HI Health Care Information Codes

To supply information related to the delivery of health care

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Position
Element
Name
Type
Requirement
Min
Max
Repeat
HI-01
Health Care Code Information
Composite (composite)
Mandatory
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-02
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-03
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-04
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-05
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-06
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-07
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-08
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-09
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-10
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-11
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
HI-12
Health Care Code Information
Composite (composite)
Optional
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05 and C022-06.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
15
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
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