- ACHSTX7D ;IHS/SET/GTH - RECORD 7(638 STATISTICAL DATA FOR NPIRS) FORMAT ; [ 09/20/2004 10:32 AM ]
- ;;3.1;CONTRACT HEALTH MGMT SYSTEM;**5,11**;JUN 11, 2001
- ;IHS/SET/GTH ACHS*3.1*5 12/06/2002 - New Routine.
- ;ITSC/SET/JVK ACHS*3.1*11 9/20/2004
- ;This routine format has changed considerably. See the manual update
- ;for exact record layout.
- ;
- ;;Record 7A - 638 STATISTICAL RECORDS FOR NPIRS.
- ;;Routine: ACHSTX7
- ;;
- ;; POSIT LENGTH VAR NAME JUSTIFY
- ;; ----- ------ -------- -------------------------- -------
- ;; 1- 2 2 constant 7A -
- ;; 3- 9 7 PO NUMBER -
- ;; 10-15 6 FACILITY CODE -
- ;; 16-24 9 SSN -
- ;; 25-30 6 DOB (MMDDYY) -
- ;; 31 1 SEX -
- ;; 32-34 3 TRIBE -
- ;; 35-37 3 blanks -
- ;; 38-40 3 COMMUNITY -
- ;; 41-42 2 COUNTY -
- ;; 43-44 2 STATE -
- ;; 45-46 2 AREA CODE -
- ;; 47-48 2 SERVICE UNIT CODE -
- ;; 49-50 2 FACILITY CODE -
- ;; 51-52 2 PROVIDER TYPE -
- ;; 53-62 10 EIN -
- ;; IF INPATIENT (43):
- ;; 63-68 6 ADMISSION DATE (MMDDYY) -
- ;; 69-74 6 DISCHARGE DATE (MMDDYY) -
- ;; 75-77 3 LENGTH OF STAY -
- ;; 78 1 DISPOSITION -
- ;; 79-80 2 DX 1 -
- ;; IF OUTPATIENT (64):
- ;; 63-69 7 HOSP AUTH NUMBER -
- ;; 70-75 6 DATE OF SERVICE (MMDDYY) -
- ;; 76 1 I/P OR O/P INDICATOR -
- ;; 77-79 3 DX 1 -
- ;; 80 1 FIRST/REVISIT -
- ;;
- ;;Record 7B - 638 STATISTICAL RECORDS FOR NPIRS.
- ;;Routine: ACHSTX7
- ;;
- ;; POSIT LENGTH VAR NAME JUSTIFY
- ;; ----- ------ -------- -------------------------- -------
- ;; IF INPATIENT (43):
- ;; 1- 2 7B -
- ;; 3 1 blank
- ;; 4- 8 5 DX 2 -
- ;; 9-13 5 DX 3 -
- ;; 14-18 5 DX 4 -
- ;; 19-23 5 DX 5 -
- ;; 24-27 4 OPER/PROCEDURE 1 -
- ;; 28-31 4 blanks -
- ;; 32-35 4 OPER/PROCEDURE 2 -
- ;; 36-39 4 OPER/PROCEDURE 3 -
- ;; 40-44 5 NEWBORN DX -
- ;; 45 1 NEWBORN D/H -
- ;; 46-49 4 ATTENDING PHYSICIAN CODE -
- ;; 50-55 INJURY
- ;; 50-53 4 ICD9 CAUSE E-CODE -
- ;; 54-55 2 PLACE -
- ;; 56-63 8 CHARGES R
- ;; 64 1 FULL/PART PAY -
- ;; 65-80 16 blanks -
- ;; IF OUTPATIENT (64):
- ;; 1- 2 7B -
- ;; 3- 5 3 DX 2 -
- ;; 6 1 FIRST/REVISIT -
- ;; 7- 8 2 NUMBER OF VISITS R
- ;; 9-14 6 AMOUNT R
- ;; 15-24 IMMUNIZATIONS
- ;; 15-16 2 1ST -
- ;; 17-18 2 2ND -
- ;; 19-20 2 3RD -
- ;; 21-22 2 4TH -
- ;; 23-24 2 5TH -
- ;; 25-27 MATERNAL HEALTH
- ;; 25-26 2 GRAVIDA -
- ;; 27 1 TRIMESTER -
- ;; 28 1 FULL/PARTIAL PAY -
- ;; 29-32 4 SURGICAL PROCEDURE -
- ;; 33-80 48 blanks
- ;
- ;;The following is the format contained in the Federal Register of
- ;;Thursday, January 20, 1994. It is the final format of data at
- ;;NPIRS, not that expected to be exported from 638 facilities by
- ;;the CHS s/w. The export format follows this format.
- ;;
- ;; POSIT LENGTH NAME JUSTIFY
- ;; ----- ------ ------------------------------ -------
- ;; 1 1 TYPE OF PATIENT (I=Indian; O=Non-Indian)
- ;; 2 1 TYPE OF PROGRAM (D=Direct; K=Contract)
- ;; 3-4 2 AREA
- ;; 5-16 12 DENTIST ID (SSN) L
- ;; 17-18 2 SERVICE UNIT CODE
- ;; 19-20 2 FACILITY CODE
- ;; 21-26 6 DATE OF VISIT (YYMMDD)
- ;; 27-29 3 PT AGE IN YEARS (3-digit numeric)
- ;; 30-35 6 DOB (YYMMDD)
- ;; 36 1 SEX (M=Male; F=Female)
- ;; 37-39 3 blanks
- ;; 40-48 9 SSN (Patient)
- ;; 49-53 5 PATIENT ZIP CODE (Numeric)
- ;; 54-57 4 PATIENT ZIP EXTENSION (Numeric)
- ;; 58 1 MEDICAID ELIGIBLE (Y or blank)
- ;; 59 1 COMMERCE ELIGIBLE (Y or blank)
- ;; 60 1 PRIVATE ELIGIBLE (Y or blank)
- ;; 61-67 7 CHARGE FOR VISIT ($$$$$cc) (Numeric)
- ;; Services (can have 15). If more than 15 ADA procedure codes are
- ;; associated with a visit date, then a separate (second) input record
- ;; must be created for processing purposes.
- ;; 68-71 4 ADA PROCEDURE CODE
- ;; 72-73 2 UNITS (Numeric, 1 to 99)
- ;; 74-78 5 FEE (Dollar amount only, cents not allowed)
- ;; .
- ;; .
- ;; .
- ;; Service # 15
- ;; 222-225 4 ADA PROCEDURE CODE
- ;; 226-227 2 UNITS
- ;; 228-232 5 FEE
- ;;
- ;;Records 7A/7B/7C - 638 DENTAL RECORD FOR NPIRS.
- ;;Routines: ACHSTX7, ACHSTX7A
- ;;
- ;; POSIT LENGTH NAME JUSTIFY
- ;; ----- ------ ------------------------------ -------
- ;; 1-2 2 25
- ;; 3-4 2 AREA CODE
- ;; 5-6 2 SERVICE UNIT CODE
- ;; 7-8 2 FACILITY CODE
- ;; 9-17 9 DENTIST SSN
- ;; 18 1 PATIENT SEX (M or F)
- ;; 19-26 8 PATIENT DATE OF BIRTH (CCMMDDYY)
- ;; 27-35 9 PATIENT I.D. NUMBER (SSN)
- ;; 36-95 60 ADA CODES (ADA code or blanks)
- ;; 15 fields, 4 bytes each
- ;; 96-102 5 TOTAL FEE CHARGED
- ;; 103-108 6 DATE OF VISIT (MMDDYY)
- ;; 109-140 32 blanks
- ;; 141-142 2 AGE
- ;; 143-202 60 ADA Amounts (15 fields, 4 bytes each)
- ;;
- ;; Which translates into the four records exported:
- ;;Record #1:
- ;;Name posit Length Data
- ;;Record Number 1-2 2 DO
- ;;Record Code 3-4 2 25
- ;;ASUFAC 5-10 6
- ;;Vendor SSN 11-19 9
- ;;Sex 20 1 Patient sex
- ;;Patient DOB 21-28 8 Patient Date of Birth
- ;;Patient SSN 29-37 9 Patient SSN
- ;;ADA string 38-80 43 ada code or blank
- ;;
- ;;Record # 2:
- ;;Name posit Length Data
- ;;Record Number 1-2 2 D2
- ;;ADA string (con't)3-1917ada code's or blanks
- ;;Fee 20-267total amount charged
- ;;Date of Service 27-348date of visit
- ;;blanks 35-6632
- ;;Age 67-682Patient Age
- ;;ADA Units string69-8012
- ;;
- ;;Record # 3:
- ;;Name posit Length Data
- ;;Record Number1-22D3
- ;;ADA Units string (con't)3-5048
- ;;
- ;;
- ;;Record #4: (this record should only be present if a Unique Registration ID is being sent with this data)
- ;;Name posit Length Data
- ;;Record Number1-22D4
- ;;Unique ID3-1816
- ACHSTX7D ;IHS/SET/GTH - RECORD 7(638 STATISTICAL DATA FOR NPIRS) FORMAT ; [ 09/20/2004 10:32 AM ]
- +1 ;;3.1;CONTRACT HEALTH MGMT SYSTEM;**5,11**;JUN 11, 2001
- +2 ;IHS/SET/GTH ACHS*3.1*5 12/06/2002 - New Routine.
- +3 ;ITSC/SET/JVK ACHS*3.1*11 9/20/2004
- +4 ;This routine format has changed considerably. See the manual update
- +5 ;for exact record layout.
- +6 ;
- +7 ;;Record 7A - 638 STATISTICAL RECORDS FOR NPIRS.
- +8 ;;Routine: ACHSTX7
- +9 ;;
- +10 ;; POSIT LENGTH VAR NAME JUSTIFY
- +11 ;; ----- ------ -------- -------------------------- -------
- +12 ;; 1- 2 2 constant 7A -
- +13 ;; 3- 9 7 PO NUMBER -
- +14 ;; 10-15 6 FACILITY CODE -
- +15 ;; 16-24 9 SSN -
- +16 ;; 25-30 6 DOB (MMDDYY) -
- +17 ;; 31 1 SEX -
- +18 ;; 32-34 3 TRIBE -
- +19 ;; 35-37 3 blanks -
- +20 ;; 38-40 3 COMMUNITY -
- +21 ;; 41-42 2 COUNTY -
- +22 ;; 43-44 2 STATE -
- +23 ;; 45-46 2 AREA CODE -
- +24 ;; 47-48 2 SERVICE UNIT CODE -
- +25 ;; 49-50 2 FACILITY CODE -
- +26 ;; 51-52 2 PROVIDER TYPE -
- +27 ;; 53-62 10 EIN -
- +28 ;; IF INPATIENT (43):
- +29 ;; 63-68 6 ADMISSION DATE (MMDDYY) -
- +30 ;; 69-74 6 DISCHARGE DATE (MMDDYY) -
- +31 ;; 75-77 3 LENGTH OF STAY -
- +32 ;; 78 1 DISPOSITION -
- +33 ;; 79-80 2 DX 1 -
- +34 ;; IF OUTPATIENT (64):
- +35 ;; 63-69 7 HOSP AUTH NUMBER -
- +36 ;; 70-75 6 DATE OF SERVICE (MMDDYY) -
- +37 ;; 76 1 I/P OR O/P INDICATOR -
- +38 ;; 77-79 3 DX 1 -
- +39 ;; 80 1 FIRST/REVISIT -
- +40 ;;
- +41 ;;Record 7B - 638 STATISTICAL RECORDS FOR NPIRS.
- +42 ;;Routine: ACHSTX7
- +43 ;;
- +44 ;; POSIT LENGTH VAR NAME JUSTIFY
- +45 ;; ----- ------ -------- -------------------------- -------
- +46 ;; IF INPATIENT (43):
- +47 ;; 1- 2 7B -
- +48 ;; 3 1 blank
- +49 ;; 4- 8 5 DX 2 -
- +50 ;; 9-13 5 DX 3 -
- +51 ;; 14-18 5 DX 4 -
- +52 ;; 19-23 5 DX 5 -
- +53 ;; 24-27 4 OPER/PROCEDURE 1 -
- +54 ;; 28-31 4 blanks -
- +55 ;; 32-35 4 OPER/PROCEDURE 2 -
- +56 ;; 36-39 4 OPER/PROCEDURE 3 -
- +57 ;; 40-44 5 NEWBORN DX -
- +58 ;; 45 1 NEWBORN D/H -
- +59 ;; 46-49 4 ATTENDING PHYSICIAN CODE -
- +60 ;; 50-55 INJURY
- +61 ;; 50-53 4 ICD9 CAUSE E-CODE -
- +62 ;; 54-55 2 PLACE -
- +63 ;; 56-63 8 CHARGES R
- +64 ;; 64 1 FULL/PART PAY -
- +65 ;; 65-80 16 blanks -
- +66 ;; IF OUTPATIENT (64):
- +67 ;; 1- 2 7B -
- +68 ;; 3- 5 3 DX 2 -
- +69 ;; 6 1 FIRST/REVISIT -
- +70 ;; 7- 8 2 NUMBER OF VISITS R
- +71 ;; 9-14 6 AMOUNT R
- +72 ;; 15-24 IMMUNIZATIONS
- +73 ;; 15-16 2 1ST -
- +74 ;; 17-18 2 2ND -
- +75 ;; 19-20 2 3RD -
- +76 ;; 21-22 2 4TH -
- +77 ;; 23-24 2 5TH -
- +78 ;; 25-27 MATERNAL HEALTH
- +79 ;; 25-26 2 GRAVIDA -
- +80 ;; 27 1 TRIMESTER -
- +81 ;; 28 1 FULL/PARTIAL PAY -
- +82 ;; 29-32 4 SURGICAL PROCEDURE -
- +83 ;; 33-80 48 blanks
- +84 ;
- +85 ;;The following is the format contained in the Federal Register of
- +86 ;;Thursday, January 20, 1994. It is the final format of data at
- +87 ;;NPIRS, not that expected to be exported from 638 facilities by
- +88 ;;the CHS s/w. The export format follows this format.
- +89 ;;
- +90 ;; POSIT LENGTH NAME JUSTIFY
- +91 ;; ----- ------ ------------------------------ -------
- +92 ;; 1 1 TYPE OF PATIENT (I=Indian; O=Non-Indian)
- +93 ;; 2 1 TYPE OF PROGRAM (D=Direct; K=Contract)
- +94 ;; 3-4 2 AREA
- +95 ;; 5-16 12 DENTIST ID (SSN) L
- +96 ;; 17-18 2 SERVICE UNIT CODE
- +97 ;; 19-20 2 FACILITY CODE
- +98 ;; 21-26 6 DATE OF VISIT (YYMMDD)
- +99 ;; 27-29 3 PT AGE IN YEARS (3-digit numeric)
- +100 ;; 30-35 6 DOB (YYMMDD)
- +101 ;; 36 1 SEX (M=Male; F=Female)
- +102 ;; 37-39 3 blanks
- +103 ;; 40-48 9 SSN (Patient)
- +104 ;; 49-53 5 PATIENT ZIP CODE (Numeric)
- +105 ;; 54-57 4 PATIENT ZIP EXTENSION (Numeric)
- +106 ;; 58 1 MEDICAID ELIGIBLE (Y or blank)
- +107 ;; 59 1 COMMERCE ELIGIBLE (Y or blank)
- +108 ;; 60 1 PRIVATE ELIGIBLE (Y or blank)
- +109 ;; 61-67 7 CHARGE FOR VISIT ($$$$$cc) (Numeric)
- +110 ;; Services (can have 15). If more than 15 ADA procedure codes are
- +111 ;; associated with a visit date, then a separate (second) input record
- +112 ;; must be created for processing purposes.
- +113 ;; 68-71 4 ADA PROCEDURE CODE
- +114 ;; 72-73 2 UNITS (Numeric, 1 to 99)
- +115 ;; 74-78 5 FEE (Dollar amount only, cents not allowed)
- +116 ;; .
- +117 ;; .
- +118 ;; .
- +119 ;; Service # 15
- +120 ;; 222-225 4 ADA PROCEDURE CODE
- +121 ;; 226-227 2 UNITS
- +122 ;; 228-232 5 FEE
- +123 ;;
- +124 ;;Records 7A/7B/7C - 638 DENTAL RECORD FOR NPIRS.
- +125 ;;Routines: ACHSTX7, ACHSTX7A
- +126 ;;
- +127 ;; POSIT LENGTH NAME JUSTIFY
- +128 ;; ----- ------ ------------------------------ -------
- +129 ;; 1-2 2 25
- +130 ;; 3-4 2 AREA CODE
- +131 ;; 5-6 2 SERVICE UNIT CODE
- +132 ;; 7-8 2 FACILITY CODE
- +133 ;; 9-17 9 DENTIST SSN
- +134 ;; 18 1 PATIENT SEX (M or F)
- +135 ;; 19-26 8 PATIENT DATE OF BIRTH (CCMMDDYY)
- +136 ;; 27-35 9 PATIENT I.D. NUMBER (SSN)
- +137 ;; 36-95 60 ADA CODES (ADA code or blanks)
- +138 ;; 15 fields, 4 bytes each
- +139 ;; 96-102 5 TOTAL FEE CHARGED
- +140 ;; 103-108 6 DATE OF VISIT (MMDDYY)
- +141 ;; 109-140 32 blanks
- +142 ;; 141-142 2 AGE
- +143 ;; 143-202 60 ADA Amounts (15 fields, 4 bytes each)
- +144 ;;
- +145 ;; Which translates into the four records exported:
- +146 ;;Record #1:
- +147 ;;Name posit Length Data
- +148 ;;Record Number 1-2 2 DO
- +149 ;;Record Code 3-4 2 25
- +150 ;;ASUFAC 5-10 6
- +151 ;;Vendor SSN 11-19 9
- +152 ;;Sex 20 1 Patient sex
- +153 ;;Patient DOB 21-28 8 Patient Date of Birth
- +154 ;;Patient SSN 29-37 9 Patient SSN
- +155 ;;ADA string 38-80 43 ada code or blank
- +156 ;;
- +157 ;;Record # 2:
- +158 ;;Name posit Length Data
- +159 ;;Record Number 1-2 2 D2
- +160 ;;ADA string (con't)3-1917ada code's or blanks
- +161 ;;Fee 20-267total amount charged
- +162 ;;Date of Service 27-348date of visit
- +163 ;;blanks 35-6632
- +164 ;;Age 67-682Patient Age
- +165 ;;ADA Units string69-8012
- +166 ;;
- +167 ;;Record # 3:
- +168 ;;Name posit Length Data
- +169 ;;Record Number1-22D3
- +170 ;;ADA Units string (con't)3-5048
- +171 ;;
- +172 ;;
- +173 ;;Record #4: (this record should only be present if a Unique Registration ID is being sent with this data)
- +174 ;;Name posit Length Data
- +175 ;;Record Number1-22D4
- +176 ;;Unique ID3-1816