STANDARD DATA DICTIONARY #698.2 -- A LEAD IMPLANT FILE                                                            3/24/25    PAGE 1
STORED IN ^MCAR(698.2,  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                      (VERSION 2.3)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This holds the A Lead Implant/Explant information for Pacemaker.  


              DD ACCESS: @
           AUDIT ACCESS: @
IDENTIFIED BY: MEDICAL PATIENT (#1)

POINTED TO BY: RESULT field (#11) of the REQUEST/CONSULTATION File (#123) 
               ASSOCIATED RESULTS field (#.01) of the ASSOCIATED RESULTS sub-field (#123.03) of the REQUEST/CONSULTATION File 
                   (#123) 
               

CROSS
REFERENCED BY: DATE/TIME OF IMPLANT(AC), MEDICAL PATIENT(AD), PCC POINTER(APCE), DATE/TIME OF IMPLANT(B), MEDICAL PATIENT(C)



698.2,.01     DATE/TIME OF IMPLANT   0;1 DATE (Required)

              INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
              DESCRIPTION:
                                This allows analysis based on time.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  IDENTIFIER 

              CROSS-REFERENCE:  698.2^B 
                                1)= S ^MCAR(698.2,"B",$E(X,1,30),DA)=""
                                2)= K ^MCAR(698.2,"B",$E(X,1,30),DA)

              CROSS-REFERENCE:  698.2^AC^MUMPS 
                                1)= S MCARCDIE="^MCAR(698.2," D CHGDTE1^MCARPROC
                                2)= S MCARCDIE="^MCAR(698.2," D CHGDTE^MCARPROC
                                This cross-reference makes an entry under the 'AD' index of the MEDICAL PATIENT file (#690) to
                                record the most recent A lead implant procedure for this patient.  



698.2,1       MEDICAL PATIENT        0;2 POINTER TO MEDICAL PATIENT FILE (#690)

              HELP-PROMPT:      Enter the patient's name, SSN, or other identifier 
              DESCRIPTION:
                                Patient's name.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  IDENTIFIER 

              CROSS-REFERENCE:  698.2^C 
                                1)= S ^MCAR(698.2,"C",$E(X,1,30),DA)=""
                                2)= K ^MCAR(698.2,"C",$E(X,1,30),DA)
                                This cross-reference allows look-ups by patient.  


              CROSS-REFERENCE:  698.2^AD^MUMPS 
                                1)= S MCARCDIE="^MCAR(698.2," D CHGPAT^MCARPROC
                                2)= S MCARCDIE="^MCAR(698.2," D KILL^MCARPROC
                                This cross-reference makes an entry under the 'AC' index of the MEDICAL PATIENT file (#690) to
                                record the most recent A lead implant procedure for this patient.  



698.2,2       A LEAD MODEL           0;3 POINTER TO PACEMAKER EQUIPMENT FILE (#698.4)

              INPUT TRANSFORM:  S DIC("S")="I $P(^MCAR(698.4,+Y,0),U,2)[""A""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      APR 23, 1996 
              HELP-PROMPT:      Enter the manufacturer's production name for this transmitter. 
              DESCRIPTION:
                                This field identifies the device by the manufacturer's production name.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  DIAGNOSIS 

              SCREEN:           S DIC("S")="I $P(^MCAR(698.4,+Y,0),U,2)[""A"""
              EXPLANATION:      CHOOSE LEADS THAT ARE A LEAD OR BOTH A AND V LEADS ONLY
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  ^^TRIGGER^698.2^3 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^MCAR(698.2,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S
                                 DIU=X K Y X ^DD(698.2,2,1,1,1.1) X ^DD(698.2,2,1,1,1.4)

                                1.1)= S X=DIV S I(0,0)=$S($D(D0):D0,1:""),D0=DIV S:'$D(^MCAR(698.4,+D0,0)) D0=-1 S Y(101)=$S($D(^MC
                                AR(698.4,D0,0)):^(0),1:"") S X=$P(Y(101),U,3),X=X S X=X S D0=I(0,0)

                                1.4)= S DIH=$S($D(^MCAR(698.2,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,4)=DIV,DIH=698.2,DIG=3 D ^DIC
                                R:$O(^DD(DIH,DIG,1,0))>0

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^MCAR(698.2,D0,0)):^(0),1:"") S X=$P(Y(1),U,4),X=X S
                                 DIU=X K Y X ^DD(698.2,2,1,1,2.1) X ^DD(698.2,2,1,1,2.4)

                                2.1)= S X=DIV X ^DD(698.2,2,1,1,59.2) S X=$P(Y(101),U,3),X=X S X=X S D0=I(0,0)

                                2.4)= S DIH=$S($D(^MCAR(698.2,DIV(0),0)):^(0),1:""),DIV=X S $P(^(0),U,4)=DIV,DIH=698.2,DIG=3 D ^DIC
                                R:$O(^DD(DIH,DIG,1,0))>0

                                59.2)= S I(0,0)=$S($D(D0):D0,1:""),Y(1)=$S($D(^MCAR(698.2,D0,0)):^(0),1:""),D0=$P(Y(1),U,3) S:'$D(^
                                MCAR(698.4,+D0,0)) D0=-1 S Y(101)=$S($D(^MCAR(698.4,D0,0)):^(0),1:"")

                                CREATE VALUE)= INTERNAL(#2:#2)
                                DELETE VALUE)= INTERNAL(#2:#2)
                                FIELD)= #3
                                This cross-reference triggers the A LEAD MANUFACTURER field (#3).  



698.2,3       A LEAD MANUFACTURER    0;4 POINTER TO PACEMAKER MANUFACTURER FILE (#698.6)

              HELP-PROMPT:      Enter the producer of this transmitter. 
              DESCRIPTION:
                                This field identifies the producer of the lead.  

              WRITE AUTHORITY:  ^
              NOTES:            TRIGGERED by the A LEAD MODEL field of the A LEAD IMPLANT File 


698.2,4       A LEAD SERIAL NUMBER   0;5 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>12!($L(X)<2) X
              HELP-PROMPT:      ANSWER MUST BE 2-12 CHARACTERS IN LENGTH 
              DESCRIPTION:
                                This field identifies the specific device.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  DIAGNOSIS 


698.2,11      A LEAD THRESHOLD IN VOLTS 0;6 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>12)!(X<0)!(X?.E1"."2N.N) X
              LAST EDITED:      FEB 21, 1990 
              HELP-PROMPT:      Type a Number between 0 and 12, 1 Decimal Digit 
              DESCRIPTION:
                                This allows documentation of an initial threshold parameter.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


698.2,12      A LEAD THRESHOLD IN mA's AT .5 0;7 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>12)!(X<0)!(X?.E1"."2N.N) X
              LAST EDITED:      FEB 21, 1990 
              HELP-PROMPT:      Type a Number between 0 and 12, 1 Decimal Digit 
              DESCRIPTION:
                                This allows documentation of an initial threshold parameter.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


698.2,13      A LEAD RESISTANCE (OHMS) AT 5V 0;8 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>1000)!(X<0)!(X?.E1"."3N.N) X
              LAST EDITED:      FEB 21, 1990 
              HELP-PROMPT:      Type a Number between 0 and 1000, 2 Decimal Digits 
              DESCRIPTION:
                                This allows documentation of an initial resistance parameter.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


698.2,14      P WAVE AMPLITUDE (MV)  0;9 NUMBER

              INPUT TRANSFORM:  K:+X'=X!(X>25)!(X<0)!(X?.E1"."2N.N) X
              LAST EDITED:      FEB 21, 1990 
              HELP-PROMPT:      Type a Number between 0 and 25, 1 Decimal Digit 
              DESCRIPTION:
                                This allows documentation of the initial amplitude parameter.  


698.2,15      A LEAD PSA USED        0;10 POINTER TO PACEMAKER EQUIPMENT FILE (#698.4)

              INPUT TRANSFORM:  S DIC("S")="I $D(^MCAR(698.4,""C"",""P"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              DESCRIPTION:
                                This allows documentation of lead implementation.  

              SCREEN:           S DIC("S")="I $D(^MCAR(698.4,""C"",""P"",+Y))"
              EXPLANATION:      CHOOSE PSA EQUIPMENT TYPE ONLY

698.2,56      EXPLANT DATE           1;1 DATE

              INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:Y<1 X
              HELP-PROMPT:      Enter the date that this apparatus was removed. 
              DESCRIPTION:
                                This allows documentation of lead removal.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


698.2,57      A LEAD EXPLANT REASON  1;2 POINTER TO REASON (MEDICINE) FILE (#695.8)

              INPUT TRANSFORM:  S DIC("S")="I $D(^MCAR(695.8,""AC"",""L"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              HELP-PROMPT:      Enter the reason for this explant/implant procedure. 
              DESCRIPTION:
                                This allows documentation of explant rationale.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 

              SCREEN:           S DIC("S")="I $D(^MCAR(695.8,""AC"",""L"",+Y))"
              EXPLANATION:      CHOOSE REASONS ASSOSCIATED WITH 'LEADS' ONLY

698.2,300     ATTENDING PHYSICIAN    3;1 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      APR 23, 1996 
              HELP-PROMPT:      Enter the attending Physician 
              DESCRIPTION:
                                This field identifies the name of the Attending Physician for this A-Lead Implant. 

              SCREEN:           S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))"
              EXPLANATION:      Only select Providers!
              CROSS-REFERENCE:  ^^TRIGGER^698.2^701 
                                1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^MCAR(698.2,D0,"PROV")):^("PROV"),1:"") S X=$P(Y(1),
                                U,1),X=X S DIU=X K Y S X=DIV S X=DIV,X=X X ^DD(698.2,300,1,1,1.4)

                                1.4)= S DIH=$S($D(^MCAR(698.2,DIV(0),"PROV")):^("PROV"),1:""),DIV=X S $P(^("PROV"),U,1)=DIV,DIH=698
                                .2,DIG=701 D ^DICR:$O(^DD(DIH,DIG,1,0))>0

                                2)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^MCAR(698.2,D0,"PROV")):^("PROV"),1:"") S X=$P(Y(1),
                                U,1),X=X S DIU=X K Y X ^DD(698.2,300,1,1,2.1) X ^DD(698.2,300,1,1,2.4)

                                2.1)= S X=DIV S Y(1)=$S($D(^MCAR(698.2,D0,3)):^(3),1:"") S X=$P(Y(1),U,1),X=X

                                2.4)= S DIH=$S($D(^MCAR(698.2,DIV(0),"PROV")):^("PROV"),1:""),DIV=X S $P(^("PROV"),U,1)=DIV,DIH=698
                                .2,DIG=701 D ^DICR:$O(^DD(DIH,DIG,1,0))>0

                                CREATE VALUE)= INTERNAL(#300)
                                DELETE VALUE)= INTERNAL(#300)
                                FIELD)= #701
                                This trigger sets the primary provider file.  



698.2,301     FELLOW-1st             3;2 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      SEP 12, 1994 
              HELP-PROMPT:      Enter the 1st Fellow. 
              DESCRIPTION:
                                This field identifies the name of a Cardiology Fellow for this A-Lead Implant.  

              SCREEN:           S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))"
              EXPLANATION:      Only allow Providers!

698.2,302     FELLOW-2nd             3;3 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      SEP 12, 1994 
              DESCRIPTION:
                                This field identifies the name of a second Cardiology Fellow for this A-Lead Implant. 

              SCREEN:           S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))"
              EXPLANATION:      Only allow Providers!

698.2,500     COMMENTS               10;0   WORD-PROCESSING #698.21

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


                HELP-PROMPT:      Enter free-text remarks on this procedure. 
                DESCRIPTION:
                                  This allows a documentation area of free form.  

                TECHNICAL DESCR:
                                  ORDER ENTRY TYPE:  UNKNOWN 




698.2,600     PROCEDURE SUMMARY      .2;2 FREE TEXT (Required)

              INPUT TRANSFORM:  K:$L(X)>79!($L(X)<1) X
              LAST EDITED:      NOV 21, 1990 
              HELP-PROMPT:      Answer must be 1-79 characters in length.  This will appear on the 'Summary of Patient Procedures'. 
              DESCRIPTION:
                                This 1-79 character field will be displayed on the medical procedure summary report.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


698.2,601     SUMMARY                .2;1 SET (Required)

                                'A' FOR ABNORMAL; 
                                'N' FOR NORMAL; 
              LAST EDITED:      NOV 21, 1990 
              DESCRIPTION:
                                This field summarizes the results of the procedure.  


698.2,700     ICD DIAGNOSIS          ICD;0 POINTER Multiple #698.22

              DESCRIPTION:
                                This field identifies the ICD Diagnosis(es) for the procedure.  

              TECHNICAL DESCR:
                                ORDER ENTRY TYPE:  UNKNOWN 


698.22,.01      ICD DIAGNOSIS          0;1 POINTER TO ICD DIAGNOSIS FILE (#80) (Multiply asked)

                LAST EDITED:      MAR 10, 1993 
                DESCRIPTION:
                                  This field identifies an ICD Diagnosis for the procedure.  

                TECHNICAL DESCR:
                                  ORDER ENTRY TYPE:  UNKNOWN 

                CROSS-REFERENCE:  698.22^B 
                                  1)= S ^MCAR(698.2,DA(1),"ICD","B",$E(X,1,30),DA)=""
                                  2)= K ^MCAR(698.2,DA(1),"ICD","B",$E(X,1,30),DA)


698.22,.02      NARRATIVE DIAGNOSIS    0;2 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>80!($L(X)<1) X
                LAST EDITED:      JAN 02, 1992 
                HELP-PROMPT:      Answer must be 1-80 characters in length. 
                TECHNICAL DESCR:
                                  ORDER ENTRY TYPE:  UNKNOWN 




698.2,701     PRIMARY PROVIDER       PROV;1 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      OCT 25, 1994 
              DESCRIPTION:      This contains the primary provider.  It is triggered by another field in the file and is located
                                here to provider a standard provider location for use in transferring data to the PCC.  

              SCREEN:           S DIC("S")="I $D(^XUSEC(""PROVIDER"",+Y))"
              WRITE AUTHORITY:  ^
              NOTES:            TRIGGERED by the ATTENDING PHYSICIAN field of the A LEAD IMPLANT File 


698.2,900     PCC POINTER            PCC;1 POINTER TO VISIT FILE (#9000010)

              LAST EDITED:      MAY 17, 1996 
              DESCRIPTION:      This field is used to link the Medicine package results with the PCC Visit File for use by
                                Queryman.  

              CROSS-REFERENCE:  698.2^APCE 
                                1)= S ^MCAR(698.2,"APCE",$E(X,1,30),DA)=""
                                2)= K ^MCAR(698.2,"APCE",$E(X,1,30),DA)
                                Pointer to the Visit file.  



698.2,1000    ORIFN                  OR;1 POINTER TO ORDER FILE (#100)

              LAST EDITED:      JUL 09, 1991 
              HELP-PROMPT:      Enter the 'Consult Orders' internal file number. 
              DESCRIPTION:      This field contains a pointer to the 'Consult Orders' internal file number, stored in file 100. 
                                This field is entered when results are entered in the Medicine package.  


698.2,1001    GMRCO                  OR;2 POINTER TO REQUEST/CONSULTATION FILE (#123)

              LAST EDITED:      AUG 16, 1991 
              HELP-PROMPT:      Enter the 'Request/Consultation' internal file number. 
              DESCRIPTION:      This field contains a pointer to the internal number of the consult order stored in the
                                REQUEST/CONSULTATION file (123).  This field is entered when results are entered in the Medicine
                                package.  



      FILES POINTED TO                      FIELDS

ICD DIAGNOSIS (#80)               ICD DIAGNOSIS:ICD DIAGNOSIS (#.01)

MEDICAL PATIENT (#690)            MEDICAL PATIENT (#1)

NEW PERSON (#200)                 ATTENDING PHYSICIAN (#300)
                                  FELLOW-1st (#301)
                                  FELLOW-2nd (#302)
                                  PRIMARY PROVIDER (#701)

ORDER (#100)                      ORIFN (#1000)

PACEMAKER EQUIPMENT (#698.4)      A LEAD MODEL (#2)
                                  A LEAD PSA USED (#15)

PACEMAKER MANUFACTURER (#698.6)   A LEAD MANUFACTURER (#3)

REASON (MEDICINE) (#695.8)        A LEAD EXPLANT REASON (#57)

REQUEST/CONSULTATION (#123)       GMRCO (#1001)

VISIT (#9000010)                  PCC POINTER (#900)



INPUT TEMPLATE(S):
MCBLA-LEAD IMP                MAR 09, 1993@09:44  USER #0    
MCFLA-LEAD IMP                JAN 14, 1992@12:32  USER #0    

PRINT TEMPLATE(S):
MCAROPA                       MAY 13, 1996@10:22  USER #0    ^MCAROPA                                                             @
MCARPACALEADBRPR              MAY 13, 1996@10:23  USER #0    ^MCOBPA                                                              @

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):