Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

Attachment 1

IRISV3

OPERATING INSTRUCTIONS

DECEMBER 1997 THROUGH FEBRUARY 2009*

*New Parts II, Section 7.4 (DECEMBER 2005), III (JUNE 1998),

IV (JUNE 1999), V (DECEMBER 2005), & VI (FEBRUARY 2009); &

Revised Part II, Sections 7.2, 7.3, and 7.5 (FEBRUARY 2009)

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, Mail Stop C4-26-05, Baltimore, Maryland 21244-1850.

IRISV3 - OPERATING INSTRUCTIONS, TABLE OF CONTENTS

Part Section Page

I. Description of Changes/Modifications to March ‘96 Release, IRIS95 i

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 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

4. 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

4.5 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 Page

4.8 Importing Resident Data from External Data Sources 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) 7-19

7.4 Residency Code Table (Alphabetic Sequence) 7-28

7.5 Help Screens 7-37

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

VI. February 2009 Updates to June ’99 Release, IRISV3 8-5

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.

 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 - 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: [email protected].

1.2 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 <Enter> refer to keys on the computer keyboard that should be pressed. <Up‑Arrow>, <Down‑Arrow>, <Right‑Arrow>, and <Left‑Arrow> refer to the directional arrow keys.

When entering data in IRIS, the following conventions apply:

(a) The <Caps Lock> key should be on at all times.

(b) The <Num Lock> key may be either on or off, as the user wishes, but be aware of its setting before you begin. <Num Lock> 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 <Enter> 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 <Y> or <N> without pressing <Enter>.

(d) Whenever data are entered in a highlighted area, <Enter> must be pressed after the data are complete. The <Enter> 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 <Enter> is pressed in the last field. Until the last field is completed, you can move backward and forward among fields with the <Up‑Arrow> and <Down‑Arrow> 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 <PgDn> key. Pressing <PgDn> after entering data in a single highlighted area generally has the same effect as pressing <Enter> (see item (j) below for an exception to this rule). Pressing <PgDn> after entering data into any field within a group of highlighted fields has the effect of pressing <Enter> in that field and all the remaining fields in the group.

(g) 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 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 <Enter>. To change it, type something else over it and press <Enter>. To accept a whole group of default values, press <PgDn>.

(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 <Enter>, rather than <PgDn> 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 <Enter>. That will leave the number 2 in the field.

1.3 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.

1.4 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).

1.5 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, XP and Vista) 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/165214/. 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.

1.6 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 <Enter>.

At the C:\> prompt, create a directory called IRISV3. Type the commands:

CD\ <Enter>

MD IRISV3 <Enter>

CD IRISV3 <Enter>

Your prompt should now be “C:\IRISV3>”.

(b) Insert the New IRISV3 diskette/CD in drive A and type the commands:

A:NUSRINST <Enter>

A:DB5LIB <Enter>

(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: <Enter>

CD\ <Enter>

TYPE CONFIG.SYS <Enter>

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 February 2009 installation instructions in the “Read Me First File” instead; this file (“Read Me IRISV3”) is in the CMS web site for IRIS programs.

(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 <Enter>

and skip to (4).

(3) If CONFIG.SYS does not exist, enter the command:

COPY CON CONFIG.SYS <Enter>

(4) Whether you got to this step from (2) or (3), continue by entering the following:

FILES=26

BUFFERS=26

<Ctrl><Z> <Enter>

(Note - <Ctrl><Z> means: press <Z> while holding down the <Ctrl> 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 <Enter>

IRISV3 <Enter>.

(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 <Caps Lock> key is “On”.

Start IRIS as in 1.6(d), above:

C: <Enter> (if you are not already at the C prompt)

CD IRISV3 <Enter>

IRISV3 <Enter>

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):

- 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).

1.7 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 <Esc> 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 <X> 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

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.

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.

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.

3.2 Running IRIS - the IRIS Main Menu

To run IRIS from the C:\> prompt, move to your IRISV3 directory and type IRISV3 <Enter> as described in section 1.6(d). IRIS begins by displaying the IRIS Main Menu:

╔════════════════════════════════════════╗

║ INTERN AND RESIDENT INFORMATION SYSTEM ║ The DELETE Function removes all

║ Version 3 December, 1997 ║ data associated with a specified

║───────────────────┬────────────────────║ resident for one selected Type

║ Data Management │ ║ and Year of Residency.

╟───────────────────┘ ║

║ <1> ADD New Intern/Resident Data ║ To delete Assignment(s) but leave

║ <2> BROWSE Intern/Resident Data ║ all other data for a resident

║ <3> CHANGE Intern/Resident Data ║ unchanged for that Type and Year

║ <4> DELETE Intern/Resident Data ║ of Residency, use the CHANGE

║ <5> Reference Files/Data Management ║ Function.

║ ║

╟───────────┬────────────────────────────╢

║ Reports: │ ║ ▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄▄

╟───────────┘ ║

║ <6> Data Summaries by Provider FY ║ FY: 1-Jul-1993 to 30-Jun-1994

║ <7> Create HCFA Report Data Disk ║ Provider: 130099 ╟────────────────────────────────────────╢

║ <X> Exit ║ 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 <F1> for Help}

The Main Menu lists the seven principal program modules that comprise IRIS. To run one, just type its number without the <Enter> 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.

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 <F1>. Pressing <F1> 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 <Home> to close the window and resume processing. The screen will reappear exactly as it was when <F1> 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.

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 <F1> 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.

3.3 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 ║

╟────────────────────────────────────────╢

║ <X> 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;

- 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.

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 <F1> 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.

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/Medicare Administrative Contractor, 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.

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 │ │ │ │ │ │ │ ║

╚════╧══════════╧══════════╧═════════╧═════════╧═════════╧═════════╧═════════╝

──────────────────────────────────────────────────────────────────────────────────

4.2 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 <F1> 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 <PgDn> 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 <M> 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 <End>. You will be locked in the window until <End> is pressed. <End> can be pressed at any time when a window is in scrolling mode.

(4) When you press <End>, 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 <Up‑Arrow> and <Down‑Arrow> keys to highlight the item you want and then press <Enter>.

4.3 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 │ │ │ │ │ │ │ ║

╚════╧══════════╧══════════╧═════════╧═════════╧═════════╧═════════╧═════════╝

──────────────────────────────────────────────────────────────────────────────────

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 <Enter>. Alternatively, you can change your mind at this point. Press <Enter> 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 <F1> 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 <PgDn> key's function is turned off for the three name fields.)

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 <Enter>;

- regardless of whether a default value is present, you can type a new residency code and then press <Enter>;

- 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 <Enter>.

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 <PgDn> 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 <F1> whenever the cursor is in that field. Just before you begin to enter data for the first rotation, the entry screen looks like:

┌────────────────────────────────────────────────────────────────────┐

│ 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 <PgDn> 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.

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

4.4 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░░

░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░░

Select a Search Option: {Press <F1> for Help}

╔═════════════════════════════════════╤════════════════╗

║ 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:

** 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 <Esc>. 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.

4.5 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.

4.6 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 <PgDn> 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.

┌─────────────────────────────────────────────────────────────────────────────┐

│ Type Assignment Data and Press <Press> after last Completed Assignment Line │

│ Press <Enter> to Move to next Field, <Up‑Arrow> 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.

4.7 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.

4.8 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:

╔════════════════════════════════════╗

║ <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 ║

╟─────────────────────────────────────────────────╢ WARNING: This process

║ <4> Evaluate and Edit Imported/Appended Data ║ requires that a Printer

║ <5> Print Report of Evaluation and Edit ║ be on Line!

║ <6> Merge Current and Imported/Appended Data ║

╟─────────────────────────────────────────────────╢

║ <X> Exit ║

╚═════════════════════════════════════════════════╝

SELECT OPTION FROM LIST ======>

{Press <F1> 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.

NEW Structure for table IRISASGN.DBF:

Field Name Type Length Usage

PROVNUMBER CHARACTER 6 999999

SSN CHARACTER 10 A999999999

FYBEGIN DATE 8 mm/dd/yy

TIMEPERC NUMERIC 3 999

IMEPERC NUMERIC 3 999

GMEPERC NUMERIC 3 999

ASGNBEGDAT DATE 8 mm/dd/yy

ASGNENDDAT DATE 8 mm/dd/yy

ARESYEAR NUMERIC 1 9

ARESTYPE CHARACTER 4 9999

NEW Structure for table IRISMAST.DBF:

Field Name Type Length Usage

SSN CHARACTER 10 A999999999

FNAME CHARACTER 14 AAAAAAAAAAAAAA

MNAME CHARACTER 1 A

LNAME CHARACTER 20 AAAAAAAAAAAAAAAAAAAA

EMPLOYER CHARACTER 50 AAAAAAAAAAAAAAAAAAAAAA...

RESTYPCODE CHARACTER 4 9999

RESYEAR NUMERIC 1 9

MEDSCHOOL CHARACTER 5 99999

MSGRADDATE DATE 8 mm/dd/yy

FORCERTDAT DATE 8 mm/dd/yy

PROVNUMBER CHARACTER 6 999999

FYBEGIN DATE 8 mm/dd/yy

FYEND DATE 8 mm/dd/yy

CREATEDATE DATE 8 mm/dd/yy

MODIFYDATE DATE 8 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:

- 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 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.

- 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.

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;

- 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 <F10> 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:

- 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.

4.8.4 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> 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.

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/Medicare Administrative Contractors, 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.

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.

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.

7. Attachments

ATTACHMENTS BEGIN NEXT PAGE.

7.1 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 “Quick-Fix” 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

- 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:

- 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.

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<Enter>

At each “Overwrite (y/n)?” prompt, type:

y<Enter>

The updated program is now installed.

(4) At the “C:\IRISV3>” prompt, type:

IR95UPDT<Enter>

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 <Caps Lock> key is “On”.

To initialize the program from the “C:\IRISV3>” prompt, type

IRISV3 <Enter>

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):

- 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).

(6) 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.

OLD Structure for table IRISMAST.DBF:

Field Name Type Length Usage

SSN CHARACTER 9 999999999

FNAME CHARACTER 14 AAAAAAAAAAAAAA

MNAME CHARACTER 1 A

LNAME CHARACTER 20 AAAAAAAAAAAAAAAAAAAA

EMPLOYER CHARACTER 50 AAAAAAAAAAAAAAAAAAAAAA....

RESTYPCODE CHARACTER 4 9999

RESYEAR NUMERIC 1 9

MEDSCHOOL CHARACTER 5 99999

MSGRADDATE CHARACTER 4 mmyy

FOREIGN CHARACTER 1 A

FORCERTDAT CHARACTER 4 mmyy

PROVNUMBER CHARACTER 6 999999

FYBEGIN DATE 8 mm/dd/yy

FYEND DATE 8 mm/dd/yy

CREATEDATE DATE 8 mm/dd/yy

MODIFYDATE DATE 8 mm/dd/yy

NEW Structure for table IRISMAST.DBF:

Field Name Type Length Usage

SSN CHARACTER 10 A999999999

FNAME CHARACTER 14 AAAAAAAAAAAAAA

MNAME CHARACTER 1 A

LNAME CHARACTER 20 AAAAAAAAAAAAAAAAAAAA

EMPLOYER CHARACTER 50 AAAAAAAAAAAAAAAAAAAAAA...

RESTYPCODE CHARACTER 4 9999

RESYEAR NUMERIC 1 9

MEDSCHOOL CHARACTER 5 99999

MSGRADDATE DATE 8 mm/dd/yy

FORCERTDAT DATE 8 mm/dd/yy

PROVNUMBER CHARACTER 6 999999

FYBEGIN DATE 8 mm/dd/yy

FYEND DATE 8 mm/dd/yy

CREATEDATE DATE 8 mm/dd/yy

MODIFYDATE DATE 8 mm/dd/yy

OLD Structure for table IRISASGN.DBF

Field Name Type Length Usage

PROVNUMBER CHARACTER 6 999999

SSN CHARACTER 9 999999999

FYBEGIN DATE 8 mm/dd/yy

TIMEPERC NUMERIC 3 999

IMEPERC NUMERIC 3 999

GMEPERC NUMERIC 3 999

ASGNBEGDAT DATE 8 mm/dd/yy

ASGNENDDAT DATE 8 mm/dd/yy

NEW Structure for table IRISASGN.DBF

Field Name Type Length Usage

PROVNUMBER CHARACTER 6 999999

SSN CHARACTER 10 A999999999

FYBEGIN DATE 8 mm/dd/yy

TIMEPERC NUMERIC 3 999

IMEPERC NUMERIC 3 999

GMEPERC NUMERIC 3 999

ASGNBEGDAT DATE 8 mm/dd/yy

ASGNENDDAT DATE 8 mm/dd/yy

ARESYEAR NUMERIC 1 9

ARESTYPE CHARACTER 4 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

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/Medicare Administrative Contractor 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.

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 7-18 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

00376 AT STILL UN OF HLTH SC’S, COL OF OSTEO MED, MESA MESA 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 KECK 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, GEFFEN SCH OF MED 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 COL OF OSTEOPATHIC PHYSICIANS & SURGEONS OF LA LOS ANGELES CA

00576 COLLEGE OF OSTEOPATHIC MEDICINE OF THE PACIFIC POMONA CA

00577 TOURO UN COL OF OSTEOPATHIC MEDICINE, VALLEJO VALLEJO CA

00702 UNIVERSITY OF COLORADO SCHOOL OF MEDICINE DENVER CO

00771 ROCKY VISTA UNIVERSITY COLLEGE OF OSTEOPATHIC MED PARKER 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 UNIV OF MIAMI, L M MILLER 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

01176 LAKE ERIE COL OF OSTEOPATHIC MEDICINE, BRADENTON BRADENTON FL

01201 MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE 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 UN FEINBERG SCHOOL OF MEDICINE CHICAGO IL

01611 UN OF ILLINOIS COL OF MED (CHI/PEOR/ROCK/CHM-URB) ALL LOCATIONS IL

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE

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 MIDWESTERN UN, CHICAGO COL OF OSTEOPATHIC MEDICINE DOWNERS GROVE IL

01720 INDIANA UNIVERSITY SCHOOL OF MEDICINE INDIANAPOLIS IN

01803 UNIVERSITY OF IOWA, R J & L CARVER COLLEGE OF MEDICINE IOWA CITY IA

01875 DES MOINES UN, COL OF OSTEOPATHIC MED & SURGERY DES MOINES IA

01902 UNIVERSITY OF KANSAS SCHOOL OF MEDICINE (KC/WICH) ALL LOCATIONS KS

02002 UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE LOUISVILLE KY

02012 UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE LEXINGTON KY

02075 PIKEVILLE COLLEGE, SCHOOL OF OSTEOPATHIC MEDICINE PIKEVILLE KY

02101 TULANE UNIVERSITY SCHOOL OF MEDICINE NEW ORLEANS LA

02105 LOUISIANA STATE UN SCHOOL OF MED IN NEW ORLEANS NEW ORLEANS LA

02106 LOUISIANA STATE UN SCHOOL OF MED IN SHREVEPORT SHREVEPORT LA

02275 UN OF NEW ENGLAND, COL OF OSTEOPATHIC MEDICINE BIDDEFORD ME

02301 UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE BALTIMORE MD

02307 JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE BALTIMORE MD

02312 UNIF SVCS UHS F E HEBERT SCHOOL OF MED BETHESDA MD

02401 HARVARD MEDICAL SCHOOL BOSTON MA

02405 BOSTON UNIVERSITY SCHOOL OF MEDICINE BOSTON MA

02407 TUFTS UNIVERSITY SCHOOL OF MEDICINE BOSTON MA

02416 UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL WORCESTER MA

02501 UNIVERSITY OF MICHIGAN MEDICAL SCHOOL ANN ARBOR MI

02507 WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE DETROIT MI

02512 MICHIGAN STATE UN COLLEGE OF HUMAN MEDICINE EAST LANSING MI

02576 MICHIGAN STATE UN COLLEGE OF OSTEOPATHIC MEDICINE EAST LANSING MI

02604 UNIVERSITY OF MINNESOTA MEDICAL SCHOOL MINNEAPOLIS MN

02607 UN OF MINNESOTA, DULUTH SCHOOL OF MEDICINE DULUTH MN

02608 MAYO MEDICAL SCHOOL ROCHESTER MN

02701 UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE JACKSON MS

02802 WASHINGTON UNIVERSITY SCHOOL OF MEDICINE SAINT LOUIS MO

02803 UN OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE COLUMBIA MO

02834 SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE SAINT LOUIS MO

02846 UN OF MISSOURI, KANSAS CITY SCHOOL OF MEDICINE KANSAS CITY MO

02878 KANSAS CITY UN OF MED & BIOSC’S, COL OF OSTEO MED KANSAS CITY MO

02879 A T STILL UN OF HLTH SC, COL OF OST MED, KIRSV’E KIRKSVILLE MO

03005 UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE OMAHA NE

03006 CREIGHTON UNIVERSITY SCHOOL OF MEDICINE OMAHA NE

03101 UNIVERSITY OF NEVADA SCHOOL OF MEDICINE RENO NV

03175 TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON HENDERSON NV

03201 DARTMOUTH MEDICAL SCHOOL HANOVER NH

03305 UMDNJ-NEW JERSEY MEDICAL SCHOOL NEWARK NJ

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE

03306 UMDNJ-R W JOHNSON MED SCHOOL (CAM/NEW BRUNS/PISC) ALL LOCATIONS NJ

03375 UMDNJ NEW JERSEY SCHOOL OF OSTEOPATHIC MEDICINE STRATFORD NJ

03401 UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE ALBUQUERQUE NM

03501 COLUMBIA UN COLLEGE OF PHYSICIANS AND SURGEONS NEW YORK NY

03503 ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY ALBANY NY

03506 STATE UN OF NEW YORK AT BUFFALO SCHOOL OF MED BUFFALO NY

03508 STATE UN OF NEW YORK DOWNSTATE MEDICAL CENTER BROOKLYN NY

03509 NEW YORK MEDICAL COLLEGE VALHALLA NY

03515 STATE UN OF NY UPSTATE MEDICAL UNIVERSITY SYRACUSE NY

03519 NEW YORK UNIVERSITY SCHOOL OF MEDICINE NEW YORK NY

03520 J S WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY NEW YORK NY

03545 UN OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY ROCHESTER NY

03546 ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UN BRONX NY

03547 MOUNT SINAI SCHOOL OF MEDICINE OF NEW YORK UNIV NEW YORK NY

03548 STATE UN OF NY AT STONY BROOK SCHOOL OF MEDICINE STONY BROOK NY

03575 NEW YORK COLLEGE OF OSTEOPATHIC MEDICINE OF NYIT OLD WESTBURY NY

03576 TOURO UN COL OF OSTEOPATHIC MEDICINE, NEW YORK NEW YORK NY

03601 UN OF NORTH CAROLINA CHAPEL HILL SCH OF MEDICINE CHAPEL HILL NC

03605 WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE WINSTON-SALEM NC

03607 DUKE UNIVERSITY SCHOOL OF MEDICINE DURHAM NC

03608 BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIV GREENVILLE NC

03701 UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE GRAND FORKS ND

03806 CASE WESTERN RESERVE UN SCHOOL OF MEDICINE CLEVELAND OH

03840 OHIO STATE UNIVERSITY COLLEGE OF MEDICINE COLUMBUS OH

03841 UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE CINCINNATI OH

03843 UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE TOLEDO OH

03844 NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE ROOTSTOWN OH

03845 WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MED DAYTON OH

03875 OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE ATHENS OH

03901 UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE OKLAHOMA CITY OK

03905 ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE TULSA OK

03979 OKLAHOMA STATE UN COL OF OSTEOPATHIC MEDICINE TULSA OK

04002 OREGON HEALTH SCIENCES UN SCHOOL OF MEDICINE PORTLAND OR

04101 UNIVERSITY OF PENNSYLVANIA SCHOOL OF MEDICINE PHILADELPHIA PA

04102 JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UN PHILADELPHIA PA

04107 MEDICAL COLLEGE OF PENNSYLVANIA PHILADELPHIA PA

04109 HAHNEMANN UNIVERSITY SCHOOL OF MEDICINE PHILADELPHIA PA

04112 UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE PITTSBURGH PA

04113 TEMPLE UNIVERSITY SCHOOL OF MEDICINE PHILADELPHIA PA

04114 PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE HERSHEY PA

04115 DREXEL UNIVERSITY COLLEGE OF MEDICINE PHILADELPHIA PA

04177 PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE PHILADELPHIA PA

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE 04178 LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE ERIE PA

04201 UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE SAN JUAN PR

04202 PONCE SCHOOL OF MEDICINE PONCE PR

04203 UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA BAYAMON PR

04204 ESCUELA DE MED SAN JUAN BAUTISTA CAGUAS PR

04301 BROWN MEDICAL SCHOOL PROVIDENCE RI

04501 MEDICAL UN OF SOUTH CAROLINA COLLEGE OF MEDICINE CHARLESTON SC

04504 UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE COLUMBIA SC

04601 SANFORD SCHOOL OF MEDICINE OF UN OF SOUTH DAKOTA VERMILLION SD

04705 VANDERBILT UNIVERSITY SCHOOL OF MEDICINE NASHVILLE TN

04706 UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE MEMPHIS TN

04707 MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE NASHVILLE TN

04720 E TENNESSEE ST UN QUILLEN COLLEGE OF MEDICINE JHNSN CTY TN

04775 LINCOLN MEM UN, DEBUSK COLLEGE OF OSTEO MED HARROGATE TN

04802 UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON GALVESTON TX

04804 BAYLOR COLLEGE OF MEDICINE HOUSTON TX

04812 UN OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS DALLAS TX

04813 UN OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO SAN ANTONIO TX

04814 UN OF TEXAS MEDICAL SCHOOL AT HOUSTON HOUSTON TX

04815 TEXAS TECH UN HSC, SCH OF MED (AMAR/LUB/EL PASO) ALL LOCATIONS TX

04816 TEXAS A & M UN SYSTEM, HSC, COLLEGE OF MEDICINE COLLEGE STATION TX

04878 UN NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED FORT WORTH TX

04901 UNIVERSITY OF UTAH SCHOOL OF MEDICINE SALT LAKE CITY UT

05002 UNIVERSITY OF VERMONT COLLEGE OF MEDICINE BURLINGTON VT

05101 UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE CHARLOTTESVILLE VA

05104 VIRGINIA COMMONWEALTH UN, SCHOOL OF MEDICINE RICHMOND VA

05107 EASTERN VIRGINIA MEDICAL SCHOOL NORFOLK VA

05175 EDWARD VIA VIRGINIA COL OF OSTEOPATHIC MEDICINE BLACKSBURG VA

05404 UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE SEATTLE WA

05475 PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE YAKIMA WA

05501 WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE MORGANTOWN WV

05502 J C EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIV HUNTINGTON WV

05575 WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE LEWISBURG WV

05605 UNIVERSITY OF WISCONSIN MEDICAL SCHOOL MADISON WI

05606 MEDICAL COLLEGE OF WISCONSIN MILWAUKEE WI

06001 UNIVERSITY OF ALBERTA, FACULTY OF MEDICINE EDMONTON AB

06002 UNIVERSITY OF CALGARY, FACULTY OF MEDICINE CALGARY AB

06101 UN OF BRITISH COLUMBIA, FACULTY OF MEDICINE VANCOUVER BC

06201 UNIVERSITY OF MANITOBA, FACULTY OF MEDICINE WINNIPEG MB

06301 MEMORIAL UN OF NEWFOUNDLAND, FACULTY OF MEDICINE SAINT JOHNS NF

06401 DALHOUSIE UNIVERSITY, FACULTY OF MEDICINE HALIFAX NS

06501 UNIVERSITY OF TORONTO, FACULTY OF MEDICINE TORONTO ON

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE

06505 QUEEN'S UNIVERSITY, FACULTY OF MEDICINE KINGSTON ON

06506 UNIVERSITY OF WESTERN ONTARIO FACULTY OF MEDICINE LONDON ON

06509 UNIVERSITY OF OTTAWA, FACULTY OF HEALTH SCIENCES OTTAWA ON

06510 MCMASTER UN, MICHAEL DEGROOTE SCHOOL OF MEDICINE HAMILTON ON

06701 MCGILL UNIVERSITY, FACULTY OF MEDICINE MONTREAL PQ

06702 UNIVERSITE DE MONTREAL, FACULTE DE MEDECINE MONTREAL PQ

06703 LAVAL UNIVERSITE, FACULTE DE MEDECINE SAINTE-FOY PQ

06704 LAVAL UNIVERSITE, FACULTE DE MEDECINE MONTREAL PQ

06706 UNIVERSITY DE SHERBROOKE, FACULTE DE MEDECINE SHERBROOKE PQ

06801 UNIVERSITY OF SASKATCHEWAN, COLLEGE OF MEDICINE SASKATOON SK

10000 DOCTOR OF DENTAL MED (OBSOLETE - USE CODES 8XXXX) DM

20000 DOCTOR OF DENTAL SGY (OBSOLETE - USE CODES 8XXXX) DS

30000 CALIFORNIA SCHOOL OF PODIATRIC MEDICINE OAKLAND CA

30010 OBSOLETE - USE CODE 30500 (BARRY UNIVERSITY…) MIAMI SHORES FL

30020 OBSOLETE - USE CODE 30100 (WILLIAM M. SCHOLL…) CHICAGO IL

30040 OBSOLETE - USE CODE 30600 (COL…, DES MOINES UN) DES MOINES IA

30050 OBSOLETE - USE CODE 30200 (NEW YORK COLLEGE…) NEW YORK NY

30080 OBSOLETE - USE CODE 30300 (OHIO COLLEGE…) CLEVELAND OH

30090 OBSOLETE - USE CODE 30400 (TEMPLE UNIVERSITY…) PHILADELPHIA PA

30100* WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE CHICAGO IL

30200* NEW YORK COLLEGE OF PODIATRIC MEDICINE NEW YORK NY

30300* OHIO COLLEGE OF PODIATRIC MEDICINE CLEVELAND OH

30400* TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE PHILADELPHIA PA

30500* BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE MIAMI SHORES FL

30600* COL OF PODIATRIC MED AND SURGERY, DES MOINES UNIV DES MOINES IA

30700* ARIZONA PODIATRIC MED PROGRAM AT MIDWESTERN UN GLENDALE AZ

80002 OBSOLETE - USE CODE 82001 (UNIV OF ALABAMA…) BIRMINGHAM AL

80003 OBSOLETE - USE CODE 82065 (A T STILL UN…) MESA AZ

80004 OBSOLETE - USE CODE 81487 (UNIV OF THE PACIFIC…) SAN FRANCISCO CA

80006 OBSOLETE - USE CODE 82002 (UNIV OF CALIF, SF…) SAN FRANCISCO CA

80007 OBSOLETE - USE CODE 82003 (UNIV OF CALIF, LA…) LOS ANGELES CA

80008 OBSOLETE - USE CODE 82004 (UNIV OF SOUTHERN CAL…) LOS ANGELES CA

80010 OBSOLETE - USE CODE 82005 (LOMA LINDA UN…) LOMA LINDA CA

80011 OBSOLETE - USE CODE 82006 (UN OF COLORADO…) DENVER CO

80012 OBSOLETE - USE CODE 82007 (UN OF CONNECTICUT…) FARMINGTON CT

80016 OBSOLETE - USE CODE 82008 (HOWARD UNIVERSITY…) WASHINGTON DC

80018 OBSOLETE - USE CODE 82009 (UN OF FLORIDA…) GAINESVILLE FL

80021 OBSOLETE - USE CODE 82010 (NOVA SE UNIVERSITY…) FT LAUDERDALE FL

80022 OBSOLETE - USE CODE 82011 (MEDICAL COL OF GEORGIA…) AUGUSTA GA

80027 OBSOLETE - USE CODE 82012 (SOUTH’N ILLIN’S UN…) ALTON IL

80028 OBSOLETE - USE CODE 82013 (UN OF ILLINOIS…) CHICAGO IL

80030 OBSOLETE - USE CODE 82014 (INDIANA UN…) INDIANAPOLIS IN

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE

80032 OBSOLETE - USE CODE 82015 (UN OF IOWA…) IOWA CITY IA

80033 OBSOLETE - USE CODE 82016 (UN OF KENTUCKY…) LEXINGTON KY

80034 OBSOLETE - USE CODE 82017 (UN OF LOUISVILLE…) LOUISVILLE KY

80036 OBSOLETE - USE CODE 82018 (LOUISIANA STATE UN…) NEW ORLEANS LA

80038 OBSOLETE - USE CODE 82019 (UN OF MARYLAND…) BALTIMORE MD

80040 OBSOLETE - USE CODE 82020 (HARVARD SCHOOL…) BOSTON MA

80041 OBSOLETE - USE CODE 82021 (BOSTON UN…) BOSTON MA

80042 OBSOLETE - USE CODE 82022 (TUFTS UN…) BOSTON MA

80044 OBSOLETE - USE CODE 82023 (UN OF DETROIT…) DETROIT MI

80046 OBSOLETE - USE CODE 82024 (UN OF MICHIGAN…) ANN ARBOR MI

80048 OBSOLETE - USE CODE 82025 (UN OF MINNESOTA…) MINNEAPOLIS MN

80049 OBSOLETE - USE CODE 82026 (UN OF MISSISSIPPI…) JACKSON MS

80052 OBSOLETE - USE CODE 82027 (UNIV OF MISSOURI…) KANSAS CITY MO

80056 OBSOLETE - USE CODE 82028 (CREIGHTON UN…) OMAHA NE

80058 OBSOLETE - USE CODE 82029 (UN OF NEBRASKA…) LINCOLN NE

80060 OBSOLETE - USE CODE 82030 (UN OF MED & DTSRY, NJ) NEWARK NJ

80062 OBSOLETE - USE CODE 82031 (COLUMBIA UN…) NEW YORK NY

80064 OBSOLETE - USE CODE 82032 (NEW YORK UN…) NEW YORK NY

80065 OBSOLETE - USE CODE 82033 (SUNY, STONY BROOK…) STONY BROOK NY

80066 OBSOLETE - USE CODE 82034 (SUNY, BUFFALO…) BUFFALO NY

80068 OBSOLETE - USE CODE 82064 (UN OF NEVADA…) LAS VEGAS NV

80070 OBSOLETE - USE CODE 82035 (UN OF NC…) CHAPEL HILL NC

80072 OBSOLETE - USE CODE 82036 (OHIO STATE UN…) COLUMBUS OH

80074 OBSOLETE - USE CODE 82037 (CASE WESTERN UN…) CLEVELAND OH

80076 OBSOLETE - USE CODE 82038 (UN OF OKLAHOMA…) OKLAHOMA CITY OK

80078 OBSOLETE - USE CODE 82039 (OREGON HEALTH…) PORTLAND OR

80080 OBSOLETE - USE CODE 82040 (TEMPLE UN…) PHILADELPHIA PA

80082 OBSOLETE - USE CODE 82041 (UN OF PENNSYLVANIA…) PHILADELPHIA PA

80084 OBSOLETE - USE CODE 82042 (UN OF PITTSBURGH…) PITTSBURGH PA

80085 OBSOLETE - USE CODE 82066 (MEDICAL UN OF SC…) CHARLESTON SC

80086 OBSOLETE - USE CODE 82044 (MEHARRY MED COL…) NASHVILLE TN

80088 OBSOLETE - USE CODE 82045 (UN OF TENNESSEE…) MEMPHIS TN

80090 OBSOLETE - USE CODE 82046 (BAYLOR COLLEGE…) DALLAS TX

80092 OBSOLETE - USE CODE 82047 (UN OF TX, HOUSTON…) HOUSTON TX

80093 OBSOLETE - USE CODE 82048 (UN OF TX, SA…) SAN ANTONIO TX

80094 OBSOLETE - USE CODE 82049 (VA COMMONWEALTH…) RICHMOND VA

80096 OBSOLETE - USE CODE 82050 (UN OF WASHINGTON…) SEATTLE WA

80097 OBSOLETE - USE CODE 82051 (UN OF WEST VA…) MORGANTOWN WV

80098 OBSOLETE - USE CODE 82052 (MARQUETTE UN…) MILWAUKEE WI

80099 OBSOLETE - USE CODE 82053 (UN OF PUERTO RICO…) SAN JUAN PR

80100 OBSOLETE - USE CODE 82054 (UN OF SASKATCHEWAN…) SASKATOON SK

80101 OBSOLETE - USE CODE 82055 (UN OF ALBERTA…) EDMONTON AB

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE

80102 OBSOLETE - USE CODE 82056 (UN OF BC…) VANCOUVER BC

80103 OBSOLETE - USE CODE 82057 (UN OF MANITOBA…) WINNIPEG MB

80104 OBSOLETE - USE CODE 82058 (DALHOUSIE UN…) HALIFAX NS

80105 OBSOLETE - USE CODE 82059 (UN OF TORONTO…) TORONTO ON

80106 OBSOLETE - USE CODE 82060 (UN OF WESTERN ON…) LONDON ON

80107 OBSOLETE - USE CODE 82061 (MCGILL UN…) MONTREAL PQ

80108 OBSOLETE - USE CODE 82062 (UN DE MONTREAL…) MONTREAL PQ

80109 OBSOLETE - USE CODE 82063 (UN LAVAL…) QUEBEC PQ

81487** UNIV OF THE PACIFIC DUGONI SCHOOL OF DENTISTRY SAN FRANCISCO CA

82001** UNIV OF ALABAMA AT BIRMINGHAM SCHOOL OF DENTISTRY BIRMINGHAM AL

82002** UNIV OF CALIF, SAN FRANCISCO SCHOOL OF DENTISTRY SAN FRANCISCO CA

82003** UNIV OF CALIF, LOS ANGELES SCHOOL OF DENTISTRY LOS ANGELES CA

82004** UNIV OF SOUTHERN CALIFORNIA SCHOOL OF DENTISTRY LOS ANGELES CA

82005** LOMA LINDA UNIVERSITY SCHOOL OF DENTISTRY LOMA LINDA CA

82006** UNIVERSITY OF COLORADO SCHOOL OF DENTISTRY DENVER CO

82007** UNIVERSITY OF CONNECTICUT SCHOOL OF DENTISTRY FARMINGTON CT

82008** HOWARD UNIVERSITY COLLEGE OF DENTISTRY WASHINGTON DC

82009** UNIVERSITY OF FLORIDA COLLEGE OF DENTISTRY GAINESVILLE FL

82010** NOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE FT LAUDERDALE FL

82011** MEDICAL COLLEGE OF GEORGIA SCHOOL OF DENTISTRY AUGUSTA GA

82012** SOUTHERN ILLINOIS UNIV SCHOOL OF DENTAL MEDICINE ALTON IL

82013** UNIV OF ILLINOIS AT CHICAGO COLLEGE OF DENTISTRY CHICAGO IL

82014** INDIANA UNIVERSITY SCHOOL OF DENTISTRY INDIANAPOLIS IN

82015** UNIVERSITY OF IOWA COLLEGE OF DENTISTRY IOWA CITY IA

82016** UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY LEXINGTON KY

82017** UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY LOUISVILLE KY

82018** LOUISIANA STATE UNIVERSITY SCHOOL OF DENTISTRY NEW ORLEANS LA

82019** UNIV OF MARYLAND, BALTIMORE COL OF DENTAL SURGERY BALTIMORE MD

82020** HARVARD SCHOOL OF DENTAL MEDICINE BOSTON MA

82021** BOSTON UNIV GOLDMAN SCHOOL OF DENTAL MEDICINE BOSTON MA

82022** TUFTS UNIVERSITY SCHOOL OF DENTAL MEDICINE BOSTON MA

82023** UNIVERSITY OF DETROIT MERCY SCHOOL OF DENTISTRY DETROIT MI

82024** UNIVERSITY OF MICHIGAN SCHOOL OF DENTISTRY ANN ARBOR MI

82025** UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY MINNEAPOLIS MN

82026** UNIVERSITY OF MISSISSIPPI SCHOOL OF DENTISTRY JACKSON MS

82027** UNIV OF MISSOURI-KANSAS CITY SCHOOL OF DENTISTRY KANSAS CITY MO

82028** CREIGHTON UNIVERSITY SCHOOL OF DENTISTRY OMAHA NE

82029** UNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY LINCOLN NE

82030** UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL NEWARK NJ

82031** COLUMBIA UNIV SCHOOL OF DENTAL & ORAL SURGERY NEW YORK NY

82032** NEW YORK UNIVERSITY COLLEGE OF DENTISTRY NEW YORK NY

82033** STATE UN OF NY, STONY BROOK SCHOOL OF DENTAL MED STONY BROOK NY

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY STATE

82034** STATE UN OF NY, BUFFALO SCHOOL OF DENTAL MEDICINE BUFFALO NY

82035** UNIVERSITY OF NORTH CAROLINA SCHOOL OF DENTISTRY CHAPEL HILL NC

82036** OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY COLUMBUS OH

82037** CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE CLEVELAND OH

82038** UNIVERSITY OF OKLAHOMA COLLEGE OF DENTISTRY OKLAHOMA CITY OK

82039** OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY PORTLAND OR

82040** M H KORNBERG SCHOOL OF DENT’Y, TEMPLE UNIVERSITY PHILADELPHIA PA

82041** UNIV OF PENNSYLVANIA SCHOOL OF DENTAL MEDICINE PHILADELPHIA PA

82042** UNIV OF PITTSBURGH SCHOOL OF DENTAL MEDICINE PITTSBURGH PA

82044** MEHARRY MEDICAL COLLEGE SCHOOL OF DENTISTRY NASHVILLE TN

82045** UNIVERSITY OF TENNESSEE COLLEGE OF DENTISTRY MEMPHIS TN

82046** BAYLOR COLLEGE OF DENTISTRY/TEXAS A&M UNIVERSITY DALLAS TX

82047** UNIVERSITY OF TEXAS, HOUSTON DENTAL BRANCH HOUSTON TX

82048** UNIVERSITY OF TEXAS, SAN ANTONIO DENTAL SCHOOL SAN ANTONIO TX

82049** VIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY RICHMOND VA

82050** UNIVERSITY OF WASHINGTON SCHOOL OF DENTISTRY SEATTLE WA

82051** UNIVERSITY OF WEST VIRGINIA SCHOOL OF DENTISTRY MORGANTOWN WV

82052** MARQUETTE UNIVERSITY SCHOOL OF DENTISTRY MILWAUKEE WI

82053** UNIVERSITY OF PUERTO RICO SCHOOL OF DENTISTRY SAN JUAN PR

82054** UNIVERSITY OF SASKATCHEWAN COLLEGE OF DENTISTRY SASKATOON SK

82055** UNIVERSITY OF ALBERTA FACULTY OF DENTISTRY EDMONTON AB

82056** UNIV OF BRITISH COLUMBIA FACULTY OF DENTISTRY VANCOUVER BC

82057** UNIV OF MANITOBA FACULTY OF DENTISTRY WINNIPEG MB

82058** DALHOUSIE UNIVERSITY FACULTY OF DENTISTRY HALIFAX NS

82059** UNIVERSITY OF TORONTO FACULTY OF DENTISTRY TORONTO ON

82060** UNIV OF WESTERN ONTARIO FACULTY OF DENTISTRY LONDON ON

82061** MCGILL UNIVERSITY FACULTY OF DENTISTRY MONTREAL PQ

82062** UNIVERSITE DE MONTREAL FACULTE DE MED DENTAIRE MONTREAL PQ

82063** UNIVERSITE LAVAL FACULTE DE MEDECINE DENTAIRE QUEBEC PQ

82064** UNIV OF NEVADA, LAS VEGAS SCHOOL OF DENTAL MED LAS VEGAS NV

82065** A T STILL UN, ARIZONA SCH’L OF DENT’Y & ORAL HLTH MESA AZ

82066** MEDICAL UNIV OF SOUTH CAROLINA COL OF DENTAL MED CHARLESTON SC

83590** MIDWESTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE GLENDALE AZ

99998 FOREIGN DENTAL SCHOOLS ZZ

99999 FOREIGN MEDICAL SCHOOLS ZZ

* - Source: Medicare Carriers Manual, Part 4, Section 1015, Exhibit 3B; CMS Central Office for Code 30700

**- Source: American Dental Association Survey Center (Code 1487, Codes 2001 through 2042, Codes 2044 through 2067, and Code 3590); these codes were left filled by CMS with the number “8”

NOTE - SEE NEXT PAGE FOR COPYRIGHT NOTICE FROM THE AMERICAN MEDICAL ASSOCIATION FOR THE USE OF CODES 00102 THROUGH 06801 IN THE MEDICAL SCHOOL CODES TABLE

SCHOOL SCHOOL NAME SCHOOL SCHOOL

CODE CITY 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/Medicare Administrative Contractors in support of Medicare cost report data for graduate medical education.

*Copyright 2001-2008 American Medical Association.

All rights reserved.

Applicable FARS/DFARS restrictions apply to U.S. Government use.

7.3 Residency Code Table (Numeric Sequence)

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

1050 ALLERGY & IMMUNOLOGY GENERAL

1051 ALLERGY & IMMUNOLOGY DIAGNOSTIC LABORATORY IMMUNOLOGY

1052 ALLERGY & IMMUNOLOGY CLINICAL IMMUNOLOGY

1100 ANESTHESIOLOGY GENERAL

1101 ANESTHESIOLOGY CRITICAL CARE MEDICINE

1102 ANESTHESIOLOGY PAIN MEDICINE

1103 ANESTHESIOLOGY PEDIATRIC ANESTHESIOLOGY

1104 ANESTHESIOLOGY ADULT CARDIOTHORACIC ANESTHESIOLOGY

1150 COLON AND RECTAL SURGERY GENERAL

1200 DERMATOLOGY GENERAL

1201 DERMATOLOGY DERMATOPATHOLOGY

1202 DERMATOLOGY CLINICAL & LAB'Y DERM'L IMMUNOLOGY

1203 DERMATOLOGY DERMATOLOGICAL MICROGRAPHIC SURGERY

1204 DERMATOLOGY PROCEDURAL DERMATOLOGY

1250 EMERGENCY MEDICINE GENERAL (SEE NOTE 4 IN HELP SCREEN)

1251 EMERGENCY MEDICINE PEDIATRIC EMERGENCY MEDICINE

1252 EMERGENCY MEDICINE EMERGENCY MEDICAL SERVICES

1253 EMERGENCY MEDICINE SPORTS MEDICINE

1254 EMERGENCY MEDICINE MEDICAL TOXICOLOGY

1255 EMERGENCY MEDICINE UNDERSEA & HYPERBARIC MEDICINE

1300 EMERGENCY & INTERNAL MEDICINE GENERAL

1350 FAMILY MEDICINE GENERAL

1351 FAMILY MEDICINE GERIATRIC MEDICINE

1352 FAMILY MEDICINE SPORTS MEDICINE

1400 INTERNAL MEDICINE GENERAL

1401 INTERNAL MEDICINE CARDIAC ELECTROPHYSIOLOGY

1402 INTERNAL MEDICINE CARDIOLOGY

1403 INTERNAL MEDICINE CARDIOVASCULAR DISEASE

1404 INTERNAL MEDICINE CRITICAL CARE MEDICINE

1405 INTERNAL MEDICINE CLINICAL & LABORATORY IMMUNOLOGY

1406 INTERNAL MEDICINE ENDOCRINOLOGY, DIABETES & METABOL'M

1407 INTERNAL MEDICINE GASTROENTEROLOGY

1408 INTERNAL MEDICINE GERIATRIC MEDICINE

1409 INTERNAL MEDICINE HEMATOLOGY

1410 INTERNAL MEDICINE INFECTIOUS DISEASE

1411 INTERNAL MEDICINE MEDICAL ONCOLOGY

1412 INTERNAL MEDICINE NEPHROLOGY

1413 INTERNAL MEDICINE ONCOLOGY

1414 INTERNAL MEDICINE PULMONARY DISEASE

1415 INTERNAL MEDICINE RHEUMATOLOGY

1416 INTERNAL MEDICINE SPORTS MEDICINE

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

1417 INTERNAL MEDICINE TRANSPLANTATION MEDICINE

1418 INTERNAL MEDICINE ADOLESCENT MEDICINE

1419 INTERNAL MEDICINE HEMATOLOGY & ONCOLOGY

1420 INTERNAL MEDICINE PULMON'Y DISEASE & CRIT. CARE MED.

1421 INTERNAL MEDICINE INTERVENTIONAL CARDIOLOGY

1422 INTERNAL MEDICINE HOSPICE & PALLIATIVE MEDICINE

1423 INTERNAL MEDICINE TRANSPLANT HEPATOLOGY

1450 INTERNAL MEDICINE & PEDIATRICS GENERAL

1455 INTERNAL MED. & DERMATOLOGY GENERAL

1460 INT. MED. & EMERG./CRIT. CARE MED. GENERAL

1465 INTERNAL MED. & NUCLEAR MEDICINE GENERAL

1470 INTERNAL MED. & MEDICAL GENETICS GENERAL

1500 INTERNAL MED./PHYS'L MED. & REHAB. GENERAL

1550 INTERNAL MEDICINE & PSYCHIATRY GENERAL

1600 NEUROLOGICAL SURGERY GENERAL

1601 NEUROLOGICAL SURGERY CRITICAL CARE MEDICINE

1602 NEUROLOGICAL SURGERY PEDIATRIC NEUROLOGICAL SURGERY

1603 NEUROLOGICAL SURGERY ENDOVASCULAR SURG’L NEURORADIOLOGY

1650 NEUROLOGY GENERAL

1651 NEUROLOGY CHILD NEUROLOGY

1652 NEUROLOGY CLINICAL NEUROPHYSIOLOGY

1653 NEUROLOGY NEURODEVELOPMENTAL DISABILITIES

1654 NEUROLOGY NEUROMUSCULAR MEDICINE

1655 NEUROLOGY PAIN MEDICINE

1656 NEUROLOGY VASCULAR NEUROLOGY

1657 NEUROLOGY ENDOVASCULAR SURG’L NEURORADIOLOGY

1700 NUCLEAR MEDICINE GENERAL

1701 NUCLEAR MEDICINE NUCLEAR RADIOLOGY (WITH ABRAD)

1702 NUCLEAR MEDICINE RADIOISOTOPIC PATHOLOGY (WITH ABPA)

1750 OBSTETRICS & GYNECOLOGY GENERAL

1751 OBSTETRICS & GYNECOLOGY CRITICAL CARE MEDICINE

1752 OBSTETRICS & GYNECOLOGY GYNECOLOGICAL ONCOLOGY

1753 OBSTETRICS & GYNECOLOGY MATERNAL & FETAL MEDICINE

1754 OBSTETRICS & GYNECOLOGY REPRODUCTIVE ENDOCRINOLOGY

1800 OPTHAMOLOGY GENERAL

1801 PEDIATRICS OPTHAMOLOGY

1850 ORTHOPAEDIC SURGERY GENERAL

1851 ORTHOPAEDIC SURGERY ADULT RECONSTRUCTIVE ORTHOPAEDICS

1852 ORTHOPAEDIC SURGERY HAND SURGERY

1853 ORTHOPAEDIC SURGERY MUSCULOSKELETAL ONCOLOGY

1854 ORTHOPAEDIC SURGERY ORTHOPAEDIC TRAUMA

1855 ORTHOPAEDIC SURGERY PEDIATRIC ORTHOPAEDICS

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

1856 ORTHOPAEDIC SURGERY ORTHOPAEDIC SPORTS MEDICINE

1857 ORTHOPAEDIC SURGERY FOOT & ANKLE ORTHOPAEDICS

1858 ORTHOPAEDIC SURGERY ONCOLOGY/PATHOLOGY

1859 ORTHOPAEDIC SURGERY REHABILITATION ORTHOPAEDICS

1860 ORTHOPAEDIC SURGERY ORTHOPAEDIC SURGERY OF THE SPINE

1900 OTOLARYNGOLOGY GENERAL

1901 OTOLARYNGOLOGY FACIAL PLASTIC RECONSTRUCTIVE OTOL.

1902 OTOLARYNGOLOGY HEAD AND NECK ONCOLOGY

1903 OTOLARYNGOLOGY NEUROTOLOGY

1904 OTOLARYNGOLOGY OTOLOGY

1905 OTOLARYNGOLOGY PEDIATRIC OTOLARYNGOLOGY

1925 PATHOLOGY, ANATOMIC GENERAL

1950 PATHOLOGY, ANATOMIC AND CLINICAL GENERAL

1951 PATHOLOGY, ANATOMIC AND CLINICAL BLOOD BANKING/TRANSFUSION MEDICINE

1952 PATHOLOGY, ANATOMIC AND CLINICAL CHEMICAL PATHOLOGY

1953 PATHOLOGY, ANATOMIC AND CLINICAL CYTOPATHOLOGY

1954 PATHOLOGY, ANATOMIC AND CLINICAL DERMATOPATHOLOGY

1955 PATHOLOGY, ANATOMIC AND CLINICAL FORENSIC PATHOLOGY

1956 PATHOLOGY, ANATOMIC AND CLINICAL HEMATOLOGY

1957 PATHOLOGY, ANATOMIC AND CLINICAL IMMUNOPATHOLOGY

1958 PATHOLOGY, ANATOMIC AND CLINICAL MEDICAL MICROBIOLOGY

1959 PATHOLOGY, ANATOMIC AND CLINICAL NEUROPATHOLOGY

1960 PATHOLOGY, ANATOMIC AND CLINICAL PEDIATRIC PATHOLOGY

1961 PATHOLOGY, ANATOMIC AND CLINICAL RADIOISOTOPIC PATHOLOGY

1962 PATHOLOGY, ANATOMIC AND CLINICAL SELECTIVE PATHOLOGY

1975 PATHOLOGY, CLINICAL GENERAL

2000 PEDIATRICS GENERAL

2001 PEDIATRICS ADOLESCENT MEDICINE

2002 PEDIATRICS CLINICAL & LABORATORY IMMUNOLOGY

2003 PEDIATRICS NEONATAL-PERINATAL MEDICINE

2004 PEDIATRICS CARDIOLOGY

2005 PEDIATRICS CRITICAL CARE MEDICINE

2006 PEDIATRICS EMERGENCY MEDICINE

2007 PEDIATRICS ENDOCRINOLOGY

2008 PEDIATRICS GASTROENTEROLOGY

2009 PEDIATRICS HEMATOLOGY/ONCOLOGY

2010 PEDIATRICS INFECTIOUS DISEASE

2011 PEDIATRICS NEPHROLOGY

2012 PEDIATRICS PULMONOLOGY

2013 PEDIATRICS RHEUMATOLOGY

2014 PEDIATRICS SPORTS MEDICINE

2015 PEDIATRICS DEVELOPMENTAL-BEHAVIORAL PEDIATRICS

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

2016 PEDIATRICS TRANSPLANT HEPATOLOGY

2050 PHYSICAL MEDICINE & REHABILITATION GENERAL

2051 PHYSICAL MEDICINE & REHABILITATION PAIN MEDICATION

2052 PHYSICAL MEDICINE & REHABILITATION PEDIATRIC REHABILITATION MEDICINE

2053 PHYSICAL MEDICINE & REHABILITATION SPINAL CORD INJURY MEDICINE

2100 PLASTIC SURGERY GENERAL

2101 PLASTIC SURGERY HAND SURGERY

2102 PLASTIC SURGERY CRANIOFACIAL SURGERY

2150 PREVENTIVE MEDICINE GENERAL

2151 PREVENTIVE MEDICINE AEROSPACE MEDICINE

2152 PREVENTIVE MEDICINE OCCUPATIONAL MEDICINE

2153 PREVENTIVE MEDICINE PUBLIC HEALTH & GEN. PREVEN. MED.

2154 PREVENTIVE MEDICINE UNDERSEA & HYPERBARIC MEDICINE

2155 PREVENTIVE MEDICINE MEDICAL TOXICOLOGY

2200 PSYCHIATRY GENERAL

2201 PSYCHIATRY CHILD & ADOLESCENT PSYCHIATRY

2202 PSYCHIATRY GERIATRIC PSYCHIATRY

2203 PSYCHIATRY ADDICTION PSYCHIATRY

2204 PSYCHIATRY FORENSIC PSYCHIATRY

2205 PSYCHIATRY PAIN MEDICINE

2206 PSYCHIATRY PSYCHOSOMATIC MEDICINE

2250 RADIOLOGY, DIAGNOSTIC RADIATION ONCOLOGY

2300 RADIOLOGICAL PHYSICS GENERAL

2350 RADIOLOGY GENERAL

2351 RADIOLOGY, DIAGNOSTIC NUCLEAR RADIOLOGY

2400 RADIOLOGY, DIAGNOSTIC GENERAL

2401 RADIOLOGY, DIAGNOSTIC NEURORADIOLOGY

2402 RADIOLOGY, DIAGNOSTIC PEDIATRIC RADIOLOGY

2403 RADIOLOGY, DIAGNOSTIC VASCULAR & INTERVENTIONAL RADIOLOGY

2404 RADIOLOGY, DIAGNOSTIC ABDOMINAL RADIOLOGY

2405 RADIOLOGY, DIAGNOSTIC CARDIOTHORACIC RADIOLOGY

2406 RADIOLOGY, DIAGNOSTIC ENDOVASCULAR SURG'L NEURORADIOLOGY

2407 RADIOLOGY, DIAGNOSTIC MUSCULOSKELETAL RADIOLOGY

2425 DIAG. RAD'Y/NUC. MED./NUC. RAD'Y GENERAL

2450 SURGERY GENERAL

2451 SURGERY CRITICAL CARE MEDICINE

2452 SURGERY GENERAL VASCULAR SURGERY

2453 SURGERY HAND SURGERY

2454 SURGERY PEDIATRIC SURGERY

2455 SURGERY SURGICAL CRITICAL CARE

2456 SURGERY VASCULAR SURGERY - INTEGRATED

2500 THORACIC SURGERY GENERAL

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

2501 THORACIC SURGERY CONGENITAL CARDIAC SURGERY

2525 TRANSITIONAL YEAR (ALLOPATHIC MED.) GENERAL

2550 PRELIMINARY MEDICINE GENERAL

2600 PRELIMINARY SURGERY GENERAL

2650 UROLOGY GENERAL

2651 UROLOGY PEDIATRIC UROLOGY

2700 MEDICAL GENETICS GENERAL

2701 MEDICAL GENETICS MOLECULAR GENETIC PATHOLOGY

2702 MEDICAL GENETICS MEDICAL BIOCHEMICAL GENETICS

2725 SLEEP MEDICINE GENERAL

2750 FAMILY MEDICINE/PSYCHIATRY GENERAL

2755 INTERNAL MEDICINE/FAMILY MEDICINE GENERAL

2760 INTERNAL MEDICINE/NEUROLOGY GENERAL

2765 INTERNAL MEDICINE/PREVENTIVE MED. GENERAL

2770 NEUROLOGY/PHYSICAL MED. & REHAB. GENERAL

2775 NEUROLOGY & DIAG. RAD'Y/NEURORAD'Y GENERAL

2780 EMERGENCY MEDICINE/FAMILY MEDICINE GENERAL

2800 PEDIATRICS/EMERGENCY MEDICINE GENERAL

2850 PED./PSYCH./CHILD & ADOLES. PSYCH. GENERAL

2900 PEDIATRICS/PHYSICAL MED. & REHAB. GENERAL

2905 PEDIATRICS/DERMATOLOGY GENERAL

2910 PEDIATRICS/MEDICAL GENETICS GENERAL

2950 PHYSICAL MED. & REHAB./NEUROLOGY GENERAL

2955 PSYCHIATRY/NEUROLOGY GENERAL

3050 PREVENTIVE/AEROSPACE MEDICINE GENERAL

3100 ANESTHESIOLOGY GENERAL

3101 ANESTHESIOLOGY CRITICAL CARE MEDICINE

3102 ANESTHESIOLOGY ACUTE & CHRONIC PAIN MANAGEMENT

3150 DIAGNOSTIC RADIOLOGY ANGIOGRAPHY & INTERVENT'L RADIOLOGY

3200 INTERNAL MEDICINE CARDIOLOGY

3250 INTERNAL MEDICINE CLINICAL ALLERGY & IMMUNOLOGY

3275 CRITICAL CARE SURGERY GENERAL

3300 PATHOLOGY, LABORATORY MEDICINE CYTOPATHOLOGY

3350 DERMATOLOGY GENERAL

3351 DERMATOLOGY DERMATOPATHOLOGY

3352 DERMATOLOGY MOHS MICROGRAPHIC SURGERY

3400 DIAGNOSTIC RADIOLOGY GENERAL

3450 EMERGENCY MEDICINE GENERAL

3451 EMERGENCY MEDICINE SPORTS MEDICINE

3452 EMERGENCY MEDICINE EMERGENCY MEDICAL SERVICES

3453 EMERGENCY MEDICINE TOXICOLOGY

3475 EMERGENCY MEDICINE/PEDIATRICS GENERAL

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

3500 INTERNAL MEDICINE ENDOCRINOLOGY

3550 INTERNAL MEDICINE GASTROENTEROLOGY

3600 FAMILY PRACTICE GENERAL

3601 FAMILY PRACTICE ADOLESCENT AND YOUNG ADULT MEDICINE

3602 FAMILY PRACTICE GERIATRICS

3603 FAMILY PRACTICE SPORTS MEDICINE

3604 FAMILY PRACTICE ADDICTION MEDICINE

3625 FAMILY PRACTICE/EMERGENCY MEDICINE GENERAL

3630 FAM. PRAC. & OST. MANIP. MEDICINE GENERAL

3635 FAM. PRAC. & INTEG. OST. MANIP. MEDICINE GENERAL

3650 GENERAL SURGERY GENERAL

3700 GENERAL VASCULAR SURGERY GENERAL

3750 HEMATOLOGY GENERAL (OBSOLETE - USE CODE 3901)

3800 INTERNAL MEDICINE HEMATOLOGY/ONCOLOGY

3850 INTERNAL MEDICINE INFECTIOUS DISEASES

3900 INTERNAL MEDICINE GENERAL

3901 INTERNAL MEDICINE HEMATOLOGY

3902 INTERNAL MEDICINE PULMONARY MEDICINE

3903 INTERNAL MEDICINE CRITICAL CARE MEDICINE

3904 INTERNAL MEDICINE GERIATRICS

3905 INTERNAL MEDICINE CLIN'L CARDIAC ELECTROPHYSIOLOGY

3906 INTERNAL MEDICINE SPORTS MEDICINE

3907 INTERNAL MEDICINE INTERVENTIONAL CARDIOLOGY

3908 INTERNAL MEDICINE PULMONARY MEDICINE/CRIT. CARE MED.

3909 INTERNAL MEDICINE SLEEP MEDICINE

3910 INTERNAL MEDICINE PALLIATIVE MEDICINE

3950 OBSTETRICS/GYNECOLOGY MATERNAL-FETAL MEDICINE

4000 MEDICAL DISEASES OF THE CHEST GENERAL

4050 PEDIATRICS NEONATAL MEDICINE

4100 INTERNAL MEDICINE NEPHROLOGY

4150 NEUROLOGY GENERAL

4151 NEUROLOGY NEUROPHYSIOLOGY

4200 NEUROLOGY CHILD NEUROLOGY

4250 DIAGNOSTIC RADIOLOGY NEURORADIOLOGY

4300 NEUROLOGICAL SURGERY GENERAL

4350 NUCLEAR MEDICINE GENERAL

4351 NUCLEAR MEDICINE IN-VIVO & IN-VITRO NUCLEAR MEDICINE

4352 NUCLEAR MEDICINE NUCLEAR CARDIOLOGY

4353 NUCLEAR MEDICINE NUCLEAR IMAGING & THERAPY

4400 DIAGNOSTIC RADIOLOGY NUCLEAR RADIOLOGY

4450 OBSTETRICS/GYNECOLOGY GENERAL

4500 OBSTETRICS & GYNECOLOGICAL SURGERY GENERAL

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

4550 OCCUPATIONAL MEDICINE GENERAL

4575 OCCUPATIONAL/ENVIRONMENTAL MEDICINE GENERAL

4600 INTERNAL MEDICINE ONCOLOGY

4650 OBSTETRICS/GYNECOLOGY GYNECOLOGICAL ONCOLOGY

4700 OPTHAMOLOGY GENERAL

4750 ORTHOPAEDIC SURGERY GENERAL

4751 ORTHOPAEDIC SURGERY HAND SURGERY

4752 ORTHOPAEDIC SURGERY SPINE SURGERY

4753 ORTHOPAEDIC SURGERY ORTHOPAEDIC SURG'L SPORTS MEDICINE

4800 NEUROMUSCULOS. & OST. MANIP. MED. GENERAL

4801 NEUROMUSCULOS. & OST. MANIP. MED. ADVANCED & CONCENTRATED TRAINING

4802 NEUROMUSCULOS. & OST. MANIP. MED. SPORTS MEDICINE

4825 NEUROMUSCULOS. MED./INT. FAM. PRAC. GENERAL

4850 OTOLARYNGOLOGY GENERAL

4851 OTOLARYNGOLOGY OTOLARYNGIC ALLERGY

4900 OTORHINOLARYNGOLOGY GENERAL

4950 OTORHINOL'Y/FAC'L PLASTIC SURGERY GENERAL

4975 FACIAL PLASTIC SURGERY GENERAL

5000 PATHOLOGY GENERAL

5001 PATHOLOGY, LABORATORY MEDICINE BLOOD BANKING/TRANSFUSION MEDICINE

5002 PATHOLOGY, LABORATORY MEDICINE CHEMICAL PATHOLOGY

5003 PATHOLOGY, LABORATORY MEDICINE DERMATOPATHOLOGY

5004 PATHOLOGY, LABORATORY MEDICINE HEMATOLOGY

5005 PATHOLOGY, LABORATORY MEDICINE IMMUNOPATHOLOGY

5006 PATHOLOGY, LABORATORY MEDICINE MEDICAL MICROBIOLOGY

5007 PATHOLOGY, LABORATORY MEDICINE NEUROPATHOLOGY

5050 PATHOLOGY, ANATOMIC GENERAL

5075 PATHOLOGY, ANATOMIC & FORENSIC GENERAL

5100 PATHOLOGY, ANATOMIC/LABORATORY MED. GENERAL

5150 PATHOLOGY, LABORATORY MEDICINE FORENSIC PATHOLOGY

5200 PATHOLOGY, LABORATORY MEDICINE GENERAL

5250 PEDIATRICS GENERAL

5251 PEDIATRICS ALLERGY/IMMUNOLOGY

5252 PEDIATRICS CARDIOLOGY

5253 PEDIATRICS HEMATOLOGY/ONCOLOGY

5254 PEDIATRICS INFECTIOUS DISEASES

5255 PEDIATRICS INTENSIVE CARE

5256 PEDIATRICS NEPHROLOGY

5257 PEDIATRICS ADOLESCENT & YOUNG ADULT MEDICINE

5258 PEDIATRICS PEDIATRIC PULMONOLOGY

5259 PEDIATRICS PEDIATRIC SPORTS MEDICINE

5260 PEDIATRICS ENDOCRINOLOGY

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

5300 PLASTIC & RECONSTRUCTIVE SURGERY GENERAL

5350 PREVENTIVE MED., OCCUP'L/ENVIRON'L GENERAL

5400 PREVENTIVE MEDICINE GENERAL

5425 PUBLIC HEALTH & PREVENTIVE MEDICINE GENERAL

5450 PROCTOLOGY GENERAL

5475 PROCTOLOGIC SURGERY GENERAL

5500 PSYCHIATRY GENERAL

5501 PSYCHIATRY ADDICTION PSYCHIATRY

5502 PSYCHIATRY GERIATRIC PSYCHIATRY

5550 PSYCHIATRY CHILD PSYCHIATRY

5600 PSYCHIATRY, GENERAL AND CHILD GENERAL

5650 PSYCHIATRY, PEDIATRIC GENERAL

5700 RADIATION ONCOLOGY GENERAL

5750 RADIATION THERAPY GENERAL

5800 DIAGNOSTIC RADIOLOGY RADIOLOGICAL IMAGING

5850 RADIOLOGY GENERAL

5851 RADIOLOGY DIAGNOSTIC ULTRASOUND

5852 DIAGNOSTIC RADIOLOGY PEDIATRIC RADIOLOGY

5900 PHYSICAL & REHABILITATION MEDICINE GENERAL

5901 PHYSICAL & REHABILITATION MEDICINE SPORTS MEDICINE

5950 OBSTETRICS/GYNECOLOGY REPRODUCTIVE ENDOCRINOLOGY

6000 INTERNAL MEDICINE RHEUMATOLOGY

6050 ROENTGENOLOGY GENERAL

6100 ROENTGENOLOGY, DIAGNOSTIC GENERAL

6150 CARDIOTHORACIC VASCULAR SURGERY GENERAL

6200 THORACIC SURGERY GENERAL

6250 UROLOGICAL SURGERY GENERAL

6300 INTERNAL MEDICINE/EMERG'Y MEDICINE GENERAL

6350 INTERNAL MEDICINE/PEDIATRICS GENERAL

6400 TRAD'L ROT'G INTERN'P (OSTEO. MED.) GENERAL

6450 DIAGNOSTIC RADIOLOGY VASCULAR & INTERVENTIONAL RADIOLOGY

6500 DIAGNOSTIC RADIOLOGY BODY IMAGING

6550 SPORTS MEDICINE GENERAL

7050 PODIATRIC ORTHOPAEDIC RESIDENCY GENERAL

7100 PODIATRIC SURGICAL RESIDENCY GENERAL

7150 PRIMARY PODIATRIC MEDICAL RESIDENCY GENERAL

7200 ROTATING PODIATRIC RESIDENCY GENERAL

7250 PODIATRIC MEDICINE & SURGERY GENERAL

8050 DENTAL PUBLIC HEALTH GENERAL

8100 ENDODONTICS GENERAL

8150 ORAL AND MAXILLOFACIAL PATHOLOGY GENERAL

8200 ORAL AND MAXILLOFACIAL SURGERY GENERAL

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

8250 ORTHODONTICS & DENTOFAC’L ORTHOPED’S GENERAL

8300 PEDIATRIC DENTISTRY GENERAL

8350 PERIODONTICS GENERAL

8400 PROSTHODONTICS GENERAL

8450 MAXILLOFACIAL PROSTHODONTICS GENERAL

8500 GENERAL PRACTICE DENTISTRY GENERAL

8550 ADVANCED EDUC. IN GENERAL DENTISTRY GENERAL

8600 ORAL AND MAXILLOFACIAL RADIOLOGY GENERAL

8650 DENTAL ANESTHESIOLOGY GENERAL

8700 ORAL MEDICINE GENERAL

9050 EMERGENCY MEDICINE 3-YEAR RESIDENCY

9100 EMERGENCY MEDICINE 4-YEAR RESIDENCY

9150 RESERVED FOR FUTURE USE

9200 RESERVED FOR FUTURE USE

9250 RESERVED FOR FUTURE USE

9300 RESERVED FOR FUTURE USE

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

7.3 Residency Code Table (Alphabetic Sequence)

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

1050 ALLERGY & IMMUNOLOGY GENERAL

1052 ALLERGY & IMMUNOLOGY CLINICAL IMMUNOLOGY

1051 ALLERGY & IMMUNOLOGY DIAGNOSTIC LABORATORY IMMUNOLOGY

1104 ANESTHESIOLOGY ADULT CARDIOTHORACIC ANESTHESIOLOGY

1100 ANESTHESIOLOGY GENERAL

1101 ANESTHESIOLOGY CRITICAL CARE MEDICINE

1102 ANESTHESIOLOGY PAIN MEDICINE

1103 ANESTHESIOLOGY PEDIATRIC ANESTHESIOLOGY

1150 COLON AND RECTAL SURGERY GENERAL

1200 DERMATOLOGY GENERAL

1202 DERMATOLOGY CLINICAL & LAB'Y DERM'L IMMUNOLOGY

1203 DERMATOLOGY DERMATOLOGICAL MICROGRAPHIC SURGERY

1201 DERMATOLOGY DERMATOPATHOLOGY

1204 DERMATOLOGY PROCEDURAL DERMATOLOGY

2425 DIAG. RAD'Y/NUC. MED./NUC. RAD'Y GENERAL

1250 EMERGENCY MEDICINE GENERAL (SEE NOTE 4 IN HELP SCREEN)

9050 EMERGENCY MEDICINE 3-YEAR RESIDENCY

9100 EMERGENCY MEDICINE 4-YEAR RESIDENCY

1252 EMERGENCY MEDICINE EMERGENCY MEDICAL SERVICES

1254 EMERGENCY MEDICINE MEDICAL TOXICOLOGY

1251 EMERGENCY MEDICINE PEDIATRIC EMERGENCY MEDICINE

1253 EMERGENCY MEDICINE SPORTS MEDICINE

1255 EMERGENCY MEDICINE UNDERSEA & HYPERBARIC MEDICINE

2780 EMERGENCY MEDICINE/FAMILY MEDICINE GENERAL

1300 EMERGENCY & INTERNAL MEDICINE GENERAL

1350 FAMILY MEDICINE GENERAL

1351 FAMILY MEDICINE GERIATRIC MEDICINE

1352 FAMILY MEDICINE SPORTS MEDICINE

2750 FAMILY MEDICINE/PSYCHIATRY GENERAL

1400 INTERNAL MEDICINE GENERAL

1418 INTERNAL MEDICINE ADOLESCENT MEDICINE

1401 INTERNAL MEDICINE CARDIAC ELECTROPHYSIOLOGY

1402 INTERNAL MEDICINE CARDIOLOGY

1403 INTERNAL MEDICINE CARDIOVASCULAR DISEASE

1405 INTERNAL MEDICINE CLINICAL & LABORATORY IMMUNOLOGY

1404 INTERNAL MEDICINE CRITICAL CARE MEDICINE

1406 INTERNAL MEDICINE ENDOCRINOLOGY, DIABETES & METABOL'M

1407 INTERNAL MEDICINE GASTROENTEROLOGY

1408 INTERNAL MEDICINE GERIATRIC MEDICINE

1409 INTERNAL MEDICINE HEMATOLOGY

1419 INTERNAL MEDICINE HEMATOLOGY & ONCOLOGY

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

1422 INTERNAL MEDICINE HOSPICE & PALLIATIVE MEDICINE

1410 INTERNAL MEDICINE INFECTIOUS DISEASE

1421 INTERNAL MEDICINE INTERVENTIONAL CARDIOLOGY

1411 INTERNAL MEDICINE MEDICAL ONCOLOGY

1412 INTERNAL MEDICINE NEPHROLOGY

1413 INTERNAL MEDICINE ONCOLOGY

1414 INTERNAL MEDICINE PULMONARY DISEASE

1420 INTERNAL MEDICINE PULMON'Y DISEASE & CRIT. CARE MED.

1415 INTERNAL MEDICINE RHEUMATOLOGY

1416 INTERNAL MEDICINE SPORTS MEDICINE

1423 INTERNAL MEDICINE TRANSPLANT HEPATOLOGY

1417 INTERNAL MEDICINE TRANSPLANTATION MEDICINE

2755 INTERNAL MEDICINE/FAMILY MEDICINE GENERAL

2760 INTERNAL MEDICINE/NEUROLOGY GENERAL

1500 INTERNAL MED./PHYS'L MED. & REHAB. GENERAL

2765 INTERNAL MEDICINE/PREVENTIVE MED. GENERAL

1455 INTERNAL MED. & DERMATOLOGY GENERAL

1460 INT. MED. & EMERG./CRIT. CARE MED. GENERAL

1470 INTERNAL MED. & MEDICAL GENETICS GENERAL

1465 INTERNAL MED. & NUCLEAR MEDICINE GENERAL

1450 INTERNAL MEDICINE & PEDIATRICS GENERAL

1550 INTERNAL MEDICINE & PSYCHIATRY GENERAL

2700 MEDICAL GENETICS GENERAL

2702 MEDICAL GENETICS MEDICAL BIOCHEMICAL GENETICS

2701 MEDICAL GENETICS MOLECULAR GENETIC PATHOLOGY

1600 NEUROLOGICAL SURGERY GENERAL

1601 NEUROLOGICAL SURGERY CRITICAL CARE MEDICINE

1603 NEUROLOGICAL SURGERY ENDOVASCULAR SURG’L NEURORADIOLOGY

1602 NEUROLOGICAL SURGERY PEDIATRIC NEUROLOGICAL SURGERY

1650 NEUROLOGY GENERAL

1651 NEUROLOGY CHILD NEUROLOGY

1652 NEUROLOGY CLINICAL NEUROPHYSIOLOGY

1657 NEUROLOGY ENDOVASCULAR SURG’L NEURORADIOLOGY

1653 NEUROLOGY NEURODEVELOPMENTAL DISABILITIES

1654 NEUROLOGY NEUROMUSCULAR MEDICINE

1655 NEUROLOGY PAIN MEDICINE

1656 NEUROLOGY VASCULAR NEUROLOGY

2770 NEUROLOGY/PHYSICAL MED. & REHAB. GENERAL

2775 NEUROLOGY & DIAG. RAD'Y/NEURORAD'Y GENERAL

1700 NUCLEAR MEDICINE GENERAL

1701 NUCLEAR MEDICINE NUCLEAR RADIOLOGY (WITH ABRAD)

1702 NUCLEAR MEDICINE RADIOISOTOPIC PATHOLOGY (WITH ABPA)

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

1750 OBSTETRICS & GYNECOLOGY GENERAL

1751 OBSTETRICS & GYNECOLOGY CRITICAL CARE MEDICINE

1752 OBSTETRICS & GYNECOLOGY GYNECOLOGICAL ONCOLOGY

1753 OBSTETRICS & GYNECOLOGY MATERNAL & FETAL MEDICINE

1754 OBSTETRICS & GYNECOLOGY REPRODUCTIVE ENDOCRINOLOGY

1800 OPTHAMOLOGY GENERAL

1850 ORTHOPAEDIC SURGERY GENERAL

1851 ORTHOPAEDIC SURGERY ADULT RECONSTRUCTIVE ORTHOPAEDICS

1857 ORTHOPAEDIC SURGERY FOOT & ANKLE ORTHOPAEDICS

1852 ORTHOPAEDIC SURGERY HAND SURGERY

1853 ORTHOPAEDIC SURGERY MUSCULOSKELETAL ONCOLOGY

1858 ORTHOPAEDIC SURGERY ONCOLOGY/PATHOLOGY

1856 ORTHOPAEDIC SURGERY ORTHOPAEDIC SPORTS MEDICINE

1860 ORTHOPAEDIC SURGERY ORTHOPAEDIC SURGERY OF THE SPINE

1854 ORTHOPAEDIC SURGERY ORTHOPAEDIC TRAUMA

1855 ORTHOPAEDIC SURGERY PEDIATRIC ORTHOPAEDICS

1859 ORTHOPAEDIC SURGERY REHABILITATION ORTHOPAEDICS

1900 OTOLARYNGOLOGY GENERAL

1901 OTOLARYNGOLOGY FACIAL PLASTIC RECONSTRUCTIVE OTOL.

1902 OTOLARYNGOLOGY HEAD AND NECK ONCOLOGY

1903 OTOLARYNGOLOGY NEUROTOLOGY

1904 OTOLARYNGOLOGY OTOLOGY

1905 OTOLARYNGOLOGY PEDIATRIC OTOLARYNGOLOGY

1925 PATHOLOGY, ANATOMIC GENERAL

1950 PATHOLOGY, ANATOMIC AND CLINICAL GENERAL

1951 PATHOLOGY, ANATOMIC AND CLINICAL BLOOD BANKING/TRANSFUSION MEDICINE

1952 PATHOLOGY, ANATOMIC AND CLINICAL CHEMICAL PATHOLOGY

1953 PATHOLOGY, ANATOMIC AND CLINICAL CYTOPATHOLOGY

1954 PATHOLOGY, ANATOMIC AND CLINICAL DERMATOPATHOLOGY

1955 PATHOLOGY, ANATOMIC AND CLINICAL FORENSIC PATHOLOGY

1956 PATHOLOGY, ANATOMIC AND CLINICAL HEMATOLOGY

1957 PATHOLOGY, ANATOMIC AND CLINICAL IMMUNOPATHOLOGY

1958 PATHOLOGY, ANATOMIC AND CLINICAL MEDICAL MICROBIOLOGY

1959 PATHOLOGY, ANATOMIC AND CLINICAL NEUROPATHOLOGY

1960 PATHOLOGY, ANATOMIC AND CLINICAL PEDIATRIC PATHOLOGY

1961 PATHOLOGY, ANATOMIC AND CLINICAL RADIOISOTOPIC PATHOLOGY

1962 PATHOLOGY, ANATOMIC AND CLINICAL SELECTIVE PATHOLOGY

1975 PATHOLOGY, CLINICAL GENERAL

2000 PEDIATRICS GENERAL

2001 PEDIATRICS ADOLESCENT MEDICINE

2004 PEDIATRICS CARDIOLOGY

2002 PEDIATRICS CLINICAL & LABORATORY IMMUNOLOGY

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

2005 PEDIATRICS CRITICAL CARE MEDICINE

2015 PEDIATRICS DEVELOPMENTAL-BEHAVIORAL PEDIATRICS

2006 PEDIATRICS EMERGENCY MEDICINE

2007 PEDIATRICS ENDOCRINOLOGY

2008 PEDIATRICS GASTROENTEROLOGY

2009 PEDIATRICS HEMATOLOGY/ONCOLOGY

2010 PEDIATRICS INFECTIOUS DISEASE

2003 PEDIATRICS NEONATAL-PERINATAL MEDICINE

2011 PEDIATRICS NEPHROLOGY

1801 PEDIATRICS OPTHAMOLOGY

2012 PEDIATRICS PULMONOLOGY

2013 PEDIATRICS RHEUMATOLOGY

2014 PEDIATRICS SPORTS MEDICINE

2016 PEDIATRICS TRANSPLANT HEPATOLOGY

2905 PEDIATRICS/DERMATOLOGY GENERAL

2800 PEDIATRICS/EMERGENCY MEDICINE GENERAL

2910 PEDIATRICS/MEDICAL GENETICS GENERAL

2900 PEDIATRICS/PHYSICAL MED. & REHAB. GENERAL

2850 PED./PSYCH./CHILD & ADOLES. PSYCH. GENERAL

2050 PHYSICAL MEDICINE & REHABILITATION GENERAL

2051 PHYSICAL MEDICINE & REHABILITATION PAIN MEDICATION

2052 PHYSICAL MEDICINE & REHABILITATION PEDIATRIC REHABILITATION MEDICINE

2053 PHYSICAL MEDICINE & REHABILITATION SPINAL CORD INJURY MEDICINE

2950 PHYSICAL MED. & REHAB./NEUROLOGY GENERAL

2100 PLASTIC SURGERY GENERAL

2102 PLASTIC SURGERY CRANIOFACIAL SURGERY

2101 PLASTIC SURGERY HAND SURGERY

2550 PRELIMINARY MEDICINE GENERAL

2600 PRELIMINARY SURGERY GENERAL

2150 PREVENTIVE MEDICINE GENERAL

2151 PREVENTIVE MEDICINE AEROSPACE MEDICINE

2155 PREVENTIVE MEDICINE MEDICAL TOXICOLOGY

2152 PREVENTIVE MEDICINE OCCUPATIONAL MEDICINE

2153 PREVENTIVE MEDICINE PUBLIC HEALTH & GEN. PREVEN. MED.

2154 PREVENTIVE MEDICINE UNDERSEA & HYPERBARIC MEDICINE

2200 PSYCHIATRY GENERAL

2203 PSYCHIATRY ADDICTION PSYCHIATRY

2201 PSYCHIATRY CHILD & ADOLESCENT PSYCHIATRY

2204 PSYCHIATRY FORENSIC PSYCHIATRY

2202 PSYCHIATRY GERIATRIC PSYCHIATRY

2205 PSYCHIATRY PAIN MEDICINE

2206 PSYCHIATRY PSYCHOSOMATIC MEDICINE

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

2955 PSYCHIATRY/NEUROLOGY GENERAL

2300 RADIOLOGICAL PHYSICS GENERAL

2350 RADIOLOGY GENERAL

2400 RADIOLOGY, DIAGNOSTIC GENERAL

2404 RADIOLOGY, DIAGNOSTIC ABDOMINAL RADIOLOGY

2405 RADIOLOGY, DIAGNOSTIC CARDIOTHORACIC RADIOLOGY

2406 RADIOLOGY, DIAGNOSTIC ENDOVASCULAR SURG'L NEURORADIOLOGY

2407 RADIOLOGY, DIAGNOSTIC MUSCULOSKELETAL RADIOLOGY

2401 RADIOLOGY, DIAGNOSTIC NEURORADIOLOGY

2351 RADIOLOGY, DIAGNOSTIC NUCLEAR RADIOLOGY

2402 RADIOLOGY, DIAGNOSTIC PEDIATRIC RADIOLOGY

2250 RADIOLOGY, DIAGNOSTIC RADIATION ONCOLOGY

2403 RADIOLOGY, DIAGNOSTIC VASCULAR & INTERVENTIONAL RADIOLOGY

2725 SLEEP MEDICINE GENERAL

2450 SURGERY GENERAL

2451 SURGERY CRITICAL CARE MEDICINE

2452 SURGERY GENERAL VASCULAR SURGERY

2453 SURGERY HAND SURGERY

2454 SURGERY PEDIATRIC SURGERY

2455 SURGERY SURGICAL CRITICAL CARE

2456 SURGERY VASCULAR SURGERY - INTEGRATED

2500 THORACIC SURGERY GENERAL

2501 THORACIC SURGERY CONGENITAL CARDIAC SURGERY

2525 TRANSITIONAL YEAR (ALLOPATHIC MED.) GENERAL

2650 UROLOGY GENERAL

2651 UROLOGY PEDIATRIC UROLOGY

3100 ANESTHESIOLOGY GENERAL

3102 ANESTHESIOLOGY ACUTE & CHRONIC PAIN MANAGEMENT

3101 ANESTHESIOLOGY CRITICAL CARE MEDICINE

6150 CARDIOTHORACIC VASCULAR SURGERY GENERAL

3275 CRITICAL CARE SURGERY GENERAL

3350 DERMATOLOGY GENERAL

3351 DERMATOLOGY DERMATOPATHOLOGY

3352 DERMATOLOGY MOHS MICROGRAPHIC SURGERY

3400 DIAGNOSTIC RADIOLOGY GENERAL

3150 DIAGNOSTIC RADIOLOGY ANGIOGRAPHY & INTERVENT'L RADIOLOGY

6500 DIAGNOSTIC RADIOLOGY BODY IMAGING

4250 DIAGNOSTIC RADIOLOGY NEURORADIOLOGY

4400 DIAGNOSTIC RADIOLOGY NUCLEAR RADIOLOGY

5852 DIAGNOSTIC RADIOLOGY PEDIATRIC RADIOLOGY

5800 DIAGNOSTIC RADIOLOGY RADIOLOGICAL IMAGING

6450 DIAGNOSTIC RADIOLOGY VASCULAR & INTERVENTIONAL RADIOLOGY

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

3450 EMERGENCY MEDICINE GENERAL

3452 EMERGENCY MEDICINE EMERGENCY MEDICAL SERVICES

3451 EMERGENCY MEDICINE SPORTS MEDICINE

3453 EMERGENCY MEDICINE TOXICOLOGY

3475 EMERGENCY MEDICINE/PEDIATRICS GENERAL

4975 FACIAL PLASTIC SURGERY GENERAL

3600 FAMILY PRACTICE GENERAL

3604 FAMILY PRACTICE ADDICTION MEDICINE

3601 FAMILY PRACTICE ADOLESCENT AND YOUNG ADULT MEDICINE

3602 FAMILY PRACTICE GERIATRICS

3603 FAMILY PRACTICE SPORTS MEDICINE

3625 FAMILY PRACTICE/EMERGENCY MEDICINE GENERAL

3635 FAM. PRAC. & INTEG. OST. MANIP. MEDICINE GENERAL

3630 FAM. PRAC. & OST. MANIP. MEDICINE GENERAL

3650 GENERAL SURGERY GENERAL

3700 GENERAL VASCULAR SURGERY GENERAL

3750 HEMATOLOGY GENERAL (OBSOLETE - USE CODE 3901)

3900 INTERNAL MEDICINE GENERAL

3200 INTERNAL MEDICINE CARDIOLOGY

3250 INTERNAL MEDICINE CLINICAL ALLERGY & IMMUNOLOGY

3905 INTERNAL MEDICINE CLIN'L CARDIAC ELECTROPHYSIOLOGY

3903 INTERNAL MEDICINE CRITICAL CARE MEDICINE

3500 INTERNAL MEDICINE ENDOCRINOLOGY

3550 INTERNAL MEDICINE GASTROENTEROLOGY

3904 INTERNAL MEDICINE GERIATRICS

3901 INTERNAL MEDICINE HEMATOLOGY

3800 INTERNAL MEDICINE HEMATOLOGY/ONCOLOGY

3850 INTERNAL MEDICINE INFECTIOUS DISEASES

3907 INTERNAL MEDICINE INTERVENTIONAL CARDIOLOGY

4100 INTERNAL MEDICINE NEPHROLOGY

4600 INTERNAL MEDICINE ONCOLOGY

3910 INTERNAL MEDICINE PALLIATIVE MEDICINE

3902 INTERNAL MEDICINE PULMONARY MEDICINE

3908 INTERNAL MEDICINE PULMONARY MEDICINE/CRIT. CARE MED.

6000 INTERNAL MEDICINE RHEUMATOLOGY

3909 INTERNAL MEDICINE SLEEP MEDICINE

3906 INTERNAL MEDICINE SPORTS MEDICINE

6300 INTERNAL MEDICINE/EMERG'Y MEDICINE GENERAL

6350 INTERNAL MEDICINE/PEDIATRICS GENERAL

4000 MEDICAL DISEASES OF THE CHEST GENERAL

4300 NEUROLOGICAL SURGERY GENERAL

4150 NEUROLOGY GENERAL

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

4200 NEUROLOGY CHILD NEUROLOGY

4151 NEUROLOGY NEUROPHYSIOLOGY

4825 NEUROMUSCULOS. MED./INT. FAM. PRAC. GENERAL

4800 NEUROMUSCULOS. & OST. MANIP. MED. GENERAL

4801 NEUROMUSCULOS. & OST. MANIP. MED. ADVANCED & CONCENTRATED TRAINING

4802 NEUROMUSCULOS. & OST. MANIP. MED. SPORTS MEDICINE

4350 NUCLEAR MEDICINE GENERAL

4351 NUCLEAR MEDICINE IN-VIVO & IN-VITRO NUCLEAR MEDICINE

4352 NUCLEAR MEDICINE NUCLEAR CARDIOLOGY

4353 NUCLEAR MEDICINE NUCLEAR IMAGING & THERAPY

4450 OBSTETRICS/GYNECOLOGY GENERAL

4650 OBSTETRICS/GYNECOLOGY GYNECOLOGICAL ONCOLOGY

3950 OBSTETRICS/GYNECOLOGY MATERNAL-FETAL MEDICINE

5950 OBSTETRICS/GYNECOLOGY REPRODUCTIVE ENDOCRINOLOGY

4500 OBSTETRICS & GYNECOLOGICAL SURGERY GENERAL

4550 OCCUPATIONAL MEDICINE GENERAL

4575 OCCUPATIONAL/ENVIRONMENTAL MEDICINE GENERAL

4700 OPTHAMOLOGY GENERAL

4750 ORTHOPAEDIC SURGERY GENERAL

4751 ORTHOPAEDIC SURGERY HAND SURGERY

4753 ORTHOPAEDIC SURGERY ORTHOPAEDIC SURG'L SPORTS MEDICINE

4752 ORTHOPAEDIC SURGERY SPINE SURGERY

4850 OTOLARYNGOLOGY GENERAL

4851 OTOLARYNGOLOGY OTOLARYNGIC ALLERGY

4900 OTORHINOLARYNGOLOGY GENERAL

4950 OTORHINOL'Y/FAC'L PLASTIC SURGERY GENERAL

5000 PATHOLOGY GENERAL

5050 PATHOLOGY, ANATOMIC GENERAL

5075 PATHOLOGY, ANATOMIC & FORENSIC GENERAL

5100 PATHOLOGY, ANATOMIC/LABORATORY MED. GENERAL

5200 PATHOLOGY, LABORATORY MEDICINE GENERAL

5001 PATHOLOGY, LABORATORY MEDICINE BLOOD BANKING/TRANSFUSION MEDICINE

5002 PATHOLOGY, LABORATORY MEDICINE CHEMICAL PATHOLOGY

3300 PATHOLOGY, LABORATORY MEDICINE CYTOPATHOLOGY

5003 PATHOLOGY, LABORATORY MEDICINE DERMATOPATHOLOGY

5150 PATHOLOGY, LABORATORY MEDICINE FORENSIC PATHOLOGY

5004 PATHOLOGY, LABORATORY MEDICINE HEMATOLOGY

5005 PATHOLOGY, LABORATORY MEDICINE IMMUNOPATHOLOGY

5006 PATHOLOGY, LABORATORY MEDICINE MEDICAL MICROBIOLOGY

5007 PATHOLOGY, LABORATORY MEDICINE NEUROPATHOLOGY

5250 PEDIATRICS GENERAL

5257 PEDIATRICS ADOLESCENT & YOUNG ADULT MEDICINE

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

5251 PEDIATRICS ALLERGY/IMMUNOLOGY

5252 PEDIATRICS CARDIOLOGY

5260 PEDIATRICS ENDOCRINOLOGY

5253 PEDIATRICS HEMATOLOGY/ONCOLOGY

5254 PEDIATRICS INFECTIOUS DISEASES

5255 PEDIATRICS INTENSIVE CARE

4050 PEDIATRICS NEONATAL MEDICINE

5256 PEDIATRICS NEPHROLOGY

5258 PEDIATRICS PEDIATRIC PULMONOLOGY

5259 PEDIATRICS PEDIATRIC SPORTS MEDICINE

5900 PHYSICAL & REHABILITATION MEDICINE GENERAL

5901 PHYSICAL & REHABILITATION MEDICINE SPORTS MEDICINE

5300 PLASTIC & RECONSTRUCTIVE SURGERY GENERAL

5400 PREVENTIVE MEDICINE GENERAL

5350 PREVENTIVE MED., OCCUP'L/ENVIRON'L GENERAL

3050 PREVENTIVE/AEROSPACE MEDICINE GENERAL

5475 PROCTOLOGIC SURGERY GENERAL

5450 PROCTOLOGY GENERAL

5500 PSYCHIATRY GENERAL

5501 PSYCHIATRY ADDICTION PSYCHIATRY

5550 PSYCHIATRY CHILD PSYCHIATRY

5502 PSYCHIATRY GERIATRIC PSYCHIATRY

5600 PSYCHIATRY, GENERAL AND CHILD GENERAL

5650 PSYCHIATRY, PEDIATRIC GENERAL

5425 PUBLIC HEALTH & PREVENTIVE MEDICINE GENERAL

5700 RADIATION ONCOLOGY GENERAL

5750 RADIATION THERAPY GENERAL

5850 RADIOLOGY GENERAL

5851 RADIOLOGY DIAGNOSTIC ULTRASOUND

6050 ROENTGENOLOGY GENERAL

6100 ROENTGENOLOGY, DIAGNOSTIC GENERAL

6550 SPORTS MEDICINE GENERAL

6200 THORACIC SURGERY GENERAL

6400 TRAD'L ROT'G INTERN'P (OSTEO. MED.) GENERAL

6250 UROLOGICAL SURGERY GENERAL

7250 PODIATRIC MEDICINE & SURGERY GENERAL

7050 PODIATRIC ORTHOPAEDIC RESIDENCY GENERAL

7100 PODIATRIC SURGICAL RESIDENCY GENERAL

7150 PRIMARY PODIATRIC MEDICAL RESIDENCY GENERAL

7200 ROTATING PODIATRIC RESIDENCY GENERAL

8550 ADVANCED EDUC. IN GENERAL DENTISTRY GENERAL

8650 DENTAL ANESTHESIOLOGY GENERAL

RES PRIMARY DESCRIPTION SECONDARY DESCRIPTION

CODE

8050 DENTAL PUBLIC HEALTH GENERAL

8100 ENDODONTICS GENERAL

8500 GENERAL PRACTICE DENTISTRY GENERAL

8450 MAXILLOFACIAL PROSTHODONTICS GENERAL

8700 ORAL MEDICINE GENERAL

8600 ORAL AND MAXILLOFACIAL RADIOLOGY GENERAL

8200 ORAL AND MAXILLOFACIAL SURGERY GENERAL

8150 ORAL AND MAXILLOFACIAL PATHOLOGY GENERAL

8250 ORTHODONTICS & DENTOFAC’L ORTHOPED’S GENERAL

8300 PEDIATRIC DENTISTRY GENERAL

8350 PERIODONTICS GENERAL

8400 PROSTHODONTICS GENERAL

9150 RESERVED FOR FUTURE USE

9200 RESERVED FOR FUTURE USE

9250 RESERVED FOR FUTURE USE

9300 RESERVED FOR FUTURE USE

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

7.4 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:

Pressing Key(s) Causes the Program to

<Up Arrow> Scroll Up 1 record

<Down Arrow> Scroll Down 1 record

<PgDn> Display the next screenful of data

<Any Letter Place the first record whose Key Field begins with

or Numeral> 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.

<Ctrl-PgUp>, ## Scroll Up ## Records

<Ctrl-PgDn>, ## Scroll Down ## Records

<End> Quit Scrolling and make a Selection

Social Security Number

Screen 1:

Enter the intern/resident's (IR) Social Security Number (SSN) and press

<Enter>. 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. To enter "C",

simply type over the "U".

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.

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 Allopathic specialties

3050-6550 Osteopathic specialties

7050-7250 Podiatric specialties

8050-8700 Dental specialties

9050-9100 Other specialties (emergency medicine)

9150-9950 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)

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.

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 Allopathic or Osteopathic Schools

10000 & 20000 Dental Schools (Obsolete – use Codes 81487-83590)

30000-30700 Podiatric Schools

81487-83590 Dental Schools

99998 Foreign Dental Schools

99999 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

Clinical Knowledge (CK) and Step 2 Clinical Skills (CS) for certification from

0the 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

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.

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); 7050-7250 (Podiatric specialties);

8050-8700 (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,

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 <End>. Press <Esc> to end and/or restart the search procedure.

III. 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.

IV. 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 Type Length Usage

PROVNUMBER CHARACTER 6 999999

SSN CHARACTER 10 A999999999

FYBEGIN DATE 8 mm/dd/yyyy*

TIMEPERC NUMERIC 3 999

IMEPERC NUMERIC 3 999

GMEPERC NUMERIC 3 999

ASGNBEGDAT DATE 8 mm/dd/yyyy*

ASGNENDDAT DATE 8 mm/dd/yyyy*

ARESYEAR NUMERIC 1 9

ARESTYPE CHARACTER 4 9999

REVISED Structure for table IRISMAST.DBF:

Field Name Type Length Usage

SSN CHARACTER 10 A999999999

FNAME CHARACTER 14 AAAAAAAAAAAAAA

MNAME CHARACTER 1 A

LNAME CHARACTER 20 AAAAAAAAAAAAAAAAAAAA

EMPLOYER CHARACTER 50 AAAAAAAAAAAAAAAAAAAAAA...

RESTYPCODE CHARACTER 4 9999

RESYEAR NUMERIC 1 9

MEDSCHOOL CHARACTER 5 99999

MSGRADDATE DATE 8 mm/dd/yyyy*

FORCERTDAT DATE 8 mm/dd/yyyy*

PROVNUMBER CHARACTER 6 999999

FYBEGIN DATE 8 mm/dd/yyyy*

FYEND DATE 8 mm/dd/yyyy*

CREATEDATE DATE 8 mm/dd/yyyy*

MODIFYDATE DATE 8 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.

V. 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: [email protected].”

 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.

 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.

VI. November 2008 Updates to June ‘99 Release, IRISV3

June ‘99 Release, IRISV3 (Version 3.1)

• Information on running IRISV3 in the Windows NT (NT, 2000, XP and Vista) 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 February 2009 “Read Me First File” for installing the IRISV3 program; this file (“Read Me IRISV3”) is in the CMS web site for IRIS programs.

 The Medical School Code Table (Part II, Section 7.2) is updated through November 2008; this table includes revised codes for 66 of 67 dental schools in the United States, Canada, and Puerto Rico (Codes 81487 through 83590). The replaced codes for dental schools (Codes 80002 through 80109) are in this table and are identified as obsolete. These updated codes (revised, replaced and new) are highlighted in green for easy identification.

 The Residency Code Table in numeric and alphabetic sequences (Part II, Section 7.3) is updated through November 2008. These updated codes (revised, replaced and new) are highlighted in green for easy identification.

Providers may start using the new residency type codes in IRISV3 for cost reporting periods ending on or after December 31, 2008.

 The following modifications were made to three Help Screens (Part II, Section 7.5): 1) updated code ranges for podiatric and dental specialties in the Residency Type Code (Master Record) Help Screen; 2) updated code ranges for dental schools in the Medical School Code Help Screen; and 3) updated code ranges for podiatric and dental specialties in the Residency Type Code (Assignment Records) Help Screen. These modifications are highlighted in green for your information and are not included in the IRISV3 program since no efforts were made to reprogram the Help Screens in IRISV3.