| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | exam(+) | 0;1 | POINTER | 9999999.15 | B | This is the entry in the Exam file that represents what type of exam was done at the encounter. |
| .02 | patient name(+) | 0;2 | POINTER | 9000001 | This is the patient who received the exam. | |
| .03 | visit(+) | 0;3 | POINTER | 9000010 | AD | This is the encounter in the Visit file that represents when and where the exam was done. |
| .04 | result | 0;4 | SET OF CODES | A:ABNORMAL N:NORMAL | ||
| 1201 | event date and time | 12;1 | DATE-TIME | This is the date and time the exam was given by the provider. This date and time may be different from the visit date and time. For example, for clinic appointment visits, the visit date and time is the date and time of the appointment, not the time the provider performed the clinical event. The date may be an imprecise date. Date and time may be within 30 days before or after the visit date, with the restriction the date cannot be a future date. | ||
| 1202 | ordering provider | 12;2 | POINTER | 200 | This field can be used to document the provider who ordered the exam. | |
| 1204 | encounter provider | 12;4 | POINTER | 200 | This is the provider who gave the exam. | |
| 80101 | edited flag | 801;1 | SET OF CODES | 1:EDITED | This field is automatically set to 1 if PCE detects that any original exam data is being edited. | |
| 80102 | audit trail | 801;2 | FREE TEXT | This field is populated automatically by the PCE filing logic. The format of the field is as follows: Pointer to PCE data source file_"-"_A for Add or E for Edit_" "_DUZ of the person who entered the data_";"... | ||
| 81101 | comments | 811;1 | FREE TEXT | This is a comment related to the patient's exam. The provider may enter this manually via the PCE User Interface. | ||
| 81201 | verified | 812;1 | SET OF CODES | 1:ELECTRONICALLY SIGNED 2:VERIFIED BY PACKAGE | ||
| 81202 | package | 812;2 | POINTER | 9.4 | ||
| 81203 | data source | 812;3 | POINTER | 839.7 |
Not Referenced