Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Info |  Desc |  Accessed By FileMan Db Calls |  Pointed To By FileMan Files |  Pointer To FileMan Files |  Fields  | All
Print Page as PDF
Global: ^NUPA(1927.4

Package: Patient Assessment Documentation

Global: ^NUPA(1927.4


Information

FileMan FileNo FileMan Filename Package
1927.4 NUPA CARE PLANS Patient Assessment Documentation

Description

Accessed By FileMan Db Calls, Total: 1

Package Total Routines
Patient Assessment Documentation 1 NUPABCL1    

Pointed To By FileMan Files, Total: 5

Package Total FileMan Files
Patient Assessment Documentation 5 NUPA CARE PLAN PRESSURE ULCERS(#1927.401)[.01]    NUPA CARE PLAN IVS(#1927.402)[.01]    NUPA CARE PLAN GI/GU DEVICES(#1927.403)[.01]    NUPA CARE PLAN TEXT CHANGE LOG(#1927.5)[.01]    NUPA DISCHARGE PLANNING GOAL COMMENTS(#1927.6)[.01]    

Pointer To FileMan Files, Total: 8

Package Total FileMan Files
Patient Assessment Documentation 3 NUPA ASSESSMENT PROBLEMS(#1927.2)[#1927.431(.01), #1927.49(.01)]    NUPA ASSESSMENT INTERVENTIONS(#1927.24)[#1927.461(.01), #1927.47(.01)]    NUPA COMPONENT ITEMS(#1927.41)[14, 24, 76, 77, 172, 200, 203, 210, 210.5, 211, 211.5, 212, 212.5, 213, 213.5, 214, 215, 216, 216.1, 216.2, 219, 223, 223.1, 223.2, 223.3, 224, 224.1, 224.2, 225, 231, 240, 240.5, 242, 242.1, 242.2, 242.3, 242.4, 242.5, 242.6, 244, 245, 255, 256, 260, 261, 262, 266, 270, 273, 275, 303]
Adverse Reaction Tracking 1 PATIENT ALLERGIES(#120.8)[#1927.412(.01)]    
Kernel 1 NEW PERSON(#200)[2, #1927.431(2), #1927.461(3), #1927.47(2), #1927.49(3)]    
Registration 1 PATIENT(#2)[1]    
Scheduling 1 HOSPITAL LOCATION(#44)[19]    
Text Integration Utility 1 TIU DOCUMENT(#8925)[18]    

Fields, Total: 304

Field # Name Loc Type Details
.01 DATE/TIME ENTERED 0;1 DATE
************************REQUIRED FIELD************************

  • INPUT TRANSFORM:  S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    This is the DATE/TIME ENTERED from the last assessment or reassessment
  • CROSS-REFERENCE:  1927.4^B
    1)= S ^NUPA(1927.4,"B",$E(X,1,30),DA)=""
    2)= K ^NUPA(1927.4,"B",$E(X,1,30),DA)
1 PATIENT 0;2 POINTER TO PATIENT FILE (#2) PATIENT(#2)

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    This is the PATIENT from the last assessment or reassessment
  • CROSS-REFERENCE:  1927.4^C
    1)= S ^NUPA(1927.4,"C",$E(X,1,30),DA)=""
    2)= K ^NUPA(1927.4,"C",$E(X,1,30),DA)
2 ENTERED BY 0;3 POINTER TO NEW PERSON FILE (#200) NEW PERSON(#200)

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    This is the ENTERED BY from the last assessment or reassessment
3 GUARDIAN NAME 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the patient's legal guardian.
4 PRIMARY LANGUAGE 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  APR 26, 2011
  • HELP-PROMPT:  Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This is the patient's primary language.
4.5 ACCOMPLISH BY THIS HOSP 15;0 WORD-PROCESSING #1927.53

  • LAST EDITED:  OCT 01, 2009
  • DESCRIPTION:  
    The patient's prior response to question "What does patient hope to accomplish by this hospitalization".
5 CULTURAL PRACTICES 0;6 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    These are any cultural practices that the patient may have that the nurse believes may affect care.
5.1 CULTURAL PRACTICES DESCRIPTION 2;0 WORD-PROCESSING #1927.42

  • DESCRIPTION:  
    This is the CULTURAL PRACTICES DESCRIPTION from the last assessment or reassessment
  • LAST EDITED:  MAR 20, 2009
6 BLOOD TRANSFUSION CONCERNS 0;7 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 27, 2009
  • DESCRIPTION:  
    Any blood tranfusion concerns that patient may have.
6.1 BLOOD TRANSFUSION DESCRIPTION 3;0 WORD-PROCESSING #1927.43

  • DESCRIPTION:  
    This is the BLOOD TRANSFUSION DESCRIPTION from the last assessment or reassessment
  • LAST EDITED:  MAR 20, 2009
7 ADVANCE DIRECTIVE 0;8 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Does the patient have any advance directives?
7.1 ADVANCE DIRECTIVE LOCATION 4;0 WORD-PROCESSING #1927.44

  • DESCRIPTION:  
    This is the ADVANCE DIRECTIVE LOCATION from the last assessment or reassessment
  • LAST EDITED:  MAR 20, 2009
8 SPECIAL DIET NEEDS 0;9 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Does the patient have any special diet needs?
8.1 SPECIAL DIET NEEDS DESCRIPTION 5;0 WORD-PROCESSING #1927.45

  • DESCRIPTION:  
    This is the SPECIAL DIET NEEDS DESCRIPTION from the last assessment or reassessment
  • LAST EDITED:  MAR 20, 2009
10 SUSPECTED VICTIM OF ABUSE/NEGL 0;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Does the nurse suspect that the patient is a victim of abuse or neglect?
11 ORGAN DONOR 0;11 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Is the patient an organ donor?
12 ALLERGY POINTER 1;0 POINTER Multiple #1927.412 1927.412

  • DESCRIPTION:  
    List of the patients allergies as of the moment of the care plan.
13 PRECAUTIONS 0;14 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  NOV 10, 2009
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    MRSA precautions to take around this patient.
14 LEVEL OF UNDERSTANDING 0;15 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  FEB 27, 2010
  • DESCRIPTION:  
    The level of understanding that a patient has of the education they were just given on MRSA.
17 PRECAUTIONS (FLAGS) 6;0 Multiple #1927.417 1927.417

  • DESCRIPTION:  
    Any precauions or flags (local or national) as of the moment of the care plan.
18 LATEST DNR NOTE 0;12 POINTER TO TIU DOCUMENT FILE (#8925) TIU DOCUMENT(#8925)

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Latest DNR note, if any, on file for this patient.
19 WARD 0;13 POINTER TO HOSPITAL LOCATION FILE (#44) HOSPITAL LOCATION(#44)

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Ward that the patient was on as of the moment of the care plan.
20 ORIENTED 10;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>5!($L(X)<1) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Answer must be 1-5 characters in length.
  • DESCRIPTION:  
    Was the patient oriented to his/her room as of the moment of the care plan.
21 ABLE TO ASSESS EDUCATION 10;2 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Was the nurse able to assess the patient's level of education?
22 LEARNS BEST BY 10;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    How does the patient learn best? Hearing, seeing, etc.
23 EDUCATION PREFERRED 10;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    What kind of education does the patient prefer? Computer based, group classes, etc.
24 READINESS TO LEARN 10;5 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    What is the patient's readiness to learn? Ready to learn, not ready, sedated, etc.
25 BARRIERS TO LEARNING 10;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    Does the patient have any barriers to learning? None, mental status, hearing, etc.
25.1 BARRIERS TO LEARNING DESCRIP 11;0 WORD-PROCESSING #1927.46

  • DESCRIPTION:  
    This is the BARRIERS TO LEARNING DESCRIP from the last assessment or reassessment
  • LAST EDITED:  MAR 20, 2009
26 KNOWLEDGE OF CURRENT ILLNESS 10;7 SET
  • '0' FOR NONE;
  • '1' FOR LIMITED;
  • '2' FOR EXTENSIVE;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    What is the patient's level of knowledge of his/her illness? None, limited, or extensive.
27 EDUCATIONAL INFO PROVIDED 10;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    Was any educational information provided to the patient? BCMA, Managing Your Pain, etc.
30 INTERVENTIONS 20;0 POINTER Multiple #1927.47 1927.47

  • DESCRIPTION:  
    Nursing Interventions provided to correct problems that a patient has.
31 PROBLEMS 21;0 POINTER Multiple #1927.431 1927.431

  • DESCRIPTION:  
    List of problems that a patient has.
32 PROBLEM COMMENTS 12;0 WORD-PROCESSING #1927.432

  • DESCRIPTION:  
    Medical comments on the patient's problems.
  • LAST EDITED:  MAR 20, 2009
40 DISCH TO HOME WO ADD SERVICES 30;1 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  MAR 20, 2009
  • DESCRIPTION:  
    Should the patient be discharged to his/her home without additional services?
41 DP GOALS 30;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  AUG 23, 2011
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    Does the patient need assistance from a Discharge Planning nurse or a Social Worker?
41.1 DP GOALS OTHER 1 41;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
  • LAST EDITED:  AUG 23, 2011
  • HELP-PROMPT:  Answer must be 3-80 characters in length.
  • DESCRIPTION:  
    The "Other 1" free text goal entered by the user.
41.2 DP GOALS OTHER 2 41;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
  • LAST EDITED:  AUG 23, 2011
  • HELP-PROMPT:  Answer must be 3-80 characters in length.
  • DESCRIPTION:  
    The "Other 2" free text goal entered by the user.
41.3 DP GOALS OTHER 3 41;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>80!($L(X)<3) X
  • LAST EDITED:  AUG 23, 2011
  • HELP-PROMPT:  Answer must be 3-80 characters in length.
  • DESCRIPTION:  
    The "Other 3" free text goal entered by the user.
42 BRADEN SCORE 30;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>23)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Type a Number between 0 and 23, 0 Decimal Digits
  • DESCRIPTION:  
    The patient's Braden Score as of the moment of the care plan.
42.5 BRADEN SCORE DATE 30;5 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  DEC 18, 2009
  • DESCRIPTION:  
    Date that the Braden test was done.
43 MORSE SCORE 30;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>150)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  MAR 20, 2009
  • HELP-PROMPT:  Type a Number between 0 and 150, 0 Decimal Digits
  • DESCRIPTION:  
    The patient's Morse Fall score as of the moment of the care plan.
43.5 MORSE SCORE DATE 30;6 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  DEC 18, 2009
  • DESCRIPTION:  
    Date that the Morse Fall test was done.
44 FAMILY SUPPORT INVOLVED IN DP 7;0 WORD-PROCESSING #1927.444

  • DESCRIPTION:  
    Does the patient need family support in the planning of his/her discharge?
  • LAST EDITED:  MAR 20, 2009
45 DP OBSERVATIONS/COMMENTS 31;0 WORD-PROCESSING #1927.445

  • LAST EDITED:  SEP 10, 2009
50 GENERAL OBSERVATIONS/COMMENTS 13;0 WORD-PROCESSING #1927.48

  • DESCRIPTION:  
    General comments on this care plan.
  • LAST EDITED:  MAR 20, 2009
60 PROBLEM EVALUATIONS 8;0 POINTER Multiple #1927.49 1927.49

  • DESCRIPTION:  
    Log of evaluations of the patient's problems.
61 INTERVENTION EVALUATION 9;0 POINTER Multiple #1927.461 1927.461

  • DESCRIPTION:  
    Log of interventions to help the patient's problems.
70 BED TO CHAIR 14;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the BED TO CHAIR from the last assessment or reassessment
70.5 BED TO CHAIR STAFF 14;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Type a Number between 0 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    This is the BED TO CHAIR STAFF from the last assessment or reassessment
71 BED TO STRETCHER 14;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the BED TO STRETCHER from the last assessment or reassessment
71.5 BED TO STRETCHER STAFF 14;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Type a Number between 0 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    This is the BED TO STRETCHER STAFF from the last assessment or reassessment
72 CHAIR TO STRETCHER 14;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the CHAIR TO STRETCHER from the last assessment or reassessment
72.5 CHAIR TO STRETCHER STAFF 14;6 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Type a Number between 0 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    This is the CHAIR TO STRETCHER STAFF from the last assessment or reassessment
73 REPOS IN BED 14;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the REPOS IN BED from the last assessment or reassessment
73.5 REPOS IN BED STAFF 14;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Type a Number between 0 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    This is the REPOS IN BED STAFF from the last assessment or reassessment
74 REPOS IN CHAIR 14;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the REPOS IN CHAIR from the last assessment or reassessment
74.5 REPOS IN CHAIR STAFF 14;10 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Type a Number between 0 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    This is the REPOS IN CHAIR STAFF from the last assessment or reassessment
75 TRANSFER FROM FLOOR 14;11 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the TRANSFER FROM FLOOR from the last assessment or reassessment
75.5 TRANSFER FROM FLOOR STAFF 14;12 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 06, 2009
  • HELP-PROMPT:  Type a Number between 0 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    This is the TRANSFER FROM FLOOR STAFF from the last assessment or reassessment
76 SLING TYPE 14;13 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the SLING TYPE from the last assessment or reassessment
77 SLING SIZE 14;14 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the SLING SIZE from the last assessment or reassessment
100 GEN INFO DONE 100;1 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the General Info tab has been completed.
102 RESP DONE 100;3 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Respiratory tab has been completed.
103 CV DONE 100;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the CV tab has been completed.
104 NEURO DONE 100;5 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Neuro tab has been completed.
105 GI DONE 100;6 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the GI tab has been completed.
106 GU DONE 100;7 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the GU tab has been completed.
107 MS DONE 100;8 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Musculoskeletal tab has been completed.
108 SKIN DONE 100;9 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Skin tab has been completed.
109 PS DONE 100;10 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Psychosocial tab has been completed.
110 MH DONE 100;11 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Mental Health tab has been completed.
111 FUNC DONE 100;12 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Functional tab has been completed.
112 DP DONE 100;13 SET
************************REQUIRED FIELD************************
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 21, 2009
  • DESCRIPTION:  
    Yes/No flag noting if the Discharge Planning tab has been completed.
113 REL PRACTICES FOR CHAPLAIN 100;14 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 29, 2009
  • DESCRIPTION:  
    This is the REL PRACTICES FOR CHAPLAIN from the last assessment or reassessment
114 IMMEDIATE CHAPLAIN VISIT 100;15 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 29, 2009
  • DESCRIPTION:  
    This is the IMMEDIATE CHAPLAIN VISIT from the last assessment or reassessment
114.1 SHOULD CLERGY BE NOTIFIED 100;22 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the SHOULD CLERGY BE NOTIFIED from the last assessment or reassessment
115 RECV INFO ON AD 100;16 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the RECV INFO ON AD from the last assessment or reassessment
116 INITIATE OR CHANGE AD 100;17 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 29, 2009
  • DESCRIPTION:  
    This is the INITIATE OR CHANGE AD from the last assessment or reassessment
117 TEST FOR MRSA BROCHURE GIVEN 100;18 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 29, 2009
  • DESCRIPTION:  
    This is the TEST FOR MRSA BROCHURE GIVEN from the last assessment or reassessment
117.1 PATIENT AUTHORIZE NARES 100;19 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the PATIENT AUTHORIZE NARES from the last assessment or reassessment
117.2 NARES PREFORMED 100;20 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the NARES PREFORMED from the last assessment or reassessment
118 INFECTION CONTROL ED PROVIDED 100;21 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the INFECTION CONTROL ED PROVIDED from the last assessment or reassessment
120 PAIN LOCATION 1 101;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the PAIN LOCATION 1 from the last assessment or reassessment
121 PAIN TYPE 1 101;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>1)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Type a Number between 0 and 1, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN TYPE 1 from the last assessment or reassessment
122 ONSET OF PAIN 1 101;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the ONSET OF PAIN 1 from the last assessment or reassessment
123 PAIN WORSE 1 101;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN WORSE 1 from the last assessment or reassessment
124 PAIN BETTER 1 101;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN BETTER 1 from the last assessment or reassessment
125 AREAS OF LIFE 1 101;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the AREAS OF LIFE 1 from the last assessment or reassessment
126 PAIN GOAL 1 101;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 21, 2009
  • HELP-PROMPT:  Type a Number between 0 and 10, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN GOAL 1 from the last assessment or reassessment
127 OTHER PAIN REGION 1 127;0 WORD-PROCESSING #1927.4127

  • LAST EDITED:  OCT 15, 2011
  • DESCRIPTION:  
    The Other Pain Region for the patient's first pain location.
130 PAIN LOCATION 2 102;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the PAIN LOCATION 2 from the last assessment or reassessment
131 PAIN TYPE 2 102;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>1)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 1, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN TYPE 2 from the last assessment or reassessment
132 ONSET OF PAIN 2 102;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the ONSET OF PAIN 2 from the last assessment or reassessment
133 PAIN WORSE 2 102;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN WORSE 2 from the last assessment or reassessment
134 PAIN BETTER 2 102;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN BETTER 2 from the last assessment or reassessment
135 AREAS OF LIFE 2 102;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the AREAS OF LIFE 2 from the last assessment or reassessment
136 PAIN GOAL 2 102;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 10, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN GOAL 2 from the last assessment or reassessment
137 OTHER PAIN REGION 2 137;0 WORD-PROCESSING #1927.4137

  • LAST EDITED:  OCT 15, 2011
  • DESCRIPTION:  
    The Other Pain Region for the patient's second pain location.
140 PAIN LOCATION 3 103;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the PAIN LOCATION 3 from the last assessment or reassessment
141 PAIN TYPE 3 103;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>1)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 1, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN TYPE 3 from the last assessment or reassessment
142 ONSET OF PAIN 3 103;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the ONSET OF PAIN 3 from the last assessment or reassessment
143 PAIN WORSE 3 103;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN WORSE 3 from the last assessment or reassessment
144 PAIN BETTER 3 103;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN BETTER 3 from the last assessment or reassessment
145 AREAS OF LIFE 3 103;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the AREAS OF LIFE 3 from the last assessment or reassessment
146 PAIN GOAL 3 103;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 10, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN GOAL 3 from the last assessment or reassessment
147 OTHER PAIN REGION 3 147;0 WORD-PROCESSING #1927.4147

  • LAST EDITED:  OCT 15, 2011
  • DESCRIPTION:  
    The Other Pain Region for the patient's third pain location.
150 PAIN LOCATION 4 104;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the PAIN LOCATION 4 from the last assessment or reassessment
151 PAIN TYPE 4 104;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>1)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 1, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN TYPE 4 from the last assessment or reassessment
152 ONSET OF PAIN 4 104;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the ONSET OF PAIN 4 from the last assessment or reassessment
153 PAIN WORSE 4 104;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN WORSE 4 from the last assessment or reassessment
154 PAIN BETTER 4 104;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN BETTER 4 from the last assessment or reassessment
155 AREAS OF LIFE 4 104;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the AREAS OF LIFE 4 from the last assessment or reassessment
156 PAIN GOAL 4 104;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 10, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN GOAL 4 from the last assessment or reassessment
157 OTHER PAIN REGION 4 157;0 WORD-PROCESSING #1927.4157

  • LAST EDITED:  OCT 15, 2011
  • DESCRIPTION:  
    The Other Pain Region for the patient's fourth pain location.
160 PAIN LOCATION 5 105;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the PAIN LOCATION 5 from the last assessment or reassessment
161 PAIN TYPE 5 105;2 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>1)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 1, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN TYPE 5 from the last assessment or reassessment
162 ONSET OF PAIN 5 105;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the ONSET OF PAIN 5 from the last assessment or reassessment
163 PAIN WORSE 5 105;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN WORSE 5 from the last assessment or reassessment
164 PAIN BETTER 5 105;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the PAIN BETTER 5 from the last assessment or reassessment
165 AREAS OF LIFE 5 105;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>64!($L(X)<1) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Answer must be 1-64 characters in length.
  • DESCRIPTION:  
    This is the AREAS OF LIFE 5 from the last assessment or reassessment
166 PAIN GOAL 5 105;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>10)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JUL 23, 2009
  • HELP-PROMPT:  Type a Number between 0 and 10, 0 Decimal Digits
  • DESCRIPTION:  
    This is the PAIN GOAL 5 from the last assessment or reassessment
167 OTHER PAIN REGION 5 167;0 WORD-PROCESSING #1927.4167

  • LAST EDITED:  OCT 15, 2011
  • DESCRIPTION:  
    The Other Pain Region for the patient's fifth pain location.
170 ABILITY TO READ 170;1 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the ABILITY TO READ from the last assessment or reassessment
171 ABILITY TO WRITE 170;2 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  JUL 30, 2009
  • DESCRIPTION:  
    This is the ABILITY TO WRITE from the last assessment or reassessment
172 EDUCATIONAL LEVEL 170;3 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  OCT 01, 2009
  • DESCRIPTION:  
    The patient's educational level. Grade school, high school, college, etc.
180 PERIPHERAL LINE 1 LOCATION 180;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<3) X
  • LAST EDITED:  AUG 03, 2009
  • HELP-PROMPT:  Answer must be 3-25 characters in length.
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 1 LOCATION from the last assessment or reassessment
181 PERIPHERAL LINE 1 SIZE 180;2 SET
  • '16' FOR 16 Gauge;
  • '18' FOR 18 Gauge;
  • '20' FOR 20 Gauge;
  • '22' FOR 22 Gauge;
  • 'O' FOR Other;

  • LAST EDITED:  AUG 03, 2009
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 1 SIZE from the last assessment or reassessment
182 PERIPHERAL LINE 1 DATE INS 180;3 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 03, 2009
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 1 DATE INS from the last assessment or reassessment
183 PERIPHERAL LINE 2 LOCATION 180;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<3) X
  • LAST EDITED:  AUG 03, 2009
  • HELP-PROMPT:  Answer must be 3-25 characters in length.
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 2 LOCATION from the last assessment or reassessment
184 PERIPHERAL LINE 2 SIZE 180;5 SET
  • '16' FOR 16 Gauge;
  • '18' FOR 18 Gauge;
  • '20' FOR 20 Gauge;
  • '22' FOR 22 Gauge;
  • 'O' FOR Other;

  • LAST EDITED:  AUG 03, 2009
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 2 SIZE from the last assessment or reassessment
185 PERIPHERAL LINE 2 DATE INS 180;6 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 03, 2009
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 2 DATE INS from the last assessment or reassessment
186 PERIPHERAL LINE 3 LOCATION 180;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<3) X
  • LAST EDITED:  AUG 03, 2009
  • HELP-PROMPT:  Answer must be 3-25 characters in length.
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 3 LOCATION from the last assessment or reassessment
187 PERIPHERAL LINE 3 SIZE 180;8 SET
  • '16' FOR 16 Gauge;
  • '18' FOR 18 Gauge;
  • '20' FOR 20 Gauge;
  • '22' FOR 22 Gauge;
  • 'O' FOR Other;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 3 SIZE from the last assessment or reassessment
188 PERIPHERAL LINE 3 DATE INS 180;9 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the PERIPHERAL LINE 3 DATE INS from the last assessment or reassessment
190 CENTRAL LINE 1 TYPE 190;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<3) X
  • LAST EDITED:  AUG 04, 2009
  • HELP-PROMPT:  Answer must be 3-40 characters in length.
  • DESCRIPTION:  
    This is the CENTRAL LINE 1 TYPE from the last assessment or reassessment
190.5 CENTRAL LINE 1 LOCATION 190;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  AUG 04, 2009
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the CENTRAL LINE 1 LOCATION from the last assessment or reassessment
191 CENTRAL LINE 1 DATE INS 190;3 DATE

  • INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 1 DATE INS from the last assessment or reassessment
192 CENTRAL LINE 1 IMPREG 190;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 1 IMPREG from the last assessment or reassessment
192.5 CENTRAL LINE 1 POWER INJ 190;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 1 POWER INJ from the last assessment or reassessment
193 CENTRAL LINE 2 TYPE 190;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<3) X
  • LAST EDITED:  AUG 04, 2009
  • HELP-PROMPT:  Answer must be 3-40 characters in length.
  • DESCRIPTION:  
    This is the CENTRAL LINE 2 TYPE from the last assessment or reassessment
193.5 CENTRAL LINE 2 LOCATION 190;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  AUG 04, 2009
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the CENTRAL LINE 2 LOCATION from the last assessment or reassessment
194 CENTRAL LINE 2 DATE INS 190;8 DATE

  • INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 2 DATE INS from the last assessment or reassessment
195 CENTRAL LINE 2 IMPREG 190;9 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 2 IMPREG from the last assessment or reassessment
195.5 CENTRAL LINE 2 POWER INJ 190;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 2 POWER INJ from the last assessment or reassessment
196 CENTRAL LINE 3 TYPE 191;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<3) X
  • LAST EDITED:  AUG 07, 2009
  • HELP-PROMPT:  Answer must be 3-40 characters in length.
  • DESCRIPTION:  
    This is the CENTRAL LINE 3 TYPE from the last assessment or reassessment
196.5 CENTRAL LINE 3 LOCATION 191;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
  • LAST EDITED:  AUG 07, 2009
  • HELP-PROMPT:  Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the CENTRAL LINE 3 LOCATION from the last assessment or reassessment
197 CENTRAL LINE 3 DATE INS 191;3 DATE

  • INPUT TRANSFORM:  S %DT="ETX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 3 DATE INS from the last assessment or reassessment
198 CENTRAL LINE 3 IMPREG 191;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 3 IMPREG from the last assessment or reassessment
198.5 CENTRAL LINE 3 POWER INJ 191;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 04, 2009
  • DESCRIPTION:  
    This is the CENTRAL LINE 3 POWER INJ from the last assessment or reassessment
200 TRACH TYPE 200;1 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 11, 2009
  • DESCRIPTION:  
    This is the TRACH TYPE from the last assessment or reassessment
201 OTHER TRACH TYPE 201;0 WORD-PROCESSING #1927.4201

  • DESCRIPTION:  
    This is the OTHER TRACH TYPE from the last assessment or reassessment
  • LAST EDITED:  AUG 11, 2009
202 TRACH SIZE 202;0 WORD-PROCESSING #1927.4202

  • DESCRIPTION:  
    This is the TRACH SIZE from the last assessment or reassessment
  • LAST EDITED:  AUG 11, 2009
203 TOBACCO SCREEN 200;11 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  OCT 01, 2009
  • DESCRIPTION:  
    The results of the patient's last tobacco screening.
204 RESP HISTORY 200;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    Respiratory problems that a patient has had.
205 PRODUCTIVE COUGH 200;2 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 27, 2009
  • DESCRIPTION:  
    This is the PRODUCTIVE COUGH from the last assessment or reassessment
206 CHEST TUBE 1 LOCATION 200;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  AUG 26, 2009
  • HELP-PROMPT:  Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This is the CHEST TUBE LOCATION 1 from the last assessment or reassessment
206.5 CHEST TUBE 1 DATE INSERTED 200;4 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 19, 2009
  • DESCRIPTION:  
    This is the CHEST TUBE 1 DATE INSERTED from the last assessment or reassessment
207 CHEST TUBE 2 LOCATION 200;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This is the CHEST TUBE 2 LOCATION from the last assessment or reassessment
207.5 CHEST TUBE 2 DATE INSERTED 200;6 DATE

  • INPUT TRANSFORM:  S %DT="ETR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 19, 2009
  • DESCRIPTION:  
    This is the CHEST TUBE 2 DATE INSERTED from the last assessment or reassessment
208 CHEST TUBE 3 LOCATION 200;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  AUG 19, 2009
  • HELP-PROMPT:  Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This is the CHEST TUBE 3 LOCATION from the last assessment or reassessment
208.5 CHEST TUBE 3 DATE INSERTED 200;8 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 19, 2009
  • DESCRIPTION:  
    This is the CHEST TUBE 3 DATE INSERTED from the last assessment or reassessment
209 CHEST TUBE 4 LOCATION 200;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<3) X
  • LAST EDITED:  AUG 19, 2009
  • HELP-PROMPT:  Answer must be 3-15 characters in length.
  • DESCRIPTION:  
    This is the CHEST TUBE 4 LOCATION from the last assessment or reassessment
209.5 CHEST TUBE 4 DATE INSERTED 200;10 DATE

  • INPUT TRANSFORM:  S %DT="ETXR" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  AUG 19, 2009
  • DESCRIPTION:  
    This is the CHEST TUBE 4 DATE INSERTED from the last assessment or reassessment
210 EDEMA-RIGHT ARM 210;1 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-RIGHT ARM from the last assessment or reassessment
210.5 EDEMA-LEFT ARM 210;2 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-LEFT ARM from the last assessment or reassessment
211 EDEMA-RIGHT HAND 210;3 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-RIGHT HAND from the last assessment or reassessment
211.5 EDEMA-LEFT HAND 210;4 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-LEFT HAND from the last assessment or reassessment
212 EDEMA-RIGHT LEG 210;5 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-RIGHT LEG from the last assessment or reassessment
212.5 EDEMA-LEFT LEG 210;6 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-LEFT LEG from the last assessment or reassessment
213 EDEMA-PEDAL RIGHT 210;7 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-PEDAL RIGHT from the last assessment or reassessment
213.5 EDEMA-PEDAL LEFT 210;8 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-PEDAL LEFT from the last assessment or reassessment
214 EDEMA-FACIAL 210;9 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-FACIAL from the last assessment or reassessment
215 EDEMA-PERIORBITAL 210;10 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-PERIORBITAL from the last assessment or reassessment
216 EDEMA-SACRAL 210;11 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 13, 2009
  • DESCRIPTION:  
    This is the EDEMA-SACRAL from the last assessment or reassessment
216.1 EDEMA-RIGHT HIP 210.1;1 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  JUL 27, 2011
  • DESCRIPTION:  
    This is the EDEMA-RIGHT HIP from the last assessment or reassessment
216.2 EDEMA-LEFT HIP 210.1;2 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  JUL 27, 2011
  • DESCRIPTION:  
    This is the EDEMA-LEFT HIP from the last assessment or reassessment.
217 EXTREMITIES 210;12 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<3) X
  • LAST EDITED:  AUG 13, 2009
  • HELP-PROMPT:  Answer must be 3-20 characters in length.
  • DESCRIPTION:  
    This is the EXTREMITIES from the last assessment or reassessment
217.1 EXTREMITIES COMMENTS 217.1;0 WORD-PROCESSING #1927.59

  • LAST EDITED:  APR 23, 2011
  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This field holds the comments that a nurse made regarding the patient's extremeties.
218 JUGULAR VENEOUS DISTORTION 210;13 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 18, 2009
  • DESCRIPTION:  
    This is the JUGULAR VENEOUS DISTORTION from the last assessment or reassessment
218.1 HOMAN'S SIGN 210;14 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>32!($L(X)<1) X
  • LAST EDITED:  AUG 26, 2009
  • HELP-PROMPT:  Answer must be 1-32 characters in length.
  • DESCRIPTION:  
    This is the HOMAN'S SIGN from the last assessment or reassessment
218.2 CARDIAC MONITOR 210;15 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 18, 2009
  • DESCRIPTION:  
    This is the CARDIAC MONITOR from the last assessment or reassessment
219 CARDIAC RHYTHMS 210;16 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  NOV 06, 2009
  • DESCRIPTION:  
    This is the CARDIAC RHYTHMS from the last assessment or reassessment
219.5 CV HISTORY 210;17 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    Cardiac problems that this patient has had.
219.6 OTHER CV HISTORY 219.6;0 WORD-PROCESSING #1927.58

  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This field is only filled in if the patient has an "Other" CV History. This is the description of the other history.
220 AUTONOMIC DYSREFLEXIA 220;1 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the AUTONOMIC DYSREFLEXIA from the last assessment or reassessment
221 ORIENTATION (MENTATION) 220;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  JUN 29, 2011
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the ORIENTATION (MENTATION) from the last assessment or reassessment
222 GLASGOW COMA SCALE SCORE 220;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>15)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  AUG 27, 2009
  • HELP-PROMPT:  Type a Number between 0 and 15, 0 Decimal Digits
  • DESCRIPTION:  
    This is the GLASGOW COMA SCALE SCORE from the last assessment or reassessment
223 MOTOR-RIGHT ARM 220;4 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the MOTOR-RIGHT ARM from the last assessment or reassessment
223.1 MOTOR-LEFT ARM 220;5 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the MOTOR-LEFT ARM from the last assessment or reassessment
223.2 MOTOR-RIGHT LEG 220;6 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the MOTOR-RIGHT LEG from the last assessment or reassessment
223.3 MOTOR-LEFT LEG 220;7 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the MOTOR-LEFT LEG from the last assessment or reassessment
224 PUPIL SIZE 220;8 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the PUPIL SIZE from the last assessment or reassessment
224.1 RIGHT EYE REACTIVITY 220;9 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the RIGHT EYE REACTIVITY from the last assessment or reassessment
224.2 LEFT EYE REACTIVITY 220;10 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the LEFT EYE REACTIVITY from the last assessment or reassessment
225 SPEECH/LANGUAGE 220;11 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the SPEECH/LANGUAGE from the last assessment or reassessment
226 SENSATIONS 220;12 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the SENSATIONS from the last assessment or reassessment
226.5 PRIOR SENSATIONS 226;0 WORD-PROCESSING #1927.51

  • DESCRIPTION:  
    This is the PRIOR SENSATIONS from the last assessment or reassessment
  • LAST EDITED:  AUG 20, 2009
227 REQ ASSISTIVE COMM DEVICES 220;13 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the REQ ASSISTIVE COMM DEVICES from the last assessment or reassessment
227.5 PRIOR COMMUNICATION DEVICES 227;0 WORD-PROCESSING #1927.52

  • DESCRIPTION:  
    This is the PRIOR COMMUNICATION DEVICES from the last assessment or reassessment
  • LAST EDITED:  AUG 20, 2009
228 LENS IMPLANTS 220;14 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 19, 2009
  • DESCRIPTION:  
    This is the LENS IMPLANTS from the last assessment or reassessment
229 NEURO HISTORY 220;15 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    The neurological problems this patient has had.
230 INDWELLING CATHETER SIZE 230;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  OCT 06, 2009
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the FOLEY CATHETER SIZE from the last assessment or reassessment
230.5 INDWELLING CATHETER DATE INS 230;2 DATE

  • INPUT TRANSFORM:  S %DT="ET" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 06, 2009
  • DESCRIPTION:  
    This is the FOLEY CATHETER DATE INSERTED from the last assessment or reassessment
231 ABNORMAL DISCHARGE 230;3 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 20, 2009
  • DESCRIPTION:  
    This is the ABNORMAL DISCHARGE from the last assessment or reassessment
232 PRIOR PREGNANCY 230;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  AUG 20, 2009
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    This is the PRIOR PREGNANCY from the last assessment or reassessment
233 GU HISTORY 230;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>65!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-65 characters in length.
  • DESCRIPTION:  
    The GU problems this patient has had.
240 ATTITUDE 240;1 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the ATTITUDE from the last assessment or reassessment
240.5 BEHAVIOR 240;2 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the BEHAVIOR from the last assessment or reassessment
241 VERBAL ABUSE 240;3 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR DECLINES TO ANSWER;

  • LAST EDITED:  AUG 31, 2009
  • DESCRIPTION:  
    This is the VERBAL ABUSE from the last assessment or reassessment
241.1 PHYSICAL ABUSE 240;4 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR DECLINES TO ANSWER;

  • LAST EDITED:  AUG 31, 2009
  • DESCRIPTION:  
    This is the PHYSICAL ABUSE from the last assessment or reassessment
241.2 FINANCIAL ABUSE 240;5 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR DECLINES TO ANSWER;

  • LAST EDITED:  AUG 31, 2009
  • DESCRIPTION:  
    This is the FINANCIAL ABUSE from the last assessment or reassessment
241.3 RAPE OR SEXUAL ABUSE 240;6 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR DECLINES TO ANSWER;

  • LAST EDITED:  AUG 31, 2009
  • DESCRIPTION:  
    This is the RAPE OR SEXUAL ABUSE from the last assessment or reassessment
241.4 NEGLECT 240;7 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR DECLINES TO ANSWER;

  • LAST EDITED:  AUG 31, 2009
  • DESCRIPTION:  
    This is the NEGLECT from the last assessment or reassessment
241.5 NA VERBAL ABUSE 241;11 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  FEB 11, 2010
  • DESCRIPTION:  
    This is the nurses judgement of VERBAL ABUSE from the last assessment or reassessment.
241.6 NA PHYSICAL ABUSE 241;12 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  FEB 11, 2010
  • DESCRIPTION:  
    This is the nurses judgement of PHYSICAL ABUSE from the last assessment or reassessment.
241.7 NA NEGLECT 241;13 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  FEB 11, 2010
  • DESCRIPTION:  
    This is the nurses judgement of Neglect from the last assessment or reassessment.
241.8 NA HOUSEHOLD VICTIMS 241;14 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR UNKNOWN;

  • LAST EDITED:  FEB 12, 2010
  • DESCRIPTION:  
    This is the nurse's judgement of whether others in the patient's household are victims of abuse or neglect by the patient.
242 THOUGHTS OF HARMING YOURSELF 240;8 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the THOUGHTS OF HARMING YOURSELF from the last assessment or reassessment
242.1 PLAN 240;9 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the PLAN from the last assessment or reassessment
242.11 PLAN DESCRIPTION 242.11;0 WORD-PROCESSING #1927.63

  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This is the description of the patient's plan to harm his/herself.
242.2 MEANS AVAILABLE 240;10 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the MEANS AVAILABLE from the last assessment or reassessment
242.21 MEANS DESCRIPTION 242.21;0 WORD-PROCESSING #1927.64

  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This is the description of the patient's means to harm his/herself.
242.3 REHEARSED OR PRACTICED 240;11 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the REHEARSED OR PRACTICED from the last assessment or reassessment
242.4 HEARD VOICES 240;12 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the HEARD VOICES from the last assessment or reassessment
242.5 TRIED TO HURT YOURSELF 240;13 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the TRIED TO HURT YOURSELF from the last assessment or reassessment
242.6 FEELING HOPELESS 240;14 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the FEELING HOPELESS from the last assessment or reassessment
243 HAS GUARDIAN 241;1 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the HAS GUARDIAN from the last assessment or reassessment
243.01 GUARDIAN NAME 243.01;0 WORD-PROCESSING #1927.66

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is the name of the patient's court-appointed guardian.
243.1 LEGALLY COMMITTED 241;2 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the LEGALLY COMMITTED from the last assessment or reassessment
243.2 DANGER TO THEMSELF 241;3 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the DANGER TO THEMSELF from the last assessment or reassessment
243.3 ON LEGAL OBSERVATION 241;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the ON LEGAL OBSERVATION from the last assessment or reassessment
243.4 LACKS COGNITIVE ABILITY 241;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the LACKS COGNITIVE ABILITY from the last assessment or reassessment
243.5 HISTORY OF ESCAPE 241;6 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the HISTORY OF ESCAPE from the last assessment or reassessment
243.51 HISTORY OF ESCAPE FROM WHERE 243.51;0 WORD-PROCESSING #1927.67

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This field specifies where the patient tried to escape or elope from.
244 ALCOHOL USE 241;7 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the ALCOHOL USE from the last assessment or reassessment
245 USE RECREATIONAL DRUGS 241;8 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the USE RECREATIONAL DRUGS from the last assessment or reassessment
246 MEDICAL MARIJUANA CARD 241;9 SET
  • '1' FOR Yes;
  • '0' FOR No;

  • LAST EDITED:  DEC 16, 2009
  • DESCRIPTION:  
    This is the MEDICAL MARIJUANA CARD from the last assessment or reassessment
247 CONTRABAND 241;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 09, 2009
  • DESCRIPTION:  
    Did the patient bring in contraband?
248 PSYCHOSOCIAL HISTORY 240;15 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    Psychosocial prblems this patient has had.
250 WHAT MAKES PATIENT UPSET 250;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>99!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-99 characters in length.
  • DESCRIPTION:  
    This is the WHAT MAKES PATIENT UPSET from the last assessment or reassessment
250.01 OTHER MAKES PATIENT UPSET 250.01;0 WORD-PROCESSING #1927.702

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is the description of the "Other" response to "What things make patient upset".
250.1 HOW ACT WHEN LOSE CONTROL 250;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    This is the HOW ACT WHEN LOSE CONTROL from the last assessment or reassessment
250.11 OTHER LOSE CONTROL 250.11;0 WORD-PROCESSING #1927.703

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is the description of the "Other" response to "How does patient act when they lose control".
250.2 PATIENT CALM THEMSELF 250;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>99!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-99 characters in length.
  • DESCRIPTION:  
    This is the PATIENT CALM THEMSELF from the last assessment or reassessment
250.21 OTHER CALM THEMSELVES 250.21;0 WORD-PROCESSING #1927.704

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is the description of the "Other" response to "What does patient do to calm him/herself".
251 MOOD 251;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the MOOD from the last assessment or reassessment
251.01 OTHER MOOD 251.01;0 WORD-PROCESSING #1927.68

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is a description of the patient's "Other" mood, from Mental Health Page 2.
251.1 AFFECT 251;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the AFFECT from the last assessment or reassessment
251.11 OTHER AFFECT 251.11;0 WORD-PROCESSING #1927.69

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is a description of the patient's "Other" Affect, from Mental Health Page 2.
251.2 BEHAVIOR 251;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>99!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-99 characters in length.
  • DESCRIPTION:  
    This is the BEHAVIOR from the last assessment or reassessment
251.21 OTHER BEHAVIOR 251.21;0 WORD-PROCESSING #1927.7

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is a description of the patient's "Other" behavior, from Mental Health Page 2.
252 BEHAVIORAL HEALTH ADVANCED DIR 251;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    This is the BEHAVIORAL HEALTH ADVANCED DIR from the last assessment or reassessment
253 NOTIFY IF PLACED IN RESTRAINTS 250;4 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR Patient declines to answer;
  • '3' FOR Patient unable to answer;

  • LAST EDITED:  OCT 16, 2009
  • DESCRIPTION:  
    Should someone be notified if the patient is placed in restraints?
253.1 WHO TO NOTIFY IF PLACED IN RES 253.1;0 WORD-PROCESSING #1927.701

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    This is who the hospital should notify if the patient must be placed in restraints.
254 MH HISTORY 254;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-55 characters in length.
  • DESCRIPTION:  
    Prior Mental Health problems this patient has had.
254.1 OTHER MH HISTORY 254.1;0 WORD-PROCESSING #1927.65

  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This field is only filled in if the patient has an "Other" MH History. This is the description of the other history.
255 SO ANGRY TO LOSE CONTROL 254;2 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    Has the patient ever been so angry as to explode or lose control?
256 CALM THEMSELF 254;3 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  APR 26, 2011
  • DESCRIPTION:  
    When the patient gets upset, are they able to calm themself?
260 LEVEL OF ASSISTANCE 260;1 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the LEVEL OF ASSISTANCE from the last assessment or reassessment
261 LEVEL OF COOPERATION 260;2 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the LEVEL OF COOPERATION from the last assessment or reassessment
262 WEIGHT BEARING CAPABILITY 260;3 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  AUG 17, 2009
  • DESCRIPTION:  
    This is the WEIGHT BEARING CAPABILITY from the last assessment or reassessment
263 BILATERAL UPPER EXT STRENGTH 260;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 23, 2009
  • DESCRIPTION:  
    This is the BILATERAL UPPER EXT STRENGTH from the last assessment or reassessment
264 APPLIC COND TO AFFECT TRANSFER 260;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>99!($L(X)<1) X
  • LAST EDITED:  AUG 17, 2009
  • HELP-PROMPT:  Answer must be 1-99 characters in length.
  • DESCRIPTION:  
    This is the APPLIC COND TO AFFECT TRANSFER from the last assessment or reassessment
265 KATZ SCORE 260;6 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>6)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  AUG 27, 2009
  • HELP-PROMPT:  Type a Number between 0 and 6, 0 Decimal Digits
  • DESCRIPTION:  
    This is the KATZ SCORE from the last assessment or reassessment
266 DECREASE IN INDEPENDENCE 260;7 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  NOV 09, 2009
  • DESCRIPTION:  
    Was there a decrease in the patient's level of independence in the last 30 days?
267 ASSIST PATIENT WITH 260;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  FEB 12, 2010
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    Functional items that the patient should be assisted with. Ambulating, bathing, etc.
270 BOWEL PATTERN 270;1 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  OCT 02, 2009
  • DESCRIPTION:  
    The patient's last bowel pattern.
271 GI DEVICE TYPES 270;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  OCT 02, 2009
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    Any devices in the patient's GI system.
272 SPECIAL FOOD PREFERENCES 270;3 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 02, 2009
  • DESCRIPTION:  
    Does the patient have any special food preferences?
273 NUTRITION DESCRIPTION 270;4 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  OCT 02, 2009
  • DESCRIPTION:  
    How the patient looks, from a nutition point of view.
274 APPETITE 270;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  OCT 02, 2009
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    The patient's appetite.
275 DYSPHAGIA SCREEN 270;6 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Patient's last Dysphagia screen results (able or not to screen).
275.1 TBI 270;7 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Diagnosis of new Traumatic Brain Injury?
275.2 MODIFIED TEXTURE DIET 270;8 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Does the patient need a Modified Texture Diet?
275.3 UNABLE TO FOLLOW COMMANDS 270;9 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Is the patient unable to follow commands?
275.4 WET GURGLY VOICE 270;10 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Does the patient have a wet gurgly voice?
275.5 DROOLING WHILE AWAKE 270;11 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Is the patient drooling while they're awake?
275.6 TONGUE DEVIATION FROM MIDLINE 270;12 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Is the patient's tongue deviating from midline?
276 UNINTENTIONAL WEIGHT LOSS/GAIN 270;13 SET
  • '1' FOR YES;
  • '0' FOR NO;
  • '2' FOR Unknown;

  • LAST EDITED:  OCT 07, 2009
  • DESCRIPTION:  
    Did the patient have an unintentional weight loss or gain in the last month?
277 GI HISTORY 270;14 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    The GI problems that this patient has had.
277.1 GI OTHER HISTORY 277.1;0 WORD-PROCESSING #1927.56

  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This field is only filled in if the patient has an "Other" GI History. This is the description of the other history.
278 ABDOMINAL ASSESSMENT 271;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>60!($L(X)<1) X
  • LAST EDITED:  APR 23, 2011
  • HELP-PROMPT:  Answer must be 1-60 characters in length.
  • DESCRIPTION:  
    The abdominal assessment on the patient.
278.1 OTHER ABDOMINAL ASSESSMENT 278.1;0 WORD-PROCESSING #1927.57

  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This field is only filled in if the patient has an "Other" abdominal assessment. This is the description of the abdominal assessment.
280 MUSC HISTORY 280;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>65!($L(X)<1) X
  • LAST EDITED:  OCT 08, 2009
  • HELP-PROMPT:  Answer must be 1-65 characters in length.
  • DESCRIPTION:  
    The Musculoskeletal history of the patient.
280.1 OTHER MUSC HISTORY 280.1;0 WORD-PROCESSING #1927.62

  • LAST EDITED:  APR 23, 2011
  • LAST EDITED:  APR 23, 2011
  • DESCRIPTION:  
    This field is only filled in if the patient has an "Other" MS History. This is the description of the other history.
281 RANGE OF MOTION 280;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  OCT 08, 2009
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    The patient's Range of Motion.
290 SKIN HISTORY 290;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>65!($L(X)<1) X
  • LAST EDITED:  OCT 08, 2009
  • HELP-PROMPT:  Answer must be 1-65 characters in length.
  • DESCRIPTION:  
    The patient's skin history
291 SKIN RISK FACTORS 290;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>55!($L(X)<1) X
  • LAST EDITED:  OCT 08, 2009
  • HELP-PROMPT:  Answer must be 1-55 characters in length.
  • DESCRIPTION:  
    The patient's skin risk factors.
292 SKIN PATIENT ED PROVIDED 290;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
  • LAST EDITED:  OCT 08, 2009
  • HELP-PROMPT:  Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    Was education provided to the patient or caregiver about skin care?
293 SKIN BREAKDOWN FACTORS 290;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  NOV 08, 2009
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    The Skin Beakdown Factors that this patient has.
300 RESPIRATORY PATTERN 300;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>20!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-20 characters in length.
  • DESCRIPTION:  
    The patient's prior respiratory pattern.
301 WORK OF BREATHING 300;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    The patient's prior Work of Breathing.
302 CRACKELS/RALES 300;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    The patient's prior Crackles & Rales (breath sounds).
302.1 DIMINISHED/DECRASED 300;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    The patient's prior Decreased/Diminshed Breath Sounds.
302.2 RHONCHI 300;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    The patient's prior Rhonchi breath sounds.
303 SPUTUM AMOUNT 300;6 POINTER TO NUPA COMPONENT ITEMS FILE (#1927.41) NUPA COMPONENT ITEMS(#1927.41)

  • LAST EDITED:  NOV 28, 2010
  • DESCRIPTION:  
    The patient's prior amount of sputum.
303.1 SPUTUM COLOR 300;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    The patient's prior sputum color.
303.2 SPUTUM CONSISTENCY 300;8 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>25!($L(X)<1) X
  • LAST EDITED:  NOV 28, 2010
  • HELP-PROMPT:  Answer must be 1-25 characters in length.
  • DESCRIPTION:  
    The patient's prior sputum consistency.
304 CHAPLAIN CONSULT SENT 304;1 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 22, 2011
  • DESCRIPTION:  
    Was a Chaplain consult sent as part of this care plan from either the Admission Assessment or a prior reassessment?
304.1 DP CONSULT SENT 304;2 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 22, 2011
  • DESCRIPTION:  
    Was a DP consult sent as part of this care plan from either the Admission Assessment or a prior reassessment?
304.2 NUTRITION CONSULT SENT 304;3 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 22, 2011
  • DESCRIPTION:  
    Was a Nutrition consult sent as part of this care plan from either the Admission Assessment or a prior reassessment?
304.3 SPEECH CONSULT SENT 304;4 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 22, 2011
  • DESCRIPTION:  
    Was a Speech consult sent as part of this care plan from either the Admission Assessment or a prior reassessment?
304.4 SOCIAL WORK CONSULT SENT 304;5 SET
  • '1' FOR YES;
  • '0' FOR NO;

  • LAST EDITED:  AUG 22, 2011
  • DESCRIPTION:  
    Was a Social Work consult sent as part of this care plan from either the Admission Assessment or a prior reassessment?
Info |  Desc |  Accessed By FileMan Db Calls |  Pointed To By FileMan Files |  Pointer To FileMan Files |  Fields  | All