Files > PTF

name
PTF
number
45
location
^DGPT(
description
This file contains all PTF information generated from admissions, treating specialty transfers, and PTF screen edits.
Fields
#NameLocationTypeDetailsIndexDescription
.001number11This field contains the IFN of the PTF record.
.01patient(+)0;1POINTER2BThis field contains a pointer to the patient file (#2). This is the patient that the PTF data has been entered for.
2admission date(+)0;2DATE-TIMEAFThis is the date of admission described by the PTF record.
2.1internal admission #COMPUTEDIFN assigned to the admission date/time for this particular record.
2.2ward at dischargeCOMPUTEDThis field contains the ward at the time of discharge.
3facility(+)0;3NUMERICFacility from which this veteran was discharged.
4fee basis0;4SET OF CODES1:FEE BASIS
This field indicated if the PTF record is a FEE basis record. A '1' in this field indicates a FEE basis record.
5suffix0;5FREE TEXTThis field contains the suffix of the medical center if not indicated in the facility number.
6status0;6SET OF CODES0:Open
1:Closed
2:Released
3:Transmitted
ASThis field indicates the current status of the PTF record.
7closed out by0;7POINTER200This field contains a pointer to the New Person File. The field indicates who closed out the PTF record.
7.1close out file0;9POINTER45.84File reference containing all PTF records that have been closed out.
7.2close out dateCOMPUTEDThis field contains the date the PTF record was closed out.
7.3release dateCOMPUTEDThis field contains the date the PTF record was released.
7.4transmission dateCOMPUTEDThis field contains the date the PTF record was transmitted.
8first closed out at0;8DATE-TIMEThis field contains the date the PTF record was first closed out.
9drgCOMPUTEDThis field contains the DRG for the episode of care described by the PTF record.
10means test indicator(+)0;10SET OF CODESAS:SERVICE CONNECTED
AN:NSC MT COPAY EXEMPT
B:CAT B
C:MT COPAY REQUIRED
N:NON VET
X:NOT APPLICABLE
U:NOT DONE/COMPLETED
G:GMT COPAY REQUIRED
AMTThis field contains the Means Test Indicator.
11type of record(+)0;11SET OF CODES1:PTF
2:CENSUS
This field indicates what type of record this is represents. As of 8/90 there are only two types, PTF and census. It is important to note that before MAS v4.7 this field did not exist and all records were PTF records. If sites have developed reports, they will need to screen on this field for the PTF record. (A PTF record has an internal value of 1 and a census record has a value of 2.)
12corresponding ptf record0;12POINTER45ACENSUSThis field is only filled in for census type of records. It points to the PTF record that was used to create the census record. A census record is an extract of information from the parent PTF record for activities that occurred during the census time period.
13census date0;13POINTER45.86This field is only filled in for census records and it points back to a PTF CENSUS DATE file entry.
20source of admission101;1POINTER45.1This field contains the source of admission of the veteran, or where he was admitted to the hospital from, i.e. community, other facility, etc.
20.1admitting eligibility101;8POINTER8This field contains the Admitting Eligibility associated with this inpatient stay.
21*transfering facility101;2POINTER45.2Old version no longer used
21.1transferring facility101;5NUMERICFacility number of the facility that the veteran was transferred to the hospital from.
21.2transferring suffix101;6FREE TEXTThe suffix assigned to the facility (if applicable) the veteran was transferred to the hospital from, i.e. 9AA = Nursing Home.
22source of payment101;3SET OF CODES1:CONTRACT-PUBLIC&PRIV
2:SHARING
3:CONTRACT-MILT&FED AGENCY
4:PAID UNAUTH
The field contains the source of payment for this patient for Non-VA hospitals only.
23category of beneficiary101;4POINTER45.82Category of beneficiary. This field through cross reference sets Category of beneficiary field in patient file which is used for Amis 358
30cpt record date/timeC;0MULTIPLE45.06
40401S;0MULTIPLE45.01Multiple containing information on the PTF 401 screen relating to surgical procedures and operations.
45.01procedure 1401P;1POINTER80.1This is a procedure performed during this episode of care.
45.02procedure 2401P;2POINTER80.1This is a procedure performed during this episode of care.
45.03procedure 3401P;3POINTER80.1This is a procedure performed during this episode of care.
45.04procedure 4401P;4POINTER80.1This is a procedure performed during this episode of care.
45.05procedure 5401P;5POINTER80.1This is a procedure performed during this episode of care.
50501M;0MULTIPLE45.02501 movements
60601P;0MULTIPLE45.05601 movements.
70discharge date70;1DATE-TIMEADSFor census records, this field holds the census date associated with the record, not the admission's discharge date.
71discharge specialty70;2POINTER42.4This field contains the bedsection this patient was discharged from.
72type of disposition70;3SET OF CODES1:REGULAR
2:NBC OR WHILE ASIH
3:EXPIRATION 6 MONTH LIMIT
4:IRREGULAR
5:TRANSFER
6:DEATH WITH AUTOPSY
7:DEATH WITHOUT AUTOPSY
This field contains the type of disposition for this patient for this episode of care.
72.1discharge status70;14SET OF CODES1:BED OCCUPANT
2:ON PASS
3:ON LEAVE
4:ASIH
This field contains the discharge status for the patient during this episode of care.
73outpatient treatment70;4SET OF CODES1:YES
3:NO
This field indicates if the veteran was referred for outpatient treatment following an episode of hospital care.
74va auspices70;5SET OF CODES1:YES
2:NO
If outpatient care indicated, is it under VA auspices? Is the VA paying for this care or is the veteran being seen at a VA facility?
75place of disposition70;6POINTER45.6Enter place of disposition..where is the veteran being discharged to?
76*receiving facility70;7POINTER45.2Discontinued after version 3.3
76.1receiving facility70;12NUMERICFacility number of the facility that the veteran is being transferred to from hospital.
76.2receiving suffix70;13FREE TEXTSuffix of receiving facility, i.e. 9AA for nursing home.
77asih days70;8NUMERICNumber of days patient was Absent Sick in Hospital during this episode of care (pertains to NHCU/DOM patients only).
78c&p status70;9SET OF CODES1:COMP/SC COND >10%
2:NON-COMP/SC COND<10%
3:COMP/SC (+10%) NO MED CARE
4:NON-COMP(-10%) SC NO MED CARE-VA PENSION
5:VA PENSION-NO SC COND
6:NON-COMP(-10%) SC NO MED CARE NO PENSION
7:NO PENSION-NO SC
8:NON-VET
Compensation and Pension status (synoymous with eligibility).
79principal diagnosis70;10POINTER80This field contains the diagnosis responsible for the patient's greatest length of stay.
79.1provider70;15POINTER200The primary physician responsible for this patient's episode of care.
79.16secondary diagnosis 170;16POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.17secondary diagnosis 270;17POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.18secondary diagnosis 370;18POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.19secondary diagnosis 470;19POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.2provider ssnCOMPUTEDSocial Security number of primary care physician.
79.201secondary diagnosis 570;20POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.21secondary diagnosis 670;21POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.22secondary diagnosis 770;22POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.23secondary diagnosis 870;23POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.24secondary diagnosis 970;24POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.241secondary diagnosis 1071;1POINTER80This field contains a diagnosis for the patient during this episode of care.
79.242secondary diagnosis 1171;2POINTER80This field contains a diagnosis for the patient during this episode of care.
79.243secondary diagnosis 1271;3POINTER80This field contains a diagnosis for the patient during this episode of care.
79.244secondary diagnosis 1371;4POINTER80This field contains a diagnosis for the patient during this episode of care.
79.245secondary diagnosis 1471;5POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.246secondary diagnosis 1571;6POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.247secondary diagnosis 1671;7POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.248secondary diagnosis 1771;8POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.249secondary diagnosis 1871;9POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.2491secondary diagnosis 1971;10POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.24911secondary diagnosis 2071;11POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.24912secondary diagnosis 2171;12POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.24913secondary diagnosis 2271;13POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.24914secondary diagnosis 2371;14POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.24915secondary diagnosis 2471;15POINTER80This field contains a diagnosis for the patient during this episode of care. This diagnosis is used in the calculation of the DRG.
79.25treated for sc condition70;25SET OF CODES1:YES
2:NO
79.26treated for ao condition70;26BOOLEANY:YES
N:NO
79.27treated for ir condition70;27BOOLEANY:YES
N:NO
79.28exposed to sw asia conditions70;28BOOLEANY:YES
N:NO
79.29treatment for mst70;29BOOLEANY:YES
N:NO
Was the treatment related to Military Sexual Trauma.
79.3treatment for head/neck ca70;30BOOLEANY:YES
N:NO
Was the treatment related to Head and/or Neck Cancer.
79.31potentially related to combat70;31BOOLEANY:YES
N:NO
Indicate if inpatient stay at this location may be related to military service in combat and not from cause other than military service in combat operations (congenital, developmental, pre-service existing conditions, or conditions having specific and well-established etiology that began after military combat service, i.e. bone fractures occuring after separation date, common colds, etc). This information is copied from the movement records.
79.32treatment for shad70;32BOOLEANY:YES
N:NO
Was the treatment related to Project 112/SHAD. Project 112/SHAD was the name of the overall program for both shipboard and land-based biological and chemical testing that was conducted by the United States (U.S.) military between 1962 and 1973. Project SHAD (Shipboard Hazard and Defense) was the shipboard portion of these tests.
80principal diagnosis pre 198670;11POINTER80This field contains the diagnosis responsible for the patient being admitted to the medical center. This field is not used in the calculation of the DRG. This field is no longer used.
82.01poa principal diagnosis82;1SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for the Principal Diagnosis. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.02poa secondary diagnosis 182;2SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 1. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.03poa secondary diagnosis 282;3SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 2. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.04poa secondary diagnosis 382;4SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 3. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.05poa secondary diagnosis 482;5SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 4. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.06poa secondary diagnosis 582;6SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 5. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.07poa secondary diagnosis 682;7SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 6. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.08poa secondary diagnosis 782;8SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 7. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.09poa secondary diagnosis 882;9SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 8. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.1poa secondary diagnosis 982;10SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 9. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.11poa secondary diagnosis 1082;11SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 10. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.12poa secondary diagnosis 1182;12SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 11. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.13poa secondary diagnosis 1282;13SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 12. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.14poa secondary diagnosis 1382;14SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 13. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.15poa secondary diagnosis 1482;15SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 14. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.16poa secondary diagnosis 1582;16SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 15. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.17poa secondary diagnosis 1682;17SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 16. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.18poa secondary diagnosis 1782;18SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 17. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.19poa secondary diagnosis 1882;19SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 18. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.2poa secondary diagnosis 1982;20SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 19. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.21poa secondary diagnosis 2082;21SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 20. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.22poa secondary diagnosis 2182;22SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 21. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.23poa secondary diagnosis 2282;23SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 22. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.24poa secondary diagnosis 2382;24SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 23. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
82.25poa secondary diagnosis 2482;25SET OF CODESY:Present on Admission
N:Not Present on Admission
U:Insufficient Docum to Present on Admission
W:Can't Determine if Present on Admission
This is the Present on Admission (POA) indicator for Secondary Diagnosis 24. One of the following values should be assigned in accordance with the official coding guidelines: Y = present on the time of inpatient admission; N = not present on the time of inpatient admission; U = documentation is insufficient to determine if condition is present on admission; W = provider is unable to clinically determine whether condition was present on admission or not "" = null, no POA entered, user pressed
99terminal digitCOMPUTEDComputed field to determine the last four digits of the SSN
100coding clerk1;0MULTIPLE45.03Multiple contains information on the coding clerk who worked on the PTF record for this episode of care.
101.07income101;7NUMERICThis field contains the patient's income as reported for the MEANS TEST if applicable or the income is calculated from fields in the PATIENT file (#2).
200census yearCEN;0MULTIPLE45.04Multiple containing information on the census year
300.01kidney source300;1SET OF CODES1:Live Donor
2:Cadaver
This field will indicate where the transplanted organ was received from.
300.02suicide/self inflict indicator300;2SET OF CODES1:Attempted Suicide
2:Accomplished Suicide
3:Self Inflicted Injury
This field will indicated if a suicide was attempted or accomplished.
300.03legionnaire's disease300;3SET OF CODES1:Yes
2:No
This field will indicated the patient was treated for Legionnaire's Disease.
300.04substance abuse300;4POINTER45.61Select type of substance abused by the patient.
300.05psychiatry class. severity300;5SET OF CODES0:INADEQUATE INFORMATION OR NO CHANGE IN CONDITION
1:NONE
2:MILD
3:MODERATE
4:SEVERE
5:EXTREME
6:CATASTROPHIC
Enter a one-digit rating from 0 (inadequate information/unchanged) through 6 (catastrophic). This field contains a rating indicating maximal stress.
300.06current functional assessment300;6NUMERICCODE TERMINOLOGY 90 TO 81 ABSENT OR MINIMAL SYMPTOMS 80 TO 71 IF SYMPTOMS ARE PRESENT, THEY ARE TRANSIENT AND EXPECTABLE REACTIONS TO PSYCHOSOCIAL STRESSORS 70 TO 61 SOME MILD SYMPTOMS OR SOME DIFFICULTY IN SOCIAL, OCCUPATIONAL OR SCHOOL FUNCTIONING 60 TO 51 MODERATE SYMPTOMS OR MODERATE DIFFICULTY IN SOCIAL, OCCUPATIONAL OR SCHOOL FUNCTIONING 50 TO 41 SERIOUS SYMPTOMS OR SERIOUS IMPAIRMENT IN SOCIAL, OCCUPATIONAL OR SCHOOL FUNCTIONING 40 TO 31 SOME IMPAIRMENT IN REALITY TESTING OR COMMUNICATION OR MAJOR IMPAIRMENT IN SEVERAL AREAS, SUCH AS SCHOOL, FAMILY RELATIONS, JUDGEMENT, THINKING OR MOOD 30 TO 21 SOME DANGER OR HURTING SELF OR OTHER OR OCCASIONALLY FAILS TO MAINTAIN PERSONAL HYGIENE OR GROSS IMPAIRMENT IN COMMUNICATION OR JUDGEMENT OR INABILITY TO FUNCTION IN ALMOST ALL AREAS 20 TO 11 SOME DANGER OF HURTING SELF OR OTHERS OR OCCASIONALLY FAILS TO MAINTAIN MINIMAL PERSONAL HYGIENE OR GROSS IMPAIRMENT IN COMMUNICATION 10 TO 1 PERSISTENT DANGER OF SEVERELY HURTING SELF OR OTHERS OR PERSISTENT INABILITY TO MAINTAIN MINIMAL PERSONAL HYGIENE OR SERIOUS SUICIDAL ACT WITH CLEAR EXPECTATIONS OF DEATH
300.07high level psych class300;7NUMERICCODE TERMINOLOGY 90 TO 81 ABSENT OR MINIMAL SYMPTOMS 80 TO 71 IF SYMPTOMS ARE PRESENT, THEY ARE TRANSIENT AND EXPECTABLE REACTIONS TO PSYCHOSOCIAL STRESSORS 70 TO 61 SOME MILD SYMPTOMS OR SOME DIFFICULTY IN SOCIAL, OCCUPATIONAL OR SCHOOL FUNCTIONING 60 TO 51 MODERATE SYMPTOMS OR MODERATE DIFFICULTY IN SOCIAL, OCCUPATIONAL OR SCHOOL FUNCTIONING 50 TO 41 SERIOUS SYMPTOMS OR SERIOUS IMPAIRMENT IN SOCIAL, OCCUPATIONAL OR SCHOOL FUNCTIONING 40 TO 31 SOME IMPAIRMENT IN REALITY TESTING OR COMMUNICATION OR MAJOR IMPAIRMENT IN SEVERAL AREAS, SUCH AS SCHOOL, FAMILY RELATIONS, JUDGEMENT, THINKING OR MOOD 30 TO 21 SOME DANGER OF HURTING SELF OR OTHERS OR OCCASIONALLY FAILS TO MAINTAIN PERSONAL HYGIENE OR GROSS IMPAIRMENT IN COMMUNICATION OR JUDGEMENT OR INABILITY TO FUNCTION IN ALMOST ALL AREAS 20 TO 11 SOME DANGER OF HURTING SELF OR OTHERS OR OCCASIONALLY FAILS TO MAINTAIN MINIMAL PERSONAL HYGIENE OR GROSS IMPAIRMENT IN COMMUNICATION 10 TO 1 PERSISTENT DANGER OF SEVERELY HURTING SELF OR OTHERS OR PERSISTENT INABILITY TO MAINTAIN MINIMAL PERSONAL HYGIENE OR SERIOUS SUICIDAL ACT WITH CLEAR EXPECTATIONS OF DEATH
535535535;0MULTIPLE45.0535This multiple contains all the ward specialty movements of a patient that occur during the admission. If a patient changed wards but the specialty of the two wards are the same then no entry in this multiple is created.

Referenced by 8 types

  1. PTF (45) -- corresponding ptf record
  2. PTF CLOSE OUT (45.84) -- ptf record
  3. CENSUS WORKFILE (45.85) -- ptf number
  4. INPATIENT CPT CODE (46) -- ptf
  5. INPATIENT POV (46.1) -- ptf
  6. TRANSFER PRICING TRANSACTIONS (351.61) -- ptf pointer
  7. BILL/CLAIMS (399) -- ptf entry number
  8. PATIENT MOVEMENT (405) -- ptf entry