| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date/time(+) | 0;1 | DATE-TIME | B | This field stores the date and time the items were distributed to the patient. | |
| 1 | type of entry | 0;2 | SET OF CODES | S:SURGERY CC/IK | This field stores the type of entry for populating the file. S = SURGERY CC/IK -> entry to file was from the distribution of case carts or instrument kits from the patients surgery. | |
| 2 | patient | 0;3 | POINTER | 2 | This field stores the patient which the supplies were distributed to. | |
| 3 | in/out-patient status | 0;4 | SET OF CODES | I:INPATIENT O:OUTPATIENT | This field is used to identify if the patient is an inpatient or outpatient during the distribution of supplies. | |
| 4 | from inventory point | 0;6 | POINTER | 445 | This field is used to track the inventory point which distributed the supplies to the patient. | |
| 130.01 | principal procedure code | 130;1 | POINTER | 81 | This field stores the principal procedure for which the supplies were distributed to the patient. | |
| 130.02 | operating room | 130;2 | POINTER | 131.7 | This field stores the operating room used during the operation/procedure. | |
| 130.03 | surgical specialty | 130;3 | POINTER | 137.45 | This field stores the surgical specialty for the operation/procedure. | |
| 130.04 | surgeon | 130;4 | POINTER | 200 | This field stores the surgeon for the operation/procedure. | |
| 445.01 | item | 445;0 | MULTIPLE | 446.11 | This field stores all the supplies (items) distributed to the patient. | |
| 445.02 | total cost | 0;5 | NUMERIC | This field stores the total cost of supplies distributed to the patient for this entry. |