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Sub-Field: 9002313.1101

Package: E Claims Management Engine

BPS RESPONSES(#9002313.03)-->9002313.0301-->9002313.1101

Sub-Field: 9002313.1101


Information

Parent File Name Number Package
9002313.0301 DUR PPS 9002313.1101 E Claims Management Engine

Details

Field # Name Loc Type Details
.01 DUR PPS RESPONSE 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9)!(X<1)!(X?.E1"."1.N) X
  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Type a number between 1 and 9, 0 Decimal Digits
  • DESCRIPTION:  
    Counter number for each DUR/PPS set/logical grouping.
  • CROSS-REFERENCE:  9002313.1101^B
    1)= S ^BPSR(DA(2),1000,DA(1),567.01,"B",$E(X,1,30),DA)=""
    2)= K ^BPSR(DA(2),1000,DA(1),567.01,"B",$E(X,1,30),DA)
439 REASON FOR SERVICE CODE 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>2!($L(X)<1) X
  • OUTPUT TRANSFORM:  S Y=$$TRANSCD^BPSECFM(Y)
  • LAST EDITED:  FEB 07, 2008
  • HELP-PROMPT:  Answer must be 1-2 characters in length.
  • DESCRIPTION:  
    Code identifying the type of utilization conflict detected or the reason for the pharmacist's professional service.
528 CLINICAL SIGNIFICANCE CODE 0;3 SET
  • LAST EDITED: JUN 17, 2008
  • HELP-PROMPT: Enter a code indicating the clinical significance.
  • DESCRIPTION:

  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Enter a code indicating the clinical significance.
  • DESCRIPTION:  
    Code identifying the significance or severity level of a clinical event as contained in the originating data base.
529 OTHER PHARMACY INDICATOR 0;4 SET
  • LAST EDITED: JUN 17, 2008
  • HELP-PROMPT: Enter a code for the type of pharmacy dispensing the conflicting drug.
  • DESCRIPTION:

  • LAST EDITED:  JUN 17, 2008
  • HELP-PROMPT:  Enter a code for the type of pharmacy dispensing the conflicting drug.
  • DESCRIPTION:  
    Indicator telling whether the medication that caused the DUR to be triggered came from the current pharmacy, or an outside pharmacy.
530 PREVIOUS DATE OF SERVICE 0;5 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>8!($L(X)<8) X
  • OUTPUT TRANSFORM:  S Y=$$FM3EXT^BPSOSU1(Y)
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 8 characters in length.
  • DESCRIPTION:  
    Date prescription was previously filled.
531 QTY OF PREVIOUS DISPENSING 0;6 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>12!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 1-12 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 531-FV (Quantity Of Previous Fill), which is defined as "Amount expressed in metric decimal units of the conflicting agent that was previously filled."
  • TECHNICAL DESCR:  Format=9999999.999
    RESPONSE DUR/PPS SEGMENT.
532 DATABASE INDICATOR 0;7 SET
  • LAST EDITED: JUN 18, 2008
  • HELP-PROMPT: Enter a code identifying the source of DUR information.
  • DESCRIPTION:

  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Enter a code identifying the source of DUR information.
  • DESCRIPTION:  
    Code identifying the source of drug information used for DUR processing.
533 OTHER PRESCRIBER INDICATOR 0;8 SET
  • LAST EDITED: JUN 18, 2008
  • HELP-PROMPT: Enter a code for the prescriber of the previously filled conflicting prescription.
  • DESCRIPTION:

  • LAST EDITED:  JUN 18, 2008
  • HELP-PROMPT:  Enter a code for the prescriber of the previously filled conflicting prescription.
  • DESCRIPTION:  
    Code comparing the prescriber of the current prescription to the prescriber of the previously filled conflicting prescription.
544 DUR/DUE FREE TEXT MESSAGE 0;9 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  MAR 31, 2021
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    Text that provides additional detail regarding a DUR conflict.
570 DUR ADDITIONAL TEXT 1;1 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>102!($L(X)<1) X
  • LAST EDITED:  JUL 22, 2010
  • HELP-PROMPT:  Answer must be 1-102 characters.
  • DESCRIPTION:  
    This is used to store NCPDP field 570-NS (DUR Additional Text), which is defined as "Descriptive information that further defines the referenced DUR alert."
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