|
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 |
|
|