PSL - Product/Service Line Item (HL7 v2.6)
The PSL segment (Product/Service Line Item) has 48 fields in HL7 v2.6. 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 | 73 | Required | No | |
| 2 | Payer Product/Service Line Item Number | EI | 73 | Optional | No | |
| 3 | Product/Service Line Item Sequence Number | SI | 4 | Required | No | |
| 4 | Provider Tracking ID | EI | 20 | Optional | No | |
| 5 | Payer Tracking ID | EI | 20 | Optional | No | |
| 6 | Product/Service Line Item Status | CWE | 2 | Required | No | 0559 |
| 7 | Product/Service Code | CWE | 177 | Required | No | 0879 |
| 8 | Product/Service Code Modifier | CWE | 177 | Optional | Yes | 0880 |
| 9 | Product/Service Code Description | ST | 80 | Optional | No | |
| 10 | Product/Service Effective Date | DTM | 24 | Optional | No | |
| 11 | Product/Service Expiration Date | DTM | 24 | Optional | No | |
| 12 | Product/Service Quantity | CQ | 222 | Optional | No | 0560 |
| 13 | Product/Service Unit Cost | CP | 254 | Optional | No | |
| 14 | Number of Items per Unit | NM | 10 | Optional | No | |
| 15 | Product/Service Gross Amount | CP | 254 | Optional | No | |
| 16 | Product/Service Billed Amount | CP | 254 | Optional | No | |
| 17 | Product/Service Clarification Code Type | IS | 10 | Optional | Yes | 0561 |
| 18 | Product/Service Clarification Code Value | ST | 40 | Optional | Yes | |
| 19 | Health Document Reference Identifier | EI | 73 | Optional | Yes | |
| 20 | Processing Consideration Code | IS | 10 | Optional | Yes | 0562 |
| 21 | Restricted Disclosure Indicator | ID | 2 | Required | No | 0532 |
| 22 | Related Product/Service Code Indicator | CWE | 177 | Optional | No | 0879 |
| 23 | Product/Service Amount for Physician | CP | 254 | Optional | No | |
| 24 | Product/Service Cost Factor | NM | 5 | Optional | No | |
| 25 | Cost Center | CX | 250 | Optional | No | |
| 26 | Billing Period | DR | 49 | Optional | No | |
| 27 | Days without Billing | NM | 5 | Optional | No | |
| 28 | Session-No | NM | 4 | Optional | No | |
| 29 | Executing Physician ID | XCN | 20 | Optional | No | |
| 30 | Responsible Physician ID | XCN | 20 | Optional | No | |
| 31 | Role Executing Physician | CWE | 10 | Optional | No | 0881 |
| 32 | Medical Role Executing Physician | CWE | 10 | Optional | No | 0882 |
| 33 | Side of body | CWE | 3 | Optional | No | 0894 |
| 34 | Number of TP's PP | NM | 6 | Optional | No | |
| 35 | TP-Value PP | CP | 6 | Optional | No | |
| 36 | Internal Scaling Factor PP | NM | 4 | Optional | No | |
| 37 | External Scaling Factor PP | NM | 4 | Optional | No | |
| 38 | Amount PP | CP | 7 | Optional | No | |
| 39 | Number of TP's Technical Part | NM | 6 | Optional | No | |
| 40 | TP-Value Technical Part | CP | 6 | Optional | No | |
| 41 | Internal Scaling Factor Technical Part | NM | 4 | Optional | No | |
| 42 | External Scaling Factor Technical Part | NM | 4 | Optional | No | |
| 43 | Amount Technical Part | CP | 7 | Optional | No | |
| 44 | Total Amount Professional Part + Technical Part | CP | 8 | Optional | No | |
| 45 | VAT-Rate | NM | 3 | Optional | No | |
| 46 | Main-Service | ID | 20 | Optional | No | |
| 47 | Validation | ID | 1 | Optional | No | 0136 |
| 48 | Comment | ST | 255 | Optional | No |