Global Profile (Differential) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Seq# | Data Element | Description | Flags | Implement | Vocabulary | |||||
IVC | ||||||||||
1 | 01914 | Provider Invoice Number | SHALL | |||||||
4 | 01917 | Invoice Control | SHALL | repr: InvoiceControlCode (CD) hl7VS-invoiceControlCode (VS) invoiceControl (CS) | ||||||
5 | 01918 | Invoice Reason | SHALL | ex.:InvoiceReasonCodes (CD) hl7VS-invoiceReasonCodes (VS) invoiceReason (CS) | ||||||
6 | 01919 | Invoice Type | SHALL | ex.:InvoiceType (CD) hl7VS-invoiceType (VS) invoiceType (CS) | ||||||
7 | 01920 | Invoice Date/Time | SHALL | |||||||
8 | 01921 | Invoice Amount | SHALL | |||||||
10 | 01923 | Provider Organization | SHALL | |||||||
11 | 01924 | Payer Organization | SHALL | |||||||
25 | 01938 | Benefit Group | SHALL | ex.:BenefitGroup (CD) |
Global Profile (Snapshot) | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Seq# | Data Element | Description | Flags | Implement | Cardinality | Vocabulary | Data Type | |||
IVC | ||||||||||
1 | 01914 | Provider Invoice Number | SHALL | [1..1] | EI Entity Identifier | |||||
2 | 01915 | Payer Invoice Number | MAY | [0..1] | EI Entity Identifier | |||||
3 | 01916 | Contract/Agreement Number | MAY | [0..1] | EI Entity Identifier | |||||
4 | 01917 | Invoice Control | SHALL | [1..1] | repr: InvoiceControlCode (CD) hl7VS-invoiceControlCode (VS) invoiceControl (CS) | CWE Coded with Exceptions | ||||
5 | 01918 | Invoice Reason | SHALL | [1..1] | ex.:InvoiceReasonCodes (CD) hl7VS-invoiceReasonCodes (VS) invoiceReason (CS) | CWE Coded with Exceptions | ||||
6 | 01919 | Invoice Type | SHALL | [1..1] | ex.:InvoiceType (CD) hl7VS-invoiceType (VS) invoiceType (CS) | CWE Coded with Exceptions | ||||
7 | 01920 | Invoice Date/Time | SHALL | [1..1] | DTM Date/Time | |||||
8 | 01921 | Invoice Amount | SHALL | [1..1] | CP Composite Price | |||||
9 | 01922 | Payment Terms | = Truncation not allowed! | MAY | [0..1] | ST String Data | ||||
10 | 01923 | Provider Organization | SHALL | [1..1] | XON Extended Composite Name and Identification Number for Organizations | |||||
11 | 01924 | Payer Organization | SHALL | [1..1] | XON Extended Composite Name and Identification Number for Organizations | |||||
12 | 01925 | Attention | MAY | [0..1] | XCN Extended Composite ID Number and Name for Persons | |||||
13 | 01926 | Last Invoice Indicator | MAY | [0..1] | univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS) | ID Coded Value for HL7 Defined Tables | ||||
14 | 01927 | Invoice Booking Period | MAY | [0..1] | DTM Date/Time | |||||
15 | 01928 | Origin | = Truncation not allowed! | MAY | [0..1] | ST String Data | ||||
16 | 01929 | Invoice Fixed Amount | MAY | [0..1] | CP Composite Price | |||||
17 | 01930 | Special Costs | MAY | [0..1] | CP Composite Price | |||||
18 | 01931 | Amount for Doctors Treatment | MAY | [0..1] | CP Composite Price | |||||
19 | 01932 | Responsible Physician | MAY | [0..1] | XCN Extended Composite ID Number and Name for Persons | |||||
20 | 01933 | Cost Center | MAY | [0..1] | CX Extended Composite ID with Check Digit | |||||
21 | 01934 | Invoice Prepaid Amount | MAY | [0..1] | CP Composite Price | |||||
22 | 01935 | Total Invoice Amount without Prepaid Amount | MAY | [0..1] | CP Composite Price | |||||
23 | 01936 | Total-Amount of VAT | C Condition defined for this element | MAY | [0..1] | CP Composite Price | ||||
24 | 01937 | VAT-Rates applied | MAY | [0..*] | NM Numeric | |||||
25 | 01938 | Benefit Group | SHALL | [1..1] | ex.:BenefitGroup (CD) | CWE Coded with Exceptions | ||||
26 | 02038 | Provider Tax ID | = Truncation not allowed! | MAY | [0..1] | ST String Data | ||||
27 | 02039 | Payer Tax ID | = Truncation not allowed! | MAY | [0..1] | ST String Data | ||||
28 | 02040 | Provider Tax Status | MAY | [0..1] | ex.:TaxStatus (CD) hl7VS-taxStatus (VS) taxStatus (CS) | CWE Coded with Exceptions | ||||
29 | 02041 | Payer Tax Status | MAY | [0..1] | ex.:TaxStatus (CD) hl7VS-taxStatus (VS) taxStatus (CS) | CWE Coded with Exceptions | ||||
30 | 02042 | Sales Tax ID | = Truncation not allowed! | MAY | [0..1] | ST String Data |