| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | sequence number(+) | 0;1 | NUMERIC | The record number for this extract entry. | ||
| 1 | year month | 0;2 | FREE TEXT | A six character string representing the year and the month for which this extract was performed. | ||
| 2 | extract number | 0;3 | POINTER | 727 | AC | The corresponding entry in the DSS EXTRACT LOG file (#727) for this extract. |
| 3 | facility | 0;4 | POINTER | 40.8 | This is the facility/division where the extract was performed. | |
| 4 | patient no. - dfn | 0;5 | POINTER | 2 | An identifying number for the patient at the local site. | |
| 5 | ssn | 0;6 | FREE TEXT | The patient's social security number. | ||
| 6 | name | 0;7 | FREE TEXT | The first four characters of the patient's last name. | ||
| 7 | in out patient indicator | 0;8 | SET OF CODES | I:INPATIENT O:OUTPATIENT | Indicates whether the patient was an inpatient or an outpatient for this extract entry. | |
| 8 | day | 0;9 | FREE TEXT | This 8-character numeric string represents the date of the physical movement. | ||
| 9 | product | 0;10 | FREE TEXT | The product or feeder key for this extract as defined by the DSS Program Office. | ||
| 10 | admission date | 0;11 | FREE TEXT | This 8-character string represents the date on which the admission associated with this physical movement occurred. | ||
| 11 | discharge date | 0;12 | FREE TEXT | This 8-character string represents the date on which the Discharge occurred for discharge-type movements. | ||
| 12 | movement file # | 0;13 | POINTER | 405 | Current patient movement record associated with this extract record. | |
| 13 | type | 0;14 | SET OF CODES | 2:TRANSFER 3:DISCHARGE | The transaction type of the movement for this patient. | |
| 14 | losing ward | 0;15 | POINTER | 44 | Indicates the ward the patient is moving from. | |
| 15 | treating specialty | 0;16 | FREE TEXT | The PTF CODE of the treating specialty associated with this extract record. | ||
| 16 | losing ward los | 0;17 | NUMERIC | Length of stay on losing ward. | ||
| 17 | placeholder1 | 0;18 | FREE TEXT | A placeholder. | ||
| 18 | movement type | 0;19 | POINTER | 405.2 | THE MAS movement type for this movement. | |
| 19 | mov time | 0;20 | FREE TEXT | Time when this patient moved from the losing ward to the gaining ward. | ||
| 20 | gaining ward | 0;21 | POINTER | 44 | Indicates the ward the patient moved to. | |
| 21 | admission time | 0;22 | FREE TEXT | The time of day at which the patient admission occurred. | ||
| 22 | placeholder2 | 0;23 | FREE TEXT | A placeholder. | ||
| 23 | placeholder3 | 0;24 | FREE TEXT | To be used for future development; currently set to null. | ||
| 24 | master patient index | 1;1 | FREE TEXT | Unique national VA patient identifier. | ||
| 25 | dss dept. | 1;2 | FREE TEXT | DSS Dept. for the patient's gaining ward. | ||
| 26 | dom,prrtp and saartp indicator | 1;3 | SET OF CODES | P:GEN. PRRTP T:PTSD PRRTP S:DOM. PRRTP H:HOMELESS CWT/TR A:SA CWT/TR D:DOMICILIARY B:PTSD CWT/TR C:GEN. CET/TR | Indicates if the patient is admitted to either a RRTP, PRRTP, or SARRTP at the time care is provided. | |
| 27 | observation patient indicator | 1;4 | SET OF CODES | NO:NO YES:YES | Indicate if patient is considered to be an observation patient. | |
| 28 | encounter number | 1;5 | FREE TEXT | The unique number assigned for DSS. | ||
| 29 | discharge pc provider | 1;6 | FREE TEXT | Patient's primary care provider from the losing ward. | ||
| 30 | discharge pc team | 1;7 | POINTER | 404.51 | Patient's primary care team from the losing ward. | |
| 31 | discharge assoc pc provider | 1;8 | FREE TEXT | This field contains the associate primary care provider at the time of discharge. | ||
| 32 | production division code | 1;9 | FREE TEXT | Identifies the division/facility where the patient is located. | ||
| 33 | discharge pc prov person class | 1;10 | FREE TEXT | The VA Code of the Person Class of the patient's primary care provider from the losing ward. | ||
| 34 | disch assoc pc provider pc | 1;11 | FREE TEXT | The VA Code of the Person Class of the associate primary care provider associated with this record. | ||
| 35 | disch assoc pc prov npi | 1;12 | FREE TEXT | A standard unique life-long identifier of the patient's associate primary care provider from the losing ward. This field has a length of fifteen characters. | ||
| 36 | discharge pc provider npi | 1;13 | FREE TEXT | A standard unique life-long identifier of the patient's primary care provider from the losing ward. This field has a length of fifteen characters. | ||
| 37 | patcat | 1;14 | SET OF CODES | AD:Active Duty ADD:Active Duty Dependent FNRS:Former Non-Remarried Spouse RET:Retired RETD:Retiree Dependent RES:Reservist REC:Recruit TDRL:Temporary Disability TFL:TRICARE for Life | 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