# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | hook-up date/time(+) | 0;1 | DATE-TIME | B | This field identifies the specific Holter 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 | 691.66 | This field contains the patient's physical complaints or symptoms. | |
.05 | risk factor | .4;0 | MULTIPLE | 691.67 | This field contains the morbidity factors which this patient is most susceptible to in regards to this 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 | ht in | 0;3 | NUMERIC | This field contains the patient's height in inches at the time of the procedure. | ||
3 | wt lbs | 0;4 | NUMERIC | This field contains the weight of the patient at the time of the procedure. | ||
4 | requested by | 0;5 | POINTER | 200 | This field identifies the medical provider who ordered this procedure. | |
5 | date requested | 0;6 | DATE-TIME | This field identifies the time/date the procedure was ordered. | ||
5.5 | reason for study | 8;0 | MULTIPLE | 691.65 | This field contains the rationale for ordering this procedure. | |
5.8 | other indications | 10;0 | WORD-PROCESSING | This field identifies field is used to define indications not included in the Reason for Study set. | ||
6 | approved by | 0;7 | POINTER | 200 | This field identifies the medical provider who approved the request for this procedure. | |
7 | date approved | 0;8 | DATE-TIME | This field is used to document the date of procedure request approval. | ||
8 | appointment date | 0;9 | DATE-TIME | This field contains the date this procedure is/was scheduled. | ||
10 | hook-up by | 0;11 | POINTER | 200 | This field identifies the medical provider who physically initiated this procedure. | |
11 | return date & time | 0;12 | DATE-TIME | This field contains the time/date which the patient is scheduled for return. This date is automatically set to the appointment time/date plus 24 hours by the system. | ||
12 | scanned by | 0;13 | POINTER | 200 | This field documents the medical provider who performed the Holter scan. | |
13 | scanned date | 0;14 | DATE-TIME | This field documents the date the scanning procedure was performed. | ||
14 | reviewed by | 0;15 | POINTER | 200 | This field identifies the medical provider who reviewed this procedure. | |
15 | review date | 0;16 | DATE-TIME | This field documents the date the review occurred. | ||
16 | patient category | 0;17 | SET OF CODES | I:INPATIENT O:OUTPATIENT | This field defines either inpatient or outpatient status. | |
17 | ward/clinic | 0;18 | POINTER | 44 | This field identifies the in house address of the patient. | |
18 | heart med | 1;0 | MULTIPLE | 691.61 | This field contains the multiple cardiac medicines that the patient was taking at the time of this procedure. | |
19 | holter run number | 2;1 | NUMERIC | This field contains the facility generated procedure number. | ||
20 | recorder number | 2;2 | NUMERIC | This field identifies the recorder used in this procedure. | ||
21 | battery number | 2;3 | NUMERIC | This field identifies the battery used in this procedure. | ||
22 | malfunctions | 2;4 | BOOLEAN | Y:YES N:NO | This field documents whether any procedure malfunction occurred. | |
23 | malfunction type | 3;0 | WORD-PROCESSING | This free text field provides documentation or comments regarding the malfunction. | ||
24 | tape quality | 4;1 | SET OF CODES | G:GOOD P:POOR U:UNREADABLE | This contains the gross evaluation of the tape quality. | |
25 | total hours | 4;2 | NUMERIC | This field documents the length in hours of this procedure. | ||
26 | readable hours | 4;3 | NUMERIC | This field documents the length in hours of distortion free procedure readings. | ||
27 | average hr | 4;4 | NUMERIC | This field contains the average heart rate for the entire Holter session. | ||
28 | max hr | 4;5 | NUMERIC | This field identifies documents the greatest heart rate that was monitored during this procedure. | ||
29 | time max hr | 4;6 | FREE TEXT | This field identifies field documents the exact time at which maximum heart rate occurred. | ||
30 | min hr | 4;7 | NUMERIC | This field identifies documents the lowest heart rate that was monitored during this procedure. | ||
31 | time min hr | 4;8 | FREE TEXT | This documents the time at which minimum heart rate occurred during this procedure. | ||
32 | qrs total | 4;9 | NUMERIC | This field identifies is the total number of ventricular complexes generated (monitored) during this procedure. | ||
33 | vpbs (vent) | 4;10 | NUMERIC | This field identifies is the total number of ventricular ectopic beats monitored during this procedure. | ||
34 | vpbs percent (vent) | COMPUTED | This field identifies is computed from VPBS(VENT)/QRS TOTAL. | |||
35 | ave/hr | 4;11 | NUMERIC | This field identifies the average rate of premature ventricular ectopy per hour. | ||
36 | max/hr | 4;12 | NUMERIC | This field identifies is the maximum number of ventricular ectopy monitored during any hour of this procedure. | ||
37 | isolated (vent) | 4;13 | NUMERIC | This field identifies is the total number of isolated ventricular ectopy. | ||
38 | bigeminy (vent) | 4;14 | NUMERIC | This field identifies is the total number of ventricular ectopy occurring in a bigeminal pattern during this procedure. | ||
39 | couplets (vent) | 4;15 | NUMERIC | This field identifies is the total number of ventricular ectopy occurring in a couplet pattern during this procedure. | ||
40 | num of runs 3 or more (vent) | 4;16 | NUMERIC | This field identifies is the total number of occurrences of ventricular ectopy in groups of 3 or more monitored during this procedure. | ||
40.5 | runs 100 bpm or more (vent) | 9;1 | NUMERIC | This field identifies is the total number of occurrences of ventricular tachycardia monitored during this procedure. | ||
41 | beats in runs (vent) | 4;17 | NUMERIC | This field identifies is the total number of ventricular ectopy occurring in groups of 3 or more monitored during this procedure. | ||
42 | beats longest run (vent) | 4;18 | NUMERIC | This field identifies is the number of ventricular complexes that occurred in the longest ventricular tachycardia event monitored during this procedure. | ||
43 | beats fastest run (vent) | 4;19 | NUMERIC | This field identifies is the total number of ventricular ectopy occurring in the fastest run of ventricular ectopy monitored during this procedure. | ||
44 | bpm in fastest run (vent) | 4;20 | NUMERIC | This field identifies is the highest ventricular rate occurring in ectopic runs of 3 or more monitored during this procedure. | ||
45 | atrial beats total | 4;21 | NUMERIC | This field identifies is the sum of all P waves monitored during this procedure. | ||
46 | ectopics (atr) | 4;22 | NUMERIC | This field identifies is the total number of atrial complexes of non-SA node origin monitored during this procedure. | ||
47 | ectopics percent (atr) | COMPUTED | This field identifies is computed from ECTOPICS/ATRIAL BEATS TOTAL. | |||
48 | av/h (atr) | 4;23 | NUMERIC | This field identifies the average rate of supraventricular ectopy per hour. | ||
49 | max/h (atr) | 4;24 | NUMERIC | This field identifies is the maximum number of atrial ectopy monitored during any hour of this procedure. | ||
50 | isolated (atr) | 4;25 | NUMERIC | This field identifies is the total number of single atrial ectopy monitored during this procedure. | ||
50.5 | couplets (atr) | 4;26 | NUMERIC | This field is used to quantify the amount of back-to-back PVC's or PVC's occurring in pairs. | ||
51 | blocked apc (atr) | 6;1 | NUMERIC | This field identifies is the total number of non-conducted atrial ectopy monitored during this procedure. | ||
52 | num. runs svt (atr) | 6;2 | NUMERIC | This field identifies is the total number of occurrences of groups of supraventricular tachycardia monitored during this procedure. | ||
53 | bts in runs (atr) | 6;3 | NUMERIC | This field identifies is the average number of atrial ectopy occurring in groups of 3 or more monitored during this procedure. | ||
54 | bts longest run (atr) | 6;4 | NUMERIC | This field identifies is the total number of supraventricular ectopy in the largest group monitored during this procedure. | ||
55 | bts fastest run (atr) | 6;5 | NUMERIC | This field identifies is the total number of atrial ectopy monitored during the fastest run of atrial tachycardia. | ||
56 | bpm fastest run (atr) | 6;6 | NUMERIC | This field identifies is the fastest rate of atrial tachycardia monitored during this procedure(beats/minute). | ||
57 | heart block | 6;7 | SET OF CODES | A:ABSENT FD:FIRST DEGREE BLOCK MI:MOBITZ I SECOND DEGREE, FREQ, RARE MII:MOBITZ II SECOND DEGREE, FREQ, RARE TD:THIRD DEGREE HEART BLOCK, FREQ, RARE | This field contains the degree of heart block monitored during this procedure. | |
58 | pauses (sinus) | 6;8 | BOOLEAN | Y:YES N:NO | This field indicates whether sinus pauses were monitored during this procedure. | |
59 | longest sinus pause | 6;9 | NUMERIC | This field identifies is the length of the longest sinus pause monitored during this procedure in the range of .1 and 10 seconds. | ||
60 | pauses (vent) | 6;10 | BOOLEAN | Y:YES N:NO | This field indicates the occurrence of ventricular pauses monitored during this procedure. | |
61 | longest pause (vent) | 6;11 | NUMERIC | This field identifies is the longest occurrence of ventricular pause monitored during this procedure in the range of .1 and 10 seconds. | ||
62 | interpretation | 7;0 | WORD-PROCESSING | This free text field contains the clinical evaluation of the patient's cardiac condition based on the information collected by this procedure. | ||
63 | comment | 5;0 | WORD-PROCESSING | This free text field provides an area for the medical provider to remark on the data collected in this procedure. | ||
64 | st level | 9;2 | NUMERIC | This field identifies is the level of ST segment deviation from baseline monitored during this procedure in the range of 0 and 5 millimeters using 2 decimal digits. | ||
65 | st level dep/elev | 9;3 | SET OF CODES | D-SY:DEPRESSION WITH SYMPTOMS D:DEPRESSION WITHOUT SYMPTOMS E-SY:ELEVATION WITH SYMPTOMS E:ELEVATION WITHOUT SYMPTOMS | This field contains the evaluation of ST segment deviation monitored during this procedure. | |
66 | automated instrument data | A;1 | DATE-TIME | This field stores the last date that the ECG was successfully transferred into the DHCP system through the automated interface. | ||
67 | vendor | 11;1 | FREE TEXT | This field is used to identify the Holter System Manufacturer. | ||
600 | procedure summary(+) | .2;2 | FREE TEXT | This 1-79 character field will be displayed on the Summary of Patient Procedures. | ||
700 | icd diagnosis | ICD;0 | MULTIPLE | 691.69 | 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. | |
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 code | 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 deletation | 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 | |||
1515 | superseded number | ES;16 | NUMERIC |