STANDARD DATA DICTIONARY #99 -- PT. TEXT FILE 3/24/25 PAGE 1
STORED IN ^PTX( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 5.01)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
File contains portions of a patient's general clinical data.
Fields annotated with an "*" are scheduled for deletion from this file.
DD ACCESS: @
RD ACCESS: @
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
CROSS
REFERENCED BY: NAME(B)
99,.01 NAME 0;1 POINTER TO PATIENT FILE (#2) (Required)
INPUT TRANSFORM: S DINUM=X
LAST EDITED: AUG 09, 1985
DESCRIPTION:
This is the patient's name
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 99^B
1)= S ^PTX("B",$E(X,1,30),DA)=""
2)= K ^PTX("B",$E(X,1,30),DA)
99,10 *PROGRESS NOTES PN;0 DATE Multiple #99.01 (Add New Entry without Asking)
DESCRIPTION: This is the text of notes entered by clinicians.
99.01,.01 *PN DATE 0;1 DATE
PN DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
LAST EDITED: SEP 19, 1983
DESCRIPTION:
Date note entered.
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.01,1 *STAFF 1;0 POINTER Multiple #99.02
DESCRIPTION:
Caretaker responsible for content of progress note.
99.02,.01 *STAFF 0;1 POINTER TO NEW PERSON FILE (#200)
STAFF
INPUT TRANSFORM: S DINUM=X
LAST EDITED: JAN 20, 1989
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
CROSS-REFERENCE: 99.02^B
1)= S ^PTX(DA(2),"PN",DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^PTX(DA(2),"PN",DA(1),1,"B",$E(X,1,30),DA)
99.02,1 *DATE/TIME 1;0 DATE Multiple #99.03
DESCRIPTION:
Date and time of contents of progress note.
99.03,.01 *DATE/TIME 0;1 DATE
DATE/TIME
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
LAST EDITED: JAN 20, 1989
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.03,1 *TEXT 1;0 WORD-PROCESSING #99.04
TEXT
LAST EDITED: JAN 19, 1989
HELP-PROMPT: ANSWER MUST BE 2-65 CHARACTERS IN LENGTH
99,11 HISTORY PART ONE HX;0 DATE Multiple #99.05 (Add New Entry without Asking)
DESCRIPTION: This is the text of the patient's chief complaint, history of present illness, and current
medications.
99.05,.01 HX1 DATE 0;1 DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.05,1 STAFF 1;0 POINTER Multiple #99.06
DESCRIPTION:
Personnel responsible for information entered into this file.
99.06,.01 STAFF NAME 0;1 POINTER TO NEW PERSON FILE (#200) (Required)
INPUT TRANSFORM: S DINUM=X Q
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.06,1 CHIEF COMPLAINT DATE 1;0 DATE Multiple #99.07
DESCRIPTION:
Date this chief complaint was determined.
99.07,.01 COMPLAINT DATE 0;1 DATE
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1 X
99.07,1 CHIEF COMPLAINT 1;0 WORD-PROCESSING #99.08
DESCRIPTION:
Primary reason for request for clinical care.
LAST EDITED: JUL 11, 1984
HELP-PROMPT: ANSWER MUST BE 2-65 CHARACTERS IN LENGTH
99.06,2 HX OF PRES ILLNESS DATE 2;0 DATE Multiple #99.09
DESCRIPTION:
Date history of present illness interview was obtained.
99.09,.01 HX DATE 0;1 DATE
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1 X
99.09,1 HX OF PRESENT ILLNESS 1;0 WORD-PROCESSING #99.1
DESCRIPTION:
Responses to a history of present illness interview.
LAST EDITED: JUL 11, 1984
HELP-PROMPT: ANSWER MUST BE 2-65 CHARACTERS IN LENGTH
99.06,3 CURRENT MEDS DATE 3;0 DATE Multiple #99.11
DESCRIPTION:
Date information regarding medications acknowledged by a patient was obtained.
99.11,.01 MEDS DATE 0;1 DATE
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1 X
99.11,1 CURRENT MEDS AND SOURCE 1;0 Multiple #99.12
DESCRIPTION: A list of medications and their sources currently being used by a patient as can be
determined by a caretaker with the assistance of the patient.
99.12,.01 MEDS TEXT 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>65!($L(X)<2) X
HELP-PROMPT: ANSWER MUST BE 2-65 CHARACTERS IN LENGTH
99,12 *TXP DESCRIPTION TP;0 DATE Multiple #99.13
DESCRIPTION:
This is the text of descriptive information about patient for treatment plans.
99.13,.01 *TXP DATE 0;1 DATE
TXP DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.13,1 *STAFF 1;0 POINTER Multiple #99.14
99.14,.01 *STAFF NAME 0;1 POINTER TO NEW PERSON FILE (#200)
STAFF NAME
INPUT TRANSFORM: S DINUM=X Q
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.14,1 *DATE/TIME 0;2 DATE
DATE/TIME
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1 X
99.14,2 *DESCRIPTIVE INFORMATION 1;0 Multiple #99.15
99.15,.01 *DESCRIPTIVE TEXT 0;1 FREE TEXT (Multiply asked)
DESCRIPTIVE TEXT
INPUT TRANSFORM: K:$L(X)>65!($L(X)<2) X
HELP-PROMPT: ANSWER MUST BE 2-65 CHARACTERS IN LENGTH
99,13 *TXP ADDITIONAL PLANS TPA;0 DATE Multiple #99.16
DESCRIPTION:
This is the text of additional treatment plans.
99.16,.01 *ADDITIONAL PLANS DATE 0;1 DATE
ADDITIONAL PLANS DATE
INPUT TRANSFORM: S %DT="E" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.16,1 *STAFF 1;0 POINTER Multiple #99.17
99.17,.01 *STAFF NAME 0;1 POINTER TO NEW PERSON FILE (#200)
STAFF NAME
INPUT TRANSFORM: S DINUM=X Q
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.17,1 *DATE/TIME 0;2 DATE
DATE/TIME
INPUT TRANSFORM: S %DT="ET" D ^%DT S X=Y K:Y<1 X
99.17,2 *ADDITIONAL PLANS 1;0 Multiple #99.18
99.18,.01 *PLANS TEXT 0;1 FREE TEXT (Multiply asked)
PLANS TEXT
INPUT TRANSFORM: K:$L(X)>65!($L(X)<2) X
HELP-PROMPT: ANSWER MUST BE 2-65 CHARACTERS IN LENGTH
99,20 CRISIS NOTES CN;0 DATE Multiple #99.29
DESCRIPTION:
This is the text of crisis notes on patients.
99.29,.01 CRISIS NOTE DATE 0;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
LAST EDITED: JUL 11, 1984
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.29,1 STAFF 1;0 POINTER Multiple #99.3 (Add New Entry without Asking)
DESCRIPTION:
Personnel responsible for entering a crisis note into the system.
99.3,.01 STAFF 0;1 POINTER TO NEW PERSON FILE (#200)
INPUT TRANSFORM: S DINUM=X Q
LAST EDITED: JUL 11, 1984
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.3,1 DATE/TIME 1;0 DATE Multiple #99.31
DESCRIPTION:
Date and time a crisis note was entered into the system.
99.31,.01 DATE/TIME 0;1 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
LAST EDITED: JUL 11, 1984
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.31,1 TEXT 1;0 WORD-PROCESSING #99.32
DESCRIPTION:
Crisis note narrative.
LAST EDITED: JUL 11, 1984
99.31,2 PERMANENT? 2;1 SET
'P' FOR PERMANENT;
'T' FOR TEMPORARY;
LAST EDITED: JUL 17, 1984
DESCRIPTION: A flag denoting whether or not this crisis note should be made a permanent part of a
patient's medical record.
99,25 MESSAGES MS;0 DATE Multiple #99.39
DESCRIPTION:
This is the text of clinically useful patient information.
99.39,.01 MESSAGE DATE 0;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
LAST EDITED: JUL 12, 1984
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.39,1 STAFF 1;0 POINTER Multiple #99.4 (Add New Entry without Asking)
DESCRIPTION:
Personnel responsible for entry of message into the system.
99.4,.01 STAFF 0;1 POINTER TO NEW PERSON FILE (#200)
INPUT TRANSFORM: S DINUM=X Q
LAST EDITED: JUL 12, 1984
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.4,1 DATE/TIME 1;0 DATE Multiple #99.41 (Add New Entry without Asking)
DESCRIPTION:
Date and time message was entered into the system.
99.41,.01 DATE/TIME 0;1 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y,DINUM=9999999-Y K:Y<1 X
LAST EDITED: JUL 12, 1984
NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER
99.41,1 TEXT 1;0 WORD-PROCESSING #99.42
DESCRIPTION:
Message context.
LAST EDITED: JUL 12, 1984
99.41,2 PERMANENT? 2;1 SET
'P' FOR PERMANENT;
'T' FOR TEMPORARY;
LAST EDITED: JUL 17, 1984
DESCRIPTION: A flag denoting whether or not this message should be made a permanent part of the
patient's clinical record.
FILES POINTED TO FIELDS
NEW PERSON (#200) *STAFF:*STAFF (#.01)
STAFF:STAFF NAME (#.01)
*STAFF:*STAFF NAME (#.01)
*STAFF:*STAFF NAME (#.01)
STAFF:STAFF (#.01)
STAFF:STAFF (#.01)
PATIENT (#2) NAME (#.01)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):