| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date/time of test(+) | 0;1 | DATE-TIME | B | This field identifies the precise Exercise Tolerance 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 | 691.701 | This field contains the patient's physical complaints or symptoms. | |
| .05 | risk factor | .4;0 | MULTIPLE | 691.702 | 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 | date/time of appointment | 0;3 | DATE-TIME | This date/time field documents the scheduled time for this procedure. | ||
| 3 | reason for test | 0;4 | SET OF CODES | A:Overt or Latent C.H.D. B:Diff. diag. - chest pain etiology C:Determination of functional capacity D:Determination of need for cardiac rehab. E:Research - drug evaluation F:Screening for employm. or ins. | This field documents the rationale of the procedure for this patient. | |
| 4 | heart med | 1;0 | MULTIPLE | 691.71 | This field (multiple) contains the cardiac medicines that the patient is taking at the time of this procedure. | |
| 4.5 | other medication | 8;0 | MULTIPLE | 691.74 | This field (multiple) contains the non-cardiac medicines that the patient was taking at the time of this procedure. | |
| 5 | resting ekg | 2;0 | WORD-PROCESSING | This field refers to the latest, pre-exercise EKG procedure. | ||
| 6 | ref. md | 3;1 | FREE TEXT | This field identifies the referring physician. | ||
| 6.1 | wt lbs | 10;1 | NUMERIC | This field identifies is the patient's weight in pounds at the time of this procedure. | ||
| 7 | ett protocol | 3;2 | SET OF CODES | BR:BRUCE M:MODIFIED BRUCE N:NAUGHTON BA:BALKE L:LEVEL MODIFIED BRUCE S:SPECIAL BL:BLOCKER MN:MODIFIED NAUGHTON BI:BICYCLE ERGOMETRY A:ARM ERGOMETRY | This field defines the protocol used in this procedure. | |
| 8 | hyperventilation | 3;3 | FREE TEXT | This allows the user to enter information about the patient and hyperventilation. | ||
| 9 | rs hr | 3;4 | NUMERIC | This field identifies the resting/supine heart rate. | ||
| 10 | rs sbp | 3;5 | NUMERIC | This field identifies the resting/supine systolic blood pressure. | ||
| 11 | rs dbp | 3;6 | NUMERIC | This field identifies resting/supine Diastolic blood pressure. | ||
| 12 | rs rpp | COMPUTED | This field identifies a number based on the resting heart rate and resting systolic pressure. | |||
| 13 | ru hr | 3;7 | NUMERIC | This field identifies the resting/upright heart rate. | ||
| 14 | ru sbp | 3;8 | NUMERIC | This field identifies the resting,upright systolic blood pressure. | ||
| 15 | ru dbp | 3;9 | NUMERIC | This field identifies the resting/upright diastolic blood pressure. | ||
| 16 | ru rpp | COMPUTED | This field identifies based on the resting/upright heart rate and systolic pressure. | |||
| 17 | rs st | 3;10 | NUMERIC | This field identifies the resting/supine ST elevation. | ||
| 17.5 | ru st | 7;3 | NUMERIC | This field identifies the resting/upright ST elevation. | ||
| 18 | rs st slope | 3;11 | NUMERIC | This field identifies the resting/supine ST slope. | ||
| 19 | ru st slope | 3;12 | NUMERIC | This field identifies the resting/upright ST slope. | ||
| 20 | cp tme min | 3;13 | NUMERIC | Enter the minutes portion of the elapsed time, that the chest pain occurred. | ||
| 21 | cp tme sec | 3;14 | NUMERIC | Enter the seconds portion of the elapsed time, that the chest pain occurred. | ||
| 21.5 | cp modifier | 10;2 | SET OF CODES | D:DURING EXERCISE A:AFTER EXERCISE C:COMBINED | This field qualifies the type of chest pain that the patient experienced. | |
| 22 | cp time total | COMPUTED | This field is the total time of chest pain in seconds computed from the two fields, CP TIME MIN and CP TIME SEC. | |||
| 23 | onset cp hr | 3;15 | NUMERIC | This field identifies the heart rate at the onset of chest pain. | ||
| 24 | onset cp sbp | 3;16 | NUMERIC | This field identifies the systolic blood pressure at the onset of chest pain. | ||
| 25 | onset cp dbp | 3;17 | NUMERIC | This field identifies the diastolic blood pressure at the onset of chest pain. | ||
| 26 | onset cp st | 3;18 | NUMERIC | This field identifies the ST elevation at the onset of chest pain. | ||
| 27 | onset cp st slope | 3;19 | NUMERIC | This field identifies the ST slope at the onset of chest pain. | ||
| 28 | onset cp rpp | COMPUTED | This field identifies the RPP at the onset of chest pain. | |||
| 29 | pk hr | 4;1 | NUMERIC | This field identifies the peak heart rate. | ||
| 30 | pk sbp | 4;2 | NUMERIC | This field identifies the peak systolic blood pressure. | ||
| 31 | pk dbp | 4;3 | NUMERIC | This field identifies the peak diastolic blood pressure. | ||
| 32 | pk ex mph | 4;4 | NUMERIC | This field identifies the peak exercise miles per hour. | ||
| 32.1 | kilo pond meters (kpm) | 10;3 | NUMERIC | This field identifies the kilo pond meters. | ||
| 32.2 | watts | 10;4 | NUMERIC | This field identifies the wattage. | ||
| 33 | pk ex grade | 4;5 | NUMERIC | This field identifies the peak exercise grade. | ||
| 34 | mets | 4;6 | NUMERIC | This field identifies the METS (Metabolic Equivalents-1 MET=3.5ml of O2 resting). | ||
| 39 | pk st | 4;7 | NUMERIC | This field identifies the peak ST elevation. | ||
| 40 | pk st slope | 4;8 | NUMERIC | This field identifies the peak ST slope. | ||
| 42 | pk rpp | COMPUTED | This field identifies the peak RPP. | |||
| 43 | ex time | COMPUTED | This field identifies the time at which exercise began. | |||
| 44 | ex time min | 4;9 | NUMERIC | Enter the minutes portion of the elapsed time, that the exercise occurred. | ||
| 45 | ex time sec | 4;10 | NUMERIC | Enter the seconds portion of the elapsed time, that the exercise occurred. | ||
| 46 | predicted hr | COMPUTED | This field identifies the predicted heart rate. | |||
| 47 | time st - 1 | 5;1 | FREE TEXT | This field identifies time of ST-1. | ||
| 48 | % target hr | COMPUTED | This field identifies the percentage of target heart rate achieved. | |||
| 49 | time st - 2 | 5;2 | FREE TEXT | This field identifies the time of ST-2. | ||
| 50 | reason for stopping | 5;3 | POINTER | 695.8 | This field identifies the rationale for terminating the procedure. | |
| 51 | arrhythmias | 5;4 | SET OF CODES | N:NONE DP:DEC PVCS IFP:INC FREQ PVCS IGC:INC GRADE, COUPLETS IGT:INC GRADE, TRIPLETS IVT:INC SUST VT (>10) | This field identifies the documented cardiac rhythm irregularity. | |
| 52 | other ekg change | 9;0 | WORD-PROCESSING | This field identifies an irregularity. | ||
| 53 | heart rate response | 5;6 | SET OF CODES | N:NORMAL A:ABNORMAL | This field identifies the heart rate response. | |
| 53.5 | blood pressure response | 7;4 | SET OF CODES | SR:SYSTOLIC ROLL-OVER N:NORMAL H:HYPERTENSIVE | This field identifies the blood pressure response. | |
| 54 | time return baseline st | 5;7 | FREE TEXT | This field identifies the time that the ST segment returned to baseline. | ||
| 55 | interpretation | 5;8 | SET OF CODES | N:NORMAL A:ABNORMAL B:BORDERLINE | This field identifies the interpretation field. | |
| 56 | comment | 6;0 | WORD-PROCESSING | This field identifies the comment (word-processing) field. | ||
| 57 | ekg technician | 7;1 | POINTER | 200 | This field identifies the staff member responsible for hooking up the patient. | |
| 58 | attn phys | 7;2 | POINTER | 200 | This field identifies the patient's attending physician. | |
| 59 | mph mod bruce | COMPUTED | This identifies the MPH MOD BRUCE field (miles/hr of lower intensity standardized exercise test). | |||
| 60 | mph special | COMPUTED | This field identifies the MPH Special field. | |||
| 62 | mph balke | COMPUTED | This field identifies the MPH BALKE field. | |||
| 65 | grade special | COMPUTED | This field identifies the GRADE SPECIAL field. | |||
| 67 | grade balke | COMPUTED | This field identifies the GRADE BALKE field. | |||
| 69 | ward/clinic | 10;5 | POINTER | 44 | This field identifies the in-house patient location. | |
| 70 | complications | 11;0 | MULTIPLE | 691.703 | This field identifies the complications field. | |
| 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 | 691.704 | This field contains 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 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 | |||
| 1515 | superseded number | ES;16 | NUMERIC |