ABME5SV4 ; IHS/ASDST/DMJ - 837 SV4 Segment
Source file <ABME5SV4.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 10 | ;segment
|
|
| 20 | ;SV401 - Reference Identification
; Prescription Number |
|
| 140 | ;SV413 - Basis of Days Supply Determination Code (Not used)
|
|
| 150 | ;SV414 - Dosage Form Code (Not used)
|
|
| 120 | ;SV411 - Unit Dose Code (Not used)
|
|
| 30 | ;SV402 - Composite Medical Procedure Identifier (Not used)
|
|
| 50 | ;SV404 - Yes/No Condition or Response Code (Not used)
|
|
| 40 | ;SV403 - Reference Identification (Not used)
|
|
| 190 | ;SV418 - Prior Authorization Type Code (Not used)
|
|
| 60 | ;SV405 - Dispense as Written Code (Not used)
|
|
| 180 | ;SV417 - Level of Care Code (Not used)
|
|
| 130 | ;SV412 - Basis of Cost Determination Code (Not used)
|
|
| 110 | ;SV410 - Yes/No Condition or Response Code (Not used)
|
|
| 70 | ;SC406 - Level of Service Code (Not used)
|
|
| 100 | ;SV409 - Yes/No Condition or Response Code (Not used)
|
|
| 90 | ;SV408 - Description (Not used)
|
|
| 80 | ;SV407 - Prescription Origin Code (Not used)
|
|
| 160 | ;SV415 - Copay Status Code (Not used)
|
|
| EP | ;EP
|
|
| LOOP | ;LOOP HERE
|
|
| 170 | ;SV416 - Patient Location Code (Not used)
|
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABMEXLM("AA" | LOOP+3 |
| Name | Line Occurrences |
|---|---|
| @( | LOOP+2, LOOP+3 |
| LOOP | EP+3 |
| Name | Field # of Occurrence |
|---|---|
| ^( | LOOP+3 |
| >> | Not killed explicitly |
| * | Changed |
| ! | Killed |
| ~ | Newed |
| Name | Field # of Occurrence |
|---|---|
| ABM | EP+4! |
| >> ABMCNTR | 20+2 |
| >> ABMCODE | 20+2 |
| ABME | EP+4! |
| ABME("RTYPE" | EP+2*, LOOP+3 |
| >> ABMP("EXP" | LOOP+3 |
| >> ABMP("INS" | LOOP+3 |
| >> ABMR("SV4" | EP+1!, LOOP+5, 10+1*, 20+2*, 30+1*, 40+1*, 50+1*, 60+1*, 70+1*, 80+1* , 90+1*, 100+1*, 110+1*, 120+1*, 130+1*, 140+1*, 150+1*, 160+1*, 170+1*, 180+1* , 190+1* |
| >> ABMREC("SV4" | EP+1!, LOOP+4*, LOOP+5* |
| >> ABMREV | 20+2 |
| >> ABMRV( | 20+2 |
| >> I | LOOP+1*, LOOP+2, LOOP+3, LOOP+5 |
| U | 20+2 |