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Sub-Field: 52.4916

Package: Outpatient Pharmacy

ERX HOLDING QUEUE(#52.49)-->52.4916

Sub-Field: 52.4916


Information

Parent File Name Number Package
ERX HOLDING QUEUE(#52.49) DRUG USE EVALUATION 52.4916 Outpatient Pharmacy

Details

Field # Name Loc Type Details
.01 SERVICE REASON CODE 0;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the Drug Use Evaluation Service Reason Code.
  • DESCRIPTION:  
    The service reason code associated with this drug use evaluation entry.
  • CROSS-REFERENCE:  52.4916^B
    1)= S ^PS(52.49,DA(1),16,"B",$E(X,1,30),DA)=""
    2)= K ^PS(52.49,DA(1),16,"B",$E(X,1,30),DA)
.02 PROFESSIONAL SERVICE CODE 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the professional service code.
  • DESCRIPTION:  
    This is the professional service code associated with this drug use evaluation entry.
.03 SERVICE RESULT CODE 0;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the service result code.
  • DESCRIPTION:  
    The service result code associated with this drug use evaluation entry.
.04 COAGENT ID 0;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>19!($L(X)<1) X
  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the Co-agent ID for this drug use evaluation. Answer must be 1-19 characters in length.
  • DESCRIPTION:  
    This is the co-agent ID for the drug use evaluation entry.
.05 COAGENT QUALIFIER 0;5 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the Co-agent qualifier associated with the co-agent ID.
  • DESCRIPTION:  
    This is the co-agent qualifier for the co-agent ID.
.06 CLINICAL SIGNIFICANCE CODE 0;6 SET
  • '1' FOR MAJOR;
  • '2' FOR MODERATE;
  • '3' FOR MINOR;
  • '9' FOR TBD**;

  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the clinical significance code for this drug use evaluation entry.
  • DESCRIPTION:  
    This is the clinical significance code associated with the drug use evaluation entry.
1 ACKNOWLEDGEMENT REASON 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>100!($L(X)<1) X
  • LAST EDITED:  FEB 11, 2017
  • HELP-PROMPT:  Enter the Acknowledgement reason for this drug use evaluation. Answer must be 1-100 characters in length.
  • DESCRIPTION:  
    The acknowledgement reason for this drug use evaluation.
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