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IRISV3
OPERATING INSTRUCTIONS
DECEMBER 1997 THROUGH DECEMBER 2005*
*New Parts II, Section 7.4 (DECEMBER 2005), III (JUNE 1998),
IV (JUNE 1999), and V (DECEMBER 2005); &
Revised Part II, Sections 7.2, 7.3, and 7.5 (DECEMBER 2005)
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this information
collection is 0938-0456. The time required to complete this information collection is estimated to average 2 hours
per response, including the time to review instructions, search existing data resources, gather the data needed, and
complete and review the information collection. If you have comments concerning the accuracy of the time
estimate(s) or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA
Reports Clearance Officer, Baltimore, Maryland 21244-1850.
IRISV3 - OPERATING INSTRUCTIONS, TABLE OF CONTENTS
Part
I.
Section
Description of Changes/Modifications to March ‘96 Release, IRIS95
II.
Description of IRISV3
1-1
1.
Basic Concepts and Installation Procedures
1-1
1.1 Introductory Note to Personal Computer (PC) Users
1-1
1.2 Manual Notation and Data Entry Conventions
1-2
1.3 Running IRIS from a Hard Disk
1-4
1.4 Required Equipment
1-5
1.5 Additional Software Required to Run IRIS
1-6
1.6 Installation
1-7
1.7 Dealing with Errors
Page
i
1-10
2.
Database Files
2-1
3.
Running IRIS
3-1
3.1 General Operating Concepts
3-1
3.2 Running IRIS - the IRIS Main Menu
3-2
3.3 Reference Files and Maintenance Functions (Main Menu
option 5)
3-5
Managing Intern/Resident (I/R) Data from the Keyboard
4-1
4.1 The Intern/Resident Data Entry Screen
4-1
4.2 Selection Windows
4-2
4.3 Adding New Intern/Resident Master Records from the
Keyboard
4-3
4.4 Locating an Existing Master Intern/Resident Record
4-8
4.
4.5 Reviewing Resident Data
4-10
4.6 Changing Resident Data
4-11
4.7 Deleting Resident Data
4-13
IRISV3 - OPERATING INSTRUCTIONS, TABLE OF CONTENTS
Part
Section
4.8 Importing Resident Data from External Data Sources
Page
4-14
5.
Creating a Disk/CD that Satisfies CMS Reporting Requirements
5-1
6.
Reviewing the Data that have been Entered
6-1
7.
Attachments
7-1
7.1 Installation of IRISV3 with IRIS95
7-2
7.2 Medical School Code Table
7-10
7.3 Residency Code Table (Numeric Sequence)
7-17
7.4 Residency Code Table (Alphabetic Sequence)
7-26
7.5 Help Screens
7-35
III.
Description of Changes/Modifications to June ‘98 Release, IRISV3
8-1
IV.
Description of Changes/Modifications to June ‘99 Release, IRISV3
8-2
V.
December 2005 Updates to June ’99 Release, IRISV3
8-3
IRISV3
Page i
December 23, 1997
IRISV3 - OPERATING INSTRUCTIONS
I.
Description of Changes/Modifications to March ‘96 Release, IRIS95
December ‘97 Release, IRISV3 (Version 3, IRIS)
•
Graduation dates and foreign graduate certification are now entered as complete dates rather
than as months and years.
•
All dates are year 2000 enabled.
•
The program has been modified to permit:
-
up to 60 rotations per physician per fiscal year;
-
one day rotations;
-
entering a graduation date within the reporting fiscal year, as long as it precedes all
rotations recorded for that physician -- rotations will be permitted to begin on or after the
physician’s graduation date;
-
for foreign medical graduates, entering a certification date within the reporting fiscal year,
as long as it precedes all rotations recorded for that physician, and occurs on or after the
graduation date -- rotations will be permitted to begin on or after the certification date; and
-
hyphens in physician name fields.
•
An non-fatal warning edit has been added to alert providers when an IME% that exceeds the
GME% for a rotation has been entered.
•
Two new fields have been added to the assignment (rotation) records. One indicates which
year of residency the current rotation attaches to. The second indicates the current residency
code during the rotation. (NOTE: the original residency code, on which the number of years of
the physician’s eligibility is based, and the number of years completed as of July 1 or the
reporting FY remain fields in the physician’s master record.)
•
The Employer field in the master record will be retained as it is, and it has an accessible Help
screen. The contents are not edited by IRIS, and providers have used this field for employer
identification.
IRISV3
Page ii
December 23, 1997
•
The Foreign Graduate question and the FOREIGN field in the physician’s master record have
been eliminated. Instead, the value will be inferred from the medical school code. The foreign
graduate’s certification date will be requested whenever medical school code “99999” is used.
•
Medical school code “99998” has been added to cover all foreign dental schools and other
updates to the table of medical school codes have been made.
•
A tenth (prefix) character has been added to the social security number field to distinguish
between American and Canadian identifying numbers. The prefix will default to “U” for
United States graduates, but will be able to be overridden to “C” for Canadians.
•
The table of residency codes has been updated.
•
Help screens have been added to cover all new fields and existing help screens were modified
to include any new text submitted by the Instructions Subgroup.
•
A utility program is included with the new IRIS program that:
-
updates data structures;
-
converts graduation and certification dates to their new formats;
-
back-fills the new fields in records entered before the new version of IRIS was received by
the provider; and
-
adds the tenth character to the social security number in those records.
Note that the new assignment record fields match current residency year and specialty code data with
specific rotations, while the residency year charged for the current fiscal reporting year and the base
residency code of the physician are stored in the physician’s master record for the fiscal year.
Hospitals may, if they wish, go back and edit records already in the system to add the new data. If
they prefer not to do that, they can use this utility program to fill the new fields in the assignment
records with the same values that appear in the master records. Individual records can still be edited
after the utility program is run.
IRISV3
Page 1-1
December 19, 2005
IRISV3 - OPERATING INSTRUCTIONS
II.
Description of IRISV3
1.
Basic Concepts and Installation Procedures
1.1
Introductory Note to Personal Computer (PC) Users
IRISV3 (Version 3.1) was designed for easy operation, and the operating instructions (manual) were
designed for easy utilization. If you encounter problems in loading or operating the IRISV3 system,
please double check the operating instructions to insure proper use. If you need further assistance,
send an e-mail to: iris@cms.hhs.gov.
IRISV3
1.2
Page 1-2
December 23, 1997
Manual Notation and Data Entry Conventions
The following notational rules are adhered to throughout this manual:
(a)
Any text included in quotation marks, such as “literal text” should be entered, literally, from
the keyboard.
(b)
All DOS commands (section 1.6) are printed in BOLD, CAPITAL LETTERS.
(c)
Bold words or abbreviations in angle brackets, such as refer to keys on the computer
keyboard that should be pressed. , , , and
refer to the directional arrow keys.
When entering data in IRIS, the following conventions apply:
(a)
The key should be on at all times.
(b)
The key may be either on or off, as the user wishes, but be aware of its setting
before you begin. toggles the numeric keypad section of your keyboard between
its numeric and directional functions.
(c)
Whenever IRIS displays a menu screen with numbered options or directs the user to press one
key or another, only a single key should be pressed in response. Do not press when a
single key response is called for. You can always recognize when a single key is appropriate,
because there will be no highlighted area on the screen in which to enter data. For example,
IRIS frequently prompts the user with “yes/no” questions, indicating that either a “Y” or an
“N” is expected in response. Simply press or without pressing .
(d)
Whenever data are entered in a highlighted area, must be pressed after the data are
complete. The key causes the cursor to leave the highlighted area and tells the
program that the response is completed.
(e)
When highlighted fields appear in a group, all responses in the group are stored simultaneously,
when is pressed in the last field. Until the last field is completed, you can move
backward and forward among fields with the and keys, and
type over or change responses.
(f)
When highlighted fields appear in groups, you can often shorten the time required for data
entry by using the key. Pressing after entering data in a single highlighted
area generally has the same effect as pressing (see item (j) below for an exception to
this rule). Pressing after entering data into any field within a group of highlighted
fields has the effect of pressing in that field and all the remaining fields in the group.
Dates MUST be entered as eight digit numbers, including all leading zeroes. For example,
January 5, 1993 is entered as 01/05/1993. All highlighted date fields are ten characters long
(g)
IRISV3
Page 1-3
June 11, 1999
with embedded slashes, as in: “mm/dd/yyyy”. The slashes are formatting marks; when you
enter a date, the cursor skips over them as though they were not there.
(h)
IRIS utilizes “smart” data entry. The program always knows what a valid response is, and it
will not let you exit from a highlighted area until what is entered passes its internal validity
tests. If the cursor appears to hang up in a highlighted entry field, check what you typed. Note
that while the program can prevent you from entering invalid data, it cannot prevent you from
entering incorrect data.
(i)
Many highlighted data entry fields are preset with default values, which anticipate the most
likely response the user will make. Default values can always be overridden. The user should
always view default values as suggestions by the program. To accept a default value, press
. To change it, type something else over it and press . To accept a whole
group of default values, press .
(j)
Notes on numeric entry fields:
I. Definition - a numeric entry field contains only numeric characters, a decimal point, and
possibly, a “+” or “-” sign, and yields a number that has algebraic significance; do not confuse
numeric fields with character strings that contain only numeric characters, such as residency
specialty codes.
ii. A numeric entry field with a default value of zero appears blank. If you enter a 0 (zero) in a
numeric field that is part of a group of highlighted fields (or accept a zero default) it will
remain blank until all fields in the group have been completed. After the fields have been
completed, zero values will be displayed as “0”s.
iii. Be especially careful when entering data in a numeric field that already contains a value.
Be sure to retype the entire number and complete the entry with , rather than
or an arrow key. For example, if you want to replace the number 501 in a highlighted field
with 502, DO NOT simply move the cursor over the “1” and type “2” and then . That
will leave the number 2 in the field.
IRISV3
1.3
Page 1-4
December 23, 1997
Running IRIS from a Hard Disk
IRIS must be executed from your computer's hard disk. To begin, therefore, you must copy the files
on the IRISV3 installation diskette to your hard disk. These instructions assume that your diskette/CD
drive is drive A and that you will install IRIS on drive C. If your drive letters are different simply
substitute the letters that apply to your installation. For example, if your diskette/CD drive is B,
substitute “B:” for “A:” in the following paragraphs; if the hard disk you intend to use is drive E,
substitute “E:” for “C:” everywhere except section 1.6(c).
Before you begin installation, make sure there is at least 10 megabytes of open space on your hard
drive that can be dedicated to IRIS. Note: 10 megabytes should be adequate for most situations, but
larger hospitals or those that wish to retain IRIS databases for prior fiscal years may require more
space to accommodate on-line data and archived files.
IRISV3
1.4
Page 1-5
December 19, 2005
Required Equipment
This section describes the computer hardware needed to run IRIS. IRIS will run on any modern 100%
IBM compatible PC equipped with:
-
[REQUIRED] a 3.5 inch disk drive or CD-R/RW drive;
-
[REQUIRED] the following random access memory (RAM) and hard disk space
requirements (one of the following combinations must exist):
At least 8 megabytes of RAM and at least 10 megabytes of dedicated hard disk space.
This is the recommended configuration. It will work far more efficiently and will avoid
reading and writing temporary files from the hard disk; or
At least 6 megabytes of RAM and at least 22 megabytes of dedicated hard disk space.
This configuration will work, but is not recommended. It should be used only if the user
does not have sufficient resources to install additional RAM;
-
[REQUIRED] a PC compatible printer that can print at twelve characters per inch and
simulate one of the following standard print modes:
EPSON FX, IBM Proprinter, HP Laserjet, HP Laserjet II;
-
[REQUIRED] a color monitor with graphics capability;
-
[HIGHLY RECOMMENDED] an uninterruptible power supply to the PC for protection
against unexpected power failures.
WARNING: IRIS is a single user program. In some cases it can be run from a network file
server, but should not be used in a multi-user environment (that is, with more than one user
entering or changing data at the same time).
IRISV3
1.5
Page 1-6
December 19, 2005
Additional Software Required to Run IRIS
-
[REQUIRED] MS-DOS, Version 5 or higher supplied with the Windows 9x (95, 98, and
ME) family of operating systems, or the MS-DOS Virtual Machine supplied with the
Windows NT (NT, 2000 and XP) family of operating systems (see note below on
Windows operating systems);
-
[RECOMMENDED] If you have access to:
dBASE IV or higher (preferred), or any database program whose data file format is
compatible with dBASE III PLUS (ACCESS, FOXBASE, PARADOX, and others); or
any spreadsheet program that can import dBASE data.
These programs will enable you to access and use your IRIS diskette/CD files
(“M3xxxxxx.dbf” and “A3xxxxxx.dbf” where xxxxxx is the provider’s six-digit
Medicare identification number) without using the IRISV3 program as an interface.
NOTE: IRISV3, an MS-DOS based application, will run under various Windows operating systems.
However, you may experience difficulties running this program in certain installations of the Windows
NT family of operating systems.
Discussions of running MS-DOS programs under the Windows NT family of operating systems can be
found at the following two Microsoft Web pages: http://support.microsoft.com/kb/q196453/ and
http://support.microsoft.com/kb/314106/EN-US/. Note that much of the information contained on
those two pages also applies to earlier versions of this family of operating systems.
In addition, we have found that a certain user rights issue sometimes prevents some DOS programs
from running under XP. It is not sufficient to give the Authenticated Users group full control of the
folder in which the program and data files are located. Instead the local user account
(Users(Computer Name\Users)) must be given full control rights to this folder.
In any case it is recommended that you consult with your organization’s technical support staff to help
resolve any DOS/Windows incompatibility issues that may arise.
IRISV3
1.6
Page 1-7
December 19, 2005
Installation
Read the instructions* below thoroughly before you begin installation:
(a)
To begin installation, boot or start your computer, wait for the “C:\>” prompt, and create a
directory named IRISV3 on your C Drive to house the revised IRIS program. If your system
boots into a menu program, you will have to “Exit to DOS” before proceeding.
If your prompt does not look like “C:\>”, type the command:
PROMPT $P$G .
At the C:\> prompt, create a directory called IRISV3. Type the commands:
CD\
MD IRISV3
CD IRISV3
Your prompt should now be “C:\IRISV3>”.
(b)
Insert the New IRISV3 diskette/CD in drive A and type the commands:
A:NUSRINST
A:DB5LIB
(c)
Checking your DOS Configuration. Before you can run IRIS, you must check to see that DOS
is properly configured for database systems. To do this read and execute the following
instructions carefully. This step must be performed on drive C, regardless of the drive letter on
which the program was installed.
(1) First, go to the root directory of your hard drive, and determine whether a file named
CONFIG.SYS is present. Issue the commands:
C:
CD\
TYPE CONFIG.SYS
If CONFIG.SYS already exists, the last command will list its contents on the screen. If not, it
will display the message “File not found”.
*- Use the December 2005 installation instructions in the “Read Me First File” instead; this
file (“Read Me IRISV3”) is in the CMS web site for IRIS programs.
IRISV3
Page 1-8
December 23, 1997
(2) If CONFIG.SYS already exists, it is essential that it contain two important lines. One
begins with the word “FILES” and the other begins with the word “BUFFERS”. If both exist,
and both lines contain numbers greater than 25, you may proceed to step (e). If any of these
conditions is not met, enter the command:
COPY CONFIG.SYS+CON CONFIG.SYS
and skip to (4).
(3) If CONFIG.SYS does not exist, enter the command:
COPY CON CONFIG.SYS
(4) Whether you got to this step from (2) or (3), continue by entering the following:
FILES=26
BUFFERS=26
(Note - means: press while holding down the key.)
(5) Reboot or restart your computer to activate the changes you just made.
(d)
The program is now installed and ready to use. Always move to the IRISV3 directory before
executing the program. To start IRIS from the C:\> prompt type:
CD IRISV3
IRISV3 .
(e)
Program Initialization. The following steps must be performed the first time you run IRIS. Do
not attempt to execute any other IRIS functions until this step is complete. Before proceeding,
make sure the key is “On”.
Start IRIS as in 1.6(d), above:
C: (if you are not already at the C prompt)
CD IRISV3
IRISV3
Select “Reference Files/Data Management” from the main menu by pressing <5> and run each
of the first four procedures in the next menu that appears. The Reference Files menu reappears
after each procedure is completed. (The Reference Files menu is discussed in detail in section
3.3):
IRISV3
Page 1-9
December 23, 1997
-
first, select “Rebuild Data Indexes” by pressing <3>. This causes IRIS to create “index
files” which enable the program to search and display data in various orders that are
required by the different program functions (section 3.3.3);
-
second, select “Generate Data Help Windows” by pressing <4>. This causes IRIS to
create the text screens that are used when the help key is pressed during program
execution (section 3.3.4);
-
third, select “Set up Administrative Data” by pressing <1>; this tells IRIS that you are
entering (at a minimum) the requested information about the provider and the fiscal
reporting period (section 3.3.1);
-
fourth, select “Employer Names” by pressing <2> and enter the list of employer names
for the resident data selection list. If you have followed the previous steps in order, the
employer names list will initially contain only the provider name that was entered in the
previous step (section 3.3.2).
IRISV3
1.7
Page 1-10
December 23, 1997
Dealing with Errors
You may occasionally encounter some unexpected condition or situation while you are using IRIS.
These can occur for any number of reasons. Unfortunately, although they can be annoying and
disruptive, they are often beyond our control. Any of the following may occur:
-
If you think you have encountered a bug please contact us immediately. If you receive a
message indicating that you have run out of memory, make sure there is nothing else
running in the background (menu systems, netware, mouse drivers, etc.,) and, if you are
running DOS 5 or higher, make sure it is loaded in upper memory, and then try to run
IRIS again. If you still need help call us.
-
We have observed during tests of IRIS that the computer running it sometimes locks up
or spontaneously reboots itself for no obvious reason and with no discernible pattern.
Failures like this occur infrequently and are more likely on some kinds of computers than
others. If this should occur simply restart the system.
-
We have traced the problem to a compiler flaw involving improper memory
management. We have developed a version of the IRIS software that will run on the PC
configuration described in section 1.4. This version uses the dBASE V compiler which
corrected the problem, but requires more computer resources.
-
Sometimes you wind up in the wrong place, or make a mistake, and simply want to stop
what you're doing and start again. We have programmed IRIS so that in most cases,
when you press the procedure you are running will terminate and you will return
to the IRIS main menu.
-
If you think you have “lost” data or “found” missing, garbled or out of order data, don’t
panic!!! Simply select the “Reference Files/Data Management” function in Option 5 of
the IRIS Main Menu, and then execute the “Rebuild Data Indexes” function in Option 3
of the IRIS REFERENCE DATA MANAGEMENT screen (see section 3.3.3 for the
importance of this procedure). Press to exit the screen and resume operations. Be
sure to implement this procedure often and on a regular basis (especially before exiting
the IRIS Main Menu) to avoid repeating this situation.
-
When printing IRIS reports the data may look “bunched” together. If this is the case, it
may be necessary to change the font on your printer to one that has a pitch of 12 or
higher and a point size of 12 or lower. These options are accessed from your printer’s
Font menu. If you are not sure which font to use, you can print a list of your printer’s
available fonts along with their pitch and point sizes. This function can be selected from
your printer’s Font or Test menu.
2. Database Files
IRISV3
Page 2-2
December 23, 1997
IRIS data are kept in database files that are compatible with all standard database software, including
dBASE III PLUS. All database files are named with the extension “DBF”. Database files fall into
three categories:
-
reference files;
-
files of active data related to resident assignments;
-
archives, or data files from previous fiscal reporting periods that have been retired.
IRIS contains three Reference Databases:
RESTYPE.DBF contains a table of residency specialty codes and descriptions. Descriptions
appear in two columns, primary and secondary. This file is maintained by Centers for
Medicare & Medicaid Services (CMS), and cannot be modified by users. It is used in
display windows, from which the user can select the code that applies to a particular
intern or resident.
MEDSCHL.DBF contains a table of medical school codes, names, and locations. This file is
maintained by CMS, and cannot be modified by users. It is used in display windows,
from which the user can select the code that corresponds to the medical school from
which a particular intern or resident graduated.
EMPNAMES.DBF contains a table of employer names. This file is initially empty, and is
filled and maintained by the user. It is used in display windows, from which the user can
select a particular intern or resident's employer of record during the fiscal year for which
data are being reported.
IRIS maintains two Resident Information Databases, using a master/detail structure. The IRIS master
file consists of one record for each resident in each reporting year, while the detail file contains
information on each rotational assignment:
IRISMAST.DBF is the IRIS master file. Each master file record identifies one intern or
resident, by both social security number and name, and an IRIS fiscal reporting period.
Each record also specifies the area of specialization and residency year, medical school
graduated from, foreign graduate certification, if appropriate, and current employer. To
enable the records created by each hospital to be merged into a national database, master
records also include the provider number of the hospital that is creating the database.
If you purge your IRISMAST.DBF data each year (section 3.3.5), the master file will
contain one record for each resident. If data from previous reporting periods are retained
in the active database, IRISMAST.DBF will include one record for each resident for
every reporting year in which he or she was reported by the provider.
IRISV3
Page 2-3
December 23, 1997
IRISASGN.DBF contains one record for each rotational assignment reported. There must be
at least one assignment record associated with each master record, and IRIS has the
capacity to create up to 60 different assignment records for each resident in each
reporting period.
IRISV3
Page 3-1
December 19, 2005
3. Running IRIS
3.1
General Operating Concepts
The purpose of the IRIS program is to capture information required by 42 CFR 413.75 and 42 CFR
412.105 about interns and residents in approved programs who work at hospitals that participate in the
Medicare program. This information is needed to determine Medicare payments for indirect medical
education and direct graduate medical education. The required information is stored, by hospitals'
Medicare cost reporting periods, in two databases, IRISMAST.DBF and IRISASGN.DBF.
At the end of each reporting period, the databases for that period are transmitted to CMS on 3.5 inch
disks or CDs (8cm or 12cm). (The hospital may either purge its databases at the end of each reporting
period or retain data from successive reporting periods on line in IRISMAST.DBF and
IRISASGN.DBF.)
Every IRIS disk/CD submitted to CMS is subjected to the same edit criteria and any disk/CD that does
not pass 100% of the edits will be returned to the provider. The IRIS program contains all of the edits
applied by CMS. Thus, any disk/CD produced by IRIS using the recommended procedures below
should be error free.
To run IRIS you must first perform the following steps:
-
select one PC, equipped with a hard disk, to be the designated IRIS computer;
-
load the program files onto the designated PC's hard disk as described in sections 1.6(a)
thru 1.6(d);
-
execute the data initialization steps described in section 1.6(e);
-
Enter the intern/resident data. Data can be entered one record at a time, from the
keyboard, or it can be imported from another data file that is prepared in advance or
downloaded from another computer system (see section 4.8);
-
Update index files as described in section 3.3.3;
-
Create the CMS report disk/CD -- this procedure must be performed from the hard disk
of the designated PC.
If data are entered from the keyboard, CMS strongly recommends that data entry be done on the
designated PC.
IRISV3
3.2
Page 3-2
December 23, 1997
Running IRIS - the IRIS Main Menu
To run IRIS from the C:\> prompt, move to your IRISV3 directory and type IRISV3 as
described in section 1.6(d). IRIS begins by displaying the IRIS Main Menu:
╔════════════════════════════════════════╗
║ INTERN AND RESIDENT INFORMATION SYSTEM ║
║
Version 3
December, 1997
║
║───────────────────┬────────────────────║
║ Data Management │
║
╟───────────────────┘
║
║
║ <1> ADD New Intern/Resident Data
║ <2> BROWSE Intern/Resident Data
║
║ <3> CHANGE Intern/Resident Data
║
║ <4> DELETE Intern/Resident Data
║
║ <5> Reference Files/Data Management
║
║
║
╟───────────┬────────────────────────────╢
║ Reports: │
║
╟───────────┘
║
║
║ <6> Data Summaries by Provider FY
║ <7> Create HCFA Report Data Disk
║
╟────────────────────────────────────────╢
║ Exit
║
╚════════════════════════════════════════╝
The DELETE Function removes all
data associated with a specified
resident for one selected Type
and Year of Residency.
To delete Assignment(s) but leave
all other data for a resident
unchanged for that Type and Year
of Residency, use the CHANGE
Function.
▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄
FY: 1-Jul-1993 to 30-Jun-1994
Provider: 130099
To Change the Provider Number
FY Start Date, or FY End Date,
Select Menu Option <5>.
SELECT OPTION FROM LIST
(Press option number or “X”)
{Press for Help}
The Main Menu lists the seven principal program modules that comprise IRIS. To run one, just type
its number without the key.
Option 1 creates new IRIS master records. The user can create new records, one at a time, by typing
data directly from the keyboard (section 4.1) or by importing data from other files (section 4.8). A
new master record may either add a new resident to the database, or add a new record for the current
reporting period for a resident who is already in the database from a prior period.
When a new master record is created from the keyboard it must be accompanied by at least one
assignment record. When data are imported from another source (section 4.8), the IRIS edits will
reject any master record that does not have at least one assignment record associated with it.
Option 2 displays information from existing master records and assignment records. Use option 2 to
review data when no changes to the data are intended.
IRISV3
Page 3-3
December 23, 1997
Option 3 displays information from existing master records and assignment records and permits the
user to change the data. Use option 3 to:
-
change data in a master record;
-
change data in an assignment record;
-
delete one or more assignment records, while leaving the associated master record and
at least one of its assignment records intact;
-
add one or more assignment records to an existing master record.
Option 4 deletes master records and all of their associated assignment records. Use option 4 only
when you want to remove all data associated with a particular master record.
Option 5 performs a number of IRIS' data management functions:
-
setting up and maintaining IRIS' global variables, that is, data used throughout the
various program functions;
-
adding, changing, and deleting entries in the “Employer Names” file;
-
rebuilding IRIS' index files;
-
generating the text windows required for operation of the help key;
-
archiving and/or purging data from prior reporting periods.
Option 6 generates summary reports of the data that have been entered so the user can always
maintain an up to date hardcopy record of the data.
Option 7 creates the data disk/CD that will be sent to CMS.
IRIS contains a help function that is accessed by pressing . Pressing interrupts program
operation and displays instructional and explanatory text in a “help window”. Examine the
information for as long as you wish and then press to close the window and resume
processing. The screen will reappear exactly as it was when was pressed. Note that one of the
installation procedures discussed in section 1.6 was the creation of the help text screens. Help text is
stored in screen files (with extension “SCN”) which may become lost or damaged. Any time a help
window has missing or damaged text, regenerate the screen files by selecting option 5 from the IRIS
Main Menu.
IRISV3
Page 3-4
December 23, 1997
You will spend most of your time in options 1 through 4. In all manual data operations, every data
entry field is accompanied by simple English instructions on the screen, and almost every function
has an additional help screen that can be accessed by pressing at any time.
However, before entering IRIS data for the first time you should run each of the procedures contained
in Option 5. The functions contained in option 5 have a global impact on the way the rest of IRIS
functions. Thus, Option 5 is discussed next, in section 3.3.
Each time IRIS is executed, it remembers the provider ID and the fiscal reporting period that were
used in the previous run. Every IRIS resident master record contains the provider ID, the fiscal
period start date, and the resident's social security number. Thus, it is possible for records in one
database to refer to more than one reporting period and/or provider ID.
This permits the following IRIS scenarios to occur:
-
IRIS data can be purged after each report to CMS, so that only current period
information is in the databases at any particular time;
-
data from more than one reporting period can reside in the database without fear of
confusing data from different periods;
-
if a provider's ID number should change at any time, records with the old and the new
ID can reside in the database at the same time, and the program has the ability to update
the provider ID in records that have already been stored with the old ID.
IRISV3
3.3
Page 3-5
December 23, 1997
Reference Files and Maintenance Functions (Main Menu option 5)
Selecting “Reference Files/Data Management” from the IRIS Main Menu causes a secondary menu
screen to appear:
╔════════════════════════════════════════╗
║
IRIS REFERENCE DATA MANAGEMENT
║
╟────────────────────────────────────────╢
║
║ <1> Set up Administrative Data
║
║
║
║ <2> Employer Names
║
║
║
║ <3> Rebuild Data Indexes
║
║
║
║ <4> Generate Data Help Windows
║
║
║
║ <5> Archive/Purge Old Data
║
║
║ <6> Add HCFA Approved Residency Codes ║
╟────────────────────────────────────────╢
║
║ Exit
╚════════════════════════════════════════╝
SELECT OPTION FROM LIST ======>
3.3.1 - The phrase “Administrative Data” refers to a number of program variables, that some software
packages refer to as settings or global parameters. Each of these variables has a pervasive effect on
some aspect of IRIS' operation. Run this procedure to assign values to these variables during
initialization, and whenever any of the values changes.
The first group of variables are the provider name and identification number and the start and end
dates of the fiscal reporting period. When you receive IRIS, these variables are blank, and they must
be assigned values before any IRIS data are entered or imported. Data entry is reasonably
straightforward, and the combination of screen prompts and the available help windows should
answer any questions that arise.
After entering the provider and fiscal year information for the first time, you will enter this function
infrequently, only when the need arises. Under normal circumstances, this will be when:
-
a new fiscal reporting period begins;
IRISV3
Page 3-6
December 23, 1997
-
the provider is assigned a new Medicare ID number, or its corporate name is legally
changed for some reason;
-
the user realizes that one or more of the items previously entered was wrong.
IRIS assumes that a provider can have only one valid provider number during any fiscal reporting
period.
Data entry notes:
-
Provider numbers can include only the characters 0, 1, . . ., 9;
-
Provider names are unedited. However, take care to avoid misspellings, abbreviations,
and acronyms, and if the provider name is also to be used as an employer name, make
sure they are entered identically. (IRIS always assumes that this is the case, so
whenever you enter or change the provider name, the employer name list will
automatically be modified as well);
-
Whenever the fiscal year start date changes, IRIS assumes that the default fiscal year
end date is exactly one year minus one day later, and offer that date as a default value.
When you change either the provider number or the fiscal year dates, IRIS doesn't know why the
change was made unless you tell it. Therefore, if you change either the provider number or the fiscal
reporting period, IRIS will ask whether it/they should be changed in all previously saved records for
the same period.
The next two global variables tell IRIS how to display residency specialties and medical schools
when the user requests a selection window. The user can select the ordering schemes for the display
to suit his or her own preference. The selection does not affect the contents of the displays, only the
order.
The last global variable identifies your printer to IRIS. Printers are normally described by “drivers”
which are groups of character strings used to send commands to printers in the specific code that each
printer understands. Printers are normally addressed by their driver code name, which, in IRIS, is an
eight character (or less) string. If you know the driver code name for your printer, enter it when IRIS
prompts for it. If not, enter a blank driver code and IRIS will display a list of printers from which
you can select one.
Note: report functions are generally programmed to print at 12 characters per inch. For most printers
this is not a problem, but some printers either cannot print in 12 pitch or cannot be set to 12 pitch by
means of characters transmitted from software programs. The most notable example is several older
HP Laserjet models, which cannot print at 12 characters per inch without an additional font cartridge.
IRISV3
Page 3-7
December 23, 1997
From IRIS' perspective both situations have the same symptom - a blank 12 pitch driver. Whenever
IRIS detects this condition, it offers the user a choice between setting the pitch manually from the
printer console or printing reports that would normally be in 12 pitch in compressed type (17
characters per inch). This assures that every situation is accommodated.
3.3.2 - The “Employer Names” function builds and maintains the table of employer names that IRIS
uses as a selection list during data entry for resident information. Some items to note:
-
when you install IRIS, both the table of employer names and the provider number are
blank. When you enter the provider number in the administrative data screen (section
3.3.1) that same name is added to the employer name screen automatically;
-
if an employer name is not on this list it cannot be selected in the main IRIS data entry
screen. Employer names cannot be typed from the keyboard while resident data are
being entered.
3.3.3 - The “Rebuild Data Indexes” function provides some insurance for the most vulnerable part of
IRIS. To run it, just press <3> from the Reference Data menu, and the program runs itself.
Index files enable IRIS to view the various databases in whatever order is most convenient or useful
at any particular moment. For example, your ability to search for resident records based on social
security number, name, residency code, or medical school depends on IRIS' ability to reorder the
IRIS master records quickly and efficiently.
Index files make this possible by telling IRIS in what order to display or search records based on the
order criteria selected. But index files must be updated whenever records are added or deleted, and
often, when they are changed. As a result, index files are subject to momentary power interruptions
that might otherwise pass unnoticed. Whenever an index file appears to be damaged, simply execute
this function. It works every time.
This leaves only the question: “How do I know when an index file has been damaged?” Actually, the
symptoms are fairly easy to recognize. The more obvious indications are explicit error messages
such as “Record out of range” or “No such record in index” or “Error opening file” followed by a file
name that ends in “MDX”. More subtle are occasions when a display list simply looks wrong -items missing, garbled, or out of order; or, you may attempt to browse or edit a record that you know
has been saved and IRIS cannot find it. If any of these symptoms arise there is an excellent chance
that rebuilding the index files will fix the problem.
3.3.4 - The “Generate Data Help Windows” function creates all of the text screens that appear when
the help key is pressed. To run it, just press <4> from the Reference Data menu, and the
program runs itself.
You must execute this procedure the first time you run IRIS because the IRIS installation diskette
does not include the text screens. Should any of the text windows become damaged or lost, simply
run this procedure again.
IRISV3
Page 3-8
December 23, 1997
3.3.5 - Use the “Archive/Purge Old Data” function to remove data from a previous fiscal reporting
period from the IRIS databases. Your files will continue to grow larger as you add data unless you
run this procedure.
Each user must decide whether to retain data in the active IRIS databases from prior reporting
periods. The only limit on the number of periods that can be retained is the space available on the
hard disk.
The name “archive/purge” reflect the two functions performed by this procedure. The word “purge”
refers to removing old records from the databases IRISMAST.DBF and IRISASGN.DBF. The
word “archive” refers to simultaneously copying those records onto diskettes/CDs for safe keeping.
Note that any archived records can be accessed by any dBASE III PLUS compatible database
program, and can be remerged into the IRIS databases using the data import function described in
section 4.8.
3.3.6 - Several “dummy” codes have been included in the residency code table to provide for possible
addition of codes in the future. Codes may only be added with the prior approval of CMS. If you
add a code to the residency code table in your individual copy of IRIS without CMS' expressed
approval, all records that contain the new codes will be rejected when your files reach your fiscal
intermediary, because until CMS approves the changes, the new codes will not exist in the validation
files.
Once you have CMS’ approval, actually adding the codes is a simple matter of running option 6 from
the Data Management menu. You'll be greeted by a warning similar to the one in the previous
paragraph, after which, a self explanatory data entry screen will appear. Simply type your new
primary and secondary descriptions and save your new data.
IRISV3
Page 4-1
December 23, 1997
4. Managing Intern/Resident (I/R) Data from the Keyboard
The first four items in the IRIS Main Menu are used to add, review, modify, and remove records
from the I/R data files, IRISMAST.DBF and IRISASGN.DBF (refer to the general discussion in
section 3.1). Whenever data entry is done from the keyboard it uses the same, specially formatted
entry screen.
4.1
The Intern/Resident Data Entry Screen
The data entry screen illustrated below is used to create new I/R records from the keyboard and to
review, change, and delete these records. The top half of the screen records information for the
master record, and the bottom half, labeled “RESIDENCY ASSIGNMENTS”, captures data for up to
60 rotational assignments for each master record.
──────────────────────────────────────────────────────────────────────────────────
░░Provider:
░░░ INTERN/RESIDENT INFORMATION SYSTEM ░░░FY
/ / - / / ░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
SSN: U- ░░░Name (First M Last):
░░░
Employer:
░░░░░░░░░░░░░░░░░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
Residency Data - Year: ░░░░░░Type Code:
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
Desc:
,
░░░░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
Medical School:
░░░░Graduated:
/ /
░░░Foreign Student Cert:
/ /
░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░mm/dd/yyyy░░░░░░░░░░░░░░░░░░░░░░░░░░mm/dd/yyyy░
╔════╤══════════╤══════════╤═RESIDENCY ASSIGNMENTS═══════╤═════════╤═════════╗
║ROTN│START DATE│ END DATE│ F/P PERC│ IME PERC│ GME PERC│ RES YEAR│PROG CODE║
╟────┼──────────┼──────────┼─────────┼─────────┼─────────┼─────────┼─────────╢
║ 1 │ /
/
│ /
/
│
.
│
.
│
.
│
│
║
║ 2 │
│
│
│
│
│
│
║
║ 3 │
│
│
│
│
│
│
║
║ 4 │
│
│
│
│
│
│
║
║ 5 │
│
│
│
│
│
│
║
║ 6 │
│
│
│
│
│
│
║
║ 7 │
│
│
│
│
│
│
║
║ 8 │
│
│
│
│
│
│
║
║ 9 │
│
│
│
│
│
│
║
║ 10 │
│
│
│
│
│
│
║
╚════╧══════════╧══════════╧═════════╧═════════╧═════════╧═════════╧═════════╝
──────────────────────────────────────────────────────────────────────────────────
IRISV3
4.2
Page 4-2
December 23, 1997
Selection Windows
To reduce keystrokes and prevent errors, IRIS makes use of selection windows during data entry
whenever it needs a classification from a list. Selection windows are used for employer names,
residents' areas of specialization, medical schools, and for selecting master records that are to be
reviewed, changed, or deleted.
All selection windows work the same way. The bottom line of the window is reserved for
instructions, and a help screen can be accessed by pressing whenever a selection window is
visible. A few simple rules apply to selection windows:
(1)
Data in selection windows are listed in some predefined order. Employer names are always
alphabetical; specialty code order can be numerical, by code, or alphabetical, by description;
and medical school order can be numerical, by school code, or alphabetical, by name or
state/province. The user specifies the list order for specialties and medical schools (section
3.3.1).
(2)
When a list is too long to fit in a window, it appears in “scrolling” mode. The specialty code
and medical school windows always appear this way, and the employer names window may,
depending on how many names the user defines (section 3.3.2). Since an item must be
visible to be selected, you must scroll the list in the window until you can see the item you
want.
There are two ways to scroll the contents of a window:
-
press to replace the current contents of a window with the next screenful of
records.
-
press a single letter or number key to display a windowfull of data starting with the
first item whose key value begins with the character you press. For example, pressing
<2> while scrolling specialty codes in code order moves the first 2000 series code to
the top of the window. Pressing while scrolling medical schools in state order
moves the first Massachusetts (MA) medical school to the top of the window.
(3)
Whenever a window is in scrolling mode you must tell IRIS when you are finished scrolling
by pressing . You will be locked in the window until is pressed. can
be pressed at any time when a window is in scrolling mode.
(4)
When you press , IRIS puts the window in “selection” mode, and highlights the first
item. If the number of items in the list did not originally fill the window, it would have been
in selection mode when it first appeared. To select an item from the window, use the
and keys to highlight the item you want and then press
.
IRISV3
4.3
Page 4-3
December 23, 1997
Adding New Intern/Resident Master Records from the Keyboard
Option 1 of the IRIS Main Menu adds new resident master records to IRISMAST.DBF. Since a
new master record must be accompanied by at least one assignment record, at least one record is
added to IRISASGN.DBF for each new master record. Pressing <1> at the IRIS Main Menu
brings up a short selection menu:
╔════════════════════════════════════╗
║
║ <1> Add Records from Keyboard
║
║
║ <2> Import/Append External Data
║
╚════════════════════════════════════╝
Press <1> again to create a new master record from the keyboard. Importing new records from
other sources is discussed in section 4.8. IRIS displays the Intern/Resident Data Entry Screen, with
the provider number and the fiscal reporting period already entered and a help screen prompt added.
The cursor is located in the social security number (SSN) input field.
──────────────────────────────────────────────────────────────────────────────────
░░Provider:
░░░ INTERN/RESIDENT INFORMATION SYSTEM ░░░FY
/ / - / / ░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
SSN: U- ░░░Name (First M Last):
░░░
Employer:
░░░░░░░░░░░░░░░░░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
Residency Data - Year: ░░░░░░Type Code:
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
Desc:
,
░░░░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
Medical School:
░░░░Graduated:
/ /
░░░Foreign Student Cert:
/ /
░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░mm/dd/yyyy░░░░░░░░░░░░░░░░░░░░░░░░░░mm/dd/yyyy░
╔════╤══════════╤══════════╤═RESIDENCY ASSIGNMENTS═══════╤═════════╤═════════╗
║ROTN│START DATE│ END DATE│ F/P PERC│ IME PERC│ GME PERC│ RES YEAR│PROG CODE║
╟────┼──────────┼──────────┼─────────┼─────────┼─────────┼─────────┼─────────╢
║ 1 │ /
/
│ /
/
│
.
│
.
│
.
│
│
║
║ 2 │
│
│
│
│
│
│
║
║ 3 │
│
│
│
│
│
│
║
║ 4 │
│
│
│
│
│
│
║
║ 5 │
│
│
│
│
│
│
║
║ 6 │
│
│
│
│
│
│
║
║ 7 │
│
│
│
│
│
│
║
║ 8 │
│
│
│
│
│
│
║
║ 9 │
│
│
│
│
│
│
║
║ 10 │
│
│
│
│
│
│
║
╚════╧══════════╧══════════╧═════════╧═════════╧═════════╧═════════╧═════════╝
──────────────────────────────────────────────────────────────────────────────────
IRISV3
Page 4-4
December 23, 1997
The key elements of a master record are the provider number, the reporting period start date,
and the resident's SSN. Key elements establish the uniqueness of each master record -- only
one master record can include any unique combination of provider number, reporting period
start date, and SSN. In practical terms, since all of the records created by one provider have the
same provider number, the I/R's SSN determines the uniqueness of the master records entered
in each reporting period.
Begin creating a new master record by typing an SSN and pressing . Alternatively,
you can change your mind at this point. Press without typing an SSN to return to the
previous menu.
IRIS knows that valid SSNs contains numerals between zero (0) and nine (9). If the SSN you
enter is not entirely numeric, the cursor will not leave the entry field. This is typical of the way
IRIS behaves whenever it encounters an invalid entry. If the cursor gets “stuck” in an entry
field and you're not sure why, press and review the help screen information.
If a valid SSN was entered, IRIS checks whether a master record already exists for this SSN. If
so, the following message appears:
┌──────────────────────────────────────────────────────────┐
│Data for Soc-Sec-Num 012-34-5678 have already been entered│
│
for Fiscal Year 07/01/93 to 06/30/94
│
│
│
Run Main Menu option <3> to change this information.
└──────────────────────────────────────────────────────────┘
Next, IRIS checks whether this SSN is in the master file from a previous fiscal year. If so, it
displays a different message:
┌──────────────────────────────────────────────────────────┐
│ Data for Soc-Sec-Num 012-34-5678 have been retained for │
│
an earlier Reporting Period: 07/01/92 to 06/30/93
│
│Locating previous Employer, Med School, and Residency Data│
└──────────────────────────────────────────────────────────┘
IRIS uses the personal data entered for the earlier reporting period as defaults for the current
one, incrementing the residency year by one. If default values appear, they represent what IRIS
would reasonably expect you to enter based on data from an earlier reporting period. If the
default values seem inappropriate, then either your current information or the information
previously reported to CMS is incorrect, and it is the provider's responsibility to resolve the
inconsistency.
The cursor moves to the First Name field and waits for you to enter the I/R's name, or
change/confirm the default name. IRIS will not permit either the First Name or Last Name to
be blank. (The key's function is turned off for the three name fields.)
IRISV3
Page 4-5
December 23, 1997
The next few steps involve selecting data from windows (section 4.2). First, IRIS opens the
Employer Names window and displays your selection on the entry screen. Be aware of the
default value that was displayed if an employer from an earlier period was found.
When the cursor moves to the residency year entry field, enter the number of years the I/R had
completed in all types of residency programs, in accordance with the correlative help screen.
There are three ways to enter a residency specialty code and a medical school code:
-
if a default value is present, and you believe it is correct, press ;
-
regardless of whether a default value is present, you can type a new residency
code and then press ;
-
you can enter a blank residency code. If you want to enter a blank code and a
default value is present, delete the default value and press .
Entering a blank code causes IRIS to open the appropriate selection window. If the window
appears, select a code following the rules in section 4.2. IRIS displays the specialty and
medical school codes and the specialty description in the entry screen after your selections.
The final three entry fields for the master I/R record concern medical school graduation and
certification. The graduation date is entered in the form “mm/dd/yyyy”. The month and day
must include a leading zero if it is less than 10 and neither month, day, nor year may be blank.
Enter (“01”) as the first day of the month if the specific day is not available.
If the I/R graduated from a foreign medical school, the certification date must be entered in the
form “mm/dd/yyyy”. The month and day must include a leading zero if it is less than 10 and
neither month, day, nor year may be blank. Enter (“01”) as the first day of the month if the
specific day is not available. Note that the key is also disabled for these final three
fields to force the user to respond.
Data for the master record are now complete. As the cursor moves to the first field for
assignment 1, a brief help window appears above the assignment table portion of the entry
screen.
Each rotational assignment is described by five data elements. The “FROM” date is the first
day of an assignment and the “TO” date is the last day of an assignment. All dates are entered
as 6 digit numbers (mm/dd/yy) with all appropriate leading zeroes included. The three required
percentages are positive integers between 0 and 100, inclusive. Each assignment field has a
help screen that can be accessed by pressing whenever the cursor is in that field. Just
before you begin to enter data for the first rotation, the entry screen looks like:
IRISV3
Page 4-6
December 23, 1997
┌────────────────────────────────────────────────────────────────────┐
│ Type Assignment Data and Press < Enter > to Move to next Entry Field│
│
│
Press < Up-Arrow > to Return to a Previous Field
│
│
Press < PgDn > after last Completed Assignment Line
└────────────────────────────────────────────────────────────────────┘
╔════╤══════════╤══════════╤═RESIDENCY ASSIGNMENTS═══════╤═════════╤═════════╗
║ROTN│START DATE│ END DATE│ F/P PERC│ IME PERC│ GME PERC│ RES YEAR│PROG CODE║
╟────┼──────────┼──────────┼─────────┼─────────┼─────────┼─────────┼─────────╢
║ 1 │ /
/
│ /
/
│
.
│
.
│
.
│
│
║
║ 2 │
│
│
│
│
│
│
║
║ 3 │
│
│
│
│
│
│
║
║ 4 │
│
│
│
│
│
│
║
║ 5 │
│
│
│
│
│
│
║
║ 6 │
│
│
│
│
│
│
║
║ 7 │
│
│
│
│
│
│
║
║ 8 │
│
│
│
│
│
│
║
║ 9 │
│
│
│
│
│
│
║
║ 10 │
│
│
│
│
│
│
║
╚════╧══════════╧══════════╧═════════╧═════════╧═════════╧═════════╧═════════╝
──────────────────────────────────────────────────────────────────────────────────
Enter all of your assignment records and then press to clear the unused fields. When
all of the assignments have been entered, IRIS checks that:
-
at least one rotational assignment has been reported;
-
all FROM and TO dates lie within the bounds of the fiscal reporting period; and
-
no two assignment periods overlap.
No editing occurs until all assignments have been entered, and IRIS will not let you exit from
the Assignment portion of the entry screen until all edit problems have been resolved. In IRIS,
an overlapping assignment is one whose FROM date lies between the FROM and TO dates for
any other assignment, or is the same as the FROM or TO date for any other assignment.
Whenever IRIS detects an edit failure in an assignment record, an information window explains
exactly what is wrong, and the cursor moves to the first field of the first offending record. If
overlapping dates are detected, all remaining dates in the assignment list can be adjusted.
Please refer to the help screens for the assignment fields for instructions on how to report
assignments.
Report Full/Part Time, GME and IME percentages as integers rounded to the nearest whole
percent. The lack of precision resulting from such rounding tends to cancel out when averaged
over a large number of I/Rs. In some cases, more than one hospital may claim a portion of an
I/R's time during a reporting period (fiscal year). When this occurs it is the responsibility of the
hospitals to coordinate their reporting to assure that the total time claimed by all hospitals over
the reporting period does not exceed the actual time worked by the I/R. If any such errors are
detected by CMS edits, the records will be returned to the hospitals for correction.
IRISV3
Page 4-7
December 23, 1997
When data entry is complete you must direct IRIS to save the data, or no new records will be created.
IRIS offers three options:
1-Save Data as Entered
2-Reenter Data
3-Quit
Pressing <1> causes the new records to be created. Pressing <2> causes IRIS to cycle back through
the entire entry screen to enable you to make changes to what you entered before saving the data.
Pressing <3> terminates data entry without creating any records.
Finally, IRIS prompts your next action:
1-Enter another New Record
2-Quit
IRISV3
4.4
Page 4-8
December 23, 1997
Locating an Existing Master Intern/Resident Record
The first step in reviewing, changing, or deleting IRIS data is locating a master record. IRIS offers
five ways to locate a master record depending on what information is readily available to the user. The
process begins with the IRIS Locate Screen:
░░Provider: 130099░░░ INTERN/RESIDENT INFORMATION SYSTEM ░░░FY 07/01/93-06/30/94░░
░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░
{Press for Help}
Select a Search Option:
╔═════════════════════════════════════╤════════════════╗
║ Search Option
│ Search String ║
╠═════════════════════════════════════╪════════════════╣
║ 1 - Soc-Sec-Num of Intern/Resident │
- ║
║
│
║
║ 2 - Last Name of Intern/Resident
│
║
║
│
║
║ 3 - Residency Code
│
║
║
│
║
║ 4 - Medical School
│
║
║
│
║
║ 5 - List All Interns/Residents
│
║
╠═════════════════════════════════════╧════════════════╣
║
X - Exit
║
╚══════════════════════════════════════════════════════╝
To select a search procedure press its number key and the cursor will move to the corresponding entry field.
Pressing <5> causes IRIS to list all I/Rs in IRISMAST.DBF for the current reporting period in alphabetical
order. For any of the other search procedures you may enter a complete SSN, name, or code, or you may enter
one or more characters at the beginning of the field.
Searching by SSN - Press <1> and enter all or part of an SSN. IRIS searches all of the SSNs in the master file
for the current reporting period. If it finds one that matches what you entered, IRIS lists the I/Rs in SSN order
beginning with the first SSN that matched. For example, if you enter “57” in the SSN entry field, IRIS
searches for an SSN whose first two digits are “57”. If a match is found on a partial SSN, IRIS lists the I/Rs.
If not, the message:
** SEARCH FAILED **
is displayed and you can select another search option. If a match is found on a complete SSN, the I/R's data
are displayed on the Intern/Resident Data Entry Screen.
Searching by Last Name - Press <2> and enter all or part of an I/R's last name. IRIS searches all of the last
names in the master file for the current reporting period. If it finds one that matches what you entered, IRIS
lists the I/Rs in alphabetical order beginning with the first name that matched. For example, if you enter
“SMI” in the Last Name entry field, IRIS searches for a name whose first three letters are “SMI”. If a match
is found, IRIS lists the I/Rs. If not, the message:
IRISV3
Page 4-9
December 23, 1997
** SEARCH FAILED **
is displayed and you can select another search option. A match always causes IRIS to list the I/Rs for
further review because a last name is not a unique identifier.
Searching by Residency Code - Press <3> and enter all or part of a residency specialty code; or, enter a
blank field to select a residency code from a selection window. IRIS then searches all of the master
records in the current reporting period for one whose residency code matches the characters you
entered. If a match is found, IRIS lists the I/Rs in residency code order beginning with the first record
that matched. If not, the message:
** SEARCH FAILED **
is displayed and you can select another search option.
Searching by Medical School Code - Press <4> and enter all or part of a medical school code; or, enter
a blank field to select a medical school code from a selection window. IRIS then searches all of the
master records in the current reporting period for one whose medical school code matches the
characters you entered. If a match is found, IRIS lists the I/Rs in medical school code order beginning
with the first record that matched. If not, the message:
** SEARCH FAILED **
is displayed and you can select another search option.
The list of I/Rs, when displayed, can be scrolled like a selection window (section 4.2). In addition,
you can tell IRIS that you want to terminate the search process at any time by pressing . When
you have selected an I/R from the list, the master record and assignment data are displayed on the
Intern/Resident Data Entry Screen.
IRISV3
4.5
Page 4-10
December 23, 1997
Reviewing Resident Data
To review data for a particular I/R press <2> at the IRIS Main Menu and then execute the search
procedure in section 4.4 to locate the I/R whose data you want to look at. When you have located the
I/R, the data will be displayed on the Intern/Resident Data Entry Screen.
Review the data for as long as you wish, and then, in response to the prompt at the bottom of the
screen, press <1> to search previous I/R records, or <2> to search the next record, or <3> to return to
the Search Menu, or <4> to return to the Main Menu.
IRISV3
4.6
Page 4-11
December 23, 1997
Changing Resident Data
To edit/change data for a particular I/R press <3> at the IRIS Main Menu and then execute the search
procedure in section 4.4 to locate the I/R whose data you want to look at. When you have located the
I/R, the data will be displayed on the Intern/Resident Data Entry Screen.
The only item of data in the master record that cannot be changed is the social security number. If the
SSN is incorrect, you will have to delete the master record and reenter it with the correct number.
Editing data in the master record is almost identical to entering the data originally. One difference is
that since the data already exist, every field has a default value. This is first noticeable when the
cursor moves to the name fields. Unlike the new record procedure, the edit procedure does not disable
the key here, so a single keystroke can accept the first, middle, and last names if no changes
are desired.
If the presently stored employer name is no longer a valid name in the Employer Name List (you may
have deleted it or changed its legal name or spelling) you will have to select another. If it is still valid
you can keep it or pick another one.
The residency year, residency type, and medical school code fields are handled exactly as they are
when default values were present from a previous reporting period in the new record procedure. The
remainder of the record is similar. The only interesting point of difference occurs if the I/R was
originally entered as a foreign graduate with a certification date, and the user now changes the I/R as
non-foreign graduate. IRIS skips the certification date without commenting.
Editing assignment data is a more powerful procedure than the original entry procedure. All of the
saved assignments are displayed in chronological order and the user can alter existing assignments,
add new ones, or delete assignments that were previously stored, and all assignment fields can be
changed.
The assignment half of the entry screen appears, as in the new record procedure, with all 60
assignment records simultaneously highlighted, regardless of how many are unfilled. As in the new
record procedure, an instruction window appears above the assignment data, but the instructions are
more powerful in this procedure. Also, as in the new record procedure, assignment dates are not edited
by IRIS until data entry is completed. The IRIS edits are performed the same way, but with everything
that appears on the screen having equal status -- that is, IRIS does not distinguish between old, new,
and changed assignment dates when screening for overlaps.
IRISV3
Page 4-12
December 23, 1997
┌─────────────────────────────────────────────────────────────────────────────┐
│ Type Assignment Data and Press after last Completed Assignment Line │
│
Press to Move to next Field, to previous Field
│
│
To Remove an Assignment, Delete its "FROM" Date
│
└─────────────────────────────────────────────────────────────────────────────┘
╔════╤══════════╤══════════╤═RESIDENCY ASSIGNMENTS═══════╤═════════╤═════════╗
║ROTN│START DATE│ END DATE│ F/P PERC│ IME PERC│ GME PERC│ RES YEAR│PROG CODE║
╟────┼──────────┼──────────┼─────────┼─────────┼─────────┼─────────┼─────────╢
║ 1 │ /
/
│ /
/
│
.
│
.
│
.
│
│
║
║ 2 │
│
│
│
│
│
│
║
║ 3 │
│
│
│
│
│
│
║
║ 4 │
│
│
│
│
│
│
║
║ 5 │
│
│
│
│
│
│
║
║ 6 │
│
│
│
│
│
│
║
║ 7 │
│
│
│
│
│
│
║
║ 8 │
│
│
│
│
│
│
║
║ 9 │
│
│
│
│
│
│
║
║ 10 │
│
│
│
│
│
│
║
╚════╧══════════╧══════════╧═════════╧═════════╧═════════╧═════════╧═════════╝
──────────────────────────────────────────────────────────────────────────────────
IRIS' editing rules for assignment dates are the same as in the new record procedure.
Assignment periods may not overlap or extend outside the fiscal reporting period, and the user
may not delete all of the previously stored assignments. At least one assignment must always
remain unless the master record is deleted.
When data entry is finished you may save the changes you made, reenter the data, or quit
without saving any changes.
IRISV3
4.7
Page 4-13
December 23, 1997
Deleting Resident Data
Option 4 from the IRIS Main Menu is used only to remove a master record and all of its
assignment records from IRISMAST.DBF and IRISASGN.DBF.
4.7.1
Deleting Resident Assignments
To delete one or more existing assignment records for a particular I/R, use the Change data
procedure (Option 3 from the IRIS Main Menu) and delete the FROM date of the assignments
you wish to remove. Any assignment can be deleted as long as it is not the only assignment for
that I/R in the current reporting period.
4.7.2
Deleting Resident Master Records
To delete all data in the current reporting period for a particular I/R, press <4> at the IRIS Main
Menu and then execute the search procedure in section 4.4 to locate the I/R whose data you
want to delete. When you have located the I/R, the data will be displayed on the
Intern/Resident Data Entry Screen. IRIS will ask you to confirm that you really want to delete
these data, and if you do, it removes them from their respective databases.
4.7.3
Notes on Deleting Data
Deleting data is really a two step process. Whether you have deleted all of the data for an I/R
or just one or more assignment records, the same procedures apply. When IRIS deletes a
record it does not actually remove it from the file. Rather, it “flags” the record so that future
processing proceeds as though the record were not present.
The process of physically removing records is time consuming, and it leaves both your data and
your index files vulnerable to damage from instantaneous power interruptions. Thus records
are only physically removed when you exit from the program. At that time all records flagged
in all IRIS databases during your work session are removed in one, efficient operation. This is
also referred to as “packing” the files.
IRISV3
4.8
Page 4-14
December 23, 1997
Importing Resident Data from External Data Sources
As an alternative to entering data from the keyboard, intern/resident data can be imported
electronically from files created by other programs or downloaded from other computers.
Note, however, that importing data, while freeing the user of tedious data entry tasks, does not
in any way loosen IRIS' data entry edit requirements. All data imported into IRIS must pass
the same stringent edits as data entered from the keyboard. For example, IRIS will not import a
master record unless it is accompanied by at least one assignment record, and multiple
assignment records are subject to the same tests as when they are keyed in.
IRIS' import capability parallels the import capability of dBase III PLUS. Specifically, data
may be imported in three formats:
-
SDF (ASCII) files, in which every record is the same length and every field
corresponds exactly, in width, to every field in the IRIS database into which the
data are imported. In an ASCII file, each field must be appropriately padded with
zeroes or blanks whenever a data value does not completely fill its field, but there
are no spaces or delimiters between fields. Character fields are typically left
adjusted and padded with blanks to the right of the data. Numeric fields are
always right adjusted and may be padded with either blanks or zeroes.
-
Delimited text files, in which each data element is in quotes, and separated by
commas. Data elements and records are of variable length, depending on what
the data look like, and there is no need to pad insignificant columns in a field.
Note that in each record of a delimited file, the data elements must occur in the
same order as in the IRIS database into which the data are to be imported, and any
data value that is too large to fit in its field is truncated.
-
dBASE compatible databases whose structures are identical to IRISMAST.DBF
and IRISASGN.DBF.
When you program the system that creates the import files, be sure to include all of the edit
requirements described in section 4.3.
To begin the import procedure, press <1> at the IRIS Main Menu. This brings up the brief
selection menu:
IRISV3
Page 4-15
December 23, 1997
╔════════════════════════════════════╗
║ <1> Add Records from Keyboard
║
║
║
║ <2> Import/Append External Data
║
╚════════════════════════════════════╝
Press <2> to begin the import procedure and display the next menu:
╔═════════════════════════════════════════════════╗
║
IMPORTING/APPENDING EXTERNAL DATA
║
╟─────────────────────────────────────────────────╢
║ <1> Import IRIS Data in SDF (ASCII) Format
║
║ <2> Import IRIS Data in Delimited Text Format ║
║
║ <3> Append IRIS Data in DBF Format
╟─────────────────────────────────────────────────╢
║
║ <4> Evaluate and Edit Imported/Appended Data
║
║ <5> Print Report of Evaluation and Edit
║
║ <6> Merge Current and Imported/Appended Data
╟─────────────────────────────────────────────────╢
║ Exit
║
╚═════════════════════════════════════════════════╝
WARNING: This process
requires that a Printer
be on Line!
SELECT OPTION FROM LIST ======>
{Press
for Help}
NOTE: The Evaluation Report shows the Current Status of Imported or
Appended Records that have not yet been merged into IRISMAST.DBF.
Records that have already been merged will not appear in the Report.
To import data, you must execute step 1, 2, or 3, and then each of steps 4, 5, and 6, in that
order. As the menu screen warns, you must have a printer on line.
4.8.1
Overview of the Import Procedure
Regardless of the import format you select, your files must conform to the dBASE file
structures of IRISMAST.DBF and IRISASGN.DBF. Each field in an SDF ASCII file should
conform exactly to the corresponding dBASE structure below; each field in a delimited text file
should be no longer than the corresponding fields below. Note that all of the numeric fields are
integers.
IRISV3
Page 4-16
December 23, 1997
NEW Structure for table IRISASGN.DBF:
Field Name
PROVNUMBER
SSN
FYBEGIN
TIMEPERC
IMEPERC
GMEPERC
ASGNBEGDAT
ASGNENDDAT
ARESYEAR
ARESTYPE
Type
CHARACTER
CHARACTER
DATE
NUMERIC
NUMERIC
NUMERIC
DATE
DATE
NUMERIC
CHARACTER
Length
6
10
8
3
3
3
8
8
1
4
Usage
999999
A999999999
mm/dd/yy
999
999
999
mm/dd/yy
mm/dd/yy
9
9999
NEW Structure for table IRISMAST.DBF:
Field Name
SSN
FNAME
MNAME
LNAME
EMPLOYER
RESTYPCODE
RESYEAR
MEDSCHOOL
MSGRADDATE
FORCERTDAT
PROVNUMBER
FYBEGIN
FYEND
CREATEDATE
MODIFYDATE
Type
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
NUMERIC
CHARACTER
DATE
DATE
CHARACTER
DATE
DATE
DATE
DATE
Length
10
14
1
20
50
4
1
5
8
8
6
8
8
8
8
Usage
A999999999
AAAAAAAAAAAAAA
A
AAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAA...
9999
9
99999
mm/dd/yy
mm/dd/yy
999999
mm/dd/yy
mm/dd/yy
mm/dd/yy
mm/dd/yy
Until now, these instructions have used the word “import” in a very general way. It is more
precise, technically to distinguish between “importing” unformatted or delimited text files and
“appending” data that is already in dBase format. For most users this distinction can be ignored.
It is mentioned here to avoid confusing users who have experience with database terminology.
If you elect to import data from an ASCII or text file, and you have access to database software
that is “dBase III PLUS” compatible, we strongly urge you to test your approach manually
before running the IRIS import procedures. Create two temporary databases using the file
structures above and try importing a few test records interactively, with either the
APPEND FROM . . . SDF or APPEND FROM . . . DELIMITED command, as appropriate. Do
not try to import your data into IRIS until you can create reasonable looking databases in this
manner.
Loading data into IRIS from an external file is a four step process:
IRISV3
Page 4-17
December 23, 1997
-
getting the data from the import file into the system;
-
performing all IRIS edits on every imported record;
-
reviewing the results of the data evaluation (optional);
-
appending the records that pass the edits into IRISMAST.DBF and
IRISASGN.DBF.
Each imported IRISMAST.DBF record can have four dispositions:
-
it can be a new IRIS record that passes all the edits. Note that the definition of a
new IRIS record is one that does have the same values of I/R social security
number, provider number, and fiscal year start date as any existing record in
IRISMAST.DBF;
-
it can be a replacement for an existing IRIS record - that is, it must match an
existing IRISMAST.DBF in I/R social security number, provider number, and
fiscal year start date;
-
it can fail one or more edits and remain in an intermediate file indefinitely;
-
it can contain a fatal error and be discarded.
The following sections provide additional details.
4.8.2
Importing IRIS Data
When you press <1> from the Importing/Appending External Data Menu, IRIS assumes that you
have previously created two ASCII files that are accessible on either a diskette/CD or hard drive.
IRIS expects the two files to be named IMPMAST.TXT and IMPASGN.TXT, which are
structured based on IRISMAST.DBF and IRISASGN.DBF, respectively. You may use
different file names, however.
When you press <2> from the Importing/Appending External Data Menu, IRIS' expectations are
identical, except that IMPMAST.TXT and IMPASGN.TXT are delimited text files instead of
ASCII files. When you press <3> IRIS expects the two import files to be dBASE III PLUS
compatible database files named IMPMAST.DBF and IMPASGN.DBF.
To facilitate importing data, IRIS includes two pairs of database shells structured like
IRISMAST.DBF and IRISASGN.DBF, except for the addition of a STATUS field, which tells
IRIS how the program edits resolved each imported record. The first pair, MSHELL.DBF and
ASHELL.DBF, receives the imported data. The second pair, MSHELL2.DBF and
ASHELL2.DBF, capture the records from MSHELL.DBF and ASHELL.DBF that
IRISV3
Page 4-18
December 23, 1997
successfully pass the data evaluation procedure (section 4.8.3). The final merge brings records
from MSHELL2.DBF and ASHELL2.DBF into IRISMAST.DBF and IRISASGN.DBF
(section 4.8.5).
Records that do not pass the evaluation procedure remain in MSHELL.DBF and
ASHELL.DBF either until they pass in a future run or they are erased by the user prior to a
new import. The import procedure begins by checking whether MSHELL.DBF and
ASHELL.DBF are empty. If they are not, IRIS offers to print the records currently in the shell
files, erase them, or proceed with the import, or any combination of these choices.
The import procedure continues by establishing the names and locations of the import files.
For example, if an ASCII file is to be imported, IRIS displays the prompts:
The SDF File from which records will be IMPORTed into IRISMAST.DBF is:
on Drive:__
in Directory (Path MUST end with "\"): \___________________________________
named: IMPMAST.TXT
After the user has entered/confirmed the import file name for the master records, IRIS repeats
the process for the assignment records to be imported. Finally, IRIS loads the data into
MSHELL.DBF and ASHELL.DBF.
4.8.3
Evaluating Import Data
The data in MSHELL.DBF and ASHELL.DBF must pass the same edits as data entered from
the keyboard. Only records that successfully pass the Evaluate and Edit Imported/Appended
Data Procedure can be merged into IRISMAST.DBF and IRISASGN.DBF.
The evaluation and edit procedure performs two kinds of tests on each master record and its
corresponding assignment records. First, IRIS tests for fatal errors:
-
Each MSHELL.DBF record must be accompanied by at least one assignment
record in ASHELL.DBF.
-
Each assignment record in ASHELL.DBF must have the same social security
number and FY start date as one and only one record in MSHELL.DBF.
-
An imported record cannot be added to the master file if its key elements
(resident's social security number, provider number, and fiscal year start date)
have values that are identical to any existing IRISMAST.DBF record.
IRISV3
Page 4-19
December 23, 1997
Two records imported together may not have the same key field values.
Records that fail any of these tests are discarded.
Qualifying records are then evaluated against the same edit criteria that are discussed in section
4.3. As each record in MSHELL.DBF is evaluated, its STATUS field is flagged to indicate
the result of the edits. You will never see the STATUS field explicitly on the screen. It is
included in this discussion to aid in your understanding of this critical process. The IRIS edits
have four ways of resolving a record:
-
the record is an acceptable new record - that is, the MSHELL.DBF record and its
associated ASHELL.DBF records passed all edits; and it did not match a master
record already in IRISMAST.DBF (STATUS=0);
-
the record is an acceptable replacement for an existing IRISMAST.DBF record that is, the MSHELL.DBF record and its associated ASHELL.DBF records
passed all edits; and, it matches a master record already in IRISMAST.DBF; and,
there were no unresolvable conflicts in the values of the key elements in the
matched records (STATUS=1);
-
the MSHELL.DBF record and/or its associated ASHELL.DBF records
contained no fatal errors, but failed at least one of the IRIS edits (STATUS=8);
-
the MSHELL.DBF record contained a fatal error and will be discarded
(STATUS=9).
New or replacement records that pass the edits (STATUS=0 or 1) are transferred to
MSHELL2.DBF and ASHELL2.DBF, and marked “Deleted” in MSHELL.DBF and
ASHELL.DBF. Records with fatal errors (STATUS=9) are marked “Deleted” in
MSHELL.DBF and ASHELL.DBF and will be discarded during the final merge. Records
that fail at least one edit criterion but contain no fatal errors (STATUS=8) simply remain in
MSHELL.DBF and ASHELL.DBF.
Records that are marked for deletion at this time are physically erased after the final merge
procedure (section 4.8.5), and the remaining records in MSHELL2.DBF and ASHELL2.DBF
are copied to IRISMAST.DBF and IRISASGN.DBF. Consequently, all records in
MSHELL.DBF and ASHELL.DBF remain visible to IRIS and can be displayed in the
evaluation report (section 4.8.4).
At the end of the merge procedure, all the records that passed the edits will have been merged
into IRISMAST.DBF and IRISASGN.DBF and erased from MSHELL.DBF and
ASHELL.DBF; records with fatal errors will have been erased; and records with pending edit
exceptions will still be in MSHELL.DBF and ASHELL.DBF.
IRISV3
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December 23, 1997
This last group of records (STATUS=8) can be dealt with in two ways. The information
needed to satisfy the edits can be gathered and the records can be reprocessed the next time the
evaluation is executed. The evaluation can be rerun just for the remaining records, or after a
new group of imported records is added to MSHELL.DBF and ASHELL.DBF. Alternatively,
these records can be corrected in the user's system and included in the next import group, in
which case the user would tell IRIS to purge anything still in MSHELL.DBF and
ASHELL.DBF at the beginning of the import procedure.
To begin the evaluation procedure press <4>. As each record in MSHELL.DBF is evaluated,
the I/R's social security number and name are displayed on the screen. You can instruct IRIS to
terminate the evaluation whenever a new record appears in the list.
The evaluation proceeds as follows:
(1) If there is not at least one ASHELL.DBF record associated with the current
MSHELL.DBF record, IRIS sets STATUS to 9, marks the record “Deleted”, and displays the
message:
No Assignment Records found - Master Record REJECTED.
(2) If there is a record already in IRISMAST.DBF, with the same I/R social security number,
provider number, and fiscal year start date, but the residency type and year do not match the
values in the imported record, the relevant data are displayed in a message window, and the
user is offered an opportunity to resolve the conflict. If the conflict cannot be resolved, IRIS
sets STATUS to 9 and marks the record “Deleted”.
(3) If steps (1) and (2) found no fatal errors the imported data in MSHELL.DBF and
ASHELL.DBF are displayed on the IRIS entry screen as in section 4.6. If the MSHELL.DBF
record matched an existing IRISMAST.DBF record the existing assignments are shown along
with the imported assignments, with an asterisk (*) attached to the existing assignments.
(4) IRIS begins applying its data edits. If the MSHELL.DBF record is new the edit checks are
applied just as they are during keyboard entry, as described in section 4.3. If the
MSHELL.DBF record is not new, the edit checks are combined with consistency checks
between the data found in the MSHELL.DBF and IRISMAST.DBF records. Whenever an
error or inconsistency is detected it is displayed in an information window, and the user is
given a chance to resolve the error. The first time an error cannot be resolved, STATUS is set
to 8 and IRIS moves to the next record in MSHELL.DBF. The following is a summary of the
data evaluation:
-
the social security number is validated if the imported record is new. If it is not
new, the social security number has already been matched to one that was
validated previously;
IRISV3
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December 23, 1997
-
the I/R's name, employer's name, medical school, month of graduation, and
foreign status are validated, and if the record is not new, the corresponding fields
in the matched IRISMAST.DBF record is checked for consistency;
-
the assignment records are edited as in section 4.6. The difference here is
primarily in the situations that may arise. For example, if the imported master
record is not new, the data may contain assignments that are identical to data
already in IRISASGN.DBF. The IRIS edits treat these as overlapping
assignments and you must delete the duplicates before IRIS will pass the data.
Any record that successfully passes all the edits will be assigned a STATUS of 0 for new
records and 1 for matching records, and a message will briefly appear at the bottom of the
screen, informing you either that the record can be appended to the IRIS files or will replace
existing matching records. If no errors are found, IRIS will proceed to the next record with no
interaction required by the user.
The user can terminate the evaluation when the record currently being evaluated is finished by
pressing at any time. If the evaluation is terminated before the last MSHELL.DBF
record is processed, it can be rerun at any time. The next run will process any records not
evaluated during a previous run, as well as every record that began with STATUS=8 from a
previous run.
To summarize, the Data Evaluation Procedure has the following results:
4.8.4
-
Records with STATUS=0 or STATUS=1 have been appended to
MSHELL2.DBF and ASHELL2.DBF, and have been marked deleted, but are
physically still present in MSHELL.DBF and ASHELL.DBF.
-
Records with STATUS=9 have been marked deleted, but are physically still
present in MSHELL.DBF and ASHELL.DBF.
-
Records with STATUS=8 remain in MSHELL.DBF and ASHELL.DBF,
unmarked.
Printing a Report of the Evaluation of Import Data
Press <5> to print an evaluation report. The report includes every record in MSHELL.DBF at
the time the report is created, whether it is marked “Deleted” or not. The report has four
sections, one for each STATUS category. The evaluation report procedure runs without any
further input by the user, displaying progress reports on the screen.
Since Procedure <6> (merging the imported data into the IRIS files) erases the records that are
marked “Deleted” from MSHELL.DBF, the time at which an evaluation report is created
determines its contents. A report executed after Procedure <4> is run but before Procedure <6>
IRISV3
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December 23, 1997
will include every record included in the Evaluation Procedure. A report executed after
Procedure <6> is run will show only the records that did not pass all of the edits.
4.8.5
Merging Imported Data into IRISMAST.DBF and IRISASGN.DBF
Press <6> to merge imported data records that have passed all IRIS edits into IRISMAST.DBF
and IRISASGN.DBF. The merge procedure operates on whatever is in MSHELL2.DBF and
ASHELL2.DBF when the merge is executed, so it is not necessary to wait until every record
has passed the edits. The merge procedure adds the data for which STATUS=0 and replaces
the records in which STATUS=1. After each execution of the Merge Procedure, the entire
contents of MSHELL2.DBF and ASHELL2.DBF, and the records marked “Deleted” in
MSHELL.DBF and ASHELL.DBF are erased.
WE STRONGLY RECOMMEND THAT YOU GENERATE A VALIDATION REPORT
BEFORE MERGING DATA, EVERY TIME YOU RUN A NEW EVALUATION.
IRISV3
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December 23, 1997
5. Creating a Disk/CD that Satisfies CMS Reporting Requirements
When all of the intern/resident data for a fiscal reporting period have passed all of the IRIS
edits the CMS report disk/CD can be created. Although a skilled programmer can surely find a
way to bypass the edits and still create the report disk/CD, doing so would certainly be
counterproductive. CMS applies the same edits to all submitted files, and returns any file that
fails them to the hospital for correction. The edits have been included in IRIS to reduce the
hospitals' reporting burden.
In addition to validating the data when they are received from the fiscal intermediaries, CMS
edits the national database to assure that no I/R is counted as more than one FTE, as required
by the regulations cited in section 3.1. Whenever CMS’ edits detect that more than 100% of an
I/R's time has been reported in total, the data will be returned to all of the hospitals involved. It
is important that hospitals that share an I/R's time coordinate their reporting in advance to avoid
overreporting. WARNING: do not purge any resident data until your report disk/CD has been
accepted by CMS!
To create the CMS report disk/CD, press <7> at the IRIS Main Menu. IRIS assumes that the
report disk/CD is to include all records that include the provider number and fiscal reporting
period specified in the IRIS global variables in the administrative data file (section 3.3.1). The
user confirms or changes those variables, and requests that the process begin.
The user must specify the drive letters from which and to which the report data are to be
copied. IRIS then identifies the data that are to be reported and asks you to insert your disk/CD
into its drive. IRIS analyzes the space requirements and informs you that:
Space available on the Diskette in Drive A (Bytes): 1,135,721
Space required by report databases (Bytes): 87,479
In the unlikely event that more than one disk/CD is required, IRIS informs you and then begins
to create the report databases. If another disk/CD is required IRIS will prompt you and
redisplay the space required and the space available.
The CMS report file names are based on the hospital's Medicare provider number, with the
master records beginning with the letter “M” and the assignment records beginning with “A”.
Following the example used in chapter 4, a complete report disk/CD would include the files
M3130099.DBF, and A3130099.DBF.
IRISV3
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December 23, 1997
6. Reviewing the Data that have been Entered
Pressing <6> at the IRIS Main Menu causes IRIS to create summary reports of the resident data
records that are currently stored in IRISMAST.DBF and IRISASGN.DBF. These reports
enable you to review your data before preparing the CMS report disks/CDs, although you may
generate reports at any time for any data in your files. Each summary report covers one
provider number and one fiscal reporting year, and may include every intern/resident in the
database for that provider and year, or be limited to a specified group.
This procedure begins with a report setup screen on which the user specifies the contents of the
report. The screen is shown with its default values below:
IRIS SUMMARY REPORTS FOR PROVIDER 130099
REPORTING PERIOD: 07/01/93 - 06/30/94
──────────────────────────────────────────────────────────────────────
Report Specifications:
Enter "1" to Print Summary Reports, "2" to Display on Screen: 1
Enter "1" to Report Physicians by Residency Type, "2" by Medical School:
(Leave Blank for ungrouped Alphabetical listing)
Restrict Report to:
Limit Report to Data Created or Changed between: 07/01/93 and 05/17/94
Include Rotational Assignment Detail in Reports (Y/N)? Y
Begin by accepting or changing the first two specifications. If you choose to group physicians
by residency code or to list them alphabetically without subgrouping, you can also request that
the report be limited to physicians with residency codes in any specified range. If you choose
to group by medical school, you can request that the report be limited to medical school codes
within a specified range. In the example above, after the user specifies no grouping of
physicians, IRIS modifies the third report specification to read:
Restrict Report to: Residency Codes in the range 0000 to 9999
The default values “0000” and “9999” have the effect of not restricting the report at all. To
limit the report to physicians in a single residency type, enter the same residency code in both
fields.
The fourth specification allows you to restrict data based on the date on which a master record
was created or last updated, with the default values being the first day of the fiscal reporting
period as previously specified by the user (section 3.3.1) and the current date. These dates
need not reflect the boundaries of the fiscal reporting period, however. This specification is
intended to permit the user to review all data entered or review only data entered or changed on
a particular date or during a specified time interval.
IRISV3
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December 23, 1997
After you have set up your report, IRIS redisplays your selections and asks for
confirmation.
IRIS SUMMARY REPORTS FOR PROVIDER 130099
REPORTING PERIOD: 07/01/93 - 06/30/94
──────────────────────────────────────────────────────────────────────
Report Specifications:
Summary Report will be Printed
Physicians will be grouped by Residency Type
Range of Physicians reported is: Unrestricted
Report will include Data Entered or Changed between: 05/08/94 and 05/17/94
Report will include data on Rotational Assignments
Continue (Y/N)?
Note that the summary report procedure utilizes the provider number and fiscal reporting
period stored in the IRIS global variables. To generate a report for a different fiscal year or
provider number, make the appropriate change in the administrative data file (section 3.3.1)
before requesting the summary report.
IRISV3
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7. Attachments
ATTACHMENTS BEGIN NEXT PAGE.
December 23, 1997
IRISV3
7.1
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December 23, 1997
Installation of IRISV3 with IRIS95
IRIS, Version 3 - Release Date 12/97
The Centers for Medicare & Medicaid Services (CMS), in response to comments and suggestions
from fiscal intermediaries and providers who use the IRIS95 software to report data on interns and
residents, has revised the software to make its data more useful and accurate. The new release is
known as IRIS, Version 3. The name of the program has been changed from IRIS95.EXE to
IRISV3.EXE. Version 3 is the first part of a general re-design effort that will culminate in the release
of a fully functional WINDOWS application that will assure consistency between IRIS data and the
information filed with the corresponding sections of the CMS Cost Report. Version 3 was released
as an interim upgrade because there were several essential changes that could not wait for the final
re-design to be completed. For this reason, you may also hear Version 3 referred to as the “QuickFix” version.
The new release requires several changes to IRIS’ data (DBF) files, and a conversion procedure must
be executed before IRISV3 can be used. We have done everything possible to make this a turnkey
activity, however. The new release includes a number of files that can simply be copied over their
older counterparts, and a conversion utility program called IR95UPDT.EXE, which performs the
necessary changes to the other table structures and the data for you. If you read and follow the
simple instructions that follow carefully, you should have no difficulty with the conversion.
The following sections:
•
summarize the differences between IRIS95 and IRISV3;
•
provide instructions for installing IRISV3 and using IR95UPDT;
•
address conversion of data files that will be imported into IRISV3;
•
describe what to do if your December 31, 1997 IRIS data has already been processed in the
old format.
Changes made to IRIS95 in Version 3, known as the “Quick-Fix” Initiative*
•
Graduation dates and foreign graduate certification are now entered as complete dates rather
than as months and years.
•
All dates are year 2000 enabled.
•
The program has been modified to permit:
-
up to 60 rotations per physician per fiscal year;
*- Also shown in Part I of IRISV3, Operating Instructions
IRISV3
Page 7-3
December 23, 1997
-
one day rotations;
-
entering a graduation date within the reporting fiscal year, as long as it precedes all
rotations recorded for that physician -- rotations will be permitted to begin on or after
the physician’s graduation date;
-
for foreign medical graduates, entering a certification date within the reporting fiscal
year, as long as it precedes all rotations recorded for that physician, and occurs on or
after the graduation date -- rotations will be permitted to begin on or after the
certification date; and
-
hyphens in physician name fields.
•
A non-fatal warning edit has been added to alert providers when an IME% that exceeds the
GME% for a rotation has been entered.
•
Two new fields have been added to the assignment (rotation) records. One indicates which
year of residency the current rotation attaches to. The second indicates the current residency
code during the rotation. (NOTE: the original residency code, on which the number of years
of the physician’s eligibility is based, and the number of years completed as of July 1 or the
reporting FY remain fields in the physician’s master record.)
•
The Employer field in the master record will be retained as it is, and it has an accessible Help
screen. The contents are not edited by IRIS, and providers have used this field for employer
identification.
•
The Foreign Graduate question and the FOREIGN field in the physician’s master record have
been eliminated. Instead, the value will be inferred from the medical school code. The
foreign graduate’s certification date will be requested whenever medical school code “99999”
is used.
•
Medical school code “99998” has been added to cover all foreign dental schools and other
updates to the table of medical school codes have been made.
•
A tenth (prefix) character has been added to the social security number field to distinguish
between American and Canadian identifying numbers. The prefix will default to “U” for
United States graduates, but will be able to be overridden to “C” for Canadians.
•
The table of residency codes has been updated.
•
Help screens have been added to cover all new fields and existing help screens were modified
to include any new text submitted by the Instructions Subgroup.
•
A utility program is included with the new IRIS program that:
IRISV3
Page 7-4
December 23, 1997
-
updates data structures;
-
converts graduation and certification dates to their new formats;
-
back-fills the new fields in records entered before the new version of IRIS was received
by the provider; and
-
adds the tenth character to the social security number in those records.
Note that the new assignment record fields match current residency year and specialty code data with
specific rotations, while the residency year charged for the current fiscal reporting year and the base
residency code of the physician are stored in the physician’s master record for the fiscal year.
Hospitals may, if they wish, go back and edit records already in the system to add the new data. If
they prefer not to do that, they can use this utility program to fill the new fields in the assignment
records with the same values that appear in the master records. Individual records can still be edited
after the utility program is run.
Installation of IRISV3.EXE and the use of IR95UPDT.EXE
The utility program, IR95UPDT.EXE, modifies existing intern and resident (IR) data files to make
them usable with IRISV3, with NO other changes required by the user.
The utility program does the following:
•
Modifies the SSN field in both the master and assignment files and fills the first character
with either all “U”s, or “U” or “C” at the user’s discretion.
•
Adds the ARESYEAR and ARESTYPE fields to the assignment file and fills them with
values from the master record. ARESYEAR can either be filled with the value of RESYEAR
in the master record or the user may enter an anniversary date for each IR so the program can
increment ARESYEAR at the appropriate time.
•
Modifies the MSGRADDATE and FORCERTDAT fields in the master record and converts
all the mm/yy values to mm/01/yyyy.
WARNING: It is absolutely essential that the following instructions be strictly adhered to.
IR95UPDT has been thoroughly tested, and should handle your data file conversions flawlessly.
However, personal computers sometimes suffer from events beyond the control of the user (power
outages, lightning strikes, and other unforeseen events) and these instructions are designed to protect
you from a catastrophic loss of data.
IRISV3
Page 7-5
December 23, 1997
Installation Instructions
These instructions assume that you run on Drive C, and that your IRIS95 program resides in a
directory named C:\IRIS95. If you run on a different drive, simply substitute its drive letter (D, E,
F, and so on) for C in what follows.
(1)
Make sure that your primary IRIS data files (IRISMAST.DBF and IRISASGN.DBF) are
backed up in a safe place before you begin. This can mean copied onto a diskette/CD, in a
clean directory, in a shared directory on your network, or on a tape.
(2)
Create a new directory on your operating drive, called IRISV3. Copy the entire contents of
the C:\IRIS95 directory into the new IRISV3 directory.
(3)
At the “C:\IRISV3>” prompt, insert your Update IRISV3 diskette/CD in drive A and type the
command:
A:\IRV3INST
At each “Overwrite (y/n)?” prompt, type:
y
The updated program is now installed.
(4)
At the “C:\IRISV3>” prompt, type:
IR95UPDT
This program consists of three functions, each with a self containing screen of explanatory
information. Each may only be run once, and each will prevent you from re-running it if you
attempt to repeat it. Simply run the three functions in order, and your data tables will be
converted for use with IRISV3.
(5)
Before running the IRISV3 program, the following program initialization steps must be
performed the first time you run IRISV3. Do not attempt to execute any other IRIS functions
until this step is complete. Before proceeding, make sure the key is “On”.
To initialize the program from the “C:\IRISV3>” prompt, type
IRISV3
Select “Reference Files/Data Management” from the main menu by pressing <5> and run each of the
first four procedures in the next menu that appears. The Reference Files menu reappears after each
procedure is completed. (The Reference Files menu is discussed in detail in section 3.3):
IRISV3
(6)
Page 7-6
December 23, 1997
-
first, select “Rebuild Data Indexes” by pressing <3>. This causes IRIS to create “index
files” which enable the program to search and display data in various orders that are
required by the different program functions (section 3.3.3);
-
second, select “Generate Data Help Windows” by pressing <4>. This causes IRIS to
create the text screens that are used when the help key is pressed during program
execution (section 3.3.4);
-
third, select “Set up Administrative Data” by pressing <1>; this tells IRIS that you are
entering (at a minimum) the requested information about the provider and the fiscal
reporting period (section 3.3.1);
-
fourth, select “Employer Names” by pressing <2> and enter the list of employer names
for the resident data selection list. If you have followed the previous steps in order, the
employer names list will initially contain only the provider name that was entered in the
previous step (section 3.3.2).
You are now ready to run IRISV3. Use it as you previously used IRIS95. It has nearly the
same look and feel of the current version, except where the modifications described earlier
required changes in design.
Special Instructions for Importing data into IRIS
Just as it was necessary to modify IRISMAST.DBF and IRISASGN.DBF so that they would conform
to IRISV3, providers that use one of IRIS’ data import procedures will have to change the structures
of the data files that they import before they execute the import procedure. Just as it was necessary to
carefully format the import files in the earlier release, to assure that data were appended properly, it
is equally important to adjust those formats for the new release. To assist with this process the old
and new formats (files structures) are displayed on the following pages. Although the conversion
utility, IR95UPDT.EXE, discussed above converts the structures of the IRIS data tables
automatically, it normally cannot do so for the files from which you import data.
IRISV3
Page 7-7
December 23, 1997
OLD Structure for table IRISMAST.DBF:
Field Name
SSN
FNAME
MNAME
LNAME
EMPLOYER
RESTYPCODE
RESYEAR
MEDSCHOOL
MSGRADDATE
FOREIGN
FORCERTDAT
PROVNUMBER
FYBEGIN
FYEND
CREATEDATE
MODIFYDATE
Type
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
NUMERIC
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
DATE
DATE
DATE
DATE
Length
9
14
1
20
50
4
1
5
4
1
4
6
8
8
8
8
Usage
999999999
AAAAAAAAAAAAAA
A
AAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAA....
9999
9
99999
mmyy
A
mmyy
999999
mm/dd/yy
mm/dd/yy
mm/dd/yy
mm/dd/yy
NEW Structure for table IRISMAST.DBF:
Field Name
SSN
FNAME
MNAME
LNAME
EMPLOYER
RESTYPCODE
RESYEAR
MEDSCHOOL
MSGRADDATE
FORCERTDAT
PROVNUMBER
FYBEGIN
FYEND
CREATEDATE
MODIFYDATE
Type
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
NUMERIC
CHARACTER
DATE
DATE
CHARACTER
DATE
DATE
DATE
DATE
Length
10
14
1
20
50
4
1
5
8
8
6
8
8
8
8
Usage
A999999999
AAAAAAAAAAAAAA
A
AAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAA...
9999
9
99999
mm/dd/yy
mm/dd/yy
999999
mm/dd/yy
mm/dd/yy
mm/dd/yy
mm/dd/yy
OLD Structure for table IRISASGN.DBF
Field Name
PROVNUMBER
SSN
FYBEGIN
TIMEPERC
IMEPERC
GMEPERC
ASGNBEGDAT
ASGNENDDAT
Type
CHARACTER
CHARACTER
DATE
NUMERIC
NUMERIC
NUMERIC
DATE
DATE
Length
6
9
8
3
3
3
8
8
Usage
999999
999999999
mm/dd/yy
999
999
999
mm/dd/yy
mm/dd/yy
IRISV3
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December 23, 1997
NEW Structure for table IRISASGN.DBF
Field Name
PROVNUMBER
SSN
FYBEGIN
TIMEPERC
IMEPERC
GMEPERC
ASGNBEGDAT
ASGNENDDAT
ARESYEAR
ARESTYPE
Type
CHARACTER
CHARACTER
DATE
NUMERIC
NUMERIC
NUMERIC
DATE
DATE
NUMERIC
CHARACTER
Length
6
10
8
3
3
3
8
8
1
4
Usage
999999
A999999999
mm/dd/yy
999
999
999
mm/dd/yy
mm/dd/yy
9
9999
Note that although IRIS is now year 2000 enabled, date fields are still eight characters wide,
including two slashes and a two digit year. “DBF” files always store years in date fields as 4 digit
integers internally. The two digit year in the date format can be misleading in this regard. The
reason we can use that format during the conversion is that there are not yet any dates in IRIS that
extend past January 1, 2000. And for future dates, the program handles the century indicator
invisibly to the user. The exceptions are the graduation and certification dates which will be entered
from now onward with explicit four digit years, as “mm/dd/yyyy”.
We recommend that the conversion of imported data be handled external to IRIS, either by manual
manipulation of the files or by adjustments to the system that originally created them. Surely, the
latter would have to be done for future reporting periods, anyway. During the conversion to the new
version of IRIS, however, there is a way to use IR95UPDT to convert your imported data, but this
method is not for everyone. We don’t recommend using it unless you are confident in your ability to
manage these files on your own. If you would like to try this approach, refer to the end of the next
section.
Reformatting your import files with IR95UPDT.EXE
Users who feel confident in their ability to manipulate files manually can use IR95UPDT.EXE to
modify their import data, if they were already formatted for the old IRIS95 by the time you received
IRISV3. The procedure is not difficult once you realize that IR95UPDT can only modify files named
IRISMAST.DBF and IRISASGN.DBF.
Thus, to modify your import files with IR95UPDT:
•
Create a temporary directory on your hard drive, and copy your import files into that
directory, while naming them IRISMAST.DBF and IRISASGN.DBF. If you name your
temporary directory IMPORT, and your import files were originally named IMPMAST.DBF
and IMPASGN.DBF, you will issue the DOS commands:
COPY A:\IMPMAST.DBF C:\IMPORT\IRISMAST.DBF
COPY A:\IMPASGN.DBF C:\IMPORT\IRISASGN.DBF
IRISV3
Page 7-9
December 23, 1997
Of course, since you are not placing these files in the IRISV3 directory, they may be given the
same names as your IRIS tables.
•
Copy IR95UPDT.EXE into the IMPORT directory, and execute it there. It will now perform
exactly the same operations on your import data, that it did on your IRIS data tables. But
running IR95UPDT in the IMPORT directory has no effect on your original data tables
because they are safely in another directory. IR95UPDT can only see files in the directory in
which it is stored.
If you use this method be extremely cautious. The risks associated with using sets of identically
named files in different directories should be obvious. Do not attempt to do this unless you are
sure you know what you are doing!
If your December 31, 1997 IRIS data have already been processed using the old version of
IRIS95 . . . . . . . .
. . . and you have followed the update installation instructions and the instructions for running
IR95UPDT, above, you have already done everything you have to do, and you have lost nothing
by entering your December 31, 1997 IRIS data early. You can now produce an IRIS diskette/CD
to send to your fiscal intermediary by simply re-running the program function that creates the
diskette/CD. Even if you have already submitted your disk/CD by the time you receive these
instructions, the only duplicated work you will have to do is regenerating your submission disk/CD.
IRISV3
Page 7-10
December 19, 2005
7.2
Medical School Code Table
(Codes 00102 through 06801 are copyrighted by the American Medical Association. See the bottom of this
table on Page 7-16 for the use of these codes and the copyright notice.)
SCHOOL
SCHOOL NAME
SCHOOL
SCHOOL
CODE
CITY
STATE
00102 UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
BIRMINGHAM
AL
00106 UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
MOBILE
AL
00301 UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
TUCSON
AZ
00375 ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE
GLENDALE
AZ
00401 UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
LITTLE ROCK
AR
00502 UN OF CALIFORNIA, SAN FRANCISCO, SCH OF MEDICINE
SAN FRANCISCO CA
00506 UN OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE
LOS ANGELES
CA
00511 STANFORD UNIVERSITY SCHOOL OF MEDICINE
STANFORD
CA
00512 LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
LOMA LINDA
CA
00514 UN OF CALIFORNIA, LOS ANGELES, SCHOOL OF MEDICINE
LOS ANGELES
CA
00515 UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
IRVINE
CA
00518 UN OF CALIFORNIA, SAN DIEGO, SCHOOL OF MEDICINE
LA JOLLA
CA
00519 UN OF CALIFORNIA, DAVIS, SCHOOL OF MEDICINE
DAVIS
CA
00575 COLLEGE OF OSTEOPATHIC PHYSICIANS & SURGEONS
LOS ANGELES
CA
00576 COLLEGE OF OSTEOPATHIC MEDICINE OF THE PACIFIC
POMONA
CA
00577 TOURO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
VALLEJO
CA
00702 UNIVERSITY OF COLORADO SCHOOL OF MEDICINE
DENVER
CO
00801 YALE UNIVERSITY SCHOOL OF MEDICINE
NEW HAVEN
CT
00802 UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE
FARMINGTON
CT
01001 GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
WASHINGTON
DC
01002 GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
WASHINGTON
DC
01003 HOWARD UNIVERSITY COLLEGE OF MEDICINE
WASHINGTON
DC
01102 UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
MIAMI
FL
01103 UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
GAINESVILLE
FL
01104 UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
TAMPA
FL
01105 FLORIDA STATE UNIVERSITY COLLEGE OF MEDICINE
TALLAHASSEE
FL
01175 NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
FT LAUDERDALE FL
01201 MEDICAL COLLEGE OF GEORGIA
AUGUSTA
GA
01205 EMORY UNIVERSITY SCHOOL OF MEDICINE
ATLANTA
GA
01221 MOREHOUSE SCHOOL OF MEDICINE
ATLANTA
GA
01222 MERCER UNIVERSITY SCHOOL OF MEDICINE
MACON
GA
01401 UN OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
HONOLULU
HI
01601 RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
CHICAGO
IL
01602 UNIVERSITY OF CHICAGO PRITZKER SCHOOL OF MEDICINE
CHICAGO
IL
01606 NORTHWESTERN UNIVERSITY MEDICAL SCHOOL
CHICAGO
IL
01611 UN OF ILLINOIS COL OF MED (CHI/PEOR/ROCK/CHM-URB)
ALL LOCATIONS IL
01642 R FRANKLIN UN OF MED & SCI/CHICAGO MEDICAL SCHOOL
NORTH CHICAGO IL
01643 LOYOLA UN OF CHICAGO, STRITCH SCHOOL OF MEDICINE
MAYWOOD
IL
01645 SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
SPRINGFIELD
IL
01676 CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE
CHICAGO
IL
IRISV3
Page 7-11
December 19, 2005
SCHOOL
SCHOOL NAME
CODE
01720 INDIANA UNIVERSITY SCHOOL OF MEDICINE
01803 UNIVERSITY OF IOWA COLLEGE OF MEDICINE
01875 UN OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
01902 UNIVERSITY OF KANSAS SCHOOL OF MEDICINE (KC/WICH)
02002 UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
02012 UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
02075 PIKEVILLE COL, SCHOOL OF OSTEOPATHIC MEDICINE
02101 TULANE UNIVERSITY SCHOOL OF MEDICINE
02105 LOUISIANA STATE UN SCHOOL OF MED IN NEW ORLEANS
02106 LOUISIANA STATE UN SCHOOL OF MED IN SHREVEPORT
02275 UN OF NEW ENGLAND, COL OF OSTEOPATHIC MEDICINE
02301 UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
02307 JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
02312 UNIFORMED SERVICES UN OF THE HEALTH SCIENCES
02401 HARVARD MEDICAL SCHOOL
02405 BOSTON UNIVERSITY SCHOOL OF MEDICINE
02407 TUFTS UNIVERSITY SCHOOL OF MEDICINE
02416 UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
02501 UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
02507 WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
02512 MICHIGAN STATE UN COLLEGE OF HUMAN MEDICINE
02576 MICHIGAN STATE UN COLLEGE OF OSTEOPATHIC MEDICINE
02604 UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
02607 UN OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
02608 MAYO MEDICAL SCHOOL
02701 UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
02802 WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
02803 UN OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
02834 SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
02846 UN OF MISSOURI, KANSAS CITY SCHOOL OF MEDICINE
02878 UN OF HEALTH SCIENCES, COL OF OSTEOPATH MEDICINE
02879 KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
03005 UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
03006 CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
03101 UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
03201 DARTMOUTH MEDICAL SCHOOL
03305 UMDNJ-NEW JERSEY MEDICAL SCHOOL
03306 UMDNJ-R W JOHNSON MED SCHOOL (CAM/NEW BRUNS/PISC)
03375 UMDNJ NEW JERSEY SCHOOL OF OSTEOPATHIC MEDICINE
03401 UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
03501 COLUMBIA UN COLLEGE OF PHYSICIANS AND SURGEONS
03503 ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
03506 STATE UN OF NEW YORK AT BUFFALO SCHOOL OF MED
SCHOOL
CITY
INDIANAPOLIS
IOWA CITY
DES MOINES
ALL LOCATIONS
LOUISVILLE
LEXINGTON
PIKEVILLE
NEW ORLEANS
NEW ORLEANS
SHREVEPORT
BIDDEFORD
BALTIMORE
BALTIMORE
BETHESDA
BOSTON
BOSTON
BOSTON
WORCESTER
ANN ARBOR
DETROIT
EAST LANSING
EAST LANSING
MINNEAPOLIS
DULUTH
ROCHESTER
JACKSON
SAINT LOUIS
COLUMBIA
SAINT LOUIS
KANSAS CITY
KANSAS CITY
KIRKSVILLE
OMAHA
OMAHA
RENO
HANOVER
NEWARK
ALL LOCATIONS
STRATFORD
ALBUQUERQUE
NEW YORK
ALBANY
BUFFALO
SCHOOL
STATE
IN
IA
IA
KS
KY
KY
KY
LA
LA
LA
ME
MD
MD
MD
MA
MA
MA
MA
MI
MI
MI
MI
MN
MN
MN
MS
MO
MO
MO
MO
MO
MO
NE
NE
NV
NH
NJ
NJ
NJ
NM
NY
NY
NY
IRISV3
Page 7-12
December 19, 2005
SCHOOL
SCHOOL NAME
CODE
03508 STATE UN OF NEW YORK DOWNSTATE MEDICAL CENTER
03509 NEW YORK MEDICAL COLLEGE
03515 STATE UN OF NY HEALTH SCIENCE CENTER OF SYRACUSE
03519 NEW YORK UNIVERSITY SCHOOL OF MEDICINE
03520 CORNELL UNIVERSITY MEDICAL COLLEGE
03545 UN OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
03546 ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UN
03547 MOUNT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIV
03548 STATE UN OF NY AT STONY BROOK SCHOOL OF MEDICINE
03575 NEW YORK COLLEGE OF OSTEOPATHIC MEDICINE OF NYIT
03601 UN OF NORTH CAROLINA CHAPEL HILL SCH OF MEDICINE
03605 BOWMAN GRAY SCHOOL OF MEDICINE, WAKE FOREST UN
03607 DUKE UNIVERSITY SCHOOL OF MEDICINE
03608 EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE
03701 UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
03806 CASE WESTERN RESERVE UN SCHOOL OF MEDICINE
03840 OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
03841 UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
03843 MEDICAL COLLEGE OF OHIO AT TOLEDO
03844 NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
03845 WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE
03875 OHIO UNIVERSITY OF OSTEOPATHIC MEDICINE
03901 UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
03905 ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
03979 OKLAHOMA COL OF OSTEOPATHIC MEDICINE AND SURGERY
04002 OREGON HEALTH SCIENCES UN SCHOOL OF MEDICINE
04101 UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE
04102 JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UN
04107 MEDICAL COLLEGE OF PENNSYLVANIA
04109 HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
04112 UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
04113 TEMPLE UNIVERSITY SCHOOL OF MEDICINE
04114 PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
04115 DREXEL UNIVERSITY COLLEGE OF MEDICINE
04177 PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
04178 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE
04201 UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
04202 PONCE SCHOOL OF MEDICINE
04203 UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
04204 ESCUELA DE MED SAN JUAN BAUTISTA
04301 BROWN MEDICAL SCHOOL
04501 MEDICAL UN OF SOUTH CAROLINA COLLEGE OF MEDICINE
04504 UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
SCHOOL
CITY
BROOKLYN
VALHALLA
SYRACUSE
NEW YORK
NEW YORK
ROCHESTER
BRONX
NEW YORK
STONY BROOK
OLD WESTBURY
CHAPEL HILL
WINSTON-SALEM
DURHAM
GREENVILLE
GRAND FORKS
CLEVELAND
COLUMBUS
CINCINNATI
TOLEDO
ROOTSTOWN
DAYTON
ATHENS
OKLAHOMA CITY
TULSA
TULSA
PORTLAND
PHILADELPHIA
PHILADELPHIA
PHILADELPHIA
PHILADELPHIA
PITTSBURGH
PHILADELPHIA
HERSHEY
PHILADELPHIA
PHILADELPHIA
ERIE
SAN JUAN
PONCE
BAYAMON
CAGUAS
PROVIDENCE
CHARLESTON
COLUMBIA
SCHOOL
STATE
NY
NY
NY
NY
NY
NY
NY
NY
NY
NY
NC
NC
NC
NC
ND
OH
OH
OH
OH
OH
OH
OH
OK
OK
OK
OR
PA
PA
PA
PA
PA
PA
PA
PA
PA
PA
PR
PR
PR
PR
RI
SC
SC
IRISV3
Page 7-13
December 19, 2005
SCHOOL
SCHOOL NAME
CODE
04601 SANFORD SCHOOL OF MEDICINE OF UN OF SOUTH DAKOTA
04705 VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
04706 UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
04707 MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
04720 E TENNESSEE ST UN QUILLEN COLLEGE OF MEDICINE
04802 UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
04804 BAYLOR COLLEGE OF MEDICINE
04812 UN OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
04813 UN OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
04814 UN OF TEXAS MEDICAL SCHOOL AT HOUSTON
04815 TEXAS TECH UN HSC, SCH OF MED (AMAR/LUB/EL PASO)
04816 TEXAS A & M UNIVERSITY COLLEGE OF MEDICINE
04878 TEXAS COLLEGE OF OSTEOPATHIC MEDICINE
04901 UNIVERSITY OF UTAH SCHOOL OF MEDICINE
05002 UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
05101 UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE
05104 VIRGINIA COMMONWEALTH UN MEDICAL COL OF VIRGINIA
05107 EASTERN VIRGINIA MEDICAL SCHOOL
05175 EDWARD VIA VIRGINIA COL OF OSTEOPATHIC MEDICINE
05404 UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
05501 WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
05502 MARSHALL UNIVERSITY SCHOOL OF MEDICINE
05575 WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
05605 UNIVERSITY OF WISCONSIN MEDICAL SCHOOL
05606 MEDICAL COLLEGE OF WISCONSIN
06001 UNIVERSITY OF ALBERTA, FACULTY OF MEDICINE
06002 UNIVERSITY OF CALGARY, FACULTY OF MEDICINE
06101 UN OF BRITISH COLUMBIA, FACULTY OF MEDICINE
06201 UNIVERSITY OF MANITOBA, FACULTY OF MEDICINE
06301 MEMORIAL UN OF NEWFOUNDLAND, FACULTY OF MEDICINE
06401 DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE
06501 UNIVERSITY OF TORONTO, FACULTY OF MEDICINE
06505 QUEEN'S UNIVERSITY, FACULTY OF MEDICINE
06506 UNIVERSITY OF WESTERN ONTARIO FACULTY OF MEDICINE
06509 UNIVERSITY OF OTTAWA, FACULTY OF HEALTH SCIENCES
06510 MCMASTER UN, MICHAEL DEGROOTE SCHOOL OF MEDICINE
06701 MCGILL UNIVERSITY, FACULTY OF MEDICINE
06702 UNIVERSITE DE MONTREAL, FACULTE DE MEDECINE
06703 LAVAL UNIVERSITE, FACULTE DE MEDECINE
06704 LAVAL UNIVERSITE, FACULTE DE MEDECINE
06706 UNIVERSITY DE SHERBROOKE, FACULTE DE MEDECINE
06801 UNIVERSITY OF SASKATCHEWAN, COLLEGE OF MEDICINE
10000 DOCTOR OF DENTAL MED (OBSOLETE - USE CODES 8XXXX)
SCHOOL
SCHOOL
CITY
STATE
VERMILLION
SD
NASHVILLE
TN
MEMPHIS
TN
NASHVILLE
TN
JHNSN CTY
TN
GALVESTON
TX
HOUSTON
TX
DALLAS
TX
SAN ANTONIO
TX
HOUSTON
TX
ALL LOCATIONS TX
COLLEGE STATION TX
FORT WORTH
TX
SALT LAKE CITY UT
BURLINGTON
VT
CHARLOTTESVILLE VA
RICHMOND
VA
NORFOLK
VA
BLACKSBURG
VA
SEATTLE
WA
MORGANTOWN
WV
HUNTINGTON
WV
LEWISBURG
WV
MADISON
WI
MILWAUKEE
WI
EDMONTON
AB
CALGARY
AB
VANCOUVER
BC
WINNIPEG
MB
SAINT JOHNS
NF
HALIFAX
NS
TORONTO
ON
KINGSTON
ON
LONDON
ON
OTTAWA
ON
HAMILTON
ON
MONTREAL
PQ
MONTREAL
PQ
SAINTE-FOY
PQ
MONTREAL
PQ
SHERBROOKE
PQ
SASKATOON
SK
DM
IRISV3
Page 7-14
December 19, 2005
SCHOOL
SCHOOL NAME
CODE
20000 DOCTOR OF DENTAL SGY (OBSOLETE - USE CODES 8XXXX)
30000 CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
30010 OBSOLETE - USE CODE 30500 (BARRY UNIVERSITY…)
30020 OBSOLETE - USE CODE 30100 (WILLIAM M. SCHOLL…)
30040 OBSOLETE - USE CODE 30600 (COL…, DES MOINES UN)
30050 OBSOLETE - USE CODE 30200 (NEW YORK COLLEGE…)
30080 OBSOLETE - USE CODE 30300 (OHIO COLLEGE…)
30090 OBSOLETE - USE CODE 30400 (TEMPLE UNIVERSITY…)
30100* WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
30200* NEW YORK COLLEGE OF PODIATRIC MEDICINE
30300* OHIO COLLEGE OF PODIATRIC MEDICINE
30400* TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
30500* BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
30600* COL OF PODIATRIC MED AND SURGERY, DES MOINES UNIV
30700* ARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN
80002** UNIV OF ALABAMA AT BIRMINGHAM SCHOOL OF DENTISTRY
80003** ARIZONA SCHOOL OF DENTISTRY & ORAL HEALTH
80004** UNIV OF THE PACIFIC DUGONI SCHOOL OF DENTISTRY
80006** UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY
80007** UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY
80008** UNIV OF SOUTHERN CALIFORNIA SCHOOL OF DENTISTRY
80010** LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY
80011** UNIVERSITY OF COLORADO SCHOOL OF DENTISTRY
80012** UNIVERSITY OF CONNECTICUT SCHOOL OF DENTISTRY
80016** HOWARD UNIVERSITY COLLEGE OF DENTISTRY
80018** UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY
80021** NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
80022** MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY
80027** SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE
80028** UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY
80030** INDIANA UNIVERSITY SCHOOL OF DENTISTRY
80032** UNIVERSITY OF IOWA COLLEGE OF DENTISTRY
80033** UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
80034** UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY
80036** LOUISIANA STATE UNIVERSITY SCHOOL OF DENTISTRY
80038** UNIV OF MARYLAND, BALTIMORE COL OF DENTAL SURGERY
80040** HARVARD SCHOOL OF DENTAL MEDICINE
80041** BOSTON UNIVERSITY SCHOOL OF DENTAL MEDICINE
80042** TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE
80044** UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY
80046** UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY
80048** UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY
80049** UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY
SCHOOL
CITY
SCHOOL
STATE
DS
OAKLAND
CA
MIAMI SHORES
FL
CHICAGO
IL
DES MOINES
IA
NEW YORK
NY
CLEVELAND
OH
PHILADELPHIA
PA
CHICAGO
IL
NEW YORK
NY
CLEVELAND
OH
PHILADELPHIA
PA
MIAMI SHORES
FL
DES MOINES
IA
GLENDALE
AZ
BIRMINGHAM
AL
MESA
AZ
SAN FRANCISCO CA
SAN FRANCISCO CA
LOS ANGELES
CA
LOS ANGELES
CA
LOMA LINDA
CA
DENVER
CO
FARMINGTON
CT
WASHINGTON
DC
GAINESVILLE
FL
FT LAUDERDALE FL
AUGUSTA
GA
ALTON
IL
CHICAGO
IL
INDIANAPOLIS
IN
IOWA CITY
IA
LEXINGTON
KY
LOUISVILLE
KY
NEW ORLEANS
LA
BALTIMORE
MD
BOSTON
MA
BOSTON
MA
BOSTON
MA
DETROIT
MI
ANN ARBOR
MI
MINNEAPOLIS
MN
JACKSON
MS
IRISV3
Page 7-15
December 19, 2005
SCHOOL
SCHOOL NAME
CODE
80052** UNIV OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY
80056** CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY
80058** UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
80060** UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL
80062** COLUMBIA UNIV SCHOOL OF DENTAL & ORAL SURGERY
80064** NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
80065** STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED
80066** STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE
80068** UNIV OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MED
80070** UNIVERSITY OF NORTH CAROLINA SCHOOL OF DENTISTRY
80072** OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY
80074** CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
80076** UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY
80078** OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
80080** TEMPLE UNIVERSITY SCHOOL OF DENTISTRY
80082** UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE
80084** UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE
80085** MEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED
80086** MEHARRY MEDICAL COLLEGE SCHOOL OF DENTISTRY
80088** UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY
80090** BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY
80092** UNIVERSITY OF TEXAS, HOUSTON DENTAL BRANCH
80093** UNIVERSITY OF TEXAS, SAN ANTONIO DENTAL SCHOOL
80094** VIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
80096** UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY
80097** UNIVERSITY OF WEST VIRGINIA SCHOOL OF DENTISTRY
80098** MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY
80099** UNIVERSITY OF PUERTO RICO SCHOOL OF DENTISTRY
80100** UNIVERSITY OF SASKATCHEWAN COLLEGE OF DENTISTRY
80101** UNIVERSITY OF ALBERTA FACULTY OF DENTISTRY
80102** UNIV OF BRITISH COLUMBIA FACULTY OF DENTISTRY
80103** UNIV OF MANITOBA FACULTY OF DENTISTRY
80104** DALHOUSIE UNIVERSITY FACULTY OF DENTISTRY
80105** UNIVERSITY OF TORONTO FACULTY OF DENTISTRY
80106** UNIV OF WESTERN ONTARIO FACULTY OF DENTISTRY
80107** MCGILL UNIVERSITY FACULTY OF DENTISTRY
80108** UNIVERSITE DE MONTREAL FACULTE DE MED DENTAIRE
80109** UNIVERSITE LAVAL FACULTE DE MEDECINE DENTAIRE
99998 FOREIGN DENTAL SCHOOLS
99999 FOREIGN MEDICAL SCHOOLS
***-
SCHOOL
CITY
KANSAS CITY
OMAHA
LINCOLN
NEWARK
NEW YORK
NEW YORK
STONY BROOK
BUFFALO
LAS VEGAS
CHAPEL HILL
COLUMBUS
CLEVELAND
OKLAHOMA CITY
PORTLAND
PHILADELPHIA
PHILADELPHIA
PITTSBURGH
CHARLESTON
NASHVILLE
MEMPHIS
DALLAS
HOUSTON
SAN ANTONIO
RICHMOND
SEATTLE
MORGANTOWN
MILWAUKEE
SAN JUAN
SASKATOON
EDMONTON
VANCOUVER
WINNIPEG
HALIFAX
TORONTO
LONDON
MONTREAL
MONTREAL
QUEBEC
SCHOOL
STATE
MO
NE
NE
NJ
NY
NY
NY
NY
NV
NC
OH
OH
OK
OR
PA
PA
PA
SC
TN
TN
TX
TX
TX
VA
WA
WV
WI
PR
SK
AB
BC
MB
NS
ON
ON
PQ
PQ
PQ
ZZ
ZZ
Source: Medicare Carriers Manual, Part 4, Section 1015, Exhibit 3B; CMS Central Office for Code 30700
Source: American Dental Association Survey Center (Codes 2 through 109); these codes were left filled by CMS
with “8000” for Codes 2 through 8, “800” for Codes 10 through 99, and “80” for Codes 100 through 109
IRISV3
SCHOOL
CODE
Page 7-16
SCHOOL NAME
December 19, 2005
SCHOOL
CITY
SCHOOL
STATE
COPYRIGHT NOTICE FROM THE AMERICAN MEDICAL ASSOCIATION FOR THE USE OF
CODES 00102 THROUGH 06801 IN THE MEDICAL SCHOOL CODE TABLE*:
Use of these codes is restricted to resident tracking efforts by teaching hospitals and resident tracking
validation efforts by CMS fiscal intermediaries in support of Medicare cost report data for graduate
medical education.
*Copyright 2001-2005 American Medical Association.
All rights reserved.
Applicable FARS/DFARS restrictions apply to U.S. Government use.
IRISV3
Page 7-17
7.3
Residency Code Table (Numeric Sequence)
RES PRIMARY DESCRIPTION
CODE
1050 ALLERGY & IMMUNOLOGY
1051 ALLERGY & IMMUNOLOGY
1052 ALLERGY & IMMUNOLOGY
1100 ANESTHESIOLOGY
1101 ANESTHESIOLOGY
1102 ANESTHESIOLOGY
1103 ANESTHESIOLOGY
1150 COLON AND RECTAL SURGERY
1200 DERMATOLOGY
1201 DERMATOLOGY
1202 DERMATOLOGY
1203 DERMATOLOGY
1204 DERMATOLOGY
1250 EMERGENCY MEDICINE
1251 EMERGENCY MEDICINE
1252 EMERGENCY MEDICINE
1253 EMERGENCY MEDICINE
1254 EMERGENCY MEDICINE
1255 EMERGENCY MEDICINE
1300 EMERGENCY & INTERNAL MEDICINE
1350 FAMILY MEDICINE
1351 FAMILY MEDICINE
1352 FAMILY MEDICINE
1400 INTERNAL MEDICINE
1401 INTERNAL MEDICINE
1402 INTERNAL MEDICINE
1403 INTERNAL MEDICINE
1404 INTERNAL MEDICINE
1405 INTERNAL MEDICINE
1406 INTERNAL MEDICINE
1407 INTERNAL MEDICINE
1408 INTERNAL MEDICINE
1409 INTERNAL MEDICINE
1410 INTERNAL MEDICINE
1411 INTERNAL MEDICINE
1412 INTERNAL MEDICINE
1413 INTERNAL MEDICINE
1414 INTERNAL MEDICINE
1415 INTERNAL MEDICINE
1416 INTERNAL MEDICINE
1417 INTERNAL MEDICINE
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
DIAGNOSTIC LABORATORY IMMUNOLOGY
CLINICAL IMMUNOLOGY
GENERAL
CRITICAL CARE MEDICINE
PAIN MEDICINE
PEDIATRIC ANESTHESIOLOGY
GENERAL
GENERAL
DERMATOPATHOLOGY
CLINICAL & LAB'Y DERM'L IMMUNOLOGY
DERMATOLOGICAL MICROGRAPHIC SURGERY
PROCEDURAL DERMATOLOGY
GENERAL (SEE NOTE 4 IN HELP SCREEN)
PEDIATRIC EMERGENCY MEDICINE
EMERGENCY MEDICAL SERVICES
SPORTS MEDICINE
MEDICAL TOXICOLOGY
UNDERSEA & HYPERBARIC MEDICINE
GENERAL
GENERAL
GERIATRIC MEDICINE
SPORTS MEDICINE
GENERAL
CARDIAC ELECTROPHYSIOLOGY
CARDIOLOGY
CARDIOVASCULAR DISEASE
CRITICAL CARE MEDICINE
CLINICAL & LABORATORY IMMUNOLOGY
ENDOCRINOLOGY, DIABETES & METABOL'M
GASTROENTEROLOGY
GERIATRIC MEDICINE
HEMATOLOGY
INFECTIOUS DISEASE
MEDICAL ONCOLOGY
NEPHROLOGY
ONCOLOGY
PULMONARY DISEASE
RHEUMATOLOGY
SPORTS MEDICINE
TRANSPLANTATION MEDICINE
IRISV3
Page 7-18
RES PRIMARY DESCRIPTION
CODE
1418 INTERNAL MEDICINE
1419 INTERNAL MEDICINE
1420 INTERNAL MEDICINE
1421 INTERNAL MEDICINE
1450 INTERNAL MEDICINE & PEDIATRICS
1455 INTERNAL MED. & DERMATOLOGY
1460 INT. MED. & EMERG./CRIT. CARE MED.
1465 INTERNAL MED. & NUCLEAR MEDICINE
1470 INTERNAL MED. & MEDICAL GENETICS
1500 INTERNAL MED./PHYS'L MED. & REHAB.
1550 INTERNAL MEDICINE & PSYCHIATRY
1600 NEUROLOGICAL SURGERY
1601 NEUROLOGICAL SURGERY
1602 NEUROLOGICAL SURGERY
1650 NEUROLOGY
1651 NEUROLOGY
1652 NEUROLOGY
1653 NEUROLOGY
1654 NEUROLOGY
1655 NEUROLOGY
1656 NEUROLOGY
1700 NUCLEAR MEDICINE
1701 NUCLEAR MEDICINE
1702 NUCLEAR MEDICINE
1750 OBSTETRICS & GYNECOLOGY
1751 OBSTETRICS & GYNECOLOGY
1752 OBSTETRICS & GYNECOLOGY
1753 OBSTETRICS & GYNECOLOGY
1754 OBSTETRICS & GYNECOLOGY
1800 OPTHAMOLOGY
1801 PEDIATRICS
1850 ORTHOPAEDIC SURGERY
1851 ORTHOPAEDIC SURGERY
1852 ORTHOPAEDIC SURGERY
1853 ORTHOPAEDIC SURGERY
1854 ORTHOPAEDIC SURGERY
1855 ORTHOPAEDIC SURGERY
1856 ORTHOPAEDIC SURGERY
1857 ORTHOPAEDIC SURGERY
1858 ORTHOPAEDIC SURGERY
1859 ORTHOPAEDIC SURGERY
1860 ORTHOPAEDIC SURGERY
December 19, 2005
SECONDARY DESCRIPTION
ADOLESCENT MEDICINE
HEMATOLOGY & ONCOLOGY
PULMON'Y DISEASE & CRIT. CARE MED.
INTERVENTIONAL CARDIOLOGY
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
CRITICAL CARE MEDICINE
PEDIATRIC NEUROLOGICAL SURGERY
GENERAL
CHILD NEUROLOGY
CLINICAL NEUROPHYSIOLOGY
NEURODEVELOPMENTAL DISABILITIES
NEUROMUSCULAR MEDICINE
PAIN MEDICINE
VASCULAR NEUROLOGY
GENERAL
NUCLEAR RADIOLOGY (WITH ABRAD)
RADIOISOTOPIC PATHOLOGY (WITH ABPA)
GENERAL
CRITICAL CARE MEDICINE
GYNECOLOGICAL ONCOLOGY
MATERNAL & FETAL MEDICINE
REPRODUCTIVE ENDOCRINOLOGY
GENERAL
PEDIATRIC OPTHAMOLOGY
GENERAL
ADULT RECONSTRUCTIVE ORTHOPAEDICS
HAND SURGERY
MUSCULOSKELETAL ONCOLOGY
ORTHOPAEDIC TRAUMA
PEDIATRIC ORTHOPAEDICS
ORTHOPAEDIC SPORTS MEDICINE
FOOT & ANKLE ORTHOPAEDICS
ONCOLOGY/PATHOLOGY
REHABILITATION ORTHOPAEDICS
ORTHOPAEDIC SURGERY OF THE SPINE
IRISV3
Page 7-19
RES PRIMARY DESCRIPTION
CODE
1900 OTOLARYNGOLOGY
1901 OTOLARYNGOLOGY
1902 OTOLARYNGOLOGY
1903 OTOLARYNGOLOGY
1904 OTOLARYNGOLOGY
1905 OTOLARYNGOLOGY
1925 PATHOLOGY, ANATOMIC
1950 PATHOLOGY, ANATOMIC AND CLINICAL
1951 PATHOLOGY, ANATOMIC AND CLINICAL
1952 PATHOLOGY, ANATOMIC AND CLINICAL
1953 PATHOLOGY, ANATOMIC AND CLINICAL
1954 PATHOLOGY, ANATOMIC AND CLINICAL
1955 PATHOLOGY, ANATOMIC AND CLINICAL
1956 PATHOLOGY, ANATOMIC AND CLINICAL
1957 PATHOLOGY, ANATOMIC AND CLINICAL
1958 PATHOLOGY, ANATOMIC AND CLINICAL
1959 PATHOLOGY, ANATOMIC AND CLINICAL
1960 PATHOLOGY, ANATOMIC AND CLINICAL
1961 PATHOLOGY, ANATOMIC AND CLINICAL
1962 PATHOLOGY, ANATOMIC AND CLINICAL
1975 PATHOLOGY, CLINICAL
2000 PEDIATRICS
2001 PEDIATRICS
2002 PEDIATRICS
2003 PEDIATRICS
2004 PEDIATRICS
2005 PEDIATRICS
2006 PEDIATRICS
2007 PEDIATRICS
2008 PEDIATRICS
2009 PEDIATRICS
2010 PEDIATRICS
2011 PEDIATRICS
2012 PEDIATRICS
2013 PEDIATRICS
2014 PEDIATRICS
2015 PEDIATRICS
2050 PHYSICAL MEDICINE & REHABILITATION
2051 PHYSICAL MEDICINE & REHABILITATION
2052 PHYSICAL MEDICINE & REHABILITATION
2053 PHYSICAL MEDICINE & REHABILITATION
2100 PLASTIC SURGERY
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
FACIAL PLASTIC RECONSTRUCTIVE OTOL.
HEAD AND NECK ONCOLOGY
NEUROTOLOGY
OTOLOGY
PEDIATRIC OTOLARYNGOLOGY
GENERAL
GENERAL
BLOOD BANKING/TRANSFUSION MEDICINE
CHEMICAL PATHOLOGY
CYTOPATHOLOGY
DERMATOPATHOLOGY
FORENSIC PATHOLOGY
HEMATOLOGY
IMMUNOPATHOLOGY
MEDICAL MICROBIOLOGY
NEUROPATHOLOGY
PEDIATRIC PATHOLOGY
RADIOISOTOPIC PATHOLOGY
SELECTIVE PATHOLOGY
GENERAL
GENERAL
ADOLESCENT MEDICINE
CLINICAL & LABORATORY IMMUNOLOGY
NEONATAL-PERINATAL MEDICINE
CARDIOLOGY
CRITICAL CARE MEDICINE
EMERGENCY MEDICINE
ENDOCRINOLOGY
GASTROENTEROLOGY
HEMATOLOGY/ONCOLOGY
INFECTIOUS DISEASE
NEPHROLOGY
PULMONOLOGY
RHEUMATOLOGY
SPORTS MEDICINE
DEVELOPMENTAL-BEHAVIORAL PEDIATRICS
GENERAL
PAIN MEDICATION
PEDIATRIC REHABILITATION MEDICINE
SPINAL CORD INJURY MEDICINE
GENERAL
IRISV3
Page 7-20
RES PRIMARY DESCRIPTION
CODE
2101 PLASTIC SURGERY
2102 PLASTIC SURGERY
2150 PREVENTIVE MEDICINE
2151 PREVENTIVE MEDICINE
2152 PREVENTIVE MEDICINE
2153 PREVENTIVE MEDICINE
2154 PREVENTIVE MEDICINE
2155 PREVENTIVE MEDICINE
2200 PSYCHIATRY
2201 PSYCHIATRY
2202 PSYCHIATRY
2203 PSYCHIATRY
2204 PSYCHIATRY
2205 PSYCHIATRY
2206 PSYCHIATRY
2250 RADIOLOGY, DIAGNOSTIC
2300 RADIOLOGICAL PHYSICS
2350 RADIOLOGY
2351 RADIOLOGY, DIAGNOSTIC
2400 RADIOLOGY, DIAGNOSTIC
2401 RADIOLOGY, DIAGNOSTIC
2402 RADIOLOGY, DIAGNOSTIC
2403 RADIOLOGY, DIAGNOSTIC
2404 RADIOLOGY, DIAGNOSTIC
2405 RADIOLOGY, DIAGNOSTIC
2406 RADIOLOGY, DIAGNOSTIC
2407 RADIOLOGY, DIAGNOSTIC
2425 DIAG. RAD'Y/NUC. MED./NUC. RAD'Y
2450 SURGERY
2451 SURGERY
2452 SURGERY
2453 SURGERY
2454 SURGERY
2455 SURGERY
2500 SURGERY
2525 TRANSITIONAL YEAR (ALLOPATHIC MED.)
2550 PRELIMINARY MEDICINE
2600 PRELIMINARY SURGERY
2650 UROLOGY
2651 UROLOGY
2700 MEDICAL GENETICS
2701 MEDICAL GENETICS
December 19, 2005
SECONDARY DESCRIPTION
HAND SURGERY
CRANIOFACIAL SURGERY
GENERAL
AEROSPACE MEDICINE
OCCUPATIONAL MEDICINE
PUBLIC HEALTH & GEN. PREVEN. MED.
UNDERSEA & HYPERBARIC MEDICINE
MEDICAL TOXICOLOGY
GENERAL
CHILD & ADOLESCENT PSYCHIATRY
GERIATRIC PSYCHIATRY
ADDICTION PSYCHIATRY
FORENSIC PSYCHIATRY
PAIN MEDICINE
PSYCHOSOMATIC MEDICINE
RADIATION ONCOLOGY
GENERAL
GENERAL
NUCLEAR RADIOLOGY
GENERAL
NEURORADIOLOGY
PEDIATRIC RADIOLOGY
VASCULAR & INTERVENTIONAL RADIOLOGY
ABDOMINAL RADIOLOGY
CARDIOTHORACIC RADIOLOGY
ENDOVASCULAR SURG'L NEURORADIOLOGY
MUSCULOSKELETAL RADIOLOGY
GENERAL
GENERAL
CRITICAL CARE MEDICINE
GENERAL VASCULAR SURGERY
HAND SURGERY
PEDIATRIC SURGERY
SURGICAL CRITICAL CARE
THORACIC SURGERY
GENERAL
GENERAL
GENERAL
GENERAL
PEDIATRIC UROLOGY
GENERAL
MOLECULAR GENETIC PATHOLOGY
IRISV3
Page 7-21
RES PRIMARY DESCRIPTION
CODE
2725 SLEEP MEDICINE
2750 FAMILY MEDICINE/PSYCHIATRY
2755 INTERNAL MEDICINE/FAMILY MEDICINE
2760 INTERNAL MEDICINE/NEUROLOGY
2765 INTERNAL MEDICINE/PREVENTIVE MED.
2770 NEUROLOGY/PHYSICAL MED. & REHAB.
2775 NEUROLOGY & DIAG. RAD'Y/NEURORAD'Y
2800 PEDIATRICS/EMERGENCY MEDICINE
2850 PED./PSYCH./CHILD & ADOLES. PSYCH.
2900 PEDIATRICS/PHYSICAL MED. & REHAB.
2905 PEDIATRICS/DERMATOLOGY
2910 PEDIATRICS/MEDICAL GENETICS
2950 PHYSICAL MED. & REHAB./NEUROLOGY
2955 PSYCHIATRY/NEUROLOGY
3050 PREVENTIVE/AEROSPACE MEDICINE
3100 ANESTHESIOLOGY
3101 ANESTHESIOLOGY
3102 ANESTHESIOLOGY
3150 DIAGNOSTIC RADIOLOGY
3200 INTERNAL MEDICINE
3250 INTERNAL MEDICINE
3275 CRITICAL CARE SURGERY
3300 PATHOLOGY, LABORATORY MEDICINE
3350 DERMATOLOGY
3351 DERMATOLOGY
3352 DERMATOLOGY
3400 DIAGNOSTIC RADIOLOGY
3450 EMERGENCY MEDICINE
3451 EMERGENCY MEDICINE
3452 EMERGENCY MEDICINE
3453 EMERGENCY MEDICINE
3475 EMERGENCY MEDICINE/PEDIATRICS
3500 INTERNAL MEDICINE
3550 INTERNAL MEDICINE
3600 FAMILY PRACTICE
3601 FAMILY PRACTICE
3602 FAMILY PRACTICE
3603 FAMILY PRACTICE
3604 FAMILY PRACTICE
3625 FAMILY PRACTICE/EMERGENCY MEDICINE
3630 FAM. PRAC. & OST. MANIP. TREATMENT
3650 GENERAL SURGERY
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
CRITICAL CARE MEDICINE
ACUTE & CHRONIC PAIN MANAGEMENT
ANGIOGRAPHY & INTERVENT'L RADIOLOGY
CARDIOLOGY
CLINICAL ALLERGY & IMMUNOLOGY
GENERAL
CYTOPATHOLOGY
GENERAL
DERMATOPATHOLOGY
MOHS MICROGRAPHIC SURGERY
GENERAL
GENERAL
SPORTS MEDICINE
EMERGENCY MEDICAL SERVICES
TOXICOLOGY
GENERAL
ENDOCRINOLOGY
GASTROENTEROLOGY
GENERAL
ADOLESCENT AND YOUNG ADULT MEDICINE
GERIATRICS
SPORTS MEDICINE
ADDICTION MEDICINE
GENERAL
GENERAL
GENERAL
IRISV3
Page 7-22
RES PRIMARY DESCRIPTION
CODE
3700 GENERAL VASCULAR SURGERY
3750 HEMATOLOGY
3800 INTERNAL MEDICINE
3850 INTERNAL MEDICINE
3900 INTERNAL MEDICINE
3901 INTERNAL MEDICINE
3902 INTERNAL MEDICINE
3903 INTERNAL MEDICINE
3904 INTERNAL MEDICINE
3905 INTERNAL MEDICINE
3906 INTERNAL MEDICINE
3907 INTERNAL MEDICINE
3908 INTERNAL MEDICINE
3909 INTERNAL MEDICINE
3950 OBSTETRICS/GYNECOLOGY
4000 MEDICAL DISEASES OF THE CHEST
4050 PEDIATRICS
4100 INTERNAL MEDICINE
4150 NEUROLOGY
4151 NEUROLOGY
4200 NEUROLOGY
4250 DIAGNOSTIC RADIOLOGY
4300 NEUROLOGICAL SURGERY
4350 NUCLEAR MEDICINE
4351 NUCLEAR MEDICINE
4352 NUCLEAR MEDICINE
4353 NUCLEAR MEDICINE
4400 DIAGNOSTIC RADIOLOGY
4450 OBSTETRICS/GYNECOLOGY
4500 OBSTETRICS & GYNECOLOGICAL SURGERY
4550 OCCUPATIONAL MEDICINE
4575 OCCUPATIONAL/ENVIRONMENTAL MEDICINE
4600 INTERNAL MEDICINE
4650 OBSTETRICS/GYNECOLOGY
4700 OPTHAMOLOGY
4750 ORTHOPAEDIC SURGERY
4751 ORTHOPAEDIC SURGERY
4752 ORTHOPAEDIC SURGERY
4753 ORTHOPAEDIC SURGERY
4800 NEUROMUSCULOS. & OST. MANIP. MED.
4801 NEUROMUSCULOS. & OST. MANIP. MED.
4802 NEUROMUSCULOS. & OST. MANIP. MED.
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
GENERAL (OBSOLETE - USE CODE 3901)
HEMATOLOGY/ONCOLOGY
INFECTIOUS DISEASES
GENERAL
HEMATOLOGY
PULMONARY DISEASES
CRITICAL CARE MEDICINE
GERIATRICS
CLIN'L CARDIAC ELECTROPHYSIOLOGY
SPORTS MEDICINE
INTERVENTIONAL CARDIOLOGY
PULMONARY DISEASES/CRIT. CARE MED.
SLEEP MEDICINE
MATERNAL-FETAL MEDICINE
GENERAL
NEONATAL MEDICINE
NEPHROLOGY
GENERAL
NEUROPHYSIOLOGY
CHILD NEUROLOGY
NEURORADIOLOGY
GENERAL
GENERAL
IN-VIVO & IN-VITRO NUCLEAR MEDICINE
NUCLEAR CARDIOLOGY
NUCLEAR IMAGING & THERAPY
NUCLEAR RADIOLOGY
GENERAL
GENERAL
GENERAL
GENERAL
ONCOLOGY
GYNECOLOGICAL ONCOLOGY
GENERAL
GENERAL
HAND SURGERY
SPINE SURGERY
ORTHOPAEDIC SURG'L SPORTS MEDICINE
GENERAL
ADVANCED & CONCENTRATED TRAINING
SPORTS MEDICINE
IRISV3
Page 7-23
RES PRIMARY DESCRIPTION
CODE
4825 NEUROMUSCULOS. MED./INT. FAM. PRAC.
4850 OTOLARYNGOLOGY
4851 OTOLARYNGOLOGY
4900 OTORHINOLARYNGOLOGY
4950 OTORHINOL'Y/FAC'L PLASTIC SURGERY
4975 FACIAL PLASTIC SURGERY
5000 PATHOLOGY
5001 PATHOLOGY, LABORATORY MEDICINE
5002 PATHOLOGY, LABORATORY MEDICINE
5003 PATHOLOGY, LABORATORY MEDICINE
5004 PATHOLOGY, LABORATORY MEDICINE
5005 PATHOLOGY, LABORATORY MEDICINE
5006 PATHOLOGY, LABORATORY MEDICINE
5007 PATHOLOGY, LABORATORY MEDICINE
5050 PATHOLOGY, ANATOMIC
5075 PATHOLOGY, ANATOMIC & FORENSIC
5100 PATHOLOGY, ANATOMIC/LABORATORY MED.
5150 PATHOLOGY, LABORATORY MEDICINE
5200 PATHOLOGY, LABORATORY MEDICINE
5250 PEDIATRICS
5251 PEDIATRICS
5252 PEDIATRICS
5253 PEDIATRICS
5254 PEDIATRICS
5255 PEDIATRICS
5256 PEDIATRICS
5257 PEDIATRICS
5258 PEDIATRICS
5259 PEDIATRICS
5260 PEDIATRICS
5300 PLASTIC & RECONSTRUCTIVE SURGERY
5350 PREVENTIVE MED., OCCUP'L/ENVIRON'L
5400 PREVENTIVE MEDICINE
5425 PUBLIC HEALTH & PREVENTIVE MEDICINE
5450 PROCTOLOGY
5475 PROCTOLOGIC SURGERY
5500 PSYCHIATRY
5501 PSYCHIATRY
5502 PSYCHIATRY
5550 PSYCHIATRY
5600 PSYCHIATRY, GENERAL AND CHILD
5650 PSYCHIATRY, PEDIATRIC
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
GENERAL
OTOLARYNGIC ALLERGY
GENERAL
GENERAL
GENERAL
GENERAL
BLOOD BANKING/TRANSFUSION MEDICINE
CHEMICAL PATHOLOGY
DERMATOPATHOLOGY
HEMATOLOGY
IMMUNOPATHOLOGY
MEDICAL MICROBIOLOGY
NEUROPATHOLOGY
GENERAL
GENERAL
GENERAL
FORENSIC PATHOLOGY
GENERAL
GENERAL
ALLERGY/IMMUNOLOGY
CARDIOLOGY
HEMATOLOGY/ONCOLOGY
INFECTIOUS DISEASES
INTENSIVE CARE
NEPHROLOGY
ADOLESCENT & YOUNG ADULT MEDICINE
PEDIATRIC PULMONOLOGY
PEDIATRIC SPORTS MEDICINE
ENDOCRINOLOGY
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
ADDICTION PSYCHIATRY
GERIATRIC PSYCHIATRY
CHILD PSYCHIATRY
GENERAL
GENERAL
IRISV3
Page 7-24
RES PRIMARY DESCRIPTION
CODE
5700 RADIATION ONCOLOGY
5750 RADIATION THERAPY
5800 DIAGNOSTIC RADIOLOGY
5850 RADIOLOGY
5851 RADIOLOGY
5852 DIAGNOSTIC RADIOLOGY
5900 PHYSICAL & REHABILITATION MEDICINE
5901 PHYSICAL & REHABILITATION MEDICINE
5950 OBSTETRICS/GYNECOLOGY
6000 INTERNAL MEDICINE
6050 ROENTGENOLOGY
6100 ROENTGENOLOGY, DIAGNOSTIC
6150 CARDIOTHORACIC VASCULAR SURGERY
6200 THORACIC SURGERY
6250 UROLOGICAL SURGERY
6300 INTERNAL MEDICINE/EMERG'Y MEDICINE
6350 INTERNAL MEDICINE/PEDIATRICS
6400 TRAD'L ROT'G INTERN'P (OSTEO. MED.)
6450 DIAGNOSTIC RADIOLOGY
6500 DIAGNOSTIC RADIOLOGY
6550 SPORTS MEDICINE
7050 PODIATRIC ORTHOPAEDIC RESIDENCY
7100 PODIATRIC SURGICAL RESIDENCY
7150 PRIMARY PODIATRIC MEDICAL RESIDENCY
7200 ROTATING PODIATRIC RESIDENCY
8050 DENTAL PUBLIC HEALTH
8100 ENDODONTICS
8150 ORAL PATHOLOGY
8200 ORAL AND MAXILLOFACIAL SURGERY
8250 ORTHODONTICS/DENTOFAC’L ORTHOPEDICS
8300 PEDIATRIC DENTISTRY
8350 PERIODONTICS
8400 PROSTHODONTICS
8450 PROSTHODONTICS MAXILLOFACIAL
8500 GENERAL PRACTICE DENTISTRY
8550 ADVANCED EDUC. IN GENERAL DENTISTRY
9050 EMERGENCY MEDICINE
9100 EMERGENCY MEDICINE
9150 RESERVED FOR FUTURE USE
9200 RESERVED FOR FUTURE USE
9250 RESERVED FOR FUTURE USE
9300 RESERVED FOR FUTURE USE
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
GENERAL
RADIOLOGICAL IMAGING
GENERAL
DIAGNOSTIC ULTRASOUND
PEDIATRIC RADIOLOGY
GENERAL
SPORTS MEDICINE
REPRODUCTIVE ENDOCRINOLOGY
RHEUMATOLOGY
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
VASCULAR & INTERVENTIONAL RADIOLOGY
BODY IMAGING
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
3-YEAR RESIDENCY
4-YEAR RESIDENCY
IRISV3
RES PRIMARY DESCRIPTION
CODE
9350 RESERVED FOR FUTURE USE
9400 RESERVED FOR FUTURE USE
9450 RESERVED FOR FUTURE USE
9500 RESERVED FOR FUTURE USE
9550 RESERVED FOR FUTURE USE
9600 RESERVED FOR FUTURE USE
9650 RESERVED FOR FUTURE USE
9700 RESERVED FOR FUTURE USE
9750 RESERVED FOR FUTURE USE
9800 RESERVED FOR FUTURE USE
9850 RESERVED FOR FUTURE USE
9900 RESERVED FOR FUTURE USE
9950 RESERVED FOR FUTURE USE
Page 7-25
December 19, 2005
SECONDARY DESCRIPTION
IRISV3
Page 7-26
7.3
Residency Code Table (Alphabetic Sequence)
RES PRIMARY DESCRIPTION
CODE
1050 ALLERGY & IMMUNOLOGY
1052 ALLERGY & IMMUNOLOGY
1051 ALLERGY & IMMUNOLOGY
1100 ANESTHESIOLOGY
1101 ANESTHESIOLOGY
1102 ANESTHESIOLOGY
1103 ANESTHESIOLOGY
1150 COLON AND RECTAL SURGERY
1200 DERMATOLOGY
1202 DERMATOLOGY
1203 DERMATOLOGY
1201 DERMATOLOGY
1204 DERMATOLOGY
2425 DIAG. RAD'Y/NUC. MED./NUC. RAD'Y
1300 EMERGENCY & INTERNAL MEDICINE
1250 EMERGENCY MEDICINE
9050 EMERGENCY MEDICINE
9100 EMERGENCY MEDICINE
1252 EMERGENCY MEDICINE
1254 EMERGENCY MEDICINE
1251 EMERGENCY MEDICINE
1253 EMERGENCY MEDICINE
1255 EMERGENCY MEDICINE
1350 FAMILY MEDICINE
1351 FAMILY MEDICINE
1352 FAMILY MEDICINE
2750 FAMILY MEDICINE/PSYCHIATRY
1460 INT. MED. & EMERG./CRIT. CARE MED.
1455 INTERNAL MED. & DERMATOLOGY
1470 INTERNAL MED. & MEDICAL GENETICS
1465 INTERNAL MED. & NUCLEAR MEDICINE
1500 INTERNAL MED./PHYS'L MED. & REHAB.
1400 INTERNAL MEDICINE
1418 INTERNAL MEDICINE
1401 INTERNAL MEDICINE
1402 INTERNAL MEDICINE
1403 INTERNAL MEDICINE
1405 INTERNAL MEDICINE
1404 INTERNAL MEDICINE
1406 INTERNAL MEDICINE
1407 INTERNAL MEDICINE
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
CLINICAL IMMUNOLOGY
DIAGNOSTIC LABORATORY IMMUNOLOGY
GENERAL
CRITICAL CARE MEDICINE
PAIN MEDICINE
PEDIATRIC ANESTHESIOLOGY
GENERAL
GENERAL
CLINICAL & LAB'Y DERM'L IMMUNOLOGY
DERMATOLOGICAL MICROGRAPHIC SURGERY
DERMATOPATHOLOGY
PROCEDURAL DERMATOLOGY
GENERAL
GENERAL
GENERAL (SEE NOTE 4 IN HELP SCREEN)
3-YEAR RESIDENCY
4-YEAR RESIDENCY
EMERGENCY MEDICAL SERVICES
MEDICAL TOXICOLOGY
PEDIATRIC EMERGENCY MEDICINE
SPORTS MEDICINE
UNDERSEA & HYPERBARIC MEDICINE
GENERAL
GERIATRIC MEDICINE
SPORTS MEDICINE
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
ADOLESCENT MEDICINE
CARDIAC ELECTROPHYSIOLOGY
CARDIOLOGY
CARDIOVASCULAR DISEASE
CLINICAL & LABORATORY IMMUNOLOGY
CRITICAL CARE MEDICINE
ENDOCRINOLOGY, DIABETES & METABOL'M
GASTROENTEROLOGY
IRISV3
Page 7-27
RES PRIMARY DESCRIPTION
CODE
1408 INTERNAL MEDICINE
1409 INTERNAL MEDICINE
1419 INTERNAL MEDICINE
1410 INTERNAL MEDICINE
1421 INTERNAL MEDICINE
1411 INTERNAL MEDICINE
1412 INTERNAL MEDICINE
1413 INTERNAL MEDICINE
1414 INTERNAL MEDICINE
1420 INTERNAL MEDICINE
1415 INTERNAL MEDICINE
1416 INTERNAL MEDICINE
1417 INTERNAL MEDICINE
1450 INTERNAL MEDICINE & PEDIATRICS
1550 INTERNAL MEDICINE & PSYCHIATRY
2755 INTERNAL MEDICINE/FAMILY MEDICINE
2760 INTERNAL MEDICINE/NEUROLOGY
2765 INTERNAL MEDICINE/PREVENTIVE MED.
2700 MEDICAL GENETICS
2701 MEDICAL GENETICS
1600 NEUROLOGICAL SURGERY
1601 NEUROLOGICAL SURGERY
1602 NEUROLOGICAL SURGERY
1650 NEUROLOGY
1651 NEUROLOGY
1652 NEUROLOGY
1653 NEUROLOGY
1654 NEUROLOGY
1655 NEUROLOGY
1656 NEUROLOGY
2775 NEUROLOGY & DIAG. RAD'Y/NEURORAD'Y
2770 NEUROLOGY/PHYSICAL MED. & REHAB.
1700 NUCLEAR MEDICINE
1701 NUCLEAR MEDICINE
1702 NUCLEAR MEDICINE
1750 OBSTETRICS & GYNECOLOGY
1751 OBSTETRICS & GYNECOLOGY
1752 OBSTETRICS & GYNECOLOGY
1753 OBSTETRICS & GYNECOLOGY
1754 OBSTETRICS & GYNECOLOGY
1800 OPTHAMOLOGY
1850 ORTHOPAEDIC SURGERY
December 19, 2005
SECONDARY DESCRIPTION
GERIATRIC MEDICINE
HEMATOLOGY
HEMATOLOGY & ONCOLOGY
INFECTIOUS DISEASE
INTERVENTIONAL CARDIOLOGY
MEDICAL ONCOLOGY
NEPHROLOGY
ONCOLOGY
PULMONARY DISEASE
PULMON'Y DISEASE & CRIT. CARE MED.
RHEUMATOLOGY
SPORTS MEDICINE
TRANSPLANTATION MEDICINE
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
MOLECULAR GENETIC PATHOLOGY
GENERAL
CRITICAL CARE MEDICINE
PEDIATRIC NEUROLOGICAL SURGERY
GENERAL
CHILD NEUROLOGY
CLINICAL NEUROPHYSIOLOGY
NEURODEVELOPMENTAL DISABILITIES
NEUROMUSCULAR MEDICINE
PAIN MEDICINE
VASCULAR NEUROLOGY
GENERAL
GENERAL
GENERAL
NUCLEAR RADIOLOGY (WITH ABRAD)
RADIOISOTOPIC PATHOLOGY (WITH ABPA)
GENERAL
CRITICAL CARE MEDICINE
GYNECOLOGICAL ONCOLOGY
MATERNAL & FETAL MEDICINE
REPRODUCTIVE ENDOCRINOLOGY
GENERAL
GENERAL
IRISV3
Page 7-28
RES PRIMARY DESCRIPTION
CODE
1851 ORTHOPAEDIC SURGERY
1857 ORTHOPAEDIC SURGERY
1852 ORTHOPAEDIC SURGERY
1853 ORTHOPAEDIC SURGERY
1858 ORTHOPAEDIC SURGERY
1856 ORTHOPAEDIC SURGERY
1860 ORTHOPAEDIC SURGERY
1854 ORTHOPAEDIC SURGERY
1855 ORTHOPAEDIC SURGERY
1859 ORTHOPAEDIC SURGERY
1900 OTOLARYNGOLOGY
1901 OTOLARYNGOLOGY
1902 OTOLARYNGOLOGY
1903 OTOLARYNGOLOGY
1904 OTOLARYNGOLOGY
1905 OTOLARYNGOLOGY
1925 PATHOLOGY, ANATOMIC
1950 PATHOLOGY, ANATOMIC AND CLINICAL
1951 PATHOLOGY, ANATOMIC AND CLINICAL
1952 PATHOLOGY, ANATOMIC AND CLINICAL
1953 PATHOLOGY, ANATOMIC AND CLINICAL
1954 PATHOLOGY, ANATOMIC AND CLINICAL
1955 PATHOLOGY, ANATOMIC AND CLINICAL
1956 PATHOLOGY, ANATOMIC AND CLINICAL
1957 PATHOLOGY, ANATOMIC AND CLINICAL
1958 PATHOLOGY, ANATOMIC AND CLINICAL
1959 PATHOLOGY, ANATOMIC AND CLINICAL
1960 PATHOLOGY, ANATOMIC AND CLINICAL
1961 PATHOLOGY, ANATOMIC AND CLINICAL
1962 PATHOLOGY, ANATOMIC AND CLINICAL
1975 PATHOLOGY, CLINICAL
2850 PED./PSYCH./CHILD & ADOLES. PSYCH.
2000 PEDIATRICS
2001 PEDIATRICS
2004 PEDIATRICS
2002 PEDIATRICS
2005 PEDIATRICS
2015 PEDIATRICS
2006 PEDIATRICS
2007 PEDIATRICS
2008 PEDIATRICS
2009 PEDIATRICS
December 19, 2005
SECONDARY DESCRIPTION
ADULT RECONSTRUCTIVE ORTHOPAEDICS
FOOT & ANKLE ORTHOPAEDICS
HAND SURGERY
MUSCULOSKELETAL ONCOLOGY
ONCOLOGY/PATHOLOGY
ORTHOPAEDIC SPORTS MEDICINE
ORTHOPAEDIC SURGERY OF THE SPINE
ORTHOPAEDIC TRAUMA
PEDIATRIC ORTHOPAEDICS
REHABILITATION ORTHOPAEDICS
GENERAL
FACIAL PLASTIC RECONSTRUCTIVE OTOL.
HEAD AND NECK ONCOLOGY
NEUROTOLOGY
OTOLOGY
PEDIATRIC OTOLARYNGOLOGY
GENERAL
GENERAL
BLOOD BANKING/TRANSFUSION MEDICINE
CHEMICAL PATHOLOGY
CYTOPATHOLOGY
DERMATOPATHOLOGY
FORENSIC PATHOLOGY
HEMATOLOGY
IMMUNOPATHOLOGY
MEDICAL MICROBIOLOGY
NEUROPATHOLOGY
PEDIATRIC PATHOLOGY
RADIOISOTOPIC PATHOLOGY
SELECTIVE PATHOLOGY
GENERAL
GENERAL
GENERAL
ADOLESCENT MEDICINE
CARDIOLOGY
CLINICAL & LABORATORY IMMUNOLOGY
CRITICAL CARE MEDICINE
DEVELOPMENTAL-BEHAVIORAL PEDIATRICS
EMERGENCY MEDICINE
ENDOCRINOLOGY
GASTROENTEROLOGY
HEMATOLOGY/ONCOLOGY
IRISV3
Page 7-29
RES PRIMARY DESCRIPTION
CODE
2010 PEDIATRICS
2003 PEDIATRICS
2011 PEDIATRICS
1801 PEDIATRICS
2012 PEDIATRICS
2013 PEDIATRICS
2014 PEDIATRICS
2905 PEDIATRICS/DERMATOLOGY
2800 PEDIATRICS/EMERGENCY MEDICINE
2910 PEDIATRICS/MEDICAL GENETICS
2900 PEDIATRICS/PHYSICAL MED. & REHAB.
2950 PHYSICAL MED. & REHAB./NEUROLOGY
2050 PHYSICAL MEDICINE & REHABILITATION
2051 PHYSICAL MEDICINE & REHABILITATION
2052 PHYSICAL MEDICINE & REHABILITATION
2053 PHYSICAL MEDICINE & REHABILITATION
2100 PLASTIC SURGERY
2102 PLASTIC SURGERY
2101 PLASTIC SURGERY
2550 PRELIMINARY MEDICINE
2600 PRELIMINARY SURGERY
2150 PREVENTIVE MEDICINE
2151 PREVENTIVE MEDICINE
2155 PREVENTIVE MEDICINE
2152 PREVENTIVE MEDICINE
2153 PREVENTIVE MEDICINE
2154 PREVENTIVE MEDICINE
2200 PSYCHIATRY
2203 PSYCHIATRY
2201 PSYCHIATRY
2204 PSYCHIATRY
2202 PSYCHIATRY
2205 PSYCHIATRY
2206 PSYCHIATRY
2955 PSYCHIATRY/NEUROLOGY
2300 RADIOLOGICAL PHYSICS
2350 RADIOLOGY
2400 RADIOLOGY, DIAGNOSTIC
2404 RADIOLOGY, DIAGNOSTIC
2405 RADIOLOGY, DIAGNOSTIC
2406 RADIOLOGY, DIAGNOSTIC
2407 RADIOLOGY, DIAGNOSTIC
December 19, 2005
SECONDARY DESCRIPTION
INFECTIOUS DISEASE
NEONATAL-PERINATAL MEDICINE
NEPHROLOGY
PEDIATRIC OPTHAMOLOGY
PULMONOLOGY
RHEUMATOLOGY
SPORTS MEDICINE
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
PAIN MEDICATION
PEDIATRIC REHABILITATION MEDICINE
SPINAL CORD INJURY MEDICINE
GENERAL
CRANIOFACIAL SURGERY
HAND SURGERY
GENERAL
GENERAL
GENERAL
AEROSPACE MEDICINE
MEDICAL TOXICOLOGY
OCCUPATIONAL MEDICINE
PUBLIC HEALTH & GEN. PREVEN. MED.
UNDERSEA & HYPERBARIC MEDICINE
GENERAL
ADDICTION PSYCHIATRY
CHILD & ADOLESCENT PSYCHIATRY
FORENSIC PSYCHIATRY
GERIATRIC PSYCHIATRY
PAIN MEDICINE
PSYCHOSOMATIC MEDICINE
GENERAL
GENERAL
GENERAL
GENERAL
ABDOMINAL RADIOLOGY
CARDIOTHORACIC RADIOLOGY
ENDOVASCULAR SURG'L NEURORADIOLOGY
MUSCULOSKELETAL RADIOLOGY
IRISV3
Page 7-30
RES PRIMARY DESCRIPTION
CODE
2401 RADIOLOGY, DIAGNOSTIC
2351 RADIOLOGY, DIAGNOSTIC
2402 RADIOLOGY, DIAGNOSTIC
2250 RADIOLOGY, DIAGNOSTIC
2403 RADIOLOGY, DIAGNOSTIC
2725 SLEEP MEDICINE
2450 SURGERY
2451 SURGERY
2452 SURGERY
2453 SURGERY
2454 SURGERY
2455 SURGERY
2500 SURGERY
2525 TRANSITIONAL YEAR (ALLOPATHIC MED.)
2650 UROLOGY
2651 UROLOGY
3100 ANESTHESIOLOGY
3102 ANESTHESIOLOGY
3101 ANESTHESIOLOGY
6150 CARDIOTHORACIC VASCULAR SURGERY
3275 CRITICAL CARE SURGERY
3350 DERMATOLOGY
3351 DERMATOLOGY
3352 DERMATOLOGY
3400 DIAGNOSTIC RADIOLOGY
3150 DIAGNOSTIC RADIOLOGY
6500 DIAGNOSTIC RADIOLOGY
4250 DIAGNOSTIC RADIOLOGY
4400 DIAGNOSTIC RADIOLOGY
5852 DIAGNOSTIC RADIOLOGY
5800 DIAGNOSTIC RADIOLOGY
6450 DIAGNOSTIC RADIOLOGY
3450 EMERGENCY MEDICINE
3452 EMERGENCY MEDICINE
3451 EMERGENCY MEDICINE
3453 EMERGENCY MEDICINE
3475 EMERGENCY MEDICINE/PEDIATRICS
4975 FACIAL PLASTIC SURGERY
3630 FAM. PRAC. & OST. MANIP. TREATMENT
3600 FAMILY PRACTICE
3604 FAMILY PRACTICE
3601 FAMILY PRACTICE
December 19, 2005
SECONDARY DESCRIPTION
NEURORADIOLOGY
NUCLEAR RADIOLOGY
PEDIATRIC RADIOLOGY
RADIATION ONCOLOGY
VASCULAR & INTERVENTIONAL RADIOLOGY
GENERAL
GENERAL
CRITICAL CARE MEDICINE
GENERAL VASCULAR SURGERY
HAND SURGERY
PEDIATRIC SURGERY
SURGICAL CRITICAL CARE
THORACIC SURGERY
GENERAL
GENERAL
PEDIATRIC UROLOGY
GENERAL
ACUTE & CHRONIC PAIN MANAGEMENT
CRITICAL CARE MEDICINE
GENERAL
GENERAL
GENERAL
DERMATOPATHOLOGY
MOHS MICROGRAPHIC SURGERY
GENERAL
ANGIOGRAPHY & INTERVENT'L RADIOLOGY
BODY IMAGING
NEURORADIOLOGY
NUCLEAR RADIOLOGY
PEDIATRIC RADIOLOGY
RADIOLOGICAL IMAGING
VASCULAR & INTERVENTIONAL RADIOLOGY
GENERAL
EMERGENCY MEDICAL SERVICES
SPORTS MEDICINE
TOXICOLOGY
GENERAL
GENERAL
GENERAL
GENERAL
ADDICTION MEDICINE
ADOLESCENT AND YOUNG ADULT MEDICINE
IRISV3
Page 7-31
RES PRIMARY DESCRIPTION
CODE
3602 FAMILY PRACTICE
3603 FAMILY PRACTICE
3625 FAMILY PRACTICE/EMERGENCY MEDICINE
3650 GENERAL SURGERY
3700 GENERAL VASCULAR SURGERY
3750 HEMATOLOGY
3900 INTERNAL MEDICINE
3200 INTERNAL MEDICINE
3250 INTERNAL MEDICINE
3905 INTERNAL MEDICINE
3903 INTERNAL MEDICINE
3500 INTERNAL MEDICINE
3550 INTERNAL MEDICINE
3904 INTERNAL MEDICINE
3901 INTERNAL MEDICINE
3800 INTERNAL MEDICINE
3850 INTERNAL MEDICINE
3907 INTERNAL MEDICINE
4100 INTERNAL MEDICINE
4600 INTERNAL MEDICINE
3902 INTERNAL MEDICINE
3908 INTERNAL MEDICINE
6000 INTERNAL MEDICINE
3909 INTERNAL MEDICINE
3906 INTERNAL MEDICINE
6300 INTERNAL MEDICINE/EMERG'Y MEDICINE
6350 INTERNAL MEDICINE/PEDIATRICS
4000 MEDICAL DISEASES OF THE CHEST
4300 NEUROLOGICAL SURGERY
4150 NEUROLOGY
4200 NEUROLOGY
4151 NEUROLOGY
4800 NEUROMUSCULOS. & OST. MANIP. MED.
4801 NEUROMUSCULOS. & OST. MANIP. MED.
4802 NEUROMUSCULOS. & OST. MANIP. MED.
4825 NEUROMUSCULOS. MED./INT. FAM. PRAC.
4350 NUCLEAR MEDICINE
4351 NUCLEAR MEDICINE
4352 NUCLEAR MEDICINE
4353 NUCLEAR MEDICINE
4500 OBSTETRICS & GYNECOLOGICAL SURGERY
4450 OBSTETRICS/GYNECOLOGY
December 19, 2005
SECONDARY DESCRIPTION
GERIATRICS
SPORTS MEDICINE
GENERAL
GENERAL
GENERAL
GENERAL (OBSOLETE - USE CODE 3901)
GENERAL
CARDIOLOGY
CLINICAL ALLERGY & IMMUNOLOGY
CLIN'L CARDIAC ELECTROPHYSIOLOGY
CRITICAL CARE MEDICINE
ENDOCRINOLOGY
GASTROENTEROLOGY
GERIATRICS
HEMATOLOGY
HEMATOLOGY/ONCOLOGY
INFECTIOUS DISEASES
INTERVENTIONAL CARDIOLOGY
NEPHROLOGY
ONCOLOGY
PULMONARY DISEASES
PULMONARY DISEASES/CRIT. CARE MED.
RHEUMATOLOGY
SLEEP MEDICINE
SPORTS MEDICINE
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
CHILD NEUROLOGY
NEUROPHYSIOLOGY
GENERAL
ADVANCED & CONCENTRATED TRAINING
SPORTS MEDICINE
GENERAL
GENERAL
IN-VIVO & IN-VITRO NUCLEAR MEDICINE
NUCLEAR CARDIOLOGY
NUCLEAR IMAGING & THERAPY
GENERAL
GENERAL
IRISV3
Page 7-32
RES PRIMARY DESCRIPTION
CODE
4650 OBSTETRICS/GYNECOLOGY
3950 OBSTETRICS/GYNECOLOGY
5950 OBSTETRICS/GYNECOLOGY
4550 OCCUPATIONAL MEDICINE
4575 OCCUPATIONAL/ENVIRONMENTAL MEDICINE
4700 OPTHAMOLOGY
4750 ORTHOPAEDIC SURGERY
4751 ORTHOPAEDIC SURGERY
4753 ORTHOPAEDIC SURGERY
4752 ORTHOPAEDIC SURGERY
4850 OTOLARYNGOLOGY
4851 OTOLARYNGOLOGY
4900 OTORHINOLARYNGOLOGY
4950 OTORHINOL'Y/FAC'L PLASTIC SURGERY
5000 PATHOLOGY
5050 PATHOLOGY, ANATOMIC
5075 PATHOLOGY, ANATOMIC & FORENSIC
5100 PATHOLOGY, ANATOMIC/LABORATORY MED.
5200 PATHOLOGY, LABORATORY MEDICINE
5001 PATHOLOGY, LABORATORY MEDICINE
5002 PATHOLOGY, LABORATORY MEDICINE
3300 PATHOLOGY, LABORATORY MEDICINE
5003 PATHOLOGY, LABORATORY MEDICINE
5150 PATHOLOGY, LABORATORY MEDICINE
5004 PATHOLOGY, LABORATORY MEDICINE
5005 PATHOLOGY, LABORATORY MEDICINE
5006 PATHOLOGY, LABORATORY MEDICINE
5007 PATHOLOGY, LABORATORY MEDICINE
5250 PEDIATRICS
5257 PEDIATRICS
5251 PEDIATRICS
5252 PEDIATRICS
5260 PEDIATRICS
5253 PEDIATRICS
5254 PEDIATRICS
5255 PEDIATRICS
4050 PEDIATRICS
5256 PEDIATRICS
5258 PEDIATRICS
5259 PEDIATRICS
5900 PHYSICAL & REHABILITATION MEDICINE
5901 PHYSICAL & REHABILITATION MEDICINE
December 19, 2005
SECONDARY DESCRIPTION
GYNECOLOGICAL ONCOLOGY
MATERNAL-FETAL MEDICINE
REPRODUCTIVE ENDOCRINOLOGY
GENERAL
GENERAL
GENERAL
GENERAL
HAND SURGERY
ORTHOPAEDIC SURG'L SPORTS MEDICINE
SPINE SURGERY
GENERAL
OTOLARYNGIC ALLERGY
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
BLOOD BANKING/TRANSFUSION MEDICINE
CHEMICAL PATHOLOGY
CYTOPATHOLOGY
DERMATOPATHOLOGY
FORENSIC PATHOLOGY
HEMATOLOGY
IMMUNOPATHOLOGY
MEDICAL MICROBIOLOGY
NEUROPATHOLOGY
GENERAL
ADOLESCENT & YOUNG ADULT MEDICINE
ALLERGY/IMMUNOLOGY
CARDIOLOGY
ENDOCRINOLOGY
HEMATOLOGY/ONCOLOGY
INFECTIOUS DISEASES
INTENSIVE CARE
NEONATAL MEDICINE
NEPHROLOGY
PEDIATRIC PULMONOLOGY
PEDIATRIC SPORTS MEDICINE
GENERAL
SPORTS MEDICINE
IRISV3
Page 7-33
RES PRIMARY DESCRIPTION
CODE
5300 PLASTIC & RECONSTRUCTIVE SURGERY
5350 PREVENTIVE MED., OCCUP'L/ENVIRON'L
5400 PREVENTIVE MEDICINE
3050 PREVENTIVE/AEROSPACE MEDICINE
5475 PROCTOLOGIC SURGERY
5450 PROCTOLOGY
5500 PSYCHIATRY
5501 PSYCHIATRY
5550 PSYCHIATRY
5502 PSYCHIATRY
5600 PSYCHIATRY, GENERAL AND CHILD
5650 PSYCHIATRY, PEDIATRIC
5425 PUBLIC HEALTH & PREVENTIVE MEDICINE
5700 RADIATION ONCOLOGY
5750 RADIATION THERAPY
5850 RADIOLOGY
5851 RADIOLOGY
6050 ROENTGENOLOGY
6100 ROENTGENOLOGY, DIAGNOSTIC
6550 SPORTS MEDICINE
6200 THORACIC SURGERY
6400 TRAD'L ROT'G INTERN'P (OSTEO. MED.)
6250 UROLOGICAL SURGERY
7050 PODIATRIC ORTHOPAEDIC RESIDENCY
7150 PRIMARY PODIATRIC MEDICAL RESIDENCY
7100 PODIATRIC SURGICAL RESIDENCY
7200 ROTATING PODIATRIC RESIDENCY
8550 ADVANCED EDUC. IN GENERAL DENTISTRY
8050 DENTAL PUBLIC HEALTH
8100 ENDODONTICS
8500 GENERAL PRACTICE DENTISTRY
8200 ORAL AND MAXILLOFACIAL SURGERY
8150 ORAL PATHOLOGY
8250 ORTHODONTICS/DENTOFAC’L ORTHOPEDICS
8300 PEDIATRIC DENTISTRY
8350 PERIODONTICS
8400 PROSTHODONTICS
8450 PROSTHODONTICS MAXILLOFACIAL
9150 RESERVED FOR FUTURE USE
9200 RESERVED FOR FUTURE USE
9250 RESERVED FOR FUTURE USE
9300 RESERVED FOR FUTURE USE
December 19, 2005
SECONDARY DESCRIPTION
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
ADDICTION PSYCHIATRY
CHILD PSYCHIATRY
GERIATRIC PSYCHIATRY
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
DIAGNOSTIC ULTRASOUND
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
GENERAL
IRISV3
RES PRIMARY DESCRIPTION
CODE
9350 RESERVED FOR FUTURE USE
9400 RESERVED FOR FUTURE USE
9450 RESERVED FOR FUTURE USE
9500 RESERVED FOR FUTURE USE
9550 RESERVED FOR FUTURE USE
9600 RESERVED FOR FUTURE USE
9650 RESERVED FOR FUTURE USE
9700 RESERVED FOR FUTURE USE
9750 RESERVED FOR FUTURE USE
9800 RESERVED FOR FUTURE USE
9850 RESERVED FOR FUTURE USE
9900 RESERVED FOR FUTURE USE
9950 RESERVED FOR FUTURE USE
Page 7-34
December 19, 2005
SECONDARY DESCRIPTION
IRISV3
7.4
Page 7-35
December 19, 2005
Help Screens
Main Menu Help
Screen 1:
IRIS data is divided into three groups that are described below.
REFERENCE DATA -- While entering IRIS data, the user selects residency type
codes, medical school codes, and employer names from display windows.
Residency and medical school tables are supplied and maintained by CMS. The
Employer Name Table is created by selecting Main Menu Option <5>.
ADMINISTRATIVE DATA -- The hospital provider number and name, fiscal year
(FY) start & end dates, and two flags that determine the display order of
the residency and medical school tables are also accessed from Main Menu
Option <5>.
INTERN/RESIDENT (IR) DATA -- Assignment Master Records identify an IR,
hospital FY, residency years completed and type of residency, and medical
school data. Each Master Record can have up to 60 rotational assignments.
ASSIGNMENT PERIODS MAY NOT OVERLAP! If 2 or more hospitals share an IR's
time, they must coordinate their report to assure that no more than 100
percent of the IR’s time is claimed during any assignment period.
Adding New Records
Screen 1:
Intern/Resident records can be added in four different ways:
(1) Create new records from the keyboard using the IRIS data entry screen.
(2) Import System Data Format (SDF) records from ASCII files in which all
records are of fixed length, and each record is parsed identically into
fields. SDF records use no delimiters or punctuation marks. Character
fields are left adjusted (no leading blanks) and numeric fields are right
adjusted (no trailing blanks).
(3) Import records from DELIMITED TEXT files in which records vary in length.
Character fields are enclosed in quotation marks (") and contain no trailing
or leading blanks. All fields are separated by commas.
(4) Append records from Data Base Format (DBF) files that have the same
structures as the IRIS databases (IRISMAST.DBF and IRISASGN.DBF). Use this
option to move data entered on a diskette/CD into your central databases, or
to merge data that were entered on multiple diskettes/CDs.
REFER TO YOUR IRISV3 OPERATING INSTRUCTIONS FOR THE EXACT RECORD LAYOUTS
REQUIRED.
Scrolling Data Windows
Screen 1:
IRISV3
Page 7-36
December 19, 2005
Pressing Key(s)
Causes the Program to
Scroll Up 1 record
Scroll Down 1 record
Display the next screenful of data
Place the first record whose Key Field begins with
the selected character at the top of the screen.
NOTE: The Key Field for Residency Type and Medical
School Windows is selected by the user in the
"Setup Administrative Data" function.
, ##
, ##
Scroll Up ## Records
Scroll Down ## Records
Quit Scrolling and make a Selection
Social Security Number
Screen 1:
Enter the intern/resident's (IR) Social Security Number (SSN) and press
. Include ONLY those IRs who participate in teaching programs
approved under 42 CFR 412.105(f) and 413.75(b).
In IRISV3, SSNs are ten character strings. The first character must contain
either "U" (US) or "C" (Canada). This character is used for dual tracking
of nine digit United States SSNs and nine digit Canadian Social Insurance
Numbers as identification numbers. Characters two through ten must contain
numerals between zero (0) and nine (9).
The first character always defaults to "U" in new records.
simply type over the "U".
To enter "C",
NOTE: You may escape from the data entry screen by entering a blank SSN.
Intern/Resident Name
Screen 1:
Enter the intern/resident's complete first name, middle initial, and last
name. Do not use nicknames or abbreviations such as Bob in lieu of Robert
or Chuck or Charlie in lieu of Charles. Do not use suffixes such as "Jr."
or "II". If the last name is more than 20 characters long, use only the
first 20 characters.
Employer’s Name
Screen 1:
Select the name of the hospital or provider that is currently paying the
intern/resident's (IR) salary. The user can add another name to the
Employer Name Table if a different hospital or provider is involved in
paying the IR’s salary. The user can add, modify or delete these names in
this table from option <2> of the IRIS Reference Data Management Menu.
This menu is activated through option <5> of the IRIS Main Menu.
IRISV3
Page 7-37
December 19, 2005
Residency Type Code (Master Record)
Screen 1:
Enter the 4 digit Residency Type Code for the medical specialty program in
which the intern/resident (IR) is seeking Board certification. These codes
are grouped as follows:
1050-2955
3050-6550
7050-7200
8050-8550
9050-9100
9150-9950
Allopathic specialties
Osteopathic specialties
Podiatric specialties
Dental specialties
Other specialties (emergency medicine)
Reserved for future use
If you do not know the code for the specialty you wish to enter, enter a
blank code and select the appropriate code from a display window.
Some specialties include one or more subspecialties, each of which is
assigned a separate code. In addition, many of the allopathic specialties
are similar to osteopathic specialties, which are assigned a different set of
unique codes. That is, the allopathic specialty code for internal medicine
is 1400; the osteopathic specialty code for internal medicine is 3900.
YOU MUST ENTER A VALID RESIDENCY TYPE CODE TO SAVE AN IR'S DATA RECORDS.
Residency Type Code (Master Record)
Screen 2:
NOTES
1. Some allopathic specialties require a year of broad-based training as a
prerequisite for subsequent training. This requirement is met as follows:
a. The year of broad-based training (preliminary year) is included in the
accredited length of the program listed in the GRADUATE MEDICAL EDUCATION
DIRECTORY (GMED). If the IR begins training in a program that
incorporates the year of broad-based training, the initial residency
period for that specialty is equal to the period listed in the GMED.
Enter the residency type code (RTC) for the IR’s subsequent specialty
program. It is the hospital’s responsibility to maintain documentation on
those IRs that have simultaneously matched for the preliminary year and
the subsequent specialty. Refer to 42 CFR 413.79(a)(10).
b. The IR completes a transitional year program in allopathic medicine as
a prerequisite for subsequent specialty training. Enter RTC 2525
(TRANSITIONAL YEAR) in the IR’s first program year. In the IR’s second
program year, enter the RTC for the specialty in which the IR is training.
If a prerequisite year is required for this specialty, the initial
residency period listed in the GMED incorporates the transitional year.
Residency Type Code (Master Record)
Screen 3:
NOTES (Continued)
IRISV3
Page 7-38
December 19, 2005
c. The IR completes the prerequisite year through a year of training in
another specialty. Enter the RTC for the residency program in which the
IR begins training. The initial residency year is equal to the period
listed in the GMED for the initial specialty in which the IR is training
even if the IR is completing the year of training as a prerequisite for
another specialty.
2. If an IR changes his/her specialty during the reporting period, report the
INITIAL specialty, i.e., the specialty the IR was participating in on the
FIRST DAY OF THE FIRST ASSIGNMENT PERIOD OF THE REPORTING PERIOD. NOTE: Even
if a FIRST YEAR IR changes his/her specialty during the reporting period,
show the INITIAL specialty, i.e., the specialty program in which the IR was
seeking Board certification on the first day of the first assignment period.
3. IRs in a traditional rotating internship year in osteopathic medicine must
be assigned RTC 6400 (TRADITIONAL ROTATIONING INTERNSHIP). This internship
year is the first year of post-graduate training for graduates of osteopathic
medical schools. Like transitional year programs, the osteopathic rotating
internship provides a year of broad-based training.
Residency Type Code (Master Record)
Screen 4:
NOTES (Continued)
4. For IRs beginning training in general emergency medicine on or after
August 30, 1996, enter RTC 1250 (EMERGENCY MEDICINE). The initial residency
period for these IRs will be 3 years. For IRs beginning training on or after
July 1, 1995 and before August 30, 1996 in general emergency medicine, assign
either RTC 9050 (EMERGENCY MEDICINE - 3 YEAR PROGRAM) or RTC 9100 (EMERGENCY
MEDICINE - 4 YEAR PROGRAM).
5. Some of the residency types in the table of residency codes originated
from the Table of Initial Residency Period Limitations in the August 30, 1996
FEDERAL REGISTER (61 FR 46208-46211). The rest of these types are based on
descriptions of residency types from the following organizations: American
Medical Association, American Osteopathic Organization, American Dental
Educational Association, and the American Podiatric Medical Organization.
6. The Residency Type selection window always displays the same information
but the order in which Residency Types are displayed (e.g., by code or by
description) can be changed by selecting "Setup Administrative Data" from
option <5> in the IRIS Main Menu.
Residency Years Completed (Master Record)
Screen 1:
Enter the total number of program years the intern/resident (IR) has
COMPLETED in ALL types of approved residency programs as of July 1 of the
fiscal year for which you are reporting. For example, enter "0" if the IR
has completed less than one program year in all types of approved programs,
"1" if the IR has completed less than two program years in all types of
approved programs, etc. The range for the total number of program years
is 0 through 9. Enter "9" if the total number of program years exceeds
9 years.
IRISV3
Page 7-39
December 19, 2005
NOTE: Include time spent in transitional year programs as discussed in the
Help Screen notes on "Type of Residency".
Medical School Code
Screen 1:
Enter the five digit code for the medical school from which the
intern/resident (IR) graduated. If you do not know the code, enter a blank
field to open a selection window for the desired code. Enter "99998" for
foreign dental school or "99999" for foreign medical school if the IR did
not graduate from an allopathic, osteopathic, dental, or podiatry school
accredited or approved as having met the standards necessary for
accreditation by one of the following organizations: the Liaison Committee
on Medical Education of the American Medical Assoc., American Osteopathic
Assoc., Commission on Dental Accreditation, and Council on Podiatric Medical
Education. Medical schools are grouped as follows:
00102-06801
10000 & 20000
30000-30700
80002-80109
99998
99999
Allopathic or Osteopathic Schools
Dental Schools (Obsolete – use Codes 80002-80109)
Podiatric Schools
Dental Schools
Foreign Dental Schools
Foreign Medical Schools
The Medical School selection window always displays the same information but
the order in which medical schools are displayed can be changed by selecting
"Setup Administrative Data" from option <5> in the IRIS Main Menu.
Medical School Graduation Date
Screen 1:
IRISV3 REQUIRES A COMPLETE DATE IN THIS FIELD. Enter the date the
intern/resident graduated from medical school in the format "mm/dd/yyyy".
Months and days must both be entered with leading zeroes such as
"06/08/2001" for June 8, 2001. If the graduation month is known and the
specific day of the month is unknown, enter the first day of the month.
Foreign Student Certification
Screen 1:
IRISV3 REQUIRES A COMPLETE DATE IN THIS FIELD. This field is activated only
if medical school code "99999" is entered. Enter the date the IR passed the
United States Medical Licensing Examination (USMLE), Foreign Medical Graduate
Examination in the Medical Sciences (FMGEMS), OR Parts I and II of the
National Board of Medical Examiners Examination OR prior to July 1, 1986,
received certification from, or passed an examination of, the Educational
Committee for Foreign Medical Graduates (ECFMG). Use format "mm/dd/yyyy".
Months and days must both be entered with leading zeroes such as "06/08/2001"
for June 8, 2001. If the certification month is known and the specific day of
the month is unknown, enter the first day of the month.
NOTE: Beginning June 1, 1992, foreign medical school graduates (FMSG) had the
option of taking either the USMLE or the FMGEMS. Effective July 1, 1993,
FMSGs MUST pass Step 1 (Basic Science) and Step 2 (Clinical Science) of the
USMLE. Effective June 14, 2004, FMSGs are required to pass Step 1, Step 2
IRISV3
Page 7-40
December 19, 2005
Clinical Knowledge (CK) and Step 2 Clinical Skills (CS) for certification from
the ECFMG. Do not use either the issuance date or the English examination
date on the ECFMG certificate as the certification date. Instead use the
latest examination date of any other examination as the certification date.
For example, if the FMSG passed the CK test on May 15, 2004 and the CS test on
July 1, 2004, then the certification date is the later date of July 1, 2004.
Assignment (Rotation) Time Periods
Screen 1:
IRISV3 REQUIRES COMPLETE DATES IN THIS FIELD. Enter start and end dates of
each rotational assignment during which the intern/resident (IR) was assigned
to and worked at the hospital or any of its hospital based providers (Home
Health Agency, Skilled Nursing Facility, etc.) Use format "mm/dd/yyyy".
Months and days must both be entered with leading zeroes such as "06/08/2001"
for June 8, 2001.
Include any time the IR worked in non-hospital settings such as freestanding
clinics, nursing homes, and physicians' offices in connection with approved
programs, if the IR spent time in patient care activities, and: 1) there is a
written agreement between the hospital and the non-hospital site or entity
stipulating that the hospital pays the IR’s salary for training time outside
the hospital setting; 2) the hospital must incur all or substantially all of
the costs for the training program in the non-hospital setting; and 3) the
hospital is subject to the principles of community support and redistribution
of costs. Refer to 42 CFR 412.105(f) and 413.78(e).
Assignment (Rotation) Time Periods
Screen 2:
All start and end dates MUST LIE WITHIN THE FISCAL YEAR for which you are
reporting, and assignment periods MAY NOT OVERLAP! For example, if the
fiscal year runs from October 1, 2002 to September 30, 2003, and an
assignment period runs from July 1, 2003 to November 30, 2003, the
assignment period to be reported during this reporting year is July 1, 2003
to September 30, 2003. The end date MAY NOT BE LATER than the end of the
hospital's cost reporting period.
If, however, the assignment period spans July 1 within the fiscal year for
which you are reporting, enter this assignment period as two periods. For
example, if the fiscal year runs from October 1, 2002 to September 30, 2003,
and an assignment period runs from May 1, 2003 to November 30, 2003, the
assignment periods to be reported during this reporting year are as follows:
May 1, 2003 to June 30, 2003; and July 1, 2003 to September 30, 2003. Again
the end date MAY NOT BE LATER than the end of the hospital's cost reporting
period.
NOTE: IRIS provides space (fields) to report 60 individual rotations for an
IR.
Full Time/Part Time Percentage
Screen 1:
Enter "100" percent if the intern/resident (IR) worked full time during the
IRISV3
Page 7-41
December 19, 2005
assignment period. If the IR worked part time during this period, enter the
IR's percentage of an FTE (full-time equivalent). Information indicating
the IR's percentage of less than full time should be available in either an
employment contract or a letter from the accrediting organization such as
the Accreditation Council on Graduate Medical Education. A hospital must
receive permission from the accrediting organization to allow an IR to work
part time in an approved specialty program. Refer to 42 CFR 412.105(f) and
413.78(b).
IME Percentage
Screen 1:
Enter the percentage of time the intern/resident (IR) worked in the inpatient
area of the hospital subject to PPS, or in the outpatient department during
the assignment period. Include the time the IR worked in a non-hospital
setting under agreement with the hospital during the assignment period.
Refer to 42 CFR 412.105(f).
If the IR worked in more than one hospital or non-hospital setting, enter the
percentage of time spent in the inpatient and/or outpatient areas of the
hospital as compared to the total time worked at all facilities. Example:
an IR worked 4 hours/day in the inpatient area of hospital A and 8 hours/day
in hospital B. Hospital A would report 33% under Indirect Medical Education
(IME). If the IR worked an additional 4 hours/day in hospital A's home
health unit, which cannot be included in the IME computation, hospital A
would report 25% (4 inpatient hours at hospital A divided by 16 total hours).
NOTE - The IME percentage may be computed based upon hours, days, or months
(if appropriate). No more than 100%, in the aggregate, may be reported for
any IR, by all hospitals reporting. HOSPITALS MUST COORDINATE IME DATA
(ESPECIALLY FOR THOSE IRs WORKING IN MORE THAN ONE HOSPITAL) REPORTED IN
IRIS.
GME Percentage
Screen 1:
Enter the unweighted percentage of time the intern/resident (IR) worked in
any area of the hospital complex or in a non-hospital setting under agreement
with the hospital during the assignment period. This percentage of time is
not weighted for IRIS reporting purposes, and is to be weighted outside of
IRISV3 for Medicare cost reporting purposes. Refer to 42 CFR 413.78.
If the IR worked in more than one hospital or non-hospital setting not under
agreement with the hospital during the assignment period, enter the
percentage of time worked in the hospital in comparison to the total time
worked at all facilities. Example: an IR worked 4 hours/day at hospital A
and 8 hours/day at hospital B. Hospital A would report 33% under Graduate
Medical Education (GME). If the IR worked 4 days a week at hospital A and 3
days a week at hospital B, hospital A would report 57% (4 days at hospital A
divided by 7 total days).
NOTE - The GME percentage may be computed based upon hours, days, or months
(if appropriate). No more than 100%, in the aggregate, may be reported for
any IR by all hospitals reporting. HOSPITALS MUST COORDINATE GME DATA
(ESPECIALLY FOR THOSE IRs WORKING IN MORE THAN ONE HOSPITAL) REPORTED IN
IRIS.
IRISV3
Page 7-42
December 19, 2005
Residency Years Completed (Assignment Records)
Screen 1:
For the first rotational assignment, enter the residency year (RY). The RY
is the number of years the intern/resident (IR) has COMPLETED in all types of
approved residency programs. For example, enter "0" if the IR has completed
less than one program year in all types of approved programs, "1" if the IR
has completed less than two program years in all types of approved programs,
etc. The range for the total number of program years is 0 through 9. Enter
"9" if the total number of program years exceeds 9 years. If the RY for any
subsequent rotational assignments is not entered, the IRISV3 program will
assign the same number of years completed as previously entered for the first
rotational period. If the RY is entered manually for successive rotations,
enter the number of years completed as of the first day of the rotation.
NOTE: Include time spent in transitional year programs as discussed in the
notes in the Help Screens for Residency Type Code (Master Record).
Residency Type Code (Assignment Records)
Screen 1:
For the first rotational assignment, enter the 4 digit Residency Type Code
(RTC) for the medical specialty program in which the intern/resident (IR) is
training if this program is different from the RTC that was entered in the
master record. For example, enter RTC 2525 for the IR’s transitional year if
the master record contains RTC 2650 for the IR’s intended Board certification
in urology. If the RTC is not entered for any subsequent rotational
assignment, the IRISV3 program will assign the same RTC as was previously
entered for the first rotational assignment. If the RTC is entered manually
for successive rotations, enter the RTC on the first day of the rotation.
These codes are grouped as follows: Codes 1050-2955 (Allopathic specialties);
3050-6550 (Osteopathic specialties); 7050-7200 (Podiatric specialties);
8050-8550 (Dental specialties); 9050-9100 (Other specialties (emergency
medicine)); and 9150-9950 (Reserved for future use).
If you do not know the code for the specialty or sub-specialty that you wish
to enter, enter a blank code and select the appropriate code from a display
window.
NOTE: Read the notes in the Help Screens for Residency Type Code (Master
Record) for information on transitional year programs, re-ordering the
residency code table in the selection window, and other items of interest.
Searching for Resident Data (Browse, Change, Delete Functions)
Screen 1:
To Browse, Edit, or Delete Intern/Resident (IR) Data, you must first locate
the Master Record you are interested in. You may search for a Master Record
by Social Security Number (SSN), IR's Last Name, Residency Type Code, or the
Medical School Code from which the IR graduated. Finally, you may search the
entire file in IR name order.
Select your search option by pressing a number from 1 to 5. If 1 through 4
is pressed, IRIS will prompt you for a "search string". You may enter a
complete SSN, Name, or Code, or just the first few characters. For example,
IRISV3
Page 7-43
December 19, 2005
if you select 2, and then type "JO", IRIS will display master records in last
name order, starting with the first last name that begins with "JO". If you
selected 1 or 2, IRIS will force you to reenter the search string until you
enter characters that exist in at least one Master Record. If you entered
3 or 4, IRIS will display the message "Search Failed" if it cannot locate the
search string you entered.
After IRIS displays the Master Records, follow the instructions at the
bottom of the screen to scroll until the record you want is visible,
then press . Press to end and/or restart the search procedure.
IRISV3
III.
Page 8-1
June 15, 1998
Description of Changes/Modifications to June ‘98 Release, IRISV3
June ‘98 Release, IRISV3 (Version 3.01)
•
Residency Year (Assignment Record) The edit was changed from (ARESYEAR must be equal to RESYEAR or plus 1 year to
RESYEAR) to (ARESYEAR must be equal to RESYEAR or plus 1 year to RESYEAR or minus
1 year from RESYEAR).
•
Fiscal Year Change (Administrative Data) Changes made to the previously entered fiscal year begin and end dates in the Administrative
Data section of IRIS now updates all master and assignment records with the changed dates.
•
Evaluation of Imported Data Reports The social security number field on the evaluation report was made large enough to
accommodate a ten character social security number.
IRISV3
IV.
Page 8-2
June 11, 1999
Description of Changes/Modifications to June ‘99 Release, IRISV3
June ‘99 Release, IRISV3 (Version 3.1)
•
All dates are now entered and presented as complete dates as in “mm/dd/yyyy”* for Y2K
compliance. Shown below are revised structures for tables IRISASGN.DBF and
IRISMAST.DBF:
REVISED Structure for table IRISASGN.DBF
Field Name
PROVNUMBER
SSN
FYBEGIN
TIMEPERC
IMEPERC
GMEPERC
ASGNBEGDAT
ASGNENDDAT
ARESYEAR
ARESTYPE
Type
CHARACTER
CHARACTER
DATE
NUMERIC
NUMERIC
NUMERIC
DATE
DATE
NUMERIC
CHARACTER
Length
6
10
8
3
3
3
8
8
1
4
Usage
999999
A999999999
mm/dd/yyyy*
999
999
999
mm/dd/yyyy*
mm/dd/yyyy*
9
9999
REVISED Structure for table IRISMAST.DBF:
Field Name
SSN
FNAME
MNAME
LNAME
EMPLOYER
RESTYPCODE
RESYEAR
MEDSCHOOL
MSGRADDATE
FORCERTDAT
PROVNUMBER
FYBEGIN
FYEND
CREATEDATE
MODIFYDATE
Type
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
CHARACTER
NUMERIC
CHARACTER
DATE
DATE
CHARACTER
DATE
DATE
DATE
DATE
Length
10
14
1
20
50
4
1
5
8
8
6
8
8
8
8
Usage
A999999999
AAAAAAAAAAAAAA
A
AAAAAAAAAAAAAAAAAAAA
AAAAAAAAAAAAAAAAAAAAAA...
9999
9
99999
mm/dd/yyyy*
mm/dd/yyyy*
999999
mm/dd/yyyy*
mm/dd/yyyy*
mm/dd/yyyy*
mm/dd/yyyy*
*- Date fields in text files are formatted as: yyyy/mm/dd
•
The program now handles the leap year date of February 29, 2000 for Y2K compliance.
•
Pages 1-3, 1-5, 1-6, 7-20, 7-22, and 7-26 through 7-28 contain deletions and additions; deletions
are indicated by lined-out characters, and additions are indicated by shaded characters.
IRISV3
V.
Page 8-3
December 19, 2005
December 2005 Updates to June ‘99 Release, IRISV3
June ‘99 Release, IRISV3 (Version 3.1)
•
Except for reproductions of IRISV3 screen printouts in the IRISV3 Operating Instructions, all
references to HCFA (Health Care Financing Administration) were replaced with CMS (Centers
for Medicare & Medicaid Services); no programming changes were made to the IRISV3
program to replace references to HCFA with CMS.
•
Except for reproductions of IRISV3 screen printouts in the IRISV3 Operating Instructions, all
references to IRIS disk or diskette were replaced with IRIS disk/CD or diskette/CD; no
programming changes were made to the IRISV3 program to replace references to Disk or
Diskette with Disk/CD or Diskette/CD.
•
The last line on Page 1-1 (Part II, Section 1.1) is revised as follows: “If you need further
assistance, send e-mail to: iris@cms.hhs.gov.”
•
The required equipment on Page 1-5 (Part II, Section 1.4) is updated to include these items: any
modern 100% IBM compatible PC; a CD-R/RW drive in addition to a 3.5 inch diskette drive;
and a PC compatible printer, preferably one that can print at twelve characters per inch.
•
Information on running IRISV3 in the Windows NT (NT, 2000, and XP) family of operating
systems is updated on Page 1-6 (Part II, Section 1.5).
•
The installation instructions on Pages 1-7 thorough 1-9 (Part II, Section 1.6) are superseded by
the December 2005 “Read Me First File” for installing the IRISV3 program; this file (“Read Me
IRISV3”) is in the CMS web site for IRIS programs.
•
The Federal Register citation for GME in the first line on Page 3-1 (Part II, Section 3.1) is
changed from 42 CFR 413.86 to 42 CFR 413.75.
•
The Medical School Code Table (Part II, Section 7.2) is updated through December 2005; this
table includes revised codes for six of eight podiatry schools (Codes 30100 through 30600) and
new codes for dental schools in the United States, Canada, and Puerto Rico (Codes 80002
through 80109). The replaced codes (Codes 30010 through 30090 for podiatry schools and
Codes 10000 and 20000 for all dental schools) are in this table and are identified as obsolete.
These updated codes (revised, replaced and new) are highlighted in yellow for easy
identification.
Providers are to use the new dental school codes in IRISV3 for cost reporting periods beginning
on or after July 1, 2006 for all interns and residents in dental specialties with dental school
graduation dates after April 30, 2006.
IRISV3
•
Page 8-4
December 19, 2005
The Residency Code Table (Part II, Section 7.3) is updated through December 2005; this table is
in numerical order. The updated codes in this table are highlighted in yellow for easy
identification.
Providers may start using the new residency type codes in IRISV3 for cost reporting periods
ending on or after December 31, 2005.
•
The Residency Code Table (Part II, Section 7.4) contains the same codes in the Residency Code
Table (Part II, Section 7.3); this table is in alphabetical order. The updated codes in this table are
highlighted in yellow for easy identification.
•
The following modifications were made to the Help Screens (Part II, Section 7.5): 1) adding a
replacement category of dental schools in the medical school codes; 2) recodified Code of
Federal Register citations for GME and IME; 3) determining the applicable certification date for
passing the ECFMG examination; 4) clarifying the full/part time status of each intern/resident
(IR); 5) reporting assignment periods spanning July 1; 6) reporting residency type codes
(master/assignment records) for each IR; 7) defining which employer’s name to use for each IR;
8) clarifying the number of residency years completed (master/assignment records) for each IR;
and 9) reporting unweighted GME percentages for all IRs. These modifications are highlighted
in yellow for your information and are not included in the IRISV3 program since no efforts were
made to reprogram the Help Screens in IRISV3.
•
The last bullet point on Page 8-2 (Part II, Section IV) is inapplicable for this version of IRISV3
Operating Instructions since the deletions and additions have been removed in their entirety.
Page 1 of 6
Read Me First File* (rfudirv3.pdf)
*- Updated December 2005
Important Information for Installing and Operating the IRISV3 Program:
Before downloading Version 3.1 of the IRISV3 program from the CMS web site, read the entire contents of this file as
shown below:
Contents
1. Required Equipment
2. Additional Software Required to Run IRISV3
3. Installation
4. Operation
5. Printing IRISV3 Reports
6. Concluding Remarks
1.
Required Equipment
This section describes the computer hardware needed to run IRISV3. IRISV3 will run on any modern 100% IBM
compatible personal computer (PC) equipped with:
•
[REQUIRED] A 3.5 inch disk drive or CD-R/RW drive.
•
[REQUIRED] A fixed (hard) drive with at least 10 megabytes of dedicated space available and 8 megabytes of
random access memory (RAM).
•
[REQUIRED] A PC compatible printer, preferably one that can print at twelve characters per inch.
Warning: IRISV3 is a single user program. In some cases it can be run from a network file server, but should not
be used in a multi-user environment (that is, with more than one user entering or changing data at the same time).
2.
Additional Software Required to Run IRISV3
•
[REQUIRED] MS-DOS, Version 5 or higher supplied with the Windows 9x (95, 98 and ME) family of operating
systems, or the MS-DOS Virtual Machine supplied with the Windows NT (NT, 2000, and XP) family of operating
systems (see note below on Windows operating systems).
•
[RECOMMENDED] If you have access to:
-
dBASE 4 or higher (preferred), or any database program whose data file format is compatible with
dBASE III Plus (ACCESS, FOXBASE, PARADOX, and others); or
-
any spreadsheet program that can import dBASE data.
These programs will enable you to access and use your IRIS diskette/CD files ("M3xxxxxx.dbf" and
"A3xxxxxx.dbf" where xxxxxx is the provider’s six-digit Medicare identification number) without using the IRISV3
program as an interface.
Page 2 of 6
Note: IRISV3, an MS-DOS based application, will run under various Windows operating systems. However, you
may experience difficulties running this program in certain installations of the Windows NT family of operating
systems.
Discussions of running MS-DOS programs under the Windows NT family of operating systems can be found at the
following two Microsoft Web pages: http://support.microsoft.com/kb/q196453/ and
http://support.microsoft.com/kb/314106/EN-US/. Note that much of the information contained on those two pages
also applies to earlier versions of this family of operating systems.
In addition, we have found that a certain user rights issue sometimes prevents some DOS programs from running
under XP. It is not sufficient to give the Authenticated Users group full control of the folder in which the program
and data files are located. Instead the local user account (Users(Computer Name\Users)) must be given full
control rights to this folder.
In any case it is recommended that you consult with your organization’s technical support staff to help resolve
any DOS/Windows incompatibility issues that may arise.
3. Installation
IRISV3 is designed for execution from your computer's hard disk. You will install IRISV3 on drive C (use a different hard
drive designation letter if drive C is unavailable for installing software applications), but if you want to run from a network
drive or a different partition, simply copy the entire system onto the appropriate drive when installation is complete and
leave the original on drive C as a backup.
Before you begin installation, make sure there is at least 10 megabytes of open space on your hard drive that can be
dedicated to IRISV3, and read the instructions below thoroughly before you begin installation:
(a)
To begin installation, start your computer, and wait for the Start button to appear.
Click on Start, point to Programs or Accessories to click on Windows Explorer, and click on "(C:)". Then position the
cursor to the top of the screen and click on File, point to New, and click on Folder.
At this point you will create a new folder called IRISV3 on your hard drive to house the IRISV3 program. Just type
"irisv3" (do not type in the quotations) as the folder name for the folder housing the IRISV3 program; make sure that
this folder name or another folder name of your choice is limited to 8 alphanumeric characters.
(Note: If you previously installed the IRISV3 program in the IRISV3 folder, it is recommended that you copy four files
(empnames.dbf, irisadm.dbf, irisasgn.dbf, and irismast.dbf) from the IRISV3 folder into another folder on your hard
drive, LAN drive, diskette, or CD. You may then copy these files to the IRISV3 folder after reinstalling the IRISV3
program in this folder. See the instructions below for reinstalling the IRISV3 program and reinstate the data from the
copied files by implementing the program initialization instructions in 3.(d) below.)
Installation/Reinstallation of IRISV3 program:
Click on Start, point to Programs or Accessories to click on Internet Explorer
Position the cursor in the Internet address space
Type "http://cms.hhs.gov/IRIS/"
Click on "Download IRISV3 (Ver. 3.1) Now" in the Downloads sector at the bottom of the CMS web site page for
"IRIS Software Files"
Click on the Save button at the bottom of the File Download screen, save the file named "irv3wfud.zip" in the "c:\irisv3"
folder, click on the Close button in the Download Complete screen, and click on the Close button icon ("x") on the
top of the screen to leave the CMS web site
Go to "c:\irisv3", double-click on the "irv3wfud.zip" file, and click on the "Extract" button at the top of the WinZip screen
Make sure "c:\irisv3" is in the "Extract to" space before clicking on the Extract button at the top of the right-hand corner
of the Extract screen
Page 3 of 6
If the "Confirm File Overwrite Screen" appears, then click on the Yes to All button on the bottom of this screen and
then click on the Close button icon ("x") on the top of the screen to leave this listing of extracted files
If the "Confirm File Overwrite Screen" does not appear, then Click on the Close button icon ("x") on the top of the
screen to leave this listing of extracted files
Continue with the installation/reinstallation instructions in 3.(b) through (d) below.
(b) Checking your MS-DOS Configuration. Before you can run IRISV3, you must check to see that MS-DOS is properly
configured for operating this program. To do this, read and execute the following instructions carefully. This step must
be performed on drive C, regardless of the drive letter on which the program was installed.
(1) For PCs with Windows 9x Family of Operating Systems:
First determine whether a file named CONFIG.SYS exists in the root directory on drive C. Then issue these
commands:
Click on Start
Point to Find or Search to click on Files or Folders
Type "config.sys" to the right of "Named" [file or folder]
Make sure "(C:)" appears to the right of "Look in" [drive]; if not, click on the inverted triangle and click on "(C:)"
Click on Find Now button
Double-click on "config.sys" in the "C:\" folder
If necessary, open up this file by scrolling down to Notepad, click on Notepad and click the OK button
If CONFIG.SYS exists, it is essential that it contain two important lines. One begins with the word "BUFFERS" and
the other begins with the word "FILES". If both exist, and both lines contain numbers greater than 29 (it is
recommended that both lines contain the high number 99), you may proceed to step 3.(c) after clicking on the
Close button icon for the Notepad and "Find:Files..." screens.
If CONFIG.SYS does not exist or if it needs modification, create/update this file as follows:
Click on Start
Point to Programs or Accessories
Click on Notepad
Click on File
Click on New or Open "config.sys" in the "(C:)" drive (be sure to type "config.sys" as the file name to open up this
file)
Type the lines or correct the numbers on the lines as follows:
buffers=99
files=99
Click on File
Click on Save As
Make sure "(C:)" appears to the right of "Save in" [drive]; if not, click on the inverted triangle and click on "(C:)"
Just type "config.sys" to the right of "File name"
Click on the Save button and click on "Yes" if "config.sys" already exists
Click on the Close button icon to leave the "config.sys" file
(2) For PCs with Windows NT Family of Operating Systems:
First determine whether a file named CONFIG.NT exists in the System32 folder within the Winnt folder (e.g.,
c:\winnt\system32) on drive C. Then issue these commands:
Page 4 of 6
Click on Start
Point to Find or Search
Click on Files or Folders
Type "config.nt" to the right of "Named" [file or folder]
Make sure "(C:)" appears to the right of "Look in" [drive]; if not, click on the inverted triangle and click on "(C:)"
Click on Find Now button
Double-click on the "config.nt" file in the "c:\winnt\system32" folder
Scroll down to the bottom of this file for the configuration commands
Click on Start
Point to Find or Search
Click on Files or Folders
Type "config.nt" to the right of "Named" [file or folder]
Make sure "(C:)" appears to the right of "Look in" [drive]; if not, click on the inverted triangle and click on "(C:)"
Click on Find Now button
Double-click on the "config.nt" file in the "c:\winnt\system32" folder
Scroll down to the bottom of this file for the configuration commands
If CONFIG.NT exists, it is essential that it contain two important lines. One begins with the word "BUFFERS" and
the other begins with the word "FILES". If both exist, and both lines contain numbers greater than 29 (it is
recommended that both lines contain the high number 99), you may proceed to step 3.(c). after clicking on the
Close button icon for the Notepad and "Find:Files..." screens.
If CONFIG.NT does not exist or if it needs modification, create/update this file as follows:
Click on Start
Point to Programs or Accessories
Click on Notepad
Click on File
Click on New or Open "config.nt" (click on "C:\", click on "Winnt", click on "system32", type "config.nt" as the file
name to open up this file, and click on the Open button)
If necessary, scroll down to the bottom of this file for the configuration commands
Type the lines, or correct the lines or numbers on the lines as follows:
buffers=99
files=99
Click on File
Click on the Save button and click on "Yes" if "config.nt" already exists
Click on the Close button icon to leave the "config.nt" file
(3) Reboot or restart your computer to activate the changes you just made.
(c)
The program is now installed and ready to use. Always move to the IRISV3 folder before executing the program.
To start IRISV3 from Windows Explorer, issue these commands:
Click on Windows Explorer
Click on My Computer
Click on the "irisv3" folder in the C drive
There are 3 options for operating the IRISV3 program: 1) Double-click on the "irisv3.exe" file in the middle of the
IRISV3 folder; 2) right click on the "irisv3.exe" file and click "Open"; or 3) click on Start, click on Run, type "cmd" and
press the Enter key () to activate the DOS command screen, type "c:" and press , type "cd\irisv3"
and press , type "irisv3.exe" and press to run the IRISV3 program (note: after exiting the IRISV3
program, type "exit" to leave the DOS command screen
If necessary, click on the Maximum button icon to enlarge the IRISV3 screens
Page 5 of 6
(d)
Program Initialization. The following steps must be performed the first time you run IRISV3. Do not attempt to
execute any other IRISV3 functions until this step is complete. Before proceeding, note that data entry in IRISV3 is not
case sensitive; that is, all alphabetic characters are presumed to be upper case.
Start IRISV3 as in 3.(c). above:
Select "Reference Files/Data Management" from the IRIS Main Menu by pressing <5> and run each of the first
four procedures in the next menu that appears. The "IRIS REFERENCE DATA MANAGEMENT" menu reappears after
each procedure is completed.
(1) First, select "Set up Administrative Data" by pressing <1>, and answer the prompts that appear on the
screen. One of these prompts has space for entering a file path, and each piece of the path should not exceed
8 character elements. Be sure to press the letter "S" to save the entered data.
(2) Second, select "Employer Names" by pressing <2> and enter the list of employer names for the resident data
selection list. If this step is not implemented, only the provider name that was created in the first procedure will be the
sole employer name in this list.
(3) Third, select "Rebuild Data Indexes" by pressing <3>. This causes IRISV3 to create index files which enable
the program to search and display data in various orders that are required by the different program functions.
(4) Fourth, select "Generate Data Help Windows" by pressing <4>. This causes IRISV3 to create the text
screens that are used when the help key is pressed during program execution.
After completing these four procedures, select "Exit" by pressing .
4.
Operation
You are now ready to run IRISV3. Be sure to familiarize yourself with the contents of IRISV3 Operating Instructions and
explicit instructions for entering data into the IRISV3 program before running IRISV3. A copy of these instructions
(irv3dfu6.pdf) is in the IRISV3 folder. To obtain a printout of these instructions and other information, use Adobe Acrobat
Reader (Version 6.0 or later version) to open up this file and print it in HP LaserJet or equivalent mode for best results.
5.
Printing IRISV3 Reports
(a)
Local printers. Some users may experience difficulties in getting Windows to print reports from their locally
attached printer. It is suggested that you make arrangements with a member of your organization's technical support and
have them consider these selections as a possible solution to printing reports from the IRISV3 program as follows:
(1) For PCs with Windows 9x Family of Operating Systems:
Click on Start, point to Settings, click on Printers, and click your right mouse button on the local printer icon
Click on Properties
Click on Details and click on the Port Settings button
If necessary, remove the check mark from both settings in the "Configure LPT Port" screen and click the OK
button
Click on Spool Settings, click on Print Directly to Printer, and click the OK button
Click on the Close button icon to leave the "Properties" and "Printers" screens
It is also suggested that you or your organization's technical support person contact your printer's manufacturer or
visit their website for guidance on how to print from a DOS application on Windows 95, 98 or ME.
Page 6 of 6
(2) For PCs with Windows NT Family of Operating Systems:
Click on Start, point to Settings, click on Printers, and click your right mouse button on the local printer icon
Click on Properties
Click on Advanced, click on Print Directly to Printer, and click the OK button
Click on the Close button icon to leave the "Properties" and "Printers" screens
(b) Network printers. If you are using a network printer instead of a locally attached printer, it is suggested that you
make arrangements with a member of your organization's technical support and have them consider this possible
solution to printing reports from the IRISV3 program:
(1) For PCs with Windows 9x Family of Operating Systems:
Click on Start, point to Settings, click on Printers, and click your right mouse button on the local printer icon
Click on Properties
Click on Details and click on the Capture Port Settings button
Click on the LPT printer port (e.g., LPT3) for the network printer and click the OK button
Click on the Close button icon to leave the "Properties" and "Printers" screens
(2) For PCs with Windows NT Family of Operating Systems:
The Windows NT command to use for running DOS applications in regard to redirecting LPT1 to a network printer
in a Windows NT environment is:
NET USE LPT1\\servername\printersharename/persistent:yes
An example of a server name would be RICAPP04, and an example of a printer share name is AUD_AUTO.
This command should be issued from a command line before starting any DOS applications. In other words, a
command line can be run by clicking on the Start button and selecting the Run option. In the "Open" field, type
CMD, then click on "Okay". This will start a Command Line session.
Before closing, if you wish to restore LPT1 as a local printer, the command line to use is:
NET USE LPT1/DELETE
6.
Concluding Remarks
It is recommended that you make a copy of these instructions for installing and operating the IRISV3 program.
If you still experience difficulties with this program, send an e-mail to: iris@cms.hhs.gov.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-0456.
The time required to complete this information collection is estimated to average 2 hours per response, including the time
to review instructions, search existing data resources, gather the data needed, and complete and review the information
collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form,
please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Baltimore, Maryland 21244-1850.
| File Type | application/pdf |
| File Title | Microsoft Word - Attachment8.doc |
| Author | eu04 |
| File Modified | 2006-07-07 |
| File Created | 2006-07-07 |