PDexSupportingInfoTypeCS
type: CodeSystem
node role: treeRoot
resource.id:
  value: PDexSupportingInfoTypeCS
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Generated Narrative: CodeSystem PDexSupportingInfoTypeCS This case-insensitive code system http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS defines the following codes: Code Display Definition 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. billingnetworkcontractingstatus Billing Network Contracting Status Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission. 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 performingnetworkcontractingstatus Performing Network Contracting Status Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission. refillnum Refill Number NCPDP value indicating the number fill of the cu…
domain resource.extension:
  index: 0
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-wg
  extension.value code:
    value: fm
domain resource.extension:
  index: 1
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm
  extension.value integer:
    value: 2
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      extension.value canonical:
        value: http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex
        link: http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex
domain resource.extension:
  index: 2
  extension.url:
    value: http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status
  extension.value code:
    value: trial-use
    element.extension:
      index: 0
      extension.url:
        value: http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom
      extension.value canonical:
        value: http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex
        link: http://hl7.org/fhir/us/davinci-pdex/ImplementationGuide/hl7.fhir.us.davinci-pdex
code system.url:
  value: http://hl7.org/fhir/us/davinci-pdex/CodeSystem/PDexSupportingInfoTypeCS
code system.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.4.642.40.8.16.26
code system.version:
  value: 2.2.0
code system.name:
  value: PDexSupportingInfoTypeCS
code system.title:
  value: PDex Supporting Info Type
code system.status:
  value: active
code system.experimental:
  value: false
code system.date:
  value: 2026-08-22T03:20:18+10:00
code system.publisher:
  value: HL7 International / Financial Management
code system.contact:
  index: 0
  contact detail.name:
    value: HL7 International / Financial Management
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: http://www.hl7.org/Special/committees/fm
  contact detail.telecom:
    index: 1
    contact point.system:
      value: email
code system.contact:
  index: 1
  contact detail.name:
    value: Mark Scrimshire (mark.scrimshire@onyxhealth.io)
  contact detail.telecom:
    index: 0
    contact point.system:
      value: email
code system.contact:
  index: 2
  contact detail.name:
    value: HL7 International - Financial Management
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: http://www.hl7.org/Special/committees/fm
code system.description:
  value: Claim Information Category - Used as the discriminator for supportingInfo
code system.jurisdiction:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: urn:iso:std:iso:3166
    coding.code:
      value: US
    coding.display:
      value: United States of America
code system.copyright:
  value: This CodeSystem is not copyrighted.
code system.case sensitive:
  value: false
code system.content:
  value: complete
code system.count:
  value: 18
code system.concept:
  index: 0
  code system.concept.code:
    value: admissionperiod
  code system.concept.display:
    value: Admission Period
  code system.concept.definition:
    value: Dates corresponding with the admission and discharge of the beneficiary to a facility
code system.concept:
  index: 1
  code system.concept.code:
    value: pointoforigin
  code system.concept.display:
    value: Point Of Origin
  code system.concept.definition:
    value: UB-04 Source of Admission (FL-15) identifies the place where the patient was identified as needing admission to a facility.
code system.concept:
  index: 2
  code system.concept.code:
    value: admtype
  code system.concept.display:
    value: Admission Type
  code system.concept.definition:
    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.
code system.concept:
  index: 3
  code system.concept.code:
    value: billingnetworkcontractingstatus
  code system.concept.display:
    value: Billing Network Contracting Status
  code system.concept.definition:
    value: Indicates that the Billing Provider has a contract with the Payer as of the effective date of service or admission.
code system.concept:
  index: 4
  code system.concept.code:
    value: brandgenericindicator
  code system.concept.display:
    value: Brand Generic Indicator
  code system.concept.definition:
    value: NCPDP code indicating whether the plan adjudicated the claim as a brand or generic drug.
code system.concept:
  index: 5
  code system.concept.code:
    value: clmrecvddate
  code system.concept.display:
    value: Claim Received Date
  code system.concept.definition:
    value: Date the claim was received by the payer.
code system.concept:
  index: 6
  code system.concept.code:
    value: compoundcode
  code system.concept.display:
    value: Compound Code
  code system.concept.definition:
    value: NCPDP code indicating whether or not the prescription is a compound.
code system.concept:
  index: 7
  code system.concept.code:
    value: dawcode
  code system.concept.display:
    value: DAW (Dispense As Written) Code
  code system.concept.definition:
    value: NCPDP code indicating the prescriber's instruction regarding substitution of generic equivalents or order to dispense the specific prescribed medication.
code system.concept:
  index: 8
  code system.concept.code:
    value: dayssupply
  code system.concept.display:
    value: Days Supply
  code system.concept.definition:
    value: NCPDP value indicating the Number of days supply of medication dispensed by the pharmacy.
code system.concept:
  index: 9
  code system.concept.code:
    value: discharge-status
  code system.concept.display:
    value: Discharge Status
  code system.concept.definition:
    value: UB-04 Discharge Status (FL-17) indicates the patient’s status as of the discharge date for a facility stay.
code system.concept:
  index: 10
  code system.concept.code:
    value: drg
  code system.concept.display:
    value: DRG
  code system.concept.definition:
    value: DRG (Diagnosis Related Group), including the code system, the DRG version and the code value

index: 11
code system.concept.code:
  value: performingnetworkcontractingstatus
code system.concept.display:
  value: Performing Network Contracting Status
code system.concept.definition:
  value: Indicates that the Performing Provider has a contract with the Payer as of the effective date of service or admission.

index: 12
code system.concept.code:
  value: refillnum
code system.concept.display:
  value: Refill Number
code system.concept.definition:
  value: NCPDP value indicating the number fill of the current dispensed supply (0, 1, 2, etc.)

index: 13
code system.concept.code:
  value: rxorigincode
code system.concept.display:
  value: Rx Origin Code
code system.concept.definition:
  value: NCPDP code indicating whether the prescription was transmitted as an electronic prescription, by phone, by fax, or as a written paper copy.

index: 14
code system.concept.code:
  value: servicefacility
code system.concept.display:
  value: Service Facility
code system.concept.definition:
  value: The facility where the service occurred. Examples include hospitals, nursing homes, laboratories or homeless shelters.

index: 15
code system.concept.code:
  value: typeofbill
code system.concept.display:
  value: Type of Bill
code system.concept.definition:
  value: UB-04 Type of Bill (FL-04) provides specific information for payer purposes.

index: 16
code system.concept.code:
  value: medicalrecordnumber
code system.concept.display:
  value: Medical Record Number
code system.concept.definition:
  value: Patient Medical Record Number associated with the specific claim.

index: 17
code system.concept.code:
  value: patientaccountnumber
code system.concept.display:
  value: Patient Account Number
code system.concept.definition:
  value: Patient Account Number associated with the specific claim.