1992 NATIONAL AMBULATORY MEDICAL CARE SURVEY
(N=34,606)
PATIENT DATA FILE
THIS SECTION CONSISTS OF A DETAILED BREAKDOWN OF EACH DATA RECORD,
PROVIDING A BRIEF DESCRIPTION OF EACH ITEM OF DATA INCLUDED IN THE
RECORDS. THE DATA ARE ARRANGED SEQUENTIALLY ACCORDING TO THEIR
PHYSICAL
LOCATION ON THE DATA RECORD. UNLESS OTHERWISE STATED IN THE "ITEM
DESCRIPTION" COLUMN, THE DATA ARE DERIVED FROM THE PATIENT RECORD
FORM.
THE AMA AND THE INDUCTION INTERVIEW (REFERENCE 3) ARE ALTERNATE
SOURCES OF
DATA, WHILE THE COMPUTER GENERATES OTHER ITEMS BY RECODING SELECTED
DATA
ITEMS.
ITEM
NO.
FIELD
LENGTH
DATA
LOCATION
ITEM DESCRIPTION AND CODES
1
[DATEOV]
6
1-6
DATE OF VISIT
1.1
[DATEOVMM]
2
1-2
MONTH OF VISIT
01-12: JANUARY-DECEMBER
1.2
[DATEOVDD]
2
3-4
DAY OF VISIT
01-31
1.3
[DATEOVYY]
2
5-6
YEAR OF VISIT
LAST 2 DIGITS OF YEAR (92)
[AGE]
2
7-8
PATIENT AGE
2
DATE
(IN YEARS; DERIVED FROM
OF BIRTH)
00-99
3
[SEX]
1
9
4
[RACE]
1
10
SEX
1 = FEMALE
2 = MALE
RACE
1
2
3
4
5
[ETHNICTY]
1
11
=
=
=
=
WHITE
BLACK
ASIAN/PACIFIC ISLANDER
AMERICAN INDIAN/ESKIMO/ALEUT
ETHNICITY
1 = HISPANIC ORIGIN
2 = NOT HISPANIC
6
6.1
0=NO)
6.2
6.3
[HMOPAY]
9
1
[MEDICPAY]
[MEDCAPAY]
1
1
12-20
12
13
14
EXPECTED SOURCE(S) OF PAYMENT
HMO/OTHER PREPAID (1=YES, AND
MEDICARE
MEDICAID
- 1 -
"
"
ITEM
NO.
6.4
6.5
6.6
6.7
6.8
6.9
FIELD
LENGTH
DATA
LOCATION
ITEM DESCRIPTION AND CODES
[OTHGVPAY]
[COMMPAY]
[PATPAY]
[NOCHAPAY]
[OTHERPAY]
[UNKNOPAY]
1
1
1
1
1
1
15
16
17
18
19
20
7
[REFFPHYS]
PHYSICIAN?
1
21
OTHER GOVERNMENT
"
PRIVATE/COMMERCIAL INSURANCE "
PATIENT PAID
"
NO CHARGE
"
OTHER
"
UNKNOWN
"
WAS PATIENT REFERRED BY ANOTHER
1 = YES
2 = NO
8
[INJVISIT]
1
22
9
[SMOKECIG]
1
23
10
[VISITRE]
15
IS THIS VISIT INJURY RELATED?
1 = YES
2 = NO
DOES
1 =
2 =
3 =
PATIENT SMOKE CIGARETTES?
YES
NO
UNKNOWN/UNSPECIFIED
24-38
PATIENT REASONS FOR VISIT (SEE PAGE
5
10.1
89990
5
24-28
AND REF. 4 IN THE DESCRIPTION OF THE
NAMCS)
REASON # 1 10050-89990 = 10050-
10.2
89990
5
29-33
REASON # 2
90000
= BLANK
10050-89990 = 10050-
10.3
89990
5
34-38
REASON # 3
90000
= BLANK
10050-89990 = 1005090000
10a
CODES
[VISIT3DG]
= BLANK
PATIENT REASONS FOR VISIT 3 DIGIT
10.1a
4
24-27
REASON # 1
10.2a
4
29-32
REASON # 2
10.3a
4
34-37
REASON # 3
18
39-56
PHYSICIAN'S DIAGNOSES (SEE PAGE 6
11
AND
[DIAGNOS]
1005-8999
9000
1005-8999
9000
1005-8999
9000
=
=
=
=
=
=
1005-8999
BLANK
1005-8999
BLANK
1005-8999
BLANK
REF. 6 IN THE DESCRIPTION OF THE
NAMCS)
11.1
V9990
6
39-44
DIAGNOSIS # 1 100100-209990 = 00100-
11.2
V9990
6
45-50
900000 = BLANK
DIAGNOSIS # 2 100100-209990 = 00100-
11.3
V9990
6
51-56
900000 = BLANK
DIAGNOSIS # 3 100100-209990 = 00100900000 = BLANK
- 2 -
ITEM
NO.
11a
FIELD
LENGTH
DATA
LOCATION
[DIAG3DGT]
ITEM DESCRIPTION AND CODES
PATIENT DIAGNOSIS 3 DIGIT CODES
11.1a
4
39-42
DIAGNOSIS # 1
11.2a
4
45-48
DIAGNOSIS # 2
11.3a
4
51-54
DIAGNOSIS # 3
1001-2099
9000
1001-2099
9000
1001-2099
9000
=
=
=
=
=
=
0100-V999
BLANK
0100-V999
BLANK
0100-V999
BLANK
12.1
[SEENBEFR]
1
57
HAVE YOU SEEN PATIENT BEFORE?
1 = YES
2 = NO
12.2
11A?
[IFYESDIA]
1
58
IF YES, FOR THE DIAGNOSIS IN ITEM
0 = NOT APPLICABLE
1 = YES
2 = NO
13
13.1
13.2
13.3
13.4
13.5
[HAVECON]
[DEPRESS]
[HYPRTEN]
[HYPRCHL]
[OBESITY]
14
PAGE
5
59-63
1
1
1
1
1
59
60
61
62
63
10
64-73
DOES PATIENT NOW HAVE:
NONE OF BELOW (1=YES, AND 0=NO)
DEPRESSION
"
HYPERTENSION
"
HYPERCHOLESTEROLEMIA "
OBESITY
"
AMBULATORY SURGICAL PROCEDURES (SEE
7 AND REF. 6 IN THE DESCRIPTION OF
THE
NAMCS)
14.1
[AMBSRG1]
14.1a [SRG12DGT]
PROCEDURE
4
64-67
SURGICAL PROCEDURE CODE #1
0101-9998 = 0101-9998
0000
= Blank
9999
= Other and uncodable
2
64-65
AMBULATORY SURGICAL TWO-DIGIT
CODE #1
01-99 = 01-99
00
= Blank
14.1b [SRG13DGT]
PROCEDURE
3
64-66
AMBULATORY SURGICAL THREE-DIGIT
CODE #1
010-999 = 010-999
000
= Blank
14.2
[SCHPER]
1
68
SCHEDULED/PERFORMED
0 = Not applicable (if no code
entered)
or Unspecified (if a code is
entered)
1 = Scheduled
2 = Performed
- 3 -
ITEM
NO.
14.3
FIELD
LENGTH
[ANESTH]
1
DATA
LOCATION
69
ITEM DESCRIPTION AND CODES
TYPE OF ANESTHESIA
0 = Not applicable (if no code
entered)
or Unspecified (if a code is
entered)
1 = Local
2 = Regional
3 = General
14.4
[AMBSRG2]
14.4a [SRG22DGT]
PROCEDURE
4
70-73
2
70-71
SURGICAL PROCEDURE CODE #2
0101-9998 = 0101-9998
0000
= Blank
9999
= Other and uncodable
AMBULATORY SURGICAL TWO-DIGIT
CODE #2
01-99 = 01-99
00
= Blank
14.4b [SRG23DGT]
PROCEDURE
3
70-72
AMBULATORY SURGICAL THREE-DIGIT
CODE #2
010-999 = 010-999
000
= Blank
15
VISIT
15.1
0=NO)
19
74-92
DIAGNOSTIC/SCREENING SERVICES THIS
[DIAGSCRN]
1
74
NONE
15.2
[BLODPRES]
1
75
BLOOD PRESSURE
"
15.3
[URINALYS]
1
76
URINALYSIS
"
15.4
[EKGRESTG]
1
77
EKG - RESTING
"
15.5
[EKGEXER]
1
78
EKG - EXERCISE
"
15.6
[MAMMOGRM]
1
79
MAMMOGRAM
"
15.7
[CHESTXRY]
1
80
CHEST X RAY
"
15.8
[OTHERRAD]
1
81
OTHER RADIOLOGY
"
15.9
[ALLERTST]
1
82
ALLERGY TESTING
"
15.10
[SPIROMET]
1
83
SPIROMETRY
"
15.11
[PAPTEST]
1
84
PAP TEST
"
(1=YES, AND
15.12
[STREPTST]
1
85
STREP THROAT TEST
"
15.13
[HIVSER]
1
86
HIV SEROLOGY
"
15.14
[CHOLEST]
1
87
CHOLESTEROL MEASURE
"
15.15
[OTHLAB]
1
88
OTHER LAB TEST
- 4 -
"
ITEM
NO.
FIELD
LENGTH
DATA
LOCATION
ITEM DESCRIPTION AND CODES
15.16
[HEARING]
1
89
HEARING TEST
"
15.17
[VISUAL]
1
90
VISUAL ACUITY
"
15.18
[MENTAL]
1
91
MENTAL STATUS EXAM
"
15.19
[OTHERTST]
1
92
OTHER
"
17
93-109
16
THERAPEUTIC SERVICES
16.1
[THERNONE]
1
93
NONE
16.2
[THERDIET]
1
94
DIET
"
16.3
[THEREXER]
1
95
EXERCISE
"
16.4
[THERCHOL]
1
96
CHOLESTEROL REDUCTION
"
16.5
[THERWGHT]
1
97
WEIGHT REDUCTION
"
16.6
[THERDRUG]
1
98
DRUG ABUSE
"
16.7
[THERALC]
1
99
ALCOHOL ABUSE
"
16.8
[THERSMOK]
1
100
SMOKING CESSATION
"
16.9
[THERFAM]
1
101
FAMILY/SOCIAL
"
16.10
[THERGROW]
1
102
GROWTH/DEVELOPMENT
"
16.11
[THERPLAN]
1
103
FAMILY PLANNING
"
16.12
[THEROTHC]
1
104
OTHER COUNSELING
"
16.13
[THERPSYC]
1
105
PSYCHOTHERAPY
"
16.14
[THERLENS]
1
106
CORRECTIVE LENSES
"
16.15
[THERHEAR]
1
107
HEARING AID
"
16.16
[THERPHYS]
1
108
PHYSIOTHERAPY
"
16.17
[THEROTH]
1
109
OTHER THERAPY
"
1
110
17.1
[MEDORDER]
PROVIDED
1=YES, AND 0=NO)
WERE MEDICATIONS ORDERED OR
AT THIS VISIT?
1 = YES
2 = NO
17.2
[NOMEDICC]
1
111
NUMBER OF MEDICATIONS CODED (0 TO
5)
- 5 -
ITEM
NO.
17.3
FIELD
LENGTH
[MEDCODE]
DATA
LOCATION
30
112-141
ITEM DESCRIPTION AND CODES
MEDICATIONS (SEE PAGE 7 AND REF.
7
IN THE DESCRIPTION OF THE NAMCS.)
6
17.4
MEDCODE(1)*
112-117
5
112-116
MEDICATION # 1
CODE:
00005-91102 = 0005-91102
90000 = BLANK
99980 = UNKNOWN ENTRY;
OTHER
99999
17.5
NEWMED(1)*
1
117
= ILLEGIBLE ENTRY
NEW MEDICATION?:
0 = UNSPECIFIED/NOT
APPLICABLE
1 = YES
2 = NO
17.6
MEDCODE(2)*
6
118-123
5
118-122
MEDICATION # 2
CODE:
00005-91102 = 00005-91102
90000
= BLANK
99980
= UNKNOWN ENTRY;
OTHER
99999
17.7
NEWMED(2)*
1
123
= ILLEGIBLE ENTRY
NEW MEDICATION?:
0 = UNSPECIFIED/NOT
APPLICABLE
1 = YES
2 = NO
17.8
91102
MEDCODE(3)*
6
124-129
5
124-128
MEDICATION # 3
CODE:
00005-91102 = 0000590000
99980
= BLANK
= UNKNOWN ENTRY;
99999
= ILLEGIBLE ENTRY
OTHER
17.9
NEWMED(3)*
1
129
NEW MEDICATION?:
0 = UNSPECIFIED/NOT
APPLICABLE
1 = YES
2 = NO
17.10
91102
MEDCODE(4)*
6
130-135
5
130-134
MEDICATION # 4
CODE:
00005-91102 = 00005-
90000 = BLANK
99980 = UNKNOWN ENTRY;
OTHER
99999 = ILLEGIBLE ENTRY
*Brackets should be substituted for parentheses.
- 6 -
ITEM
NO.
17.11
FIELD
LENGTH
NEWMED(4)*
DATA
LOCATION
1
ITEM DESCRIPTION AND CODES
135
NEW MEDICATION?:
0 = UNSPECIFIED/NOT
APPLICABLE
1 = YES
2 = NO
17.12
91102
MEDCODE(5)*
6
136-141
5
136-140
MEDICATION # 5
CODE:
00005-91102 = 0000590000
99980
= BLANK
= UNKNOWN ENTRY;
99999
=ILLEGIBLE ENTRY
OTHER
17.13
NEWMED(5)*
1
141
NEW MEDICATION?:
0 = UNSPECIFIED/NOT
APPLICABLE
1 = YES
2 = NO
18
8
142-149
DISPOSITION OF THIS VISIT
18.1
0=NO)
[DISPNMF]
1
142
NO FOLLOW-UP PLANNED (1=YES, AND
18.2
[DISPRAS]
1
143
RETURN AT SPECIFIED TIME
18.3
[DISPRIN]
1
144
RETURN IF NEEDED, P.R.N.
18.4
[DISPTFP]
1
145
TELEPHONE FOLLOW-UP PLANNED
18.5
[DISROPHY]
1
146
REFERRED TO OTHER PHYSICIAN
18.6
[DISRRPHY]
1
147
RETURNED TO REFERRING PHYSICIAN
18.7
[DISADMIT]
1
148
ADMIT TO HOSPITAL
18.8
[DISOTHSP]
1
149
OTHER (SPECIFY)
3
150-152
DURATION OF THIS VISIT (IN
"
"
"
"
"
"
"
19
[DURATION]
MINUTES)
000-999
20
[WEIGHTPT]
6
153-158
PATIENT VISIT WEIGHT (See page 14
in
description of the NAMCS.)
A right justified,
alphanumeric
integer developed by the
NAMCS
staff for the purpose of
producing national
estimates
from sample estimates.
*Brackets should be substituted for parentheses.
- 7 -
ITEM
NO.
21
ACTUAL
FIELD
LENGTH
[GEOGREGN]
DATA
LOCATION
1
159
ITEM DESCRIPTION AND CODES
GEOGRAPHIC REGION (BASED ON
LOCATION OF PHYSICIAN'S
PRACTICE)
1=NORTHEAST
2=MIDWEST
3=SOUTH
4=WEST
22
(BASED
[METNMET]
1
160
METROPOLITAN/NON METROPOLITAN
ON ACTUAL LOCATION IN
CONJUNCTION
WITH THE DEFINITION OF THE
BUREAU
OF THE CENSUS AND THE U.S.
OFFICE
OF MANAGEMENT AND BUDGET)
1=SMSA (STANDARD
METROPOLITAN
STATISTICAL AREA)
2=NON-SMSA
23
FROM
[PHYSPEC]
3
161-163
PHYSICIAN SPECIALTY COLLECTED
INDUCTION INTERVIEW -
REFERENCE 3)
SEE "LIST OF DESIGNATED
SPECIALTY CODES" ON PAGE 21
OF
THIS DOCUMENTATION.
24
[TYPEDRIN]
25
1
164
TYPE OF DOCTOR
1 = M.D. - DOCTOR OF MEDICINE
2 = D.0. - DOCTOR OF OSTEOPATHY
7
165-171
PHYSICIAN-PATIENT LINKING CODE
25.1
[PHYCODE]
4
165-168
PHYSICIAN CODE - A unique 4-digit
code assigned to all records from
a particular physician
25.2
[PATCODE]
3
169-171
PATIENT CODE - A 3-digit number
assigned to identify each
individual
record from a particular
physician
*********** THE FOLLOWING FIELDS HAD DATA IMPUTED TO REPLACE
BLANKS***********
26
[BIRTHYIN]
(BLANK=NOT
IMPUTED)
27
28
29
30
31
32
33
34
[SEXIMPN]
[REFFIMPN]
[SEENBFIN]
[IFYESIN]
[DISPOVIN]
[DURATOVI]
[RACEIMP]
[ETHNIMP]
1
172
BIRTH YEAR
1
1
1
1
1
1
1
1
173
174
175
176
177
178
179
180
SEX
"
REFERRAL
"
SEEN PATIENT BEFORE
"
IF YES, FOR DIAGNOSIS IN
DISPOSITION OF VISIT
"
DURATION OF VISIT
"
RACE
"
ETHNICITY
"
- 8 -
(1=IMPUTED),
11A
"
ITEM
NO.
FIELD
LENGTH
29-34
29
[GENCODE1]
DATA
LOCATION
ITEM DESCRIPTION AND CODES
35
181-215
DRUG RELATED INFO FOR MEDCODE 1
5
181-185
GENERIC NAME CODE (SEE MENU FOR
LIST
OF GENERIC CODES AND NAMES)
50001-92506 = SPECIFIC GENERIC
CODE
50000 = GENERIC NAME UNDETERMINED
30
[PRESCRP1]
1
186
PRESCRIPTION STATUS CODE
1 = PRESCRIPTION DRUG
2 = NONPRESCRIPTION DRUG
3 = UNDETERMINED
31
[CONTROL1]
1
187
CONTROLLED SUBSTANCE STATUS CODE
1 = SCHEDULE 1 (RESEARCH ONLY)
2 = SCHEDULE II
3 = SCHEDULE III
4 = SCHEDULE IV
5 = SCHEDULE V
6 = NO CONTROL
7 = UNDETERMINED
[COMPOS1]
1
188
COMPOSITION STATUS CODE
1 = SINGLE ENTITY DRUG
2 = COMBINATION DRUG
3 = UNDETERMINED
[DRGCLAS1]
2
32
33
CLASS
189-190
NAT'L DRUG CODE DIR (NDC) DRUG
01-19 = MAJOR NDC DRUG CLASS
MENU FOR LIST OF NDC
(SEE
CODES)
20 = UNCLASSIFIED/MISC
BLANK = BLANK
34
[INGDRG1]
25
191-215
INGREDIENT CODES (INGREDIENTS OF
COMBINATION DRUGS; MAXIMUM OF 5
GENERIC NAME CODES
INGREDIENT CODE (50001-92506, or
INGDRG1(1)*
5
191-195
INGREDIENT #1
INGREDIENT CODE (50001-92506, or
INGDRG1(2)*
5
196-200
INGREDIENT #2
INGREDIENT CODE (50001-92506, or
INGDRG1(3)*
5
201-205
INGREDIENT #3
50000)
34.1
50000)
34.2
50000)
34.3
INGREDIENT CODE (50001-92506, or
50000)
34.4
INGDRG1(4)*
5
206-210
INGREDIENT #4
INGREDIENT CODE (50001-92506, or
INGDRG1(5)*
5
211-215
INGREDIENT #5
INGREDIENT CODE (50001,92506, or
50000)
34.5
50000)
* Brackets should be substituted for parentheses.
- 9 -
ITEM
NO.
FIELD
LENGTH
35-40
35
[GENCODE2]
DATA
LOCATION
ITEM DESCRIPTION AND CODES
35
216-250
DRUG RELATED INFO FOR MEDCODE 2
5
216-220
GENERIC NAME CODE (SEE MENU FOR
LIST
OF GENERIC CODES AND NAMES)
50001-92506 = SPECIFIC GENERIC
CODE
50000 = GENERIC NAME UNDETERMINED
36
[PRESCRP2]
1
221
PRESCRIPTION STATUS CODE
1 = PRESCRIPTION DRUG
2 = NONPRESCRIPTION DRUG
3 = UNDETERMINED
37
[CONTROL2]
1
222
CONTROLLED SUBSTANCE STATUS CODE
1 = SCHEDULE 1 (RESEARCH ONLY)
2 = SCHEDULE II
3 = SCHEDULE III
4 = SCHEDULE IV
5 = SCHEDULE V
6 = NO CONTROL
7 = UNDETERMINED
38
[COMPOS2]
1
223
COMPOSITION STATUS CODE
1 = SINGLE ENTITY DRUG
2 = COMBINATION DRUG
3 = UNDETERMINED
39
CLASS
[DRGCLAS2]
2
224-225
NAT'L DRUG CODE DIR (NDC) DRUG
01-19 = MAJOR NDC DRUG CLASS (SEE
MENU
FOR LIST OF NDC CODES)
20 = UNCLASSIFIED/MISC
BLANK = BLANK
40
[INGDRG2]
25
226-250
INGREDIENT CODES (INGREDIENTS OF
COMBINATION DRUGS; MAXIMUM OF 5
GENERIC NAME CODES
INGREDIENT CODE (50001-92506, or
INGDRG2(1)*
5
226-230
INGREDIENT #1
INGREDIENT CODE (50001-92506, or
INGDRG2(2)*
5
231-235
INGREDIENT #2
INGREDIENT CODE (50001-92506, or
INGDRG2(3)*
5
236-240
INGREDIENT #3
50000)
40.1
50000)
40.2
50000)
40.3
INGREDIENT CODE (50001-92506, or
50000)
40.4
INGDRG2(4)*
5
241-245
INGREDIENT #4
INGREDIENT CODE (50001-92506, or
INGDRG2(5)*
5
246-250
INGREDIENT #5
INGREDIENT CODE (50001-92506, or
50000)
40.5
50000)
* Brackets should be substituted for parentheses.
- 10 -
ITEM
NO.
FIELD
LENGTH
41-46
41
[GENCODE3]
DATA
LOCATION
ITEM DESCRIPTION AND CODES
35
251-285
DRUG RELATED INFO FOR MEDCODE 3
5
251-255
GENERIC NAME CODE (SEE MENU FOR
LIST
OF GENERIC CODES AND NAMES)
50001-92506 = SPECIFIC GENERIC
CODE
50000 = GENERIC NAME UNDETERMINED
42
[PRESCRP3]
1
256
PRESCRIPTION STATUS CODE
1 = PRESCRIPTION DRUG
2 = NONPRESCRIPTION DRUG
3 = UNDETERMINED
43
[CONTROL3]
1
257
CONTROLLED SUBSTANCE STATUS CODE
1 = SCHEDULE 1 (RESEARCH ONLY)
2 = SCHEDULE II
3 = SCHEDULE III
4 = SCHEDULE IV
5 = SCHEDULE V
6 = NO CONTROL
7 = UNDETERMINED
[COMPOS3]
1
258
COMPOSITION STATUS CODE
1 = SINGLE ENTITY DRUG
2 = COMBINATION DRUG
3 = UNDETERMINED
[DRGCLAS3]
2
44
45
CLASS
259-260
NAT'L DRUG CODE DIR (NDC) DRUG
01-19 = MAJOR NDC DRUG CLASS (SEE
MENU
FOR LIST OF NDC CODES)
20 = UNCLASSIFIED/MISC
BLANK = BLANK
46
[INGDRG3]
25
261-285
INGREDIENT CODES (INGREDIENTS OF
COMBINATION DRUGS; MAXIMUM OF 5
GENERIC NAME CODES
INGREDIENT CODE (50001-92506, or
INGDRG3(1)*
5
261-265
INGREDIENT #1
INGREDIENT CODE (50001-92506, or
INGDRG3(2)*
5
266-270
INGREDIENT #2
INGREDIENT CODE (50001-92506, or
INGDRG3(3)*
5
271-275
INGREDIENT #3
50000)
46.1
50000)
46.2
50000)
46.3
INGREDIENT CODE (50001-92506, or
50000)
46.4
INGDRG3(4)*
5
276-280
INGREDIENT #4
INGREDIENT CODE (50001-92506, or
INGDRG3(5)*
5
281-285
INGREDIENT #5
INGREDIENT CODE (50001-92506, or
50000)
46.5
50000)
*Brackets should be substituted for parentheses.
- 11 -
ITEM
NO.
FIELD
LENGTH
47-52
47
[GENCODE4]
DATA
LOCATION
ITEM DESCRIPTION AND CODES
35
286-320
DRUG RELATED INFO FOR MEDCODE 4
5
286-290
GENERIC NAME CODE (SEE MENU FOR
LIST
OF GENERIC CODES AND NAMES)
50001-92506 = SPECIFIC GENERIC
CODE
50000 = GENERIC NAME UNDETERMINED
48
[PRESCRP4]
1
291
PRESCRIPTION STATUS CODE
1 = PRESCRIPTION DRUG
2 = NONPRESCRIPTION DRUG
3 = UNDETERMINED
49
[CONTROL4]
1
292
CONTROLLED SUBSTANCE STATUS CODE
1 = SCHEDULE 1 (RESEARCH ONLY)
2 = SCHEDULE II
3 = SCHEDULE III
4 = SCHEDULE IV
5 = SCHEDULE V
6 = NO CONTROL
7 = UNDETERMINED
[COMPOS4]
1
293
COMPOSITION STATUS CODE
1 = SINGLE ENTITY DRUG
2 = COMBINATION DRUG
3 = UNDETERMINED
[DRGCLAS4]
2
50
51
CLASS
294-295
NAT'L DRUG CODE DIR (NDC) DRUG
01-19 = MAJOR NDC DRUG CLASS (SEE
MENU
FOR LIST OF NDC CODES)
20 = UNCLASSIFIED/MISC
BLANK = BLANK
52
[INGDRG4]
25
296-320
INGREDIENT CODES (INGREDIENTS OF
COMBINATION DRUGS; MAXIMUM OF 5
GENERIC NAME CODES
INGREDIENT CODE (50001-92506, or
INGDRG4(1)*
5
296-300
INGREDIENT #1
INGREDIENT CODE (50001-92506, or
INGDRG4(2)*
5
301-305
INGREDIENT #2
INGREDIENT CODE (50001-92506, or
INGDRG4(3)*
5
306-310
INGREDIENT #3
50000)
52.1
50000)
52.2
50000)
52.3
INGREDIENT CODE (50001-92506, or
50000)
52.4
INGDRG4(4)*
5
311-315
INGREDIENT #4
INGREDIENT CODE (50001-92506, or
INGDRG4(5)*
5
316-320
INGREDIENT #5
INGREDIENT CODE (50001-92506, or
50000)
52.5
50000)
*Brackets should be substituted for parentheses.
- 12 -
ITEM
NO.
FIELD
LENGTH
DATA
LOCATION
35
321-355
DRUG RELATED INFO FOR MEDCODE 5
5
321-325
GENERIC NAME CODE (SEE MENU FOR
53-58
53
[GENCODE5]
ITEM DESCRIPTION AND CODES
LIST
OF GENERIC CODES AND NAMES)
50001-92506 = SPECIFIC GENERIC
CODE
50000 = GENERIC NAME UNDETERMINED
54
[PRESCRP5]
1
326
PRESCRIPTION STATUS CODE
1 = PRESCRIPTION DRUG
2 = NONPRESCRIPTION DRUG
3 = UNDETERMINED
55
[CONTROL5]
1
327
CONTROLLED SUBSTANCE STATUS CODE
1 = SCHEDULE 1 (RESEARCH ONLY)
2 = SCHEDULE II
3 = SCHEDULE III
4 = SCHEDULE IV
5 = SCHEDULE V
6 = NO CONTROL
7 = UNDETERMINED
[COMPOS5]
1
328
COMPOSITION STATUS CODE
1 = SINGLE ENTITY DRUG
2 = COMBINATION DRUG
3 = UNDETERMINED
[DRGCLAS5]
2
56
57
CLASS
329-330
NAT'L DRUG CODE DIR (NDC) DRUG
01-19 = MAJOR NDC DRUG CLASS (SEE
MENU
FOR LIST OF NDC CODES)
20 = UNCLASSIFIED/MISC
BLANK = BLANK
58
[INGDRG5]
25
331-355
INGREDIENT CODES (INGREDIENTS OF
COMBINATION DRUGS; MAXIMUM OF 5
GENERIC NAME CODES
INGREDIENT CODE (50001-92506, or
INGDRG5(1)*
5
331-335
INGREDIENT #1
INGREDIENT CODE (50001-92506, or
INGDRG5(2)*
5
335-340
INGREDIENT #2
INGREDIENT CODE (50001-92506, or
INGDRG5(3)*
5
341-345
INGREDIENT #3
50000)
58.1
50000)
58.2
50000)
58.3
INGREDIENT CODE (50001-92506, or
50000)
58.4
INGDRG5(4)*
5
346-350
INGREDIENT #4
INGREDIENT CODE (50001-92506, or
INGDRG5(5)*
5
351-355
INGREDIENT #5
INGREDIENT CODE (50001-92506, or
50000)
58.5
50000)
* Brackets should be substituted for parentheses.
- 13 -
***THE FOLLOWING ITEM WAS ADDED TO ENABLE USERS TO CALCULATE VISIT RATES
BY RACE***
59
[RACER]
1
356
RACE RECODE
1=WHITE
2=BLACK
3=OTHER
- 14 -