CR1 Ambulance Certification

To supply information related to the ambulance service rendered to a patient

Position
Element
Name
Type
Requirement
Min
Max
Repeat
CR101
Unit or Basis for Measurement Code
Identifier (ID)
Conditional
2
2
1
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
P0102: If either CR1-01 or CR1-02 is present, then the other is required
CR102
Weight
Decimal number (R)
Conditional
1
10
1
Numeric value of weight
CR102 is the weight of the patient at time of transport.
CR103
Ambulance Transport Code
Identifier (ID)
Optional
1
1
1
Code indicating the type of ambulance transport
CR104
Ambulance Transport Reason Code
Identifier (ID)
Optional
1
1
1
Code indicating the reason for ambulance transport
CR105
Unit or Basis for Measurement Code
Identifier (ID)
Conditional
2
2
1
Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
P0506: If either CR1-05 or CR1-06 is present, then the other is required
CR106
Quantity
Decimal number (R)
Conditional
1
15
1
Numeric value of quantity
CR106 is the distance traveled during transport.
CR107
Address Information
String (AN)
Optional
1
55
1
Address information
CR107 is the address of origin.
CR108
Address Information
String (AN)
Optional
1
55
1
Address information
CR108 is the address of destination.
CR109
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
CR109 is the purpose for the round trip ambulance service.
CR110
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
CR110 is the purpose for the usage of a stretcher during ambulance service.

Stedi is a registered trademark of Stedi, Inc. Stedi's EDI Reference is provided for marketing purposes and is free of charge. All names, logos, and brands of third parties listed on our site are trademarks of their respective owners (including “X12”, which is a trademark of X12 Incorporated). Stedi, Inc. and its products and services are not endorsed by, sponsored by, or affiliated with these third parties. Our use of these names, logos, and brands is for identification purposes only, and does not imply any such endorsement, sponsorship, or affiliation.