|
Name |
Type |
Discontinued? |
|
1 |
SUMMARY_BLOCK_ID |
NUMERIC |
No |
|
|
|
The unique identifier (.1 item) for the episode record. |
|
|
2 |
LINE |
INTEGER |
No |
|
|
|
The line number for the information associated with this record. Multiple pieces of information can be associated with this record. |
|
|
3 |
SOC_LOCATION_C_NAME |
VARCHAR |
No |
|
|
|
Site of care location |
May contain organization-specific values: Yes |
Category Entries: |
Take Home Prescription |
Home Infusion |
Clinic |
Ambulatory Infusion Suite |
Inpatient |
External Location |
|
|
4 |
SOC_DETERMINATION_C_NAME |
VARCHAR |
No |
|
|
|
Outcome for this site of care investigation |
May contain organization-specific values: No |
Category Entries: |
In Progress |
Accepted |
Rejected |
|
|
5 |
SOC_REJECT_RSN_C_NAME |
VARCHAR |
No |
|
|
|
Reason for a site not being approved |
May contain organization-specific values: Yes |
Category Entries: |
Insurance |
Patient cost |
Patient inability |
Patient preference |
Clinically inappropriate |
Resources unavailable |
Limited distribution restriction |
Required third party |
|
|
6 |
AUTH_REFERRAL_ID |
NUMERIC |
No |
|
|
|
Auth referral with codes related to this site of care |
|
|
7 |
SOC_PAT_PREF_C_NAME |
VARCHAR |
No |
|
|
|
Patient's opinion on using the related site of care |
May contain organization-specific values: Yes |
Category Entries: |
Unknown |
Preferred |
Indifferent |
Rejected |
|
|
8 |
REQUIRED_PHARMACY_ID |
NUMERIC |
No |
|
|
|
If site of care is restricted to a specific pharmacy, list it here |
|
|
9 |
REQUIRED_PHARMACY_ID_PHARMACY_NAME |
VARCHAR |
No |
|
|
|
The name of the pharmacy. |
|
|
10 |
SITE_COMMENTS |
VARCHAR |
No |
|
|
|
comment on additional site restrictions |
|
|