EDI X12 00403 CR5 Segment Schema | 知行 EDI 规范查询平台

Elements

CR501 1322 Certification Type Code
ID
O可选(Optional)
Code indicating the type of certification
Codes (14)
- 1Appeal - Immediate
- 2Appeal - Standard
- 3Cancel
- 4Extension
- 5Notification
- 6Verification
- ACertification of Current Cost and Pricing Data
- BCertification of Overhead
- CCertification Not Required
- DFinal
- ERecertification
- IInitial
- RRenewal
- SRevised
CR502 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR503 1348 Oxygen Equipment Type Code
ID
O可选(Optional)
Code indicating the specific type of equipment being prescribed for the delivery of oxygen
Codes (6)
- AConcentrator
- BLiquid Stationary
- CGaseous Stationary
- DLiquid Portable
- EGaseous Portable
- OOther
CR504 1348 Oxygen Equipment Type Code
ID
O可选(Optional)
Code indicating the specific type of equipment being prescribed for the delivery of oxygen
Codes (6)
- AConcentrator
- BLiquid Stationary
- CGaseous Stationary
- DLiquid Portable
- EGaseous Portable
- OOther
CR505 352 Description
AN
O可选(Optional)
Min 1 / Max 80
A free-form description to clarify the related data elements and their content
CR506 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR507 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR508 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR509 352 Description
AN
O可选(Optional)
Min 1 / Max 80
A free-form description to clarify the related data elements and their content
CR510 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR511 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR512 1349 Oxygen Test Condition Code
ID
O可选(Optional)
Code indicating the conditions under which a patient was tested
Codes (7)
- EExercising
- NNo special conditions for test
- OOn oxygen
- RAt rest on room air
- SSleeping
- WWalking
- XOther
CR513 1350 Oxygen Test Findings Code
ID
O可选(Optional)
Code indicating the findings of oxygen tests performed on a patient
Codes (3)
- 1Dependent edema suggesting congestive heart failure
- 2"P" Pulmonale on Electrocardiogram (EKG)
- 3Erythrocythemia with a hematocrit greater than 56 percent
CR514 1350 Oxygen Test Findings Code
ID
O可选(Optional)
Code indicating the findings of oxygen tests performed on a patient
Codes (3)
- 1Dependent edema suggesting congestive heart failure
- 2"P" Pulmonale on Electrocardiogram (EKG)
- 3Erythrocythemia with a hematocrit greater than 56 percent
CR515 1350 Oxygen Test Findings Code
ID
O可选(Optional)
Code indicating the findings of oxygen tests performed on a patient
Codes (3)
- 1Dependent edema suggesting congestive heart failure
- 2"P" Pulmonale on Electrocardiogram (EKG)
- 3Erythrocythemia with a hematocrit greater than 56 percent
CR516 380 Quantity
R
O可选(Optional)
Min 1 / Max 15
Numeric value of quantity
CR517 1382 Oxygen Delivery System Code
ID
O可选(Optional)
Code to indicate if a particular form of delivery was prescribed
Codes (5)
- ANasal Cannula
- BOxygen Conserving Device
- COxygen Conserving Device with Oxygen Pulse System
- DOxygen Conserving Device with Reservoir System
- ETranstracheal Catheter
CR518 1348 Oxygen Equipment Type Code
ID
O可选(Optional)
Code indicating the specific type of equipment being prescribed for the delivery of oxygen
Codes (6)
- AConcentrator
- BLiquid Stationary
- CGaseous Stationary
- DLiquid Portable
- EGaseous Portable
- OOther