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 |