Files > SCD (SPINAL CORD) REGISTRY

name
SCD (SPINAL CORD) REGISTRY
number
154
location
^SPNL(154,
description
This is the local registry file for SCD. It contains the main data for a SCD patient. Once a patient is entered in this file, the patient can not be removed. This file points to the patient file because a patient must exist in the patient file in order for an entry to be made in this file. The IEN for a patient in this file will be the same as the IEN in the patient file because the pointer number is used as the IEN in the this file.
Fields
#NameLocationTypeDetailsIndexDescription
.01patient(+)0;1POINTER2BThis field points to the Patient file. A patient must exist in the patient file before an entry can be made in this file.
.02registration date0;2DATE-TIMECThis date is automatically entered when a patient is added to this file. This field may not be changed.
.03registration status(+)0;3SET OF CODES0:NOT SCD
1:SCD - CURRENTLY SERVED
2:SCD - NOT CURRENTLY SERVED
X:EXPIRED
ADSCD - CURRENTLY SERVED designates a patient to be a true SCD patient who is seen at the facility on a continuing basis. SCD - NOT CURRENTLY SERVED designates a patient to be a true SCD patient who is not being seen at the facility on a continuing basis. NOT SCD designates a patient who is not a true SCD patient.
.05date of last review0;5DATE-TIMEThis is the date this file was last edited.
.06last updated by0;6POINTER200This field contains the name of the last user to edit this record. This field is automatically updated whenever an edit is performed.
1.1sci network1;1BOOLEAN1:YES
0:NO
When SCI NETWORK is Yes, the patient is (or was, if expired) being clinically treated and followed for an SCD condition within the SCI Hub and Spoke system and is either being offered or referred for annual rehab evaluations.
2.1sci level2;1POINTER154.01This is a pointer to the SCD NLOI Category file.
2.2ms subtype2;2SET OF CODESUN:UNKNOWN
RR:RELAPSING-REMITTING
PP:PRIMARY PROGRESSIVE
SP:SECONDARY PROGRESSIVE
PR:PROGRESSIVE RELAPSING
MS Subtype field.
2.4describe cause other2;4FREE TEXTIf the cause of injury is listed as 'other', you may enter a description of the cause here.
2.5describe other body part2;5FREE TEXTIf other body part affected is answered 'yes', you may enter a description of the part of the body affected here.
2.6va sci status2;6SET OF CODES1:PARAPLEGIA-TRAUMATIC
2:QUADRIPLEGIA-TRAUMATIC
3:PARAPLEGIA-NONTRAUMATIC
4:QUADRIPLEGIA-NONTRAUMATIC
X:NOT APPLICABLE
This field is used to describe the patient's level and type of injury.
3.1received most medical care3;1SET OF CODES1:VA ONLY
2:MOSTLY VA/SOME NON-VA
3:HALF VA/HALF NON-VA
4:SOME VA/MOSTLY NON-VA
5:NON-VA ONLY
6:DID NOT SEE DOCTOR/NURSE LAST 5 YRS
Where does the patient receive most of his medical care? Is most of the care at a VA or Non-VA facility?
3.2primary care vamc3;2POINTER4Where does the patient receive most of his medical care?
3.3annual rehab vamc3;3POINTER4At what facility did the patient receive his annual rehab eval?
3.4additional care vamc3;4POINTER4Where did the patient receive additional care?
3.5non-va care3;5FREE TEXTThe Non-VA site that gave the patient care.
4etiologyE;0MULTIPLE154.004
5.01cause of injury5;1POINTER154.03If the patient has a spinal cord injury, enter the patient's cause of injury.
5.02had brain injury?5;2BOOLEAN0:NO
1:YES
If the patient had a spinal cord injury, did he also have a head injury at the same time?
5.03had amputation?5;3BOOLEAN0:NO
1:YES
Has the patient ever had an amputation.
5.04memory/thinking affected5;4BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if the patient's memory/thinking are affected.
5.05eyes affected5;5BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if the patient's eyes are affected.
5.06one arm affected5;6BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if one of the patient's arms is affected.
5.07one leg affected5;7BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if one of the patient's legs is affected.
5.08both arms affected5;8BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if both of the patient's arms are affected.
5.09both legs affected5;9BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if both of the patient's legs are affected.
5.1other body part affected5;10BOOLEAN0:NO
1:YES
Spinal cord injury or disease can affect different areas of the body. Answer yes if another part of the patient's body is affected. If you answer yes, a free text description may be entered.
5.11extent of movement5;11SET OF CODES1:FULL USEFUL MOVEMENT
2:SOME USEFUL MOVEMENT
3:NO USEFUL MOVEMENT
Sometimes spinal cord injury or disease causes loss of movement in the arms or legs. If the patient has any loss of movement in the body part affected, enter it here.
5.12extent of feeling5;12SET OF CODES1:FULL FEELING
2:SOME FEELING
3:NO FEELING
Sometimes spinal cord injury or disease causes loss of feeling in the arms or legs. If the patient has any loss of feeling in the body parts affected, enter it here.
5.13bowel affected5;13BOOLEAN0:NO
1:YES
5.14bladder affected5;14BOOLEAN0:NO
1:YES
6.09extent of sci6;9SET OF CODESC:COMPLETE
I:INCOMPLETE
C (complete) means that the neurological level of injury is complete and I (incomplete) means that the neurological level of injury is not complete.
7annual rehab eval offeredREHAB;0MULTIPLE154.07
8.1primary care providerCARE;1POINTER200ENTER THE VA PRIMARY CARE PROVIDER FOR THIS PATIENT.
8.2sci/scd coordinatorCARE;2POINTER200Enter the SCD-Registry Coordinator at your site.
8.3referral sourceCARE;3SET OF CODES1:OTHER VA
2:COMMUNITY HOSPITAL
3:NURSING HOME
4:PVA
5:SELF
6:DEPARTMENT OF DEFENSE
7:NON-VA CARE
8:OTHER
8.4referral vaCARE;4POINTER4Enter the referring VA Medical Center.
8.6initial rehab siteCARE;6SET OF CODES1:COMMUNITY HOSPITAL
2:VA FACILITY WITH SCI CENTER
3:VA FACILITY WITHOUT SCI CENTER
4:OTHER
8.8init rehab discharge dateCARE;8DATE-TIMEEnter the date that the patient was discharged from the inital rehab center.
10.1bowel care reimbursmentBCR;1BOOLEAN1:YES
0:NO
Is patient in Bowel Care Reimbursment program.
10.2bcr date certifiedBCR;2DATE-TIMEEnter the date of Bowel Care Reimbursment Certification.
10.3bcr providerBCR;3FREE TEXTEnter the certified provider Bowel Care Reimbursment.
11remarksREM;1FREE TEXT
12division4;0MULTIPLE154.012
999.01ssnCOMPUTEDThis is the patient's SSN from the Patient file (#2).
999.02dobCOMPUTEDThis is the patient's date of birth from the Patient file (#2).
999.025ageCOMPUTED
999.03sensory/motor lossCOMPUTEDThe 'Loss of Movement' and 'Loss of Feeling' fields are used to compute the patient's Completeness of Injury. The possible values for this field are shown below. DON'T KNOW NONE INCOMPLETE MOTOR INCOMPLETE SENSORY COMPLETE MOTOR COMPLETE SENSORY INCOMPLETE SENSORY AND MOTOR COMPLETE SENSORY AND INCOMPLETE MOTOR INCOMPLETE SENSORY AND COMPLETE MOTOR COMPLETE SENSORY AND MOTOR
999.04classification of paralysisCOMPUTEDThe 'One Arm Affected', 'One Leg Affected', 'Both Arms Affected', and 'Both Legs Affected' fields are used to compute the patient's Extent of Paralysis. The possible values for this field are shown below. DON'T KNOW MONOPLEGIA HEMIPLEGIA PARAPLEGIA TETRAPLEGIA
999.05type of injuryCOMPUTEDThis computed field uses the data in the Date of Onset multiple to determine the patient's type of injury. Possible values returned by this field are: 'TRAUMATIC', 'NON-TRAUMATIC', 'UNKNOWN', and 'INDETERMINATE'. Combinations of these values may also be returned for patients with more than one type of injury, e.g., 'TRAUMATIC, NON-TRAUMATIC'.
999.06last annual rehab eval offeredCOMPUTED
999.07last annual rehab eval rcdCOMPUTED
999.08last annual rehab eval dueCOMPUTED
999.09date of deathCOMPUTED
999.095enrollment priorityCOMPUTED
1000on fly admissions1000;0MULTIPLE154.02

Not Referenced