STANDARD DATA DICTIONARY #509850.6 -- A&SP CLINIC VISIT FILE                                                      3/24/25    PAGE 1
STORED IN ^ACK(509850.6,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                    (VERSION 3.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
The A&SP CLINIC VISIT file (#509850.6) contains all data specific to each patient encounter.  This includes the patient, the
clinicians and students involved, the diagnostic and procedure codes, the date of the visit, procedure time, and the CDR cost
account.  
  
Data in this file SHOULD NOT be altered through the use of VA FileMan; input should take place ONLY through the QUASAR menu
options.  
  
Per VHA Directive 10-93-142, this file definition SHOULD NOT be modified.  


              DD ACCESS: @
           AUDIT ACCESS: @
IDENTIFIED BY: PATIENT NAME (#1)[R]

CROSS
REFERENCED BY: EVENT CAPTURE PROCEDURE(AC), VISIT ELIGIBILITY(AD), PROCEDURE CODE(AD), VOLUME(AD), CDR ACCOUNT(ADCI), 
               SERVICE CONNECTED(AE), PROCEDURE PROVIDER(AE), EC PROCEDURE PROVIDER(AE), EXCEPTION DATE(AEX), 
               LAST EDITED IN QUASAR(AEX1), LAST SENT TO PCE(AEX2), PCE VISIT IEN(AEX3), CLINIC LOCATION(AEXCLN), 
               PATIENT NAME(AEXPAT), AGENT ORANGE(AF), RADIATION(AG), EC PROCEDURE PROVIDER(AG), ENVIRONMENTAL CONTAMINANTS(AH), 
               PRIMARY PROVIDER(AI), *SECOND CLINCIAN(AJ), STUDENT(AK), DIVISION(AL), LINKED C&P EXAM(ALCP), DATE(AM), 
               TONE R500(AMD), APPOINTMENT TIME(AN), EVENT CAPTURE PROCEDURE(AO), MILITARY SEXUAL TRAUMA(AP), 
               CLINIC LOCATION(APCEC), DATE(APCED), PATIENT NAME(APCEP), APPOINTMENT TIME(APCET), PATIENT NAME(APD), 
               PATIENT NAME(APT), VOLUME(AQ), CDR ACCOUNT(ATCAT), CDR ACCOUNT(ATCDR), DATE(ATMV), C AND P STATUS(AWAIT), 
               DATE(B), PATIENT NAME(C), PRIMARY PROVIDER(ST1), *SECOND CLINCIAN(ST2), STUDENT(ST3), *OTHER PROVIDER(ST4)



509850.6,.01  DATE                   0;1 DATE (Required)

              Date   
              INPUT TRANSFORM:  S %DT="EXT" D ^%DT S:Y["." Y=$P(Y,".",1) S X=Y K:Y<0 X I $D(X) D CHKDT^ACKQAS
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Enter the patient's clinic visit date. 
              DESCRIPTION:
                                The DATE field contains the encounter date or date and time.  

              LAYGO TEST:       1,0)= W:'$D(ACKLAYGO) !!?5,"Input should take place ONLY through the QUASAR menu options.",!! I $D(
                                ACKLAYGO)

              WRITE AUTHORITY:  ^
                                UNEDITABLE
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  509850.6^B 
                                1)= S ^ACK(509850.6,"B",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,"B",$E(X,1,30),DA)

              CROSS-REFERENCE:  509850.6^ATMV^MUMPS 
                                1)= S ACKMO=$E(X,1,5)_"00",$P(^(ACKMO),U)=$S($D(^ACK(509850.6,"ATMV",ACKMO)):^(ACKMO)+1,1:1) K ACKM
                                O

                                2)= S ACKMO=$E(X,1,5)_"00" S:$D(^ACK(509850.6,"ATMV",ACKMO)) $P(^(ACKMO),U)=^(ACKMO)-1 K:$S($D(^(AC
                                KMO)):'^(ACKMO),1:0) ^(ACKMO) K ACKMO
                                3)= DO NOT DELETE!
                                This cross reference is ordered by FileMan internal date (year and month).  It is used to store an
                                incremental count of total monthly visits.  


              CROSS-REFERENCE:  509850.6^APCED^MUMPS 
                                1)= D SETREF^ACKQUTL5(X,DA,"D")
                                2)= D KILLREF^ACKQUTL5(X,DA,"D")
                                3)= Do not Delete
                                This cross reference is only set when all four of the required fields (Visit Date, Patient, Clinic
                                Location and Visit Time) for this cross reference exist within the Visit File.  After the cross
                                reference has been set up, if any of the required fields are deleted the cross reference is
                                deleted.  If any of the required fields are amended the cross reference is deleted and reset with
                                the amended values.  


              CROSS-REFERENCE:  509850.6^AM^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= Q
                                3)= Do not Delete
                                Call to update PCE PENDING field with '1', set the SENT OKAY field to null and the LAST EDITED IN
                                QUASAR field to todays date.  This processing is not run when the dummy record is created (i.e.
                                when D0 is undefined).  



509850.6,.07  TIME SPENT (minutes)   0;7 NUMBER (Required)

              Time Spent in Minutes   
              INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      MAY 09, 2007 
              HELP-PROMPT:      Enter the entire amount of time that was spent on this visit (in minutes). 
              DESCRIPTION:      The TIME SPENT field is used to record the TOTAL number of minutes that were used during this
                                clinic visit.  TIME SPENT is to include direct (e.g., face-to-face) and indirect time (e.g.,
                                paperwork, documentation, administration).  

              EXECUTABLE HELP:  W !?5,"Your answer should be a number between 0 and 999.",!
              WRITE AUTHORITY:  ^

509850.6,.08  LINKED C&P EXAM        0;8 FREE TEXT

              Linked C&P Exam   
              INPUT TRANSFORM:  W !,"You may not edit this field!",*7 K X
              LAST EDITED:      JAN 08, 2008 
              DESCRIPTION:      For C&P exams, the LINKED C&P EXAM field is automatically filled in by the QUASAR package.  It
                                provides a means of linking this QUASAR visit with a specific AMIE C&P request.  If the visit is
                                not a C&P exam this field is left blank.  
                                  
                                This field should not be edited manually.  

              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^ALCP 
                                1)= S ^ACK(509850.6,"ALCP",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,"ALCP",$E(X,1,30),DA)
                                3)= Do not Delete
                                This cross-reference stores the soft link data from the AMIE interface and the internal entry
                                number for each clinic visit which is an AMIE C&P request.  



509850.6,.09  C AND P STATUS         0;9 SET

              C and P Status   
                                '0' FOR NOT A C&P EXAM; 
                                '1' FOR NOT SIGNED OFF; 
                                '2' FOR AWAITING ADEQUATION; 
                                '3' FOR COMPLETE; 
              LAST EDITED:      JUL 17, 1995 
              HELP-PROMPT:      Enter the code for the C&P status. 
              DESCRIPTION:      The C AND P STATUS field indicates the status of the C&P exam (if any).  0 stands for NOT A C&P
                                EXAM, 1 stands for NOT SIGNED OFF, 2 stands for AWAITING ADEQUATION, and 3 stands for COMPLETE.  

              WRITE AUTHORITY:  ^
              NOTES:            TRIGGERED by the C AND P field of the A&SP CLINIC VISIT File 
                                TRIGGERED by the SIGNATURE field of the A&SP CLINIC VISIT File 
                                TRIGGERED by the ADEQUATED BY field of the A&SP CLINIC VISIT File 

              CROSS-REFERENCE:  509850.6^AWAIT^MUMPS 
                                1)= S:X=1!(X=2) ^ACK(509850.6,"AWAIT",X,DA)=""
                                2)= K ^ACK(509850.6,"AWAIT",X,DA)
                                3)= DO NOT DELETE!
                                This cross-reference is ordered by C AND P STATUS set of codes number, followed by internal entry
                                number.  It is used to quickly find C&P exams waiting for signatures.  A look-up cross-reference
                                was not used, as the lookup was not intended to be available to FileMan proper.  



509850.6,.25  *SECOND CLINCIAN       2;5 POINTER TO A&SP STAFF FILE (#509850.3)

              Second Clinician   
              INPUT TRANSFORM:  S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")" D 
                                ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      If a secondary provider was involved with this visit, enter his or her name. 
              DESCRIPTION:      If more than one provider was involved in this exam, the name of the SECONDARY PROVIDER should be
                                entered here.  In order to enter a provider in this field, the provider must already exist in the
                                A&SP STAFF file (#509850.3) and the ACTIVATION DATE and INACTIVATION DATE must indicate that the
                                selected provider is active on the date of the exam.  The SECONDARY PROVIDER field can be left
                                blank.  

              SCREEN:           S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")"
              EXPLANATION:      Only A&SP CLINICIANS or OTHER PROVIDERS who are ACTIVE on the VISIT DATE can be selected.
              EXECUTABLE HELP:  I '$D(ACKVD) W !?5,"Input should take place ONLY through the QUASAR menu options.",!
              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^ST2^MUMPS 
                                1)= S ^ACK(509850.6,"ST",X,DA)=2
                                2)= K ^ACK(509850.6,"ST",X,DA)
                                3)= DO NOT DELETE!
                                The ST subscript holds cross-references for all staff involved in this clinic visit.  Rather than
                                set the cross-reference equal to null, it is coded as to the position of the staff member.  
                                  
                                           1 = PRIMARY PROVIDER 
                                           2 = SECONDARY PROVIDER 
                                           3 = STUDENT 


              CROSS-REFERENCE:  509850.6^AJ^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                Call to update send to PCE field with todays date, this in turn creates the cross reference used by
                                the overnight send to PCE process.  



509850.6,.27  *LEAD ROLE             2;7 POINTER TO A&SP STAFF FILE (#509850.3)

              Lead Role   
              INPUT TRANSFORM:  S DIC("S")="I $D(ACKSTF(Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      FEB 19, 1999 
              HELP-PROMPT:      Enter the name of the lead staff member involved in this exam. 
              DESCRIPTION:      For visits involving more than one staff member, the LEAD ROLE field is provided to show which
                                staff member played the leading role in the examination.  Credit for the visit is always given to
                                the clinician in the LEAD ROLL field.  
                                  
                                This field can only be entered through the Enter Clinic Visits option.  
                                 
                                The LEAD ROLE field has been marked for deletion.  This field is not used by QUASAR V. 3.0. 
                                Eighteen months after the release of QUASAR 3.0, this field can be removed. 

              SCREEN:           S DIC("S")="I $D(ACKSTF(Y))"
              EXPLANATION:      You must select a clinician, other provider, or student involved with this exam.
              WRITE AUTHORITY:  ^

509850.6,1    PATIENT NAME           0;2 POINTER TO A&SP PATIENT FILE (#509850.2) (Required)

              Patient Name   
              INPUT TRANSFORM:  S DFN=X
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Enter the name of the patient seen during this clinic visit. 
              DESCRIPTION:      The PATIENT NAME field contains the name of the patient seen during this clinic visit.  In order to
                                enter a patient name into this field, the patient must already exist in the PATIENT file (#2).  

              WRITE AUTHORITY:  ^
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  ^^TRIGGER^509850.6^2 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X
                                 S DIU=X K Y X ^DD(509850.6,1,1,1,1.1) X ^DD(509850.6,1,1,1,1.4)

                                1.1)= S X=DIV X ^DD(509850.6,1,1,1,49.2) S D0=$P(Y(101),U,1) S:'$D(^DPT(+D0,0)) D0=-1 S Y(201)=$S($
                                D(^DPT(D0,.36)):^(.36),1:"") S X=$S('$D(^DIC(8,+$P(Y(201),U,1),0)):"",1:$P(^(0),U,1)) S D0=I(0,0)

                                1.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,3)=DIV,DIH=509850.6,DIG=2 D
                                 ^DICR:$O(^DD(DIH,DIG,1,0))'=""

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,3),X=X
                                 S DIU=X K Y S X="" X ^DD(509850.6,1,1,1,2.4)

                                2.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,3)=DIV,DIH=509850.6,DIG=2 D
                                 ^DICR:$O(^DD(DIH,DIG,1,0))'=""
                                3)= DO NOT DELETE!
                                49.2)= S I(0,0)=$S($D(D0):D0,1:""),D0=DIV S:'$D(^ACK(509850.2,+D0,0)) D0=-1 S I(100,0)=$S($D(D0):D0
                                ,1:""),Y(101)=$S($D(^ACK(509850.2,D0,0)):^(0),1:"")

                                CREATE VALUE)= PATIENT NAME:NAME:ELIGIBILITY CODE
                                DELETE VALUE)= @
                                FIELD)= PATIENT ELIGI
                                The PATIENT NAME field triggers the appropriate value into the PATIENT ELIGIBILITY CODE field.  


              CROSS-REFERENCE:  ^^TRIGGER^509850.6^1.5 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X
                                 S DIU=X K Y S X=DIV D AOA^ACKQAS X ^DD(509850.6,1,1,2,1.4)

                                1.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,4)=DIV,DIH=509850.6,DIG=1.5
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X
                                 S DIU=X K Y S X="" X ^DD(509850.6,1,1,2,2.4)

                                2.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,4)=DIV,DIH=509850.6,DIG=1.5
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""
                                3)= DO NOT DELETE!
                                CREATE VALUE)= D AOA^ACKQAS
                                DELETE VALUE)= @
                                FIELD)= AGE ON APPOINTMENT
                                The PATIENT NAME field triggers the appropriate value into the AGE ON APPOINTMENT field.  


              CROSS-REFERENCE:  509850.6^APT 
                                1)= S ^ACK(509850.6,"APT",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,"APT",$E(X,1,30),DA)
                                3)= DO NOT DELETE!
                                This cross-reference is in patient DFN and internal entry number order.  


              CROSS-REFERENCE:  ^^TRIGGER^509850.2^1 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 X ^DD(509850.6,1,1,4,89.2) S X=$P(Y(101),U,2) S D0=I(0,0) S DIU=X
                                 K Y S X=DIV D IVD^ACKQAS X ^DD(509850.6,1,1,4,1.4)

                                1.4)= S DIH=$S($D(^ACK(509850.2,DIV(0),0)):^(0),1:""),DIV=X I $D(^(0)) S $P(^(0),U,2)=DIV,DIH=50985
                                0.2,DIG=1 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""

                                2)= Q
                                3)= Do not Delete.
                                89.2)= S I(0,0)=$S($D(D0):D0,1:""),Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:""),D0=$P(Y(1),U,2) S:'$D
                                (^ACK(509850.2,+D0,0)) D0=-1 S DIV(0)=D0 S Y(101)=$S($D(^ACK(509850.2,D0,0)):^(0),1:"")

                                CREATE VALUE)= D IVD^ACKQAS
                                DELETE VALUE)= NO EFFECT
                                FIELD)= #1:#1
                                When a PATIENT NAME is selected for this visit, the user is asked for the patient's INITIAL VISIT
                                DATE if it has not been entered.  


              CROSS-REFERENCE:  509850.6^APD^MUMPS 
                                1)= S ^ACK(509850.6,"APD",X,+^ACK(509850.6,DA,0),DA)=""
                                2)= K ^ACK(509850.6,"APD",X,+^ACK(509850.6,DA,0),DA)
                                3)= DO NOT DELETE!
                                This cross-reference is in patient DFN, date of visit, and internal entry number order.  It is used
                                to check for duplicate visits by this patient on this date.  


              CROSS-REFERENCE:  509850.6^C 
                                1)= S ^ACK(509850.6,"C",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,"C",$E(X,1,30),DA)
                                3)= DO NOT DELETE!
                                This cross-reference is in patient DFN and internal entry number order.  It is used for lookup by
                                patient name.  


              CROSS-REFERENCE:  509850.6^APCEP^MUMPS 
                                1)= D SETREF^ACKQUTL5(X,DA,"P")
                                2)= D KILLREF^ACKQUTL5(X,DA,"P")
                                3)= Do not Delete
                                This cross reference is only set when all four of the required fields (Visit Date, Patient, Clinic
                                Location and Visit Time) for this cross reference exist within the Visit File.  After the cross
                                reference has been set up, if any of the required fields are deleted the cross reference is
                                deleted.  If any of the required fields are amended the cross reference is deleted and reset with
                                the amended values.  


              CROSS-REFERENCE:  509850.6^AEXPAT^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index sets the last edited in Quasar to NOW which in turn may cause the visit to be a PCE
                                Exception.  



509850.6,1.5  AGE ON APPOINTMENT     0;4 NUMBER

              Age on Appointment   
              INPUT TRANSFORM:  K:+X'=X!(X>120)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      JUL 17, 1995 
              HELP-PROMPT:      Enter a number between 0 and 120 with 0 decimal digits. 
              DESCRIPTION:      The AGE ON APPOINTMENT field is automatically filled in by the QUASAR package.  It is triggered by
                                the PATIENT NAME field of the A&SP CLINIC VISIT file (#509850.6).  

              WRITE AUTHORITY:  ^
              NOTES:            TRIGGERED by the PATIENT NAME field of the A&SP CLINIC VISIT File 


509850.6,2    PATIENT ELIGIBILITY CODE 0;3 FREE TEXT (Required)

              Patient Eligibility Code   
              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
              LAST EDITED:      OCT 02, 2000 
              HELP-PROMPT:      Answer must be 1-30 characters in length. 
              DESCRIPTION:
                                This is the Primary Eligibility of the patient 

              EXECUTABLE HELP:   
              WRITE AUTHORITY:  ^
              NOTES:            TRIGGERED by the PATIENT NAME field of the A&SP CLINIC VISIT File 


509850.6,2.5  C AND P                0;5 SET

              C and P   
                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Is this a C&P exam? 
              DESCRIPTION:      The C AND P field contains 0 or NO if this is not a C&P exam.  The field contains 1 or YES if this
                                is a C&P exam.  
                                  
                                WARNING:  QUASAR points to the AMIE 2507 REQUEST file (#396.3) to determine if a patient on a given
                                date is a C&P visit.  If AUDIO exam is not found in the exam list, QUASAR does not recognize the
                                visit as a C&P visit.  
                                  
                                The C AND P field can be filled with 1 or YES at the "Is this a C&P exam?" prompt or by entering ^C
                                AND P.  This provides you with the AMIE worksheet fields, but the examination is not available for
                                adequation and is not linked to the AMIE system.  

              EXECUTABLE HELP:   
              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  ^^TRIGGER^509850.6^.09 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X
                                 S DIU=X K Y S X=DIV D TRIGCP^ACKQUTL X ^DD(509850.6,2.5,1,1,1.4)

                                1.1)= S X=DIV S X=DIV,X=X S X=X=1,Y(1)=X S X=1,Y(2)=X S X=1,Y(3)=X S X=0,X=$S(Y(1):Y(2),Y(3):X)

                                1.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,9)=DIV,DIH=509850.6,DIG=.09
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X
                                 S DIU=X K Y S X=DIV D TRIGCP^ACKQUTL X ^DD(509850.6,2.5,1,1,2.4)

                                2.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,9)=DIV,DIH=509850.6,DIG=.09
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""
                                3)= DO NOT DELETE!
                                CREATE VALUE)= D TRIGCP^ACKQUTL
                                DELETE VALUE)= D TRIGCP^ACKQUTL
                                FIELD)= #.09
                                The C AND P field triggers the appropriate value into the C AND P STATUS field.  



509850.6,2.6  CLINIC LOCATION        0;6 POINTER TO HOSPITAL LOCATION FILE (#44)

              Clinic Location   
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Enter the clinic location for this visit. 
              DESCRIPTION:      The CLINIC LOCATION field is a pointer to the HOSPITAL LOCATION file (#44).  Clinic location names
                                must match exactly with MAS clinic names set up in DHCP.  

              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^APCEC^MUMPS 
                                1)= D SETREF^ACKQUTL5(X,DA,"C")
                                2)= D KILLREF^ACKQUTL5(X,DA,"C")
                                3)= Do not Delete
                                This cross reference is only set when all four of the required fields (Visit Date, Patient, Clinic
                                Location and Visit Time) for this cross reference exist within the Visit File.  After the cross
                                reference has been set up, if any of the required fields are deleted the cross reference is
                                deleted.  If any of the required fields are amended the cross reference is deleted and reset with
                                the amended values.  


              CROSS-REFERENCE:  509850.6^AEXCLN^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updated the Last Edited in Quasar field which in turn may cause the visit to become a
                                PCE Exception.  



509850.6,2.7  SECONDARY PROVIDER     2.7;0 POINTER Multiple #509850.66 (Add New Entry without Asking)

              LAST EDITED:      NOV 04, 1999 

509850.66,.01   SECONDARY PROVIDER     0;1 POINTER TO A&SP STAFF FILE (#509850.3) (Multiply asked)

                INPUT TRANSFORM:S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")" D 
                                ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    If a secondary provider was involved with this visit, enter his or her name. 
                DESCRIPTION:    If more than one provider was involved in this exam, the name or names of the SECONDARY PROVIDER(S)
                                should be entered here.  In order to enter a provider in this field, the provider must already
                                exist in the A&SP STAFF file (#509850.3) and the ACTIVATION DATE and INACTIVATION DATE must
                                indicate that the selected provider is active on the date of the exam.  The SECONDARY PROVIDER
                                field can be left blank.  

                SCREEN:         S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")"
                EXECUTABLE HELP:I '$D(ACKVD) W !?5,"Input should take place ONLY through the QUASAR menu options.",!
                NOTES:          XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:509850.66^B 
                                1)= S ^ACK(509850.6,DA(1),2.7,"B",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,DA(1),2.7,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:509850.66^ST2^MUMPS 
                                1)= S ^ACK(509850.6,"ST",X,DA(1))=2
                                2)= K ^ACK(509850.6,"ST",X,DA(1))
                                3)= Do Not Delete
                                The ST subscript holds cross-references for all staff involved in this clinic visit.  Rather than
                                set the cross-reference equal to null, it is coded as to the position of the staff member.  
                                  
                                           1 = PRIMARY PROVIDER 
                                           2 = SECONDARY PROVIDER 
                                           3 = STUDENT 


                CROSS-REFERENCE:509850.66^AJ^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not Delete
                                Call to update send to PCE field with todays date, this in turn creates the cross reference used by
                                the overnight send to PCE process.  





509850.6,3    DIAGNOSTIC CODE        1;0 POINTER Multiple #509850.63 (Add New Entry without Asking)

              DESCRIPTION:
                                The DIAGNOSTIC CODE field is a pointer to the A&SP DIAGNOSTIC CONDITION file (#509850.1).  

              WRITE AUTHORITY:  ^

509850.63,.01   DIAGNOSTIC CODE        0;1 POINTER TO A&SP DIAGNOSTIC CONDITION FILE (#509850.1) (Multiply asked)

                Diagnostic Code   
                INPUT TRANSFORM:  S DIC("S")="I $D(ACKCSC),$$ICD^ACKQUT1(+Y,ACKVD,ACKCSC)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:      APR 26, 2012 
                HELP-PROMPT:      Enter an ICD code for this clinic visit. 
                SCREEN:           S DIC("S")="I $D(ACKCSC),$$ICD^ACKQUT1(+Y,ACKVD,ACKCSC)"
                EXPLANATION:      The diagnostic code must be active and consistent with the stop code.
                EXECUTABLE HELP:   
                NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:  509850.63^B 
                                  1)= S ^ACK(509850.6,DA(1),1,"B",$E(X,1,30),DA)=""
                                  2)= K ^ACK(509850.6,DA(1),1,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:  509850.63^AC^MUMPS 
                                  1)= D SEND^ACKQUTL5(DA(1))
                                  2)= D SEND^ACKQUTL5(DA(1))
                                  3)= Do not Delete
                                  This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                  PCE Exception.  



509850.63,.12   PRIMARY DIAGNOSIS      0;2 SET (Required)

                                  '1' FOR YES; 
                                  '0' FOR NO; 
                INPUT TRANSFORM:  I X=1,$$PRIMARY^ACKQASU5(DA(1),"") K X
                LAST EDITED:      JAN 08, 2008 
                HELP-PROMPT:      Select whether this was the Primary or a Secondary Diagnosis.  Note that each visit must have a 
                                  Primary Diagnosis and that it is only possible to allocate one Diagnosis as the Primary 
                                  Diagnosis. 
                DESCRIPTION:      This field indicates whether the Diagnosis is the Primary or a Secondary Diagnosis.  A Primary
                                  Diagnosis must be defined within each visit.  It is only possible to have one Primary Diagnosis. 

                NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:  509850.63^AC^MUMPS 
                                  1)= D SEND^ACKQUTL5(DA(1))
                                  2)= D SEND^ACKQUTL5(DA(1))
                                  3)= Do not Delete
                                  This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                  PCE Exception.  



509850.63,.13   UPDATE PCE PROBLEM LIST 0;3 SET (Required)

                                  '1' FOR YES; 
                                  '0' FOR NO; 
                LAST EDITED:      SEP 11, 2000 
                HELP-PROMPT:      Do you wish to update the PCE Problem List with this Diagnosis code. 
                DESCRIPTION:      If set to true the associated Diagnosis code will be transferred to the PCE Problem List along
                                  with the other Visit data.  


509850.63,.14   DIAGNOSIS PROVIDER     0;4 POINTER TO A&SP STAFF FILE (#509850.3) (Required)

                INPUT TRANSFORM:S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")" D 
                                ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    Enter the Provider associated with this Diagnosis. 
                SCREEN:         S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")"
                EXPLANATION:    Only valid Primary or Secondary Providers may be selected.
                NOTES:          XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:509850.63^AD^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not delete.
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.63,.15   *MODIFIER            0;15 FREE TEXT (Required)

                Modifier   
                INPUT TRANSFORM:D DCXFM^ACKQAS1
                LAST EDITED:    FEB 23, 1999 
                HELP-PROMPT:    Select a modifier for this diagnostic code. 
                DESCRIPTION:    The MODIFIER field contains the description of the ICD CM diagnostic code for this clinic visit.  
                                 
                                The MODIFIER field has been marked for deletion.  This field is not used by QUASAR V. 3.0. 
                                Eighteen months after the release of QUASAR 3.0, this field can be removed.  Any Modifiers defined
                                for  Diagnostic Codes pre version 3.0 will be retained for the integrity of historic data.  

                EXECUTABLE HELP: 
                NOTES:          XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER




509850.6,4    CLINIC STOP CODE       2;1 SET

              Clinic Stop Code   
                                'A' FOR AUDIOLOGY; 
                                'S' FOR SPEECH; 
                                'AT' FOR TELEPHONE AUDIOLOGY; 
                                'ST' FOR TELEPHONE SPEECH; 
              LAST EDITED:      MAY 12, 1999 
              HELP-PROMPT:        
              DESCRIPTION:      The CLINIC STOP CODE field contains A for Audiology, S for Speech Pathology, AT for an Audiology
                                Telephone visit and ST for Speech Telephone visit.  

              WRITE AUTHORITY:  ^

509850.6,4.01 TONE R500              4;1 NUMBER (Required)

              Tone R500   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:      The TONE R500 field indicates the patient's pure tone threshold at 500Hz.  The 500Hz threshold is
                                not currently used for evaluation, but is used in determining whether or not a ratable hearing loss
                                exists.  It is not included in the four-frequency average.  

              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^AMD^MUMPS 
                                1)= S X1=^ACK(509850.6,DA,0) S:'$D(ACKNAMD) ^ACK(509850.6,"AMD",+$P(X1,U,2),9999999-$P(X1,U),DA)=""
                                 K X1

                                2)= S X1=^ACK(509850.6,DA,0) K ^ACK(509850.6,"AMD",+$P(X1,U,2),9999999-$P(X1,U),DA),X1
                                3)= Do not delete
                                This cross-reference is in patient DFN, inverse date, and internal entry number order.  It is used
                                to easily locate the most recent audiometric data for a patient.  



509850.6,4.02 TONE R1000             4;2 NUMBER (Required)

              Tone R1000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE R1000 field indicates the pure tone threshold (Right) at 1000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.03 TONE R2000             4;3 NUMBER (Required)

              Tone R2000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE R2000 field indicates the pure tone threshold (Right) at 2000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.04 TONE R3000             4;4 NUMBER (Required)

              Tone R3000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE R3000 field indicates the pure tone threshold (Right) at 3000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.05 TONE R4000             4;5 NUMBER (Required)

              Tone R4000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE R4000 field indicates the pure tone threshold (Right) at 4000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.06 TONE R AVERAGE         4;6 NUMBER (Required)

              Tone R Average   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      DEC 17, 1998 
              HELP-PROMPT:      Type a Number between 0 and 105, 0 Decimal Digits 
              DESCRIPTION:      The TONE R AVERAGE field is the average pure tone threshold for this patient's right ear.  This
                                indicates the average of the 1000, 2000, 3000 and 4000Hz scores for the right ear.  
                                  
                                This is a computed field.  If the package options are used to enter the 1000 to 4000Hz threshold
                                values, this field is computed and filled in by the QUASAR software.  

              EXECUTABLE HELP:  W !?5,"This field is automatically filled in by the package.",!
              WRITE AUTHORITY:  ^

509850.6,4.07 TONE L500              4;7 NUMBER (Required)

              Tone L500   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:      The TONE L500 field indicates the patient's pure tone threshold at 500Hz.  The 500Hz threshold is
                                not currently used for evaluation, but is used in determining whether or not a ratable hearing loss
                                exists.  It is not included in the four-frequency average.  

              WRITE AUTHORITY:  ^

509850.6,4.08 TONE L1000             4;8 NUMBER (Required)

              Tone L1000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE L1000 field indicates the pure tone threshold (Left) at 1000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.09 TONE L2000             4;9 NUMBER (Required)

              Tone L2000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE L2000 field indicates the pure tone threshold (Left) at 2000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.1  TONE L3000             4;10 NUMBER (Required)

              Tone L3000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE L3000 field indicates the pure tone threshold (Left) at 3000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.11 TONE L4000             4;11 NUMBER (Required)

              Tone L4000   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<-10)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Type a Number between -10 and 105, 0 Decimal Digits 
              DESCRIPTION:
                                The TONE L4000 field indicates the pure tone threshold (Left) at 4000Hz for this patient.  

              WRITE AUTHORITY:  ^

509850.6,4.12 TONE L AVERAGE         4;12 NUMBER (Required)

              Tone L Average   
              INPUT TRANSFORM:  K:+X'=X!(X>105)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      DEC 17, 1998 
              HELP-PROMPT:      Type a Number between 0 and 105, 0 Decimal Digits 
              DESCRIPTION:      The TONE L AVERAGE field is the average pure tone threshold for this patient's left ear.  This
                                indicates the average of the 1000, 2000, 3000 and 4000Hz scores for the left ear.  
                                  
                                This is a computed field.  If the package options are used to enter the 1000 to 4000Hz threshold
                                values, this field is computed and filled in by the QUASAR software.  

              EXECUTABLE HELP:  W !?5,"This field is automatically filled in by the package.",!
              WRITE AUTHORITY:  ^

509850.6,4.13 CNC R                  4;13 NUMBER

              CNC Right   
              INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Enter a number between 0 and 100 without the % symbol. 
              DESCRIPTION:      The CNC R field contains the patient's (Right) word recognition score for Maryland CNC material. 
                                This score is a percentage between 0 and 100.  

              WRITE AUTHORITY:  ^

509850.6,4.14 CNC L                  4;14 NUMBER

              CNC Left   
              INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Enter a number between 0 and 100 without the % symbol. 
              DESCRIPTION:      The CNC L field contains the patient's (Left) word recognition score for Maryland CNC material. 
                                This score is a percentage between 0 and 100.  

              WRITE AUTHORITY:  ^

509850.6,4.15 W22 R                  4;15 NUMBER

              W22 Right   
              INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Enter a number between 0 and 100 without the % symbol. 
              DESCRIPTION:      The W22 R field contains the patient's (Right) word recognition score for CID W-22 material.  This
                                score is a percentage between 0 and 100.  

              WRITE AUTHORITY:  ^

509850.6,4.16 W22 L                  4;16 NUMBER

              W22 Left   
              INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Enter a number between 0 and 100 without the % symbol. 
              DESCRIPTION:      The W22 L field contains the patient's (Left) word recognition score for CID W-22 material.  This
                                score is a percentage between 0 and 100.  

              WRITE AUTHORITY:  ^

509850.6,4.17 SIGNATURE              4;17 FREE TEXT

              Signature   
              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              LAST EDITED:      MAY 01, 2007 
              HELP-PROMPT:      Your answer must be 3 to 30 characters in length. 
              DESCRIPTION:      For C&P exams, the SIGNATURE field contains the electronic signature of the audiologist who
                                completed the exam.  When the exam is signed, it is released for adequation by the supervisor. 
                                Clinicians and adequators must have an electronic signature provided by IRM or selected through the
                                Edit Electronic Signature Code option on the User's Toolbox menu in the user's secondary DHCP menu. 
                                The signature field is not displayed for routine exams.  

              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  ^^TRIGGER^509850.6^.09 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X
                                 S DIU=X K Y S X=DIV D TRIGCP^ACKQUTL X ^DD(509850.6,4.17,1,1,1.4)

                                1.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,9)=DIV,DIH=509850.6,DIG=.09
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X
                                 S DIU=X K Y S X=DIV D TRIGCP^ACKQUTL X ^DD(509850.6,4.17,1,1,2.4)

                                2.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,9)=DIV,DIH=509850.6,DIG=.09
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""
                                3)= DO NOT DELETE!
                                CREATE VALUE)= D TRIGCP^ACKQUTL
                                DELETE VALUE)= D TRIGCP^ACKQUTL
                                FIELD)= #.09
                                The SIGNATURE field triggers the appropriate value into the C&P STATUS field.  



509850.6,4.18 DATE SIGNED            4;18 DATE

              Date Signed   
              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      MAY 01, 2007 
              HELP-PROMPT:      Enter the date and time that the electronic signature was entered. 
              DESCRIPTION:      For C&P exams, the DATE SIGNED field contains the date that the electronic signature was entered,
                                thereby releasing the C&P exam for adequation.  The DATE SIGNED field is not displayed for routine
                                exams.  

              WRITE AUTHORITY:  ^

509850.6,4.19 ADEQUATED BY           4;19 FREE TEXT

              Adequated By   
              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              LAST EDITED:      JUL 25, 1995 
              HELP-PROMPT:      Your answer must be 3 to 30 characters in length. 
              DESCRIPTION:      The ADEQUATED BY field contains the electronic signature of the audiologist who adequated the
                                clinic visit.  Only an adequator designated as a supervisor in the A&SP STAFF file (#509850.3) can
                                adequate a C&P exam for other clinicians.  Clinicians may adequate there own C&P exams.  
                                  
                                Adequators must have an electronic signature provided by IRM or selected through the Edit
                                Electronic Signature Code option on the User's Toolbox menu in the user's secondary DHCP menu.  The
                                signature field is not displayed for routine exams.  Adequated exams can be printed and/or released
                                to the AMIE package.  

              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  ^^TRIGGER^509850.6^.09 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X
                                 S DIU=X K Y S X=DIV D TRIGCP^ACKQUTL X ^DD(509850.6,4.19,1,1,1.4)

                                1.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,9)=DIV,DIH=509850.6,DIG=.09
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^ACK(509850.6,D0,0)):^(0),1:"") S X=$P(Y(1),U,9),X=X
                                 S DIU=X K Y S X=DIV D TRIGCP^ACKQUTL X ^DD(509850.6,4.19,1,1,2.4)

                                2.4)= S DIH=$S($D(^ACK(509850.6,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,9)=DIV,DIH=509850.6,DIG=.09
                                 D ^DICR:$O(^DD(DIH,DIG,1,0))'=""
                                3)= DO NOT DELETE!
                                CREATE VALUE)= D TRIGCP^ACKQUTL
                                DELETE VALUE)= D TRIGCP^ACKQUTL
                                FIELD)= #.09
                                The ADEQUATED BY field triggers the appropriate value into the C&P STATUS field.  



509850.6,4.2  DATE ADEQUATED         4;20 DATE

              Date Adequated   
              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JUL 25, 1995 
              HELP-PROMPT:      Enter the date and time that the electronic signature was entered. 
              DESCRIPTION:      The DATE ADEQUATED field contains the date that the electronic signature was entered for the
                                adequation of this C&P exam.  

              WRITE AUTHORITY:  ^

509850.6,4.21 *NU6 R                 4;21 NUMBER

              NU6 Right   
              INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      DEC 14, 1995 
              HELP-PROMPT:      Enter a number between 0 and 100 with 0 decimal digits. 
              DESCRIPTION:      The NU6 R field contains the patient's (Right) word recognition score for NU-6 material.  This
                                score is a percentage between 0 and 100.  
                                  
                                The NU6 R field has been marked for deletion.  This field is not used by QUASAR V. 2.0.  Eighteen
                                months after the release of QUASAR 2.0, this field can be removed.  

              WRITE AUTHORITY:  ^

509850.6,4.22 *NU6 L                 4;22 NUMBER

              NU6 Left   
              INPUT TRANSFORM:  K:+X'=X!(X>100)!(X<0)!(X?.E1"."1N.N) X
              LAST EDITED:      DEC 14, 1995 
              HELP-PROMPT:      Enter a number between 0 and 100 with 0 decimal digits. 
              DESCRIPTION:      The NU6 L field contains the patient's (Left) word recognition score for NU-6 material.  This score
                                is a percentage between 0 and 100.  
                                  
                                The NU6 L field has been marked for deletion.  This field is not used by QUASAR V. 2.0.  Eighteen
                                months after the release of QUASAR 2.0, this field can be removed.  

              WRITE AUTHORITY:  ^

509850.6,4.23 DATE OF AUDIOMETRIC TESTING 4;23 DATE

              Date of Audiometric Testing   
              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Enter the date that audiometric testing was done. 
              DESCRIPTION:      When audiometric data are pulled from a past visit (i.e., testing is not done on the current date),
                                the DATE OF AUDIOMETRIC TESTING field is filled with the date when actual testing was done.  

              WRITE AUTHORITY:  ^

509850.6,4.24 COMPLETER TITLE        4;24 FREE TEXT

              Completer Title   
              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              LAST EDITED:      MAY 01, 2007 
              HELP-PROMPT:      Your answer must be 3 to 30 characters in length. 
              DESCRIPTION:      For C&P exams, the COMPLETER TITLE field contains the title of the audiologist who completed the
                                exam.  QUASAR fills in this field from the SIGNATURE BLOCK TITLE in the NEW PERSON file (#200). 
                                SIGNATURE BLOCK TITLE can be entered by IRM or through the Edit Electronic Signature Code option on
                                the User's Toolbox menu in the user's secondary DHCP menu.  The title field is not displayed for
                                routine exams.  

              WRITE AUTHORITY:  ^

509850.6,4.25 ADEQUATOR TITLE        4;25 FREE TEXT

              Adequator Title   
              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
              LAST EDITED:      APR 02, 1996 
              HELP-PROMPT:      Your answer must be 3 to 30 characters in length. 
              DESCRIPTION:      For C&P exams, the ADEQUATOR TITLE field contains the title of the audiologist who adequated the
                                clinic visit.  QUASAR fills in this field from the SIGNATURE BLOCK TITLE in the NEW PERSON file
                                (#200).  SIGNATURE BLOCK TITLE can be entered by IRM or through the Edit Electronic Signature Code
                                option on the User's Toolbox menu in the user's secondary DHCP menu.  The title field is not
                                displayed for routine exams.  

              WRITE AUTHORITY:  ^

509850.6,5    CDR ACCOUNT            2;2 POINTER TO CDR ACCOUNT FILE (#509850)

              CDR Account   
              INPUT TRANSFORM:  S DIC("S")="I $P(^(0),U,5)=1" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      APR 30, 2007 
              HELP-PROMPT:      Enter the CDR account number for this exam. 
              DESCRIPTION:
                                The CDR ACCOUNT field contains the CDR account number to be credited with this clinic visit.  

              SCREEN:           S DIC("S")="I $P(^(0),U,5)=1"
              EXPLANATION:      The CDR account must be active.
              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^ATCAT^MUMPS 
                                1)= S ACKCAT=$E(^ACK(509850,X,0),1,2),ACKMO=$E(^ACK(509850.6,DA,0),1,5)_"00",$P(^(ACKCAT),U)=$S($D(
                                ^ACK(509850.6,"ATCAT",ACKMO,ACKCAT)):^(ACKCAT)+1,1:1)

                                2)= S ACKCAT=$E(^ACK(509850,X,0),1,2),ACKMO=$E(^ACK(509850.6,DA,0),1,5)_"00" S:$D(^ACK(509850.6,"AT
                                CAT",ACKMO,ACKCAT)) $P(^(ACKCAT),U)=^(ACKCAT)-1 K:$S($D(^(ACKCAT)):'^(ACKCAT),1:0) ^(ACKCAT) K ACKC
                                AT,ACKMO
                                3)= DO NOT DELETE!
                                This cross reference is ordered by FileMan internal date (year and month), followed by the first
                                two digits of the CDR account number.  The cross-reference is used to store an incremental count of
                                the visits for the month/CDR category.  


              CROSS-REFERENCE:  509850.6^ATCDR^MUMPS 
                                1)= S ACKCDR=+^ACK(509850,X,0),ACKMO=$E(^ACK(509850.6,DA,0),1,5)_"00",$P(^(ACKCDR),U)=$S($D(^ACK(50
                                9850.6,"ATCDR",ACKMO,ACKCDR)):^(ACKCDR)+1,1:1) K ACKMO,ACKCDR

                                2)= S ACKCDR=+^ACK(509850,X,0),ACKMO=$E(^ACK(509850.6,DA,0),1,5)_"00" S:$D(^ACK(509850.6,"ATCDR",AC
                                KMO,ACKCDR)) $P(^(ACKCDR),U)=^(ACKCDR)-1 K:$S($D(^(ACKCDR)):'^(ACKCDR),1:0) ^(ACKCDR) K ACKMO,ACKCD
                                R
                                3)= DO NOT DELETE!
                                This cross reference is ordered by FileMan internal date (year and month), followed by the full CDR
                                account number (without trailing ".00").  The cross-reference is used to store an incremental count
                                of the visits for the month and CDR account number.  


              CROSS-REFERENCE:  509850.6^ADCI^MUMPS 
                                1)= S ^ACK(509850.6,"ADCI",$E($P(^ACK(509850.6,DA,0),U),1,5)_"00",X,DA)=""
                                2)= K ^ACK(509850.6,"ADCI",$E($P(^ACK(509850.6,DA,0),U),1,5)_"00",X,DA)
                                3)= DO NOT DELETE!
                                This cross-reference identifies the date (internal FileMan year and month), CDR number (pointer to
                                the CDR ACCOUNT file (#509850)), and internal entry number for each clinic visit.  



509850.6,6    PRIMARY PROVIDER       2;3 POINTER TO A&SP STAFF FILE (#509850.3)

              Primary Provider   
              INPUT TRANSFORM:  S DIC("S")="I $D(ACKVD),'$$STACT^ACKQUTL(+Y,ACKVD)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Enter the name of the Primary Provider who saw the patient. 
              DESCRIPTION:      The PRIMARY PROVIDER field contains the name of the primary A&SP Provider who participated in this
                                exam.  In order to enter a Provider in this field, the Provider must already exist in the A&SP
                                STAFF file (#509850.3) and the ACTIVATION DATE and INACTIVATION DATE must indicate that the 
                                selected Provider is active on the date of the exam.  
                                  
                                Credit for a clinic visit is always credited to the Primary Provider. If you want credit be given
                                to the SECONDARY PROVIDER or STUDENT, then you should enter ONLY the name of the provider who will
                                get the credit.  For example, if a health technician provides care and will get credit for the 
                                visit, the health technician's name should be entered in the SECONDARY PROVIDER field.  All other
                                fields should be left blank.  

              SCREEN:           S DIC("S")="I $D(ACKVD),'$$STACT^ACKQUTL(+Y,ACKVD)"
              EXPLANATION:      Only A&SP PRIMARY PROVIDERS who are ACTIVE on the VISIT DATE can be selected.
              EXECUTABLE HELP:  I '$D(ACKVD) W !?5,"Input should take place ONLY through the QUASAR menu options.",!
              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^ST1^MUMPS 
                                1)= S ^ACK(509850.6,"ST",X,DA)=1
                                2)= K ^ACK(509850.6,"ST",X,DA)
                                3)= DO NOT DELETE!
                                The ST subscript holds cross-references for all staff involved in this clinic visit.  Rather than
                                set the cross-reference equal to null, it is coded as to the position of the staff member.  
                                 
                                           1 = PRIMARY PROVIDER 
                                           2 = SECONDARY PROVIDER 
                                           3 = STUDENT 


              CROSS-REFERENCE:  509850.6^AI^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,6.5  PCE ERROR              6.5;0 Multiple #509850.65 (Add New Entry without Asking)

              LAST EDITED:      JUL 02, 1999 
              DESCRIPTION:      This multiple contains any error messages returned by PCE when this visit was transmitted via the
                                Interface to PCE. The multiple contains the name of the field in error, the internal value of the
                                field, the external value of the field (where possible) and the text of the error message.  


509850.65,.01   PCE ERROR              0;1 NUMBER (Multiply asked)

                INPUT TRANSFORM:  K:+X'=X!(X>999999)!(X<1)!(X?.E1"."1N.N) X S:$D(X) DINUM=X
                LAST EDITED:      JUL 02, 1999 
                HELP-PROMPT:      Type a Number between 1 and 999999, 0 Decimal Digits 
                NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:  509850.65^B 
                                  1)= S ^ACK(509850.6,DA(1),6.5,"B",$E(X,1,30),DA)=""
                                  2)= K ^ACK(509850.6,DA(1),6.5,"B",$E(X,1,30),DA)


509850.65,.02   PCE FIELD NAME         0;2 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
                LAST EDITED:      JUL 02, 1999 
                HELP-PROMPT:      Answer must be 1-25 characters in length. 
                DESCRIPTION:      This is the name of the field as defined in the array passed across to PCE.  Examples of this
                                  field are: ENC D/T=Visit Date/Time, PATIENT=Patient, HOS LOC=Clinic, PROCEDURE=Procedure CPT,
                                  DIAGNOSIS=Diagnosis ICD.  


509850.65,.03   PCE FIELD INTERNAL VALUE 0;3 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
                LAST EDITED:      JUL 02, 1999 
                HELP-PROMPT:      Answer must be 1-25 characters in length. 
                DESCRIPTION:      This is the internal value of the field, that was passed to PCE and caused the error message.  
                                  The type for this field will obviously depend on the value of PCE FIELD NAME.  For instance, if
                                  field name is ENC D/T (Visit Date/Time) then this field will contain an internal Fileman
                                  Date/Time value. If the field name is PATIENT then this field will contain the pointer to the
                                  PATIENT File.  


509850.65,.04   PCE FIELD EXTERNAL VALUE 0;4 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
                LAST EDITED:      JUL 02, 1999 
                HELP-PROMPT:      Answer must be 1-25 characters in length. 
                DESCRIPTION:      This field contains the External value of the field that was rejected by PCE.  As with the
                                  Internal Value field, the type of value in this field will depend on the PCE FIELD NAME that
                                  caused the error.  If the PCE FIELD NAME is ENC D/T then this field will contain the external 
                                  value of the Visit Date/Time. If the PCE FIELD NAME is PATIENT then this field will contain the
                                  Patient Name.  It is not always possible to determine the external value of the PCE FIELD NAME
                                  and so in some cases this field will be blank.  


509850.65,1     PCE ERROR MESSAGE      1;1 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>200!($L(X)<1) X
                LAST EDITED:      JUL 02, 1999 
                HELP-PROMPT:      Answer must be 1-200 characters in length. 
                DESCRIPTION:      This field contains the text of the error message returned by PCE. The text in this field comes
                                  directly from PCE and has not been generated in Quasar.  




509850.6,7    STUDENT                2;4 POINTER TO A&SP STAFF FILE (#509850.3)

              Student   
              INPUT TRANSFORM:  S DIC("S")="I $D(ACKVD),$$STACT^ACKQUTL(+Y,ACKVD)=-2" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      If a student was involved with this visit, enter the student's name. 
              DESCRIPTION:      If a student or trainee participated in this exam, the name of the STUDENT should be entered here. 
                                In order to enter a student in this field, the student must already exist in the A&SP STAFF file 
                                (#509850.3), be designated as a student, and the ACTIVATION DATE and INACTIVATION DATE must
                                indicate that the selected student is active on the date of the exam.  
                                  
                                QUASAR assumes that students are supervised 100% of the time. 

              SCREEN:           S DIC("S")="I $D(ACKVD),$$STACT^ACKQUTL(+Y,ACKVD)=-2"
              EXPLANATION:      Only STUDENTS who are ACTIVE on the VISIT DATE can be selected.
              EXECUTABLE HELP:  I '$D(ACKVD) W !?5,"Input should take place ONLY through the QUASAR menu options.",!
              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^ST3^MUMPS 
                                1)= S ^ACK(509850.6,"ST",X,DA)=3
                                2)= K ^ACK(509850.6,"ST",X,DA)
                                3)= DO NOT DELETE!
                                The ST subscript holds cross-references for all staff involved in this clinic visit.  Rather than
                                set the cross-reference equal to null, it is coded as to the position of the staff member.  
                                  
                                           1 = CLINICIAN 
                                           2 = SECOND CLINICIAN 
                                           3 = STUDENT 
                                           4 = OTHER PROVIDER 


              CROSS-REFERENCE:  509850.6^AK^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,8    *OTHER PROVIDER        2;8 POINTER TO A&SP STAFF FILE (#509850.3)

              Other Provider   
              INPUT TRANSFORM:  S DIC("S")="I $D(ACKVD),$$STACT^ACKQUTL(+Y,ACKVD)=-6" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      FEB 19, 1999 
              HELP-PROMPT:      If an health technician was involved with this visit, enter his or her name. 
              DESCRIPTION:      The OTHER PROVIDER field contains the name of the health technician who participated in this exam. 
                                In order to enter a name in this field, the person must already exist in the A&SP STAFF file
                                (#509850.3) and the ACTIVATION DATE and INACTIVATION DATE must indicate that the selected
                                individual is active on the date of the exam.  
                                 
                                The OTHER PROVIDER field has been marked for deletion.  This field is not used by QUASAR V. 3.0. 
                                Eighteen months after the release of QUASAR 3.0, this field can be removed.  

              SCREEN:           S DIC("S")="I $D(ACKVD),$$STACT^ACKQUTL(+Y,ACKVD)=-6"
              EXPLANATION:      Only OTHER PROVIDERS who are ACTIVE on the VISIT DATE can be selected.
              EXECUTABLE HELP:  I '$D(ACKVD) W !?5,"Input should take place ONLY through the QUASAR menu options.",!
              WRITE AUTHORITY:  ^
              CROSS-REFERENCE:  509850.6^ST4^MUMPS 
                                1)= S ^ACK(509850.6,"ST",X,DA)=4
                                2)= K ^ACK(509850.6,"ST",X,DA)
                                3)= DO NOT DELETE!
                                The ST subscript holds cross-references for all staff involved in this clinic visit.  Rather than
                                set the cross-reference equal to null, it is coded as to the position of the staff member.  
                                  
                                           1 = CLINICIAN 
                                           2 = SECOND CLINICIAN 
                                           3 = STUDENT 
                                           4 = OTHER PROVIDER 



509850.6,9    *DISPOSITION           2;6 FREE TEXT

              Disposition   
              INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
              LAST EDITED:      FEB 19, 1999 
              HELP-PROMPT:      Your answer must be 3 to 80 characters in length. 
              DESCRIPTION:      The DISPOSITION field permits you to enter free text data (up to 80 characters).  You can code any
                                data in this field such as clinic outcomes, pre and/or post test data, patient satisfaction, or any
                                other numerical data.  This data field can be sorted using FileMan in the Tailor-Made A&SP Reports
                                option on the A&SP Reports menu.  
                                 
                                The DISPOSITION field has been marked for deletion.  This field is not used by QUASAR V. 3.0. 
                                Eighteen months after the release of QUASAR 3.0, this field can be removed.  

              WRITE AUTHORITY:  ^

509850.6,10   PROCEDURE CODE         3;0 POINTER Multiple #509850.61 (Add New Entry without Asking)

              DESCRIPTION:
                                The PROCEDURE CODE field contains CPT-4 procedure codes and modifiers, if any, for this exam.  

              WRITE AUTHORITY:  ^

509850.61,.01   PROCEDURE CODE         0;1 POINTER TO A&SP PROCEDURE CODE FILE (#509850.4) (Multiply asked)

                Procedure Code   
                INPUT TRANSFORM:S DIC("S")="I $D(ACKCSC),'$G(ACKEVENT),$$CPT^ACKQUT1(+Y,ACKVD,ACKCSC)" S DIC("W")="" D ^DIC K DIC S
                                 DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    Enter a CPT procedure code for this visit. 
                DESCRIPTION:    The PROCEDURE CODE field contains a CPT procedure code for this exam.  QUASAR accepts multiple
                                CPT-4 codes and displays a sequential count of entered procedures.  QUASAR allows the same CPT-4
                                code to be entered more than once if the second and subsequent codes are enclosed in quotation
                                marks (e.g., "92507").  If this is not done, QUASAR assumes that the entry is a mistake and
                                displays the entered code followed by double slant bars (e.g., 92507//).  This signals you that
                                this code has already been entered for this visit.  

                SCREEN:         S DIC("S")="I $D(ACKCSC),'$G(ACKEVENT),$$CPT^ACKQUT1(+Y,ACKVD,ACKCSC)" S DIC("W")=""
                EXPLANATION:    The CPT code must be active and consistent with the stop code.
                NOTES:          XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:509850.61^B 
                                1)= S ^ACK(509850.6,DA(1),3,"B",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,DA(1),3,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:509850.61^AC^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not Delete
                                This index updates the Last Edited in Quasar field. This in turn may cause the visit to become a
                                PCE Exception.  


                CROSS-REFERENCE:509850.6^AD^MUMPS 
                                1)= Q
                                2)= D KILLEC^ACKQUTL5(DA,DA(1))
                                3)= Do not Delete.
                                If the CPT code was set up via the input of an EC code and the CPT is being deleted the EC code
                                also requires deleting.  



509850.61,.02   *MODIFIER            0;2 FREE TEXT

                Modifier   
                INPUT TRANSFORM:K:X'?1A X I $D(X) D PCXFM^ACKQAS1
                LAST EDITED:    OCT 16, 2000 
                HELP-PROMPT:    Your answer must be 1 character in length. 
                DESCRIPTION:    The MODIFIER field contains the letter modifiers for some CPT-4 procedure codes.  The CPT-4 code
                                set does not provide codes to describe the full scope and complexity of procedures performed by
                                audiologists and speech-language pathologists.  Recognizing this deficiency, modifiers are provided
                                to more fully describe procedures or to provide procedures where none exist.  
                                 
                                The MODIFIER field has been marked for deletion.  This field is not used by QUASAR V. 3.0. 
                                Eighteen months after the release of QUASAR 3.0, this field can be removed.  Any Modifiers already
                                defined for Procedure codes pre Version 3.0 will however be retained for the integrity of historic
                                data.  

                EXECUTABLE HELP: 
                NOTES:          XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


509850.61,.03   VOLUME               0;3 NUMBER (Required)

                PROCEDURE COUNT   
                INPUT TRANSFORM:K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    How many times was the procedure performed. Enter 1-99. 
                DESCRIPTION:    A procedure may be carried out multiple times during a visit.  The volume field allows the user to
                                specify how many times each procedure was performed.  

                CROSS-REFERENCE:509850.61^AD^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not Delete
                                This index updates the Last Edited in Quasar field. This in turn may cause the visit to become a
                                PCE Exception.  


                CROSS-REFERENCE:509850.61^AE^MUMPS 
                                1)= D CPVOLPRV^ACKQUTL5(DA,DA(1),X,"V","S")
                                2)= D CPVOLPRV^ACKQUTL5(DA,DA(1),X,"V","D")
                                3)= Do not Delete.
                                If this CPT record contains a reference to a EC record the value entered within this field is
                                automatically updated to the associated EC field.  



509850.61,.04   CPT MODIFIER         1;0 POINTER Multiple #509850.64 (Add New Entry without Asking)


509850.64,.01     CPT MODIFIER         0;1 POINTER TO A&SP PROCEDURE MODIFIER FILE (#509850.5) (Multiply asked)

                  INPUT TRANSFORM:S DIC("S")="D:'$D(ACKMOD(ACKPC)) MOD^ACKQUTL5  I $D(ACKMOD(ACKPC,Y))" D MODW^ACKQUTL5 D ^DIC K DI
                                C S DIC=DIE,X=+Y K:Y<0 X
                  LAST EDITED:  JAN 08, 2008 
                  HELP-PROMPT:  Enter a Modifier code(s) for the selected Procedure. 
                  DESCRIPTION:  This allows for a more specific description of the procedure than is possible using just the CPT
                                Procedure Codes.  

                  SCREEN:       S DIC("S")="D:'$D(ACKMOD(ACKPC)) MOD^ACKQUTL5  I $D(ACKMOD(ACKPC,Y))" D MODW^ACKQUTL5
                  EXPLANATION:  Only valid Modifiers for the selected Procedure that are marked as active on the A&SP CPT Modifiers
                                 File are available for selection.
                  NOTES:        XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                  CROSS-REFERENCE:509850.64^B 
                                1)= S ^ACK(509850.6,DA(2),3,DA(1),1,"B",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,DA(2),3,DA(1),1,"B",$E(X,1,30),DA)

                  CROSS-REFERENCE:509850.64^AC^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(2))
                                2)= D SEND^ACKQUTL5(DA(2))
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  





509850.61,.05   PROCEDURE PROVIDER   0;4 POINTER TO A&SP STAFF FILE (#509850.3)

                  INPUT TRANSFORM:S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")" 
                                D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                  LAST EDITED:  JAN 08, 2008 
                  HELP-PROMPT:  Enter the Provider who carried out this Procedure. 
                  SCREEN:       S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")"
                  EXPLANATION:  Only Fee Basis Clinicians, Clinicians or Other Providers are valid values.
                  CROSS-REFERENCE:509850.6^AE^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not delete
                                This index updates the Last Edited in Quasar field. This in turn may cause the visit to become a
                                PCE Exception.  


                  CROSS-REFERENCE:509850.61^AF^MUMPS 
                                1)= D CPVOLPRV^ACKQUTL5(DA,DA(1),X,"P","S")
                                2)= D CPVOLPRV^ACKQUTL5(DA,DA(1),X,"P","D")
                                3)= Do not Delete.
                                If this CPT record contains a reference to a EC record the value entered within this field is
                                automatically updated to the associated EC field.  



509850.61,.07   EVENT CAPTURE CODE POINTER 0;5 NUMBER

                  INPUT TRANSFORM:K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
                  LAST EDITED:  OCT 06, 2000 
                  HELP-PROMPT:  Type a Number between 1 and 999, 0 Decimal Digits 
                  DESCRIPTION:
                                This value is a pointer to this CPT entries corresponding EC entry.  




509850.6,15   EVENT CAPTURE PROCEDURE 7;0 POINTER Multiple #509850.615 (Add New Entry without Asking)

              LAST EDITED:      OCT 03, 2000 

509850.615,.01  EVENT CAPTURE PROCEDURE 0;1 POINTER TO EC NATIONAL PROCEDURE FILE (#725) (Multiply asked)

                INPUT TRANSFORM:S DIC("S")="I $D(ACKVD),$D(ACKCSC),$G(ACKEVENT),$$CHK^ACKQUTL5(+Y,ACKVD,ACKCSC)" S DIC("W")="W ?42,
                                ""  ""_$P(^EC(725,+Y,0),U,2)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    Enter an Event Capture Procedure code. 
                DESCRIPTION:
                                Procedures performed during this QUASAR encounter as defined by Event Capture codes.  

                SCREEN:         S DIC("S")="I $D(ACKVD),$D(ACKCSC),$$CHK^ACKQUTL5(+Y,ACKVD,ACKCSC)"
                EXPLANATION:    Only active Audiology & Speech Pathology codes with associated CPT codes are valid.
                NOTES:          XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

                CROSS-REFERENCE:509850.615^B 
                                1)= S ^ACK(509850.6,DA(1),7,"B",$E(X,1,30),DA)=""
                                2)= K ^ACK(509850.6,DA(1),7,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:509850.6^AC^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not Delete
                                This index updates the Last Edited in Quasar field. This in turn may cause the visit to become a
                                PCE Exception.  


                CROSS-REFERENCE:509850.6^AO^MUMPS 
                                1)= D SETCPT^ACKQUTL5(DA,DA(1),X)
                                2)= D KILLCPT^ACKQUTL5(DA,DA(1))
                                3)= Do not Delete.
                                Sets up corresponding CPT Procedure entry when an Event Capture Code is created. If EC code is
                                deleted this cross reference will delete the CPT node the EC entry is pointing to.  



509850.615,.03  VOLUME               0;2 NUMBER (Required)

                INPUT TRANSFORM:K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    Type a Number between 1 and 99, 0 Decimal Digits 
                DESCRIPTION:    A procedure may be carried out multiple times during a visit.  The volume field allows the user to
                                specify how many times each procedure was performed.  

                CROSS-REFERENCE:509850.6^AD^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not delete
                                This index updates the Last Edited in Quasar field. This in turn may cause the visit to become a
                                PCE Exception.  


                CROSS-REFERENCE:509850.6^AQ^MUMPS 
                                1)= D ECVOLPRV^ACKQUTL5(DA,DA(1),X,"V","S")
                                2)= D ECVOLPRV^ACKQUTL5(DA,DA(1),X,"V","D")
                                3)= Do not Delete.
                                If this Event Capture record contains a reference to a CPT record the value entered within this
                                field is automatically updated to the associated CPT field.  



509850.615,.05  EC PROCEDURE PROVIDER 0;3 POINTER TO A&SP STAFF FILE (#509850.3)

                INPUT TRANSFORM:S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")" D 
                                ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                LAST EDITED:    JAN 08, 2008 
                HELP-PROMPT:    Enter the Provider who carried out this Event Capture Procedure. 
                DESCRIPTION:
                                This is the Provider who carried out this Event Capture Procedure.  

                SCREEN:         S DIC("S")="I $D(ACKVD) S ACKVALSC=$$STACT^ACKQUTL(+Y,ACKVD) I ACKVALSC=""0""!(ACKVALSC=""-6"")"
                EXPLANATION:    Only Fee Basis Clinicians, Clinicians or Other Providers are valid entries.
                CROSS-REFERENCE:509850.6^AE^MUMPS 
                                1)= D SEND^ACKQUTL5(DA(1))
                                2)= D SEND^ACKQUTL5(DA(1))
                                3)= Do not Delete
                                This index updates the Last Edited in Quasar field. This in turn may cause the visit to become a
                                PCE Exception.  


                CROSS-REFERENCE:509850.6^AG^MUMPS 
                                1)= D ECVOLPRV^ACKQUTL5(DA,DA(1),X,"P","S")
                                2)= D ECVOLPRV^ACKQUTL5(DA,DA(1),X,"P","D")
                                3)= Do not Delete.
                                If this Event Capture record contains a reference to a CPT record the value entered within this
                                field is automatically updated to the associated CPT field.  



509850.615,.07  CPT CODE POINTER     0;4 NUMBER

                INPUT TRANSFORM:K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
                LAST EDITED:    OCT 06, 2000 
                HELP-PROMPT:    Type a Number between 1 and 999, 0 Decimal Digits 
                DESCRIPTION:
                                This value is a pointer to this EC entries corresponding CPT entry.  




509850.6,20   SERVICE CONNECTED      5;3 SET (Required)

                  
                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Was care for Service Connected Condition ?                                 Enter YES or NO 
              DESCRIPTION:      This prompt allows the user to indicate if the visit is Service Connected or not.  If the visit is
                                not Service Connected the user may be prompted for additional information relating to Agent Orange,
                                Radiation and Environmental Contaminants.  

              EXECUTABLE HELP:  D RATDIS^ACKQNQ W !!
              CROSS-REFERENCE:  509850.6^AE^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,25   AGENT ORANGE           5;4 SET (Required)

                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Was care related to Agent Orange Exposure ?                                Enter YES or NO 
              DESCRIPTION:
                                Is this visit related to Agent Orange Exposure.  

              CROSS-REFERENCE:  509850.6^AF^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,30   RADIATION              5;5 SET (Required)

                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Was care related to Ionizing Radiation Exposure ?                          Enter YES or NO 
              DESCRIPTION:
                                Is this visit related to Radiation Exposure.  

              CROSS-REFERENCE:  509850.6^AG^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,35   ENVIRONMENTAL CONTAMINANTS 5;6 SET (Required)

                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Was care related to Environmental Contaminants Exposure ?                 Enter YES or NO 
              DESCRIPTION:
                                Is this visit related to Environmental Contaminants exposure.  

              CROSS-REFERENCE:  509850.6^AH^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,40   HEAD AND/OR NECK CANCER 5;9 SET (Required)

                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      JUN 24, 2010 
              HELP-PROMPT:      Was care related to Head and/or Neck Cancer? 
              DESCRIPTION:
                                Indicates whether or not the visit is related to Head and/or Neck Cancer.  


509850.6,45   COMBAT RELATED         5;10 SET (Required)

                                '0' FOR NO; 
                                '1' FOR YES; 
              LAST EDITED:      JUN 24, 2010 
              HELP-PROMPT:      Was care related to Combat? 
              DESCRIPTION:
                                Indicates whether or not the visit is related to Combat.  


509850.6,55   APPOINTMENT TIME       5;8 FREE TEXT (Required)

              INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X I $D(X) S X=$$DATACHEK^ACKQUTL6(X,DA) K:'X X I $D(X) I '$$DUPECHK^ACKQUTL6(X,
                                DA,$G(ACKPAT)) S ACKITME=X K X
              OUTPUT TRANSFORM: Q:'$D(Y)  S Y=$TR(Y,".",""),Y=$$FMT^ACKQUTL6(Y)
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Answer must be 1-8 characters in length. 
              DESCRIPTION:      Enter the time the visit took place such as 10, 10AM, 10:30, 0100, 0025 etc.  You may also enter a
                                time, such as NOON, MIDNIGHT or NOW.  Time is REQUIRED in this response.  

              EXECUTABLE HELP:  D:$D(ACKITME) DUPCHK^ACKQUTL6 D TIMERR^ACKQASU5
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  509850.6^AN^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  


              CROSS-REFERENCE:  509850.6^APCET^MUMPS 
                                1)= D SETREF^ACKQUTL5(X,DA,"T")
                                2)= D KILLREF^ACKQUTL5(X,DA,"T")
                                3)= Do not Delete
                                This cross reference is only set when all four of the required fields (Visit Date, Patient, Clinic
                                Location and Visit Time) for this cross reference exist within the Visit File.  After the cross
                                reference has been set up, if any of the required fields are deleted the cross reference is
                                deleted.  If any of the required fields are amended the cross reference is deleted and reset with
                                the amended values.  



509850.6,60   DIVISION               5;1 POINTER TO MEDICAL CENTER DIVISION FILE (#40.8) (Required)

              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Enter the Division at which the visit took place. 
              DESCRIPTION:      This is the division at which the visit took place.  All clinics are defined as part of a Division. 
                                The user may only select a division that has been entered on the A&SP Site Parameters file.  

              CROSS-REFERENCE:  509850.6^AL^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,80   VISIT ELIGIBILITY      5;2 POINTER TO ELIGIBILITY CODE FILE (#8) (Required)

              INPUT TRANSFORM:  S DIC("S")="I $D(ACKELDIS(Y))",DIC("W")="W """"" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:        
              DESCRIPTION:
                                Only Eligibilities associated with the visit are valid for entry.  

              SCREEN:           S DIC("S")="I $D(ACKELDIS(Y))",DIC("W")="W """""
              EXPLANATION:      Only eligibilities associated with the visit are valid for entry.
              CROSS-REFERENCE:  509850.6^AD^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,90   MILITARY SEXUAL TRAUMA 2;9 SET (Required)

                                '1' FOR YES; 
                                '0' FOR NO; 
              LAST EDITED:      JAN 08, 2008 
              HELP-PROMPT:      Please enter YES or NO. 
              DESCRIPTION:
                                Indicates whether the patients visit was related to Military Sexual Trauma.  

              CROSS-REFERENCE:  509850.6^AP^MUMPS 
                                1)= D SEND^ACKQUTL5(DA)
                                2)= D SEND^ACKQUTL5(DA)
                                3)= Do not Delete
                                This index updates the Last Edited in QUASAR field. This in turn may cause the visit to become a
                                PCE Exception.  



509850.6,100  REVIEW OF MEDICAL RECORDS 100;0   WORD-PROCESSING #509850.62

              LAST EDITED:      JUN 04, 1997 
              DESCRIPTION:       REVIEW OF MEDICAL RECORDS: Indicate whether the C-file was reviewed. If 
                                 the C-file was not reviewed or was not available for review, the examiner 
                                 should so state.  

              WRITE AUTHORITY:  ^
              GROUP:            C AND P

                Review of Medical Records   
                LAST EDITED:      JUN 04, 1997 
                HELP-PROMPT:      State whether the C-file and SMRs were reviewed. 
                DESCRIPTION:       REVIEW OF MEDICAL RECORDS: Indicate whether the C-file was reviewed. If 
                                   the C-file was not reviewed or was not available for review, the examiner 
                                   should so state.  

                EXECUTABLE HELP:   



509850.6,101  MEDICAL HISTORY        101;0   WORD-PROCESSING #509850.6101

              LAST EDITED:      JUN 04, 1997 
              DESCRIPTION:       MEDICAL HISTORY (SUBJECTIVE COMPLAINTS): |NOWRAP| 
                                 Comment on: 
                                 1. Chief Complaint.  
                                 2. Situation of greatest difficulty.  
                                 3. Pertinent service history.  
                                 4. History of military, occupational, and recreational noise exposure.  
                                 5. Tinnitus - If present, state: 
                                    a. date and circumstances of onset 
                                    b. whether it is unilateral or bilateral 
                                    c. whether it is recurrent (indicate frequency and duration) 
                                    d. State the most likely etiology of the tinnitus, and    
                                       specifically, if hearing loss is present, whether the tinnitus 
                                       is due to the same etiology (or causative factor) as the hearing 
                                       loss.  

              WRITE AUTHORITY:  ^

                Medical History   
                LAST EDITED:      JUN 04, 1997 
                HELP-PROMPT:      Enter a brief medical history, including tinnitus assessment. 
                DESCRIPTION:       MEDICAL HISTORY (SUBJECTIVE COMPLAINTS): |NOWRAP| 
                                   Comment on: 
                                   1. Chief Complaint.  
                                   2. Situation of greatest difficulty.  
                                   3. Pertinent service history.  
                                   4. History of military, occupational, and recreational noise exposure.  
                                   5. Tinnitus - If present, state: 
                                      a. date and circumstances of onset 
                                      b. whether it is unilateral or bilateral 
                                      c. whether it is recurrent (indicate frequency and duration) 
                                      d. State the most likely etiology of the tinnitus, and    
                                         specifically, if hearing loss is present, whether the tinnitus 
                                         is due to the same etiology (or causative factor) as the hearing 
                                         loss.  




509850.6,102  PHYSICAL EXAMINATION   102;0   WORD-PROCESSING #509850.6102

              LAST EDITED:      JUN 04, 1997 
              DESCRIPTION:       PHYSICAL EXAMINATION (OBJECTIVE FINDINGS): |NOWRAP| 
                                 1. Measure pure tone thresholds in decibels at the indicated 
                                    frequencies (air conduction): 
                                 ==========RIGHT EAR=============================LEFT EAR=============== 
                                  A*    B     C     D     E    **     A*    B     C     D     E    ** 
                                 500  1000  2000  3000  4000 average 500  1000  2000  3000  4000 average 
                                   
                                   *The pure tone threshold at 500 Hz is not used in determining the 
                                    evaluation but is used in determining whether or not a ratable 
                                    hearing loss exists.  
                                   **The average of B, C, D, and E.  
                                   
                                 2. Speech Recognition Score: 
                                    Maryland CNC word list ______% right ear _____% left ear 
                                 
                                 3. When only pure tone results should be used to evaluate hearing 
                                    loss, the examiner, who must be a state-licensed audiologist, should  
                                    certify that language difficulties or other problems (specify what 
                                    the problems are) make the combined use of pure tone average and 
                                    speech discrimination inappropriate.  

              WRITE AUTHORITY:  ^

                Physical Examination   
                LAST EDITED:      JUN 04, 1997 
                HELP-PROMPT:      Enter results of physical examination. 
                DESCRIPTION:       PHYSICAL EXAMINATION (OBJECTIVE FINDINGS): |NOWRAP| 
                                   1. Measure pure tone thresholds in decibels at the indicated 
                                      frequencies (air conduction): 
                                   ==========RIGHT EAR=============================LEFT EAR=============== 
                                    A*    B     C     D     E    **     A*    B     C     D    E     ** 
                                   500  1000  2000  3000  4000 average 500  1000  2000  3000  4000 average 
                                     
                                     *The pure tone threshold at 500 Hz is not used in determining the 
                                      evaluation but is used in determining whether or not a ratable 
                                      hearing loss exists.  
                                     **The average of B, C, D, and E.  
                                     
                                   2. Speech Recognition Score: 
                                      Maryland CNC word list ______% right ear _____% left ear 
                                   
                                   3. When only pure tone results should be used to evaluate hearing 
                                      loss, the examiner, who must be a state-licensed audiologist, should  
                                      certify that language difficulties or other problems (specify what 
                                      the problems are) make the combined use of pure tone average and 
                                      speech discrimination inappropriate.  




509850.6,103  DIAGNOSTIC AND CLINICAL TESTS 103;0   WORD-PROCESSING #509850.6103

              LAST EDITED:      JUN 04, 1997 
              DESCRIPTION:       DIAGNOSTIC AND CLINICAL TESTS: |NOWRAP| 
                                 1. Report middle-ear status, confirm type of loss, and indicate need for 
                                    medical follow-up.  In cases where there is poor inter-test 
                                    reliability and/or positive Stenger test results, obtain and report 
                                    estimates of hearing thresholds using a combination of behavioral 
                                    testing, Stenger interference levels, and electrophysiological tests.  
                                 
                                 2. Include results of all diagnostic and clinical tests conducted in the 
                                    examination report.  

              WRITE AUTHORITY:  ^

                Diagnostic and Clinical Tests   
                LAST EDITED:      JUN 04, 1997 
                HELP-PROMPT:      Enter a summary of all diagnostic and clinical tests. 
                DESCRIPTION:       DIAGNOSTIC AND CLINICAL TESTS: |NOWRAP| 
                                   1. Report middle-ear status, confirm type of loss, and indicate need for 
                                      medical follow-up.  In cases where there is poor inter-test 
                                      reliability and/or positive Stenger test results, obtain and report 
                                      estimates of hearing thresholds using a combination of behavioral 
                                      testing, Stenger interference levels, and electrophysiological tests.  
                                   
                                   2. Include results of all diagnostic and clinical tests conducted in the 
                                      examination report.  




509850.6,104  DIAGNOSIS              104;0   WORD-PROCESSING #509850.6104

              LAST EDITED:      JUN 04, 1997 
              DESCRIPTION:       DIAGNOSIS: |NOWRAP| 
                                 1. Summary of audiologic test results. Indicate type and degree of 
                                    hearing loss for the frequency range from 500 to 4000 Hz.  For type of 
                                    loss, indicate whether it is normal, conductive, sensorineural, 
                                    central, or mixed.  For degree, indicate whether it is mild (26-40 dB 
                                    HL), moderate (41-54 dB HL), moderately-severe (55-69 dB HL), severe 
                                    (70-89  dB HL), or profound (90+ dB HL). For VA purposes, impaired 
                                    hearing is considered to be a disability when the auditory threshold 
                                    in any of the frequencies 500, 1000, 2000, 3000, and 4000 Hz is 40 dB 
                                    HL or greater; or when the auditory thresholds for at least three of 
                                    these frequencies are 26 dB HL or greater; or when speech recognition 
                                    scores are less than 94%.  
                                 
                                 2. Note whether, based on audiologic results, medical follow-up is needed 
                                    for an ear or hearing problem, and whether there is a problem that, if 
                                    treated, might cause a change in hearing threshold levels.  

              WRITE AUTHORITY:  ^

                Diagnosis   
                LAST EDITED:      JUN 04, 1997 
                HELP-PROMPT:      Enter your diagnosis for the outcome of this exam. 
                DESCRIPTION:       DIAGNOSIS: |NOWRAP| 
                                   1. Summary of audiologic test results. Indicate type and degree of 
                                      hearing loss for the frequency range from 500 to 4000 Hz.  For type of 
                                      loss, indicate whether it is normal, conductive, sensorineural, 
                                      central, or mixed.  For degree, indicate whether it is mild (26-40 dB 
                                      HL), moderate (41-54 dB HL), moderately-severe (55-69 dB HL), severe 
                                      (70-89  dB HL), or profound (90+ dB HL). For VA purposes, impaired 
                                      hearing is considered to be a disability when the auditory threshold 
                                      in any of the frequencies 500, 1000, 2000, 3000, and 4000 Hz is 40 dB 
                                      HL or greater; or when the auditory thresholds for at least three of 
                                      these frequencies are 26 dB HL or greater; or when speech recognition 
                                      scores are less than 94%.  
                                   
                                   2. Note whether, based on audiologic results, medical follow-up is needed 
                                      for an ear or hearing problem, and whether there is a problem that, if 
                                      treated, might cause a change in hearing threshold levels.  




509850.6,125  PCE VISIT IEN          6;3 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>8!($L(X)<1) X
              LAST EDITED:      OCT 06, 1999 
              HELP-PROMPT:      Answer must be 1-8 characters in length. 
              DESCRIPTION:
                                This is the IEN of the PCE visit passed back by the send to PCE processing. 

              CROSS-REFERENCE:  509850.6^AEX3^MUMPS 
                                1)= D EXCEPT^ACKQUTL5(DA,125,X)
                                2)= D EXCEPT^ACKQUTL5(DA,125,X)
                                3)= Do not Delete
                                Set and Kill logic gets LAST SENT TO QUASAR,LAST EDITED IN QUASAR and PCE VISIT IEN field values
                                and runs processing that either sets or kills the EXCEPTION DATE depending on the field values. 



509850.6,135  LAST SENT TO PCE       6;5 DATE

              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      OCT 06, 1999 
              DESCRIPTION:
                                The Date/Time that the system last attempted to send this data to PCE.  

              CROSS-REFERENCE:  509850.6^AEX2^MUMPS 
                                1)= D EXCEPT^ACKQUTL5(DA,135,X)
                                2)= D EXCEPT^ACKQUTL5(DA,135,X)
                                3)= Do not Delete
                                Set and Kill logic gets LAST SENT TO QUASAR,LAST EDITED IN QUASAR and PCE VISIT IEN field values
                                and runs processing that either sets or kills the EXCEPTION DATE depending on the field values. 



509850.6,140  LAST EDITED IN QUASAR  6;7 DATE

              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      OCT 06, 1999 
              DESCRIPTION:      This date is the date when the visit record was last edited in Quasar.  This field is not dependant
                                on the PCE interface being on for the current Division.  

              CROSS-REFERENCE:  509850.6^AEX1^MUMPS 
                                1)= D EXCEPT^ACKQUTL5(DA,140,X)
                                2)= D EXCEPT^ACKQUTL5(DA,140,X)
                                3)= Do not Delete
                                Set and Kill logic gets LAST SENT TO QUASAR,LAST EDITED IN QUASAR and PCE VISIT IEN field values
                                and runs processing that either sets or kills the EXCEPTION DATE depending on the field values.  



509850.6,900  EXCEPTION DATE         6;6 DATE

              INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      OCT 06, 1999 
              DESCRIPTION:      Set to NOW whenever the system determines that the Visit has become a PCE Exception. Triggered by
                                changes to the PCE Visit IEN field, the LAST SENT TO PCE field and the LAST EDITED IN QUASAR field.  
                                 
                                NB. This field has been numbered 900 to ensure it is the last field killed when a visit is deleted.  

              CROSS-REFERENCE:  509850.6^AEX^MUMPS 
                                1)= S ^ACK(509850.6,"AEX",X,DA)=""
                                2)= K ^ACK(509850.6,"AEX",X,DA)
                                This index is used by the PCE Exception Report to identify all visits that are EXCEPTIONS.  




      FILES POINTED TO                      FIELDS

A&SP DIAGNOSTIC CONDITION 
                   (#509850.1)    DIAGNOSTIC CODE:DIAGNOSTIC CODE (#.01)

A&SP PATIENT (#509850.2)          PATIENT NAME (#1)

A&SP PROCEDURE CODE (#509850.4)   PROCEDURE CODE:PROCEDURE CODE (#.01)

A&SP PROCEDURE MODIFIER (#509850.5)  CPT MODIFIER:CPT MODIFIER (#.01)

A&SP STAFF (#509850.3)            *SECOND CLINCIAN (#.25)
                                  *LEAD ROLE (#.27)
                                  PRIMARY PROVIDER (#6)
                                  STUDENT (#7)
                                  *OTHER PROVIDER (#8)
                                  PROCEDURE CODE:PROCEDURE PROVIDER (#.05)
                                  EVENT CAPTURE PROCEDURE:EC PROCEDURE PROVIDER (#.05)
                                  DIAGNOSTIC CODE:DIAGNOSIS PROVIDER (#.14)
                                  SECONDARY PROVIDER:SECONDARY PROVIDER (#.01)

CDR ACCOUNT (#509850)             CDR ACCOUNT (#5)

EC NATIONAL PROCEDURE (#725)      EVENT CAPTURE PROCEDURE:EVENT CAPTURE PROCEDURE (#.01)

ELIGIBILITY CODE (#8)             VISIT ELIGIBILITY (#80)

HOSPITAL LOCATION (#44)           CLINIC LOCATION (#2.6)

MEDICAL CENTER DIVISION (#40.8)   DIVISION (#60)



INPUT TEMPLATE(S):
ACKQAS VISIT ENTRY            DEC 05, 2007@11:51  USER #0    ^ACKQTE 

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):