STANDARD DATA DICTIONARY #690 -- MEDICAL PATIENT FILE                                                             3/24/25    PAGE 1
STORED IN ^MCAR(690,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                        (VERSION 2.3)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file stores medicine patients' DINUM to the PATIENT file and also keeps a cross-reference of procedures done on a patient.  


              DD ACCESS: @
           AUDIT ACCESS: @

POINTED TO BY: MEDICAL PATIENT field (#1) of the ECHO File (#691) 
               MEDICAL PATIENT field (#1) of the CARDIAC CATHETERIZATION File (#691.1) 
               MEDICAL PATIENT field (#1) of the ELECTROCARDIOGRAM (EKG) File (#691.5) 
               MEDICAL PATIENT field (#1) of the HOLTER File (#691.6) 
               MEDICAL PATIENT field (#1) of the EXERCISE TOLERANCE TEST File (#691.7) 
               MEDICAL PATIENT field (#1) of the ELECTROPHYSIOLOGY (EP) File (#691.8) 
               MEDICAL PATIENT field (#1) of the HEMATOLOGY File (#694) 
               PATIENT field (#1) of the CARDIAC SURGERY RISK ASSESSMENT File (#694.5) 
               MEDICAL PATIENT field (#1) of the GENERATOR IMPLANT File (#698) 
               MEDICAL PATIENT field (#1) of the V LEAD IMPLANT File (#698.1) 
               MEDICAL PATIENT field (#1) of the A LEAD IMPLANT File (#698.2) 
               MEDICAL PATIENT field (#1) of the PACEMAKER SURVEILLANCE File (#698.3) 
               MEDICAL PATIENT field (#.02) of the ENDOSCOPY/CONSULT File (#699) 
               MEDICAL PATIENT field (#.02) of the GENERALIZED PROCEDURE/CONSULT File (#699.5) 
               MEDICAL PATIENT field (#1) of the PULMONARY FUNCTION TESTS File (#700) 
               MEDICAL PATIENT field (#1) of the RHEUMATOLOGY File (#701) 
               

CROSS
REFERENCED BY: NAME(AC), NAME(B)



690,.01       NAME                   0;1 POINTER TO PATIENT FILE (#2) (Required)

              INPUT TRANSFORM:  S DINUM=X
              LAST EDITED:      JUL 16, 1992 
              HELP-PROMPT:      Please Enter Medical Patient's Name. This File is Cross-referenced whenever a procedure is selected 
                                for a patient. 
              DESCRIPTION:      This field identifies the medical patient's name followed by his/her first name followed by a space
                                and his/her middle initial and a period.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  IDENTIFIER 

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

              CROSS-REFERENCE:  690^B 
                                1)= S ^MCAR(690,"B",$E(X,1,30),DA)=""
                                2)= K ^MCAR(690,"B",$E(X,1,30),DA)

              CROSS-REFERENCE:  690^AC^MUMPS 
                                1)= I '$D(^MCAR(690,"AC")) D RBLD^MCARPROC
                                2)= Q
                                This cross-reference permits access to medical procedures for a patient in date order, from most
                                recent to least recent.  It is also triggered by the DATE/TIME and MEDICAL PATIENT fields in the
                                various procedure files (#691-#701).  



690,1         LIVER BIOPSY           GI;1 SET

                                'Y' FOR YES; 
                                'N' FOR NO; 
              LAST EDITED:      JUL 25, 1988 
              HELP-PROMPT:      Enter Y for yes or N for no if a liver biopsy has been done. 
              DESCRIPTION:
                                This field identifies if a liver biopsy has been done.  


690,2         ALLERGIES               ;  COMPUTED

              MUMPS CODE:       X ^DD(690,2,9.3) S X=$S('$D(^DIC(57,+$P(Y(690,2,202),U,1),0)):"",1:$P(^(0),U,1)) S D0=Y(690,2,80) S
                                 D1=Y(690,2,181)
                                9.2 = S Y(690,2,80)=$S($D(D0):D0,1:""),Y(690,2,1)=$S($D(^MCAR(690,D0,0)):^(0),1:""),D0=$P(Y(690,2,1
                                ),U,1) S:'$D(^DPT(+D0,0)) D0=-1 S Y(690,2,180)=$S($D(D0):D0,1:"")
                                9.3 = X ^DD(690,2,9.2) S Y(690,2,181)=$S($D(D1):D1,1:"") S X=2 K DIC S Y=-1,DIC="^DPT(D0,""PA"",",D
                                IC(0)="NMF" D ^DIC:D0>0 S (D,D1)=+Y S Y(690,2,202)=$S($D(^DPT(D0,"PA",D1,0)):^(0),1:"")
              ALGORITHM:        .01:2:57
              DESCRIPTION:
                                This field identifies if the patient has allergies.  


690,3         HISTORY OF BLEEDING DISORDER GI;3 SET

                                'Y' FOR YES; 
                                'N' FOR NO; 
              LAST EDITED:      JUL 25, 1988 
              HELP-PROMPT:      Enter Y for yes or N for no if patient has a history of bleeding disorder. 
              DESCRIPTION:
                                This field identifies if the patient has a history of bleeding disorder.  


690,4         VALVULAR HEART DISEASE GI;4 SET

                                'Y' FOR YES; 
                                'N' FOR NO; 
              LAST EDITED:      JUL 25, 1988 
              HELP-PROMPT:      Enter Y for yes or N for no if the patient has a valvular heart disease. 
              DESCRIPTION:
                                This field identifies if the patient has a valvular heart disease.  


690,5         GLAUCOMA               GI;5 SET

                                'Y' FOR YES; 
                                'N' FOR NO; 
              LAST EDITED:      JUL 25, 1988 
              HELP-PROMPT:      Enter Y for yes or N for no if patient has glaucoma. 
              DESCRIPTION:
                                This field identifies if the patient has glaucoma.  


690,6         HISTORY COMMENTS       GI;6 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
              LAST EDITED:      JUL 25, 1988 
              HELP-PROMPT:      ANSWER MUST BE 1-50 CHARACTERS IN LENGTH 
              DESCRIPTION:
                                This field identifies a free text field.  Enter any pertinent history comments.  


690,7         PACING INDICATION      P;0 POINTER Multiple #690.07 (Add New Entry without Asking)

              DESCRIPTION:
                                This field defines the medical rationale for electronic cardiac regulation.  

              SCREEN:           S DIC("S")="I $D(^MCAR(694.1,""C"",""PM"",+Y))"
              EXPLANATION:      CHOOSE PACING INDICATION ONLY

690.07,.01      PACING INDICATION      0;1 POINTER TO INDICATION FILE (#694.1) (Multiply asked)

                LAST EDITED:      FEB 28, 1989 
                HELP-PROMPT:      Enter rationale for electronic cardiac regulation. 
                DESCRIPTION:
                                  This field defines the medical rationale for electronic cardiac regulation.  

                SCREEN:           S DIC("S")="I $D(^MCAR(694.1,""C"",""PM"",+Y))"
                EXPLANATION:      CHOOSE PACING INDICATION CODES ONLY
                CROSS-REFERENCE:  690.07^B 
                                  1)= S ^MCAR(690,DA(1),"P","B",$E(X,1,30),DA)=""
                                  2)= K ^MCAR(690,DA(1),"P","B",$E(X,1,30),DA)




690,8         RISK FACTOR (PACE)     P1;0 POINTER Multiple #690.08 (Add New Entry without Asking)

              DESCRIPTION:      This field indicates the conditions for which electronic cardiac regulation is a hazard for this
                                patient.  


690.08,.01      RISK FACTOR (PACE)     0;1 POINTER TO PAST HISTORY AND RISK FACTOR FILE (#695.4) (Multiply asked)

                LAST EDITED:      JAN 12, 1989 
                HELP-PROMPT:      Enter conditions which make electronic cardiac regulation a particular hazard for this patient. 
                DESCRIPTION:      This field defines the conditions which make electronic cardiac regulation a particular hazard
                                  for this patient.  

                CROSS-REFERENCE:  690.08^B 
                                  1)= S ^MCAR(690,DA(1),"P1","B",$E(X,1,30),DA)=""
                                  2)= K ^MCAR(690,DA(1),"P1","B",$E(X,1,30),DA)


690.08,1        DATE RISK FACTOR REPORTED 0;2 DATE

                INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      JAN 13, 1989 
                HELP-PROMPT:      Please enter date that risk factor is reported. 
                DESCRIPTION:
                                  This 'date format' field documents the realization of a hazard.  




690,9         PSC STATUS             P2;1 SET

                                '1' FOR EAST PSC FOLLOW-UP; 
                                '2' FOR ARTIFICIAL; 
                                '3' FOR DEAD; 
                                '4' FOR REGISTRY ONLY; 
                                '5' FOR EXPLANT TEST ONLY; 
                                '6' FOR EXPLANTED,NO REPLACEMENT; 
                                '7' FOR WEST PSC FOLLOW-UP; 
                                '8' FOR LOST TO FOLLOW-UP; 
              LAST EDITED:      FEB 07, 1989 
              HELP-PROMPT:      Please enter Pacemaker Surveillence Center status code. 
              DESCRIPTION:
                                This field indicates the Pacemaker Surveillance Center Status.  


690,10        INDICATION FOR FILE CLOSURE P3;1 SET

                                '1' FOR DEATH; 
                                '2' FOR LOST TO FOLLOW-UP; 
                                '3' FOR PACEMAKER REMOVAL; 
                                '4' FOR DISCHARGE FOR ANOTHER REASON; 
              LAST EDITED:      JAN 18, 1989 
              HELP-PROMPT:      Please enter code for reason file is to be closed. 
              DESCRIPTION:
                                This field identifies the reason for the file to be closed.  


690,11        CAUSE OF DEATH         P3;2 SET

                                '1' FOR RELATED TO PACEMAKER; 
                                '2' FOR RELATED TO ELECTRODE; 
                                '3' FOR CARDIAC-UNRELATED TO PACEMAKER; 
                                '4' FOR NON-CARDIAC-UNRELATED TO PACEMAKER; 
                                '5' FOR CAUSE UNKNOWN; 
              LAST EDITED:      JAN 18, 1989 
              HELP-PROMPT:      Please enter code for cause of death. 
              DESCRIPTION:
                                This field identifies the cause of death.  


690,12        SUDDENNESS OF DEATH    P3;3 SET

                                '1' FOR SUDDEN-WITHIN ONE HOUR OF SYMPTOMS; 
                                '2' FOR NON-SUDDEN; 
                                '3' FOR UNKNOWN; 
              LAST EDITED:      DEC 30, 1993 
              HELP-PROMPT:      Please enter code for reason of sudden death. 
              DESCRIPTION:
                                This field identifies the reason for the sudden death.  


690,13        DATE OF FILE CLOSURE   P3;4 DATE

              INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JAN 18, 1989 
              HELP-PROMPT:      Please enter date file closed. 
              DESCRIPTION:
                                This field identifies the date when the file is closed.  


690,14        DISCHARGE (PACEMAKER) REASON P3;5 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
              LAST EDITED:      JAN 18, 1989 
              HELP-PROMPT:      ANSWER MUST BE 1-25 CHARACTERS IN LENGTH 
              DESCRIPTION:
                                This field identifies the rationale for the release of the patient.  


690,15        TRANSMITTED PACEMAKER REPORTS P4;0 DATE Multiple #690.015 (Add New Entry without Asking)

              DESCRIPTION:
                                This field contains the date of each report.  


690.015,.01     DATE REPORT TRANSMITTED 0;1 DATE

                INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      MAY 24, 1989 
                HELP-PROMPT:      Enter date and time report transmitted. 
                DESCRIPTION:      This field stores the date (or date/time) of reports transmitted to national pacemaker center. 
                                  It is set from the routine MCARPCS4.  

                CROSS-REFERENCE:  690.015^B 
                                  1)= S ^MCAR(690,DA(1),"P4","B",$E(X,1,30),DA)=""
                                  2)= K ^MCAR(690,DA(1),"P4","B",$E(X,1,30),DA)




690,16        DATE OF INITIAL IMPLANT P3;6 DATE

              INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      MAY 24, 1989 
              HELP-PROMPT:      ENTER THE DATE THAT THE PATIENT FIRST RECEIVED AN IMPLANT 
              DESCRIPTION:
                                This field identifies the date of implant.  


690,17        TELEPHONE FOLLOWUP PROVIDED BY P2;2 SET

                                'E' FOR VA EASTERN PACEMAKER SURVEILLANCE CENTER; 
                                'W' FOR VA WESTERN PACEMAKER SURVEILLANCE CENTER; 
                                'L' FOR LOCAL VAMC; 
              LAST EDITED:      JUN 05, 1989 
              HELP-PROMPT:      Enter code for location of followup visit. 
              DESCRIPTION:
                                This field identifies the location for a follow-up visit.  


690,18        REASON FOR FILE CLOSURE P3;7 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
              LAST EDITED:      JUN 29, 1989 
              HELP-PROMPT:      Answer must be 1-50 characters in length. 
              DESCRIPTION:
                                This field identifies an extended explanation for the file to be closed.  



      FILES POINTED TO                      FIELDS

INDICATION (#694.1)               PACING INDICATION:PACING INDICATION (#.01)

PAST HISTORY AND RISK FACTOR 
                   (#695.4)       RISK FACTOR (PACE):RISK FACTOR (PACE) (#.01)

PATIENT (#2)                      NAME (#.01)



INPUT TEMPLATE(S):
MCARGIED                      APR 04, 1989        USER #0    
MCARPACEDIT                   JUL 18, 1990@11:37  USER #0    

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):