The Master Data Model for Veteran Care

Developer Documentation » VDM » Visit-9000010

Visit (9000010)

This file contains a record of all patient visits at health care facilities or by health care providers, including direct outpatient and clinic visits, as well as inpatient encounters with providers of care. All other visit related files, such as purpose of visit (diagnoses), operative procedures, immunizations, examinations, etc. will point to a visit in this file. The records are maintained by date/time of visit, and the patient name field is a pointer to the IHS Patient file, where the patient must exist before data can be added here. Cross References: (“AA”,,<9's-visit date+time>,IEN)= ("AAH",,<9's-visit date+time>,IEN)="" set conditional SERVICE CATEGORY = Hospitalization ("ABILL",, IEN)="" set conditional to site parameter ("AC",,IEN)="" ("AD", ,IEN)="" ("ADEL",<visit date&time>,IEN)="" set conditional DEPENDENT ENTRY COUNT '> 0 ("AI",IEN)="" set conditional SERVICE CATEGORY = In hospital ("AMRG",,IEN)="" ("APCIS",,IEN)=""

Global: ^AUPNVSIT(

Domain: Visits

Properties

Label/Field Name Field # Description Datatype Attributes Range
Visit/admit Date&time
  visit_admit_datetime
.01 Type date of visit. Must be between DOB and today. In the VA this reflects the visit appointment and or event date time. DATE-TIME INDEXED
REQUIRED
 
Date Visit Created
  date_visit_created
.02 Generated when new visit added to subfile.
Date visit added to file. Usually stuffed with DT.

A date between 1960 and today.
DATE-TIME REQUIRED  
Type
  type-_03
.03 IHS- The type of visit. Differentiates between various categories of
visit types. E.g. A visit provided by contract care funds versus
a visit directing provided by IHS. I-IHS, C-Contract, V-VA, O-Other,
6-638 Program.
ENUMERATION REQUIRED VA: V
IHS: I
TRIBAL: T
CONTRACT: C
OTHER: O
638 PROGRAM: 6
Patient Name
  patient_name
.05 Pointer to the Patient file. POINTER INDEXED
REQUIRED
Patient_ihs-9000001
Loc. Of Encounter
  loc_of_encounter
.06 Pointer to the location file. Location where the visit took place.
In the VA, the Location file entries will be based on the current entries
in the institution file, so this field represents the institution.
POINTER   Location-9999999_06
Service Category
  service_category
.07 This service category field represents what kind of service was provided.
The IHS definition is represented by a set of codes. This field can be
used by IHS to screen on service categories.

The VA continues to populate this field to be backward compatible with
IHS utilities depending on this field.

The VA uses the Service Provided file (#150.1) to define a more
detailed file of services provided. When a VA user identifies the Service
Provided (field 15001), a trigger will automatically populate this service
category based on relationships between entries in File 150.1 and the set
of codes for this field.
The population of this field is dependent upon entries provided by applicaions as well as default values and caculated codes.
ENUMERATION   IN HOSPITAL: I
NURSING HOME: R
HOSPITALIZATION: H
ANCILLARY PACKAGE DAILY DATA: X
NOT FOUND: N
DAY SURGERY: S
AMBULATORY: A
DAILY HOSPITALIZATION DATA: D
CHART REVIEW: C
EVENT (HISTORICAL): E
TELECOMMUNICATIONS: T
OBSERVATION: O
Dss Id
  dss_id
.08 Pointer to the Clinic Stop file.
Organized clinic in which this visit took place. E.g. Pediatrics, General
POINTER   Clinic_Stop-40_7
Dependent Entry Count
  dependent_entry_count
.09 IHS- a count of how many “V” file entries are pointing to this visit.
If the count is zero, the visit should be deleted.
Field is updated by a cross reference in each “V” file that calls
routine ADD^AUPNVSIT or SUB^AUPNVSIT.
NUMERIC    
Delete Flag
  delete_flag
.11 Flag set to signify that the visit has been deleted. ENUMERATION   ACTIVE: 0
DELETED: 1
Parent Visit Link
  parent_visit_link
.12 The PARENT VISIT LINK field points back to the VISIT file. POINTER INDEXED Visit-9000010
Date Last Modified
  date_last_modified
.13 Date on which the visit was last modified. Any time a field in the visit
file or a V File is added or deleted, this field is automatically updated with the current
date.
DATE-TIME    
Check Out Date&time
  check_out_datetime
.18 This field is the date and time the patient checked out for this visit.
This field will only store the information temporarily and will be empty.
DATE-TIME    
Eligibility
  eligibility
.21 Defines the patient’s eligibility for this visit. POINTER   Eligibility_Code-8
Hospital Location
  hospital_location
.22 The hospital location where this visit occurred. POINTER   Hospital_Location-44
Created By User
  created_by_user
.23 This field contains either the DUZ passed in by the application calling
the PCE API ($$DATA2PCE^PXAPI) to create or update the visit, or defaults
to the DUZ at the time the entry was created or updated if no DUZ is
passed in, or if something other than the API is used to create or update
the entry.
POINTER   New_Person-200
Option Used To Create
  option_used_to_create
.24 If known, the option under which this visit was created. POINTER   Option-19
Protocol
  protocol
.25 This is the protocol which was used to create this visit. POINTER   Protocol-101
Pfss Account Reference
  pfss_account_reference
.26 The number by which all VistA applications will reference an
external medical billing system account number for purposes
of attaching charges for 1st or 3rd party billing.
POINTER   Pfss_Account-375
Outside Location
  outside_location
2101 Free text location of service. STRING    
Visit Id
  visit_id
15001   STRING INDEXED
REQUIRED
 
Patient Status In/out
  patient_status_in_out
15002 This is an indicator of the patient’s status at the time of the visit. ENUMERATION   OUT: 0
IN: 1
Encounter Type
  encounter_type
15003 This field notes the primary type of visits, the stop code visit and the
occasion of service visit that were manual entered.
ENUMERATION   STOP CODE: S
ANCILLARY: A
CREDIT STOP: C
PRIMARY: P
OCCASION OF SERVICE: O
Service Connected
  service_connected
80001 This field will be used to indicate if this visit was for treating a
VA patient based on a service connected problem.
BOOLEAN   false: 0
true: 1
Agent Orange Exposure
  agent_orange_exposure
80002 This field is used to indicate that this visit represents treatment of
a VA patient for a problem that is related to Agent Orange Exposure.
BOOLEAN   false: 0
true: 1
Ionizing Radiation Exposure
  ionizing_radiation_exposure
80003 This field is used to indicate that this visit represents treatment of
a VA patient for a problem that is related to Ionizing Radiation Exposure.
BOOLEAN   false: 0
true: 1
Sw Asia Conditions
  sw_asia_conditions
80004 This field is used to indicate that this visit represents treatment of a
VA patient for a problem that is related to Southwest Asia Conditions
Exposure.
BOOLEAN   false: 0
true: 1
Military Sexual Trauma
  military_sexual_trauma
80005 Indicates whether the patient visit was related to their Military Sexual Trauma. BOOLEAN   false: 0
true: 1
Head And/or Neck Cancer
  head_and_or_neck_cancer
80006 This field is used to indicate that the visit represents treatment of a
VA patient for a problem that is related to Head and/or Neck Cancer.
BOOLEAN   false: 0
true: 1
Combat Veteran
  combat_veteran
80007 This field is used to indicate that the visit represents treatment of a
VA patient for a problem that is possibly related to combat.
BOOLEAN   false: 0
true: 1
Proj 112/shad
  proj_112_shad
80008 Project 112/SHAD was the name of the overall program for both shipboard
and land-based biological and chemical testing that was conducted by the
United States (U.S.) military between 1962 and 1973. Project SHAD
(Shipboard Hazard and Defense) was the shipboard portion of these tests.
BOOLEAN   false: 0
true: 1
Service Connection Edit Flag
  service_connection_edit_flag
80011 This field is used to determine if the Service Connection Classification
for the Visit can be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Agent Orange Edit Flag
  agent_orange_edit_flag
80012 This field is used to determine if the Agent Orange Classification
for the Visit can be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Ionizing Radiation Edit Flag
  ionizing_radiation_edit_flag
80013 This field is used to determine if the Ionizing Radiation classification
for the Visit can be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Sw Asia Conditions Edit Flag
  sw_asia_conditions_edit_flag
80014 This field is used to determine if the Southwest Asia Conditions
classification for the Visit can be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Mst Edit Flag
  mst_edit_flag
80015 This field is used to determine if the Military Sexual Trauma classification
for the Visit can be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Head And Neck Cancer Edit Flag
  head_and_neck_cancer_edit_flag
80016 This field is used to determine if the Head and/or Neck Cancer
classification can be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Combat Veteran Edit Flag
  combat_veteran_edit_flag
80017 This field is used to determine if the Combat Veteran classification can be
edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Proj 112/shad Edit Flag
  proj_112_shad_edit_flag
80018 This field is used to determine if the PROJ 112/SHAD classification can
be edited by the user.
ENUMERATION   EDITABLE: 0
NOT EDITABLE: 1
Comments
  comments
81101 A FIELD TO ADD COMMENTS AS THEY PERTAIN TO A VISIT STRING    
Package
  package
81202 This is a pointer to the package that wanted the visit created. POINTER   Package-9_4
Data Source
  data_source
81203 This is a pointer to the PCE DATA SOURCE file and is the source that
wanted the visit created.
POINTER   Pce_Data_Source-839_7

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