****************************************************************** * Job Number: 81045 * * Procedure Number: 1 * * Report Name: Automatic POS extract for CLIA for quarter 4, 2012 * * Report Description: Automatic POS extract for CLIA for * quarter 4, 2012 * * Record Length: 577 * * Generation Date: Tue Jan 01 19:01:22 EST 2013 * ****************************************************************** 01 EXTRACT-REC. 10 PRVDR-CTGRY-SBTYP-CD PIC X(2). 10 PRVDR-CTGRY-CD PIC X(2). 10 CHOW-CNT PIC 9(2). 10 CHOW-DT PIC X(8). 10 CITY-NAME PIC X(28). 10 ACPTBL-POC-SW PIC X(1). 10 CMPLNC-STUS-CD PIC X(1). 10 SSA-CNTY-CD PIC X(3). 10 CROSS-REF-PROVIDER-NUMBER PIC X(10). 10 CRTFCTN-DT PIC X(8). 10 ELGBLTY-SW PIC X(1). 10 FAC-NAME PIC X(50). 10 INTRMDRY-CARR-CD PIC X(5). 10 MDCD-VNDR-NUM PIC X(15). 10 ORGNL-PRTCPTN-DT PIC X(8). 10 CHOW-PRIOR-DT PIC X(8). 10 INTRMDRY-CARR-PRIOR-CD PIC X(5). 10 PRVDR-NUM PIC X(10). 10 REC-STUS-CD PIC X(1). 10 RGN-CD PIC X(2). 10 SKLTN-REC-SW PIC X(1). 10 STATE-CD PIC X(2). 10 SSA-STATE-CD PIC X(2). 10 STATE-RGN-CD PIC X(3). 10 ST-ADR PIC X(50). 10 PHNE-NUM PIC X(10). 10 PGM-TRMNTN-CD PIC X(2). 10 TRMNTN-EXPRTN-DT PIC X(8). 10 SRVY-PRPSE-CD PIC X(1). 10 GNRL-CNTL-TYPE-CD PIC X(2). 10 ZIP-CD PIC X(5). 10 FIPS-STATE-CD PIC X(2). 10 FIPS-CNTY-CD PIC X(3). 10 CBSA-URBN-RRL-IND PIC X(1). 10 AFFILIATED-PROVIDER-NUMBER-1 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-2 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-3 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-4 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-5 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-6 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-7 PIC X(10). 10 AFFILIATED-PROVIDER-NUMBER-8 PIC X(10). 10 ACRDTN-SCHDL-CD PIC X(1). 10 AABB-ACRDTD-CD PIC X(1). 10 AOA-ACRDTD-CD PIC X(1). 10 ASHI-ACRDTD-CD PIC X(1). 10 CAP-ACRDTD-CD PIC X(1). 10 COLA-ACRDTD-CD PIC X(1). 10 JCAHO-ACRDTD-CD PIC X(1). 10 AABB-ACRDTD-Y-MATCH-DT PIC X(8). 10 AOA-ACRDTD-Y-MATCH-DT PIC X(8). 10 ASHI-ACRDTD-Y-MATCH-DT PIC X(8). 10 CAP-ACRDTD-Y-MATCH-DT PIC X(8). 10 COLA-ACRDTD-Y-MATCH-DT PIC X(8). 10 JCAHO-ACRDTD-Y-MATCH-DT PIC X(8). 10 AABB-ACRDTD-Y-MATCH-SW PIC X(1). 10 COLA-ACRDTD-Y-MATCH-SW PIC X(1). 10 JCAHO-ACRDTD-Y-MATCH-SW PIC X(1). 10 AOA-ACRDTD-Y-MATCH-SW PIC X(1). 10 ASHI-ACRDTD-Y-MATCH-SW PIC X(1). 10 CAP-ACRDTD-Y-MATCH-SW PIC X(1). 10 FORM-116-ACRDTD-TEST-VOL-CNT PIC 9(13). 10 APLCTN-RCVD-DT PIC X(8). 10 FORM-116-TEST-VOL-CNT PIC 9(13). 10 APLCTN-TYPE-CD PIC X(1). 10 CRTFCT-EFCTV-DT PIC X(8). 10 CRTFCT-MAIL-DT PIC X(8). 10 CRTFCT-TYPE-CD PIC X(1). 10 CURRENT-CLIA-LAB-CLSFCTN-CD PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-1 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-10 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-2 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-3 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-4 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-5 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-6 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-7 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-8 PIC X(2). 10 CLIA-LAB-CLASSIFICATION-CD-9 PIC X(2). 10 CLIA-MDCR-NUM PIC X(12). 10 CLIA-TRMNTN-CD PIC X(2). 10 FAX-PHNE-NUM PIC X(10). 10 FY-END-MO-DAY-CD PIC X(4). 10 MLT-SITE-EXCPTN-SW PIC X(1). 10 NON-PRFT-EXCPTN-SW PIC X(1). 10 LAB-SITE-CNT PIC 9(4). 10 DRCTLY-AFLTD-LAB-CNT PIC 9(1). 10 PPMP-TEST-VOL-CNT PIC 9(13). 10 CLIA-67-LCNSD-SW PIC X(1). 10 RELATED-PROVIDER-NUMBER PIC X(10). 10 SHARED-LAB-XREF-NUMBER PIC X(10). 10 SHR-LAB-SW PIC X(1). 10 FORM-1557-CRTFCT-SCHDL-CD PIC X(1). 10 FORM-1557-CMPLNC-SCHDL-CD PIC X(1). 10 FORM-1557-TEST-VOL-CNT PIC 9(13). 10 WVD-TEST-VOL-CNT PIC 9(13). 10 GNRL-FAC-TYPE-CD PIC X(2).