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Sub-Field: 52.49311

Package: Outpatient Pharmacy

ERX HOLDING QUEUE(#52.49)-->52.49311

Sub-Field: 52.49311


Information

Parent File Name Number Package
ERX HOLDING QUEUE(#52.49) 2017 MEDICATIONS 52.49311 Outpatient Pharmacy

Details

Field # Name Loc Type Details
.01 SEQUENCE 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the sequence number for the 2017 Medication multiple entry.
  • CROSS-REFERENCE:  52.49311^B
    1)= S ^PS(52.49,DA(1),311,"B",$E(X,1,30),DA)=""
    2)= K ^PS(52.49,DA(1),311,"B",$E(X,1,30),DA)
.02 TYPE 0;2 SET
  • 'P' FOR PRESCRIBED;
  • 'D' FOR DISPENSED;
  • 'R' FOR REQUESTED;
  • 'MR' FOR RESPONSE;

  • LAST EDITED:  JAN 31, 2020
  • HELP-PROMPT:  Enter the medication type.
  • DESCRIPTION:  
    This is the type associated with the medication.
  • CROSS-REFERENCE:  52.49311^C
    1)= S ^PS(52.49,DA(1),311,"C",$E(X,1,30),DA)=""
    2)= K ^PS(52.49,DA(1),311,"C",$E(X,1,30),DA)
    This indexes the medication by its type for easier building of outbound XML segments.
.03 DRUG DESCRIPTION 0;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>105!($L(X)<1) X
    MAXIMUM LENGTH: 105
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug description. Answer must be 1-105 characters in length.
  • DESCRIPTION:  
    This is the drug description associated with the medication.
1.1 DC PRODUCT CODE 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug product code. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the drug product code associated with the medication.
1.2 DC PRODUCT CODE QUALIFIER 1;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug coded product qualifier.
  • DESCRIPTION:  
    This is the drug coded product qualifier associated with the medication.
1.3 DC STRENGTH VALUE 1;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>70!($L(X)<1) X
    MAXIMUM LENGTH: 70
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug coded strength value. Answer must be 1-70 characters in length.
  • DESCRIPTION:  
    This is the drug coded strength value associated with the medication.
1.4 DC STRENGTH FORM 1;4 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the drug coded strength form.
  • DESCRIPTION:  
    This is the drug coded strength form associated with the medication.
1.5 DC STRENGTH UNIT OF MEASURE 1;5 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug coded strength unit of measure.
  • DESCRIPTION:  
    This is the drug coded strength unit of measure associated with the medication.
1.6 DC DRUG DB CODE 1;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug DB code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the drug DB code associated with the medication.
1.7 DC DRUG DB QUALIFIER 1;7 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug coded DB qualifier.
  • DESCRIPTION:  
    This is the drug coded DB qualifier for the medication.
1.8 DC DEA SCHEDULE CODE 1;8 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the drug coded DEA schedule for this medication.
  • DESCRIPTION:  
    This is the drug coded DEA schedule for the medication.
2.1 QUANTITY VALUE 2;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999999999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the quantity of the medication. Type a number between 1 and 99999999999, 0 decimal digits.
  • DESCRIPTION:  
    This is the quantity of the medication.
2.2 QUANTITY CODE LIST QUALIFIER 2;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the quantity qualifier associated with this medication.
  • DESCRIPTION:  
    This is the quantity qualifier associated with this medication.
2.3 QUANTITY UNIT OF MEASURE 2;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the quantity unit of measure for this medication.
  • DESCRIPTION:  
    This is the quantity unit of measure value for this medication.
2.4 DAYS SUPPLY 2;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the days supply for this medication. Type a number between 1 and 999, 0 decimal digits.
  • DESCRIPTION:  
    This is the days supply for the eRx medication.
2.5 WRITTEN DATE 2;5 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the written date of the medication.
  • DESCRIPTION:  
    This is the written date for the eRx medication.
2.6 LAST FILL DATE 2;6 DATE

  • INPUT TRANSFORM:  S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the last fill date of the medication.
  • DESCRIPTION:  
    This is the date of the last fill for the medication.
2.7 SUBSTITUTIONS 2;7 SET
  • '1' FOR SUBSTITUTION NOT ALLOWED BY PRESCRIBER;
  • '0' FOR NO PRODUCT SELECTION INDICATED;

  • LAST EDITED:  MAY 03, 2020
  • HELP-PROMPT:  Enter whether or not substitutions are allowed for this medication.
  • DESCRIPTION:  
    This signifies whether or not substitutions may be made for this medication.
2.8 NUMBER OF REFILLS 2;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the number of refills for this medication. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the number of refills for the medication.
3 2017 DIAGNOSIS 3;0 Multiple #52.493113 52.493113

  • DESCRIPTION:  
    This multiple holds the diagnosis information related to an eRx.
4.1 PRIOR AUTHORIZATION 4;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the prior authorization value for this medication. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the prior authorization value for the medication.
4.2 PRIOR AUTHORIZATION STATUS 4;2 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the prior authorization status for the medication.
  • DESCRIPTION:  
    This is the prior authorization status for the medication.
4.3 PHARMACY REQUESTED REFILLS 4;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  JAN 31, 2020
  • HELP-PROMPT:  Enter the number of refills being requested by the pharmacy. Type a number between 0 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the number of refills being requested by a pharmacy when sending an Rxrenewal request to a prescriber.
4.4 REASON FOR SUBSTITUTION CODE 4;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<3) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  JUL 08, 2020
  • HELP-PROMPT:  Enter the reason for substitution code. Answer must be 3-30 characters in length.
  • DESCRIPTION:  
    This is the reason for a medication substitution. According the XSD definitions, 'BRAND MEDICALLY NECESSARY' is the only current defined value in the list.
5 NOTE 5;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>210!($L(X)<1) X
    MAXIMUM LENGTH: 210
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the note associated with the medication. Answer must be 1-210 characters in length.
  • DESCRIPTION:  
    This is the note for the medication.
6 DRUG USE EVALUATION 6;0 Multiple #52.493116 52.493116

  • DESCRIPTION:  
    This subfile holds the drug use evaluation information for a medication.
7 DRUG COVERAGE STATUS 7;0 Multiple #52.493117 52.493117

  • DESCRIPTION:  
    This subfile holds the drug coverage status information.
8 SIG TEXT 8;0 WORD-PROCESSING #52.493118
9.1 SNOMED VERSION 9;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 15, 2019
  • HELP-PROMPT:  Enter the SNOMED version. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the SNOMED version associated with the medications section.
9.2 FMT VERSION 9;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 15, 2019
  • HELP-PROMPT:  Enter the FMT version. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the FMT version associated with the medications section.
12 INSTRUCTIONS 12;0 Multiple #52.4931112 52.4931112

  • DESCRIPTION:  
    This subfile contains the instructions information associated with the medication segment. This subfile was created to support the 2017 script standard.
13 INDICATION FOR USE 13;0 Multiple #52.4931113 52.4931113

  • DESCRIPTION:  
    This subfile contains the indication for use information associated with the medications section. This subfile was created to support the 2017 script standard.
14 MAXIMUM DOSE RESTRICTION 14;0 Multiple #52.4931114 52.4931114

  • DESCRIPTION:  
    This subfile contains the maximum dose restriction information associated with the medications section. This subfile was created to support the 2017 script standard.
15 SIG CLARIFYING FREE TEXT 15;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  JAN 02, 2020
  • HELP-PROMPT:  Enter the Sig Clarifying Free Text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the clarifying free text value at the Sig level of the inbound eRx.
16.1 DO NOT FILL 16;1 SET
  • LAST EDITED: OCT 08, 2019
  • HELP-PROMPT: Enter the do not fill value for this medication.
  • DESCRIPTION:

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the do not fill value for this medication.
  • DESCRIPTION:  
    This is the do not fill indicator for this medication.
16.2 TIME ZONE IDENTIFIER 16;2 SET
  • LAST EDITED: NOV 12, 2019
  • HELP-PROMPT: Enter the time zone identifier for this medication.
  • DESCRIPTION:

  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the time zone identifier for this medication.
  • DESCRIPTION:  
    This is the time zone identifier.
16.3 TIME ZONE DIFF QTY 16;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>15!($L(X)<1) X
    MAXIMUM LENGTH: 15
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the time zone difference quantity. Answer must be 1-15 characters in length.
  • DESCRIPTION:  
    This is the time zone difference quantity.
16.4 ORDER CAPTURE METHOD 16;4 SET
  • LAST EDITED: OCT 08, 2019
  • HELP-PROMPT: Enter the order capture method for this order.
  • DESCRIPTION:

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the order capture method for this order.
  • DESCRIPTION:  
    This is the way the order was captured.
16.5 REASON FOR SUBSTITUTIONS 16;5 SET
  • LAST EDITED: OCT 08, 2019
  • HELP-PROMPT: Enter the reason for substitutions.
  • DESCRIPTION:

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the reason for substitutions.
  • DESCRIPTION:  
    This is the reason for substitutions.
16.6 SPLIT SCRIPT 16;6 SET
  • LAST EDITED: OCT 08, 2019
  • HELP-PROMPT: Enter the split script code for this medication.
  • DESCRIPTION:

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the split script code for this medication.
  • DESCRIPTION:  
    This is the split script indicator for this medication.
16.7 RX FILL INDICATOR 16;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>50!($L(X)<1) X
    MAXIMUM LENGTH: 50
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the RX fill indicator for this medication. Answer must be 1-50 characters in length.
  • DESCRIPTION:  
    This is the RX fill indicator for the eRx medication.
17 OFFICE OF PHARMACY AFFAIRS 17;0 Multiple #52.4931117 52.4931117

  • DESCRIPTION:  
    This subfile contains the office of pharmacy affairs identification values.
18.1 DELIVERY REQUEST 18;1 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the delivery request method for this medication.
  • DESCRIPTION:  
    This is the delivery request method for the eRx medication.
18.2 DELIVERY LOCATION 18;2 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the delivery location for this medication.
  • DESCRIPTION:  
    This is the delivery location for the eRx medication.
19.1 DIAB SPLY TEST FREQ 19;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the diabetic supply test frequency. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the diabetic supply test frequency.
19.2 DIAB SPLY INDICATOR 19;2 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter whether or not this is a diabetic supply.
  • DESCRIPTION:  
    This indicates whether or not this is a diabetic supply.
19.3 DIAB INSULIN DEPENDENT 19;3 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter whether or not this is insulin dependent.
  • DESCRIPTION:  
    This indicates insulin dependency.
19.4 DIAB HAS AUTO DEVICE 19;4 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter whether or not the patient has an automatic insulin device.
  • DESCRIPTION:  
    This indicates if the patient has an automatic insulin device.
19.5 DIAB SPLY FREQ NOTES 19;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>210!($L(X)<1) X
    MAXIMUM LENGTH: 210
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the diabetic supply testing frequency notes. Answer must be 1-210 characters in length.
  • DESCRIPTION:  
    This holds the diabetic testing supply frequency notes.
20.1 INJURY RELATED 20;1 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the injury relation for this medication.
  • DESCRIPTION:  
    This indicates the source of an injury.
21.1 AGNCY OF SVC BUSINESS NAME 21;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>70!($L(X)<1) X
    MAXIMUM LENGTH: 70
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the agency of service business type. Answer must be 1-70 characters in length.
  • DESCRIPTION:  
    This is the agency of service business type.
21.2 AGNCY OF SVC ADDRESS LINE 1 21;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
    MAXIMUM LENGTH: 40
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the agency of service address line 1. Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    This is the agency of service address line 1.
21.3 AGNCY OF SVC ADDRESS LINE 2 21;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>40!($L(X)<1) X
    MAXIMUM LENGTH: 40
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the agency of service address line 2. Answer must be 1-40 characters in length.
  • DESCRIPTION:  
    This is the agency of service address line 2.
21.4 AGNCY OF SVC CITY 21;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the agency of service city. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the agency of service city.
21.5 AGNCY OF SVC STATE/PROVINCE 21;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the agency of service state/province. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the agency of service state/province.
21.6 AGNCY OF SVC POSTAL CODE 21;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>9!($L(X)<5) X
    MAXIMUM LENGTH: 9
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the agency of service postal code. Answer must be 5-9 characters in length.
  • DESCRIPTION:  
    This is the agency of service postal code.
21.7 AGNCY OF SVC COUNTRY CODE 21;7 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
    MAXIMUM LENGTH: 2
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the agency of service country code. Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    This is the agency of service country code.
25 2017 AGNCY OF SVC COMM 25;0 Multiple #52.4931125 52.4931125

  • DESCRIPTION:  
    This subfile contains the agency of service communication information associated with the eRx. This subfile was created to support the 2017 script standard.
26 2017 AGNCY OF SVC DIR ADD 26;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>254!($L(X)<1) X
    MAXIMUM LENGTH: 254
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the agency of service direct address. Answer must be 1-254 characters in length.
  • DESCRIPTION:  
    This is the direct address for the agency of service.
27.1 AGNCY CONTACT LAST NAME 27;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the agency contact last name. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    The agency contact last name.
27.2 AGNCY CONTACT FIRST NAME 27;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the agency contact first name. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    The agency contact first name.
27.3 AGNCY CONTACT MIDDLE NAME 27;3 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the agency contact middle name. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the agency contact middle name.
27.4 AGNCY CONTACT SUFFIX 27;4 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
    MAXIMUM LENGTH: 10
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the agency contact suffix. Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    The agency contact suffix.
27.5 AGNCY CONTACT PREFIX 27;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>10!($L(X)<1) X
    MAXIMUM LENGTH: 10
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the agency contact prefix. Answer must be 1-10 characters in length.
  • DESCRIPTION:  
    The agency contact prefix.
28 IV ADMIN # OF LUMENS 28;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 15, 2019
  • HELP-PROMPT:  Enter the IV administration number of lumens. Answer must be between 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV administration number of lumens associated with the medications section.
29.1 IV ADMIN DILUENT QTY 29;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV administration diluent quantity. Type a number between 1 and 99999999999, 0 decimal digits.
  • DESCRIPTION:  
    This is the IV administration diluent quantity/value.
29.2 IV ADMIN DILUENT QUALIFIER 29;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV administration diluent qualifier.
  • DESCRIPTION:  
    This is the IV administration diluent qualifier.
29.3 IV ADMIN DILUENT QUOM 29;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV administration diluent quantity unit of measure.
  • DESCRIPTION:  
    The IV administration diluent quantity unit of measure.
30 IV SPEC ADMIN GAUGE 30;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV specific administration gauge. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the IV specific administration gauge.
31 IV SPEC ADMIN BRAND 31;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV specific administration brand. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV specific administration brand.
32 IV SPEC ADMIN LENGTH 32;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV specific administration length. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV specific administration length.
33.1 IV SPEC ADMIN PUMP 33;1 SET

  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV specific administration pump value.
  • DESCRIPTION:  
    This is the IV specific administration pump indicator.
34.1 IVA TYPE CODE 34;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV access type code value. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the IV access type.
35 IVA TYPE TEXT 35;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV access type text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV access type text.
36 IVA DEVICE DESCRIPTION 36;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  JUL 08, 2020
  • HELP-PROMPT:  Enter the IV access device description. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV access device description.
37.1 IVA DEVICE TYPE CODE 37;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV access device type code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the IV access device type code.
38 IVA DEVICE TYPE TEXT 38;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV access device type text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV access device type text.
39.1 IVA CATHETER TIP CODE 39;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  NOV 14, 2019
  • HELP-PROMPT:  Enter the IV access catheter tip code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the IV access catheter tip code.
40 IVA CATHETER TIP TEXT 40;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV access catheter tip text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV access catheter tip text.
41 IVA CATHETER TIP DESC 41;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV access catheter tip description. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV access catheter tip description.
42.1 IV INFUSION CODE 42;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV infusion code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the IV infusion code.
43 IV INFUSION TEXT 43;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV infusion text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV infusion text.
44 IV INFUSION DESCRIPTION 44;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the IV infusion description. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the IV infusion description for the medication.
45.1 TREATMENT INDICATOR 45;1 SET

  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the treatment indicator for this medication.
  • DESCRIPTION:  
    This is the treatment indicator for the medication.
45.2 PROPHYLACTIC OR EPISODIC 45;2 SET

  • LAST EDITED:  JUL 08, 2020
  • HELP-PROMPT:  Enter the prophylactic or episodic code.
  • DESCRIPTION:  
    This is the prophylactic/episodic status related to the medication/patient.
45.3 CURRENT TREATMENT CYCLE 45;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the treatment cycle value for this medication. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the treatment cycle for the medication.
45.4 NUMBER OF CYCLES PLANNED 45;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the number of cycles planned for this medication. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the number of cycles planned for this medication.
46 WOUND 46;0 Multiple #52.4931146 52.4931146

  • DESCRIPTION:  
    This subfile contains wound information associated with the medications section. This subfile was created to support the 2017 script standard.
47 PRESCRIBER CHECKED REMS 47;1 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the status for the prescriber checked REMs
  • DESCRIPTION:  
    This is the prescriber checked REMs field associated with the medications section.
48.1 REMS PATIENT RISK CATEGORY 48;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>35!($L(X)<1) X
    MAXIMUM LENGTH: 35
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the REMs patient risk category. Answer must be 1-35 characters in length.
  • DESCRIPTION:  
    This is the REMs patient risk category associated with the medications section.
48.2 REMS AUTHORIZATION 48;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>140!($L(X)<1) X
    MAXIMUM LENGTH: 140
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the REMs authorization. Answer must be 1-140 characters in length.
  • DESCRIPTION:  
    This is the REMs authorization associated with the medications section.
49.1 PHARMACY TO TITRATE DOSE 49;1 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter if the pharmacy is to titrate the dose.
  • DESCRIPTION:  
    This field determines if the pharmacy is to titrate the dose.
51 TITRATION DOSE MEASUREMENT 51;0 Multiple #52.4931151 52.4931151

  • DESCRIPTION:  
    This subfile contains the titration dose measurement information. This subfile was created to support the 2017 script standard.
55.1 FLAVORING REQUESTED 55;1 SET

  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the flavoring requested.
  • DESCRIPTION:  
    This is the flavoring requested associated with the medications section.
56.1 COMPOUND PHARM DOSAGE FORM 56;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the compound pharmaceutical dosage form. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the compound pharmaceutical dosage form associated with the medications section.
57 COMPOUND ING LOT NOT USED 57;0 Multiple #52.4931157 52.4931157

  • LAST EDITED:  NOV 13, 2019
  • DESCRIPTION:  
    This subfile contains the compound ingredients lot not used information associated with the medications section. This subfile was created to support the 2017 script standard.
58.1 # OF PACKAGES TO BE DISPENSED 58;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 09, 2019
  • HELP-PROMPT:  Enter the number of packages to be dispensed. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the number of packages to be dispensed associated with the medications section.
59 PATIENT CODIFIED NOTES 59;0 Multiple #52.4931159 52.4931159

  • DESCRIPTION:  
    This subfile contains the patient codified notes associated with the medications section. This subfile was created to support the 2017 script standard.
61 FACILITY SPEC ADMIN TIMING 61;0 Multiple #52.4931161 52.4931161

  • DESCRIPTION:  
    This subfile contains the facility specific hours of administration timing associated with the medications section. This subfile is being created to support the 2017 script standard.
62 OTHER MEDICATION DATE 62;0 Multiple #52.4931162 52.4931162

  • DESCRIPTION:  
    This subfile contains the other medication date information associated with the medications section. This subfile was created to support the 2017 script standard.
63.1 NEED NO LATER THAN DT 63;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the need no later than date. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the need no later than date associated with the medications section.
63.2 NEED NO LATER THAN REASON 63;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>70!($L(X)<1) X
    MAXIMUM LENGTH: 70
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the need no later than reason. Answer must be 1-70 characters in length.
  • DESCRIPTION:  
    This is the need no later than reason associated with the medications section.
63.3 PSO NON SELF ADMIN PRODUCT 63;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter the place of service non self administered product. Type a number between 1 and 99, 0 decimal digits.
  • DESCRIPTION:  
    This is the place of service non self administered product associated with the medications section.
63.4 PROVIDER EXP AUTH TO ADMIN 63;4 SET

  • LAST EDITED:  OCT 08, 2019
  • HELP-PROMPT:  Enter if the provider has explicit authorization to administer.
  • DESCRIPTION:  
    This field determines if the provider has explicit authorization to administer.
64 TYPE OF SVC FREE TEXT 64;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the free text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the type of service free text associated with the medications section.
65 TYPE OF SVC TEXT 65;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the type of service text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the type of service text associated with the medications section.
66 TYPE OF SVC QUALIFIER 66;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  JUL 08, 2020
  • HELP-PROMPT:  Enter the type of service qualifier. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the type of service qualifier associated with the medications section.
67 TYPE OF SVC CODE 67;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the type of service code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the type of service code associated with the medications section.
68 TARGETED SERVICE FREE TEXT 68;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the targeted type of service free text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the targeted type of service free text associated with the medications section.
69 TARGETED SERVICE TEXT 69;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the targeted type of service text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the targeted type of service text associated with the medications section.
71 TARGETED SERVICE QUALIFIER 71;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  NOV 15, 2019
  • HELP-PROMPT:  Enter the targeted type of service qualifier. Answer must be between 1-30 characters in length.
  • DESCRIPTION:  
    This is the targeted type of service qualifier associated with the medications section.
72 TARGETED SERVICE CODE 72;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the targeted type of service code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the targeted type of service code associated with the medications section.
73 REASON FOR MTM FREE TEXT 73;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the reason for MTM service free text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the reason for MTM service free text associated with the medications section.
74 REASON FOR MTM TEXT 74;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the reason for MTM service text. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the reason for MTM service text associated with the medications section.
75 REASON FOR MTM QUALIFIER 75;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  NOV 15, 2019
  • HELP-PROMPT:  Enter the reason for MTM service qualifier. Answer must be between 1-30 characters in length.
  • DESCRIPTION:  
    This is the reason for MTM service qualifier associated with the medications section.
76 REASON FOR MTM CODE 76;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
    MAXIMUM LENGTH: 30
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the reason for MTM service code. Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This is the reason for MTM service code associated with the medications section.
77 TYPE OF SVC EXP DATE 77;1 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the expiration date.
  • DESCRIPTION:  
    This is the type of service expiration date associated with the medications section.
78 TYPE OF SVC EFF DATE 78;1 DATE

  • INPUT TRANSFORM:  S %DT="EX" D ^%DT S X=Y K:Y<1 X
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the effective date.
  • DESCRIPTION:  
    This is the type of service effective date associated with the medications section.
79 TYPE OF SVC GROUP SETTING 79;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>255!($L(X)<1) X
    MAXIMUM LENGTH: 255
  • LAST EDITED:  NOV 12, 2019
  • HELP-PROMPT:  Enter the type of service group setting. Answer must be 1-255 characters in length.
  • DESCRIPTION:  
    This is the type of service group setting associated with the medications section.
81 FINAL COMP PHARM DOSAGE FORM 81;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) ERX SERVICE REASON CODES(#52.45)

  • LAST EDITED:  JUL 08, 2020
  • HELP-PROMPT:  Enter the final compound pharmaceutical dosage form.
  • DESCRIPTION:  
    This is the final compound pharmaceutical dosage form associated with the medications section.
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