# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.001 | number | 11 | This is the internal file number of the diagnosis. | |||
.01 | name(+) | 0;1 | POINTER | 2 | B | This is the patient's name. |
100 | phy | PE;0 | MULTIPLE | 90.01 | This field contains the results of the physical examination. concerning the patient's overall condition associated with the systems identified. The user may enter one of three responses: 1) Within NORMAL Limits; 2) OMITTED; 3) ABNORMAL. If "3" is entered, the user will be asked to describe the abnormality. | |
101 | *principal dsm-iii dx date | DX1;1 | DATE-TIME | This is the date the principal DSM-II diagnosis was entered. | ||
102 | *principal dsm-iii diagnosis(+) | DX1;2 | POINTER | 627 | This is the DSM-III code for the diagnosis which is the primary reason for treatment. | |
102.4 | *x dsm-iii diagnosis date(+) | DX1;3 | DATE-TIME | This is the date the DSM-III X diagnosis was entered. | ||
102.6 | *x dsm-iii diagnosis(+) | DX1;4 | POINTER | 627 | This is the DSM-III diagnosis accounting for the largest percentage of the length of stay. | |
103 | *dsm-iii diagnosis | DX;0 | MULTIPLE | 90.04 | This is the code of the DSM-III diagnosis. conform to DSM-III-R criteria. Mandated June 1987. | |
104 | *axis 4 | DXM;1 | SET OF CODES | 1:NONE 2:MINIMAL 3:MILD 4:MODERATE 5:SEVERE 6:EXTREME 7:CATASTROPHIC 0:UNSPECIFIED | This is the rating code for severity of psychosicial stressor. | |
105 | *axis 4 date | DXM;2 | DATE-TIME | This is the date a given psychosocial stressor code is entered. | ||
106 | *axis 4 by | DXM;3 | POINTER | 200 | This is the name of the user entering a given psychosical stressor code. | |
107 | *axis 5 | DXM;4 | SET OF CODES | 1:SUPERIOR 2:VERY GOOD 3:GOOD 4:FAIR 5:POOR 6:VERY POOR 7:GROSSLY IMPAIRED 0:UNSPECIFIED | This is the rating code for highest level of adaptive functioning past year. | |
108 | *axis 5 date | DXM;5 | DATE-TIME | This is the date a given adaptive functioning code is entered. | ||
109 | *axis 5 by | DXM;6 | POINTER | 200 | This is the name of the user entering a given adaptive functioning code. | |
110 | *past principal dx | PDX;0 | MULTIPLE | 90.06 | This is the past DSM-III diagnosis that was the primary reason for treatment. | |
111 | *past x diagnosis | XDX;0 | MULTIPLE | 90.07 | This is the past DSM-III code which accounted for the largest percentage of the length of stay. | |
112 | *principle icd9 dx date | DX2;1 | DATE-TIME | This is the date the principal ICD9 diagnosis was entered. | ||
113 | *principal icd9 diagnosis(+) | DX2;2 | POINTER | 80 | This is the ICD9 code for the diagnosis which is the primary reason for treatment. | |
113.4 | *x icd9 diagnosis date | DX2;3 | DATE-TIME | This is the date the ICD9 X diagnosis was entered. | ||
113.6 | *x icd9 diagnosis | DX2;4 | POINTER | 80 | This is the ICD9 diagnosis accounting for the largest percentage of the length of stay. | |
115 | *icd9 diagnosis | PHDX;0 | MULTIPLE | 90.1 | This is the code of the ICD9 diagnosis. | |
116 | *past principal icd9 dx | PPDX;0 | MULTIPLE | 90.16 | This is the past ICD9 diagnosis that was the primary reason for treatment. | |
117 | *past icd9 x diagnosis | XPDX;0 | MULTIPLE | 90.17 | This is the past ICD9 diagnosis code which accounted for the largest percentage of length of stay. |
Not Referenced