HI Health Care Information Codes

To supply information related to the delivery of health care

Position
Element
Name
Type
Requirement
Min
Max
Repeat
HI01
Health Care Code Information
Composite (composite)
Mandatory
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI02
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI03
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI04
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI05
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI06
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI07
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI08
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI09
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI10
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI11
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.
HI12
Health Care Code Information
Composite (composite)
Optional
1
01
Code List Qualifier Code
Identifier (ID)
Mandatory
1
3
-
Code identifying a specific industry code list
C022-01 qualifies C022-02, C022-04, C022-05, C022-06 and C022-08.
02
Industry Code
String (AN)
Mandatory
1
30
-
Code indicating a code from a specific industry code list
If C022-08 is used, then C022-02 represents the beginning value in a range of codes.
03
Date Time Period Format Qualifier
Identifier (ID)
Conditional
2
3
-
Code indicating the date format, time format, or date and time format
P0304: If either C022-03 or C022-04 is present, then the other is required
C022-03 is the date format that will appear in C022-04.
04
Date Time Period
String (AN)
Conditional
1
35
-
Expression of a date, a time, or range of dates, times or dates and times
05
Monetary Amount
Decimal number (R)
Optional
1
18
-
Monetary amount
06
Quantity
Decimal number (R)
Optional
1
15
-
Numeric value of quantity
07
Version Identifier
String (AN)
Optional
1
30
-
Revision level of a particular format, program, technique or algorithm
C022-07 qualifies C022-01.
08
Industry Code
String (AN)
Conditional
1
30
-
Code indicating a code from a specific industry code list
E0809: Only one of C022-08 or C022-09 may be present
C022-08 represents the ending value in a range of codes.
09
Yes/No Condition or Response Code
Identifier (ID)
Conditional
1
1
-
Code indicating a Yes or No condition or response
C022-09 is used to identify the diagnosis onset as it relates to the diagnosis reported in C022-02. A "Y" indicates that the onset occurred prior to admission to the hospital; an "N" indicates that the onset did NOT occur prior to admission to the hospital; a "U" indicates that it is unknown whether the onset occurred prior to admission to the hospital or not.
C022-09 would only need to be reported to data collectors requiring this information when C022-01 is "BF" (Diagnosis Code) and range of diagnosis codes were NOT given in C022-08.

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