CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.1.0-snapshot1 - STU 2.1 prepublication draft United States of America flag

This page is part of the CARIN Blue Button Implementation Guide (v2.1.0-snapshot1: STU 2) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

CodeSystem: C4BB Supporting Info Type Code System

Official URL: http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType Version: 2.1.0-snapshot1
Standards status: Trial-use Computable Name: C4BBSupportingInfoType

Copyright/Legal: This CodeSystem is not copyrighted.

Claim Information Category - Used as the discriminator for supportingInfo.

This is a code system defined locally by the CARIN BlueButton IG. As this IG matures, it is expected that this CodeSystem will be migrated to THO (terminology.hl7.org). The current CodeSystem url should be considered temporary and subject to change in a future version.

This Code system is referenced in the content logical definition of the following value sets:

Generated Narrative: CodeSystem C4BBSupportingInfoType

This case-sensitive code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType defines the following codes:

CodeDisplayDefinition
admissionperiod Admission Period Dates corresponding with the admission and discharge of the beneficiary to a facility
pointoforigin Point Of Origin UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.
admtype Admission Type 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.
brandgenericindicator Brand Generic Indicator NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.
clmrecvddate Claim Received Date Date the claim was received by the payer.
compoundcode Compound Code NCPDP code indicating whether or not the prescription is a compound.
dawcode DAW (Dispense As Written) Code NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
dayssupply Days Supply NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.
discharge-status Discharge Status UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.
drg DRG DRG (Diagnosis Related Group), including the code system, the DRG version and the code value
refillnum Refill Number NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)
refillsauthorized Refills Authorized NCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)
rxorigincode Rx Origin Code NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.
servicefacility Service Facility The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.
typeofbill Type of Bill UB-04 Type of Bill (FL-04) provides specific information for payer purposes.
medicalrecordnumber Medical Record Number Patient Medical Record Number associated with the specific claim.
patientaccountnumber Patient Account Number Patient Account Number associated with the specific claim.
orthodontics Orthodontics Orthodontics treatment indicator.
prosthesis Prosthesis Prosthesis replacement indicator.
additionalbodysite Additional Body Site Additional tooth number or oral cavity. Additional body sites are specific to line item and have to be linked by ExplanationOfBenefit.item.informationSequence.
missingtoothnumber Missing Tooth Number Missing tooth number.
patientweight Patient Weight Patient weight (for transportation services)
ambulancetransportreason Ambulance Transport Reason Reason ambulance transport was needed (for transportation services)
transportationdistance Transportation Distance Distance traveled (for transportation services)
roudtrippurpose Round Trip Purpose Reason for round trip (for transportation services)
stretcherpurpose Stretcher Purpose Purpose of using a stretcher (for transportation services)
pickuplocation Pick-up Location Patient pick-up Location (for transportation services)
dropofflocation Drop-off Location Patient drop-off location (for transportation services)