CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.0.0 - STU 2 United States of America flag

CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®), published by HL7 Financial Management Working Group. This is not an authorized publication; it is the continuous build for version 2.0.0). This version is based on the current content of https://github.com/HL7/carin-bb/ and changes regularly. See the Directory of published versions

ValueSet: C4BB SupportingInfo Type Value Set

Official URL: http://hl7.org/fhir/us/carin-bb/ValueSet/C4BBSupportingInfoType Version: 2.0.0
Active as of 2022-11-28 Computable Name: C4BBSupportingInfoType

Copyright/Legal: This Valueset is not copyrighted.

Used as the discriminator for the types of supporting information for the CARIN IG for Blue Button� Implementation Guide.

References

Logical Definition (CLD)

 

Expansion

This value set contains 28 concepts

Expansion based on C4BB Supporting Info Type Code System v2.0.0 (CodeSystem)

CodeSystemDisplayDefinition
  admissionperiodhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeAdmission Period

Dates corresponding with the admission and discharge of the beneficiary to a facility

  pointoforiginhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypePoint Of Origin

UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.

  admtypehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeAdmission 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.

  brandgenericindicatorhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeBrand Generic Indicator

NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.

  clmrecvddatehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeClaim Received Date

Date the claim was received by the payer.

  compoundcodehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeCompound Code

NCPDP code indicating whether or not the prescription is a compound.

  dawcodehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeDAW (Dispense As Written) Code

NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.

  dayssupplyhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeDays Supply

NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.

  discharge-statushttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeDischarge Status

UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.

  drghttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeDRG

DRG (Diagnosis Related Group), including the code system, the DRG version and the code value

  refillnumhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeRefill Number

NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)

  refillsauthorizedhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeRefills Authorized

NCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)

  rxorigincodehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeRx Origin Code

NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.

  servicefacilityhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeService Facility

The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.

  typeofbillhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeType of Bill

UB-04 Type of Bill (FL-04) provides specific information for payer purposes.

  medicalrecordnumberhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeMedical Record Number

Patient Medical Record Number associated with the specific claim.

  patientaccountnumberhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypePatient Account Number

Patient Account Number associated with the specific claim.

  orthodonticshttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeOrthodontics

Orthodontics treatment indicator.

  prosthesishttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeProsthesis

Prosthesis replacement indicator.

  additionalbodysitehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeAdditional Body Site

Additional tooth number or oral cavity. Additional body sites are specific to line item and have to be linked by ExplanationOfBenefit.item.informationSequence.

  missingtoothnumberhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeMissing Tooth Number

Missing tooth number.

  patientweighthttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypePatient Weight

Patient weight (for transportation services)

  ambulancetransportreasonhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeAmbulance Transport Reason

Reason ambulance transport was needed (for transportation services)

  transportationdistancehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeTransportation Distance

Distance traveled (for transportation services)

  roudtrippurposehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeRound Trip Purpose

Reason for round trip (for transportation services)

  stretcherpurposehttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeStretcher Purpose

Purpose of using a stretcher (for transportation services)

  pickuplocationhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypePick-up Location

Patient pick-up Location (for transportation services)

  dropofflocationhttp://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoTypeDrop-off Location

Patient drop-off location (for transportation services)


Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code