Global: ^AUPNPROB

FileMan FileNo	FileMan Filename	Package
9000011	PROBLEM	Problem List

Package	Total	Routines
Problem List	33	GMPL GMPL1 GMPL15P GMPL31P GMPLCLNP GMPLCODE GMPLDISP GMPLDUP2 GMPLEDIT GMPLEDT2 GMPLEDT3 GMPLENFM GMPLHS GMPLMGR GMPLMGR1 GMPLMGR2 GMPLNTFT GMPLNTRT GMPLPRNT GMPLPXRM GMPLRPTR GMPLRPTS GMPLSAVE GMPLUTL GMPLUTL1 GMPLUTL2 GMPLUTL3 GMPLX GMPLX1 MAPPING TARGETS NOTE NOTE FACILITY ^AUPNPROB
PCE Patient Care Encounter	6	PX1P94 PXCADXP1 PXCAPL PXCAPL1 PXCAPL2 PXCAPOV
Order Entry Results Reporting	4	ORCPROB ORQQPL1 ORQQPL2 ORQQPL3
Automated Information Collection System	2	IBDFBK3 IBDFN11
Kernel	2	ARRAY SUBSCRIPTS COMPUTABLE FILE REFERENCES
Virtual Patient Record	2	VPREVNT VPRSDAG
Clinical Case Registries	1	RORHL17
Clinical Reminders	1	PXRMNTFY
Enterprise Health Management Platform	1	HMPDJ02
Quasar	1	ACKQUTL6

Package	Total	Routines
Problem List	13	GMPLCLNP GMPLCODE GMPLEDT3 GMPLNTFT GMPLNTRT GMPLP37I GMPLP44I GMPLPXRM GMPLRPTR GMPLSAVE GMPLUTL2 GMPLX GMPLY47
Enterprise Health Management Platform	2	HMPDGMPL HMPDJ02
Virtual Patient Record	2	VPRDGMPL VPRDJ02
Clinical Case Registries	1	RORHL17
Clinical Reminders	1	PXRMPROB
Emergency Department Integration Software	1	EDPDTL
Lexicon Utility	1	LEXAR8
National Health Information Network	1	NHINVPL
Order Entry Results Reporting	1	ORQQPL2
Scheduling	1	SCRPW1

Package	Total	FileMan Files
PCE Patient Care Encounter	2	V POV(#9000010.07)[.16] V STANDARD CODES(#9000010.71)[.06]
Problem List	1	PROBLEM LIST AUDIT(#125.8)[.01]
Text Integration Utility	1	TIU PROBLEM LINK(#8925.9)[.02]

Package	Total	FileMan Files
PCE Patient Care Encounter	3	PATIENT/IHS(#9000001)[.02] PROVIDER NARRATIVE(#9999999.27)[.05] LOCATION(#9999999.06)[.06, #9000011.11(.01)]
Kernel	2	SERVICE/SECTION(#49)[1.06] NEW PERSON(#200)[1.03, 1.04, 1.05, #9000011.1111(.06)]
DRG Grouper	1	ICD DIAGNOSIS(#80)[.01]
Lexicon Utility	1	EXPRESSIONS(#757.01)[1.01]
Scheduling	1	HOSPITAL LOCATION(#44)[1.08]

Fields, Total: 39

Field #	Name	Loc	Type	Details
.01	DIAGNOSIS	0;1	POINTER TO ICD DIAGNOSIS FILE (#80)	**********************REQUIRED FIELD********************** ICD DIAGNOSIS(#80) INPUT TRANSFORM: `S DIC("S")="I 1 Q:$G(DUZ(""AG""))=""V"" I $E(^(0))'=""E"",$P(^(0),U,9)="""" Q:$P(^(0),U,10)="""" I $P(^(0),U,10)=AUPNSEX" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `NOV 30, 2012` HELP-PROMPT: `Enter the ICD Code for this problem.` DESCRIPTION: `This is the ICD coded diagnosis of the narrative entered describing this problem.` TECHNICAL DESCR: `The DHCP Problem List application derives its entries from a lookup into the Clinical Lexicon Utility rather than the ICD Diagnosis file. If the term selected from the CLU is not coded to ICD, then code 799.99 "Other` `Unknown or Unspecified Cause, NEC" will be used here in order to be able to create a new entry. This field may later be edited.` SCREEN: `S DIC("S")="I 1 Q:$G(DUZ(""AG""))=""V"" I $E(^(0))'=""E"",$P(^(0),U,9)="""" Q:$P(^(0),U,10)="""" I $P(^(0),U,10)=AUPNSEX"` EXPLANATION: `Cannot be an E code or an inactive code and must be appropriate for the sex of the Patient.` CROSS-REFERENCE: `9000011^B` `1)= S ^AUPNPROB("B",$E(X,1,30),DA)=""` `2)= K ^AUPNPROB("B",$E(X,1,30),DA)` CROSS-REFERENCE: `9000011^AV9^MUMPS` `1)= S:$D(APCDLOOK) DIC("DR")=""` `2)= Q` `Controls the behaviour of the input templates used by IHS to populate and maintain this file.` RECORD INDEXES: `ACR01 (#703)`
.02	PATIENT NAME	0;2	POINTER TO PATIENT/IHS FILE (#9000001)	**********************REQUIRED FIELD********************** PATIENT/IHS(#9000001) LAST EDITED: `NOV 30, 2012` HELP-PROMPT: `Enter the name of the patient for whom this problem has been observed.` DESCRIPTION: `This is the patient for whom this problem has been observed and recorded.` `UNEDITABLE` CROSS-REFERENCE: `9000011^AC` `1)= S ^AUPNPROB("AC",$E(X,1,30),DA)=""` `2)= K ^AUPNPROB("AC",$E(X,1,30),DA)` CROSS-REFERENCE: `9000011^AATOO^MUMPS` `1)= I $P(^AUPNPROB(DA,0),U,6)]"",$P(^(0),U,7)]"" S X1=$P($P(^(0),U,7),"."),X2=$P($P(^(0),U,7),".",2),^AUPNPROB("AA",X,$P(^(0),U,6)," "_$E("000",1,4-$L(X1)-1)_X1_"."_X2_$E("00",1,3-$L(X2)-1),DA)="" K X1,X2` `2)= I $P(^AUPNPROB(DA,0),U,6)]"",$P(^(0),U,7)]"" S X1=$P($P(^(0),U,7),"."),X2=$P($P(^(0),U,7),".",2) K ^AUPNPROB("AA",X,$P(^(0),U,6)," "_$E("000",1,4-$L(X1)-1)_X1_"."_X2_$E("00",1,3-$L(X2)-1),DA),X1,X2` `Allows problem retrieval by patient, facility, and problem number (Nmbr); the number is used as a string in " 000.00" format to assure a consistent ordering.` CROSS-REFERENCE: `9000011^ACTIVE1^MUMPS` `1)= S:$L($P(^AUPNPROB(DA,0),U,12)) ^AUPNPROB("ACTIVE",X,$P(^(0),U,12),DA)=""` `2)= K:$L($P(^AUPNPROB(DA,0),U,12)) ^AUPNPROB("ACTIVE",X,$P(^(0),U,12),DA)` `Allows problem retrieval by patient and status, in order of entry.` RECORD INDEXES: `ACR01 (#703), ACRSCT (#755)`
.03	DATE LAST MODIFIED	0;3	DATE	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:DTX) X` LAST EDITED: `NOV 30, 2012` HELP-PROMPT: `TYPE A DATE BETWEEN 1900 AND TODAY` DESCRIPTION: `This is the last date/time this problem was changed.` `SOURCE OF DATA: 018/PRCOND` CROSS-REFERENCE: `9000011^MODIFIED^MUMPS` `1)= K ^AUPNPROB("MODIFIED",$P(^AUPNPROB(DA,0),"^",2)) D NOW^%DTC S ^AUPNPROB("MODIFIED",$P(^AUPNPROB(DA,0),"^",2),%)=""` `2)= Q` `This Index will keep track of the last time this Patients problem list was modified. ^AUPNPROB("MODIFIED"),PATIENT,DATE` RECORD INDEXES: `ACR01 (#703), ACRMTA (#429), ACRSCT (#755)`
.04	CLASS	0;4	SET	'P' FOR PERSONAL HISTORY; 'F' FOR FAMILY HISTORY; LAST EDITED: `OCT 07, 1987` HELP-PROMPT: `If this problem is historical, indicate if it is Personal or Family history.` DESCRIPTION: `This flag is used by the IHS Problem List to indicate if this problem is documented for historical purposes.` TECHNICAL DESCR: `VA sites using the DHCP Problem List application will not be prompted for this information.`
.05	PROVIDER NARRATIVE	0;5	POINTER TO PROVIDER NARRATIVE FILE (#9999999.27)	**********************REQUIRED FIELD********************** PROVIDER NARRATIVE(#9999999.27) INPUT TRANSFORM: `S DIC(0)=$S($D(APCDALVR):"LO",1:"EMQLO") D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `NOV 28, 1988` HELP-PROMPT: `Enter a description of this patient's problem.` DESCRIPTION: `This contains the actual text used by the provider to describe this problem.`
.06	FACILITY	0;6	POINTER TO LOCATION FILE (#9999999.06)	**********************REQUIRED FIELD********************** LOCATION(#9999999.06) LAST EDITED: `JAN 10, 1994` HELP-PROMPT: `Enter the location at which this problem was first observed and recorded.` DESCRIPTION: `This is the facility at which this problem was originally observed and documented.` `UNEDITABLE` CROSS-REFERENCE: `9000011^AV1^MUMPS` `1)= Q` `2)= Q` `No longer in use.` CROSS-REFERENCE: `9000011^AATOO2^MUMPS` `1)= I $P(^AUPNPROB(DA,0),U,2)]"",$P(^(0),U,7)]"" S X1=$P($P(^(0),U,7),"."),X2=$P($P(^(0),U,7),".",2),^AUPNPROB("AA",$P(^(0),U,2),X," "_$E("000",1,4-$L(X1)-1)_X1_"."_X2_$E("00",1,3-$L(X2)-1),DA)="" K X1,X2` `2)= I $P(^AUPNPROB(DA,0),U,2)]"",$P(^(0),U,7)]"" S X1=$P($P(^(0),U,7),"."),X2=$P($P(^(0),U,7),".",2) K ^AUPNPROB("AA",$P(^(0),U,2),X," "_$E("000",1,4-$L(X1)-1)_X1_"."_X2_$E("00",1,3-$L(X2)-1),DA),X1,X2` `Allows problem retrieval by patient, facility, and problem number (Nmbr); the number is used as a string in " 000.00" format to assure a consistent ordering.`
.07	NMBR	0;7	NUMBER	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:+X'=X!(X>999.99)!(X<1)!(X?.E1"."3N.N) X Q:'$D(X) K:$D(^AUPNPROB("AA",$P(^AUPNPROB(DA,0),U,2),$P(^(0),U,6)," "_$E("000",1,4-$L($P(X,".",1))-1)_$P(X,".",1)_"."_$P(X,".",2)_$E("00",1,3-$L($P(X,".",2))-1))) X` LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `TYPE A NUMBER BETWEEN 1 AND 999.99` DESCRIPTION: `This is a number which, together with the Patient (#.02) and Facility (#.06) fields, serves as a unique identifier for this problem. Up to 2 decimal places may be used to indicate that a problem is a result of, or related` `to, another problem.` `SOURCE OF DATA: 018/PRNUMB` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `9000011^AA^MUMPS` `1)= S ^AUPNPROB("AA",$P(^AUPNPROB(DA,0),U,2),$P(^(0),U,6)," "_$E("000",1,4-$L($P(X,".",1))-1)_$P(X,".",1)_"."_$P(X,".",2)_$E("00",1,3-$L($P(X,".",2))-1),DA)=""` `2)= K ^AUPNPROB("AA",$P(^AUPNPROB(DA,0),U,2),$P(^(0),U,6)," "_$E("000",1,4-$L($P(X,".",1))-1)_$P(X,".",1)_"."_$P(X,".",2)_$E("00",1,3-$L($P(X,".",2))-1),DA)` `Allows problem retrieval by patient, facility, and problem number (Nmbr); the number is used as a string in " 000.00" format to assure a consistent ordering.`
.08	DATE ENTERED	0;8	DATE	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:DTX) X` LAST EDITED: `JUN 07, 2012` HELP-PROMPT: `TYPE A DATE BETWEEN 1900 AND TODAY` DESCRIPTION: `This is the date this problem was entered into this file.` `SOURCE OF DATA: 018/PREDAT` `UNEDITABLE` RECORD INDEXES: `DM (#756)`
.12	STATUS	0;12	SET	**********************REQUIRED FIELD********************** 'A' FOR ACTIVE; 'I' FOR INACTIVE; LAST EDITED: `NOV 30, 2012` HELP-PROMPT: `Enter the current status of this problem, active or inactive.` DESCRIPTION: `This is the current activity status of this problem, whether active or inactive; if more detail is needed, a notation may be filed with this problem.` `SOURCE OF DATA: 018/PRSTAT` CROSS-REFERENCE: `9000011^ACTIVE^MUMPS` `1)= S:$P(^AUPNPROB(DA,0),U,2) ^AUPNPROB("ACTIVE",+$P(^(0),U,2),X,DA)=""` `2)= K ^AUPNPROB("ACTIVE",+$P(^AUPNPROB(DA,0),U,2),X,DA)` `Allows problem retrieval by patient and status, in order of entry.` RECORD INDEXES: `ACR01 (#703), ACRMTA (#429), ACRSCT (#755)`
.13	DATE OF ONSET	0;13	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:DTX) X` LAST EDITED: `JUN 13, 1993` HELP-PROMPT: `TYPE A DATE BETWEEN 1880 AND TODAY` DESCRIPTION: `This is the approximate date this problem appeared, as precisely as known.`
1.01	PROBLEM	1;1	POINTER TO EXPRESSIONS FILE (#757.01)	EXPRESSIONS(#757.01) LAST EDITED: `JUL 28, 1993` HELP-PROMPT: `Enter the problem observed for this patient.` DESCRIPTION: `This field contains the standardized text stored in the Clinical Lexicon for this problem.` CROSS-REFERENCE: `9000011^C` `1)= S ^AUPNPROB("C",$E(X,1,30),DA)=""` `2)= K ^AUPNPROB("C",$E(X,1,30),DA)`
1.02	CONDITION	1;2	SET	'T' FOR TRANSCRIBED; 'P' FOR PERMANENT; 'H' FOR HIDDEN; LAST EDITED: `NOV 30, 2012` DESCRIPTION: `This reflects the current condition of this entry, whether transcribed by a clerk from the paper chart, entered or verified by a provider, or marked as removed from the patient's list.` TECHNICAL DESCR: `This flag is used internally by the DHCP Problem List; entries having an H in this field have been "deleted" and are maintained for historical use but are generally ignored. If the parameter "Verify Transcribed Entries"` `is turned on in File #125.99, entries made by a clerk will have a T here, and a flag will appear on the clinician's display of the list. P entries have been entered or verified by a provider.` RECORD INDEXES: `ACR01 (#703), ACRMTA (#429), ACRSCT (#755)`
1.03	ENTERED BY	1;3	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter the name of the current user.` DESCRIPTION: `This is the user who actually entered this problem into this file.`
1.04	RECORDING PROVIDER	1;4	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `MAY 02, 1996` HELP-PROMPT: `Enter the name of the provider who first recorded this data.` DESCRIPTION: `This is the provider who first recorded this problem, either on the paper chart or online.` SCREEN: `S DIC("S")="I $S('$D(^(""PS"")):1,'$P(^(""PS""),U,4):1,DT')$P(^(""PS""),U,4):1,1:0)&($D(^XUSEC(""PROVIDER"",Y)))"` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
1.05	RESPONSIBLE PROVIDER	1;5	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter the name of the local provider treating this problem.` DESCRIPTION: `This is the provider currently responsible for treating this problem.`
1.06	SERVICE	1;6	POINTER TO SERVICE/SECTION FILE (#49)	SERVICE/SECTION(#49) LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter the service to be associated with this problem.` DESCRIPTION: `This is the service primarily involved in the treatment of this problem; the DHCP Problem List defaults this field to the service defined in File #200 for the Recording Provider of this problem, upon entry of the problem.` `It may later be used to categorize problems for screening and sorting.`
1.07	DATE RESOLVED	1;7	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter the date this problem became resolved or inactive, as precisely as known.` DESCRIPTION: `This is the date this problem was resolved or inactivated, as precisely as known.`
1.08	CLINIC	1;8	POINTER TO HOSPITAL LOCATION FILE (#44)	HOSPITAL LOCATION(#44) INPUT TRANSFORM: `S DIC("S")="I $P(^(0),U,3)=""C""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `APR 12, 1994` HELP-PROMPT: `Enter the clinic in which the patient is being seen for this problem.` DESCRIPTION: `This is the clinic in which this patient is being seen for this problem. The problem list may be screened based on this value, to change one's view of the list.` SCREEN: `S DIC("S")="I $P(^(0),U,3)=""C"""` EXPLANATION: `Only clinics are allowed here.`
1.09	DATE RECORDED	1;9	DATE	INPUT TRANSFORM: `S %DT="E" D ^%DT S X=Y K:DTX) X` LAST EDITED: `JAN 11, 1994` HELP-PROMPT: `Enter the date this problem was first recorded, as precisely as known.` DESCRIPTION: `This is the date this problem was originally recorded, either online or in the paper chart; it may be the same as, or earlier than, the Date Entered.`
1.1	SERVICE CONNECTED	1;10	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `If this problem is service connected, enter YES here.` DESCRIPTION: `If the patient has service connection on file in the DHCP Patient file #2, this problem specifically may be flagged as being service connected.` TECHNICAL DESCR: `This data will be prompted for in the DHCP Problem List only if the patient is indicated for service connection. Non-VA sites will not be prompted for this information.`
1.11	AGENT ORANGE EXPOSURE	1;11	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter YES if this problem is related to exposure to Agent Orange.` DESCRIPTION: `If this problem is related to a patient's exposure to Agent Orange, it may be flagged here.` TECHNICAL DESCR: `This data will be prompted for in the DHCP Problem List only if a patient has Agent Orange exposure indicated. Non-VA sites will not be prompted for this information.`
1.12	IONIZING RADIATION EXPOSURE	1;12	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter YES if this problem is related to exposure to ionizing radiation.` DESCRIPTION: `If this problem is related to a patient's exposure to ionizing radiation, it may be flagged here.` TECHNICAL DESCR: `This data will be prompted for in the DHCP Problem List only if the patient has ionizing radiation exposure indicated. Non-VA sites will not be prompted for this information.`
1.13	PERSIAN GULF EXPOSURE	1;13	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `JUL 26, 1993` HELP-PROMPT: `Enter YES if this problem is related to a Persian Gulf exposure.` DESCRIPTION: `If this problem is related to a patient's service in the Persian Gulf, it may be flagged here.` TECHNICAL DESCR: `This data will be prompted for only if a patient has Persian Gulf service indicated. Non-VA sites will not be prompted for this information.`
1.14	PRIORITY	1;14	SET	'A' FOR ACUTE; 'C' FOR CHRONIC; LAST EDITED: `NOV 30, 2012` HELP-PROMPT: `You may further refine the status of this problem by assigning it a priority.` DESCRIPTION: `This is a flag to indicate how critical this problem is for this patient; problems marked as Acute will be flagged on the Problem List display.` RECORD INDEXES: `ACR01 (#703), ACRMTA (#429), ACRSCT (#755)`
1.15	HEAD AND/OR NECK CANCER	1;15	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `MAR 07, 2002` DESCRIPTION: `If this problem is related to the treatment of head and/or neck cancer associated with nose or throat radium treatments, it may be flagged here.` TECHNICAL DESCR: `This data will be prompted for only if a patient has received nose or throat radium treatments.`
1.16	MILITARY SEXUAL TRAUMA	1;16	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `MAR 07, 2002` DESCRIPTION: `If this problem is related to the treatment of military sexual trauma, it may be flagged here.` TECHNICAL DESCR: `This data will be prompted for only if a patient has been treated for military sexual trauma.`
1.17	COMBAT VETERAN	1;17	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `NOV 25, 2003` HELP-PROMPT: `If this problem is a result of combat it may be flagged here`
1.18	SHIPBOARD HAZARD & DEFENSE	1;18	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `SEP 18, 2006` HELP-PROMPT: `If this problem is a result of SHAD, it may be flagged here`
1101	NOTE FACILITY	11;0	POINTER Multiple #9000011.11	9000011.11 DESCRIPTION: `This is the location at which the notes in this multiple originated.`
80001	SNOMED CT CONCEPT CODE	800;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>40!($L(X)<1)!'(X?1.40N) X` LAST EDITED: `JUN 07, 2012` HELP-PROMPT: `Answer must be 1-40 numeric characters in length.` DESCRIPTION: `A clinical idea to which a unique ConceptID has been assigned in SNOMED CT. Each Concept is represented by a row in the Concepts Table.` TECHNICAL DESCR: `NOTE: This field is filed programmatically. The user should never be directly prompted for it.` CROSS-REFERENCE: `9000011^ASCT` `1)= S ^AUPNPROB("ASCT",$E(X,1,30),DA)=""` `2)= K ^AUPNPROB("ASCT",$E(X,1,30),DA)` `3)= DO NOT DELETE ` `This REGULAR FileMan cross-reference on SNOMED CT Concept will help to automate the updating of problems when SNOMED Concepts are mapped or re-mapped to ICD-9-CM codes.` RECORD INDEXES: `ACRSCT (#755)`
80002	SNOMED CT DESIGNATION CODE	800;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>40!($L(X)<1)!'(X?1.40N) X` LAST EDITED: `JUN 06, 2012` HELP-PROMPT: `Answer must be 1-40 numeric characters in length.` DESCRIPTION: `A single SNOMED Concept may have multiple Designations, where a Designation may be considered an alternate way of expressing the concept. Synonyms, lexical variants, abbreviations are all different types of designations.` `In many cases, a problem (as reported by the patient) and a finding indicating a problem will share the same concept and concept code (e.g., abdominal pain), but will have different designation codes (i.e., the generic` `"abdominal pain and "abdominal pain (finding) share the concept code 21522001, but they have the designation codes 36112013 and 750827015 respectively.` TECHNICAL DESCR: `NOTE: This field is filed programmatically. The user should never be directly prompted for it.`
80003	VHAT CONCEPT VUID (FUTURE)	800;3	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1)!'(X?1.20N) X` LAST EDITED: `JUN 06, 2012` HELP-PROMPT: `Answer must be 1-20 characters in length.` DESCRIPTION: `VHA Unique ID (VUID) for the VHAT Concept. A unique meaningless integer assigned to a corresponding concept VHA wide.` `This field is being implemented to allow a more rapidly extensible vocabulary for VA, while international normative standard coding systems continue to evolve more slowly. The precise definition of the concept Polytrauma` `may prove to be a useful example. Although the term has become common among US Military and VA physicians to describe a seriously injured (i.e., Injury Severity Score (ISS) >= 16) soldier with multiple traumatic injuries,` `it is not yet available as a coded concept in either SNOMED CT, ICD-9-CM, or ICD-10-CM. Allowing the definition and deployment of VHAT Concept/Designation VUID pairs to identify such problems in advance of their acceptance` `by the international medical community will help to provide coded, computable documentation in a much more timely manner than waiting for inclusion in SNOMED CT or ICD.` `When the infrastructure in VA's Enterprise Terminology Server (ETS) & New Term Rapid Turn-around (NTRT) service are ready to deploy VHAT Concepts, this field will allow us to store patient problems encoded with them.` TECHNICAL DESCR: `NOTE: This field is filed programmatically. The user should never be directly prompted for it.`
80004	VHAT DESIGNATION VUID (FUTURE)	800;4	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>20!($L(X)<1)!'(X?1.20N) X` LAST EDITED: `JUN 06, 2012` HELP-PROMPT: `Answer must be 1-20 numeric characters in length.` DESCRIPTION: `VHA Unique ID (VUID) for the VHAT Designation. A unique meaningless integer assigned to a corresponding designation VHA wide.` `VHAT Concept/Designation Code pairs function in a manner identical to that of SNOMED CT Concept/Designation Codes (i.e., they support the unique identification of clinical concepts, along with the many alternative ways in` `which a given concept may be expressed).` TECHNICAL DESCR: `NOTE: This field is filed programmatically. The user should never be directly prompted for it.`
80005	SNOMED CT-TO-ICD MAP STATUS	800;5	SET	'0' FOR N/A; '1' FOR PENDING; '2' FOR COMPLETED; LAST EDITED: `JUN 07, 2012` HELP-PROMPT: `Set by program to reflect mapping status of a finding` DESCRIPTION: `This Set of Codes type field is set to PENDING when an unmapped Clinical Finding is selected as a patient's problem. It is updated programmatically to COMPLETE when NTRT deploys a new SNOMED CT to ICD mapping for the` `problem in question.` `NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.` TECHNICAL DESCR: `This Set of Codes type field is set to PENDING when an unmapped Clinical Finding is selected as a patient's problem. It is updated programmatically to COMPLETE when NTRT deploys a new SNOMED CT to ICD mapping for the` `problem in question.` RECORD INDEXES: `DM (#756)`
80101	UNIQUE NEW TERM REQUESTED	801;1	SET	'0' FOR False; '1' FOR True; LAST EDITED: `JUN 06, 2012` HELP-PROMPT: `Indicate whether a New Term was requested (NTRT)` DESCRIPTION: `Indicates whether the user requested a new term during the process of entering a freetext problem. It should only be populated automatically by program code.` `NOTE: THIS FIELD SHOULD NEVER BE UPDATED BY AN END USER.` TECHNICAL DESCR: `This Boolean field indicates whether the provider requested a new term to be proposed and considered for inclusion in SNOMED CT. If accepted, the term will be deployed by the NTRT process. It should only be populated` `automatically by program code. The user will never be prompted for a value for this field.`
80102	UNIQUE TERM REQUEST COMMENT	801;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>80!($L(X)<2) X` LAST EDITED: `JUN 06, 2012` HELP-PROMPT: `Answer must be 2-80 characters in length.` DESCRIPTION: `Please provide clarification of the new term request. For example, if the requested term is an acronym or abbreviation, the comment field accommodates the fully specified name, etc.` TECHNICAL DESCR: `This freetext field supports the storage of a one-line explanatory comment, to provide clarification of the new term request. For example, if the requested term is an acronym or abbreviation, the comment field accommodates` `the fully specified name, etc.`
80201	DATE OF INTEREST	802;1	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `JUL 24, 2012` HELP-PROMPT: `(No range limit on date)` DESCRIPTION: `This is the date when the DIAGNOSIS (#.01) and CODING SYSTEM (#80202) fields were filed or modified. This allows proper resolution of the code, irrespective of code set versions, etc.`
80202	CODING SYSTEM	802;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>3!($L(X)<3) X` LAST EDITED: `JUL 17, 2012` HELP-PROMPT: `Answer must be 3 characters in length.` DESCRIPTION: `This identifies the Coding System to which the Code belongs. It corresponds to the Coding System Abbreviation in the ICD Coding Systems File, to optimize internal/external API calls for resolving codes, independent of` `their code set version, and to facilitate transition from ICD-9-CM to ICD-10-CM.` `Examples include:` `CODING SYS` `ABBREV NOMENCLATURE ICD FILE` `---------------------------------------------` `10D ICD-10-CM ICD Diagnosis` `ICD ICD-9-CM ICD Diagnosis` TECHNICAL DESCR: `This field is populated via M code and utilizes incremental/decremental timed locks to the PROBLEM file #9000011 for new problem entries. The Coding System Source Abbreviation (SAB) is programmatically filed in` `NEW^GMPLSAVE. The Coding System SAB is further validated before storage by utilizing the following ICD API's: $$CSI^ICDEX and $$SAB^ICDEX. This ensures that the correct code version or SAB is getting filed.` RECORD INDEXES: `ACR01 (#703)`
80300	MAPPING TARGETS	803;0	Multiple #9000011.803	9000011.803 DESCRIPTION: `This multiple includes mapped expressions: complications, comorbidities, and compound diagnoses. e.g., the single SNOMED CT concept Diabetic neuropathy (230572002) is mapped to two ICD-9-CM diagnoses: DIABETES WITH` `NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED (250.60) and POLYNEUROPATHY IN DIABETES (357.2).`

Name	Field # of Occurrence
^%DT	.03+1, .08+1, .13+1, 1.07+1, 1.09+1, 80201+1
NOW^%DTC	.03(XREF 1S)
^DIC	.01+1, .05+1, 1.08+1
Y^DIQ	ID.06+1
KPROB01^GMPLPXRM	IXACR01KL+1
KPROBMT^GMPLPXRM	IXACRMTKL+1
KPROBMTA^GMPLPXRM	IXACRMTAKL+1
KPROBSCT^GMPLPXRM	IXACRSCTKL+1
SPROB01^GMPLPXRM	IXACR01SL+1
SPROBMT^GMPLPXRM	IXACRMTSL+1
SPROBMTA^GMPLPXRM	IXACRMTASL+1
SPROBSCT^GMPLPXRM	IXACRSCTSL+1

Name	Line Occurrences (* Changed, ! Killed)
^AUPNPROB - [#9000011]	.02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .03(XREF 1S), .06(XREF 2S), .06(XREF 2K), .07+1, .07(XREF 1S), .07(XREF 1K) , .12(XREF 1S), .12(XREF 1K)
^AUPNPROB("AA"	.02(XREF 2S), .02(XREF 2K), .06(XREF 2S), .06(XREF 2K), .07+1, .07(XREF 1S), .07(XREF 1K)
^AUPNPROB("AC"	.02(XREF 1S), .02(XREF 1K)
^AUPNPROB("ACTIVE"	.02(XREF 3S), .02(XREF 3K), .12(XREF 1S), .12(XREF 1K)
^AUPNPROB("ASCT"	80001(XREF 1S), 80001(XREF 1K)
^AUPNPROB("B"	.01(XREF 1S), .01(XREF 1K)
^AUPNPROB("C"	1.01(XREF 1S), 1.01(XREF 1K)
^AUPNPROB("DM"	IXDMSL+1*, IXDMKL+1!, IXDMKEIC+1!
^AUPNPROB("MODIFIED"	.03(XREF 1S)
^DD(4	ID.06+1
^DIC(4 - [#4]	ID.06+1
^DPT - [#2]	ID.02+1

>>	Not killed explicitly
*	Changed
!	Killed
~	Newed

Name	Field # of Occurrence
>> %	.03(XREF 1S)
>> %DT	.03+1, .08+1, .13+1, 1.07+1, 1.09+1, 80201+1
%I	ID.06+1*!
>> APCDALVR	.05+1
>> APCDLOOK	.01(XREF 2S)
>> C	ID.06+1*
>> DA	IXACR01SL+1, IXACR01KL+1, IXACRMTSL+1, IXACRMTKL+1, IXACRMTASL+1, IXACRMTAKL+1, IXACRSCTSL+1, IXACRSCTKL+1, IXDMSL+1, IXDMKL+1 , .01(XREF 1S), .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .03(XREF 1S), .06(XREF 2S) , .06(XREF 2K), .07+1, .07(XREF 1S), .07(XREF 1K), .12(XREF 1S), .12(XREF 1K), 1.01(XREF 1S), 1.01(XREF 1K), 80001(XREF 1S), 80001(XREF 1K)
DIC	ID.02+1, ID.06+1, .01+1!, .05+1!, 1.08+1!*
DIC("DR"	.01(XREF 2S)
DIC("S"	.01+1, .01SCR+1, .03SCR+1, .08SCR+1, 1.08+1, 1.08SCR+1
DIC(0	.05+1*
>> DIE	.01+1, .05+1, 1.08+1
DT	.03+1, .08+1, .13+1, 1.09+1
U	ID.02+1, ID.06+1, ID.07+1, .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .06(XREF 2S), .06(XREF 2K), .07+1 , .07(XREF 1S), .07(XREF 1K), .12(XREF 1S), .12(XREF 1K)
X	IXACR01SL+1, IXACR01KL+1, IXACRMTSL+1, IXACRMTKL+1, IXACRMTASL+1, IXACRMTAKL+1, IXACRSCTSL+1, IXACRSCTKL+1, .01+1!, .01(XREF 1S) , .01(XREF 1K), .02(XREF 1S), .02(XREF 1K), .02(XREF 2S), .02(XREF 2K), .02(XREF 3S), .02(XREF 3K), .03+1!, .05+1!, .06(XREF 2S) , .06(XREF 2K), .07+1!, .07(XREF 1S), .07(XREF 1K), .08+1!, .12(XREF 1S), .12(XREF 1K), .13+1!, 1.01(XREF 1S), 1.01(XREF 1K) , 1.07+1!, 1.08+1!, 1.09+1!, 80001+1!, 80001(XREF 1S), 80001(XREF 1K), 80002+1!, 80003+1!, 80004+1!, 80102+1! , 80201+1*!, 80202+1!
X(1	IXDMSL+1, IXDMKL+1
X(2	IXDMSL+1, IXDMKL+1
X1	.02(XREF 2S), .02(XREF 2K), .06(XREF 2S), .06(XREF 2K)
X2	.02(XREF 2S), .02(XREF 2K), .06(XREF 2S), .06(XREF 2K)
>> Y	ID.06+1*, .01+1, .03+1, .05+1, .08+1, .13+1, 1.07+1, 1.08+1, 1.09+1, 80201+1

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Package: Problem List

Global: ^AUPNPROB

Information

Description

Directly Accessed By Routines, Total: 57

Accessed By FileMan Db Calls, Total: 24

Pointed To By FileMan Files, Total: 4

Pointer To FileMan Files, Total: 8

Fields, Total: 39

External References

Global Variables Directly Accessed

Naked Globals

Local Variables

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