SV2 Institutional Service

Opt
AtMax 1

To specify the service line item detail for a health care institution

Elements

PositionElementNameTypeMin/MaxRepeat
1
234
Product/Service IDRelAlphanumeric1/80AtMax 1
C003Composite Medical Procedure IdentifierRel
AtMax 1
3
782
Monetary AmountOptDecimal1/18AtMax 1
4
355
Unit or Basis for Measurement CodeRelID2/2AtMax 1
5
380
QuantityRelDecimal1/15AtMax 1
6
1371
Unit RateOptDecimal1/10AtMax 1
7
782
Monetary AmountOptDecimal1/18AtMax 1
8
1073
Yes/No Condition or Response CodeOptID1/1AtMax 1
9
1345
Nursing Home Residential Status CodeOptID1/1AtMax 1
10
1337
Level of Care CodeOptID1/1AtMax 1

Element Details

ID234
NameProduct/Service ID
LengthMin 1 / Max 80
Position1
RequirementRel