PSI Service information

To provide detail information about the service.

Position
Element
Name
Type
Requirement
Min
Max
Repeat
010
Object identifier
String (AN)
Mandatory
1
35
4
Code specifying the unique identity of an object.
020
Date/time/period
Composite (composite)
Conditional
5
010
Date or time or period function code qualifier
String (AN)
Mandatory
1
3
-
Code qualifying the function of a date, time or period.
020
Date or time or period text
String (AN)
Conditional
1
35
-
The value of a date, a date and time, a time or of a period in a specified representation.
030
Date or time or period format code
String (AN)
Conditional
1
3
-
Code specifying the representation of a date, time or period.
030
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.
040
Quantity
String (AN)
Conditional
1
35
2
Alphanumeric representation of a quantity.
050
Monetary amount
Numeric (N)
Conditional
1
35
5
To specify a monetary amount.
060
Index text
String (AN)
Conditional
1
35
4
To specify the value of an index.
070
Facility type description code
String (AN)
Conditional
1
3
1
Code specifying the facility type.
080
Service type code
String (AN)
Conditional
1
3
1
Code specifying the type of service.
090
Special condition code
String (AN)
Conditional
1
3
9
Code specifying a special condition.
100
Supporting evidence
Composite (composite)
Conditional
1
010
Supporting evidence type code qualifier
String (AN)
Mandatory
1
3
-
Code qualifying the type of supporting evidence.
020
Reference identifier
String (AN)
Mandatory
1
70
-
Identifies a reference.
030
Communication medium type code
String (AN)
Conditional
1
3
-
Code specifying the type of communication medium.

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