PDE Phase I Data Dictionary (March 2009) NAME TYPE LENGTH ------------------------------------- ------ 723 Part D Event ID CHAR 15 Identifies a unique Part D event for a beneficiary. SHORT NAME: PDE_ID LONG NAME: PDE_ID SOURCE: CCW NAME TYPE LENGTH ------------------------------------- ------ Encrypted 723 Beneficiary CHAR 15 ID A unique CCW beneficiary identifier field that is specific to the Chronic Condition Warehouse. This field is encrypted prior to delivery to researchers. The BENE_ID field is used to cross- reference data for each beneficiary across all claim and assessment data files. SHORT NAME: BENE_ID LONG NAME: BENE_ID SOURCE: CCW NAME TYPE LENGTH ----------------------------------- ------ RX SERVICE DATE DATE 8 This field contains the date on which the prescription was filled. CCYYMMDD SHORT NAME: SRVC_DT LONG NAME: SRVC_DT SOURCE: CCW NAME TYPE LENGTH ----------------------------------- ------ PRODUCT SERVICE ID CHAR 19 This field identifies the dispensed drug using a National Drug Code (NDC). The NDC is reported in NDC11 format. In instances where a pharmacy formulates a compound containing multiple NDC drugs, the NDC of the most expensive drug is used. NDC code in the following format: MMMMMDDDDPP followed by 8 spaces. CMS rejects the following codes: 99999999999, 99999999992, 99999999993, 99999999994, 99999999995 and 99999999996. SHORT NAME: PRDSRVID LONG NAME: PROD_SRVC_ID SOURCE: CCW NAME TYPE LENGTH ----------------------------------------------- QUANTITY DISPENSED NUM 12 This field indicates the number of units, grams, milliliters, or other dispensed in the current drug event. If a compounded item, then the QUANTITY DISPENSED is the total of all ingredients. SHORT NAME: QTYDSPNS LONG NAME: QTY_DSPNSD_NUM SOURCE: CCW NAME TYPE LENGTH --------------------------------------------- DAYS SUPPLY CHAR 3 This field indicates the number of days' supply of medication dispensed by the pharmacy and will consist of the amount the pharmacy enters for the prescription. Possible values are 0 – 999. SHORT NAME: DAYSSPLY LONG NAME: DAYS_SUPLY_NUM SOURCE: CCW NAME TYPE LENGTH ---------------------------------------------- PATIENT PAY AMOUNT NUM 10 This field lists the dollar amount the beneficiary paid that is not reimbursed by a third party (e.g., copayments, coinsurance, deductible or other patient pay amounts). This amount contributes to a beneficiary's TrOOP only when it is payment for a covered drug. Payments made by the beneficiary or family and friends shall also be reported in this field. Other third party payments made on behalf of a beneficiary that contribute to TrOOP shall be reported in Other TrOOP Amount or Low-Income Cost-Sharing Amount and payments that do not contribute shall be reported in Patient Liability Reduction due to Other Payer Amount. Amount beneficiary paid that is not reimbursed by a third party. SHORT NAME: PTPAYAMT LONG NAME: PTNT_PAY_AMT SOURCE: CCW NAME TYPE LENGTH ----------------------------------- ------ Gross Drug Cost NUM 10 This variable is derived from the sum of these variables: Ingredient Cost Paid Dispensing Fee Paid Total Amount Attributed to Sales Tax SHORT NAME: TOTALCST LONG NAME: TOT_RX_CST_AMT SOURCE: CCW NAME TYPE LENGTH ----------------------------------- ------ Brand Name CHAR 30 The name that appears on the package label provided by the manufacturer. SHORT NAME: BN LONG NAME: BN SOURCE: First DataBAnk NAME TYPE LENGTH ----------------------------------- ------ Generic Name CHAR 30 The drug ingredient name adopted by United States Adopted Names (USAN). The chemical name is used when the USAN name is not available. For multi-ingredient products, abbreviations may be used (such as HCTZ [Hydrochlorothiazide] and PP [Phenylpropanolamine]). SHORT NAME: GNN LONG NAME: GNN SOURCE: First DataBAnk NAME TYPE LENGTH ----------------------------------- ------ Drug Strength Description CHAR 10 Description of drug potency in units of grams, milligrams, percentage, and other terms. SHORT NAME: STR LONG NAME: STR SOURCE: First DataBAnk NAME TYPE LENGTH ----------------------------------- ------ Dosage Form Code CHAR 2 The dosage form of a clinical formulation describes the physical presentation of a drug, such as tablet, capsule, or liquid. It may also incorporate the delivery and release mechanism of the drug. SHORT NAME: GCDF LONG NAME: GCDF SOURCE: First DataBAnk NAME TYPE LENGTH ----------------------------------- ------ Dosage Form Code Description CHAR 40 Extended text description for a Dosage Form Code (GCDF). The dosage form of a clinical formulation describes the physical presentation of a drug, such as tablet, capsule, or liquid. It may also incorporate the delivery and release mechanism of the drug. SHORT NAME: GCDF_DESC LONG NAME: GCDF_DESC SOURCE: First DataBAnk NAME TYPE LENGTH ----------------------------------- ------ Route of Aministration Code CHAR 2 The normal site or method by which a drug is administered in the body, such as oral, injection, or topical. SHORT NAME: GCRT2 LONG NAME: GCRT2 SOURCE: First DataBAnk NAME TYPE LENGTH ----------------------------------- ------ Route Description CHAR 10 A ten-character alphanumeric column describing the route of administration from Route of Administration Code (GCRT2). Includes oral, topical, injection, etc. SHORT NAME: RT LONG NAME: RT SOURCE: First DataBAnk