The Master Data Model for Veteran Care

Developer Documentation » VDM » V_Skin_Test-9000010_12

V Skin Test (9000010.12)

This file has been designed for joint use by the Indian Health Service and the Department of Veteran Affairs. There will be one record for each type of skin test given to a patient on a given visit. Data must exist for a patient and a visit before data can be entered here. The record is normally created when a skin test is given, and the results, if available, are entered at a later date and matched to the original record. If results are entered and a skin test given does not exist, a new record is created. In the VA, If a CPT code is entered into PCE that represents a skin test, then a skin test entry will automatically be entered into the V Skin Test file. And vice versa, if a skin test is entered into PCE that represents a CPT code, then a CPT entry will automatically be entered into the V CPT file. This supports getting workload credit from clinical activities. The PCE Code Mapping file defines the relationships between Skin Tests and CPT codes.

Global: ^AUPNVSK(

Domain: Non-Clinical

Properties

Label/Field Name Field # Description Datatype Attributes Range
Skin Test
  skin_test
.01 This is the type of Skin Test that was given to the patient at the
encounter.
POINTER INDEXED
REQUIRED
Skin_Test-9999999_28
Patient Name
  patient_name
.02 This is the patient who received the skin test. POINTER REQUIRED Patient_ihs-9000001
Visit
  visit
.03 This is the encounter defined in the Visit file that represents when and
where the skin test was done.
POINTER INDEXED
REQUIRED
Visit-9000010
Results
  results
.04 This is where a provider can designate the results of the skin test. ENUMERATION   NO TAKE: O
POSITIVE: P
NEGATIVE: N
DOUBTFUL: D
Reading
  reading
.05 Enter the value representing the reading of the skin test. NUMERIC    
Date Read
  date_read
.06 This is the Date of the Reading. DATE-TIME    
Diagnosis
  diagnosis
.08 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 2
  diagnosis_2
.09 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 3
  diagnosis_3
.1 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 4
  diagnosis_4
.11 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 5
  diagnosis_5
.12 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 6
  diagnosis_6
.13 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 7
  diagnosis_7
.14 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Diagnosis 8
  diagnosis_8
.15 This is the diagnosis, from the ICD Diagnosis file, associated
with the skin test performed.
POINTER   Icd_Diagnosis-80
Event Date And Time
  event_date_and_time
1201 This is the date and time the skin test was performed. 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.
DATE-TIME    
Ordering Provider
  ordering_provider
1202 This field can be used to document the provider who ordered the skin test. POINTER   New_Person-200
Encounter Provider
  encounter_provider
1204 This is the provider who gave the skin test. POINTER   New_Person-200
Edited Flag
  edited_flag
80101 This field is automatically set to 1 if PCE detects that any original skin test
data is being edited.
ENUMERATION   EDITED: 1
Audit Trail
  audit_trail
80102 This field is populated automatically be the PCE filing logic. The formt 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”;”…
STRING    
Comments
  comments
81101 This is a comment related to the patient’s skin test. The provider may enter
this manually via the PCE User Interface.
STRING    
Verified
  verified
81201   ENUMERATION   VERIFIED BY PACKAGE: 2
ELECTRONICALLY SIGNED: 1
Package
  package
81202   POINTER   Package-9_4
Data Source
  data_source
81203   POINTER   Pce_Data_Source-839_7

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