GLOBAL MAP DATA DICTIONARY #52 -- PRESCRIPTION FILE 3/24/25 PAGE 1 STORED IN ^PSRX( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 7.0) ----------------------------------------------------------------------------------------------------------------------------------- Contains all outpatient RX data used by the outpatient pharmacy package. As the above indicates, this is the hub of the outpatient system. It will easily be the largest pharmacy file in time and is pointed to very heavily. Deletion of an entry in this file must be handled VERY carefully and is not allowed if refills have been issued. Of particular interest is that essentially all the history pertaining to a particular Rx is contained in each Rx entry. CROSS REFERENCED BY: ISSUE DATE(AC), FILL DATE(ACP), PATIENT(ACP1), RELEASED DATE/TIME(ACP2), MAIL/WINDOW/PARK(ACP3), MAIL/WINDOW/PARK(ACP4), FILL DATE(AD), REFILL DATE(AD), FILL DATE(ADL), DRUG(ADL1), PARTIAL DATE(ADP), FILL DATE(AE), DRUG(AF), FINISH DATE/TIME(AFDT), EXPIRATION DATE(AG), HOLD REASON(AH), EXPIRATION DATE(AI), RETURNED TO STOCK(AJ), RETURNED TO STOCK(AJ1), CANCEL DATE(AK), RELEASED DATE/TIME(AL), RELEASED DATE/TIME(AL1), RELEASED DATE/TIME(AM), RETURNED TO STOCK(AN), COSIGNING PHYSICIAN(ANCO), PREVIOUS ORDER #(AO), DIVISION(AP), PARK(APARK), PLACER ORDER #(APL), PATIENT(APSOD), FORWARD ORDER #(AQ), FILL DATE(AR), STATUS(AR), STATUS(AS), RX #(B), PATIENT(C), ICD DIAGNOSIS(E), REMOTE FILL SITE(PFIL), REMOTE FILL SITE(RFIL) INDEXED BY: DAYS SUPPLY & RELEASED DATE/TIME (ACRO), DAYS SUPPLY & RELEASED DATE/TIME (ACRP), DAYS SUPPLY & RELEASED DATE/TIME (ACRR), ISSUE DATE (APKI), RETURN TO STOCK DATE/TIME (ARTS), CLOSED DATE/TIME (CLSDAT), EXTERNAL PLACER ORDER NUMBER & EXTERNAL APPLICATION (D), DATE/TIME OF ACTIVITY (NDUC), DATE/TIME DETECTED (REJDAT), STATUS (REJSTS) ^PSRX(D0,0)= (#.01) RX # [1F] ^ (#2) PATIENT [2P:2] ^ (#3) PATIENT STATUS [3P:53] ^ (#4) PROVIDER [4P:200] ^ (#5) CLINIC [5P:44] ==>^ (#6) DRUG [6P:50] ^ (#7) QTY [7N] ^ (#8) DAYS SUPPLY [8N] ^ (#9) # OF REFILLS [9N] ^ ^ (#11) MAIL/WINDOW/PARK ==>[11S] ^ ^ (#1) ISSUE DATE [13D] ^ ^ (#14) ADMINISTERED IN CLINIC [15S] ^ (#16) ENTERED BY [16P:200] ^ (#17) UNIT ==>PRICE OF DRUG [17N] ^ (#10.6) COPIES [18N] ^ (#10.3) ORDER CONVERTED [19S] ^ ^PSRX(D0,1,0)=^52.1D^^ (#52) REFILL ^PSRX(D0,1,D1,0)= (#.01) REFILL DATE [1D] ^ (#2) MAIL/WINDOW/PARK [2S] ^ (#3) REMARKS [3F] ^ (#1) QTY [4N] ^ (#4) PHARMACIST NAME ==>[5P:200] ^ (#5) LOT # [6F] ^ (#6) CLERK CODE [7P:200] ^ (#7) LOGIN DATE [8D] ^ (#8) DIVISION [9P:59] ^ (#1.1) ==>DAYS SUPPLY [10N] ^ (#1.2) CURRENT UNIT PRICE OF DRUG [11N] ^ ^ ^ (#12) MANUFACTURER [14F] ^ (#13) DRUG ==>EXPIRATION DATE [15D] ^ (#14) RETURNED TO STOCK [16D] ^ (#15) PROVIDER [17P:200] ^ (#17) RELEASED DATE/TIME ==>[18D] ^ (#10.1) DISPENSED DATE [19D] ^ (#23) ADMINISTERED IN CLINIC [20S] ^ ^PSRX(D0,1,D1,1)= (#16) GENERIC PROVIDER [1F] ^ (#18) BINGO WAIT TIME [2N] ^ (#11) NDC [3F] ^ (#19) FILLING PERSON [4P:200] ^ ==>(#20) CHECKING PHARMACIST [5P:200] ^ (#24) ACTIVE DUTY OVERRIDE [6S] ^ (#98) BYPASS 3/4 DAY SUPPLY LOGIC [7S] ^ ^PSRX(D0,1,D1,EPH)= (#81) DAW CODE [1F] ^ (#82) RE-TRANSMIT FLAG [2S] ^ (#83) DATE NDC VALIDATED [3D] ^ (#84) NDC VALIDATED BY ==>[4P:200] ^ (#85) BILLING ELIGIBILITY INDICATOR [5S] ^ (#86) EPHARMACY SUSPENSE HOLD DATE [6D] ^ ^PSRX(D0,1,D1,IB)= (#9) IB NUMBER [1P:350] ^ (#9.1) COPAY EXCEEDING CAP [2P:354.71] ^ ^PSRX(D0,1,D1,PFS)= (#21) PFSS ACCOUNT REFERENCE [1P:375] ^ (#22) PFSS CHARGE ID [2N] ^ ^PSRX(D0,1,D1,RF)= (#91) REMOTE FILL SITE [1F] ^ (#92) REMOTE PHARMACIST [2F] ^ (#93) REMOTE PHARMACIST PHONE [3F] ^ ^ (#97) ==>REMOTE CHECKING PHARMACIST [5F] ^ (#96) REMOTE FILLING PERSON [6F] ^ ^PSRX(D0,1,D1,RF1)= (#94) REFILL SOURCE [1F] ^ (#95) PERSON REQUESTING REFILL [2F] ^ ^PSRX(D0,2)= (#21) LOGIN DATE [1D] ^ (#22) FILL DATE [2D] ^ (#23) PHARMACIST [3P:200] ^ (#24) LOT # [4F] ^ (#25) DISPENSED DATE ==>[5D] ^ (#26) EXPIRATION DATE [6D] ^ (#27) NDC [7F] ^ (#28) MANUFACTURER [8F] ^ (#20) DIVISION [9P:59] ^ (#104) ==>VERIFYING PHARMACIST [10P:200] ^ (#29) DRUG EXPIRATION DATE [11D] ^ (#30) GENERIC PROVIDER [12F] ^ (#31) RELEASED ==>DATE/TIME [13D] ^ (#32.2) REPRINT [14S] ^ (#32.1) RETURNED TO STOCK [15D] ^ (#32.3) BINGO WAIT TIME [16N] ^ (#32.4) ==>ACTIVE DUTY OVERRIDE [17S] ^ ^PSRX(D0,3)= (#101) LAST DISPENSED DATE [1D] ^ (#102) NEXT POSSIBLE FILL [2D] ^ (#109) COSIGNING PHYSICIAN [3P:200] ^ (#102.1) ==>PRIOR FILL DATE [4D] ^ (#26.1) CANCEL DATE [5D] ^ (#34.1) DRUG ALLERGY INDICATION [6S] ^ (#12) REMARKS [7F] ^ ==>(#102.2) PENDING NEXT POSSIBLE FILLDATE [8D] ^ (#112) ORIGINAL QTY [9N] ^ (#127) LAST DISPENSED DATE HOLDER [10D] ^ ^PSRX(D0,4,0)=^52.01PA^^ (#400) CMOP EVENT ^PSRX(D0,4,D1,0)= (#.01) TRANSMISSION NUMBER [1P:550.2] ^ (#1) SEQUENCE # [2N] ^ (#2) RX INDICATOR [3N] ^ (#3) STATUS [4S] ^ (#5) ==>CANCELLED DATE/TIME [5D] ^ (#6) RESUBMIT STATUS [6S] ^ ^ (#4) NDC RECEIVED [8F] ^ (#12) NDC SENT [9F] ^ ^PSRX(D0,4,D1,1)= (#8) CANCELLED REASON [1F] ^ (#9) DATE SHIPPED [2D] ^ (#10) CARRIER [3F] ^ (#11) PACKAGE ID [4F] ^ ^PSRX(D0,4,D1,FDA)= (#35) FDA MED GUIDE FILENAME [1F] ^ ^PSRX(D0,5,0)=^52.0401A^^ (#401) LOT/EXP ^PSRX(D0,5,D1,0)= (#.01) LOT/EXP [1F] ^ (#1) EXPIRATION DATE [2D] ^ (#2) RX INDICATOR [3N] ^ ^PSRX(D0,6,0)=^52.0113^^ (#113) MEDICATION INSTRUCTIONS ^PSRX(D0,6,D1,0)= (#.01) DOSAGE ORDERED [1F] ^ (#1) DISPENSE UNITS PER DOSE [2N] ^ (#2) UNITS [3P:50.607] ^ (#3) NOUN [4F] ^ (#4) ==>DURATION [5F] ^ (#5) CONJUNCTION [6S] ^ (#6) ROUTE [7P:51.2] ^ (#7) SCHEDULE [8F] ^ (#8) VERB [9F] ^ ^PSRX(D0,6,D1,1)= (#9) OTHER LANGUAGE DOSAGE [1F] ^ ^PSRX(D0,7)= (#100.1) DISCONTINUE TYPE [1S] ^ (#100.2) MAIL EXEMPTION [2S] ^ ^PSRX(D0,9)= ^ (#94) BYPASS 3/4 DAY SUPPLY LOGIC [2S] ^ ^PSRX(D0,A,0)=^52.3DA^^ (#40) ACTIVITY LOG ^PSRX(D0,A,D1,0)= (#.01) ACTIVITY LOG [1D] ^ (#.02) REASON [2S] ^ (#.03) INITIATOR OF ACTIVITY [3P:200] ^ (#.04) RX REFERENCE ==>[4N] ^ (#.05) COMMENT [5F] ^ ^PSRX(D0,A,D1,1)= (#1) FIELD EDITED [1F] ^ (#2) OLD VALUE [2F] ^ (#3) NEW VALUE [3F] ^ ^PSRX(D0,A,D1,2,0)=^52.34A^^ (#4) OTHER COMMENTS ^PSRX(D0,A,D1,2,D2,0)= (#.01) OTHER COMMENTS [1F] ^ ^PSRX(D0,ARC)= (#36) ARCHIVED [1S] ^ ^PSRX(D0,COPAY,0)=^52.0107DA^^ (#107) COPAY ACTIVITY LOG ^PSRX(D0,COPAY,D1,0)= (#.01) COPAY ACTIVITY LOG [1D] ^ (#1) REASON [2S] ^ (#2) INITIATOR OF COPAY ACTIVITY [3P:200] ^ (#3) RX ==>REFERENCE [4N] ^ (#4) COMMENT [5F] ^ (#5) OLD VALUE [6F] ^ (#6) NEW VALUE [7F] ^ ^PSRX(D0,D)= (#108) DELETION COMMENTS [1F] ^ ^PSRX(D0,DAI,0)=^52.03A^^ (#34.11) DRUG ALLERGY INGREDIENTS ^PSRX(D0,DAI,D1,0)= (#.01) INGREDIENTS [1F] ^ ^PSRX(D0,DDSTA)= (#120.01) DDSTATUS [1F] ^ (#120.02) DATE OF DEATH HISTORY [2F] ^ ^PSRX(D0,DRG)= (#103) NEW DRUG [1F] ^ ^PSRX(D0,DRI)= (#33) SEVERITY [1F] ^ (#34) AFFECTED MEDICATION [2F] ^ ^PSRX(D0,EPH)= (#81) DAW CODE [1F] ^ (#82) RE-TRANSMIT FLAG [2S] ^ (#83) DATE NDC VALIDATED [3D] ^ (#84) NDC VALIDATED BY ==>[4P:200] ^ (#85) BILLING ELIGIBILITY INDICATOR [5S] ^ (#86) EPHARMACY SUSPENSE HOLD DATE [6D] ^ ^PSRX(D0,EXT)= (#123) EXTERNAL PLACER ORDER NUMBER [1F] ^ (#124) EXTERNAL APPLICATION [2F] ^ ^PSRX(D0,H)= (#99) HOLD REASON [1S] ^ (#99.1) HOLD COMMENTS [2F] ^ (#99.2) HOLD DATE [3D] ^ ^PSRX(D0,IB)= (#105) COPAY TRANSACTION TYPE [1P:350.1] ^ (#106) IB NUMBER [2P:350] ^ (#106.5) COPAY TYPE AUDIT [3F] ^ (#106.6) ==>COPAY EXCEEDING CAP [4P:354.71] ^ ^PSRX(D0,IBQ)= (#116) SERVICE CONNECTED [1S] ^ (#117) MILITARY SEXUAL TRAUMA [2S] ^ (#118) AGENT ORANGE EXPOSURE [3S] ^ (#119) ==>IONIZING RADIATION EXPOSURE [4S] ^ (#120) SOUTHWEST ASIA CONDITIONS [5S] ^ (#121) HEAD AND/OR NECK CANCER [6S] ^ ==>(#122) COMBAT VETERAN [7S] ^ (#122.01) PROJ 112/SHAD [8S] ^ ^PSRX(D0,ICD,0)=^52.052311P^^ (#52311) ICD DIAGNOSIS ^PSRX(D0,ICD,D1,0)= (#.01) ICD DIAGNOSIS [1P:80] ^ (#1) AGENT ORANGE [2S] ^ (#2) IONIZING RADIATION [3S] ^ (#3) SERVICE ==>CONNECTION [4S] ^ (#4) SOUTHWEST ASIA CONDITIONS [5S] ^ (#5) MILITARY SEXUAL TRAUMA [6S] ^ (#6) HEAD AND/OR ==>NECK CANCER [7S] ^ (#7) COMBAT VETERAN [8S] ^ (#8) PROJ 112/SHAD [9S] ^ ^PSRX(D0,IND)= (#128) INDICATION FOR USE [1F] ^ (#129) INDICATION FOR USE FLAG [2S] ^ (#130) OTHER INDICATION FOR USE [3F] ^ ^PSRX(D0,INS)= (#114) PATIENT INSTRUCTIONS [1F] ^ ^PSRX(D0,INS1,0)=^52.0115^^ (#115) EXPANDED PATIENT INSTRUCTIONS ^PSRX(D0,INS1,D1,0)= (#.01) EXPANDED PATIENT INSTRUCTIONS [1W] ^ ^PSRX(D0,INSS)= (#114.1) OTHER PATIENT INSTRUCTIONS [1F] ^ ^PSRX(D0,L,0)=^52.032DA^^ (#32) LABEL DATE/TIME ^PSRX(D0,L,D1,0)= (#.01) LABEL DATE/TIME [1D] ^ (#1) RX REFERENCE [2N] ^ (#2) LABEL COMMENT [3F] ^ (#3) PRINTED BY [4P:200] ^ ==>(#4) WARNING LABEL TYPE [5S] ^ (#5) DEVICE [6F] ^ ^PSRX(D0,L,D1,FDA)= (#35) FDA MED GUIDE FILENAME [1F] ^ ^PSRX(D0,MEDR,0)=^52.037PA^^ (#37) MEDICATION ROUTES ^PSRX(D0,MEDR,D1,0)= (#.01) MEDICATION ROUTES [1P:51.2] ^ ^PSRX(D0,MP)= (#35) METHOD OF PICK-UP [1F] ^ ^PSRX(D0,NDUC,0)=^52.0725DA^^ (#725) NATIONAL DATA UTILITY CLEANUP ^PSRX(D0,NDUC,D1,0)= (#.01) DATE/TIME OF ACTIVITY [1D] ^ (#1) INITIATED BY [2F] ^ ^PSRX(D0,NDUC,D1,1,0)=^52.7252^^ (#2) CHANGED DOSAGE ^PSRX(D0,NDUC,D1,1,D2,0)= (#.01) DOSE SEQUENCE [1N] ^ ^PSRX(D0,NDUC,D1,1,D2,1,0)=^52.72521^^ (#1) OLD DOSAGE ^PSRX(D0,NDUC,D1,1,D2,1,D3,0)= (#.01) DOSAGE TEXT [1W] ^ ^PSRX(D0,NDUC,D1,1,D2,2,0)=^52.72522^^ (#2) NEW DOSAGE ^PSRX(D0,NDUC,D1,1,D2,2,D3,0)= (#.01) NEW VALUE [1W] ^ ^PSRX(D0,NDUC,D1,2,0)=^52.7253^^ (#3) OLD SIG ^PSRX(D0,NDUC,D1,2,D2,0)= (#.01) OLD SIG [1W] ^ ^PSRX(D0,NDUC,D1,3,0)=^52.7254^^ (#4) NEW SIG ^PSRX(D0,NDUC,D1,3,D2,0)= (#.01) NEW SIG [1W] ^ ^PSRX(D0,NDUC,D1,4)= (#5) COMMENT [1F] ^ ^PSRX(D0,OR1)= (#39.2) PHARMACY ORDERABLE ITEM [1P:50.7] ^ (#39.3) PLACER ORDER # [2N] ^ (#39.4) PREVIOUS ORDER # [3P:52] ^ ==>(#39.5) FORWARD ORDER # [4P:52] ^ (#38) FINISHING PERSON [5P:200] ^ (#38.1) FILLING PERSON [6P:200] ^ (#38.2) ==>CHECKING PHARMACIST [7P:200] ^ (#38.3) FINISH DATE/TIME [8D] ^ ^PSRX(D0,P,0)=^52.2D^^ (#60) PARTIAL DATE ^PSRX(D0,P,D1,0)= (#.01) PARTIAL DATE [1D] ^ (#.02) MAIL/WINDOW [2S] ^ (#.03) REMARKS [3F] ^ (#.04) QTY [4N] ^ (#.05) PHARMACIST ==>NAME [5P:200] ^ (#.06) LOT # [6F] ^ (#.07) CLERK CODE [7P:200] ^ (#.08) LOGIN DATE [8D] ^ (#.09) DIVISION ==>[9P:59] ^ (#.041) DAYS SUPPLY [10N] ^ (#.042) CURRENT UNIT PRICE OF DRUG [11N] ^ (#1) NDC [12F] ^ (#7.5) ==>DISPENSED DATE [13D] ^ ^ ^ (#5) RETURNED TO STOCK [16D] ^ (#6) PROVIDER [17P:200] ^ (#7) GENERIC PROVIDER ==>[18F] ^ (#8) RELEASED DATE/TIME [19D] ^ ^PSRX(D0,P,D1,1)= (#2) MANUFACTURER [1F] ^ (#9) BINGO WAIT TIME [2N] ^ (#10) FILLING PERSON [3P:200] ^ (#11) CHECKING PHARMACIST ==>[4P:200] ^ (#12) DRUG EXPIRATION DATE [5D] ^ ^PSRX(D0,P,D1,PF)= (#91) REMOTE FILL SITE [1F] ^ (#92) REMOTE PHARMACIST [2F] ^ (#93) REMOTE PHARMACIST PHONE [3F] ^ ^ (#97) ==>REMOTE CHECKING PHARMACIST [5F] ^ (#96) REMOTE FILLING PERSON [6F] ^ ^PSRX(D0,PARK)= (#521012) PARK [1S] ^ ^PSRX(D0,PC)= (#41) WAS THE PATIENT COUNSELED [1S] ^ (#42) WAS COUNSELING UNDERSTOOD [2S] ^ ^PSRX(D0,PFS)= (#125) PFSS ACCOUNT REFERENCE [1P:375] ^ (#126) PFSS CHARGE ID [2N] ^ ^PSRX(D0,PI,0)=^52.02^^ (#39.1) PHARMACY INSTRUCTIONS ^PSRX(D0,PI,D1,0)= (#.01) PHARMACY INSTRUCTIONS [1W] ^ ^PSRX(D0,PKI)= (#310) SIGNATURE STATUS [1S] ^ (#311) BACKDOOR SIGNATURE STATUS [2S] ^ (#312) ERX SIGNATURE STATUS [3S] ^ ^PSRX(D0,POE)= (#111) POE RX [1S] ^ ^PSRX(D0,PRC,0)=^52.039^^ (#39) PROVIDER COMMENTS ^PSRX(D0,PRC,D1,0)= (#.01) PROVIDER COMMENTS [1W] ^ ^PSRX(D0,REJ,0)=^52.25A^^ (#52.25) REJECT INFO ^PSRX(D0,REJ,D1,0)= (#.01) NCPDP REJECT CODE [1F] ^ (#1) DATE/TIME DETECTED [2D] ^ (#4) PHARMACIST [3P:200] ^ (#5) FILL NUMBER ==>[4N] ^ (#9) STATUS [5S] ^ (#10) CLOSED DATE/TIME [6D] ^ (#11) CLOSED BY [7P:200] ^ (#12) CLOSE REASON [8S] ^ ==>(#14) REASON FOR SERVICE CODE [9F] ^ (#15) PROFESSIONAL SERVICE CODE [10F] ^ (#16) RESPONSE ID [11N] ^ (#17) ==>OTHER REJECTS [12F] ^ (#19) RESULT OF SERVICE CODE [13F] ^ (#23) RE-OPENED [14S] ^ (#24) CLARIFICATION CODE ==>[15F] ^ (#25) PRIOR AUTHORIZATION TYPE [16N] ^ (#26) PRIOR AUTHORIZATION NUMBER [17N] ^ (#30) RRR FLAG [18S] ==>^ (#31) RRR DOLLAR THRESHOLD [19N] ^ (#32) RRR GROSS AMOUNT DUE [20N] ^ ^PSRX(D0,REJ,D1,1)= (#2) PAYER MESSAGE [1F] ^ (#3) REASON [2F] ^ ^PSRX(D0,REJ,D1,2)= (#6) GROUP NAME [1F] ^ (#7) PLAN CONTACT [2F] ^ (#8) PLAN PREVIOUS FILL DATE [3D] ^ (#20) INSURANCE NAME [4F] ==>^ (#21) GROUP NUMBER [5F] ^ (#22) CARDHOLDER ID [6F] ^ (#27) COORDINATION OF BENEFITS [7S] ^ (#29) BIN [8F] ^ ==>(#33) INSURANCE COMPANY [9N] ^ (#34) PCN [10F] ^ ^PSRX(D0,REJ,D1,3)= (#13) CLOSE COMMENTS [1F] ^ ^PSRX(D0,REJ,D1,4)= (#18) DUR TEXT [1F] ^ ^PSRX(D0,REJ,D1,5)= (#28) DUR ADD MSG TEXT [1F] ^ ^PSRX(D0,REJ,D1,COM,0)=^52.2551DA^^ (#51) COMMENTS ^PSRX(D0,REJ,D1,COM,D2,0)= (#.01) DATE/TIME [1D] ^ (#1) USER [2P:200] ^ (#2) COMMENTS [3F] ^ ^PSRX(D0,RTS,0)=^52.07D^^ (#70) RETURN TO STOCK LOG ^PSRX(D0,RTS,D1,0)= (#.01) RETURN TO STOCK DATE/TIME [1D] ^ (#1) FILL NUMBER [2F] ^ (#2) FILL DATE [3D] ^ (#3) QUANTITY [4N] ^ ==>(#4) DAYS SUPPLY [5N] ^ (#5) UNIT PRICE OF DRUG [6N] ^ (#6) MAIL/WINDOW [7S] ^ (#7) REMARKS [8F] ^ (#8) ==>PHARMACIST [9P:200] ^ (#9) LOT # [10F] ^ (#10) CLERK [11P:200] ^ (#11) LOGIN DATE [12D] ^ (#12) DIVISION ==>[13P:59] ^ (#15) DISPENSED DATE [14D] ^ (#16) NDC [15F] ^ (#17) MANUFACTURER [16F] ^ (#18) DRUG EXPIRATION ==>DATE [17D] ^ (#20) ADMINISTERED IN CLINIC [18S] ^ ^PSRX(D0,RTS,D1,1)= (#19) PROVIDER [1P:200] ^ (#21) RELEASED DATE/TIME [2D] ^ (#22) GENERIC PROVIDER [3F] ^ (#23) BINGO BOARD ==>WAIT TIME [4N] ^ (#24) FILLING PERSON [5P:200] ^ (#25) CHECKING PHARMACIST [6P:200] ^ ^PSRX(D0,RTS,D1,EPH)= (#28) DAW CODE [1N] ^ (#29) DATE/TIME NDC VALIDATED [2D] ^ (#30) NDC VALIDATED BY [3P:200] ^ (#31) BILLING ==>ELIGIBILITY INDICATOR [4S] ^ (#32) EPHARMACY SUSPENSE HOLD DATE [5D] ^ ^PSRX(D0,RTS,D1,IB)= (#13) IB NUMBER [1P:350] ^ (#14) COPAY EXCEEDING CAP [2P:354.71] ^ ^PSRX(D0,RTS,D1,PFS)= (#26) PFSS ACCOUNT REFERENCE [1P:375] ^ (#27) PFSS CHARGE ID [2N] ^ ^PSRX(D0,SAND)= (#301) CLOZAPINE DOSAGE (MG/DAY) [1N] ^ (#302) WBC RESULTS [2N] ^ (#303) DATE OF WBC TEST [3D] ^ (#304) ANC ==>RESULTS [4N] ^ ^PSRX(D0,SCH,0)=^52.038A^^ (#37.1) SCHEDULES ^PSRX(D0,SCH,D1,0)= (#.01) SCHEDULES [1F] ^ ^PSRX(D0,SIG)= (#10) SIG [1F] ^ (#10.1) OERR SIG [2S] ^ ^PSRX(D0,SIG1,0)=^52.04A^^ (#10.2) SIG1 ^PSRX(D0,SIG1,D1,0)= (#.01) SIG1 [1F] ^ ^PSRX(D0,STA)= (#100) STATUS [1S] ^ ^PSRX(D0,TIT)= (#45.1) TITRATION DOSE RX [1P:52] ^ (#45.2) MAINTENANCE DOSE RX [2P:52] ^ (#45.3) TITRATION RX FLAG [3S] ^ ^PSRX(D0,TN)= (#6.5) TRADE NAME [1F] ^ ^PSRX(D0,TPB)= (#201) TPB RX [1S] ^ ^PSRX(D0,TYPE)= (#110) TYPE OF RX [1N] ^ INPUT TEMPLATE(S): ^DIE(864)= PSO PARTIAL PRINT TEMPLATE(S): ^DIPT(1506)= PSO DRUG WARNINGS Compiled: ^PSOXWRN ^DIPT(1507)= PSO DRUG WARNINGS HEADER Compiled: ^PSOXWRH ^DIPT(467)= PSO HOLD ^DIPT(463)= PSO NARC LIST ^DIPT(1580)= PSO PARK SORT TEMPLATE(S): ^DIBT(908)= PSO DRUG WARNINGS Compiled: ^DISZ* ^DIBT(216)= PSO HOLD LIST ^DIBT(215)= PSO NARC LIST ^DIBT(943)= PSO PARK LIST ^DIBT(671)= PSOUPAT FORM(S)/BLOCK(S):