STANDARD DATA DICTIONARY #409.36 -- SDWL TRANSFER ACCEPT FILE 3/24/25 PAGE 1
STORED IN ^SDWL(409.36, *** 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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DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: NAME(B), SD WAIT LIST ENTRY(C)
409.36,.01 NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X'?1P.E) X
LAST EDITED: MAR 25, 2005
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Enter the patient's name in 'LAST,FIRST MIDDLE SUFFIX' format. This value must be 3-30 characters
in length and may contain only uppercase alpha characters, spaces, apostrophes, hyphens and one
comma. All other characters and parenthetical text will be removed.
DELETE AUTHORITY: #
CROSS-REFERENCE: 409.36^B
1)= S ^SDWL(409.36,"B",$E(X,1,30),DA)=""
2)= K ^SDWL(409.36,"B",$E(X,1,30),DA)
409.36,.02 SEX 1;1 SET
'M' FOR MALE;
'F' FOR FEMALE;
LAST EDITED: MAR 31, 2005
DESCRIPTION:
Enter 'M' if this applicant is a male, or 'F' if female.
DELETE AUTHORITY: #
409.36,.03 DATE OF BIRTH 1;2 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 31, 2005
DESCRIPTION:
Enter the applicant's date of birth between December 31, 1870 and today's date.
DELETE AUTHORITY: #
409.36,.09 SOCIAL SECURITY NUMBER 1;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>11!($L(X)<9) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Answer must be 9-11 characters in length.
DESCRIPTION: Enter the applicants social security number as nine digits, i.e., 123456789. If the social
security number is unknown and you need to assign a pseudo SSN follow it with a 'P', i.e.,
123456789P. Simply enter a 'P' if you wish the system to determine the proper pseudo SSN. Pseudo
SSN's are determined as follows:
1. Based on the following table assign the first three numbers
of the pseudo SSN based on the patient's three initials in
first-middle-last initial order. For example, if the name
is 'SMITH,JOHN P' the table would be used to convert JPS
(the initials for JOHN P SMITH) into 467.
ALPHA NUMBER ALPHA NUMBER
----- ------ ----- ------
A,B,C 1 D,E,F 2
G,H,I 3 J,K,L 4
M,N,O 5 P,Q,R 6
S,T,U 7 V,W,X 8
Y,Z 9 NO INITIAL 0
2. Using the patient's date of birth convert it to six numerics
in month-day-year order. Where a month, day or year consists of
less than one numeric, i.e., JUNE=6, preceed it by a zero, i.e.,
JUNE=06. If the month and/or year of birth are unknown indicate
them as '00'.
EXAMPLES
--------
Patient Name DOB Pseudo SSN
------------ --- ----------
SMITH,JOHN P Jan 3, 1917 467010317P
SMITH,JOHN P Jan 1917 467010017P
SMITH,JOHN P 1917 467000017P
SMITH,JOHN Dec 15, 1945 407121545P
DELETE AUTHORITY: #
409.36,.1 REQUESTING STATION NUMBER .1;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUN 13, 2005
HELP-PROMPT: Type a Number between 0 and 99999, 0 Decimal Digits
DESCRIPTION: This is the Station Number of the requesting facility. When acknowledgement messages are returned,
the domain to which they are to be sent can be derived from this value.
DELETE AUTHORITY: #
409.36,.111 STREET ADDRESS [LINE 1] ADDR;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION:
Enter the first line of this applicant's residence street address [3-35 characters].
DELETE AUTHORITY: #
409.36,.112 STREET ADDRESS [LINE 2] ADDR;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Enter the second line of this applicant's residence street address [3-30 characters] if the space
provided in 'street address' was not sufficient.
DELETE AUTHORITY: #
409.36,.113 STREET ADDRESS [LINE 3] ADDR;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Enter the third line of this applicant's residence street address [3-30 characters] if the space
provided in 'street address' and 'street address 2' was not sufficient.
DELETE AUTHORITY: #
409.36,.114 CITY ADDR;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<3) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Answer must be 3-15 characters in length.
DESCRIPTION: Enter the city in which this applicant resides [2-15 characters]. If the space provided is not
sufficient please abbreviate the city to the best of your ability.
DELETE AUTHORITY: #
409.36,.115 STATE ADDR;5 POINTER TO STATE FILE (#5)
LAST EDITED: MAR 31, 2005
DESCRIPTION:
From the available listing choose the state in which this applicant resides.
DELETE AUTHORITY: #
409.36,.116 ZIP CODE ADDR;6 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Type a Number between 0 and 99999, 0 Decimal Digits
DESCRIPTION:
Enter the zip code [5 numerics] for the city in which this applicant resides.
DELETE AUTHORITY: #
409.36,.117 COUNTY ADDR;7 POINTER TO COUNTY FILE (#5.1)
LAST EDITED: APR 07, 2005
DESCRIPTION: If a state of residence is entered select from the available listing the county in which this
applicant resides. If no state (or a non-state) is entered no selection is possible.
DELETE AUTHORITY: #
409.36,.1217 TEMPORARY ADDRESS START DATE ADDR;9 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 07, 2005
DESCRIPTION: If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the date on which the
applicant will commence being contacted at the temporary address indicated, otherwise nothing may
be entered. This field may not be deleted as long as the need for a temporary address is
indicated.
DELETE AUTHORITY: #
409.36,.1218 TEMPORARY ADDRESS END DATE ADDR;10 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 07, 2005
DESCRIPTION: If the WANT TO ENTER A TEMPORARY ADDRESS prompt is answered YES enter the date as of which the
applicant will no longer be contacted at that temporary address, otherwise nothing may be entered.
This field may not be deleted as long as the need for a temporary address is indicated.
DELETE AUTHORITY: #
409.36,.131 PHONE NUMBER ADDR;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
LAST EDITED: APR 07, 2005
HELP-PROMPT: Answer must be 1-20 characters in length.
DESCRIPTION:
Enter the telephone number [4-20 characters] to this applicant's place of residence.
DELETE AUTHORITY: #
409.36,.2 TRANSMISSION DATE/TIME .1;2 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAR 31, 2005
DESCRIPTION:
The date and time (including seconds) of the moment of transmission.
DELETE AUTHORITY: #
409.36,.3 COVERSHEET REQUESTED .1;3 SET
'Y' FOR YES;
LAST EDITED: JUN 13, 2005
DESCRIPTION: This is a flag to indicate if a request has been made to print a coversheet with the transmitted
details of the patient to be transferred. If the flag has been set to YES, the request can be
notified as Accepted.
409.36,.301 SERVICE CONNECTED? 2;1 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: MAR 31, 2005
DESCRIPTION: Enter 'Y' if this applicant is service connected, 'N' if not. Applicants identified as being
non-veterans cannot be entered as service connected. Once eligibility has been verified only users
holding the designated security key may enter/edit this field.
DELETE AUTHORITY: #
409.36,.302 SERVICE CONNECTED PERCENTAGE 2;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Type a Number between 0 and 100, 0 Decimal Digits
DESCRIPTION: If this applicant is service connected (SERVICE CONNECTED prompt must be answered YES) enter the
service connected percentage [a number between 0-100]. Once eligibility has been verified only
users who hold the designated security key may enter/edit this field. Field may not be deleted as
long as service connection is indicated.
DELETE AUTHORITY: #
409.36,.361 PRIMARY ELIGIBILITY CODE 2;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>75!($L(X)<3) X
LAST EDITED: APR 29, 2005
HELP-PROMPT: Answer must be 3-75 characters in length.
DESCRIPTION: Select from the available listing the appropriate eligibility code for this applicant. For
non-veteran applicants a wide variety of choices are available. For veteran applicants the choices
are screened [in the following order] dependent on the responses to other prompts:
1. If the SERVICE CONNECTED prompt (field .301) is answered YES
only the following two choices are available:
a. If the SERVICE CONNECTED PERCENTAGE prompt (field .302) entered
is 50% or greater 'SERVICE CONNECTED 50% TO 100%' can be
selected.
b. Otherwise, the percentage is assumed to be less than 50% and
only 'SC, LESS THAN 50%' may be entered.
2. If the response to the WERE YOU A PRISONER OF WAR field (# .525)
is YES and the veteran is not service connected, you must select
PRISONER OF WAR as the eligibility code.
3. If the veteran is receiving VA benefits, but does not meet the
criteria in items 1 and 2 above, then the following choices may
be presented for selection:
If RECEIVING A&A BENEFITS is answered YES, the eligibility code
AID & ATTENDANCE may be selected.
If the RECEIVING HOUSEBOUND BENEFITS is answered YES ,the eligibility
code HOUSEBOUND may be selected.
If the above two prompts were answered NO, but the RECEIVING A VA
PENSION prompt was answered YES, only the NSC, VA PENSION prompt
may be selected.
4. If none of the above pertain to this veteran, then the NSC eligibility
will be available for selection.
** Dependent on the birthdate of the applicant, the following two
eligibility codes may be displayed along with those shown in items
3 through 5 above: WORLD WAR I and MEXICAN BORDER WAR. These would
display for veterans not meeting the criteria in items 1 and 2, but
whose date of birth is prior to 1920.
DELETE AUTHORITY: #
409.36,.4 COMMENTS COMM;0 WORD-PROCESSING #409.364
LAST EDITED: APR 01, 2005
409.36,.5 SENDING FACILITY TRANSFER ID 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: APR 07, 2005
HELP-PROMPT: Answer must be 1-10 characters in length.
DESCRIPTION:
Identifying reference to the transfer file on the transmitting facility (#409.35).
DELETE AUTHORITY: #
409.36,1 STATUS 2;4 SET
'P' FOR PENDING;
'E' FOR EWL;
'C' FOR CLOSED;
'R' FOR REMOVED;
'T' FOR TRANSFERRED;
LAST EDITED: APR 04, 2006
DESCRIPTION: The current stage in the transfer process. Possible values are P - PENDING: where a transfer
request has been received but no action has yet been taken E - EWL: the transfer patient has been
place on the Electronic Wait List C - CLOSED: the transfer has been completed T - TRANSFERRED: the
transfer patient has been the subject of request to another facility R - REMOVED: the transfer
request has been cancelled T - TRANSFERRED: the transfer patient has been the subject of request to
another facility
409.36,2 FACILITY TRANSFERRED TO 2;6 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: APR 04, 2006
HELP-PROMPT: Type a Number between 0 and 99999, 0 Decimal Digits
DESCRIPTION: The stop code of the facility if the patient for this transfer has become the subject of a further
tranfer elsewhere
409.36,4 WAIT LIST TYPE WL;1 SET
'1' FOR PCMM TEAM ASSIGNMENT;
'2' FOR PCMM POSITION ASSIGNMENT;
'3' FOR SERVICE/SPECIALTY;
'4' FOR SPECIFIC CLINIC;
LAST EDITED: APR 07, 2005
DESCRIPTION:
Set of codes as on the WAIT LIST ENTRY file (#409.3)
DELETE AUTHORITY: #
409.36,5 WAIT LIST TYPE EXTENSION WL;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X
LAST EDITED: APR 07, 2005
HELP-PROMPT: Answer must be 1-40 characters in length.
DESCRIPTION: A free text expansion of the attribute associated with the WAIT LIST TYPE. E.g. A Wait List Type of
3: SERVICE/SPECIALTY would typically hold the relevant Specialty.
DELETE AUTHORITY: #
409.36,22 DESIRED DATE OF APPOINTMENT WL;3 DATE
CID/PREFERRED DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 07, 2016
HELP-PROMPT: Enter the desired date for the appointment. The date can be imprecise.
DESCRIPTION: Desired Date of Appointment taken from the Wait List Entry file from the transmitting facility. The
field title contains 'CID/PREFERRED DATE', where 'CID' stands for Clinically Indicated Date. This
is an alternate name for the field name used for reports and to present to users when adding and
displaying appointment information in the Scheduling package.
DELETE AUTHORITY: #
409.36,409.3 SD WAIT LIST ENTRY 2;5 POINTER TO SD WAIT LIST FILE (#409.3)
LAST EDITED: MAR 15, 2006
DESCRIPTION:
Pointer to the associated EWL entry
CROSS-REFERENCE: 409.36^C
1)= S ^SDWL(409.36,"C",$E(X,1,30),DA)=""
2)= K ^SDWL(409.36,"C",$E(X,1,30),DA)
409.36,991.01 INTEGRATION CONTROL NUMBER 1;4 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: MAR 31, 2005
HELP-PROMPT: Type a Number between 0 and 999999999999, 0 Decimal Digits
DESCRIPTION: Machine to machine identifier for a patient. Included in the hope of making a match with the same
patient on the receiving system.
DELETE AUTHORITY: #
FILES POINTED TO FIELDS
COUNTY (#5.1) COUNTY (#.117)
SD WAIT LIST (#409.3) SD WAIT LIST ENTRY (#409.3)
STATE (#5) STATE (#.115)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):