©2011-2018 Open Source Electronic Health Record Alliance
This work is licensed under a Creative Commons Attribution 3.0 Unported License
This work is licensed under a Creative Commons Attribution 3.0 Unported License
ABME5SV1 ; IHS/ASDST/DMJ - 837 SV1 Segment
Source file <ABME5SV1.m>
| Package | Total | Call Graph |
|---|---|---|
| Third Party Billing | 3 | $$POS^ABMERUTL $$OVER^ABMUTL8 $$TRIM^ABMUTLP |
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 150 | ;SV114 - National or Local Assigned Review Value
|
|
| 210 | ;SV120 - level of care code
|
|
| 190 | ;SV118 - postal code
|
|
| 60 | ;SV105 - Facility Code Value (place of service)
|
|
| 130 | ;SV112 - Family Planning Indicator
|
|
| 110 | ;SV110 - Multiple Procedure Code
|
|
| 80 | ;SV107 - Composite DX code pointer
|
|
| 170 | ;SV116 - health care professional shortage area code
|
|
| 20 | ;SV101 - Composite Medical Procedure Identifier
|
|
| 40 | ;SV103 - Unit or Basis for Measurement Code
|
|
| 180 | ;SV117 - reference identification
|
|
| 200 | ;SV119 - monetary amount
|
|
| 140 | ;SV113 - Review Code
|
|
| 120 | ;SV111 - epsdt
|
|
| 70 | ;SV106 - service type code
|
|
| 90 | ;SV108 - Monetary Amount
|
|
| 100 | ;SV109 - emergency indicator
|
|
| 160 | ;SV115 - copay status code
|
|
| EP | ;EP
|
|
| 220 | ;SV121 - provider agreement code
|
|
| 10 | ;segment
|
|
| 30 | ;SV102 - Monetary Amount (Charges)
|
|
| 50 | ;SV104 - Quantity
|
|
| LOOP | ;LOOP HERE
|
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABMDCODE - [#9002274.03] | 60+4 |
| ^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("NDC" | 20+9*, 20+10, 20+11, 20+12, 20+13, 20+14 |
| >> ABMB8 | 100+1 |
| ABME | EP+4! |
| ABME("RTYPE" | EP+2*, LOOP+3 |
| >> ABMI | 20+3, 20+5, 20+6, 20+8, 20+9, 20+18, 20+19, 20+20, 20+21, 30+1 , 40+1, 50+1, 60+2, 60+3, 60+5, 80+1 |
| >> ABMJ | 20+3, 20+5, 20+6, 20+8, 20+9, 20+18, 20+19, 20+20, 20+21, 30+1 , 50+1, 60+2, 60+3, 80+1 |
| >> ABMK | 20+3, 20+5, 20+6, 20+8, 20+9, 20+18, 20+19, 20+20, 20+21, 30+1 , 50+1, 60+2, 60+3, 80+1 |
| >> ABMOUTLB | 20+20* |
| >> ABMP("EXP" | LOOP+3 |
| >> ABMP("INS" | LOOP+3 |
| >> ABMR("SV1" | EP+1!, LOOP+5, 10+1*, 20+4*, 20+5*, 20+7*, 20+10*, 20+11*, 20+12*, 20+13* , 20+14*, 20+19*, 20+21*, 30+1*, 30+3*, 40+1*, 40+2*, 50+1*, 60+1*, 60+3* , 60+4*, 60+5*, 60+7*, 60+8*, 70+1*, 80+1*, 80+2*, 80+3*, 90+1*, 100+1* , 110+1*, 120+1*, 130+1*, 140+1*, 150+1*, 160+1*, 170+1*, 180+1*, 190+1*, 200+1* , 210+1*, 220+1* |
| >> ABMREC("SV1" | EP+1!, LOOP+4*, LOOP+5* |
| >> ABMRV( | 20+3, 20+5, 20+6, 20+8, 20+9, 20+18, 20+19, 20+20, 20+21, 30+1 , 50+1, 60+2, 60+3, 80+1 |
| >> ABMVALUE | 60+6*, 60+7 |
| I | LOOP+1*, LOOP+2, LOOP+3, LOOP+5, 20+15~, 20+17*, 20+18, 20+19, 20+20 |
| U | 20+3, 20+5, 20+6, 20+8, 20+9, 20+18, 20+19, 20+20, 20+21, 30+1 , 50+1, 60+2, 60+3, 80+1 |