Files > RHEUMATOLOGY

name
RHEUMATOLOGY
number
701
location
^MCAR(701,
description
This file stores data on Rheumatology visits.
Fields
#NameLocationTypeDetailsIndexDescription
.01date/time(+)0;1DATE-TIMEB This field identifies the date and time that the data is first entered into the database or when the data was collected.
1medical patient(+)0;2POINTER690CThis field identifies the patient in the medicine file.
1.1ssnCOMPUTEDDThis field identifies the SSN, which is computed.
2blurred vision0;3BOOLEAN1:YES
0:NO
Indicates whether the patient experienced blurring of vision in the past 6 months.
3dizziness0;4BOOLEAN1:YES
0:NO
Indicates whether the patient experienced dizziness in the past 6 months.
4dry eyes0;5BOOLEAN1:YES
0:NO
Indicates whether the patient experienced dry eyes in the past 6 months.
5dry mouth0;6BOOLEAN1:YES
0:NO
Indicates whether the patient experienced dry mouth in the past 6 months.
6fever0;7BOOLEAN1:YES
0:NO
Indicates whether the patient experienced fever in the past 6 months.
7headache0;8BOOLEAN1:YES
0:NO
Indicates whether the patient experienced headache in the past 6 months.
8hearing difficulties0;9BOOLEAN1:YES
0:NO
Indicates whether the patient experienced hearing difficulties in the past 6 months.
9increased sweating0;10BOOLEAN1:YES
0:NO
Indicates whether the patient experienced increased sweating in the past 6 months.
9.1night sweats1;1BOOLEAN1:YES
0:NO
Indicates whether the condition of NIGHT Sweats exists.
10loss,change in taste0;11BOOLEAN1:YES
0:NO
Indicates whether the patient experienced loss, change in taste in the past 6 months.
11loss of hair0;12BOOLEAN1:YES
0:NO
Indicates whether the patient experienced loss of hair in the past 6 months.
12mouth sores0;13BOOLEAN1:YES
0:NO
Indicates whether the patient experienced mouth sores in the past 6 months.
13red,irritated eyes0;14BOOLEAN1:YES
0:NO
Indicates whether the patient experienced red, irritated eyes over the past 6 months.
14ringing in ears0;15BOOLEAN1:YES
0:NO
Indicates whether the patient experienced ringing in ears during the past 6 months.
15sore throat0;16BOOLEAN1:YES
0:NO
Indicates whether the patient experienced sore throat during the past 6 months.
16chest pain/taking deep breath0;17BOOLEAN1:YES
0:NO
Indicates whether the patient experienced chest pain/ taking deep breath during the past 6 months.
17shortness of breath0;18BOOLEAN1:YES
0:NO
Indicates whether the patient experienced shortness of breath during the past 6 months.
18wheezing(asthma)0;19BOOLEAN1:YES
0:NO
Indicates whether the patient experienced wheezing during the past 6 months.
19blk/tarry stool(not from iron)0;20BOOLEAN1:YES
0:NO
Indicates whether the patient experienced black/tarry stool (not caused by iron ingestion) during the last 6 months.
19.1liver problems1;2FREE TEXTEnter a brief description of liver disease.
20constipation0;21BOOLEAN1:YES
0:NO
Indicates whether the patient experienced constipation during the last 6 months.
21diarrhea(frequent,watery)0;22BOOLEAN1:YES
0:NO
Indicates whether the patient experienced diarrhea in the last 6 months.
22difficulty swallowing0;23BOOLEAN1:YES
0:NO
Indicates whether the patient experienced difficulty in swallowing in the last 6 months.
23gas(flatulence)0;24BOOLEAN1:YES
0:NO
Indicates whether the patient experienced gas in the last 6 months.
24heartburn,indigestion,belching0;25BOOLEAN1:YES
0:NO
Indicates whether the patient experienced heartburn, indigestion, or belching in the last 6 months.
25jaundice0;26BOOLEAN1:YES
0:NO
Indicates whether the patient experienced jaundice in the last 6 months.
26loose/frequent bowel(mild)0;27BOOLEAN1:YES
0:NO
Indicates whether the patient experienced loose/ frequent bowel in the last 6 months.
27loss of appetite0;28BOOLEAN1:YES
0:NO
Indicates whether the patient experienced loss of appetite in the last 6 months.
28pain/cramps lower abdomen0;29BOOLEAN1:YES
0:NO
Indicates whether the patient experienced pain/ cramps in the lower abdomen in the last 6 months.
29pain/discomfort upper abdomen0;30BOOLEAN1:YES
0:NO
Indicates whether the patient experienced pain/ discomfort in the upper abdomen in the last 6 months.
30vomiting0;31BOOLEAN1:YES
0:NO
Indicates whether the patient experienced vomiting in the last 6 months.
31blood in urine0;32BOOLEAN1:YES
0:NO
Indicates whether the patient experienced blood in the urine in the last 6 months.
31.1urine protein1;3BOOLEAN1:YES
0:NO
Indicates whether the patient has had a history of urine protein.
31.5kidney problems1;4FREE TEXTDescribes forms of kidney problems in the patient's history.
31.8other1;10FREE TEXTA brief description of a relevant condition which cannot be otherwise noted.
32burning on urination0;33BOOLEAN1:YES
0:NO
Indicates whether the patient experienced burning on urination in the last 6 months.
33pregnant0;34BOOLEAN1:YES
0:NO
Indicates whether the patient is pregnant.
34irregular periods0;35BOOLEAN1:YES
0:NO
Indicates whether the patient experienced irregular periods in the last 6 months.
35stiff in the morning how long0;36NUMERICIndicates whether the patient experienced stiffness in the morning and how long in the last 6 months.
36joint pain0;37BOOLEAN1:YES
0:NO
Indicates whether the patient experienced joint pain in the last 6 months.
37joint swelling0;38BOOLEAN1:YES
0:NO
Indicates whether the patient experienced joint swelling in the last 6 months.
38low back pain0;39BOOLEAN1:YES
0:NO
Indicates whether the patient experienced low back pain in the last 6 months.
39muscle pain0;40BOOLEAN1:YES
0:NO
Indicates whether the patient experienced muscle pain in the last 6 months.
40neck pain0;41BOOLEAN1:YES
0:NO
Indicates whether the patient experienced neck pain in the last 6 months.
41night pain0;42BOOLEAN1:YES
0:NO
Indicates whether the patient experienced night pain in the last 6 months.
42numbness or tingling0;43BOOLEAN1:YES
0:NO
Indicates whether the patient experienced numbness or tingling in the last 6 months.
43swelling of legs0;44BOOLEAN1:YES
0:NO
Indicates whether the patient experienced swelling of legs in the last 6 months.
44weakness of muscles0;45BOOLEAN1:YES
0:NO
Indicates whether the patient experienced weakness of muscles experienced in the last 6 months.
45depression0;46BOOLEAN1:YES
0:NO
Indicates whether the patient experienced depression in the last 6 months.
46insomnia0;47BOOLEAN1:YES
0:NO
Indicates whether the patient experienced insomnia in the last 6 months.
47nervousness0;48BOOLEAN1:YES
0:NO
Indicates whether the patient experienced nervousness in the last 6 months.
48seizures or convulsion0;49BOOLEAN1:YES
0:NO
Indicates whether the patient experienced seizures or convulsions in the last 6 months.
49tiredness0;50BOOLEAN1:YES
0:NO
Indicates whether the patient experienced tiredness in the last 6 months.
50trouble remembering/thinking0;51BOOLEAN1:YES
0:NO
Indicates whether the patient experienced trouble remembering or thinking in the last 6 months.
51easy bruising0;52BOOLEAN1:YES
0:NO
Indicates whether the patient experienced easy bruising in the last 6 months.
52facial skin tightening0;53BOOLEAN1:YES
0:NO
Indicates whether the patient experienced facial skin tightening in the last 6 months.
53hives or welts0;54BOOLEAN1:YES
0:NO
Indicates whether the patient experienced hives or welts in the last 6 months.
54itching0;55BOOLEAN1:YES
0:NO
Indicates whether the patient experienced itching in the last 6 months.
55rash0;56BOOLEAN1:YES
0:NO
Indicates whether the patient experienced a rash in the last 6 months.
56rash over cheeks0;57BOOLEAN1:YES
0:NO
Indicates whether the patient experienced rash over cheeks in the last 6 months.
57skin color change in finger0;58BOOLEAN1:YES
0:NO
Indicates whether the patient experienced skin color change in finger in the last 6 months.
58sun sensitivity0;59BOOLEAN1:YES
0:NO
Indicates whether the patient experienced sun sensitivity in the last 6 months.
59discharge from penis0;60BOOLEAN1:YES
0:NO
Indicates whether the patient experienced discharge from the penis in the last 6 months.
60impotence0;61BOOLEAN1:YES
0:NO
Indicates whether the patient experienced impotence in the last 6 months.
61rash/ulcers on penis0;62BOOLEAN1:YES
0:NO
Indicates whether the patient experienced rash/ ulcers on the penis in the last 6 months.
62height2;1NUMERICIndicates the patient's height in centimeters.
63weight2;2NUMERICIndicates the patient's weight in kilograms.
64systolic pressure2;3NUMERICIndicates systolic blood pressure in millimeters of mercury.
65diastolic pressure2;4NUMERICIndicates diastolic pressure in millimeters of mercury.
66pulse2;5NUMERICIndicates pulse rate per minute.
67uveitis2;6SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the presence of uveitis.
67.5uveitis/iritis1;5SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of uveitis/iritis present.
67.7conjunctivitis/episcleritis1;6SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of conjunctivitis/episcleritis present.
68cataract2;7SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the presence of a cataract.
69iritis2;8SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the presence of iritis.
70oral ulcers2;9SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the patient has oral ulcers.
71rales2;10SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicate the degree of rales.
72pleural rub/clinical pleurisy2;11SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of pleural rub.
73pleural effusion2;12SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of pleural effusion.
74pericardial rub/pericarditis2;13SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of pericardial rub.
75systolic murmur2;14SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of systolic murmur.
76diastolic murmur2;15SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of diastolic murmur.
77lymph node enlargement2;16SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of lymph node enlargement.
78muscle tenderness2;17SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of muscle tenderness.
79muscle weakness-distal2;18SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of distal muscle weakness.
80hepatomegaly2;19SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of hepatomegaly.
81splenomegaly2;20SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of splenomegaly.
82muscle weakness-proximal2;21SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of proximal muscle weakness.
83muscle atrophy2;22SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of muscle atrophy.
84psychosis2;23SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of psychosis.
85organic brain syndrome2;24SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of organic brain syndrome.
86motor neuropathy2;25SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of motor neuropathy.
87sensory neuropathy2;26SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of sensory neuropathy.
88heliotrope eyelids2;27SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of heliotrope eyelids.
89rash-malar2;28SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of Rash-Malar.
89.1rash-sle,non-malar1;7SET OF CODES0:NORMAL
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of rash-sle, non-maler present.
89.2rash-other1;8SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of rash-other present.
90psoriasis2;29SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of psoriasis.
91rash-discoid2;30SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of Rash-Discoid.
92rash-jra2;31SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of Rash-JRA.
93palpable purpura2;32SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of palpable purpura.
94sclerodactyly2;33SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of sclerodactyly.
95scleroderma-extremity2;34SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of scleroderma of the extremity.
96scleroderma-generalized2;35SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of scleroderma, generalized.
97morphea2;36SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of morphea.
98telangiectasis2;37SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of telangiectasis.
99cutaneous vascultitis2;38SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of cutaneous vasculitis.
100periungal erythema2;39SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of periungual erythema.
101keratodermia blennorrhagica2;40SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of keratodermia blennorrhagia.
102knuckle erythema2;41SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of Knuckle erythema.
103digital ulcers2;42SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of digital ulcers.
104nail pitting2;43SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of nail pitting.
105skin ulcers2;44SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree skin ulcers.
106erythema nodosum2;45SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of erythema nodosum.
107current medication3;1FREE TEXTThis field identifies the current medication.
108prescribed medications4;0WORD-PROCESSINGThis field identifies the prescribed medications.
109symmetrical arthritis5;1BOOLEAN0:NO
1:YES
This field identifies No indicates if the patient has symmetrical arthritis.
110dactylitis5;2SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of dactylitis.
111tophi5;3BOOLEAN0:NO
1:YES
This field identifies No indicates if the patient has tophi.
112sub-cutaneous nodules5;4BOOLEAN0:NO
1:YES
This field identifies No indicates if the patient has sub-cutaneous nodules.
112.5subcutaneous calcifications1;9SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of subcutaneous calcifications presently found.
113synovial (baker's) cyst5;5BOOLEAN0:NO
1:YES
This field identifies No indicates if the patient has synovial (Baker's) cyst.
114heel pain5;6SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of heel pain.
115tenosynovitis(tendon rubs)5;7SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of tenosynovitis (tendon rubs)
116temporal artery tenderness5;8SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of temporal artery tenderness.
117costochondritis5;9SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of costochondritis.
118grip strength-left5;10NUMERICIndicates left grip strength in millimeters of mercury.
119grip strength-right5;11NUMERICIndicates right grip strength in millimeters of mercury.
120schober test (10 cm base)5;12NUMERICIndicates the results of the Schober test (with a 10 cm base).
121chest expansion5;13NUMERICIndicates expansion of chest between 0 and 12 cm.
122occiput-wall5;14NUMERICIndicates occiput - wall between 0 and 20 cm.
123finger-to-palm crease-left5;15NUMERICIndicates left finger-to-palm crease.
124finger-to-palm crease-right5;16NUMERICIndicates right finger-to-palm crease.
125interincisor distance5;17NUMERICIndicates interincisor distance, between 0 and 60 mm.
126schirmer test5;18NUMERICIndicates results of Schirmer test, between 0 and 25 mm.
127walk time (50 feet)5;19NUMERICThis field identifies the walk time of 50 feet between 6 and 50 seconds.
128functional class (acr)5;20SET OF CODES1:NORMAL
2:ADEQUATE
3:LIMITED
4:INCAPACITATED
This field identifies the ACR functional class to indicate degree of impairment.
129disease severity-pat. estimate5;21SET OF CODES1: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.
130fingers-dip left5;22SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of fingers - dip left
131fingers-dip right5;23SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of fingers - dip right.
132fingers-pip left5;24SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of fingers - pip left.
133fingers-pip right5;25SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of fingers - pip right.
134mcps left5;26SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of MCPS LEFT.
135mcps right5;27SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of MCPS RIGHT.
1361st carpometacarpal l5;28SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of first carpometacarpal left.
1371st carpometacarpal r5;29SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of first carpometacarpal right.
138wrist left5;30SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of wrist left.
139wrist right5;31SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of wrist right.
140elbow left5;32SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of elbow left.
141elbow right5;33SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of elbow right.
142shoulder left5;34SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of shoulder left.
143shoulder right5;35SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of shoulder right.
144sternoclavicular left5;36SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of sternoclavicular left.
145sternoclavicular right5;37SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of sternoclavicular right.
146tmj left5;38SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of TMJ left.
147tmj right5;39SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of TMJ right.
148hip left5;40SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of hip left.
149hip right5;41SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of hip right.
150knee left5;42SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of knee left.
151knee right5;43SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of knee right.
152ankle left5;44SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of ankle left.
153ankle right5;45SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of ankle right.
154mtp left5;46SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of MTP left.
155mtp right5;47SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of MTP right.
156toes-pip left5;48SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of toes - PIP left.
157toes-pip right5;49SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of toes - PIP right.
158cervical spine5;50SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of cervical spine.
159lumbar spine5;51SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of impairment of lumbar spine.
160costochondral-left1;11SET OF CODES0:NORMAL
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of costochondral disease(left).
161costochondral-right1;12SET OF CODES0:NORMAL
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of costochondral disease(right).
162sacroiliac-left1;13SET OF CODES0:NORMAL
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of sacroiliac disease(left).
163sacroiliac-right1;14SET OF CODES0:NORMAL
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of sacroiliac disease(right).
164thoracic spine1;15SET OF CODES0:NONE
1:MILD
2:MODERATE
3:SEVERE
Indicates the degree of Thoracic spine disease.
201medication6;0MULTIPLE701.0201These are the patient's current medications.
295bp-systolic8;7NUMERICThis field identifies the patient's systolic blood pressure.
296bp-diastolic8;8NUMERICThis field identifies the patient's diastolic blood pressure.
297disease activity composite8;9NUMERICIndicates the patients disease activity composite.
298disease severity-pt. estimate8;10NUMERICThis field identifies the patient's estimate of the disease severity.
299disease severity-md estimate8;11NUMERICThis field identifies the clinician's estimate of the disease severity.
300painscal8;12NUMERICIndicates the pain scale.
301disability index8;13NUMERICIndicates the disability index.
302dressing and grooming8;14NUMERICIndicates the level of functionality for dressing and grooming.
303arising8;15NUMERICIndicates the level of functionality for arising.
304eating8;16NUMERICIndicates the level of functionality for eating.
305walk8;17NUMERICIndicates the level of functionality for walking.
306hygiene8;18NUMERICIndicates the level of functionality for hygiene.
307reach8;19NUMERICIndicates the level of functionality for reaching.
308grip-ara8;20NUMERICIndicates the level of functionality for ARA grip.
309activities8;21NUMERICIndicates the level of functionality for activities.
312occupation8;24SET OF CODES0: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.
313chart type8;25SET OF CODES0: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.
314observer8;26POINTER200The provider who saw the patient.
315visit type8;27SET OF CODES0: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
316dec number8;28NUMERICData entry clerk number.
317visit number8;29NUMERICThis field identifies sequentially numbered.
318lost or death status9;1SET OF CODES0:CLINIC ALIVE
1:CLINIC LOST
2:CLINIC DEAD
Is patient dead or lost from the VA files.
319death date9;2DATE-TIMEThis allows the user to enter the death date of patient.
321autopsy available9;4BOOLEAN0:NO
1:YES
This field identifies enter yes or no if autopsy is available.
322cause of death9;5SET OF CODES1: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.
326notified by9;6SET OF CODES1:PHONE
2:LETTER
3:OBITUARY
4:OTHER
This allows user to choose notification method by list.
327person providing notification9;7FREE TEXTThis allows user to enter the person's name who provided the notification, last name first.
328death notified date9;8DATE-TIMEThis allows user to enter the date when notified.
329disease severity-phy. estimate5;52SET OF CODES1: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.
350low white blood count10;1BOOLEAN1:YES
0:NO
Indicates the condition of low white blood count.
351low platelets10;2BOOLEAN1:YES
0:NO
Indicates the condition of low platelet count.
352low red blood count10;3BOOLEAN1:YES
0:NO
Indicates the condition of low red blood count.
600procedure summary(+).2;2FREE TEXTThis allows user to enter a summary of the procedure.
601summary(+).2;1SET OF CODESN:NORMAL
MI:MILD ABNL
MO:MOD ABNL
S:SEV ABNL
This allows user to choose summary code.
602questdate0;63DATE-TIMEThis field identifies the date of the HAQ.
603haqadmin0;64SET OF CODES0:CLINIC INTERVIEW
1:HOSPITAL INTERVIEW
2:TELEPHONE
3:MAIL
604questype0;65SET OF CODES1:EVERY YEAR
2:EVERY 6 MONTHS
605study status0;66SET OF CODES0: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.
606drugsty0;67SET OF CODES1: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.
607questnum0;68NUMERIC
608pmsvis0;69BOOLEAN0:NO
1:YES
609rise0;70NUMERICSummary score of HAQ questions about arising.
610nausea0;71BOOLEAN0:NO
1:YES
This allows user to enter yes or no for presence of nausea.
611history narrative11;0WORD-PROCESSINGThis allows user to enter a history narrative.
612end session12;1FREE TEXTThis allows user to hit the RETURN key to end session.
613laboratory info12;2POINTER63This allows user to enter laboratory information.
614lab chem12;3POINTER60This allows user to enter information to the laboratory test file.
615diagnosis13;0MULTIPLE701.0615This allows user to enter Diagnosis.
700icd diagnosisICD;0MULTIPLE701.01This field contains the ICD Diagnosis(es) for the procedure.
701primary providerPROV;1POINTER200This 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.
900pcc pointerPCC;1POINTER9000010APCEThis field is used to link the Medicine package results with the PCC Visit File for use by Queryman.
1000orifnOR;1POINTER100This 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.
1001gmrcoOR;2POINTER123This 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.
1514creation dateES;1DATE-TIME
2005image2005;0MULTIPLE701.02005This field points to an entry in the image file.

Referenced by 1 types

  1. REQUEST/CONSULTATION (123) -- result