VistA Consistency Checks 6-12

Number
Name
NAME FORMAT UNACCEPTABLE
Key Required (DG ELIGIBILITY) NO KEY REQUIRED
Text
'NAME' CONTAINS LOWERCASE ALPHA CHARACTERS/UN ACCEPTABLE PUNCTUATION 'ALIAS' IS IMPROPERLY ENTERED 'SEX' IS UNSPECIFIED 'DATE OF BIRTH' IS UNSPECIFIED 'MARITAL STATUS' IS UNSPECIFIED 'RELIGIOUS PREFERENCE' IS UNSPECIFIED 'SOCIAL SECURITY NUMBER' IS UNSPECIFIED 'ADDRESS' INFORMATION IS INCOMPLETE
Check/ Dont Check DONT CHECK
Prevent Z07 NO
Description
VistA Screen 1
VistA Data Field(s)
ALIAS FORMAT INCONSISTENT
NO KEY REQUIRED
DONT CHECK
NO
SEX UNSPECIFIED
NO KEY REQUIRED NO KEY REQUIRED NO KEY REQUIRED
DONT CHECK CHECK
NO
DOB UNSPECIFIED
YES
MARITAL STATUS UNSPECIFIED
CHECK
NO
RELIGION UNSPECIFIED SSN UNSPECIFIED
NO KEY REQUIRED NO KEY REQUIRED
CHECK
NO
CHECK
YES
Inconsistency results if the name contains lower case characters, numeric characters and/or any punctuation other than commas, periods or hyphens (dashes). Inconsistency results if the first character of the 'ALIAS' name is not an alphabetic character. Inconsistency results if the 'SEX' prompt is unanswered. Inconsistency results if the 'DOB' prompt is not answered. Inconsistency results if the 'MARITAL STATUS' prompt is unanswered. Inconsistency results if the 'RELIGION' prompt is unanswered. Inconsistency results if the 'SSN' prompt is unanswered. Inconsistency results if there is not a Bad Address indicator set and the first line of the street address, city, state, zip code and/or county are not specified.
NAME (.01)
N/A
N/A
N/A
N/A
DATE OF BIRTH (.03)
MARITAL STATUS (.05)
RELIGIOUS PREFERENCE (.08)
SOCIAL SECURITY NUMBER (.09)
ADDRESS DATA INCOMPLETE
NO KEY REQUIRED
CHECK
NO
VETERAN STATUS UNSPECIFIED
ELIGIBILITY VERIFIED
'VETERAN' STATUS IS UNSPECIFIED
CHECK
YES
Inconsistency results if the 'VETERAN (Y/N)' prompt is not answered.
Domestic Address STREET ADDRESS [LINE 1] (.111) CITY (.114) STATE (.115) ZIP CODE (.1112) COUNTY (.117) Foreign Address STREET ADDRESS [LINE 1] (.111) CITY (.114) VETERAN (Y/N)? (1901)
Number
Name
10
SC PROMPT UNANSWERED
Key Required (DG ELIGIBILITY) ELIGIBILITY VERIFIED
Text
'SERVICE CONNECTED 'PROMPT UNANSWERED 'SERVICE CONNECTED'PRO MPT INCONSISTENT WITH NON-VET STATUS ELIGIBILITY VERIFIED 'SERVICE CONNECTED PERCENTAGE' REQUIRED FOR SC VETERAN
Check/ Dont Check CHECK
Prevent Z07 NO
Description
VistA Screen 7
VistA Data Field(s)
11
SC PROMPT INCONSISTENT
CHECK
YES
12
SC% UNSPECIFIED FOR SC VET
CHECK
NO
13
POS UNSPECIFIED
SERVICE VERIFIED
'PERIOD OF SERVICE' UNSPECIFIED 'ELIGIBILITY CODE' IS UNSPECIFIED 'INELIGIBLE REASON' UNSPECIFIED FOR INELIGIBLE APPLICANT 'DATE OF DEATH' IS IN FUTURE
CHECK
YES
14
ELIG CODE UNSPECIFIED
CHECK
NO
15
INEL REASON UNSPECIFIED
KEY ALWAYS REQUIRED
CHECK
YES
16
DATE OF DEATH IN FUTURE
NO KEY REQUIRED
CHECK
YES
Inconsistency occurs if the patient is a veteran and the' SERVICE CONNECTED' prompt is unanswered. Inconsistency results if the 'SERVICE CONNECTED' prompt is inconsistent with the 'VETERAN (Y/N)' prompt. Inconsistency results if the patient is a veteran, the 'SERVICE CONNECTED' prompt is answered YES and the 'SERVICE CONNECTED PERCENTAGE' prompt is not answered. Inconsistency results if the 'PERIOD OF SERVICE' prompt is unanswered. Inconsistency results if the 'ELIGIBILITY CODE' prompt is unanswered. Inconsistency results if an 'INELIGIBLE DATE' is entered but no 'INELIGIBLE REASON' is specified. Inconsistency results if the patient has a 'DATE OF DEATH' entered which is a future date.
SERVICE CONNECTED? (.301)
SERVICE CONNECTED? (.301) VETERAN (Y/N)? (1901)
SERVICE CONNECTED? (.301) SERVICE CONNECTED PERCENTAGE (.302)
PERIOD OF SERVICE (.323)
PRIMARY ELIGIBILITY CODE (.361)
10
INELIGIBLE DATE (.152) INELIGIBLE REASON (.307)
DATE OF DEATH (.351)
Number
Name
17
EXPIRED, PENDING APPOINTMENTS
Text
EXPIRED PATIENT WITH PENDING APPOINTMENT(S)
Prevent Z07 NO
Description
VistA Screen N/A
VistA Data Field(s)
18
ELIG/VET STATUS INCONSISTENT
'ELIGIBILITY CODE' INCONSISTENT WITH VETERAN STATUS
CHECK
NO
19
ELIG/NONVET STAT INCONSISTENT
'ELIGIBILITY CODE' INCONSISTENT WITH NON-VET STATUS 'ELIGIBILITY CODE' INCONSISTENT WITH SC PERCENTAGE
CHECK
YES
20
ELIG/SC% INCONSISTENT
CHECK
NO
21
ELIG CODE SHOULD BE 'DOM'
'ELIGIBILITY CODE' SHOULD BE 'DOMICILIARY' WHILE IN DOM
DONT CHECK
NO
22
ELIG CODE INCONSISTENT
'ELIGIBILITY CODE' INCONSISTENT WITH OTHER FACTORS
CHECK
NO
Inconsistency results if the patient has expired (a 'DATE OF DEATH' is entered) and the patient still has appointments pending. Inconsistency results when the 'VETERAN (Y/N)' prompt is answered YES but the 'ELIGIBILITY CODE' assigned is a nonveteran specific code. Inconsistency results if the 'VETERAN (Y/N)' prompt is answered NO but the 'ELIGIBILITY CODE' assigned is a veteran specific code. Inconsistency results if the 'SERVICE CONNECTED PERCENTAGE' prompt is inconsistent with the 'ELIGIBILITY CODE' entered. Inconsistency results if the patient is currently residing in a domiciliary and the 'ELIGIBILITY CODE' is not entered as 'DOMICILIARY PATIENT'. Inconsistency results if the 'ELIGIBILITY CODE' prompt is answered but is inconsistent with other data elements, i.e., 'IN RECEIPT OF A&A', etc.
N/A
VETERAN (Y/N)? (1901) PRIMARY ELIGIBILITY CODE (.361)
VETERAN (Y/N)? (1901) PRIMARY ELIGIBILITY CODE (.361)
SERVICE CONNECTED PERCENTAGE (.302) PRIMARY ELIGIBILITY CODE (.361)
N/A
N/A
PRIMARY ELIGIBILITY CODE (.361) POW STATUS INDICATED? (.525) CURRENT PH INDICATOR (.531) DATE OF BIRTH (.03) RECEIVING A&A BENEFITS? (.36205) RECEIVING HOUSEBOUND BENEFITS? (.36215) RECEIVING A VA PENSION? (.36235) SERVICE CONNECTED PERCENTAGE (.302) VETERAN (Y/N)? (1901)
Number
Name
23
VERIFIED, NO ELIG DATE
Key Required (DG ELIGIBILITY) ELIGIBILITY VERIFIED
Text
24
POS/ELIG CODE INCONSISTENT
SERVICE VERIFIED
25
AO CLAIMED W/OUT VIETNAM POS
SERVICE VERIFIED
'ELIG STATUS DATE' UNSPECIFIED FOR VERIFIED ELIGIBILITY 'PERIOD OF SERVICE' INCONSISTENT WITH 'ELIGIBILITY CODE' AGENT ORANGE EXPOSURE INDICATED WITHOUT VIETNAM ERA PERIOD OF SERVICE
Prevent Z07 NO
Description
VistA Screen 11
VistA Data Field(s)
CHECK
YES
DONT CHECK
NO
26
VIET SVC CLAIMED, NONVET
'VIETNAM SERVICE' INDICATED FOR NON-VETERAN
DONT CHECK
NO
27
AO CLAIMED, NONVET
ELIGIBILITY VERIFIED 'AGENT ORANGE EXPOSURE' INDICATED FOR NON-VETERAN SERVICE VERIFIED 'RADIATION EXPOSURE' INDICATED FOR NON-VETERAN
DONT CHECK
NO
28
RAD CLAIMED, NONVET
DONT CHECK
NO
Inconsistency results if the 'ELIG STATUS' prompt is VERIFIED but the 'ELIG STATUS DATE' is unspecified. Inconsistency results if the 'PERIOD OF SERVICE' entered is not compatible with the 'ELIGIBILITY CODE' entered. Inconsistency results if the patient is a veteran, the 'EXPOSED TO AGENT ORANGE' prompt is answered YES, and the 'PERIOD OF SERVICE' prompt is not answered VIETNAM ERA (#7). Inconsistency results if the patient is a nonveteran and the 'DID YOU SERVE IN VIETNAM' prompt is answered YES. Inconsistency results if the patient is a nonveteran and the 'EXPOSED TO AGENT ORANGE' prompt is answered YES. Inconsistency results if the patient is a nonveteran and the 'WERE YOU EXPOSED TO RADIATION' prompt is answered YES.
ELIGIBILITY STATUS (.3611) ELIGIBILITY STATUS DATE (.3612)
PRIMARY ELIGIBILITY CODE (.361) PERIOD OF SERVICE (.323)
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Number
Name
29
A&A CLAIMED, NONVET
Key Required (DG ELIGIBILITY) MONEY VERIFIED
Text
NON-VETERAN IN RECEIPT OF 'AID & ATTENDANCE' BENEFITS
Prevent Z07 YES
Description
VistA Screen 7
VistA Data Field(s)
30
HOUSEBOUND CLAIMED, NONVET
MONEY VERIFIED
NON-VETERAN IN RECEIPT OF 'HOUSEBOUND' BENEFITS
CHECK
YES
31
VA PENSION CLAIMED, NONVET
NON-VETERAN IN RECEIPT OF 'VA PENSION'
CHECK
YES
32
MILIT. RET. CLAIMED, NONVET
NON-VETERAN IN RECEIPT OF 'MILITARY RETIREMENT'
DONT CHECK
NO
33
GI INS CLAIMED, NONVET
MONEY VERIFIED
NON-VETERAN IN RECEIPT OF 'GI INSURANCE' BENEFITS
DONT CHECK
NO
34
POW CLAIMED, NONVET
SERVICE VERIFIED
'PRISONER OF WAR' CONFINEMENT INDICATED FOR NON-VETERAN
DONT CHECK
YES
Inconsistency results if patient is not a veteran and the 'ARE YOU IN RECEIPT OF A&A' prompt is answered YES. Inconsistency results if the patient is a nonveteran but the 'IN RECEIPT OF HB BENEFITS' prompt is answered YES. Inconsistency results if the patient is a nonveteran and the 'ARE YOU RECEIVING A VA PENSION' prompt is answered YES. Inconsistency results if the patient is a nonveteran and the 'IN RECEIPT OF MILIT RETIREMENT' prompt is answered YES. Inconsistency results if the patient is a nonveteran but the 'DO YOU HAVE GI INSURANCE' prompt is answered YES. Inconsistency results if the patient is a nonveteran and the 'WERE YOU A PRISONER OF WAR' prompt is answered YES.
RECEIVING A&A BENEFITS? (.36205) VETERAN (Y/N)? (1901)
RECEIVING HOUSEBOUND BENEFITS? (.36215) VETERAN (Y/N)? (1901)
RECEIVING A VA PENSION? (.36235) VETERAN (Y/N)? (1901)
N/A
N/A
N/A
N/A
VETERAN (Y/N)? (1901) POW STATUS INDICATED? (.525)
Number
Name
35
COMBAT CLAIMED, NONVET
Key Required (DG ELIGIBILITY) SERVICE VERIFIED
Text
'COMBAT SERVICE' INDICATED FOR NON-VETERAN
Prevent Z07 NO
Description
VistA Screen N/A
VistA Data Field(s)
36
PATIENT TYPE UNDEFINED
NO KEY REQUIRED
'TYPE' OF PATIENT NOT ENTERED
DONT CHECK
NO
37
POW DATA MISSING OR INCOMPLETE
SERVICE VERIFIED
PRISONER OF WAR STATUS INDICATED, RELATED DATA MISSING OR INCOMPLETE
DONT CHECK
NO
38
POW DATES INCONSISTENT
SERVICE VERIFIED
'PRISONER OF WAR' STATUS INDICATED, TO DATE PRECEDES FROM DATE
DONT CHECK
NO
Inconsistency results is the patient is a nonveteran and the 'COMBAT (Y/N)' prompt is answered YES. Inconsistency results when the TYPE field of the PATIENT file is not specified for a specific patient. The TYPE field indicates the TYPE OF PATIENT as selected from file #391. Inconsistency results when the user responds YES to the WERE YOU A PRISONER OF WAR prompt and any (or all) of the following prompts are left unanswered: POW WAR, POW FROM DATE, POW TO DATE. This inconsistency also results when an imprecise date (without at least month and year precision) is entered. Inconsistency results when the user responds YES to the WERE YOU A A PRISONER OF WAR prompt and the 'from' date does not precede the 'to' date.
N/A
TYPE (391)
N/A
N/A
N/A
N/A
Number
Name
39
COMBAT DATA MISSING/INCOMP LETE
Text
COMBAT SERVICE INDICATED, RELATED DATA MISSING OR INCOMPLETE
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
40
COMBAT DATES INCONSISTENT
SERVICE VERIFIED
COMBAT SERVICE INDICATED, TO DATE PRECEDES FROM DATE
CHECK
NO
41
VIETNAM DATA MISSING
SERVICE VERIFIED
VIETNAM SERVICE INDICATED, RELATED DATA MISSING
DONT CHECK
NO
42
VIETNAM DATES INCONSISTENT
SERVICE VERIFIED
VIETNAM SERVICE INDICATED, TO DATE PRECEEDS FROM DATE
DONT CHECK
NO
Inconsistency results when the user responds YES to the IN COMBAT (Y/N) and any (or all) of the following prompts are left unanswered: COMBAT WHERE, COMBAT FROM DATE, COMBAT TO DATE. This inconsistency also results when an imprecise date (without at least month and year precision) is entered. Inconsistency results when the COMBAT (Y/N) prompt is answered YES but the 'to' date precedes the 'from' date of service. Inconsistency results when user responds YES to the DID YOU SERVE IN VETNAM prompt and either (or both) the VIETNAM FROM DATE or VIETNAM TO DATE prompts are left unanswered. Inconsistency results when the DID YOU SERVE IN VIETNAM prompt is answered YES but the 'to' date of service precedes the 'from' date.
COMBAT SERVICE INDICATED? (.5291) COMBAT SERVICE LOCATION (.5292) COMBAT FROM DATE (.5293) COMBAT TO DATE (.5294)
COMBAT SERVICE INDICATED? (.5291) COMBAT FROM DATE (.5293) COMBAT TO DATE (.5294)
N/A
N/A
N/A
N/A
Number
Name
43
A&A MISSING DOLLARS
Text
44
HOUSEBOUND MISSING DOLLARS
MONEY VERIFIED
AID & ATTENDANCE PROMPT ANSWERED YES BUT NO DOLLARS ENTERED HOUSEBOUND PROMPT ANSERED YES BUT NO DOLLARS ENTERED VA PENSION PROMPT ANSWERED YES BUT NO DOLLARS ENTERED RECEIPT OF SOCIAL SECURITY PROMPT ANSWERED YES BUT NO DOLLARS ENTERED MILITARY RETIREMENT BENEFITS INDICATED WITHOUT DOLLAR AMOUNT
Prevent Z07 NO
Description
VistA Screen N/A
VistA Data Field(s)
DONT CHECK
NO
45
VA PENSION MISSING DOLLARS
MONEY VERIFIED
DONT CHECK
NO
46
SOC. SECURITY MISSING DOLLARS
MONEY VERIFIED
DONT CHECK
NO
47
MIL. RETIRE MISSING DOLLARS
MONEY VERIFIED
DONT CHECK
NO
48
GI INSURANCE MISSING DOLLARS
MONEY VERIFIED
GI INSURANCE BENEFITS INDICATED WITHOUT DOLLAR AMOUNT
DONT CHECK
NO
Inconsistency results when the user answers YES to the IN RECEIPT OF A&A prompt and yet no dollars are specified. Inconsistency results when user responds YES to IN RECEIPT OF HB BENEFITS prompt and yet no dollars are specified. Inconsistency results when user responds YES to RECEIVING A VA PENSION prompt and yet no dollars are entered. Inconsistency results when user responds YES to the IN RECEIPT OF SOCIAL SECURITY prompt and yet no dollars are entered. Inconsistency results when the user responds YES to the RECEIVING A MILITARY RETIREMENT prompt and yet no dollar amount is entered. Inconsistency results when user responds YES to DO YOU HAVE GI INSURANCE prompt and yet no dollars are entered.
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Number
Name
49
INSURANCE YES BUT NONE ACTIVE
Text
'DO YOU HAVE INSURANCE' ANSWERED YES BUT NO ACTIVE ONES ON FILE
Prevent Z07 NO
Description
VistA Screen 5
VistA Data Field(s)
50
INSUR. NOT YES BUT SOME ACTIVE
NO KEY REQUIRED
COVERED BY INSURANCE NOT ANSWERED YES BUT ACTIVE POLICIES ON FILE
CHECK
NO
51
BOS/POS INCONSISTENT
SERVICE VERIFIED
BOS=7(MERCHAN T SEAMAN), BUT POS'='Z' OR POS='Z', BUT BOS'=7
DON'T CHECK
NO
52
INSURANCE PROMPT UNANSWERED
NO KEY REQUIRED
'COVERED BY HEALTH INSURANCE?' PROMPT NOT ANSWERED
CHECK
NO
53
EMPLOYMENT STATUS UNANSWERED
NO KEY REQUIRED
'EMPLOYMENT STATUS' PROMPT UNANSWERED
CHECK
NO
Inconsistency results when user answers the COVERED BY HEALTH INSURANCE prompt YES but either there are no policies entered or all of those entered have expired. Inconsistency results when the COVERED BY INSURANCE prompt is either not answered or answered other than YES and yet ACTIVE policies are found to be on file. Inconsistency results if PERIOD OF SERVICE is Z, but none of the BRANCH OF SERVICE fields (LAST, NTL, or NNTL) are answered 7 (Merchant Seaman) or if LAST BRANCH OF SERVICE is 7, but PERIOD OF SERVICE is not Z. Inconsistency occurs if there is no response to the 'Covered by Health Insurance?' prompt on registration screen 5. This prompt must contain either 'YES', 'NO', or 'UNKNOWN'. Inconsistency occurs if there is no response to the 'Employment Status' prompt on registration screen 4.
COVERED BY HEALTH INSURANCE? (.3192) [Insurance Data within the Billing package]
COVERED BY HEALTH INSURANCE? (.3192) [Insurance Data within the Billing package]
N/A
N/A
COVERED BY HEALTH INSURANCE? (.3192)
EMPLOYMENT STATUS (.31115)
Number
Name
54
DEPENDENT'S SSN MISSING
Text
SSN NOT ANSWERED FOR ALL DEPENDENTS ON SCREEN 8
Prevent Z07 NO
Description
VistA Screen 8
VistA Data Field(s)
This inconsistency will be filed if, on screen 8 of registration, the social security field is not filled in for either the spouse or one of the dependents. The social security number is required for IVM (Income Verification Matching) with the IRS. This data must be filled in as soon as possible. NOTE: Although, you will be allowed to turn this consistency check off, it is STRONGLY RECOMMENDED that it remain ON. The collection of the social security number for each dependent is mandatory for income verification matching.
SOCIAL SECURITY NUMBER (408.13/.09)
Number
Name
55
INCOME DATA MISSING Any test added prior to the release and installation of Enrollment VistA Changes, Phase 2 (an upcoming release) will have the current income fields. Tests added after the installation will have the fields identified on the VAF 10-10EZ form.
Text
NO INCOME DATA ON FILE FOR VETERAN
Prevent Z07 NO
Description
VistA Screen 9
VistA Data Field(s)
This inconsistency results if all of the income questions on screen 9 are null and the patient has not declined to provide their income information on his/her last Means Test (yet screen 9 is turned on for this type of patient). You will not be able to edit the inconsistency by using the checker option. You must edit the data on load/edit screen 9. Note: Collection of income data or agreement to pay the maximum medical care copayments is mandatory for all NSC and 0% SC noncompensable patients who do not have any special eligibilities. This data will be utilized for IVM (Income Verification Matching) with the IRS. Although you may turn this consistency check off, it is STRONGLY RECOMMENDED it remain ON.
Before EVC, Phase 2 SOCIAL SECURITY (NOT SSI) (.08) U.S. CIVIL SERVICE (.09) U.S. RAILROAD RETIREMENT (.1) MILITARY RETIREMENT (.11) UNEMPLOYMENT COMPENSATION (.12) OTHER RETIREMENT (.13) TOTAL INCOME FROM EMPLOYMENT (.14) INTEREST, DIVIDEND, OR ANNUITY (.15) WORKERS COMP. OR BLACK LUNG (.16) ALL OTHER INCOME (.17) After EVC, Phase 2 SOCIAL SECURITY (NOT SSI) (.08) TOTAL INCOME FROM EMPLOYMENT (.14) ALL OTHER INCOME (.17)
Number
Name
56
VA DISABILITY MISSING DOLLARS
Text
VA DISABILITY PROMPT ANSWERED YES BUT NO DOLLARS ENTERED
Prevent Z07 NO
Description
VistA Screen N/A
VistA Data Field(s)
57
MEDICAID NEEDS UPDATING
NO KEY REQUIRED
ELIGIBILITY FOR MEDICAID NEEDS CONFIRMATION/U PDATE
CHECK
NO
58
EC CLAIM-NO PERS GULF/SOM SVC
SERVICE VERIFIED
ENVIRONMENTAL CONTAMINANT EXPOSURE INDICATED, NO PERS GULF/SOM SVC
DONT CHECK
NO
59
CATASTROPHIC DISAB. INCOMPLETE
CATASTROPHIC DISABILITY INFORMATION INCOMPLETE
DON'T CHECK
NO
Inconsistency results when the user answers YES to the RECEIVING VA DISABILITY prompt and yet no dollars are entered in the TOTAL ANNUAL VA CHECK AMOUNT field. Inconsistency results when ELIGIBLE FOR MEDICAID? has been answered YES and the DATE MEDICAID LAST ASKED has not been updated in greater than the number of days indicated in the MAS PARAMETER File Field (#46) DAYS TO UPDATE MEDICAID (or 365 days if not specified). Inconsistency results if the Period of Service is not Persian Gulf or Somalia and the ENVIRONMENTAL CONTAMINANTS prompt is answered 'Yes'. Inconsistency results if the CATASTROPHICALL Y DISABLED eligibility code is entered for the patient without the supporting catastrophic disability determination, or visa versa.
N/A
ELIGIBLE FOR MEDICAID? (.381) DATE MEDICAID LAST ASKED (.382)
N/A
N/A
N/A
N/A
Number
Name
60
AGENT ORANGE EXP LOC MISSING
Text
'AGENT ORANGE EXPOSURE LOCATION' REQUIRED IF AO EXP INDICATED
Prevent Z07 YES
Description
VistA Screen 6
VistA Data Field(s)
61
MISSING PHONE NUMBER DATA
NO KEY REQUIRED
PHONE NUMBER INFORMATION INCOMPLETE
CHECK
NO
62
63
EMERGENCY CONTACT NAME MISSING CONF. ADDRESS DATA INCOMPLETE
EMERGENCY CONTACT NAME MISSING 'CONFIDENTIAL ADDRESS' INFORMATION INCOMPLETE
CHECK
NO
CHECK
NO
64
POB CITY/STATE MISSING
NO KEY REQUIRED
PLACE OF BIRTH CITY OR STATE IS MISSING MOTHER'S MAIDEN NAME MISSING PSEUDO SSN IN USE
CHECK
NO
65
66
MOTHER'S MAIDEN NAME MISSING PSEUDO SSN IN USE
CHECK
NO
DONT CHECK
NO
Inconsistency results if the 'EXPOSED TO AGENT ORANGE' prompt is answered YES and the 'AGENT ORANGE EXPOSURE LOCATION' prompt is not answered. Inconsistency results if the patient's Employment Status is EMPLOYED FULL TIME, EMPLOYED PART TIME, or SELF EMPLOYED and the PHONE NUMBER [WORK] has not been entered Inconsistency results if the emergency contact name is not entered. Inconsistency results if a record with an active confidential address does not contain the first line of the street address, city, state, and zip code for the confidential address. Inconsistency results if the Patient's Place of Birth City or State have not been entered. Inconsistency results if the Mother's Maiden Name is not entered. Inconsistency results if a Pseudo SSN has been entered.
AGENT ORANGE EXPOS. INDICATED? (.32102) AGENT ORANGE EXPOSURE LOCATION (.3213)
PHONE NUMBER [WORK] (.132) EMPLOYMENT STATUS (.31115)
E-NAME (.331)
1.1
CONFIDENTIAL ADDRESS ACTIVE? (.14105) CONFIDENTIAL STREET [LINE 1] (.1411) CONFIDENTIAL ADDRESS CITY (.1414) CONFIDENTIAL ADDRESS STATE (.1415) CONFIDENTIAL ADDRESS ZIP CODE (.1416)
PLACE OF BIRTH [CITY] (.092) PLACE OF BIRTH [STATE] (.093)
MOTHER'S MAIDEN NAME (.2403)
N/A
N/A
Number
Name
67
NO CV, CHECK SERVICE SEP DATE NO CV, CHECK COMBAT TO DATE NO CV, CHECK YUGOSLAV TO DATE NO CV, CHECK SOMALIA TO DATE NO CV, CHECK PERS GULF TO DATE MSE DATA MISSING/INCOMP LETE
Text
68
NO KEY REQUIRED
SERVICE SEPARATION DATE [LAST] Imprecise or Missing COMBAT TO DATE Imprecise or Missing YUGOSLAVIA TO DATE Imprecise or Missing SOMALIA TO DATE Imprecise or Missing PERSIAN GULF TO DATE Imprecise or Missing MSE REQUIRED DATA FIELDS ARE MISSING OR INCOMPLETE
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
CHECK
NO
69
NO KEY REQUIRED
CHECK
NO
70
NO KEY REQUIRED
CHECK
NO
71
NO KEY REQUIRED
CHECK
NO
72
SERVICE VERIFIED
CHECK
NO
Combat Vet status cannot be determined if critical dates are missing or imprecise. Combat Vet status cannot be determined if critical dates are missing or imprecise. Combat Vet status cannot be determined if critical dates are missing or imprecise. Combat Vet status cannot be determined if critical dates are missing or imprecise. Combat Vet status cannot be determined if critical dates are missing or imprecise. Inconsistency results when any of the required MSE data fields are either left blank or an imprecise date (less than month/year precision) is entered. The following fields are required for any given Military Service Episode: BRANCH OF SERVICE, SERVICE ENTRY DATE, SERVICE SEPARATION DATE, DISCHARGE TYPE.
SERVICE SEPARATION DATE [LAST] (.327)
COMBAT TO DATE (.5294)
YUGOSLAVIA TO DATE (.322021)
SOMALIA TO DATE (.322018)
PERSIAN GULF TO DATE (.322012)
SERVICE DISCHARGE TYPE [LAST] (.324) SERVICE BRANCH [LAST] (.325) SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE DISCHARGE TYPE [NTL] (.329) SERVICE BRANCH [NTL] (.3291) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE DISCHARGE TYPE [NNTL] (.3295) SERVICE BRANCH [NNTL] (.3296) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298)
Number
Name
73
MSE DATES INCONSISTENT
Text
SERVICE SEPARATION DATE PRECEDES SERVICE ENTRY DATE CONFLICT DATE IS MISSING OR INCOMPLETE
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
74
CONFLICT DT MISSING/INCOMP LETE
SERVICE VERIFIED
CHECK
NO
Inconsistency results when a SERVICE ENTRY DATE is found to be after the SERVICE SEPARATION DATE. This inconsistency results when a conflict date is either missing or incomplete (imprecise dates must have at least month and year). The following date fields can trigger this inconsistency: SOMALIA FROM DATE, SOMALIA TO DATE, YUGOSLAVIA FROM DATE, YUGOSLAVIA TO DATE, PANAMA FROM DATE, PANAMA TO DATE, GRENADA FROM DATE, GRENADA TO DATE, LEBANON FROM DATE, LEBANON TO DATE, VIETNAM FROM DATE, VIETNAM TO DATE, GULF WAR FROM DATE, GULF WAR TO DATE.
SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) VIETNAM SERVICE INDICATED? (.32101) VIETNAM FROM DATE (.32104) VIETNAM TO DATE (.32105) LEBANON SERVICE INDICATED? (.3221) LEBANON FROM DATE (.3222) LEBANON TO DATE (.3223) GRENADA SERVICE INDICATED? (.3224) GRENADA FROM DATE (.3225) GRENADA TO DATE (.3226) PANAMA SERVICE INDICATED? (.3227) PANAMA FROM DATE (.3228) PANAMA TO DATE (.3229) PERSIAN GULF SERVICE? (.32201) PERSIAN GULF FROM DATE (.322011) PERSIAN GULF TO DATE (.322012) SOMALIA SERVICE INDICATED? (.322016) SOMALIA FROM DATE (.322017) SOMALIA TO DATE (.322018) YUGOSLAVIA SERVICE INDICATED? (.322019) YUGOSLAVIA FROM DATE (.32202) YUGOSLAVIA TO DATE (.322021)
Number
Name
75
CONFLICT TO DT BEFORE FROM DT
Text
CONFLICT TO DATE PRECEDES THE CONFLICT FROM DATE
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
This inconsistency results when a conflict to date is prior to a conflict from date. The following date fields can trigger this inconsistency: SOMALIA FROM DATE, SOMALIA TO DATE, YUGOSLAVIA FROM DATE, YUGOSLAVIA TO DATE, PANAMA FROM DATE, PANAMA TO DATE, GRENADA FROM DATE, GRENADA TO DATE, LEBANON FROM DATE, LEBANON TO DATE, VIETNAM FROM DATE, VIETNAM TO DATE, GULF WAR FROM DATE, GULF WAR TO DATE.
VIETNAM SERVICE INDICATED? (.32101) VIETNAM FROM DATE (.32104) VIETNAM TO DATE (.32105) LEBANON SERVICE INDICATED? (.3221) LEBANON FROM DATE (.3222) LEBANON TO DATE (.3223) GRENADA SERVICE INDICATED? (.3224) GRENADA FROM DATE (.3225) GRENADA TO DATE (.3226) PANAMA SERVICE INDICATED? (.3227) PANAMA FROM DATE (.3228) PANAMA TO DATE (.3229) PERSIAN GULF SERVICE? (.32201) PERSIAN GULF FROM DATE (.322011) PERSIAN GULF TO DATE (.322012) SOMALIA SERVICE INDICATED? (.322016) SOMALIA FROM DATE (.322017) SOMALIA TO DATE (.322018) YUGOSLAVIA SERVICE INDICATED? (.322019) YUGOSLAVIA FROM DATE (.32202) YUGOSLAVIA TO DATE (.322021)
Number
Name
76
INACCURATE CONFLICT DATE
Text
CONFLICT DATE IS NOT WITHIN THE ACCEPTABLE CONFLICT DATE RANGE
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
77
INACCURATE POW DT/LOCATION
SERVICE VERIFIED
POW DATE(S) AND LOCATION DO NOT MATCH
CHECK
NO
78
INACCURATE COMBAT DT/LOC
SERVICE VERIFIED
COMBAT DATES ARE NOT VALID FOR SPECIFIED LOCATION
CHECK
NO
This inconsistency results when a conflict from and/or to date is not within the designated date ranges for the specific conflict. The following date fields can trigger this inconsistency: SOMALIA FROM DATE, SOMALIA TO DATE, YUGOSLAVIA FROM DATE, YUGOSLAVIA TO DATE, PANAMA FROM DATE, PANAMA TO DATE, GRENADA FROM DATE, GRENADA TO DATE, LEBANON FROM DATE, LEBANON TO DATE, VIETNAM FROM DATE, VIETNAM TO DATE, GULF WAR FROM DATE, GULF WAR TO DATE. This inconsistency results when the POW from and/or to date is not within the designated date range for the specified POW LOCATION. This inconsistency results when the COMBAT from and/or to date is not within the designated date range for the specified COMBAT LOCATION.
VIETNAM FROM DATE (.32104) VIETNAM TO DATE (.32105) LEBANON FROM DATE (.3222) LEBANON TO DATE (.3223) GRENADA FROM DATE (.3225) GRENADA TO DATE (.3226) PANAMA FROM DATE (.3228) PANAMA TO DATE (.3229) PERSIAN GULF FROM DATE (.322011) PERSIAN GULF TO DATE (.322012) SOMALIA FROM DATE (.322017) SOMALIA TO DATE (.322018) YUGOSLAVIA FROM DATE (.32202) YUGOSLAVIA TO DATE (.322021) Conflict Begin End Vietnam 2/28/1961 5/7/1975 Lebanon 10/1/1983 Grenada 10/23/1983 11/21/1983 Panama 12/20/1989 1/31/1990 Gulf War 8/2/1990 Somalia 9/28/1992 Yugoslavia 6/22/1992 OIF 3/19/2003 OEF 9/11/2001 Unknown 9/11/2001 POW CONFINEMENT LOCATION (.526) POW FROM DATE (.527) POW TO DATE (.528)
COMBAT SERVICE LOCATION (.5292) COMBAT FROM DATE (.5293) COMBAT TO DATE (.5294)
Number
Name
79
MSE DATES OVERLAP
Text
MSE DATES OVERLAP
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
This inconsistency results when more than one Military Service Episode exists for this patient on a single day. This inconsistency results when the entered POW From/To Dates are not within the patient's military service episodes.
80
POW DT NOT WITHIN MSE
SERVICE VERIFIED
POW DATES ARE NOT WITHIN THE MSE RANGE
CHECK
NO
81
COMBAT DT NOT WITHIN MSE
SERVICE VERIFIED
COMBAT DATE IS NOT WITHIN THE MSE RANGE
CHECK
NO
This inconsistency results when the entered COMBAT From/To Dates are not within the patient's military service episodes.
SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) POW FROM DATE (.527) POW TO DATE (.528) SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) COMBAT FROM DATE (.5293) COMBAT TO DATE (.5294)
Number
Name
82
CONFLICT DT NOT WITHIN MSE
Text
CONFLICT DATES ARE NOT WITHIN MSE DATE RANGE
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
83
BOS REQUIRES DATE W/IN WWII
SERVICE VERIFIED
MERCH SEA OR FILIPINO VET BOS REQUIRES SERVICE DATES DURING WWII
CHECK
YES
This inconsistency results when the entered Conflict From/To Dates are not within the patient's military service episodes. The following fields could cause this inconsistency to occur: SOMALIA FROM DATE, SOMALIA TO DATE, YUGOSLAVIA FROM DATE, YUGOSLAVIA TO DATE, PANAMA FROM DATE, PANAMA TO DATE, GRENADA FROM DATE, GRENADA TO DATE, LEBANON FROM DATE, LEBANON TO DATE, VIETNAM FROM DATE, VIETNAM TO DATE, GULF WAR FROM DATE, GULF WAR TO DATE. Inconsistency results when the Branch of Service is MERCHANT SEAMAN or one of the Filipino Veteran branches of service (F.COMMONWEALT H, F.GUERILLA, F.SCOUTS NEW, F.SCOUTS OLD) but neither the Military Service Start Date nor the Service End Date is within World War II (12/7/1941 - 8/15/1945).
SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) VIETNAM FROM DATE (.32104) VIETNAM TO DATE (.32105) LEBANON FROM DATE (.3222) LEBANON TO DATE (.3223) GRENADA FROM DATE (.3225) GRENADA TO DATE (.3226) PANAMA FROM DATE (.3228) PANAMA TO DATE (.3229) PERSIAN GULF FROM DATE (.322011) PERSIAN GULF TO DATE (.322012) SOMALIA FROM DATE (.322017) SOMALIA TO DATE (.322018) YUGOSLAVIA FROM DATE (.32202) YUGOSLAVIA TO DATE (.322021)
SERVICE BRANCH [LAST] (.325) SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE BRANCH [NTL] (.3291) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE BRANCH [NNTL] (.3296) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298)
Number
Name
84
FILIPINO VET, PROOF MISSING
Text
FILIPINO VETERAN BOS WAS ENTERED, FILIPINO VET PROOF IS MISSING
Prevent Z07 NO
Description
VistA Screen 6
VistA Data Field(s)
85
FILIPINO VET SHOULD BE VET='Y'
SERVICE VERIFIED
VERIFIED FILIPINO VETERAN SHOULD HAVE A VETERAN STATUS OF 'YES'
CHECK
YES
86
INEL FIL VET SHOULD BE VET='N'
SERVICE VERIFIED
INELIGIBLE FILIPINO VETERAN SHOULD HAVE A VETERAN STATUS OF 'NO'
CHECK
YES
Inconsistency results if a Filipino Veteran branch of service is entered (F.COMMONWEATH, F.GUERILLA, or F.SCOUTS NEW) but the FILIPINO VET PROOF field is left blank. Inconsistency results if a veteran has a Filipino Veteran branch of service (F.COMMONWEALT H, F.GUERILLA, F.SCOUTS NEW, or F.SCOUTS OLD), military service dates during World War II, proof of F.Vet eligibility (for the first three BOS only), but the Veteran Status is not 'YES'. Inconsistency results if a veteran has a Filipino Veteran branch of service (F.COMMONWEALT H, F.GUERILLA, F.SCOUTS NEW, or F.SCOUTS OLD), but is ineligible because of no World War II military service dates or no proof of F.Vet eligibility (for the first three BOS only), and the Veteran Status is set to 'YES'.
FILIPINO VETERAN PROOF (.3214) SERVICE BRANCH [LAST] (.325) SERVICE BRANCH [NTL] (.3291) SERVICE BRANCH [NNTL] (.3296)
6/7
FILIPINO VETERAN PROOF (.3214) SERVICE BRANCH [LAST] (.325) SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE BRANCH [NTL] (.3291) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE BRANCH [NNTL] (.3296) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) VETERAN (Y/N)? (1901)
6/7
FILIPINO VETERAN PROOF (.3214) SERVICE BRANCH [LAST] (.325) SERVICE ENTRY DATE [LAST] (.326) SERVICE SEPARATION DATE [LAST] (.327) SERVICE BRANCH [NTL] (.3291) SERVICE ENTRY DATE [NTL] (.3292) SERVICE SEPARATION DATE [NTL] (.3293) SERVICE BRANCH [NNTL] (.3296) SERVICE ENTRY DATE [NNTL] (.3297) SERVICE SEPARATION DATE [NNTL] (.3298) VETERAN (Y/N)? (1901)
Number
Name
87
SC ELIG BUT NO RD CODES
Text
SC ELIGIBILITY BUT NO RATED DISABILITY CODES
Prevent Z07 NO
Description
VistA Screen 7/11
VistA Data Field(s)
99
CAN'T PROCESS FURTHER
NO KEY REQUIRED
DUE TO MISSING DATA CAN'T CONTINUE PROCESSING INCONSISTENCIES
CHECK
NO
301
PERSON LASTNAME REQUIRED
NO KEY REQUIRED
PERSON MUST HAVE A LAST NAME
DONT CHECK
YES
303
GENDER REQUIRED
NO KEY REQUIRED
GENDER MUST BE ENTERED
DONT CHECK
YES
304
GENDER INVALID
NO KEY REQUIRED
THE PERSON GENDER MUST BE EITHER MALE OR FEMALE PATIENT MUST HAVE A VALID SSN OR A PSEUDO SSN PSEUDO SSN REASON IS MISSING
DONT CHECK
YES
306
VALID SSN/PSEUDO SSN REQUIRED PSEUDO SSN REASON REQUIRED
NO KEY REQUIRED
DONT CHECK
NO
Inconsistency results if the PRIMARY ELIGIBILITY CODE is a1 (SERVICE CONNECTED 50% TO 100%) or a 3 (SC LESS THAN 50%) and no rated disabilities are present. Unable to check further discrepancies because one or more of the following data elements are not defined: Veteran, Eligibility Code and Period of Service. The last name of the name components is not present. This applies to patient, spouse and dependents. The person's gender value is missing. This applies to patient, spouse and dependents. The person has a gender value, but it is not either male or female. This applies to patient, spouse and dependents. Patient must have a valid SSN or a Pseudo SSN. If a Pseudo SSN number is entered for a person, spouse or dependents, then a reason must be entered.
PRIMARY ELIGIBILITY CODE (.361) RATED DISABILITIES (VA) (.3721/.01)
VETERAN (Y/N)? (1901) PRIMARY ELIGIBILITY CODE (.361) PERIOD OF SERVICE (.323)
FAMILY (LAST) NAME (File 20, field 1)
SEX (.02)
SEX (.02)
SOCIAL SECURITY NUMBER (.09)
307
NO KEY REQUIRED
DONT CHECK
NO
PSEUDO SSN REASON (.0906)
Number
Name
308
DATE OF DEATH BEFORE DOB
Text
309
PATIENT RELATIONSHIP INVALID DEPENDENT EFF. DATE REQUIRED PERSON MUST HAVE NATIONAL ICN RATED INCOMPETENT INVALID
NO KEY REQUIRED
THE DATE OF DEATH IS BEFORE THE DATE OF BIRTH RELATIONSHIP TO PATIENT IS NOT A VALID VALUE DEPENDENT(S) EFFECTIVE DATE IS MISSING PERSON MUST HAVE NATIONAL ICN RATED INCOMPETENT MUST BE EITHER YES, NO, OR UNKNOWN/NULL ELIGIBLE FOR MEDICAID MUST BE EITHER YES, NO, OR NULL ELIGIBLE FOR MEDICAID IS YES AND DATE MEDICAID LAST ASKED IS MISSING CLAIM FOLDER NUM MUST BE 7 TO 8 DIGITS. IF 9 DIGITS THEN MUST BE SSN THE VALUE ENTERED FOR ELIGIBILITY STATUS MUST BE P, R, V OR NULL
Prevent Z07 YES
Description
VistA Screen 1
VistA Data Field(s)
The Date of Death cannot be prior to the Date of Birth. The value of Relationship to Patient does not match one of the valid values. A dependent is present but the effective date is null. Person does not have National ICN. If completed, the value of Rated Incompetent must be either yes, no, or unknown. If completed, the value of Eligible For Medicaid must be either yes or no. The value of 'Eligible for Medicaid' is Yes, but the Date Medicaid Last Asked value is null.
DATE OF BIRTH (.03) DATE OF DEATH (.351)
DONT CHECK
YES
RELATIONSHIP (File 408.12, Field .02)
310
NO KEY REQUIRED NO KEY REQUIRED NO KEY REQUIRED
DONT CHECK DONT CHECK DONT CHECK
YES
PERSON (File 408.12, Field .03) EFFECTIVE DATE (File 408.12, Field 75/.01) INTEGRATION CONTROL NUMBER (999.01)
312
YES
401
YES
RATED INCOMPETENT? (.293)
402
ELIGIBLE FOR MEDICAID INVALID DT MEDICAID LAST ASKED INVALID
NO KEY REQUIRED
DONT CHECK
YES
ELIGIBLE FOR MEDICAID? (.381)
403
NO KEY REQUIRED
DONT CHECK
YES
ELIGIBLE FOR MEDICAID? (.381) DATE MEDICAID LAST ASKED (.382)
406
CLAIM FOLDER NUMBER INVALID
NO KEY REQUIRED
DONT CHECK
YES
Claim Folder Number must consist of 7 or 8, or 9 numbers if SSN.
CLAIM NUMBER (.313)
407
ELIGIBILITY STATUS INVALID
NO KEY REQUIRED
DONT CHECK
YES
The value of Eligibility Status is completed, but it does not match one of the values.
11
ELIGIBILITY STATUS (.3611)
Number
Name
409
AGREE TO PAY DEDUCT INVALID
Text
MEANS TEST IS PRESENT AND AGREE TO PAY DEDUCTIBLE IS NULL
Prevent Z07 NO
Description
VistA Screen MT
VistA Data Field(s)
411
ENROLLMENT APP DATE INVALID POW STATUS INVALID
NO KEY REQUIRED
501
NO KEY REQUIRED
502
MIL DIS RETIREMENT INVALID
NO KEY REQUIRED
ENROLLMENT APPLICATION DATE MUST BE A PRECISE DATE POW STATUS INDICATED MUST BE EITHER YES, NO, OR UNKNOWN/NULL THE VALUE FOR MIL DIS RETIREMENT MUST BE EITHER YES,NO OR UNKNOWN/NULL
DONT CHECK
YES
A Means Test is present, the status of the test is either MT Co-Pay Required, GMT Co-Pay Required or Pending Adjudication and Agree to pay Deductible is null. Enrollment Application Date must be a precise date. If completed, the value of POW Status Indicated must be either Yes, No, or Unknown. The Value of Mil. Dis. Retirement is completed, but does not match any valid value. (Note: This value is replacing Disability Retirement from Military.) The Value for Discharge Due to Disability is completed but not a valid value.
AGREED TO PAY DEDUCTIBLE (File 408.31, field .11)
ENR
ENROLLMENT APPLICATION DATE (File 27.11, field .01)
DONT CHECK
YES
POW STATUS INDICATED? (.525)
DONT CHECK
YES
MILITARY DISABILITY RETIREMENT (.3602)
503
DISCHARGE DUE TO DISAB INVALID
NO KEY REQUIRED
504
AGENT ORANGE EXPOSURE INVALID
NO KEY REQUIRED
505
RADIATION EXPOSURE INVALID
NO KEY REQUIRED
THE VALUE FOR DISCH DUE TO DISAB MUST BE EITHER YES,NO,OR UNKNOWN/NULL AGENT ORANGE EXPOSURE MUST BE EITHER YES, NO, OR UNKNOWN RADIATION EXPOSURE MUST BE EITHER YES, NO, OR UNKNOWN
DONT CHECK
YES
DISCHARGE DUE TO DISABILITY (.3603)
DONT CHECK
YES
If completed, the value of Exposed to Agent Orange must be either Yes, No, or Unknown If completed, the value of Radiation Exposure Indicated must be either Yes, No, or Unknown.
AGENT ORANGE EXPOS. INDICATED? (.32102)
DONT CHECK
YES
RADIATION EXPOSURE INDICATED? (.32103)
Number
Name
506
507
ENV CONTAMINANTS EXP INVALID Enrollment VistA Changes, Phase 2 (an upcoming release) will rename this to SW Asia. RAD EXPOSURE METHOD INVALID
Text
ENVIRONMENTAL CONTAMINANTS EXPOSURE MUST BE EITHER YES, NO, OR UNKNOWN
Prevent Z07 YES
Description
VistA Screen 6
VistA Data Field(s)
If completed, the value of Environmental Contaminants must be Yes, No or Unknown.
ENVIRONMENTAL CONTAMINANTS? (.322013)
NO KEY REQUIRED
508
MST STATUS INVALID
NO KEY REQUIRED
RAD EXPOSURE METHOD MUST BE ENTERED SINCE RAD EXP INDICATOR IS YES MST STATUS MUST BE YES, NO, OR DECLINES MST STATUS CHANGE DATE IS REQUIRED IF MST STATUS IS Y, N, OR D SITE DETERMINING MST STATUS IS REQUIRED IF MST STATUS IS Y, N, OR D SITE DETERMINING MST STATUS MUST BE A VAMC OR CLINIC
DONT CHECK
YES
Radiation Exposure Indicated is Yes and Radiation Exposure Method is null.
RADIATION EXPOSURE METHOD (.3212)
DONT CHECK
YES
509
MST STATUS CHANGE DATE MISSING
NO KEY REQUIRED
DONT CHECK
YES
The value of MST Status is completed, but it does not match one of the values. MST Status Change Date is required if MST Status is Yes, No, or Declines to answer. Site Determining MST Status is required if MST Status is Yes, No, or Declines to answer.
MST
MST STATUS (29.11/3)
MST
MST CHANGE STATUS DATE (29.11/.01)
510
MST STATUS SITE REQUIRED
NO KEY REQUIRED
DONT CHECK
YES
MST
SITE DETERMINING STATUS (29.11/6)
511
MST STATUS SITE INVALID
NO KEY REQUIRED
DONT CHECK
YES
516
DOB INVALIDMEXICAN BORDER WAR
NO KEY REQUIRED
DOB IS INCONSISTENT WITH ELIGIBILITY OF MEXICAN BORDER WAR
DONT CHECK
YES
The Site Determining MST Status is present, but the type of Institution that it points to is not identified as a VA Medical Center or an Outpatient Clinic. DOB is Inconsistent With Eligibility Of Mexican Border War
MST
SITE DETERMINING STATUS (29.11/6)
1/7
DATE OF BIRTH (.03) PRIMARY ELIGIBILITY CODE (.361)
Number
Name
517
DOB INVALIDWORLD WAR I
Text
701
CD 'DECIDED BY' CANNOT BE HINQ
NO KEY REQUIRED
DOB IS INCONSISTENT WITH ELIGIBILITY OF WORLD WAR I CD 'DECIDED BY' CANNOT BE 'HINQ'
Prevent Z07 YES
Description
VistA Screen 1/7
VistA Data Field(s)
DOB is Inconsistent With Eligibility Of World War I. Enter the name of the VA staff physician who made the decision that the patient was catastrophically disabled. Enter the name of the VA staff physician who made the decision that the patient was catastrophically disabled. Enter the name of the VA staff physician who made the decision that the patient was catastrophically disabled. This is a required field. Enter the date that a review to determine Catastrophic Disability was made. This review may be a medical record review or physical exam review. Enter the date that a review to determine Catastrophic Disability was made. This review may be a medical record review or physical exam review.
DATE OF BIRTH (.03) PRIMARY ELIGIBILITY CODE (.361)
DONT CHECK
YES
CD
DECIDED BY (.391)
702
CD 'DECIDED BY' NOT VALID
NO KEY REQUIRED
CD 'DECIDED BY' IS NOT VALID
DONT CHECK
YES
CD
DECIDED BY (.391)
703
CD 'DECIDED BY' IS REQUIRED
NO KEY REQUIRED
CD 'DECIDED BY' IS REQUIRED
DONT CHECK
YES
CD
DECIDED BY (.391)
704
CD 'REVIEW DATE' IS REQUIRED
NO KEY REQUIRED
CD 'REVIEW DATE' IS REQUIRED
DONT CHECK
YES
CD
REVIEW DATE (.394)
705
CD 'REVIEW DATE' IS INVALID
NO KEY REQUIRED
CD 'REVIEW DATE' SHOULD BE A MEDICAL RECORD OR PHYS EXAM REVIEW DATE
DONT CHECK
YES
CD
REVIEW DATE (.394)
Number
Name
706
CD CONDITION SCORE NOT VALID
Text
CD 'CONDITION SCORE MUST BE A VALID ENTRY
Prevent Z07 YES
Description
VistA Screen CD
VistA Data Field(s)
707
CD REVIEW DT AFTER DECISION DT CD AFFECTED EXTREMITY INVALID
NO KEY REQUIRED
CD REVIEW DATE IS AFTER DATE OF DECISION CD AFFECTED EXTREMITY IS INVALID
DONT CHECK
YES
708
NO KEY REQUIRED
DONT CHECK
YES
709
CD DIAGNOSIS IS NOT VALID
NO KEY REQUIRED
CD STATUS DIAGNOSIS IS NOT VALID CD STATUS PROCEDURE IS NOT VALID CD STATUS REASON IS REQUIRED FOR EACH COND, DX AND PROC ENTERED
DONT CHECK
YES
710
CD PROCEDURE IS NOT VALID
NO KEY REQUIRED
DONT CHECK
YES
711
CD REASON IS NOT PRESENT
NO KEY REQUIRED
DONT CHECK
YES
The exact criteria for the score are determined by the CATASTROPHIC DISABILITY REASONS file (#27.17). This file also contains the help text for responding to SCORE. The Catastrophic Disability Review Date must be before the date of decision. If completed, AFFECTED EXTREMITY must be one of the following codes: RUE:RIGHT UPPER EXTREMITY, LUE:LEFT UPPER EXTREMITY, RLE:RIGHT LOWER EXTREMITY, LLE:LEFT LOWER EXTREMITY The status diagnosis must be a valid diagnosis in the CD Reasons File (#27.17). The status procedure must be a valid procedure in the CD Reasons File (#27.17). A CD status reason is required for each CD Condition, Diagnosis and Procedure that is entered.
SCORE (.398/1)
CD
DATE OF DECISION (.392) REVIEW DATE (.394)
CD
AFFECTED EXTREMITY (.397/1)
CD
CD STATUS DIAGNOSES (.396/.01)
CD
CD STATUS PROCEDURES (.397/.01)
CD
CD STATUS DIAGNOSES (.396/.01) CD STATUS PROCEDURES (.397/.01) CD STATUS CONDITIONS (.398/.01)
Number
Name
712
CD DATE OF DECISION NOT VALID
Text
CD DATE OF DECISION MUST BE A VALID DATE
Prevent Z07 YES
Description
VistA Screen CD
VistA Data Field(s)
713
CD DATE OF DECISION REQUIRED
NO KEY REQUIRED
CD DATE OF DECISION IS REQUIRED
DONT CHECK
YES
714
CD FACILITY IS NOT VALID
NO KEY REQUIRED
FACILITY MAKING CD DETERMINATION MUST BE A VALID FACILITY
DONT CHECK
YES
715
CD METHOD IS REQUIRED
NO KEY REQUIRED
CD METHOD OF DETERMINATION IS REQUIRED
DONT CHECK
YES
Enter the date the catastrophic disability determination was made. This must be a valid date. The 'Date of Catastrophic Disability Decision is required if the patient is catastrophically disabled. Enter the date the catastrophic disability determination was made. This must be a valid date. The Facility Making Catastrophic Disability Determination must be a valid facility and defined in the INSTITUTION file (#4). Method of Determination is a required field. Possible values are: 2:MEDICAL RECORD REVIEW, 3:PHYSICAL EXAMINATION The valid codes may vary depending on the Institution.
DATE OF DECISION (.392)
CD
CD
FACILITY MAKING DETERMINATION (.393)
CD
METHOD OF DETERMINATION (.395)
Number
Name
716
CD METHOD IS NOT VALID
Text
CD METHOD OF DETERMINATION IS NOT VALID
Prevent Z07 YES
Description
VistA Screen CD
VistA Data Field(s)
717
CD NOT ENOUGH TO QUALIFY
NO KEY REQUIRED
NOT ENOUGH DX/PROC/CON TO QUALIFY FOR CD STATUS CD PERMANENT STATUS INDICATOR SHOULD BE 1,2 OR 3 CD STATUS MUST BE SPECIFIED
DONT CHECK
YES
Method of Determination is a required field. Possible values are: 2:MEDICAL RECORD REVIEW, 3:PHYSICAL EXAMINATION The valid codes may vary depending on the Institution. Not Enough Diagnoses/Procedures/C onditions To qualify For CD Status' The Permanent Status Indicator should be one of the following: 1 PERMANENT 2 - NOT PERMANENT 3 - UNKNOWN Indicate if the Veteran is Catastrophically Disabled. This is a required field. The Veteran Has Enough Diagnoses/Procedures/C onditions To Qualify For CD Status Inconsistency results when the Review date is not a precise calendar date. Inconsistency results when the Data of Decision is not a precise calendar date.
METHOD OF DETERMINATION (.395)
CD
718
CD PERMANENT INDICATOR INVALID
NO KEY REQUIRED
DONT CHECK
NO
CD
CD STATUS DIAGNOSES (.396/.01) CD STATUS PROCEDURES (.397/.01) CD STATUS CONDITIONS (.398/.01) AFFECTED EXTREMITY (.397/1) SCORE (.398/1) PERMANENT INDICATOR (.398/2)
719
CD STATUS UNSPECIFIED
NO KEY REQUIRED
DONT CHECK
YES
CD
VETERAN CATASTROPHICALLY DISABLED? (.39)
720
CD ENOUGH TO QUALIFY
NO KEY REQUIRED
PT HAS ENOUGH DX/PROC/COND TO QUALIFY FOR CD STATUS CD REVIEW DATE MUST BE A PRECISE CALENDAR DATE CHECK
DONT CHECK
YES
CD
723
CD REVIEW DATE MUST BE PRECISE
NO KEY REQUIRED
DONT CHECK
YES
CD
CD STATUS DIAGNOSES (.396/.01) CD STATUS PROCEDURES (.397/.01) CD STATUS CONDITIONS (.398/.01) AFFECTED EXTREMITY (.397/1) SCORE (.398/1) REVIEW DATE (.394)
724
CD DECISION DT MUST BE PRECISE NO KEY REQUIRED
CD DECISION DATE MUST BE A PRECISE CALENDAR DATE
DONT CHECK
YES
CD
Number
Name
725
CD EXTREMITY REQUIRED
Text
726
CD SCORE REQUIRED
NO KEY REQUIRED
AFFECTED EXTREMITY IS REQUIRED FOR EACH PROCEDURE REC'D A VALID SCORE IS REQUIRED FOR EACH CONDITION CODE
Prevent Z07 YES
Description
VistA Screen CD
VistA Data Field(s)
An Affected Extremity is required for each procedure code received for a Catastrophically Disabled veteran A score is required for each condition code entered for catastrophically disabled determinations.
AFFECTED EXTREMITY (.397/1)
DONT CHECK
YES
CD
SCORE (.398/1)

VistA Consistency Checks 6-12

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VistA Consistency Checks 6-12

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Number

NAME FORMAT UNACCEPTABLE

Key Required (DG ELIGIBILITY) NO KEY REQUIRED

Check/ Dont Check DONT CHECK

VistA Data Field(s)

ALIAS FORMAT INCONSISTENT

NO KEY REQUIRED NO KEY REQUIRED NO KEY REQUIRED

DONT CHECK CHECK

MARITAL STATUS UNSPECIFIED

RELIGION UNSPECIFIED SSN UNSPECIFIED

NO KEY REQUIRED NO KEY REQUIRED

DATE OF BIRTH (.03)

MARITAL STATUS (.05)

RELIGIOUS PREFERENCE (.08)

SOCIAL SECURITY NUMBER (.09)

ADDRESS DATA INCOMPLETE

VETERAN STATUS UNSPECIFIED

'VETERAN' STATUS IS UNSPECIFIED

Inconsistency results if the 'VETERAN (Y/N)' prompt is not answered.

Key Required (DG ELIGIBILITY) ELIGIBILITY VERIFIED

Check/ Dont Check CHECK

VistA Data Field(s)

SC% UNSPECIFIED FOR SC VET

ELIG CODE UNSPECIFIED

INEL REASON UNSPECIFIED

KEY ALWAYS REQUIRED

DATE OF DEATH IN FUTURE

SERVICE CONNECTED? (.301)

SERVICE CONNECTED? (.301) VETERAN (Y/N)? (1901)

SERVICE CONNECTED? (.301) SERVICE CONNECTED PERCENTAGE (.302)

PERIOD OF SERVICE (.323)

PRIMARY ELIGIBILITY CODE (.361)

INELIGIBLE DATE (.152) INELIGIBLE REASON (.307)

DATE OF DEATH (.351)

EXPIRED, PENDING APPOINTMENTS

Key Required (DG ELIGIBILITY) NO KEY REQUIRED

EXPIRED PATIENT WITH PENDING APPOINTMENT(S)

Check/ Dont Check DONT CHECK

VistA Screen N/A

VistA Data Field(s)

ELIG/VET STATUS INCONSISTENT

'ELIGIBILITY CODE' INCONSISTENT WITH VETERAN STATUS

ELIG/NONVET STAT INCONSISTENT

ELIG CODE SHOULD BE 'DOM'

'ELIGIBILITY CODE' SHOULD BE 'DOMICILIARY' WHILE IN DOM

ELIG CODE INCONSISTENT

'ELIGIBILITY CODE' INCONSISTENT WITH OTHER FACTORS

VETERAN (Y/N)? (1901) PRIMARY ELIGIBILITY CODE (.361)

VETERAN (Y/N)? (1901) PRIMARY ELIGIBILITY CODE (.361)

SERVICE CONNECTED PERCENTAGE (.302) PRIMARY ELIGIBILITY CODE (.361)

VERIFIED, NO ELIG DATE

Key Required (DG ELIGIBILITY) ELIGIBILITY VERIFIED

POS/ELIG CODE INCONSISTENT

AO CLAIMED W/OUT VIETNAM POS

Check/ Dont Check CHECK

VistA Data Field(s)

VIET SVC CLAIMED, NONVET

'VIETNAM SERVICE' INDICATED FOR NON-VETERAN

RAD CLAIMED, NONVET

ELIGIBILITY STATUS (.3611) ELIGIBILITY STATUS DATE (.3612)

PRIMARY ELIGIBILITY CODE (.361) PERIOD OF SERVICE (.323)

A&A CLAIMED, NONVET

Key Required (DG ELIGIBILITY) MONEY VERIFIED

NON-VETERAN IN RECEIPT OF 'AID & ATTENDANCE' BENEFITS