| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | suspense date(+) | 0;1 | DATE-TIME | B | Date that the Suspense entry was entered. | |
| 1 | veteran | 0;2 | POINTER | 2 | C | Pointer to the Patient file. MAS Patients may not become Prosthetic Patients while their eligility is being determined. |
| 1.5 | provisional diagnosis | 8;2 | FREE TEXT | CPRS Provisional Diagnosis at the time the Consult was created. | ||
| 1.6 | icd | 8;3 | POINTER | 80 | This is the primary CPRS diagnosis code at the time of consult. (Stuffed from HL7 message.) | |
| 2 | station | 0;7 | POINTER | 4 | This field stores the station number of the patient. | |
| 2.1 | requesting facility | 8;1 | POINTER | 4 | CPRS Requesting Facility, local facility only from Consult Tracking. | |
| 2.3 | urgency | 8;5 | FREE TEXT | From CPRS, the urgency the user defined at the time the Consult was created. | ||
| 3 | suspense form(+) | 0;3 | SET OF CODES | 1:PSC 2:2421 3:2237 4:2529-3 5:2529-7 6:2474 7:2431 8:2914 9:OTHER 10:2520 11:STOCK ISSUE | Type of form for the transaction that is being tracked by the Suspense Module. | |
| 4 | description of item/services(+) | 2;0 | WORD-PROCESSING | This Field will contain the Description of the Item on suspense and Service rendered to the Veteran. | ||
| 5 | completion date | 0;5 | DATE-TIME | This is the date and time of the completion note. | ||
| 6 | completed by | 0;6 | POINTER | 200 | This is the person who dispositioned this transaction. | |
| 7 | initial action note | 3;0 | WORD-PROCESSING | A word-processing field storing the action taken on a suspense with the initial action to remove from the delayed order report. | ||
| 8 | suspended by | 0;4 | POINTER | 200 | Person who created the suspense entry. | |
| 8.1 | patient 2319 | 10;0 | MULTIPLE | 668.81 | ||
| 8.2 | amis grouper | 11;0 | MULTIPLE | 668.82 | ||
| 9 | type of request | 0;8 | SET OF CODES | 1:ROUTINE PROSTHETICS 2:EYEGLASS 3:CONTACT LENS 4:OXYGEN 5:MANUAL NON CPRS 6:CLOTHING ALLOWANCE 7:CLONE 8:AUTO ADAPTIVE 9:PROSTHETICS IFC 10:DISCONTINUED 11:LAB | This is the type of order from CPRS Consult Tracking Module, or VBA. It also records MANUAL for paper orders received. | |
| 10 | initial action date | 0;9 | DATE-TIME | This is the date and time the first action on a suspense was taken. | ||
| 11 | action date | 1;0 | MULTIPLE | 668.011 | This is the date an Other Action Note was created. | |
| 12 | completion note | 4;0 | WORD-PROCESSING | This is the note for the completion comments. | ||
| 13 | requestor | 0;11 | POINTER | 200 | This is the person who requested the order, or submitted the order. | |
| 14 | status | 0;10 | SET OF CODES | O:OPEN P:PENDING C:CLOSED X:CANCELLED | E | This is the current status, Open, Pending, Closed, or Cancelled. |
| 15 | oif/oef | 7;1 | BOOLEAN | 0:NO 1:YES | Veteran determined to be OEF/OIF 1 Yes 0 NO. | |
| 16 | initial action by | 0;12 | POINTER | 200 | This is the person who took first action. | |
| 17 | cancelled by | 0;13 | POINTER | 200 | This is the person who cancelled the suspense. | |
| 18 | cancel date | 5;1 | DATE-TIME | This is the date the suspense record was cancelled. | ||
| 19 | order | 0;14 | POINTER | 100 | This is the CPRS Order Number used to send messages. | |
| 20 | consult | 0;15 | POINTER | 123 | D | This is the entry associated with consult Tracking. |
| 21 | cancel note | 9;0 | WORD-PROCESSING | This is the cancel note. If it is a CPRS order the note will be recorded with the Consult. Reason you are cancelling suspense, and/or deny consult. | ||
| 22 | date rx written | 0;16 | DATE-TIME | This is the date the request was signed by a provider. | ||
| 23 | consult request service | 8;6 | POINTER | 123.5 | This is used to forward a Consult to another service. | |
| 24 | forwarded by | 8;7 | POINTER | 200 | This is the person who forwarded the consult. | |
| 27 | ordering provider | IFC1;3 | FREE TEXT | Provider who ordered the entry for Inter-facility Consults (IFC). This is a free text field. | ||
| 30 | primary icd diagnosis code | BA1;1 | POINTER | 80 | This is the primary diagnosis code. | |
| 30.1 | primary agent orange | BA1;2 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to Agent Orange exposure. | |
| 30.2 | primary ionized radiation | BA1;3 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to Ionized Radiation exposure. | |
| 30.3 | primary service-connected | BA1;4 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to a Service-Connected condition. | |
| 30.4 | primary environmental cont. | BA1;5 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to Environmental Contaminants exposure. | |
| 30.5 | primary mst | BA1;6 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to Military Sexual Trauma. | |
| 30.6 | primary head/neck cancer | BA1;7 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to Head/Neck Cancer. | |
| 30.7 | primary combat vet | BA1;8 | BOOLEAN | 0:NO 1:YES | Primary diagnosis is related to Combat. | |
| 31 | secondary icd diagnosis 1 | BA2;1 | POINTER | 80 | This is the secondary CPRS diagnosis code 1 at the time of consult. | |
| 31.1 | secondary agent orange 1 | BA2;2 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to Agent Orange exposure. | |
| 31.2 | secondary ionized radiation 1 | BA2;3 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to Ionized Radiation exposure. | |
| 31.3 | secondary service-connected 1 | BA2;4 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to a Service-Connected condition. | |
| 31.4 | secondary environ. cont. 1 | BA2;5 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to Environmental Contaminants exposure. | |
| 31.5 | secondary mst 1 | BA2;6 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to Military Sexual Trauma. | |
| 31.6 | secondary head/neck cancer 1 | BA2;7 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to Head/Neck Cancer. | |
| 31.7 | secondary combat vet 1 | BA2;8 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 1 is related to Combat. | |
| 32 | secondary icd diagnosis 2 | BA3;1 | POINTER | 80 | This is the secondary CPRS diagnosis code 2 at the time of consult. | |
| 32.1 | secondary agent orange 2 | BA3;2 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to Agent Orange exposure. | |
| 32.2 | secondary ionized radiation 2 | BA3;3 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to Ionized Radiation exposure. | |
| 32.3 | secondary service-connected 2 | BA3;4 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to a Service-Connected condition. | |
| 32.4 | secondary environ. cont. 2 | BA3;5 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to Environmental Contaminants exposure. | |
| 32.5 | secondary mst 2 | BA3;6 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to Military Sexual Trauma. | |
| 32.6 | secondary head/neck cancer 2 | BA3;7 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to Head/Neck Cancer. | |
| 32.7 | secondary combat vet 2 | BA3;8 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 2 is related to Combat. | |
| 33 | secondary icd diagnosis 3 | BA4;1 | POINTER | 80 | This is the secondary CPRS diagnosis code 3 at the time of consult. | |
| 33.1 | secondary agent orange 3 | BA4;2 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to Agent Orange. | |
| 33.2 | secondary ionized radiation 3 | BA4;3 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to Ionized Radiation. | |
| 33.3 | secondary service-connected 3 | BA4;4 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to a Service-Connected condition. | |
| 33.4 | secondary environ. cont. 3 | BA4;5 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to Environmental Contaminants exposure. | |
| 33.5 | secondary mst 3 | BA4;6 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to Military Sexual Trauma. | |
| 33.6 | secondary head/neck cancer 3 | BA4;7 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to Head/Neck Cancer. | |
| 33.7 | secondary combat vet 3 | BA4;8 | BOOLEAN | 0:NO 1:YES | Secondary diagnosis 3 is related to Combat. |