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ADJ - Adjustment (ADJ)

Global Profile (Differential)
Seq#Data ElementDescriptionFlagsImplementVocabulary
ADJ
102003Provider Adjustment Number SHALL
202004Payer Adjustment Number SHALL
302005Adjustment Sequence Number SHALL
402006Adjustment Category SHALLex.:AdjustmentCategoryCode (CD) hl7VS-adjustmentCategoryCode (VS) adjustmentCategory (CS)
1402016Adjustment Date SHALL
Global Profile (Snapshot)
Seq#Data ElementDescriptionFlagsImplementCardinalityVocabularyData Type
ADJ
102003Provider Adjustment Number SHALL[1..1]
EI

Entity Identifier

202004Payer Adjustment Number SHALL[1..1]
EI

Entity Identifier

302005Adjustment Sequence Number SHALL[1..1]
SI

Sequence ID

402006Adjustment Category SHALL[1..1]ex.:AdjustmentCategoryCode (CD) hl7VS-adjustmentCategoryCode (VS) adjustmentCategory (CS)
CWE

Coded with Exceptions

502007Adjustment Amount MAY[0..1]
CP

Composite Price

602008Adjustment Quantity MAY[0..1]ex.:QuantityUnits (CD) hl7VS-quantityUnits (VS)
CQ

Composite Quantity with Units


702009Adjustment Reason PA
C

Condition defined for this element

MAY[0..1]ex.:ProviderAdjustmentReasonCode (CD) hl7VS-providerAdjustmentReasonCode (VS) providerAdjustmentReason (CS)
CWE

Coded with Exceptions

802010Adjustment Description
=

Truncation allowed.

MAY[0..1]
ST

String Data

902011Original Value
=

Truncation not allowed!

MAY[0..1]
NM

Numeric

1002012Substitute Value
=

Truncation not allowed!

MAY[0..1]
NM

Numeric

1102013Adjustment Action MAY[0..1]ex.:AdjustmentAction (CD) hl7VS-adjustmentAction (VS) adjustmentAction (CS)
CWE

Coded with Exceptions

1202014Provider Adjustment Number Cross Reference MAY[0..1]
EI

Entity Identifier

1302015Provider Product/Service Line Item Number Cross Reference MAY[0..1]
EI

Entity Identifier

1402016Adjustment Date SHALL[1..1]
DTM

Date/Time

1502017Responsible Organization  MAY[0..1]
XON

Extended Composite Name and Identification Number for Organizations