CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)
2.0.0 - STU 2 US

This page is part of the CARIN Blue Button Implementation Guide (v2.0.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). 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: 2.0.0
Active as of 2022-11-28 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:

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

CodeDisplayDefinition
admissionperiod Admission PeriodDates corresponding with the admission and discharge of the beneficiary to a facility
pointoforigin Point Of OriginUB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.
admtype Admission TypeUB-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 IndicatorNCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.
clmrecvddate Claim Received DateDate the claim was received by the payer.
compoundcode Compound CodeNCPDP code indicating whether or not the prescription is a compound.
dawcode DAW (Dispense As Written) CodeNCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
dayssupply Days SupplyNCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.
discharge-status Discharge StatusUB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.
drg DRGDRG (Diagnosis Related Group), including the code system, the DRG version and the code value
refillnum Refill NumberNCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)
refillsauthorized Refills AuthorizedNCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)
rxorigincode Rx Origin CodeNCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.
servicefacility Service FacilityThe facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.
typeofbill Type of BillUB-04 Type of Bill (FL-04) provides specific information for payer purposes.
medicalrecordnumber Medical Record NumberPatient Medical Record Number associated with the specific claim.
patientaccountnumber Patient Account NumberPatient Account Number associated with the specific claim.
orthodontics OrthodonticsOrthodontics treatment indicator.
prosthesis ProsthesisProsthesis replacement indicator.
additionalbodysite Additional Body SiteAdditional 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 NumberMissing tooth number.
patientweight Patient WeightPatient weight (for transportation services)
ambulancetransportreason Ambulance Transport ReasonReason ambulance transport was needed (for transportation services)
transportationdistance Transportation DistanceDistance traveled (for transportation services)
roudtrippurpose Round Trip PurposeReason for round trip (for transportation services)
stretcherpurpose Stretcher PurposePurpose of using a stretcher (for transportation services)
pickuplocation Pick-up LocationPatient pick-up Location (for transportation services)
dropofflocation Drop-off LocationPatient drop-off location (for transportation services)