FileMan FileNo | FileMan Filename | Package |
---|---|---|
727.826 | PROSTHETICS EXTRACT | DSS Extracts |
Package | Total | Routines |
---|---|---|
DSS Extracts | 1 | ECXPROEE |
Package | Total | FileMan Files |
---|---|---|
Registration | 2 | ENROLLMENT STATUS(#27.15)[55] PATIENT(#2)[4] |
DSS Extracts | 1 | DSS EXTRACT LOG(#727)[2] |
Integrated Billing | 1 | INSURANCE COMPANY(#36)[45] |
Field # | Name | Loc | Type | Details |
---|---|---|---|---|
.01 | SEQUENCE NUMBER | 0;1 | NUMBER | ************************REQUIRED FIELD************************
|
1 | YEAR MONTH | 0;2 | FREE TEXT |
|
2 | EXTRACT NUMBER | 0;3 | POINTER TO DSS EXTRACT LOG FILE (#727) | DSS EXTRACT LOG(#727)
|
3 | FACILITY | 0;4 | FREE TEXT | ************************REQUIRED FIELD************************
|
4 | PATIENT NO. DFN | 0;5 | POINTER TO PATIENT FILE (#2) | ************************REQUIRED FIELD************************ PATIENT(#2)
|
5 | SSN | 0;6 | FREE TEXT | ************************REQUIRED FIELD************************
|
6 | NAME | 0;7 | FREE TEXT |
|
7 | IN OUTPATIENT INDICATOR | 0;8 | SET |
|
8 | DATE OF SERVICE | 0;9 | FREE TEXT | ************************REQUIRED FIELD************************
|
9 | FEEDER LOCATION | 0;10 | FREE TEXT | ************************REQUIRED FIELD************************
|
10 | FEEDER KEY | 0;11 | FREE TEXT | ************************REQUIRED FIELD************************
|
11 | QUANTITY | 0;12 | NUMBER |
|
12 | PLACEHOLD PRIMARY CARE TEAM | 0;13 | FREE TEXT |
|
13 | PLACEHOLD PC PROVIDER | 0;14 | FREE TEXT |
|
14 | PCE CPT/HCPCS CODE & MODIFIERS | 0;15 | FREE TEXT | ************************REQUIRED FIELD************************
|
15 | PLACEHOLDER | 0;16 | FREE TEXT |
|
16 | PLACEHOLDER | 0;17 | FREE TEXT |
|
17 | PLACEHOLDER | 0;18 | FREE TEXT |
|
18 | PLACEHOLDER | 0;19 | FREE TEXT |
|
19 | PLACEHOLDER | 0;20 | FREE TEXT |
|
20 | AGENT ORANGE STATUS | 0;21 | SET |
|
21 | RADIATION EXPOSURE STATUS | 0;22 | SET |
|
22 | SW ASIA CONDITIONS | 0;23 | SET |
|
23 | PATIENT ELIGIBILITY | 0;24 | FREE TEXT |
|
24 | PLACEHOLD COST OF TRANSACTION | 0;25 | FREE TEXT |
|
25 | PLACEHOLD LAB LABOR COST | 0;26 | FREE TEXT |
|
26 | PLACEHOLD LAB MATERIAL COST | 0;27 | FREE TEXT |
|
27 | BILLING STATUS | 0;28 | SET |
|
28 | VET/NON VET | 0;29 | SET |
|
29 | TYPE OF TRANSACTION | 0;30 | SET |
|
30 | REQUESTING STATION | 0;31 | FREE TEXT |
|
31 | RECEIVING STATION | 0;32 | FREE TEXT |
|
32 | PSAS HCPCS CODE | 0;33 | FREE TEXT |
|
33 | ZIP CODE | 1;1 | FREE TEXT |
|
34 | DATE OF BIRTH | 1;2 | FREE TEXT |
|
35 | SEX | 1;3 | SET |
|
36 | AMIS GROUPER | 1;4 | NUMBER |
|
37 | PLACEHOLDER | 1;5 | FREE TEXT |
|
38 | PLACEHOLD MPI | 1;6 | FREE TEXT |
|
39 | PLACEHOLDER | 1;7 | FREE TEXT |
|
40 | PLACEHOLD PC PROV PERSON CLASS | 1;8 | FREE TEXT |
|
41 | PLACEHOLD RACE | 1;9 | FREE TEXT |
|
42 | POW STATUS | 1;10 | SET |
|
43 | POW LOCATION | 1;11 | FREE TEXT |
|
44 | PLACEHOLD SHARE AGREEMNT PAYOR | 1;12 | FREE TEXT |
|
45 | PLACEHOLD SHARE AGREEMNT INSUR | 1;13 | POINTER TO INSURANCE COMPANY FILE (#36) | INSURANCE COMPANY(#36)
|
46 | MST STATUS | 1;14 | SET |
|
47 | ENROLLMENT LOCATION | 1;15 | FREE TEXT |
|
48 | STATE | 1;16 | FREE TEXT |
|
49 | COUNTY | 1;17 | FREE TEXT |
|
50 | PLACEHOLD ASSOC PC PROVIDER | 1;18 | FREE TEXT |
|
51 | PLACEHOLD AS PC PROV PERSON CL | 1;19 | FREE TEXT |
|
52 | PLACEHOLDER | 1;20 | FREE TEXT |
|
53 | DOM,PRRTP AND SAARTP INDICATOR | 1;21 | SET |
|
54 | ENROLLMENT CATEGORY | 1;22 | FREE TEXT |
|
55 | ENROLLMENT STATUS | 1;23 | POINTER TO ENROLLMENT STATUS FILE (#27.15) | ENROLLMENT STATUS(#27.15)
|
56 | PLACEHOLDER | 1;24 | FREE TEXT |
|
57 | PURPLE HEART INDICATOR | 1;25 | SET |
|
58 | PERIOD OF SERVICE | 1;26 | FREE TEXT |
|
59 | OBSERVATION PATIENT INDICATOR | 1;27 | SET |
|
60 | ENCOUNTER NUMBER | 1;28 | FREE TEXT |
|
61 | AGENT ORANGE LOCATION | 1;29 | FREE TEXT |
|
62 | CNH STATUS | 1;30 | SET |
|
63 | PRODUCTION DIVISION CODE | 1;31 | FREE TEXT |
|
64 | HEAD & NECK CANCER INDICATOR | 1;32 | SET |
|
65 | PLACEHOLD ETHNICITY | 1;33 | FREE TEXT |
|
66 | PLACEHOLD RACE 1 | 1;34 | FREE TEXT |
|
67 | PLACEHOLD DSS IP # | 1;35 | NUMBER |
|
68 | ENROLLMENT PRIORITY | 1;36 | FREE TEXT |
|
69 | USER ENROLLEE | 1;37 | SET |
|
70 | PATIENT TYPE | 1;38 | SET |
|
71 | CV STATUS ELIGIBILITY | 1;39 | SET |
|
72 | CV ELIGIBILITY END DATE | 1;40 | FREE TEXT |
|
73 | PLACEHOLD ENCOUNTER CV | 1;41 | SET |
|
74 | NATIONAL PATIENT RECORD FLAG | 1;42 | SET |
|
75 | ERI | 1;43 | FREE TEXT |
|
76 | PLACEHOLD AGENT ORANGE ENC | 1;44 | SET |
|
77 | PLACEHOLD ENCOUNTER SWAC | 1;45 | SET |
|
78 | PLACEHOLD ENC HEAD/NECK CA | 1;46 | SET |
|
79 | PLACEHOLD ENCOUNTER MST | 1;47 | SET |
|
80 | PLACEHOLD RADIATION ENCOUNTER | 1;48 | SET |
|
81 | OEF/OIF | 2;1 | FREE TEXT |
|
82 | OEF/OIF RETURN DATE | 2;2 | FREE TEXT |
|
83 | NPPD CODE | 2;3 | FREE TEXT |
|
84 | NPPD ENTRY DATE | 2;4 | FREE TEXT |
|
85 | PLACEHOLD ASSOC PC PROV NPI | 2;5 | FREE TEXT |
|
86 | PLACEHOLD PC PROVIDER NPI | 2;6 | FREE TEXT |
|
87 | COUNTRY CODE | 2;7 | FREE TEXT |
|
88 | SHAD STATUS | 2;8 | SET |
|
89 | PLACEHOLD ENCOUNTER SHAD | 2;9 | SET |
|
90 | LABOR HOURS | 2;10 | NUMBER |
|
91 | PATCAT | 2;11 | SET |
|
92 | PRIMARY ICD-10 CODE | 2;12 | FREE TEXT |
|
93 | SECONDARY ICD-10 CODE #1 | 2;13 | FREE TEXT |
|
94 | SECONDARY ICD-10 CODE #2 | 2;14 | FREE TEXT |
|
95 | SECONDARY ICD-10 CODE #3 | 2;15 | FREE TEXT |
|
96 | SECONDARY ICD-10 CODE #4 | 2;16 | FREE TEXT |
|
97 | PLACEHOLD ENCOUNTER SC | 2;17 | SET |
|
98 | VIETNAM | 2;18 | SET |
|
99 | CAMP LEJEUNE STATUS | 2;19 | SET |
|
100 | PLACEHOLD ENC CAMP LEJEUNE | 2;20 | SET |
|
101 | COMBAT VETERAN INDICATOR | 2;21 | SET |
|
102 | COMBAT VETERAN LOCATION | 2;22 | FREE TEXT |
|
103 | FORM REQUESTED ON | 2;23 | FREE TEXT |
|
104 | UNIT OF ISSUE | 2;24 | FREE TEXT |
|
105 | NEW COST OF TRANSACTION | 2;25 | NUMBER |
|
106 | NEW LAB LABOR COST | 2;26 | NUMBER |
|
107 | NEW LAB MATERIAL COST | 2;27 | NUMBER |
|
108 | NEW MPI | 2;28 | FREE TEXT |
|
109 | SELF IDENTIFIED GENDER | 2;29 | SET |
|
Name | Line Occurrences (* Changed, ! Killed) |
---|---|
^ECX(727.826 - [#727.826] | 2(XREF 1S), 2(XREF 1K) |
>> | Not killed explicitly |
* | Changed |
! | Killed |
~ | Newed |
Name | Field # of Occurrence |
---|---|
>> DA | 2(XREF 1S), 2(XREF 1K) |
>> DINUM | .01+1* |
X | .01+1!, 1+1!, 2(XREF 1S), 2(XREF 1K), 3+1!, 5+1!, 6+1!, 8+1!, 9+1!, 10+1! , 11+1!, 12+1!, 13+1!, 14+1!, 15+1!, 16+1!, 17+1!, 18+1!, 19+1!, 23+1! , 24+1!, 25+1!, 26+1!, 30+1!, 31+1!, 32+1!, 33+1!, 34+1!, 36+1!, 37+1! , 38+1!, 39+1!, 40+1!, 41+1!, 43+1!, 44+1!, 47+1!, 48+1!, 49+1!, 50+1! , 51+1!, 52+1!, 54+1!, 56+1!, 58+1!, 60+1!, 61+1!, 63+1!, 65+1!, 66+1! , 67+1!, 68+1!, 72+1!, 75+1!, 81+1!, 82+1!, 83+1!, 84+1!, 85+1!, 86+1! , 87+1!, 90+1!, 92+1!, 93+1!, 94+1!, 95+1!, 96+1!, 102+1!, 103+1!, 104+1! , 105+1*!, 106+1*!, 107+1*!, 108+1! |
>> Y | 1OT+1*, 8OT+1*, 14OT+1*, 30OT+1*, 34OT+1* |
>> Y(0 | 1OT+1*, 8OT+1*, 14OT+1*, 30OT+1*, 34OT+1* |