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):