# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | date/time(+) | 0;1 | DATE-TIME | B | This field identifies the date and time that the data is first entered into the database or when the data was collected. | |
1 | medical patient(+) | 0;2 | POINTER | 690 | C | This field identifies the patient in the medicine file. |
1.1 | ssn | COMPUTED | D | This field identifies the SSN, which is computed. | ||
2 | blurred vision | 0;3 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced blurring of vision in the past 6 months. | |
3 | dizziness | 0;4 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced dizziness in the past 6 months. | |
4 | dry eyes | 0;5 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced dry eyes in the past 6 months. | |
5 | dry mouth | 0;6 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced dry mouth in the past 6 months. | |
6 | fever | 0;7 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced fever in the past 6 months. | |
7 | headache | 0;8 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced headache in the past 6 months. | |
8 | hearing difficulties | 0;9 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced hearing difficulties in the past 6 months. | |
9 | increased sweating | 0;10 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced increased sweating in the past 6 months. | |
9.1 | night sweats | 1;1 | BOOLEAN | 1:YES 0:NO | Indicates whether the condition of NIGHT Sweats exists. | |
10 | loss,change in taste | 0;11 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced loss, change in taste in the past 6 months. | |
11 | loss of hair | 0;12 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced loss of hair in the past 6 months. | |
12 | mouth sores | 0;13 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced mouth sores in the past 6 months. | |
13 | red,irritated eyes | 0;14 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced red, irritated eyes over the past 6 months. | |
14 | ringing in ears | 0;15 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced ringing in ears during the past 6 months. | |
15 | sore throat | 0;16 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced sore throat during the past 6 months. | |
16 | chest pain/taking deep breath | 0;17 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced chest pain/ taking deep breath during the past 6 months. | |
17 | shortness of breath | 0;18 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced shortness of breath during the past 6 months. | |
18 | wheezing(asthma) | 0;19 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced wheezing during the past 6 months. | |
19 | blk/tarry stool(not from iron) | 0;20 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced black/tarry stool (not caused by iron ingestion) during the last 6 months. | |
19.1 | liver problems | 1;2 | FREE TEXT | Enter a brief description of liver disease. | ||
20 | constipation | 0;21 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced constipation during the last 6 months. | |
21 | diarrhea(frequent,watery) | 0;22 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced diarrhea in the last 6 months. | |
22 | difficulty swallowing | 0;23 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced difficulty in swallowing in the last 6 months. | |
23 | gas(flatulence) | 0;24 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced gas in the last 6 months. | |
24 | heartburn,indigestion,belching | 0;25 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced heartburn, indigestion, or belching in the last 6 months. | |
25 | jaundice | 0;26 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced jaundice in the last 6 months. | |
26 | loose/frequent bowel(mild) | 0;27 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced loose/ frequent bowel in the last 6 months. | |
27 | loss of appetite | 0;28 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced loss of appetite in the last 6 months. | |
28 | pain/cramps lower abdomen | 0;29 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced pain/ cramps in the lower abdomen in the last 6 months. | |
29 | pain/discomfort upper abdomen | 0;30 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced pain/ discomfort in the upper abdomen in the last 6 months. | |
30 | vomiting | 0;31 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced vomiting in the last 6 months. | |
31 | blood in urine | 0;32 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced blood in the urine in the last 6 months. | |
31.1 | urine protein | 1;3 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient has had a history of urine protein. | |
31.5 | kidney problems | 1;4 | FREE TEXT | Describes forms of kidney problems in the patient's history. | ||
31.8 | other | 1;10 | FREE TEXT | A brief description of a relevant condition which cannot be otherwise noted. | ||
32 | burning on urination | 0;33 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced burning on urination in the last 6 months. | |
33 | pregnant | 0;34 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient is pregnant. | |
34 | irregular periods | 0;35 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced irregular periods in the last 6 months. | |
35 | stiff in the morning how long | 0;36 | NUMERIC | Indicates whether the patient experienced stiffness in the morning and how long in the last 6 months. | ||
36 | joint pain | 0;37 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced joint pain in the last 6 months. | |
37 | joint swelling | 0;38 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced joint swelling in the last 6 months. | |
38 | low back pain | 0;39 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced low back pain in the last 6 months. | |
39 | muscle pain | 0;40 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced muscle pain in the last 6 months. | |
40 | neck pain | 0;41 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced neck pain in the last 6 months. | |
41 | night pain | 0;42 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced night pain in the last 6 months. | |
42 | numbness or tingling | 0;43 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced numbness or tingling in the last 6 months. | |
43 | swelling of legs | 0;44 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced swelling of legs in the last 6 months. | |
44 | weakness of muscles | 0;45 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced weakness of muscles experienced in the last 6 months. | |
45 | depression | 0;46 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced depression in the last 6 months. | |
46 | insomnia | 0;47 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced insomnia in the last 6 months. | |
47 | nervousness | 0;48 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced nervousness in the last 6 months. | |
48 | seizures or convulsion | 0;49 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced seizures or convulsions in the last 6 months. | |
49 | tiredness | 0;50 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced tiredness in the last 6 months. | |
50 | trouble remembering/thinking | 0;51 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced trouble remembering or thinking in the last 6 months. | |
51 | easy bruising | 0;52 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced easy bruising in the last 6 months. | |
52 | facial skin tightening | 0;53 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced facial skin tightening in the last 6 months. | |
53 | hives or welts | 0;54 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced hives or welts in the last 6 months. | |
54 | itching | 0;55 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced itching in the last 6 months. | |
55 | rash | 0;56 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced a rash in the last 6 months. | |
56 | rash over cheeks | 0;57 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced rash over cheeks in the last 6 months. | |
57 | skin color change in finger | 0;58 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced skin color change in finger in the last 6 months. | |
58 | sun sensitivity | 0;59 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced sun sensitivity in the last 6 months. | |
59 | discharge from penis | 0;60 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced discharge from the penis in the last 6 months. | |
60 | impotence | 0;61 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced impotence in the last 6 months. | |
61 | rash/ulcers on penis | 0;62 | BOOLEAN | 1:YES 0:NO | Indicates whether the patient experienced rash/ ulcers on the penis in the last 6 months. | |
62 | height | 2;1 | NUMERIC | Indicates the patient's height in centimeters. | ||
63 | weight | 2;2 | NUMERIC | Indicates the patient's weight in kilograms. | ||
64 | systolic pressure | 2;3 | NUMERIC | Indicates systolic blood pressure in millimeters of mercury. | ||
65 | diastolic pressure | 2;4 | NUMERIC | Indicates diastolic pressure in millimeters of mercury. | ||
66 | pulse | 2;5 | NUMERIC | Indicates pulse rate per minute. | ||
67 | uveitis | 2;6 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the presence of uveitis. | |
67.5 | uveitis/iritis | 1;5 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of uveitis/iritis present. | |
67.7 | conjunctivitis/episcleritis | 1;6 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of conjunctivitis/episcleritis present. | |
68 | cataract | 2;7 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the presence of a cataract. | |
69 | iritis | 2;8 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the presence of iritis. | |
70 | oral ulcers | 2;9 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the patient has oral ulcers. | |
71 | rales | 2;10 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicate the degree of rales. | |
72 | pleural rub/clinical pleurisy | 2;11 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of pleural rub. | |
73 | pleural effusion | 2;12 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of pleural effusion. | |
74 | pericardial rub/pericarditis | 2;13 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of pericardial rub. | |
75 | systolic murmur | 2;14 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of systolic murmur. | |
76 | diastolic murmur | 2;15 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of diastolic murmur. | |
77 | lymph node enlargement | 2;16 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of lymph node enlargement. | |
78 | muscle tenderness | 2;17 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of muscle tenderness. | |
79 | muscle weakness-distal | 2;18 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of distal muscle weakness. | |
80 | hepatomegaly | 2;19 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of hepatomegaly. | |
81 | splenomegaly | 2;20 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of splenomegaly. | |
82 | muscle weakness-proximal | 2;21 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of proximal muscle weakness. | |
83 | muscle atrophy | 2;22 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of muscle atrophy. | |
84 | psychosis | 2;23 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of psychosis. | |
85 | organic brain syndrome | 2;24 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of organic brain syndrome. | |
86 | motor neuropathy | 2;25 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of motor neuropathy. | |
87 | sensory neuropathy | 2;26 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of sensory neuropathy. | |
88 | heliotrope eyelids | 2;27 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of heliotrope eyelids. | |
89 | rash-malar | 2;28 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of Rash-Malar. | |
89.1 | rash-sle,non-malar | 1;7 | SET OF CODES | 0:NORMAL 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of rash-sle, non-maler present. | |
89.2 | rash-other | 1;8 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of rash-other present. | |
90 | psoriasis | 2;29 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of psoriasis. | |
91 | rash-discoid | 2;30 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of Rash-Discoid. | |
92 | rash-jra | 2;31 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of Rash-JRA. | |
93 | palpable purpura | 2;32 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of palpable purpura. | |
94 | sclerodactyly | 2;33 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of sclerodactyly. | |
95 | scleroderma-extremity | 2;34 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of scleroderma of the extremity. | |
96 | scleroderma-generalized | 2;35 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of scleroderma, generalized. | |
97 | morphea | 2;36 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of morphea. | |
98 | telangiectasis | 2;37 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of telangiectasis. | |
99 | cutaneous vascultitis | 2;38 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of cutaneous vasculitis. | |
100 | periungal erythema | 2;39 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of periungual erythema. | |
101 | keratodermia blennorrhagica | 2;40 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of keratodermia blennorrhagia. | |
102 | knuckle erythema | 2;41 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of Knuckle erythema. | |
103 | digital ulcers | 2;42 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of digital ulcers. | |
104 | nail pitting | 2;43 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of nail pitting. | |
105 | skin ulcers | 2;44 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree skin ulcers. | |
106 | erythema nodosum | 2;45 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of erythema nodosum. | |
107 | current medication | 3;1 | FREE TEXT | This field identifies the current medication. | ||
108 | prescribed medications | 4;0 | WORD-PROCESSING | This field identifies the prescribed medications. | ||
109 | symmetrical arthritis | 5;1 | BOOLEAN | 0:NO 1:YES | This field identifies No indicates if the patient has symmetrical arthritis. | |
110 | dactylitis | 5;2 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of dactylitis. | |
111 | tophi | 5;3 | BOOLEAN | 0:NO 1:YES | This field identifies No indicates if the patient has tophi. | |
112 | sub-cutaneous nodules | 5;4 | BOOLEAN | 0:NO 1:YES | This field identifies No indicates if the patient has sub-cutaneous nodules. | |
112.5 | subcutaneous calcifications | 1;9 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of subcutaneous calcifications presently found. | |
113 | synovial (baker's) cyst | 5;5 | BOOLEAN | 0:NO 1:YES | This field identifies No indicates if the patient has synovial (Baker's) cyst. | |
114 | heel pain | 5;6 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of heel pain. | |
115 | tenosynovitis(tendon rubs) | 5;7 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of tenosynovitis (tendon rubs) | |
116 | temporal artery tenderness | 5;8 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of temporal artery tenderness. | |
117 | costochondritis | 5;9 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of costochondritis. | |
118 | grip strength-left | 5;10 | NUMERIC | Indicates left grip strength in millimeters of mercury. | ||
119 | grip strength-right | 5;11 | NUMERIC | Indicates right grip strength in millimeters of mercury. | ||
120 | schober test (10 cm base) | 5;12 | NUMERIC | Indicates the results of the Schober test (with a 10 cm base). | ||
121 | chest expansion | 5;13 | NUMERIC | Indicates expansion of chest between 0 and 12 cm. | ||
122 | occiput-wall | 5;14 | NUMERIC | Indicates occiput - wall between 0 and 20 cm. | ||
123 | finger-to-palm crease-left | 5;15 | NUMERIC | Indicates left finger-to-palm crease. | ||
124 | finger-to-palm crease-right | 5;16 | NUMERIC | Indicates right finger-to-palm crease. | ||
125 | interincisor distance | 5;17 | NUMERIC | Indicates interincisor distance, between 0 and 60 mm. | ||
126 | schirmer test | 5;18 | NUMERIC | Indicates results of Schirmer test, between 0 and 25 mm. | ||
127 | walk time (50 feet) | 5;19 | NUMERIC | This field identifies the walk time of 50 feet between 6 and 50 seconds. | ||
128 | functional class (acr) | 5;20 | SET OF CODES | 1:NORMAL 2:ADEQUATE 3:LIMITED 4:INCAPACITATED | This field identifies the ACR functional class to indicate degree of impairment. | |
129 | disease severity-pat. estimate | 5;21 | SET OF CODES | 1:MB (MUCH BETTER) 2:B (BETTER) 3:S (SAME) 4:W (WORSE) 5:MW (MUCH WORSE) | This field identifies the Pat. estimate of disease severity. | |
130 | fingers-dip left | 5;22 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of fingers - dip left | |
131 | fingers-dip right | 5;23 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of fingers - dip right. | |
132 | fingers-pip left | 5;24 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of fingers - pip left. | |
133 | fingers-pip right | 5;25 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of fingers - pip right. | |
134 | mcps left | 5;26 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of MCPS LEFT. | |
135 | mcps right | 5;27 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of MCPS RIGHT. | |
136 | 1st carpometacarpal l | 5;28 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of first carpometacarpal left. | |
137 | 1st carpometacarpal r | 5;29 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of first carpometacarpal right. | |
138 | wrist left | 5;30 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of wrist left. | |
139 | wrist right | 5;31 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of wrist right. | |
140 | elbow left | 5;32 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of elbow left. | |
141 | elbow right | 5;33 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of elbow right. | |
142 | shoulder left | 5;34 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of shoulder left. | |
143 | shoulder right | 5;35 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of shoulder right. | |
144 | sternoclavicular left | 5;36 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of sternoclavicular left. | |
145 | sternoclavicular right | 5;37 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of sternoclavicular right. | |
146 | tmj left | 5;38 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of TMJ left. | |
147 | tmj right | 5;39 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of TMJ right. | |
148 | hip left | 5;40 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of hip left. | |
149 | hip right | 5;41 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of hip right. | |
150 | knee left | 5;42 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of knee left. | |
151 | knee right | 5;43 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of knee right. | |
152 | ankle left | 5;44 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of ankle left. | |
153 | ankle right | 5;45 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of ankle right. | |
154 | mtp left | 5;46 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of MTP left. | |
155 | mtp right | 5;47 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of MTP right. | |
156 | toes-pip left | 5;48 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of toes - PIP left. | |
157 | toes-pip right | 5;49 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of toes - PIP right. | |
158 | cervical spine | 5;50 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of cervical spine. | |
159 | lumbar spine | 5;51 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of impairment of lumbar spine. | |
160 | costochondral-left | 1;11 | SET OF CODES | 0:NORMAL 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of costochondral disease(left). | |
161 | costochondral-right | 1;12 | SET OF CODES | 0:NORMAL 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of costochondral disease(right). | |
162 | sacroiliac-left | 1;13 | SET OF CODES | 0:NORMAL 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of sacroiliac disease(left). | |
163 | sacroiliac-right | 1;14 | SET OF CODES | 0:NORMAL 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of sacroiliac disease(right). | |
164 | thoracic spine | 1;15 | SET OF CODES | 0:NONE 1:MILD 2:MODERATE 3:SEVERE | Indicates the degree of Thoracic spine disease. | |
201 | medication | 6;0 | MULTIPLE | 701.0201 | These are the patient's current medications. | |
295 | bp-systolic | 8;7 | NUMERIC | This field identifies the patient's systolic blood pressure. | ||
296 | bp-diastolic | 8;8 | NUMERIC | This field identifies the patient's diastolic blood pressure. | ||
297 | disease activity composite | 8;9 | NUMERIC | Indicates the patients disease activity composite. | ||
298 | disease severity-pt. estimate | 8;10 | NUMERIC | This field identifies the patient's estimate of the disease severity. | ||
299 | disease severity-md estimate | 8;11 | NUMERIC | This field identifies the clinician's estimate of the disease severity. | ||
300 | painscal | 8;12 | NUMERIC | Indicates the pain scale. | ||
301 | disability index | 8;13 | NUMERIC | Indicates the disability index. | ||
302 | dressing and grooming | 8;14 | NUMERIC | Indicates the level of functionality for dressing and grooming. | ||
303 | arising | 8;15 | NUMERIC | Indicates the level of functionality for arising. | ||
304 | eating | 8;16 | NUMERIC | Indicates the level of functionality for eating. | ||
305 | walk | 8;17 | NUMERIC | Indicates the level of functionality for walking. | ||
306 | hygiene | 8;18 | NUMERIC | Indicates the level of functionality for hygiene. | ||
307 | reach | 8;19 | NUMERIC | Indicates the level of functionality for reaching. | ||
308 | grip-ara | 8;20 | NUMERIC | Indicates the level of functionality for ARA grip. | ||
309 | activities | 8;21 | NUMERIC | Indicates the level of functionality for activities. | ||
312 | occupation | 8;24 | SET OF CODES | 0:NONE 1:PROFESSIONAL-TECH 2:FARMERS 3:MANAGERS 4:CLERICAL 5:SALES 7:OPERATIVES 8:SERVICE 9:FARM LABORERS 10:OTHER LABORERS | This allows the user to enter occupation from a list of choices. | |
313 | chart type | 8;25 | SET OF CODES | 0:HAQ 1:UNMARKED, RDC VI, OR R 2:RDC VIII 3:RDC IX 4:RDC X 5:RDC XI (1985) 6:DEATH INFORMATION 7:DISCHARGE SUMMARY | This allows the user to select chart type for the patient. | |
314 | observer | 8;26 | POINTER | 200 | The provider who saw the patient. | |
315 | visit type | 8;27 | SET OF CODES | 0:CLINIC (PRIOR RDC X 1:HOSPITAL 2:PHONE 3:MAIL 4:INITIAL-COMP 5:RETURN 6:COMP PT ASSESSOR 7:MAIL-OUTSIDE PHY RECO 8:MAIL-OTHER 9:TLI-RENAL VISIT | ||
316 | dec number | 8;28 | NUMERIC | Data entry clerk number. | ||
317 | visit number | 8;29 | NUMERIC | This field identifies sequentially numbered. | ||
318 | lost or death status | 9;1 | SET OF CODES | 0:CLINIC ALIVE 1:CLINIC LOST 2:CLINIC DEAD | Is patient dead or lost from the VA files. | |
319 | death date | 9;2 | DATE-TIME | This allows the user to enter the death date of patient. | ||
321 | autopsy available | 9;4 | BOOLEAN | 0:NO 1:YES | This field identifies enter yes or no if autopsy is available. | |
322 | cause of death | 9;5 | SET OF CODES | 1:NOT RHEUM DIS 2:RHEUM DIS 3:RHEUM DIS SURGERY 4:RHEUM DIS DRUG TOXICITY | This allows user to choose cause of death from list. | |
326 | notified by | 9;6 | SET OF CODES | 1:PHONE 2:LETTER 3:OBITUARY 4:OTHER | This allows user to choose notification method by list. | |
327 | person providing notification | 9;7 | FREE TEXT | This allows user to enter the person's name who provided the notification, last name first. | ||
328 | death notified date | 9;8 | DATE-TIME | This allows user to enter the date when notified. | ||
329 | disease severity-phy. estimate | 5;52 | SET OF CODES | 1:MB (MUCH BETTER) 2:B (BETTER) 3:S (SAME) 4:W (WORSE) 5:MW (MUCH WORSE) | This allows the user to choose estimate from list. | |
350 | low white blood count | 10;1 | BOOLEAN | 1:YES 0:NO | Indicates the condition of low white blood count. | |
351 | low platelets | 10;2 | BOOLEAN | 1:YES 0:NO | Indicates the condition of low platelet count. | |
352 | low red blood count | 10;3 | BOOLEAN | 1:YES 0:NO | Indicates the condition of low red blood count. | |
600 | procedure summary(+) | .2;2 | FREE TEXT | This allows user to enter a summary of the procedure. | ||
601 | summary(+) | .2;1 | SET OF CODES | N:NORMAL MI:MILD ABNL MO:MOD ABNL S:SEV ABNL | This allows user to choose summary code. | |
602 | questdate | 0;63 | DATE-TIME | This field identifies the date of the HAQ. | ||
603 | haqadmin | 0;64 | SET OF CODES | 0:CLINIC INTERVIEW 1:HOSPITAL INTERVIEW 2:TELEPHONE 3:MAIL | ||
604 | questype | 0;65 | SET OF CODES | 1:EVERY YEAR 2:EVERY 6 MONTHS | ||
605 | study status | 0;66 | SET OF CODES | 0:ONGOING 1:LOSS OF FUNDS 2:DEAD 3:WITHDRAWN FROM STUDY 4:DX CHANGED 5:NON-PART REFUSED 6:NON-PART NO RESPONSE 7:TEMP OUT OF STUDY 8:STEY RE-ENTRY | This allows user to choose code of study status. | |
606 | drugsty | 0;67 | SET OF CODES | 1:COHORT I 2:COHORT II 3:COHORT III 4:COHORT IV 5:COHORT V 6:COHORT VI 7:COHORT VII 8:COHORT VIII | This field identifies a special field to identify patients who are participating in a drug research study. | |
607 | questnum | 0;68 | NUMERIC | |||
608 | pmsvis | 0;69 | BOOLEAN | 0:NO 1:YES | ||
609 | rise | 0;70 | NUMERIC | Summary score of HAQ questions about arising. | ||
610 | nausea | 0;71 | BOOLEAN | 0:NO 1:YES | This allows user to enter yes or no for presence of nausea. | |
611 | history narrative | 11;0 | WORD-PROCESSING | This allows user to enter a history narrative. | ||
612 | end session | 12;1 | FREE TEXT | This allows user to hit the RETURN key to end session. | ||
613 | laboratory info | 12;2 | POINTER | 63 | This allows user to enter laboratory information. | |
614 | lab chem | 12;3 | POINTER | 60 | This allows user to enter information to the laboratory test file. | |
615 | diagnosis | 13;0 | MULTIPLE | 701.0615 | This allows user to enter Diagnosis. | |
700 | icd diagnosis | ICD;0 | MULTIPLE | 701.01 | 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. | |
1514 | creation date | ES;1 | DATE-TIME | |||
2005 | image | 2005;0 | MULTIPLE | 701.02005 | This field points to an entry in the image file. |