HDS Health diagnosis service and delivery

A segment to provide specific information about covered benefit services, which is used to report a diagnosis to show necessity, the service or procedure being requested or provided, and service delivery instructions.

Position

Element

Name

Type

Requirement

Min

Max

Repeat

010 E029 Diagnosis Composite (composite) Conditional 1

010 · 7135 · Product identifier · String (AN) · Mandatory · 1 · 35 · -

To identify a product.

020 · 9623 · Diagnosis type code · String (AN) · Conditional · 1 · 3 · -

Code specifying the type of diagnosis.

030 · 1131 · Code list identification code · String (AN) · Conditional · 1 · 17 · -

Code identifying a user or association maintained code list.

1 The codes for this data element are provided by the code list responsible agency defined in data element 3055.

020 E021 Service Composite (composite) Conditional 1

010 · 7135 · Product identifier · String (AN) · Mandatory · 1 · 35 · -

To identify a product.

020 · 1131 · Code list identification code · String (AN) · Conditional · 1 · 17 · -

Code identifying a user or association maintained code list.

1 The codes for this data element are provided by the code list responsible agency defined in data element 3055.

030 · 9629 · Procedure modification code · String (AN) · Conditional · 1 · 3 · -

Code specifying the procedure modification.

040 · 9629 · Procedure modification code · String (AN) · Conditional · 1 · 3 · -

Code specifying the procedure modification.

050 · 9629 · Procedure modification code · String (AN) · Conditional · 1 · 3 · -

Code specifying the procedure modification.

060 · 9629 · Procedure modification code · String (AN) · Conditional · 1 · 3 · -

Code specifying the procedure modification.

030 E083 Delivery pattern Composite (composite) Conditional 1

010 · 6063 · Quantity type code qualifier · String (AN) · Mandatory · 1 · 3 · -

Code qualifying the type of quantity.

020 · 6060 · Quantity · String (AN) · Conditional · 1 · 35 · -

Alphanumeric representation of a quantity.

030 · 6411 · Measurement unit code · String (AN) · Conditional · 1 · 3 · -

Code specifying the unit of measurement.

1 Recommend use UN/ECE Recommendation 20, Common code.

040 · 6060 · Quantity · String (AN) · Conditional · 1 · 35 · -

Alphanumeric representation of a quantity.

050 · 2151 · Period type code · String (AN) · Conditional · 1 · 3 · -

Code specifying the type of period.

060 · 2152 · Period count quantity · Numeric (N) · Conditional · 1 · 3 · -

Count of the number of periods.

070 · 2015 · Despatch pattern code · String (AN) · Conditional · 1 · 3 · -

Code specifying a despatch pattern.

080 · 2017 · Despatch pattern timing code · String (AN) · Conditional · 1 · 3 · -

Code specifying a set of dates/times within a despatch pattern.