{
  "description": "Claim Information Category - Used as the discriminator for supportingInfo",
  "_filename": "CodeSystem-PDexSupportingInfoType.json",
  "package_name": "hl7.fhir.us.davinci-pdex.r4",
  "date": "2024-08-14T20:04:35+00:00",
  "publisher": "HL7 International / Financial Management",
  "jurisdiction": [ {
    "coding": [ {
      "code": "US",
      "system": "urn:iso:std:iso:3166",
      "display": "United States of America"
    } ]
  } ],
  "content": "complete",
  "name": "PDexSupportingInfoType",
  "copyright": "This CodeSystem is not copyrighted.",
  "type": null,
  "experimental": "false",
  "resourceType": "CodeSystem",
  "title": "PDex Supporting Info Type",
  "package_version": "2.1.0-ballot",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "fm"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use",
    "_valueCode": {
      "extension": [ {
        "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical": "http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex"
      } ]
    }
  } ],
  "status": "active",
  "id": "c0564cb9-48cd-41aa-b103-91f8e1a84183",
  "kind": null,
  "count": 18,
  "url": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoType",
  "concept": [ {
    "code": "admissionperiod",
    "display": "Admission Period",
    "definition": "Dates corresponding with the admission and discharge of the beneficiary to a facility"
  }, {
    "code": "pointoforigin",
    "display": "Point Of Origin",
    "definition": "UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility."
  }, {
    "code": "admtype",
    "display": "Admission Type",
    "definition": "UB-04 Priority of the admission (FL-14) indicates, for example, an admission type of elective indicates that the patient's condition permitted time for medical services to be scheduled."
  }, {
    "code": "billingnetworkcontractingstatus",
    "display": "Billing Network Contracting Status",
    "definition": "Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission."
  }, {
    "code": "brandgenericindicator",
    "display": "Brand Generic Indicator",
    "definition": "NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug."
  }, {
    "code": "clmrecvddate",
    "display": "Claim Received Date",
    "definition": "Date the claim was received by the payer."
  }, {
    "code": "compoundcode",
    "display": "Compound Code",
    "definition": "NCPDP code indicating whether or not the prescription is a compound."
  }, {
    "code": "dawcode",
    "display": "DAW (Dispense As Written) Code",
    "definition": "NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication."
  }, {
    "code": "dayssupply",
    "display": "Days Supply",
    "definition": "NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy."
  }, {
    "code": "discharge-status",
    "display": "Discharge Status",
    "definition": "UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay."
  }, {
    "code": "drg",
    "display": "DRG",
    "definition": "DRG (Diagnosis Related Group), including the code system, the DRG version and the code value"
  }, {
    "code": "performingnetworkcontractingstatus",
    "display": "Performing Network Contracting Status",
    "definition": "Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission."
  }, {
    "code": "refillnum",
    "display": "Refill Number",
    "definition": "NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)"
  }, {
    "code": "rxorigincode",
    "display": "Rx Origin Code",
    "definition": "NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy."
  }, {
    "code": "servicefacility",
    "display": "Service Facility",
    "definition": "The facility where the service occurred.  Examples include hospitals, nursing homes, laboratories or homeless shelters."
  }, {
    "code": "typeofbill",
    "display": "Type of Bill",
    "definition": "UB-04 Type of Bill (FL-04) provides specific information for payer purposes."
  }, {
    "code": "medicalrecordnumber",
    "display": "Medical Record Number",
    "definition": "Patient Medical Record Number associated with the specific claim."
  }, {
    "code": "patientaccountnumber",
    "display": "Patient Account Number",
    "definition": "Patient Account Number associated with the specific claim."
  } ],
  "caseSensitive": false,
  "version": "2.1.0-ballot",
  "contact": [ {
    "name": "HL7 International / Financial Management",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fm",
      "system": "url"
    }, {
      "value": "fm@lists.HL7.org",
      "system": "email"
    } ]
  }, {
    "name": "Mark Scrimshire (mark.scrimshire@onyxhealth.io)",
    "telecom": [ {
      "value": "mailto:mark.scrimshire@onyxhealth.io",
      "system": "email"
    } ]
  }, {
    "name": "HL7 International - Financial Management",
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/fm",
      "system": "url"
    } ]
  } ]
}