STANDARD DATA DICTIONARY #52.49 -- ERX HOLDING QUEUE FILE 3/24/25 PAGE 1
STORED IN ^PS(52.49, *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 7.0)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file holds the eRx prescriptions received from Change Healthcare.
DD ACCESS: @
RD ACCESS: Pp
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
POINTED TO BY: MESSAGE IEN field (#.01) of the MESSAGE HISTORY sub-field (#52.49201) of the ERX HOLDING QUEUE File (#52.49)
CROSS
REFERENCED BY: ERX HUB ID(B), ERX ORDER STATUS(C), VISTA PATIENT(D), OE/RR ORDER NUMBER(ORN), RELATES TO HUB ID(RTHID)
INDEXED BY: PHARMACY PRESCRIPTION NUMBER (ADRGVRX), MESSAGE DATE/TIME & ERX ORDER STATUS (AMSGDTSTS), EXTERNAL PATIENT
IDENTIFIER & VISTA PATIENT & PATIENT VALIDATED DATE/TIME (APATVPAT), EXTERNAL PROVIDER & VA MATCHED PROVIDER &
PROVIDER VALIDATED DATE/TIME (APRVVPRV), VISTA PATIENT & EXTERNAL PATIENT IDENTIFIER & MESSAGE DATE/TIME (AVPAT), VA
MATCHED PROVIDER & EXTERNAL PROVIDER & MESSAGE DATE/TIME (AVPRV), CH MESSAGE ID (CHVID), RELATED INSTITUTION & ERX
ORDER STATUS & MESSAGE DATE/TIME (E), RELATED INSTITUTION & MESSAGE DATE/TIME & EXTERNAL PATIENT IDENTIFIER (EPAT),
RELATED INSTITUTION & MESSAGE DATE/TIME & EXTERNAL PROVIDER (EPROV), RELATED INSTITUTION & MESSAGE DATE/TIME & ERX
ORDER STATUS (F), ERX HUB ID (FMID), RELATED INSTITUTION & MESSAGE DATE/TIME & MESSAGE TYPE (MTYPE), RELATED
INSTITUTION & ERX ORDER STATUS & EXTERNAL PATIENT IDENTIFIER & MESSAGE DATE/TIME (PAT), EXTERNAL PATIENT IDENTIFIER
& MESSAGE DATE/TIME (PAT2), RELATED OR PARENT MESSAGE ID (RTMID)
LAST MODIFIED: AUG 22,2024@15:17:35
52.49,.01 ERX HUB ID 0;1 NUMBER (Required)
eRx Hub Number
INPUT TRANSFORM: K:+X'=X!(X>99999999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: JUL 11, 2017
HELP-PROMPT: Enter the eRx processing hub identification number. Type a number between 1 and 99999999999999, 0
decimal digits.
DESCRIPTION:
This is the unique message identifier from the eRx processing hub.
CROSS-REFERENCE: 52.49^B
1)= S ^PS(52.49,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,"B",$E(X,1,30),DA)
FIELD INDEX: FMID (#1495) REGULAR IR LOOKUP & SORTING
Short Descr: This indexes the full message ID.
Description: This index provides access to the full message ID as received from the eRx processing hub.
Set Logic: S ^PS(52.49,"FMID",$E(X,1,50),DA)=""
Kill Logic: K ^PS(52.49,"FMID",$E(X,1,50),DA)
Whole Kill: K ^PS(52.49,"FMID")
X(1): ERX HUB ID (52.49,.01) (Subscr 1) (Len 50) (forwards)
52.49,.02 RELATED OR PARENT MESSAGE ID 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: JAN 16, 2018
HELP-PROMPT: Answer must be 3-35 characters in length.
DESCRIPTION: This is the message ID of any related or parent messages that may be associated with this eRx
Holding Queue message.
FIELD INDEX: RTMID (#1530) REGULAR IR LOOKUP & SORTING
Short Descr: Index for relates to message ID.
Description: This indexes the relates to message ID for quick retrieval of message linkage.
Set Logic: S ^PS(52.49,"RTMID",$E(X,1,35),DA)=""
Kill Logic: K ^PS(52.49,"RTMID",$E(X,1,35),DA)
Whole Kill: K ^PS(52.49,"RTMID")
X(1): RELATED OR PARENT MESSAGE ID (52.49,.02) (Subscr 1) (Len 35) (forwards)
52.49,.03 MESSAGE DATE/TIME 0;3 DATE (Required)
INPUT TRANSFORM: S %DT="ESTR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 05, 2023
HELP-PROMPT: Enter the Date/Time of the incoming ERX message.
DESCRIPTION:
This is the date/time that the incoming eRx message was added to the eRx Holding Queue file.
RECORD INDEXES: AMSGDTSTS (#320), AVPAT (#323), AVPRV (#324), E (#1493), EPAT (#16), EPROV (#17), F (#1494),
MTYPE (#207), PAT (#1496), PAT2 (#1529)
52.49,.04 EXTERNAL PATIENT IDENTIFIER 0;4 POINTER TO ERX EXTERNAL PATIENT FILE (#52.46)
LAST EDITED: JUN 28, 2018
HELP-PROMPT: Enter the patient associated with the incoming eRx.
DESCRIPTION:
This is the external patient identifier.
RECORD INDEXES: APATVPAT (#321), AVPAT (#323), EPAT (#16), PAT (#1496), PAT2 (#1529)
52.49,.05 VISTA PATIENT 0;5 POINTER TO PATIENT FILE (#2)
LAST EDITED: OCT 26, 2022
HELP-PROMPT: Enter the patient associated with this incoming eRx message.
DESCRIPTION:
This is the Vista linked patient. Pointer to file #2.
CROSS-REFERENCE: 52.49^D
1)= S ^PS(52.49,"D",$E(X,1,30),DA)=""
2)= K ^PS(52.49,"D",$E(X,1,30),DA)
This cross reference indexes the patient identifier with the erx holding queue entry.
RECORD INDEXES: APATVPAT (#321), AVPAT (#323)
52.49,.06 INSTITUTION 0;6 POINTER TO INSTITUTION FILE (#4) (Required)
LAST EDITED: AUG 29, 2016
HELP-PROMPT: Enter the Hospital location associated with this eRx prescription request.
DESCRIPTION:
The institution associated with this eRx request. Pointer to the INSTITUTION file (#4).
52.49,.07 PHARMACY SYSTEM 0;7 POINTER TO PHARMACY SYSTEM FILE (#59.7)
LAST EDITED: AUG 29, 2016
HELP-PROMPT: Enter the pharmacy system associated with this incoming eRx message.
DESCRIPTION:
This is the pharmacy system associated with the incoming eRx message.
52.49,.08 MESSAGE TYPE 0;8 SET
'RR' FOR RXRENEWALREQUEST;
'RE' FOR RXRENEWALRESPONSE;
'N' FOR NEWRX;
'CR' FOR RXCHANGEREQUEST;
'RXF' FOR RXFILL;
'IE' FOR INBOUND ERROR;
'OE' FOR OUTBOUND ERROR;
'CA' FOR CANCELRX;
'CN' FOR CANCELRXRESPONSE;
'CX' FOR RXCHANGERESPONSE;
LAST EDITED: MAR 23, 2020
HELP-PROMPT: Enter the message type associated with this incoming eRx message.
DESCRIPTION: This is the message type associated with this incoming eRx request (Change, Cancel, RxRenewal,
Partial Fill, etc).
RECORD INDEXES: MTYPE (#207)
52.49,.09 EXTERNAL/PROVIDER ORDER NUMBER 0;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<3) X
LAST EDITED: AUG 29, 2016
HELP-PROMPT: Enter the external/provider order number, if applicable. Answer must be 3-30 characters in length.
DESCRIPTION:
This is the external or provider order number associated with this incoming eRx message.
52.49,.1 VISTA PENDING OUTPATIENT ORDER 0;10 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999999999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JUN 26, 2017
HELP-PROMPT: Enter the vista pending outpatient order IEN. Type a number between 0 and 999999999999999, 0
decimal digits.
DESCRIPTION:
This is the associated Vista order as stored in the PENDING OUTPATIENT ORDERS file (#52.41).
52.49,.12 OE/RR ORDER NUMBER 0;11 POINTER TO ORDER FILE (#100)
LAST EDITED: APR 08, 2017
HELP-PROMPT: Enter the OE/RR Order number associated with the incoming eRx message.
DESCRIPTION: This is the OE/RR order number from the ORDERS file (#100) associated with this incoming eRx
message.
CROSS-REFERENCE: 52.49^ORN
1)= S ^PS(52.49,"ORN",$E(X,1,30),DA)=""
2)= K ^PS(52.49,"ORN",$E(X,1,30),DA)
This indexes the OE/RR order number to the eRx IEN.
52.49,.13 PHARMACY PRESCRIPTION NUMBER 0;12 POINTER TO PRESCRIPTION FILE (#52)
LAST EDITED: JUN 11, 2023
HELP-PROMPT: Enter the pharmacy Rx number.
DESCRIPTION:
This is the prescription file entry (#52) associated with this incoming eRx message.
FIELD INDEX: ADRGVRX (#318) MUMPS IR SORTING ONLY
Short Descr: Index by eRx Medication and VistA Rx.
Description: This cross-reference indexes a Hash Code generated specifically for the eRx Holding Queue record
along with the VistA prescription (pointer to file #52).
Set Logic: D SADRGVRX^PSOERUT(DA,X)
Kill Logic: D KADRGVRX^PSOERUT(DA,X)
Whole Kill: K ^PS(52.49,"ADRGVRX")
X(1): PHARMACY PRESCRIPTION NUMBER (52.49,.13) (forwards)
52.49,.14 RELATES TO HUB ID 0;14 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: APR 10, 2018
HELP-PROMPT: Enter the eRx related processing hub ID. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the eRx processing hub ID that is related to this message.
CROSS-REFERENCE: 52.49^RTHID
1)= S ^PS(52.49,"RTHID",$E(X,1,30),DA)=""
2)= K ^PS(52.49,"RTHID",$E(X,1,30),DA)
This index will create a linkage between eRx messages for new, requests, and response types.
52.49,1 ERX ORDER STATUS 1;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: JUL 26, 2017
HELP-PROMPT: Enter the ERX status appropriate for this eRx.
DESCRIPTION:
This is the status for the incoming eRx message.
CROSS-REFERENCE: 52.49^C
1)= S ^PS(52.49,"C",$E(X,1,30),DA)=""
2)= K ^PS(52.49,"C",$E(X,1,30),DA)
This index will is used to hold the Electronic Rx status. This will be used to look up entries by
status.
RECORD INDEXES: AMSGDTSTS (#320), E (#1493), F (#1494), PAT (#1496)
52.49,1.11 DRUG VALIDATED BY 1;11 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the person who manually validated the drug for the incoming eRx.
DESCRIPTION:
This is the person who manually validated the drug.
52.49,1.12 DRUG VALIDATED DATE/TIME 1;12 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the date/time the drug was validated.
DESCRIPTION:
The date/time of the manually validation of the drug for the eRx.
52.49,1.13 PATIENT VALIDATED BY 1;13 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the person who manually validated the patient.
DESCRIPTION:
This is the person who manually evaluated the patient for the incoming eRx.
52.49,1.14 PATIENT VALIDATED DATE/TIME 1;14 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the date/time the patient was validated.
DESCRIPTION:
The date/time the patient was manually validated.
RECORD INDEXES: APATVPAT (#321)
52.49,1.2 PROV STAT (AUTO MATCHING) 1;2 SET
'1' FOR MATCHED;
'0' FOR NOT MATCHED;
'2' FOR MATCHED/EDITED;
LAST EDITED: NOV 08, 2022
HELP-PROMPT: Enter the auto-matching status for the provider associated with the incoming eRx prescription
request.
DESCRIPTION: This is the auto-matching status for a provider associated with the incoming eRx prescription
request.
52.49,1.3 PROV STAT (MANUAL VALIDATION) 1;3 SET
'1' FOR VALIDATED;
'0' FOR NOT VALIDATED;
LAST EDITED: AUG 29, 2016
HELP-PROMPT: Enter the status for manual validation of the provider associated with this eRx prescription
request.
DESCRIPTION: This is the manual validation status of the provider associated with the incoming eRx prescription
request.
52.49,1.4 DRUG STAT (AUTO MATCHING) 1;4 SET
'1' FOR MATCHED;
'0' FOR NOT MATCHED;
'2' FOR MATCHED/EDITED;
LAST EDITED: NOV 08, 2022
HELP-PROMPT: Enter the auto-matching status for the drug associated with this eRx prescription request.
DESCRIPTION: This is the drug auto-matching status for the drug associated with this incoming eRx prescription
request.
52.49,1.5 DRUG STAT (MANUAL VALIDATION) 1;5 SET
'1' FOR VALIDATED;
'0' FOR NOT VALIDATED;
LAST EDITED: AUG 29, 2016
HELP-PROMPT: Enter the manual validation status for the drug associated with this incoming eRx prescription
request.
DESCRIPTION: This is the manual validation status for the drug associated with the incoming eRx prescription
request.
52.49,1.6 PATIENT STATUS (AUTO MATCHING) 1;6 SET
'1' FOR MATCHED;
'0' FOR NOT MATCHED;
'2' FOR MATCHED/EDITED;
LAST EDITED: NOV 08, 2022
HELP-PROMPT: This is the auto-matching status for the patient associated with this eRx prescription request.
DESCRIPTION: This is the drug auto-matching status for the patient associated with this incoming eRx
prescription request.
52.49,1.7 PATIENT STATUS (MANUAL VAL) 1;7 SET
'1' FOR VALIDATED;
'0' FOR NOT VALIDATED;
LAST EDITED: AUG 29, 2016
HELP-PROMPT: Enter the manual validation status for the patient associated with this incoming eRx prescription
request.
DESCRIPTION:
This is the manual validation status for the patient associated with the incoming eRx prescription.
52.49,1.8 PROVIDER VALIDATED BY 1;8 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the person who validated the provider for the incoming eRx.
DESCRIPTION:
This is the person who manually validated the provider for the eRx.
52.49,1.9 PROVIDER VALIDATED DATE/TIME 1;9 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the date/time the provider was validated.
DESCRIPTION:
This is the date/time the provider was validated.
RECORD INDEXES: APRVVPRV (#322)
52.49,2.1 EXTERNAL PROVIDER 2;1 POINTER TO ERX EXTERNAL PERSON FILE (#52.48)
LAST EDITED: MAY 24, 2018
HELP-PROMPT: Enter the name of the external provider for this eRx holding queue entry.
DESCRIPTION:
The external provider for this incoming prescription.
RECORD INDEXES: APRVVPRV (#322), AVPRV (#324), EPROV (#17)
52.49,2.2 EXTERNAL PHARMACIST 2;2 POINTER TO ERX EXTERNAL PERSON FILE (#52.48)
LAST EDITED: SEP 02, 2016
HELP-PROMPT: Enter the name of the external pharmacist associated with this erx holding queue entry.
DESCRIPTION:
This is the external pharmacist associated with the incoming prescription message.
52.49,2.3 VA MATCHED PROVIDER 2;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: DEC 16, 2022
HELP-PROMPT: Enter the VA provider associated with the eRx incoming message.
DESCRIPTION: The VA (matched) provider. This is the provider found in the NEW PERSON file which matches the
incoming provider information associated with the eRx message.
RECORD INDEXES: APRVVPRV (#322), AVPRV (#324)
52.49,2.4 TO/FROM QUALIFIER 2;4 SET
'P' FOR PHARMACY;
'C' FOR CLINIC;
'M' FOR MAILBOX;
'D' FOR PRESCRIBER;
'ZZZ' FOR MUTUALLY DEFINED;
LAST EDITED: SEP 02, 2016
HELP-PROMPT: Enter the to/from qualifier for this eRx incoming prescription message.
DESCRIPTION:
This is the to/from qualifier for the incoming eRx message.
52.49,2.5 ERX EXTERNAL PHARMACY 2;5 POINTER TO ERX EXTERNAL PHARMACY FILE (#52.47)
LAST EDITED: NOV 25, 2016
HELP-PROMPT: Enter the external pharmacy associated with this eRx prescription.
DESCRIPTION:
This is the external pharmacy associated with the incoming eRx.
52.49,2.6 ERX EXTERNAL SUPERVISOR 2;6 POINTER TO ERX EXTERNAL PERSON FILE (#52.48)
LAST EDITED: NOV 28, 2016
HELP-PROMPT: Enter the Supervisor associated with the incoming eRx prescription.
DESCRIPTION:
This is the supervisor associated with the incoming eRx prescription.
52.49,2.7 PROVIDER AUTO VALIDATED FLAG 2;7 SET (BOOLEAN Data Type)
LAST EDITED: NOV 08, 2022
HELP-PROMPT: Indicate whether the VistA Provider was auto-validated or not.
DESCRIPTION:
This field identifies whether the VistA Provider was auto-validated or not.
52.49,3.1 EXTERNAL DRUG/SUPPLY 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>125!($L(X)<1) X
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the name of the Drug or Supply item. Answer must be 1-125 characters in length.
DESCRIPTION:
This is the incoming drug/supply item for the eRx holding queue entry.
52.49,3.2 MATCHED DRUG/SUPPLY 3;2 POINTER TO DRUG FILE (#50)
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the drug/supply item that matches the external drug/supply item.
DESCRIPTION: This is the VA matched drug from the DRUG file (#50), that is the equivalent to the incoming
external drug/supply item passed in.
52.49,4.1 PRODUCT CODE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the Product code associated with the incoming eRx prescription. Answer must be 3-35
characters in length.
DESCRIPTION:
This is the incoming product code.
52.49,4.11 DRUG DB CODE QUALIFIER 4;10 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: APR 04, 2017
HELP-PROMPT: Enter the Drug DB Code Qualifier for this incoming Erx.
DESCRIPTION:
The drug db code qualifier for the incoming eRx.
52.49,4.2 PRODUCT CODE QUALIFIER 4;2 SET
'ND' FOR NATIONAL DRUG CODE (NDC);
'MF' FOR MANUFACTURER;
'UP' FOR UNIVERSAL PRODUCT CODE (UPC);
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the product code qualifier associated with the eRx product code.
DESCRIPTION:
This is the product code qualifier associated with the product code.
52.49,4.3 STRENGTH 4;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the strength associated with the drug/supply item. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the strength for the drug/supply item.
52.49,4.4 DRUG DB CODE 4;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Answer must be 3-35 characters in length.
DESCRIPTION:
This is the drug db code for the incoming eRx.
52.49,4.5 FORM SOURCE CODE 4;5 SET
'AA' FOR NCI PHARMACEUTICAL DOSAGE FORM;
'AB' FOR NCI UNITS OF PRESENTATION;
'AC' FOR NCI POTENCY UNIT;
LAST EDITED: FEB 14, 2017
HELP-PROMPT: Enter the Form Source code for this eRx prescription.
DESCRIPTION:
This is the form source code from the external source for the incoming eRx prescription.
52.49,4.6 FORM CODE 4;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<2) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the form code for the incoming eRx prescription. Answer must be 2-15 characters in length.
DESCRIPTION:
This is the incoming form code value from the external source for the incoming eRx prescription.
52.49,4.7 STRENGTH SOURCE CODE 4;7 SET
'AA' FOR NCI PHARMACEUTICAL DOSAGE FORM;
'AB' FOR NCI UNITS OF PRESENTATION;
'AC' FOR NCI POTENCY UNIT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the strength source code for the eRx drug/supply item.
DESCRIPTION:
The strength source code for the incoming eRx drug or supply item.
52.49,4.8 STRENGTH CODE 4;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<2) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the strength code for the drug/supply item. Answer must be 2-15 characters in length.
DESCRIPTION:
The strength code associated with the eRx drug/supply item.
52.49,4.9 DEA SCHEDULE 4;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the DEA schedule for this drug/supply item. Answer must be 1-15 characters in length.
DESCRIPTION:
This is the schedule for the eRx incoming prescription (drug/supply item).
52.49,5.1 QUANTITY 5;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999999)!(X<1)!(X?.E1"."6N.N) X
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the quantity for the eRx prescribed medication. Type a number between 1 and 99999999999, 5
decimal digits.
DESCRIPTION:
This is the quantity for the drug/supply item.
52.49,5.2 CODE LIST QUALIFIER 5;2 SET
'38' FOR ORIGINAL QUANTITY;
'40' FOR REMAINING QUANTITY;
'87' FOR QUANTITY RECEIVED;
'QS' FOR QUANTIFY SUFFICIENT;
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the code list qualifier for the incoming drug/supply item.
DESCRIPTION:
The code list qualifier for the incoming eRx drug/supply item.
52.49,5.3 UNIT SOURCE CODE 5;3 SET
'AA' FOR NCI PHARMACEUTICAL DOSAGE FORM;
'AB' FOR NCI UNITS OF PRESENTATION;
'AC' FOR NCI VALUES OF PROPERTY OR ;
'AC' FOR NCI POTENCY UNIT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the unit source code for this eRx drug/supply item.
DESCRIPTION:
The unit source value for the incoming eRx drug/supply item.
52.49,5.4 POTENCY UNIT CODE 5;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the potency unit code associated with the eRx drug/supply item. Answer must be 1-15
characters in length.
DESCRIPTION:
The potency unit code for the drug/supply item.
52.49,5.5 DAYS SUPPLY 5;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the days supply for this drug/supply item. Answer must be a number between 1 and 999, 0
decimal digits.
DESCRIPTION:
The days supply for the incoming eRx drug or supply item.
52.49,5.6 REFILLS 5;6 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>11)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the number of refills for the incoming eRx drug/supply item. Answer must be a number between
1 and 11, 0 decimal digits.
DESCRIPTION:
This is the number of refills for the incoming eRx prescription.
52.49,5.7 REFILL QUALIFIER 5;7 SET
'R' FOR NUMBER OF REFILLS;
'PRN' FOR AS NEEDED;
'P' FOR PHARMACY REQUESTED REFILLS;
'A' FOR ADDITIONAL REFILLS AUTHORIZED;
LAST EDITED: JAN 31, 2018
HELP-PROMPT: Enter the refill qualifier associated with the eRx prescription.
DESCRIPTION:
This is the refill qualifier associated with the eRx incoming prescription.
52.49,5.8 SUBSTITUTIONS 5;8 SET
'0' FOR NO PRODUCT SELECTION INDICATED;
'1' FOR SUBSTITUTION NOT ALLOWED BY PRESCRIBER;
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the substitution value, if applicable.
DESCRIPTION: Substitution definition, as needed. This holds the information regarding substitutions for a
drug/supply item.
52.49,5.9 WRITTEN DATE 5;9 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the date that the eRx prescription was written by the provider.
DESCRIPTION:
This is the date that the eRx incoming prescription was written by the provider.
52.49,6.1 LAST FILL DATE 6;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the last date the this eRx was filled.
DESCRIPTION:
This is the last fill date of the eRx prescription.
52.49,6.2 EXPIRATION DATE 6;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the expiration date for the eRx prescription.
DESCRIPTION:
The eRx prescription expiration date.
52.49,6.3 EFFECTIVE DATE 6;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the effective date for the eRx prescription.
DESCRIPTION:
The effective date of the eRx prescription.
52.49,6.4 PERIOD END 6;4 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the period end date and time.
DESCRIPTION:
The period end for the incoming eRx prescription.
52.49,6.5 DELIVERED ON DATE 6;5 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the date the prescription was delivered.
DESCRIPTION:
This is the delivery date of the eRx prescription.
52.49,6.6 DATE VALIDATED 6;6 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the date the prescription was validated.
DESCRIPTION:
This is the validation date of the eRx prescription.
52.49,6.7 FUTURE FILL HOLD DATE 6;7 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: APR 27, 2024
HELP-PROMPT: Enter the date in the future until when the eRx should be held.
DESCRIPTION:
This is the date until when the eRx should be held for a future fill.
52.49,7 DIRECTIONS 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>140!($L(X)<3) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the directions associated with this eRx prescription. Answer must be 3-140 characters in
length.
DESCRIPTION:
The directions for the eRx prescription.
52.49,8 NOTES 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>240!($L(X)<1) X
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the notes for this eRx prescription. Answer must be 1-240 characters in length.
DESCRIPTION:
The notes associated with the eRx prescription.
52.49,9 DIAGNOSIS 9;0 Multiple #52.499
DESCRIPTION:
The diagnosis values associated with the eRx patient/prescription.
52.499,.01 SEQUENCE 0;1 NUMBER (Required) (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the sequence number of this diagnosis. Type a number between 0 and 99, 0 decimal digits.
DESCRIPTION:
This is the sequence number of the incoming Diagnosis related to the eRx prescription/patient.
CROSS-REFERENCE: 52.499^B
1)= S ^PS(52.49,DA(1),9,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),9,"B",$E(X,1,30),DA)
52.499,.02 CLINICAL INFORMATION QUALIFIER 0;2 SET
'1' FOR PRESCRIBER/PRESCRIBER SUPPLIED;
'2' FOR PHARMACY INFERRED;
LAST EDITED: SEP 06, 2016
HELP-PROMPT: Enter the clinical information qualifier for this diagnosis.
DESCRIPTION:
The clinical qualifier for the supplied diagnosis.
52.499,.03 PRIMARY DX QUALIFIER 0;3 SET
'E' FOR MICROMEDEX/MEDICAL ECONOMICS;
'F' FOR FIRST DATABANK;
'M' FOR MEDI-SPAN PRODUCT LINE;
'ABF' FOR ICD-10-CM;
'DX' FOR ICD-9-CM;
'ICD9' FOR ICD9;
'ICD10' FOR ICD10;
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the diagnosis qualifier for the diagnosis.
DESCRIPTION:
The primary diagnosis qualifier for the eRx diagnosis.
52.499,.04 PRIMARY DX VALUE 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>17!($L(X)<1) X
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the primary diagnosis code/value. Answer must be 1-17 characters in length.
DESCRIPTION:
The diagnosis value associated with the primary qualifier.
52.499,.05 SECONDARY DX QUALIFIER 0;5 SET
'E' FOR MICROMEDEX/MEDICAL ECONOMICS;
'F' FOR FIRST DATABANK;
'M' FOR MEDI-SPAN PRODUCT LINE;
'ABF' FOR ICD-10-CM;
'DX' FOR ICD-9-CM;
'ICD9' FOR ICD9;
'ICD10' FOR ICD10;
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the diagnosis qualifier for the diagnosis.
DESCRIPTION:
The diagnosis qualifier associated with the secondary diagnosis.
52.499,.06 SECONDARY DX VALUE 0;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>17!($L(X)<1) X
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the secondary diagnosis code/value. Answer must be 1-17 characters in length.
DESCRIPTION:
This the the secondary diagnosis code/value.
52.49,10.2 PRIOR AUTHORIZATION 10;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the prior authorization value for the eRx prescription. Answer must be 3-35 characters in
length.
DESCRIPTION:
The prior authorization value for the eRx prescription.
52.49,10.3 PRIOR AUTHORIZATION QUALIFIER 10;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: MAR 10, 2017
HELP-PROMPT: Enter the prior authorization qualifier for the eRx prescription.
DESCRIPTION:
This is the prior authorization qualifier for the eRx prescription.
52.49,10.4 PRIOR AUTHORIZATION STATUS 10;4 SET
'A' FOR APPROVED;
'D' FOR DENIED;
'R' FOR REQUESTED;
'N' FOR NOT REQUIRED;
'F' FOR DEFERRED;
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the prior authorization status for the eRx authorization.
DESCRIPTION:
The prior authorization status for the eRx authorization.
52.49,10.5 DO NOT FILL 10;5 SET
'1' FOR YES;
'2' FOR EMERGENCY;
'3' FOR HOLD;
LAST EDITED: FEB 23, 2021
HELP-PROMPT: Enter the value for the do not fill field.
DESCRIPTION: 1 - Yes - Used for medications ordered by a prescriber not requiring dispensing, but available for
reference and drug-to-drug interaction checking. 2 - Emergency - Indicates that the prescription
should not be filled. This is a cover prescription for a previously called in emergency oral
prescription as necessary for a controlled substance. 3 - Hold - Used for medications ordered by a
prescriber but not requiring dispensing at this time.
52.49,10.6 NEEDED NO LATER THAN 10;6 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the date/time the prescription is needed by.
DESCRIPTION:
This is the date/time that the prescription is needed by.
52.49,10.7 TIMEZONE 10;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<3) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the time zone associated with the needed by value. Answer must be 3-10 characters in length.
DESCRIPTION:
This is the time zone associated with the needed by date/time.
52.49,10.8 TIME ZONE DIFFERENCE QUANTITY 10;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: JUL 11, 2017
HELP-PROMPT: Enter the time zone difference quantity associated with the needed by timezone value. Answer must
be 1-10 characters in length.
DESCRIPTION:
This is the time zone difference quantity related to the needed by time zone value.
52.49,10.9 NEEDED NO LATER THAN REASON 10;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<3) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the reason associated with the needed no later than value (date/time). Answer must be 3-70
characters in length.
DESCRIPTION:
Enter the reason for the needed by date/time.
52.49,11 STRUCTURED SIG 11;0 Multiple #52.4911 (Add New Entry without Asking)
DESCRIPTION:
This sub-file holds the structured SIG information from the incoming XML message.
52.4911,.01 SIG SEQUENCE POSITION NUMBER 0;1 NUMBER (Required)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 17, 2016
HELP-PROMPT: Enter the Sig sequence position number. Answer must be between 1 and 999, 0 decimal digits.
DESCRIPTION:
This is the Sig sequence position number.
52.4911,.02 MULTIPLE SIG MODIFIER 0;2 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR THEN;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the multiple sig modifier.
DESCRIPTION:
This is the multiple sig modifier for the structured sig.
52.4911,.03 SNOMED VERSION 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>14!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the SNOMED version. Answer must be 1-14 characters in length.
DESCRIPTION:
This is the SNOMED version associated with the structured SIG.
52.4911,.04 FMT VERSION 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>14!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the FMT version for the structured SIG. Answer must be 1-14 characters in length.
DESCRIPTION:
This is the FMT Version for the structured SIG.
52.4911,.05 FREE TEXT STRING INDICATOR 0;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>1!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the free text string indicator. Answer must be 1 character in length.
DESCRIPTION:
This is the free text string indicator for the SIG.
52.4911,1 SIG FREE TEXT 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>140!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the SIG free text for this incoming eRx message. Answer must be 1-140 characters in length.
DESCRIPTION:
This is the free text SIG for the incoming eRx.
52.4911,2.1 DOSE COMPOSITE INDICATOR 2;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose composite indicator for this eRx. Type a number between 1 and 4, 0 decimal digits.
DESCRIPTION:
This is the dose composite indicator for the incoming eRx SIG.
52.4911,2.2 DD METHOD TEXT 2;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the drug delivery method text. Answer must be 1-50 characters in length.
DESCRIPTION:
The dose delivery method text for the eRx.
52.4911,2.3 DD METHOD CODE QUALIFIER 2;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the dose delivery method code qualifier.
DESCRIPTION:
The dose delivery method code qualifier for the eRx SIG.
52.4911,2.4 DOSE DELIVERY METHOD CODE 2;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose delivery method code. Answer must be 1-15 characters in length.
DESCRIPTION:
The dose delivery method code for the eRx SIG.
52.4911,2.5 DD METHOD MODIFIER TEXT 2;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose delivery method modifier text. Answer must be 1-50 characters in length.
DESCRIPTION:
The dose delivery method modifier text for the eRx.
52.4911,2.6 DD METHOD MOD CODE 2;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose delivery method modifier code. Answer must be 1-15 characters in length.
DESCRIPTION:
The dose delivery method modifier code for the incoming eRx prescription.
52.4911,2.7 DD METHOD MOD CODE QUAL 2;7 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the dose delivery method modifier code qualifier for the incoming eRx prescription.
DESCRIPTION:
The dose delivery method modifier code qualifier for the incoming eRx prescription.
52.4911,3.1 DOSE QUANTITY 3;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose quantity. Type a number between 1 and 9999999999, 0 decimal digits.
DESCRIPTION:
The dose quantity for the incoming eRx prescription.
52.4911,3.2 DOSE FORM TEXT 3;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose form text. Answer must be 1-50 characters in length.
DESCRIPTION:
The dose form text for the incoming eRx prescription.
52.4911,3.3 DOSE FORM CODE 3;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose for code for the eRx. Answer must be 1-15 characters in length.
DESCRIPTION:
The dose form code for the incoming eRx.
52.4911,3.4 DOSE FORM CODE QUALIFIER 3;4 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the dose form code qualifier for this eRx prescription.
DESCRIPTION:
The dose form code qualifier for the incoming eRx prescription.
52.4911,3.5 DOSE RANGE MODIFIER 3;5 SET
'T' FOR TO;
'O' FOR OR;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose range modifier for this eRx prescription.
DESCRIPTION:
The dose range modifier for the incoming eRx prescription.
52.4911,4.1 DC BASIS NUMERIC VALUE 4;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dosing basis numeric value for this eRx. Type a number between 1 and 9999999999, 0
decimal digits.
DESCRIPTION:
The dose calculation - dosing basis numeric value for the eRx prescription.
52.4911,4.11 DC CALC DOSE UM CODE QUALIFIER 4;10 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the dose calculation calculated dose unit of measure code qualifier for the incoming eRx
prescription.
DESCRIPTION: This is the dose calculation - calculated dose unit of measure code qualifier for the incoming
eRx prescription.
52.4911,4.12 DC CALC DOSING BASIS RANGE MOD 4;11 SET
'T' FOR TO;
'O' FOR OR;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose calculation dosing basis range modifier for this incoming eRx prescription.
DESCRIPTION:
This is the dose calculation - dosing basis range modifier for the incoming eRx prescription.
52.4911,4.2 DC DOSING UM TEXT 4;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dosing basis unit of measure text for this eRx. Answer must be 1-50 characters in
length.
DESCRIPTION: This is the dose calculation - dosing basis unit of measure text for the incoming eRx
prescription.
52.4911,4.3 DC DOSING UM CODE 4;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose calculation dosing basis unit of measure code for this eRx prescription. Answer
must be 1-15 characters in length.
DESCRIPTION:
The dose calculation - dosing basis unit of measure code for the incoming eRx prescription.
52.4911,4.4 DC DOSING UM CODE MODIFIER 4;4 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the dose calculation dosing basis unit of measure code qualifier for this eRx prescription.
DESCRIPTION: This is the dose calculation - dosing basis unit of measure code qualifier for the incoming eRx
prescription.
52.4911,4.5 DC BODY METRIC QUALIFIER 4;5 SET
'1' FOR KILOGRAM;
'2' FOR METER SQUARED;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the body metric qualifier for the incoming eRx prescription.
DESCRIPTION:
This is the dose calculation - body metric qualifier for the incoming eRx prescription.
52.4911,4.6 DC BODY METRIC VALUE 4;6 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose calculation body metric value. Type a number between 0 and 9999999999, 0 decimal
digits.
DESCRIPTION:
This is the dose calculation - body metric value for the incoming eRx prescription.
52.4911,4.7 DC CALC DOSE NUMERIC 4;7 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose calculation calculated dose numeric for this incoming eRx prescription. Type a
number between 0 and 9999999999, 0 decimal digits.
DESCRIPTION:
This is the dose calculation - calculated dose numeric for the incoming eRx prescription.
52.4911,4.8 DC CALC DOSE UM TEXT 4;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose calculation calculated dose unit of measure text. Answer must be 1-50 characters
in length.
DESCRIPTION: This is the dose calculation - calculated dose unit of measure text for the incoming eRx
prescription.
52.4911,4.9 DC CALC DOSE UM CODE 4;9 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose calculation calculated dose unit of measure code. Answer must be 1-15 characters
in length.
DESCRIPTION: This is the dose calculation - calculated dose unit of measure code for the incoming eRx
prescription.
52.4911,5.1 VEHICLE NAME 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose vehicle name for this incoming eRx prescription. Answer must be 1-50 characters in
length.
DESCRIPTION:
This is the dose - vehicle name for the incoming eRx prescription.
52.4911,5.2 VEHICLE NAME CODE 5;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose vehicle name code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the vehicle name code for the incoming eRx prescription.
52.4911,5.3 VEHICLE NAME CODE QUALIFIER 5;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the vehicle name code qualifier for this incoming eRx prescription.
DESCRIPTION:
This is the dose vehicle name code qualifier for the incoming eRx prescription.
52.4911,5.4 VEHICLE QUANTITY 5;4 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose vehicle quantity for the incoming eRx prescription. Type a number between 0 and
9999999999, 0 decimal digits.
DESCRIPTION:
The dose - vehicle quantity for the incoming eRx prescription.
52.4911,5.5 VEHICLE UNIT OF MEASURE TEXT 5;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the dose - vehicle unit of measure text for the incoming eRx prescription. Answer must be
1-50 characters in length.
DESCRIPTION:
The dose - vehicle unit of measure text for the incoming eRx prescription.
52.4911,5.6 VEHICLE UNIT OF MEASURE CODE 5;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the vehicle unit of measure code for this incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the vehicl unit of measure code for the incoming eRx prescription.
52.4911,5.7 VEHICLE UM CODE QUALIFIER 5;7 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the vehicle unit of measure code qualifier for the incoming eRx prescription.
DESCRIPTION:
The vehicle unit of measure code qualifier for the incoming eRx prescription.
52.4911,5.8 MULTIPLE VEHICLE MODIFIER 5;8 SET
'A' FOR AND;
'O' FOR OR;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the multiple vehicle modifier for this incoming eRx prescription.
DESCRIPTION:
The multiple vehicle modifier for the incoming eRx prescription.
52.4911,6.1 ROUTE ADMIN TEXT 6;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the route of administration text for this incoming eRx prescription. Answer must be 1-50
characters in length.
DESCRIPTION:
This is the route of administration text for the incoming eRx prescription.
52.4911,6.2 ROUTE ADMIN CODE 6;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the route of administration code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the route of administration code for the incoming eRx prescription.
52.4911,6.3 ROUTE ADMIN CODE QUALIFIER 6;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the route of administration code qualifier for the incoming eRx prescription.
DESCRIPTION:
This is the route of administration code qualifier for the incoming eRx prescription.
52.4911,6.4 MULT ROUTE ADMIN MODIFIER 6;4 SET
'A' FOR AND;
'O' FOR OR;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the multiple route of administration modifier for the incoming eRx prescription.
DESCRIPTION:
This is the multiple route of administration modifier for the incoming eRx prescription.
52.4911,6.5 SITE ADMIN TEXT 6;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the site of administration text for the incoming eRx prescription. Answer must be 1-50
characters in length.
DESCRIPTION:
This is the site of administration text for the incoming eRx prescription.
52.4911,6.6 SITE ADMIN CODE 6;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the site of administration code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the site of administration code for the incoming eRx prescription.
52.4911,6.7 SITE ADMIN CODE QUALIFIER 6;7 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the site of administration code qualifier for the incoming eRx prescription.
DESCRIPTION:
This is the site of administration code qualifier for the incoming eRx prescription.
52.4911,6.8 MULT ADMIN TIMING MODIFIER 6;8 SET
'A' FOR AND;
'O' FOR OR;
'N' FOR NOT;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the multiple administration timing modifier for the incoming eRx prescription.
DESCRIPTION:
This is the multiple administration timing modifier for the incoming eRx prescription.
52.4911,7.1 ADMIN TIMING TEXT 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the administration timing text for the incoming eRx prescription. Answer must be 1-50
characters in length.
DESCRIPTION:
This is the administration timing text for the incoming eRx prescription.
52.4911,7.2 ADMIN TIMING CODE 7;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the administration timing code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the administration timing code for the incoming eRx prescription.
52.4911,7.3 ADMIN TIMING CODE QUALIFIER 7;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the administration timing code qualifier for the incoming eRx prescription.
DESCRIPTION:
This is the administration timing code qualifier for the incoming eRx prescription.
52.4911,7.4 MULTIPLE ADMIN TIMING MODIFIER 7;4 SET
'A' FOR AND;
'O' FOR OR;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the multiple administration timing modifier for the incoming eRx prescription.
DESCRIPTION:
This is the multiple administration timing modifier for the incoming eRx prescription.
52.4911,7.5 RATE OF ADMINISTRATION 7;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>11!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the rate of administration for this incoming eRx prescription. Answer must be 1-11
characters in length.
DESCRIPTION:
The rate of administration for the incoming eRx prescription.
52.4911,7.6 RATE UNIT MEASURE TEXT 7;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the rate unit of measure text for the incoming eRx prescription. Answer must be 1-50
characters in length.
DESCRIPTION:
This is the rate unit of measure text for the incoming eRx prescription.
52.4911,7.7 RATE UNIT MEASURE CODE 7;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the rate unit of measure code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the rate unit of measure code for the incoming eRx prescription.
52.4911,7.8 RATE UNIT OF MEASURE CODE QUAL 7;8 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the rate unit of measure code qualifier for the incoming eRx prescription.
DESCRIPTION:
This is the rate unit of measure code qualifier for the incoming eRx prescription.
52.4911,8.1 TP BASIS TEXT 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the time period basis text for the incoming eRx prescription. Answer must be 1-50
characters in length.
DESCRIPTION:
This is the time period basis text for the incoming eRx prescription.
52.4911,8.2 TP BASIS CODE 8;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the time period basis code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
This is the time period basis code for the incoming eRx prescription.
52.4911,8.3 TB BASIS CODE QUALIFIER 8;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the time period basis code qualifier for the incoming eRx prescription.
DESCRIPTION:
This is the time period basis code qualifier for the incoming eRx prescription.
52.4911,8.4 FREQ NUMERIC VALUE 8;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>11!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the frequency numeric value for the incoming eRx prescription. Answer must be 1-11
characters in length.
DESCRIPTION:
The frequency numeric value for the incoming eRx prescription.
52.4911,8.5 FREQ UNITS TEXT 8;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the frequency units text for the incoming eRx prescription. Answer must be 1-50 characters
in length.
DESCRIPTION:
The frequency units text for the incoming eRx prescription.
52.4911,8.6 FREQ UNITS CODE 8;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the frequency units code for the incoming eRx prescription. Answer must be 1-15 characters
in length.
DESCRIPTION:
The frequency units code for the incoming eRx prescription.
52.4911,8.7 FREQ UNITS CODE QUALIFIER 8;7 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the frequency units code qualifier for the incoming eRx prescription.
DESCRIPTION:
The frequency units code qualifier for the incoming eRx prescription.
52.4911,8.8 VARIABLE FREQ MODIFIER 8;8 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the variable frequency modifier for the incoming eRx prescription.
DESCRIPTION:
The variable frequency modifier for the incoming eRx prescription.
52.4911,9.1 INTERVAL NUMERIC VALUE 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>18!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the interval numeric value for this incoming eRx prescription. Answer must be 1-18
characters in length.
DESCRIPTION:
The interval numeric value for the incoming eRx prescription.
52.4911,9.2 INTERVAL UNITS TEXT 9;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the interval units text for the incoming eRx prescription. Answer must be 1-50 characters
in length.
DESCRIPTION:
The interval units text for the incoming eRx prescription.
52.4911,9.3 INTERVAL UNITS CODE 9;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the interval units code for the incoming eRx prescription. Answer must be 1-15 characters
in length.
DESCRIPTION:
The interval units code for the incoming eRx prescription.
52.4911,9.4 INTERVAL UNITS CODE QUAL 9;4 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the interval units code qualifier for the incoming eRx prescription.
DESCRIPTION:
The interval units code qualifier for the incoming eRx prescription.
52.4911,9.5 VARIABLE INTERVAL MODIFIER 9;5 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the variable interval modifier for the incoming eRx prescription.
DESCRIPTION:
The variable interval modifier for the incoming eRx prescription.
52.4911,9.6 DUR NUMERIC VALUE 9;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>11!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the duration numeric value for the incoming eRx prescription. Answer must be 1-11
characters in length.
DESCRIPTION:
The duration numeric value for the incoming eRx prescription.
52.4911,9.7 DUR TEXT 9;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the duration text for the incoming eRx prescription. Answer must be 1-50 characters in
length.
DESCRIPTION:
The duration text for the incoming eRx prescription.
52.4911,9.8 DUR TEXT CODE 9;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the duration text code for the incoming eRx prescription. Answer must be 1-15 characters in
length.
DESCRIPTION:
The duration text code for the incoming eRx prescription.
52.4911,9.9 DUR TEXT CODE QUALIFIER 9;9 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the duration text code qualifier for the incoming eRx prescription.
DESCRIPTION:
The duration text code qualifier for the incoming eRx prescription.
52.4911,10.1 MDR NUMERIC VALUE 10;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction numeric value. Type a number between 0 and 9999999999, 0
decimal digits.
DESCRIPTION:
The maximum dose restriction numeric value for the incoming eRx prescription.
52.4911,10.2 MDR UNITS TEXT 10;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction units text. Answer must be 1-50 characters in length.
DESCRIPTION:
The maximum dose restriction units text for the incoming eRx prescription.
52.4911,10.3 MDR CODE QUALIFIER 10;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the maximum dose restriction code qualifier for the incoming eRx prescription.
DESCRIPTION:
The maximum dose restriction code qualifier for the incoming eRx prescription.
52.4911,10.4 MDR UNITS CODE 10;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction units code for the incoming eRx prescription. Answer must be
1-15 characters in length.
DESCRIPTION:
The maximum dose restriction units code for the incoming eRx prescription.
52.4911,10.5 MDR VAR NUMERIC VALUE 10;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction variable numeric value for the incoming eRx prescription. Type
a number between 0 and 9999999999, 0 decimal digits.
DESCRIPTION:
The maximum dose restriction variable numeric value for the incoming eRx prescription.
52.4911,10.6 MDR VAR UNITS TEXT 10;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction variable units text for the incoming eRx prescription. Answer
must be 1-50 characters in length.
DESCRIPTION:
The maximum dose restriction variable units text for the incoming eRx prescription.
52.4911,10.7 MDR VARIABLE UNITS CODE 10;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction variable units code for the incoming eRx prescription. Answer
must be 1-15 characters in length.
DESCRIPTION:
The maximum dose restriction variable units code for the incoming eRx prescription.
52.4911,10.8 MDR VAR UNITS CODE QUALIFIER 10;8 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the maximum dose restriction variable units code qualifier for the incoming eRx
prescription.
DESCRIPTION:
The maximum dose restriction variable units code qualifier for the incoming eRx prescription.
52.4911,10.9 MDR VAR DURATION MODIFIER 10;9 SET
'A' FOR AND;
'O' FOR OR;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the maximum dose restriction variable duration modifier for the incoming eRx prescription.
DESCRIPTION:
The maximum dose restriction variable duration modifier for the incoming eRx prescription.
52.4911,11.1 IP TEXT 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication precursor text for the incoming eRx prescription. Answer must be 1-50
characters in length.
DESCRIPTION:
The indication precursor text for the incoming eRx prescription.
52.4911,11.2 IP CODE 11;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication precursor code for the incoming eRx prescription. Answer must be 1-15
characters in length.
DESCRIPTION:
The indication precursor code for the incoming eRx prescription.
52.4911,11.3 IP CODE QUALIFIER 11;3 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the indication precursor code qualifier for the incoming eRx prescription.
DESCRIPTION:
The indication precursor code qualifier for the incoming eRx prescription.
52.4911,11.4 INDICATION TEXT 11;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication text for the incoming eRx prescription. Answer must be 1-50 characters in
length.
DESCRIPTION:
The indication text for the incoming eRx prescription.
52.4911,11.5 INDICATION TEXT CODE 11;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication text code for the incoming eRx prescription. Answer must be 1-15 characters
in length.
DESCRIPTION:
The indication text code for the incoming eRx prescription.
52.4911,11.6 INDICATION TEXT CODE QUALIFIER 11;6 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the indication text code qualifier for the incoming eRx prescription.
DESCRIPTION:
The indication text code qualifier for the incoming eRx prescription.
52.4911,12.1 INDICATION VALUE TEXT 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication value text for the incoming eRx prescription. Answer must be 1-50 characters
in length.
DESCRIPTION:
The indication value text for the incoming eRx prescription.
52.4911,12.2 INDICATION VALUE UNIT 12;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication value unit for the incoming eRx prescription. Type a number between 0 and
9999999999, 0 decimal digits.
DESCRIPTION:
The indication value unit for the incoming eRx prescription.
52.4911,12.3 IV UNIT OF MEASURE TEXT 12;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication value unit of measure text for the incoming eRx prescription. Answer must be
1-50 characters in length.
DESCRIPTION:
The indication value unit of measure text for the incoming eRx prescription.
52.4911,12.4 IV UNIT OF MEAURE CODE 12;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication value unit of measure code for the incoming eRx prescription. Answer must be
1-15 characters in length.
DESCRIPTION:
The indication value unit of measure code for the incoming eRx prescription.
52.4911,12.5 IV UNIT OF MEASURE CODE QUAL 12;5 SET
'1' FOR SNOMED;
'2' FOR FMT;
LAST EDITED: FEB 13, 2017
HELP-PROMPT: Enter the indication value unit of measure code qualifier for the incoming eRx prescription.
DESCRIPTION:
The indication value unit of measure code qualifier for the incoming eRx prescription.
52.4911,12.6 INDICATION VARIABLE MODIFIER 12;6 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the indication variable modifier for the incoming eRx prescription.
DESCRIPTION:
The indication variable modifier for the incoming eRx prescription.
52.4911,12.7 STOP INDICATOR 12;7 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: OCT 18, 2016
HELP-PROMPT: Enter the stop indicator for the incoming eRx prescription.
DESCRIPTION:
The stop indicator for the incoming eRx prescription.
52.49,12 ORDER CHECKS 12;0 Multiple #52.4912 (Add New Entry without Asking)
DESCRIPTION:
This multiple contains the order check information.
52.4912,.01 ORDER CHECK NARRATIVE 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>245!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the order check narrative. Answer must be 1-245 characters in length.
DESCRIPTION:
This is the text which describes the order check.
CROSS-REFERENCE: 52.4912^B
1)= S ^PS(52.49,DA(1),12,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),12,"B",$E(X,1,30),DA)
52.4912,1 OVERRIDING PROVIDER 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>45!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the overriding provider. Answer must be 1-45 characters in length.
DESCRIPTION:
This is the provider that has seen the order check.
52.4912,2 OVERRIDING REASON 2;0 WORD-PROCESSING #52.49122 (IGNORE "|")
DESCRIPTION:
This is the over-riding reason of the order check for this eRx prescription.
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the overriding reason. Word processing.
DESCRIPTION:
This is the reason given by the provider to override the order check.
52.49,13.1 PATIENT FACILITY UNIT 13;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the patient location facility unit. Answer must be 1-35 characters in length.
DESCRIPTION:
This the patient location facility unit associated with the incoming eRx prescription.
52.49,13.2 BED 13;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the bed the patient is in. Answer must be 1-10 characters in length.
DESCRIPTION:
The physical bed that the patient is occupying.
52.49,13.3 ROOM 13;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the room where the patient is located. Answer must be 1-10 characters in length.
DESCRIPTION:
The room where the patient is physically located.
52.49,14 OBSERVATION 14;0 Multiple #52.4914 (Add New Entry without Asking)
DESCRIPTION:
This is the observation multiple that holds all observations received for an eRx prescription.
52.4914,.01 SEQUENCE 0;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>10)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the sequence number for the observation measurement. Type a number between 1 and 10, 0
decimal digits.
DESCRIPTION: This is the sequence number associated with the observation measurement of the incoming eRx
prescription.
CROSS-REFERENCE: 52.4914^B
1)= S ^PS(52.49,DA(1),14,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),14,"B",$E(X,1,30),DA)
52.4914,.02 DIMENSION 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>4!($L(X)<2) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the dimension for this observation. Answer must be 2-4 characters in length.
DESCRIPTION:
This is the dimension associated with an observation for the eRx prescription.
52.4914,.03 VALUE 0;3 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the value associated with the current observation. Type a number between 0 and 999999999, 0
decimal digits.
DESCRIPTION:
The value for the current observation of the eRx prescription.
52.4914,.04 OBSERVATION DATE 0;4 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the date/time for the observation.
DESCRIPTION:
The date time the observation was made for the current observation.
52.4914,.05 MEASURMENT DATA QUALIFIER 0;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>4)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the measurement data qualifier for the current observation. Type a number between 1 and 4,
0 decimal digits.
DESCRIPTION:
This is the measurement data qualifier for the observation of the eRx prescription.
52.4914,.06 MEASUREMENT SOURCE CODE 0;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<2) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the measurement source code associated with the eRx observation. Answer must be 2
characters in length.
DESCRIPTION:
The measurement source code for the current observation of the eRx prescription.
52.4914,.07 MEASUREMENT UNIT CODE 0;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the measurement unit code for the current observation. Answer must be 1-15 characters in
length.
DESCRIPTION: This is the measurement unit code associated with the current observation of the eRx
prescription.
52.49,15 OBSERVATION NOTES 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>140!($L(X)<1) X
LAST EDITED: OCT 19, 2016
HELP-PROMPT: Enter the observation notes associated with the incoming eRx prescription. Answer must be 1-140
characters in length.
DESCRIPTION:
The observation notes associated with the eRx prescription.
52.49,16 DRUG USE EVALUATION 16;0 POINTER Multiple #52.4916 (Add New Entry without Asking)
DESCRIPTION:
This sub-file holds the drug use evaluation information for an incoming eRx prescription.
52.4916,.01 SERVICE REASON CODE 0;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the Drug Use Evaluation Service Reason Code.
DESCRIPTION:
The service reason code associated with this drug use evaluation entry.
CROSS-REFERENCE: 52.4916^B
1)= S ^PS(52.49,DA(1),16,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),16,"B",$E(X,1,30),DA)
52.4916,.02 PROFESSIONAL SERVICE CODE 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the professional service code.
DESCRIPTION:
This is the professional service code associated with this drug use evaluation entry.
52.4916,.03 SERVICE RESULT CODE 0;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the service result code.
DESCRIPTION:
The service result code associated with this drug use evaluation entry.
52.4916,.04 COAGENT ID 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>19!($L(X)<1) X
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the Co-agent ID for this drug use evaluation. Answer must be 1-19 characters in length.
DESCRIPTION:
This is the co-agent ID for the drug use evaluation entry.
52.4916,.05 COAGENT QUALIFIER 0;5 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the Co-agent qualifier associated with the co-agent ID.
DESCRIPTION:
This is the co-agent qualifier for the co-agent ID.
52.4916,.06 CLINICAL SIGNIFICANCE CODE 0;6 SET
'1' FOR MAJOR;
'2' FOR MODERATE;
'3' FOR MINOR;
'9' FOR TBD**;
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the clinical significance code for this drug use evaluation entry.
DESCRIPTION:
This is the clinical significance code associated with the drug use evaluation entry.
52.4916,1 ACKNOWLEDGEMENT REASON 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
LAST EDITED: FEB 11, 2017
HELP-PROMPT: Enter the Acknowledgement reason for this drug use evaluation. Answer must be 1-100 characters in
length.
DESCRIPTION:
The acknowledgement reason for this drug use evaluation.
52.49,17.1 EXTERNAL PHARMACY 17;1 POINTER TO ERX EXTERNAL PHARMACY FILE (#52.47)
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the external pharmacy that sent the incoming eRx prescription.
DESCRIPTION:
This is the external pharmacy that sent the eRx prescription to the VA.
52.49,17.2 EXTERNAL PHARMACIST 17;2 POINTER TO ERX EXTERNAL PERSON FILE (#52.48)
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the external pharmacist or person who sent the prescription to the VA.
DESCRIPTION:
This is the external pharmacist associated with the incoming eRx prescription.
52.49,17.3 TRANSFERRED TO VA PHARMACY 17;3 POINTER TO INSTITUTION FILE (#4)
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the VA institution where the prescription was transferred.
DESCRIPTION:
The external VA institution where the prescription was transferred.
52.49,17.4 XFER TO EXTERNAL PHARMACY 17;4 POINTER TO ERX EXTERNAL PHARMACY FILE (#52.47)
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the external pharmacy to where this eRx was transferred.
DESCRIPTION:
This is the external pharmacy to where the eRx prescription was transferred.
52.49,18 PAYER INFORMATION 18;0 Multiple #52.4918 (Add New Entry without Asking)
DESCRIPTION:
The payer/cardholder information for the associated eRx prescription.
52.4918,.01 SEQUENCE 0;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: SEP 01, 2017
HELP-PROMPT: Enter the sequence/entry number for this erx payer record. Type a number between 0 and 999, 0
decimal digits.
DESCRIPTION:
This is the sequence number for this payer/benefits coordination entry.
CROSS-REFERENCE: 52.4918^B
1)= S ^PS(52.49,DA(1),18,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),18,"B",$E(X,1,30),DA)
52.4918,.02 GROUP ID 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the group ID. Answer must be 1-35 characters in length.
DESCRIPTION:
The Group ID for the payer/cardholder.
52.4918,.03 PAYER NAME 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>135!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the payer/cardholder name. Answer must be 1-135 characters in length.
DESCRIPTION:
Payer/Cardholder full name.
52.4918,.04 PAYER IDENTIFICATION NUMBER 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: NOV 07, 2016
HELP-PROMPT: Enter the payer identification value. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the payer identification value/ payer ID.
52.4918,1 LAST NAME 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the last name of the payer/cardholder. Answer must be 1-35 characters in length.
DESCRIPTION:
Payer last name.
52.4918,2 FIRST NAME 1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the first name of the payer/cardholder. Answer must be 1-35 characters in length.
DESCRIPTION:
Payer first name.
52.4918,3 PAYER MIDDLE NAME 1;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the middle name of the payer. Answer must be 1-35 characters in length.
DESCRIPTION:
Payer middle name.
52.4918,4 PAYER SUFFIX 1;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the suffix of the payer/cardholder. Answer must be 1-10 characters in length.
DESCRIPTION:
Payer suffix.
52.4918,5 PAYER PREFIX 1;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: SEP 07, 2016
HELP-PROMPT: Enter the prefix of the payer/cardholder. Answer must be 1-10 characters in length.
DESCRIPTION:
Payer prefix.
52.4918,6 IDENTIFICATION 6;0 Multiple #52.49186 (Add New Entry without Asking)
DESCRIPTION:
This sub-file holds the payer identification information associated with an eRx prescription.
52.49186,.01 ID TYPE 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: MAR 07, 2017
HELP-PROMPT: Enter the identification type. Answer must be 1-50 characters in length.
DESCRIPTION:
This is the identification type for the payer.
CROSS-REFERENCE: 52.49186^B
1)= S ^PS(52.49,DA(2),18,DA(1),6,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),18,DA(1),6,"B",$E(X,1,30),DA)
52.49186,.02 ID VALUE 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: MAR 07, 2017
HELP-PROMPT: Enter the identification value. Answer must be 1-35 characters in length.
DESCRIPTION:
The value associated with the identification type.
52.4918,7 CARDHOLDER ID 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: SEP 01, 2017
HELP-PROMPT: Enter the card holder ID. Answer must be 1-35 characters in length.
DESCRIPTION:
The card holder/payer identification number.
52.49,19 STATUS HISTORY 19;0 DATE Multiple #52.4919 (Add New Entry without Asking)
DESCRIPTION:
This multiple tracks the status changes that have occurred for an eRx.
52.4919,.01 STATUS DATE/TIME 0;1 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: FEB 19, 2017
HELP-PROMPT: Enter the date/time of the status change.
DESCRIPTION:
The date of the status change that occurred on this eRx.
CROSS-REFERENCE: 52.4919^B
1)= S ^PS(52.49,DA(1),19,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),19,"B",$E(X,1,30),DA)
52.4919,.02 STATUS 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: FEB 19, 2017
HELP-PROMPT: Enter the eRx status.
DESCRIPTION:
This is the eRx status that was identified by the user.
52.4919,.03 ENTERED BY 0;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: FEB 19, 2017
HELP-PROMPT: Select the user who entered this status for the eRx.
DESCRIPTION:
This is the person that set the status for this eRx.
52.4919,.04 UN-ACCEPTED ERX FLAG 0;4 SET (BOOLEAN Data Type)
LAST EDITED: JUN 25, 2021
DESCRIPTION: This is an indicator to identify if the eRx status changed because the eRx was un-accepted from
the Pending Queue or not.
52.4919,.05 FUTURE FILL HOLD DATE 0;5 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:X<1 X
LAST EDITED: APR 28, 2024
HELP-PROMPT: Enter the date in the future until when the eRx should be held.
DESCRIPTION:
This is the future fill date the eRx was held for.
52.4919,1 STATUS COMMENTS 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>200!($L(X)<1) X
LAST EDITED: FEB 19, 2017
HELP-PROMPT: Enter the comments associated with this eRx status change. Answer must be 1-200 characters in
length.
DESCRIPTION: The comments associated with an eRx status change. This will generally only be used for 'hold'
type status values.
52.49,20 AUDIT LOG AUD;0 DATE Multiple #52.492
DESCRIPTION: This multiple works as an audit log to capture data related to changes made to VistA Patient,
Provider and Drug/Sig in a Holding Queue record, either by auto-matching or manually.
52.492,.01 EDIT DATE/TIME 0;1 DATE
INPUT TRANSFORM: S %DT="ESTXR" D ^%DT S X=Y K:X<1 X
LAST EDITED: FEB 23, 2021
HELP-PROMPT: Enter the date/time the field was edited.
DESCRIPTION:
This is the date/time the audited field was edited.
CROSS-REFERENCE: 52.492^B
1)= S ^PS(52.49,DA(1),"AUD","B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),"AUD","B",$E(X,1,30),DA)
52.492,.02 FIELD NAME 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<3) X
MAXIMUM LENGTH: 50
LAST EDITED: FEB 23, 2021
HELP-PROMPT: Answer must be 3-50 characters in length.
DESCRIPTION:
This is the name of the field that was edited.
52.492,.03 EDITED BY 0;3 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: FEB 23, 2021
HELP-PROMPT: Enter the person who made the edit to the field.
DESCRIPTION:
This is the person or proxy name that edited the field. Pointer to the NEW PERSON (#200) file.
52.492,.04 NEW VALUE VAL;0 WORD-PROCESSING #52.492001 (IGNORE "|")
LAST EDITED: NOV 04, 2020
DESCRIPTION:
This is the new value to which the field was changed.
LAST EDITED: NOV 04, 2020
HELP-PROMPT: This is the new value set to the field.
52.49,20.1 VISTA QUANTITY 20;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<0)!(X?.E1"."3N.N) X
LAST EDITED: AUG 28, 2017
HELP-PROMPT: Enter a whole number between 0 and 99999999 inclusive. Alpha characters are not allowed, and the
entry cannot exceed 11 characters, or contain more than two fractional decimal places (i.e.; .01).
DESCRIPTION: This is the Vista quantity for the eRx prescription. This is the quantity needed for a prescription
in Vista.
52.49,20.2 VISTA DAYS SUPPLY 20;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>365)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: AUG 26, 2017
HELP-PROMPT: Enter the Vista Days supply for the prescription. Type a number between 1 and 365, 0 decimal
digits.
DESCRIPTION:
This is the VistA Days supply value associated with the incoming eRx.
52.49,20.3 VISTA VERB 20;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: JAN 30, 2017
HELP-PROMPT: Enter the Verb for this medication. Answer must be 1-10 characters in length.
DESCRIPTION:
This is the medication instruction (verb) for the eRx.
52.49,20.4 VISTA ROUTING 20;4 SET
'M' FOR MAIL;
'W' FOR WINDOW;
LAST EDITED: MAR 15, 2017
HELP-PROMPT: Enter the routing method for the incoming eRx prescription.
DESCRIPTION:
This is the routing method for the incoming eRx. Mail or Window.
52.49,20.5 VISTA REFILLS 20;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>11)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: AUG 11, 2017
HELP-PROMPT: Enter the number of refills for this eRx. Type a number between 0 and 11, 0 decimal digits.
DESCRIPTION:
The number of vista refills for this incoming eRx.
52.49,20.6 VISTA CLINIC 20;6 POINTER TO HOSPITAL LOCATION FILE (#44)
LAST EDITED: APR 07, 2017
HELP-PROMPT: Enter the vista clinic associated with this eRx.
DESCRIPTION:
The vista clinic associated with the incoming eRx.
52.49,21 QUANTITY/TIMING 21;0 Multiple #52.4921 (Add New Entry without Asking)
DESCRIPTION:
This is the quantity/timing sub-file which holds information about dosing for a medication.
52.4921,.01 QUANTITY/FORM 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>200!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the quantity/form for this incoming eRx. Answer must be 1-200 characters in length.
DESCRIPTION: This field usually contains the amount to be given as entered through CPRS. In this case, this
will be the amount given as passed in through an incoming XML message generated from Change
Healthcare. It can also possibly contain the Dose Form of the medication.
CROSS-REFERENCE: 52.4921^B
1)= S ^PS(52.49,DA(1),21,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),21,"B",$E(X,1,30),DA)
52.4921,1 SCHEDULE 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the schedule for the eRx prescription. Answer must be 1-20 characters in length.
DESCRIPTION: This is the schedule for the medication, as passed in via the Change Healthcare XML. This is the
equivalent of the schedule field in the pending outpatient orders file.
52.4921,2 DURATION 1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the duration for the medication. Answer must be 1-40 characters in length.
DESCRIPTION:
This is the duration that the medication is to be given for, as passed in by Change Healthcare.
52.4921,3 START DATE/TIME 1;3 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the start date/time for the medication.
DESCRIPTION:
This is the start date/time of the medication.
52.4921,4 END DATE/TIME 1;4 DATE
INPUT TRANSFORM: S %DT="ETX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the end date/time for the medication.
DESCRIPTION:
This is the end date/time of the medication.
52.4921,6 CONJUNCTION 1;6 SET
'S' FOR THEN;
'A' FOR AND;
'X' FOR EXCEPT;
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the conjunction for this medication.
DESCRIPTION: This is a code used to help build a possible sig for a complex medication dose. This code usually
expands to an "and", a "then", or an "except". This is the equivalent of the conjunction field in
the pending outpatient orders file, quantity/timing sub-file.
52.4921,7 SEQUENCING 1;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the sequencing instructions for this medication. Answer must be 1-30 characters in length.
DESCRIPTION:
This field contains any special sequencing instructions for the medication.
52.4921,8 DOSAGE ORDERED 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>122!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the amount of medication the patient will receive for this prescription order. Answer must
be 1-122 characters in length.
DESCRIPTION:
This is a single dose of the medication the patient will receive for this prescription order.
52.4921,9 DISPENSE UNITS PER DOSE 2;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<0)!(X?.E1"."3N.N) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the units per dose value for this dosing instruction. Type a number between 0 and 99999999,
2 decimal digits.
DESCRIPTION: This field represents the number of dispense units the patient will receive for a single dose of
the medication.
52.4921,10 MED ROUTE 1;8 POINTER TO MEDICATION ROUTES FILE (#51.2)
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the Med Route that the medication is to be administered by.
DESCRIPTION:
This is the Med Route that the medication is to be administered by.
52.4921,11 UNITS 1;9 POINTER TO DRUG UNITS FILE (#50.607)
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the unit associated with the Dosage ordered.
DESCRIPTION: This is the unit of measure associated with the Dosage ordered. It is a pointer to the DRUG UNITS
file (#50.607).
52.4921,12 NOUN 1;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the noun that is associated with this dosing sequence. Answer must be 1-30 characters in
length.
DESCRIPTION: This is the noun that is associated with this dosing sequence for this pending order. It will be
used to be the possible SIG for orders that are sent from Change Healthcare.
52.4921,13 VERB 1;10 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
LAST EDITED: JAN 04, 2017
HELP-PROMPT: Enter the verb used to describe how the medication is to be taken/used. Answer must be 1-10
characters in length.
DESCRIPTION:
This verb will be used to describe how the medication is taken/used.
52.49,22.1 FROM 22;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: MAR 07, 2017
HELP-PROMPT: Enter the 'From' value, as passed in the XML 'From' element. Answer must be 1-50 characters in
length.
DESCRIPTION:
The FROM value as passed from the incoming XML.
52.49,22.2 FROM QUALIFIER 22;2 SET
'P' FOR PHARMACY;
'D' FOR PRESCRIBER;
LAST EDITED: APR 05, 2017
HELP-PROMPT: Enter the From Qualifier for the incoming eRx.
DESCRIPTION:
The from qualifier attribute associated with this eRx.
52.49,22.3 TO 22;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
LAST EDITED: MAR 07, 2017
HELP-PROMPT: Enter the 'To' value as passed in within the incoming eRx XML. Answer must be 1-50 characters in
length.
DESCRIPTION:
This is the 'To' value as passed in as part of the header portion of the eRx XML message.
52.49,22.4 TO QUALIFIER 22;4 SET
'P' FOR PHARMACY;
'D' FOR PRESCRIBER;
LAST EDITED: APR 05, 2017
HELP-PROMPT: Enter the To Qualifier for the incoming eRx.
DESCRIPTION: This is the 'To' qualifier attribute that is passed within the incoming XML. This To qualifier is
found in the 'Header' parent of the XML.
52.49,22.5 CH SENT DATE/TIME 22;5 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: MAY 10, 2017
HELP-PROMPT: Enter the date/time the eRx was received into the Vista system.
DESCRIPTION:
This is the date time the eRx was received by the vista system.
52.49,24.1 RELATED INSTITUTION 24;1 POINTER TO INSTITUTION FILE (#4)
LAST EDITED: JUL 26, 2017
HELP-PROMPT: Enter the institution related to this incoming eRx.
DESCRIPTION:
This is the institution that the incoming eRx belongs to.
RECORD INDEXES: E (#1493), EPAT (#16), EPROV (#17), F (#1494), MTYPE (#207), PAT (#1496)
52.49,24.2 DIVISION 24;2 POINTER TO MEDICAL CENTER DIVISION FILE (#40.8)
LAST EDITED: MAR 21, 2017
HELP-PROMPT: Enter the division associated with this incoming eRx.
DESCRIPTION:
This is the medical center division associated to the incoming eRx.
52.49,24.3 SENDER SECONDARY ID 24;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: MAY 23, 2017
HELP-PROMPT: Enter the sender secondary identification. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the senders secondary identification value.
52.49,24.4 SENDER TERTIARY ID 24;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: MAY 23, 2017
HELP-PROMPT: Enter the senders tertiary identification. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the senders tertiary identification value.
52.49,24.5 RECEIVER SECONDARY ID 24;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: MAY 23, 2017
HELP-PROMPT: Enter the receivers secondary identification value. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the receiver secondary identification value.
52.49,24.6 RECEIVER TERTIARY ID 24;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
LAST EDITED: MAY 23, 2017
HELP-PROMPT: Enter the receivers tertiary identification value. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the receiver tertiary identification.
52.49,25 CH MESSAGE ID 25;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<3) X
LAST EDITED: JAN 17, 2018
HELP-PROMPT: Enter the Change Healthcare message identification value. Answer must be 3-35 characters in length.
DESCRIPTION: This is the Change Healthcare message identifier. This number is not to be considered to be a
unique identifier. It is possible that the same message ID could come from more than one provider.
FIELD INDEX: CHVID (#1528) REGULAR IR LOOKUP & SORTING
Short Descr: This indexes the CH MESSAGE ID
Description: This will index the change healthcare/vista message ID in the eRx holding queue.
Set Logic: S ^PS(52.49,"CHVID",$E(X,1,35),DA)=""
Kill Logic: K ^PS(52.49,"CHVID",$E(X,1,35),DA)
Whole Kill: K ^PS(52.49,"CHVID")
X(1): CH MESSAGE ID (52.49,25) (Subscr 1) (Len 35) (forwards)
52.49,25.2 PENDING OUTPATIENT ORDER# 25;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAR 31, 2017
HELP-PROMPT: Enter the pending outpatient order IEN associated with this eRx. Type a number between 1 and
999999999, 0 decimal digits.
DESCRIPTION:
This is the pending outpatient order in file 52.41, once the eRx has been sent to the file.
52.49,26 VA DISPENSING INSTRUCTIONS SIG;0 Multiple #52.4926 (Add New Entry without Asking)
LAST EDITED: JUN 14, 2017
DESCRIPTION: This field holds the VA SIG information, which will be sent to pending outpatient orders as the
SIG.
52.4926,.01 VA DISPENSING INSTRUCTIONS 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>200!($L(X)<1) X
LAST EDITED: MAR 25, 2017
HELP-PROMPT: Enter the SIG for the incoming eRx. Answer must be 1-200 characters in length.
DESCRIPTION: This is the possible sig for the incoming eRx, built from the information entered into the
Quantity/Timing multiple.
CROSS-REFERENCE: 52.4926^B
1)= S ^PS(52.49,DA(1),"SIG","B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),"SIG","B",$E(X,1,30),DA)
52.49,27 VA PATIENT INSTRUCTIONS INS;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>240!($L(X)<1) X
LAST EDITED: MAR 25, 2017
HELP-PROMPT: Enter the patient instructions for this eRx. Answer must be 1-240 characters in length.
DESCRIPTION: This field holds the patient instructions for an eRx. This field will be transferred to the pending
outpatient orders file upon acceptance of an eRx. This field is the equivalent to the patient
instructions field in the pending outpatient orders file.
52.49,28 DRUG COVERAGE STATUS 28;0 Multiple #52.4928 (Add New Entry without Asking)
DESCRIPTION:
The drug coverage status multiple to hold the drug coverage status values.
52.4928,.01 SEQUENCE NUMBER 0;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAR 29, 2017
HELP-PROMPT: Enter the drug coverage status sequence number. Type a number between 1 and 999, 0 decimal
digits.
DESCRIPTION:
The sequence number of the drug coverage status.
CROSS-REFERENCE: 52.4928^B
1)= S ^PS(52.49,DA(1),28,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),28,"B",$E(X,1,30),DA)
52.4928,.02 DRUG COVERAGE STATUS 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: MAR 29, 2017
HELP-PROMPT: Enter the drug coverage status for this eRx.
DESCRIPTION:
The drug coverage status value for the eRx.
52.49,30 VA PROVIDER COMMENTS 30;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>240!($L(X)<1) X
LAST EDITED: SEP 06, 2017
HELP-PROMPT: Enter the VA Provider comments for this eRx. Answer must be 1-240 characters in length.
DESCRIPTION: This is the VA provider comments. This represents the provider comments for a prescription, which
is the VA's version of the 'DIRECTIONS' that are received with an eRx.
52.49,31 VA UNEXPANDED SIG 31;0 WORD-PROCESSING #52.4931 (IGNORE "|")
DESCRIPTION:
The un-expanded SIG for the eRx prescription.
LAST EDITED: JUN 14, 2017
HELP-PROMPT: Enter the VA unexpanded sig.
DESCRIPTION:
This is the unexpanded sig built from the dosage information.
52.49,41 EXTERNAL FORM CODE 41;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
LAST EDITED: JUN 19, 2017
HELP-PROMPT: Enter the external form Code. Answer must be 1-70 characters in length.
DESCRIPTION:
The external form code for the medication being prescribed.
52.49,42 EXTERNAL POTENCY UNIT CODE 42;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
LAST EDITED: JUN 19, 2017
HELP-PROMPT: Enter the external value of the potency unit code. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the external form of the potency unit code.
52.49,43 EXTERNAL STRENTH CODE 43;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
LAST EDITED: JUN 19, 2017
HELP-PROMPT: Enter the external value for the strength code. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the external value of the strength code.
52.49,44 PAYER CARDHOLDER ID CONVERTED? 44;1 SET
'1' FOR YES;
LAST EDITED: SEP 01, 2017
HELP-PROMPT: Enter 'Yes' if the Payer cardholder id values have been converted for this eRx.
DESCRIPTION: If this flag is set to yes, the payer cardholder ID values have been converted into the new format.
This needs to be set if the conversion has taken place so no futher conversion attempts will occur
on this record. The cardholder id field is not a required field on an incoming eRx and was
previously being used as the .01 field. This has been changed to now be a sequence value, and
cardholder ID has been moved into field #7.
52.49,49 MEDICATION DISPENSED/REQUESTED 49;0 Multiple #52.4949
DESCRIPTION: This multiple holds the medication dispensed/medication(s) requested in support of the refill
request and change request message types.
52.4949,.01 MEDICATION DISPENSED/REQUESTED 0;1 FREE TEXT (Multiply asked)
INPUT TRANSFORM: K:$L(X)>105!($L(X)<1) X
MAXIMUM LENGTH: 105
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the name of the medication that is being dispensed or requested. Answer must be 1-105
characters in length.
DESCRIPTION:
This field holds the name of the medication dispensed/requested.
CROSS-REFERENCE: 52.4949^B
1)= S ^PS(52.49,DA(1),49,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),49,"B",$E(X,1,30),DA)
52.4949,.02 TYPE 0;2 SET
'D' FOR DISPENSED;
'R' FOR REQUESTED;
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the type 'Dispensed' or 'Requested' for this medication.
DESCRIPTION:
This field identifies the type of medication, whether it is a dispensed or requested medication.
52.4949,.03 DRUG IEN 0;3 POINTER TO DRUG FILE (#50)
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the Vista drug associated with the drug name.
DESCRIPTION:
This field points to the drug file entry for the medication dispensed or requested.
52.4949,.04 QUANTITY 0;4 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the quantity for this medication. Type a number between 0 and 99, 0 decimal digits.
DESCRIPTION:
This is the quantity associated with the medication dispensed/requested.
52.4949,.05 DAYS SUPPLY 0;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>365)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the days supply for this medication dispensed/requested. Type a number between 1 and 365, 0
decimal digits.
DESCRIPTION:
This is the days supply for the medication being dispensed or requested.
52.4949,.06 REFILLS 0;6 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>11)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the number of refills for this dispensed/requested medication. Type a number between 0 and
11, 0 decimal digits.
DESCRIPTION:
This is the number of refills for the dispensed/requested medication.
52.4949,.07 REFILL QUALIFIER 0;7 SET
'R' FOR NUMBER OF REFILLS;
'PRN' FOR REFILLS FOR 1 YEAR;
'P' FOR PHARMACY REQUESTED REFILLS;
'A' FOR ADDITIONAL REFILLS AUTHORIZED;
LAST EDITED: JAN 31, 2018
HELP-PROMPT: Enter the refill qualifier for this medication.
DESCRIPTION:
This is the refill qualifier for the medication requested/dispensed.
52.4949,1 DIRECTIONS 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>140!($L(X)<1) X
MAXIMUM LENGTH: 140
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the directions for this dispensed/requested medication. Answer must be 1-140 characters in
length.
DESCRIPTION:
This field holds the directions for use (SIG) for the medication being dispensed or requested.
52.4949,2.1 WRITTEN DATE 2;1 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the date written for the medication being dispensed/requested.
DESCRIPTION:
This is the written date for the requested/dispensed medication.
52.4949,2.2 LAST FILLED DATE 2;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the date this dispensed/requested medication was last filled.
DESCRIPTION: This is the last fill date for the medication being dispensed. This field may not apply to a
medication being requsted.
52.4949,2.3 EXPIRATION DATE 2;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the expiration date for the medication being dispensed/requested.
DESCRIPTION:
This is the expiration date for the medication being dispensed/requested.
52.4949,2.4 EFFECTIVE DATE 2;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the effective date for the medication being dispensed/reqquested.
DESCRIPTION:
This is the effective date for the medication being dispensed/requested.
52.4949,2.5 CODE LIST QUALIFIER 2;5 SET
'38' FOR ORIGINAL QUANTITY;
'40' FOR REMAINING QUANTITY;
'87' FOR QUANTITY RECEIVED;
'QS' FOR QUANTITY SUFFICIENT;
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the code list qualifier for the medication being dispensed/requested.
DESCRIPTION:
This is the code list qualifier for the medication.
52.4949,2.6 UNIT SOURCE CODE 2;6 SET
'AA' FOR NCI PHARMACEUTICAL DOSAGE FORM;
'AB' FOR NCI UNITS OF PRESENTATION;
'AC' FOR NCI VALUES OF PROPERTY;
'AC' FOR NCI VALUES OF PROPERT OR POTENCY UNIT;
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the unit source code for the medication being dispensed/requested.
DESCRIPTION:
This is the unit source code for the medication.
52.4949,2.7 POTENCY UNIT CODE 2;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
MAXIMUM LENGTH: 15
LAST EDITED: JAN 20, 2018
HELP-PROMPT: Enter the potency unit code for this medication. Answer must be 1-15 characters in length.
DESCRIPTION:
This is the potency unit code (if applicable) for the medication.
52.49,50 REQUEST/RESPONSE COMMENTS 50;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 01, 2018
HELP-PROMPT: Enter the refill request/response comments. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the refill request/response comments for the eRx refill request or refill response.
52.49,50.1 NOTE ADDED BY 50.1;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: JAN 23, 2018
HELP-PROMPT: Enter the person who entered this note for a refill request or response.
DESCRIPTION:
This is the person who entered the note related to an eRx refill request or response.
52.49,50.2 NOTE DATE/TIME 50.1;2 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: JAN 23, 2018
HELP-PROMPT: Enter the date/time the note was entered.
DESCRIPTION:
This is the date/time the note was entered for a request or response type of message.
52.49,51.1 REFILL/CHANGE REQUEST PERSON 51;1 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: OCT 22, 2020
HELP-PROMPT: Enter the person who made the outbound refill or change request.
DESCRIPTION:
This is the person who made the outbound refill/change request.
52.49,51.2 # OF REFILLS REQUESTED 51;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>11)!(X<0)!(X?.E1"."1N.N) X
LAST EDITED: JAN 22, 2018
HELP-PROMPT: Enter the number of refills requested. Type a number between 0 and 11, 0 decimal digits.
DESCRIPTION:
This is the number of refills requested on an prescription refill request.
52.49,52.1 RESPONSE VALUE 52;1 SET
'A' FOR APPROVED;
'D' FOR DENIED;
'DNP' FOR DENIED, NEW RX TO FOLLOW;
'AWC' FOR APPROVED WITH CHANGES;
'R' FOR REPLACE;
'V' FOR VALIDATED;
LAST EDITED: MAY 13, 2024
HELP-PROMPT: Enter the response type for this incoming message.
DESCRIPTION: This is the response type for a refill request. This tells us the status of the request, as
returned by the provider.
52.49,52.2 RESPONSE NOTE 52;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
MAXIMUM LENGTH: 70
LAST EDITED: JAN 23, 2018
HELP-PROMPT: Enter the response notes entered by the provider. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the note as written by the provider, for a refill or cancel response message type.
52.49,52.3 RESPONSE REFERENCE NUMBER 52;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: JAN 23, 2018
HELP-PROMPT: Enter the response reference number for this refill or change response message. Answer must be 1-35
characters in length.
DESCRIPTION:
This is the reference number associated with the refill or change request response.
52.49,55 RESPONSE CODES 55;0 POINTER Multiple #52.4955
DESCRIPTION:
This multiple holds the response codes related to the refill or change response.
52.4955,.01 RESPONSE CODES 0;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) (Multiply asked)
LAST EDITED: JAN 24, 2018
HELP-PROMPT: Enter the response code associated with this refill/change response.
DESCRIPTION:
This multiple holds the response codes provided with the refill or change request response.
CROSS-REFERENCE: 52.4955^B
1)= S ^PS(52.49,DA(1),55,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),55,"B",$E(X,1,30),DA)
52.49,60 REQUEST/RESPONSE ERROR TEXT 60;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
MAXIMUM LENGTH: 70
LAST EDITED: FEB 09, 2018
HELP-PROMPT: Enter the error text for this request/response error. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the error text for an inbound or outbound eRx error message.
52.49,60.1 REQUEST/RESPONSE ERROR CODE 60;2 SET
'600' FOR COMMUNICATION PROBLEM - TRY AGAIN LATER;
'601' FOR RECEIVER UNABLE TO PROCESS - DO NOT RETRY;
'602' FOR RECEIVER SYSTEM ERROR - TRY AGAIN LATER;
'900' FOR TRANSACTION REJECTED - DO NOT RETRY;
LAST EDITED: FEB 09, 2018
HELP-PROMPT: Enter the error code for this eRx error message.
DESCRIPTION:
This is the error code associated with an eRx error message.
52.49,61 REQUEST/RESPONSE ERR DCODES 61;0 POINTER Multiple #52.4961
DESCRIPTION:
This multiple holds the error description codes for a request/response message.
52.4961,.01 REQUEST/RESPONSE ERR DCODES 0;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45) (Multiply asked)
LAST EDITED: FEB 09, 2018
HELP-PROMPT: Enter the description codes for the eRx error message.
DESCRIPTION:
These are the error description codes (up to 10) describing the eRx error message in more detail.
CROSS-REFERENCE: 52.4961^B
1)= S ^PS(52.49,DA(1),61,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),61,"B",$E(X,1,30),DA)
52.49,70.1 FACILITY NAME 22;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
MAXIMUM LENGTH: 70
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Answer must be 1-70 characters in length.
DESCRIPTION:
This is the facility name associated with the incoming eRx.
52.49,70.2 FACILITY ADDRESS LINE 1 22;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 15, 2018
HELP-PROMPT: Enter the address line 1 associated with the facility. Must be 1-35 characters in length.
DESCRIPTION:
This is the address line 1 associated with the facility.
52.49,70.3 FACILITY ADDRESS LINE 2 22;8 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 15, 2018
HELP-PROMPT: Enter the address line 2 associated with the facility. Must be 1-35 characters in length.
DESCRIPTION:
This is the address line 2 associated with the facility.
52.49,70.4 FACILITY CITY 23;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 15, 2018
HELP-PROMPT: Enter the city associated with the facility. Must be 1-35 characters in length.
DESCRIPTION:
This is the city associated with the facility.
52.49,70.5 FACILITY STATE 25;3 POINTER TO STATE FILE (#5)
LAST EDITED: FEB 14, 2018
HELP-PROMPT: Enter the state associated with this facility.
DESCRIPTION:
This is the state associated with the facility.
52.49,70.6 FACILITY ZIP CODE 25;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>9!($L(X)<5) X
MAXIMUM LENGTH: 9
LAST EDITED: MAR 15, 2018
HELP-PROMPT: Enter the zip code associated with the facility. Must be 5-9 digits in length.
DESCRIPTION:
This is the zip code associated with the facility.
52.49,70.7 COUNTRY CODE 29;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>3!($L(X)<1) X
MAXIMUM LENGTH: 3
LAST EDITED: SEP 27, 2019
HELP-PROMPT: Enter the country code associated with the facility. Must be 1-3 characters in length.
DESCRIPTION:
This is the country code associated with the facility.
52.49,71 FACILITY IDENTIFICATION 26;0 Multiple #52.4971 (Add New Entry without Asking)
DESCRIPTION:
This multiple contains information related to the eRx facility.
52.4971,.01 ID TYPE 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<3) X
MAXIMUM LENGTH: 50
LAST EDITED: FEB 14, 2018
HELP-PROMPT: Enter the identification type. Answer must be 3-50 characters in length.
DESCRIPTION:
This is the ID type associated with the communication value of the eRx faciilty.
CROSS-REFERENCE: 52.4971^B
1)= S ^PS(52.49,DA(1),26,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),26,"B",$E(X,1,30),DA)
52.4971,.02 ID VALUE 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: FEB 14, 2018
HELP-PROMPT: Enter the identification value. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the ID value associated with the communication value of the eRx facility.
52.49,72 COMMUNICATION 27;0 Multiple #52.4972 (Add New Entry without Asking)
DESCRIPTION:
This multiple contains information related to the eRx facility.
52.4972,.01 COMMUNICATION 0;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: FEB 14, 2018
HELP-PROMPT: Enter the value for the communication method. Answer must be 1-80 characters in length.
DESCRIPTION:
This is the communication value associated with the eRx facility.
CROSS-REFERENCE: 52.4972^B
1)= S ^PS(52.49,DA(1),27,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),27,"B",$E(X,1,30),DA)
52.4972,.02 TYPE 1;E1,2 SET
'BN' FOR BEEPER;
'CP' FOR CELLULAR;
'EM' FOR ELECTRONIC MAIL;
'FX' FOR FAX;
'HP' FOR HOME PHONE;
'NP' FOR NIGHT-TIME PHONE;
'TE' FOR TELEPHONE;
'WP' FOR WORK PHONE;
LAST EDITED: FEB 14, 2018
HELP-PROMPT: Enter the type associated with the supplied communication value.
DESCRIPTION:
This is the type of communication associated with the eRx facility.
52.49,73 2017 FACILITY COMMUNICATION 73;0 Multiple #52.4973
DESCRIPTION: This subfile contains the facility communication information associated with an eRx. This subfile
was created to support the 2017 script standard.
52.4973,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the facility communication.
CROSS-REFERENCE: 52.4973^B
1)= S ^PS(52.49,DA(1),73,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),73,"B",$E(X,1,30),DA)
52.4973,.02 TYPE 0;2 SET
'PT' FOR PrimaryTelephone;
'EM' FOR ElectronicMail;
'F' FOR Fax;
'B' FOR Beeper;
'HT' FOR HomeTelephone;
'WT' FOR WorkTelephone;
'OT' FOR OtherTelephone;
LAST EDITED: JAN 06, 2020
HELP-PROMPT: Enter the type.
DESCRIPTION:
This is the type associated with facility communication.
52.4973,.03 NUMBER 0;3 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the number. Type a number between 1 and 9999999999, 0 decimal digits.
DESCRIPTION:
This is the number associated with the facility communication.
52.4973,.04 EXTENSION 0;4 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the extension. Type a number between 1 and 99999999, 0 decimal digits.
DESCRIPTION:
This is the extension associated with the facility communication.
52.4973,.05 SUPPORTS SMS 0;5 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter if the communication supports SMS messages.
DESCRIPTION:
This field determines if the communication supports SMS messages.
52.4973,1 EMAIL ADDRESS 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: JUL 08, 2020
HELP-PROMPT: Enter the electronic mail address. Answer must be 1-80 characters in length.
DESCRIPTION:
This is the electronic mail address associated with the facility communication.
52.49,74.1 2017 FAC NCPDPID 74;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 08, 2019
HELP-PROMPT: Enter the NCPDPID. Answer must be 1-35 characters in length.
DESCRIPTION: This is the NCPDPID associated with the facility identification. This field was created to support
the 2017 script standard.
52.49,74.2 2017 FAC STATE LIC NUMBER 74;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the state license number. Answer must be 1-35 characters in length.
DESCRIPTION: This is the state license number associated with the facility identification. This field was
created to support the 2017 script standard.
52.49,74.3 2017 FAC MEDICARE NUMBER 74;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 08, 2019
HELP-PROMPT: Enter the Medicare Number. Answer must be 1-35 characters in length.
DESCRIPTION: This is the Medicare Number associated with the facility identification. This field was created to
support the 2017 script standard.
52.49,74.4 2017 FAC MEDICAID NUMBER 74;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 08, 2019
HELP-PROMPT: Enter the Medicaid Number. Answer must be 1-35 characters in length.
DESCRIPTION: This is the Medicaid Number associated with the facility identification. This field was created to
support the 2017 script standard.
52.49,74.5 2017 FAC UPIN 74;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the UPIN. Answer must be 1-35 characters in length.
DESCRIPTION: This is the UPIN associated with the facility identification. This field was created to support the
2017 script standard.
52.49,74.6 2017 FACILITY ID 74;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the facility identification. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the facility identification. This field was created to support the 2017 script standard.
52.49,75.1 2017 FAC DEA NUMBER 75;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the Drug Enforcement Agency number. Answer must be 1-35 characters in length.
DESCRIPTION: This is the Drug Enforcement Agency number associated with the facility identification. This field
was created to support the 2017 script standard.
52.49,75.2 2017 FAC HIN 75;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the HIN. Answer must be 1-35 characters in length.
DESCRIPTION: This is the HIN associated with the facility identification. This field was created to support the
2017 script standard.
52.49,75.3 2017 FAC NPI 75;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the NPI. Answer must be 1-35 characters in length.
DESCRIPTION: This is the NPI associated with the facility identification. This field was created to support the
2017 script standard.
52.49,75.4 2017 FAC MUTUALLY DEFINED 75;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the mutually defined value. Answer must be 1-35 characters in length.
DESCRIPTION: This is the mutually defined value associated with the facility identification. This field was
created to support the 2017 script standard.
52.49,75.5 2017 FAC REMS ENROLLMENT ID 75;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: NOV 08, 2019
HELP-PROMPT: Enter the REMS healthcare settings enrollment identification. Answer must be 1-35 characters in
length.
DESCRIPTION: This is the REMS healthcare settings enrollment identification associated with the facility
identification. This field was created to support the 2017 script standard.
52.49,76 2017 FACILITY DIRECT ADDRESS 76;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the facility direct address. Answer must be 1-255 characters in length.
DESCRIPTION: This is the facility direct address associated with the eRx. This field was created to support the
2017 script standard.
52.49,80.1 CHANGE REQUEST TYPE 80;1 SET
'C1' FOR SIGNIFICANT CHANGE;
'C2' FOR FREQUENCY CHANGE;
'C3' FOR INSIGNIFICANT CHANGE;
LAST EDITED: MAR 28, 2018
HELP-PROMPT: Enter the change request type for this eRx message.
DESCRIPTION: This field identifies the change request type for cancel and change eRx messages.
C1 Significant change (Any changes to the Drug, form, strength, dosage, or route)
C2 Frequency Change (Any change to the frequency or hours of administration for the drug)
C3 Insignificant Change (All other changes)
52.49,80.2 RETURN RECEIPT 80;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>3!($L(X)<1) X
MAXIMUM LENGTH: 3
LAST EDITED: MAR 28, 2018
HELP-PROMPT: Enter the return receipt value for this eRx message. Answer must be 1-3 characters in length.
DESCRIPTION:
This is the return receipt associated with a cancel or change eRx message.
52.49,80.3 REQUEST REFERENCE NUMBER 80;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 28, 2018
HELP-PROMPT: Enter the request reference number for this eRx message. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the request reference number for a cancel or change eRx message.
52.49,80.4 CHANGE RX STATUS FLAG 80;4 SET
'C' FOR CANCEL;
'D' FOR DISCONTINUE;
LAST EDITED: MAR 28, 2018
HELP-PROMPT: Enter the change of prescription status flag for this eRx message.
DESCRIPTION: This is the change of prescription status flag, intended to be used for cancel and change eRx
message types.
52.49,80.5 CHANGE/CANCEL DENIED BY HUB 80;5 SET
'1' FOR YES;
LAST EDITED: MAR 28, 2018
HELP-PROMPT: Enter '1' if this change or cancel request was denied by the eRx processing hub.
DESCRIPTION:
This flag identifies entries that have been denied by the eRx processing hub.
52.49,95.1 CONTROLLED SUBSTANCE INDICATOR 95;1 SET (BOOLEAN Data Type)
LAST EDITED: JUN 21, 2021
DESCRIPTION:
This field indicates if the incoming eRx prescription is for a controlled substance.
52.49,95.2 CS DIG SIGNATURE DIGEST METHOD 95;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
MAXIMUM LENGTH: 20
LAST EDITED: FEB 24, 2021
HELP-PROMPT: Enter the Controlled Substance Digital Signature Digest Method used to encode the digital
signature. Answer must be 1-20 characters in length.
DESCRIPTION: This is the encryption hashing method (e.g., SHA-1, SHA-256, etc.) used to encode the digital
signature.
52.49,95.3 CS DIG SIGNATURE DIGEST VALUE 95;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
MAXIMUM LENGTH: 100
LAST EDITED: FEB 24, 2021
HELP-PROMPT: Enter the Controlled Substance Digital Signature Digest Value used to transmit the prescription.
Answer must be 1-100 characters in length.
DESCRIPTION:
This value is used to confirm that all fields have been included in the digital signature.
TECHNICAL DESCR: This value is populated from the received eRx transmission and is used to confirm that all fields
have been included in the digital signature. Apply a digest method and base64 encode the result.
52.49,95.4 CS DIG SIGNATURE VALUE CSSIG;0 WORD-PROCESSING #52.499501 (IGNORE "|")
LAST EDITED: DEC 01, 2020
TECHNICAL DESCR: This value is populated from the received eRx transmission. It is the digest value that has been
signed with a private key, base64 encoded result.
LAST EDITED: FEB 23, 2021
HELP-PROMPT: Enter the Controlled Substance Signature Value.
DESCRIPTION:
This is the Controlled Substance Digital Signature Value received with the eRx.
52.49,95.5 CS DIG SIGNATURE X509 DATA X509DAT;0 WORD-PROCESSING #52.499502 (IGNORE "|")
LAST EDITED: DEC 01, 2020
TECHNICAL DESCR: This value is populated from the received eRx transmission. It is the string of the base64 encoded
raw bytes of the X509 certificate (which contains the Public Key), used by the receiver to validate
the digital signature.
LAST EDITED: FEB 23, 2021
HELP-PROMPT: Enter the X509 Data associated with the Controlled Substance Digital Signature.
DESCRIPTION:
This is the X509 Data associated with the Controlled Substance Digital Siganture.
52.49,100 PROCESSING ERRORS 100;0 Multiple #52.49101 (Add New Entry without Asking)
DESCRIPTION:
This sub-file contains the processing errors associated with the eRx entry.
52.49101,.01 PROCESSING ERRORS 0;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: DEC 05, 2016
HELP-PROMPT: Enter the Error ID. Answer must be a number between 1 and 99999, 0 decimal digits.
DESCRIPTION:
The processing error ID.
CROSS-REFERENCE: 52.49101^B
1)= S ^PS(52.49,DA(1),100,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),100,"B",$E(X,1,30),DA)
52.49101,.02 ERROR TYPE 0;2 SET
'D' FOR DRUG;
'PR' FOR PROVIDER;
'PA' FOR PATIENT;
'A' FOR ALLERGY;
'O' FOR ORDER CHECK;
'T' FOR TRANSFER;
'PX' FOR PROCESSING;
LAST EDITED: FEB 26, 2018
HELP-PROMPT: Enter the error type associated with this eRx entry.
DESCRIPTION:
The error type related to the incoming eRx.
CROSS-REFERENCE: 52.49101^C
1)= S ^PS(52.49,DA(1),100,"C",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),100,"C",$E(X,1,30),DA)
This indexes the error type for quick lookup on specific errors.
52.49101,.03 ERROR SOURCE 0;3 SET
'V' FOR VISTA;
'E' FOR ERX PROCESSING HUB;
LAST EDITED: DEC 05, 2016
HELP-PROMPT: Enter the source of the error. This is the origination source of the error.
DESCRIPTION:
The origination point/source of the processing error.
52.49101,.04 STATUS 0;4 SET
'R' FOR RESOLVED;
'P' FOR PENDING;
LAST EDITED: FEB 26, 2018
HELP-PROMPT: Enter the status of the processing error.
DESCRIPTION:
This is the current status of the processing error.
52.49101,.05 RESOLVED BY 0;5 POINTER TO NEW PERSON FILE (#200)
LAST EDITED: DEC 05, 2016
HELP-PROMPT: Enter the person who resolved this error.
DESCRIPTION:
The person who resolved the processing error.
52.49101,.06 DATE/TIME RESOLVED 0;6 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: DEC 05, 2016
HELP-PROMPT: Enter the date/time the processing error was resolved.
DESCRIPTION:
The date/time of the processing error resolution.
52.49101,1 ERROR TEXT 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>250!($L(X)<1) X
LAST EDITED: MAR 07, 2017
HELP-PROMPT: Enter the error text for this eRx. Answer must be 1-150 characters in length.
DESCRIPTION:
This is the error description/text that identifies the reason for the error.
52.49,201 MESSAGE HISTORY 201;0 POINTER Multiple #52.49201
52.49201,.01 MESSAGE IEN 0;1 POINTER TO ERX HOLDING QUEUE FILE (#52.49) (Multiply asked)
LAST EDITED: JAN 09, 2018
HELP-PROMPT: Enter the IEN of the message that relates to this message.
DESCRIPTION:
This holds the eRx messages that are related to this particular message.
CROSS-REFERENCE: 52.49201^B
1)= S ^PS(52.49,DA(1),201,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),201,"B",$E(X,1,30),DA)
52.49,301.1 2017 LTC LEVEL OF CHANGE 301;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the LTC level of change.
DESCRIPTION: This is the LTC level of change associated with the incoming eRx. This field is being created to
support the 2017 script standard.
52.49,301.2 2017 URGENCY INDICATOR CODE 301;2 SET
'S' FOR STANDARD;
'X' FOR URGENT/EXPEDITED;
LAST EDITED: OCT 06, 2019
HELP-PROMPT: Enter the urgency indicator code.
DESCRIPTION: This is the urgency indicator code associated with the incoming eRx. This field is being created to
support the 2017 script standard.
52.49,301.3 2017 PROHIBIT RENEWAL REQUEST 301;3 SET
'TRUE' FOR 1;
'FALSE' FOR 0;
LAST EDITED: APR 01, 2020
HELP-PROMPT: Enter if prohibit renewal request is true or false.
DESCRIPTION: This is the prohibit renewal request associated with the incoming eRx. This field is being created
to support the 2017 script standard.
52.49,302 2017 NO KNOWN ALLERGIES 302;1 SET
'Y' FOR YES;
LAST EDITED: NOV 08, 2019
HELP-PROMPT: Enter if there are no known allergies.
DESCRIPTION: This is the no known allergies field associated with an incoming eRx. This field is being created
to support the 2017 script standard.
52.49,303 2017 ALLERGIES 303;0 Multiple #52.49303
DESCRIPTION: This subfile contains all information relating to allergies of an incoming eRx. This subfile is
being created to support the 2017 script standard.
52.49303,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the allergies of an incoming eRx.
CROSS-REFERENCE: 52.49303^B
1)= S ^PS(52.49,DA(1),303,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),303,"B",$E(X,1,30),DA)
52.49303,.02 SOURCE OF INFORMATION 0;2 SET
'P' FOR PATIENT;
'C' FOR CLINICIAN/PROVIDER;
LAST EDITED: OCT 06, 2019
HELP-PROMPT: Enter the source of information.
DESCRIPTION:
This is the source of information associated with the allergies of an incoming eRx.
52.49303,.03 EFFECTIVE DATE 0;3 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the effective date for the eRx prescription.
DESCRIPTION:
THis is the effective date for the eRx prescription.
52.49303,.04 EXPIRATION DATE 0;4 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the expiration date for the eRx prescription.
DESCRIPTION:
This is the expiration date for the eRx prescription.
52.49303,1 DRUG PRODUCT CODE 1;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 drug product code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the drug product code associated with the allergies section.
52.49303,2 DRUG PRODUCT QUALIFIER 2;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 drug product qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the drug product qualifier associated with the allergies section.
52.49303,3 DRUG PRODUCT TEXT 3;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 drug product text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the drug product text associated with the allergies section.
52.49303,4 REACTION TEXT 4;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 reaction text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the reaction text associated with the allergies section.
52.49303,5 REACTION CODE 5;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 reaction code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the reaction code associated with the allergies section.
52.49303,6 SEVERITY TEXT 6;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 severity text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the severity text associated with the allergies section.
52.49303,7 SEVERITY CODE 7;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 severity code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the severity code associated with the allergies section.
52.49303,8 ADVERSE EVENT TEXT 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the adverse event text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the adverse event text associated with the patient allergies.
52.49303,9 ADVERSE EVENT CODE 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the adverse event code. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the adverse event code associated with the patient allergies.
52.49,304 2017 BENEFITS COORDINATION 304;0 Multiple #52.49304
DESCRIPTION: This subfile contains all information relating to the benefits coordination section of an incoming
eRx. This subfile was created to support the 2017 script standard.
52.49304,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is the benefits coordination sequence number related to the incoming eRx.
CROSS-REFERENCE: 52.49304^B
1)= S ^PS(52.49,DA(1),304,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),304,"B",$E(X,1,30),DA)
52.49304,.02 PAYER ID 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the payer ID. Answer must be 1-80 characters in length.
DESCRIPTION:
This is the payer ID relating to the benefits coordination section of the incoming eRx.
52.49304,.03 PROCESSOR ID NUMBER 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the processor identification number. Answer must be 1-35 characters in length.
DESCRIPTION: This is the processor identification number relating to the benefits coordination section of the
incoming eRx.
52.49304,.04 NAIC CODE 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the NAIC code. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the NAIC code relating to the benefits coordination section of the incoming eRx.
52.49304,1.1 MUTUALLY DEFINED 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 06, 2019
HELP-PROMPT: Enter mutually defined. Answer must be 1-35 characters in length.
DESCRIPTION: This is the mutually defined field associated with the benefits coordination section of the
incoming eRx.
52.49304,1.2 HEALTH PLAN IDENTIFIER 1;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the health plan identifier. Answer must be 1-35 characters in length.
DESCRIPTION: This is the health plan identifier relating to the benefits coordination section of the incoming
eRx.
52.49304,1.3 IIN NUMBER 1;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the IIN number. Answer must be 1-35 characters in length.
DESCRIPTION: This is the health plan identifier relating to the benefits coordination section of the incoming
eRx.
52.49304,2.1 PAYER NAME 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
MAXIMUM LENGTH: 70
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the payer name. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the payer name relating to the benefits coordination section of the incoming eRx.
52.49304,2.2 CARDHOLDER ID 2;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the cardholder ID. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the cardholder ID relating to the benefits coordination section of the incoming eRx.
52.49304,3.1 CARDHOLDER LAST NAME 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the cardholder last name. Answer must be 1-35 characters in length.
DESCRIPTION: This is the cardholder last name relating to the benefits coordination section of the incoming
eRx.
52.49304,3.2 CARDHOLDER FIRST NAME 3;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the cardholder first name. Answer must be 1-35 characters in length.
DESCRIPTION: This is the cardholder first name relating to the benefits coordination section of the incoming
eRx.
52.49304,3.3 CARDHOLDER MIDDLE NAME 3;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the cardholder middle name. Answer must be 1-35 characters in length.
DESCRIPTION: This is the cardholder middle name relating to the benefits coordination section of the incoming
eRx.
52.49304,3.4 CARDHOLDER SUFFIX 3;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
MAXIMUM LENGTH: 10
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the cardholder suffix. Answer must be 1-10 characters in length.
DESCRIPTION:
This is the cardholder suffix relating to the benefits coordination section of the incoming eRx.
52.49304,3.5 CARDHOLDER PREFIX 3;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
MAXIMUM LENGTH: 10
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the cardholder prefix. Answer must be 1-10 characters in length.
DESCRIPTION:
This is the cardholder prefix relating to the benefits coordination section of the incoming eRx.
52.49304,4.1 GROUP ID 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the group ID. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the group ID relating to the benefits coordination section of the incoming eRX.
52.49304,4.3 PAYER RESPONSIBILITY CODE 4;3 SET
'P' FOR PRIMARY;
'S' FOR SECONDARY;
'T' FOR TERTIARY;
'U' FOR UNKNOWN;
'PP' FOR PRIVATE PARTY;
LAST EDITED: OCT 06, 2019
HELP-PROMPT: Enter the payer responsibility code.
DESCRIPTION: This is the payer responsibility code relating to the benefits coordination section of the
incoming eRx.
52.49304,4.4 PATIENT RELATIONSHIP CODE 4;4 SET
'1' FOR CARDHOLDER;
'2' FOR SPOUSE;
'3' FOR CHILD;
'4' FOR OTHER;
LAST EDITED: JUL 08, 2020
HELP-PROMPT: Enter the patient relationship code.
DESCRIPTION: This is the patient relationship code relating to the benefits coordination section of the
incoming eRx.
52.49304,4.5 PERSON CODE 4;5 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>3)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the person code. Type a number between 1 and 3, 0 decimal digits.
DESCRIPTION:
This is the person code relating to the benefits coordination section of the incoming eRx.
52.49304,4.6 GROUP NAME 4;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
MAXIMUM LENGTH: 70
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the group name. Answer must be 1-70 characters in length.
DESCRIPTION:
This is the group name relating to the benefits coordination section of the incoming eRx.
52.49304,5.1 ADDRESS LINE 1 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X
MAXIMUM LENGTH: 40
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the address line 1. Answer must be 1-40 characters in length.
DESCRIPTION:
This is the address line 1 relating to the benefits coordination section of the incoming eRx.
52.49304,5.2 ADDRESS LINE 2 5;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>40!($L(X)<1) X
MAXIMUM LENGTH: 40
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the address line 2. Answer must be 1-40 characters in length.
DESCRIPTION:
This is the address line 2 relating to the benefits coordination section of the incoming eRx.
52.49304,5.3 CITY 5;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the city. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the city relating to the benefits coordination section of the incoming eRx.
52.49304,5.4 STATE/PROVINCE 5;4 POINTER TO STATE FILE (#5)
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the state/province
DESCRIPTION:
This is the state/province relating to the benefits coordination section of the incoming eRx.
52.49304,5.5 POSTAL CODE 5;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>9!($L(X)<5) X
MAXIMUM LENGTH: 9
LAST EDITED: OCT 02, 2019
HELP-PROMPT: Enter the postal code. Answer must be 5-9 characters in length.
DESCRIPTION:
This is the postal code relating to the benefits coordination section of the incoming eRx.
52.49304,5.6 COUNTRY CODE 5;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1) X
MAXIMUM LENGTH: 2
LAST EDITED: OCT 03, 2019
HELP-PROMPT: Enter the country code. Answer must be 1-2 characters in length.
DESCRIPTION:
This is the country code associated with the incoming eRx.
52.49304,6 2017 BENEFITS COMM 6;0 Multiple #52.493046
DESCRIPTION: This subfile contains the communication information associated with the benefits coordination
section of the eRx. This subfile was created to support the 2017 script standard.
52.493046,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the benefits coordination communication.
CROSS-REFERENCE: 52.493046^B
1)= S ^PS(52.49,DA(2),304,DA(1),6,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),304,DA(1),6,"B",$E(X,1,30),DA)
52.493046,.02 TYPE 0;2 SET
'PT' FOR PrimaryTelephone;
'B' FOR Beeper;
'EM' FOR ElectronicMail;
'F' FOR Fax;
'HT' FOR HomeTelephone;
'WT' FOR WorkTelephone;
'OT' FOR OtherTelephone;
LAST EDITED: JAN 05, 2020
HELP-PROMPT: Enter the type.
DESCRIPTION:
This is the type associated with the benefits coordination communication.
52.493046,.03 NUMBER 0;3 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the number. Type a number between 1 and 9999999999, 0 decimal digits.
DESCRIPTION:
This is the number associated with the benefits coordination communication.
52.493046,.04 EXTENSION 0;4 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the extension. Type a number between 1 and 99999999, 0 decimal digits.
DESCRIPTION:
This is the extension associated with the benefits coordination communication.
52.493046,.05 SUPPORTS SMS 0;5 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter if the communication supports SMS messages.
DESCRIPTION:
This field determines if the communication supports SMS messages.
52.493046,1 EMAIL ADDRESS 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the electronic mail address. Answer must be 1-80 characters in length.
DESCRIPTION:
This is the electronic mail address associated with the benefits coordination communication.
52.49304,7 2017 BENEFITS DIRECT ADDRESS 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>254!($L(X)<1) X
MAXIMUM LENGTH: 254
LAST EDITED: NOV 07, 2019
HELP-PROMPT: Enter the direct address. Answer must be 1-254 characters in length.
DESCRIPTION:
This is the direct address associated with the benefits coordination communication.
52.49304,15.1 PBM MEMBER ID 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the pharmacy benefits management identification. Answer must be 1-80 characters in
length.
DESCRIPTION: This is the pharmacy benefits management identification associated with the benefits
coordination section.
52.49304,16.1 RESPONSIBLE PARTY LAST NAME 16;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 responsible party last name. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the responsible party last name associated with the benefits coordination section.
52.49304,16.2 RESPONSIBLE PARTY FIRST NAME 16;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the responsible party first name. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the responsible party first name associated with the benefits coordination section.
52.49304,16.3 RESPONSIBLE PARTY MIDDLE NAME 16;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the responsible party middle name. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the responsible party middle name associated with the benefits coordination section
52.49304,16.4 RESPONSIBLE PARTY SUFFIX 16;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
MAXIMUM LENGTH: 10
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the responsible party suffix. Answer must be 1-10 characters in length.
DESCRIPTION:
This is the responsible party suffix associated with the benefits coordination section.
52.49304,16.5 RESPONSIBLE PARTY PREFIX 16;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
MAXIMUM LENGTH: 10
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the responsible party prefix. Answer must be 1-10 characters in length.
DESCRIPTION:
This is the responsible party prefix associated with the benefits coordination section.
52.49304,16.6 PAYER TYPE 16;6 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the payer type.
DESCRIPTION:
This is the payer type associated with the benefits coordination section.
52.49,305 2017 OBSERVATION NOTES 305;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>140!($L(X)<1) X
MAXIMUM LENGTH: 140
LAST EDITED: NOV 15, 2019
HELP-PROMPT: Enter the observation notes for this eRx. Answer must be 1-140 characters in length.
DESCRIPTION: This is the observation notes associated with the incoming eRx. This field was created to support
the 2017 script standard.
52.49,306 2017 OBSERVATION 306;0 Multiple #52.49306
DESCRIPTION: This subfile contains the observation section of the incoming eRx. This subfile was created to
support the 2017 script standard.
52.49306,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 03, 2019
HELP-PROMPT: Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is the sequence associated with the incoming observation information.
CROSS-REFERENCE: 52.49306^B
1)= S ^PS(52.49,DA(1),306,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),306,"B",$E(X,1,30),DA)
52.49306,1 VITAL SIGN 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the vital sign. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vital sign associated with the observation section.
52.49306,2 LOINC VERSION 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the LOINC version. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the LOINC version associated with the observation section.
52.49306,3 VALUE 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the value. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the value associated with the observation section.
52.49306,4 UNIT OF MEASURE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the unit of measure. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the unit of measure associated with the observation section.
52.49306,5 UCUM VERSION 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the UCUM version. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the UCUM version associated with the observation section.
52.49306,6 OBSERVATION DATE 6;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the observation date.
DESCRIPTION:
This is the observation date associated with the observation section.
52.49,307.1 2017 FOLLOW-UP PRESCRIBER 307;1 POINTER TO ERX EXTERNAL PERSON FILE (#52.48)
LAST EDITED: NOV 06, 2019
HELP-PROMPT: Enter the follow-up prescriber.
DESCRIPTION: This is the follow-up prescriber related to the incoming eRx. This field was created to support the
2017 script standard.
52.49,311 2017 MEDICATIONS 311;0 Multiple #52.49311
LAST EDITED: JUL 08, 2020
DESCRIPTION: This subfile holds the medication details for an eRx. This can be the prescribed, requested, or
dispensed medication.
52.49311,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
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)
52.49311,.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.
52.49311,.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.
52.49311,1.1 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.
52.49311,1.2 DC PRODUCT CODE QUALIFIER 1;2 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,1.3 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.
52.49311,1.4 DC STRENGTH FORM 1;4 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,1.5 DC STRENGTH UNIT OF MEASURE 1;5 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,1.6 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.
52.49311,1.7 DC DRUG DB QUALIFIER 1;7 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,1.8 DC DEA SCHEDULE CODE 1;8 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,2.1 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.
52.49311,2.2 QUANTITY CODE LIST QUALIFIER 2;2 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,2.3 QUANTITY UNIT OF MEASURE 2;3 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,2.4 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.
52.49311,2.5 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.
52.49311,2.6 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.
52.49311,2.7 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.
52.49311,2.8 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.
52.49311,3 2017 DIAGNOSIS 3;0 Multiple #52.493113
DESCRIPTION:
This multiple holds the diagnosis information related to an eRx.
52.493113,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence of the diagnosis entry. Type a number between 1 and 999, 0 decimal digits.
DESCRIPTION:
This is the sequence number of the diagnosis related to this eRx.
CROSS-REFERENCE: 52.493113^B
1)= S ^PS(52.49,DA(2),311,DA(1),3,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),3,"B",$E(X,1,30),DA)
52.493113,.02 CLINICAL INFO QUALIFIER 0;2 SET
'1' FOR PRESCRIBER SUPPLIED;
'2' FOR PHARMACY INFERRED;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the clinical information qualifier for this diagnosis.
DESCRIPTION:
This is the clinical information qualifier related to the diagnosis.
52.493113,1.1 PRIMARY DX CODE 1;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 primary diagnosis code. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the primary diagnosis code associated with the diagnosis entry.
52.493113,1.2 PRIMARY DIAGNOSIS QUALIFIER 1;2 SET
'DX' FOR ICD-9;
'ABF' FOR ICD-10;
'LD' FOR SNOMED;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the primary diagnosis qualifier for this diagnosis.
DESCRIPTION:
This is the primary diagnosis qualifier related to this diagnosis.
52.493113,1.3 PRIMARY OFFICE VISIT DATE 1;3 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the date of the primary office visit.
DESCRIPTION:
This is the date of the primary office visit for the diagnosis.
52.493113,2 PRIMARY DX DESCRIPTION 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the primary diagnosis description. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the description of the primary diagnosis.
52.493113,3.1 SECONDARY DX CODE 3;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 secondary diagnosis code. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the secondary diagnosis code.
52.493113,3.2 SECONDARY DX QUALIFIER 3;2 SET
'DX' FOR ICD-9;
'ABF' FOR ICD-10;
'LD' FOR SNOMED;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the secondary diagnosis qualifier.
DESCRIPTION:
This is the secondary diagnosis qualifier.
52.493113,3.3 SECONDARY OFFICE VISIT DATE 3;3 DATE
INPUT TRANSFORM: S %DT="ESTX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the date of the secondary diagnosis office visit.
DESCRIPTION:
This is the secondary diagnosis office visit date.
52.493113,4 SECONDARY DX DESCRIPTION 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the secondary diagnosis description. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the description of the secondary diagnosis.
52.49311,4.1 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.
52.49311,4.2 PRIOR AUTHORIZATION STATUS 4;2 SET
'A' FOR APPROVED;
'D' FOR DENIED;
'F' FOR DEFERRED;
'N' FOR NOT REQUIRED;
'R' FOR REQUESTED;
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.
52.49311,4.3 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.
52.49311,4.4 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.
52.49311,5 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.
52.49311,6 DRUG USE EVALUATION 6;0 Multiple #52.493116
DESCRIPTION:
This subfile holds the drug use evaluation information for a medication.
52.493116,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence of the drug use evaluation. Type a number between 1 and 999, 0 decimal
digits.
DESCRIPTION:
This is the sequence of the drug use evaluation entry for this medication.
CROSS-REFERENCE: 52.493116^B
1)= S ^PS(52.49,DA(2),311,DA(1),6,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),6,"B",$E(X,1,30),DA)
52.493116,.02 DUE SERVICE REASON CODE 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug use evaluation service reason code.
DESCRIPTION:
This is the drug use evaluation service reason code.
52.493116,.03 DUE PROF SERVICE CODE 0;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug use evaluation professional service code.
DESCRIPTION:
This is the drug use evaluation professional service reason code.
52.493116,.04 DUE SVX RESULT CODE 0;4 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the drug use evaluation service result code.
DESCRIPTION:
This is the drug use evaluation service result code.
52.493116,.05 DUE COAGENT CODE 0;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 drug use evaluation co-agent code. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the drug use evaluation co-agent code.
52.493116,.06 DUE COAGENT QUALIFIER 0;6 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug use evaluation co-agent qualifier.
DESCRIPTION:
This is the drug use evaluation co-agent qualifier.
52.493116,.07 DUE CLINICAL SIGNIFICANCE CODE 0;7 SET
'1' FOR MAJOR;
'2' FOR MODERATE;
'3' FOR MINOR;
'9' FOR UNDETERMINED;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug use evaluation clinical significance code.
DESCRIPTION:
This is the drug use evaluation clinical significance code.
52.493116,1 DUE COAGENT DESCRIPTION 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug use evaluation co-agent description. Answer must be 1-255 characters in
length.
DESCRIPTION:
This is the drug use evaluation co-agent description.
52.493116,2 DUE ACKNOWLEDGEMENT REASON 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
MAXIMUM LENGTH: 100
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug use evaluation acknowledgement reason. Answer must be 1-100 characters in
length.
DESCRIPTION:
This is the drug use evaluation acknowledgement reason.
52.49311,7 DRUG COVERAGE STATUS 7;0 Multiple #52.493117
DESCRIPTION:
This subfile holds the drug coverage status information.
52.493117,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence of the drug coverage status. Type a number between 1 and 999, 0 decimal
digits.
DESCRIPTION:
This is the sequence number of the drug coverage status entry.
CROSS-REFERENCE: 52.493117^B
1)= S ^PS(52.49,DA(2),311,DA(1),7,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),7,"B",$E(X,1,30),DA)
52.493117,.02 DRUG COVERAGE STATUS 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the drug coverage status code.
DESCRIPTION:
This is the drug coverage status code.
52.49311,8 SIG TEXT 8;0 WORD-PROCESSING #52.493118 (IGNORE "|")
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sig text for this medication.
DESCRIPTION:
This is the sig text for the eRx medication.
52.49311,9.1 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.
52.49311,9.2 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.
52.49311,12 INSTRUCTIONS 12;0 Multiple #52.4931112
DESCRIPTION: This subfile contains the instructions information associated with the medication
segment. This subfile was created to support the 2017 script standard.
52.4931112,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the instuctions section.
CROSS-REFERENCE: 52.4931112^B
1)= S ^PS(52.49,DA(2),311,DA(1),12,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),12,"B",$E(X,1,30),DA)
52.4931112,.02 INSTRUCTION INDICATOR 0;2 SET
'MEDICALENCOUNTER' FOR AS DIRECTED BASED ON MEDICAL ENCOUNTER;
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the instruction indicator.
DESCRIPTION:
This is the instruction indicator associated with the instructions section.
52.4931112,.03 MULTIPLE INSTRUCTION MODIFIER 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
MAXIMUM LENGTH: 20
LAST EDITED: JAN 06, 2020
HELP-PROMPT: Enter the multiple instruction modifier. Answer must be 1-20 characters in length.
DESCRIPTION: This is the instructions multiple timing modifier associated with the instructions
section.
52.4931112,3 TIMING AND DURATION 3;0 Multiple #52.49311123
DESCRIPTION: This subfile contains the timing and duration information associated with the
instructions section. This subfile was created to support the 2017 script standard.
52.49311123,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the timing and duration section.
CROSS-REFERENCE: 52.49311123^B
1)= S ^PS(52.49,DA(3),311,DA(2),12,DA(1),3,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(3),311,DA(2),12,DA(1),3,"B",$E(X,1,30),DA)
52.49311123,.02 MULT TIMING MODIFIER 0;2 SET
'A' FOR AND;
'O' FOR OR;
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the multiple timing modifier.
DESCRIPTION:
This is the multiple timing modifier associated with the timing and duration section.
52.49311123,.03 ADMIN TIMING VALUE 1 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the administration timing numeric value 1. Answer must be 1-30 characters in
length.
DESCRIPTION: This is the administration timing numeric value 1 associated with the timing and
duration section.
52.49311123,.04 VARIABLE ADMIN TIMING MODIFIER 0;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>20!($L(X)<1) X
MAXIMUM LENGTH: 20
LAST EDITED: JAN 06, 2020
HELP-PROMPT: Enter the variable administration timing modifier. Answer must be 1-20 characters in
length.
DESCRIPTION: This is the variable administration timing modifier associated with the timing and
duration section.
52.49311123,.05 ADMIN TIMING VALUE 2 0;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the administration timing numeric value 2. Answer must be 1-30 characters in
length.
DESCRIPTION: This is the administration timing numeric value 2 associated with the timing and
duration section.
52.49311123,1 ADMIN TIMING UNITS CODE 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing units code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing units code associated with the timing and duration
section.
52.49311123,2 ADMIN TIMING UNITS QUALIFIER 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing units qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing units qualifier associated with the timing and
duration section.
52.49311123,3 ADMIN TIMING UNITS TEXT 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the administration timing units text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing units text associated with the timing and duration
section.
52.49311123,4 ADMIN TIMING MODIFIER CODE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing modifier code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing modifier code associated with the timing and
duration section.
52.49311123,5 ADMIN TIMING MODIFIER QUAL 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing modifier qualifier. Answer must be 1-255 characters
in length.
DESCRIPTION: This is the administration timing modifier qualifier associated with the timing and
duration section.
52.49311123,6 ADMIN TIMING MODIFIER TEXT 6;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing modifier text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing modifier text associated with timing and duration
section.
52.49311123,7 ADMIN TIMING EVENT CODE 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the administration timing event code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing event code associated with the timing and duration
section.
52.49311123,8 ADMIN TIMING EVENT QUAL 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter administration timing event qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing event qualifier associated with the timing and
duration section.
52.49311123,9 ADMIN TIMING EVENT TEXT 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing event text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing event text associated with the timing and duration
section.
52.49311123,10 ADMIN TIMING EVENT FREE TEXT 10;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the administration timing event free text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the administration timing event free text associated with the timing and
duration section.
52.49311123,11.1 FREQ NUMERIC VALUE 1 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the frequency numeric value 1. Answer must be 1-30 characters in length.
DESCRIPTION: This is the frequency numeric value 1 associated with the timing and duration
section.
52.49311123,11.2 FREQ MODIFIER 11;2 SET
'A' FOR AND;
'T' FOR TO;
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the frequency modifier.
DESCRIPTION:
This is the frequency modifier associated with the timing and duration section.
52.49311123,11.3 FREQ NUMERIC VALUE 2 11;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the frequency numeric value 2. Answer must be 1-30 characters in length.
DESCRIPTION: This is the frequency numeric value 2 associated with the timing and duration
section.
52.49311123,12 FREQ UNITS CODE 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the frequency units code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the frequency units code associated with the timing and duration section.
52.49311123,13 FREQ UNITS QUAL 13;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the frequency units qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the frequency units qualifier associated with the timing and duration
section.
52.49311123,14 FREQUENCY UNITS TEXT 14;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the frequency units text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the frequency units text associated with the timing and duration section.
52.49311123,15.1 INT NUMERIC VALUE 1 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the interval numeric value 1. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the interval numeric value 1 associated with the timing and duration section.
52.49311123,15.2 INT MODIFIER 15;2 SET
'A' FOR AND;
'T' FOR TO;
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the interval modifier.
DESCRIPTION:
This is the interval modifier associated with the timing and duration section.
52.49311123,15.3 INT NUMERIC VALUE 2 15;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the interval numeric value 2. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the interval numeric value 2 associated with the timing and duration section.
52.49311123,16 INT UNITS CODE 16;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the interval units code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the interval units code associated with the timing and duration section.
52.49311123,17 INT UNITS QUAL 17;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the interval units qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the interval units qualifier associated with the timing and duration section.
52.49311123,18 INT UNITS TEXT 18;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the interval units text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the interval units text associated with the timing and duration section.
52.49311123,21.1 RATE OF ADMIN 21;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>11!($L(X)<1) X
MAXIMUM LENGTH: 11
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the rate of administration. Answer must be 1-11 characters in length.
DESCRIPTION:
This is the rate of administration associated with the timing and duration section.
52.49311123,22 RATE UNIT MEASURE CODE 22;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the unit of measure code. Answer must be 1-255 characters in length.
DESCRIPTION: This is the rate unit of measure code associated with the timing and duration
section.
52.49311123,23 RATE UNIT MEASURE QUAL 23;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the rate unit of measure qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the rate unit of measure qualifier associated with the timing and duration
section.
52.49311123,24 RATE UNIT MEASURE TEXT 24;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the rate unit of measure. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the rate unit of measure associated with the timing and duration section.
52.49311123,25 ROA TIME BASIS CODE 25;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the rate of administration time basis code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the rate of administration time basis code associated with the timing and
duration section.
52.49311123,26 ROA TIME BASIS QUAL 26;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the rate of administration time basis qualifier. Answer must be 1-255
characters in length.
DESCRIPTION: This is the rate of administration time basis qualifier associated with the timing
and duration section.
52.49311123,27 ROA TIME BASIS TEXT 27;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the rate of administration time basis text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the rate of administration time basis text associated with the timing and
duration section.
52.49311123,28 TIMING FREE TEXT 28;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the timing free text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the timing free text associated with the timing and duration section.
52.49311123,31 DURATION VALUE 31;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration value. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration value associated with the timing and duration section.
52.49311123,32 DURATION CODE 32;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration code associated with the timing and duration section.
52.49311123,33 DURATION QUALIFIER 33;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration qualifier associated with the timing and duration section.
52.49311123,34 DURATION TEXT 34;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration text associated with the timing and duration section.
52.49311123,35 DURATION TRIGGER CODE 35;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration trigger code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration trigger code associated with the timing and duration section.
52.49311123,36 DURATION TRIGGER QUAL 36;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration trigger qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the duration trigger qualifier associated with the timing and duration
section.
52.49311123,37 DURATION TRIGGER TEXT 37;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration trigger text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration trigger text associated with the timing and duration section.
52.49311123,38 DURATION CLARIFYING TEXT 38;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the duration clarifying text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration clarifying text associated with the timing and duration section.
52.49311123,41 STOP INDICATOR CODE 41;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the stop indicator code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the stop indicator code associated with the timing and duration section.
52.49311123,42 STOP INDICATOR QUAL 42;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the stop indicator qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the stop indicator qualifier associated with the timing and duration section.
52.49311123,43 STOP INDICATOR TEXT 43;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 14, 2019
HELP-PROMPT: Enter the stop indicator text. Answer must be 1-255 characters in length.
DESCRIPTION:
Enter the stop indicator text associated with the timing and duration section.
52.4931112,4.1 ADMIN INDICATOR 4;1 SET
'MANUFACTURERSINSTRUCTIONS' FOR AS DIRECTED PER MANUFACTURER'S PACKAGING.;
LAST EDITED: NOV 20, 2019
HELP-PROMPT: Enter the administration indicator.
DESCRIPTION:
This is the administration indicator associated with the instruction section.
52.4931112,7 DDM CODE 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose delivery method code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose delivery method code associated with the instructions section.
52.4931112,8 DDM QUALIFIER 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose delivery method qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose delivery method qualifier associated with the instruction section.
52.4931112,9 DDM TEXT 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose delivery method text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose delivery method text associated with the instructions section.
52.4931112,10.1 DOSE QUANTITY 1 10;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose quantity 1. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose quantity 1 associated with the instructions section.
52.4931112,11 DUOM CODE 1 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure code 1. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose unit of measure code 1 associated with the instructions section.
52.4931112,12 DUOM QUALIFIER 1 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure qualifier 1. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the dose unit of measure qualifier 1 associated with the instructions
section.
52.4931112,13 DUOM TEXT 1 13;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure text 1. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose unit of measure text 1 associated with the instructions section.
52.4931112,14 DOSE RANGE MODIFIER 14;1 SET
'T' FOR TO;
'O' FOR OR;
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose range modifier.
DESCRIPTION:
This is the dose range modifier associated with the instructions section.
52.4931112,15.1 DOSE QUANTITY 2 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose quantity 2. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose quantity 2 associated with the instructions section.
52.4931112,16 DUOM CODE 2 16;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure code 2. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose unit of measure code 2 associated with the instructions section.
52.4931112,17 DUOM QUALIFIER 2 17;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure qualifier 2. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the dose unit of measure qualifier 2 associated with the instructions
section.
52.4931112,18 DUOM TEXT 2 18;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure text 2. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose unit of measure text 2 associated with the instructions section.
52.4931112,21.1 DOSE BASIS NUMERIC VALUE 21;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 dose basis numeric value. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the dose basis numeric value associated with the instructions section.
52.4931112,21.2 DOSE BASIS RANGE MODIFIER 21;2 SET
'T' FOR TO;
'O' FOR OR;
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose basis range modifier.
DESCRIPTION:
This is the dose basis range modifier associated with the instructions section.
52.4931112,21.3 DOSE BASIS NUM VALUE 2 21;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose basis numeric value 2. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the dose basis numeric value 2 associated with the instructions section.
52.4931112,22 DBUOM CODE 22;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dosing basis unit of measure code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the dosing basis unit of measure code associated with the instructions
section.
52.4931112,23 DBUOM QUALIFIER 23;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dosing basis unit of measure qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the dosing basis unit of measure qualifier associated with the instructions
section.
52.4931112,24 DBUOM TEXT 24;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dosing basis unit of measure text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the dosing basis unit of measure text associated with the instructions
section.
52.4931112,25.1 BODY METRIC QUAL 25;1 SET
'1' FOR KILOGRAM;
'2' FOR METER SQUARED;
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the body metric qualifier.
DESCRIPTION:
This is the body metric qualifier associated with the instructions section.
52.4931112,25.2 BODY METRIC VALUE 25;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 body metric value. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the body metric value associated with the instructions section.
52.4931112,26 CALCULATED DOSE NUMERIC 26;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 calculated dose numeric. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the calculated dose numeric associated with the instructions section.
52.4931112,27 CDUOM CODE 27;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the calculated dose unit of measure code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the calculated dose unit of measure code associated with the instructions
section.
52.4931112,28 CDUOM QUAL 28;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the calculated dose unit of measure qualifier. Answer must be 1-255 characters
in length.
DESCRIPTION: This is the calculated dose unit of measure qualifier associated with the
instructions section.
52.4931112,29 CDUOM TEXT 29;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the calculated dose unit of measure text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the calculated dose unit of measure text associated with the instructions
section.
52.4931112,31 DOSE CALC CLARIFYING TEXT 31;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose calculated clarifying text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose calculated clarifying text associated with the instructions section.
52.4931112,32 DUOMCODE CODE 32;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure code code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose unit of measure code code associated with the instructions section.
52.4931112,33 DUOMCODE QUALIFIER 33;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure code qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the dose unit of measure code qualifier associated with the instructions
section.
52.4931112,34 DUOMCODE TEXT 34;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose unit of measure code text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose unit of measure code text associated with the instructions section.
52.4931112,35 DOSE AMOUNT CODE 35;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose amount code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose amount code associated with the instructions section.
52.4931112,36 DOSE AMOUNT QUALIFIER 36;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose amount qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose amount qualifier associated with the instructions section.
52.4931112,37 DOSE AMOUNT TEXT 37;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose amount text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose amount text associated with the instructions section.
52.4931112,38 DOSE CLARIFYING FREE TEXT 38;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the dose clarifying free text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the dose clarifying free text associated with the instructions section.
52.4931112,41 VEHICLE PREPOSITION CODE 41;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle preposition code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle preposition code associated with the instructions section.
52.4931112,42 VEHICLE PREPOSITION QUAL 42;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle preposition qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle preposition qualifier associated with the instructions section.
52.4931112,43 VEHICLE PREPOSITION TEXT 43;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle preposition text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle preposition text associated with the instructions section.
52.4931112,44.1 VEHICLE QUANTITY 1 44;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 vehicle quantity 1. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the vehicle quantity 1 associated with the instructions section.
52.4931112,44.2 MULTIPLE VEHICLE MODIFIER 44;2 SET
'A' FOR AND;
'T' FOR TO;
'O' FOR OR;
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the multiple vehicle modifier.
DESCRIPTION:
This is the multiple vehicle modifier associated with the instructions section.
52.4931112,44.3 VEHICLE QUANTITY 2 44;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle quantity 2. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the vehicle quantity 2 associated with the instructions section.
52.4931112,45 VEHICLE UOM CODE 45;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle unit of measure code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle unit of measure code associated with the instructions section.
52.4931112,46 VEHICLE UOM QUALIFIER 46;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle unit of measure qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the vehicle unit of measure qualifier associated with the instructions
section.
52.4931112,47 VEHICLE UOM TEXT 47;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle unit of measure text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle unit of measure text associated with the instructions section.
52.4931112,51 VEHICLE CODE 51;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle code associated with the instructions section.
52.4931112,52 VEHICLE QUALIFIER 52;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle qualifier associated with the instructions section.
52.4931112,53 VEHICLE TEXT 53;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle text associated with the instructions section.
52.4931112,54 VEHICLE CLARIFYING TEXT 54;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the vehicle clarifying text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the vehicle clarifying text associated with the instructions section.
52.4931112,55 ROUTE OF ADMIN CODE 55;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the route of administration code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the route of administration code associated with the instructions section.
52.4931112,56 ROUTE OF ADMIN QUAL 56;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the route of administration qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the route of administration qualifier associated with the instructions
section.
52.4931112,57 ROUTE OF ADMIN TEXT 57;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the route of administration text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the route of administration text associated with the instructions section.
52.4931112,58 RTE OF ADMIN FREE TEXT 58;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the route of administration free text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the route of administration free text associated with the instructions
section.
52.4931112,61 SITE OF ADMIN CODE 61;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the site of administration code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the site of administration code associated with the instructions section.
52.4931112,62 SITE OF ADMIN QUAL 62;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the site of administration qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION:
Enter the site of administration qualifier associated with the instruction section.
52.4931112,63 SITE OF ADMIN TEXT 63;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the site of administration text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the site of administration text associated with the instructions section.
52.4931112,64 SITE OF ADMIN CLARIFYING TEXT 64;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the site of administration clarifying text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the site of administration clarifying text associated with the instructions
section.
52.4931112,67 INDICATION FOR USE 67;0 Multiple #52.493111267
DESCRIPTION: This subfile contains the indication for use information, which is found within the
instructions segment of the eRx XML.
52.493111267,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the indication for use information.
CROSS-REFERENCE: 52.493111267^B
1)= S ^PS(52.49,DA(3),311,DA(2),12,DA(1),67,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(3),311,DA(2),12,DA(1),67,"B",$E(X,1,30),DA)
52.493111267,1 INDICATION PRECURSOR CODE 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication precursor code. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication precursor code associated with the indication for use
section.
52.493111267,2 INDICATION PRECURSOR QUAL 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication precursor qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication precursor qualifier associated with the indication for use
section.
52.493111267,3 INDICATION PRECURSOR TEXT 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication precursor text. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication precursor text associated with the indication for use
section.
52.493111267,4 INDICATION CODE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication code associated with the indication for use section.
52.493111267,5 INDICATION QUAL 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication qualifier. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication qualifier associated with the indication for use section.
52.493111267,6 INDICATION TEXT 6;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication text associated with the indication for use section.
52.493111267,7 INDICATION VALUE CODE 1 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value code 1. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication value code 1 associated with the indication for use section.
52.493111267,8 INDICATION VALUE QUAL 1 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value qualifier 1. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value qualifier 1 associated with the indication for use
section.
52.493111267,9 INDICATION VALUE TEXT 1 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value text 1. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication value text 1 associated with the indication for use section.
52.493111267,10 INDICATION VARIABLE MODIFIER 10;1 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication variable modifier.
DESCRIPTION: This is the indication variable modifier associated with the indication for use
section.
52.493111267,11 INDICATION VALUE CODE 2 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value code 2. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication value code 2 associated with the indication for use section.
52.493111267,12 INDICATION VALUE QUAL 2 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value qualifier 2. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value qualifier 2 associated with the indication for use
section.
52.493111267,13 INDICATION VALUE TEXT 2 13;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value text 2. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication value text 2 associated with the indication for use section.
52.493111267,14 INDICATION VALUE UNIT CODE 14;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value unit code. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value unit code associated with the indication for use
section.
52.493111267,15 INDICATION VALUE UNIT QUAL 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value unit qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication value unit qualifier associated with the indication for use
section.
52.493111267,16 INDICATION VALUE UNIT TEXT 16;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication value unit text. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value unit text associated with the indication for use
section.
52.493111267,17 INDICATION UOM CODE 17;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication unit of measure code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication unit of measure code associated with the indication for use
section.
52.493111267,18 INDICATION UOM QUAL 18;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication unit of measure qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication unit of measure qualifier associated with the indication for
use section.
52.493111267,19 INDICATION UOM TEXT 19;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: FEB 10, 2021
HELP-PROMPT: Enter the indication unit of measure text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication unit of measure text associated with the indication for use
section.
52.4931112,70 INDICATION CLARIFYING TEXT 70;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication clarifying free text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication clarifying free text associated with the indication for use
subfile numbered 52.4931113.
52.4931112,71 MDR CLARIFYING FREE TEXT 71;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the maximum dose restriction clarifying free text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the maximum dose restriction clarifying free text associated with the
maximum dose restriction subfile numbered 52.4931114.
52.4931112,72 DDMM CODE 72;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 18, 2019
HELP-PROMPT: Enter the dose delivery method modifier code. Answer must be 1-255 characters in
length.
DESCRIPTION:
This is the dose delivery method modifier code.
52.4931112,73 DDMM QUALIFIER 73;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 18, 2019
HELP-PROMPT: Enter the dose delivery method qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION:
This is the dose delivery method modifier.
52.4931112,74 DDMM TEXT 74;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 18, 2019
HELP-PROMPT: Enter the dose delivery method modifier text. Answer must be 1-255 characters in
length.
DESCRIPTION:
This is the dose delivery method modifier text.
52.4931112,75 MAX DOSE RESTRICTION 75;0 Multiple #52.493111275
DESCRIPTION:
This subfile contains the maximum dose restriction associated with the eRx.
52.493111275,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION: This is the sequence number associated with the maximum dose restriction
information.
CROSS-REFERENCE: 52.493111275^B
1)= S ^PS(52.49,DA(3),311,DA(2),12,DA(1),75,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(3),311,DA(2),12,DA(1),75,"B",$E(X,1,30),DA)
52.493111275,1 NUMERIC VALUE 1 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the numeric value 1. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the numeric value 1 associated with the maximum dose restriction.
52.493111275,2 RESTRICTION UNITS CODE 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the restriction unit code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the restriction units code associated with the maximum dose restriction.
52.493111275,3 RESTRICTION UNITS QUAL 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the restriction units qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the restriction units qualifier associated with the maximum dose
restriction.
52.493111275,4 RESTRICTION UNITS TEXT 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the restriction units text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the restriction units text associated with the maximum dose restriction.
52.493111275,5 DURATION VALUE 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the duration value. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration value associated with the maximum dose restriction.
52.493111275,6 DURATION UNITS CODE 6;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 duration units code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is duration units code associated with the maximum dose restriction.
52.493111275,7 DURATION UNITS QUAL 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the duration units qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the duration units qualifier associated with the maximum dose
restriction.
52.493111275,8 DURATION UNITS TEXT 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the duration units text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the duration units text associated with the maximum dose restriction.
52.493111275,9 RESTRICTION FORM CODE 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the restriction form code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the restriction form code associated with the maximum dose restriction
52.493111275,10 RESTRICTION FORM QUAL 10;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the restriction form qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the restriction form qualifier associated with the maximum dose
restriction.
52.493111275,11 RESTRICTION FORM TEXT 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the restriction form text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the restriction form text associated with the maximum dose restriction.
52.493111275,12 CLARIFYING FREE TEXT 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 21, 2019
HELP-PROMPT: Enter the clarifying free text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the clarifying free text associated with the maximum dose restriction.
52.49311,13 INDICATION FOR USE 13;0 Multiple #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.
52.4931113,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is the sequence number associated with the indication for use information.
CROSS-REFERENCE: 52.4931113^B
1)= S ^PS(52.49,DA(2),311,DA(1),13,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),13,"B",$E(X,1,30),DA)
52.4931113,1 INDICATION PRECURSOR CODE 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication precursor code. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication precursor code associated with the indication for use
section.
52.4931113,2 INDICATION PRECURSOR QUAL 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the indication precursor qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication precursor qualifier associated with the indication for
use section.
52.4931113,3 INDICATION PRECURSOR TEXT 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication precursor text. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication precursor text associated with the indication for use
section.
52.4931113,4 INDICATION CODE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication code. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication code associated with the indication for use section.
52.4931113,5 INDICATION QUAL 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication qualifier. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication qualifier associated with the indication for use
section.
52.4931113,6 INDICATION TEXT 6;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the indication text associated with the indication for use section.
52.4931113,7 INDICATION VALUE CODE 1 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value code 1. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value code 1 associated with the indication for use
section.
52.4931113,8 INDICATION VALUE QUAL 1 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value qualifier 1. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication value qualifier 1 associated with the indication for use
section.
52.4931113,9 INDICATION VALUE TEXT 1 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value text 1. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value text 1 associated with the indication for use
section.
52.4931113,10 INDICATION VARIABLE MODIFIER 10;1 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication variable modifier.
DESCRIPTION: This is the indication variable modifier associated with the indication for use
section.
52.4931113,11 INDICATION VALUE CODE 2 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value code 2. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value code 2 associated with the indication for use
section.
52.4931113,12 INDICATION VALUE QUAL 2 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value qualifier 2. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication value qualifier 2 associated with the indication for use
section.
52.4931113,13 INDICATION VALUE TEXT 2 13;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value text 2. Answer must be 1-255 characters in length.
DESCRIPTION: This is the indication value text 2 associated with the indication for use
section.
52.4931113,14 INDICATION VALUE UNIT CODE 14;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value unit code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication value unit code associated with the indication for use
section.
52.4931113,15 INDICATION VALUE UNIT QUAL 15;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value unit qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication value unit qualifier associated with the indication for
use section.
52.4931113,16 INDICATION VALUE UNIT TEXT 16;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication value unit text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication value unit text associated with the indication for use
section.
52.4931113,17 INDICATION UOM CODE 17;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication unit of measure code. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication unit of measure code associated with the indication for
use section.
52.4931113,18 INDICATION UOM QUAL 18;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication unit of measure qualifier. Answer must be 1-255 characters
in length.
DESCRIPTION: This is the indication unit of measure qualifier associated with the indication
for use section.
52.4931113,19 INDICATION UOM TEXT 19;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the indication unit of measure text. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the indication unit of measure text associated with the indication for
use section.
52.49311,14 MAXIMUM DOSE RESTRICTION 14;0 Multiple #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.
52.4931114,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION: This is the sequence number associated with the maximum dose restriction
information.
CROSS-REFERENCE: 52.4931114^B
1)= S ^PS(52.49,DA(2),311,DA(1),14,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),14,"B",$E(X,1,30),DA)
52.4931114,1 NUMERIC VALUE 1 1;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 numeric value 1. Answer must be 1-30 characters in length.
DESCRIPTION: This is the numeric value 1 associated with the maximum dose restriction
section.
52.4931114,2 RESTRICTION UNITS CODE 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the units code 1. Answer must be 1-255 characters in length.
DESCRIPTION: This is the units code 1 associated with the maximum dose restriction
section.
52.4931114,3 RESTRICTION UNITS QUAL 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the units qualifier 1. Answer must be 1-255 characters in length.
DESCRIPTION: This is the units qualifier 1 associated with the maximum dose restriction
section.
52.4931114,4 RESTRICTION UNITS TEXT 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the units text 1. Answer must be 1-255 characters in length.
DESCRIPTION: This is the units text 1 associated with the maximum dose restriction
section.
52.4931114,5 DURATION VALUE 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the duration value. Answer must be 1-255 characters in length.
DESCRIPTION: This is the duration value associated with the maximum dose restriction
section.
52.4931114,6 DURATION UNITS CODE 6;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the duration units code. Answer must be 1-255 characters in length.
DESCRIPTION: This is the duration units code associated with the maximum dose restriction
section.
52.4931114,7 DURATION UNITS QUAL 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the duration units qualifier. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the duration units qualifier associated with the maximum dose
restriction section.
52.4931114,8 DURATION UNITS TEXT 8;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 15, 2019
HELP-PROMPT: Enter the duration units text. Answer must be 1-255 characters in length.
DESCRIPTION: This is the duration units text associated with the maximum dose restriction
section.
52.4931114,9 RESTRICTION FORM CODE 9;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the Maximum dose restriction form code. Answer must be 1-255 characters
in length.
DESCRIPTION:
This is the maximum dose restriction form code.
52.4931114,10 RESTRICTION FORM QUALIFIER 10;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the Maximum dose restriction form qualifier. Answer must be 1-255
characters in length.
DESCRIPTION:
This is the maximum dose restriction form qualifier.
52.4931114,11 RESTRICTION FORM TEXT 11;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the maximum dose restriction form text. Answer must be 1-255 characters
in length.
DESCRIPTION:
This is the maximum dose restriction form text.
52.4931114,12 CLARIFYING FREE TEXT 12;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the maximum dose restriction clarifying free text. Answer must be 1-255
characters in length.
DESCRIPTION:
This is the clarifying free text for the maximum dose restriction.
52.49311,15 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.
52.49311,16.1 DO NOT FILL 16;1 SET
'H' FOR HOLD;
'Y' FOR YES;
'E' FOR DO NOT FILL;
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.
52.49311,16.2 TIME ZONE IDENTIFIER 16;2 SET
'UT' FOR UNIVERSAL TIME COORDINATE;
LAST EDITED: NOV 12, 2019
HELP-PROMPT: Enter the time zone identifier for this medication.
DESCRIPTION:
This is the time zone identifier.
52.49311,16.3 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.
52.49311,16.4 ORDER CAPTURE METHOD 16;4 SET
'EP' FOR ENTERED BY PRESCRIBER;
'VT' FOR VERBAL TELEPHONE ORDER;
'VI' FOR VERBAL IN-PERSON ORDER;
'WR' FOR WRITTEN ORDER;
'TV' FOR TRANSCRIBED VERBAL ORDER;
'OM' FOR OTHER METHOD;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the order capture method for this order.
DESCRIPTION:
This is the way the order was captured.
52.49311,16.5 REASON FOR SUBSTITUTIONS 16;5 SET
'BMN' FOR BRAND MEDICALLY NECESSARY;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the reason for substitutions.
DESCRIPTION:
This is the reason for substitutions.
52.49311,16.6 SPLIT SCRIPT 16;6 SET
'B' FOR BRIDGE SUPPLY;
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.
52.49311,16.7 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.
52.49311,17 OFFICE OF PHARMACY AFFAIRS 17;0 Multiple #52.4931117
DESCRIPTION:
This subfile contains the office of pharmacy affairs identification values.
52.4931117,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence for this office of pharmacy affairs entry. Type a number
between 1 and 99, 0 decimal digits.
DESCRIPTION: This is the sequence for the office of pharmacy affairs identification
entry.
CROSS-REFERENCE: 52.4931117^B
1)= S ^PS(52.49,DA(2),311,DA(1),17,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),17,"B",$E(X,1,30),DA)
52.4931117,.02 PHARMACY AFFAIRS ID 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>15!($L(X)<1) X
MAXIMUM LENGTH: 15
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the office of pharmacy affairs identification value. Answer must be
1-15 characters in length.
DESCRIPTION:
This is the office of pharmacy affairs identification value.
52.49311,18.1 DELIVERY REQUEST 18;1 SET
'N' FOR NO DELIVERY;
'F' FOR FIRST FILL DELIVERY;
'A' FOR ALL FILLS DELIVERY;
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.
52.49311,18.2 DELIVERY LOCATION 18;2 SET
'H' FOR HOME;
'F' FOR FACILITY;
'C' FOR CONTACT PATIENT FOR DELIVERY;
'A' FOR AGENCY OF SERVICE;
'P' FOR PROVIDER;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the delivery location for this medication.
DESCRIPTION:
This is the delivery location for the eRx medication.
52.49311,19.1 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.
52.49311,19.2 DIAB SPLY INDICATOR 19;2 SET
'Y' FOR YES;
'N' FOR NO;
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.
52.49311,19.3 DIAB INSULIN DEPENDENT 19;3 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter whether or not this is insulin dependent.
DESCRIPTION:
This indicates insulin dependency.
52.49311,19.4 DIAB HAS AUTO DEVICE 19;4 SET
'Y' FOR YES;
'N' FOR NO;
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.
52.49311,19.5 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.
52.49311,20.1 INJURY RELATED 20;1 SET
'W' FOR WORK;
'A' FOR AUTO;
'O' FOR OTHER;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the injury relation for this medication.
DESCRIPTION:
This indicates the source of an injury.
52.49311,21.1 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.
52.49311,21.2 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.
52.49311,21.3 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.
52.49311,21.4 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.
52.49311,21.5 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.
52.49311,21.6 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.
52.49311,21.7 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.
52.49311,25 2017 AGNCY OF SVC COMM 25;0 Multiple #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.
52.4931125,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 12, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0 decimal
digits.
DESCRIPTION: This is the sequence number associated with the agency of service
communication information.
CROSS-REFERENCE: 52.4931125^B
1)= S ^PS(52.49,DA(2),311,DA(1),25,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),25,"B",$E(X,1,30),DA)
52.4931125,.02 TYPE 0;2 SET
'PT' FOR PrimaryTelephone;
'EM' FOR ElectronicMail;
'F' FOR Fax;
'OT' FOR OtherTelephone;
'WT' FOR WorkTelephone;
'B' FOR Beeper;
'HT' FOR HomeTelephone;
LAST EDITED: JAN 07, 2020
HELP-PROMPT: Enter the type.
DESCRIPTION:
This field contains the type of communication.
52.4931125,.03 NUMBER 0;3 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>9999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 12, 2019
HELP-PROMPT: Enter the number. Type a number between 1 and 9999999999, 0 decimal
digits.
DESCRIPTION:
This is the number associated with the agency of service communication.
52.4931125,.04 EXTENSION 0;4 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: NOV 12, 2019
HELP-PROMPT: Enter the extension. Type a number between 1 and 99999999, 0 decimal
digits.
DESCRIPTION: This is the extension associated with the agency of service
communication.
52.4931125,.05 SUPPORTS SMS 0;5 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: NOV 12, 2019
HELP-PROMPT: Enter if the communication supports SMS messages.
DESCRIPTION:
This field determines if the communication supports SMS messages.
52.4931125,1 EMAIL ADDRESS 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>80!($L(X)<1) X
MAXIMUM LENGTH: 80
LAST EDITED: NOV 12, 2019
HELP-PROMPT: Enter the electronic mail address. Answer must be 1-80 characters in
length.
DESCRIPTION: This is the electronic mail address associated with the agency of service
communication.
52.49311,26 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.
52.49311,27.1 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.
52.49311,27.2 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.
52.49311,27.3 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.
52.49311,27.4 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.
52.49311,27.5 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.
52.49311,28 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.
52.49311,29.1 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.
52.49311,29.2 IV ADMIN DILUENT QUALIFIER 29;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the IV administration diluent qualifier.
DESCRIPTION:
This is the IV administration diluent qualifier.
52.49311,29.3 IV ADMIN DILUENT QUOM 29;3 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49311,30 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.
52.49311,31 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.
52.49311,32 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.
52.49311,33.1 IV SPEC ADMIN PUMP 33;1 SET
'Y' FOR YES;
'N' FOR NO;
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the IV specific administration pump value.
DESCRIPTION:
This is the IV specific administration pump indicator.
52.49311,34.1 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.
52.49311,35 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.
52.49311,36 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.
52.49311,37.1 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.
52.49311,38 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.
52.49311,39.1 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.
52.49311,40 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.
52.49311,41 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.
52.49311,42.1 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.
52.49311,43 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.
52.49311,44 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.
52.49311,45.1 TREATMENT INDICATOR 45;1 SET
'NEW' FOR THERAPY IS NEW TO THE PATIENT;
'RESTART' FOR THERAPY HAS BEEN RESTARTED;
'CONTINUATION' FOR CONTINUATION OF AN EXISTING THERAPY;
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the treatment indicator for this medication.
DESCRIPTION:
This is the treatment indicator for the medication.
52.49311,45.2 PROPHYLACTIC OR EPISODIC 45;2 SET
'P' FOR PROPHYLACTIC;
'E' FOR EPISODIC;
'B' FOR BOTH;
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.
52.49311,45.3 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.
52.49311,45.4 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.
52.49311,46 WOUND 46;0 Multiple #52.4931146
DESCRIPTION: This subfile contains wound information associated with the medications
section. This subfile was created to support the 2017 script standard.
52.4931146,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0 decimal
digits.
DESCRIPTION:
This is the sequence number associated with the wound information.
CROSS-REFERENCE: 52.4931146^B
1)= S ^PS(52.49,DA(2),311,DA(1),46,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),46,"B",$E(X,1,30),DA)
52.4931146,.02 LOCATION CODE 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the location code. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the location code associated with the wound section.
52.4931146,1 LOCATION TEXT 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the location text. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the location text associated with the wound section.
52.4931146,2.1 LATERALITY CODE 2;1 SET
'255549009' FOR ANTERIOR;
'7771000' FOR LEFT;
'255561001' FOR MEDIAL;
'255551008' FOR POSTERIOR;
'24028007' FOR RIGHT;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the laterality code.
DESCRIPTION:
This is the laterality code associated with the wound section.
52.4931146,3 LATERALITY CODE TEXT 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the laterality code text. Answer must be 1-255 characters in
length.
DESCRIPTION:
This is the laterality code text associated with the wound section.
52.4931146,4.1 LENGTH 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>6!($L(X)<1) X
MAXIMUM LENGTH: 6
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the length. Answer must be 1-6 characters in length.
DESCRIPTION:
This is the length associated with the wound section.
52.4931146,4.2 WIDTH 4;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>6!($L(X)<1) X
MAXIMUM LENGTH: 6
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the width. Answer must be 1-6 characters in length.
DESCRIPTION:
This is the width associated with the wound section.
52.4931146,4.3 DEPTH 4;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>6!($L(X)<1) X
MAXIMUM LENGTH: 6
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the depth. Answer must be 1-6 characters in length.
DESCRIPTION:
This is the depth associated with the wound section.
52.49311,47 PRESCRIBER CHECKED REMS 47;1 SET
'A' FOR ACTIONS HAVE BEEN COMPLETED;
'B' FOR ACTIONS ARE NOT YET COMPLETED;
'N' FOR NOT YET CHECKED REMS;
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.
52.49311,48.1 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.
52.49311,48.2 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.
52.49311,49.1 PHARMACY TO TITRATE DOSE 49;1 SET
'Y' FOR YES;
'N' FOR NO;
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.
52.49311,51 TITRATION DOSE MEASUREMENT 51;0 Multiple #52.4931151
DESCRIPTION: This subfile contains the titration dose measurement information. This
subfile was created to support the 2017 script standard.
52.4931151,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
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 associated with the titration dose
measurement section.
CROSS-REFERENCE: 52.4931151^B
1)= S ^PS(52.49,DA(2),311,DA(1),51,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),51,"B",$E(X,1,30),DA)
52.4931151,1 VITAL SIGN 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the vital sign. Answer must be 1-255 characters in length.
DESCRIPTION: This is the vital sign associated with the titration dose measurement
section.
52.4931151,2 LOINC VERSION 2;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the LOINC version. Answer must be 1-255 characters in length.
DESCRIPTION: This is the LOINC version associated with the titration dose
measurement section.
52.4931151,3 VALUE 3;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>18!($L(X)<1) X
MAXIMUM LENGTH: 18
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the value. Answer must be 1-18 characters in length.
DESCRIPTION: This is the value associated with the titration dose measurement
section.
52.4931151,4 UNIT OF MEASURE 4;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the unit of measure associated with the titration dose
measurement section. Answer must be 1-255 characters in length.
DESCRIPTION: This is the unit of measure associated with the titration dose
measurement section.
52.4931151,5.1 MIN MEASUREMENT VALUE 5;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>18!($L(X)<1) X
MAXIMUM LENGTH: 18
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the minimum measurement value. Answer must be 1-18 characters
in length.
DESCRIPTION: This is the minimum measurement value associated with the titration
dose measurement section.
52.4931151,5.2 MAX MEASUREMENT VALUE 5;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>18!($L(X)<1) X
MAXIMUM LENGTH: 18
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the maximum measurement value. Answer must be 1-18 characters
in length.
DESCRIPTION: This is the maximum measurement value associated with the titration
dose measurement section.
52.4931151,6 MEASUREMENT NOTES 6;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the measurement notes. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the measurement notes associated with the titration dose
measurement section.
52.4931151,7.1 MEASUREMENT TIMING VALUE 7;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the measurement timing value. Answer must be 1-255 characters
in length.
DESCRIPTION: This is the measure timing value associated with the titration dose
measurement section.
52.4931151,7.2 VAR MEASUREMENT TIMING MOD 7;2 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the variable measurement timing modifer.
DESCRIPTION: This field determines the variable measurement timing modifier
associated with the titration dose measurement.
52.4931151,7.3 ADMIN TIMING VALUE 7;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the administration timing value. Answer must be 1-255
characters in length.
DESCRIPTION: This is the administration timing value associated with the titration
dose measurement section.
52.4931151,8 MEAS TIMING UNITS TEXT 8;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 measurement timing units text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement timing units text associated with the
titration dose measurement section.
52.4931151,9 MEAS TIMING UNITS QUAL 9;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 measurement timing units qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement timing units qualifier associated with the
titration dose measurement section.
52.4931151,10 MEAS TIMING UNITS CODE 10;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 measurement timing units code. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement timing units code associated with the
titration dose measurement section.
52.4931151,11 MEAS TIMING MOD TEXT 11;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 measurement timing modifier text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement timing modifier text associated with the
titration dose measurement section.
52.4931151,12 MEAS TIMING MOD QUAL 12;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 measurement timing modifier qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement timing modifier qualifier associated with the
titration dose measurement section.
52.4931151,13 MEAS TIMING MOD CODE 13;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 measurement timing modifier code. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement timing modifier code associated with the
titration dose measurement section.
52.4931151,14 MEAS TIMING EVENT TEXT 14;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 measurement timing event text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement timing event text associated with the
titration dose measurement section.
52.4931151,15 MEAS TIMING EVENT QUAL 15;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 measurement timing event qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement timing event qualifier associated with the
titration dose measurement section.
52.4931151,16 MEAS TIMING EVENT CODE 16;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 measurement timing event code. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement timing event code associated with the
titration dose measurement section.
52.4931151,17 MEAS TIMING CLARIFYING TEXT 17;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 measurement timing clarifying text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement timing clarifying text associated with the
titration dose measurement section.
52.4931151,18.1 MEAS FREQ NUMERIC VALUE 18;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 measurement frequency numeric value. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement frequency numeric value associated with the
titration dose measurement section.
52.4931151,18.2 MEAS VARIABLE FREQ MOD 18;2 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the measurement variable frequency modifier.
DESCRIPTION: This is the measurement variable frequency modifier associated with
the titration dose measurement section.
52.4931151,18.3 MEAS FREQ NUMERIC VALUE 2 18;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the measurement frequency numeric value 2. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement frequency numeric value 2 associated with the
titration dose measurement section.
52.4931151,19 MEAS FREQ UNITS TEXT 19;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 measurement frequency units text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement frequency units text associated with the
titration dose measurement section.
52.4931151,20 MEAS FREQ UNITS QUAL 20;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 measurement frequency units qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement frequency units qualifier associated with the
titration dose measurement section.
52.4931151,21 MEAS FREQ UNITS CODE 21;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 measurement frequency units code. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement frequency units code associated with the
titration dose measurement section.
52.4931151,22.1 MEAS INTERVAL NUMERIC VALUE 22;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 measurement interval numeric value. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement interval numeric value associated with the
titration dose measurement section.
52.4931151,22.2 MEAS INTERVAL MODIFIER 22;2 SET
'A' FOR AND;
'O' FOR OR;
'T' FOR TO;
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the measurement interval modifier.
DESCRIPTION: This is the measurement interval modifier associated with the
titration dose measurement section.
52.4931151,22.3 MEAS INTERVAL NUMERIC VALUE 2 22;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the measurement interval numeric value 2. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement interval numeric value 2 associated with the
titration dose measurement section.
52.4931151,23 MEAS INTERVAL UNITS TEXT 23;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 measurement interval units text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement interval units text associated with the
titration dose measurement section.
52.4931151,24 MEAS INTERVAL UNITS QUAL 24;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 measurement interval units qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement interval units qualifier associated with the
titration dose measurement section.
52.4931151,25 MEAS INTERVAL UNITS CODE 25;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 measurement interval units code. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement interval units code associated with the
titration dose measurement section.
52.4931151,26 MEAS DURATION VALUE 26;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 measurement duration value. Answer must be 1-30 characters
in length.
DESCRIPTION: This is the measurement duration value associated with the titration
dose measurement section.
52.4931151,27 MEAS DURATION TEXT 27;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 measurement duration text. Answer must be 1-255 characters
in length.
DESCRIPTION: This is the measurement duration text associated with the titration
dose measurement section.
52.4931151,28 MEAS DURATION QUAL 28;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 measurement duration qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement duration qualifier associated with the
titration dose measurement section.
52.4931151,29 MEAS DURATION CODE 29;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 measurement duration code. Answer must be 1-30 characters
in length.
DESCRIPTION: This is the measurement duration code associated with the titration
dose measurement section.
52.4931151,30 MEAS DURATION TRIGGER TEXT 30;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 measurement duration trigger text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement duration trigger text associated with the
titration dose measurement section.
52.4931151,31 MEAS DURATION TRIGGER QUAL 31;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 measurement duration trigger qualifier. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement duration trigger qualifier associated with
the titration dose measurement section.
52.4931151,32 MEAS DURATION TRIGGER CODE 32;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 measurement duration trigger code. Answer must be 1-30
characters in length.
DESCRIPTION: This is the measurement duration trigger code associated with the
titration dose measurement section.
52.4931151,33 MEAS DUR CLARIFYING TEXT 33;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 measurement duration clarifying text. Answer must be 1-255
characters in length.
DESCRIPTION: This is the measurement duration clarifying text associated with the
titration dose measurement section.
52.4931151,34 UCUM VERSION 34;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: NOV 13, 2019
HELP-PROMPT: Enter the UCUM version. Answer must be 1-255 characters in length.
DESCRIPTION: This is the UCUM version associated with the titration segment of the
eRx.
52.49311,55.1 FLAVORING REQUESTED 55;1 SET
'Y' FOR YES;
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the flavoring requested.
DESCRIPTION: This is the flavoring requested associated with the medications
section.
52.49311,56.1 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.
52.49311,57 COMPOUND ING LOT NOT USED 57;0 Multiple #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.
52.4931157,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 999, 0
decimal digits.
DESCRIPTION: This is the sequence number associated with the compound
ingredients lot not used section.
CROSS-REFERENCE: 52.4931157^B
1)= S ^PS(52.49,DA(2),311,DA(1),57,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),57,"B",$E(X,1,30),DA)
52.4931157,.02 COMP INGREDIENT ITEM DESC 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>105!($L(X)<1) X
MAXIMUM LENGTH: 105
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the compound ingredient item description. Answer must be
1-105 characters in length.
DESCRIPTION: This is the compound ingredient item description associated with
the compound ingredients lot not used section.
52.4931157,.03 ITEM NUMBER CODE 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the item number code. Answer must be 1-30 characters in
length.
DESCRIPTION: This is the item number code associated with the compound
ingredients lot not used section.
52.4931157,.04 ITEM NUMBER QUALIFIER 0;4 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the item number qualifier.
DESCRIPTION: This is the item number qualifier associated with the compound
ingredients lot not used section.
52.4931157,1.1 STRENGTH VALUE 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>70!($L(X)<1) X
MAXIMUM LENGTH: 70
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the strength value. Answer must be 1-70 characters in length.
DESCRIPTION: This is the strength value associated with the compound ingredients
lot not used section.
52.4931157,1.2 STRENGTH FORM 1;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the strength form.
DESCRIPTION: This is the strength form associated with the compound ingredients
lot not used section.
52.4931157,1.3 STRENGTH UNIT OF MEASURE 1;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the strength unit of measure.
DESCRIPTION: This is the strength unit of measure associated with the compound
ingredients lot not used section.
52.4931157,1.4 DEA SCHEDULE CODE 1;4 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: NOV 14, 2019
HELP-PROMPT: Enter the Drug Enforcement Agency schedule code.
DESCRIPTION: This is the Drug Enforcement Agency schedule code associated with
the compound ingredients lot not used section.
52.4931157,2.1 COMPOUND QTY VALUE 2;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999999999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the compound quantity value. Type a number between 1 and
99999999999999, 0 decimal digits.
DESCRIPTION: This is the compound quantity value associated with the compound
ingredients lot not used section.
52.4931157,2.2 COMPOUND QTY CODE QUAL 2;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the compound quantity code qualifier.
DESCRIPTION: This is the compound quantity code qualifier associated with the
compound ingredients lot not used section.
52.4931157,2.3 COMPOUND QTY UOM 2;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the compound quantity unit of measure.
DESCRIPTION: This is the compound quantity unit of measure associated with the
compound ingredients lot not used section.
52.4931157,3.1 SVX REASON CODE 3;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the service reason code.
DESCRIPTION: This is the service reason code associated with the compound
ingredients lot not used section.
52.4931157,3.2 PROF SVX CODE 3;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the professional service code.
DESCRIPTION: This is the professional service code associated with the compound
ingredients lot not used section.
52.4931157,3.3 SVX RESULT CODE 3;3 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the service result code.
DESCRIPTION: This is the service result code associated with the compound
ingredients lot not used section.
52.4931157,3.4 COAGENT CODE 3;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 15, 2019
HELP-PROMPT: Enter the co-agent code. Answer must be between 1-30 characters in
length.
DESCRIPTION: This is the co-agent code associated with the compound ingredients
lot not used section.
52.4931157,3.5 COAGENT QUALIFIER 3;5 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the co-agent qualifier.
DESCRIPTION: This is the co-agent qualifier associated with the compound
ingredients lot not used section.
52.4931157,3.6 CLINICAL SIGNIFICANCE CODE 3;6 SET
'1' FOR MAJOR;
'2' FOR MODERATE;
'3' FOR MINOR;
'9' FOR UNDETERMINED;
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the clinical significance code.
DESCRIPTION: This is the clinical significance code associated with the compound
ingredients lot not used section.
52.4931157,3.7 ACKNOWLEDGEMENT REASON 3;7 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
MAXIMUM LENGTH: 100
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the acknowledgement reason. Answer must be 1-100 characters
in length.
DESCRIPTION: This is the acknowledgement reason associated with the compound
ingredients lot not used section.
52.4931157,4 COAGENT DESCRIPTION 4;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 co-agent description. Answer must be 1-255 characters in
length.
DESCRIPTION: This is the co-agent description associated with the compound
ingredients lot not used section.
52.49311,58.1 # 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.
52.49311,59 PATIENT CODIFIED NOTES 59;0 Multiple #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.
52.4931159,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0
decimal digits.
DESCRIPTION: This is the sequence number associated with the patient codified
notes.
CROSS-REFERENCE: 52.4931159^B
1)= S ^PS(52.49,DA(2),311,DA(1),59,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),59,"B",$E(X,1,30),DA)
52.4931159,.02 QUALIFIER 0;2 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: OCT 09, 2019
HELP-PROMPT: Enter the qualifier.
DESCRIPTION: This is the qualifier associated with the patient codified notes
section.
52.4931159,.03 VALUE 0;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 value. Type a number between 1 and 99, 0 decimal
digits.
DESCRIPTION: This is the value associated with the patient codified notes
section.
52.49311,61 FACILITY SPEC ADMIN TIMING 61;0 Multiple #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.
52.4931161,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0
decimal digits.
DESCRIPTION: This is the sequence number associated with the facility
specific hours of administration timing.
CROSS-REFERENCE: 52.4931161^B
1)= S ^PS(52.49,DA(2),311,DA(1),61,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),61,"B",$E(X,1,30),DA)
52.4931161,.02 HOURS OF ADMIN VALUE 0;2 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the hours of administration timing value. Type a number
between 1 and 99999, 0 decimal digits.
DESCRIPTION: This is the hours of administration value associated with the
facility specific hours of administration timing section.
52.4931161,1 HOURS OF ADMINISTRATION TEXT 1;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the hours of administration timing text. Answer must be
1-255 characters in length.
DESCRIPTION: This is the hours of administration timing text associated with
the facility specific hours of administration timing section.
52.4931161,2.1 HOURS OF ADMIN QUALIFIER 2;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 hours of administration timing qualifier. Answer
must be 1-30 characters in length.
DESCRIPTION: This is the hours of administration timing qualifier associated
with the facility specific hours of administration timing
section.
52.4931161,2.2 HOURS OF ADMIN CODE 2;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the hours of administration timing code. Answer must be
1-30 characters in length.
DESCRIPTION: This is the hours of administration timing code associated with
the facility specific hours of administration timing section.
52.49311,62 OTHER MEDICATION DATE 62;0 Multiple #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.
52.4931162,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0
decimal digits.
DESCRIPTION: This is the sequence number associated with the other
medication date information.
CROSS-REFERENCE: 52.4931162^B
1)= S ^PS(52.49,DA(2),311,DA(1),62,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(2),311,DA(1),62,"B",$E(X,1,30),DA)
52.4931162,.02 DATE 0;2 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: OCT 08, 2019
HELP-PROMPT: Enter the date.
DESCRIPTION: This is the date associated with the other medication date
section.
52.4931162,.03 QUALIFIER 0;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>200!($L(X)<1) X
MAXIMUM LENGTH: 200
LAST EDITED: NOV 15, 2019
HELP-PROMPT: Enter the other medication date qualifier. Answer must be
between 1-200 characters in length.
DESCRIPTION: This is the qualifier associated with the other medication
date section.
52.49311,63.1 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.
52.49311,63.2 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.
52.49311,63.3 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.
52.49311,63.4 PROVIDER EXP AUTH TO ADMIN 63;4 SET
'Y' FOR YES;
'N' FOR NO;
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.
52.49311,64 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.
52.49311,65 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.
52.49311,66 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.
52.49311,67 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.
52.49311,68 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.
52.49311,69 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.
52.49311,71 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.
52.49311,72 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.
52.49311,73 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.
52.49311,74 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.
52.49311,75 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.
52.49311,76 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.
52.49311,77 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.
52.49311,78 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.
52.49311,79 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.
52.49311,81 FINAL COMP PHARM DOSAGE FORM 81;1 POINTER TO ERX SERVICE REASON CODES FILE (#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.
52.49,312.1 SCRIPT VERSION NUMBER 312;1 SET
'1' FOR 20170715 SCRIPT VERSION;
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the script version.
DESCRIPTION: This is the version number associated with the incoming eRx. If set to 1, version is confirmed to
be 20170715, if 0, field will be set to null.
52.49,312.2 REQUEST REFERENCE NUMBER 312;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the request reference number. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the request reference number associated with the eRx.
52.49,312.3 RETURN RECEIPT 312;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>3!($L(X)<1) X
MAXIMUM LENGTH: 3
LAST EDITED: OCT 11, 2019
HELP-PROMPT: Enter the return receipt. Answer must be 1-3 characters in length.
DESCRIPTION:
This is the return receipt associated with the eRx.
52.49,313.1 ECL VERSION 313;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the ECL version. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the ECL version number associated with the eRx.
52.49,313.2 DATA TYPE VERSION 313;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the data type version. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the data type version associated with the eRx.
52.49,313.3 STRUCTURES VERSION 313;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the structures version. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the structures version associated with the eRx.
52.49,313.4 TRANSACTION DOMAIN 313;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the transaction domain. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the transaction domain associated with the eRx.
52.49,313.5 TRANSACTION VERSION 313;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the transaction version. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the transaction version associated with the eRx.
52.49,313.6 TRANSPORT VERSION 313;6 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
MAXIMUM LENGTH: 30
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the transport version. Answer must be 1-30 characters in length.
DESCRIPTION:
This is the transport version associated with the eRx.
52.49,314.1 SENDER SOFTWARE DEVELOPER 314;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
MAXIMUM LENGTH: 100
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the sender software developer. Answer must be 1-100 characters in length.
DESCRIPTION:
This is the sender software developer associated with the eRx.
52.49,314.2 SENDER SOFTWARE PRODUCT 314;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>100!($L(X)<1) X
MAXIMUM LENGTH: 100
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the sender software product. Answer must be 1-100 characters in length.
DESCRIPTION:
This is the sender software product associated with the eRx.
52.49,314.3 SENDER SOFTWARE VERSION REL 314;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>50!($L(X)<1) X
MAXIMUM LENGTH: 50
LAST EDITED: NOV 25, 2019
HELP-PROMPT: Enter the sender software version release. Answer must be 1-50 characters in length.
DESCRIPTION:
This is the sender software version release associated with the eRx.
52.49,315.1 CHANGE MES REQ CODE 315;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the message request code.
DESCRIPTION:
This is the message request code associated with the change request/response.
52.49,316 CHANGE MES SUB CODE 316;0 Multiple #52.49316
DESCRIPTION:
This is the message request sub code associated with the change request/response.
52.49316,.01 SEQUENCE 0;1 NUMBER (Multiply asked)
INPUT TRANSFORM: K:+X'=X!(X>99)!(X<1)!(X?.E1"."1N.N) X
LAST EDITED: MAR 23, 2020
HELP-PROMPT: Enter the sequence number. Type a number between 1 and 99, 0 decimal digits.
DESCRIPTION:
This is the sequence associated with the message request sub code.
CROSS-REFERENCE: 52.49316^B
1)= S ^PS(52.49,DA(1),316,"B",$E(X,1,30),DA)=""
2)= K ^PS(52.49,DA(1),316,"B",$E(X,1,30),DA)
52.49316,1 SUB CODE 1;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the message request sub code.
DESCRIPTION:
This is the sub code associated with the change request/response.
52.49,317 CHANGE REQUEST REASON TEXT 317;0 WORD-PROCESSING #52.49317 (IGNORE "|")
LAST EDITED: FEB 03, 2024
DESCRIPTION:
This is the Rx Change Request Reason Text that was send to the outside prescriber.
LAST EDITED: MAR 25, 2024
HELP-PROMPT: Enter the Change Request reason text for the outside provider.
DESCRIPTION:
This is the Rx Change Request reason text that was sent to the outside prescriber.
52.49,318.1 CH RES STATE LICENSE NUM 318;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the state license number. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the state license number associated with the change response.
52.49,318.2 CH RES MEDICARE NUMBER 318;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the medicare number. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the medicare number associated with the change response.
52.49,318.3 CH RES MEDICAID NUMBER 318;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the medicaid number. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the medicaid number associated with the change response.
52.49,319.1 CH RES UPIN 319;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the UPIN. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the UPIN associated with the change response.
52.49,319.2 CH RES DEA NUMBER 319;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the DEA number. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the DEA number associated with the change response.
52.49,319.3 CH RES HIN 319;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the HIN. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the HIN associated with the change response.
52.49,319.4 CH RES SOCIAL SECURITY NUMBER 319;4 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the social security number. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the social security number associated with the change response.
52.49,319.5 CH RES NPI 319;5 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the NPI. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the NPI associated with the change response.
52.49,320.1 CH REQ PROGRESS NOTE REF # 320;1 NUMBER
INPUT TRANSFORM: K:+X'=X!(X>99999999999999)!(X<1)!(X?.E1"."1.N) X
LAST EDITED: APR 22, 2024
HELP-PROMPT: Enter the Change Request Progress Note Reference Number from TIU.
DESCRIPTION: This is the reference number returned by TIU when a Patient Progress Note is automatically created
when the user submits a Change Request to the ouside Prescriber.
52.49,320.2 CH REQ PROGRESS NOTE COMMENT 320;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>210!($L(X)<1) X
MAXIMUM LENGTH: 210
LAST EDITED: APR 22, 2024
HELP-PROMPT: Enter the comment that will be appended to the Change Request Progress Note.
DESCRIPTION: This is the Change Request comment for the Patient Progress Note that is automatically created when
the Change Request is submitted to the outside prescriber.
52.49,321.1 CH RES CERT TO PRESCRIBE 321;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the certificate to prescribe. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the certificate to prescribe associated with the change response.
52.49,321.2 CH RES DATA 2000 WAIVER ID 321;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the data 2000 waiver identification. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the data 2000 waiver identification associated with the change response.
52.49,321.3 CH RES MUTUALLY DEFINED 321;3 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the mutually defined. Answer must be 1-35 characters in length.
DESCRIPTION:
This is the mutually defined information associated with the change response.
52.49,322.1 CH RES REMS PROVIDER ID 322;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>35!($L(X)<1) X
MAXIMUM LENGTH: 35
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the REMS healthcare provider enrollment identification. Answer must be 1-35 characters in
length.
DESCRIPTION:
This is the REMS healthcare provider enrollment identification associated with the change response.
52.49,322.2 CH RES STATE SUBSTANCE NUMBER 322;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>255!($L(X)<1) X
MAXIMUM LENGTH: 255
LAST EDITED: JUL 08, 2020
HELP-PROMPT: Enter the state control substance number. Answer must be 1-255 characters in length.
DESCRIPTION:
This is the state control substance number associated with the change response.
52.49,323 CH RES SUPERVISOR 323;1 POINTER TO ERX SERVICE REASON CODES FILE (#52.45)
LAST EDITED: MAR 24, 2020
HELP-PROMPT: Enter the supervisor.
DESCRIPTION:
This is the supervisor associated with the change response.
52.49,324 VAL CH RES DATE 324;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:Y<1 X
LAST EDITED: APR 27, 2020
HELP-PROMPT: Enter the date.
DESCRIPTION: This is the date associated with the change response. This field only applies to validated types of
change responses.
52.49,325 CH RES SPECIALTY 325;1 FREE TEXT
INPUT TRANSFORM: K:$L(X)>10!($L(X)<1) X
MAXIMUM LENGTH: 10
LAST EDITED: JUL 08, 2020
HELP-PROMPT: Enter the specialty. Answer must be 1-10 characters in length.
DESCRIPTION:
This is the specialty associated with the change response.
FILES POINTED TO FIELDS
DRUG (#50) MATCHED DRUG/SUPPLY (#3.2)
MEDICATION DISPENSED/REQUESTED:DRUG IEN (#.03)
DRUG UNITS (#50.607) QUANTITY/TIMING:UNITS (#11)
ERX EXTERNAL PATIENT (#52.46) EXTERNAL PATIENT IDENTIFIER (#.04)
ERX EXTERNAL PERSON (#52.48) EXTERNAL PROVIDER (#2.1)
EXTERNAL PHARMACIST (#2.2)
ERX EXTERNAL SUPERVISOR (#2.6)
EXTERNAL PHARMACIST (#17.2)
2017 FOLLOW-UP PRESCRIBER (#307.1)
ERX EXTERNAL PHARMACY (#52.47) ERX EXTERNAL PHARMACY (#2.5)
EXTERNAL PHARMACY (#17.1)
XFER TO EXTERNAL PHARMACY (#17.4)
ERX HOLDING QUEUE (#52.49) MESSAGE HISTORY:MESSAGE IEN (#.01)
ERX SERVICE REASON CODES
(#52.45) ERX ORDER STATUS (#1)
DRUG DB CODE QUALIFIER (#4.11)
PRIOR AUTHORIZATION QUALIFIER (#10.3)
2017 LTC LEVEL OF CHANGE (#301.1)
CHANGE MES REQ CODE (#315.1)
CH RES SUPERVISOR (#323)
DRUG USE EVALUATION:SERVICE REASON CODE (#.01)
PROFESSIONAL SERVICE CODE (#.02)
SERVICE RESULT CODE (#.03)
COAGENT QUALIFIER (#.05)
STATUS HISTORY:STATUS (#.02)
DRUG COVERAGE STATUS:DRUG COVERAGE STATUS (#.02)
2017 BENEFITS COORDINATION:PAYER TYPE (#16.6)
2017 MEDICATIONS:DC PRODUCT CODE QUALIFIER (#1.2)
DC STRENGTH FORM (#1.4)
DC STRENGTH UNIT OF MEASURE (#1.5)
DC DRUG DB QUALIFIER (#1.7)
DC DEA SCHEDULE CODE (#1.8)
QUANTITY CODE LIST QUALIFIER (#2.2)
QUANTITY UNIT OF MEASURE (#2.3)
IV ADMIN DILUENT QUALIFIER (#29.2)
IV ADMIN DILUENT QUOM (#29.3)
FINAL COMP PHARM DOSAGE FORM (#81)
COMPOUND ING LOT NOT USED:ITEM NUMBER QUALIFIER (#.04)
STRENGTH FORM (#1.2)
STRENGTH UNIT OF MEASURE (#1.3)
DEA SCHEDULE CODE (#1.4)
COMPOUND QTY CODE QUAL (#2.2)
COMPOUND QTY UOM (#2.3)
SVX REASON CODE (#3.1)
PROF SVX CODE (#3.2)
SVX RESULT CODE (#3.3)
COAGENT QUALIFIER (#3.5)
PATIENT CODIFIED NOTES:QUALIFIER (#.02)
DRUG USE EVALUATION:DUE SERVICE REASON CODE (#.02)
DUE PROF SERVICE CODE (#.03)
DUE SVX RESULT CODE (#.04)
DUE COAGENT QUALIFIER (#.06)
DRUG COVERAGE STATUS:DRUG COVERAGE STATUS (#.02)
CHANGE MES SUB CODE:SUB CODE (#1)
RESPONSE CODES:RESPONSE CODES (#.01)
REQUEST/RESPONSE ERR DCODES:REQUEST/RESPONSE ERR DCODES (#.01)
HOSPITAL LOCATION (#44) VISTA CLINIC (#20.6)
INSTITUTION (#4) INSTITUTION (#.06)
TRANSFERRED TO VA PHARMACY (#17.3)
RELATED INSTITUTION (#24.1)
MEDICAL CENTER DIVISION (#40.8) DIVISION (#24.2)
MEDICATION ROUTES (#51.2) QUANTITY/TIMING:MED ROUTE (#10)
NEW PERSON (#200) DRUG VALIDATED BY (#1.11)
PATIENT VALIDATED BY (#1.13)
PROVIDER VALIDATED BY (#1.8)
VA MATCHED PROVIDER (#2.3)
NOTE ADDED BY (#50.1)
REFILL/CHANGE REQUEST PERSON (#51.1)
PROCESSING ERRORS:RESOLVED BY (#.05)
STATUS HISTORY:ENTERED BY (#.03)
AUDIT LOG:EDITED BY (#.03)
ORDER (#100) OE/RR ORDER NUMBER (#.12)
PATIENT (#2) VISTA PATIENT (#.05)
PHARMACY SYSTEM (#59.7) PHARMACY SYSTEM (#.07)
PRESCRIPTION (#52) PHARMACY PRESCRIPTION NUMBER (#.13)
STATE (#5) FACILITY STATE (#70.5)
2017 BENEFITS COORDINATION:STATE/PROVINCE (#5.4)
File #52.49
Record Indexes:
AMSGDTSTS (#320) RECORD MUMPS IR SORTING ONLY
Short Descr: Index by Message Date (no time) and eRx Status
Description: This cross-reference indexes the entire file by Message Date (w/out time) and eRx Status.
Set Logic: I $G(X(1)),$G(X(2)) S ^PS(52.49,"AMSGDTSTS",X(1)\1,X(2),DA)=""
Kill Logic: I $G(X(1)),$G(X(2)) K ^PS(52.49,"AMSGDTSTS",X(1)\1,X(2),DA)
Whole Kill: K ^PS(52.49,"AMSGDTSTS")
X(1): MESSAGE DATE/TIME (52.49,.03) (forwards)
X(2): ERX ORDER STATUS (52.49,1) (forwards)
APATVPAT (#321) RECORD REGULAR IR SORTING ONLY
Short Descr: Index by eRx Patient and VistA Patient.
Description: This cross reference indexes the eRx Patient and VistA Patient in the eRx Holding Queue record.
Set Logic: S ^PS(52.49,"APATVPAT",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"APATVPAT",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"APATVPAT")
X(1): EXTERNAL PATIENT IDENTIFIER (52.49,.04) (Subscr 1) (forwards)
X(2): VISTA PATIENT (52.49,.05) (Subscr 2) (forwards)
X(3): PATIENT VALIDATED DATE/TIME (52.49,1.14) (Subscr 3) (forwards)
APRVVPRV (#322) RECORD REGULAR IR SORTING ONLY
Short Descr: Index by eRx Provider and VistA Provider.
Description: This cross reference indexes the eRx Provider and VistA Provider in the eRx Holding Queue record.
Set Logic: S ^PS(52.49,"APRVVPRV",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"APRVVPRV",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"APRVVPRV")
X(1): EXTERNAL PROVIDER (52.49,2.1) (Subscr 1) (forwards)
X(2): VA MATCHED PROVIDER (52.49,2.3) (Subscr 2) (forwards)
X(3): PROVIDER VALIDATED DATE/TIME (52.49,1.9) (Subscr 3) (forwards)
AVPAT (#323) RECORD REGULAR IR SORTING ONLY
Short Descr: Index by VistA Patient and eRx Patient.
Description: This cross reference indexes the VistA Patient and eRx Patient in the eRx Holding Queue record.
Set Logic: S ^PS(52.49,"AVPAT",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"AVPAT",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"AVPAT")
X(1): VISTA PATIENT (52.49,.05) (Subscr 1) (forwards)
X(2): EXTERNAL PATIENT IDENTIFIER (52.49,.04) (Subscr 2) (forwards)
X(3): MESSAGE DATE/TIME (52.49,.03) (Subscr 3) (forwards)
AVPRV (#324) RECORD REGULAR IR SORTING ONLY
Short Descr: Index by VistA Provider and eRx Provider
Description: This cross reference indexes the VistA Provider and eRx Provider in the eRx Holding Queue record.
Set Logic: S ^PS(52.49,"AVPRV",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"AVPRV",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"AVPRV")
X(1): VA MATCHED PROVIDER (52.49,2.3) (Subscr 1) (forwards)
X(2): EXTERNAL PROVIDER (52.49,2.1) (Subscr 2) (forwards)
X(3): MESSAGE DATE/TIME (52.49,.03) (Subscr 3) (forwards)
E (#1493) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: Indexes the institution and eRx status
Description: This index groups the eRx entries by institution and status. This allows the Finish Orders From eRx option to
quickly find the eRx entries associated with the users DUZ(2).
Set Logic: S ^PS(52.49,"E",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"E",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"E")
X(1): RELATED INSTITUTION (52.49,24.1) (Subscr 1) (forwards)
X(2): ERX ORDER STATUS (52.49,1) (Subscr 2) (forwards)
X(3): MESSAGE DATE/TIME (52.49,.03) (Subscr 3) (forwards)
EPAT (#16) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: Index by date, patient IEN, and eRx IEN
Description: This index provides a quick lookup by date, patient IEN, and ERX IEN.
Set Logic: S ^PS(52.49,"EPAT",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"EPAT",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"EPAT")
X(1): RELATED INSTITUTION (52.49,24.1) (Subscr 1) (forwards)
X(2): MESSAGE DATE/TIME (52.49,.03) (Subscr 2) (forwards)
X(3): EXTERNAL PATIENT IDENTIFIER (52.49,.04) (Subscr 3) (forwards)
EPROV (#17) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: This index allows for quick lookups on providers
Description: This indexes the institution, date, provider and erx ien for quick searching when using the search function.
Set Logic: S ^PS(52.49,"EPROV",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"EPROV",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"EPROV")
X(1): RELATED INSTITUTION (52.49,24.1) (Subscr 1) (forwards)
X(2): MESSAGE DATE/TIME (52.49,.03) (Subscr 2) (forwards)
X(3): EXTERNAL PROVIDER (52.49,2.1) (Subscr 3) (forwards)
F (#1494) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: Index by institution, date/time, and order status
Description: This provides an index by related institution, message date/time, and erx order status.
Set Logic: S ^PS(52.49,"F",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"F",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"F")
X(1): RELATED INSTITUTION (52.49,24.1) (Subscr 1) (forwards)
X(2): MESSAGE DATE/TIME (52.49,.03) (Subscr 2) (forwards)
X(3): ERX ORDER STATUS (52.49,1) (Subscr 3) (forwards)
MTYPE (#207) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: Index by message type
Description: This indexes the message type for quick lookup when searching by message type.
Set Logic: S ^PS(52.49,"MTYPE",X(1),X(2),X(3),DA)=""
Kill Logic: K ^PS(52.49,"MTYPE",X(1),X(2),X(3),DA)
Whole Kill: K ^PS(52.49,"MTYPE")
X(1): RELATED INSTITUTION (52.49,24.1) (Subscr 1) (forwards)
X(2): MESSAGE DATE/TIME (52.49,.03) (Subscr 2) (forwards)
X(3): MESSAGE TYPE (52.49,.08) (Subscr 3) (forwards)
PAT (#1496) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: Patient and Date Time index
Description: This index provides a quick reference to patient, date, and site. Used for bulk validation.
Set Logic: S ^PS(52.49,"PAT",X(1),X(2),X(3),X(4),DA)=""
Kill Logic: K ^PS(52.49,"PAT",X(1),X(2),X(3),X(4),DA)
Whole Kill: K ^PS(52.49,"PAT")
X(1): RELATED INSTITUTION (52.49,24.1) (Subscr 1) (forwards)
X(2): ERX ORDER STATUS (52.49,1) (Subscr 2) (forwards)
X(3): EXTERNAL PATIENT IDENTIFIER (52.49,.04) (Subscr 3) (forwards)
X(4): MESSAGE DATE/TIME (52.49,.03) (Subscr 4) (forwards)
PAT2 (#1529) RECORD REGULAR IR LOOKUP & SORTING
Short Descr: Index by patient and date/time
Description: This index is used to quickly lookup records for a patient within a specified date range.
Set Logic: S ^PS(52.49,"PAT2",X(1),X(2),DA)=""
Kill Logic: K ^PS(52.49,"PAT2",X(1),X(2),DA)
Whole Kill: K ^PS(52.49,"PAT2")
X(1): EXTERNAL PATIENT IDENTIFIER (52.49,.04) (Subscr 1) (forwards)
X(2): MESSAGE DATE/TIME (52.49,.03) (Subscr 2) (forwards)
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):