| | | | | | | | | | | |
| | _Ref_ | Id | _________Element Name__________ | Req | Type | Min/Max | | |
| | HSD01 | 673 | Quantity Qualifier | C | ID | 2/2 | | |
| | | | Description: Code specifying the type of quantity |
| | | | | Code | Name_______________________________ |
| | | | | DY | Days |
| | | | | FL | Units |
| | | | | HS | Hours |
| | | | | MN | Month |
| | | | | VS | Visits |
| | HSD02 | 380 | Quantity | C | R | 1/15 | | |
| | | | Description: Numeric value of quantity |
| | HSD03 | 355 | Unit or Basis for Measurement Code | O | ID | 2/2 | | |
| | | | Description: Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken |
| | | | | Code | Name_______________________________ |
| | | | | DA | Days |
| | | | | MO | Months |
| | | | | VS | Visit |
| | | | | | Description: A quantitative measure of the number of visits to a provider by the patient |
| | | | | WK | Week |
| | | | | YR | Years |
| | HSD04 | 1167 | Sample Selection Modulus | O | R | 1/6 | | |
| | | | Description: To specify the sampling frequency in terms of a modulus of the Unit of Measure, e.g., every fifth bag, every 1.5 minutes |
| | HSD05 | 615 | Time Period Qualifier | C | ID | 1/2 | | |
| | | | Description: Code defining periods |
| | | | | Code | Name_______________________________ |
| | | | | 6 | Hour |
| | | | | 7 | Day |
| | | | | 21 | Years |
| | | | | 22 | Service Year |
| | | | | 23 | Calendar Year |
| | | | | 24 | Year to Date |
| | | | | 25 | Contract |
| | | | | 26 | Episode |
| | | | | 27 | Visit |
| | | | | 28 | Outlier |
| | | | | 29 | Remaining |
| | | | | 30 | Exceeded |
| | | | | 31 | Not Exceeded |
| | | | | 32 | Lifetime |
| | | | | 33 | Lifetime Remaining |
| | | | | 34 | Month |
| | | | | 35 | Week |
| | HSD06 | 616 | Number of Periods | O | N0 | 1/3 | | |
| | | | Description: Total number of periods |
| | HSD07 | 678 | Ship/Delivery or Calendar Pattern Code | O | ID | 1/2 | | |
| | | | Description: Code which specifies the routine shipments, deliveries, or calendar pattern |
| | | | | Code | Name_______________________________ |
| | | | | 1 | 1st Week of the Month |
| | | | | 2 | 2nd Week of the Month |
| | | | | 3 | 3rd Week of the Month |
| | | | | 4 | 4th Week of the Month |
| | | | | 5 | 5th Week of the Month |
| | | | | 6 | 1st & 3rd Weeks of the Month |
| | | | | 7 | 2nd & 4th Weeks of the Month |
| | | | | 8 | 1st Working Day of Period |
| | | | | 9 | Last Working Day of Period |
| | | | | A | Monday through Friday |
| | | | | B | Monday through Saturday |
| | | | | C | Monday through Sunday |
| | | | | D | Monday |
| | | | | E | Tuesday |
| | | | | F | Wednesday |
| | | | | G | Thursday |
| | | | | H | Friday |
| | | | | J | Saturday |
| | | | | K | Sunday |
| | | | | L | Monday through Thursday |
| | | | | M | Immediately |
| | | | | N | As Directed |
| | | | | O | Daily Mon. through Fri. |
| | | | | P | 1/2 Mon. & 1/2 Thurs. |
| | | | | Q | 1/2 Tues. & 1/2 Thurs. |
| | | | | R | 1/2 Wed. & 1/2 Fri. |
| | | | | S | Once Anytime Mon. through Fri. |
| | | | | T | 1/2 Tue. & 1/2 Fri. |
| | | | | U | 1/2 Mon. & 1/2 Wed. |
| | | | | V | 1/3 Mon., 1/3 Wed., 1/3 Fri. |
| | | | | W | Whenever Necessary |
| | | | | X | 1/2 By Wed., Bal. By Fri. |
| | | | | Y | None (Also Used to Cancel or Override a Previous Pattern) |
| | | | | SG | Tuesday through Friday |
| | | | | SL | Monday, Tuesday and Thursday |
| | | | | SP | Monday, Tuesday and Friday |
| | | | | SX | Wednesday and Thursday |
| | | | | SY | Monday, Wednesday and Thursday |
| | | | | SZ | Tuesday, Thursday and Friday |
| | HSD08 | 679 | Ship/Delivery Pattern Time Code | O | ID | 1/1 | | |
| | | | Description: Code which specifies the time for routine shipments or deliveries |
| | | | | Code | Name_______________________________ |
| | | | | A | 1st Shift (Normal Working Hours) |
| | | | | B | 2nd Shift |
| | | | | C | 3rd Shift |
| | | | | D | A.M. |
| | | | | E | P.M. |
| | | | | F | As Directed |
| | | | | G | Any Shift |
| | | | | Y | None (Also Used to Cancel or Override a Previous Pattern) |
