| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | procedure type(+) | 0;1 | FREE TEXT | B | This field contains the name of the procedure type. It may be a test (e.g., mammography, pregnancy test), diagnostic procedure (such as an open biopsy, fine needle aspiration), therapeutic procedure (e.g., cryotherapy, lumpectomy) or a consult to a specific treating specialty. | |
| .02 | abbreviation | 0;2 | FREE TEXT | C | This field contains an abbreviation for a procedure type. The data is used as a display identifier. | |
| .03 | ask colposcopy-type results | 0;3 | BOOLEAN | 0:NO 1:YES | This field turns on and off the display of the clinical findings/tissue pathology screen that is used to document clinical exam and pathology information related to specific cervical procedures such as colposcopy, cone biopsy, laser cone and LEEP's. The value of this field should be 1 (Yes) when associated with the above procedure types and new procedures that have similar documentation requirements. The clinical findings/tissue pathology screen appears in the Add a NEW Procedure and Edit a Procedure options as page 2. Information such as related PAP accession #, quadrant involvement, impression, biopsy and staging data may be documented. | |
| .04 | accession prefix | 0;4 | FREE TEXT | D | This field contains an abbreviation or synonym that is used to identify the procedure (e.g., CBE = clinical breast exam, CY = Cryotherapy). The data in this field may be concatenated with an accession # to facilitate selection of patient procedures within the software. | |
| .05 | package | 0;5 | SET OF CODES | R:RADIOLOGY/NM | This field contains a letter code that identifies the VistA software package that performs this procedure and stores the results of the procedure. | |
| .06 | last accession# | 0;6 | FREE TEXT | This field stores the most recent accession number associated with a specific procedure type. The accession number is a combination of the year and an incremental number generated by the software. There may be multiple occurrences of the same accession number within the WV Procedure Type file, but concatenation of the accession prefix with the accession # makes this value unique within the software. | ||
| .08 | cpt code | 0;8 | POINTER | 81 | AC | This field contains the CPT code that corresponds to this procedure type. In Women's Health Version 1.0, the CPT code field is only used to generate local FileMan reports and to identify Radiology/NM procedures. |
| .09 | icd code | 0;9 | POINTER | 80.1 | This field contains the ICD code that corresponds to this procedure type. In Women's Health Version 1.0, the ICD code field is only used to generate local FileMan reports. | |
| .11 | ask margins clear? question | 0;11 | BOOLEAN | 1:YES 0:NO | This field permits or denies the user from entering information at the Margins Clear prompt on the clinical findings/tissue pathology screen (page 2) of ADD a NEW Procedure and Edit a Procedure options. This field does not affect the display of the prompt just the navigation of the cursor on the screen. | |
| .2 | synonym1 | 0;20 | FREE TEXT | E | This field contains an alternative name for this procedure type. . | |
| .21 | synonym2 | 0;21 | FREE TEXT | F | This field contains an alternative name for this procedure type. | |
| 1 | morphology snomed code | 1;0 | MULTIPLE | 790.21 | This multiple is used to identify SNOMED codes associated with a pap smear test. | |
| 2 | topography snomed code | 2;0 | MULTIPLE | 790.22 | This multiple is used to identify SNOMED codes associated with a pap smear test. |