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PSL - Product/Service Line Item Segment

The Product/Service Line Item segment is used to identify individual product/service items that typically are aggregated into an Invoice. Each instance of a Product/Service Line Item corresponds to a unique product delivered or service rendered.

HL7 Attribute Table - PSL - Product/Service Line Item Segment
Seq# DataElement Description Must Implement Flags Cardinality Length C.LEN Vocabulary DataType
PSL
1 01955 Provider Product/Service Line Item Number SHALL [1..1] EI
2 01956 Payer Product/Service Line Item Number [0..1] EI
3 01957 Product/Service Line Item Sequence Number SHALL [1..1] [1..4] SI
4 01958 Provider Tracking ID [0..1] EI
5 01959 Payer Tracking ID [0..1] EI
6 01960 Product/Service Line Item Status SHALL [1..1] CWE
7 01961 Product/Service Code SHALL [1..1] CWE
8 01962 Product/Service Code Modifier [0..0] CWE
9 01963 Product/Service Code Description # [0..1] 80 ST
10

01964 Product/Service Effective Date MAY
True:
False:
C
[1..1]
[0..1]
DTM
11 01965 Product/Service Expiration Date [0..1] DTM
12

01966 Product/Service Quantity MAY
True:
False:
C
[1..1]
[0..1]
CQ
13

01967 Product/Service Unit Cost MAY
True:
False:
C
[1..1]
[0..1]
CP
14

01968 Number of Items per Unit MAY
True:
False:
C#
[1..1]
[0..1]
10 NM
15

01969 Product/Service Gross Amount MAY
True:
False:
C
[1..1]
[0..1]
CP
16

01970 Product/Service Billed Amount MAY
True:
False:
C
[1..1]
[0..1]
CP
17 01971 Product/Service Clarification Code Type [0..0] CWE
18 01972 Product/Service Clarification Code Value = [0..0] 40 ST
19 01973 Health Document Reference Identifier [0..0] EI
20 01974 Processing Consideration Code [0..0] CWE
21 01975 Restricted Disclosure Indicator SHALL [1..1] [1..4] ID
22 01976 Related Product/Service Code Indicator [0..1] CWE
23 01977 Product/Service Amount for Physician [0..1] CP
24 01978 Product/Service Cost Factor # [0..1] 5 NM
25 01933 Cost Center [0..1] CX
26 01980 Billing Period [0..1] DR
27 01981 Days without Billing = [0..1] 5 NM
28 01982 Session-No [0..1] [1..4] NM
29 01983 Executing Physician ID [0..1] XCN
30 01984 Responsible Physician ID [0..1] XCN
31 01985 Role Executing Physician [0..1] CWE
32 01986 Medical Role Executing Physician [0..1] CWE
33 01987 Side of body [0..1] CWE
34 01988 Number of TP's PP # [0..1] 6 NM
35 01989 TP-Value PP [0..1] CP
36 01990 Internal Scaling Factor PP # [0..1] 4 NM
37 01991 External Scaling Factor PP # [0..1] 4 NM
38 01992 Amount PP [0..1] CP
39 01993 Number of TP's Technical Part # [0..1] 6 NM
40 01994 TP-Value Technical Part [0..1] CP
41 01995 Internal Scaling Factor Technical Part # [0..1] 4 NM
42 01996 External Scaling Factor Technical Part # [0..1] 4 NM
43 01997 Amount Technical Part [0..1] CP
44 01998 Total Amount Professional Part + Technical Part [0..1] CP
45 01999 VAT-Rate = [0..1] 3 NM
46 02000 Main-Service [0..1] [1..20] ID
47 02001 Validation [0..1] [1..1] ID
48 02002 Comment = [0..1] 255 ST

PSL-1: Provider Product/Service Line Item Number (EI) 01955

Definition: Unique Product/Service Line Item Number assigned by the Provider Application.

PSL-2: Payer Product/Service Line Item Number (EI) 01956

Definition: Unique Product/Service Line Item Number assigned by the Payer Application.

PSL-3: Product/Service Line Item Sequence Number (SI) 01957

Definition: Unique sequence number for the Product/Service Line Item – starts with 1, then 2, etc. for each unique Product/Service Line Item in this Invoice.

PSL-4: Provider Tracking ID (EI) 01958

Definition: Identifier for this Product/Service Line Item assigned by the Provider Application. This will be echoed on all interactions between participants for this Product/Service Line Item.

PSL-5: Payer Tracking ID (EI) 01959

Definition: Identifier for this Product/Service Line Item assigned by the Payer Application. This will be echoed on all interactions between participants for this Product/Service Line Item.

PSL-6: Product/Service Line Item Status (CWE) 01960

Definition: Processing status for the Product/Service Code. Refer to User-defined Table 0559 – Product/Service Status in Chapter 2C, Code Tables, for suggested values.

PSL-7: Product/Service Code (CWE) 01961

Definition: Code describing the service that was delivered/received. Refer to User-defined Table 0879 – Product/Service Code in Chapter 2C, Code Tables, for suggested values.

PSL-8: Product/Service Code Modifier (CWE) 01962

Definition: Additional optional modifier(s) for the Product/Service Code (e.g., after hours – evening, after hours – weekend); repeats up to 5 times. Refer to User-defined Table 0880 – Product/Service Code Modifier in Chapter 2C, Code Tables, for suggested values.

PSL-9: Product/Service Code Description (ST) 01963

Definition: Text describing Product/Service Code in PSL.

PSL-10: Product/Service Effective Date (DTM) 01964

Definition: [ Start ] Date/Time product/service was delivered/received.

PSL-11: Product/Service Expiration Date (DTM) 01965

Definition: [ End ] Date/Time product/service was delivered/received. If specified, must be greater than or equal to Product/Service Effective Date.

PSL-12: Product/Service Quantity (CQ) 01966

Definition: Amount that has been negotiated for this Product/Service Code on PSL between a Provider and Payer for each unit. Refer to User-defined Table 0560 – Quantity Units in Chapter 2C, Code Tables, for valid values.

PSL-13: Product/Service Unit Cost (CP) 01967

Definition: This field contains the cost per unit either in monetary amount or in points.

Examples:

1. Qty * cost/unit = gross amount

2. Qty * cost/unit * factor = gross amount

3. Qty * cost/point * factor * points = gross amount

PSL-14: Number of Items per Unit (NM) 01968

Definition: Number of items in each unit – for Services, this should be set to 1.

PSL-15: Product/Service Gross Amount (CP) 01969

Definition: = Product/Service Quantity * Product/Service Unit Cost

PSL-16: Product/Service Billed Amount (CP) 01970

Definition: Amount that is being billed for this Product/Service Code on PSL, = Product/Service Gross Amount + sum of all Product/Service Adjustments on ADJ for this Product/Service Line Item.

= Product/Service Gross Amount + sum of all Product/Service Adjustments on ADJ

PSL-17: Product/Service Clarification Code Type (CWE) 01971

Definition: Additional codes describing the Product/Service Code on PSL – examples are Northern Allowance, Data Center Numbers, Sequence Numbers; repeats with Product/Service Clarification Code Value. Refer to User-defined Table 0561 – Product/Services Clarification Codes in Chapter 2C, Code Tables, for suggested values.

PSL-18: Product/Service Clarification Code Value (ST) 01972

Definition: Actual value for Product/Service Clarification Code Type (40) – examples are "Y", "N" for Northern Allowance, an actual number for a Data Center Number; repeats with Product/Service Clarification Code Type.

Repeats with Product/Service Clarification Code Type.

PSL-19: Health Document Reference Identifier (EI) 01973

Definition: Health Documents (electronic or paper) that support this Product/Service Line Item. This includes such health documents as forms used to register a claim with a Payer, reports, medical images, etc.

PSL-20: Processing Consideration Code (CWE) 01974

Definition: Codes indicating special processing requested of Payer for this Product/Service Line Item (e.g., hold until paper supporting documentation is received by Payer). Refer to User-defined Table 0562 – Processing Consideration Codes in Chapter 2C, Code Tables, for suggested values.

PSL-21: Restricted Disclosure Indicator (ID) 01975

Definition: Set to "Yes" if information on this invoice should be treated with increased confidentiality/security. Refer to User-defined Table 0532 – Expanded Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.

PSL-22: Related Product/Service Code Indicator (CWE) 01976

Definition: Two Product /Service Line Items (PSL-7) may be in a relation to each other. One could be an addition to another. In this case this field contains the Code of PSL-7 of the "master" Product/Service Line Item. Refer to User-defined Table 0879 – Product/Service Code in Chapter 2C, Code Tables, for suggested values.

PSL-23: Product/Service Amount for Physician (CP) 01977

Definition: Monetary Amount of product/service item which is for the physician.

PSL-24: Product/Service Cost Factor (NM) 01978

Definition: Factor to increase the billed amount.

PSL-25: Cost Center (CX) 01933

(Definition from IVC.20 in Ch. 16)

Definition: Cost centers are organizational units or activities that provide goods and services. In this context, it would be the department which delivered the Service/Product Line Item, e.g., Radiology, Emergency Room.

(Definition from PSL.25 in Ch. 16)

Definition: Cost centers are organizational units or activities that provide goods and services. In this context, it would be the department which delivered the Service/Product Line Item, e.g., Radiology, Emergency Room.

PSL-26: Billing Period (DR) 01980

Definition: Begin and end of billing period.

PSL-27: Days without Billing (NM) 01981

Definition: Number of Days for which no invoice is created.

PSL-28: Session-No (NM) 01982

Definition: Several line items may be grouped to a session.

PSL-29: Executing Physician ID (XCN) 01983

Definition: ID of the physician who is providing the Service, e.g., executing the radiology-exam (EAN ID = European Article Numbering).

PSL-30: Responsible Physician ID (XCN) 01984

Definition: ID of the physician who is responsible for the Service.

PSL-31: Role Executing Physician (CWE) 01985

Definition: Account role of the physician, for example only billing for the professional part, the technical part or both. Refer to User-defined Table 0881 – Role Executing Physician in Chapter 2C, Code Tables, for suggested values.

PSL-32: Medical Role Executing Physician (CWE) 01986

Definition: The role of the Physician ("self-employed" or "employed"). Refer to User-defined Table 0882 – Medical Role Executing Physician in Chapter 2C, Code Tables, for suggested values.

PSL-33: Side of body (CWE) 01987

Definition: Left / right. Refer to User-defined Table 0894 – Side of Body in Chapter 2C, Code Tables, for suggested values.

PSL-34: Number of TP's PP (NM) 01988

Definition: Cost of the service "professional part" expressed in "points".

PSL-35: TP-Value PP (CP) 01989

Definition: Monetary Value of one "point" for the professional part of the service.

PSL-36: Internal Scaling Factor PP (NM) 01990

Definition: Internal Scaling Factor for the amount of the professional part of the service.

PSL-37: External Scaling Factor PP (NM) 01991

Definition: External Scaling Factor for the amount of the professional part of the service.

PSL-38: Amount PP (CP) 01992

Definition: Total Amount for the professional part of this service.

PSL-39: Number of TP's Technical Part (NM) 01993

Definition: Cost of the service (Technical Part) expressed in "points".

PSL-40: TP-Value Technical Part (CP) 01994

Definition: Monetary Value of one "point" for the technical part of the service.

PSL-41: Internal Scaling Factor Technical Part (NM) 01995

Definition: Internal Scaling Factor for the amount of the technical part of the service.

PSL-42: External Scaling Factor Technical Part (NM) 01996

Definition: External Scaling Factor for the amount of the technical part of the service.

PSL-43: Amount Technical Part (CP) 01997

Definition: Total Amount for the technical part of this service.

PSL-44: Total Amount Professional Part + Technical Part (CP) 01998

Definition: Total Amount of the cost of this service (Professional plus technical part)

PSL-45: VAT-Rate (NM) 01999

Definition: VAT–Rate Applied on the total amount of this service.

PSL-46: Main-Service (ID) 02000

Definition: Main service.

PSL-47: Validation (ID) 02001

Definition: Service line item has passed an approved validator software (yes/no). For reason see PSL-48. Refer to HL7 Table 0136 – Yes/No Indicator in Chapter 2C, Code Tables, for suggested values.

PSL-48: Comment (ST) 02002

Definition: Reason why the service line item has not passed the validator software.