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

ValueSet: C4BB SupportingInfo Type Value Set

Official URL: Version: 2.0.0
Active as of 2022-11-28 Computable Name: C4BBSupportingInfoType

Copyright/Legal: This Valueset is not copyrighted.

Used as the discriminator for the types of supporting information for the CARIN IG for Blue Button� Implementation Guide.


Logical Definition (CLD)



This value set contains 28 concepts

Expansion based on C4BB Supporting Info Type Code System v2.0.0 (CodeSystem)

  admissionperiod Period

Dates corresponding with the admission and discharge of the beneficiary to a facility

  pointoforigin Of Origin

UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.

  admtype 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 Generic Indicator

NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.

  clmrecvddate Received Date

Date the claim was received by the payer.

  compoundcode Code

NCPDP code indicating whether or not the prescription is a compound.

  dawcode (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 Supply

NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.

  discharge-status Status

UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.


DRG (Diagnosis Related Group), including the code system, the DRG version and the code value

  refillnum Number

NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)

  refillsauthorized Authorized

NCPDP value indicating the number of refills authorized by the subscriber (0, 1, 2, etc.)

  rxorigincode 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 Facility

The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.

  typeofbill of Bill

UB-04 Type of Bill (FL-04) provides specific information for payer purposes.

  medicalrecordnumber Record Number

Patient Medical Record Number associated with the specific claim.

  patientaccountnumber Account Number

Patient Account Number associated with the specific claim.


Orthodontics treatment indicator.


Prosthesis replacement indicator.

  additionalbodysite 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 Tooth Number

Missing tooth number.

  patientweight Weight

Patient weight (for transportation services)

  ambulancetransportreason Transport Reason

Reason ambulance transport was needed (for transportation services)

  transportationdistance Distance

Distance traveled (for transportation services)

  roudtrippurpose Trip Purpose

Reason for round trip (for transportation services)

  stretcherpurpose Purpose

Purpose of using a stretcher (for transportation services)

  pickuplocation Location

Patient pick-up Location (for transportation services)

  dropofflocation Location

Patient drop-off location (for transportation services)

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
System The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code