©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
ABME5SV3 ; IHS/ASDST/DMJ - 837 SV3 Segment
Source file <ABME5SV3.m>
| Name | Comments | DBIA/ICR reference |
|---|---|---|
| 10 | ;segment
|
|
| 20 | ;SV301 - Composite Medical Procedure Identifier
|
|
| 120 | ;SV311 - Composite DX Code Pointer
|
|
| 30 | ;SV302 - Monetary Amount (Charges)
|
|
| 50 | ;SV304 - Oral Cavity Designation
|
|
| 40 | ;SV303 - Place of service
|
|
| 60 | ;SV305 - Prothesis, Crown, or Inlay Code
|
|
| 110 | ;SV310 - not used
|
|
| 70 | ;SV306 - Quantity
|
|
| 100 | ;SV309 - Provider Agreement Code
|
|
| 90 | ;SV308 - Copay Status Code
|
|
| 80 | ;SV307 - Description
|
|
| EP | ;EP
|
|
| LOOP | ;LOOP HERE
|
| Name | Line Occurrences (* Changed, ! Killed) |
|---|---|
| ^ABMEXLM("AA" | LOOP+3 |
| ^AUTNINS - [#9999999.18] | 70+4 |
| 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 |
|---|---|
| ABME | EP+4! |
| ABME("RTYPE" | EP+2*, LOOP+3 |
| >> ABMI | 20+4, 20+7, 20+8, 20+9, 30+1, 50+2, 70+3, 70+4, 120+3 |
| >> ABMJ | 20+4, 20+7, 20+8, 20+9, 30+1, 50+2, 70+3, 70+4, 120+3 |
| >> ABMK | 20+4, 20+7, 20+8, 20+9, 30+1, 50+2, 70+3, 70+4, 120+3 |
| >> ABMP("EXP" | LOOP+3 |
| >> ABMP("INS" | LOOP+3, 70+4 |
| >> ABMR("SV3" | EP+1!, LOOP+5, 10+1*, 20+3*, 20+4*, 20+8*, 20+9*, 30+1*, 30+2*, 40+1* , 50+1*, 50+2*, 60+1*, 70+2*, 70+3*, 70+4*, 80+1*, 90+1*, 100+1*, 110+1* , 120+1*, 120+3*, 120+4*, 120+5* |
| >> ABMREC("SV3" | EP+1!, LOOP+4*, LOOP+5* |
| >> ABMRV( | 20+4, 20+7, 20+8, 20+9, 30+1, 50+2, 70+3, 70+4, 120+3 |
| I | LOOP+1*, LOOP+2, LOOP+3, LOOP+5, 20+5~, 20+6*, 20+7, 20+8 |
| U | 20+4, 20+7, 20+8, 20+9, 30+1, 50+2, 70+3, 70+4, 120+3 |