Table Detail Report
NOMEN_GROUP_RELTN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | NOMEN GROUP RELTN |
| Definition: | Nomenclature Group Relation |
| Table Type: | REFERENCE |
Column Detail - NOMEN_GROUP_RELTN
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| BEG_EFFECTIVE_DT_TM | DATE | Y | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| BT_COND_CRIT_R_ID | NUMBER | N | Bill Template Condition Criteria Relation |
| END_EFFECTIVE_DT_TM | DATE | Y | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| NOMEN_GROUP_R_ID | NUMBER | N | Nomenclature Group Relation ID |
| NOMEN_ID | NUMBER | N | Nomenclature ID |
| SOURCE_VOCAB_CD | NUMBER | N | Source Vocabulary Code |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - NOMEN_GROUP_RELTN
| Child Column in NOMEN_GROUP_RELTN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BT_COND_CRIT_R_ID | BT_COND_CRIT_RELTN | BT_COND_CRIT_R_ID |
| NOMEN_ID | NOMENCLATURE | NOMENCLATURE_ID |
PFT_CHARGE_GLOBAL_DAYS
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | ProFit Charge Global Days |
| Definition: | Stores the charge related information which qualifies for the global billing. |
| Table Type: | ACTIVITY |
Column Detail - PFT_CHARGE_GLOBAL_DAYS
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ENCNTR_ID | NUMBER | N | Uniquely identifies the related encounter record. |
| GLOBAL_DAYS | NUMBER | N | Once a person has a medical procedure, there is a period of time that if that same person were to come back to the hospital for the same procedure within a given time frame the services will not be covered by insurance. This timeframe is referred to as global days. |
| GLOBAL_DAYS_END_DT_TM | DATE | N | Contains the service date plus the global days. |
| MOD_NOMEN_ID | NUMBER | N | Stores the CPT modifier nomenclature identifier |
| ORGANIZATION_ID | NUMBER | N | Uniquely identifies the related organization. |
| PERSON_ID | NUMBER | N | Uniquely Identifies the related person. |
| PFT_CHARGE_GLOBAL_DAYS_ID | NUMBER | N | Uniquely identifies charge related information that qualifies for the global billing. |
| PFT_CHARGE_ID | NUMBER | N | Uniquely identifies a related ProFit charge. |
| PROC_NOMEN_ID | NUMBER | N | Stores the HCPCS/CPT Nomenclature Identifier |
| SERVICE_DT_TM | DATE | Y | Stores the service date on which the charge is dropped. |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
| VERIFY_PHYS_ID | NUMBER | N | Stores the verifying physician identifier |
Relationship Detail - PFT_CHARGE_GLOBAL_DAYS
| Child Column in PFT_CHARGE_GLOBAL_DAYS(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | ENCNTR_ID | ENCOUNTER | ENCNTR_ID |
| MOD_NOMEN_ID | NOMENCLATURE | NOMENCLATURE_ID | |
| PROC_NOMEN_ID | NOMENCLATURE | NOMENCLATURE_ID | |
| ORGANIZATION_ID | ORGANIZATION | ORGANIZATION_ID | |
| PERSON_ID | PERSON | PERSON_ID | |
| PFT_CHARGE_ID | PFT_CHARGE | PFT_CHARGE_ID | |
| VERIFY_PHYS_ID | PRSNL | PERSON_ID |
PRICE_SCHED
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Price Schedule |
| Definition: | Describes Price Schedules. |
| Table Type: | REFERENCE |
Column Detail - PRICE_SCHED
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| APPLY_MARKUP_TO_FLAG | NUMBER | N | Indicates whether markup and fees are calculated on the entire dose or by product units (applies only to records with Pharm_ind = 1) 0 - Dose, 1 - Product Unit |
| APPLY_SVC_FEE_IND | NUMBER | Y | Indicates whether or not to apply a Service Fee (valid only on records w/pharm_ind = 1). |
| BEG_EFFECTIVE_DT_TM | DATE | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| COMPLIANCE_CHECK_IND | NUMBER | Y | Used for compliance checking for rate |
| CONVERSION_FACTOR_CD | NUMBER | N | This column in longer used |
| COST_BASIS_CD | NUMBER | N | The code value from 4050 indicating the cost basis to be used in calculating PharmNet charges. |
| CREATE_DT_TM | DATE | Y | The date and time the price schedule was created. |
| CREATE_PRSNL_ID | NUMBER | N | The person ID from the prsnl table who created the price schedule. |
| END_EFFECTIVE_DT_TM | DATE | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| FORMULA_TYPE_FLG | NUMBER | Y | Indicates whether the formula type is order or ingredient (applies only to records with pharm_ind = 1) |
| MARKUP_LEVEL_FLG | NUMBER | Y | Indicates where the markup level is order or ingredient (applies only to records w/pharm_ind = 1). |
| MIN_PRICE | FLOAT | Y | This column represents the minimum price that an item can be regardless of any algorithms applied to calculate price. |
| OPERATING_MARGIN_PCT | FLOAT | N | This column in longer used |
| PHARM_IND | NUMBER | N | Indicates if this record is a pharmacy price schedule. |
| PHARM_TYPE_CD | NUMBER | N | Indicates the pharmacy domain related to the Price Schedule. The Price Schedule is tailored to a Retail Pharmacy's specific needs to calculate the price of a prescription. |
| PRICE_SCHED_DESC | VC2(200) | Y | The description given to the price schedule. |
| PRICE_SCHED_ID | NUMBER | N | This is the value of the unique primary identifier of the price_sched table. It is an internal system assigned number. |
| PRICE_SCHED_SHORT_DESC | VC2(50) | Y | The short description given to the price schedule. |
| RANGE_TYPE_CD | NUMBER | N | Indicates the type of range for the FROM and TO parameters on the Price Range table. This includes COST, QTY and DAYS SUPPLY. |
| ROUNDING_RATE_FLAG | NUMBER | N | Per price schedule to round up/down/standard |
| ROUND_UP | FLOAT | Y | This column represents a value to be applied towards the price based on defined rounding methods. |
| SELF_PAY_IND | NUMBER | N | The self pay indicator identifies if the bill is the patient's responsibility or not. |
| STANDARD_SCHED_IND | NUMBER | Y | Indicates whether or not the price schedule is the standard price schedule for the related organization. |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. The UPDT family of columns are typically used for housekeeping and external system process and should never be depended on for solution specific logic. |
| WARNING_DT_TM | DATE | Y | The warning date and time specified when the price schedule was created. |
| WARNING_PRSNL_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that specified the warning date, time and type code for this price schedule. |
| WARNING_TYPE_CD | NUMBER | N | The code value from 13032 indicating the mechnism by which a warning will be issued. Options include telephone and send email. |
Relationship Detail - PRICE_SCHED
| Child Column in PRICE_SCHED(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | WARNING_PRSNL_ID | PRSNL | PERSON_ID |
| Parent Column in PRICE_SCHED (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | PRICE_SCHED_ID | CHARGE | LIST_PRICE_SCHED_ID |
| CHARGE | PRICE_SCHED_ID | ||
| DISPENSE_CATEGORY | PRICE_SCHED_ID | ||
| MEDICATION_DEFINITION | PRICE_SCHED_ID | ||
| MED_OE_DEFAULTS | PRICE_SCHED_ID | ||
| MM_CS_PATIENT_PRICE | PRICE_SCHED_ID | ||
| MM_PRICE_FORMULA | PRICE_SCHED_ID | ||
| ORDER_DISPENSE | PRICE_SCHEDULE_ID | ||
| PRICE_CODE_EXCEPTION | COPAY_PRICE_SCHED_ID | ||
| PRICE_CODE_EXCEPTION | PRICE_SCHED_ID | ||
| PRICE_RANGE | PRICE_SCHED_ID | ||
| PRICE_SCHED_ITEMS | PRICE_SCHED_ID | ||
| PRICE_SCHED_ITEMS_HIST | PRICE_SCHED_ID | ||
| PROD_DISPENSE_HX | PRICE_SCHED_ID | ||
| RX_ADMIN_PROD_DISPENSE_HX | PRICE_SCHED_ID |
PRICE_SCHED_ITEMS
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Price Schedule Items |
| Definition: | Associates Bill Items with Price Schedules. Prices the item. |
| Table Type: | REFERENCE |
Column Detail - PRICE_SCHED_ITEMS
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | Y | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | Y | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| ALLOWABLE | FLOAT | Y | not used |
| BEG_EFFECTIVE_DT_TM | DATE | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| BILLING_DISCOUNT_PRIORITY_SEQ | NUMBER | N | Billing priority on the bill item for the associated price schedule |
| BILL_ITEM_ID | NUMBER | N | This is the value of the unique primary identifier of the bill item table. It is an internal system assigned number. |
| CAPITATION_IND | NUMBER | Y | Indicates whether or not the price schedule item is a capitated, meaning that insurance will pay a per member/per month fee instead of a fee for service. |
| CHARGE_LEVEL_CD | NUMBER | N | not used.. |
| COPAY | FLOAT | Y | not used |
| COST_ADJ_AMT | FLOAT | N | The markup or discount amount reflected in the final charge price. |
| DEDUCTIBLE | FLOAT | Y | not used |
| DETAIL_CHARGE_IND | NUMBER | Y | For a detail (child) bill item, indicates whether a charge should be created. This flag is set by the "charge" check box in the Pricing Tool. |
| END_EFFECTIVE_DT_TM | DATE | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| EXCLUSIVE_IND | NUMBER | N | Determines whether or not the tax amount will show up as a separate line item on the invoice. 0 = it will not show up as a separate line item on the invoice, 1 = it will show up as a separate line item on the invoice. |
| INTERVAL_TEMPLATE_CD | NUMBER | N | The code value from 14274 that indicates which interval template to use in determining what price to assign to a charge. A value of 0 indicates to use the price without any interval logic. |
| PERCENT_REVENUE | NUMBER | Y | not used |
| PRICE | FLOAT | Y | The price to associate with this bill item for this price schedule. |
| PRICE_SCHED_ID | NUMBER | N | This is the value of the unique primary identifier of the price_sched table. It is an internal system assigned number. |
| PRICE_SCHED_ITEMS_ID | NUMBER | N | This is the value of the unique primary identifier of the price_sched_items table. It is an internal system assigned number. |
| REFERRAL_REQ_IND | NUMBER | Y | Indicates whether or not the price schedule item requires a referral |
| STATS_ONLY_IND | NUMBER | Y | This allows the user to track statistics at the price schedule level instead of at the bill item level like it currently exists. |
| TAX | FLOAT | N | The tax amount for a given price schedule for a given bill item based on a tax percentage. |
| UNITS_IND | NUMBER | Y | This indicates whether a price is stored or if units are stored. This was included to accommodate LMS Billing requirements (Canadian). |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PRICE_SCHED_ITEMS
| Child Column in PRICE_SCHED_ITEMS(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILL_ITEM_ID | BILL_ITEM | BILL_ITEM_ID |
| PRICE_SCHED_ID | PRICE_SCHED | PRICE_SCHED_ID |
| Parent Column in PRICE_SCHED_ITEMS (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | PRICE_SCHED_ITEMS_ID | PFT_FEE_SCHED_RELTN | PRICE_SCHED_ITEMS_ID |
| PRICE_SCHED_ITEMS_HIST | PRICE_SCHED_ITEMS_ID |
PRICE_SCHED_ITEMS_HIST
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Price Schedule Items History. |
| Definition: | Stores all the Charge service Bill Item's Price Schedules related modifications and for tracking the History of changes. |
| Table Type: | ACTIVITY |
Column Detail - PRICE_SCHED_ITEMS_HIST
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTIVE_IND | NUMBER | N | The table row is active or inactive. A row is generally active unless it is in an inactive state such as logically deleted, combined away, pending purge, etc. |
| ACTIVE_STATUS_CD | NUMBER | N | Indicates the status of the row itself (not the data in the row) such as active, inactive, combined away, pending purge, etc. |
| ACTIVE_STATUS_DT_TM | DATE | N | The date and time that the active_status_cd was set. |
| ACTIVE_STATUS_PRSNL_ID | NUMBER | N | The person who caused the active_status_cd to be set or change. |
| ALLOWABLE | FLOAT | Y | To persist Allowable information associated to a bill item for this price schedule. |
| BEG_EFFECTIVE_DT_TM | DATE | N | The date and time for which this table row becomes effective. Normally, this will be the date and time the row is added, but could be a past or future date and time. |
| BILLING_DISCOUNT_PRIORITY_SEQ | NUMBER | N | To persist the billing priority on the bill item for the associated price schedule. |
| BILL_ITEM_ID | NUMBER | N | This is the value of the unique primary identifier of the bill item table. It is an internal system assigned number. |
| CAPITATION_IND | NUMBER | Y | Indicates whether or not the price schedule item is a capitated, meaning that insurance will pay a per member/per month fee instead of a fee for service. |
| CHARGE_LEVEL_CD | NUMBER | N | To persist Charge Level Code information associated to a bill item for this price schedule. |
| COPAY | FLOAT | Y | To persist Copay information associated to a bill item for this price schedule. |
| COST_ADJ_AMT | FLOAT | N | The markup or discount amount reflected in the final charge price. |
| DEDUCTIBLE | FLOAT | Y | To persist Deductible information associated to a bill item for this price schedule. |
| DETAIL_CHARGE_IND | NUMBER | Y | For a detail (child) bill item, indicates whether a charge should be created. This flag is set by the "charge" check box in the Pricing Tool. |
| END_EFFECTIVE_DT_TM | DATE | N | The date/time after which the row is no longer valid as active current data. This may be valued with the date that the row became inactive. |
| EXCLUSIVE_IND | NUMBER | N | Determines whether or not the tax amount will show up as a separate line item on the invoice. 0 = it will not show up as a separate line item on the invoice, 1 = it will show up as a separate line item on the invoice. |
| INTERVAL_TEMPLATE_CD | NUMBER | N | The code value from 14274 that indicates which interval template to use in determining what price to assign to a charge. A value of 0 indicates to use the price without any interval logic. |
| MODIFICATION_DT_TM | DATE | N | Represents the modified date and time of the parent record. |
| PERCENT_REVENUE | NUMBER | Y | To persist Percent Revenue information associated to a bill item for this price schedule. |
| PERMANENT_DEL_IND | NUMBER | N | The indicator to mark History records that are no longer needed and are made eligible for permanent deletion. |
| PRICE | FLOAT | Y | The price to associate with this bill item for this price schedule. |
| PRICE_SCHED_ID | NUMBER | N | This is the value of the unique primary identifier of the price_sched table. It is an internal system assigned number. |
| PRICE_SCHED_ITEMS_HIST_ID | NUMBER | N | Bill Item's Price Schedule History Identifier - Unique generated number that identifies a single row on the PRICE_SCHED_ITEMS_HIST table. |
| PRICE_SCHED_ITEMS_ID | NUMBER | N | Identifies the corresponding Price Schedule Items record from the original PRICE_SCHED_ITEMS table for which the history of modified records is to be persisted. |
| REFERRAL_REQ_IND | NUMBER | Y | Indicates whether or not the price schedule item requires a referral |
| STATS_ONLY_IND | NUMBER | Y | This allows the user to track statistics at the price schedule level instead of at the bill item level like it currently exists. |
| TASK_ACTION_FLAG | NUMBER | N | To persist and represent the type of Task action performed/ or the correspodning history row represents.(Values 0= Add, 1= Update, 2= Delete) |
| TAX | FLOAT | N | The tax amount for a given price schedule for a given bill item based on a tax percentage. |
| UNITS_IND | NUMBER | Y | This indicates whether a price is stored or if units are stored. This was included to accommodate LMS Billing requirements (Canadian). |
| UPDT_APPLCTX | NUMBER | N | The application context number from the record info block. |
| UPDT_CNT | NUMBER | N | Set to 0 on insert. Incremented by 1 on update. Used to recognize update conflict where data in a row updated by one application is at risk of being lost by a second application attempting to update the row. |
| UPDT_DT_TM | DATE | N | The date and time the row was last inserted or updated. |
| UPDT_ID | NUMBER | N | The person_id of the person from the personnel table (prsnl) that caused the last insert or update of the row in the table. |
| UPDT_TASK | NUMBER | N | The registered (assigned) task number for the process that inserted or updated the row. |
Relationship Detail - PRICE_SCHED_ITEMS_HIST
| Child Column in PRICE_SCHED_ITEMS_HIST(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | BILL_ITEM_ID | BILL_ITEM | BILL_ITEM_ID |
| PRICE_SCHED_ID | PRICE_SCHED | PRICE_SCHED_ID | |
| PRICE_SCHED_ITEMS_ID | PRICE_SCHED_ITEMS | PRICE_SCHED_ITEMS_ID |