Created
October 18, 2024 19:51
-
-
Save captDaylight/496fc3d203cb63dda2e8efbc361891c7 to your computer and use it in GitHub Desktop.
Athena HAR #1
This file contains hidden or bidirectional Unicode text that may be interpreted or compiled differently than what appears below. To review, open the file in an editor that reveals hidden Unicode characters.
Learn more about bidirectional Unicode characters
| { | |
| "section_tokens": { | |
| "DIAGNOSES": { | |
| "__CLASS__": "Athena::Encounter::Entity::SectionToken", | |
| "Value": "20241017163935", | |
| "Key": "DIAGNOSES", | |
| "VersionToken": -1, | |
| "OtherUser": "spatel808", | |
| "CID": "c6154" | |
| }, | |
| "ORDERS": { | |
| "__CLASS__": "Athena::Encounter::Entity::SectionToken", | |
| "Value": "20241017163934", | |
| "Key": "ORDERS", | |
| "VersionToken": -1, | |
| "OtherUser": "spatel808", | |
| "CID": "c6140" | |
| }, | |
| "RESULTSANDINTERPRETATIONS": { | |
| "__CLASS__": "Athena::Encounter::Entity::SectionToken", | |
| "Value": -1, | |
| "Key": "RESULTSANDINTERPRETATIONS", | |
| "VersionToken": -1, | |
| "CID": "c6139" | |
| } | |
| }, | |
| "encounter_id": "19179", | |
| "method": "SIGN", | |
| "orders": [ | |
| { | |
| "ClinicalOrderType": { | |
| "Code": { | |
| "__CLASS__": "Athena::Entity::Code::LOINC", | |
| "Description": "Albumin/Creatinine [Mass ratio] in Urine", | |
| "VersionToken": -1, | |
| "CodeSet": "LOINC", | |
| "Code": "9318-7", | |
| "CID": "c5407" | |
| }, | |
| "ClinicalOrderTypeGroup": { | |
| "IsOutpatient": true, | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "DocumentClass": "ORDER", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderTypeGroup", | |
| "Description": "Lab", | |
| "Name": "LAB", | |
| "ID": "11", | |
| "IsInpatient": true, | |
| "CID": "c5408" | |
| }, | |
| "IsDiscontinued": false, | |
| "VersionToken": -1, | |
| "DefaultAlarmDays": "7", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderType", | |
| "IncomingDocumentClass": "LABRESULT", | |
| "Name": "albumin/creatinine, mass ratio, urine", | |
| "ID": "429037", | |
| "OrderableFlag": "Y", | |
| "CID": "c5409" | |
| }, | |
| "AssignedTo": "spatel808", | |
| "Class": "ORDER", | |
| "Status": "REVIEW", | |
| "DiagnosisList": [ | |
| { | |
| "DiagnosisCode": { | |
| "__CLASS__": "Athena::Entity::Code::SNOMED", | |
| "Description": "Diabetes mellitus", | |
| "VersionToken": -1, | |
| "CodeSet": "SNOMED", | |
| "Code": "73211009", | |
| "CID": "c5405" | |
| }, | |
| "SnomedICDCodes": [ | |
| { | |
| "UnstrippedDiagnosisCode": "E11.9", | |
| "VersionToken": -1, | |
| "Code": "E119", | |
| "__CLASS__": "Athena::Entity::Code::ICD10", | |
| "Description": "Type 2 diabetes mellitus without complications", | |
| "CodeSet": "ICD10", | |
| "ICDCodeAllID": "348135", | |
| "CID": "c5404" | |
| } | |
| ], | |
| "SequenceNumber": "0", | |
| "DocumentID": "108557", | |
| "VersionToken": -1, | |
| "IMODiagnosisList": [], | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Diagnosis", | |
| "ID": "64983", | |
| "CID": "c5406" | |
| } | |
| ], | |
| "ChartID": "15883", | |
| "DepartmentID": "2", | |
| "EncounterID": "19179", | |
| "UIOrigin": "ax_order_set", | |
| "orderType": "lab", | |
| "PerformDateInput": "2024-10-17", | |
| "PerformDate": "2024-10-17", | |
| "VersionToken": "DOCUMENT:1154795", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest", | |
| "ShowRTOCheckbox": false, | |
| "ReturnToOffice": false, | |
| "ExternalCodes": [], | |
| "Questions": [], | |
| "CCList": [], | |
| "AutoPublishExclusion": { | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::AutoPublishingExclusion", | |
| "VersionToken": -1, | |
| "CID": "c5410" | |
| }, | |
| "ClinicalProviderOrderType": { | |
| "ClinicalProviderID": "10811236", | |
| "PaperOrderCode": "140285", | |
| "CreatedDate": { | |
| "Date": "2013-08-23T06:08:13.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "ElectronicOrderCode": "140285", | |
| "VersionToken": -1, | |
| "ClinicalProviderLOINC": "9318-7", | |
| "IsOrderable": true, | |
| "UnmappableYN": false, | |
| "Name": "albumin/creatinine ratio,urine", | |
| "ID": "614106", | |
| "IsPreferredOrderCode": true, | |
| "DeletedUser": "DBA_PATCH_20130904", | |
| "__CLASS__": "Athena::Entity::Clinical::Provider::OrderType", | |
| "ClinicalOrderTypeID": "429037", | |
| "LastModifiedUser": "NCMT-amoulton3", | |
| "LastModifiedDate": { | |
| "Date": "2020-11-05T18:23:14.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "CreatedUser": "DBA_PATCH_20130823", | |
| "CID": "c5411" | |
| }, | |
| "PAMAScore": { | |
| "__CLASS__": "Athena::Order::Entity::PAMAScore", | |
| "VersionToken": -1, | |
| "CID": "c5412" | |
| }, | |
| "ClinicalProvider": { | |
| "VersionToken": -1, | |
| "FormatNameAddress": "Labcorp PSC: <br />1601 Trinity St Bldg A Ste 803, Austin TX 78701", | |
| "IsSchedulable": true, | |
| "Name": "Labcorp PSC", | |
| "ClinicalProviderReceiverID": "258", | |
| "KeepAsLocalFlag": "N", | |
| "PharmacyTypeName": "", | |
| "IsCoordinatorSvcDept": false, | |
| "ParentClinicalProviderID": "10811236", | |
| "ReceiverName": "LABCORP", | |
| "LastModifiedDate": "2023-06-09", | |
| "Address1": "1601 Trinity St", | |
| "State": "TX", | |
| "ContextID": "27370", | |
| "CreatedDate": { | |
| "Date": "2023-06-09T06:53:20.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "Address2": "Bldg A Ste 803", | |
| "TranslatedZip": "78701", | |
| "SpecimenSourceListID": "1", | |
| "ID": "14846828", | |
| "ReplacedByClinicalProviderID": "14846828", | |
| "Zip": "78701", | |
| "AcceptFax": "N", | |
| "IsPrescriptionQuantityRequired": true, | |
| "City": "Austin", | |
| "IsPersonEntity": false, | |
| "__CLASS__": "Athena::Entity::Clinical::Provider", | |
| "LastModifiedUser": "vbalasubramaniam", | |
| "CreatedUser": "vbalasubramaniam", | |
| "OrderFlowReceiverActiveDate": "2023-06-09", | |
| "CID": "c5413" | |
| }, | |
| "ChartDisplayDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "DisplayName": "albumin/creatinine ratio,urine", | |
| "DefaultsFromID": "1381", | |
| "Priority": "2", | |
| "LocalClinicalLabTemplateID": null, | |
| "LastModifiedDate": { | |
| "Date": "2024-10-17T20:39:30.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "FHIRIDs": [], | |
| "ClassDescription": "order", | |
| "CreatedDate": { | |
| "Date": "2024-10-17T20:37:48.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "PayloadType": "ORDER", | |
| "EncounterDate": "2024-10-17", | |
| "Description": "albumin/creatinine, mass ratio, urine", | |
| "NeedsProviderDelegateAck": null, | |
| "IsForeignCompendiumOrder": true, | |
| "Notifier": "ATHENA", | |
| "Source": "ENCOUNTER", | |
| "CreatedTimeStamp": "10/17/2024 04:37 PM", | |
| "DeniedDate": null, | |
| "DeniedUser": null, | |
| "ProviderBilledName": "SNEHA PATEL, DO", | |
| "ClinicalProviderCoordinatorStatus": "CORE", | |
| "PriorAuth": null, | |
| "DefaultsFromIDSource": "ORDERSET", | |
| "ClinicalProviderIsLocal": false, | |
| "SpecimenDrawLocation": "LAB", | |
| "OrderDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "SupervisingProviderID": "12", | |
| "ApprovedUser": null, | |
| "SpecialtyID": "008", | |
| "ParentOrderDocumentID": "108557", | |
| "ApprovedDate": null, | |
| "DocumentClassDescription": "order", | |
| "AlarmDays": "14", | |
| "BillingType": "INSURANCE", | |
| "DocumentationOnly": false, | |
| "ProviderUsername": "spatel808", | |
| "ID": "108557", | |
| "PatientID": "13910", | |
| "LastModifiedUser": "spatel808", | |
| "Route": "FAX", | |
| "CreatedEncounterID": "19179", | |
| "CreatedUser": "spatel808", | |
| "id": "108557", | |
| "isImmediatePriority": false, | |
| "ProviderQuestions": [], | |
| "StaffQuestions": [], | |
| "FutureSubmitDate": null, | |
| "ClinicalProviderOrderTypeIsRequired": false, | |
| "Warnings": [], | |
| "CID": "c2223" | |
| }, | |
| { | |
| "ClinicalOrderType": { | |
| "Code": { | |
| "__CLASS__": "Athena::Entity::Code::LOINC", | |
| "Description": "Comprehensive metabolic 2000 panel - Serum or Plasma", | |
| "VersionToken": -1, | |
| "CodeSet": "LOINC", | |
| "Code": "24323-8", | |
| "CID": "c5530" | |
| }, | |
| "ClinicalOrderTypeGroup": { | |
| "IsOutpatient": true, | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "DocumentClass": "ORDER", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderTypeGroup", | |
| "Description": "Lab", | |
| "Name": "LAB", | |
| "ID": "11", | |
| "IsInpatient": true, | |
| "CID": "c5531" | |
| }, | |
| "IsDiscontinued": false, | |
| "VersionToken": -1, | |
| "ClinicalOrderGenusID": "67", | |
| "DefaultAlarmDays": "7", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderType", | |
| "IncomingDocumentClass": "LABRESULT", | |
| "Name": "CMP, serum or plasma", | |
| "ID": "342223", | |
| "OrderableFlag": "Y", | |
| "CID": "c5532" | |
| }, | |
| "AssignedTo": "spatel808", | |
| "Class": "ORDER", | |
| "Status": "REVIEW", | |
| "DiagnosisList": [ | |
| { | |
| "DiagnosisCode": { | |
| "__CLASS__": "Athena::Entity::Code::SNOMED", | |
| "Description": "Diabetes mellitus", | |
| "VersionToken": -1, | |
| "CodeSet": "SNOMED", | |
| "Code": "73211009", | |
| "CID": "c5525" | |
| }, | |
| "SnomedICDCodes": [ | |
| { | |
| "UnstrippedDiagnosisCode": "E11.9", | |
| "VersionToken": -1, | |
| "Code": "E119", | |
| "__CLASS__": "Athena::Entity::Code::ICD10", | |
| "Description": "Type 2 diabetes mellitus without complications", | |
| "CodeSet": "ICD10", | |
| "ICDCodeAllID": "348135", | |
| "CID": "c5524" | |
| } | |
| ], | |
| "SequenceNumber": "0", | |
| "DocumentID": "108558", | |
| "VersionToken": -1, | |
| "IMODiagnosisList": [], | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Diagnosis", | |
| "ID": "64984", | |
| "CID": "c5526" | |
| } | |
| ], | |
| "ChartID": "15883", | |
| "DepartmentID": "2", | |
| "EncounterID": "19179", | |
| "UIOrigin": "ax_order_set", | |
| "orderType": "lab", | |
| "PerformDateInput": "2024-10-17", | |
| "PerformDate": "2024-10-17", | |
| "VersionToken": "DOCUMENT:1154797", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest", | |
| "ShowRTOCheckbox": false, | |
| "ReturnToOffice": false, | |
| "ExternalCodes": [], | |
| "Questions": [ | |
| { | |
| "Options": [ | |
| { | |
| "QuestionID": "92630", | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Yes", | |
| "ID": "70988", | |
| "ExternalValue": "Y", | |
| "CID": "c5527" | |
| }, | |
| { | |
| "QuestionID": "92630", | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "No", | |
| "ID": "70989", | |
| "ExternalValue": "N", | |
| "CID": "c5528" | |
| } | |
| ], | |
| "IsMandatory": false, | |
| "VersionToken": "748606", | |
| "ExternalID": "FSTING", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Fasting", | |
| "StandardQuestionID": "124", | |
| "ID": "92630", | |
| "Type": "DROPDOWN", | |
| "CustomQuestionListID": "1516670", | |
| "DocumentID": "108558", | |
| "Ordering": "8", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "CCList": [], | |
| "AutoPublishExclusion": { | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::AutoPublishingExclusion", | |
| "VersionToken": -1, | |
| "CID": "c5533" | |
| }, | |
| "ClinicalProviderOrderType": { | |
| "ClinicalProviderID": "10811236", | |
| "CreatedDate": { | |
| "Date": "2013-08-23T06:10:55.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "ElectronicOrderCode": "322000", | |
| "VersionToken": -1, | |
| "IsOrderable": true, | |
| "UnmappableYN": false, | |
| "Name": "comp. metabolic panel (14)-322000-P", | |
| "ID": "653091", | |
| "IsPreferredOrderCode": true, | |
| "DeletedUser": "DBA_PATCH_20130904", | |
| "__CLASS__": "Athena::Entity::Clinical::Provider::OrderType", | |
| "ClinicalOrderTypeID": "342223", | |
| "LastModifiedUser": "DBA_PATCH_20140816", | |
| "LastModifiedDate": { | |
| "Date": "2014-08-16T10:06:13.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "CreatedUser": "DBA_PATCH_20130823", | |
| "CID": "c5534" | |
| }, | |
| "PAMAScore": { | |
| "__CLASS__": "Athena::Order::Entity::PAMAScore", | |
| "VersionToken": -1, | |
| "CID": "c5535" | |
| }, | |
| "ClinicalProvider": { | |
| "VersionToken": -1, | |
| "FormatNameAddress": "Labcorp PSC: <br />1601 Trinity St Bldg A Ste 803, Austin TX 78701", | |
| "IsSchedulable": true, | |
| "Name": "Labcorp PSC", | |
| "ClinicalProviderReceiverID": "258", | |
| "KeepAsLocalFlag": "N", | |
| "PharmacyTypeName": "", | |
| "IsCoordinatorSvcDept": false, | |
| "ParentClinicalProviderID": "10811236", | |
| "ReceiverName": "LABCORP", | |
| "LastModifiedDate": "2023-06-09", | |
| "Address1": "1601 Trinity St", | |
| "State": "TX", | |
| "ContextID": "27370", | |
| "CreatedDate": { | |
| "Date": "2023-06-09T06:53:20.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "Address2": "Bldg A Ste 803", | |
| "TranslatedZip": "78701", | |
| "SpecimenSourceListID": "1", | |
| "ID": "14846828", | |
| "ReplacedByClinicalProviderID": "14846828", | |
| "Zip": "78701", | |
| "AcceptFax": "N", | |
| "IsPrescriptionQuantityRequired": true, | |
| "City": "Austin", | |
| "IsPersonEntity": false, | |
| "__CLASS__": "Athena::Entity::Clinical::Provider", | |
| "LastModifiedUser": "vbalasubramaniam", | |
| "CreatedUser": "vbalasubramaniam", | |
| "OrderFlowReceiverActiveDate": "2023-06-09", | |
| "CID": "c5536" | |
| }, | |
| "ChartDisplayDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "DisplayName": "comp. metabolic panel (14)-322000-P", | |
| "DefaultsFromID": "1381", | |
| "Priority": "2", | |
| "LocalClinicalLabTemplateID": null, | |
| "LastModifiedDate": { | |
| "Date": "2024-10-17T20:39:30.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "FHIRIDs": [], | |
| "ClassDescription": "order", | |
| "CreatedDate": { | |
| "Date": "2024-10-17T20:37:48.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "PayloadType": "ORDER", | |
| "EncounterDate": "2024-10-17", | |
| "Description": "CMP, serum or plasma", | |
| "NeedsProviderDelegateAck": null, | |
| "IsForeignCompendiumOrder": true, | |
| "Notifier": "ATHENA", | |
| "Source": "ENCOUNTER", | |
| "CreatedTimeStamp": "10/17/2024 04:37 PM", | |
| "DeniedDate": null, | |
| "DeniedUser": null, | |
| "ProviderBilledName": "SNEHA PATEL, DO", | |
| "ClinicalProviderCoordinatorStatus": "CORE", | |
| "PriorAuth": null, | |
| "DefaultsFromIDSource": "ORDERSET", | |
| "ClinicalProviderIsLocal": false, | |
| "SpecimenDrawLocation": "LAB", | |
| "OrderDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "SupervisingProviderID": "12", | |
| "ApprovedUser": null, | |
| "SpecialtyID": "008", | |
| "ParentOrderDocumentID": "108558", | |
| "ApprovedDate": null, | |
| "DocumentClassDescription": "order", | |
| "AlarmDays": "14", | |
| "BillingType": "INSURANCE", | |
| "DocumentationOnly": false, | |
| "ProviderUsername": "spatel808", | |
| "ID": "108558", | |
| "PatientID": "13910", | |
| "LastModifiedUser": "spatel808", | |
| "Route": "FAX", | |
| "CreatedEncounterID": "19179", | |
| "CreatedUser": "spatel808", | |
| "id": "108558", | |
| "isImmediatePriority": false, | |
| "ProviderQuestions": [ | |
| { | |
| "Options": [ | |
| { | |
| "QuestionID": "92630", | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Yes", | |
| "ID": "70988", | |
| "ExternalValue": "Y", | |
| "CID": "c5527" | |
| }, | |
| { | |
| "QuestionID": "92630", | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "No", | |
| "ID": "70989", | |
| "ExternalValue": "N", | |
| "CID": "c5528" | |
| } | |
| ], | |
| "IsMandatory": false, | |
| "VersionToken": "748606", | |
| "ExternalID": "FSTING", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Fasting", | |
| "StandardQuestionID": "124", | |
| "ID": "92630", | |
| "Type": "DROPDOWN", | |
| "CustomQuestionListID": "1516670", | |
| "DocumentID": "108558", | |
| "Ordering": "8", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "StaffQuestions": [], | |
| "FutureSubmitDate": null, | |
| "ClinicalProviderOrderTypeIsRequired": true, | |
| "Warnings": [], | |
| "CID": "c2228" | |
| }, | |
| { | |
| "ClinicalOrderType": { | |
| "Code": { | |
| "__CLASS__": "Athena::Entity::Code::LOINC", | |
| "Description": "Lipid 1996 panel - Serum or Plasma", | |
| "VersionToken": -1, | |
| "CodeSet": "LOINC", | |
| "Code": "24331-1", | |
| "CID": "c5706" | |
| }, | |
| "ClinicalOrderTypeGroup": { | |
| "IsOutpatient": true, | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "DocumentClass": "ORDER", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderTypeGroup", | |
| "Description": "Lab", | |
| "Name": "LAB", | |
| "ID": "11", | |
| "IsInpatient": true, | |
| "CID": "c5707" | |
| }, | |
| "IsDiscontinued": false, | |
| "VersionToken": -1, | |
| "ClinicalOrderGenusID": "80", | |
| "DefaultAlarmDays": "7", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderType", | |
| "IncomingDocumentClass": "LABRESULT", | |
| "Name": "lipid panel, serum", | |
| "ID": "342286", | |
| "OrderableFlag": "Y", | |
| "CID": "c5708" | |
| }, | |
| "AssignedTo": "spatel808", | |
| "Class": "ORDER", | |
| "Status": "REVIEW", | |
| "DiagnosisList": [ | |
| { | |
| "DiagnosisCode": { | |
| "__CLASS__": "Athena::Entity::Code::SNOMED", | |
| "Description": "Diabetes mellitus", | |
| "VersionToken": -1, | |
| "CodeSet": "SNOMED", | |
| "Code": "73211009", | |
| "CID": "c5701" | |
| }, | |
| "SnomedICDCodes": [ | |
| { | |
| "UnstrippedDiagnosisCode": "E11.9", | |
| "VersionToken": -1, | |
| "Code": "E119", | |
| "__CLASS__": "Athena::Entity::Code::ICD10", | |
| "Description": "Type 2 diabetes mellitus without complications", | |
| "CodeSet": "ICD10", | |
| "ICDCodeAllID": "348135", | |
| "CID": "c5700" | |
| } | |
| ], | |
| "SequenceNumber": "0", | |
| "DocumentID": "108559", | |
| "VersionToken": -1, | |
| "IMODiagnosisList": [], | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Diagnosis", | |
| "ID": "64985", | |
| "CID": "c5702" | |
| } | |
| ], | |
| "ChartID": "15883", | |
| "DepartmentID": "2", | |
| "EncounterID": "19179", | |
| "UIOrigin": "ax_order_set", | |
| "orderType": "lab", | |
| "PerformDateInput": "2024-10-17", | |
| "PerformDate": "2024-10-17", | |
| "VersionToken": "DOCUMENT:1154799", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest", | |
| "ShowRTOCheckbox": false, | |
| "ReturnToOffice": false, | |
| "ExternalCodes": [], | |
| "Questions": [ | |
| { | |
| "Options": [ | |
| { | |
| "QuestionID": "92631", | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Yes", | |
| "ID": "70990", | |
| "ExternalValue": "Y", | |
| "CID": "c5703" | |
| }, | |
| { | |
| "QuestionID": "92631", | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "No", | |
| "ID": "70991", | |
| "ExternalValue": "N", | |
| "CID": "c5704" | |
| } | |
| ], | |
| "IsMandatory": false, | |
| "VersionToken": "748607", | |
| "ExternalID": "FSTING", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Fasting", | |
| "StandardQuestionID": "124", | |
| "ID": "92631", | |
| "Type": "DROPDOWN", | |
| "CustomQuestionListID": "1516611", | |
| "DocumentID": "108559", | |
| "Ordering": "2", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "CCList": [], | |
| "AutoPublishExclusion": { | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::AutoPublishingExclusion", | |
| "VersionToken": -1, | |
| "CID": "c5709" | |
| }, | |
| "ClinicalProviderOrderType": { | |
| "ClinicalProviderID": "10811236", | |
| "CreatedDate": { | |
| "Date": "2013-08-23T06:13:10.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "ElectronicOrderCode": "221010", | |
| "VersionToken": -1, | |
| "ClinicalProviderLOINC": "24331-1", | |
| "IsOrderable": true, | |
| "UnmappableYN": false, | |
| "Name": "lipid panel w/ chol/HDL ratio-221010-P", | |
| "ID": "678997", | |
| "IsPreferredOrderCode": true, | |
| "DeletedUser": "DBA_PATCH_20130904", | |
| "__CLASS__": "Athena::Entity::Clinical::Provider::OrderType", | |
| "ClinicalOrderTypeID": "342286", | |
| "LastModifiedUser": "AUTOUP-20200624", | |
| "LastModifiedDate": { | |
| "Date": "2020-06-24T06:37:49.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "CreatedUser": "DBA_PATCH_20130823", | |
| "CID": "c5710" | |
| }, | |
| "PAMAScore": { | |
| "__CLASS__": "Athena::Order::Entity::PAMAScore", | |
| "VersionToken": -1, | |
| "CID": "c5711" | |
| }, | |
| "ClinicalProvider": { | |
| "VersionToken": -1, | |
| "FormatNameAddress": "Labcorp PSC: <br />1601 Trinity St Bldg A Ste 803, Austin TX 78701", | |
| "IsSchedulable": true, | |
| "Name": "Labcorp PSC", | |
| "ClinicalProviderReceiverID": "258", | |
| "KeepAsLocalFlag": "N", | |
| "PharmacyTypeName": "", | |
| "IsCoordinatorSvcDept": false, | |
| "ParentClinicalProviderID": "10811236", | |
| "ReceiverName": "LABCORP", | |
| "LastModifiedDate": "2023-06-09", | |
| "Address1": "1601 Trinity St", | |
| "State": "TX", | |
| "ContextID": "27370", | |
| "CreatedDate": { | |
| "Date": "2023-06-09T06:53:20.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "Address2": "Bldg A Ste 803", | |
| "TranslatedZip": "78701", | |
| "SpecimenSourceListID": "1", | |
| "ID": "14846828", | |
| "ReplacedByClinicalProviderID": "14846828", | |
| "Zip": "78701", | |
| "AcceptFax": "N", | |
| "IsPrescriptionQuantityRequired": true, | |
| "City": "Austin", | |
| "IsPersonEntity": false, | |
| "__CLASS__": "Athena::Entity::Clinical::Provider", | |
| "LastModifiedUser": "vbalasubramaniam", | |
| "CreatedUser": "vbalasubramaniam", | |
| "OrderFlowReceiverActiveDate": "2023-06-09", | |
| "CID": "c5712" | |
| }, | |
| "ChartDisplayDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "DisplayName": "lipid panel w/ chol/HDL ratio-221010-P", | |
| "DefaultsFromID": "1381", | |
| "Priority": "2", | |
| "LocalClinicalLabTemplateID": null, | |
| "LastModifiedDate": { | |
| "Date": "2024-10-17T20:39:31.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "FHIRIDs": [], | |
| "ClassDescription": "order", | |
| "CreatedDate": { | |
| "Date": "2024-10-17T20:37:48.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "PayloadType": "ORDER", | |
| "EncounterDate": "2024-10-17", | |
| "Description": "lipid panel, serum", | |
| "NeedsProviderDelegateAck": null, | |
| "IsForeignCompendiumOrder": true, | |
| "Notifier": "ATHENA", | |
| "Source": "ENCOUNTER", | |
| "CreatedTimeStamp": "10/17/2024 04:37 PM", | |
| "DeniedDate": null, | |
| "DeniedUser": null, | |
| "ProviderBilledName": "SNEHA PATEL, DO", | |
| "ClinicalProviderCoordinatorStatus": "CORE", | |
| "PriorAuth": null, | |
| "DefaultsFromIDSource": "ORDERSET", | |
| "ClinicalProviderIsLocal": false, | |
| "SpecimenDrawLocation": "LAB", | |
| "OrderDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "SupervisingProviderID": "12", | |
| "ApprovedUser": null, | |
| "SpecialtyID": "008", | |
| "ParentOrderDocumentID": "108559", | |
| "ApprovedDate": null, | |
| "DocumentClassDescription": "order", | |
| "AlarmDays": "14", | |
| "BillingType": "INSURANCE", | |
| "DocumentationOnly": false, | |
| "ProviderUsername": "spatel808", | |
| "ID": "108559", | |
| "PatientID": "13910", | |
| "LastModifiedUser": "spatel808", | |
| "Route": "FAX", | |
| "CreatedEncounterID": "19179", | |
| "CreatedUser": "spatel808", | |
| "id": "108559", | |
| "isImmediatePriority": false, | |
| "ProviderQuestions": [ | |
| { | |
| "Options": [ | |
| { | |
| "QuestionID": "92631", | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Yes", | |
| "ID": "70990", | |
| "ExternalValue": "Y", | |
| "CID": "c5703" | |
| }, | |
| { | |
| "QuestionID": "92631", | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "No", | |
| "ID": "70991", | |
| "ExternalValue": "N", | |
| "CID": "c5704" | |
| } | |
| ], | |
| "IsMandatory": false, | |
| "VersionToken": "748607", | |
| "ExternalID": "FSTING", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Fasting", | |
| "StandardQuestionID": "124", | |
| "ID": "92631", | |
| "Type": "DROPDOWN", | |
| "CustomQuestionListID": "1516611", | |
| "DocumentID": "108559", | |
| "Ordering": "2", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "StaffQuestions": [], | |
| "FutureSubmitDate": null, | |
| "ClinicalProviderOrderTypeIsRequired": true, | |
| "Warnings": [], | |
| "CID": "c2233" | |
| }, | |
| { | |
| "ClinicalOrderType": { | |
| "Code": { | |
| "__CLASS__": "Athena::Entity::Code::LOINC", | |
| "Description": "Hemoglobin A1c/Hemoglobin.total in Blood", | |
| "VersionToken": -1, | |
| "CodeSet": "LOINC", | |
| "Code": "4548-4", | |
| "CID": "c5872" | |
| }, | |
| "ClinicalOrderTypeGroup": { | |
| "IsOutpatient": true, | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "DocumentClass": "ORDER", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderTypeGroup", | |
| "Description": "Lab", | |
| "Name": "LAB", | |
| "ID": "11", | |
| "IsInpatient": true, | |
| "CID": "c5873" | |
| }, | |
| "IsDiscontinued": false, | |
| "VersionToken": -1, | |
| "ClinicalOrderGenusID": "214", | |
| "DefaultAlarmDays": "7", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderType", | |
| "IncomingDocumentClass": "LABRESULT", | |
| "Name": "HbA1c (hemoglobin A1c), blood", | |
| "ID": "342104", | |
| "OrderableFlag": "Y", | |
| "CID": "c5874" | |
| }, | |
| "AssignedTo": "spatel808", | |
| "Class": "ORDER", | |
| "Status": "REVIEW", | |
| "DiagnosisList": [ | |
| { | |
| "DiagnosisCode": { | |
| "__CLASS__": "Athena::Entity::Code::SNOMED", | |
| "Description": "Diabetes mellitus", | |
| "VersionToken": -1, | |
| "CodeSet": "SNOMED", | |
| "Code": "73211009", | |
| "CID": "c5870" | |
| }, | |
| "SnomedICDCodes": [ | |
| { | |
| "UnstrippedDiagnosisCode": "E11.9", | |
| "VersionToken": -1, | |
| "Code": "E119", | |
| "__CLASS__": "Athena::Entity::Code::ICD10", | |
| "Description": "Type 2 diabetes mellitus without complications", | |
| "CodeSet": "ICD10", | |
| "ICDCodeAllID": "348135", | |
| "CID": "c5869" | |
| } | |
| ], | |
| "SequenceNumber": "0", | |
| "DocumentID": "108560", | |
| "VersionToken": -1, | |
| "IMODiagnosisList": [], | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Diagnosis", | |
| "ID": "64986", | |
| "CID": "c5871" | |
| } | |
| ], | |
| "ChartID": "15883", | |
| "DepartmentID": "2", | |
| "EncounterID": "19179", | |
| "UIOrigin": "ax_order_set", | |
| "orderType": "lab", | |
| "PerformDateInput": "2024-10-17", | |
| "PerformDate": "2024-10-17", | |
| "VersionToken": "DOCUMENT:1154801", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest", | |
| "ShowRTOCheckbox": false, | |
| "ReturnToOffice": false, | |
| "ExternalCodes": [], | |
| "Questions": [], | |
| "CCList": [], | |
| "AutoPublishExclusion": { | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::AutoPublishingExclusion", | |
| "VersionToken": -1, | |
| "CID": "c5875" | |
| }, | |
| "ClinicalProviderOrderType": { | |
| "ClinicalProviderID": "10811236", | |
| "CreatedDate": { | |
| "Date": "2013-08-23T06:07:21.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "ElectronicOrderCode": "001453", | |
| "VersionToken": -1, | |
| "ClinicalProviderLOINC": "4548-4", | |
| "IsOrderable": true, | |
| "UnmappableYN": false, | |
| "Name": "hemoglobin A1C-001453-P", | |
| "ID": "604502", | |
| "IsPreferredOrderCode": true, | |
| "DeletedUser": "DBA_PATCH_20130904", | |
| "__CLASS__": "Athena::Entity::Clinical::Provider::OrderType", | |
| "ClinicalOrderTypeID": "342104", | |
| "LastModifiedUser": "AUTOUP-20191106", | |
| "LastModifiedDate": { | |
| "Date": "2019-11-06T07:37:44.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "CreatedUser": "DBA_PATCH_20130823", | |
| "CID": "c5876" | |
| }, | |
| "PAMAScore": { | |
| "__CLASS__": "Athena::Order::Entity::PAMAScore", | |
| "VersionToken": -1, | |
| "CID": "c5877" | |
| }, | |
| "ClinicalProvider": { | |
| "VersionToken": -1, | |
| "FormatNameAddress": "Labcorp PSC: <br />1601 Trinity St Bldg A Ste 803, Austin TX 78701", | |
| "IsSchedulable": true, | |
| "Name": "Labcorp PSC", | |
| "ClinicalProviderReceiverID": "258", | |
| "KeepAsLocalFlag": "N", | |
| "PharmacyTypeName": "", | |
| "IsCoordinatorSvcDept": false, | |
| "ParentClinicalProviderID": "10811236", | |
| "ReceiverName": "LABCORP", | |
| "LastModifiedDate": "2023-06-09", | |
| "Address1": "1601 Trinity St", | |
| "State": "TX", | |
| "ContextID": "27370", | |
| "CreatedDate": { | |
| "Date": "2023-06-09T06:53:20.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "Address2": "Bldg A Ste 803", | |
| "TranslatedZip": "78701", | |
| "SpecimenSourceListID": "1", | |
| "ID": "14846828", | |
| "ReplacedByClinicalProviderID": "14846828", | |
| "Zip": "78701", | |
| "AcceptFax": "N", | |
| "IsPrescriptionQuantityRequired": true, | |
| "City": "Austin", | |
| "IsPersonEntity": false, | |
| "__CLASS__": "Athena::Entity::Clinical::Provider", | |
| "LastModifiedUser": "vbalasubramaniam", | |
| "CreatedUser": "vbalasubramaniam", | |
| "OrderFlowReceiverActiveDate": "2023-06-09", | |
| "CID": "c5878" | |
| }, | |
| "ChartDisplayDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "DisplayName": "hemoglobin A1C-001453-P", | |
| "DefaultsFromID": "1381", | |
| "Priority": "2", | |
| "LocalClinicalLabTemplateID": null, | |
| "LastModifiedDate": { | |
| "Date": "2024-10-17T20:39:32.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "FHIRIDs": [], | |
| "ClassDescription": "order", | |
| "CreatedDate": { | |
| "Date": "2024-10-17T20:37:48.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "PayloadType": "ORDER", | |
| "EncounterDate": "2024-10-17", | |
| "Description": "HbA1c (hemoglobin A1c), blood", | |
| "NeedsProviderDelegateAck": null, | |
| "IsForeignCompendiumOrder": true, | |
| "Notifier": "ATHENA", | |
| "Source": "ENCOUNTER", | |
| "CreatedTimeStamp": "10/17/2024 04:37 PM", | |
| "DeniedDate": null, | |
| "DeniedUser": null, | |
| "ProviderBilledName": "SNEHA PATEL, DO", | |
| "ClinicalProviderCoordinatorStatus": "CORE", | |
| "PriorAuth": null, | |
| "DefaultsFromIDSource": "ORDERSET", | |
| "ClinicalProviderIsLocal": false, | |
| "SpecimenDrawLocation": "LAB", | |
| "OrderDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "SupervisingProviderID": "12", | |
| "ApprovedUser": null, | |
| "SpecialtyID": "008", | |
| "ParentOrderDocumentID": "108560", | |
| "ApprovedDate": null, | |
| "DocumentClassDescription": "order", | |
| "AlarmDays": "14", | |
| "BillingType": "INSURANCE", | |
| "DocumentationOnly": false, | |
| "ProviderUsername": "spatel808", | |
| "ID": "108560", | |
| "PatientID": "13910", | |
| "LastModifiedUser": "spatel808", | |
| "Route": "FAX", | |
| "CreatedEncounterID": "19179", | |
| "CreatedUser": "spatel808", | |
| "id": "108560", | |
| "isImmediatePriority": false, | |
| "ProviderQuestions": [], | |
| "StaffQuestions": [], | |
| "FutureSubmitDate": null, | |
| "ClinicalProviderOrderTypeIsRequired": true, | |
| "Warnings": [], | |
| "CID": "c2238" | |
| }, | |
| { | |
| "ClinicalOrderType": { | |
| "ClinicalOrderTypeGroup": { | |
| "IsOutpatient": true, | |
| "Ordering": "8", | |
| "VersionToken": -1, | |
| "DocumentClass": "DME", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderTypeGroup", | |
| "Description": "DME", | |
| "Name": "DME", | |
| "ID": "19", | |
| "IsInpatient": false, | |
| "CID": "c6032" | |
| }, | |
| "OrderCode": "611411", | |
| "VersionToken": -1, | |
| "OrderCodeType": "FDB_MEDID", | |
| "ClinicalOrderGenusID": "161", | |
| "IsDiscontinued": false, | |
| "__CLASS__": "Athena::Entity::Clinical::OrderType", | |
| "Name": "FreeStyle Libre 3 Sensor device", | |
| "ID": "494662", | |
| "CID": "c6033" | |
| }, | |
| "AssignedTo": "spatel808", | |
| "Class": "DME", | |
| "Status": "REVIEW", | |
| "DiagnosisList": [ | |
| { | |
| "DiagnosisCode": { | |
| "__CLASS__": "Athena::Entity::Code::SNOMED", | |
| "Description": "Diabetes mellitus", | |
| "VersionToken": -1, | |
| "CodeSet": "SNOMED", | |
| "Code": "73211009", | |
| "CID": "c6013" | |
| }, | |
| "SnomedICDCodes": [ | |
| { | |
| "UnstrippedDiagnosisCode": "E11.9", | |
| "VersionToken": -1, | |
| "Code": "E119", | |
| "__CLASS__": "Athena::Entity::Code::ICD10", | |
| "Description": "Type 2 diabetes mellitus without complications", | |
| "CodeSet": "ICD10", | |
| "ICDCodeAllID": "348135", | |
| "CID": "c6012" | |
| } | |
| ], | |
| "SequenceNumber": "0", | |
| "DocumentID": "108561", | |
| "VersionToken": -1, | |
| "IMODiagnosisList": [], | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Diagnosis", | |
| "ID": "64987", | |
| "CID": "c6014" | |
| } | |
| ], | |
| "ChartID": "15883", | |
| "DepartmentID": "2", | |
| "EncounterID": "19179", | |
| "UIOrigin": "ax_order_set", | |
| "orderType": "dme", | |
| "PerformDateInput": "2024-10-17", | |
| "PerformDate": "2024-10-17", | |
| "VersionToken": "CLINICALDME:462011;DOCUMENT:1154803", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::DME", | |
| "ShowRTOCheckbox": false, | |
| "ReturnToOffice": false, | |
| "Quantity": { | |
| "Unit": { | |
| "Name": "UNKNOWN UNIT", | |
| "UnitsProduct": { | |
| "UNKNOWN UNIT": 1 | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "CID": "c6031" | |
| }, | |
| "Ratio": 1, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6029" | |
| }, | |
| "ExternalCodes": [], | |
| "Questions": [ | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748608", | |
| "ResponderRole": "STAFF", | |
| "Name": "Date Needed", | |
| "StandardQuestionID": "3246", | |
| "ID": "92632", | |
| "Type": "DATE", | |
| "DocumentID": "108561", | |
| "Ordering": "0", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748609", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Duration / Estimated Length of Need", | |
| "StandardQuestionID": "432", | |
| "ID": "92633", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "1", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748610", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Side", | |
| "StandardQuestionID": "45", | |
| "ID": "92634", | |
| "Type": "RIGHTLEFTBILATERALNULL", | |
| "DocumentID": "108561", | |
| "Ordering": "2", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748611", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Size", | |
| "StandardQuestionID": "607", | |
| "ID": "92635", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "3", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748612", | |
| "ResponderRole": "STAFF", | |
| "Name": "Part number", | |
| "StandardQuestionID": "4304", | |
| "ID": "92636", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "4", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748613", | |
| "ResponderRole": "STAFF", | |
| "Name": "Supply Replacement Duration", | |
| "StandardQuestionID": "619", | |
| "ID": "92637", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "5", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748614", | |
| "ResponderRole": "STAFF", | |
| "Name": "HCPCS code", | |
| "StandardQuestionID": "2471", | |
| "ID": "92638", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "6", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748615", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Quantity", | |
| "StandardQuestionID": "1345", | |
| "ID": "92639", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "7", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748616", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "This DME is medically necessary due to", | |
| "StandardQuestionID": "3249", | |
| "ID": "92640", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "8", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748617", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Setting", | |
| "StandardQuestionID": "606", | |
| "ID": "92641", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "9", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [ | |
| { | |
| "QuestionID": "92642", | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Purchase", | |
| "ID": "70992", | |
| "CID": "c6025" | |
| }, | |
| { | |
| "QuestionID": "92642", | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Rental", | |
| "ID": "70993", | |
| "CID": "c6026" | |
| } | |
| ], | |
| "IsMandatory": false, | |
| "VersionToken": "748618", | |
| "ResponderRole": "STAFF", | |
| "Name": "Purchase or rental?", | |
| "StandardQuestionID": "3942", | |
| "ID": "92642", | |
| "Type": "DROPDOWN", | |
| "DocumentID": "108561", | |
| "Ordering": "10", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748619", | |
| "ResponderRole": "STAFF", | |
| "Name": "Heated?", | |
| "StandardQuestionID": "4483", | |
| "ID": "92643", | |
| "Type": "YESNONULL", | |
| "DocumentID": "108561", | |
| "Ordering": "11", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "CCList": [], | |
| "AutoPublishExclusion": { | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::AutoPublishingExclusion", | |
| "VersionToken": -1, | |
| "CID": "c6034" | |
| }, | |
| "PAMAScore": { | |
| "__CLASS__": "Athena::Order::Entity::PAMAScore", | |
| "VersionToken": -1, | |
| "CID": "c6035" | |
| }, | |
| "ClinicalProvider": { | |
| "TranslatedFaxNumber": "9185156171", | |
| "VersionToken": -1, | |
| "FormatNameAddress": "Connect Dme: <br />4425 E 31st St Ste 300, Tulsa OK 74135, Ph (918) 600-5799, Fax (918) 515-6171", | |
| "Name": "Connect Dme", | |
| "PhoneNumber": "(918) 600-5799", | |
| "KeepAsLocalFlag": "N", | |
| "PharmacyTypeName": "", | |
| "TranslatedPhoneNumber": "9186005799", | |
| "LastModifiedDate": "2024-05-22", | |
| "Address1": "4425 E 31st St", | |
| "State": "OK", | |
| "CreatedDate": { | |
| "Date": "2023-06-06T15:26:50.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "Address2": "Ste 300", | |
| "TranslatedZip": "74135", | |
| "SpecimenSourceListID": "1", | |
| "ID": "14843396", | |
| "ReplacedByClinicalProviderID": "14843396", | |
| "Zip": "74135", | |
| "FaxPhoneNumber": "(918) 515-6171", | |
| "AcceptFax": "Y", | |
| "IsPrescriptionQuantityRequired": true, | |
| "City": "Tulsa", | |
| "IsPersonEntity": false, | |
| "__CLASS__": "Athena::Entity::Clinical::Provider", | |
| "LastModifiedUser": "melumalai2", | |
| "CreatedUser": "smalaisamy2", | |
| "CID": "c6036" | |
| }, | |
| "ChartDisplayDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "TextConsent": true, | |
| "ClinicalDMEId": "8363", | |
| "DisplayName": "FreeStyle Libre 3 Sensor device", | |
| "DefaultsFromID": "1381", | |
| "NoteToClinicalProvider": "as directed", | |
| "_QuantityValue": "1", | |
| "Priority": "2", | |
| "LocalClinicalLabTemplateID": null, | |
| "LastModifiedDate": { | |
| "Date": "2024-10-17T20:39:33.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "FHIRIDs": [], | |
| "ClassDescription": "durable medical equipment", | |
| "PayloadType": "ORDER", | |
| "CreatedDate": { | |
| "Date": "2024-10-17T20:37:48.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "EncounterDate": "2024-10-17", | |
| "Description": "FreeStyle Libre 3 Sensor device", | |
| "NeedsProviderDelegateAck": null, | |
| "IsForeignCompendiumOrder": false, | |
| "Notifier": "ATHENA", | |
| "Source": "ENCOUNTER", | |
| "CreatedTimeStamp": "10/17/2024 04:37 PM", | |
| "DeniedDate": null, | |
| "DeniedUser": null, | |
| "FutureSubmitDate": "2024-10-17", | |
| "ProviderBilledName": "SNEHA PATEL, DO", | |
| "RefillsAllowed": "0", | |
| "PriorAuth": null, | |
| "DefaultsFromIDSource": "ORDERSET", | |
| "ClinicalProviderIsLocal": false, | |
| "OrderDate": { | |
| "Date": "2024-10-17T20:37:47.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "SupervisingProviderID": "12", | |
| "ApprovedUser": null, | |
| "UnstructuredSig": "Use as directed.", | |
| "SpecialtyID": "008", | |
| "ParentOrderDocumentID": "108561", | |
| "ApprovedDate": null, | |
| "QuantityUnitDefault": "UNKNOWN UNIT", | |
| "DocumentClassDescription": "durable medical equipment", | |
| "AlarmDays": "7", | |
| "DocumentationOnly": false, | |
| "ProviderUsername": "spatel808", | |
| "ID": "108561", | |
| "IsQuantityDefaulted": true, | |
| "IsDispenseAsWritten": false, | |
| "PatientID": "13910", | |
| "LastModifiedUser": "spatel808", | |
| "Route": "FAX", | |
| "CreatedEncounterID": "19179", | |
| "OrderingMode": "PRESCRIBE", | |
| "TextConsentIsNull": false, | |
| "CreatedUser": "spatel808", | |
| "id": "108561", | |
| "isImmediatePriority": false, | |
| "ProviderQuestions": [ | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748609", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Duration / Estimated Length of Need", | |
| "StandardQuestionID": "432", | |
| "ID": "92633", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "1", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748610", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Side", | |
| "StandardQuestionID": "45", | |
| "ID": "92634", | |
| "Type": "RIGHTLEFTBILATERALNULL", | |
| "DocumentID": "108561", | |
| "Ordering": "2", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748611", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Size", | |
| "StandardQuestionID": "607", | |
| "ID": "92635", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "3", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748615", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Quantity", | |
| "StandardQuestionID": "1345", | |
| "ID": "92639", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "7", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748616", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "This DME is medically necessary due to", | |
| "StandardQuestionID": "3249", | |
| "ID": "92640", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "8", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748617", | |
| "ResponderRole": "PROVIDER", | |
| "Name": "Setting", | |
| "StandardQuestionID": "606", | |
| "ID": "92641", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "9", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "StaffQuestions": [ | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748608", | |
| "ResponderRole": "STAFF", | |
| "Name": "Date Needed", | |
| "StandardQuestionID": "3246", | |
| "ID": "92632", | |
| "Type": "DATE", | |
| "DocumentID": "108561", | |
| "Ordering": "0", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748612", | |
| "ResponderRole": "STAFF", | |
| "Name": "Part number", | |
| "StandardQuestionID": "4304", | |
| "ID": "92636", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "4", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748613", | |
| "ResponderRole": "STAFF", | |
| "Name": "Supply Replacement Duration", | |
| "StandardQuestionID": "619", | |
| "ID": "92637", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "5", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748614", | |
| "ResponderRole": "STAFF", | |
| "Name": "HCPCS code", | |
| "StandardQuestionID": "2471", | |
| "ID": "92638", | |
| "Type": "TEXT", | |
| "DocumentID": "108561", | |
| "Ordering": "6", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [ | |
| { | |
| "QuestionID": "92642", | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Purchase", | |
| "ID": "70992", | |
| "CID": "c6025" | |
| }, | |
| { | |
| "QuestionID": "92642", | |
| "Ordering": "2", | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question::Option", | |
| "Value": "Rental", | |
| "ID": "70993", | |
| "CID": "c6026" | |
| } | |
| ], | |
| "IsMandatory": false, | |
| "VersionToken": "748618", | |
| "ResponderRole": "STAFF", | |
| "Name": "Purchase or rental?", | |
| "StandardQuestionID": "3942", | |
| "ID": "92642", | |
| "Type": "DROPDOWN", | |
| "DocumentID": "108561", | |
| "Ordering": "10", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| }, | |
| { | |
| "Options": [], | |
| "IsMandatory": false, | |
| "VersionToken": "748619", | |
| "ResponderRole": "STAFF", | |
| "Name": "Heated?", | |
| "StandardQuestionID": "4483", | |
| "ID": "92643", | |
| "Type": "YESNONULL", | |
| "DocumentID": "108561", | |
| "Ordering": "11", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Question", | |
| "ExternalValue": null | |
| } | |
| ], | |
| "IsPrescribe": true, | |
| "IsDispense": false, | |
| "Warnings": [], | |
| "CID": "c2243" | |
| }, | |
| { | |
| "ClinicalOrderType": { | |
| "ClinicalOrderTypeGroup": { | |
| "IsOutpatient": true, | |
| "Ordering": "1", | |
| "VersionToken": -1, | |
| "DocumentClass": "PRESCRIPTION", | |
| "__CLASS__": "Athena::Entity::Clinical::OrderTypeGroup", | |
| "Description": "Prescription", | |
| "Name": "PRESCRIPTION", | |
| "ID": "10", | |
| "IsInpatient": false, | |
| "CID": "c6127" | |
| }, | |
| "OrderCode": "241223", | |
| "VersionToken": -1, | |
| "OrderCodeType": "FDB_MEDID", | |
| "IsDiscontinued": false, | |
| "__CLASS__": "Athena::Entity::Clinical::OrderType", | |
| "Name": "metformin 1,000 mg tablet", | |
| "ID": "207043", | |
| "CID": "c6128" | |
| }, | |
| "AssignedTo": "spatel808", | |
| "Class": "PRESCRIPTION", | |
| "Status": "REVIEW", | |
| "DiagnosisList": [ | |
| { | |
| "DiagnosisCode": { | |
| "__CLASS__": "Athena::Entity::Code::SNOMED", | |
| "Description": "Diabetes mellitus", | |
| "VersionToken": -1, | |
| "CodeSet": "SNOMED", | |
| "Code": "73211009", | |
| "CID": "c6107" | |
| }, | |
| "SnomedICDCodes": [ | |
| { | |
| "UnstrippedDiagnosisCode": "E11.9", | |
| "VersionToken": -1, | |
| "Code": "E119", | |
| "__CLASS__": "Athena::Entity::Code::ICD10", | |
| "Description": "Type 2 diabetes mellitus without complications", | |
| "CodeSet": "ICD10", | |
| "ICDCodeAllID": "348135", | |
| "CID": "c6106" | |
| } | |
| ], | |
| "SequenceNumber": "0", | |
| "DocumentID": "108571", | |
| "VersionToken": -1, | |
| "IMODiagnosisList": [], | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Diagnosis", | |
| "ID": "64989", | |
| "CID": "c6108" | |
| } | |
| ], | |
| "ChartID": "15883", | |
| "DepartmentID": "2", | |
| "EncounterID": "19179", | |
| "UIOrigin": "ax_diagnosis_search", | |
| "IsForeignCompendiumOrder": false, | |
| "orderType": "prescription", | |
| "PerformDateInput": "2024-10-17", | |
| "PerformDate": "2024-10-17", | |
| "IsPrescribe": true, | |
| "IsAdminister": false, | |
| "IsDispense": false, | |
| "VersionToken": "CLINICALPRESCRIPTION:831281;DOCUMENT:1154805", | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::Prescription", | |
| "ShowRTOCheckbox": false, | |
| "ReturnToOffice": false, | |
| "IsEPAAllowed": false, | |
| "IsRefillable": true, | |
| "DosageDuration": { | |
| "Unit": { | |
| "Name": "day", | |
| "UnitsProduct": { | |
| "day": 1 | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "CID": "c6111" | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6109" | |
| }, | |
| "DosageFrequency": { | |
| "Unit": { | |
| "Name": "per day", | |
| "UnitsProduct": { | |
| "per day": 1 | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "CID": "c6114" | |
| }, | |
| "Ratio": 1, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6112" | |
| }, | |
| "DosageQuantity": { | |
| "Unit": { | |
| "Name": "tablet(s)", | |
| "UnitsProduct": { | |
| "tablet(s)": 1 | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "CID": "c6117" | |
| }, | |
| "Ratio": 1, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6115" | |
| }, | |
| "Quantity": { | |
| "Unit": { | |
| "Name": "tablet", | |
| "UnitsProduct": { | |
| "tablet": 1 | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "CID": "c6126" | |
| }, | |
| "Ratio": 90, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6124" | |
| }, | |
| "ExternalCodes": [], | |
| "Questions": [], | |
| "CCList": [], | |
| "PatientWeight": { | |
| "Unit": { | |
| "Name": "kg", | |
| "UnitsProduct": { | |
| "kg": 1 | |
| }, | |
| "BasicDimension": "weight", | |
| "RequiresNonLinearConversion": 0, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit::Base", | |
| "CID": "c6120" | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6118" | |
| }, | |
| "WeightBasedResult": { | |
| "Unit": { | |
| "Name": "tablet(s)", | |
| "UnitsProduct": { | |
| "tablet(s)": 1 | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "CID": "c6123" | |
| }, | |
| "VersionToken": -1, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "CID": "c6121" | |
| }, | |
| "AutoPublishExclusion": { | |
| "__CLASS__": "Athena::Order::Entity::OrderRequest::AutoPublishingExclusion", | |
| "VersionToken": -1, | |
| "CID": "c6129" | |
| }, | |
| "PAMAScore": { | |
| "__CLASS__": "Athena::Order::Entity::PAMAScore", | |
| "VersionToken": -1, | |
| "CID": "c6130" | |
| }, | |
| "Medication": { | |
| "CombinationMedComponentData": [], | |
| "DosageRanges": [ | |
| { | |
| "_HighDoseCheckUnit": "mg", | |
| "LowAge": "2190", | |
| "HighAge": "2919", | |
| "VersionToken": -1, | |
| "_HighDoseCheckValue": "2000", | |
| "DiagnosisCode": { | |
| "VersionToken": -1, | |
| "Code": "DEFAULTDIAGNOSIS" | |
| }, | |
| "_LowDoseCheckValue": "200", | |
| "_MaxDoseCheckValue": "2000", | |
| "_LowDoseCheckUnit": "mg", | |
| "_MaxDoseCheckUnit": "mg" | |
| }, | |
| { | |
| "_HighDoseCheckUnit": "mg", | |
| "LowAge": "2920", | |
| "HighAge": "6204", | |
| "VersionToken": -1, | |
| "_HighDoseCheckValue": "2000", | |
| "DiagnosisCode": { | |
| "VersionToken": -1, | |
| "Code": "DEFAULTDIAGNOSIS" | |
| }, | |
| "_LowDoseCheckValue": "200", | |
| "_MaxDoseCheckValue": "2000", | |
| "_LowDoseCheckUnit": "mg", | |
| "_MaxDoseCheckUnit": "mg" | |
| }, | |
| { | |
| "_HighDoseCheckUnit": "mg", | |
| "LowAge": "6205", | |
| "HighAge": "6569", | |
| "VersionToken": -1, | |
| "_HighDoseCheckValue": "2550", | |
| "DiagnosisCode": { | |
| "VersionToken": -1, | |
| "Code": "DEFAULTDIAGNOSIS" | |
| }, | |
| "_LowDoseCheckValue": "500", | |
| "_MaxDoseCheckValue": "2550", | |
| "_LowDoseCheckUnit": "mg", | |
| "_MaxDoseCheckUnit": "mg" | |
| }, | |
| { | |
| "_HighDoseCheckUnit": "mg", | |
| "LowAge": "6570", | |
| "HighAge": "40150", | |
| "VersionToken": -1, | |
| "_HighDoseCheckValue": "2550", | |
| "DiagnosisCode": { | |
| "VersionToken": -1, | |
| "Code": "DEFAULTDIAGNOSIS" | |
| }, | |
| "_LowDoseCheckValue": "500", | |
| "_MaxDoseCheckValue": "3000", | |
| "_LowDoseCheckUnit": "mg", | |
| "_MaxDoseCheckUnit": "mg" | |
| } | |
| ], | |
| "DefaultUnstructuredSig": "TAKE 1 TABLET (1,000 MG) BY ORAL ROUTE 2 TIMES PER DAY WITH MORNING AND EVENING MEALS", | |
| "ClinicalOrderTypeGroupName": "PRESCRIPTION", | |
| "VersionToken": -1, | |
| "_DefaultQuantityValue": null, | |
| "WeightBasedDosageUnitOptions": { | |
| "mg": { | |
| "IsConstant": 0, | |
| "Dimension": { | |
| "weight": 0 | |
| }, | |
| "VersionToken": -1, | |
| "UnitsProduct": { | |
| "kg": -1, | |
| "mg": 1 | |
| }, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit", | |
| "RequiresNonLinearConversion": false, | |
| "Name": "mg/kg", | |
| "CID": "c6131" | |
| } | |
| }, | |
| "EpocratesDrugID": "788", | |
| "DosedProductName": "metformin 1,000 mg tablet", | |
| "_DefaultDosageQuantityUnit": "tablet(s)", | |
| "_DefaultQuantityUnit": null, | |
| "IsDiscontinued": false, | |
| "NDCs": { | |
| "63629850301": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-8503-1", | |
| "NDC10": "6362985031" | |
| }, | |
| "23155084310": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-843-10", | |
| "NDC10": "2315584310" | |
| }, | |
| "70934076090": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "DENTON PHARMA I", | |
| "FORMATTEDNDC": "70934-760-90", | |
| "NDC10": "7093476090" | |
| }, | |
| "60760049760": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "ST MARYS MPP", | |
| "FORMATTEDNDC": "60760-497-60", | |
| "NDC10": "6076049760" | |
| }, | |
| "71610022145": { | |
| "PACKAGEFORM": "bottle(s) of 45", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-45", | |
| "NDC10": "7161022145" | |
| }, | |
| "50090650705": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6507-5", | |
| "NDC10": "5009065075" | |
| }, | |
| "10544094790": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "BLENHEIM PHARMA", | |
| "FORMATTEDNDC": "10544-947-90", | |
| "NDC10": "1054494790" | |
| }, | |
| "23155010410": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-104-10", | |
| "NDC10": "2315510410" | |
| }, | |
| "50090357900": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-3579-0", | |
| "NDC10": "5009035790" | |
| }, | |
| "71717010611": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "MEGALITH PHARMA", | |
| "FORMATTEDNDC": "71717-106-11", | |
| "NDC10": "7171710611" | |
| }, | |
| "43063088990": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "43063-889-90", | |
| "NDC10": "4306388990" | |
| }, | |
| "61919039790": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "61919-397-90", | |
| "NDC10": "6191939790" | |
| }, | |
| "62135068405": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "CHARTWELL RX LL", | |
| "FORMATTEDNDC": "62135-684-05", | |
| "NDC10": "6213568405" | |
| }, | |
| "71610022153": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-53", | |
| "NDC10": "7161022153" | |
| }, | |
| "50228010705": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "SCIEGEN PHARMAC", | |
| "FORMATTEDNDC": "50228-107-05", | |
| "NDC10": "5022810705" | |
| }, | |
| "35356088630": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "QUALITY CARE", | |
| "FORMATTEDNDC": "35356-886-30", | |
| "NDC10": "3535688630" | |
| }, | |
| "71335128903": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1289-3", | |
| "NDC10": "7133512893" | |
| }, | |
| "71093013404": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "ACI HEALTHCARE", | |
| "FORMATTEDNDC": "71093-134-04", | |
| "NDC10": "7109313404" | |
| }, | |
| "43353009880": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-098-80", | |
| "NDC10": "4335309880" | |
| }, | |
| "60760049790": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "ST MARYS MPP", | |
| "FORMATTEDNDC": "60760-497-90", | |
| "NDC10": "6076049790" | |
| }, | |
| "71335183300": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-0", | |
| "NDC10": "7133518330" | |
| }, | |
| "63629139703": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-1397-3", | |
| "NDC10": "6362913973" | |
| }, | |
| "69367038310": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "WESTMINSTER PHA", | |
| "FORMATTEDNDC": "69367-383-10", | |
| "NDC10": "6936738310" | |
| }, | |
| "71205088464": { | |
| "PACKAGEFORM": "bottle(s) of 240", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-64", | |
| "NDC10": "7120588464" | |
| }, | |
| "43063088960": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "43063-889-60", | |
| "NDC10": "4306388960" | |
| }, | |
| "70010006501": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "GRANULES PHARMA", | |
| "FORMATTEDNDC": "70010-065-01", | |
| "NDC10": "7001006501" | |
| }, | |
| "61919039760": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "61919-397-60", | |
| "NDC10": "6191939760" | |
| }, | |
| "71205088455": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-55", | |
| "NDC10": "7120588455" | |
| }, | |
| "60429011318": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "GSMS, INC.", | |
| "FORMATTEDNDC": "60429-113-18", | |
| "NDC10": "6042911318" | |
| }, | |
| "60760097560": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "ST MARYS MPP", | |
| "FORMATTEDNDC": "60760-975-60", | |
| "NDC10": "6076097560" | |
| }, | |
| "23155010406": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-104-06", | |
| "NDC10": "2315510406" | |
| }, | |
| "68645030059": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "LEGACY PHARMACE", | |
| "FORMATTEDNDC": "68645-300-59", | |
| "NDC10": "6864530059" | |
| }, | |
| "50090217704": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-2177-4", | |
| "NDC10": "5009021774" | |
| }, | |
| "71610067330": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-673-30", | |
| "NDC10": "7161067330" | |
| }, | |
| "60429011305": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "GSMS, INC.", | |
| "FORMATTEDNDC": "60429-113-05", | |
| "NDC10": "6042911305" | |
| }, | |
| "71205088478": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-78", | |
| "NDC10": "7120588478" | |
| }, | |
| "71335183302": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-2", | |
| "NDC10": "7133518332" | |
| }, | |
| "70010006510": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "GRANULES PHARMA", | |
| "FORMATTEDNDC": "70010-065-10", | |
| "NDC10": "7001006510" | |
| }, | |
| "72789018990": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "72789-189-90", | |
| "NDC10": "7278918990" | |
| }, | |
| "10544063090": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "BLENHEIM PHARMA", | |
| "FORMATTEDNDC": "10544-630-90", | |
| "NDC10": "1054463090" | |
| }, | |
| "43353098787": { | |
| "PACKAGEFORM": "bottle(s) of 2400", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-87", | |
| "NDC10": "4335398787" | |
| }, | |
| "50228010730": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "SCIEGEN PHARMAC", | |
| "FORMATTEDNDC": "50228-107-30", | |
| "NDC10": "5022810730" | |
| }, | |
| "50090685605": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6856-5", | |
| "NDC10": "5009068565" | |
| }, | |
| "71610022160": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-60", | |
| "NDC10": "7161022160" | |
| }, | |
| "69367038301": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "WESTMINSTER PHA", | |
| "FORMATTEDNDC": "69367-383-01", | |
| "NDC10": "6936738301" | |
| }, | |
| "43353011480": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-114-80", | |
| "NDC10": "4335311480" | |
| }, | |
| "50090650800": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6508-0", | |
| "NDC10": "5009065080" | |
| }, | |
| "49483062050": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "TIME-CAP LABS", | |
| "FORMATTEDNDC": "49483-620-50", | |
| "NDC10": "4948362050" | |
| }, | |
| "71205055530": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-555-30", | |
| "NDC10": "7120555530" | |
| }, | |
| "62135068418": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "CHARTWELL RX LL", | |
| "FORMATTEDNDC": "62135-684-18", | |
| "NDC10": "6213568418" | |
| }, | |
| "23155010401": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-104-01", | |
| "NDC10": "2315510401" | |
| }, | |
| "71610067370": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-673-70", | |
| "NDC10": "7161067370" | |
| }, | |
| "71335128908": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1289-8", | |
| "NDC10": "7133512898" | |
| }, | |
| "72189022082": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "72189-220-82", | |
| "NDC10": "7218922082" | |
| }, | |
| "60760097590": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "ST MARYS MPP", | |
| "FORMATTEDNDC": "60760-975-90", | |
| "NDC10": "6076097590" | |
| }, | |
| "43353098730": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-30", | |
| "NDC10": "4335398730" | |
| }, | |
| "65862001005": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "AUROBINDO PHARM", | |
| "FORMATTEDNDC": "65862-010-05", | |
| "NDC10": "6586201005" | |
| }, | |
| "23155084301": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-843-01", | |
| "NDC10": "2315584301" | |
| }, | |
| "50090357902": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-3579-2", | |
| "NDC10": "5009035792" | |
| }, | |
| "71610022186": { | |
| "PACKAGEFORM": "bottle(s) of 225", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-86", | |
| "NDC10": "7161022186" | |
| }, | |
| "72789018960": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "72789-189-60", | |
| "NDC10": "7278918960" | |
| }, | |
| "43353098760": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-60", | |
| "NDC10": "4335398760" | |
| }, | |
| "50742015601": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "INGENUS PHARMAC", | |
| "FORMATTEDNDC": "50742-156-01", | |
| "NDC10": "5074215601" | |
| }, | |
| "71335183305": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-5", | |
| "NDC10": "7133518335" | |
| }, | |
| "70010006599": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "GRANULES PHARMA", | |
| "FORMATTEDNDC": "70010-065-99", | |
| "NDC10": "7001006599" | |
| }, | |
| "70010006509": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "GRANULES PHARMA", | |
| "FORMATTEDNDC": "70010-065-09", | |
| "NDC10": "7001006509" | |
| }, | |
| "71610021080": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-210-80", | |
| "NDC10": "7161021080" | |
| }, | |
| "71610021253": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-212-53", | |
| "NDC10": "7161021253" | |
| }, | |
| "10544063030": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "BLENHEIM PHARMA", | |
| "FORMATTEDNDC": "10544-630-30", | |
| "NDC10": "1054463030" | |
| }, | |
| "72789018930": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "72789-189-30", | |
| "NDC10": "7278918930" | |
| }, | |
| "69367018210": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "WESTMINSTER PHA", | |
| "FORMATTEDNDC": "69367-182-10", | |
| "NDC10": "6936718210" | |
| }, | |
| "71205055590": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-555-90", | |
| "NDC10": "7120555590" | |
| }, | |
| "50090685602": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6856-2", | |
| "NDC10": "5009068562" | |
| }, | |
| "62135068490": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "CHARTWELL RX LL", | |
| "FORMATTEDNDC": "62135-684-90", | |
| "NDC10": "6213568490" | |
| }, | |
| "43353098786": { | |
| "PACKAGEFORM": "bottle(s) of 225", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-86", | |
| "NDC10": "4335398786" | |
| }, | |
| "71610067360": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-673-60", | |
| "NDC10": "7161067360" | |
| }, | |
| "50090505200": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-5052-0", | |
| "NDC10": "5009050520" | |
| }, | |
| "49483062010": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "TIME-CAP LABS", | |
| "FORMATTEDNDC": "49483-620-10", | |
| "NDC10": "4948362010" | |
| }, | |
| "67877056305": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "ASCEND LABORATO", | |
| "FORMATTEDNDC": "67877-563-05", | |
| "NDC10": "6787756305" | |
| }, | |
| "51224022050": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "TAGI PHARMA", | |
| "FORMATTEDNDC": "51224-220-50", | |
| "NDC10": "5122422050" | |
| }, | |
| "71205055560": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-555-60", | |
| "NDC10": "7120555560" | |
| }, | |
| "60687016211": { | |
| "PACKAGEFORM": "blist pack(s) of 1", | |
| "MANUFACTURER": "AHP", | |
| "FORMATTEDNDC": "60687-162-11", | |
| "NDC10": "6068716211" | |
| }, | |
| "50090217703": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-2177-3", | |
| "NDC10": "5009021773" | |
| }, | |
| "71610022130": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-30", | |
| "NDC10": "7161022130" | |
| }, | |
| "72162152301": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "72162-1523-1", | |
| "NDC10": "7216215231" | |
| }, | |
| "50090357905": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-3579-5", | |
| "NDC10": "5009035795" | |
| }, | |
| "50090650700": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6507-0", | |
| "NDC10": "5009065070" | |
| }, | |
| "50090650702": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6507-2", | |
| "NDC10": "5009065072" | |
| }, | |
| "63629139704": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-1397-4", | |
| "NDC10": "6362913974" | |
| }, | |
| "71335128901": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1289-1", | |
| "NDC10": "7133512891" | |
| }, | |
| "70934039990": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "DENTON PHARMA I", | |
| "FORMATTEDNDC": "70934-399-90", | |
| "NDC10": "7093439990" | |
| }, | |
| "43353098753": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-53", | |
| "NDC10": "4335398753" | |
| }, | |
| "00904716461": { | |
| "PACKAGEFORM": "blist pack(s) of 100", | |
| "MANUFACTURER": "MAJOR PHARMACEU", | |
| "FORMATTEDNDC": "0904-7164-61", | |
| "NDC10": "0904716461" | |
| }, | |
| "35356088660": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "QUALITY CARE", | |
| "FORMATTEDNDC": "35356-886-60", | |
| "NDC10": "3535688660" | |
| }, | |
| "68094048060": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "PRECISION DOSE", | |
| "FORMATTEDNDC": "68094-480-60", | |
| "NDC10": "6809448060" | |
| }, | |
| "61919039730": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "61919-397-30", | |
| "NDC10": "6191939730" | |
| }, | |
| "63629139701": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-1397-1", | |
| "NDC10": "6362913971" | |
| }, | |
| "43063088930": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "43063-889-30", | |
| "NDC10": "4306388930" | |
| }, | |
| "43353098745": { | |
| "PACKAGEFORM": "bottle(s) of 45", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-45", | |
| "NDC10": "4335398745" | |
| }, | |
| "23155010409": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-104-09", | |
| "NDC10": "2315510409" | |
| }, | |
| "71610021260": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-212-60", | |
| "NDC10": "7161021260" | |
| }, | |
| "68645054559": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "LEGACY PHARMACE", | |
| "FORMATTEDNDC": "68645-545-59", | |
| "NDC10": "6864554559" | |
| }, | |
| "49483062001": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "TIME-CAP LABS", | |
| "FORMATTEDNDC": "49483-620-01", | |
| "NDC10": "4948362001" | |
| }, | |
| "71610067280": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-672-80", | |
| "NDC10": "7161067280" | |
| }, | |
| "00904669161": { | |
| "PACKAGEFORM": "blist pack(s) of 100", | |
| "MANUFACTURER": "MAJOR PHARMACEU", | |
| "FORMATTEDNDC": "0904-6691-61", | |
| "NDC10": "0904669161" | |
| }, | |
| "71335128906": { | |
| "PACKAGEFORM": "bottle(s) of 28", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1289-6", | |
| "NDC10": "7133512896" | |
| }, | |
| "50090685600": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6856-0", | |
| "NDC10": "5009068560" | |
| }, | |
| "35356088690": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "QUALITY CARE", | |
| "FORMATTEDNDC": "35356-886-90", | |
| "NDC10": "3535688690" | |
| }, | |
| "68382076005": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "ZYDUS PHARMACEU", | |
| "FORMATTEDNDC": "68382-760-05", | |
| "NDC10": "6838276005" | |
| }, | |
| "71610067353": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-673-53", | |
| "NDC10": "7161067353" | |
| }, | |
| "42385094901": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "LAURUS LABS LIM", | |
| "FORMATTEDNDC": "42385-949-01", | |
| "NDC10": "4238594901" | |
| }, | |
| "70934013530": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "DENTON PHARMA I", | |
| "FORMATTEDNDC": "70934-135-30", | |
| "NDC10": "7093413530" | |
| }, | |
| "71610067345": { | |
| "PACKAGEFORM": "bottle(s) of 45", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-673-45", | |
| "NDC10": "7161067345" | |
| }, | |
| "70934020790": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "DENTON PHARMA I", | |
| "FORMATTEDNDC": "70934-207-90", | |
| "NDC10": "7093420790" | |
| }, | |
| "69367018201": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "WESTMINSTER PHA", | |
| "FORMATTEDNDC": "69367-182-01", | |
| "NDC10": "6936718201" | |
| }, | |
| "60429011390": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "GSMS, INC.", | |
| "FORMATTEDNDC": "60429-113-90", | |
| "NDC10": "6042911390" | |
| }, | |
| "71205088411": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-11", | |
| "NDC10": "7120588411" | |
| }, | |
| "63629139705": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-1397-5", | |
| "NDC10": "6362913975" | |
| }, | |
| "67877056310": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "ASCEND LABORATO", | |
| "FORMATTEDNDC": "67877-563-10", | |
| "NDC10": "6787756310" | |
| }, | |
| "43353098731": { | |
| "PACKAGEFORM": "bottle(s) of 600", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-31", | |
| "NDC10": "4335398731" | |
| }, | |
| "72789018921": { | |
| "PACKAGEFORM": "bottle(s) of 21", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "72789-189-21", | |
| "NDC10": "7278918921" | |
| }, | |
| "65862001099": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "AUROBINDO PHARM", | |
| "FORMATTEDNDC": "65862-010-99", | |
| "NDC10": "6586201099" | |
| }, | |
| "71610022173": { | |
| "PACKAGEFORM": "bottle(s) of 135", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-73", | |
| "NDC10": "7161022173" | |
| }, | |
| "71335128905": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1289-5", | |
| "NDC10": "7133512895" | |
| }, | |
| "42385090210": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "LAURUS LABS LIM", | |
| "FORMATTEDNDC": "42385-902-10", | |
| "NDC10": "4238590210" | |
| }, | |
| "69367018205": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "WESTMINSTER PHA", | |
| "FORMATTEDNDC": "69367-182-05", | |
| "NDC10": "6936718205" | |
| }, | |
| "57664047488": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "CARACO/SUN PHAR", | |
| "FORMATTEDNDC": "57664-474-88", | |
| "NDC10": "5766447488" | |
| }, | |
| "61919039782": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "61919-397-82", | |
| "NDC10": "6191939782" | |
| }, | |
| "42385094905": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "LAURUS LABS LIM", | |
| "FORMATTEDNDC": "42385-949-05", | |
| "NDC10": "4238594905" | |
| }, | |
| "57664047451": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "CARACO/SUN PHAR", | |
| "FORMATTEDNDC": "57664-474-51", | |
| "NDC10": "5766447451" | |
| }, | |
| "71205054830": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-548-30", | |
| "NDC10": "7120554830" | |
| }, | |
| "68382076001": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "ZYDUS PHARMACEU", | |
| "FORMATTEDNDC": "68382-760-01", | |
| "NDC10": "6838276001" | |
| }, | |
| "71610022180": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-221-80", | |
| "NDC10": "7161022180" | |
| }, | |
| "50090217700": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-2177-0", | |
| "NDC10": "5009021770" | |
| }, | |
| "50090650703": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6507-3", | |
| "NDC10": "5009065073" | |
| }, | |
| "68645058459": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "LEGACY PHARMACE", | |
| "FORMATTEDNDC": "68645-584-59", | |
| "NDC10": "6864558459" | |
| }, | |
| "71335183304": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-4", | |
| "NDC10": "7133518334" | |
| }, | |
| "71610067270": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-672-70", | |
| "NDC10": "7161067270" | |
| }, | |
| "71205088460": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-60", | |
| "NDC10": "7120588460" | |
| }, | |
| "50090217702": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-2177-2", | |
| "NDC10": "5009021772" | |
| }, | |
| "43063088921": { | |
| "PACKAGEFORM": "bottle(s) of 21", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "43063-889-21", | |
| "NDC10": "4306388921" | |
| }, | |
| "43547035910": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "SOLCO HEALTHCAR", | |
| "FORMATTEDNDC": "43547-359-10", | |
| "NDC10": "4354735910" | |
| }, | |
| "71335183301": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-1", | |
| "NDC10": "7133518331" | |
| }, | |
| "65862001046": { | |
| "PACKAGEFORM": "bottle(s) of 2000", | |
| "MANUFACTURER": "AUROBINDO PHARM", | |
| "FORMATTEDNDC": "65862-010-46", | |
| "NDC10": "6586201046" | |
| }, | |
| "50742015605": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "INGENUS PHARMAC", | |
| "FORMATTEDNDC": "50742-156-05", | |
| "NDC10": "5074215605" | |
| }, | |
| "72189022090": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "72189-220-90", | |
| "NDC10": "7218922090" | |
| }, | |
| "68382076010": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "ZYDUS PHARMACEU", | |
| "FORMATTEDNDC": "68382-760-10", | |
| "NDC10": "6838276010" | |
| }, | |
| "00378718705": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "MYLAN", | |
| "FORMATTEDNDC": "0378-7187-05", | |
| "NDC10": "0378718705" | |
| }, | |
| "55700066930": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "QUALITY CARE", | |
| "FORMATTEDNDC": "55700-669-30", | |
| "NDC10": "5570066930" | |
| }, | |
| "50090685603": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6856-3", | |
| "NDC10": "5009068563" | |
| }, | |
| "67877056301": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "ASCEND LABORATO", | |
| "FORMATTEDNDC": "67877-563-01", | |
| "NDC10": "6787756301" | |
| }, | |
| "71709011207": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "METCURE PHARMAC", | |
| "FORMATTEDNDC": "71709-112-07", | |
| "NDC10": "7170911207" | |
| }, | |
| "71610067230": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-672-30", | |
| "NDC10": "7161067230" | |
| }, | |
| "71205088490": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-90", | |
| "NDC10": "7120588490" | |
| }, | |
| "82009004710": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "QUALLENT PHARMA", | |
| "FORMATTEDNDC": "82009-047-10", | |
| "NDC10": "8200904710" | |
| }, | |
| "72162152305": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "72162-1523-5", | |
| "NDC10": "7216215235" | |
| }, | |
| "71205088400": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-00", | |
| "NDC10": "7120588400" | |
| }, | |
| "72189022060": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "72189-220-60", | |
| "NDC10": "7218922060" | |
| }, | |
| "71335183306": { | |
| "PACKAGEFORM": "bottle(s) of 28", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-6", | |
| "NDC10": "7133518336" | |
| }, | |
| "71335229101": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-2291-1", | |
| "NDC10": "7133522911" | |
| }, | |
| "51224022060": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "TAGI PHARMA", | |
| "FORMATTEDNDC": "51224-220-60", | |
| "NDC10": "5122422060" | |
| }, | |
| "50090357904": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-3579-4", | |
| "NDC10": "5009035794" | |
| }, | |
| "71335183307": { | |
| "PACKAGEFORM": "bottle(s) of 56", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-7", | |
| "NDC10": "7133518337" | |
| }, | |
| "71610067260": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-672-60", | |
| "NDC10": "7161067260" | |
| }, | |
| "57664047458": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "CARACO/SUN PHAR", | |
| "FORMATTEDNDC": "57664-474-58", | |
| "NDC10": "5766447458" | |
| }, | |
| "50090217705": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-2177-5", | |
| "NDC10": "5009021775" | |
| }, | |
| "50090357903": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-3579-3", | |
| "NDC10": "5009035793" | |
| }, | |
| "69367038305": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "WESTMINSTER PHA", | |
| "FORMATTEDNDC": "69367-383-05", | |
| "NDC10": "6936738305" | |
| }, | |
| "43063088993": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "43063-889-93", | |
| "NDC10": "4306388993" | |
| }, | |
| "50090489200": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-4892-0", | |
| "NDC10": "5009048920" | |
| }, | |
| "49483062081": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "TIME-CAP LABS", | |
| "FORMATTEDNDC": "49483-620-81", | |
| "NDC10": "4948362081" | |
| }, | |
| "71709011206": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "METCURE PHARMAC", | |
| "FORMATTEDNDC": "71709-112-06", | |
| "NDC10": "7170911206" | |
| }, | |
| "50090685604": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6856-4", | |
| "NDC10": "5009068564" | |
| }, | |
| "55700066990": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "QUALITY CARE", | |
| "FORMATTEDNDC": "55700-669-90", | |
| "NDC10": "5570066990" | |
| }, | |
| "50228010710": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "SCIEGEN PHARMAC", | |
| "FORMATTEDNDC": "50228-107-10", | |
| "NDC10": "5022810710" | |
| }, | |
| "72189022030": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "DIRECT RX", | |
| "FORMATTEDNDC": "72189-220-30", | |
| "NDC10": "7218922030" | |
| }, | |
| "72789018998": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "72789-189-98", | |
| "NDC10": "7278918998" | |
| }, | |
| "60429011301": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "GSMS, INC.", | |
| "FORMATTEDNDC": "60429-113-01", | |
| "NDC10": "6042911301" | |
| }, | |
| "43547035950": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "SOLCO HEALTHCAR", | |
| "FORMATTEDNDC": "43547-359-50", | |
| "NDC10": "4354735950" | |
| }, | |
| "63187023978": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "63187-239-78", | |
| "NDC10": "6318723978" | |
| }, | |
| "71205088430": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-30", | |
| "NDC10": "7120588430" | |
| }, | |
| "68645054659": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "LEGACY PHARMACE", | |
| "FORMATTEDNDC": "68645-546-59", | |
| "NDC10": "6864554659" | |
| }, | |
| "55700066960": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "QUALITY CARE", | |
| "FORMATTEDNDC": "55700-669-60", | |
| "NDC10": "5570066960" | |
| }, | |
| "71335183303": { | |
| "PACKAGEFORM": "bottle(s) of 30", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-3", | |
| "NDC10": "7133518333" | |
| }, | |
| "23155010405": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-104-05", | |
| "NDC10": "2315510405" | |
| }, | |
| "60687016201": { | |
| "PACKAGEFORM": "blist pack(s) of 100", | |
| "MANUFACTURER": "AHP", | |
| "FORMATTEDNDC": "60687-162-01", | |
| "NDC10": "6068716201" | |
| }, | |
| "23155084305": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "AVET PHARMACEUT", | |
| "FORMATTEDNDC": "23155-843-05", | |
| "NDC10": "2315584305" | |
| }, | |
| "65862001001": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "AUROBINDO PHARM", | |
| "FORMATTEDNDC": "65862-010-01", | |
| "NDC10": "6586201001" | |
| }, | |
| "71205055578": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-555-78", | |
| "NDC10": "7120555578" | |
| }, | |
| "51224022070": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "TAGI PHARMA", | |
| "FORMATTEDNDC": "51224-220-70", | |
| "NDC10": "5122422070" | |
| }, | |
| "71610021280": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-212-80", | |
| "NDC10": "7161021280" | |
| }, | |
| "71610067380": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-673-80", | |
| "NDC10": "7161067380" | |
| }, | |
| "43353098773": { | |
| "PACKAGEFORM": "bottle(s) of 135", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-73", | |
| "NDC10": "4335398773" | |
| }, | |
| "57664047453": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "CARACO/SUN PHAR", | |
| "FORMATTEDNDC": "57664-474-53", | |
| "NDC10": "5766447453" | |
| }, | |
| "63629850401": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-8504-1", | |
| "NDC10": "6362985041" | |
| }, | |
| "71610067253": { | |
| "PACKAGEFORM": "bottle(s) of 60", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-672-53", | |
| "NDC10": "7161067253" | |
| }, | |
| "50090650704": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6507-4", | |
| "NDC10": "5009065074" | |
| }, | |
| "63629139702": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "63629-1397-2", | |
| "NDC10": "6362913972" | |
| }, | |
| "70934042790": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "DENTON PHARMA I", | |
| "FORMATTEDNDC": "70934-427-90", | |
| "NDC10": "7093442790" | |
| }, | |
| "72789018993": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "72789-189-93", | |
| "NDC10": "7278918993" | |
| }, | |
| "71610067245": { | |
| "PACKAGEFORM": "bottle(s) of 45", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "71610-672-45", | |
| "NDC10": "7161067245" | |
| }, | |
| "71335128902": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1289-2", | |
| "NDC10": "7133512892" | |
| }, | |
| "43063088998": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "PD-RX PHARM", | |
| "FORMATTEDNDC": "43063-889-98", | |
| "NDC10": "4306388998" | |
| }, | |
| "43353098743": { | |
| "PACKAGEFORM": "bottle(s) of 1300", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-43", | |
| "NDC10": "4335398743" | |
| }, | |
| "43353098780": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-80", | |
| "NDC10": "4335398780" | |
| }, | |
| "71205054800": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-548-00", | |
| "NDC10": "7120554800" | |
| }, | |
| "71093013405": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "ACI HEALTHCARE", | |
| "FORMATTEDNDC": "71093-134-05", | |
| "NDC10": "7109313405" | |
| }, | |
| "43353098796": { | |
| "PACKAGEFORM": "bottle(s) of 450", | |
| "MANUFACTURER": "APHENA PHARMA S", | |
| "FORMATTEDNDC": "43353-987-96", | |
| "NDC10": "4335398796" | |
| }, | |
| "70010006505": { | |
| "PACKAGEFORM": "bottle(s) of 500", | |
| "MANUFACTURER": "GRANULES PHARMA", | |
| "FORMATTEDNDC": "70010-065-05", | |
| "NDC10": "7001006505" | |
| }, | |
| "50090685700": { | |
| "PACKAGEFORM": "bottle(s) of 90", | |
| "MANUFACTURER": "A-S MEDICATION", | |
| "FORMATTEDNDC": "50090-6857-0", | |
| "NDC10": "5009068570" | |
| }, | |
| "50228010701": { | |
| "PACKAGEFORM": "bottle(s) of 100", | |
| "MANUFACTURER": "SCIEGEN PHARMAC", | |
| "FORMATTEDNDC": "50228-107-01", | |
| "NDC10": "5022810701" | |
| }, | |
| "71205088472": { | |
| "PACKAGEFORM": "bottle(s) of 120", | |
| "MANUFACTURER": "PROFICIENT RX L", | |
| "FORMATTEDNDC": "71205-884-72", | |
| "NDC10": "7120588472" | |
| }, | |
| "71335183308": { | |
| "PACKAGEFORM": "bottle(s) of 180", | |
| "MANUFACTURER": "BRYANT RANCH PR", | |
| "FORMATTEDNDC": "71335-1833-8", | |
| "NDC10": "7133518338" | |
| }, | |
| "42385094911": { | |
| "PACKAGEFORM": "bottle(s) of 1000", | |
| "MANUFACTURER": "LAURUS LABS LIM", | |
| "FORMATTEDNDC": "42385-949-11", | |
| "NDC10": "4238594911" | |
| } | |
| }, | |
| "DefaultDosageFrequencyDescription": "2 TIMES A DAY", | |
| "AugmentedWithUnitOptions": true, | |
| "DosageForm": "tablet(s)", | |
| "DosageRoute": "ORAL", | |
| "FDBGenericMedicationID": "241223", | |
| "QuantityUnitOptions": [ | |
| { | |
| "ID": "00378718705", | |
| "NAME": "tablet" | |
| } | |
| ], | |
| "StrengthValue": "1000", | |
| "MedicationID": "244661", | |
| "DosageFormProductName": "metformin tablet", | |
| "StrengthUnit": "mg", | |
| "StrengthKey": "1,000||mg", | |
| "__CLASS__": "Athena::Entity::Medication", | |
| "CMSRequiresAdministeredNDC": false, | |
| "ProductName": "metformin", | |
| "MedicationIDType": "MEDID", | |
| "Name": "metformin 1,000 mg tablet", | |
| "FDBMedicationID": "241223", | |
| "IsUnlistedMedication": false, | |
| "DosageAction": "TAKE", | |
| "_DefaultDosageQuantityValue": "1", | |
| "DefaultIsStructuredSig": true, | |
| "DefaultDosageAction": "TAKE", | |
| "_DefaultDosageFrequencyValue": "2", | |
| "DefaultDosageRoute": "ORAL", | |
| "_DefaultDosageFrequencyUnit": "day(s)", | |
| "IsDetoxMedication": null, | |
| "TallManName": "metFORMIN 1,000 mg tablet", | |
| "DefaultFrequency": "2 times a day", | |
| "IsGenericCompoundMedication": false, | |
| "DosageQuantityUnitOptions": [ | |
| "mg", | |
| "tablet(s)" | |
| ], | |
| "IsCompoundMedication": false, | |
| "ClinicalOrderTypeID": "207043", | |
| "CID": "c6132" | |
| }, | |
| "canHaveStructuredSig": true, | |
| "AverageDailyDose": { | |
| "Unit": { | |
| "IsConstant": 0, | |
| "VersionToken": -1, | |
| "Dimension": { | |
| "weight": 1 | |
| }, | |
| "UnitsProduct": { | |
| "mg": 1 | |
| }, | |
| "__CLASS__": "Athena::Entity::MeasurementUnit::Base", | |
| "Name": "mg", | |
| "BasicDimension": "weight", | |
| "RequiresNonLinearConversion": 0, | |
| "CID": "c6133" | |
| }, | |
| "__CLASS__": "Athena::Entity::Measurement", | |
| "Ratio": 1000, | |
| "VersionToken": -1, | |
| "CID": "c6134" | |
| }, | |
| "ClinicalProvider": null, | |
| "ChartDisplayDate": { | |
| "Date": "2024-10-17T20:38:58.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "AverageDailyDoseCalculatedDate": { | |
| "Date": "2024-10-17T20:39:34.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "TextConsent": true, | |
| "DefaultsFromID": "244661", | |
| "_WeightBasedResultUnit": "tablet(s)", | |
| "LocalClinicalLabTemplateID": null, | |
| "Cosignature2Date": null, | |
| "Description": "metformin 1,000 mg tablet", | |
| "CreatedTimeStamp": "10/17/2024 04:38 PM", | |
| "FutureSubmitDate": "2024-10-17", | |
| "IsPreapproved": false, | |
| "_PatientWeightUnit": "kg", | |
| "ProviderBilledName": "SNEHA PATEL, DO", | |
| "ClinicalPrescriptionID": "19627", | |
| "RefillsAllowed": "0", | |
| "_DosageDurationUnit": "day", | |
| "PriorAuth": null, | |
| "Cosignature2User": null, | |
| "ClinicalProviderIsLocal": false, | |
| "RxFillIndicator": "All Fill Statuses", | |
| "OrderDate": { | |
| "Date": "2024-10-17T20:38:58.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "ParentOrderDocumentID": "108571", | |
| "Frequency": "every day", | |
| "ApprovedDate": null, | |
| "ProviderUsername": "spatel808", | |
| "ID": "108571", | |
| "IsDispenseAsWritten": false, | |
| "DosageFrequencyDescription": "every day", | |
| "Route": "FAX", | |
| "OrderingMode": "PRESCRIBE", | |
| "TextConsentIsNull": false, | |
| "CreatedUser": "spatel808", | |
| "SubClass": "PRESCRIPTION_NEW", | |
| "DisplayName": "metformin 1,000 mg tablet", | |
| "InvalidQUoMRemoved": false, | |
| "_DosageQuantityValue": 1, | |
| "ERXScriptPotencyUnitCode": null, | |
| "Priority": "2", | |
| "IsWeightBasedDosing": false, | |
| "LastModifiedDate": { | |
| "Date": "2024-10-17T20:39:34.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "Cosignature1Date": null, | |
| "ClassDescription": "prescription - new", | |
| "FHIRIDs": [], | |
| "CreatedDate": { | |
| "Date": "2024-10-17T20:38:59.000Z", | |
| "TimeZone": "America/Chicago" | |
| }, | |
| "PayloadType": "ORDER", | |
| "_QuantityUnit": "tablet", | |
| "EncounterDate": "2024-10-17", | |
| "AdministerDate": null, | |
| "NeedsProviderDelegateAck": null, | |
| "Notifier": "ATHENA", | |
| "Source": "ENCOUNTER", | |
| "DeniedDate": null, | |
| "DeniedUser": null, | |
| "ProductName": "metformin", | |
| "_DosageFrequencyValue": "1", | |
| "ERXQuantity": null, | |
| "DefaultsFromIDSource": "FDB", | |
| "_DosageQuantityUnit": "tablet(s)", | |
| "ERXScriptUOMDescription": null, | |
| "_DosageFrequencyUnit": "per day", | |
| "SupervisingProviderID": "12", | |
| "ApprovedUser": null, | |
| "SpecialtyID": "008", | |
| "IsSafeToRenew": true, | |
| "QuantityUnitDefault": "UNKNOWN UNIT", | |
| "DocumentClassDescription": "prescription - new", | |
| "DocumentationOnly": false, | |
| "QuantityNDC": "00378718705", | |
| "DosageQuantityUnitDefault": "UNKNOWN UNIT", | |
| "IsStructuredSig": true, | |
| "PatientID": "13910", | |
| "AdministerUser": null, | |
| "Cosignature1User": null, | |
| "LastModifiedUser": "spatel808", | |
| "CreatedEncounterID": "19179", | |
| "id": "108571", | |
| "isImmediatePriority": false, | |
| "ProviderQuestions": [], | |
| "StaffQuestions": [], | |
| "Warnings": [], | |
| "ClinicalProviderOrderType": null, | |
| "CLINICALPROVIDERCHANGED": false, | |
| "_QuantityValue": 90, | |
| "CID": "c4700" | |
| } | |
| ], | |
| "lab_results": [] | |
| } |
Sign up for free
to join this conversation on GitHub.
Already have an account?
Sign in to comment