Files > CYTOPATHOLOGY

parent

63

name

CYTOPATHOLOGY

number

63.09

Fields

#	Name	Location	Type	Details	Index	Description
.01	date/time specimen taken(+)	0;1	DATE-TIME			This is the date/time of collection of the specimen.
.011	specimen submitted by	0;5	FREE TEXT			This is the person submitting the specimen.
.012	specimen	.1;0	MULTIPLE	63.902		These are the specimens submitted.
.013	brief clinical history	.2;0	WORD-PROCESSING			This is a brief clinical history of the specimen.
.014	preoperative diagnosis	.3;0	WORD-PROCESSING			This is the pre-operative diagnosis.
.015	operative findings	.4;0	WORD-PROCESSING			These are the operative findings of the specimen.
.016	postoperative diagnosis	.5;0	WORD-PROCESSING			This is the post-operative diagnosis.
.02	pathologist/cytotechnologist	0;2	POINTER	200		This is the pathologist performing the examination.
.021	cytotech	0;4	POINTER	200		This is the technologist performing the test.
.03	date report completed	0;3	DATE-TIME			This is the date the report was completed.
.06	cytopath acc #(+)	0;6	FREE TEXT			This is the accession number of the cytopathology specimen.
.07	physician	0;7	POINTER	200		This is the requesting provider.
.08	patient location	0;8	FREE TEXT			This is the requesting location.
.09	typist	0;9	FREE TEXT			These are the initials of the typist entering the cytopathology data.
.1	date/time specimen received(+)	0;10	DATE-TIME			This is the date/time the specimen was received.
.101	reviewed by pathologist	0;12	SET OF CODES	1:YES 0:NO 1:yes 0:no		YES identifies that the case has been reviewed by the pathologist.
.11	report release date/time	0;11	DATE-TIME			Date report was released
.13	released by	0;13	POINTER	200		Name of individual who released report
.14	tc code	0;14	SET OF CODES	1:1 2:2 3:3 4:4 5:5 6:6 7:7 8:8 9:9 0:0		Tissue committee codes The meaning of each code is identified by each site.
.15	original release date	0;15	DATE-TIME			If report was modified after release the original release date is kept here.
.16	tiu reference date/time - cy	.05;0	MULTIPLE	63.47		This multiple stores TIU information for corresponding SF515 cytopathology reports that have been electronically signed and stored in TIU. This information is used to access the reports in TIU.
.17	date report modified - cy	.07;1	DATE-TIME			This is the date the report was modified if it was modified after it was electronically signed/released.
.171	person modifying text	.07;2	POINTER	200		Stores the DUZ of the person who modified the report AFTER it was electronically signed/released.
.172	diagnosis modified	.07;3	BOOLEAN	1:YES 0:NO		1 = Diagnosis modified AFTER report was electronically signed/released.
.31	uid	ORU;1	FREE TEXT			This is the UID used by the HOST LEDI system for this order/accession. This field is used by LEDI software.
.32	ordering site	ORU;2	POINTER	4		This field contains the pointer to the INSTITUTION file for the Mailman domain location of the computer system. All LEDI results are returned to the Ordering computer system. Location to send LEDI HL7 result messages. This field is used by LEDI software.
.33	collecting site	ORU;3	POINTER	4		This field contains the pointer to the INSTITUTION file for the actual collection site. The ordering site is the MailMan location of the computer system. MailMan domain location and the collecting site may be different. This field is used by LEDI software.
.34	host uid	ORU;4	FREE TEXT			Each Order/Accession is given a HOST UID. The UID is stored in this location. If LEDI software is used to accession specimens, usually the collecting sites UID is used to track specimens. If the collecting UID conflicts with the HOST system number sequence, the HOST UID will be used instead of the collecting site's UID. This field is used by LEDI software.
.342	ordering site uid	ORU;5	FREE TEXT			This field contains the collecting sites UID for this specimen. This field is used by LEDI software.
.345	releasing site	RF;1	POINTER	4		This field indicates the site that released the clinical report. This field can be used to determine the information required to correctly indicate the address/location of the laboratory responsible for releasing the report.
.35	ordered test	ORUT;0	MULTIPLE	63.51		This subfile contains information about the ordered test(s) for this accession. The .01 field contains the ordered test NLT code requested by the clinical provider. If this test is a panel, all atomic tests within the panel will be associated with the ordered test using this NLT code.
.97	delayed report comment	97;0	MULTIPLE	63.0997		If a report is delayed, reason(s) for delay may be entered here. They will appear on the log book report and the clinician screen display.
.99	comment	99;0	MULTIPLE	63.908		These are comments on the cytopathology data.
1	gross description	1;0	WORD-PROCESSING			This is the gross description of the specimen.
1.1	microscopic examination	1.1;0	WORD-PROCESSING			This is the microscopic examination diagnosis.
1.2	supplementary report	1.2;0	MULTIPLE	63.907		These are the supplementary reports on the specimen.
1.4	cytopathology diagnosis	1.4;0	WORD-PROCESSING			Cytopathology diagnoses are entered here.
4	date microscopic exam modified	4;0	MULTIPLE	63.94		These are the dates of the modification of the microscopic examination diagnosis.
5	date diagnosis modified	5;0	MULTIPLE	63.095		This is the date of the modification of the diagnosis field.
7	date gross description changed	7;0	MULTIPLE	63.097		These are the dates of change in the gross description field.
9	qa code	9;0	MULTIPLE	63.099
10	cytopath organ/tissue	2;0	MULTIPLE	63.912		This is the organ/tissue(s) being examined.
80	icd diagnosis	3;0	MULTIPLE	63.901		These are the IDC diagnosis of the specimen.
2005	image	2005;0	MULTIPLE	63.92005		Images associated with Cytopathology reports are stored in this multiple within the Cytopathology field of the Lab Data (#63) file.