Global Profile (Differential) | ||||||||||
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Seq# | Data Element | Description | Flags | Implement | Vocabulary | |||||
ADJ | ||||||||||
1 | 02003 | Provider Adjustment Number | SHALL | |||||||
2 | 02004 | Payer Adjustment Number | SHALL | |||||||
3 | 02005 | Adjustment Sequence Number | SHALL | |||||||
4 | 02006 | Adjustment Category | SHALL | ex.:AdjustmentCategoryCode (CD) hl7VS-adjustmentCategoryCode (VS) adjustmentCategory (CS) | ||||||
14 | 02016 | Adjustment Date | SHALL |
Global Profile (Snapshot) | ||||||||||
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Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
ADJ | ||||||||||
1 | 02003 | Provider Adjustment Number | SHALL | [1..1] | EI Entity Identifier | |||||
2 | 02004 | Payer Adjustment Number | SHALL | [1..1] | EI Entity Identifier | |||||
3 | 02005 | Adjustment Sequence Number | SHALL | [1..1] | SI Sequence ID | |||||
4 | 02006 | Adjustment Category | SHALL | [1..1] | ex.:AdjustmentCategoryCode (CD) hl7VS-adjustmentCategoryCode (VS) adjustmentCategory (CS) | CWE Coded with Exceptions | ||||
5 | 02007 | Adjustment Amount | MAY | [0..1] | CP Composite Price | |||||
6 | 02008 | Adjustment Quantity | MAY | [0..1] | ex.:QuantityUnits (CD) hl7VS-quantityUnits (VS) | CQ Composite Quantity with Units | ||||
7 | 02009 | Adjustment Reason PA | C Condition defined for this element | MAY | [0..1] | ex.:ProviderAdjustmentReasonCode (CD) hl7VS-providerAdjustmentReasonCode (VS) providerAdjustmentReason (CS) | CWE Coded with Exceptions | |||
8 | 02010 | Adjustment Description | = Truncation allowed. | MAY | [0..1] | ST String Data | ||||
9 | 02011 | Original Value | = Truncation not allowed! | MAY | [0..1] | NM Numeric | ||||
10 | 02012 | Substitute Value | = Truncation not allowed! | MAY | [0..1] | NM Numeric | ||||
11 | 02013 | Adjustment Action | MAY | [0..1] | ex.:AdjustmentAction (CD) hl7VS-adjustmentAction (VS) adjustmentAction (CS) | CWE Coded with Exceptions | ||||
12 | 02014 | Provider Adjustment Number Cross Reference | MAY | [0..1] | EI Entity Identifier | |||||
13 | 02015 | Provider Product/Service Line Item Number Cross Reference | MAY | [0..1] | EI Entity Identifier | |||||
14 | 02016 | Adjustment Date | SHALL | [1..1] | DTM Date/Time | |||||
15 | 02017 | Responsible Organization | MAY | [0..1] | XON Extended Composite Name and Identification Number for Organizations |