PSL - Product/Service Line Item (HL7 v2.7.1)
The PSL segment (Product/Service Line Item) has 48 fields in HL7 v2.7.1. Fields are addressed as
PSL-n; composite fields break into components PSL-n.m. Paste a message into the
parser to see every field annotated with this table.
| # | Name | Type | Len | Opt | Repeats | Table |
|---|---|---|---|---|---|---|
| 1 | Provider Product/Service Line Item Number | EI | Required | No | ||
| 2 | Payer Product/Service Line Item Number | EI | Optional | No | ||
| 3 | Product/Service Line Item Sequence Number | SI | 4 | Required | No | |
| 4 | Provider Tracking ID | EI | Optional | No | ||
| 5 | Payer Tracking ID | EI | Optional | No | ||
| 6 | Product/Service Line Item Status | CWE | Required | No | 0559 | |
| 7 | Product/Service Code | CWE | Required | No | 0879 | |
| 8 | Product/Service Code Modifier | CWE | Optional | Max 5 | 0880 | |
| 9 | Product/Service Code Description | ST | Optional | No | ||
| 10 | Product/Service Effective Date | DTM | Conditional | No | ||
| 11 | Product/Service Expiration Date | DTM | Optional | No | ||
| 12 | Product/Service Quantity | CQ | Conditional | No | 0560 | |
| 13 | Product/Service Unit Cost | CP | Conditional | No | ||
| 14 | Number of Items per Unit | NM | Conditional | No | ||
| 15 | Product/Service Gross Amount | CP | Conditional | No | ||
| 16 | Product/Service Billed Amount | CP | Conditional | No | ||
| 17 | Product/Service Clarification Code Type | CWE | Optional | Max 20 | 0561 | |
| 18 | Product/Service Clarification Code Value | ST | Optional | Max 20 | ||
| 19 | Health Document Reference Identifier | EI | Optional | Max 5 | ||
| 20 | Processing Consideration Code | CWE | Optional | Max 20 | 0562 | |
| 21 | Restricted Disclosure Indicator | ID | 4 | Required | No | 0532 |
| 22 | Related Product/Service Code Indicator | CWE | Optional | No | 0879 | |
| 23 | Product/Service Amount for Physician | CP | Optional | No | ||
| 24 | Product/Service Cost Factor | NM | Optional | No | ||
| 25 | Cost Center | CX | Optional | No | ||
| 26 | Billing Period | DR | Optional | No | ||
| 27 | Days without Billing | NM | Optional | No | ||
| 28 | Session-No | NM | 4 | Optional | No | |
| 29 | Executing Physician ID | XCN | Optional | No | ||
| 30 | Responsible Physician ID | XCN | Optional | No | ||
| 31 | Role Executing Physician | CWE | Optional | No | 0881 | |
| 32 | Medical Role Executing Physician | CWE | Optional | No | 0882 | |
| 33 | Side of body | CWE | Optional | No | 0894 | |
| 34 | Number of TP's PP | NM | Optional | No | ||
| 35 | TP-Value PP | CP | Optional | No | ||
| 36 | Internal Scaling Factor PP | NM | Optional | No | ||
| 37 | External Scaling Factor PP | NM | Optional | No | ||
| 38 | Amount PP | CP | Optional | No | ||
| 39 | Number of TP's Technical Part | NM | Optional | No | ||
| 40 | TP-Value Technical Part | CP | Optional | No | ||
| 41 | Internal Scaling Factor Technical Part | NM | Optional | No | ||
| 42 | External Scaling Factor Technical Part | NM | Optional | No | ||
| 43 | Amount Technical Part | CP | Optional | No | ||
| 44 | Total Amount Professional Part + Technical Part | CP | Optional | No | ||
| 45 | VAT-Rate | NM | Optional | No | ||
| 46 | Main-Service | ID | 20 | Optional | No | |
| 47 | Validation | ID | 1 | Optional | No | 0136 |
| 48 | Comment | ST | Optional | No |