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ICD - insurance certification definition

HL7 Component Table - ICD - insurance certification definition
Seq# Description Implement Flags Cardinality Length C.LEN Vocabulary Data Type
ICD
1 Certification Patient Type [0..1]     0150 CWE
2 Certification Required SHALL [0..1] [1..1]     0136 ID
3 Date/Time Certification Required [0..1]     DTM

Components: <Certification Patient Type (CWE)> & <Certification Required (ID)> & <Date/Time Certification Required (DTM)>

Subcomponents for Certification Patient Type (CWE): <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>

Definition: This data type specifies whether insurance certification is required for particular patient types, and the time window for obtaining the certification.

Note: Replaces the CM data type used in section 6.5.8.20 IN3-20, as of v2.5.


ICD-1: Certification Patient Type (CWE)

Definition: Specifies the category or type of patient for which this certification is requested. Refer to User-defined Table 0150 - Certification patient type for suggested values.

ICD-2: Certification Required (ID)

Definition: Specifies whether or not a certification is required. Refer to HL7 Table 0136 - Yes/no Indicator for valid values.

ICD-3: Date/Time Certification Required (DTM)

Definition: The date/time by which the certification must be obtained.