| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | treatment(+) | 0;1 | POINTER | 9999999.17 | B | This is a treatment or service provided which does not map to a CPT code but is clinically useful for patient care management. |
| .02 | patient name(+) | 0;2 | POINTER | 9000001 | This is the patient who received this treatment. | |
| .03 | visit(+) | 0;3 | POINTER | 9000010 | AD | This is the encounter or occasion of service defined in the Visit file that represents when and where the treatment was done. |
| .04 | how many | 0;4 | NUMERIC | This is the number of times this treatment was given to the patient during the encounter. | ||
| .06 | provider narrative | 0;6 | POINTER | 9999999.27 | This is the provider's preferred text used to represent the treatment provided. | |
| 1201 | event date and time | 12;1 | DATE-TIME | This is the date and time the treatment 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 may be used to document the provider who ordered the treatment. | |
| 1204 | encounter provider | 12;4 | POINTER | 200 | This is the provider who gave the treatment. | |
| 80101 | edited flag | 801;1 | SET OF CODES | 1:EDITED | This field is automatically set to 1 if PCE detects that any original treatment 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_";"... | ||
| 80201 | provider narrative category | 802;1 | POINTER | 9999999.27 | This field is the heading or category used to represent the provider narrative on the scanner form or workstation. It may be useful for understanding how providers are grouping data for use on the encounter form, and may help determine clinical terminology definitions in the future. | |
| 81101 | comments | 811;1 | FREE TEXT | This is a comment related to the patient's treatment. 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