| # | 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 | FREE TEXT | 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. | |
| 8 | day | 0;9 | FREE TEXT | An 8-character numeric string that represents the date on which the Radiology procedure was performed. | ||
| 9 | cpt code & modifiers | 0;10 | FREE TEXT | The five character Current Procedural Terminology (CPT) code for the radiology procedure performed, and up to 5, two character CPT modifiers. | ||
| 10 | procedure | 0;11 | POINTER | 71 | The radiology procedure associated with this case. | |
| 11 | imaging location | 0;12 | POINTER | 79.1 | The imaging location where this radiology exam was performed. | |
| 12 | location (ward or clinic) | 0;13 | POINTER | 44 | The patient's ward or clinic location. | |
| 13 | service | 0;14 | POINTER | 49 | Indicates the name of the service treating the patient. | |
| 14 | diagnostic code | 0;15 | POINTER | 78.3 | Indicates the diagnostic code associated with this exam. | |
| 15 | requesting physician | 0;16 | FREE TEXT | Indicates the person requesting this radiology exam. | ||
| 16 | modifiers | 0;17 | FREE TEXT | Indicates radiology modifiers associated with this exam. | ||
| 17 | movement file # | 0;18 | POINTER | 405 | Current patient movement record associated with this extract record. | |
| 18 | treating specialty | 0;19 | FREE TEXT | The PTF CODE of the treating specialty associated with this extract record. | ||
| 19 | time | 0;20 | FREE TEXT | A 6-character numeric string that represents the time of day when this Radiology procedure was performed. | ||
| 20 | imaging type | 0;21 | POINTER | 79.2 | The type of imaging used for this radiology exam. | |
| 21 | primary care team | 0;22 | FREE TEXT | The primary care team assigned to this patient. | ||
| 22 | primary care provider | 0;23 | FREE TEXT | The primary care provider assigned to this patient through the Primary Care Management Module (PCMM) module. | ||
| 23 | master patient index | 1;1 | FREE TEXT | Unique national VA patient identifier. | ||
| 24 | dss product department | 1;2 | FREE TEXT | The nationally defined DSS Intermediate Department Number designated to the Radiology care product. | ||
| 25 | placeholder | 1;3 | FREE TEXT | Currently NULL. | ||
| 26 | placeholder | 1;4 | FREE TEXT | Currently NULL. | ||
| 27 | pc provider person class | 1;5 | FREE TEXT | The VA Code of the Person Class of the Primary Care Provider associated with this record. | ||
| 28 | associate pc provider | 1;6 | FREE TEXT | The Associate Primary Care Provider assigned to this patient through the Primary Care Management Module (PCMM) application. | ||
| 29 | assoc. pc prov. person class | 1;7 | FREE TEXT | VA Code of the Person Class of the patient's Associate Primary Care Provider. | ||
| 30 | placeholder | 1;8 | FREE TEXT | Currently NULL. | ||
| 31 | dom,prrtp and saartp indicator | 1;9 | 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. CWT/TR | Indicates if the patient is admitted to either a RRTP, PRRTP or SARRTP at the time care is provided. | |
| 32 | observation patient indicator | 1;10 | SET OF CODES | NO:NO YES:YES | Indicates if patient is considered to be an observation patient. | |
| 33 | encounter number | 1;11 | FREE TEXT | The unique number assigned for DSS. | ||
| 34 | rad stop code | 1;12 | FREE TEXT | This field contains the stop code associated with the order. | ||
| 35 | ordering date | 1;13 | FREE TEXT | Date exam was ordered. | ||
| 36 | production division code | 1;14 | FREE TEXT | Represents the division that provided the work. this code is the facility number (i.e. 523AA). | ||
| 37 | dss ip # | 1;15 | NUMERIC | The nationally defined DSS Intermediate Product Number designated to the patient care product. | ||
| 38 | ordering provider person class | 1;16 | FREE TEXT | The VA code of the Person Class of the Ordering Provider as of the date of this extract record. | ||
| 39 | interpreting radiologist | 1;17 | FREE TEXT | The interpreting radiologist for this exam. | ||
| 40 | interpreting radiologist pc | 1;18 | FREE TEXT | The VA Code of the Person Class of the Interpreting Radiologist as of the date of this record. | ||
| 41 | clinic name | 1;19 | NUMERIC | This field identifies the specific clinic ordering the radiology exam. The clinic IEN should be retrieved from the Hospital Location file (#44). | ||
| 42 | clinic stop code | 1;20 | FREE TEXT | This is the ordering stop code of the clinic that ordered the radiology exam. | ||
| 43 | eri | 1;21 | FREE TEXT | This field identifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). | ||
| 44 | associate pc provider npi | 1;22 | FREE TEXT | A standard unique life-long identifier of the associate primary care provider. This field has a length of fifteen characters. | ||
| 45 | interpreting radiologist npi | 1;23 | FREE TEXT | A standard unique life-long identifier of the radiologist who interpreted the radiology exam. This field has a length of fifteen characters. | ||
| 46 | primary care provider npi | 1;24 | FREE TEXT | A standard unique life-long identifier of the primary care provider. This field has a length of fifteen characters. | ||
| 47 | requesting physician npi | 1;25 | FREE TEXT | A standard unique life-long identifier of the physician who requested the radiology exam. This field has a length of fifteen characters. | ||
| 48 | patcat | 1;26 | 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. | |
| 49 | credit method | 1;27 | SET OF CODES | 0:REGULAR CREDIT 1:INTERPRETATION ONLY 2:NO CREDIT 3:TECHNICAL COMPONENT ONLY | This field indicates the type of credit this location receives for examinations. The code is based on where the exam and interpretation were done. If the exam and interpretation were done at the same facility, a value of 0 is given. If only the interpretation was done at this facility, a value of 1 is given. If the exam and interpretation were both done at a different location a value of 2 is given and finally, if only the examination was done at this facility a value of 3 is given. | |
| 50 | encounter sc | 2;1 | BOOLEAN | Y:YES N:NO | Indicates if treatment provided during this patient encounter is Service Connected. | |
| 51 | camp lejeune status | 2;2 | BOOLEAN | Y:YES N:NO | Indicates if patient was exposed to contaminated water while stationed at Camp Lejeune, NC between January 1, 1957 and December 31, 1987. | |
| 52 | encounter camp lejeune | 2;3 | BOOLEAN | Y:YES N:NO | Indicates if episode of care is related to exposure to contaminated water while stationed at Camp Lejeune, NC between January 1, 1957 and December 31, 1987. | |
| 53 | rad verify date | 2;4 | FREE TEXT | An 8-character numeric string that represents the date on which the Radiology procedure was verified. |
Not Referenced