| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date/time(+) | 0;1 | DATE-TIME | B | This field identifies the specific EKG procedure. | |
| .02 | id | .1;1 | FREE TEXT | This field identifies the patient's identification number assigned by the medical facility. In most cases it is the person's social security number. | ||
| .03 | summary | .2;1 | SET OF CODES | N:NORMAL A:ABNORMAL B:BORDERLINE T:TECHNICALLY UNSATISFACTORY | This field contains the gross evaluation of the results of this procedure. | |
| .04 | symptom | .3;0 | MULTIPLE | 691.51 | This field contains the patient's physical complaints or symptoms. | |
| .05 | risk factor | .4;0 | MULTIPLE | 691.52 | This field contains the morbidity factors which this patient is most susceptible to in regards to this procedure. | |
| .06 | heart med | 2;0 | MULTIPLE | 691.53 | This field documents the cardiac medicines that the patient is taking at the time of this procedure (multiple). | |
| .07 | weight (lbs) | 4;3 | NUMERIC | The weight of the patient at the time of the procedure is stored here. | ||
| .08 | height (inches) | 4;4 | NUMERIC | The height of the patient in inches at the time of the procedure. | ||
| 1 | medical patient(+) | 0;2 | POINTER | 690 | C | This field identifies the patient's last name followed by a comma, followed by a space(optional), followed by the first name, followed by a space, followed by the middle initial. |
| 2 | type of ekg | 0;3 | SET OF CODES | S:STAT RETRIEVAL R:ROUTINE O:ORIGINAL | This allows the user to enter the type of ECG/EKG. | |
| 3 | vent. rate | 0;4 | NUMERIC | This allows the user to enter the ventricular rate. | ||
| 4 | pr interval | 0;5 | NUMERIC | This allows the user to enter ECG/EKG PR interval. | ||
| 5 | qrs duration | 0;6 | NUMERIC | This allows the user to enter the ECG/EKG QRS duration. | ||
| 6 | qt | 0;7 | NUMERIC | This allows the user to enter the QT interval. | ||
| 7 | qtc | 0;8 | NUMERIC | This allows the user to enter the QTC interval. | ||
| 8 | p axis | 0;9 | NUMERIC | This allows the user to enter the P axis. | ||
| 9 | r axis | 0;10 | NUMERIC | This allows the user to enter the R axis. | ||
| 10 | t axis | 0;11 | NUMERIC | This allows the user to enter the T axis. | ||
| 11 | confirmation status | 0;12 | SET OF CODES | C:CONFIRMED U:UNCONFIRMED | This allows the user to enter the ECG/EKG confirmation status. | |
| 12 | interpreted by | 0;13 | POINTER | 200 | This allows the user to enter the interpreting physician. | |
| 13 | comparison statement | 1;1 | FREE TEXT | This allows the user to enter the ECG/EKG comparison statement. | ||
| 14 | interpretation code (rhythm) | 3;0 | MULTIPLE | 691.54 | This allows the user to enter multiple rhythm interpretation codes. | |
| 14.1 | interpretation code (config) | 5;0 | MULTIPLE | 691.55 | This allows the user to enter multiple configuration interpretation codes. | |
| 14.2 | interpretation code (pacing) | 6;0 | MULTIPLE | 691.56 | This allows the user to enter multiple pacing interpretation codes. | |
| 15 | diastolic bp | 4;1 | NUMERIC | This allows the user to enter the diastolic blood pressure. | ||
| 16 | systolic bp | 4;2 | NUMERIC | This allows the user to enter the systolic blood pressure. | ||
| 17 | comment | 7;0 | WORD-PROCESSING | This allows the user to make specific comments regarding the ECG/EKG. | ||
| 18 | ward/clinic | 8;1 | POINTER | 44 | This field identifies the in-house patient address. | |
| 20 | auto-instrument diagnosis | 9;0 | WORD-PROCESSING | This field contains the interpretation of the procedure generated by the instrument(EKG monitor). | ||
| 21 | automated instrument data ? | A;1 | DATE-TIME | This field stores the last date that the ECG was successfully transferred into DHCP system through the automated interface | ||
| 600 | procedure summary(+) | .2;2 | FREE TEXT | Answer must be 1-79 characters in length. This will appear on the 'Summary of Patient Procedures'. | ||
| 700 | icd diagnosis | ICD;0 | MULTIPLE | 691.58 | This field identifies the ICD Diagnosis(es) for the procedure. | |
| 701 | primary provider | PROV;1 | POINTER | 200 | This contains the primary provider. It is triggered by another field in the file and is located here to provider a standard provider location for use in transferring data to the PCC. | |
| 899 | marked for deletion | MFD;1 | SET OF CODES | 1:MARKED FOR DELETION | ||
| 900 | pcc pointer | PCC;1 | POINTER | 9000010 | APCE | This field is used to link the Medicine package results with the PCC Visit File for use by Queryman. |
| 1000 | orifn | OR;1 | POINTER | 100 | This field contains a pointer to the 'Consult Orders' internal file number, stored in file 100. This field is entered when results are entered in the Medicine package. | |
| 1001 | gmrco | OR;2 | POINTER | 123 | This field contains a pointer to the internal number of the consult order stored in the REQUEST/CONSULTATION file (123). This field is entered when results are entered in the Medicine package. | |
| 1500 | entering duz | ES;1 | POINTER | 200 | ||
| 1501 | cosigner validation code | ES;2 | FREE TEXT | |||
| 1502 | entering date | ES;3 | DATE-TIME | |||
| 1503 | verifying duz | ES;4 | POINTER | 200 | ||
| 1504 | signer validation code | ES;5 | FREE TEXT | |||
| 1505 | verifier date | ES;6 | DATE-TIME | |||
| 1506 | release status | ES;7 | SET OF CODES | D:DRAFT PD:PROBLEM DRAFT RV:RELEASED ON-LINE VERIFIED ROV:RELEASED OFF-LINE VERIFIED RNV:RELEASED NOT VERIFIED S:SUPERSEDED SRV:RELEASED ON-LINE VERIFIED OF SUPERSEDED SROV:RELEASED OFF-LINE VERIFIED OF SUPERSEDED | ES | |
| 1507 | date of released | ES;8 | DATE-TIME | |||
| 1508 | date of verified | ES;9 | DATE-TIME | |||
| 1509 | superseded | ES;10 | NUMERIC | |||
| 1510 | superseded by | ES;11 | NUMERIC | |||
| 1511 | mark for deletion | ES;12 | SET OF CODES | 1:MARK FOR DELETION | ||
| 1512 | deleter duz | ES;13 | POINTER | 200 | ||
| 1513 | superseded date | ES;14 | FREE TEXT | |||
| 1514 | creation date | ES;15 | DATE-TIME | |||
| 2005 | image | 2005;0 | MULTIPLE | 691.52005 | This field points to an entry in the Image File. |