
File ERX_HOLDING_QUEUE(52.49) Data List
| ERX HUB ID |
RELATED OR PARENT MESSAGE ID |
MESSAGE DATE/TIME |
EXTERNAL PATIENT IDENTIFIER |
VISTA PATIENT |
INSTITUTION |
PHARMACY SYSTEM |
MESSAGE TYPE |
EXTERNAL/PROVIDER ORDER NUMBER |
VISTA PENDING OUTPATIENT ORDER |
OE/RR ORDER NUMBER |
PHARMACY PRESCRIPTION NUMBER |
RELATES TO HUB ID |
SUGGESTED VISTA RX |
ERX ORDER STATUS |
DRUG VALIDATED BY |
DRUG VALIDATED DATE/TIME |
PATIENT VALIDATED BY |
PATIENT VALIDATED DATE/TIME |
PROV STAT (AUTO MATCHING) |
PROV STAT (MANUAL VALIDATION) |
DRUG STAT (AUTO MATCHING) |
DRUG STAT (MANUAL VALIDATION) |
PATIENT STATUS (AUTO MATCHING) |
PATIENT STATUS (MANUAL VAL) |
PROVIDER VALIDATED BY |
PROVIDER VALIDATED DATE/TIME |
PRIOR AUTHORIZATION |
PRIOR AUTHORIZATION QUALIFIER |
PRIOR AUTHORIZATION STATUS |
DO NOT FILL |
NEEDED NO LATER THAN |
TIMEZONE |
TIME ZONE DIFFERENCE QUANTITY |
NEEDED NO LATER THAN REASON |
PROCESSING ERRORS |
STRUCTURED SIG |
ORDER CHECKS |
PATIENT FACILITY UNIT |
BED |
ROOM |
OBSERVATION |
OBSERVATION NOTES |
DRUG USE EVALUATION |
EXTERNAL PHARMACY |
EXTERNAL PHARMACIST |
TRANSFERRED TO VA PHARMACY |
XFER TO EXTERNAL PHARMACY |
PAYER INFORMATION |
STATUS HISTORY |
EXTERNAL PROVIDER |
VA MATCHED PROVIDER |
TO/FROM QUALIFIER |
ERX EXTERNAL PHARMACY |
ERX EXTERNAL SUPERVISOR |
PROVIDER AUTO VALIDATED FLAG |
AUDIT LOG |
VISTA QUANTITY |
VISTA DAYS SUPPLY |
VISTA VERB |
VISTA ROUTING |
VISTA REFILLS |
VISTA CLINIC |
MESSAGE HISTORY |
QUANTITY/TIMING |
FROM |
FROM QUALIFIER |
TO |
TO QUALIFIER |
CH SENT DATE/TIME |
RELATED INSTITUTION |
DIVISION |
SENDER SECONDARY ID |
SENDER TERTIARY ID |
RECEIVER SECONDARY ID |
RECEIVER TERTIARY ID |
CH MESSAGE ID |
PENDING OUTPATIENT ORDER# |
VA DISPENSING INSTRUCTIONS |
VA PATIENT INSTRUCTIONS |
DRUG COVERAGE STATUS |
INDICATION FOR USE |
INDICATION FOR USE FLAG |
OTHER LANG INDICATION FOR USE |
EXTERNAL DRUG/SUPPLY |
MATCHED DRUG/SUPPLY |
VA PROVIDER COMMENTS |
2017 LTC LEVEL OF CHANGE |
2017 URGENCY INDICATOR CODE |
2017 PROHIBIT RENEWAL REQUEST |
2017 NO KNOWN ALLERGIES |
2017 ALLERGIES |
2017 BENEFITS COORDINATION |
2017 OBSERVATION NOTES |
2017 OBSERVATION |
2017 FOLLOW-UP PRESCRIBER |
VA UNEXPANDED SIG |
2017 MEDICATIONS |
SCRIPT VERSION NUMBER |
REQUEST REFERENCE NUMBER |
RETURN RECEIPT |
ECL VERSION |
DATA TYPE VERSION |
STRUCTURES VERSION |
TRANSACTION DOMAIN |
TRANSACTION VERSION |
TRANSPORT VERSION |
SENDER SOFTWARE DEVELOPER |
SENDER SOFTWARE PRODUCT |
SENDER SOFTWARE VERSION REL |
CHANGE MES REQ CODE |
CHANGE MES SUB CODE |
CHANGE REQUEST REASON TEXT |
CH RES STATE LICENSE NUM |
CH RES MEDICARE NUMBER |
CH RES MEDICAID NUMBER |
CH RES UPIN |
CH RES DEA NUMBER |
CH RES HIN |
CH RES SOCIAL SECURITY NUMBER |
CH RES NPI |
CH REQ PROGRESS NOTE REF # |
CH REQ PROGRESS NOTE COMMENT |
CH RES CERT TO PRESCRIBE |
CH RES DATA 2000 WAIVER ID |
CH RES MUTUALLY DEFINED |
CH RES REMS PROVIDER ID |
CH RES STATE SUBSTANCE NUMBER |
CH RES SUPERVISOR |
VAL CH RES DATE |
CH RES SPECIALTY |
PRODUCT CODE |
DRUG DB CODE QUALIFIER |
PRODUCT CODE QUALIFIER |
STRENGTH |
DRUG DB CODE |
FORM SOURCE CODE |
FORM CODE |
STRENGTH SOURCE CODE |
STRENGTH CODE |
DEA SCHEDULE |
EXTERNAL FORM CODE |
EXTERNAL POTENCY UNIT CODE |
EXTERNAL STRENTH CODE |
PAYER CARDHOLDER ID CONVERTED? |
MEDICATION DISPENSED/REQUESTED |
QUANTITY |
CODE LIST QUALIFIER |
UNIT SOURCE CODE |
POTENCY UNIT CODE |
DAYS SUPPLY |
REFILLS |
REFILL QUALIFIER |
SUBSTITUTIONS |
WRITTEN DATE |
REQUEST/RESPONSE COMMENTS |
NOTE ADDED BY |
NOTE DATE/TIME |
REFILL/CHANGE REQUEST PERSON |
# OF REFILLS REQUESTED |
RESPONSE VALUE |
RESPONSE NOTE |
RESPONSE REFERENCE NUMBER |
RESPONSE CODES |
LAST FILL DATE |
EXPIRATION DATE |
EFFECTIVE DATE |
PERIOD END |
DELIVERED ON DATE |
DATE VALIDATED |
FUTURE FILL HOLD DATE |
REQUEST/RESPONSE ERROR TEXT |
REQUEST/RESPONSE ERROR CODE |
REQUEST/RESPONSE ERR DCODES |
DIRECTIONS |
FACILITY NAME |
FACILITY ADDRESS LINE 1 |
FACILITY ADDRESS LINE 2 |
FACILITY CITY |
FACILITY STATE |
FACILITY ZIP CODE |
COUNTRY CODE |
FACILITY IDENTIFICATION |
COMMUNICATION |
2017 FACILITY COMMUNICATION |
2017 FAC NCPDPID |
2017 FAC STATE LIC NUMBER |
2017 FAC MEDICARE NUMBER |
2017 FAC MEDICAID NUMBER |
2017 FAC UPIN |
2017 FACILITY ID |
2017 FAC DEA NUMBER |
2017 FAC HIN |
2017 FAC NPI |
2017 FAC MUTUALLY DEFINED |
2017 FAC REMS ENROLLMENT ID |
2017 FACILITY DIRECT ADDRESS |
NOTES |
CHANGE REQUEST TYPE |
CHANGE RX STATUS FLAG |
CHANGE/CANCEL DENIED BY HUB |
DIAGNOSIS |
CONTROLLED SUBSTANCE INDICATOR |
CS DIG SIGNATURE DIGEST METHOD |
CS DIG SIGNATURE DIGEST VALUE |
CS DIG SIGNATURE VALUE |
CS DIG SIGNATURE X509 DATA |