ACCESS TO RAD/NUC MED REPORT FILE    ICR (5605)

This field contains the name of the rad/nuc med patient
associated with this report.  The system fills in this field with data
obtained from the 'RAD/NUC MED PATIENT' file (#70) according to the case
number selected by the transcriptionist.

This field contains the date and the time of the exam
associated with this report.  The system fills in this field with data
obtained from the 'RAD/NUC MED PATIENT' file (#70) according to the case
number selected by the transcriptionist.

This field contains the completed case number of the exam
associated with this report.  The system fills in the data for this field with
information obtained from the 'RAD/NUC MED PATIENT' file (#70).

This field contains a value to indicate the status of
this report.  Valid choices are: 'V' for Verified, 'R' for Released/Not
Verified, 'PD' for Problem Draft, 'D' for Draft, 'EF' for Electronically Filed
and 'X' for Deleted.

'V' (Verified) status refers to a report that is verified by the interpreting
physician and is available for display outside the Rad/Nuc Med Department to
appropriate users, such as ward clerks, nurses, and physicians.

R' (Released/Not Verified) status refers to a report that is not verified by
the interpreting physician and is available for display outside the Rad/Nuc
Med Department.  The 'R' status is allowed only when the parameter that
controls this feature, 'Allow Released/Unverified' of the 'RAD/NUC MED
DIVISION' file (#79), is set to 'Yes'.  Use the 'Display Report' option to
view reports with the 'R' status.

'D' (Draft) status or 'PD' (Problem Draft) status refers to a report that is
available only for display in the Rad/Nuc Med Department. A statement
describing the problem to the interpreting physician is printed at the end of
reports with the 'PD' status.

'EF' (Electronically Filed) status refers to a report that is interpreted
outside the Rad/Nuc Med Department.  The content is not the actual interpreted
report, but canned text referring to the outside interpreted report.

'X' (Deleted) status refers to a report that is deleted from a case, but
remains in the database though not selectable from any Radiology options.

This field contains the date and time that the report was
entered into the system by the transcriptionist.

As of July, 1985, this field contains the date and the
time that it was indicated to the system that the report was verified by the
interpreting physician.

An option allowing online verification lets the interpreting physician verify
the report directly via a CRT.  As a result, there will be no discrepency
between the date/time the physician verified the report and the date/time it
was indicated to the system.

This field contains the date that the interpreting
physician dictated this report. The transcriptionist enters this date from the
dictation tape.  If the physician is using a voice recognition system for
dictation, this date is entered at the time the report is transmitted to DHCP.

This field is a pointer to the 'NEW PERSON file (#200).
Only 'staff' or 'resident' interpreting physicians are allowed to be selected.
This field contains the name of the interpreting physician who verified the
report.

This field will record the individual who is signed on
and responsible for the changing the report status to 'verified'.

This is the imaging location where the interpretation was
performed.  It is a pointer to the Imaging Location file (#79.1).

This field may contain a patient's clinical history as
well as instructions to the interpreting physician.  For example, the
instructions might be for the physician to interpret the exam images to rule
out the possibility of the patient having a certain disease.

The 'additional clinical history' is written by the interpreting physician and
is entered into the system by the transcriptionist.  Voice Recognition systems
allow the interpreting physician to directly enter this information into the
'additional clinical history' field.

This field contains the 'impression text' of the rad/nuc
med exam associated with this report.  The 'impression text' gives a quick
summary of the 'report text'.  It is written by the interpreting physician and
is entered into the system by the transcriptionist. The system will allow the
interpreting physician to directly enter this information into the 'impression
text' field through a voice recognition system.

If the interpreting physician requests a standard report, the information in
this field is copied from the 'impression text' field of the 'Standard
Reports' file.

This is a multiple field containing a log of actions that
have been taken on this report record.

This field contains the date and the time that the action
was taken on this report record.

This field contains the type of action that was taken on
this report record.  Valid choices are:  'I' for Initial Report Transcription,
'E' for Report Edit, 'V' for Verified, 'U' for Report Unverified, 'C' for
Digitized Images Collected, 'P' for Pre-Verified, 'F' for Electronically
Filed, 'X' for Deleted Report, and 'R' for Restored Report.

This field points to  the 'NEW PERSON' file and is used
to record the user who took an action on this report record.

This field contains the report text for the imaging exam.
The report text is written by the interpreting physician and may be entered
into the system by a transcriptionist.  A report may also be entered into DHCP
when the interpreting physician uses a voice recognition system.

If the interpreting physician requests a standard report, the information in
this field is copied from the 'Report Text' field of the 'Standard Reports'
file.

report.

TECHNICAL DESCR:  This field is populated by the system with the Rad/nuc med
user that transcribes the report.

This multiple field holds pointer values to the Image
file (2005).

This field holds the pointer value for an image located
in the Image file (2005).