G:\clinical\shared\clinical systems\documentation\clinical info dictionary.wpd

TBCR01A (Psych Involuntary)TBCR02A (Clozapine Edits)TBCR03A (Inactive Med Alrt)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) medical abnormalityCodes are:A = activeD = disabledleft blank if not applicable antipsychotic drug therapyCodes are:A = activeD = disabledleft blank if not applicable drug polypharmacyCodes are:A = activeD = disabledleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable benzodiazepine drug therapypresenceCodes are:A = activeD = disabledleft blank if not applicable carbamazepine drug beingdiscontinued at least 2 daysCodes are:A = activeD = disabledleft blank if not applicable condition medical abnormalityCodes are:A = activeD = disabledleft blank if not applicable testCodes are:A = activeD = disabledleft blank if not applicable qualified CGI (Clinical GlobalImpression) score.
Codes are:BASE = the base CGI scoreMTH = the monthly CGI scoreCHG = the change CGI scoreEPSB = the base EPS/Other sideeffects scoreEPSC = the change EPS/Other sideeffects score diagnoses for lymphoproliferativeCodes are:A = activeD = disabledleft blank if not applicable with the psychotropic involuntarymedication number involved with thepsychotropic involuntary medication of the courtCodes are:G = grantedD = deniedW = withdrawnP = pendingO = other (delayed start date/directedverdict) involuntary medications shown asCNYY-MM-DD involuntary medications shown asCNYY-MM-DD diagnosisCodes are:A = activeD = disabledleft blank if not applicable individual having a psych diagnosisCodes are:A = activeD = disabledleft blank if not applicable individual having a diagnosis ofschizophreniaCodes are:A = activeD = disabledleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable DMS number of the atypicalCodes are:924 = risperidone978 = olanzapineA15 = quetiapineA70 = ziprasidone level has been reachedCodes are:Y = yesN = noleft blank if not applicable level has been reachedCodes are:Y = yesN = noleft blank if not applicable prescribed atypical antipsychotic drugname psychotropic involuntary medicationsshown as CNYY-MM-DD test resultCodes are:A = activeD = disabledleft blank if not applicable TBCR01A (Psych Involuntary)TBCR02A (Clozapine Edits)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) TBCR01A (Psych Involuntary)TBCR02A (Clozapine Edits)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) medications order expires shown asCNYY-MM-DD TBCR02A (Clozapine Edits)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) tests, if set to ‘D’ will also skip NEACodes are:A = activeD = disabledleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable medical condition Codes are:Y = yesN = noleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable medical abnormalityCodes are:A = activeD = disabledleft blank if not applicable dosage level has been reachedCodes are:Y = yesN = noleft blank if not applicable CGI ratingIf BASE, MTH or CHG, Codes are:1 = not ill2 = very mild3 = mild4 = moderate5 = marked6 = severe7 = extremely ill If EPSB or EPSC, Codes are:1 = none2 = present, does not interfere withrecipients functioning3 = present, does interfere withrecipients functioning4 = outweighs therapeutic effect text if an information message isgenerated type of message generated duringdaily processing in the ClinicalSystems opthamalic exam resultCodes are:Y = yesN = no special notes pertaining to the courtcase special notes pertaining to the courtcase special notes pertaining to the courtcase opthamalic examsCodes are:A = activeD = disabledleft blank if not applicable dosage reachedCodes are:Y = yesN = noleft blank if not applicable Codes are:A = activeD = disabledleft blank if not applicable identifies a clinician within a facilitywho prescribed the atypicalantipsychotic medication Codes are:A = activeD = disabledleft blank if not applicable rechallenge numberCodes are:A = activeD = disabledleft blank if not applicable own CGI ratingIf BASE, MTH or CHG, Codes are:1 = not ill2 = very mild3 = mild4 = moderate5 = marked6 = severe7 = extremely ill If EPSB or EPSC, Codes are:1 = none2 = present, does not interfere withrecipients functioning3 = present, does interfere withrecipients functioning4 = outweighs therapeutic effect TBCR02A (Clozapine Edits)TBCR03A (Inactive Med Alrt)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) Codes are:A = activeD = disabledleft blank if not applicable 1 character to qualify the pharmacist’s CGI ratingIf BASE, MTH or CHG, Codes are:1 = not ill2 = very mild3 = mild4 = moderate5 = marked6 = severe7 = extremely ill If EPSB or EPSC, Codes are:1 = none2 = present, does not interfere withrecipients functioning3 = present, does interfere withrecipients functioning4 = outweighs therapeutic effect seizure warning messageCodes are:A = activeD = disabledleft blank if not applicable dosage statusCodes are:Y = yesN = noleft blank if not applicable handle multiple message rows withinthe table (unique key) information such as allergies,sensitivities that have been moved tohistory (archived) Codes are:Y = yesN = noleft blank if not applicable discontinuing of psychotropic drugmonitoring TBCR02A (Clozapine Edits)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) Codes are:A = activeD = disabledleft blank if not applicable trial stop statusCodes are:Y = on left blank if off qualified rating scores.
Codes are:BPRS for BPRS scoresDISC for DISCUSS scoresAXIS for Axis V scoresNOSI for NOSIE scoresHAMA for HAMA scoresHAMD for HAMD scoresPANS for PANS scores 4 characters for identifying the facility TBCR02A (Clozapine Edits)TBCR04A (Blood Pressure)TBCR05A (Atypical Edits)TBCR06A (Rating Scores)TBCR07A (CGI Scores) checking WBC lab tests, if set to ‘D’will also skip GRA and NEA Codes are:A = activeD = disabledleft blank if not applicable lab testsCodes are:A = activeD = disabledleft blank if not applicable

Source: http://clinical.dhs.state.il.us/Manuals/clin_info_dict.pdf