ACCESS TO RAD/NUC MED PATIENT FILE    ICR (5602)

This field points to the 'NEW PERSON' file (#200) to
indicate the person who entered this patient into the Radiology/Nuclear
Medicine system.  It is filled in by the system from information the user
entered at sign-on.

This field contains the date and also the time of this
Imaging exam.  The system stores the exam dates in reverse chronological order
to produce reports efficiently.

This field points to the 'IMAGING TYPE' file (#79.2) to
indicate the type of imaging used for this exam.  It is filled in by the
system with the appropriate system name.  For example, when in General
Radiology, this field is filled in with 'GENERAL RADIOLOGY'.  Examples of
other imaging types this field may use are Nuclear Medicine, Nuclear Magnetic
Resonance, and Ultrasound.

This field points to the 'RAD/NUC MED DIVISION' file
(#79) to indicate the name of the hospital division where this imaging exam
was performed.  Normally, a hospital has only one division however, some
medical centers have multiple divisions.  This field allows the system to
compile statistics by division.  This field is filled in by the system from
the information the user enters at sign-on.

This field points to the 'IMAGING LOCATIONS' file (#79.1)
to indicate the name of the imaging location within the hospital division
where the exam was performed. Normally, a hospital has only one imaging
location, however, some medical centers have multiple imaging locations within
the division.  This field is filled in by the system from information the user
enters at sign-on.

This field contains the computer generated case number of
this Imaging exam.  The case number is used to quickly track and call up the
exam as it is processed through the Rad/Nuc Med system.  The case numbers are
generated by the system in sequential order.

NOTE:  Case numbers are not allowed to exceed 99,999.

This field points to the 'RAD/NUC MED PROCEDURES' file
(#71) to indicate the Imaging procedure associated with this case number.

This field points to the 'EXAMINATION STATUS' file (#72)
to indicate the current status of this Imaging exam.  The status is determined
and updated by the system according to the information entered during the
various data entry processes.

This field contains the exam category associated with
this case number.  It is used to compile workload statistics and various
management reports (i.e. AMIS and RCS14-4). Available exam categories are: 'I'
for INPATIENT, 'O' for OUTPATIENT, 'C' for CONTRACT, 'S' for SHARING, 'E' for
EMPLOYEE, and 'R' for RESEARCH.

When the 'category of exam' is asked during the exam registration process, the
default value asked is the value in the 'usual category' field.  Of course, if
the patient is an inpatient, the default value will always be 'inpatient'.

An inpatient may have a 'category of exam' of 'contract', 'sharing', or
'research' for its associated case number if the exam procedure is not
directly related with their hospital stay. (i.e. An inpatient who has an
imaging exam performed for research purposes.)

This field points to the 'WARD LOCATION' file (#42) to
indicate the name of the hospital ward where the inpatient was admitted at the
time the Radiology/Nuclear Med exam was performed.

This field is filled in by the system from information entered by the ADT
system and is updated at the time the exam report is first printed.

This field is used for Rad/Nuc Med patients who are
inpatients. It points to the 'HOSPITAL SERVICE' file (#49) to indicate the
name of the service treating the patient and is filled in by the system from
information entered by the ADT system.

contrast medium was, or if contrast media were used during this Rad/Nuc Med
exam.  Available values are: 'Y' for YES and 'N' for NO.

If the Rad/Nuc Med procedure does not involve the use of a contrast, the field
is automatically filled in with NO by the system but the user is prompted with
this question.

Conversely, if the Rad/Nuc Med procedure does not involve the use of a
contrast, the field is automatically filled in with NO by the system but the
user is prompted with this question.

TECHNICAL DESCR: Modified, description and help text only, with the release of
RA*5*45.

ORDERS' File (#75.1).  It contains the order associated with this exam. This
field will only contain data if the exam has an 'ACTIVE' order associated with
it.  When orders are purged, the pointer in this field is also purged.

TECHNICAL DESCR: Patch RA*5*41 will dis-allow purging of orders from the
Radiology/Nuclear Medicine application.

This field is used at sites that decide to enter
diagnostic codes for exams, as designated in the Examination Status file
parameters. It points to a short diagnostic code in the 'DIAGNOSTIC CODES'
file (#78.3) to indicate the primary diagnostic code associated with this
exam. If filled in, this field can be used in the search criteria for database
searches.  For example, the database can be searched for all 'normal' chest
procedures performed during a specific time period.

Depending on the requirements set up in the 'EXAMINATION STATUS' file (#72),
it may be necessary for this field to be filled in before the 'exam status'
can be considered complete.

This field points to the 'NEW PERSON' file (#200) to
indicate the name of the person who requested this Rad/Nuc Med exam.  This
person is not always a physician.  (i.e. A nurse might request the exam.)

This field points to the 'NEW PERSON' file (#200) to
indicate the name of the primary staff who interpreted the images.  Primary
Staff must have Rad/Nuc Med personnel classification of 'staff', and must have
access to at least one imaging location of the same imaging type as the exam.

Depending on the requirements set up in the 'EXAMINATION STATUS' file (#72),
it may be necessary for this field to be filled in before the 'exam status'
can be considered complete.

This field points to the 'RAD/NUC MED REPORTS' file (#74)
to indicate the report text associated with this exam.  It is filled in by the
system and is not seen by the user.

This field points to the 'CAMERA/EQUIP/RM' file (#78.6)
for the name of the primary camera/equipment/room where the imaging exam was
performed.  Usually there is only one camera/equipment/room per procedure.

Depending on the requirements set up in the 'EXAMINATION STATUS' file (#72),
it may be necessary for this field to be filled in before the 'exam status'
can be considered complete.

This field points to the 'SPECIALTY' file (#42.4) to
indicate the name of the bedsection of Rad/Nuc Med patients who are
inpatients. This field is filled in by the system from information entered by
the ADT system.

This field contains the date the Rad/Nuc Med exam was
requested.

Depending on the site's specifications, this field may or may not be asked of
the transcriptionist.  By default, it is populated automatically, at the time
an exam is registered, with the Request date in the Rad/Nuc Med Order file.

DESCRIPTION:This field points to the 'HOSPITAL LOCATION'
file (#44) to indicate the name of the hospital location that is requesting
the exam. By default, it is populated automatically, using data from the
Rad/Nuc Med Orders file, at the time an exam is registered.

TECHNICAL DESCR: This field has been modified with the release of patch:
RA*5.0*86.

This field indicates the type of credit this location
receives for examinations.  This field is populated automatically by the
system at the time an exam is registered based on the Credit Method entered
for the Imaging Location where the exam is registered.  If only the
interpretation was done at this facility, code 1 should be used.  If the exam
was performed at this facility, but the interpretation was done elsewhere,
code 3 should be used.  If both the exam and interpretation were done at this
facility, code 0 should be used. If the entire exam was done outside the
facility and exam data is being entered for the purposes of record-keeping
only, code 2 should be used.

This field points to the 'FILM SIZES' file (#78.4) to
indicate the size of the film used during the Rad/Nuc Med exam.  Users may
also enter film sizes that have been wasted during the exam.

This field contains the amount of film (a number between
0 and 999) used or wasted during the Rad/Nuc Med exam.

The amount represents either the number of that film size or the number of
cine feet of that film size.  On the 'Film Usage Report', these two amounts
are distinguished from each other.

This field points to the 'NEW PERSON' file (#200) to
indicate the technologists who performed this exam.

This multiple field is used to give the imaging modifiers
that are associated with this exam.

This field points to the 'PROCEDURE MODIFIERS' file
(#71.2) to give details and further describe this exam.  Modifier examples
include, 'LEFT', 'RIGHT', 'BILATERAL', 'OPERATING ROOM',and 'PORTABLE' exams.