Table Detail Report
RX_DISPENSE_GENERATOR_AUDIT
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Pharmacy Dispense Generator Audit |
| Definition: | Table used to audit asynchronized transactions for Pharmacy Dispense Generator service. |
| Table Type: | ACTIVITY |
Column Detail - RX_DISPENSE_GENERATOR_AUDIT
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ACTION_NAME | VC2(50) | N | Describes the dispense type of the initiating dispense event. |
| CORRELATION_UID | VC2(36) | N | The identifier for a transaction to the PharmacyDispenseGenerator service. |
| CREATE_DT_TM | DATE | N | This is the date and time the row was created. |
| INITIATING_DISPENSE_HX_ID | NUMBER | N | Identifies the dispense event from which this action is initiated. |
| MESSAGE_TXT | VC2(1000) | N | Text indicating success or failure messages. |
| RX_DISPENSE_GENERATOR_AUDIT_ID | NUMBER | N | Unique generated number that identifies a single row on the RX_DISPNSE_GENERATOR_AUDIT table. |
| STATUS_FLAG | NUMBER | N | Indicates the status of the transaction. 1 - success, 0 - fail |
| 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. |
Relationship Detail - RX_DISPENSE_GENERATOR_AUDIT
| Child Column in RX_DISPENSE_GENERATOR_AUDIT(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | INITIATING_DISPENSE_HX_ID | DISPENSE_HX | DISPENSE_HX_ID |
RX_HEALTH_PLAN
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | RX HEALTH PLAN |
| Definition: | Store Pharmacy specific attributes of Health Plan. |
| Table Type: | REFERENCE |
Column Detail - RX_HEALTH_PLAN
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| ALIAS_POOL_CD | NUMBER | N | Alias pool code identifies a unique set or list of identifiers (i.e., numbers). The alias pool code also determines the accept display format for the unique set of identifiers. |
| ALT_OTHER_PAYER_NAME | VC2(10) | Y | Alternate Other Payer for a specific health plan when coordination of benefits is used. |
| BRAND_COPAY | FLOAT | Y | Prescription copay amount for Brand products for a specific health plan |
| BRAND_COPAY_PERCENT | FLOAT | Y | Prescription copay percent amount for Brand products for a specific health plan |
| CLAIM_CNT | NUMBER | Y | Claim Count |
| CLAIM_FORMAT_CD | NUMBER | N | Identifies an overall claim format for a specific health plan or a single ingredient format |
| CLAIM_VALIDATION_CD | NUMBER | N | Identifies an overall claim validation for a specific health plan |
| CMPD_CLAIM_CNT | NUMBER | Y | maximum number of compound prescriptions allowed per Claim Transmission |
| CMPD_ING_CNT | NUMBER | Y | maximum number of ingredients allowed in a compound prescription |
| COB_OTHER_PAYER_IND | NUMBER | N | indicates Both the patient responsibility and the other payer amount should be sent in a claim request. 0 = Not send Both together, 1 = Send Both together |
| COB_PATIENT_RESP_IND | NUMBER | N | Indicates if the Patient Responsibility or the Other Payer Amount should be sent in a claim request. 0 = Other Payer, 1 = Patient Responsibility |
| COB_SUBMISSION_TYPE_CD | NUMBER | N | Coordination of benefits segment type used to submit claims. |
| COB_TYPE_CD | NUMBER | N | Co-ordination of benefits participation type |
| COMPOUND_FORMAT_CD | NUMBER | N | Identifies a compound claim format for a specific health plan |
| COPAY | FLOAT | Y | Prescription copay amount for a specific health plan |
| COPAY_OVERRIDE_IND | NUMBER | Y | Copay override ind |
| COPAY_PERCENT | FLOAT | Y | Prescription copay percent for a specific health plan |
| GENERIC_COPAY | FLOAT | Y | Prescription copay amount for generic products for a specific health plan |
| GENERIC_COPAY_PERCENT | FLOAT | Y | Prescription copay percent amount for generic products for a specific health plan |
| HEALTH_PLAN_ID | NUMBER | N | ID generated for unique health plans. |
| INCLUDE_INVESTIGATIONAL_IND | NUMBER | Y | Indicator (0,1). Indicates whether or not to include investigational drugs on prescription claims. |
| INCLUDE_OTC_IND | NUMBER | Y | Indicator (0,1). Indicates whether or not to include Over-The-Counter drugs on prescription claims. |
| INPATIENT_BILLING_FLAG | NUMBER | N | Indicates that the health plan supports billing Inpatient dispenses via Outpatient claims |
| OTH_PAYR_PAT_RESP_AMT_SUM_IND | NUMBER | N | Indicates whether the current health plan expects all the Other Payer-Patient Responsibility Amount to be summed and sent under NQ with qualifier of NP=06. |
| PARTIAL_FILL_TYPE_CD | NUMBER | N | Indicates if a health plan supports NCPDP 51 Partial Fill Submission Process. |
| PRESCRIPTION_IND | NUMBER | N | Indicates if the health plan is a prescription plan |
| PRICE_CODE_CD | NUMBER | N | Identifies a price code for a health plan |
| PROC_CONTROL_NUMBER | CHAR(20) | Y | Proc control number |
| PRSNL_ALIAS_CD | NUMBER | N | Personnel alias code |
| TWO_STEP_DISPENSE_IND | NUMBER | N | This column defines whether the orders should follow two step dispense process |
| 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. |
| USE_ALT_OTHER_PAYER_IND | NUMBER | N | Indicates whether the Alternate Other Payer is selected or not when Coordination of Benefits is used. |
| VENDOR_CERT_NBR_TXT | CHAR(10) | Y | An external ID assigned by the switch or processor to identify the software source. |
Relationship Detail - RX_HEALTH_PLAN
| Child Column in RX_HEALTH_PLAN(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | CLAIM_VALIDATION_CD | CODE_VALUE | CODE_VALUE |
| PRICE_CODE_CD | CODE_VALUE | CODE_VALUE | |
| HEALTH_PLAN_ID | HEALTH_PLAN | HEALTH_PLAN_ID |
| Parent Column in RX_HEALTH_PLAN (PK) | Child Table Name | Child Column Name | |
|---|---|---|---|
| Children: | HEALTH_PLAN_ID | RX_CLAIM_PENDING | HEALTH_PLAN_ID |
| RX_HEALTH_PLAN_CLAIM | HEALTH_PLAN_ID | ||
| RX_HEALTH_PLAN_SERV_RES_R | HEALTH_PLAN_ID |
RX_HEALTH_PLAN_CLAIM
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Pharmacy Health Plan Claim |
| Definition: | List of claim fields that can be flexed by health plan and by claim format. |
| Table Type: | REFERENCE |
Column Detail - RX_HEALTH_PLAN_CLAIM
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| CLAIM_FIELD_CD | NUMBER | N | Determines which claim field type is being flexed. |
| CLAIM_FORMAT_ID | NUMBER | N | Used to flex claim fields at the claim format level. The same health plan can be flexed using multiple claim formats. |
| CODE_VALUE_CD | NUMBER | N | Determines the value that a specific claim field is flexed with. |
| FIELD_ALIAS_CD | NUMBER | N | Stores a code_value for a PERSON or PRSNL alias associated with the claim. |
| HEALTH_PLAN_ID | NUMBER | N | Determines what health plan the fields are related to. Used to flex claim fields at the health plan level. |
| 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 - RX_HEALTH_PLAN_CLAIM
| Child Column in RX_HEALTH_PLAN_CLAIM(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | CODE_VALUE_CD | CODE_VALUE | CODE_VALUE |
| CLAIM_FIELD_CD | RX_CLAIM_FIELD | CLAIM_FIELD_CD | |
| CLAIM_FORMAT_ID | RX_CLAIM_FORMAT | FORMAT_ID | |
| HEALTH_PLAN_ID | RX_HEALTH_PLAN | HEALTH_PLAN_ID |
RX_HEALTH_PLAN_SERV_RES_R
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | Pharmacy Health Plan Service Resource Relation |
| Definition: | Stores the relationship between a pharmacy health plan and a service resource. Pharmacy health plans can be mapped to one or more service resources. This relationship will be used in Retail medication manager to decide if the selected health plan is enabled for the service resource to process 'HAAD claims'. This applies to Middle east claims only currently. |
| Table Type: | REFERENCE |
Column Detail - RX_HEALTH_PLAN_SERV_RES_R
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| HEALTH_PLAN_ID | NUMBER | N | The health plan that is mapped to this service resource. |
| RX_HEALTH_PLAN_SERV_RES_R_ID | NUMBER | N | Unique, generated number that identifies a single row on the RX_HEALTH_PLAN_SERV_RES_R table. |
| SERVICE_RESOURCE_CD | NUMBER | N | The service resource that is mapped to the pharmacy health plan on the same row. |
| 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. |
Relationship Detail - RX_HEALTH_PLAN_SERV_RES_R
| Child Column in RX_HEALTH_PLAN_SERV_RES_R(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | HEALTH_PLAN_ID | RX_HEALTH_PLAN | HEALTH_PLAN_ID |
| SERVICE_RESOURCE_CD | SERVICE_RESOURCE | SERVICE_RESOURCE_CD |
RX_HEALTH_PLAN_SWITCH_R
| Column Section | Relationship Section | Top of Page |
Table-level Detail
| Description: | RX HEALTH PLAN SWITCH R |
| Definition: | Health Plan Switch relation |
| Table Type: | REFERENCE |
Column Detail - RX_HEALTH_PLAN_SWITCH_R
| Column Name | Type | Null? | Definition |
|---|---|---|---|
| BIN_NBR | VC2(200) | Y | BIN Number associated with a switch |
| HEALTH_PLAN_ID | NUMBER | N | ID generated for a specific health plan |
| PROC_CONTROL_NUMBER | CHAR(20) | Y | proc control number |
| SEQUENCE | NUMBER | Y | Order of indicated switches |
| SWITCH_CD | NUMBER | N | Value associated with a specific switch |
| 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 - RX_HEALTH_PLAN_SWITCH_R
| Child Column in RX_HEALTH_PLAN_SWITCH_R(FK) | Parent Table Name | Parent Column Name | |
|---|---|---|---|
| Parents: | HEALTH_PLAN_ID | HEALTH_PLAN | HEALTH_PLAN_ID |