CR6 Home Health Care Certification

Batch

To supply information related to the certification of a home health care patient

Elements

Position	Element	Name		Type	Min/Max	Repeat

1	923	Prognosis Code	Mandatory	ID	1/1	1
2	373	Date	Mandatory	Date	8/8	1
3	1250	Date Time Period Format Qualifier	Rel	ID	2/3	1
4	1251	Date Time Period	Rel	Alphanumeric	1/35	1
5	373	Date	Opt	Date	8/8	1
6	1073	Yes/No Condition or Response Code	Opt	ID	1/1	1
7	1073	Yes/No Condition or Response Code	Mandatory	ID	1/1	1
8	1322	Certification Type Code	Mandatory	ID	1/1	1
9	373	Date	Rel	Date	8/8	1
10	235	Product/Service ID Qualifier	Rel	ID	2/2	1
11	1137	Medical Code Value	Rel	Alphanumeric	1/15	1
12	373	Date	Opt	Date	8/8	1
13	373	Date	Opt	Date	8/8	1
14	373	Date	Opt	Date	8/8	1
15	1250	Date Time Period Format Qualifier	Rel	ID	2/3	1
16	1251	Date Time Period	Rel	Alphanumeric	1/35	1
17	1384	Patient Location Code	Rel	ID	1/1	1
18	373	Date	Opt	Date	8/8	1
19	373	Date	Opt	Date	8/8	1
20	373	Date	Opt	Date	8/8	1
21	373	Date	Opt	Date	8/8	1

ID923

NamePrognosis Code

LengthMin 1 / Max 1

Position1

RequirementMandatory

Codes