HL7 - Version 2.6


Segment PSL: Product/Service Line Item (Rechnungsposition)

Seq Description German Interpretation Length C.LEN Table r/o/c Rep# Item Data Structure Section
1 Provider Product/Service Line Item Number
..73

R
01955 EI 16.4.6.1
2 Payer Product/Service Line Item Number
..73

O
01956 EI 16.4.6.2
3 Product/Service Line Item Sequence Number
..4

R
01957 SI 16.4.6.3
4 Provider Tracking ID
..20

O
01958 EI 16.4.6.4
5 Payer Tracking ID
..20

O
01959 EI 16.4.6.5
6 Product/Service Line Item Status
..2
0559 R
01960 CWE 16.4.6.6
7 Product/Service Code
..177
0879 R
01961 CWE 16.4.6.7
8 Product/Service Code Modifier
..177
0880 O Y/5 01962 CWE 16.4.6.8
9 Product/Service Code Description
..80

O
01963 ST 16.4.6.9
10 Product/Service Effective Date
..24

C
01964 DTM 16.4.6.10
11 Product/Service Expiration Date
..24

O
01965 DTM 16.4.6.11
12 Product/Service Quantity
..222
0560 C
01966 CQ 16.4.6.12
13 Product/Service Unit Cost
..254

C
01967 CP 16.4.6.13
14 Number of Items per Unit
..10

C
01968 NM 16.4.6.14
15 Product/Service Gross Amount
..254

C
01969 CP 16.4.6.15
16 Product/Service Billed Amount
..254

C
01970 CP 16.4.6.16
17 Product/Service Clarification Code Type
..10
0561 O Y/20 01971 IS 16.4.6.17
18 Product/Service Clarification Code Value
..40

O Y/20 01972 ST 16.4.6.18
19 Health Document Reference Identifier
..73

O Y/5 01973 EI 16.4.6.19
20 Processing Consideration Code
..10
0562 O Y/20 01974 IS 16.4.6.20
21 Restricted Disclosure Indicator
..2
0532 R
01975 ID 16.4.6.21
22 Related Product/Service Code Indicator
..177
0879 O
01976 CWE 16.4.6.22
23 Product/Service Amount for Physician
..254

O
01977 CP 16.4.6.23
24 Product/Service Cost Factor
..5

O
01978 NM 16.4.6.24
25 Cost Center Kostenstelle ..250

O
01933 CX 16.4.6.25
26 Billing Period
..49

O
01980 DR 16.4.6.26
27 Days without Billing
..5

O
01981 NM 16.4.6.27
28 Session-No
..4

O
01982 NM 16.4.6.28
29 Executing Physician ID
..20

O
01983 XCN 16.4.6.29
30 Responsible Physician ID
..20

O
01984 XCN 16.4.6.30
31 Role Executing Physician
..10
0881 O
01985 CWE 16.4.6.31
32 Medical Role Executing Physician
..10
0882 O
01986 CWE 16.4.6.32
33 Side of body
..3
0894 O
01987 CWE 16.4.6.33
34 Number of TP's PP
..6

O
01988 NM 16.4.6.34
35 TP-Value PP
..6

O
01989 CP 16.4.6.35
36 Internal Scaling Factor PP
..4

O
01990 NM 16.4.6.36
37 External Scaling Factor PP
..4

O
01991 NM 16.4.6.37
38 Amount PP
..7

O
01992 CP 16.4.6.38
39 Number of TP's Technical Part
..6

O
01993 NM 16.4.6.39
40 TP-Value Technical Part
..6

O
01994 CP 16.4.6.40
41 Internal Scaling Factor Technical Part
..4

O
01995 NM 16.4.6.41
42 External Scaling Factor Technical Part
..4

O
01996 NM 16.4.6.42
43 Amount Technical Part
..7

O
01997 CP 16.4.6.43
44 Total Amount Professional Part + Technical Part
..8

O
01998 CP 16.4.6.44
45 VAT-Rate
..3

O
01999 NM 16.4.6.45
46 Main-Service
..20

O
02000 ID 16.4.6.46
47 Validation
..1
0136 O
02001 ID 16.4.6.47
48 Comment
..255

O
02002 ST 16.4.6.48

Used within following Message Structures:

EHC_E01 Submit HealthCare Services Invoice (16.3.1)
EHC_E02 Cancel HealthCare Services Invoice (16.3.2)
EHC_E04 Re-Assess HealthCare Services Invoice Request (16.3.5)
EHC_E10 Edit/Adjudication Results (16.3.6)
EHC_E12 Request Additional Information (16.3.7)
EHC_E13 Additional Information Response (16.3.8)
EHC_E15 Payment/Remittance Advice (16.3.9)
EHC_E20 Submit Authorization Request (16.3.10)
EHC_E21 Cancel Authorization Request (16.3.11)
EHC_E24 Authorization Response (16.3.14)
RSP_E22 Authorization Request Query Response (16.3.13)