| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | patient icn(+) | 0;1 | NUMERIC | This is a machine-to-machine identifier for a patient. The number may only be edited by MPI/PD. | ||
| 2 | patient ssn | 0;2 | FREE TEXT | This is the social security number associated with this patient. In combination with the Integration Control Number, it is used to validate the patient's identification. | ||
| 3 | rx # | 0;3 | FREE TEXT | This is the external representation of the prescription number for the refill to be processed. | ||
| 4 | institution | 0;4 | FREE TEXT | The VA facility or institution that will be processing the refill for this prescription. | ||
| 5 | date processed | 0;5 | DATE-TIME | This is the date the pharmacy processed the refill request. | ||
| 6 | result | 0;6 | SET OF CODES | 0:NOT PROCESSED 1:FILLED 2:NOT FILLED | The result of the pharmacy staff processing the refill request. The result may be either FILLED or NOT FILLED. | |
| 7 | mhev update | 0;7 | BOOLEAN | 0:NO 1:YES | Indicates whether or not a status update for this refill request has been sent to the My HealtheVet system. | |
| 8 | prescription ien | 0;8 | FREE TEXT | This is the internal entry number of the prescription associated with this refill request. | ||
| 9 | patient(+) | 0;9 | POINTER | 2 | The patient receiving treatment. | |
| 10 | remarks | 0;10 | FREE TEXT | Refill # and suspended date if processed or the reason why it was not processed. | ||
| 11 | login date | 0;11 | DATE-TIME | This is the date MyHealtheVet placed the refill request. |
Not Referenced