The Master Data Model for Veteran Care

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Tiu_Document

TIU Document

This file stores textual information for the clinical record database. Though it is designed to initially accommodate Progress Notes, Consult Reports, and Discharge Summaries, it is intended to be sufficiently flexible to accommodate textual reports or provider narrative of any length or type, and to potentially accommodate such data transmitted from remote sites, which may be excluded from the corresponding local DHCP Package databases (e.g., Operative Reports, Radiology Reports, Pathology Reports, etc.) to avoid confusion with local workload.

Fileman ID: 8925

Base VDM Class: Tiu_Document-8925

Property Summary

Property Count: 73

Type Count
POINTER 32
DATE-TIME 16
ENUMERATION 7
STRING 14
BOOLEAN 3
NUMERIC 1

Sub-Object Count: 0

Properties

Label/Field ID Datatype FromVDM Default Attributes Range
Document Type
  documentType
POINTER document_type   INDEXED
REQUIRED
Tiu_Document_Definition-8925_1
Patient
  patient
POINTER patient   INDEXED Patient_ihs-9000001
Visit
  visit
POINTER visit   INDEXED Visit-9000010
Parent Document Type
  parentDocumentType
POINTER parent_document_type     Tiu_Document_Definition-8925_1
Status
  status
POINTER status     TIU_Status-8925_6
Parent
  parent
POINTER parent   INDEXED Tiu_Document-8925
Episode Begin Date/time
  episodeBeginDateTime
DATE-TIME episode_begin_date_time      
Episode End Date/time
  episodeEndDateTime
DATE-TIME episode_end_date_time      
Urgency
  urgency
ENUMERATION urgency     0: priority
1: routine
Line Count
  lineCount
STRING line_count      
Credit Stop Code On Completion
  creditStopCodeOnCompletion
BOOLEAN credit_stop_code_on_completion      
Mark Disch Dt For Correction
  markDischDtForCorrection
BOOLEAN mark_disch_dt_for_correction   INDEXED  
Visit Type
  visitType
STRING visit_type      
Report Text
  reportText
STRING report_text      
Edit Text Buffer
  editTextBuffer
STRING edit_text_buffer      
Entry Date/time
  entryDateTime
DATE-TIME entry_date_time   INDEXED  
Author/dictator
  authorDictator
POINTER author_dictator   INDEXED New_Person-200
Clinic
  clinic
POINTER clinic     Clinic_Stop-40_7
Expected Signer
  expectedSigner
POINTER expected_signer     New_Person-200
Hospital Location
  hospitalLocation
POINTER hospital_location     Hospital_Location-44
Service Credit Stop
  serviceCreditStop
POINTER service_credit_stop     Clinic_Stop-40_7
Secondary Visit
  secondaryVisit
POINTER secondary_visit     Visit-9000010
Expected Cosigner
  expectedCosigner
POINTER expected_cosigner   INDEXED New_Person-200
Attending Physician
  attendingPhysician
POINTER attending_physician     New_Person-200
Order Number
  orderNumber
POINTER order_number     Order-100
Visit Location
  visitLocation
POINTER visit_location     Hospital_Location-44
Division
  division
POINTER division     Institution-4
Reference Date
  referenceDate
DATE-TIME reference_date   INDEXED  
Entered By
  enteredBy
POINTER entered_by   INDEXED New_Person-200
Capture Method
  captureMethod
ENUMERATION capture_method     0: remote procedure
1: copy
2: converted
3: direct
4: upload
Release Date/time
  releaseDateTime
DATE-TIME release_date_time   INDEXED  
Verification Date/time
  verificationDateTime
DATE-TIME verification_date_time      
Verified By
  verifiedBy
POINTER verified_by     New_Person-200
Dictation Date
  dictationDate
DATE-TIME dictation_date      
Suspense Date/time
  suspenseDateTime
DATE-TIME suspense_date_time      
Patient Movement Record
  patientMovementRecord
POINTER patient_movement_record     Patient_Movement-405
Treating Specialty
  treatingSpecialty
POINTER treating_specialty   INDEXED Facility_Treating_Specialty-45_7
Irt Record
  irtRecord
POINTER irt_record     Incomplete_Records-393
Service
  service
POINTER service   INDEXED Service_section-49
Requesting Package Reference
  requestingPackageReference
POINTER requesting_package_reference   INDEXED Request_consultation-123
Surgery-130
Retracted Original
  retractedOriginal
POINTER retracted_original     Tiu_Document-8925
Signature Date/time
  signatureDateTime
DATE-TIME signature_date_time      
Signed By
  signedBy
POINTER signed_by     New_Person-200
Signature Block Name
  signatureBlockName
STRING signature_block_name      
Signature Block Title
  signatureBlockTitle
STRING signature_block_title      
Signature Mode
  signatureMode
ENUMERATION signature_mode     0: electronic
1: chart
Cosignature Needed
  cosignatureNeeded
BOOLEAN cosignature_needed      
Cosignature Date/time
  cosignatureDateTime
DATE-TIME cosignature_date_time      
Cosigned By
  cosignedBy
POINTER cosigned_by     New_Person-200
Cosignature Block Name
  cosignatureBlockName
STRING cosignature_block_name      
Cosignature Block Title
  cosignatureBlockTitle
STRING cosignature_block_title      
Cosignature Mode
  cosignatureMode
ENUMERATION cosignature_mode     0: electronic
1: chart
Marked Signed On Chart By
  markedSignedOnChartBy
POINTER marked_signed_on_chart_by     New_Person-200
Marked Cosigned On Chart By
  markedCosignedOnChartBy
POINTER marked_cosigned_on_chart_by     New_Person-200
Amendment Date/time
  amendmentDateTime
DATE-TIME amendment_date_time      
Amended By
  amendedBy
POINTER amended_by     New_Person-200
Amendment Signed
  amendmentSigned
DATE-TIME amendment_signed      
Amendment Sign Block Name
  amendmentSignBlockName
STRING amendment_sign_block_name      
Amendment Sign Block Title
  amendmentSignBlockTitle
STRING amendment_sign_block_title      
Administrative Closure Date
  administrativeClosureDate
DATE-TIME administrative_closure_date      
Admin Closure Sig Block Name
  adminClosureSigBlockName
STRING admin_closure_sig_block_name      
Admin Closure Sig Block Title
  adminClosureSigBlockTitle
STRING admin_closure_sig_block_title      
Archive/purge Date/time
  archivePurgeDateTime
DATE-TIME archive_purge_date_time      
Deleted By
  deletedBy
POINTER deleted_by     New_Person-200
Deletion Date
  deletionDate
DATE-TIME deletion_date      
Reason For Deletion
  reasonForDeletion
ENUMERATION reason_for_deletion     0: administrative
1: privacy act
Administrative Closure Mode
  administrativeClosureMode
ENUMERATION administrative_closure_mode     0: manual
1: scanned document
Subject (optional Description)
  subjectOptionalDescription
STRING subject_optional_description      
Vbc Line Count
  vbcLineCount
NUMERIC vbc_line_count      
Id Parent
  idParent
POINTER id_parent   INDEXED Tiu_Document-8925
Visit Id
  visitId
STRING visit_id   INDEXED  
Procedure Summary Code
  procedureSummaryCode
ENUMERATION procedure_summary_code     0: Machine Resulted
1: Abnormal
2: Incomplete
3: Borderline
4: Normal
Date/time Performed
  dateTimePerformed
DATE-TIME date_time_performed      

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Document generated on August 31st 2017, 2:55:48 pm