STANDARD DATA DICTIONARY #453 -- APPLICANT FILE 6/27/25 PAGE 1
STORED IN ^PRSP(453, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 2.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
THIS FILE IS CURRENTLY BEING USED BY THE CREDENTIALS TRACKING PACKAGE TO CONTAIN APPLICANTS GOING THROUGH THE CREDENTIALING
PROCESS.
CROSS
REFERENCED BY: EDUCATION LEVEL(AEDLEVEL), FSMB MSG. SENT(AFSMB), APPLICANT NAME(B), DEA #(DEA), SOCIAL SECURITY NUMBER(SSN)
453,.01 APPLICANT NAME 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3)!'(X?1.UP1","1U.UP) X
LAST EDITED: JUN 05, 1989
HELP-PROMPT: Answer with APPLICANT NAME in format LAST,FIRST. Be sure to include the comma.
DESCRIPTION:
This is the applicant's name in the format LASTNAME,FIRSTNAME.
CROSS-REFERENCE: 453^B
1)= S ^PRSP(453,"B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,"B",$E(X,1,30),DA)
CROSS-REFERENCE: ^^TRIGGER^453^747.34
1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(0)=X X ^DD(453,.01,1,2,69.2) S X=X="" I X S X=DIV S Y(1)=$S($
D(^PRSP(453,D0,"QAR2")):^("QAR2"),1:"") S X=$P(Y(1),U,7),X=X S DIU=X K Y S X=DIV S X="0" X ^DD(453,
.01,1,2,1.4)
1.4)= S DIH=$S($D(^PRSP(453,DIV(0),"QAR2")):^("QAR2"),1:""),DIV=X S $P(^("QAR2"),U,7)=DIV,DIH=453,D
IG=747.34 D ^DICR:$N(^DD(DIH,DIG,1,0))>0
2)= Q
69.2)= S Y(2)=$C(59)_$S($D(^DD(453,747.34,0)):$P(^(0),U,3),1:""),Y(1)=$S($D(^PRSP(453,D0,"QAR2")):^
("QAR2"),1:"") S X=$P($P(Y(2),$C(59)_$P(Y(1),U,7)_":",2),$C(59),1)
CREATE CONDITION)= FSMB MSG. SENT=""
CREATE VALUE)= "0"
DELETE VALUE)= NO EFFECT
FIELD)= FSMB M
453,1 SOCIAL SECURITY NUMBER 0;2 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>9!($L(X)<9)!'(X?9N) X I $D(X) D SSN^QARVAL
OUTPUT TRANSFORM: S Y=$E(Y,1,3)_"-"_$E(Y,4,5)_"-"_$E(Y,6,9)
LAST EDITED: APR 02, 1991
HELP-PROMPT: Enter the 9-digit SOCIAL SECURITY NUMBER (no dashes).
DESCRIPTION:
This is the applicant's Social Security Number.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 453^SSN
1)= S ^PRSP(453,"SSN",$E(X,1,30),DA)=""
2)= K ^PRSP(453,"SSN",$E(X,1,30),DA)
3)= Important validation data do not delete!
Helps to identify an individual. Ensures uniqueness.
453,1.5 DATE OF BIRTH 0;12 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 12, 1989
DESCRIPTION:
This is the applicant's date of birth.
453,2 STREET ADDRESS 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION:
This is the applicant's street address.
453,3 CITY 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: MAY 22, 1989
HELP-PROMPT: Answer must be 1-15 characters in length.
DESCRIPTION:
This is the applicant's city of residence.
453,4 STATE 0;5 POINTER TO STATE FILE (#5)
OUTPUT TRANSFORM: S Y=$S(Y="":Y,$D(^DIC(5,Y,0))#2:$P(^(0),U,2),1:Y)
LAST EDITED: JUN 23, 1989
DESCRIPTION:
This is the applicnant's state of residence.
453,5 ZIP CODE 0;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<5)!'(X?5N!(X?5N1"-"4N)) X
LAST EDITED: MAY 22, 1989
HELP-PROMPT: Answer with 5-digit or 9-digit ZIP CODE. 9-digit ZIP CODES should be in the format NNNNN-NNNN.
DESCRIPTION:
This is the applicant's zip code in the format NNNNN or NNNNN-NNNN.
453,6 HOME TELEPHONE NUMBER 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>13!($L(X)<13)!'(X?1"("3N1")"3N1"-"4N) X
LAST EDITED: JUN 23, 1989
HELP-PROMPT: Enter HOME TELEPHONE NUMBER (including Area Code) in format (XXX)XXX-XXXX. e.g. (312)123-4567
DESCRIPTION:
This is the applicant's home telephone number.
453,7 DAYTIME TELEPHONE NUMBER 0;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>19!($L(X)<13)!'(X?1"("3N1")"3N1"-"4N.E) X
LAST EDITED: SEP 30, 1991
HELP-PROMPT: Use the format:(312)123-4567 X1234
DESCRIPTION: Enter the daytime telephone number where you can contact the applicant. the number must be entered
in the format:(NNN)NNN-NNNN XNNNN After space X enter the four digit extension number.
453,8 CITIZENSHIP 0;9 SET
'1' FOR U.S. CITIZEN;
'2' FOR NON-U.S. CITIZEN;
DESCRIPTION:
This is the applicant's citizenship.
453,747.01 APPOINTMENT DESIRED QAR;1 SET
'1' FOR FULL-TIME;
'2' FOR PART-TIME;
'3' FOR CONSULTING;
'4' FOR CONTRACT, ON STATION;
'5' FOR RESIDENT;
'6' FOR FEE BASIS,ON STATION;
'7' FOR SPECIALTY FELLOW;
'8' FOR WOC;
'9' FOR SHARING, ON STATION;
'10' FOR INTERMITTENT;
'11' FOR OTHER;
LAST EDITED: JUL 31, 1991
HELP-PROMPT: Enter the type of Appointment Desired for this practitioner.
DESCRIPTION: Indicates the Appointment Desired for this practitioner.
453,747.02 REFERENCE A QAR;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Indicates the name of Reference A.
453,747.03 A ADDRESS1 QAR;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION: Indicates the Address of Reference A.
453,747.04 A ADDRESS2 QAR;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION: Indicates the Address of Reference A.
453,747.05 A CITY QAR;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-30 characters in length.
DESCRIPTION: Indicates the City Reference A resides.
453,747.06 A STATE QAR;6 POINTER TO STATE FILE (#5)
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Enter the State where Reference A resides.
DESCRIPTION: Indicates the State where Reference A resides.
453,747.07 A ZIP QAR;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<5) X
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Answer must be 5-10 characters in length.
DESCRIPTION: Indicates the Zip Code for Reference A.
453,747.08 REFERENCE B QAR21;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
Enter the name of Reference B.
453,747.09 B ADDRESS1 QAR21;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION:
Indicate the Address of Reference B.
453,747.1 B ADDRESS2 QAR21;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION:
Indicate the Address of Reference B.
453,747.11 B CITY QAR21;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
Indicate the City where Reference B resides.
453,747.12 B STATE QAR21;5 POINTER TO STATE FILE (#5)
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Enter the State where Reference B resides.
DESCRIPTION:
Enter the State where Reference B resides.
453,747.13 B ZIP QAR21;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<5) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 5-10 characters in length.
DESCRIPTION:
Enter the Zip Code for Reference B.
453,747.14 REFERENCE C QAR1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Indicates the name of Reference C.
453,747.15 C ADDRESS1 QAR1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION: Indicates the Address of Reference C.
453,747.16 C ADDRESS2 QAR1;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION: Indicates the Address of Reference C.
453,747.17 C CITY QAR1;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-30 characters in length.
DESCRIPTION: Indicates the City where Reference C resides.
453,747.18 C STATE QAR1;5 POINTER TO STATE FILE (#5)
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Enter the State where Reference C resides.
DESCRIPTION: Indicates the State where Reference C resides.
453,747.19 C ZIP QAR1;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<5) X
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Answer must be 5-10 characters in length.
DESCRIPTION: Indicates the Zip Code for Reference C.
453,747.2 APP DATE QAR1;7 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 16, 1990
HELP-PROMPT: Enter the date of Appointment for this practitioner.
DESCRIPTION: Contains the Appointment Date for this practitioner.
453,747.21 INSURANCE CO QAR1;8 POINTER TO INSURANCE COMPANY FILE (#36)
LAST EDITED: MAY 21, 1990
HELP-PROMPT: Enter the Insurance Company that provides liability coverage for this practitioner.
DESCRIPTION: Indicates the Insurance Company for our practitioner. NOTE: All CONTRACT Providers MUST Carry
Malpractice Insurance
453,747.22 SPECIALTY QAR17;0 POINTER Multiple #453.17
DESCRIPTION: Enter the Specialty associated with this practitioner.
SCREEN: S DIC("S")="D ^QARCS"
EXPLANATION: SCREEN SPECIAL PROCEDURES
453.17,.01 SPECIALTY 0;1 POINTER ***** TO AN UNDEFINED FILE (#747.9), STORED IN ^QA(747.9) *******
(Multiply asked)
INPUT TRANSFORM: S DIC("S")="D ^QARCS" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: FEB 12, 1991
HELP-PROMPT: Enter the appropriate Specialty for this practitioner.
DESCRIPTION: Enter the Specialty associated with this practitioner.
SCREEN: S DIC("S")="D ^QARCS"
EXPLANATION: YOU MAY SELECT A SPECIALTY ASSOCIATED WITH THIS SERVICE.
CROSS-REFERENCE: 453.17^B
1)= S ^PRSP(453,DA(1),"QAR17","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR17","B",$E(X,1,30),DA)
453.17,1 SPECIAL PROCEDURES 1;0 POINTER Multiple #453.171 (Add New Entry without Asking)
DESCRIPTION: Indicates the Special Procedures associated with this practitioner.
453.171,.01 SPECIAL PROCEDURES 0;1 POINTER ***** TO AN UNDEFINED FILE (#747.25), STORED IN ^QA(747.25) *******
(Multiply asked)
INPUT TRANSFORM: S DIC("S")="D ^QARPRC" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
LAST EDITED: FEB 12, 1991
HELP-PROMPT: Enter the appropriate Special Procedures for this practitioner.
DESCRIPTION: Indicates the Special Procedures associated with this practitioner.
SCREEN: S DIC("S")="D ^QARPRC"
EXPLANATION: SCREENS PROCEDURES ACCORDING TO SPECIALTY
CROSS-REFERENCE: 453.171^B
1)= S ^PRSP(453,DA(2),"QAR17",DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(2),"QAR17",DA(1),1,"B",$E(X,1,30),DA)
453,747.23 SERVICE QAR2;1 POINTER TO NATIONAL SERVICE FILE (#730)
LAST EDITED: FEB 12, 1991
HELP-PROMPT: Enter a National Service File name.
DESCRIPTION: Indicates the Service for this practitioner.
453,747.24 MANDATORY TRAINING QAR3;0 Multiple #453.01
DESCRIPTION: Indicates the Mandatory Training for this practitioner.
453.01,.01 MANDATORY TRAINING 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: APR 01, 1991
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Indicates the Mandatory Training for this practitioner.
CROSS-REFERENCE: 453.01^B
1)= S ^PRSP(453,DA(1),"QAR3","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR3","B",$E(X,1,30),DA)
453.01,1 DATE ATTENDED 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 01, 1991
HELP-PROMPT: Enter the date Mandatory Training was started.
DESCRIPTION: Indicates the date Mandatory Training was started.
453.01,2 DATE COMPLETED 0;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 01, 1991
HELP-PROMPT: Enter the date Mandatory Training was completed.
DESCRIPTION: Indicates the date Mandatory Training was completed.
453.01,3 RENEWAL DATE 0;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 01, 1991
HELP-PROMPT: Enter the date Mandatory Training must resume.
DESCRIPTION: Indicates the date when Mandatory Training must resume.
453,747.25 TYPE OF APPOINTMENT QAR2;2 SET
'1' FOR APPOINTMENT (INITIAL/15-DAY BREAK);
'2' FOR REAPPRAISAL;
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the appropriate Type of Appointment for this practitioner.
DESCRIPTION: Indicates the Type of Appointment for this practitioner.
453,747.26 APPLICATION DATE QAR2;3 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 11, 1990
HELP-PROMPT: Enter the date of our Application.
DESCRIPTION:
Contains the Date of the Application for our Applicant.
453,747.27 CERTIFICATION QAR4;0 POINTER Multiple #453.02
DESCRIPTION:
This field allows you to enter specialties in which the practitioner is Board Certified.
453.02,.01 CERTIFICATION 0;1 POINTER ***** TO AN UNDEFINED FILE (#747.9), STORED IN ^QA(747.9) *******
(Multiply asked)
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the specialties in which the practitioner is Board Certified.
DESCRIPTION:
This field allows you to enter specialties in which the practitioner is Board Certified.
CROSS-REFERENCE: 453.02^B
1)= S ^PRSP(453,DA(1),"QAR4","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR4","B",$E(X,1,30),DA)
453.02,1 DATE 0;2 DATE
INPUT TRANSFORM: S %DT="E" D IN^QARVER,^%DT S X=Y K:Y<1 X
LAST EDITED: JUN 18, 1991
HELP-PROMPT: Enter the date of Certification.
DESCRIPTION:
Indicates the date of Certification
EXECUTABLE HELP: D XHELP^QARVER
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
453.02,1.1 EXPIRATION DATE 0;4 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Enter the Expiration date of this Certification.
DESCRIPTION:
This field should contain the expiration date for this certification.
453.02,2 VERIFICATION 0;3 SET
'1' FOR COMPENDIUM/DIRECTORY LISTING;
'2' FOR LETTER FROM BOARD;
'3' FOR AMERICAN DENTAL DIRECTORY;
'4' FOR DIRECTORY OSTEOPATHIC LISTING;
'5' FOR ROC (BOARD);
LAST EDITED: JAN 28, 1992
HELP-PROMPT: Enter the type of Verification.
DESCRIPTION: This field refers to the method of verification used. "1" indicates that the compendium of
certified medical specialists was used to verify specialty and that a xeroxed page signed by the
Chief of Staff is filed in the credentials folder. "2" indicates that a letter from the
specialty board is filed in the credentials folder. "3" indicates that verification was made
with the American Dental Directory and a xeroxed page is filed in the credential folder. "4"
indicates that the Osteopathic directory listing was used to verify and a xeroxed page is filed
in the credentials folder. "5" indicates that a ROC was made with the Board of Specialty.
453,747.28 PROFESSIONAL ORGANIZATION QAR5;0 Multiple #453.03 (Add New Entry without Asking)
DESCRIPTION: Indicates the Professional Organization to which the practitioner belongs.
453.03,.01 PROFESSIONAL ORGANIZATION 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<2) X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Answer must be 2-30 characters in length.
DESCRIPTION: Indicates the Professional Organization to which the practitioner belongs.
CROSS-REFERENCE: 453.03^B
1)= S ^PRSP(453,DA(1),"QAR5","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR5","B",$E(X,1,30),DA)
453,747.29 HONORS/OFFICES HELD QAR6;0 Multiple #453.04 (Add New Entry without Asking)
DESCRIPTION: Indicates Honors received and Offices held in medical and/or scientific societies.
453.04,.01 HONORS/OFFICES HELD 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>80!($L(X)<3) X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Answer must be 3-80 characters in length.
DESCRIPTION: Indicates Honors received and Offices held in medical and/or scientific societies.
CROSS-REFERENCE: 453.04^B
1)= S ^PRSP(453,DA(1),"QAR6","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR6","B",$E(X,1,30),DA)
453.04,1 SOCIETY 1;0 Multiple #453.41 (Add New Entry without Asking)
DESCRIPTION:
SOCIETY NAME (MEDICAL AND/OR SCIENTIFIC SOCIETIES)
453.41,.01 SOCIETY 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
This field contains the name of the Society.
CROSS-REFERENCE: 453.41^B
1)= S ^PRSP(453,DA(2),"QAR6",DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(2),"QAR6",DA(1),1,"B",$E(X,1,30),DA)
453,747.3 VAF 10-2850 COMPLETE (Y/N) QAR2;4 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: DEC 11, 1991
HELP-PROMPT: Enter whether the VAF 10-2850 has been completed by the practitioner.
DESCRIPTION: Indicate whether the VAF 10-2850 has been completed by the practitioner.
453,747.31 VAF 10-2850 SIGNED/COS (Y/N) QAR2;5 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: APR 02, 1991
HELP-PROMPT: Enter whether the Chief of Staff signed the VAF 10-2850.
DESCRIPTION: Indicates whether the Chief of Staff signed the VAF 10-2850.
453,747.32 VAF 10-2850 LICENSE DATA (Y/N) QAR2;6 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: APR 02, 1991
HELP-PROMPT: Enter whether all license information is listed on the VAF 10-2850.
DESCRIPTION:
Indicate whether the License data for the practitioner is accurate, current, and complete.
453,747.33 BOARD ELIGIBLE QAR16;0 POINTER Multiple #453.16 (Add New Entry without Asking)
DESCRIPTION: If this practitioner is eligible to complete specialty board exams, enter the area of specialty.
453.16,.01 BOARD ELIGIBLE 0;1 POINTER ***** TO AN UNDEFINED FILE (#747.9), STORED IN ^QA(747.9) *******
(Multiply asked)
LAST EDITED: AUG 29, 1990
HELP-PROMPT: Enter the Board Specialties Certification.
DESCRIPTION: If this practitioner is eligible to complete specialty board exams, enter the area of specialty.
CROSS-REFERENCE: 453.16^B
1)= S ^PRSP(453,DA(1),"QAR16","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR16","B",$E(X,1,30),DA)
453.16,1 EXPIRATION DATE 0;2 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 29, 1990
HELP-PROMPT: Enter the date the Board elgibility expires.
DESCRIPTION: Indicates the date the practitioner's Board eligibility expires.
453.16,2 VERIFICATION 0;3 SET
'1' FOR LETTER FROM TRAINING DIRECTOR;
'2' FOR LETTER FROM SPECIALTY BOARD;
'3' FOR NO RESPONSE TO INQUIRY;
LAST EDITED: DEC 12, 1991
HELP-PROMPT: Enter the type of Verification.
DESCRIPTION: This field refers to the method of verification used. "1" indicates a letter from the training
director is filed in the credentials folder. "2" indicates a letter from the prospective
specialty board is filed in the credentials folder. "3" indicates that there was no response
to inquiry.
453,747.34 FSMB MSG. SENT QAR2;7 SET
'1' FOR YES;
'0' FOR NO;
LAST EDITED: MAR 04, 1991
HELP-PROMPT: Respond to whether the FSMB message has been sent.
DESCRIPTION:
Confirmation of the FSMB message being sent.
NOTES: TRIGGERED by the APPLICANT NAME field of the APPLICANT File
CROSS-REFERENCE: 453^AFSMB
1)= S ^PRSP(453,"AFSMB",$E(X,1,30),DA)=""
2)= K ^PRSP(453,"AFSMB",$E(X,1,30),DA)
453,747.35 LICENSES QAR7;0 Multiple #453.05 (Add New Entry without Asking)
DESCRIPTION:
Enter Your Professional Licenses.
453.05,.01 LICENSES 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>12!($L(X)<2) X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Answer must be 2-12 characters in length.
DESCRIPTION:
Enter the practitioner's license(s) number.
CROSS-REFERENCE: 453.05^B
1)= S ^PRSP(453,DA(1),"QAR7","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR7","B",$E(X,1,30),DA)
453.05,1 STATE 0;2 POINTER TO STATE FILE (#5)
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the State issuing the License.
DESCRIPTION:
Contains the State issuing the License.
453.05,2 EXPIRATION DATE 0;3 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 09, 1993
HELP-PROMPT: Enter the date of expiration for the license.
DESCRIPTION:
Contains the Expiration date of the license.
453.05,3 LICENSE CHECK 0;4 SET
'1' FOR LETTER FROM STATE BOARD;
'2' FOR ROC WITH STATE BOARD;
'3' FOR NO RESPONSE TO INQUIRY;
LAST EDITED: DEC 12, 1991
HELP-PROMPT: Enter the method of verification for the License.
DESCRIPTION:
Contains the method of verification for the License.
453,747.36 DEA # QAR2;9 FREE TEXT
INPUT TRANSFORM: K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>9!($L(X)<9)!'(X?2U7N) X I $D(X) D DEA^QARVAL
LAST EDITED: APR 02, 1991
HELP-PROMPT: Answer must be 9 characters in length.
DESCRIPTION: This field holds a number which uniquely identifies a practitioner.
EXECUTABLE HELP: W:$X>5 ! W ?5,"Enter the DEA number as two uppercase letters followed by 7 digits",!,?5,"e.g. AA123
4567. Each provider must have a unique number.",!
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 453^DEA
1)= S ^PRSP(453,"DEA",$E(X,1,30),DA)=""
2)= K ^PRSP(453,"DEA",$E(X,1,30),DA)
3)= Important validation data do not delete!
453,747.361 DEA EXPIRATION DATE QAR2;8 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JUL 18, 1991
DESCRIPTION:
This field contain the expiration date of the DEA #.
453,747.362 STATE ISSUING DEA NUMBER QAR2;16 POINTER TO STATE FILE (#5)
LAST EDITED: AUG 08, 1991
HELP-PROMPT: Enter State issuing DEA Number.
DESCRIPTION:
This field contains the name of the state issuing the DEA #.
453,747.363 DEA VERIFICATION QAR2;17 SET
'1' FOR COPY OF CURRENT CERTIFICATE;
'2' FOR WRITTEN VERIFICATION FROM DEA;
'3' FOR OTHER METHOD USED TO VERIFY;
LAST EDITED: SEP 13, 1991
HELP-PROMPT: Enter method used to Verify DEA registration.
DESCRIPTION:
Enter the method used to verify DEA registration.
453,747.364 DEA CHALLENGES (Y/N) QAR2;26 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: JAN 27, 1992
HELP-PROMPT: Enter YES or NO
DESCRIPTION:
Has there been any DEA challenges?
453,747.38 V.A. EMPLOYMENT START DATE QAR2;11 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the date employment started at the VA.
DESCRIPTION:
Contains the date employment started at the VA.
453,747.39 SERVICE COMPUTATION DATE QAR2;12 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the Length of Service for this practitioner.
DESCRIPTION: Indicates the Length of Service for this practitioner.
453,747.4 END OF PROBATIONARY PERIOD QAR2;13 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 10, 1990
HELP-PROMPT: Enter the ending date for the Probationary Period.
DESCRIPTION: Indicates the ending date for the Probationary Period.
453,747.41 PRIMARY DEGREE QAR2;14 POINTER ***** TO AN UNDEFINED FILE (#747.7), STORED IN ^QA(747.7) *******
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the Primary Degree for this practitioner.
DESCRIPTION: Indicate the Primary Degree used for this practitioner.
453,747.42 SCHOOL ATTENDED QAR8;0 Multiple #453.06
DESCRIPTION: Indicates the School(s) attended.
453.06,.01 SCHOOL ATTENDED 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>40!($L(X)<3) X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Answer must be 3-40 characters in length.
DESCRIPTION:
Enter the school attended to complete/renew requirements for your field of study.
CROSS-REFERENCE: 453.06^B
1)= S ^PRSP(453,DA(1),"QAR8","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR8","B",$E(X,1,30),DA)
453.06,1 ADDRESS 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION: Indicates the Address of the school.
453.06,2 ADDRESS 2 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION: Indicates the Address of the school.
453.06,3 CITY 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION: Indicates the City where the school is located.
453.06,4 STATE 0;5 POINTER TO STATE FILE (#5)
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the State where the school is located.
DESCRIPTION: Indicates the State where the school is located.
453.06,4.5 COUNTRY 0;9 POINTER ***** TO AN UNDEFINED FILE (#747.5), STORED IN ^QA(747.5) *******
LAST EDITED: JUN 12, 1991
DESCRIPTION:
This field contains the name of the foreign country in which the school is located.
453.06,5 ZIP CODE 0;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<5) X
LAST EDITED: OCT 01, 1990
HELP-PROMPT: Answer must be 5-10 characters in length.
DESCRIPTION:
Indicates the Zip Code for this school.
453.06,6 DATE COMPLETED 0;7 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the Date school was completed.
DESCRIPTION: Indicates the Date school is completed.
453.06,7 VERIFICATION 0;8 SET
'1' FOR LETTER FROM SCHOOL;
'2' FOR ROC SCHOOL/PROGRAM;
'3' FOR NO RESPONSE TO INQUIRY;
LAST EDITED: JUL 31, 1992
HELP-PROMPT: Enter the type of Verification for the degree.
DESCRIPTION:
Indicates the type of Verification for schooling.
453.06,8 EDUCATION LEVEL 1;0 POINTER Multiple #453.68
DESCRIPTION:
Contains the Education Level for the Applicant.
453.68,.01 EDUCATION LEVEL 0;1 POINTER ***** TO AN UNDEFINED FILE (#747.7), STORED IN ^QA(747.7) *******
(Multiply asked)
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the Education Level for the Applicant.
DESCRIPTION:
Contains the Education Level for the Applicant.
CROSS-REFERENCE: 453.68^B
1)= S ^PRSP(453,DA(2),"QAR8",DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(2),"QAR8",DA(1),1,"B",$E(X,1,30),DA)
CROSS-REFERENCE: 453^AEDLEVEL
1)= S ^PRSP(453,"AEDLEVEL",$E(X,1,30),DA(2),DA(1),DA)=""
2)= K ^PRSP(453,"AEDLEVEL",$E(X,1,30),DA(2),DA(1),DA)
453.06,9 FSMB SCHOOL CODE 0;10 POINTER ***** TO AN UNDEFINED FILE (#747.11), STORED IN ^QA(747.11) *******
LAST EDITED: SEP 17, 1992
HELP-PROMPT: Enter a KEYWORD from School Name.
DESCRIPTION: This field contains the School Code designated by the Federation of State Medical Boards.
Enter a KEYWORD from the School Name, and select the appropriate school in the display.
453,747.43 DATE REAPPRAISAL IS DUE QAR2;15 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 10, 1990
HELP-PROMPT: Enter the Date Reappraisal is due.
DESCRIPTION: Indicates the Date Reappraisal is due.
453,747.45 CONTINUING EDUCATION PROGRAM QAR9;0 Multiple #453.07
DESCRIPTION: Name of the Continuing Education Program you have attended.
453.07,.01 CONTINUING EDUCATION PROGRAM 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION: Name of a Continuing Education Program you have attended.
CROSS-REFERENCE: 453.07^B
1)= S ^PRSP(453,DA(1),"QAR9","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR9","B",$E(X,1,30),DA)
453.07,1 DESCRIPTION 1;0 WORD-PROCESSING #453.71
DESCRIPTION: Contains a Description of the education level.
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter a synopsis on the Continuing Education Program.
DESCRIPTION: Contains a Description of the education level.
453.07,2 DATES ATTENDED 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Use the format: FROM DATE/TO DATE
DESCRIPTION: Indicates the starting date for Continuing Education.
453.07,3 NUMBER OF C.M.E HOURS 2;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."3N.N) X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Type a Number between 0 and 999, 2 Decimal Digits
DESCRIPTION: Indicates the number of Continuing Medical Education hours.
453.07,4 LOCATION OF PROGRAM 2;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<3) X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Answer must be 3-40 characters in length.
DESCRIPTION: Indicates the Location of the program.
453.07,5 C.M.E COMMENTS 3;0 WORD-PROCESSING #453.75
DESCRIPTION: Contains any Continuing Medical Education comments.
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter any additional Comments about the Program.
DESCRIPTION: Contains any Continuing Medical Education comments.
453,747.47 ALIEN VISA QAR2;18 SET
'1' FOR YES;
'2' FOR NO;
'3' FOR N/A;
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter if the Alien Visa has/has not been sighted.
DESCRIPTION:
Contains whether the Chief of Staff sighted the Alien Visa for the Applicant who is not a citizen.
453,747.48 FINAL STATUS OF FILE QAR2;19 SET
'A' FOR ACTIVE;
'I' FOR INACTIVE;
'P' FOR PENDING;
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter the Status of the File for the Applicant.
DESCRIPTION:
Contains the Status of the File for the Applicant.
453,747.49 FINAL STATUS COMMENTS 1;0 WORD-PROCESSING #453.08
DESCRIPTION:
Contains any comments on the Final Status of the File.
LAST EDITED: AUG 16, 1990
HELP-PROMPT: Enter any comments on the Final Status of the File.
DESCRIPTION:
Contains any comments on the Final Status of the File.
453,747.5 CLINICAL BACKGROUND QAR10;0 POINTER Multiple #453.09 (Add New Entry without Asking)
DESCRIPTION: Indicates the Clinical Background of this practitioner.
453.09,.01 CLINICAL BACKGROUND 0;1 POINTER ***** TO AN UNDEFINED FILE (#747.8), STORED IN ^QA(747.8) *******
(Multiply asked)
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the appropriate Clinical Background.
DESCRIPTION: Indicates the Clinical Background of this practitioner.
CROSS-REFERENCE: 453.09^B
1)= S ^PRSP(453,DA(1),"QAR10","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR10","B",$E(X,1,30),DA)
453.09,1 YRS. OF EXPERIENCE 0;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Type a Number between 0 and 99, 0 Decimal Digits
DESCRIPTION: Indicates the Years of Experience in a Clinical Background for this practitioner.
453,747.51 ECFMG CERT. ISSUED QAR2;20 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 27, 1992
HELP-PROMPT: Enter the date the ECFMG certificate was issued.
DESCRIPTION: This field refers To the Date the Education Commission for Foreign Medical Graduate issued
certificate
453,747.511 ECFMG VERIFICATION QAR2;10 SET
'1' FOR LETTER FROM ECFMG;
'2' FOR ROC WITH ECFMG;
'3' FOR NO RESPONSE TO INQUIRY;
LAST EDITED: DEC 12, 1991
HELP-PROMPT: Enter the method of verification.
DESCRIPTION:
Indicates the method used for verification.
453,747.512 ECFMG CERTIFICATE # QAR2;25 FREE TEXT
INPUT TRANSFORM: K:$L(X)>7!($L(X)<7) X
OUTPUT TRANSFORM: S QARECN=Y S Y=$E(Y,1,3)_"-"_$E(Y,4,6)_"-"_$E(Y,7)
LAST EDITED: SEP 26, 1991
HELP-PROMPT: Answer must be 7 characters in length.
DESCRIPTION:
Enter the seven digit ECFMG Certificate number without dashes.
453,747.52 FSMB SCREENING REQUEST DATE QAR11;0 DATE Multiple #453.1 (Add New Entry without Asking)
DESCRIPTION: This Field Refers To The Date The Request Was Sent To The Federation Of State Medical Boards For
Screening.
453.1,.01 FSMB SCREENING REQUEST DATE 0;1 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date the request was sent.
DESCRIPTION:
Contains the date the request was sent to the Federation of State Medical Boards for screening.
CROSS-REFERENCE: 453.1^B
1)= S ^PRSP(453,DA(1),"QAR11","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR11","B",$E(X,1,30),DA)
453.1,1 DATE REC'D 0;2 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date the Screening message was received.
DESCRIPTION:
Contains the date the Screening message was received.
453.1,2 REPORT OF SCREENING 0;3 SET
'1' FOR UNREMARKABLE;
'2' FOR FURTHER EXPLORATION NEEDED;
'3' FOR VACO CLEARANCE NEEDED;
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the type of response to the Screening message.
DESCRIPTION: This Field Allows You To Summarize The Findings Of The FSMB Screening Process. 1 Indicates The
Report Is Unremarkable. 2 Indicates Further Exploration Is Needed. 3 Indicates Vaco Clearance Is
Needed.
453,747.53 HEALTH STATEMENT,APPLICANT QAR2;21 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date the Health Statement is received from the practitioner.
DESCRIPTION: This field contains the date the Health Statement is received from the practitioner.
453,747.54 HEALTH STATEMENT,COLLEAGUE QAR12;0 DATE Multiple #453.12
DESCRIPTION: This field allows you to enter the date on which the statement of health Status was received from a
colleague of the practitioner. Individuals from which this could be received include the Chief of
Staff, Chief of Service, Training Program Director, or a peer.
453.12,.01 HEALTH STATEMENT,COLLEAGUE 0;1 DATE (Multiply asked)
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date the Health Statement was received from a colleague of the above practitioner.
DESCRIPTION: This field allows you to enter the date on which the Statement of Health Status was received from
a colleague of the practitioner. Individuals from which this could be received include the Chief
of Staff, Chief of Service, Training Program Director, or a peer.
CROSS-REFERENCE: 453.12^B
1)= S ^PRSP(453,DA(1),"QAR12","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR12","B",$E(X,1,30),DA)
453,747.55 DATE REFERENCE RECEIVED QAR13;0 SET Multiple #453.13
LAST EDITED: APR 02, 1991
DESCRIPTION:
Contains the date the three (3) References are received.
453.13,.01 REFERENCES 0;1 SET (Multiply asked)
'A' FOR REFERENCE A;
'B' FOR REFERENCE B;
'C' FOR REFERENCE C;
LAST EDITED: APR 01, 1991
HELP-PROMPT: Enter the Reference received.
DESCRIPTION:
Contains the three (3) mandatory References for the Applicant.
CROSS-REFERENCE: 453.13^B
1)= S ^PRSP(453,DA(1),"QAR13","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR13","B",$E(X,1,30),DA)
453.13,1 DATE 0;2 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date the Reference received.
DESCRIPTION:
Contains the date the Reference received.
453,747.56 BYLAWS AGREEMENT QAR2;22 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date the Bylaws agreement was signed.
DESCRIPTION: Enter the date of the signature of the practitioner indicating agreement to abide by the bylaws of
the medical staff. This signature is contained on the form titled "Applicant Memo to Director".
453,747.57 RECOMMENDATION SIGNATURES QAR14;0 SET Multiple #453.14
DESCRIPTION: Contains the signature date for the approving committee/official.
453.14,.01 RECOMMENDATION SIGNATURES 0;1 SET (Multiply asked)
'1' FOR APPLICANT STATEMENT;
'2' FOR SERVICE CHIEF RECOMMENDATION;
'3' FOR PSB RECOMMEDATION;
'4' FOR EXECUTIVE COMMITTEE RECOMMENDATION;
'5' FOR DIRECTOR'S APPROVAL/DISAPPROVAL;
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the appropriate type of Recommendation Signature.
DESCRIPTION: Contains the signature date for the approving committee/official.
CROSS-REFERENCE: 453.14^B
1)= S ^PRSP(453,DA(1),"QAR14","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR14","B",$E(X,1,30),DA)
453.14,1 DATE 0;2 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter the date of the Recommendation.
DESCRIPTION:
Contains the date of the Recommendation.
453,747.58 LICENSURE CHALLENGES ? QAR2;23 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter whether there has been a License Challenge to the practitioner.
DESCRIPTION: Indicates if the practitioner has been issued a License Challenge.
453,747.59 PERTINENT CLINICAL INFORMATION QAR15;0 WORD-PROCESSING #453.15
DESCRIPTION: Enter any Pertinent Clinical Information such as: other hospitals the practitioner practices,
experience, and academic appointments.
LAST EDITED: AUG 17, 1990
HELP-PROMPT: Enter any Pertinent Clinical Information.
DESCRIPTION: Enter any Pertinent Clinical Information such as: other hospitals the practitioner practices,
experience, and academic appointments.
453,747.6 CLIN PRIVILEGES CHALLENGES ? QAR2;24 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: AUG 29, 1990
HELP-PROMPT: Enter whether the practitioner's Clinical Privileges have been challenged.
DESCRIPTION: Indicates whether the practitioner's Clinical Privileges have been challenged.
453,747.61 NPDB QUERIED ? QAR18;1 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: FEB 22, 1991
HELP-PROMPT: Enter whether the NPDB has been Queried.
DESCRIPTION: Indicates whether the National Practitioner Data Bank has been queried.
453,747.62 DATE SENT TO NPDB ? QAR18;2 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 22, 1991
HELP-PROMPT: Enter the Date the NPDB was queried.
DESCRIPTION: Indicates the date when the National Practitioner's Data Base was queried.
453,747.621 DATE REC'D FROM NPDB QAR18;5 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Enter date response is received from NPDB
DESCRIPTION:
This field contains the date a response is received from NPDB.
453,747.63 RESULTS OF QUERY ? QAR18;3 SET
'1' FOR RESULTS UNREMARKABLE;
'2' FOR RESULTS NEED FURTHER EXPLANATION (PLEASE REFER TO DOCUMENTATION IN FILE);
'3' FOR NO RESPONSE TO INQUIRY;
LAST EDITED: DEC 12, 1991
HELP-PROMPT: Enter the Results of the Query for this practitioner.
DESCRIPTION:
Indicates the results of the Query for this practitioner.
453,747.64 PLACE OF BIRTH QAR1;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: APR 02, 1991
HELP-PROMPT: Answer must be 3-35 characters in length.
DESCRIPTION: Indicates the Place of Birth for this practitioner.
453,747.65 VA CAUTIONARY LIST CHECKED? QAR18;4 SET
'1' FOR YES;
'2' FOR NO;
'3' FOR N/A;
LAST EDITED: APR 02, 1991
HELP-PROMPT: Enter whether the VA Cautionary List has been checked.
DESCRIPTION: Indicate whether the VA Cautionary List issued by VACO has been checked.
453,747.66 INTERNSHIP/RESIDENCY QAR19;0 Multiple #453.11
DESCRIPTION: This field contains information relevant to the practitioner's Internship, Residency and Fellowship
training.
453.11,.01 INSTITUTION 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>35!($L(X)<2) X
LAST EDITED: APR 02, 1991
HELP-PROMPT: Answer must be 2-35 characters in length.
DESCRIPTION: This field contains the Institution where the Internship or Residency was conducted.
CROSS-REFERENCE: 453.11^B
1)= S ^PRSP(453,DA(1),"QAR19","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR19","B",$E(X,1,30),DA)
453.11,1 ADDRESS 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<2) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 2-45 characters in length.
DESCRIPTION: Indicates the Address of the institution.
453.11,1.1 ADDRESS 2 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-45 characters in length.
DESCRIPTION:
Indicates the address of the institution.
453.11,1.2 CITY 0;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 3-30 characters in length.
DESCRIPTION:
Indicate the city of the institution.
453.11,1.3 STATE 0;9 POINTER TO STATE FILE (#5)
LAST EDITED: AUG 19, 1992
DESCRIPTION:
Indicate the state where the institution is located.
453.11,1.4 ZIP 0;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<5) X
LAST EDITED: AUG 19, 1992
HELP-PROMPT: Answer must be 5-10 characters in length.
DESCRIPTION:
Enter the zip code for the institution.
453.11,2 SPECIALTY 0;3 POINTER ***** TO AN UNDEFINED FILE (#747.9), STORED IN ^QA(747.9) *******
LAST EDITED: JUN 17, 1991
DESCRIPTION: Indicates the Specialties covered in Internship/Residency.
453.11,3 COMPLETION DATE 0;4 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 02, 1991
HELP-PROMPT: Enter the Completion Date for training.
DESCRIPTION: Indicates the Completion Date for training.
453.11,4 # OF MONTHS 0;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: APR 02, 1991
HELP-PROMPT: Type a Number between 1 and 99, 0 Decimal Digits
DESCRIPTION: Number of Months of doing internship or residency at this institution.
453.11,5 VERIFICATION 0;6 SET
'1' FOR LETTER FROM TRAINING INSTITUTE;
'2' FOR ROC;
'3' FOR AMA PHYSICIAN VERIF. SVC.;
LAST EDITED: SEP 13, 1991
HELP-PROMPT: Enter Method of Verification
DESCRIPTION: #3 AMA Physician Verification Service should only be used if Primary Source Institution has been
CLOSED and no longer in operation.
453,747.67 CONTROL/SUBSTANCE CERT (Y/N) QAR20;0 SET Multiple #453.074767 (Add New Entry without Asking)
DESCRIPTION:
Does this Physican have a Controlled Substance Certificate ?
453.074767,.01 CONTROL/SUBSTANCE CERT (Y/N) 0;1 SET
'1' FOR YES;
'2' FOR NO;
LAST EDITED: AUG 26, 1991
HELP-PROMPT: Enter whether this Physician has a Controlled Substance Certificate.
DESCRIPTION:
Does this Physician have a Controlled Substance Certificate ?
CROSS-REFERENCE: 453.074767^B
1)= S ^PRSP(453,DA(1),"QAR20","B",$E(X,1,30),DA)=""
2)= K ^PRSP(453,DA(1),"QAR20","B",$E(X,1,30),DA)
453.074767,1 STATE 0;2 POINTER TO STATE FILE (#5)
LAST EDITED: AUG 26, 1991
DESCRIPTION:
Enter the Issuing State of the Controlled Substance Certificate.
453.074767,2 EXPIRATION DATE 0;3 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y K:Y<1 X
LAST EDITED: AUG 26, 1991
HELP-PROMPT: Enter the Expiration Date of the Controlled Substance Certificate
DESCRIPTION:
This field contains the expiration date for the Controlled Substance Certificate.
FILES POINTED TO FIELDS
INSURANCE COMPANY (#36) INSURANCE CO (#747.21)
NATIONAL SERVICE (#730) SERVICE (#747.23)
STATE (#5) STATE (#4)
A STATE (#747.06)
B STATE (#747.12)
C STATE (#747.18)
STATE ISSUING DEA NUMBER (#747.362)
LICENSES:STATE (#1)
SCHOOL ATTENDED:STATE (#4)
CONTROL/SUBSTANCE CERT (Y/N):STATE (#1)
INTERNSHIP/RESIDENCY:STATE (#1.3)
}UNDEFINED FILE (#747.11) SCHOOL ATTENDED:FSMB SCHOOL CODE (#9)
}UNDEFINED FILE (#747.25) SPECIAL PROCEDURES:SPECIAL PROCEDURES (#.01)
}UNDEFINED FILE (#747.5) SCHOOL ATTENDED:COUNTRY (#4.5)
}UNDEFINED FILE (#747.7) PRIMARY DEGREE (#747.41)
EDUCATION LEVEL:EDUCATION LEVEL (#.01)
}UNDEFINED FILE (#747.8) CLINICAL BACKGROUND:CLINICAL BACKGROUND (#.01)
}UNDEFINED FILE (#747.9) CERTIFICATION:CERTIFICATION (#.01)
INTERNSHIP/RESIDENCY:SPECIALTY (#2)
BOARD ELIGIBLE:BOARD ELIGIBLE (#.01)
SPECIALTY:SPECIALTY (#.01)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):