The Master Data Model for Veteran Care

Developer Documentation » VDM » Patient_Movement-405

Patient Movement (405)

This file holds the data for all admissions,transfers,discharges, treating specialty changes,and lodger movements. These entries must not be edited through fileman. Instead,the appropriate bed control options should be executed to insure data consistency. The following cross-references exist on this file: ^DGPM(“ATID”_TT,DFN,Inverse date_AS,DA)=”” ^DGPM(“ATT”_TT,Date_AS,DA)=”” ^DGPM(“APID”,DFN,Inverse Date_AS,DA)=”” ^DGPM(“APTT”_TT,DFN,Date_AS,DA)=”” ^DGPM(“APCA”,DFN,Corresponding Admission,Date_AS,DA)=”” ^DGPM(“APMV”,DFN,Corresponding Admission,Inverse Date_AS,DA)=”” ^DGPM(“APRD”,DFN,Date_AS,DA)=”” ^DGPM(“AMV”_TT,Date_AS,DFN,DA)=”” ^DGPM(“ATS”,DFN,Corresponding Admission,Inverse Date_AS,Treating Specialty,DA)=”” ^DGPM(“CN”,External Format of Ward,DA)=”” inpatients only ^DGPM(“LD”,External Format of Ward,DA)=”” lodgers only ^DGPM(“ARM”,IFN of Room-bed,DA)=1 or 0 [1 indicates lodger,0 indicates non-lodger] ^DGPM(“B”,Date,DA)=”” ^DGPM(“C”,DFN,DA)=”” ^DGPM(“CA”,Corresponding Admission,DA)=”” where: TT=Transaction type where choices are as follows: 1=admission 4=check-in lodger 2=transfer 5=check-out lodger 3=discharge 6=specialty change AS=ASIH Sequencewhere choices are as follows: 1=transfer to hospital ASIH 2=Admission to hospital (automatically generated by module) or 1=discharge from hospitalwithin 30 days of ASIH stay 2=transfer to or discharge from NHCU/DOM (automatically generated by module) [NOTE: This value is 0 for non-ASIH movements or ASIH movements where there are not 2 movements at the same date/time]

Global: ^DGPM(

Domain: Patients

Properties

Label/Field Name Field # Description Datatype Attributes Range
Date/time
  date_time
.01 Enter in this field the date/time of the movement (admission,transfer,
discharge,treating specialty transfer,lodger check-in,or lodger check-
out). Time must be included.
DATE-TIME INDEXED
REQUIRED
 
Transaction
  transaction
.02 Enter in this field the transaction type of the movement. Choose from:
1 ADMISSION
2 TRANSFER
3 DISCHARGE
4 CHECK-IN LODGER
5 CHECK-OUT LODGER
6 SPECIALTY TRANSFER
POINTER REQUIRED Mas_Movement_Transaction_Type-405_3
Patient
  patient
.03 Enter the patient for which this movement occurred. This field is a
pointer to the PATIENT file.
POINTER INDEXED
REQUIRED
Patient-2
Type Of Movement
  type_of_movement
.04 Choose the type of movement this patient had. You will be selecting from
active FACILITY MOVEMENT TYPES for which the TRANSACTION TYPE of this
movement matches the TRANSACTION TYPE of the FACILITY MOVEMENT TYPE. For
example,if you are admitting a patient,you will only be able to select
active admission types.
POINTER REQUIRED Facility_Movement_Type-405_1
Transfer Facility
  transfer_facility
.05 If this movement is a TRANSFER IN (admission from another facility),
TRANSFER OUT (discharge to another facility),or an ASIH movement to
another facility (TO ASIH (OTHER FACILITY),for example),you will be
prompted for TRANSFER FACILITY and will be asked to choose from an
entry in the INSTITUTION file. This field is required for those
movement types mentioned above.
POINTER REQUIRED Institution-4
Ward Location
  ward_location
.06 Enter in this field the WARD to which this patient is being admitted or
transferred to. Choose from ACTIVE entries in the WARD LOCATION file.
This field will only be prompted for movements to WARDS at the home
facility.
POINTER REQUIRED Ward_Location-42
Room-bed
  roombed
.07 Select the ROOM-BED to which you are admitting or transferring this
patient. Select from those ACTIVE beds in the ROOM-BED file which are
assigned to the WARD LOCATION chosen for this movement.
POINTER   Roombed-405_4
Primary Physician
  primary_physician
.08 Enter the healthcare provider with primary responsibility for the direct
care of the patient. This may be the resident or intern in a teaching
facility or the staff physician in a nonaffiliated hospital.

This field will only be prompted for movements with a transaction type
of ‘specialty transfer’.
POINTER   New_Person-200
Facility Treating Specialty
  facility_treating_specialty
.09 When entering a movement with a TRANSACTION TYPE of SPECIALTY
CHANGE,you will be asked to provide the treating specialty assigned to
this patient. Choose an entry from the FACILITY TREATING SPECIALTY
file which best describes the care this patient is receiving.
POINTER REQUIRED Facility_Treating_Specialty-45_7
Diagnosis [short]
  diagnosis_short
.1 When admitting a patient,you will be asked to provide a brief desciption
of the diagnosis of this patient upon admission.
STRING REQUIRED  
Admitted For Sc Condition?
  admitted_for_sc_condition
.11 Is this patient being admitted for a service connected condition? BOOLEAN   false: 0
true: 1
Admitting Regulation
  admitting_regulation
.12 When admitting a patient,you must choose an active ADMITTING REGULATION
which best describes the category under which this patient is being
admitted.
POINTER REQUIRED VA_Admitting_Regulation-43_4
Absence Return Date
  absence_return_date
.13 If the patient is being transferred to an absence status (via the AUTH
ABSENCE 96 HOURS OR LESS or AUTHORIZED ABSENCE transfer types),you will
be asked to provide the date this patient is expected to return. If you
choose to transfer the patient with AUTH ABSENCE 96 HOURS OR LESS,this
date must be less than or equal to 4 days from the date of transfer. If
you choose to transfer the patient AUTHORIZED ABSENCE,the date of return
most be more than 4 days after the date of transfer.
DATE-TIME    
Admission/check-in Movement
  admission_checkin_movement
.14 This field is a pointer to the admission or check-in lodger movement which
is associated with the transaction being entered.
POINTER INDEXED
REQUIRED
Patient_Movement-405
Asih Admission
  asih_admission
.15 This field is set internally by the module. If a patient is transferred
either TO ASIH FROM NHCU/DOM or CONTINUED ASIH,this field will point to
the entry in this file which holds the admission created by the module.
POINTER REQUIRED Patient_Movement-405
Ptf Entry
  ptf_entry
.16 This field is used for movements with a TRANSACTION TYPE of admission only.
It stores the internal entry number of the record in the PTF file.
POINTER INDEXED Ptf-45
Discharge/check-out Movement
  discharge_checkout_movement
.17 Pointer to the discharge or check-out movement associated with this
admission or check-in. If not defined,the patient is still in-house.
POINTER   Patient_Movement-405
Mas Movement Type
  mas_movement_type
.18 This field is internally set by the module. When you enter a FACILITY
MOVEMENT TYPE (field .04 of this file),this field will automatically be
set to the internal number of the MAS-distributed movement type to which
this FACILITY MOVEMENT TYPE points. This internal number is used
throughout the code of MAS and various other packages to determine the
flow of processing that should occur.
POINTER REQUIRED Mas_Movement_Type-405_2
Attending Physician
  attending_physician
.19 Enter the supervising physician who is responsible for the care of the
patient. Nonaffiliated hospitals may choose not to use this field.

This field will be prompted for movements with a transaction type of
‘specialty change’ only.
POINTER REQUIRED New_Person-200
Admitting Eligibility
  admitting_eligibility
.2 This field will be used in a future version to track the eligibility of
a patient upon admission. This information will be used in the VISIT
file which is being developed for use in DoD facilities.
POINTER REQUIRED Eligibility_Code-8
Asih Transfer
  asih_transfer
.21 This field is internally set by the module. If the MAS MOVEMENT TYPE of
this movement is TO ASIH,this field will contain a pointer to the transfer
movement that created this admission (either a TO ASIH transfer or a
CONTINUED ASIH transfer).
POINTER REQUIRED Patient_Movement-405
Asih Sequence
  asih_sequence
.22 This field is used internally by the module for movements that are ASIH.
When transferring a patient ASIH to your own facility,there are 2
movements created at the same date/time (the admission and the transfer).
This is also true for discharges FROM ASIH where both a discharge and a
transfer occur at the same date/time. The movement that physically occurs
first (the transfer in the first example,and the discharge in the second)
will have a sequence number of 1 while the subsequent movement will have
a sequence number of 2. This number (divided by 100000000) will be added
to the date/time of the movement to aid in cross-referencing these
movements. This is intended to make code generation quicker. [NOTE: non-
ASIH movements will have a ASIH SEQUENCE of 0]
NUMERIC REQUIRED  
Dmms Episode Number
  dmms_episode_number
.23 This field has been added for use by the DMMS package. It will hold the
episode number of the movement as defined internally by that package.
NUMERIC    
Related Physical Movement
  related_physical_movement
.24 This field will be stored for movements with a TRANSACTION TYPE of
TREATING SPECIALTY only. If the treating specialty transfer is
in conjunction with a physical movement (either an admission or a
transfer),this field will contain a pointer to that physical movement.
POINTER INDEXED Patient_Movement-405
Scheduled Admission?
  scheduled_admission
.25 If this admission was a result of a previously scheduled admission,this
field should be answered yes. This field will be filled in for movements
with a TRANSACTION of ADMISSION only.
BOOLEAN   false: 0
true: 1
Ptf Purge Status
  ptf_purge_status
.26   ENUMERATION   ACTIVE: 0
PURGED: 1
Visit File Entry
  visit_file_entry
.27   POINTER INDEXED Visit-9000010
Reason For Lodging
  reason_for_lodging
30.01 Enter the reason this patient was lodged (inclement weather,traveling
distance,etc.).
POINTER REQUIRED Lodging_Reason-406_41
Lodging Comments
  lodging_comments
30.02 Enter an additional comment on why this patient is being lodged if you wish. STRING    
Disposition
  disposition
30.03 Enter in this file the disposition of this patient upon being checked-out
as a lodger. Choose from ADMITTED (if the patient was admitted to your
facility) or DISMISSED (if the patient was returned to his place of
residence).
ENUMERATION REQUIRED DISMISSED: d
ADMITTED: a
Facility Directory Exclusion
  facility_directory_exclusion
41 Denotes whether or not the patient wished to be excluded from the
Facility Directory for this admisison.

The Facility Directory is the directory of current inpatients in the
facility. If the patient wishes to be excluded from the Facility
Directory,then the VAMC can not make a positive statement to family,
friends,or others as to whether the patient is here or not.
BOOLEAN   false: 1
true: 0
Facility Directory Time Stamp
  facility_directory_time_stamp
42 Date/time answer to Facility Directory exclusion question was entered. DATE-TIME    
Facility Directory User
  facility_directory_user
43 User entering the patient’s response to the Facility Directory exclusion
question.
POINTER   New_Person-200
Ptf Movement Number
  ptf_movement_number
52 This field may be filled in for treating specialty movements.
It will only be filled in if the treating specialty movement
causes a PTF 501 movement to be created in the PTF record
associated with the admission.

The number stored in this field will be the internal multiple
entry number of the 501 multiple in that PTF record.

This field is updated automatically and no user input is
necessary.
NUMERIC    
Next Ptf Movement
  next_ptf_movement
53 This field may be filled in for treating specialty movements.
It will only be filled in if the treating specialty movement
causes a PTF 501 movement to be created in the PTF record
associated with the admission.

The number stored in this field will be the internal multiple
entry number of the 501 multiple,in that PTF record,
corresponding to the next chronological 501 movement,if one
exists.

This field is updated automatically and no user input is
necessary.

NUMERIC    
Admitting Category
  admitting_category
54 If and entry for the Admitting Regulation exist in the Sharing Agreement
Category file (#35.1) then the user will be prompted for the category
associated with the Admitting Regulation.
POINTER   Sharing_Agreement_Subcategory-35_2
Irt Background Job Run
  irt_background_job_run
60.01 This field stores the date that the IRT background job
was run for this admission. If this field contains
a date,this admission has been initialized and all
standard deficiencies have been created for this
admission. When the IRT background Job is run for
all admission it will check to see if the admission
has already been initialized. If so,this admission
will not created duplicate entries for the standard
deficiencies.
DATE-TIME    
Diagnosis
  diagnosis
99 Enter an in-depth description of the diagnosis for this patient. This will
be asked for movements with a TRANSACTION TYPE of SPECIALTY TRANSFER only.
STRING    
Entered By
  entered_by
100 This field stores the name of the user entering this patient movement. POINTER REQUIRED New_Person-200
Entered On
  entered_on
101 This field stores the date/time on which this PATIENT MOVEMENT FILE
entry was initially entered.
DATE-TIME REQUIRED  
Last Edited By
  last_edited_by
102 This is the user who last edited this patient movement entry. The user
is only stored when a change is made.
POINTER REQUIRED New_Person-200
Last Edited On
  last_edited_on
103 This is the date/time this movement was last edited. It will only
be stored if a change was made.
DATE-TIME REQUIRED  
Original Admission Date
  original_admission_date
300 This field contains the original admission date/time for a patient. DATE-TIME    
Ods At Admission
  ods_at_admission
11500.01 Was this patient admitted for care due to injuries sustained in Operation
Desert Shield? If the patient’s period of service is 6 when admitted,
this field will automatically be set to 1.
BOOLEAN   false: 0
true: 1
Non-va Facility?
  nonva_facility
11500.02 Respond yes if you are transferring this patient out to a non-VA facility. Respond no if transferring the patient to another VA facility. BOOLEAN   false: 0
true: 1
At VA Expense?
  at_va_expense
11500.03 Answer yes if this transfer to a non-VA facility is at the VA’s expense. BOOLEAN   false: 0
true: 1
Ods Admission Entry
  ods_admission_entry
11500.04 If this patient was admitted with a period of service of 6 (ODS),enter
the ODS ADMISSIONS file entry corresponding to this admission.
POINTER INDEXED Ods_Admissions-11500_2
Displaced For Ods Patient?
  displaced_for_ods_patient
11500.05 Enter yes if this patient was transferred out in order to free a bed for an
operation desert shield patient. Otherwise,respond no.
BOOLEAN   false: 0
true: 1
VA Cost To Travel
  va_cost_to_travel
11500.06 Enter the cost of travel to move this VA patient to a non-VA facility.
This question is only asked if the patient was transferred in order to
make room for an operation desert shield patient.
NUMERIC    
Displaced Patient
  displaced_patient
11500.07 Enter the entry in the DISPLACED PATIENT file which corresponds to this
discharge.
POINTER INDEXED Displaced_Patient-11500_3

↑ Return to top


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