Table 1.
Pharmacy Data Medical Data Hospital Data
Format: Format: Format:
NCPDP HCFA 1500 UB 92
Source: Source: Source:
Retail pharmacies Physician offices Hospitals
Volume: Volume: Volume:
(# electronic claims 2000) (# electronic claims 2000) (# electronic claims 2000)
1,814,000,000 789,000,000 399,000,000
Key Data Elements: Key Data Elements: Key Data Elements:
Encrypted patient ID Encrypted patient ID Encrypted patient ID
Patient age Patient age Patient age
Patient gender Patient gender Patient gender
Prescription date Service date Admission date
Prescription name Diagnosis (ICD9 code) Discharge date
Quantity dispensed Procedure (CPT4 code) Diagnosis (ICD9 code)
Days supply Physician Procedure (CPT4 code)
Refill flag Payor Diagnosis related group (DRG code)
Prescribing physician Location of care
Payor Amount charged ($) Physician
Pharmacy Amount paid ($) Payor
Amount charged ($) Location of care
Amount paid ($) Amount charged ($)
Amount paid ($)
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