This page is part of the CARIN Blue Button Implementation Guide (v1.2.0: STU 2 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

• Narrative Content
• XML
• JSON

: C4BB Supporting Info Type - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:CodeSystem;
  fhir:nodeRole fhir:treeRoot;
  fhir:Resource.id [ fhir:value "C4BBSupportingInfoType"];
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ];
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>This code system http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType defines the following codes:</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\">admissionperiod<a name=\"C4BBSupportingInfoType-admissionperiod\"> </a></td><td>Admission Period</td><td>Dates corresponding with the admission and discharge of the beneficiary to a facility</td></tr><tr><td style=\"white-space:nowrap\">pointoforigin<a name=\"C4BBSupportingInfoType-pointoforigin\"> </a></td><td>Point Of Origin</td><td>UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.</td></tr><tr><td style=\"white-space:nowrap\">admtype<a name=\"C4BBSupportingInfoType-admtype\"> </a></td><td>Admission Type</td><td>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.</td></tr><tr><td style=\"white-space:nowrap\">billingnetworkcontractingstatus<a name=\"C4BBSupportingInfoType-billingnetworkcontractingstatus\"> </a></td><td>Billing Network Contracting Status</td><td>Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.</td></tr><tr><td style=\"white-space:nowrap\">brandgenericindicator<a name=\"C4BBSupportingInfoType-brandgenericindicator\"> </a></td><td>Brand Generic Indicator</td><td>NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.</td></tr><tr><td style=\"white-space:nowrap\">clmrecvddate<a name=\"C4BBSupportingInfoType-clmrecvddate\"> </a></td><td>Claim Received Date</td><td>Date the claim was received by the payer.</td></tr><tr><td style=\"white-space:nowrap\">compoundcode<a name=\"C4BBSupportingInfoType-compoundcode\"> </a></td><td>Compound Code</td><td>NCPDP code indicating whether or not the prescription is a compound.</td></tr><tr><td style=\"white-space:nowrap\">dawcode<a name=\"C4BBSupportingInfoType-dawcode\"> </a></td><td>DAW (Dispense As Written) Code</td><td>NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.</td></tr><tr><td style=\"white-space:nowrap\">dayssupply<a name=\"C4BBSupportingInfoType-dayssupply\"> </a></td><td>Days Supply</td><td>NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.</td></tr><tr><td style=\"white-space:nowrap\">discharge-status<a name=\"C4BBSupportingInfoType-discharge-status\"> </a></td><td>Discharge Status</td><td>UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.</td></tr><tr><td style=\"white-space:nowrap\">drg<a name=\"C4BBSupportingInfoType-drg\"> </a></td><td>DRG</td><td>DRG (Diagnosis Related Group), including the code system, the DRG version and the code value</td></tr><tr><td style=\"white-space:nowrap\">performingnetworkcontractingstatus<a name=\"C4BBSupportingInfoType-performingnetworkcontractingstatus\"> </a></td><td>Performing Network Contracting Status</td><td>Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.</td></tr><tr><td style=\"white-space:nowrap\">refillnum<a name=\"C4BBSupportingInfoType-refillnum\"> </a></td><td>Refill Number</td><td>NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)</td></tr><tr><td style=\"white-space:nowrap\">refillsauthorized<a name=\"C4BBSupportingInfoType-refillsauthorized\"> </a></td><td>Refills Authorized</td><td>NCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)</td></tr><tr><td style=\"white-space:nowrap\">rxorigincode<a name=\"C4BBSupportingInfoType-rxorigincode\"> </a></td><td>Rx Origin Code</td><td>NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.</td></tr><tr><td style=\"white-space:nowrap\">servicefacility<a name=\"C4BBSupportingInfoType-servicefacility\"> </a></td><td>Service Facility</td><td>The facility where the service occurred.  Examples include hospitals, nursing homes, laboratories or homeless shelters.</td></tr><tr><td style=\"white-space:nowrap\">typeofbill<a name=\"C4BBSupportingInfoType-typeofbill\"> </a></td><td>Type of Bill</td><td>UB-04 Type of Bill (FL-04) provides specific information for payer purposes.</td></tr><tr><td style=\"white-space:nowrap\">medicalrecordnumber<a name=\"C4BBSupportingInfoType-medicalrecordnumber\"> </a></td><td>Medical Record Number</td><td>Patient Medical Record Number associated with the specific claim.</td></tr><tr><td style=\"white-space:nowrap\">patientaccountnumber<a name=\"C4BBSupportingInfoType-patientaccountnumber\"> </a></td><td>Patient Account Number</td><td>Patient Account Number associated with the specific claim.</td></tr><tr><td style=\"white-space:nowrap\">orthodontics<a name=\"C4BBSupportingInfoType-orthodontics\"> </a></td><td>Orthodontics</td><td>Orthodontics treatment indicator.</td></tr><tr><td style=\"white-space:nowrap\">prosthesis<a name=\"C4BBSupportingInfoType-prosthesis\"> </a></td><td>Prosthesis</td><td>Prosthesis replacement indicator.</td></tr><tr><td style=\"white-space:nowrap\">additionalbodysite<a name=\"C4BBSupportingInfoType-additionalbodysite\"> </a></td><td>Additional Body Site</td><td>Additional tooth number or oral cavity. Additional body sites are specific to line item and have to be linked by ExplanationOfBenefit.item.informationSequence.</td></tr><tr><td style=\"white-space:nowrap\">missingtoothnumber<a name=\"C4BBSupportingInfoType-missingtoothnumber\"> </a></td><td>Missing Tooth Number</td><td>Missing tooth number.</td></tr></table></div>"
  ];
  fhir:CodeSystem.url [ fhir:value "http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBSupportingInfoType"];
  fhir:CodeSystem.version [ fhir:value "1.2.0"];
  fhir:CodeSystem.name [ fhir:value "C4BBSupportingInfoType"];
  fhir:CodeSystem.title [ fhir:value "C4BB Supporting Info Type"];
  fhir:CodeSystem.status [ fhir:value "active"];
  fhir:CodeSystem.date [ fhir:value "2021-12-06T20:26:50+00:00"^^xsd:dateTime];
  fhir:CodeSystem.publisher [ fhir:value "HL7 Financial Management Working Group"];
  fhir:CodeSystem.contact [
     fhir:index 0;
     fhir:ContactDetail.name [ fhir:value "HL7 Financial Management Working Group" ];
     fhir:ContactDetail.telecom [
       fhir:index 0;
       fhir:ContactPoint.system [ fhir:value "url" ];
       fhir:ContactPoint.value [ fhir:value "http://www.hl7.org/Special/committees/fm" ]     ], [
       fhir:index 1;
       fhir:ContactPoint.system [ fhir:value "email" ];
       fhir:ContactPoint.value [ fhir:value "fm@lists.HL7.org" ]     ]
  ];
  fhir:CodeSystem.description [ fhir:value "Claim Information Category - Used as the discriminator for supportingInfo"];
  fhir:CodeSystem.jurisdiction [
     fhir:index 0;
     fhir:CodeableConcept.coding [
       fhir:index 0;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ];
       fhir:Coding.code [ fhir:value "US" ]     ]
  ];
  fhir:CodeSystem.copyright [ fhir:value "This CodeSystem is not copyrighted."];
  fhir:CodeSystem.caseSensitive [ fhir:value "true"^^xsd:boolean];
  fhir:CodeSystem.content [ fhir:value "complete"];
  fhir:CodeSystem.count [ fhir:value "23"^^xsd:nonNegativeInteger];
  fhir:CodeSystem.concept [
     fhir:index 0;
     fhir:CodeSystem.concept.code [ fhir:value "admissionperiod" ];
     fhir:CodeSystem.concept.display [ fhir:value "Admission Period" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Dates corresponding with the admission and discharge of the beneficiary to a facility" ]
  ], [
     fhir:index 1;
     fhir:CodeSystem.concept.code [ fhir:value "pointoforigin" ];
     fhir:CodeSystem.concept.display [ fhir:value "Point Of Origin" ];
     fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility." ]
  ], [
     fhir:index 2;
     fhir:CodeSystem.concept.code [ fhir:value "admtype" ];
     fhir:CodeSystem.concept.display [ fhir:value "Admission Type" ];
     fhir:CodeSystem.concept.definition [ fhir:value "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." ]
  ], [
     fhir:index 3;
     fhir:CodeSystem.concept.code [ fhir:value "billingnetworkcontractingstatus" ];
     fhir:CodeSystem.concept.display [ fhir:value "Billing Network Contracting Status" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission." ]
  ], [
     fhir:index 4;
     fhir:CodeSystem.concept.code [ fhir:value "brandgenericindicator" ];
     fhir:CodeSystem.concept.display [ fhir:value "Brand Generic Indicator" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug." ]
  ], [
     fhir:index 5;
     fhir:CodeSystem.concept.code [ fhir:value "clmrecvddate" ];
     fhir:CodeSystem.concept.display [ fhir:value "Claim Received Date" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Date the claim was received by the payer." ]
  ], [
     fhir:index 6;
     fhir:CodeSystem.concept.code [ fhir:value "compoundcode" ];
     fhir:CodeSystem.concept.display [ fhir:value "Compound Code" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating whether or not the prescription is a compound." ]
  ], [
     fhir:index 7;
     fhir:CodeSystem.concept.code [ fhir:value "dawcode" ];
     fhir:CodeSystem.concept.display [ fhir:value "DAW (Dispense As Written) Code" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication." ]
  ], [
     fhir:index 8;
     fhir:CodeSystem.concept.code [ fhir:value "dayssupply" ];
     fhir:CodeSystem.concept.display [ fhir:value "Days Supply" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy." ]
  ], [
     fhir:index 9;
     fhir:CodeSystem.concept.code [ fhir:value "discharge-status" ];
     fhir:CodeSystem.concept.display [ fhir:value "Discharge Status" ];
     fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay." ]
  ], [
     fhir:index 10;
     fhir:CodeSystem.concept.code [ fhir:value "drg" ];
     fhir:CodeSystem.concept.display [ fhir:value "DRG" ];
     fhir:CodeSystem.concept.definition [ fhir:value "DRG (Diagnosis Related Group), including the code system, the DRG version and the code value" ]
  ], [
     fhir:index 11;
     fhir:CodeSystem.concept.code [ fhir:value "performingnetworkcontractingstatus" ];
     fhir:CodeSystem.concept.display [ fhir:value "Performing Network Contracting Status" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission." ]
  ], [
     fhir:index 12;
     fhir:CodeSystem.concept.code [ fhir:value "refillnum" ];
     fhir:CodeSystem.concept.display [ fhir:value "Refill Number" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)" ]
  ], [
     fhir:index 13;
     fhir:CodeSystem.concept.code [ fhir:value "refillsauthorized" ];
     fhir:CodeSystem.concept.display [ fhir:value "Refills Authorized" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)" ]
  ], [
     fhir:index 14;
     fhir:CodeSystem.concept.code [ fhir:value "rxorigincode" ];
     fhir:CodeSystem.concept.display [ fhir:value "Rx Origin Code" ];
     fhir:CodeSystem.concept.definition [ fhir:value "NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy." ]
  ], [
     fhir:index 15;
     fhir:CodeSystem.concept.code [ fhir:value "servicefacility" ];
     fhir:CodeSystem.concept.display [ fhir:value "Service Facility" ];
     fhir:CodeSystem.concept.definition [ fhir:value "The facility where the service occurred.  Examples include hospitals, nursing homes, laboratories or homeless shelters." ]
  ], [
     fhir:index 16;
     fhir:CodeSystem.concept.code [ fhir:value "typeofbill" ];
     fhir:CodeSystem.concept.display [ fhir:value "Type of Bill" ];
     fhir:CodeSystem.concept.definition [ fhir:value "UB-04 Type of Bill (FL-04) provides specific information for payer purposes." ]
  ], [
     fhir:index 17;
     fhir:CodeSystem.concept.code [ fhir:value "medicalrecordnumber" ];
     fhir:CodeSystem.concept.display [ fhir:value "Medical Record Number" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Patient Medical Record Number associated with the specific claim." ]
  ], [
     fhir:index 18;
     fhir:CodeSystem.concept.code [ fhir:value "patientaccountnumber" ];
     fhir:CodeSystem.concept.display [ fhir:value "Patient Account Number" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Patient Account Number associated with the specific claim." ]
  ], [
     fhir:index 19;
     fhir:CodeSystem.concept.code [ fhir:value "orthodontics" ];
     fhir:CodeSystem.concept.display [ fhir:value "Orthodontics" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Orthodontics treatment indicator." ]
  ], [
     fhir:index 20;
     fhir:CodeSystem.concept.code [ fhir:value "prosthesis" ];
     fhir:CodeSystem.concept.display [ fhir:value "Prosthesis" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Prosthesis replacement indicator." ]
  ], [
     fhir:index 21;
     fhir:CodeSystem.concept.code [ fhir:value "additionalbodysite" ];
     fhir:CodeSystem.concept.display [ fhir:value "Additional Body Site" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Additional tooth number or oral cavity. Additional body sites are specific to line item and have to be linked by ExplanationOfBenefit.item.informationSequence." ]
  ], [
     fhir:index 22;
     fhir:CodeSystem.concept.code [ fhir:value "missingtoothnumber" ];
     fhir:CodeSystem.concept.display [ fhir:value "Missing Tooth Number" ];
     fhir:CodeSystem.concept.definition [ fhir:value "Missing tooth number." ]
  ].

# - ontology header ------------------------------------------------------------

 a owl:Ontology;
  owl:imports fhir:fhir.ttl.