PDexSupportingInfoTypeCS
PDex Supporting Info Type
activeDa Vinci PDex2.1.0complete18 concepts
Claim Information Category - Used as the discriminator for supportingInfo
Metadata
hl7.org/fhir- Canonical URL
- http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS
- ID
- PDexSupportingInfoTypeCS
- Version
- 2.1.0
- Publisher
- HL7 International / Financial Management
- Case Sensitive
- No
Concepts (18)
| Code | Display | Definition |
|---|---|---|
admissionperiod | Admission Period | Dates corresponding with the admission and discharge of the beneficiary to a facility |
pointoforigin | Point Of Origin | UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility. |
admtype | Admission Type | UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled. |
billingnetworkcontractingstatus | Billing Network Contracting Status | Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission. |
brandgenericindicator | Brand Generic Indicator | NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug. |
clmrecvddate | Claim Received Date | Date the claim was received by the payer. |
compoundcode | Compound Code | NCPDP code indicating whether or not the prescription is a compound. |
dawcode | DAW (Dispense As Written) Code | NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication. |
dayssupply | Days Supply | NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy. |
discharge-status | Discharge Status | UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay. |
drg | DRG | DRG (Diagnosis Related Group), including the code system, the DRG version and the code value |
performingnetworkcontractingstatus | Performing Network Contracting Status | Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission. |
refillnum | Refill Number | NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.) |
rxorigincode | Rx Origin Code | NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy. |
servicefacility | Service Facility | The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters. |
typeofbill | Type of Bill | UB-04 Type of Bill (FL-04) provides specific information for payer purposes. |
medicalrecordnumber | Medical Record Number | Patient Medical Record Number associated with the specific claim. |
patientaccountnumber | Patient Account Number | Patient Account Number associated with the specific claim. |