Sibling
brother
Department of Veterans Affairs | Business Rules for Construction of Medical Information |
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Allergies | This section contains all patient allergy information from all VA treatment facilities. It does not contain patient allergies that were deleted or entered in error. |
Allergy | Verification Date | Event Type | Reaction | Severity | Source |
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DRUG
OTHER
FOOD
DRUG, FOOD
FOOD
FOOD
FOOD
DRUG, FOOD
DRUG, FOOD
DRUG, FOOD
Department of Veterans Affairs | Business Rules for Construction of Medical Information |
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Problems/Conditions | This section contains patient conditions (active and inactive) information from all VA treatment facilities. It does not contain patient conditions that were deleted. |
Problem | Status | Problem Code | Date of Onset | Provider | Source |
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Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Problem Type Not Available
Department of Veterans Affairs | Business Rules for Construction of Medical Information |
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Medications | This section contains patient medications (outpatient and self-reported) information from all VA treatment facilities for which the dispense date was within the last 15 months. Only medications that have an active or non-active prescription status are listed. |
Medication | Status | Quantity | Order Expiration | Provider | Prescription | Dispense Date | Sig | Source |
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Prescription
Department of Veterans Affairs | Business Rules for Construction of Medical Information |
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Vital Signs | This section contains information from the ten most recent patient vital signs (inpatient and outpatient) from all VA treatment facilities for which the panel date taken was within the last 12 months. Note: If more than one panel was taken on the same date, only the most recent panel is populated for that date. |
Date | Measurements | Source |
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PULSE
TEMPERATURE
HEIGHT
PULSE
PULSE OXIMETRY
RESPIRATION
TEMPERATURE
WEIGHT
SYSTOLIC BLOOD PRESSURE
DIASTOLIC BLOOD PRESSURE
Department of Veterans Affairs | Business Rules for Construction of Medical Information |
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Lab Results | This section contains the five most recent patient Chemistry and Hematology lab results from all VA treatment facilities for which the result date was within the last 12 months. A 7 day hold was implemented from date of Verification to provide an opportunity to the provider to discuss these results with the patient. |
Date/Time | Result Type | Source | Result - Unit | Interpretation | Reference Range | Status | Comment |
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GLUCOSE
GLUCOSE
Department of Veterans Affairs | Business Rules for Construction of Medical Information |
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Immunizations | This section contains patient immunizations information from all VA treatment facilities. Only administred (i.e., not refused) immunizations are included. |
Immunization | Series | Date Issued | Reaction | Comments |
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Department of Veterans Affairs | Business Rules for Construction of Encounter Information |
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Encounters | This section contains information for the 25 most recent historical outpatient encounters (completed) for the patient from all VA treatment facilities for which the encounter date was within the last 36 months. Note: Ancillary visits are not included. Lists of associated note titles for each encounter are limited to a maximum of 10. |
Date Time | Encounter Type | Encounter Description | Reason | Arrival | Departure | Provider | Source |
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Department of Veterans Affairs | Business Rules for Construction of Procedure Information |
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Procedures | This section contains information for the 25 most recent historical (completed) surgical and radiological procedures for the patient from all VA treatment facilities for which the procedure date was within the last 12 months. |
Date Time | Procedure Type | Qualifiers | Description | Provider | Source |
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