| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date/time ordered(+) | 0;1 | DATE-TIME | AF | This is the date/time this action was ordered. | |
| .1 | order text | .1;0 | WORD-PROCESSING | This is the text of the order. | ||
| .2 | external text | .2;0 | WORD-PROCESSING | This is the text of the order stored in external format. DO NOT EDIT THIS FIELD! This field is used to create a Digital Signature. Editing this field will render the Digital Signature invalid and prevent the order from being processed. | ||
| 1 | reason for action/reject | 1;1 | FREE TEXT | This is the reason returned by the package why this action is being taken or rejected. | ||
| 2 | action(+) | 0;2 | SET OF CODES | NW:NEW DC:DISCONTINUE HD:HOLD RL:RELEASE HOLD XX:CHANGE | C | This is the action being ordered. |
| 3 | provider | 0;3 | POINTER | 200 | This is the requestor of this order. | |
| 4 | signature status | 0;4 | SET OF CODES | 0:ON CHART w/written orders 1:ELECTRONIC 2:NOT SIGNED 3:NOT REQUIRED 4:ON CHART w/printed orders 5:NOT REQUIRED due to cancel/lapse 6:SERVICE CORRECTION to signed order 7:DIGITALLY SIGNED 8:ON PARENT order | This is the signature status of the order. Entries with a null value in this field are assumed to have been entered through the back door via specific package order entry options and do not require signature unless so specified by the package. | |
| 5 | signed by | 0;5 | POINTER | 200 | This is the user who entered his/her electronic signature code to authenticate this order. It will be replaced by an encryption of the name and title of the signer, along with a checksum of the order text, as soon as we figure out how to do that. :) | |
| 6 | date/time signed | 0;6 | DATE-TIME | This is the date/time that the order was electronically signed. | ||
| 7 | signed on chart | 0;7 | POINTER | 200 | This is the person who released an order based on a signature in the chart. | |
| 8 | verifying nurse | 0;8 | POINTER | 200 | This is the nurse who acknowledged or verified the accuracy of this order. | |
| 9 | date/time nurse verified | 0;9 | DATE-TIME | This is the date/time that the order was acknowledged or verified by a nurse. | ||
| 10 | verifying clerk | 0;10 | POINTER | 200 | This is the ward clerk who took off this order, if it was not transmitted directly to the service for action. | |
| 11 | date/time clerk verified | 0;11 | DATE-TIME | This is the date/time that the ward clerk took off this order. | ||
| 12 | nature of order | 0;12 | POINTER | 100.02 | This specifies the nature of the order or how it originated. | |
| 13 | entered by | 0;13 | POINTER | 200 | This is the user who entered the information about this order into the computer. | |
| 14 | text reference | 0;14 | NUMERIC | This field contains a reference to the Order Action entry containing the text for this order. | ||
| 15 | release status | 0;15 | SET OF CODES | 11:unreleased 10:pre-release 13:rejected 12:dc/edit 14:lapsed | This field tracks the status of the request for this action; this is NOT the same as the order status. | |
| 16 | release date/time | 0;16 | DATE-TIME | This is the date/time the order was released to the service for action. | ||
| 17 | releasing person | 0;17 | POINTER | 200 | This is the person who released the order to the service for action. | |
| 18 | chart reviewed by | 0;18 | POINTER | 200 | This field contains the name of the user who performed the chart review that included this order. | |
| 19 | date/time chart reviewed | 0;19 | DATE-TIME | This field contains the date/time that a chart review was performed, that included this order. | ||
| 21 | dc/hold until | 2;1 | DATE-TIME | This is the date/time the hold was or will be removed from this order; if a future date/time is entered at the time of holding the order, the hold will be automatically removed when this date/time is reached. If this order is reinstated after being cancelled, this is the date/time the cancel status was removed from this order. | ||
| 22 | dc/hold released by | 2;2 | POINTER | 200 | This is the user who released the cancel or hold on this order. | |
| 23 | digital signature | 2;3 | FREE TEXT | This is the digital signature of the order. | ||
| 24 | drug schedule | 2;4 | FREE TEXT | This is the CS FEDERAL SCHEDULE of the drug as defined in the National Drug file (VA PRODUCT #50.68). Pharmacy package further refines the schedule to: 1 Sch. I Nar. 2 II 2n II Non-Nar. 3 III 3n III Non-Nar. 4 IV 5 V 0 other active drugs | ||
| 25 | digital signature required | 2;5 | BOOLEAN | 0:NO 1:YES | This field is set if a Digital Signature is required. | |
| 31 | flagged | 3;1 | BOOLEAN | 1:YES 0:NO | This indicates that this order has been flagged. | |
| 32 | bulletin | 3;2 | POINTER | 3.9 | This is the bulletin sent as a result of flagging this order. | |
| 33 | date/time flagged | 3;3 | DATE-TIME | This is the date/time when this order was flagged. | ||
| 34 | flagged by | 3;4 | POINTER | 200 | This is the user who flagged this order. | |
| 35 | reason for flag | 3;5 | FREE TEXT | This is the reason this order was flagged; it will be included in the bulletin generated, as well as included in the text of this order until this order is unflagged. | ||
| 36 | date/time unflagged | 3;6 | DATE-TIME | This is the date/time this order was unflagged. | ||
| 37 | unflagged by | 3;7 | POINTER | 200 | This is the user who unflagged this order. | |
| 38 | reason for unflag | 3;8 | FREE TEXT | This is the reason for unflagging this order, usually a response to the reason for flag. | ||
| 39 | alerted provider | 3;9 | POINTER | 200 | This is the user who was alerted to the flag. | |
| 50 | ward comments | 5;0 | WORD-PROCESSING | This is where ward or clinic comments on orders are stored. | ||
| 71 | chart copy printed | 7;1 | BOOLEAN | 0:NO 1:YES | This field is set to YES when the chart copy has printed. | |
| 72 | chart copy printed when | 7;2 | DATE-TIME | This field stores the date/time the chart copy 1st printed. | ||
| 73 | chart copy printed by | 7;3 | POINTER | 200 | This field contains the person signed on when the chart copy 1st printed. | |
| 74 | chart copy printer | 7;4 | FREE TEXT | This is the device that the chart copy was 1st sent to. |
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