN, the exam name, and the request date. It is set on one other field .03. Recross referencing either one of these fields would be acceptable. CROSS-REFERENCE: 396.4^F 1)= S ^DVB(396.4,"F",$E(X,1,30),DA)="" 2)= K ^DVB(396.4,"F",$E(X,1,30),DA) CROSS-REFERENCE: 396.4^AIT2^MUMPS 1)= S:+$P(^DVB(396.4,DA,0),U,11)>0 ^DVB(396.4,"AIT",$P(^(0),U,11),$E(X,1,30),DA)="" 2)= I +$P(^DVB(396.4,DA,0),U,11)>0 K ^DVB(396.4,"AIT",$P(^(0),U,11),$E(X,1,30),DA) This cross reference is on the Insufficient Reason and Exam Type fields. It is used by the the Detailed Insufficient Exam Report. 396.4,.04 STATUS 0;4 SET 'O' FOR OPEN; 'C' FOR COMPLETED; 'X' FOR CANCELED BY MAS; 'RX' FOR CANCELED BY RO; 'T' FOR TRANSFERRED OUT; LAST EDITED: SEP 10, 2004 HELP-PROMPT: This is the status of the exam in AMIE. DESCRIPTION: The value of the status of the exam record. (Open, Closed, Transferred or Cancelled) TECHNICAL DESCR: This field is a set of codes. It controls what AMIE functions can be performed on the exam record. CROSS-REFERENCE: 396.4^AD^MUMPS 1)= N A S A=^DVB(396.4,DA,0) I $P(A,U,2)]"",$P(A,U,3)]"" S ^DVB(396.4,"APS",$P(^DVB(396.3,$P(A,U,2) ,0),U,1),$P(A,U,3),$E(X,1,30),DA)="" 2)= N A S A=^DVB(396.4,DA,0) I $P(A,U,2)]"",$P(A,U,3)]"" K ^DVB(396.4,"APS",$P(^DVB(396.3,$P(A,U,2) ,0),U,1),$P(A,U,3),$E(X,1,30),DA) This cross reference contains the patient's internal file number, the exam IFN and the exam status. It is set on two other fields .02 and .03. Recross referencing any one of these fields will be acceptable. 396.4,.05 WORK SHEET PRINTED 0;5 SET 'Y' FOR YES; 'N' FOR NO; LAST EDITED: JAN 28, 1993 HELP-PROMPT: Indicates whether a worksheet has been printed or not. DESCRIPTION: Indicates if the user has printed the worksheet when a request was logged or an exam was added to a request. 396.4,.06 DATE OF EXAM 0;6 DATE INPUT TRANSFORM: S %DT="EST",%DT(0)="-NOW" D ^%DT K %DT S X=Y K:Y<1 X LAST EDITED: MAR 11, 2003 HELP-PROMPT: This is the date this exam was performed. DESCRIPTION: The date the exam was performed. TECHNICAL DESCR: Entered with the transcription routine ^DVBCEDIT. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 396.4,.07 EXAMINING PHYSICIAN 0;7 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X LAST EDITED: MAR 01, 1993 HELP-PROMPT: Enter the name of the physician who performed this exam. DESCRIPTION: The name of the Doctor that performed the examination. 396.4,.08 FEE EXAM 0;8 SET (Required) 'Y' FOR YES; 'N' FOR NO; LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter 'Y' if this is to be a FEE exam. DESCRIPTION: Indicates if the exam was performed on a Fee basis. 396.4,.09 EXAM PLACE 0;9 SET 'C' FOR CLINIC; 'F' FOR FEE LOCATION; 'O' FOR OTHER STATION; LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter the code where this exam took place. Select the code that best fits the situation. DESCRIPTION: Indicates where the exam was performed. 396.4,.1 DOCTOR'S ELECTRONIC SIGNATURE 0;10 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X OUTPUT TRANSFORM: S Y="" LAST EDITED: FEB 01, 1993 HELP-PROMPT: This is the Doctor's electronic signature tied to this exam. DESCRIPTION: The doctor's electronic signature. This is for use with the Kurzweil system. UNEDITABLE 396.4,.11 INSUFFICIENT REASON 0;11 POINTER TO 2507 INSUFFICIENT REASONS FILE (#396.94) LAST EDITED: FEB 10, 1995 HELP-PROMPT: Enter the insufficient reason this exam is being returned. DESCRIPTION: This field contains a pointer to the Insufficient Reason file (396.94). TECHNICAL DESCR: This field is a pointer to the Insufficient Reason File. It is entered when the user adds an exam to a 2507 request that has a priority of 'Insufficient'. CROSS-REFERENCE: 396.4^AIT^MUMPS 1)= S:+$P(^DVB(396.4,DA,0),U,3)>0 ^DVB(396.4,"AIT",$E(X,1,30),$P(^(0),U,3),DA)="" 2)= I +$P(^DVB(396.4,DA,0),U,3)>0 K ^DVB(396.4,"AIT",$E(X,1,30),$P(^(0),U,3),DA) This cross reference is on the Insufficient Reason and Exam Type fields. It is used by the Detailed Insufficient Exam Report. 396.4,.12 ORIGINAL PROVIDER 0;12 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X LAST EDITED: DEC 21, 1994 HELP-PROMPT: Enter the name of the provider who performed the original exam. DESCRIPTION: This field contains the name of the provider who performed the original exam. If the exam was transferred from another Medical Center, the name of that site should be included in this field. TECHNICAL DESCR: This field is populated by AMIE software when the original 2507 request has not been purged. If the original 2507 record has been purged, the user enters this information. 396.4,1 CAPRI TEMPLATE ID 2;1 POINTER TO CAPRI TEMPLATES FILE (#396.17) LAST EDITED: JUN 16, 2006 DESCRIPTION: Pointer to the CAPRI template used to complete this examination. 396.4,50 CANCELLATION DATE/TIME CAN;1 DATE INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 21, 1993 HELP-PROMPT: Date and Time the INDIVIDUAL exam was canceled. DESCRIPTION: Indicates when the exam was cancelled. TECHNICAL DESCR: Updated only when the exam is cancelled. 396.4,51 CANCELED BY CAN;2 POINTER TO NEW PERSON FILE (#200) LAST EDITED: JAN 28, 1993 HELP-PROMPT: This field holds the name of the person who canceled the individual exam. DESCRIPTION: Indicates who cancelled the exam. TECHNICAL DESCR: Contains the DUZ of the person who cancelled the exam. (Pointer) 396.4,52 CANCELLATION REASON CAN;3 POINTER TO 2507 CANCELLATION REASON FILE (#396.5) LAST EDITED: MAY 21, 1993 HELP-PROMPT: Enter the response which best describes the reason for the cancellation. DESCRIPTION: Contains the reason for cancellation from the 2507 CANCELLATION REASON file (396.5). TECHNICAL DESCR: Pointer to file 396.5. 396.4,53 CANCELLATION COMMENTS 5;0 WORD-PROCESSING #396.453 (IGNORE "|") TECHNICAL DESCR: THis field saves the cancellation comments from the CAPRI GUI when an exam is cancelled. LAST EDITED: OCT 20, 2014 HELP-PROMPT: Enter comments connected to a 2507 EXAM cancellation DESCRIPTION: This field captures the comments from the CAPRI GUI comments field of the 2507 EXAM Details Screen. 396.4,60 DATE TRANSFERRED OUT TRAN;1 DATE INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter the date this exam was transferred to the remote site. DESCRIPTION: Indicates the date an exam was transferred to another VAMC. 396.4,61 TRANSFERRED OUT BY TRAN;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X LAST EDITED: JAN 28, 1993 HELP-PROMPT: Answer must be 1-30 characters in length. Enter the name of the person who transferred out this exam. DESCRIPTION: A Free Text field which contains the name of the user that transferred an exam to another VAMC. 396.4,62 TRANSFERRED OUT TO TRAN;3 POINTER TO DOMAIN FILE (#4.2) LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter the domain this exam was transferred to. DESCRIPTION: Contains the name of the institution that an exam was transferred out to. TECHNICAL DESCR: A pointer to the Domain File. 396.4,63 DATE TRANSFERRED IN TRAN;4 DATE INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter the date this exam was transferred to this site. DESCRIPTION: Contains the date an exam was received at a remote site. 396.4,64 DATE RETURNED TO OWNER SITE TRAN;5 DATE INPUT TRANSFORM: S %DT="EST" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter the date this exam and its results were returned to the originating site. DESCRIPTION: Used by a remote site when an exam is transferred to that site for completion. Upon completion and release of a transferred exam, this field records at the remote site the date the exam was released to the originating site. 396.4,70 EXAM RESULTS RES;0 WORD-PROCESSING #396.41 TECHNICAL DESCR: Entered by the transcriptionist with the routine ^DVBCEDIT. LAST EDITED: JAN 28, 1993 HELP-PROMPT: Enter the results for this exam. EXECUTABLE HELP: S Y=$$PHYS^DVBCUTL4("YES") K Y 396.4,71 EXAM RESULTS RTF 1;0 WORD-PROCESSING #396.471 (NOWRAP) LAST EDITED: JUL 19, 2005 DESCRIPTION: Exam results stored in RTF format for display in the GUI. This should match field 70 except for the addition of RTF formatting commands. 396.4,72 EXAM RESULTS XML 3;0 WORD-PROCESSING #396.472 (IGNORE "|") DESCRIPTION: This is a file that contains VLER DAS service requests and responses. LAST EDITED: MAR 24, 2014 HELP-PROMPT: This is a Zip file that contains VLER DAS web service requests and responses. 396.4,73 XML DAS CONFIRMATION 4;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<1) X LAST EDITED: JUL 12, 2013 HELP-PROMPT: Answer must be 1-250 characters in length. DESCRIPTION: This is the DAS status confirmation returned by VLER DAS. 396.4,74 XML TRANSMISSION DATE/TIME TRAN;6 DATE INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:X<1 X LAST EDITED: JUL 12, 2013 HELP-PROMPT: Enter the Date and Time of XML transmission. DESCRIPTION: This is the system date and time stamp of when the VLER DAS XML was filed. 396.4,75 TIU DOCUMENT ID 0;13 POINTER TO TIU DOCUMENT FILE (#8925) LAST EDITED: JUN 25, 2003 DESCRIPTION: This field is a pointer to a TIU document containing the examination report. The CAPRI GUI will automatically populate this field when a C&P exam template is completed via the CAPRI interface. 396.4,80 INSUFFICIENT REMARKS INREM;0 WORD-PROCESSING #396.42 TECHNICAL DESCR: This information is reported when the Medical Center prints a 2507 request that has a priority of Insufficient. LAST EDITED: NOV 15, 1994 HELP-PROMPT: Enter the insufficient remarks detailing the reason the exam is being returned. DESCRIPTION: This field contains insufficient remarks entered by the Regional Office when the C&P Exam Request is returned with a Priority of 'E' (Insufficient). TECHNICAL DESCR: This information is reported when the Medical Center prints a 2507 request that has a priority of Insufficient. 396.4,90 DATE TRANSCRIPTION COMPLETE 0;14 DATE INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 09, 2004 DESCRIPTION: This field records the date/time the user has marked the exam document as complete. WRITE AUTHORITY: ^ 396.4,100 CONTRACTOR CNTRCTR;1 POINTER TO 2507 EXAM CONTRACTORS FILE (#396.45) LAST EDITED: MAY 11, 2011 HELP-PROMPT: Select the external Contractor that will perform the patient's 2507 exam. DESCRIPTION: This field stores the external Contractor (or Company) reference that has been assigned to perform this 2507 exam. 396.4,101 DATE TRANSFERRED TO CONTRACTOR CNTRCTR;2 DATE INPUT TRANSFORM: S %DT="ETXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 11, 2011 HELP-PROMPT: Enter the Date/Time the 2507 exam was sent to the contractor. DESCRIPTION: This field stores the transaction date and time of when the patient's 2507 exam(s) was sent to the external Contractor (or Company) for processing. 396.4,102 DATE RECEIVED FROM CONTRACTOR CNTRCTR;3 DATE INPUT TRANSFORM: S %DT="ETR" D ^%DT S X=Y K:Y<1 X LAST EDITED: MAY 11, 2011 HELP-PROMPT: Enter the Date/Time the 2507 exam was received from the contractor. DESCRIPTION: This field stores the transaction date and time of when the patient's completed 2507 exam was received by the VA from the external Contractor (or Company). 396.4,103 REMARKS SENT TO CONTRACTOR 6;0 WORD-PROCESSING #396.4103 (IGNORE "|") TECHNICAL DESCR: This field saves the remarks, (previously not saved) that were sent to the contractor. This enables future review and comparison to verify completion of requested actions. REMARKS SENT TO VENDOR LAST EDITED: MAY 26, 2015 HELP-PROMPT: ENTER REMARKS SENT TO CONTRACTORS DESCRIPTION: This field captures the comments from the CAPRI GUI remarks sent to the contractor. TECHNICAL DESCR: This field saves the remarks, (previously not saved) that were sent to the contractor. This enables future review and comparison to verify completion of requested actions. FILES POINTED TO FIELDS 2507 CANCELLATION REASON (#396.5) CANCELLATION REASON (#52) 2507 EXAM CONTRACTORS (#396.45) CONTRACTOR (#100) 2507 INSUFFICIENT REASONS (#396.94) INSUFFICIENT REASON (#.11) 2507 REQUEST (#396.3) 2507 REQUEST (#.02) AMIE EXAM (#396.6) EXAM TYPE (#.03) CAPRI TEMPLATES (#396.17) CAPRI TEMPLATE ID (#1) DOMAIN (#4.2) TRANSFERRED OUT TO (#62) NEW PERSON (#200) CANCELED BY (#51) TIU DOCUMENT (#8925) TIU DOCUMENT ID (#75) INPUT TEMPLATE(S): PRINT TEMPLATE(S): DVBA C REQUESTS BY PHYSICIAN JAN 28, 1998@13:33 USER #0 2507 EXAM LIST SORT TEMPLATE(S): DVBA C REQUESTS BY PHYSICIAN MAY 19, 1993@15:24 USER #0 SORT BY: @DATE OF EXAM// (User is asked range) WITHIN DATE OF EXAM, SORT BY: @2507 REQUEST:NAME// WITHIN 2507 REQUEST:NAME, SORT BY: @2507 REQUEST:REGIONAL OFFICE NUMBER;"REGIONAL OFFICE NUMBER"// (User is asked range) WITHIN 2507 REQUEST:REGIONAL OFFICE NUMBER, SORT BY: @EXAMINING PHYSICIAN// (User is asked range) FORM(S)/BLOCK(S):