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 Information Technology Laboratory /                  Software and Systems Division
      Systems Interoperability Group
    
      
  NEWRX:: Release 1 :: SCRIPT

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The following message specification was auto-generated using the Messaging Workbench tool . This specification was auto-generated from a standard-based message profile. The comments and annotations included in this specification are those provided by the message profile authors as implementation notes and notes included in the associated Messaging Workbench file.ERFor more information about the NCPDP SCRIPT,refer to National Council for Prescription Drug Programs : www.ncpdp.orgOverviewThe NCI Terminology is available at: http://evs.nci.nih.gov/ftp1/NCPDP/This specification combines the information available in the SCRIPT Implementation Guide 10.68. Transmission from sender to receiver structure9. Structure Quick Reference10. Specific segment discussionThis specification is also including an analysis of the changes introduced in version 10.11 of the SCRIPT implementation guide and compares the implementation guide guidance with the XML Schema Descriptions (XSD) provided for XML-encoded SCRIPT messages.NotationThe following codes are used in this specification to refer to message element usage and table column names:Usage CodesAbbreviationsRMandatory/Required elementReferenceReference for an elementRERequired but may be emptyTypeData Type (alphanumeric, numeric, date/time, composite)CConditional - based on predicate evaluationLengthMax Length - for fields, components, and sub-componentsCEConditional but may be emptyUsageElement UsageXNot supportedCardinalityMinimum and Maximum number of occurrencesSummarySpecification NameSCRIPTOrganizationNCPDPSCRIPT Version10.6Specification Version1Application RoleSenderConformance TypeImplementableEncodingsXMLEvent DescriptionSCRIPT Version 10.6 Implementation GuideMessage TypeSCRIPTEvent TypeNEWRXMessage Profile Structure[REQ],[PVDP2],PVDPC,[PVDSU],[PVDSK],PTTNEWRX,{(MedicationPrescribed)DRU,[CPD],{SIG}}[OBS],[COO]Message Structure  SegmentDescriptionUsageCardinalityREQRequest segment used for "NewRxRequestType" XML elementC[0..1]PVDP2PVD-P2 Segment to specify the "Pharmacy" XML elementC[0..1]PVDPCPVD-PC corresponding to the "Prescriber" XML elementR[1..1]PVDSUPVD-SU segment corresponding to "Supervisor" XML elementC[0..1]PVDSKPVD-SK segment corresponding to the "Facility" XML element.C[0..1]PTTNEWRXPTT segment for "Patient" XML element in NEWRXR[1..1]MedicationPrescribedMedicationPrescribedR[1..1]...SegmentDescriptionUsageCardinalityDRUDrug Segment for "MedicationPrescribed" XML elementR[1..1]CPDCompound SegmentX[0..0]SIG"StructuredSIG" XML element corresponds to SIG segmentR[0..*]OBSObservation segment corresponding to the "Observation"XML elementC[0..1]COOCoordination of Benefits segment corresponding to the "BenefitsCoordination" XML elementC[0..3]Message Structure IdNEWRXMedicationPrescribed : MedicationPrescribedThis grouping is represented by a single element in the XML structure that consists of looping group consisting of fields from the following {DRU, [CPD], {SIG}}`"DRU-P; One loop required for the drug prescribed. At least one loop must contain 85 = Date Issued (Written Date)". The XML representation limits this loop to a single occurrence.`DetailMedicationPrescribedSegment/ElementDescriptionUsageCardinalityDRUDrug Segment for "MedicationPrescribed" XML elementR[1..1]CPDCompound SegmentX[0..0]SIG"StructuredSIG" XML element corresponds to SIG segmentR[0..*]REQ : Request segment used for "NewRxRequestType" XML elementThis is the REQ segment definition constrained for NEWRX XML encoded. It supports a subset of fields.`Only required in a transaction when a return receipt is requested.`Request segment used for "NewRxRequestType" XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternREQ-010ChangeRequestTypeMessage Function, codedNot supported according to the Implementation Guide but required according to the XSD.`C1 = Label 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 = Other`AN3C[ 0 .. 1 ]4343`C1|C2|C3`REQ-020ReturnReceiptCode List QualifierUsed to request return receipt. If this field is submitted with 1 in the request, a Verify transaction is to be sent from the recipient at some time. 1 = Return Receipt Requested all other values = no return receipt requested`In XML, this valued Code List Qualifier is replaced by an element. This is a desirable simplification since the "1131 Code List Qualifier" is used in other contexts as specified by the External Code List specification.`Predicate:Used if return receipt is needed, empty if return receipt is not needed..AN3C[ 0 .. 1 ]1131`1`REQ-030-1154RequestReferenceNumberReference NumberTransaction key. In some trading partner agreements utilizing a mailbox functionality, this field may contain the receiver's identification number for the transaction being returned.Predicate:This number does not appear to be relevant for NEWRX even though it is marked as "Conditional" - C.AN35C[ 0 .. 1 ]`[ !-~]*`PVDP2 : PVD-P2 Segment to specify the "Pharmacy" XML elementProvider Segment used for Pharmacy. This is the PVD segment definition constrained for NEWRX XML encoded. When the recipient is a pharmacy, one loop is required for the pharmacy`This segment specialization appears in the XML structure as "Pharmacy"  XML element.`PVD-P2 Segment to specify the "Pharmacy" XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternPVD-020IdentificationReference number and Reference QualifierPVD-020 On the mandatory transactions: One occurrence is the prescriber number. One occurrence may be used to identify the clinic. One occurrence may be used to identify a supervisor. At least one occurrence of the PVD- 020-01 and _02 must contain HPI (NPI). Prescriber individual (not organizational) NPI Number is mandatory. This is mandatory for the PVD (PC), not the PVD (SU). For all transactions except RXHRES, if the prescriber has an NPI, one occurrence must contain the value HPI (NPI). For all transactions except RXHRES, if the prescriber has a DEA number, one occurrence must contain the value DH (DEA Number).`One occurrence may be the pharmacist number. NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.`ID_TYPE863R[ 1 .. 10 ]Choice for PVD-020NCPDPIDReference number and Reference QualifierAlphanumeric, D3`On the mandatory transactions: One occurrence must contain the value 'D3' (NCPDP Provider ID Number). One occurrence must contain the value 'HPI' (National Provider ID`AN35R[ 1 .. 1 ]Choice for PVD-020FileIDReference number and Reference QualifierAlphanumeric, 94`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020StateLicenseNumberReference number and Reference QualifierAlphanumeric, 0B`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicareNumberReference number and Reference QualifierAlphanumeric, 1C`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicaidNumberReference number and Reference QualifierAlphanumeric,1D`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DentistLicenseNumberReference number and Reference QualifierAlphanumeric, 1E`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020UPINReference number and Reference QualifierAlphanumeric, 1G`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FacilityIDReference number and Reference QualifierAlphanumeric, 1J`Choice`Predicate:Not applicableAN35C[ 0 .. 1 ]Choice for PVD-020PPONumberReference number and Reference QualifierAlphanumeric, 1M`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PayerIDReference number and Reference QualifierAlphanumeric, 2U`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020ProcessorIdentificationNumberReference number and Reference QualifierAlphanumeric, ADI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020BINLocationNumberReference number and Reference QualifierAlphanumeric, BO`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020CommercialReference number and Reference QualifierAlphanumeric, C1`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicalRecordIdentificationNumberEHRReference number and Reference QualifierAlphanumeric, EA`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PatientAccountNumberReference number and Reference QualifierAlphanumeric, EJ`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DEANumberReference number and Reference QualifierAlphanumeric, DH`Choice`AN35R[ 1 .. 1 ]Choice for PVD-020HINReference number and Reference QualifierAlphanumeric, HI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020IndividualPolicyNumberReference number and Reference QualifierAlphanumeric, IP`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SecondaryCoverageReference number and Reference QualifierAlphanumeric, NC`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NAICCodeReference number and Reference QualifierAlphanumeric, NF`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PromotionNumberReference number and Reference QualifierAlphanumeric, PD`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SocialSecurityReference number and Reference QualifierAlphanumeric, SY`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NPIReference number and Reference QualifierAlphanumeric, HPI`One occurrence must contain the value 'HPI'  (National Provider ID) for mandatory occurences of this segment.   Choice`Predicate:Applicable in this caseAN35C[ 0 .. 1 ]Choice for PVD-020PriorAuthorizationReference number and Reference QualifierAlphanumeric, G1`Choice`AN35C[ 0 .. 1 ]PVD-040SpecialtyAgency Qualifier, codedThe source of the code list for 040- I007-03-7990 Provider Specialty code. Required if Provider Specialty code (040-I007-03-7990) is used. Values: See External Code ListAN10C[ 0 .. 1 ]`[ !-~]*`PVD-050PharmacistNamePharmacist's Name "The name of the prescriber or pharmacist or supervisor. This composite is broken into individual section for each part of the name."NAME_TYPE129C[ 0 .. 1 ]PVD-050-1LastNameLast NameSince this field is marked CM - this component is required. This assumption should apply to any mandatory composite field.AN35R[ 1 .. 1 ]`[ !-~]*`PVD-050-2FirstNameFirst NameFirst name required if the Phamacist's name is required.AN35R[ 1 .. 1 ]`[ !-~]*`PVD-050-3MiddleNameMiddle NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-050-3SuffixSuffixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-050-5PrefixPrefixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-070BusinessNameParty NameThe clinic or pharmacy name in one field.AN35R[ 1 .. 1 ]`[ !-~]*`PVD-080AddressAddressThe composite for the prescriber or pharmacist or supervisor address. Further defined fields are used for specific section of the address.ADDRESS_TYPE1120C[ 0 .. 1 ]PVD-080-1AddressLine1Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-2AddressLine2Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-3CityCity NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-4StateCountry Sub-entity identificationUnited States and Canadian Province Postal Service Abbreviations. Values: See External Code List.AN2C[ 0 .. 1 ]`AL|AK|AZ|AR|AS|CA|CO|CT|DE|DC||FM|FL|GA|GU|HI|ID|IL|IN|IA|KS|KY|LA|ME|MH|MD|MA|MI|MN|MS|MO|MT|NE|NV|NH|NJ|NM|NY|NC|ND|MP|OH|OK|OR|PW|PA|PR|RI|SC|SD|TN|TX|UT|VT|VA|VI|WA|WV|WI|WY|AB|BC|MB|NB|NF|NS|NT|NU|ON|PE|QC|SK|YT`PVD-080-5ZipCodePostcode IdentificationZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).AN9C[ 0 .. 1 ]`(\d{5})|(\d{9})`PVD-080-6PlaceLocationQualifierPlace/Location QualifierAlphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?AN999C[ 0 .. 1 ]`[ !-~]*`PVD-090CommunicationNumbersCommunication NumbersProvider contact number. Prescriber telephone number or other contact number. May occur multiple times when used with qualifier and repetition separator. Used with qualifiers in field 090-01 Code List qualifier.COMM_TYPE83R[ 1 .. * ]PVD-090-1NumberCommunication NumberTelephone number, mandatory, max 80 lengthAN80R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`PVD-090-2QualifierCode List QualifierQualifies the Communication Number. X- 12 DE 365. When used, one occurrence is 'TE' (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List`BN Beeper CP Cellular EM Electronic Mail FX Fax HP Home NP Night TE Telephone WP Work`AN2C[ 0 .. 1 ]`BN|CP|FX|HP|NP|TE|WP|EM`PVDPC : PVD-PC corresponding to the "Prescriber" XML elementThis is the PVD segment definition constrained for NEWRX XML encoded. This segment specialization appears in the XML structure as "Prescriber" element.`NOTE: In the SCRIPT implementation guide this is the first PVD, in the XML XSD this information follows the "Pharmacy" PVD- P2 segment.`PVD-PC corresponding to the "Prescriber" XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternPVD-020IdentificationReference number and Reference QualifierPVD-020 On the mandatory transactions: One occurrence is the prescriber number. One occurrence may be used to identify the clinic. One occurrence may be used to identify a supervisor. At least one occurrence of the PVD- 020-01 and '02 must contain 'HPI' (NPI). Prescriber individual (not organizational) NPI Number is mandatory. This is mandatory for the PVD (PC), not the PVD (SU). For all transactions except RXHRES, if the prescriber has an NPI, one occurrence must contain the value 'HPI' (NPI). For all transactions except RXHRES, if the prescriber has a DEA number, one occurrence must contain the value 'DH' (DEA Number)`ERROR: The XML Schema does not allow repetitions. NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.`ID_TYPE863R[ 1 .. 10 ]Choice for PVD-020NCPDPIDReference number and Reference QualifierAlphanumeric, D3`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FileIDReference number and Reference QualifierAlphanumeric, 94`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020StateLicenseNumberReference number and Reference QualifierAlphanumeric, 0B`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicareNumberReference number and Reference QualifierAlphanumeric, 1C`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicaidNumberReference number and Reference QualifierAlphanumeric,1D`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DentistLicenseNumberReference number and Reference QualifierAlphanumeric, 1E`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020UPINReference number and Reference QualifierAlphanumeric, 1G`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FacilityIDReference number and Reference QualifierAlphanumeric, 1J`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PPONumberReference number and Reference QualifierAlphanumeric, 1M`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PayerIDReference number and Reference QualifierAlphanumeric, 2U`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020ProcessorIdentificationNumberReference number and Reference QualifierAlphanumeric, ADI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020BINLocationNumberReference number and Reference QualifierAlphanumeric, BO`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020CommercialReference number and Reference QualifierAlphanumeric, C1`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicalRecordIdentificationNumberEHRReference number and Reference QualifierAlphanumeric, EA`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PatientAccountNumberReference number and Reference QualifierAlphanumeric, EJ`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DEANumberReference number and Reference QualifierAlphanumeric, DH`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020HINReference number and Reference QualifierAlphanumeric, HI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020IndividualPolicyNumberReference number and Reference QualifierAlphanumeric, IP`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SecondaryCoverageReference number and Reference QualifierAlphanumeric, NC`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NAICCodeReference number and Reference QualifierAlphanumeric, NF`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PromotionNumberReference number and Reference QualifierAlphanumeric, PD`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SocialSecurityReference number and Reference QualifierAlphanumeric, SY`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NPIReference number and Reference QualifierAlphanumeric, HPI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PriorAuthorizationReference number and Reference QualifierAlphanumeric, G1`Choice`AN35C[ 0 .. 1 ]PVD-040SpecialtyAgency Qualifier, codedRequired if 040-I007-01-4709 Agency Qualifier, coded is used. This attribute is encoded using an ASC X12 code. according to the External Code List reference it was modified as follows: "Deleted existing values (may be used in SCRIPT Standard Versions 5.0 - 10.4; added new value for use in SCRIPT Standard Version 10.5 or higher". The specification does not indicate what the values are or whether any specialty code specified by X12 is allowed.`040-I007-02-4707 is no longer supported.`AN10C[ 0 .. 1 ]4709`[ !-~]*`PVD-070CliniclNameParty NameThe clinic or pharmacy name in one field.AN35C[ 0 .. 1 ]`[ !-~]*`PVD-050NameNamePrescriber's Name "The name of the prescriber or pharmacist or supervisor. This composite is broken into individual section for each part of the name."NAME_TYPE129R[ 1 .. 1 ]PVD-050-1002-01LastNameLast NameThis field is marked as "conditional" but it should be mandatory in the context of the parent element (i.e. if the name appears, then the last name is required).AN35C[ 0 .. 1 ]`[ !-~]*`PVD-050-1002-02FirstNameFist NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-050-1002-03MiddleNameMiddle NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-050-1002-04SuffixSuffixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-050-1002-05PrefixPrefixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-080AddersPrescriber's AddressThe composite for the prescriber or pharmacist or supervisor address. Further defined fields are used for specific section of the address.ADDRESS_TYPE1120R[ 1 .. 1 ]PVD-080-1AddressLine1Street and Number/P.O. BoxAlphanumericAN35R[ 1 .. 1 ]`[ !-~]*`PVD-080-2AddressLine2Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-3CityCity NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-4StateCountry Sub-entity identificationUnited States and Canadian Province Postal Service Abbreviations. Values: See External Code List.AN2C[ 0 .. 1 ]`AL|AK|AZ|AR|AS|CA|CO|CT|DE|DC||FM|FL|GA|GU|HI|ID|IL|IN|IA|KS|KY|LA|ME|MH|MD|MA|MI|MN|MS|MO|MT|NE|NV|NH|NJ|NM|NY|NC|ND|MP|OH|OK|OR|PW|PA|PR|RI|SC|SD|TN|TX|UT|VT|VA|VI|WA|WV|WI|WY|AB|BC|MB|NB|NF|NS|NT|NU|ON|PE|QC|SK|YT`PVD-080-5ZipCodePostcode IdentificationZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).AN9C[ 0 .. 1 ]`(\d{5})|(\d{9})`PVD-080-6PlaceLocationQualifierPlace/Location QualifierAlphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?AN999C[ 0 .. 1 ]`[ !-~]*`PVD-100PrescriberAgentThis composite is used to identify the Designated Agent - use for transmitter/submitter name. If a supervising prescriber name or id is required, use another repetition of the PVD Segment placing the id in the reference number field. This composite is to be used in the 0PC0 PVD Segment loop only. Note: For NEWRX, REFRES, CANRX or CHGRES ' this field is mandatory if the sender of the message is not the actual prescriber referenced in PVD 020-01NAME_TYPE129C[ 0 .. 1 ]PVD-100-1LastNameParty NameLast name of the Designated Agent. This field is to be used in the 'PC' PVD Segment loop only.`This field should be marked as required in the XSD because it would be required if the name appears at all. Otherwise a name may appear with empty child elements.`AN35C[ 0 .. 1 ]`[ !-~]*`PVD-100-2FirstNameFirst NameFirst name of the Designated Agent.AN35C[ 0 .. 1 ]`[ !-~]*`PVD-100-3MiddleNameMiddle NameMiddle name of the Designated Agent..AN35C[ 0 .. 1 ]`[ !-~]*`PVD-100-4SuffixSuffixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-100-5PrefixPrefixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-090CommunicationNumbersCommunication NumbersProvider contact number. Prescriber telephone number or other contact number. May occur multiple times when used with qualifier and repetition separator. Used with qualifiers inCOMM_TYPE83R[ 1 .. * ]PVD-090-1NumberCommunication NumberTelephone number, mandatory, max 80 lengthAN80R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`PVD-090-2QualifierCode List QualifierQualifies the Communication Number. X- 12 DE 365. When used, one occurrence is TE (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List`BN Beeper CP Cellular EM Electronic Mail FX Fax HP Home NP Night TE Telephone WP Work`AN2C[ 0 .. 1 ]X-12 DE 365`BN|CP|FX|HP|NP|TE|WP|EM`PVDSU : PVD-SU segment corresponding to "Supervisor" XML elementThis segment is used to specify the supervisor of the prescriber.`NOTE: Supervisor reference may be needed for DEA Schedule drugs.`PVD-SU segment corresponding to "Supervisor" XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternPVD-020IdentificationReference number and Reference QualifierThis a choice of identifiers that combines the Reference Number and its Reference Qualifier.`NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.`ID_TYPE863R[ 1 .. 10 ]Choice for PVD-020NCPDPIDReference number and Reference QualifierAlphanumeric, D3`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FileIDReference number and Reference QualifierAlphanumeric, 94`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020StateLicenseNumberReference number and Reference QualifierAlphanumeric, 0B`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicareNumberReference number and Reference QualifierAlphanumeric, 1C`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicaidNumberReference number and Reference QualifierAlphanumeric,1D`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DentistLicenseNumberReference number and Reference QualifierAlphanumeric, 1E`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020UPINReference number and Reference QualifierAlphanumeric, 1G`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FacilityIDReference number and Reference QualifierAlphanumeric, 1J`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PPONumberReference number and Reference QualifierAlphanumeric, 1M`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PayerIDReference number and Reference QualifierAlphanumeric, 2U`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020ProcessorIdentificationNumberReference number and Reference QualifierAlphanumeric, ADI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020BINLocationNumberReference number and Reference QualifierAlphanumeric, BO`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020CommercialReference number and Reference QualifierAlphanumeric, C1`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicalRecordIdentificationNumberEHRReference number and Reference QualifierAlphanumeric, EA`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PatientAccountNumberReference number and Reference QualifierAlphanumeric, EJ`Choice`AN0X[ 0 .. 0 ]Choice for PVD-020DEANumberReference number and Reference QualifierAlphanumeric, DH`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020HINReference number and Reference QualifierAlphanumeric, HI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020IndividualPolicyNumberReference number and Reference QualifierAlphanumeric, IP`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SecondaryCoverageReference number and Reference QualifierAlphanumeric, NC`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NAICCodeReference number and Reference QualifierAlphanumeric, NF`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PromotionNumberReference number and Reference QualifierAlphanumeric, PD`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SocialSecurityReference number and Reference QualifierAlphanumeric, SY`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NPIReference number and Reference QualifierAlphanumeric, HPI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PriorAuthorizationReference number and Reference QualifierAlphanumeric, G1`Choice`AN35C[ 0 .. 1 ]SpecialtyAgency Qualifier, codedRequired if 040-I007-01-4709 Agency Qualifier, coded is used. This attribute is encoded using an ASC X12 code. according to the External Code List reference it was modified as follows: "Deleted existing values (may be used in SCRIPT Standard Versions 5.0 - 10.4; added new value for use in SCRIPT Standard Version 10.5 or higher". The specification does not indicate what the values are or whether any specialty code specified by X12 is allowed.AN10C[ 0 .. 1 ]4709`[ !-~]*`PVD-050NameNameThe name of the prescriber or pharmacist or supervisor. This composite is broken into individual section for each part of the name.NAME_TYPE129R[ 1 .. 1 ]PVD-050-1LastNameParty NameLast name of the prescriber or pharmacist or supervisor.AN35RE[ 0 .. 1 ]`[ !-~]*`PVD-050-2FirstNameFirst NameFirst name of the prescriber or pharmacist or supervisor.AN35R[ 1 .. 1 ]`[ !-~]*`PVD-050-3MiddleNameMiddle NameMiddle name of the prescriber or pharmacist or supervisor.AN35C[ 0 .. 1 ]`[ !-~]*`PVD-050-4SuffixSuffixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PVD-050-5PrefixPrefixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`ClinicNameParty NameThe clinic or pharmacy name in one field.AN35C[ 0 .. 1 ]`Choice`PVD-080AddressThe composite for the prescriber or pharmacist or supervisor address. Further defined fields are used for specific section of the address.ADDRESS_TYPE1120R[ 1 .. 1 ]PVD-080-1AddressLine1Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-1AddressLine2Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-2CityCity NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-3StateCountry Sub-entity identificationUnited States and Canadian Province Postal Service Abbreviations. Values: See External Code List.AN2C[ 0 .. 1 ]`AL|AK|AZ|AR|AS|CA|CO|CT|DE|DC||FM|FL|GA|GU|HI|ID|IL|IN|IA|KS|KY|LA|ME|MH|MD|MA|MI|MN|MS|MO|MT|NE|NV|NH|NJ|NM|NY|NC|ND|MP|OH|OK|OR|PW|PA|PR|RI|SC|SD|TN|TX|UT|VT|VA|VI|WA|WV|WI|WY|AB|BC|MB|NB|NF|NS|NT|NU|ON|PE|QC|SK|YT`PVD-080-4ZipCodePostcode IdentificationZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).AN9C[ 0 .. 1 ]`(\d{5})|(\d{9})`PVD-080-5PlaceLocationQualifierPlace/Location QualifierAlphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?AN999C[ 0 .. 1 ]`[ !-~]*`CommunicationNumbersCOMM_TYPE999R[ 1 .. 2 ]PVD-090-1NumberCommunication NumberTelephone number, mandatory, max 80 lengthAN80R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`PVD-090-2QualifierCode List QualifierQualifies the Communication Number. X- 12 DE 365. When used, one occurrence is TE (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List`BN: Beeper CP: Cellular EM: Electronic Mail FX: Fax HP: Home NP: Night TE: Telephone WP: Work`AN2C[ 0 .. 1 ]X-12 DE 365`BN|CP|FX|HP|NP|TE|WP|EM`PVDSK : PVD-SK segment corresponding to the "Facility" XML element.This segment is specified for long-term settings.PVD-SK segment corresponding to the "Facility" XML element. DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternPVD-020IdentificationReference number and Reference QualifierThe actual identification for the facility. The qualifier was used to specify a choice of possible identifier listed here.`NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.`ID_TYPE863R[ 1 .. 1 ]Choice for PVD-020NCPDPIDReference number and Reference QualifierAlphanumeric, D3`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FileIDReference number and Reference QualifierAlphanumeric, 94`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020StateLicenseNumberReference number and Reference QualifierAlphanumeric, 0B`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicareNumberReference number and Reference QualifierAlphanumeric, 1C`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicaidNumberReference number and Reference QualifierAlphanumeric,1D`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DentistLicenseNumberReference number and Reference QualifierAlphanumeric, 1E`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020UPINReference number and Reference QualifierAlphanumeric, 1G`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020FacilityIDReference number and Reference QualifierAlphanumeric, 1J`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PPONumberReference number and Reference QualifierAlphanumeric, 1M`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PayerIDReference number and Reference QualifierAlphanumeric, 2U`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020ProcessorIdentificationNumberReference number and Reference QualifierAlphanumeric, ADI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020BINLocationNumberReference number and Reference QualifierAlphanumeric, BO`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020CommercialReference number and Reference QualifierAlphanumeric, C1`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020MedicalRecordIdentificationNumberEHRReference number and Reference QualifierAlphanumeric, EA`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PatientAccountNumberReference number and Reference QualifierAlphanumeric, EJ`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020DEANumberReference number and Reference QualifierAlphanumeric, DH`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020HINReference number and Reference QualifierAlphanumeric, HI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020IndividualPolicyNumberReference number and Reference QualifierAlphanumeric, IP`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SecondaryCoverageReference number and Reference QualifierAlphanumeric, NC`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NAICCodeReference number and Reference QualifierAlphanumeric, NF`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PromotionNumberReference number and Reference QualifierAlphanumeric, PD`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020SocialSecurityReference number and Reference QualifierAlphanumeric, SY`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020NPIReference number and Reference QualifierAlphanumeric, HPI`Choice`AN35C[ 0 .. 1 ]Choice for PVD-020PriorAuthorizationReference number and Reference QualifierAlphanumeric, G1`Choice`AN35C[ 0 .. 1 ]PVD-070FacilityNameParty Name"The clinic or pharmacy name in one field." - this duplicates one of the other segments' information.AN35C[ 0 .. 1 ]`Choice`PVD-080AddressAddressFacility AddressADDRESS_TYPE1120C[ 0 .. 1 ]PVD-080-1AddressLine1Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-1AddressLine2Street and Number/P.O. BoxAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-2CityCity NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PVD-080-3StateCountry Sub-entity identificationUnited States and Canadian Province Postal Service Abbreviations. Values: See External Code List.AN2C[ 0 .. 1 ]`AL|AK|AZ|AR|AS|CA|CO|CT|DE|DC||FM|FL|GA|GU|HI|ID|IL|IN|IA|KS|KY|LA|ME|MH|MD|MA|MI|MN|MS|MO|MT|NE|NV|NH|NJ|NM|NY|NC|ND|MP|OH|OK|OR|PW|PA|PR|RI|SC|SD|TN|TX|UT|VT|VA|VI|WA|WV|WI|WY|AB|BC|MB|NB|NF|NS|NT|NU|ON|PE|QC|SK|YT`PVD-080-4ZipCodePostcode IdentificationZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).AN9C[ 0 .. 1 ]`(\d{5})|(\d{9})`PVD-080-5PlaceLocationQualifierPlace/Location QualifierAlphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?AN999C[ 0 .. 1 ]`[ !-~]*`PVD-090CommunicationNumbersFacility contact number(s).COMM_TYPE999C[ 0 .. 1 ]PVD-090-1NumberCommunication NumberTelephone number, mandatory, max 80 lengthAN80R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`PVD-090-2QualifierCode List QualifierQualifies the Communication Number. X- 12 DE 365. When used, one occurrence is  TE' (Telephone). Other occurrences are optional and would contain other values. Values: See External Code List`BN: Beeper CP: Cellular EM: Electronic Mail FX: Fax HP: Home NP: Night TE: Telephone WP: Work`AN2C[ 0 .. 1 ]X-12 DE 365`BN|CP|FX|HP|NP|TE|WP|EM`PTTNEWRX : PTT segment for "Patient" XML element in NEWRXPTT for NEWRX,  requires mandatory address.`Between SCRIPT 10.6 and 10.11 this segment underwent changes that are not backwards compatible - reordering and renaming of the XML elements.`PTT segment for "Patient" XML element in NEWRX DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternPTT-010PatientRelationshipIndividual Relationship, codedDefines the relationship of patient to cardholder.`1 (Cardholder), 2 (Spouse), 3 (Child), 4 (Other).`AN1C[ 0 .. 1 ]External Code List`1|2|3|4`PTT-020DateOfBirthThis is s choice in XML- either date or date/time may be specified.DATE_TIME33R[ 1 .. 1 ]Choice for PTT-020DateBirth Date of patient. Format: CCYYMMDD Note: Whenever possible, Birth Date of patient should be sent.DT8R[ 1 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for PTT-020Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`PT-030NameThis composite is the name of the patient. Further defined fields separate the name into components.NAME_TYPE129R[ 1 .. 1 ]PT-030-1LastNameLast name of patient.AN35R[ 1 .. 1 ]`[ !-~]*`PT-030-2FirstNameFirst name of the patient.AN35R[ 1 .. 1 ]`[ !-~]*`PT-030-3MiddleNameMiddlename should be specified if available.AN35RE[ 0 .. 1 ]`[ !-~]*`PT-030-4SuffixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PT-030-5PrefixAlphanumericAN10C[ 0 .. 1 ]`[ !-~]*`PTT-040GenderGender, codedGender of the patient. X-12 DE 1069. Values: M = Male F = Female U = UnknownAN1R[ 1 .. 1 ]`M|F|U`PTT-050IdentificationReference number and Reference QualifierChoice of relevant identifiers is not restricted to those relevant to Patient identification.`NOTE: This element combines the reference number and qualifier but it does not exclude the identifiers types that are not applicable to prescribers.`ID_TYPE863C[ 0 .. 2 ]Choice for PTT-050NCPDPIDReference number and Reference QualifierAlphanumeric, D3`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050FileIDReference number and Reference QualifierAlphanumeric, 94`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050StateLicenseNumberReference number and Reference QualifierAlphanumeric, 0B`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050MedicareNumberReference number and Reference QualifierAlphanumeric, 1C`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050MedicaidNumberReference number and Reference QualifierAlphanumeric,1D`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050DentistLicenseNumberReference number and Reference QualifierAlphanumeric, 1E`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050UPINReference number and Reference QualifierAlphanumeric, 1G`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050FacilityIDReference number and Reference QualifierAlphanumeric, 1J`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050PPONumberReference number and Reference QualifierAlphanumeric, 1M`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050PayerIDReference number and Reference QualifierAlphanumeric, 2U`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050ProcessorIdentificationNumberReference number and Reference QualifierAlphanumeric, ADI`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050BINLocationNumberReference number and Reference QualifierAlphanumeric, BO`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050CommercialReference number and Reference QualifierAlphanumeric, C1`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050MedicalRecordIdentificationNumberEHRReference number and Reference QualifierAlphanumeric, EA`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050PatientAccountNumberReference number and Reference QualifierAlphanumeric number, (Qualifier= 'EJ')`This is a possible choice for patient identifier types. Choice`AN35R[ 1 .. 1 ]Choice for PTT-050DEANumberReference number and Reference QualifierAlphanumeric, DH`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050HINReference number and Reference QualifierAlphanumeric, HI`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050IndividualPolicyNumberReference number and Reference QualifierAlphanumeric, IP`This is a possible choice for patient identifier types. Choice`AN35RE[ 0 .. 1 ]Choice for PTT-050SecondaryCoverageReference number and Reference QualifierAlphanumeric, NC`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050NAICCodeReference number and Reference QualifierAlphanumeric, NF`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050PromotionNumberReference number and Reference QualifierAlphanumeric, PD`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050SocialSecurityReference number and Reference QualifierAlphanumeric, SY`This is a possible choice for patient identifier types. Choice`AN35RE[ 0 .. 1 ]Choice for PTT-050NPIReference number and Reference QualifierAlphanumeric, HPI`Choice`AN35C[ 0 .. 1 ]Choice for PTT-050PriorAuthorizationReference number and Reference QualifierAlphanumeric, G1`Choice`AN35C[ 0 .. 1 ]PTT-060AddressThe composite for the patient address. Further defined fields are used for specific section of the address. Note: Whenever possible, the patient address fields should be sent.`If the address of the patient is unable to be obtained, the text 'UNKNOWN' should be put in the Street Address.`ADDRESS_TYPE1120R[ 1 .. 1 ]PTT-060-1AddressLine1Street and Number/P.O. BoxStreet and Number/P.O. Box Note: Whenever possible, the patient address fields should be sent`If patient is homeless, the text 'HOMELESS' should be put in the Street Address.`AN35C[ 0 .. 1 ]`[ !-~]*`PTT-060-1AddressLine2Street and Number/P.O. BoxStreet and Number/P.O. Box Note: Whenever possible, the patient address fields should be sentAN35C[ 0 .. 1 ]`[ !-~]*`PTT-060-2CityCity NameAlphanumericAN35C[ 0 .. 1 ]`[ !-~]*`PTT-060-3StateCountry Sub-entity identificationidentification United States and Canadian Province Postal Service Abbreviations. Values: See External Code List.AN2C[ 0 .. 1 ]`AL|AK|AZ|AR|AS|CA|CO|CT|DE|DC||FM|FL|GA|GU|HI|ID|IL|IN|IA|KS|KY|LA|ME|MH|MD|MA|MI|MN|MS|MO|MT|NE|NV|NH|NJ|NM|NY|NC|ND|MP|OH|OK|OR|PW|PA|PR|RI|SC|SD|TN|TX|UT|VT|VA|VI|WA|WV|WI|WY|AB|BC|MB|NB|NF|NS|NT|NU|ON|PE|QC|SK|YT`PTT-060-4ZipCodePostcode IdentificationPostal Code ZIP code of the pharmacy or prescriber. Use the format 99999 or 999999999. Is not to include hyphen (-).AN9C[ 0 .. 1 ]`(\d{5})|(\d{9})`PTT-060-5PlaceLocationQualifierPlace/Location QualifierAlphanumeric, free text. This field is locally defined "Agreement between trading partners if used." Should this be constrained and eliminated?AN999C[ 0 .. 1 ]`[ !-~]*`PTT-070CommunicationNumbersPatient contact number. May occur multiple times when used with qualifier and repetition separator. Used with qualifiers in field 070-02 Code List qualifier.COMM_TYPE83C[ 0 .. 1 ]PTT-070-1NumberTelephone number, mandatory, max 80 lengthAN80R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`PTT-070-1QualifierCode List QualifierQualifies the Communication Number. X- 12 DE 365. When used, one occurrence is 'TE' (Telephone). Other occurrences are optional and would contain other values.`BN Beeper CP Cellular EM Electronic Mail FX Fax HP Home NP Night TE Telephone WP Work`AN2C[ 0 .. 1 ]`BN|CP|FX|HP|NP|TE|WP|EM`PTT-080PatientLocationPatient location elements order was changed for XML. Facility. --> Room --> Bed became Facility --> Bed --> Room.LOCATION_TYPE57C[ 0 .. 1 ]PTT-080-1FacilityUnitFacility UnitThe unit of the patient.AN35C[ 0 .. 1 ]`[ !-~]*`PTT-080-3BedBedThe bed of the patient.AN10C[ 0 .. 1 ]`[ !-~]*`PTT-080-2RoomRoomThe room of the patient.AN10C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`PTT-090LanguageCodeLanguage CodeThis element was added to 10.11 but it may be needed in earlier versions.`This field is required to support Meaningful Use Criteria .`AN3X[ 0 .. 0 ]`[ !-~]*`DRU : Drug Segment for "MedicationPrescribed" XML elementThe fields of this segment are part of the "MedicationPrescribed" element. Item Description Identification "P" for "MedicationPrescribed" and "D" for "MedicationDispensed".`The "Item Description Identification" DRU- 010 is not included since the XML representation provide specializations for each ot fits values: P = Prescribed D = Dispensed R = Requested`Drug Segment for "MedicationPrescribed" XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternDRU-010-2 or DRU-10-12DrugDescriptionItem DescriptionThere is a discrepancy in the field length: the implementation guide specifies only 35 "bytes" while the XSD specifies it can be maximum 105 characters. The implementation guide suggests that it's acceptable to abbreviate this field but since it is the only mandatory identifier for the drug it is necessary that this description be detailed and complete.`From the SCRIPT Implementation Guide the following is stated for the Item Description: 'Is the self-contained full drug name, strength, and form.'`AN105R[ 1 .. 1 ]`[ !-~]*`DRU-010-3 to 9DrugCodedItem NumberThe "Drug number" refers ot the drug codedDRUG_CODE5143C[ 0 .. 1 ]DRU-010-3ProductCodeDrug numberRxNorm preferred product code.`This element of the dataytype should be mandatory. Otherwise a XML message that contains a "DrugCoded" element that is empty would be acceptable though it does not make sense since "DrugCoded" is already optional.`AN35C[ 0 .. 1 ]`[ !-~]*`DRU-010-4ProductCodeQualifierCode List Responsibility AgencyCoded: the code list defining the Item Number. X-12 DE 235.`The allowed qualifiers were expanded for version 10.11 to "ND|MF|RT|UN|UP"`AN2C[ 0 .. 1 ]X-12 DE 235`ND|MF|UP`DRU-010-6StrengthFree TextMeasurement Value - Drug strength. Changed from field 6314 to 4440 in Version 4.0. Field length expanded to an..70.AN70C[ 0 .. 1 ]`[ !-~]*`DRU-010-8DrugDBCodeReference NumberGPI, GCN Seq #, GFC, DDID, SmartKey, GM, Multum MMDC, Multum Drug ID, etcAN35C[ 0 .. 1 ]`[ !-~]*`DRU-010-9DrugDBCodeQualifierReference QualifierCode value to define the reference number.AN2C[ 0 .. 1 ]`ND|MF|RT|UN|UP`DRU-010-13FormSourceCodeSource Code ListCode identifying the source organization. Required if Item Form Code (010-I013- 14-7992) used.`The XSD skips elements DRU-010-10 through DRU-010-12.`AN2C[ 0 .. 1 ]7992`AA`DRU-010-14FormCodeItem Form CodeDrug form, in a code. Dosage form code. Pharmaceutical Dosage Form. Qualified by Source Code List (7991). Values: See External Code ListAN15C[ 0 .. 1 ]7991`[ !-~]*`DRU-010-15StrengthSourceCodeSource Code ListCode identifying the source organization. Required if Item Strength Code (010- I013-16-7993) used. Values: See External Code ListAN2C[ 0 .. 1 ]7993`AB`DRU-010-16StrengthCodeItem Strength CodeDrug strength qualifier. Units of Presentation. Qualified by Source Code List (7991). Values: See External Code ListAN15C[ 0 .. 1 ]7991`[ !-~]*`DRU-010-17DEAScheduleCode, the latest available at: http://evs.nci.nih.gov/ftp1/NCPDP/`This element is used to store the DEA Schedule code: C38046 Unspecified C48672 Schedule I Substance C48675 Schedule II C48676 Schedule III C48677 Schedule IV C48679 Schedule V`Predicate:Required if the medication is categorized as a controlled substance by the Drug Enforcement Administration (DEA). The DEA Schedule would be populated by the system generating the message, and would utilize the Federal DEA Schedule classification code list, based on federal classification of the medication or the state reclassification of the medication.AN15C[ 0 .. 1 ]`[ !-~]*`DRU-020QuantityQuantity CompositeThis composite is for the count of tablets or number of grams.QUANTITY1030R[ 1 .. 2 ]DRU-020-2ValueQuantityThis should be a numeric value but it is specified as a string. This element is required if the quantity is transmitted. "On NEWRX, when the DRU 020-I009- 03-1131 value 'QS' value is used, DRU 020-I009-05-7994 Potency Unit Code must equal 'C38046' (Unspecified). DRU 020-I009-02-6060 Quantity must equal '0'."`This element was corrected for 10.11 and became a numeric, mandatory, max 11 length (nM...11). Before that is was changed to (an...35) in version 4.0.`AN35R[ 1 .. 1 ]`[0-9]+(\.[0-9]+)?`DRU-020-3CodeListQualifierCode List QualifierAlphanumeric, coded using Uses X-12 DE 673 value set. Quantity Sufficient (QS) code usage: in care settings where there are established dispensing protocols between the prescriber and the pharmacy/pharmacist, dispensed quantities for certain medication orders are appropriately determined by the pharmacy'based on the prescriber's dosing directions as well as other factors. For example, in the Long Term Care setting, medication orders are typically open-ended. A medication is delivered to the resident's facility on a scheduled basis until the pharmacy is notified that the order has been discontinued by the prescriber. The delivery schedule is determined by each pharmacy based on a variety of factors'with deliveries occurring every 7 days, every 14 days, monthly, etc. Accordingly, the quantity to be dispensed for a given delivery must be determined by the pharmacy to match their particular delivery schedule. For use on the NEWRX message only, DRU 020-I009-03-1131 Code List Qualifier value of the 'QS' qualifier is limited to settings where dispensing protocols are in force between the physician and pharmacy/pharmacist, where such use is in accordance with federal and state regulations. Example settings include long term care, home health care, and outpatient clinics.`'QS' is not used in retail pharmacy NEWRX messages. If a NEWRX message is received by a retail pharmacy with the QS qualifier for a quantity of 0, then an ERROR response message must be returned. The ERROR message will contain a Status type, coded 010-9015 = '900' (Transaction Rejected). In addition, the Code List Qualifier STS-020-1131 (Reject Code) should indicate the rejection; for example, a Reject Code value of '134' to indicate 'DRU potency unit code is invalid.'`AN2R[ 1 .. 1 ]X-12 DE 673`38|40|87|QS|CF`DRU-020-4UnitSourceCodeSource Code ListAlphanumeric, fixed in the XML "Code identifying the source organization. Required if Potency Unit Code (020-I009-05-7994) is used."AN2C[ 0 .. 1 ]`AA|AB|AC`DRU-020-4PotencyUnitCodePotency Unit CodeUnit of measure. Potency Unit. Qualified by Source Code List (7991).`Uses NCPDP NCI subsets`Predicate:020-I009-03-1131 value 'QS' value is used, DRU 020-I009-05-7994 Potency Unit Code must equal 'C38046' (Unspecified). DRU 020-I009-02-6060 Quantity must equal '0'.AN15C[ 0 .. 1 ]7991`[ !-~]*`DRU-040DaySupplyDateNote: It is strongly recommended that Days Supply (value 'ZDS' be supported.`Backwards compatibility note: The order was modified in version 10.11.`AN35C[ 0 .. 1 ]`[ !-~]*`DRU-030-2 and 3DirectionsDosageSIG instructions. Dosage free text. Note: If Structured Sig Segment is used, see Note in Structured Sig Segment - Sig Free Text String Indicator (030-S024- 01-7902).`This element in the XML structure combines DRU-030-2 and 3.`AN140R[ 0 .. * ]`[ !-~]*`DRU-090NoteFree Text`Backwards compatibility: the order of the DRU segment was changed in 10.11 thus the later version is not  backwards compatible with 10.6.`AN210C[ 0 .. 1 ]`[ !-~]*`DRU-060-1Refills/QualifierQuantity QualifierThis field does not appear in 10.11 because the qualifier is assumed to be "R" in all cases for NEWRX.`R = Number of Refills 'R' implies an Original Dispensing in addition to the Quantity specified in DRU 060-I009-02- 6060. Example: If DRU 060-I009-01- 6063 = 'R' and DRU 060-I009-02-6060 = 3, the prescriber is authorizing four dispensings. This value will appear in NEWRX messages and will not appear in REFRES messages. See Note 2. A = Additional Refills Authorized 'A' implies no Original Dispensing in addition to the quantity specified in DRU 060-I009--2-6060. Example: If DRU 060-I009-01-6063 = 'A' and DRU 060-I009-02-6060 = 3, the prescriber is authorizing three dispensings. This value will appear only in REFRES`AN3R[ 1 .. 2 ]`R|PRN`DRU-060-2Refills/ValueQuantity ValueThis element specifies the number of refills allowed.`Renamed "NumberOfRefills" in version 10.11 and the type was change to numeric (n..2) and used without a qualifier - it is assumed to be"R".`AN35R[ 1 .. 2 ]`[ !-~]*`DRU-050SubstitutionsProduct/Service Substitution, codedNCPDP value list. Value 0 = No Product Selection Indicated. This value should be used to designate that substitutions are allowed. When a prescriber wishes to allow substitutes for a NEWRX, this field should be ' to reflect that substitutions can be allowed. Values: See the NCPDP External Code List for definitions of values. 0 = No Product Selection Indicated 1 = Substitution Not Allowed by Prescriber 2 = Substitution Allowed - Patient Requested Product Dispensed 3 = Substitution Allowed - Pharmacist Selected Product Dispensed 4 = Substitution Allowed - Generic Drug Not in Stock 5 = Substitution Allowed - Brand Drug Dispensed as a Generic 7 = Substitution Not Allowed - Brand Drug Mandated by Law 8 = Substitution Allowed - Generic Drug Not Available in Marketplace (6 was intentionally left off)AN1C[ 0 .. 1 ]`0|1|2|3|4|5|7|8`DRU-040-2 (85)WrittenDateDate/Time/PeriodFor Medication History Response (RXHRES): If the entity has fill history, Last Fill Date must be used. If the entity has prescribing data, date authorized (Date Written) must be used. For all transaction except VERIFY - At least one loop must contain 85 = Date Issued (Written Date) REFREQ ' At least one loop must contain LD ' (Last Fill). Value '06' (Sold Date) is only allowed to be used in Medication History Response, Fill Status Notification, and Refill Request transactions.`Qualifier - 85 is implied.`DATE_TIME33R[ 1 .. 1 ]Choice for DRU-040-2 (85)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040-2 (85)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-040 (LD)LastFillDateDate/Time/PeriodFor Medication History Response (RXHRES): If the entity has fill history, Last Fill Date must be used. If the entity has prescribing data, date authorized (Date Written) must be used. For all transaction except VERIFY - At least one loop must contain 85 = Date Issued (Written Date) REFREQ ' At least one loop must contain LD ' (Last Fill). Value '06' (Sold Date) is only allowed to be used in Medication History Response, Fill Status Notification, and Refill Request transactions.`Qualifier - LD is implied.`DATE_TIME33C[ 0 .. 1 ]Choice for DRU-040 (LD)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040 (LD)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-040 (36)ExpirationDateDate/Time/Period`Qualifier - 36 is implied`DATE_TIME33C[ 0 .. 1 ]Choice for DRU-040 (36)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040 (36)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-040 (07)EffectiveDateDate/Time/Period`Qualifier - 07 is implied`DATE_TIME33C[ 0 .. 1 ]Choice for DRU-040 (07)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040 (07)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-040 (PE)PeriodEndDate/Time/Period`Qualifier - PE is implied`DATE_TIME33C[ 0 .. 1 ]Choice for DRU-040 (PE)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040 (PE)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-040 (35)DeliveredOnDateDate/Time/Period`Qualifier - 35 is implied`DATE_TIME33C[ 0 .. 1 ]Choice for DRU-040 (35)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040 (35)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-040 (BE)DateValidatedDate/Time/Period`Qualifier - BE is implied`DATE_TIME33C[ 0 .. 1 ]Choice for DRU-040 (BE)DateDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`Choice for DRU-040 (BE)Date/TimeDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`DRU-070DiagnosisThis structure allows senders to specify two sets of primary and secondary diagnoses.`This repeated element allows for repeating groups of Primary and Secondary diagnoses.`DIAGNOSIS999C[ 0 .. 2 ]DRU-070-1ClinicalInformationQualifierClinical Information QualifierQualifies the Clinical Information - primary field. Values: See External Code ListAN1R[ 1 .. 1 ]`1|2`DRU-070-2PrimaryDiagnosisClinical Information - primaryDIAGNOSIS_TYPE21R[ 1 .. 1 ]DRU-070-4QualifierCode List QualifierE, F, and M are not supported. ABF International Classification of Diseases-10- Clinical Modifications (ICD- 10-CM) DX International Classification of Diseases-9- Clinical Modifications- Diagnosis (ICD-9-CM-Diagnosis E Micromedex/Medical F First DataBank M Medi-Span Product`ABF specifies ICD-10-CM DX specifies ICD-9-CM Diagnosis There is no support for SNOMED-CT.`AN3C[ 0 .. 1 ]`E|F|M|ABF|DX|ICD9|ICD10`DRU-070-5ValueThe prescriber supplied or pharmacy inferred code for the diagnosis, codedAN17R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`DRU-070-4SecondaryDiagnosisClinical Information - secondaryDIAGNOSIS_TYPE0X[ 0 .. 0 ]DRU-070-4QualifierCode List QualifierAlphanumeric ABF International Classification of Diseases-10- Clinical Modifications (ICD- 10-CM) DX International Classification of Diseases-9- Clinical Modifications- Diagnosis (ICD-9-CM-Diagnosis`ABF specifies ICD-10-CM DX specifies ICD-9-CM Diagnosis There is no support for SNOMED-CT and there is no support for Micromedex, Fist DataBank, or Medi-Span, unlike the Primary diagnosis.`AN3O[ 0 .. 1 ]X-12 DE 235`E|F|M|ABF|DX|ICD9|ICD10`DRU-070-5ValueThe prescriber supplied or pharmacy inferred code for the secondary diagnosis., codedAN17R[ 1 .. 1 ]`([!-~]|[ ])*[!-~]([!-~]|[ ])*`DRU-080-2PriorAuthorizationReference NumberAUTHORIZATION45C[ 0 .. 1 ]DRU-080-2QualifierReference QualifierQualifier used to define the Reference Number. X-12 DE 128.   Alphanumeric, validation pattern G1|PD|D3|94|0B|1C|1D|1E|1G|1M|2U|BO|DH| HI|NC|NF|PD|SY|HPI|G1|ZZAN1C[ 0 .. 1 ]`G1|PD|D3|94|0B|1C|1D|1E|1G|1M||2U|BO|DH|HI|NC|NF|PD|SY|HPI|G1|ZZ`DRU-080-1ValueAlphanumeric, mandatory. This number is used to store the Prior Authorization or Sample Prescription number or the Prescriber Order Number, if used. Used in conjunction with 02-1153 qualifier field. The Prescriber Order Number resides in this field in a RXHRES transaction only. This field cannot be used for the prescriber order number in other transactions; these occur in the UIH Segment. For RXHRES in each loop of the medication - If the Prescriber Order Number is used, the qualifier of '94' (Pharmacy or Prescriber File ID) is required. The field is used to convey the prescriber order number in a Medication History response.AN35R[ 1 .. 1 ]`[ !-~]*`DRU-100 CPD-030DrugUseEvaluationConditional repeating composite for further explanation, conflict, or clarification of services related to drug use evaluationDRUG_USE_EVAL112C[ 0 .. 5 ]DRU-100-1ServiceReasonCodeDUE Reason For Service CodeCode identifying the type of conflict detected. When this composite is used, DUE Reason For Service Code is mandatory. When the DUE Reason For Service Code is sent from the prescriber to the pharmacist, the DUE Result Of Service Code is mandatory. When the DUE Reason For Service Code is sent from the pharmacist to the prescriber, the DUE Result Of Service code is conditional. This field uses the appropriate values from the Reason For Service Code in NCPDP External Code List.AN2R[ 1 .. 1 ]`AD|AN|AR|AT|CD|CH|CS|DA|DC|DD||DF|DI|DL|DM|DR|DS|ED|ER|EX|HD|IC|ID|LD|LK|LR|MC|MN|MS|MX|NA|NC|ND|NF|NN|NP|NR|NS|OH|PA|PC|PG|PH|PN|PP|PR|PS|RE|RF|SC|SD|SE|SF|SR|SX|TD|TN|TP|UD`DRU-100-2ProfessionalServiceCodeDUE Professional Service CodeAlphanumeric, pattern Code identifying intervention performed when a conflict has been detected. This field uses the appropriate values from the Professional Service Code in the NCPDP External Code List.AN2C[ 0 .. 1 ]`00|AS|CC|DE|DP|FE|GP|MA|MB|MP||M0|MR|PA|PE|PH|PM|P0|PT|R0|RT|SC|SW|TC|TH|ZZ`DRU-100-3ServiceResultCodeDUE Result Of Service CodeAlphanumeric, pattern Action taken in response to a conflict. This field uses the appropriate values from the Result of Service Code in the NCPDP External Code List.AN2C[ 0 .. 1 ]`00|1A|1B|1C|1D|1E|1F|1G|1H|1J||1K|2A|2B|3A|3B|3C|3D|3E|3F|3G|3H|3J|3K|3M|3N|4A`DRU-100-4 and DRU-100-5CoAgentDUE Co-Agent IDIdentifies the co-existing agent contributing to the DUR event (drug or disease) conflicting with the prescribed drug. When DUE Co-Agent ID is used, the DUE Co-Agent ID Qualifier must be present.COAGENT0X[ 0 .. 0 ]DRU-100-5CoAgentIdentifierDUE Co-Agent ID QualifierAlphanumericAN19O[ 0 .. 1 ]`[ !-~]*`DRU-100-5CoAgentQualifierDUE Co-Agent ID QualifierAlphanumeric, see regex Code qualifying the value in DUE Co- Agent ID. When DUE Co-Agent ID Qualifier is sent, the DUE Co-Agent ID must be present. This field uses the appropriate values from the DUR Co-Agent Qualifier in the NCPDP External Code List.AN2O[ 0 .. 1 ]`1|02|03|04|05|07|08|09|11|12|113|14|15|16|17|18|19|20|21|22|23|24|25|26|27|28|29|30|31|32|33|34|35|36|37|99`DRU-100-6ClinicalSignificanceCodeDUE Clinical Significance CodeAlphanumeric, pattern Code identifying the significance or severity level of a clinical event as contained in the originating database.AN1C[ 0 .. 1 ]`1|2|3|9`DRU-100-07AcknowledgementReasonDUE Acknowledgement ReasonAdditional textual information regarding intervention and/or acknowledgment associated with a DUE conflict. Mandatory if DUE Professional Service Code (100-S018-02-7881) = 'ZZ' (Other) to provide further explanationAN100C[ 0 .. 1 ]`[ !-~]*`DRU-110DrugCoverageStatusDrug Coverage Status CodeCode identifying the coverage status of the prescribed drug.Predicate:This field should only be used for medication prescribed.AN2C[ 0 .. 5 ]`PR|AP|PA|NF|NR|DC|UN|ST|SI`DRU-120PriorAuthorizationStatusPrior Authorization StatusThe status of the prescription's prior authorization as known by the sender.AN1C[ 0 .. 1 ]`A|D|R|N|F`DRU-130DoNotFillUsed for medications ordered by a prescriber but not requiring dispensing at this time, but required for administration and available for drug-to-drug interactions.`The XSD pattern appears to have an error. This should be Y|N rather than Y|H ?`AN1C[ 0 .. 1 ]`Y|H`DRU-140NeededNoLaterThanConditional composite for the facility to relay to the long term care pharmacy the timeframe when medication is needed for delivery. When a facility transmits either a new medication order (NEWRX) or request for the re-supply of a medication (RESUPP) to a pharmacy, it would optionally indicate the time by which the medication is needed. The facility could also provide a textual reason why the medication is needed by the time specified. The long term care pharmacy would then use this information to determine whether a special delivery is required, or whether the order could go out with the next scheduled delivery.`In the XSD this date/time is using UtcDatetype unlike other date/time values.`*12C[ 0 .. 1 ]DRU-150TimeZoneTime ZoneComposite for time zone for use with 140-I006; otherwise not used.`In the DRU Segment, Time Zone data elements are available for usage between the facility and the long term care pharmacy as part of the 'Needed No Later Than' information. In addition, Time Zone is available in the REQ segment for use when communicating drug administration events such as suspending medication administration, using the Drug Administration Notification (DRUADM) message. Events communicated in the CENSUS message may include time as well as date, and the Time Zone composite may be used to clarify those time values.`TIMEZONE10C[ 0 .. 1 ]DRU-150-01TimeZoneIdentifierDefines the time zone used by the sender. UN/EDIFACT element. Values: See External Code List For NEWRX or RESUPP in long term care setting, only value supported ' UT = Universal Time Coordinate Time zone difference quantity is mandatory if the composite is sent.AN2R[ 1 .. 1 ]`UT`DRU-150-02TimeZoneDifferenceIdentifierAlphanumeric, pattern The time zone difference quantity is HHMM offset from the Coordinated Universal Time (UTC) (X12 Data Element 623, value UT (Universal Time Coordinate)).AN7C[ 0 .. 1 ]`[\+\-]?[0-9][0-9]?[0-9]?[0-9]??`DRU-160NeededNoLaterThanReasonFree text additional instructions.AN70C[ 0 .. 1 ]`[ !-~]*`DRU-170OtherCompoundInformationNOT SUPPORTED IN 10.6 but added to 10.11COMPOUND75X[ 0 .. 0 ]DRU-170-1CompoundCodedAlphanumeric, codedAN1O[ 0 .. 1 ]`0|1|2`DRU-010-13, 170-02FormSourceCodeAlphanumeric, fixedAN2O[ 0 .. 1 ]`AA`DRU-170-03FinalCompoundPharmaceuticalDosageFormAlphanumericAN70O[ 0 .. 1 ]`[ !-~]*`CPD : Compound SegmentThe fields of this segment are part of the "MedicationPrescribed" element.`Not supported in 10.6 but added in 10.11.`Compound Segment DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternCompound ContentNot supportedSI4X[ 0 .. 0 ]SIG : "StructuredSIG" XML element corresponds to SIG segmentThe fields of this segment are part of the "MedicationPrescribed" element.`Backwards compatibility note: the order of the SIG elements was changed in 10.11.`"StructuredSIG" XML element corresponds to SIG segment DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternSIG-010RepeatingSIGREPEATING SigThe Repeating Sig Composite is used to indicate if there is more than one Sig, such as for a tapered dose or sliding scale.SIG_SEQUENCE7R[ 1 .. 1 ]SIG-010-1SigSequencePositionNumberA value of ' means that the Sig has no repeating elements. Values equal to or greater than 1 are used when the Sig has repeating elements to indicate the position within the string.N2R[ 1 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-010-2MultipleModifierAlphanumeric, pattern AND|OR|THEN Used to express when there is more than one Sig as to whether all the Sigs must apply (AND) or if any of the Sigs can apply (OR) or if the Sigs are sequential (THEN), in the sequence defined by Sig SEQUENCE POSITION.AN4C[ 0 .. 1 ]`AND|OR|THEN`SIG-020CodeSystemCODE SYSTEMThe Code System Composite of the Sig identifies which code system and version are used.CODE_SYSTEM29R[ 1 .. 1 ]SIG-020-1SNOMEDVersionThe version of The Systematized Nomenclature of Human and Veterinary Medicine (SNOMED) being used.AN14C[ 0 .. 1 ]`[ !-~]*`SIG-020-2FMTVersionThe version of Federal Medication Terminologies (FMT) being used.AN14C[ 0 .. 1 ]`[ !-~]*`SIG-030FreeTextSig FREE TEXT STRING COMPOSITEUsed to reflect the text string express of the Sig. It should always be used, and in addition is the only composite to place a free text Sig from a generating system that CANNOT generate a structured Sig.FREE_TEXT142R[ 1 .. 1 ]SIG-030-1SigFreeTextStringIndicatorSig Free Text String IndicatorIndicates the system capability of representing the instructions. Note: Value 1. Capture what the MD ordered. The Structured SIG Segment free text is used - free text is what the physician selected. DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions must contain the same text. The Structured SIG Segment contains the codified SIG fields from the prescriber's order. Value 2. Reconstructed from structured Sig. The Structured SIG Segment free text used and it is a direct translation of codified SIG values and must not be structured English language or pharmacist/patient friendly. DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions free text contains what the physician selected. Value 3. Pure free text. Value 3 is not used in the SCRIPT Standard. f the structured Sig cannot be generated, the segment is not used. The DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions free text is used. DRU Dosage (030-I014-02 or 030-I014-03) Sig instructions free text contains what the physician selected.AN1R[ 1 .. 1 ]`1|2|3`SIG-030-2SigFreeTextSig Free TextSig Free TextAN140R[ 1 .. 1 ]`[ !-~]*`SIG-040DoseDOSEThe dose composite can define a fixed dose or can repeat to define a variable dose, dose range, or dose options.DOSE230R[ 1 .. 1 ]SIG-040-1DoseCompositeIndicatorDose Composite IndicatorAlphanumeric, pattern 1|2|3|4 Indicates the action to be taken on the Dose Composite fields.AN1C[ 0 .. 1 ]`1|2|3|4`SIG-040-2DoseDeliveryMethodTextDose Delivery Method TextThe textual representation of the Dose Delivery Method. This is the method in which the dose is delivered (describes how the dose is administered/consumed)AN50C[ 0 .. 1 ]`[ !-~]*`SIG-040-3DoseDeliveryMethodCodeQualifierDose Delivery Method Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being usedAN1C[ 0 .. 1 ]`1|2`SIG-040-4DoseDeliveryMethodCodeDose Delivery Method CodeThe code representing the Dose Delivery Method Text.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-040-5DoseDeliveryMethodModifierTextDose Delivery Method Modifier TextModifies the method in which the dose is delivered (clarifies Dose Delivery Method Text).AN50C[ 0 .. 1 ]`[ !-~]*`SIG-040-6DoseDeliveryMethodModifierCodeQualifierDose Delivery Method Modifier Code QualifierQualifier to identify the code system being used. Values: See External Code ListAN1C[ 0 .. 1 ]`1|2`SIG-040-7DoseDeliveryMethodModifierCodeDose Delivery Method Modifier CodeThe code representing the Dose Delivery Method Modifier Text.AN15C[ 0 .. 1 ]`1|2`SIG-040-8DoseQuantityDose QuantityThe numeric expression of the dose.N18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-040-9DoseFormTextDose Form TextThe textual representation of the Dose FormAN50C[ 0 .. 1 ]`[ !-~]*`SIG-040-10DoseFormQualifierDose Form Code QualifierQualifier to identify the code system being used. Values: See External Code ListAN0X[ 0 .. 0 ]`1|2`SIG-040-11DoseFormCodeDose Form CodeThe code representing the Dose FormAN15C[ 0 .. 1 ]`[ !-~]*`SIG-040-12DoseRangeModifierDose Range ModifierAlphanumeric, pattern TO|OR Used to signify that the Sig contains more than one dose in a range or option. Values: See External Code ListAN3C[ 0 .. 1 ]`TO|OR`SIG-050DoseCalculationDOSE CALCULATION COMPOSITEUsed to calculate a dose where a body metric such as metric weight or surface area is used to calculate a dose for a patient.DOSE_CALC198C[ 0 .. 1 ]SIG-050-1DosingBasisNumericValueDosing Basis Numeric ValueExpresses the numeric value of the dosing basis.N18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-050-2DosisBasisUnitofMeasureTextDosing Basis Unit of Measure TextThe textual representation of the dosing basis unit of measure.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-050-3DosingBasisUnitofMeasureCodeQualifierDosing Basis Unit of Measure Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being used.AN1C[ 0 .. 1 ]`1|2`SIG-050-4DosingBasisUnitofMeasureCodeDosing Basis Unit of Measure CodeThe code representing the dosing basis unit of measureAN15C[ 0 .. 1 ]`[ !-~]*`SIG-050-5BodyMetricQualifierBody Metric QualifierAlphanumeric, pattern 1|2 Qualifier to identify the body metric being used (either weight or surface area). Values: See External Code ListAN0X[ 0 .. 0 ]`1|2`SIG-050-6BodyMetricValueBody Metric ValueNumeric Expresses the value of the body metric.N18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-050-7CalculateDoseNumericCalculated Dose NumericNumeric Expresses the numeric value of the calculated doseN18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-050-8CalculateDoseUnitofMeasureTextCalculated Dose Unit of Measure TextThe textual representation of the unit of measure of the calculated dose.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-050-9CalcuateDoseUnitofMeasureCodeQualifierCalculated Dose Unit of Measure Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being used. Values: See External Code ListAN1C[ 0 .. 1 ]`1|2`SIG-050-10CalculateDoseUnitofMeasureCodeCalculated Dose Unit of Measure CodeCode representing the calculated dose unit of measure.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-050-11DosingBasisRangeModifierDosing Basis Range ModifierAlphanumeric, pattern TO|OR Used to signify that the Sig contains more than one dose which represent a dose range (TO) or contains a dose option (OR). Values: See External Code ListAN2C[ 0 .. 1 ]`TO|PR`SIG-060VehicleVEHICLE COMPOSITEDefines a vehicle specified for the delivery of the product.VEHICLE160C[ 0 .. 1 ]SIG-060-1VehicleNameVehicle NameAN50C[ 0 .. 1 ]`[ !-~]*`SIG-050-2VehicleNameCodeQualifierVehicle Name Code QualifierAlphanumeric, pattern 1|2 Vehicle Name Code QualifierAN1C[ 0 .. 1 ]`1|2`SIG-060-3VehicleNameCodeVehicle Name CodeThe code representing the Vehicle Name.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-060-4VehicleQuantityVehicle QuantityA volume, expressed in a value.N18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-060-5VehicleUnitOfMeasureTextVehicle Unit Of Measure TextThe textual representation of Vehicle Unit of Measure.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-060-6VehicleUnitOfMeasureCodeQualifierVehicle Unit Of Measure Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being used. Values: See External Code ListAN1C[ 0 .. 1 ]`1|2`SIG-060-7VehicleUnitOfMeasureCodeVehicle Unit Of Measure CodeThe code representing the Vehicle Unit of MeasureAN15C[ 0 .. 1 ]`[ !-~]*`SIG-050-8MultipleVehicleModifierMultiple Vehicle ModifierAlphanumeric, pattern AND|OR Denotes if for an instance of more than one vehicle if all vehicles are used together (AND), or if each of the listed vehicles is an option (OR). Values: See External Code ListAN3C[ 0 .. 1 ]`AND|OR`SIG-070RouteofAdministrationROUTE OF ADMINISTRATION COMPOSITEDefines the route of administration.ROUTE72C[ 0 .. 1 ]SIG-070-1 DRU-180-1RouteofAdministrationTextRoute of Administration TextAlphanumeric, free text, The textual representation of the Route of AdministrationAN50C[ 0 .. 1 ]`[ !-~]*`SIG-070-2 DRU-180RouteofAdministrationCodeQualifierRoute of Administration Code QualifierQualifier to identify the code system being used. Route of Administration Code QualifierAN1C[ 0 .. 1 ]`1|2`SIG-070-3 DRU-180-3RouteofAdministratoinCodeRoute of Administration CodeThe code representing the Route of AdministrationAN15C[ 0 .. 1 ]`[ !-~]*`SIG-070-4 DRU-180-4MultipleRouteofAdministrationModifierMultiple Route of Administration ModifierAlphanumeric, AND/OR Used to express when there is more than one route as to whether the routes are all required to be used (AND) or if any of the routes can be used (OR). Values: See External Code ListAN3C[ 0 .. 1 ]`AND|OR`SIG-080SiteofAdministrationSITE OF ADMINISTRATION COMPOSITEPredicate:Defines the site of administration.SITE72C[ 0 .. 1 ]SIG-080-1SiteofAdministrationTextSite of Administration TextThe textual representation of Site Code. It is the site of administration.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-080-2SiteofAdministrationCodeQualifierSite of Administration Code QualifierQualifier to identify the code system being used.AN1C[ 0 .. 1 ]`1|2`SIG-080-3SiteofAdministrationCodeSite of Administration CodeThe code representing the Site of AdministrationAN15C[ 0 .. 1 ]`[ !-~]*`SIG-080-4MultipleAdministrationTimingModifierMultiple Site of Administration Timing ModifierAlphanumeric, AND/OR/NOT Used to express when there is more than one site as to whether the sites are all required (AND) for use or excluded from use (NOT) or if any of the sites can be used (OR).AN3C[ 0 .. 1 ]`AND|OR|NOT`SIG-090TimingSig TIMING COMPOSITEThis composite is used to provide instruction about the timing of the Sig - when/how often/frequently/at what rate - the medication is be taken. Defines a specific administration day, date or time`This composite in XML combines timing, frequency, and interval.`TIMING399C[ 0 .. 1 ]SIG-090-1AdministrationTimingTextAdministration Timing TextThe textual representation of Administration Timing.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-090-2AdministrationTimingCodeQualifierAdministration Timing Code QualifierQualifier to identify the code system being used.AN1C[ 0 .. 1 ]`1|2`SIG-090-3AdministrationTimingCodeAdministration Timing CodeThe code representing the Administration Timing Text.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-090-4MultipleAdministrationTimingModifierMultiple Administration Timing ModifierAlphanumeric, pattern AND|OR e ADMINISTRATION TIME as to whether the times are all required to be used (AND) or if any of the times can be used (OR). Values: See External Code ListAN3C[ 0 .. 1 ]`AND|OR`SIG-090-5RateofAdministrationRate of AdministrationThe amount of time for a {single} dose to be administeredAN11C[ 0 .. 1 ]`[ !-~]*`SIG-090-6RateUnitofMeasureTextRate Unit of Measure TextThe textual representation of Rate Unit of Measure for the period of time (seconds, minutes, hours, days) in which the dose is to be administered.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-090-7RateUnitofMeasureCodeQualifierRate Unit of Measure Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being used.AN1C[ 0 .. 1 ]`1|2`SIG-090-8RateUnitofMeasureCodeRate Unit of Measure CodeThe code representing the Rate Unit Of Measure Text.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-090-9TimePeriodBasisTextTime Period Basis TextExpresses the time unit of measure for the calculated dose.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-090-10TimePeriodBasisCodeQualifierTime Period Basis Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being used.AN1C[ 0 .. 1 ]External Code List`1|2`SIG-090-11TimePeriodBasisCodeTime Period Basis CodeThe code representing the time period basis.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-090-12FrequenceNumericValueFrequency Numeric ValueDefines a frequency of administration. Frequency is events per unit of time. The numeric interval for the event. Used to define a FREQUENCY of administration.AN11C[ 0 .. 1 ]`[ !-~]*`SIG-090-13FrequencyUnitsTextFrequency Units TextThe textual representation of Frequency Units Code.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-090-14FrequencyUnitsCodeQualifierFrequency Units Code QualifierAlphanumeric, pattern 1|2 Qualifier to identify the code system being used.AN1C[ 0 .. 1 ]`1|2`SIG-090-15FrequencyUnitsCodeFrequency Units CodeThe code represented by Frequency Units Text.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-090-16VariableFrequencyModifierVariable Frequency ModifierAlphanumeric, pattern AND|OR|TO Used to express when there is more than one FREQUENCY as to whether the frequencies are all required to be used (AND) or if any of the frequencies can be used (OR/TO).AN3C[ 0 .. 1 ]`AND|OR|TO`SIG-090-17IntervalNumericValueInterval Numeric ValueNumeric Defines an interval of administration. Interval is the time between events.N18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-090-18IntervalUnitsTextInterval Units TextThe textual representation of Interval Units Code.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-090-19IntervalUnitsCodeQualifierInterval Units Code QualifierQualifier to identify the code system being used.AN1C[ 0 .. 1 ]`1|2`SIG-090-20IntervalUnitsCodeInterval Units CodeThe code representing the Interval Units Text.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-090-21VariableIntervalModifierVariable Interval ModifierAlphanumeric, pattern AND|OR|TO Used to express when there is more than one INTERVAL as to whether the intervals are all required to be used (AND) or if any of the intervals can be used (OR/TO). Values: See External Code ListAN3C[ 0 .. 1 ]`AND|OR|TO`SIG-100DurationDURATION COMPOSITEDefines a duration of use/therapy.DURATION80C[ 0 .. 1 ]SIG-100-1DurationNumericValueDuration Numeric ValueNumeric The numeric duration units.N11R[ 1 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-100-2DurationTextDuration TextAlphanumeric The textual representation of Duration Units Code.AN50R[ 1 .. 1 ]`[ !-~]*`SIG-100-3DurationTextCodeQualifierDuration Text Code QualifierQualifier to identify the code system being used.AN1R[ 1 .. 1 ]`1|2`SIG-100-4DurationTextCodeDuration Text CodeThe code representing the Duration Units Text.AN15R[ 1 .. 1 ]`[ !-~]*`SIG-110MaximumDoseRestrictionMAXIMUM DOSE RESTRICTION COMPOSITEThe dose restriction composite of the Sig which defines a maximum or dose limit, as specified by the prescriber.MAX_DOSE179R[ 1 .. 1 ]MaximumDoseRestrictionNumericValueMaximum Dose Restriction Numeric ValueNumeric Defines a MAXIMUM DOSE, so that the Sig can represent the concept, 'Not to exceed _____.' Expression of a DOSE MAXIMUM involves placing the core dose value in this field and the units and variables in the fields that follow.N18R[ 1 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-110-2MaximumDoseRestrictionUnitsTextMaximum Dose Restriction Units TextThe textual representation of the Dose Maximum Units.AN50R[ 1 .. 1 ]`[ !-~]*`SIG-110-3MaximumDoseRestrictionCodeQualifierMaximum Dose Restriction Code QualifierQualifier 1, 2 Qualifier to identify the code system being used. Values: See External Code ListAN1R[ 1 .. 1 ]`1|2`SIG-110-4MaximumDoseRestrictionUnitsCodeMaximum Dose Restriction Units CodeThe code representing the Dose Maximum Units Text.AN15R[ 1 .. 1 ]`[ !-~]*`SIG-110-5MaximumDoseRestrictionVariableNumericValueMaximum Dose Restriction Variable Numeric ValueNumeric The numeric representation of the maximum dose calculations.N18C[ 0 .. 1 ]`[0-9]+(\.[0-9]+)?`SIG-110-6MaximumDoseRestrictionVariableUnitsTextMaximum Dose Restriction Variable Units TextThe textual representation of the Dose Maximum Variable Units.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-110-7MaximumDoseRestrictionVariableUnitsCodeQualifierMaximum Dose Restriction Variable Units Code QualifierQualifier 1, 2 Qualifier to identify the code system being used. Required when Maximum Dose Restriction Variable Units Code (110- S033-08-7974) is used. Values: See External Code ListAN1C[ 0 .. 1 ]`1|2`SIG-110-8MaximumDoseRestrictionVariableUnitsCodeMaximum Dose Restriction Variable Units CodeThe code represented by the Dose Maximum Variable Units Text. Required when Maximum Dose Restriction Variable Units Code Qualifier (110-S033-07-7973) is used.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-110-9MaximumDoseRestrictionVariableDurationModifierMaximum Dose Restriction Variable Duration ModifierAND, OR boolean operator Used to express when there is more than one DURATION as to whether the durations are all required to be used (AND) or if any of the durations can be used (OR). Values: See External Code ListAN3C[ 0 .. 1 ]`AND|OR`SIG-120IndicationINDICATION COMPOSITEDefines the indication for use of the medication as meant to be conveyed to the patient.INDICATION295R[ 1 .. 1 ]SIG-120-1IndicationPrecursorTextIndication Precursor TextThe textual representation of the indication precursor.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-120-3IndicationPrecursoCodeQualifierIndication Precursor Code QualifierQualifier 1, 2 Qualifier to identify the code system being used. Values: See External Code ListAN1C[ 0 .. 1 ]External Code List`1|2`SIG-120-3IndicationPrecursorCodeIndication Precursor CodeThe code representing the indication precursor.AN15R[ 1 .. 1 ]`[ !-~]*`SIG-120-4IndicationTextIndication TextThe textual representation of the Indication.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-120-5IndicationTextCodeQualifierIndication Text Code QualifierQualifier 1,2 Qualifier to identify the code system being used. Values: See External Code ListAN1C[ 0 .. 1 ]External Code List`1|2`SIG-120-6IndicationTextCodeIndication Text CodeThe code representing the Indication Text.AN15C[ 0 .. 1 ]`[ !-~]*`SIG-120-7IndicationValueTextIndication Value TextThe textual representation of when the indication value is applicable.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-120-8IndicatoinValueUnitIndication Value UnitThe numeric expression of a value when it applies to an Indication.AN18C[ 0 .. 1 ]`[ !-~]*`SIG-120-9IndicationValueUnitofMeasureTextIndication Value Unit of Measure TextThe textual representation of the unit of measure of the indication value.AN50C[ 0 .. 1 ]`[ !-~]*`SIG-120-10IndicationValueUnitsofMeasureCodeQualifierIndication Value Unit of Measure Code QualifierQualifier 1, 2 Qualifier to identify the code system being used. Values: See External Code ListAN16C[ 0 .. 1 ]External Code List`1|2`SIG-120-11IndicationValueUnitofMeasureCodeIndication Value Unit of Measure CodeThe code representing the unit of measure.AN15R[ 1 .. 1 ]`[ !-~]*`SIG-120-12IndicationVariableModifierIndication Variable ModifierLogical boolean used to express when there is more than one INDICATION as to whether all the indications must apply (AND) or if any of the indications can apply (OR). Values: See External Code List Used to express a hard stop, such`"TO" is also supported in addition to boolean operators.`AN3C[ 0 .. 1 ]External Code List`AND|OR|TO`SIG-130StopStop IndicatorDefines if a stop is present.`Part of the STOP COMPOSITE, it corresponds to SIG-130-1.`AN1C[ 0 .. 1 ]`[ !-~]*`OBS : Observation segment corresponding to the "Observation"XML elementObservation segment`It used to specify height and weight.`Observation segment corresponding to the "Observation"XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternOBS-010MeasurementMeasurement ValueRepeated, limited to 10 occurrences.MEASUREMENT74C[ 0 .. 10 ]OBS-010-1DimensionMeasurement Dimension, codedCode Qualifies the Measurement value. Values: See External Code ListAN0X[ 0 .. 0 ]`HT|WG|ZZS|ZZD`OBS-010-2ValueMeasurement ValueNumericN18R[ 1 .. 1 ]`[0-9]+(\.[0-9]+)?`OBS-010-4ObservationDateDate/Time/PeriodChoice date or date/time.DATE_TIME33C[ 0 .. 1 ]ChoiceDateDate/Time/PeriodDateDT8C[ 0 .. 1 ]`^\d{4}((0\d)|(1[0-2]))((([0-2]]\d)|(3[0-1])))?$`ChoiceDate/TimeDate/Time/PeriodDate and TimeDTM24C[ 0 .. 1 ]`^\d{4}(((0[1-9])|(1[0-2]))(((00[1-9])|([1-2]\d)|(3[0-1]))((([01]\d|2[0-3])([0-5]\d))(([0-5]\d)((\.\d{1,4}))?)?)?)?)?([+-](([0]\d|1[0-3])([0-5]\d)))?$`OBS-010-6MeasurementDataQualifierMeasurement Data QualifierQualifier 1, 2, 3, 4. Identifies code set of clinical physical findings.AN1C[ 0 .. 1 ]`1|2|3|4`OBS-010-7MeasurementSourceCodeSource Code ListCode identifying the source organization. Required if Measurement Unit Code (010-S017-08-7995) is used.AN2C[ 0 .. 1 ]`AA|AB|AC`OBS-010-8MeasurementUnitCodeMeasurement Unit CodeBasis for measurement code. Units of Presentation. Qualified by Source Code List (7991). Qualifies the Measurement Value (010-S017-02-6314). Values: See External Code ListAN15C[ 0 .. 1 ]7991`[ !-~]*`OBS-020ObservationNodesFree TextAN140C[ 0 .. 1 ]`[ !-~]*`COO : Coordination of Benefits segment corresponding to the "BenefitsCoordination" XML elementCoordination of Benefits SegmentCoordination of Benefits segment corresponding to the "BenefitsCoordination" XML element DetailReferenceXML ReferenceIG ReferenceNotesTypeLengthUsageCardinalityValue SetValidation PatternCOO-010PayerIdentificationReference number and Reference QualifierChoice of relevant identifiers is not restricted to those relevant to Payer identification.`Within each COO Segment, the Reference Number (010-I001) repeats >1 times. For a given Primary Payer loop of the COO Segment, the Reference Number and Qualifier are used to denote identification of the payer, for example with a BIN Number and a Processor Control Number (if applicable). The Reference Number and Reference Qualifier will loop twice if there is a BIN Number (one loop of (010-I001)) and a Processor Control Number (second loop of (010-I001)) to report. If the payer does not use a Processor Control Number, the Reference Number (010- I001) would only loop once, containing the BIN Number.`ID_TYPE863C[ 0 .. 2 ]Choice for COO-010NCPDPIDReference number and Reference QualifierAlphanumeric, D3`Choice`AN35C[ 0 .. 1 ]Choice for COO-010FileIDReference number and Reference QualifierAlphanumeric, 94`Choice`AN35C[ 0 .. 1 ]Choice for COO-010StateLicenseNumberReference number and Reference QualifierAlphanumeric, 0B`Choice`AN35C[ 0 .. 1 ]Choice for COO-010MedicareNumberReference number and Reference QualifierAlphanumeric, 1C`Choice`AN35C[ 0 .. 1 ]Choice for COO-010MedicaidNumberReference number and Reference QualifierAlphanumeric,1D`Choice`AN35C[ 0 .. 1 ]Choice for COO-010DentistLicenseNumberReference number and Reference QualifierAlphanumeric, 1E`Choice`AN35C[ 0 .. 1 ]Choice for COO-010UPINReference number and Reference QualifierAlphanumeric, 1G`Choice`AN35C[ 0 .. 1 ]Choice for COO-010FacilityIDReference number and Reference QualifierAlphanumeric, 1J`Choice`AN35C[ 0 .. 1 ]Choice for COO-010PPONumberReference number and Reference QualifierAlphanumeric, 1M`Choice`AN35C[ 0 .. 1 ]Choice for COO-010PayerIDReference number and Reference QualifierAlphanumeric, 2U`Choice`AN35RE[ 0 .. 1 ]Choice for COO-010ProcessorIdentificationNumberReference number and Reference QualifierAlphanumeric, ADI`Choice`AN35C[ 0 .. 1 ]Choice for COO-010BINLocationNumberReference number and Reference QualifierAlphanumeric, BO`Choice`AN35RE[ 0 .. 1 ]Choice for COO-010CommercialReference number and Reference QualifierAlphanumeric, C1`Choice`AN35C[ 0 .. 1 ]Choice for COO-010MedicalRecordIdentificationNumberEHRReference number and Reference QualifierAlphanumeric, EA`Choice`AN35C[ 0 .. 1 ]Choice for COO-010PatientAccountNumberReference number and Reference QualifierAlphanumeric, EJ`Choice`AN35C[ 0 .. 1 ]Choice for COO-010DEANumberReference number and Reference QualifierAlphanumeric, DH`Choice`AN35C[ 0 .. 1 ]Choice for COO-010HINReference number and Reference QualifierAlphanumeric, HI`Choice`AN35C[ 0 .. 1 ]Choice for COO-010IndividualPolicyNumberReference number and Reference QualifierAlphanumeric, IP`Choice`AN35C[ 0 .. 1 ]Choice for COO-010SecondaryCoverageReference number and Reference QualifierAlphanumeric, NC`Choice`AN35C[ 0 .. 1 ]Choice for COO-010NAICCodeReference number and Reference QualifierAlphanumeric, NF`Choice`AN35C[ 0 .. 1 ]Choice for COO-010PromotionNumberReference number and Reference QualifierAlphanumeric, PD`Choice`AN35C[ 0 .. 1 ]Choice for COO-010SocialSecurityReference number and Reference QualifierAlphanumeric, SY`Choice`AN35C[ 0 .. 1 ]Choice for COO-010NPIReference number and Reference QualifierAlphanumeric, HPI`Choice`AN35C[ 0 .. 1 ]Choice for COO-010PriorAuthorizationReference number and Reference QualifierAlphanumeric, G1`Choice`AN35C[ 0 .. 1 ]COO-020PayerNameParty NamePayer name CENSUS - if Private Pay ' This is the responsible Party Name.AN35C[ 0 .. 1 ]`[ !-~]*`COO-040CardHolderIDReference NumberCardholder ID`"CM" field but it is not a composite. This may be a "required but may be empty in some situations" field.`AN35RE[ 0 .. 1 ]`[ !-~]*`COO-050CardHolderNameParty NameCardholder name For CENSUS, Full Name of Responsible Party.NAME_TYPE129C[ 0 .. 1 ]COO-050-1LastNameLast NameLast name of the cardholderAN35RE[ 0 .. 1 ]`[ !-~]*`COO-050-2FirstNameFirst NameFirst name of the cardholderAN35R[ 1 .. 1 ]`[ !-~]*`COO-050-3MiddleNameMiddle NameMiddlename of the cardholderAN35C[ 0 .. 1 ]`[ !-~]*`COO-050-4SuffixSuffixSuffix of the cardholderAN10C[ 0 .. 1 ]`[ !-~]*`COO-050-5PrefixPrefixPrefix of the cardholderAN10C[ 0 .. 1 ]`[ !-~]*`COO-06-1154GroupIDReference NumberAN35C[ 0 .. 1 ]`[ !-~]*`
  Health IT

    
    Created January 10, 2017, Updated March 1, 2017
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