TYPE |
LEN |
REQ |
VALUE |
NOTES |
PK |
Y |
Procedure Primary Key |
||
VARCHAR |
100 |
Y |
Client ID |
Healthjump's client identifier. |
VARCHAR |
40 |
Y |
Patient ID |
|
VARCHAR |
100 |
Y |
CPT4/HCPCS Code |
|
VARCHAR |
1000 |
Procedure Description |
||
VARCHAR |
10 |
Procedure Date |
Format: YYYYMMDD |
|
VARCHAR |
20 |
Units |
||
VARCHAR |
20 |
Modifier Code 1 |
CPT-4 or HCPCS modifier code |
|
VARCHAR |
20 |
Modifier Code 2 |
CPT-4 or HCPCS modifier code |
|
VARCHAR |
20 |
Modifier Code 3 |
CPT-4 or HCPCS modifier code |
|
VARCHAR |
20 |
Modifier Code 4 |
CPT-4 or HCPCS modifier code |
|
VARCHAR |
100 |
Place of Service |
CMS place of service. Needs to be the actual name of the location. |
|
VARCHAR |
100 |
Performed by Clinician |
Must be NPI |
|
VARCHAR |
100 |
Ordered by Clinician |
Must be NPI |
|
VARCHAR |
40 |
Encounter Unique ID |
Identifies the encounter during which this was performed from the source system. |
|
VARCHAR |
20 |
Internal Charge Code |
||
VARCHAR |
20 |
Total Charges |
||
VARCHAR |
20 |
Y* |
LINC Code |
|
VARCHAR |
20 |
Y* |
SNOMEDCode |
|
VARCHAR |
50 |
Procedure Result |
Any result data associated with the performed procedure such as PHQ9, HCPCS, LOINC, SNOMED (mammogram, colonoscopy, diabetic eye exam results, etc.) |
|
DATE (Time) |
|
HJ Create Timestamp |
For internal Healthjump use and reference. |
|
DATE (Time) |
|
HJ Modify Timestamp |
For internal Healthjump use and reference. |
|
VARCHAR |
50 |
Dx1 Code |
||
VARCHAR |
50 |
Dx2 Code |
||
VARCHAR |
50 |
Dx3 Code |
||
VARCHAR |
50 |
Dx4 Code |
||
VARCHAR |
50 |
Dx5 Code |
||
VARCHAR |
50 |
Dx6 Code |
||
VARCHAR |
50 |
Dx7 Code |
||
VARCHAR |
50 |
Dx8 Code |
||
VARCHAR |
50 |
Client Procedure ID |
||
CHAR |
32 |
Row Hash |
For internal Healthjump use and reference. |
*Y* – One of these values must be specified.