|
Name |
Type |
Discontinued? |
|
| 1 |
CLAIM_ID |
NUMERIC |
No |
|
|
|
| The unique ID for the claim information record. |
|
|
| 2 |
LINE |
INTEGER |
No |
|
|
|
| The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
| 3 |
SCREEN_PROCEDURE_C_NAME |
VARCHAR |
No |
|
|
|
| The screening procedure for the assessment outcomes. |
| May contain organization-specific values: No |
| Category Entries: |
| History & Physical Exam |
| Dental Assessment/Referral |
| Nutritional Assessment |
| Anticipatory Guidance Health Education |
| Developmental Assessment |
| Snellen or Equivalent (visual acuity) |
| Audiometric |
| Hemoglobin or Hematocrit |
| Urine Dipstick |
| Complete Urinalysis |
| TB Mantoux |
| Sickle Cell: Electrophoresis |
| Lead: Blood Lead |
| VDRL, RPR, or ART |
| Gonorrhea (GC) Test |
| Pap Smear |
| Phenylketonuria (PKU) Blood Test |
| Chlamydia Test |
| Pelvic Examination |
| Ova and/or Parasites |
| Lead Test - Lead counseling and blood drawing for lead testing |
| Lead Refer - Counseling and referral for blood drawing for lead testing |
| Blood Glucose |
| Blood/Serum Cholesterol |
|
|
| 4 |
SCR_ASSESSMENT_C_NAME |
VARCHAR |
No |
|
|
|
| The assessment related to the screening procedure. |
| May contain organization-specific values: No |
| Category Entries: |
| No Problem Suspected |
| Refused |
| Contra-Indicated |
| Not Needed |
| Problem Suspected |
|
|
| 5 |
SCR_NEW_PROBLEM_C_NAME |
VARCHAR |
No |
|
|
|
| The follow-up code corresponding to the new problems related to the suspected screening procedure. |
| May contain organization-specific values: No |
| Category Entries: |
| No Dx/Rx Indicated or Now Under Care |
| Questionable Result, Recheck Scheduled |
| Dx Made and Rx Started |
| Dx Pending, Return Visit Scheduled |
| Referred to Another Examiner for Dx/Rx |
| Referral Refused |
|
|
| 6 |
SCR_KNOWN_PROB_C_NAME |
VARCHAR |
No |
|
|
|
| The follow-up code corresponding to the known problems related to the suspected screening procedure. |
| The category values for this column were already listed for column: SCR_NEW_PROBLEM_C_NAME |
|
|
