STANDARD DATA DICTIONARY #9000010.71 -- V STANDARD CODES FILE 3/24/25 PAGE 1 STORED IN ^AUPNVSC( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- The V STANDARD CODES file is used to store standardized codes other than CPT and ICD. This allows for more complete standardized documentation of the encounter. DD ACCESS: @ RD ACCESS: @ WR ACCESS: @ DEL ACCESS: @ LAYGO ACCESS: @ AUDIT ACCESS: @ CROSS REFERENCED BY: VISIT(AV10), CODE(B) INDEXED BY: CODING SYSTEM & CODE & PATIENT NAME & VISIT & EVENT DATE AND TIME (ACR), VISIT (AD), MAPPED SOURCE & CODING SYSTEM & CODE (SCC) LAST MODIFIED: MAY 4,2021@15:57:23 9000010.71,.01CODE 0;1 FREE TEXT (Required) INPUT TRANSFORM: K:$L(X)>40!($L(X)<3)!'(X'?1P.E) X LAST EDITED: JAN 07, 2019 HELP-PROMPT: Enter a code, 3 to 40 characters. DESCRIPTION: This is a code such as SNOMED CT. CROSS-REFERENCE: 9000010.71^B 1)= S ^AUPNVSC("B",$E(X,1,30),DA)="" 2)= K ^AUPNVSC("B",$E(X,1,30),DA) RECORD INDEXES: ACR (#1037), SCC (#1039) 9000010.71,.02PATIENT NAME 0;2 POINTER TO PATIENT/IHS FILE (#9000001) (Required) LAST EDITED: AUG 11, 2017 HELP-PROMPT: Enter the patient. DESCRIPTION: This is the patient for whom the code is being recorded. RECORD INDEXES: ACR (#1037) 9000010.71,.03VISIT 0;3 POINTER TO VISIT FILE (#9000010) (Required) LAST EDITED: AUG 11, 2017 HELP-PROMPT: Enter the visit date/time for the encounter/visit. DESCRIPTION: This is the encounter or occasion of service defined in the Visit file that represents when and where the standardized code was recorded for the patient. CROSS-REFERENCE: 9000010.71^AV10^MUMPS 1)= D ADD^AUPNVSIT 2)= D SUB^AUPNVSIT This cross-reference adds and subtracts from the dependent entry count in the VISIT file. FIELD INDEX: AD (#1038) MUMPS IR ACTION Short Descr: VISIT index Description: This cross-reference is used for searches by the visit pointer and internal entry number. Set Logic: S ^AUPNVSC("AD",X,DA)="" Kill Logic: K ^AUPNVSC("AD",X,DA) X(1): VISIT (9000010.71,.03) (Subscr 1) (forwards) RECORD INDEXES: ACR (#1037) 9000010.71,.05CODING SYSTEM 0;5 FREE TEXT (Required) INPUT TRANSFORM: K:($L(X)>7!($L(X)<3))!('$$VCODESYS^PXINPTR(.X)) X MAXIMUM LENGTH: 7 LAST EDITED: JAN 07, 2019 HELP-PROMPT: Enter the coding system, 3 to 7 characters. DESCRIPTION: A coding system is stored as one of the standard three-character abbreviations as defined in the Lexicon Coding Systems file #757.03. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER RECORD INDEXES: ACR (#1037), SCC (#1039) 9000010.71,.06PROBLEM LIST ENTRY 0;6 POINTER TO PROBLEM FILE (#9000011) LAST EDITED: JAN 04, 2019 HELP-PROMPT: Enter the problem entry from the patient's problem list for the problem treated. DESCRIPTION: This field identifies what Problem List entry is related to the problem treated at the visit. TECHNICAL DESCR: This field is populated automatically and should not be edited. 9000010.71,220MAGNITUDE 220;1 NUMBER INPUT TRANSFORM: K:+X'=X!(X>99999999999999)!(X<-99999999999999)!(X?.E1"."10N.N) X LAST EDITED: DEC 06, 2018 HELP-PROMPT: Enter the magnitude of the measurement, a positive or negative number, up to 14 digits and 9 decimal places. DESCRIPTION: If a measurement has been recorded for an entry in this file, this is the magnitude of the measurement. 9000010.71,221UCUM CODE 220;2 POINTER TO UCUM CODES FILE (#757.5) LAST EDITED: SEP 09, 2015 HELP-PROMPT: Enter the UCUM code of the measurement. DESCRIPTION: If a measurement has been recorded for an entry in this file, this is the unit of the measurement. 9000010.71,300MAPPED SOURCE 300;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>40!($L(X)<3) X MAXIMUM LENGTH: 40 LAST EDITED: MAR 01, 2016 HELP-PROMPT: Answer must be 3-40 characters in length. DESCRIPTION: If this entry was created because of codes that were mapped to PCE data types such as Education Topics, Exams, Health Factors, Immunizations, and Skin Tests this field will contain the file number and internal entry number of the corresponding data type entry in the format: file number;IEN. RECORD INDEXES: SCC (#1039) 9000010.71,1201EVENT DATE AND TIME 12;1 DATE INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:(Y<1)!(Y>$$NOW^XLFDT) X LAST EDITED: JAN 04, 2019 HELP-PROMPT: Enter the date and time the code was given. DESCRIPTION: This is the date and time the code was recorded by the provider. This date and time may be different from the Visit Date and Time. For example, for clinic appointment visits, the Visit Date and Time is the date and time of the appointment, not the time the provider performed the clinical event. The date may be an imprecise date. Date and time may be before or after the Visit Date, with the restriction the date cannot be a future date. TECHNICAL DESCR: The PCE User Interface, which allows manual entry of data, will be the primary source of the Event Date and Time. The Event Date prompt defaults to NOW. The Event Date does not have to be the Visit Date, but it cannot be a future date. If a user wants to enter an historical measurement, the user should use the Historical Encounter entry action to document the historical measurement. Historical entries will not be eligible for credit. PCE data sources for automatic (scanning) data capture will be blank unless the Event Date and Time are passed to PCE for filing. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER RECORD INDEXES: ACR (#1037) 9000010.71,1202ORDERING PROVIDER 12;2 POINTER TO NEW PERSON FILE (#200) LAST EDITED: JAN 04, 2019 HELP-PROMPT: Enter the provider who ordered this code recorded. DESCRIPTION: This field can be used to document the provider who ordered the code recorded. 9000010.71,1204ENCOUNTER PROVIDER 12;4 POINTER TO NEW PERSON FILE (#200) LAST EDITED: SEP 09, 2015 HELP-PROMPT: Enter the provider who recorded the code. DESCRIPTION: This is the provider who recorded the code. 9000010.71,80101EDITED FLAG 801;1 SET '1' FOR EDITED; LAST EDITED: JAN 04, 2019 HELP-PROMPT: Enter 1 if the original standard codes data is being edited. DESCRIPTION: This field is automatically set to 1 if PCE detects that any original standard codes data is being edited. TECHNICAL DESCR: PCE filing logic automatically compares the before and after pictures of the record to determine if the edited flag should be set to "1". 9000010.71,80102AUDIT TRAIL 801;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>85!($L(X)<2) X LAST EDITED: JAN 04, 2019 HELP-PROMPT: Answer must be 2-85 characters in length. DESCRIPTION: This field is populated automatically by the PCE filing logic. The format of the field is as follows: Pointer to PCE data source file_"-"_A for Add or E for Edit_" "_DUZ of the person who entered the data_";"... TECHNICAL DESCR: The PCE filing logic requires a pointer to the PCE data source file. If this is not passed, then PCE filing logic will not process the data. If the record is a new record, then an "A" is used to specify the source that added the data. If the record existed previously, PCE filing logic compares the old and new records of information. An "E" will automatically be used if the filing logic finds the data has been edited. If "E" is used, then the Edited Flag field is automatically set to 1. The DUZ is stored in its internal format to represent the user who performed the adding or editing of data for this record. Iterations of editing will be concatenated to the previous data source value, up to 85 characters. 9000010.71,81101COMMENTS 811;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>245!($L(X)<1) X LAST EDITED: JAN 04, 2019 HELP-PROMPT: Answer must be 1-245 characters in length. DESCRIPTION: This is a comment related to the standard code given to the patient. The provider may enter this manually via the PCE User Interface. 9000010.71,81201VERIFIED 812;1 SET '1' FOR FOR ELECTRONICALLY SIGNED; '2' FOR FOR VERIFIED BY PACKAGE; LAST EDITED: JAN 04, 2019 HELP-PROMPT: Enter 1 if verified by electronic signature or 2 if verified by package. DESCRIPTION: This is used to note how the event was verified and is automatically entered by the software. TECHNICAL DESCR: This is automatically entered by the software and is uneditable for users. 9000010.71,81202PACKAGE 812;2 POINTER TO PACKAGE FILE (#9.4) LAST EDITED: JAN 04, 2019 HELP-PROMPT: Enter the VistA package from which this standard code originated. DESCRIPTION: This is the VistA package from which this standard code originated through PCE. This is automatically entered by the software and uneditable by users. 9000010.71,81203DATA SOURCE 812;3 POINTER TO PCE DATA SOURCE FILE (#839.7) LAST EDITED: JAN 04, 2019 HELP-PROMPT: Select the data source for this standard code entry through PCE. DESCRIPTION: This is the data source for this standard code. It is set automatically and uneditable by users. FILES POINTED TO FIELDS NEW PERSON (#200) ORDERING PROVIDER (#1202) ENCOUNTER PROVIDER (#1204) PACKAGE (#9.4) PACKAGE (#81202) PATIENT/IHS (#9000001) PATIENT NAME (#.02) PCE DATA SOURCE (#839.7) DATA SOURCE (#81203) PROBLEM (#9000011) PROBLEM LIST ENTRY (#.06) UCUM CODES (#757.5) UCUM CODE (#221) VISIT (#9000010) VISIT (#.03) File #9000010.71 Record Indexes: ACR (#1037) RECORD MUMPS IR ACTION Short Descr: Clinical Reminders index Description: This cross-reference builds two indexes, one for finding all patients with a particular (coding system, code) and one for finding all the (coding system, codes) a patient has. The indexes are stored in the Clinical Reminders Index global as: ^PXRMINDX(9000010.71,"IP",CODING SYSTEM,CODE,DFN,DATE,DAS) and ^PXRMINDX(9000010.71,"PI",DFN,CODING SYSTEM,CODE,DATE,DAS) respectively. Where CODING SYSTEM is the Lexicon package's standard abbreviation for the coding system. For SNOMED CT it is SCT. CODE is the code. DFN is a pointer to file #2. DATE is EVENT DATE AND TIME, if it exists. If it does not, then it is VISIT/ADMIT DATE&TIME. DAS is the internal entry number of the entry in file #9000010.71. For all the details, see the Clinical Reminders Index Technical Guide/Programmer's Manual. Set Logic: D SVSC^PXVSC(.X,.DA) Kill Logic: D KVSC^PXVSC(.X,.DA) X(1): CODING SYSTEM (9000010.71,.05) (Subscr 1) (forwards) X(2): CODE (9000010.71,.01) (Subscr 2) (forwards) X(3): PATIENT NAME (9000010.71,.02) (Subscr 3) (forwards) X(4): VISIT (9000010.71,.03) (Subscr 4) (forwards) X(5): EVENT DATE AND TIME (9000010.71,1201) (forwards) SCC (#1039) RECORD REGULAR IR LOOKUP & SORTING Short Descr: Create an index of mapped source, coding system, and code. Description: This index is used to manage linking and unlinking of mapped codes. Set Logic: S ^AUPNVSC("SCC",$E(X(1),1,40),$E(X(2),1,7),$E(X(3),1,40),DA)="" Kill Logic: K ^AUPNVSC("SCC",$E(X(1),1,40),$E(X(2),1,7),$E(X(3),1,40),DA) Whole Kill: K ^AUPNVSC("SCC") X(1): MAPPED SOURCE (9000010.71,300) (Subscr 1) (Len 40) (forwards) X(2): CODING SYSTEM (9000010.71,.05) (Subscr 2) (Len 7) (forwards) X(3): CODE (9000010.71,.01) (Subscr 3) (Len 40) (forwards) INPUT TEMPLATE(S): PRINT TEMPLATE(S): SORT TEMPLATE(S): FORM(S)/BLOCK(S): PX VSC EDIT SEP 22, 2016@10:28 USER #0 PX VSC MAIN BLOCK DD #9000010.71