HDS Health diagnosis service and delivery

A segment to provide specific information about covered benefit services, which is used to report a diagnosis to show necessity, the service or procedure being requested or provided, and service delivery instructions.

Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Diagnosis
Composite (composite)
Conditional
1
010
Product identifier
String (AN)
Mandatory
1
35
-
To identify a product.
020
Diagnosis type code
String (AN)
Conditional
1
3
-
Code specifying the type of diagnosis.
030
Code list identification code
String (AN)
Conditional
1
17
-
Code identifying a user or association maintained code list.
1 The codes for this data element are provided by the code list responsible agency defined in data element 3055.
020
Service
Composite (composite)
Conditional
1
010
Product identifier
String (AN)
Mandatory
1
35
-
To identify a product.
020
Code list identification code
String (AN)
Conditional
1
17
-
Code identifying a user or association maintained code list.
1 The codes for this data element are provided by the code list responsible agency defined in data element 3055.
030
Procedure modification code
String (AN)
Conditional
1
3
-
Code specifying the procedure modification.
040
Procedure modification code
String (AN)
Conditional
1
3
-
Code specifying the procedure modification.
050
Procedure modification code
String (AN)
Conditional
1
3
-
Code specifying the procedure modification.
060
Procedure modification code
String (AN)
Conditional
1
3
-
Code specifying the procedure modification.
030
Delivery pattern
Composite (composite)
Conditional
1
010
Quantity type code qualifier
String (AN)
Mandatory
1
3
-
Code qualifying the type of quantity.
020
Quantity
String (AN)
Conditional
1
35
-
Alphanumeric representation of a quantity.
030
Measurement unit code
String (AN)
Conditional
1
8
-
Code specifying the unit of measurement.
1 Recommend use UN/ECE Recommendation 20, Common code.
040
Quantity
String (AN)
Conditional
1
35
-
Alphanumeric representation of a quantity.
050
Period type code
String (AN)
Conditional
1
3
-
Code specifying the type of period.
060
Period count quantity
Numeric (N)
Conditional
1
3
-
Count of the number of periods.
070
Despatch pattern code
String (AN)
Conditional
1
3
-
Code specifying a despatch pattern.
080
Despatch pattern timing code
String (AN)
Conditional
1
3
-
Code specifying a set of dates/times within a despatch pattern.

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