| Global Profile (Differential) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Vocabulary | |||||
 PSL | ||||||||||
  | 1 | 01955 | Provider Product/Service Line Item Number | SHALL | ||||||
| 3 | 01957 | Product/Service Line Item Sequence Number | SHALL | ||||||
| 6 | 01960 | Product/Service Line Item Status | SHALL | repr: Product_ServiceStatus (CD) hl7VS-product-serviceStatus (VS) product-serviceStatus (CS) | |||||
| 7 | 01961 | Product/Service Code | SHALL | Product_ServiceCode (CD) | |||||
| Global Profile (Snapshot) | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
| PSL | ||||||||||
| 1 | 01955 | Provider Product/Service Line Item Number | SHALL | [1..1] | EI Entity Identifier | ||||
| 2 | 01956 | Payer Product/Service Line Item Number | MAY | [0..1] | EI Entity Identifier | ||||
| 3 | 01957 | Product/Service Line Item Sequence Number | SHALL | [1..1] | SI Sequence ID | ||||
| 4 | 01958 | Provider Tracking ID | MAY | [0..1] | EI Entity Identifier | ||||
| 5 | 01959 | Payer Tracking ID | MAY | [0..1] | EI Entity Identifier | ||||
| 6 | 01960 | Product/Service Line Item Status | SHALL | [1..1] | repr: Product_ServiceStatus (CD) hl7VS-product-serviceStatus (VS) product-serviceStatus (CS) | CWE Coded with Exceptions | |||
| 7 | 01961 | Product/Service Code | SHALL | [1..1] | Product_ServiceCode (CD) | CWE Coded with Exceptions | |||
| 8 | 01962 | Product/Service Code Modifier | MAY | [0..1] | Product_ServiceCodeModifier (CD) | CWE Coded with Exceptions | |||
| 9 | 01963 | Product/Service Code Description | = Truncation allowed. | MAY | [0..1] | ST String Data | |||
 | 10 | 01964 | Product/Service Effective Date | C Condition defined for this element | MAY | [0..1] | DTM Date/Time | |||
| 11 | 01965 | Product/Service Expiration Date | MAY | [0..1] | DTM Date/Time | ||||
| 12 | 01966 | Product/Service Quantity | C Condition defined for this element | MAY | [0..1] | ex.:QuantityUnits (CD) hl7VS-quantityUnits (VS) | CQ Composite Quantity with Units | ||
| 13 | 01967 | Product/Service Unit Cost | C Condition defined for this element | MAY | [0..1] | CP Composite Price | |||
| 14 | 01968 | Number of Items per Unit | C Condition defined for this element = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 15 | 01969 | Product/Service Gross Amount | C Condition defined for this element | MAY | [0..1] | CP Composite Price | |||
| 16 | 01970 | Product/Service Billed Amount | C Condition defined for this element | MAY | [0..1] | CP Composite Price | |||
| 17 | 01971 | Product/Service Clarification Code Type | MAY | [0..1] | ex.:Product_ServicesClarificationCodes (CD) hl7VS-product-servicesClarification (VS) product-servicesClarification (CS) | CWE Coded with Exceptions | |||
| 18 | 01972 | Product/Service Clarification Code Value | = Truncation not allowed! | MAY | [0..1] | ST String Data | |||
| 19 | 01973 | Health Document Reference Identifier | MAY | [0..1] | EI Entity Identifier | ||||
| 20 | 01974 | Processing Consideration Code | MAY | [0..1] | ex.:ProcessingConsiderationCodes (CD) hl7VS-processingConsiderationCodes (VS) processingConsideration (CS) | CWE Coded with Exceptions | |||
| 21 | 01975 | Restricted Disclosure Indicator | SHALL | [1..1] | univ: ExpandedYes_NoIndicator (CD) hl7VS-expandedYes-NoIndicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
| 22 | 01976 | Related Product/Service Code Indicator | MAY | [0..1] | Product_ServiceCode (CD) | CWE Coded with Exceptions | |||
| 23 | 01977 | Product/Service Amount for Physician | MAY | [0..1] | CP Composite Price | ||||
| 24 | 01978 | Product/Service Cost Factor | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 25 | 01933 | Cost Center | MAY | [0..1] | CX Extended Composite ID with Check Digit | ||||
| 26 | 01980 | Billing Period | MAY | [0..1] | DR Date/Time Range | ||||
| 27 | 01981 | Days without Billing | = Truncation not allowed! | MAY | [0..1] | NM Numeric | |||
| 28 | 01982 | Session-No | MAY | [0..1] | NM Numeric | ||||
| 29 | 01983 | Executing Physician ID | MAY | [0..1] | XCN Extended Composite ID Number and Name for Persons | ||||
| 30 | 01984 | Responsible Physician ID | MAY | [0..1] | XCN Extended Composite ID Number and Name for Persons | ||||
| 31 | 01985 | Role Executing Physician | MAY | [0..1] | ex.:RoleExecutingPhysician (CD) hl7VS-roleExecutingPhysician (VS) roleExecutingPhysician (CS) | CWE Coded with Exceptions | |||
| 32 | 01986 | Medical Role Executing Physician | MAY | [0..1] | ex.:MedicalRoleExecutingPhysician (CD) hl7VS-medicalRoleExecutingPhysician (VS) medicalRoleExecutingPhysician (CS) | CWE Coded with Exceptions | |||
| 33 | 01987 | Side of body | MAY | [0..1] | repr: SideOfBody (CD) hl7VS-sideOfBody (VS) sideOfBody (CS) | CWE Coded with Exceptions | |||
| 34 | 01988 | Number of TP's PP | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 35 | 01989 | TP-Value PP | MAY | [0..1] | CP Composite Price | ||||
| 36 | 01990 | Internal Scaling Factor PP | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 37 | 01991 | External Scaling Factor PP | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 38 | 01992 | Amount PP | MAY | [0..1] | CP Composite Price | ||||
| 39 | 01993 | Number of TP's Technical Part | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 40 | 01994 | TP-Value Technical Part | MAY | [0..1] | CP Composite Price | ||||
| 41 | 01995 | Internal Scaling Factor Technical Part | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 42 | 01996 | External Scaling Factor Technical Part | = Truncation allowed. | MAY | [0..1] | NM Numeric | |||
| 43 | 01997 | Amount Technical Part | MAY | [0..1] | CP Composite Price | ||||
| 44 | 01998 | Total Amount Professional Part + Technical Part | MAY | [0..1] | CP Composite Price | ||||
| 45 | 01999 | VAT-Rate | = Truncation not allowed! | MAY | [0..1] | NM Numeric | |||
| 46 | 02000 | Main-Service | MAY | [0..1] | ID Coded Value for HL7 Defined Tables | ||||
| 47 | 02001 | Validation | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | |||
 | 48 | 02002 | Comment | = Truncation not allowed! | MAY | [0..1] | ST String Data | |||
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