# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | date/time(+) | 0;1 | DATE-TIME | B | This allows analysis based on time. | |
1 | medical patient(+) | 0;2 | POINTER | 690 | C | Patient's name. |
2 | caller | 0;3 | POINTER | 200 | This field identifies the surveillance operator. | |
3 | data gathering mode(+) | 0;4 | SET OF CODES | T:TELEPHONE C:CLINIC | This defines the surveillance technique. | |
4 | pulse interval (msec) wo mag | 0;7 | NUMERIC | This allows documentation of a current rate parameter. | ||
5 | rate wo mag | COMPUTED | This allows documentation of a current rate parameter. | |||
6 | pulse interval (msec) w mag | 0;8 | NUMERIC | This allows documentation of a current rate parameter. | ||
7 | rate w mag | COMPUTED | This allows documentation of a current rate parameter. | |||
11 | a-v delay wo mag (msec) | 0;11 | NUMERIC | This allows documentation of a current rhythm parameter. | ||
12 | a-v delay w mag (msec) | 0;12 | NUMERIC | This allows documentation of a current rhythm parameter. | ||
13 | battery voltage | 0;13 | NUMERIC | This allows documentation of current power state. | ||
14 | resistance | 0;14 | NUMERIC | This allows documentation of the current ohms parameter. | ||
15 | basic rhythm | 0;9 | POINTER | 698.9 | This allows documentation of the current rhythm. | |
16 | percent of paced beats | 0;10 | NUMERIC | This allows documentation of the current rate of generator activity. | ||
50 | reprogrammed rate | 0;15 | NUMERIC | This allows documentation of rate adjustments. | ||
51 | reprog. upper rate limit | 0;16 | NUMERIC | This allows documentation of a rate adjustment. | ||
52 | reprogrammed a-v delay (msecs) | 0;17 | NUMERIC | This allows documentation of a rhythm adjustment. | ||
53 | reprogrammed hysteresis | 0;18 | NUMERIC | This allows documentation of a hysteresis adjustment. | ||
54 | reprogrammed pacing mode | 0;19 | SET OF CODES | 1:AAI 2:VVI 3:DDD 4:DVI 5:AAT 6:VVT 7:VAT 8:VDD 9:AOO 10:VOO 11:DOO 12:OTHER | This allows documentation of an adjustment to device operations. | |
55 | reason for reprogramming | 0;20 | POINTER | 695.8 | This allows documentation of the adjustment rationale. | |
101 | pulse width (atrial-msec) | 1;1 | NUMERIC | This allows documentation of a pulse segment rate parameter. | ||
102 | measured a-lead amplitude (mv) | 1;2 | NUMERIC | This allows documentation of atrial lead voltage. | ||
103 | ratio (t/l) (atrial) | 1;3 | NUMERIC | This allows documentation of a performance ratio. | ||
104 | threshold width (atrial) | 1;4 | NUMERIC | This allows documentation of the atrial threshold parameter. | ||
105 | threshold amplitude (atrial) | 1;5 | NUMERIC | This allows documentation of the atrial voltage threshold. | ||
106 | capture (atrial) | 1;6 | SET OF CODES | Y:YES N:NO I:INTERMITTENT U:UNKNOWN NA:NOT APPLICABLE | This allows documentation of atrial capture. | |
107 | sense (atrial) | 1;7 | SET OF CODES | Y:YES N:NO I:INTERMITTENT U:UNKNOWN NA:NOT APPLICABLE | This allows documentation of atrial sense. | |
121 | repr.pulse width (atrial-msec) | 1;8 | NUMERIC | This allows documentation of a pulse segment adjustment. | ||
122 | reprog. a-amplitude (volts) | 1;9 | NUMERIC | This allows documentation of atrial voltage adjustments. | ||
123 | repr.sensitivity(atrial-volts) | 1;10 | NUMERIC | This allows documentation of adjustments to atrial sense. | ||
124 | repr.atrial refractory period | 1;11 | NUMERIC | This allows documentation of adjustments to atrial refraction. | ||
201 | pulse width (ventricle-msec) | 2;1 | NUMERIC | This allows documentation of a pulse segment rate parameter. | ||
202 | measured v-lead amplitude (mv) | 2;2 | NUMERIC | This allows documentation of ventricular lead voltage. | ||
203 | ratio (t/l) (ventricle) | 2;3 | NUMERIC | This allows documentation of a performance ratio. | ||
204 | threshold width (ventricle) | 2;4 | NUMERIC | This allows documentation of the ventricular threshold. | ||
205 | threshold amplitude (vent.) | 2;5 | NUMERIC | This allows documentation of the ventricular voltage threshold. | ||
206 | capture (ventricular) | 2;6 | SET OF CODES | Y:YES N:NO I:INTERMITTENT UNK:UNKNOWN NA:NOT APPLICABLE | This allows documentation of ventricular capture. | |
207 | sense (ventricular) | 2;7 | SET OF CODES | Y:YES N:NO I:INTERMITTENT UNK:UNKNOWN NA:NOT APPLICABLE | This allows documentation of ventricular sense. | |
221 | repr.pulse width (vent-msec) | 2;8 | NUMERIC | This allows documentation of a pulse segment adjustment. | ||
222 | reprogr. v-amplitude (volts) | 2;9 | NUMERIC | This allows documentation of ventricular voltage adjustments. | ||
223 | repr.sensitivity (ventr.-mv) | 2;10 | NUMERIC | This allows documentation of adjustments to ventricular sense. | ||
224 | repr. vent. refractory period | 2;11 | NUMERIC | This allows documentation of adjustments to ventricular refraction. | ||
300 | attending physician | 3;1 | POINTER | 200 | ||
301 | fellow | 3;2 | POINTER | 200 | This field identifies the name of the Cardiology Fellow for this Surveillance Entry. | |
491 | followup comment | 4;4 | FREE TEXT | This allows a documentation area of free form. | ||
492 | fast or slow check | 4;1 | SET OF CODES | F:FAST CHECK S:SLOW CHECK | This allows documentation of fast/slow check. | |
493 | next follow-up date | 0;5 | DATE-TIME | This allows documentation of the scheduled follow-up date. | ||
500 | comments | 10;0 | WORD-PROCESSING | This allows a documentation area of free form. | ||
600 | procedure summary(+) | .2;2 | FREE TEXT | This field identifies a required free-text summary (1 to 79 characters) of the surveillance. This summary will appear on the Summary of Patient Procedures. | ||
601 | summary(+) | .2;1 | SET OF CODES | A:ABNORMAL B:BORDERLINE N:NORMAL | This field identifies a required summary of the surveillance (Normal, Abnormal, or Borderline). This will appear on the Summary of Patient Procedures. | |
700 | icd diagnosis | ICD;0 | MULTIPLE | 698.32 | 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. |