# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | sequence number(+) | 0;1 | NUMERIC | B | 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 (#727) file 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 | This is 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 | Date on which the patient was administered medication. | ||
9 | date of birth | 0;10 | FREE TEXT | The patient's date of birth. | ||
10 | sex | 0;11 | SET OF CODES | M:MALE F:FEMALE | Patient's gender | |
11 | state | 0;12 | FREE TEXT | The state in which the patient resides. | ||
12 | county | 0;13 | FREE TEXT | This is the County in which the Patient resides. | ||
13 | zip +4 | 0;14 | FREE TEXT | The ZIP code for where the patient resides. The 5-character ZIP code is provided if ZIP+4 is not available. | ||
14 | country code | 0;15 | FREE TEXT | This is the code for the country associated with the address. | ||
15 | ward | 0;16 | POINTER | 44 | Current ward where the patient is located. | |
16 | treating specialty | 0;17 | FREE TEXT | The PTF CODE of the treating specialty associated with this extract record. | ||
17 | provider | 0;18 | FREE TEXT | The provider assigned to this patient through the PCMM module. | ||
18 | provider person class | 0;19 | FREE TEXT | The VA Code of the Person Class of the Provider associated with this record. | ||
19 | provider npi | 0;20 | FREE TEXT | A standard unique life-long identifier of the individuals providing health care services. | ||
20 | primary care provider | 0;21 | FREE TEXT | The primary care provider assigned to this patient through the PCMM module. | ||
21 | primary care provider pc | 0;22 | FREE TEXT | The VA Code of the Person Class of the Primary Care Provider associated with this record. | ||
22 | primary care provider npi | 0;23 | FREE TEXT | A standard unique life-long identifier of the primary care provider. | ||
23 | primary care team | 0;24 | POINTER | 404.51 | The primary care team assigned to this patient. | |
24 | ordering stop code | 0;25 | FREE TEXT | The field contains the stop code with the order. | ||
25 | place order number | 1;1 | POINTER | 53.79 | This is the order number of the Patient's Barcode Medication Administration record. | |
26 | order reference number | 1;2 | FREE TEXT | Contains the IEN to the actual order in the PHARMACY PATIENT (#55) followed by a U for Unit Dose or V for IV. | ||
27 | route | 1;3 | POINTER | 51.2 | This is the route of administration for Unit Dose or IV medication for a patient. | |
28 | time | 1;4 | FREE TEXT | This field contains the actual time the medication was administered. | ||
29 | component code | 1;5 | VARIABLE-POINTER | The COMPONENT CODE contains either the dispensed drug, IV additive or IV solution that was administered for this patient. | ||
30 | component dose ordered | 1;6 | FREE TEXT | COMPONENT DOSE ORDERED contains either the dispensed drug, IV additive, or IV solution dose ordered, to which, this medication was administered for this patient. | ||
31 | component dose given | 1;7 | FREE TEXT | The COMPONENT DOSE GIVEN contains either the dispensed drug, IV additive, or IV solutions dose given, to which, this medication was administered for this patient. | ||
32 | component units | 1;8 | FREE TEXT | The Component Units contains either the dispensed drug, IV additive, or IV solutions unit of administration, to which this medication was administered for this patient. | ||
33 | component type | 1;9 | SET OF CODES | D:Dispensed Drug A:Additives S:Solutions | The Component Type is determined by the value destination of the Component Code. | |
34 | action status | 1;10 | SET OF CODES | G:GIVEN H:HELD R:REFUSED N:NOT GIVEN RM:REMOVED I:INFUSING S:STOPPED C:COMPLETED M:MISSING DOSE | This is the status of the medication administration. | |
35 | administration medication | 1;11 | POINTER | 50.7 | Administration Medication is the medication entered for the order. | |
36 | scheduled administration date | 1;12 | FREE TEXT | If a continuous order this field will contain the actual administration date the medication was ordered for. | ||
37 | scheduled administration time | 2;1 | FREE TEXT | If a continuous order this field will contain the actual administration time the medication was ordered for. | ||
38 | order schedule | 2;2 | SET OF CODES | C:CONTINUOUS P:PRN O:ONE-TIME OC:ON-CALL | This is the schedule type of the order. | |
39 | iv unique id | 2;3 | FREE TEXT | This is the unique ID number of an IV bag, which is generated from Inpatient Medications. | ||
40 | infusion rate | 2;4 | FREE TEXT | This is the infusion rate for an IV bag, which is passed by Inpatient Medications. | ||
41 | production division code | 2;5 | FREE TEXT | This is the facility of the ward where the patient received medication. | ||
42 | drug ien | 2;6 | POINTER | 50.68 | This is the drug administered to the patient. | |
43 | ndc | 2;7 | FREE TEXT | This is the National Drug Code for the drug/supply item in this order. | ||
44 | dea, special hdlg | 2;8 | SET OF CODES | I:Investigational 1:SCHEDULE 1 ITEM 2:SCHEDULE 2 ITEM 3:SCHEDULE 3 ITEM 4:SCHEDULE 4 ITEM 5:SCHEDULE 5 ITEM | Indicates if the drug in this record is Investigational, or Schedule 1-5. | |
45 | va drug classification | 2;9 | FREE TEXT | This is the VA Drug Classification for the item in this order. | ||
46 | master patient index | 2;10 | FREE TEXT | Unique national VA patient identifier. | ||
47 | dom, prrtp & saartp indicator | 2;11 | 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. | |
48 | observation patient indicator | 2;12 | SET OF CODES | NO:NO YES:YES | Indicates if a patient is considered to be an observation patient. | |
49 | encounter number | 2;13 | FREE TEXT | The unique number assigned for DSS. | ||
50 | means test | 2;14 | FREE TEXT | The current means test category for this patient. | ||
51 | eligibility | 2;15 | FREE TEXT | A two or three digit numeric code indicating the Patient's Primary Eligibility. | ||
52 | enrollment location | 2;16 | FREE TEXT | The facility that the patient chooses to designate as his preferred location for care. | ||
53 | enrollment category | 2;17 | SET OF CODES | E:ENROLLED N:NOT ENROLLED P:IN PROCESS | Patient's enrollment category. | |
54 | enrollment status | 2;18 | POINTER | 27.15 | Patient's enrollment status. | |
55 | enrollment priority | 2;19 | FREE TEXT | This field contains the enrollment priority group and the enrollment priority subgroup. | ||
56 | user enrollee | 2;20 | SET OF CODES | U:USER ENROLLEE | Indicates whether a Veteran has User Enrollee status for the current or future fiscal year. | |
57 | ethnicity | 2;21 | FREE TEXT | The patient's PTF Ethnicity code. | ||
58 | race 1 | 2;22 | FREE TEXT | Self-reported by patient as recorded in VistA patient file. | ||
59 | veteran | 2;23 | SET OF CODES | Y:VETERAN N:NOT VETERAN | Patient's Veteran status. | |
60 | period of service | 2;24 | FREE TEXT | The period of service, which best classifies this patient based on eligibility code. | ||
61 | pow status | 2;25 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Indicates if patient was confined as a Prisoner of War. | |
62 | pow location | 2;26 | POINTER | 22 | This is the location/period where the patient was a POW. | |
63 | radiation status | 2;27 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Indicates if patient claims exposure to ionizing radiation. | |
64 | agent orange status | 2;28 | SET OF CODES | Y:YES N:NO U:UNKNOWN | Indicates whether patient was exposed to Agent Orange. | |
65 | agent orange location | 2;29 | SET OF CODES | K:KOREAN DMZ V:VIETNAM O:OTHER | Indicates the location where the patient was exposed to Agent Orange. | |
66 | purple heart indicator | 2;30 | BOOLEAN | Y:YES N:NO | This field Indicates whether or not a patient is a Purple Heart recipient. | |
67 | mst status | 2;31 | SET OF CODES | Y:Yes, Screened reports MST N:No, Screened does not report MST U:Unknown, not screened D:Screened Declines to answer | Indicates the Military Sexual Trauma (MST) status of a patient on the date of the encounter. | |
68 | cnh status | 2;32 | BOOLEAN | Y:YES N:NO | This field is used to indicate whether a patient is currently in a contract nursing home. | |
69 | head & neck cancer indicator | 2;33 | BOOLEAN | Y:YES N:NO | Identifies whether patient's diagnosis was for Head and/or Neck Cancer. | |
70 | shad status | 2;34 | BOOLEAN | Y:YES N:NO | Indicates whether patient meets requirements for Shipboard Hazard And Defense (SHAD). | |
71 | patient type | 3;1 | FREE TEXT | PATIENT TYPE refers to the various types of patient which might be seen at a VA facility. | ||
72 | cv status eligibility | 3;2 | SET OF CODES | Y:YES E:ELIGIBILITY EXPIRED | This field indicates whether or not a patient can be considered a Combat Veteran (CV) at the time of treatment. | |
73 | cv eligibility end date | 3;3 | FREE TEXT | This field is the patient's Combat Veteran (CV) eligibility end date. | ||
74 | encounter cv | 3;4 | BOOLEAN | Y:YES | This Field indicates if the patient is a Combat Veteran (CV) based on the treatment date and the end date of combat service. | |
75 | national patient record flag | 3;5 | BOOLEAN | Y:YES | This field will indicate if the Patient has any type of a National Flag indicator. | |
76 | eri | 3;6 | SET OF CODES | K:HURRICANE KATRINA | Identifies patients from impacted zip code areas designated by the Federal Emergency Management Agency (FEMA). | |
77 | sw asia conditions | 3;7 | SET OF CODES | Y:YES N:NO U:UNKNOWN | This field is used to indicate if this visit represents treatment of a VA patient claiming exposure to Southwest Asia Conditions. The South West Asia Theater of operations is defined as: Iraq, Kuwait, Saudi Arabia, the neutral zone between Iraq and Saudi Arabia, Bahrain, Qatar, the United Arab Emirates, Oman, the Gulf of Aden, the Gulf of Oman, the Persian Gulf, the Arabian Sea, the Red Sea and the airspace above these locations. | |
78 | oef/oif | 3;8 | FREE TEXT | The Military Operation(s) in which the patient was in combat. This field is a length of nine characters and reflects the OEF or OIF where this patient was in combat. | ||
79 | oef/oif return date | 3;9 | FREE TEXT | The date the patient left the OEF/OIF area, if known. Otherwise, it is the end date of military pay for this OEF/OIF deployment. This date field has a format equal to YYYYMMDD. In cases of multiple OEF/OIF tours, this field contains only most recent return date. | ||
80 | patcat | 3;10 | 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. | |
81 | encounter sc | 3;11 | BOOLEAN | Y:YES N:NO | Indicates if treatment provided during this patient encounter is Service Connected. | |
82 | iv additive cost | 3;12 | NUMERIC | VA pharmacy supply cost, in dollars, of the IV Additive dispensed. | ||
83 | iv solution cost | 3;13 | NUMERIC | VA pharmacy supply cost, in dollars, of the IV Solution dispensed. | ||
84 | drug cost | 3;14 | NUMERIC | VA pharmacy supply cost, in dollars, of the Drug dispensed. | ||
85 | camp lejeune status | 3;15 | 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. | |
86 | encounter camp lejeune | 3;16 | 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. | |
87 | combat veteran indicator | 3;17 | BOOLEAN | Y:YES N:NO | Identifies if the patient served in a combat zone. | |
88 | combat veteran location | 3;18 | FREE TEXT | Identifies the war in which the combat service was incurred. |
Not Referenced