The Master Data Model for Veteran Care

Developer Documentation » VDM » Eligibility_Code-8

Eligibility Code (8)

The ELIGIBILITY CODE file contains all the eligibility codes that can be assigned to a patient. All entries in this file must be associated with an entry in the MAS ELIGIBILITY CODE file. The MAS ELIGIBILITY CODE(#8.1) file consists of those codes which have been established by VACO MAS. Currently there are 18 eligibility codes in use by the Dept of Veterans Affairs. The site is not allowed to add entries to the MAS ELIGIBILITY CODE file. However,the site is permitted to add local entries to the ELIGIBILITY CODE file. To add/edit eligibility codes use the option “Eligibility Code Enter/Edit [DG ELIG CODE ENTER/EDIT]”. The option is on the “Eligibility/ID Maintenance Menu [DG ELIG MAINTENANCE]” menu. Normally,adding local codes is not needed. However,the VA/DOD sharing agreement software,being developed by the Dallas ISC,does need and use this functionality.

Global: ^DIC(8,

Domain: Patients

Properties

Label/Field Name Field # Description Datatype Attributes Range
Name
  name
.01 This field contains the site specific name for the eligibility.
In most cases the name will be the same as the MAS ELIGIBILITY CODE
pointed to by the MAS ELIGIBILITY CODE field of this file.
STRING INDEXED
REQUIRED
 
Make Record Sensitive?
  make_record_sensitive
.12 Answer YES if patients with this eligibility should have there records
automatically added to the DG SECURITY LOG file so that the patient”s
record will be listed as sensitive.
BOOLEAN   false: 0
true: 1
Card Color
  card_color
1 This field indicates the color of the patient”s card for the MAS
eligibility.

This field is automatically updated with the value of the
“CARD COLOR” of the MAS ELIGIBILITY CODE(#8.1) entry
pointed to by field #8,MAS ELIGIBILITY CODE.

This field is uneditable.
ENUMERATION REQUIRED PURPLE: P
BLUE: B
RED: R
Abbreviation
  abbreviation
2 This field may contain an abbreviation for the eligibility name. It
may be used in place of the name in selected prints.
STRING    
VA Code Number
  va_code_number
3 This field contains the VA CODE NUMBER that has been assigned to this
eligibility.

This field is automatically updated with the value of the “VA
CODE NUMBER” of the MAS ELIGIBILITY CODE(#8.1) entry
pointed to by field #8,MAS ELIGIBILITY CODE.

This field is uneditable.
NUMERIC INDEXED
REQUIRED
 
Type
  type-4
4 This field indicates the type of patient that can be assigned this
eligibility. The patient is either a “veteran” or a “non-veteran”
type.

This field is automatically updated with the value of the
“TYPE” of the MAS ELIGIBILITY CODE(#8.1) entry pointed
to by field #8,MAS ELIGIBILITY CODE.

This field is uneditable.
ENUMERATION REQUIRED NON-VETERAN: N
VETERAN: Y
Print Name
  print_name
5 This field contains a shorten eligibility name that is used for
output that has limited space to print.
STRING REQUIRED  
Inactive
  inactive
6 If the eligibility is inactive then this field will be set to “YES”. BOOLEAN   true: 1
Select As Additional
  select_as_additional
7 This field indicates whether patients may be assigned this
eligibility as an “additional” eligibility.

If the field is set to “NO” or is not filled in,then the eligibility
can only be assigned as a primary eligibility.

If set to “YES”,then the eligibility can be used as both a primary
and an “additional” eligibility.

This field is automatically updated with the value of the
“SELECT AS ADDITIONAL” of the MAS ELIGIBILITY CODE(FILE #8.1)
entry pointed to by field #8,MAS ELIGIBILITY CODE.

This field is uneditable.
BOOLEAN   false: 1
true: 0
Mas Eligibility Code
  mas_eligibility_code
8 This field is required. All entries in this file must be
associated with an entry in the MAS ELIGIBILITY CODE file
in order to be valid.

This relationship with the MAS ELIGIBILITY CODE is used
throughout the MAS software for statistics and reporting
purposes. It is very important.

When this field is entered or edited,then the fields CARD COLOR(#1),
VA CODE NUMBER(#3),TYPE(#4) and SELECT AS ADDITIONAL(#7) are
automatically updated. They are updated with the values of
same fields entered for the MAS ELIGIBILITY CODE entry that was selected.
POINTER INDEXED
REQUIRED
Mas_Eligibility_Code-8_1
Id Format
  id_format
9 This field indicates which identification format is to be used
when setting a patient”s ID who has been assigned this eligibility.

Most eligibilities should be associated with “VA STANDARD” format.
This format is the patient”s Social Security Number.

If your site has a DOD/VA sharing agreement AND are running
the VA/DOD software developed by the Dallas ISC,then you
may have to associate some DOD specific eligibilities with
a format other than “VA STANDARD”.
POINTER INDEXED
REQUIRED
Identification_Format-8_2
Synonym
  synonym
10 This multiple contains all of the alternative names by which a user may
call up this eligibility code. This can be modified at the site level.
STRING    
Agency
  agency
11 This field contains the AGENCY that is associated with this
eligibility. Normally,the agency is the VA.
POINTER   Agency-4_11

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Document generated on August 31st 2017, 2:55:41 pm