# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.001 | incident number | 11 | Incident Number links a unique number with a particular incident. All local incidents must have numbers of 200 or greater. This number may or may not have two decimal places. | |||
.01 | incident(+) | 0;1 | FREE TEXT | B | This field contains the types of incidents found within a hospital. | |
.02 | va form 10-2633 | 0;2 | SET OF CODES | 1:YES 2:POSSIBLE | Indicates whether form VA 10-2633 is required for this incident. | |
.04 | investigation of the incident | 0;4 | SET OF CODES | 1:YES 2:POSSIBLE | Indicates whether the incident requires an investigation. | |
.06 | other qa report forms | 1;0 | MULTIPLE | 742.16 | Contains the applicable QA Report Form(s) for this incident. | |
.07 | screen status | 0;6 | SET OF CODES | 1:INACTIVE N:NATIONAL L:LOCAL | Contains the status for the incident. |