Segment
X12 EDI Release 00305
To supply information related to the certification of a home health care patient
Elements
  • CR601923Prognosis Code
    ID
    M必须(Mandatory)

    Code indicating physician's prognosis for the patient

    Codes (8)
  • CR602373Date
    DT
    M必须(Mandatory)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR6031250Date Time Period Format Qualifier
    ID
    O可选(Optional)

    Code indicating the date format, time format, or date and time format.

    Codes (28)
  • CR6041251Date Time Period
    AN
    O可选(Optional)
    Min 1 / Max 35

    Expression of a date, a time, or range of dates, times or dates and times.

  • CR605373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR6061073Yes/No Condition or Response Code
    ID
    O可选(Optional)

    Code indicating a Yes or No condition or response.

    Codes (3)
  • CR6071073Yes/No Condition or Response Code
    ID
    M必须(Mandatory)

    Code indicating a Yes or No condition or response.

    Codes (3)
  • CR6081322Certification Type Code
    ID
    M必须(Mandatory)

    Code indicating the type of certification

    Codes (12)
  • CR609373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR610235Product/Service ID Qualifier
    ID
    O可选(Optional)

    Code identifying the type/source of the descriptive number used in Product/Service ID (234).

    Codes (341)
  • CR6111137Medical Code Value
    AN
    O可选(Optional)
    Min 1 / Max 15

    Code value for describing a medical condition or procedure

  • CR612373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR613373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR614373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR6151250Date Time Period Format Qualifier
    ID
    O可选(Optional)

    Code indicating the date format, time format, or date and time format.

    Codes (28)
  • CR6161251Date Time Period
    AN
    O可选(Optional)
    Min 1 / Max 35

    Expression of a date, a time, or range of dates, times or dates and times.

  • CR6171384Patient Location Code
    ID
    O可选(Optional)

    Code identifying the location where patient is receiving medical treatment

    Codes (15)
  • CR618373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR619373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR620373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).

  • CR621373Date
    DT
    O可选(Optional)
    Min 6 / Max 6

    Date (YYMMDD).