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