This file contains data elements as specified by the Decision Support System (DSS) Program Office for the Nursing extract from existing DHCP files. Entries into this file are made by extracting data from several files. Once approved by the DSS site manager, entries in this file are loaded into an electronic mail message and sent to the commercial vendor. This file is intended to be used for validation purposes only. Entries should be made only by the extract load routine. Since validation techniques will be determined by the local site, it is intended that the site add whatever cross references deemed necessary. However, this file contains one nationally determined cross reference, the "AC" cross reference on the EXTRACT NUMBER field (#2). This cross reference is used by the DSS Extracts software package as an essential feature for managing and purging data in this file and should not be modified. This file should NOT be modified directly using VA FileMan.
.01sequence number(+)0;1NUMERICThe record number for this extract entry.
1year month0;2FREE TEXTA six character string representing the year and the month for which this extract was performed.
2extract number0;3POINTER727ACThe corresponding entry in the DSS EXTRACT LOG file (#727) for this extract.
3facility0;4FREE TEXTIdentifies the facility for this extract record.
4patient no. - dfn0;5POINTER2An identifying number for the patient at the local site.
5ssn0;6FREE TEXTThe patient's social security number. Any patient with an SSN beginning with "00000" is considered a "test patient" and will not be included in the extract.
6name0;7FREE TEXTThe first four characters of the patient's last name.
7in out patient indicator0;8FREE TEXTIndicates whether the patient was an inpatient or an outpatient for this extract entry.
8day0;9FREE TEXTThis 8-character string represents the date on which the Nursing classification was done.
9acuity level0;10FREE TEXTThe patient's current Nursing AMIS classification or acuity rating.
10entered by0;11SET OF CODESC:COMPUTER
Enter C if the classification was computer generated, or U if it was user (RN) generated.
11classifier0;12POINTER200Identifies the person making the classification. Pointer to the NEW PERSON FILE (#200)
12nurse location0;13POINTER211.4Ward on which the patient is classified. Points to the NURS LOCATION file (#211.4).
13nursing bedsection0;14POINTER213.3Nursing bedsection for which the patient is classified. Points to the NURS AMIS WARD file (#213.3).
14movement file #0;15POINTER405Current patient movement record associated with this extract record.
15treating specialty0;16FREE TEXTThe PTF CODE of the treating specialty associated with this extract record.
16admission date0;17FREE TEXTThis 8-character string represents the date on which the admission for this patient occurred.
17admission time0;18FREE TEXTA 6-character numeric string which represents the time of day at which the patient admission occurred.
18master patient index1;1FREE TEXTA national VA system identifier which uniquely identifies a patient.
19dss product department1;2FREE TEXTThe nationally defined DSS Intermediate Department Number designated to the Nursing care product.
20dom,prrtp and saartp indicator1;3FREE TEXT DOM, PRRTP and SAARTP Indicator indicates if the patient is admitted to either a DOM, PRRTP or SAARTP at the time hospital service is provided. Domiciliary (DOM) Psychiatric Residential Rehabilitation Treatment Program (PRRTP) Substance Abuse Residential Rehabiltation Treatment Program (SARRTP)
21observation patient indicator1;4FREE TEXTThis field is derived from the inpatient/outpatient status, treating specialty, and DSS Identifier or feeder key values in the record.
22encounter number1;5FREE TEXTThis field is derived from the inpatient/outpatient status, SSN, admit/visit date, treating specialty, observation patient indicator, and DSS Identifier or feeder key values in the record.
23production division code1;6FREE TEXTData represents the medical center division the work was performed in. This field corresponds to an entry in the INSTITUTION file (#4).
24dss ip #1;7NUMERICThe nationally defined DSS Intermediate Product Number designated to the patient care product.
25patcat1;8SET OF CODESAD:Active Duty
ADD:Active Duty Dependent
FNRS:Former Non-Remarried Spouse
RETD:Retiree Dependent
TDRL:Temporary Disability
This is the Patient's category which will be used for FHCC (Federal Health Care Center) Reconciliation. DSS must capture and report DoD patients so that the FHCC reconciliation process can function as designed. "Reconciliation" is the process used within the new FHCC to determine which patients DoD pays for and which VA pays for.

Not Referenced