STANDARD DATA DICTIONARY #853.8 -- VPS CLINICAL SURVEY FILE 6/27/25 PAGE 1 STORED IN ^VPS(853.8, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- This is the Clinical Survey Questionnaire data file for VA Point of Service (VPS) Kiosk application. VetLink (patient-facing or staff-facing) uses Remote Procedure Call (RPC) APIs to store Survey Questionnaire question-patient responses pairs. The data stored in this file is sorted by patient and by survey. Each patient will have multiple surveys and each survey contains multiple questions and responses. APPLICATION GROUP(S): GMTS CROSS REFERENCED BY: PATIENT(B), KIOSK SESSION IDENTIFIER(C), QUESTIONNAIRE TEMPLATE ID(D), PATIENT SAFETY(E), SURVEY CREATOR(F) INDEXED BY: RESPONSE IDENTIFIER & DATE/TIME TAKEN (D), DATE/TIME TAKEN & PATIENT SAFETY (G), PATIENT (H) 853.8,.01 PATIENT 0;1 POINTER TO PATIENT FILE (#2) (Required) INPUT TRANSFORM: S DINUM=X Q LAST EDITED: AUG 24, 2015 HELP-PROMPT: Select the patient who entered the questionnaire. DESCRIPTION: This is the patient who entered the questionnaire. TECHNICAL DESCR: Since this value is DINUM, this field represents the root IEN for this file as well. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 853.8^B 1)= S ^VPS(853.8,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,"B",$E(X,1,30),DA) FIELD INDEX: H (#1342) REGULAR IR LOOKUP & SORTING Short Descr: Index for Patient Identifier Set Logic: S ^VPS(853.8,"H",X,DA)="" Kill Logic: K ^VPS(853.8,"H",X,DA) Whole Kill: K ^VPS(853.8,"H") X(1): PATIENT (853.8,.01) (Subscr 1) (forwards) 853.8,1 QUESTIONNAIRE IDENTIFIER 1;0 POINTER Multiple #853.805 (Add New Entry without Asking) LAST EDITED: NOV 12, 2014 DESCRIPTION: This multiple stores all the patient's questionnaire identification information. 853.805,.01 QUESTIONNAIRE IDENTIFIER 0;1 POINTER TO VPS QUESTIONNAIRE IDENTIFIERS FILE (#853.85) (Required) INPUT TRANSFORM: S DINUM=X Q LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the IEN to the questionnaire that is being stored. DESCRIPTION: This is a pointer to the VPS QUESTIONNAIRE IDENTIFIERS FILE (853.85). It indicates which questionnaire the patient has responsed to. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 853.805^B 1)= S ^VPS(853.8,DA(1),1,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(1),1,"B",$E(X,1,30),DA) 853.805,1 QUESTIONNAIRE 1;0 DATE Multiple #853.81 (Add New Entry without Asking) DESCRIPTION: This multiple represents all questionnaires for the patient. 853.81,.01 DATE/TIME STORED 0;1 DATE (Required) INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X S:$D(X) DINUM=X Q LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter Date/Time the questionnaire was stored. DESCRIPTION: This is the Date/Time when the questionnaire sent by VetLink is stored in VistA. This Date/Time is automatically generated. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: 853.81^B 1)= S ^VPS(853.8,DA(2),1,DA(1),1,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(2),1,DA(1),1,"B",$E(X,1,30),DA) 853.81,.02 SURVEY CREATOR 0;2 POINTER TO NEW PERSON FILE (#200) (Required) LAST EDITED: JAN 18, 2016 HELP-PROMPT: Enter the staff who created this survey. DESCRIPTION: This is the staff who created this survey. 853.81,1 QUESTIONNAIRE RESPONSE 1;0 Multiple #853.811 (Add New Entry without Asking) DESCRIPTION: This is the questionnaire response multiple. A patient may respond to a questionnaire more than one time. 853.811,.01 RESPONSE IDENTIFIER 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>60!($L(X)<3) X LAST EDITED: SEP 09, 2015 HELP-PROMPT: Answer must be 3-60 characters in length. DESCRIPTION: This field contains the questionnaire response identifier from VetLink. CROSS-REFERENCE: 853.811^B 1)= S ^VPS(853.8,DA(3),1,DA(2),1,DA(1),1,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(3),1,DA(2),1,DA(1),1,"B",$E(X,1,30),DA) RECORD INDEXES: D (#1340) (WHOLE FILE #853.8) 853.811,.02 DATE/TIME TAKEN 0;2 DATE INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Enter date/time patient took the questionnaire. DESCRIPTION: This field contains the date/time the patient took this questionnaire. RECORD INDEXES: D (#1340) (WHOLE FILE #853.8) 853.811,.03 DATE/TIME LAST MODIFIED 0;3 DATE INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Enter the date/time someone last modified this questionnaire. DESCRIPTION: This is the Date/Time the survey was modified by patient or staff. 853.811,.04 COMPLETION STATUS 0;4 SET (Required) '1' FOR COMPLETE; '2' FOR INCOMPLETE; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the completion status. DESCRIPTION: This field contains the completion status for this questionnaire. 853.811,.05 PATIENT SAFETY 0;5 SET (Required) '1' FOR YES; '2' FOR NO; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the patient safety status. DESCRIPTION: This field contains the indicator for patient safety. 853.811,.06 IMMEDIATE ACTION 0;6 SET '1' FOR YES; '2' FOR NO; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the immediate action status. DESCRIPTION: This field contains an indicator that immediate action is required. 853.811,1 APPOINTMENT CHECK-IN 1;0 Multiple #853.8111 (Add New Entry without Asking) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter question presented in the questionnaire (must be 1-250 characters). DESCRIPTION: This multiple contains appointment check-in identifiers. 853.8111,.01 APPOINTMENT CHECK-IN ID 0;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains an appointment check-in identifier. 853.8111,1 ANSWER HISTORY D/T 1;1 DATE INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAR 10, 2016 HELP-PROMPT: Enter the date/time the Clinical Survey answer was recorded. DESCRIPTION: Answer History date/time represents the date and time the entry in this subfile was recorded. 853.811,2 ADDITIONAL CALCULATED VALUE 2;0 Multiple #853.8112 (Add New Entry without Asking) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter response provided to the question (must be 1-250 characters). DESCRIPTION: This multiple stores response additional calculated value information. 853.8112,.01 ADDITIONAL CALC VALUE NAME 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: This field contains the name of the additional calculated value. CROSS-REFERENCE: 853.8112^B 1)= S ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),2,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),2,"B",$E(X,1,30),DA) 853.8112,.02 ADDITIONAL CALC VALUE SCORE 0;2 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: This field contains the score for the additional calcualted value. 853.8112,1 ANSWER HISTORY D/T 2;1 DATE INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAR 10, 2016 HELP-PROMPT: Enter the date/time the Clinical Survey answer was recorded. DESCRIPTION: Answer History date/time represents the date and time the entry in this subfile was recorded. 853.811,3 QUESTIONS 3;0 Multiple #853.8113 (Add New Entry without Asking) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter calculated value for the question (must be 1-250 characters). DESCRIPTION: This multiple contains the question details of a given questionnaire. 853.8113,.01 QUESTION NUMBER 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>4!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-4 characters in length. DESCRIPTION: This field contains the number associated with a question on the given questionnaire. CROSS-REFERENCE: 853.8113^B 1)= S ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),3,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),3,"B",$E(X,1,30),DA) 853.8113,1 QUESTION CALCULATED VALUE 1;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter calculated value for the question (must be 3-250 characters). DESCRIPTION: This is calculated value for each question generated by Vetlink. 853.8113,2 QUESTION PRESENTED 2;0 WORD-PROCESSING #853.81132 (IGNORE "|") DESCRIPTION: This field contains a question of the given questionnaire. This question is displayed to the patient then the patient is to provide an answer to this question. LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter a question for the given questionnaire to be answered by the patient. DESCRIPTION: This field contains a question of the given questionnaire. This question is displayed to the patient then the patient is to provide an answer to this question. 853.8113,3 ANSWER 3;0 Multiple #853.81133 (Add New Entry without Asking) DESCRIPTION: This multiple contains the answer(s) the patient gave to the given question on the given questionnaire. 853.81133,.01 ANSWER IDENTIFIER 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains an answer identifier. CROSS-REFERENCE: 853.81133^B 1)= S ^VPS(853.8,DA(5),1,DA(4),1,DA(3),1,DA(2),3,DA(1),3,"B",$E(X,1,250),DA)="" 2)= K ^VPS(853.8,DA(5),1,DA(4),1,DA(3),1,DA(2),3,DA(1),3,"B",$E(X,1,250),DA) 853.81133,.02 INTERFACE USED 1;1 SET (Required) '1' FOR ADMIN; '2' FOR KIOSK; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter a value for which interface was used. DESCRIPTION: This field identifies what interface the data came from. 853.81133,.03 RESPONDENT 1;2 SET (Required) '1' FOR PATIENT; '2' FOR STAFF; '3' FOR OTHER; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter a value for the respondent. DESCRIPTION: This field captures who actually supplied the data. 853.81133,.04 RESPONDENT NAME 1;3 FREE TEXT INPUT TRANSFORM: K:$L(X)>60!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-60 characters in length. DESCRIPTION: This is the name of the person that answered this question, if different from the patient. If the response was not answered by the patient, this field is required. 853.81133,.05 ANSWER HISTORY D/T 1;6 DATE INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAR 10, 2016 HELP-PROMPT: Enter the date/time the Clinical Survey answer was recorded. DESCRIPTION: Answer History date/time represents the date and time the entry in this subfile was recorded. 853.81133,1 ANSWER DATE/TIME 1;4 DATE (Required) INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Enter date/time answer was provided. DESCRIPTION: This field contains the date/time the patient answered the given question. 853.81133,2 INTERVIEWER NAME 1;5 FREE TEXT INPUT TRANSFORM: K:$L(X)>60!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-60 characters in length. DESCRIPTION: This is the name of the staff member that asked the associated question. 853.81133,3 KIOSK IDENTIFIER 2;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains the kiosk identifier. 853.81133,4 KIOSK SESSION IDENTIFIER 3;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: SEP 11, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains the kiosk session identifier. CROSS-REFERENCE: 853.8^C 1)= S ^VPS(853.8,"C",$E(X,1,30),DA(5),DA(4),DA(3),DA(2),DA(1),DA)="" 2)= K ^VPS(853.8,"C",$E(X,1,30),DA(5),DA(4),DA(3),DA(2),DA(1),DA) Index needed for edit validation. If key fields do not match then information cannot be editted. 853.81133,5 KIOSK GROUP IDENTIFIER 4;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains the kiosk group identifier. 853.81133,6 ANSWER TEXT 5;0 WORD-PROCESSING #853.811336 (IGNORE "|") DESCRIPTION: This field contains the information the patient gave in response to the given question. LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the patient's response to the given question. DESCRIPTION: This field contains the information the patient gave in response to the given question. 853.811,4 SURVEY CALCULATED VALUE 4;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 26, 2015 HELP-PROMPT: Enter calculated value for the survey. This value must be 3-250 characters in length. DESCRIPTION: This is the calculated value for the whole survey generated by Vetlink. 853.81,2 DATE/TIME TAKEN 0;3 DATE (Required) INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: NOV 14, 2014 HELP-PROMPT: Enter Date/Time the questionnaire was taken. DESCRIPTION: This is the date/time the survey was taken by the patient. RECORD INDEXES: G (#1341) (WHOLE FILE #853.8) 853.81,3 DATE/TIME LAST MODIFIED 0;4 DATE (Required) INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X LAST EDITED: NOV 07, 2014 HELP-PROMPT: Enter Date/Time the questionnaire last modified. DESCRIPTION: This is the Date/Time the survey was modified by patient or staff. 853.81,4 INTERVIEWER STAFF 0;5 POINTER TO NEW PERSON FILE (#200) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter the staff who interviewed the patient. DESCRIPTION: This is the staff who interviewed the patient during the survey. 853.81,5 SURVEY CALCULATED VALUE 1;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<1) X LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter calculated value for the survey. This value must be 3-250 characters in length. DESCRIPTION: This is the calculated value for the whole survey generated by Vetlink. 853.81,6 COMPLETION STATUS 2;1 SET 'C' FOR COMPLETED; 'I' FOR INCOMPLETE; LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter completion status for the questionnaire. DESCRIPTION: This field indicates whether or not the survey was completed. 853.81,7 PATIENT SAFETY 2;2 SET 'Y' FOR YES; 'N' FOR NO; LAST EDITED: NOV 14, 2014 HELP-PROMPT: Enter whether or not this is Patient Safety Questionnaire. DESCRIPTION: This field indicates whether or not the survey is a patient safety. CROSS-REFERENCE: 853.8^E 1)= S ^VPS(853.8,"E",$E(X,1,30),DA(1),DA)="" 2)= K ^VPS(853.8,"E",$E(X,1,30),DA(1),DA) This cross refernce of Patient Safty Field is for searching. RECORD INDEXES: G (#1341) (WHOLE FILE #853.8) 853.81,8 IMMEDIATE ACTION 2;3 SET 'Y' FOR YES; 'N' FOR NO; LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter whether or not the questionnaire requires immediate action. DESCRIPTION: This field indicates whether or not the survey requires immediate action. 853.81,11 QUESTIONNAIRE TEMPLATE ID 0;7 POINTER TO VPS QUESTIONNAIRE IDENTIFIERS FILE (#853.85) (Required) LAST EDITED: MAR 10, 2015 DESCRIPTION: This is the questionnaire template identification number. CROSS-REFERENCE: 853.8^D 1)= S ^VPS(853.8,"D",$E(X,1,30),DA(1),DA)="" 2)= K ^VPS(853.8,"D",$E(X,1,30),DA(1),DA) This cross reference selects questionnaires taken by patients using the Questionnaire Template ID. 853.81,12 SURVEY CREATOR 0;8 POINTER TO NEW PERSON FILE (#200) (Required) LAST EDITED: NOV 14, 2014 HELP-PROMPT: Enter the staff who created this survey. DESCRIPTION: This is the staff who created this survey. CROSS-REFERENCE: 853.8^F 1)= S ^VPS(853.8,"F",$E(X,1,30),DA(1),DA)="" 2)= K ^VPS(853.8,"F",$E(X,1,30),DA(1),DA) This cross reference of the survey creator is for searching. 853.81,20 QUESTIONS 3;0 Multiple #853.811 DESCRIPTION: This multiple represents all questions for the survey. 853.811,.01 RESPONSE IDENTIFIER 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>60!($L(X)<3) X LAST EDITED: SEP 09, 2015 HELP-PROMPT: Answer must be 3-60 characters in length. DESCRIPTION: This field contains the questionnaire response identifier from VetLink. CROSS-REFERENCE: 853.811^B 1)= S ^VPS(853.8,DA(3),1,DA(2),1,DA(1),1,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(3),1,DA(2),1,DA(1),1,"B",$E(X,1,30),DA) RECORD INDEXES: D (#1340) (WHOLE FILE #853.8) 853.811,.02 DATE/TIME TAKEN 0;2 DATE INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Enter date/time patient took the questionnaire. DESCRIPTION: This field contains the date/time the patient took this questionnaire. RECORD INDEXES: D (#1340) (WHOLE FILE #853.8) 853.811,.03 DATE/TIME LAST MODIFIED 0;3 DATE INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Enter the date/time someone last modified this questionnaire. DESCRIPTION: This is the Date/Time the survey was modified by patient or staff. 853.811,.04 COMPLETION STATUS 0;4 SET (Required) '1' FOR COMPLETE; '2' FOR INCOMPLETE; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the completion status. DESCRIPTION: This field contains the completion status for this questionnaire. 853.811,.05 PATIENT SAFETY 0;5 SET (Required) '1' FOR YES; '2' FOR NO; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the patient safety status. DESCRIPTION: This field contains the indicator for patient safety. 853.811,.06 IMMEDIATE ACTION 0;6 SET '1' FOR YES; '2' FOR NO; LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter the immediate action status. DESCRIPTION: This field contains an indicator that immediate action is required. 853.811,1 APPOINTMENT CHECK-IN 1;0 Multiple #853.8111 (Add New Entry without Asking) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter question presented in the questionnaire (must be 1-250 characters). DESCRIPTION: This multiple contains appointment check-in identifiers. 853.8111,.01 APPOINTMENT CHECK-IN ID 0;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: SEP 16, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains an appointment check-in identifier. 853.8111,1 ANSWER HISTORY D/T 1;1 DATE INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAR 10, 2016 HELP-PROMPT: Enter the date/time the Clinical Survey answer was recorded. DESCRIPTION: Answer History date/time represents the date and time the entry in this subfile was recorded. 853.811,2 ADDITIONAL CALCULATED VALUE 2;0 Multiple #853.8112 (Add New Entry without Asking) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter response provided to the question (must be 1-250 characters). DESCRIPTION: This multiple stores response additional calculated value information. 853.8112,.01 ADDITIONAL CALC VALUE NAME 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: This field contains the name of the additional calculated value. CROSS-REFERENCE: 853.8112^B 1)= S ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),2,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),2,"B",$E(X,1,30),DA) 853.8112,.02 ADDITIONAL CALC VALUE SCORE 0;2 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-20 characters in length. DESCRIPTION: This field contains the score for the additional calcualted value. 853.8112,1 ANSWER HISTORY D/T 2;1 DATE INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAR 10, 2016 HELP-PROMPT: Enter the date/time the Clinical Survey answer was recorded. DESCRIPTION: Answer History date/time represents the date and time the entry in this subfile was recorded. 853.811,3 QUESTIONS 3;0 Multiple #853.8113 (Add New Entry without Asking) LAST EDITED: AUG 25, 2014 HELP-PROMPT: Enter calculated value for the question (must be 1-250 characters). DESCRIPTION: This multiple contains the question details of a given questionnaire. 853.8113,.01 QUESTION NUMBER 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>4!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 1-4 characters in length. DESCRIPTION: This field contains the number associated with a question on the given questionnaire. CROSS-REFERENCE: 853.8113^B 1)= S ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),3,"B",$E(X,1,30),DA)="" 2)= K ^VPS(853.8,DA(4),1,DA(3),1,DA(2),1,DA(1),3,"B",$E(X,1,30),DA) 853.8113,1 QUESTION CALCULATED VALUE 1;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter calculated value for the question (must be 3-250 characters). DESCRIPTION: This is calculated value for each question generated by Vetlink. 853.8113,2 QUESTION PRESENTED 2;0 WORD-PROCESSING #853.81132 (IGNORE "|") DESCRIPTION: This field contains a question of the given questionnaire. This question is displayed to the patient then the patient is to provide an answer to this question. LAST EDITED: AUG 24, 2015 HELP-PROMPT: Enter a question for the given questionnaire to be answered by the patient. DESCRIPTION: This field contains a question of the given questionnaire. This question is displayed to the patient then the patient is to provide an answer to this question. 853.8113,3 ANSWER 3;0 Multiple #853.81133 (Add New Entry without Asking) DESCRIPTION: This multiple contains the answer(s) the patient gave to the given question on the given questionnaire. 853.81133,.01 ANSWER IDENTIFIER 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT: Answer must be 3-250 characters in length. DESCRIPTION: This field contains an answer identifier. CROSS-REFERENCE: 853.81133^B 1)= S ^VPS(853.8,DA(5),1,DA(4),1,DA(3),1,DA(2),3,DA(1),3,"B",$E(X,1,250),DA)="" 2)= K ^VPS(853.8,DA(5),1,DA(4),1,DA(3),1,DA(2),3,DA(1),3,"B",$E(X,1,250),DA) 853.81133,.02 INTERFACE USED 1;1 SET (Required) '1' FOR ADMIN; '2' FOR KIOSK; LAST EDITED: AUG 24, 2015 HELP-PROMPT:Enter a value for which interface was used. DESCRIPTION: This field identifies what interface the data came from. 853.81133,.03 RESPONDENT 1;2 SET (Required) '1' FOR PATIENT; '2' FOR STAFF; '3' FOR OTHER; LAST EDITED: AUG 24, 2015 HELP-PROMPT:Enter a value for the respondent. DESCRIPTION: This field captures who actually supplied the data. 853.81133,.04 RESPONDENT NAME 1;3 FREE TEXT INPUT TRANSFORM:K:$L(X)>60!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT:Answer must be 1-60 characters in length. DESCRIPTION: This is the name of the person that answered this question, if different from the patient. If the response was not answered by the patient, this field is required. 853.81133,.05 ANSWER HISTORY D/T 1;6 DATE INPUT TRANSFORM:S %DT="ETX" D ^%DT S X=Y K:X<1 X LAST EDITED: MAR 10, 2016 HELP-PROMPT:Enter the date/time the Clinical Survey answer was recorded. DESCRIPTION: Answer History date/time represents the date and time the entry in this subfile was recorded. 853.81133,1 ANSWER DATE/TIME 1;4 DATE (Required) INPUT TRANSFORM:S %DT="ESTR" D ^%DT S X=Y K:Y<1 X LAST EDITED: SEP 16, 2015 HELP-PROMPT:Enter date/time answer was provided. DESCRIPTION: This field contains the date/time the patient answered the given question. 853.81133,2 INTERVIEWER NAME 1;5 FREE TEXT INPUT TRANSFORM:K:$L(X)>60!($L(X)<1) X LAST EDITED: AUG 24, 2015 HELP-PROMPT:Answer must be 1-60 characters in length. DESCRIPTION: This is the name of the staff member that asked the associated question. 853.81133,3 KIOSK IDENTIFIER 2;1 FREE TEXT INPUT TRANSFORM:K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT:Answer must be 3-250 characters in length. DESCRIPTION: This field contains the kiosk identifier. 853.81133,4 KIOSK SESSION IDENTIFIER 3;1 FREE TEXT INPUT TRANSFORM:K:$L(X)>250!($L(X)<3) X LAST EDITED: SEP 11, 2015 HELP-PROMPT:Answer must be 3-250 characters in length. DESCRIPTION: This field contains the kiosk session identifier. CROSS-REFERENCE:853.8^C 1)= S ^VPS(853.8,"C",$E(X,1,30),DA(5),DA(4),DA(3),DA(2),DA(1),DA)="" 2)= K ^VPS(853.8,"C",$E(X,1,30),DA(5),DA(4),DA(3),DA(2),DA(1),DA) Index needed for edit validation. If key fields do not match then information cannot be editted. 853.81133,5 KIOSK GROUP IDENTIFIER 4;1 FREE TEXT INPUT TRANSFORM:K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 24, 2015 HELP-PROMPT:Answer must be 3-250 characters in length. DESCRIPTION: This field contains the kiosk group identifier. 853.81133,6 ANSWER TEXT 5;0 WORD-PROCESSING #853.811336 (IGNORE "|") DESCRIPTION: This field contains the information the patient gave in response to the given question. LAST EDITED: AUG 24, 2015 HELP-PROMPT:Enter the patient's response to the given question. DESCRIPTION: This field contains the information the patient gave in response to the given question. 853.811,4 SURVEY CALCULATED VALUE 4;1 FREE TEXT (Required) INPUT TRANSFORM:K:$L(X)>250!($L(X)<3) X LAST EDITED: AUG 26, 2015 HELP-PROMPT:Enter calculated value for the survey. This value must be 3-250 characters in length. DESCRIPTION: This is the calculated value for the whole survey generated by Vetlink. FILES POINTED TO FIELDS NEW PERSON (#200) QUESTIONNAIRE:SURVEY CREATOR (#.02) INTERVIEWER STAFF (#4) SURVEY CREATOR (#12) PATIENT (#2) PATIENT (#.01) VPS QUESTIONNAIRE IDENTIFIERS (#853.85) QUESTIONNAIRE IDENTIFIER:QUESTIONNAIRE IDENTIFIER (#.01) QUESTIONNAIRE:QUESTIONNAIRE TEMPLATE ID (#11) Subfile #853.81 Record Indexes: G (#1341) RECORD REGULAR IR LOOKUP & SORTING WHOLE FILE (#853.8) Short Descr: New index Set Logic: S ^VPS(853.8,"G",X(1),X(2),DA(1),DA)="" Kill Logic: K ^VPS(853.8,"G",X(1),X(2),DA(1),DA) Whole Kill: K ^VPS(853.8,"G") X(1): DATE/TIME TAKEN (853.81,2) (Subscr 1) (forwards) X(2): PATIENT SAFETY (853.81,7) (Subscr 2) (forwards) Subfile #853.811 Record Indexes: D (#1340) RECORD REGULAR IR LOOKUP & SORTING WHOLE FILE (#853.8) Short Descr: Index to assist in locating records to modify Set Logic: S ^VPS(853.8,"D",$E(X(1),1,30),$E(X(2),1,14),DA(3),DA(2),DA(1),DA)="" Kill Logic: K ^VPS(853.8,"D",$E(X(1),1,30),$E(X(2),1,14),DA(3),DA(2),DA(1),DA) Whole Kill: K ^VPS(853.8,"D") X(1): RESPONSE IDENTIFIER (853.811,.01) (Subscr 1) (Len 30) (forwards) X(2): DATE/TIME TAKEN (853.811,.02) (Subscr 2) (Len 14) (forwards) INPUT TEMPLATE(S): PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S):