STANDARD DATA DICTIONARY #9999999.15 -- EXAM FILE 3/24/25 PAGE 1 STORED IN ^AUTTEXAM( (30 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0) DATA NAME GLOBAL DATA ELEMENT TITLE LOCATION TYPE ----------------------------------------------------------------------------------------------------------------------------------- This file is a list of Physical Exams that have been defined specifically for use in entering Examinations performed on an Outpatient or Inpatient Encounter. This file was developed by IHS and adopted by the VA. APPLICATION GROUP(S): PXRM IDENTIFIED BY: CLASS (#100)[R] PRIMARY KEY: A (#154) Uniqueness Index: B (#1683) File, Field: 1) NAME (9999999.15,.01) POINTED TO BY: FINDING ITEM field (#15) of the REMINDER DIALOG File (#801.41) ADDITIONAL FINDINGS field (#18) of the REMINDER DIALOG File (#801.41) ADDITIONAL FINDINGS field (#.01) of the ADDITIONAL FINDINGS sub-field (#801.4118) of the REMINDER DIALOG File (#801.41) FINDING ITEM field (#.02) of the REMINDER FINDING ITEM PARAMETER File (#801.43) FINDING ITEM field (#.04) of the EXTRACT FINDINGS sub-field (#810.31) of the REMINDER EXTRACT SUMMARY File (#810.3) FINDING ITEM field (#.01) of the LREPI FINDING TOTALS sub-field (#810.32) of the REMINDER EXTRACT SUMMARY File (#810.3) FINDING ITEM field (#.01) of the FINDINGS sub-field (#811.52) of the REMINDER TERM File (#811.5) FINDING ITEM field (#.01) of the FINDINGS sub-field (#811.902) of the REMINDER DEFINITION File (#811.9) EXAM field (#.01) of the V EXAM File (#9000010.13) INDEXED BY: NAME (B) LAST MODIFIED: OCT 5,2022@14:55:07 9999999.15,.01NAME 0;1 FREE TEXT (Required) (Key field) INPUT TRANSFORM: K:$L(X)>64!($L(X)<3)!'(X'?1P.E)!('$$VNAME^PXINPTR(.X)) X MAXIMUM LENGTH: 64 LAST EDITED: JUL 24, 2017 HELP-PROMPT: Enter the name of the exam, 3-64 characters. DESCRIPTION: This is the name of the examination. DELETE TEST: .01,0)= I 0 NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER FIELD INDEX: B (#1683) REGULAR IR LOOKUP & SORTING Unique for: Key A (#154), File #9999999.15 Short Descr: New-style "B" cross-reference. Set Logic: S ^AUTTEXAM("B",$E(X,1,64),DA)="" Kill Logic: K ^AUTTEXAM("B",$E(X,1,64),DA) Whole Kill: K ^AUTTEXAM("B") X(1): NAME (9999999.15,.01) (Subscr 1) (Len 64) (forwards) 9999999.15,.03SEX SPECIFIC 0;3 SET 'M' FOR MALE; 'F' FOR FEMALE; LAST EDITED: FEB 09, 1989 HELP-PROMPT: ENTER M OR F IF THIS EXAM IS SEX SPECIFIC DESCRIPTION: (Optional) This is the indicator for specifying the sex for which the exam is given. Enter an "M" for male or an "F" for Female. 9999999.15,.04INACTIVE FLAG 0;4 SET '1' FOR INACTIVE; LAST EDITED: AUG 25, 1995 HELP-PROMPT: Enter a "1" to make the exam type inactive. DESCRIPTION: This field is used to inactivate an exam type. If this field contains a "1" then the exam type is inactive. Inactive exam types cannot be selected in the manual data entry process. Exam entries should be made inactive when they are no longer used. Do not delete the entry or change the meaning of the exam entry. To make an inactive exam type active, enter the "@" symbol to remove the "1" from the field. TECHNICAL DESCR: The field was added for use by PCE in the VA. The Inactive flag should be used to manage manual access to exams, rather than physically deleting obsolete or inactive entries from the Exam file. This allows files to still point to the obsolete or inactive exam for historical purposes. 9999999.15,100CLASS 100;1 SET (Required) 'N' FOR NATIONAL; 'V' FOR VISN; 'L' FOR LOCAL; INPUT TRANSFORM: K:'$$VCLASS^PXINPTR(X) X LAST EDITED: NOV 13, 2015 HELP-PROMPT: Enter the class. DESCRIPTION: This is the class of the exam. Possible classes are "N" for national, "V" for VISN, and "L" for local. National exams cannot be edited by sites. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 9999999.15,101SPONSOR 100;2 POINTER TO REMINDER SPONSOR FILE (#811.6) INPUT TRANSFORM: K:'$$VSPONSOR^PXINPTR(9999999.15,X) X LAST EDITED: NOV 25, 2015 HELP-PROMPT: Enter the sponsor. DESCRIPTION: This is the organization or group that sponsors this exam. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 9999999.15,110CHANGE LOG 110;0 DATE Multiple #9999999.16 (Add New Entry without Asking) DESCRIPTION: This multiple is used to record a log of changes made to the exam. 9999999.16,.01 EDIT DATE 0;1 DATE INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 24, 2019 HELP-PROMPT: Enter the date and time when the editing was done. DESCRIPTION: This is the date and time when the editing was done. This field is set automatically and should not be edited. 9999999.16,1 EDIT BY 0;2 POINTER TO NEW PERSON FILE (#200) LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the person who did the editing. DESCRIPTION: This is the person who did the editing. This field is set automatically and should not be changed by the user. 9999999.16,2 EDIT COMMENTS 1;0 WORD-PROCESSING #9999999.162 DESCRIPTION: This word-processing field can be used to record the changes made during the editing session. LAST EDITED: JUL 09, 2015 DESCRIPTION: This word-processing field can be used to record the changes made during the editing session. 9999999.15,200PRINT NAME 200;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>64!($L(X)<3) X LAST EDITED: JUL 09, 2015 HELP-PROMPT: Enter the print name, 3-64 characters. DESCRIPTION: This is the name of the exam that will be used for display purposes. 9999999.15,201DESCRIPTION 201;0 WORD-PROCESSING #9999999.15201 DESCRIPTION: This field contains a description of the exam. It is used to document its purpose and intended usage. LAST EDITED: JUL 09, 2015 HELP-PROMPT: Enter the DESCRIPTION. 9999999.15,210CODE MAPPINGS 210;0 Multiple #9999999.18 (Add New Entry without Asking) 9999999.18,.01 CODING SYSTEM 0;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>7!($L(X)<3)!('$$VCODESYS^PXINPTR(.X)) X MAXIMUM LENGTH: 7 LAST EDITED: JAN 23, 2019 HELP-PROMPT: Enter the abbreviation for the coding system, 3 to 7 characters. DESCRIPTION: This is the coding system, it is stored as one of the standard abbreviations as defined in the Lexicon Coding Systems file #757.03. EXECUTABLE HELP: D CSHELP^PXLEX NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER 9999999.18,1 CODE 0;2 FREE TEXT INPUT TRANSFORM: K:($L(X)>40)!($L(X)<1) X MAXIMUM LENGTH: 40 LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter a code from the selected coding system, 1 to 40 characters. DESCRIPTION: This is a code such as ICD-9, CPT, SNOMED CT, etc. NOTES: XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER CROSS-REFERENCE: ^^TRIGGER^9999999.18^2 1)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA,DIV(1)=D1 S Y(1)=$S($D(^AUTTEXAM(D0,210,D1,0)):^(0),1:"" ) S X=$P(Y(1),U,3),X=X S DIU=X K Y S X=DIV N %I,%H,% D NOW^%DTC S X=% X ^DD(9999999.18,1,1,1,1.4) 1.4)= S DIH=$G(^AUTTEXAM(DIV(0),210,DIV(1),0)),DIV=X S $P(^(0),U,3)=DIV,DIH=9999999.18,DIG=2 D ^DIC R 2)= K DIV S DIV=X,D0=DA(1),DIV(0)=D0,D1=DA,DIV(1)=D1 S Y(1)=$S($D(^AUTTEXAM(D0,210,D1,0)):^(0),1:"" ) S X=$P(Y(1),U,3),X=X S DIU=X K Y S X="" X ^DD(9999999.18,1,1,1,2.4) 2.4)= S DIH=$G(^AUTTEXAM(DIV(0),210,DIV(1),0)),DIV=X S $P(^(0),U,3)=DIV,DIH=9999999.18,DIG=2 D ^DIC R CREATE VALUE)= NOW DELETE VALUE)= @ FIELD)= DATE MAPPED When a code is mapped automatically set the date and time it was mapped. 9999999.18,2 DATE MAPPED 0;3 DATE INPUT TRANSFORM:S %DT="ESTX" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the date and time the code was mapped. DESCRIPTION: This is the date and time the mapping was done. Do not edit this field, it is set automatically when the code is mapped. WRITE AUTHORITY:^ NOTES: TRIGGERED by the CODE field of the CODE MAPPINGS sub-field of the EXAM File 9999999.18,3 DATE LINKED 0;4 DATE INPUT TRANSFORM:S %DT="ESTX" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the date and time when the code was linked. DESCRIPTION: This is the date and time the mapped code was linked to existing patient data. This field should not be edited, it is set automatically when the linking is done. 9999999.15,220MINIMUM VALUE 220;1 NUMBER INPUT TRANSFORM: K:+X'=X!(X>99999999999999)!(X<-99999999999999)!(X?.E1"."10N.N) X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the minimum allowable value for the measurement, a positive or negative number, up to 14 digits and 9 decimal places. DESCRIPTION: If a measurement is to be associated with an Exam, the Minimum Value and Maximum Value sets the allowable range for the magnitude and the unit is selected from the Universal Code for Units of Measurement (UCUM) file. 9999999.15,221MAXIMUM VALUE 220;2 NUMBER INPUT TRANSFORM: K:+X'=X!(X>99999999999999)!(X<-99999999999999)!(X?.E1"."10N.N) X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the maximum allowable value for the measurement, a positive or negative number, up to 14 digits and 9 decimal places. DESCRIPTION: If a measurement is to be associated with an Exam, the Minimum Value and Maximum Value sets the allowable range for the magnitude and the unit is selected from the Universal Code for Units of Measurement (UCUM) file. 9999999.15,222MAXIMUM DECIMALS 220;3 NUMBER INPUT TRANSFORM: K:+X'=X!(X>9)!(X<0)!(X?.E1"."1.N) X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter an integer from 0 to 9. DESCRIPTION: This is the maximum number of decimal digits that can be entered for the measurement. 9999999.15,223UCUM CODE 220;4 POINTER TO UCUM CODES FILE (#757.5) LAST EDITED: JAN 22, 2019 HELP-PROMPT: Select the UCUM code for the measurement. DESCRIPTION: If a measurement is to be associated with an Exam, the Minimum Value and Maximum Value sets the allowable range for the magnitude and the unit is selected from the Universal Code for Units of Measurement (UCUM) file. 9999999.15,224PROMPT CAPTION 220;5 FREE TEXT INPUT TRANSFORM: K:$L(X)>40!($L(X)<3) X MAXIMUM LENGTH: 40 LAST EDITED: JUN 02, 2021 HELP-PROMPT: Answer must be 3-40 characters in length. DESCRIPTION: This field stores the prompt label that shows in CPRS Reminder Dialogs when it contains this item as a finding item. 9999999.15,225UCUM DISPLAY 220;6 SET 'C' FOR UCUM CODE; 'D' FOR DESCRIPTION; 'N' FOR NO DISPLAY; LAST EDITED: APR 14, 2022 HELP-PROMPT: Enter 'C' when you want the UCUM Code displayed, 'D' when you want the Description displayed, and N when you want no units displayed. DESCRIPTION: This field specifies how the units are presented when a measurement is displayed in CPRS, Clinical Reminders, and Health Summary. When the value is C, the UCUM Code is displayed when the value is D, the Description is displayed. When the value is N, no units are displayed. EXECUTABLE HELP: D UCDXHELP^PXMEASUREMENT(9999999.15,DA) 9999999.15,230DELETED CODE MAPPINGS 230;0 Multiple #9999999.2 (Add New Entry without Asking) DESCRIPTION: This multiple contains a list of standard code mappings that have been deleted. When a code mapping is deleted it is automatically moved to this multiple. 9999999.2,.01 CODING SYSTEM 0;1 FREE TEXT INPUT TRANSFORM: K:$L(X)>7!($L(X)<3) X MAXIMUM LENGTH: 7 LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the coding system, 3 to 7 characters. DESCRIPTION: This is the coding system, it is stored as one of the standard abbreviations as defined in the Lexicon Coding Systems file #757.03. This field is populated automatically and should not be edited. CROSS-REFERENCE: 9999999.2^B 1)= S ^AUTTEXAM(DA(1),230,"B",$E(X,1,30),DA)="" 2)= K ^AUTTEXAM(DA(1),230,"B",$E(X,1,30),DA) 9999999.2,1 CODE 0;2 FREE TEXT INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X MAXIMUM LENGTH: 40 LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the code, 1 to 40 characters. DESCRIPTION: This is a code such as ICD-9, CPT, SNOMED CT, etc. This field is populated automatically and should not be edited. 9999999.2,2 DATE DELETED 0;3 DATE INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the date and time the code mapping was deleted. DESCRIPTION: This is the date and time the code mapping was deleted. This field is populated automatically and should not be edited. 9999999.2,3 USER 0;4 POINTER TO NEW PERSON FILE (#200) LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the user who deleted the code mapping. DESCRIPTION: This is the user who deleted the code mapping. This is populated automatically and should not be edited. 9999999.2,4 MSE REMOVAL COMPLETION DATE 0;5 DATE INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X LAST EDITED: JAN 22, 2019 HELP-PROMPT: Enter the date and time when the mapped source entry removal completed. DESCRIPTION: This is the date and time when the removal of the Mapped Source Entries (MSE) completed. MSE entries are those created as a result of code mapping. This field is populated automatically and should not be edited. FILES POINTED TO FIELDS NEW PERSON (#200) CHANGE LOG:EDIT BY (#1) DELETED CODE MAPPINGS:USER (#3) REMINDER SPONSOR (#811.6) SPONSOR (#101) UCUM CODES (#757.5) UCUM CODE (#223) INPUT TEMPLATE(S): PRINT TEMPLATE(S): PXTT LIST EXAMS AUG 16, 1995@06:22 USER #0 PCE EXAM LIST SORT TEMPLATE(S): FORM(S)/BLOCK(S): PX EXAM CHANGE LOG NOV 16, 2015@14:56 USER #0 PX EXAM CHANGE LOG DD #9999999.16 PX EXAM EDIT NOV 16, 2015@11:51 USER #0 PX EXAM MAIN BLOCK DD #9999999.15 PX EXAM CODE MAPPINGS BLOCK DD #9999999.18 This form is invoked when the user holds the PX CODE MAPPING KEY and allows editing of the code mapping multiple. PX EXAM EDIT NCM APR 06, 2017 USER #0 PX EXAM MAIN BLOCK NCM DD #9999999.15 PX EXAM CODE MAPPINGS BLOCK NMDD #9999999.18 This form is invoked when the user does not hold the PX CODE MAPPING key and does not allow editing of the code mapping multiple.