HSD

Health Care Services Delivery

Pos: 090	Max: 1
Detail - Optional
Loop: 2000F	Elements: 8

Ref

Id

Element Name

Req

Type

Min/Max

Usage

HSD01

673

Quantity Qualifier
Description: Code specifying the type of quantity
Use if needed to indicate the type of service count quantified in HSD02.

C

ID

2/2

Situational

Code

Name

DY

Days

FL

Units

HS

Hours

MN

Month

VS

Visits

HSD02

380

Quantity
Description: Numeric value of quantity
Industry: Service Unit Count
Alias: Service Quantity
Use this number for the quantity of services to be rendered.

C

R

1/15

Situational

HSD03

355

Unit or Basis for Measurement Code
Description: Code specifying the units in which a value is being expressed, or manner in which a measurement has been taken
Use this code for the timeframe in which the quantity of services in HSD02 will be rendered.

O

ID

2/2

Situational

Code

Name

DA

Days

MO

Months

WK

Week

HSD04

1167

Sample Selection Modulus
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

O

R

1/6

Situational

HSD05

615

Time Period Qualifier
Description: Code defining periods
Use this code for the time period for which the service will be continued.

C

ID

1/2

Situational

Code

Name

6

Hour

7

Day

21

Years

26

Episode

27

Visit

34

Month

35

Week

HSD06

616

Number of Periods
Description: Total number of periods
Industry: Period Count
Use this number for the number of time periods in HSD05 that are requested.

O

N0

1/3

Situational

HSD07

678

Ship/Delivery or Calendar Pattern Code
Description: Code which specifies the routine shipments, deliveries, or calendar pattern
Industry: Ship, Delivery or Calendar Pattern Code
Alias: Service Delivery Calendar Pattern Code
Use this code for the calendar delivery pattern for the services.

O

ID

1/2

Situational

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)

SA

Sunday, Monday, Thursday, Friday, Saturday

SB

Tuesday through Saturday

SC

Sunday, Wednesday, Thursday, Friday, Saturday

SD

Monday, Wednesday, Thursday, Friday, Saturday

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
Description: Code which specifies the time for routine shipments or deliveries
Industry: Delivery Pattern Time Code
Alias: Service Delivery Time Pattern Code
Use this code for the time delivery pattern for the services.

O

ID

1/1

Situational

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)

1.

P0102 - If either HSD01,HSD02 is present, then all are required

2.

C0605 - If HSD06 is present, then all of HSD05 are required

Notes:

1. Required if the UMO authorizes services (other than spinal manipulation services) that have a specific pattern of delivery. For spinal manipulation services, use the CR2 segment.
2. An explanation of the uses of this segment follows.
HSD01 qualifies HSD02: If the value in HSD02=1 and the value in HSD01=VS (Visits), this means “one visit”.
Between HSD02 and HSD03 verbally insert a “per every”.
HSD03 qualifies HSD04: If the value in HSD04=3 and the value in
HSD03=DA (Day), this means “three days”. Between HSD04 and
HSD05 verbally insert a “for”. HSD05 qualifies HSD06: If the value in
HSD06=21 and the value in HSD05=7 (Days), this means “21 days”.
The total message reads:
HSD*VS*1*DA*3*7*21~ = “One visit per every three days for 21 days”.
Another similar data string of HSD*VS*2*DA*4*7*20~ = “Two visits per every four days for 20 days”.
An alternate way to use HSD is to employ HSD07 and/or HSD08. A data string of HSD*VS*1*****SX*D~ means “1 visit on Wednesday and Thursday morning”.

Example:

HSD*VS*1*DA*1*7*10~ (This indicates "1 visit every (per) 1 day (daily) for 10 days".)
HSD*VS*1*DA****W~ (This indicates "1 visit per day whenever necessary".)