CR5 Oxygen Therapy Certification

To supply information regarding certification of medical necessity for home oxygen therapy

Position
Element
Name
Type
Requirement
Min
Max
Repeat
CR501
Certification Type Code
Identifier (ID)
Optional
1
1
1
Code indicating the type of certification
CR502
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR502 is the number of months covered by this certification.
CR503
Oxygen Equipment Type Code
Identifier (ID)
Optional
1
1
1
Code indicating the specific type of equipment being prescribed for the delivery of oxygen
CR504
Oxygen Equipment Type Code
Identifier (ID)
Optional
1
1
1
Code indicating the specific type of equipment being prescribed for the delivery of oxygen
CR505
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
CR505 is the reason for equipment.
CR506
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR506 is the oxygen flow rate in liters per minute.
CR507
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR507 is the number of times per day the patient must use oxygen.
CR508
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR508 is the number of hours per period of oxygen use.
CR509
Description
String (AN)
Optional
1
80
1
A free-form description to clarify the related data elements and their content
CR509 is the special orders for the respiratory therapist.
CR510
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR510 is the arterial blood gas.
CR511
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR511 is the oxygen saturation.
CR512
Oxygen Test Condition Code
Identifier (ID)
Optional
1
1
1
Code indicating the conditions under which a patient was tested
CR513
Oxygen Test Findings Code
Identifier (ID)
Optional
1
1
1
Code indicating the findings of oxygen tests performed on a patient
CR514
Oxygen Test Findings Code
Identifier (ID)
Optional
1
1
1
Code indicating the findings of oxygen tests performed on a patient
CR515
Oxygen Test Findings Code
Identifier (ID)
Optional
1
1
1
Code indicating the findings of oxygen tests performed on a patient
CR516
Quantity
Decimal number (R)
Optional
1
15
1
Numeric value of quantity
CR516 is the oxygen flow rate for a portable oxygen system in liters per minute.
CR517
Oxygen Delivery System Code
Identifier (ID)
Optional
1
1
1
Code indicating if a particular form of delivery was prescribed
CR518
Oxygen Equipment Type Code
Identifier (ID)
Optional
1
1
1
Code indicating the specific type of equipment being prescribed for the delivery of oxygen

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