Files > INCOMPLETE RECORDS

name

INCOMPLETE RECORDS

number

393

location

^VAS(393,

description

This file is the main file for the Incomplete Records Tracking package IRT This is where all of the data is stored that will be displayed for each deficiency on the enter/edit screens and on all of the reports.

Fields

#	Name	Location	Type	Details	Index	Description
.01	patient(+)	0;1	POINTER	2	B	Enter the patient for which this summary or op report has been recorded.
.02	type of deficiency(+)	0;2	POINTER	393.3		Enter the type of deficiency that is being tracked.
.03	event date(+)	0;3	DATE-TIME		C	Enter the date of the event (discharge date for discharge summaries, date of summary for interim summaries, or date of surgery for op reports).
.04	admission	0;4	POINTER	405	ADM	Enter the admission associated with this report. Enter nothing if this is an outpatient op report.
.05	location(+)	0;5	POINTER	44		Enter the location of the patient at the time of the event (discharge operation or interim summary.
.06	division(+)	0;6	POINTER	40.8		Enter the division at which this event took place. Will initially be determined by the WARD field.
.07	specialty(+)	0;7	POINTER	45.7		Enter the treating specialty the patient had at the time of this event.
.08	service(+)	0;8	POINTER	393.1	AC	Enter the service responsible for filing this report. This field will be used to generate reports that are incomplete by service.
.09	primary physician(+)	0;9	POINTER	200		Enter the physician responsible for the patient... usually the physician that will be responsible for the dictation of the summary or report.
.1	attending physician	0;10	POINTER	200		Enter the physician responsible for reviewing this summary (if applicable).
.11	status(+)	0;11	POINTER	393.2		Enter the status of this report at the present time.
.12	physician responsible(+)	0;12	POINTER	200		This is the physician that is responsible for the dictation of the report.
.13	inpatient report?(+)	0;13	BOOLEAN	1:YES 0:NO		Enter 1 if this report is for an inpatient episode. Enter 0 if it is an outpatient op report.
.14	physician for deficiency	0;14	POINTER	200		This field contains the name of the physician that is responsible for the deficiency at the present time. This field changes whenever an action is taken against a deficiency and the status changes. This field will be displayed on all the IRT reports as well as all of the enter/edit screens.
10.01	date dictated	DT;1	DATE-TIME			Enter the date on which this record was dictated. Time of day may also be entered.
10.02	dictated by	DT;2	POINTER	200		Enter the user responsible for dictation of this summary or op report.
10.03	date transcribed	DT;3	DATE-TIME			Enter the date (or date/time) on which this report was transcribed.
10.04	transcribed by	DT;4	VARIABLE-POINTER	200, 440		Enter the person or vendor that transcribed this report.
10.05	date signed	DT;5	DATE-TIME			Enter the date on which this summary was signed by the responsible provider.
10.06	signed by	DT;6	POINTER	200		Enter in this field the name of the provider that signed this summary or op report.
10.07	date reviewed	DT;7	DATE-TIME			Enter the date on which this summary or op report was reviewed. Entry of a review date/reviewer is optional.
10.08	reviewed by	DT;8	POINTER	200		Enter the name of the individual responsible for reviewing the signed summary or op report.
20.01	comments	MSG;1	FREE TEXT			This field is a free text field that the user may add any comments that they need to, in regards to the deficiency. Each deficiency has a comment field.