STANDARD DATA DICTIONARY #74 -- RAD/NUC MED REPORTS FILE                                                          3/24/25    PAGE 1
STORED IN ^RARPT(  *** NO DATA STORED YET ***   SITE: WWW.BMIRWIN.COM   UCI: VISTA,VISTA                           (VERSION 5.0)   

DATA          NAME                  GLOBAL        DATA
ELEMENT       TITLE                 LOCATION      TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file contains the reports for registered exams.  These reports are usually first dictated by the interpreting physician before
being entered by the transcriptionist.  
 
The Radiology/Nuclear Medicine software includes an HL7 interface to support report entry using voice recognition systems.  
 
The data in this file has three basic sections: 
 
         I. Demographic information about the file 
                - patient, date reported, date entered etc.  
        II. Text Data 
                - clinical history, report and impression 
       III. Computed Fields that obtain data from patient's exam record 
                - technician, procedure etc.  
 
The computed fields can be a very efficent way to do File Man prints and searches of exam record data, as opposed to doing prints
and searches through the 'RAD/NUC MED PATIENT' file.  
 
 Data Storage 
 ------------
The data for the 'RAD/NUC MED REPORTS file is stored in the ^RARPT( global. This global is very volatile and should be journaled.  
It should also be translated if the operating system supports this function.  
 
Because of the large amount of disk space the report text will demand of the system, the module has a 'Purge Data' function that
will allow the site manager to delete the 'REPORT TEXT' and 'CLINCIAL HISTORY' fields on a periodic basis. It is up to the computer
site manager and the imaging coordinator to determine how long this data will remain on-line. The 'IMPRESSION' text will not be
purged.  
 
In the future, the module will also have an archive function.  
 
 Input Templates 
 ---------------
The following is a list of input templates used by the package and the entry in the OPTIONS file (#19) that uses the template: 
 
                   Compiled 
 Name              Routine    Description; Option(s) 
 ----              --------   ----------------------
 RA REPORT EDIT    ^RACTWR*   Used to enter/edit reports and associated 
                              information into this file; 
                              RA RPTENTRY 
 
 RA VERIFY         ^RACTVR*   Used to indicate a report has been verified; 
 REPORT ONLY                  RA BATCHVERIFY, RA RPTVERIFY 
 
 RA PRE-VERIFY REPORT EDIT    Used to edit reports and associated 
                              information in this file. Does not allow 
                              report verification; RA RESIDENT PRE-VERIFY 
 
 RA PRE-VERIFY REPORT ONLY    Used to pre-verify reports; 
                              RA RESIDENT PRE-VERIFY 
 
If any modifications to these input templates are needed for local purposes, then great care should be taken not to degrade any
branching logic in the template.  
 
 Print Templates 
 ---------------
                   Compiled 
 Name              Routine    Description; Option(s) 
 -----             --------   ----------------------
 
 RA REPORT         ^RACTRT    Prints the status of verified reports only.  
  PRINT STATUS                Includes date verified, routing queue, date 
                              printed, printed by ward/clinic.  
                              RA RPTDISTPRINTSTATUS 
 
 Sort Templates 
 --------------
The package does not use any sort templates associated with this file.  


POST-SELECTION ACTION  : N DFN S DFN=$P(^RARPT(+Y,0),"^",2) S Y=DFN D ^DGSEC

   APPLICATION GROUP(S): RA
IDENTIFIED BY: PATIENT NAME (#2)[R]
      "WRITE": W $$EN2^RADD2

POINTED TO BY: REPORT TEXT field (#17) of the EXAMINATIONS sub-field (#70.03) of the REGISTERED EXAMS sub-field (#70.02) of the 
                   RAD/NUC MED PATIENT File (#70) 
               REPORT field (#.01) of the REPORTS sub-field (#74.21) of the REPORT BATCHES File (#74.2) 
               REPORT field (#.01) of the REPORT DISTRIBUTION File (#74.4) 
               RADIOLOGY REPORT field (#61) of the IMAGE File (#2005) 
               RADIOLOGY REPORT field (#61) of the IMAGE AUDIT File (#2005.1) 
               LAST RAD REPORT POINTER field (#48) of the DICOM GATEWAY PARAMETER File (#2006.563) 
               PACS QUERY UPPER LIMIT field (#70) of the DICOM GATEWAY PARAMETER File (#2006.563) 
               PACS QUERY LOWER LIMIT field (#71) of the DICOM GATEWAY PARAMETER File (#2006.563) 
               EXPORT FIRST REPORT NUMBER field (#91) of the DICOM GATEWAY PARAMETER File (#2006.563) 
               EXPORT LAST REPORT NUMBER field (#92) of the DICOM GATEWAY PARAMETER File (#2006.563) 
               EXPORT RADIOLOGY REPORT field (#98) of the DICOM GATEWAY PARAMETER File (#2006.563) 
               

CROSS
REFERENCED BY: VERIFIED DATE(AA), DAY-CASE#(ABLTN), REPORT STATUS(ABLTN1), REPORT VERIFIED BY COTS APP(AC), 
               TRANSCRIPTIONIST(AD), REPORT STATUS(ARES), REPORT STATUS(ASTAT), REPORT STATUS(ASTF), DAY-CASE#(B), 
               PATIENT NAME(C), OTHER CASE#(SET)



74,.01        DAY-CASE#              0;1 FREE TEXT (Required)

              DATE AND CASE NUMBER OF EXAM   
              INPUT TRANSFORM:  K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>16!($L(X)<8)!'(X?6N1"-"1N.N!(X?3N1"-"6N1"-"1N.N)) X
              LAST EDITED:      MAR 26, 2009 
              HELP-PROMPT:      Answer must be 8-16 characters in length. 
              DESCRIPTION:      This field contains the date and case number of the imaging exam associated with this report.  The
                                system fills in this field with information obtained from the 'RAD/NUC MED PATIENT' file (#70)
                                according to the case number selected by the transcriptionist.  
                                 
                                If the Site Specific Accession Number is in use then the 3-digit Site ID is appended to the
                                beginning of the field. 

              TECHNICAL DESCR:  Patch RA*5*56 replaces the actual deletion of a report with a change of the report status to 'X'. 
                                Thus the Radiology application does not invoke routine RABUL3 via the kill logic, instead it
                                invokes routine RABUL3 via a new routine, RARTE7.  
                                 
                                Patch RA*5*47 modifies the input transform of the .01 field by expanding the field to allow up to
                                16 characters and by modifying the pattern match to allow the Site ID and a "-" at the beginning of
                                the field.  
                                 
                                EXAMPLES: "Old" Day-Case #: 030309-3025                          "New" Day-Case #: 141-030309-3025
                                <-- Site ID appended to the beginning 

              SOURCE OF DATA:   SYSTEM GENERATED
              CROSS-REFERENCE:  74^B 
                                1)= S ^RARPT("B",$E(X,1,30),DA)=""
                                2)= K ^RARPT("B",$E(X,1,30),DA)
                                     Regular 'B' cross reference assigned by FileMan.  


              CROSS-REFERENCE:  74^ABLTN^MUMPS 
                                1)= Q
                                2)= D:+$G(RAPRG74) ^RABUL3 Q
                                3)= Do not delete.
                                     This bulletin will be delivered to all the members of the RAD/NUC MED REPORT DELETION mail
                                group when a report is deleted.  



74,2          PATIENT NAME           0;2 POINTER TO PATIENT FILE (#2) (Required)

              NAME OF RAD/NUC MED PATIENT   
              LAST EDITED:      MAY 18, 1994 
              HELP-PROMPT:      This field contains the patient name. 
              DESCRIPTION:      This field contains the name of the rad/nuc med patient associated with this report.  The system
                                fills in this field with data obtained from the 'RAD/NUC MED PATIENT' file (#70) according to the
                                case number selected by the transcriptionist.  

              SOURCE OF DATA:   SYSTEM GENERATED
                                UNEDITABLE
              CROSS-REFERENCE:  74^C 
                                1)= S ^RARPT("C",$E(X,1,30),DA)=""
                                2)= K ^RARPT("C",$E(X,1,30),DA)
                                Used to look-up reports by patient.  



74,3          EXAM DATE/TIME         0;3 DATE (Required)

              DATE AND TIME OF EXAM   
              INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 25, 1995 
              HELP-PROMPT:      This field contains the date and time of the exam associated with this report. 
              DESCRIPTION:      This field contains the date and the time of the exam associated with this report.  The system
                                fills in this field with data obtained from the 'RAD/NUC MED PATIENT' file (#70) according to the
                                case number selected by the transcriptionist.  

              SOURCE OF DATA:   SYSTEM GENERATED
                                UNEDITABLE

74,4          CASE NUMBER            0;4 NUMBER (Required)

              CASE NUMBER OF THIS EXAM   
              INPUT TRANSFORM:  K:+X'=X!(X>9999)!(X<1)!(X?.E1"."1N.N) X
              LAST EDITED:      NOV 21, 1984 
              HELP-PROMPT:      This field contains the case number of the exam. 
              DESCRIPTION:      This field contains the completed case number of the exam associated with this report.  The system
                                fills in the data for this field with information obtained from the 'RAD/NUC MED PATIENT' file
                                (#70).  

              SOURCE OF DATA:   SYSTEM GENERATED
                                UNEDITABLE

74,4.5        OTHER CASE#            1;0 Multiple #74.05


74.05,.01       OTHER CASE#            0;1 FREE TEXT

                INPUT TRANSFORM:  K:$L(X)>16!($L(X)<8)!'(X?6N1"-"1N.N!(X?3N1"-"6N1"-"1N.N)) X
                LAST EDITED:      MAR 26, 2009 
                HELP-PROMPT:      Answer must be 8-16 characters in length. 
                DESCRIPTION:      This field contains the date and case number of any other imaging exams associated with this
                                  report.  
                                   
                                  If the Site Specific Accession Number is in use then the 3-digit Site ID is appended to the
                                  beginning of this field.  

                TECHNICAL DESCR:  Patch RA*5*47 modifies the input transform of the .01 field by expanding the field to allow up to
                                  16 characters and by modifying the pattern match to allow the Site ID and a "-" at the beginning
                                  of the field.  
                                   
                                  EXAMPLES: "Old" Day-Case #: 030309-3025 "New" Day-Case #: 141-030309-3025 <-- Site ID appended to
                                  the beginning.  

                CROSS-REFERENCE:  74.05^B 
                                  1)= S ^RARPT(DA(1),1,"B",$E(X,1,30),DA)=""
                                  2)= K ^RARPT(DA(1),1,"B",$E(X,1,30),DA)

                CROSS-REFERENCE:  74^SET 
                                  1)= S ^RARPT("SET",$E(X,1,30),DA(1),DA)=""
                                  2)= K ^RARPT("SET",$E(X,1,30),DA(1),DA)




74,5          REPORT STATUS          0;5 SET (Required)

              STATUS OF THIS REPORT   
                                'V' FOR VERIFIED; 
                                'R' FOR RELEASED/NOT VERIFIED; 
                                'PD' FOR PROBLEM DRAFT; 
                                'D' FOR DRAFT; 
                                'EF' FOR ELECTRONICALLY FILED; 
                                'X' FOR DELETED; 
              INPUT TRANSFORM:  D EN1^RAUTL4
              LAST EDITED:      OCT 10, 2008 
              HELP-PROMPT:      Enter the status of this report. 
              DESCRIPTION:      This field contains a value to indicate the status of this report.  Valid choices are: 'V' for
                                Verified, 'R' for Released/Not Verified, 'PD' for Problem Draft, 'D' for Draft, 'EF' for
                                Electronically Filed and 'X' for Deleted.  
                                 
                                'V' (Verified) status refers to a report that is verified by the interpreting physician and is
                                available for display outside the Rad/Nuc Med Department to appropriate users, such as ward clerks,
                                nurses, and physicians.  
                                 
                                'R' (Released/Not Verified) status refers to a report that is not verified by the interpreting
                                physician and is available for display outside the Rad/Nuc Med Department.  The 'R' status is
                                allowed only when the parameter that controls this feature, 'Allow Released/Unverified' of the
                                'RAD/NUC MED DIVISION' file (#79), is set to 'Yes'.  Use the 'Display Report' option to view
                                reports with the 'R' status.  
                                 
                                'D' (Draft) status or 'PD' (Problem Draft) status refers to a report that is available only for
                                display in the Rad/Nuc Med Department.  A statement describing the problem to the interpreting
                                physician is printed at the end of reports with the 'PD' status.  
                                 
                                'EF' (Electronically Filed) status refers to a report that is interpreted outside the Rad/Nuc Med
                                Department.  The content is not the actual interpreted report, but canned text referring to the
                                outside interpreted report.  
                                 
                                'X' (Deleted) status refers to a report that is deleted from a case, but remains in the database
                                though not selectable from any Radiology options.  

              TECHNICAL DESCR:       The 'RAD/NUC MED REPORT UNVERIFIED' bulletin uses a variable called RASTATX.  This variable is
                                one character in length.  Some of the codes are greater than one character in length, i.e, 'PD'. 
                                In this case, the routine RAUTL9 must resolve variable RASTATX to its full internal format.  If
                                sets of codes are added to the data dictionary which are longer than one character in length, then
                                routine RAUTL9 should be modified to reflect these changes if the new code is processed by this 
                                routine.  The new 'EF' added by patch RA*5*56 is not used by routine RAUTL9, so routine RAUTL9 does
                                not have to be modified.  

              SOURCE OF DATA:   SYSTEM GENERATED
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER

              CROSS-REFERENCE:  74^ABLTN1^MUMPS 
                                1)= Q
                                2)= D ^RABUL2 Q
                                3)= Do not delete.
                                     Send a bulletin to the RADIOLOGY REPORT UNVERIFIED mail group if the status of a report is
                                changed from 'Verified'.  


              CROSS-REFERENCE:  74^ARES^MUMPS 
                                1)= N RAXREF K RAKILL I X'="V"&(X'="X") S RAXREF="ARES",RARAD=12,RASET="" D XREF^RAUTL2 S RASECOND=
                                "SRR" D SECXREF^RADD1 K RARAD,RASET

                                2)= N RAXREF K RASET S RAXREF="ARES",RARAD=12,RAKILL="" D XREF^RAUTL2 S RASECOND="SRR" D SECXREF^RA
                                DD1 K RAKILL,RARAD
                                Used to generate a list of unverified reports by resident responsible for the reports.  Do not set
                                this xref if the report is Verified (V) or marked Deleted (X).  


              CROSS-REFERENCE:  74^ASTF^MUMPS 
                                1)= N RAXREF K RAKILL I X'="V"&(X'="X") S RAXREF="ASTF",RARAD=15,RASET="" D XREF^RAUTL2 S RASECOND=
                                "SSR" D SECXREF^RADD1 K RARAD,RASEC

                                2)= N RAXREF K RASET S RAXREF="ASTF",RARAD=15,RAKILL="" D XREF^RAUTL2 S RASECOND="SSR" D SECXREF^RA
                                DD1 K RAKILL,RARAD
                                Used to generate a list of unverified reports by the interpreting staff responsible for the
                                reports. Do not set this xref if the report is Verified (V) or marked Deleted (X).  


              CROSS-REFERENCE:  74^ASTAT^MUMPS 
                                1)= S:"Vv"'[$E(X) ^RARPT("ASTAT",$E(X,1,30),DA)=""
                                2)= K ^RARPT("ASTAT",$E(X,1,30),DA)
                                3)= Needed for the Unverified Report.
                                This cross reference will be used to track the status of non-verified reports for the Unverified
                                Report.  



74,6          DATE REPORT ENTERED    0;6 DATE

              DATE AND TIME REPORT WAS ENTERED INTO SYSTEM   
              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      SEP 04, 1991 
              HELP-PROMPT:      This field contains the date and time the report was entered into the system. 
              DESCRIPTION:      This field contains the date and time that the report was entered into the system by the
                                transcriptionist.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,7          VERIFIED DATE          0;7 DATE

              DATE AND TIME NOTICE OF VERIFICATION WAS ENTERED INTO SYSTEM   
              INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JUN 05, 1991 
              HELP-PROMPT:      This is the date and time the report was verified by the interpreting physician. 
              DESCRIPTION:      As of July, 1985, this field contains the date and the time that it was indicated to the system
                                that the report was verified by the interpreting physician.  
                                 
                                An option allowing online verification lets the interpreting physician verify the report directly
                                via a CRT.  As a result, there will be no discrepency between the date/time the physician verified
                                the report and the date/time it was indicated to the system.  

              SOURCE OF DATA:   SYSTEM GENERATED
                                UNEDITABLE
              CROSS-REFERENCE:  74^AA^MUMPS 
                                1)= S ^RARPT("AA",9999999.9999-$E(X,1,30),DA)=""
                                2)= K ^RARPT("AA",9999999.9999-$E(X,1,30),DA)
                                Date reports were verified in inverse date format.  



74,8          REPORTED DATE          0;8 DATE

              DATE THE REPORT WAS DICTATED   
              INPUT TRANSFORM:  S %DT="EX",%DT(0)=$P($G(^RARPT(D0,0)),U,3)\1 D ^%DT K %DT(0) S X=Y K:Y<1 X
              LAST EDITED:      JAN 04, 1994 
              HELP-PROMPT:      Enter the date the interpreting physician dictated this report.  The exam date must precede the 
                                reported date. 
              DESCRIPTION:      This field contains the date that the interpreting physician dictated this report. The
                                transcriptionist enters this date from the dictation tape.  If the physician is using a voice
                                recognition system for dictation, this date is entered at the time the report is transmitted to
                                DHCP.  

              SOURCE OF DATA:   INTERPRETING PHYSICIAN
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


74,9          VERIFYING PHYSICIAN    0;9 POINTER TO NEW PERSON FILE (#200)

              VERIFYING INTERPRETING PHYSICIAN   
              INPUT TRANSFORM:  S DIC("S")="N RAINADT X ^DD(74,9,9.2) I $S('RAINADT:1,DT'>RAINADT:1,1:0),$D(^XUSEC(""RA VERIFY"",+Y
                                )),($D(^VA(200,""ARC"",""R"",+Y))!($D(^VA(200,""ARC"",""S"",+Y))))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y
                                <0 X
                                9.2 = S RAINADT=+$P($G(^VA(200,+Y,"PS")),"^",4)
              LAST EDITED:      AUG 21, 1995 
              HELP-PROMPT:      Enter the name of the interpreting physician that verified this report. 
              DESCRIPTION:      This field is a pointer to the 'NEW PERSON file (#200). Only 'staff' or 'resident' interpreting
                                physicians are allowed to be selected. This field contains the name of the interpreting physician
                                who verified the report.  

              SCREEN:           S DIC("S")="N RAINADT X ^DD(74,9,9.2) I $S('RAINADT:1,DT'>RAINADT:1,1:0),$D(^XUSEC(""RA VERIFY"",+Y
                                )),($D(^VA(200,""ARC"",""R"",+Y))!($D(^VA(200,""ARC"",""S"",+Y))))"
              EXPLANATION:      Allows only 'staff' or 'resident' interpreting physicians who hold the 'RA VERIFY' key to verify re
                                ports.
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


74,9.1        TELERADIOLOGY PHYSICIAN NAME TT;1 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>50!($L(X)<3) X
              LAST EDITED:      SEP 13, 2007 
              HELP-PROMPT:      Enter the name of the teleradiologist that verified the report. The answer must be 3-50 characters 
                                in length. 
              DESCRIPTION:
                                This field identifies the name of the teleradiologist who verified (signed) the report.  

              TECHNICAL DESCR:  The name of the teleradiologist and their National Provider Identification (NPI) are not manually
                                entered.  
                                 
                                The login to the ScImage application is our identity verification process.  Each of the individual
                                physician's credentials, their name and their NPI, are part of their ScImage user profile.  
                                 
                                The TELERADIOLOGY PHYSICIAN NAME attribute is passed when reporting a case.  

                                UNEDITABLE

74,9.2        TELERADIOLOGY PHYSICIAN NPI TT;2 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>10!($L(X)<10) X
              LAST EDITED:      SEP 13, 2007 
              HELP-PROMPT:      Enter the NPI of the teleradiologist who verified the report. The NPI is a ten digit number. 
              DESCRIPTION:      This field identified the National Provider ID (NPI) of the teleradiologist who verified (signed)
                                the report.  

              TECHNICAL DESCR:  The name of the teleradiologist and their National Provider Identification (NPI) are not manually
                                entered.  
                                 
                                The login to the ScImage application is our identity verification process.  Each of the individual
                                physician's credentials, their name and their NPI, are part of their ScImage user profile.  
                                 
                                The TELERADIOLOGY PHYSICIAN NPI attribute is passed when reporting a case.  

                                UNEDITABLE

74,9.3        REPORT VERIFIED BY COTS APP TT;3 POINTER TO HL7 APPLICATION PARAMETER FILE (#771)

              LAST EDITED:      APR 30, 2008 
              HELP-PROMPT:      Enter the HL7 APPLICATION PARAMETER that identifies the COTS application used to dictate and verify 
                                this radiology report. 
              DESCRIPTION:      This field identifies the Commercial Off the Shelf (COTS) application used to dictate and verify a
                                radiology report. Examples of values for this field, though these need not be the only permissible
                                values, are: RA-PSCRIBE-TCP, RA-SCIMAGE-TCP, and RA-TALKLINK-TCP.                           
                                 
                                If the report was dictated through the use of the VistA Radiology/Nuclear Medicine application the
                                field will be null.  

              CROSS-REFERENCE:  74^AC 
                                1)= S ^RARPT("AC",$E(X,1,30),DA)=""
                                2)= K ^RARPT("AC",$E(X,1,30),DA)


74,10         ELECTRONIC SIGNATURE CODE 0;10 FREE TEXT

              INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
              OUTPUT TRANSFORM: S Y="  "
              LAST EDITED:      AUG 21, 2003 
              HELP-PROMPT:      This is the system generated electronic signature code of the verifying interpreting physician. 
              DESCRIPTION:      This field is computed by the system to the electronic signature code of the verifying interpreting
                                physician.  

              TECHNICAL DESCR:  The upper limit on this field has been extended to fifty characters from thirty characters.  This
                                is the result of patch RA*5*43.  The data from the SIGNATURE BLOCK PRINTED NAME (SBPN, field #20.2)
                                field in the NEW PERSON file can have a maximum of forty characters.  
                                 
                                When conditions are met, the Rad/Nuc Med application fails to store data in the ELECTRONIC
                                SIGNATURE CODE (ESC, field #10) on the RAD/NUC MED REPORTS (#74) file because data exceeds the
                                number of characters the ESC field allows.  
                                 
                                This patch bumps the upper limit of characters on the ESC field from thirty characters to fifty
                                characters, thus exceeding the upper limit imposed on the SBPN field by ten characters.  

                                UNEDITABLE

74,11         TRANSCRIPTIONIST       T;1 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="I $D(^(""RAC""))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      JAN 19, 2001 
              HELP-PROMPT:      This field contains the name of the transcriptionist. 
              DESCRIPTION:
                                Rad/nuc med personnel who entered the report.  

              TECHNICAL DESCR:
                                This field is populated by the system with the Rad/nuc med user that transcribes the report.  

              SCREEN:           S DIC("S")="I $D(^(""RAC""))"
              EXPLANATION:      Must have a Radiology/Nuclear Medicine classification.
              CROSS-REFERENCE:  74^AD^MUMPS 
                                1)= S:$P($G(^RARPT(DA,0)),U,6)]"" ^RARPT("AD",$E(X,1,30),$P(^RARPT(DA,0),U,6),DA)=""
                                2)= K:$P($G(^RARPT(DA,0)),U,6)]"" ^RARPT("AD",$E(X,1,30),$P(^RARPT(DA,0),U,6),DA)
                                Used to identify the user who transcribed the report.  



74,13         DATE REPORT PRINTED    0;11 DATE

              INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      FEB 19, 1991 
              HELP-PROMPT:      This is the date the report was first printed. 
              DESCRIPTION:      This is the date this report was first printed.  Before a report is printed for the first time the
                                patient location is updated, if necessary, in the 'RAD/NUC MED PATIENT' file (#70) at the
                                Examinations multiple.  


74,14         PRE-VERIFICATION DATE/TIME 0;12 DATE

              INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      FEB 07, 1994 
              HELP-PROMPT:      Enter the date and time this report was pre-verified. 
              DESCRIPTION:
                                This is the date and time a report was pre-verified by an Interpreting Resident or Staff.  


74,15         PRE-VERIFICATION USER  0;13 POINTER TO NEW PERSON FILE (#200)

              INPUT TRANSFORM:  S DIC("S")="N RAINADT X ^DD(74,15,9.2) I $S('RAINADT:1,DT'>RAINADT:1,1:0),($D(^VA(200,""ARC"",""R""
                                ,+Y))!($D(^VA(200,""ARC"",""S"",+Y))))" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
                                9.2 = S RAINADT=+$P($G(^VA(200,+Y,"PS")),"^",4)
              LAST EDITED:      AUG 21, 1995 
              HELP-PROMPT:      This is the Interpreting Resident or Staff who pre-verified the report. 
              DESCRIPTION:
                                This is the Interpreting Resident or Staff Physician who pre-verified the report.  

              SCREEN:           S DIC("S")="N RAINADT X ^DD(74,15,9.2) I $S('RAINADT:1,DT'>RAINADT:1,1:0),($D(^VA(200,""ARC"",""R""
                                ,+Y))!($D(^VA(200,""ARC"",""S"",+Y))))"
              EXPLANATION:      Must have Rad/Nuc Med 'Staff' or 'Resident' personnel classification.

74,16         PRE-VERIFICATION E-SIG 0;14 FREE TEXT

              PRE-VERIFICATION ELECTRONIC SIGNATURE CODE   
              INPUT TRANSFORM:  K:$L(X)>30!($L(X)<6) X
              OUTPUT TRANSFORM: S Y="  "
              LAST EDITED:      SEP 05, 1996 
              HELP-PROMPT:      This is the electronic signature of the Interpreting Resident or Staff who pre-verified this 
                                report. 
              DESCRIPTION:      This is the electronic signature code of the Interpreting Resident or Staff who pre-verified this
                                report.  


74,17         STATUS CHANGED TO VERIFIED BY 0;17 POINTER TO NEW PERSON FILE (#200)

              LAST EDITED:      SEP 06, 1996 
              HELP-PROMPT:      Enter the individual who is actually signed on and responsible for changing the status of the 
                                report to 'verified'. 
              DESCRIPTION:      This field will record the individual who is signed on and responsible for the changing the report
                                status to 'verified'.  


74,18         DATE INITIAL OUTSIDE RPT ENTRY 0;18 DATE

              DATE AND TIME AN OUTSIDE REPORT WAS LOGGED INTO THE SYSTEM   
              INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      DEC 11, 2007 
              HELP-PROMPT:      The system stores the date and time when the outside report was logged via the 'Outside Report 
                                Entry/Edit' option. 
              DESCRIPTION:
                                The system populates this value when the 'Outside Report Entry/Edit' option is used.  


74,25         PROBLEM STATEMENT      P;E1,240 FREE TEXT

              STATEMENT TO DESCRIBE PROBLEM ENCOUNTERED IN TRANSCRIPTION   
              INPUT TRANSFORM:  K:$L(X)>240!($L(X)<2) X
              LAST EDITED:      MAY 23, 1985 
              HELP-PROMPT:      Enter 2-240 char's describing the problem encountered while transcribing this report. 
              DESCRIPTION:      This field may contain a note from the transcriptionist to the interpreting physician if any
                                problems were encountered during the transcribing of this report. This message can be between 2 and
                                240 characters in length and is used to describe the problem.  
                                 
                                This field is available for use only if the status of the report is 'PD' (problem draft).  

              SOURCE OF DATA:   TRANSCRIPTIONIST

74,40         PURGED DATE            PURGE;1 DATE

              DATE OF LAST PURGE   
              INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
              LAST EDITED:      JUN 06, 1985 
              HELP-PROMPT:      This field contains the date and time the data for this report was purged. 
              DESCRIPTION:      This field contains the date and the time that the 'Purge Data' option of the system was last used
                                to purge the clinical history, report text, and the activity log of this report.  

              WRITE AUTHORITY:  ^
              SOURCE OF DATA:   SYSTEM GENERATED
                                UNEDITABLE

74,45         NO PURGE INDICATOR     NOPURGE;1 SET

                                'n' FOR NO PURGE; 
                                'o' FOR OK TO PURGE; 
              LAST EDITED:      FEB 05, 1986 
              HELP-PROMPT:      If this field is set to 'NO PURGE', then this report will not be purged. 
              DESCRIPTION:      If this field is set to 'NO PURGE', then the report will not be purged or archived.  
                                 
                                This field is set when the corresponding field of the associated exam is set to 'NO PURGE'.  


74,53         HOSPITAL DIVISION       ;  COMPUTED

              HOSPITAL DIVISION WHERE EXAM WAS PERFORMED   
              MUMPS CODE:       S RAEXFLD="DIV" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="DIV" D ^RARTFLDS K RAEXFLD
              DESCRIPTION:      This field is computed by the system to the name of the hospital division where the exam associated
                                with this exam report was performed.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,54         IMAGING LOCATION        ;  COMPUTED

              IMAGING LOCATION WHERE EXAM WAS PERFORMED   
              MUMPS CODE:       S RAEXFLD="LOC" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="LOC" D ^RARTFLDS K RAEXFLD
              DESCRIPTION:      This field is computed by the system to the name of the imaging location within the hospital
                                division where the exam associated with this exam report was performed.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,86         INTERPRETING IMAGING LOCATION BA;1 POINTER TO IMAGING LOCATIONS FILE (#79.1)

              INPUT TRANSFORM:  S DIC("S")="I $$SIIL^RABWRTE" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X
              LAST EDITED:      AUG 27, 2003 
              HELP-PROMPT:      Enter the imaging location where the interpretation was performed. 
              DESCRIPTION:      This is the imaging location where the interpretation was performed.  It is a pointer to the
                                Imaging Location file (#79.1).  

              SCREEN:           S DIC("S")="I $$SIIL^RABWRTE"
              EXPLANATION:      Location must not be 'Performed Only', and its Img Type must match Exam's Img Type (if exam is avai
                                lable.)

74,100        ACTIVITY LOG           L;0 DATE Multiple #74.01 (Add New Entry without Asking)

              ACTIVITY LOG SUB-FIELD   
              DESCRIPTION:
                                This is a multiple field containing a log of actions that have been taken on this report record.  


74.01,.01       LOG DATE               0;1 DATE (Required)

                DATE OF ACTION ON THIS REPORT RECORD   
                INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
                HELP-PROMPT:      System generated date and time that action was taken on this report. 
                DESCRIPTION:
                                  This field contains the date and the time that the action was taken on this report record.  

                SOURCE OF DATA:   SYSTEM GENERATED

74.01,2         TYPE OF ACTION         0;2 SET (Required)

                TYPE OF ACTION ON REPORT RECORD   
                                  'I' FOR INITIAL REPORT TRANSCRIPTION; 
                                  'E' FOR REPORT EDIT; 
                                  'V' FOR VERIFIED; 
                                  'U' FOR REPORT UNVERIFIED; 
                                  'C' FOR IMAGES COLLECTED; 
                                  'P' FOR PRE-VERIFIED; 
                                  'F' FOR ELECTRONICALLY FILED; 
                                  'X' FOR DELETED REPORT; 
                                  'R' FOR RESTORED REPORT; 
                                  'Q' FOR QUIT; 
                LAST EDITED:      MAY 21, 2010 
                HELP-PROMPT:      This is the action type for this report. 
                DESCRIPTION:      This field contains the type of action that was taken on this report record.  Valid choices are: 
                                  'I' for Initial Report Transcription, 'E' for Report Edit, 'V' for Verified, 'U' for Report
                                  Unverified, 'C' for Digitized Images Collected, 'P' for Pre-Verified, 'F' for Electronically 
                                  Filed, 'X' for Deleted Report, 'R' for Restored Report & 'Q' for Quit.  

                TECHNICAL DESCR:  'Quit' is an action specific to the National Teleradiology Project introduced with RA*5.0*106.  
                                   
                                  The meaning of the action is that a study, initially to be interpreted by NTP, is released by NTP
                                  back to the local VA Medical Center for interpretation.  

                SOURCE OF DATA:   SYSTEM GENERATED

74.01,3         COMPUTER USER          0;3 POINTER TO NEW PERSON FILE (#200) (Required)

                USER AT THE TIME ACTION TAKEN ON REPORT RECORD   
                LAST EDITED:      MAR 02, 1990 
                HELP-PROMPT:      This field contains the name of the computer user at the time the action was taken on this 
                                  report. 
                DESCRIPTION:      This field points to  the 'NEW PERSON' file and is used to record the user who took an action on
                                  this report record.  

                SOURCE OF DATA:   SYSTEM GENERATED

74.01,4         BEFORE DELETION REPORT STATUS 0;4 SET

                                  'V' FOR VERIFIED; 
                                  'R' FOR RELEASED/NOT VERIFIED; 
                                  'PD' FOR PROBLEM DRAFT; 
                                  'D' FOR DRAFT; 
                                  'EF' FOR ELECTRONICALLY FILED; 
                LAST EDITED:      MAR 13, 2008 
                HELP-PROMPT:      The system will store the current report status before deleting the report.  
                DESCRIPTION:
                                  The system populates this value when the report is deleted via the Radiology application.  


74.01,5         BEFORE DELETION PRIM. DX CODE 0;5 POINTER TO DIAGNOSTIC CODES FILE (#78.3)

                LAST EDITED:      JAN 29, 2008 
                HELP-PROMPT:      This field will be populated by the system. 
                DESCRIPTION:      When a report is marked for deletion, its associated Primary Diagnostic Code from subfile 70.03
                                  is copied into this field, prior to deletion from file 70.03.  


74.01,6         BEFORE DELETION SEC. DX CODE DELDX;0 POINTER Multiple #74.16 (Add New Entry without Asking)


74.16,.01         BEFORE DELETION SEC. DX CODE 0;1 POINTER TO DIAGNOSTIC CODES FILE (#78.3)

                  LAST EDITED:      JAN 29, 2008 
                  HELP-PROMPT:      This field will be populated by the system. 
                  DESCRIPTION:      When a report is marked for deletion, its associated Secondary Diagnostic Codes from subfile
                                    70.14, if any, are copied into this multiple field, prior to deletion from subfile 70.14.  

                  CROSS-REFERENCE:  74.16^B 
                                    1)= S ^RARPT(DA(2),"L",DA(1),"DELDX","B",$E(X,1,30),DA)=""
                                    2)= K ^RARPT(DA(2),"L",DA(1),"DELDX","B",$E(X,1,30),DA)




74.01,7         BEFORE DELETION PRIM. STAFF 0;7 POINTER TO NEW PERSON FILE (#200)

                  LAST EDITED:      FEB 19, 2008 
                  HELP-PROMPT:      This field will be populated by the system. 
                  DESCRIPTION:      When a report is marked for deletion, its associated Primary Interpreting Staff from subfile
                                    70.03 is copied into this field, prior to deletion from file 70.03.  


74.01,8         BEFORE DELETION SEC. STAFF DELSTF;0 POINTER Multiple #74.18 (Add New Entry without Asking)


74.18,.01         BEFORE DELETION SEC. STAFF 0;1 POINTER TO NEW PERSON FILE (#200)

                    LAST EDITED:      FEB 19, 2008 
                    HELP-PROMPT:      This field will be populated by the system. 
                    DESCRIPTION:      When a report is marked for deletion, its associated Secondary Interpreting Staff from
                                      subfile 70.11, if any, are copied into this multiple field, prior to deletion from subfile
                                      70.11.  

                    CROSS-REFERENCE:  74.18^B 
                                      1)= S ^RARPT(DA(2),"L",DA(1),"DELSTF","B",$E(X,1,30),DA)=""
                                      2)= K ^RARPT(DA(2),"L",DA(1),"DELSTF","B",$E(X,1,30),DA)




74.01,9         BEFORE DELETION PRIM. RESIDENT 0;9 POINTER TO NEW PERSON FILE (#200)

                    LAST EDITED:      FEB 19, 2008 
                    HELP-PROMPT:      This field will be populated by the system. 
                    DESCRIPTION:      When a report is marked for deletion, its associated Primary Interpreting Resident from
                                      subfile 70.03 is copied into this field, prior to deletion from file 70.03.  


74.01,10        BEFORE DELETION SEC. RESIDENT DELRES;0 POINTER Multiple #74.19 (Add New Entry without Asking)


74.19,.01         BEFORE DELETION SEC. RESIDENT 0;1 POINTER TO NEW PERSON FILE (#200)

                      LAST EDITED:      FEB 19, 2008 
                      HELP-PROMPT:      This field will be populated by the system. 
                      DESCRIPTION:      When a report is marked for deletion, its associated Secondary Interpreting Resident from
                                        subfile 70.09, if any, are copied into this multiple field, prior to deletion from subfile
                                        70.09.  

                      CROSS-REFERENCE:  74.19^B 
                                        1)= S ^RARPT(DA(2),"L",DA(1),"DELRES","B",$E(X,1,30),DA)=""
                                        2)= K ^RARPT(DA(2),"L",DA(1),"DELRES","B",$E(X,1,30),DA)






74,102        PROCEDURE               ;  COMPUTED

              NAME OF THE PROCEDURE ASSOCIATED WITH THIS REPORT   
              MUMPS CODE:       S RAEXFLD="PROC" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="PROC" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      NOV 21, 1984 
              DESCRIPTION:      This field is filled in by the system with the name of the rad/nuc med procedure associated with
                                this report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,103        EXAM STATUS             ;  COMPUTED

              STATUS OF THE EXAM ASSOCIATED WITH THIS REPORT   
              MUMPS CODE:       S RAEXFLD="EXAM" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="EXAM" D ^RARTFLDS K RAEXFLD
              DESCRIPTION:
                                This field is filled in by the system with the exam status of the exam associated with this report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,104        CATEGORY OF EXAM        ;  COMPUTED

              CATEGORY OF THE EXAM ASSOCIATED WITH THIS REPORT   
              MUMPS CODE:       S RAEXFLD="CAT" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="CAT" D ^RARTFLDS K RAEXFLD
              DESCRIPTION:
                                This field is computed by the system to the category of the exam associated with this report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,106        WARD                    ;  COMPUTED

              WARD LOCATION OF RAD/NUC MED INPATIENT   
              MUMPS CODE:       S RAEXFLD="WARD" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="WARD" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      MAY 18, 1994 
              DESCRIPTION:      This field is computed by the system to the name of the hospital ward where the inpatient
                                associated with this exam report resided at the time this report was first printed.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,107        SERVICE                 ;  COMPUTED

              SERVICE TREATING THE RAD/NUC MED INPATIENT   
              MUMPS CODE:       S RAEXFLD="SERV" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="SERV" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      MAY 18, 1994 
              DESCRIPTION:      This field is computed by the system to the name of the service treating the inpatient associated
                                with this exam report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,108        PRINCIPAL CLINIC        ;  COMPUTED

              REFERRING PRINCIPAL CLINIC   
              MUMPS CODE:       S RAEXFLD="CLINIC" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="CLINIC" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      NOV 21, 1984 
              DESCRIPTION:      This field is computed by the system to the name of the outpatient clinic that referred the patient
                                associated with this exam report to rad/nuc med for the exam.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,109        CONTRACT/SHARING SOURCE  ;  COMPUTED

              REFERRING CONTRACT/SHARING AGREEMENT   
              MUMPS CODE:       S RAEXFLD="CONT" D ^RARTFLDS K RARTFLD
              ALGORITHM:        S RAEXFLD="CONT" D ^RARTFLDS K RARTFLD
              DESCRIPTION:      This field is computed by the system to the name of the contract or sharing agreement that referred
                                the patient associated with this exam report to rad/nuc med.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,109.5      RESEARCH SOURCE         ;  COMPUTED

              REFERRING RESEARCH SOURCE   
              MUMPS CODE:       S RAEXFLD="RSCH" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="RSCH" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      JUL 12, 1985 
              DESCRIPTION:      This field is computed by the system to the name of the research source that referred the patient
                                associated with this exam report to rad/nuc med.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,112        PRIMARY INTERPRETING RESIDENT  ;  COMPUTED

              PRIMARY INTERPRETING RESIDENT WHO ANALYZED IMAGES   
              MUMPS CODE:       S RAEXFLD="RES" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="RES" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      JUN 07, 1994 
              DESCRIPTION:      This field is computed by the system to the name of the primary interpreting resident who
                                interprets the images associated with this exam report.  

              SOURCE OF DATA:   SYSTEM GENERATED
              NOTES:            XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER


74,113        PRIMARY DIAGNOSTIC CODE  ;  COMPUTED

              PRIMARY DIAGNOSTIC CODE OF THE RAD/NUC MED EXAM   
              MUMPS CODE:       S RAEXFLD="DIAG" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="DIAG" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      MAY 18, 1994 
              DESCRIPTION:      This field is computed by the system to the primary diagnostic code associated with this exam
                                report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,114        REQUESTING PHYSICIAN    ;  COMPUTED

              NAME OF THE REQUESTING PHYSICIAN   
              MUMPS CODE:       S RAEXFLD="PHY" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="PHY" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      NOV 21, 1984 
              DESCRIPTION:      This field is computed by the system to the name of the person who requested the exam associated
                                with this report.  This person does not have to be a physician.  (ie. It might be a nurse.) 

              SOURCE OF DATA:   SYSTEM GENERATED

74,115        PRIMARY INTERPRETING STAFF  ;  COMPUTED

              PRIMARY INTERPRETING STAFF WHO ANALYZED IMAGES   
              MUMPS CODE:       S RAEXFLD="STAFF" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="STAFF" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      JUN 07, 1994 
              DESCRIPTION:      This field is computed by the system to the name of the primary interpreting staff who interprets
                                the images associated with this report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,116        COMPLICATION            ;  COMPUTED

              EXAM COMPLICATION   
              MUMPS CODE:       S RAEXFLD="COMP" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="COMP" D ^RARTFLDS K RAEXFLD
              DESCRIPTION:      This field is computed by the system to the complication that may have occurred during the exam
                                procedure associated with this exam report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,118        PRIMARY CAMERA/EQUIP/RM  ;  COMPUTED

              NAME OF PRIMARY CAMERA/EQUIP/RM   
              MUMPS CODE:       S RAEXFLD="EXRM" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="EXRM" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      JUN 03, 1994 
              DESCRIPTION:      This field is computed by the system to the name of the primary camera/equip/rm where the exam
                                associated with this exam report was performed.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,119        BEDSECTION              ;  COMPUTED

              BEDSECTION OF THE RAD/NUC MED PATIENT   
              MUMPS CODE:       S RAEXFLD="BED" D ^RARTFLDS K RAEXFLD
              ALGORITHM:        S RAEXFLD="BED" D ^RARTFLDS K RAEXFLD
              LAST EDITED:      MAY 18, 1994 
              DESCRIPTION:      This field is computed by the system to the name of the bedsection of the rad/nuc med inpatient
                                associated with this exam report.  

              SOURCE OF DATA:   SYSTEM GENERATED

74,200        REPORT TEXT            R;0   WORD-PROCESSING #74.02

              REPORT TEXT FOR THIS EXAM   
              DESCRIPTION:      This field contains the report text for the imaging exam. The report text is written by the
                                interpreting physician and may be entered into the system by a transcriptionist.  A report may also
                                be entered into DHCP when the interpreting physician uses a voice recognition system.  
                                 
                                If the interpreting physician requests a standard report, the information in this field is copied
                                from the 'Report Text' field of the 'Standard Reports' file.  

              SOURCE OF DATA:   INTERPRETING PHYSICIAN

                HELP-PROMPT:      Enter the text of the report for the exam. 
                DESCRIPTION:      This field contains the report text for the imaging exam. The report text is provided by the
                                  interpreting physician and is entered into the system by a transcriptionist.  The report resides
                                  in the 'report text' field.  The report may also be entered directly by the physician if the
                                  physician is using a voice recognition system.  
                                   
                                   
                                  If the interpreting physician requests a standard report, the information in this field is copied
                                  from the 'report text' field of the 'Standard Reports' file.  




74,300        IMPRESSION TEXT        I;0   WORD-PROCESSING #74.03

              IMPRESSION TEXT FOR THIS EXAM   
              DESCRIPTION:      This field contains the 'impression text' of the rad/nuc med exam associated with this report.  The
                                'impression text' gives a quick summary of the 'report text'.  It is written by the interpreting
                                physician and is entered into the system by the transcriptionist. The system will allow the 
                                interpreting physician to directly enter this information into the 'impression text' field through
                                a voice recognition system.  
                                 
                                If the interpreting physician requests a standard report, the information in this field is copied
                                from the 'impression text' field of the 'Standard Reports' file.  

              SOURCE OF DATA:   INTERPRETING PHYSICIAN

                LAST EDITED:      MAR 05, 1985 
                HELP-PROMPT:      Enter the impression text (summary) of the exam. 
                DESCRIPTION:      This field contains the 'impression text' of the rad/nuc med exam associated with this report.
                                  The 'impression text' provides a summary of the 'report text' and is entered into the system by
                                  the transcriptionist .  Voice recognition systems allows the interpreting physician to directly 
                                  enter this information into the 'impression text' field.  
                                   
                                  If the interpreting physician requests a standard report, the information in this field is copied
                                  from the 'impression text' field of the 'Standard reports' file.  




74,400        ADDITIONAL CLINICAL HISTORY H;0   WORD-PROCESSING #74.04

              CLINICAL HISTORY FOR THIS EXAM    
              LAST EDITED:      JAN 03, 2001 
              DESCRIPTION:      This field may contain a patient's clinical history as well as instructions to the interpreting
                                physician.  For example, the instructions might be for the physician to interpret the exam images
                                to rule out the possibility of the patient having a certain disease.  
                                 
                                The 'additional clinical history' is written by the interpreting physician and is entered into the
                                system by the transcriptionist.  Voice Recognition systems allow the interpreting physician to
                                directly enter this information into the 'additional clinical history' field.  

              SOURCE OF DATA:   INTERPRETING PHYSICIAN

                LAST EDITED:      JAN 03, 2001 
                HELP-PROMPT:      Enter the patient's clinical history. 
                DESCRIPTION:      This field may contain a patient's clinical history as well as instructions to the interpreting
                                  physician.  
                                   
                                  The additional clinical history is dictated by the interpreting physician as provided from the
                                  request and entered into the system by the transcriptionist. An enhancement of the system, now
                                  allows the interpreting physician to directly enter this information into the 'additional
                                  clinical history' field using a voice recognition system.  




74,1000       ERROR REPORTS          ERR;0 DATE Multiple #74.06 (Add New Entry without Asking)

              DESCRIPTION:      This multiple subfile contains date-stamped reports that were unverified and amended.  The previous
                                verified data that existed before the report was amended is stored here.  As a security precaution,
                                these fields are released to the site as uneditable.  


74.06,.01       DATE/TIME OF RPT SAVE  0;1 DATE

                INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
                LAST EDITED:      MAR 01, 1996 
                HELP-PROMPT:      Enter the date/time the report was unverified and saved. 
                DESCRIPTION:      This field will track the date/time of changes to unverified Radiology/Nuclear Medicine reports. 
                                  If a report is unverified, a skeletal structure of the report prior to amendments will be saved
                                  under this date/time.  

                CROSS-REFERENCE:  74.06^B 
                                  1)= S ^RARPT(DA(1),"ERR","B",$E(X,1,30),DA)=""
                                  2)= K ^RARPT(DA(1),"ERR","B",$E(X,1,30),DA)


74.06,2         ERRONEOUS REPORT       RPT;0   WORD-PROCESSING #74.62

                DESCRIPTION:      This field contains the version of a radiology/nuclear medicine report prior to amendments.  It
                                  is saved at the time the report is unverified.  Data retained includes any of the following that
                                  existed on the record at the time it was unverified: Procedure/modifiers, Clinical History, 
                                  Impression, Report Text, Primary and Secondary Diagnostic Codes, Verifier name/date/esig,
                                  Pre-verifier name/date/esig, Primary and Secondary Staff and Residents.  
                                   
                                  This data is stored in a subfile that supports multiple occurrences of amendments for one report.  


                  LAST EDITED:      MAR 01, 1996 
                  HELP-PROMPT:      Enter the old version of the report before it was unverified. 
                  DESCRIPTION:      This field contains the version of a radiology/nuclear medicine report prior to amendments.  It
                                    is saved at the time the report is unverified.  Data retained includes any of the following
                                    that existed on the record at the time it was unverified: Procedure/modifiers, Clinical
                                    History, Impression, Report Text, Primary and Secondary Diagnostic Codes, Verifier 
                                    name/date/esig, Pre-verifier name/date/esig, Primary and Secondary Staff and Residents.  
                                     
                                    This data is stored in a subfile that supports multiple occurrences of amendments for one
                                    report.  






74,2005       IMAGE                  2005;0 POINTER Multiple #74.02005 (Add New Entry without Asking)

              LAST EDITED:      DEC 09, 1994 
              DESCRIPTION:
                                This multiple field holds pointer values to the Image file (2005).  


74.02005,.01    IMAGE                  0;1 POINTER TO IMAGE FILE (#2005) (Multiply asked)

                LAST EDITED:      DEC 09, 1994 
                DESCRIPTION:
                                  This field holds the pointer value for an image located in the Image file (2005). 

                CROSS-REFERENCE:  74.02005^B 
                                  1)= S ^RARPT(DA(1),2005,"B",$E(X,1,30),DA)=""
                                  2)= K ^RARPT(DA(1),2005,"B",$E(X,1,30),DA)
                                  3)= DO NOT DELETE
                                  Regular B cross-reference used for look-up.  






      FILES POINTED TO                      FIELDS

DIAGNOSTIC CODES (#78.3)          ACTIVITY LOG:BEFORE DELETION PRIM. DX CODE (#5)
                                  BEFORE DELETION SEC. DX CODE:BEFORE DELETION SEC. DX CODE (#.01)

HL7 APPLICATION PARAMETER 
                   (#771)         REPORT VERIFIED BY COTS APP (#9.3)

IMAGE (#2005)                     IMAGE:IMAGE (#.01)

IMAGING LOCATIONS (#79.1)         INTERPRETING IMAGING LOCATION (#86)

NEW PERSON (#200)                 VERIFYING PHYSICIAN (#9)
                                  TRANSCRIPTIONIST (#11)
                                  PRE-VERIFICATION USER (#15)
                                  STATUS CHANGED TO VERIFIED BY (#17)
                                  ACTIVITY LOG:COMPUTER USER (#3)
                                  BEFORE DELETION PRIM. STAFF (#7)
                                  BEFORE DELETION PRIM. RESIDENT (#9)
                                  BEFORE DELETION SEC. STAFF:BEFORE DELETION SEC. STAFF (#.01)
                                  BEFORE DELETION SEC. RESIDENT:BEFORE DELETION SEC. RESIDENT (#.01)

PATIENT (#2)                      PATIENT NAME (#2)



INPUT TEMPLATE(S):
RA PRE-VERIFY REPORT EDIT     MAR 01, 2001@09:32  USER #0    
RA PRE-VERIFY REPORT ONLY     MAY 20, 1997@08:30  USER #0    
RA REPORT EDIT                JUN 15, 2009@14:09  USER #0    ^RACTWR 
     This template is used for entering and editing reports in the reports
     file.
RA VERIFY REPORT ONLY         JUN 23, 2009@07:58  USER #0    ^RACTVR 
     This template is used for the verifying of reports.

PRINT TEMPLATE(S):

SORT TEMPLATE(S):

FORM(S)/BLOCK(S):