source | ServiceInformationRequest.SourceType | Picklist | 1.1 | N/A |
sofApp | ServiceInformationRequest.ApplicationUrl | URL | 0.1 | N/A |
providerId | ServiceInformationRequest.RequesterStandardIdentifier | Lookup: Identifier | 1.1 | N/A |
groupId | ServiceInformationRequest.RequesterOrgStdIdentifier | Lookup: Identifier | 1.1 | N/A |
payerId | ServiceInformationRequest.RecipientOrgIdentifier | Lookup: Identifier | 1.1 | N/A |
orderItem | ServiceInfoRequestDetail.DetailType | Picklist | 1.1 | Select Order Detail as the picklist value in DetailType. |
assertion.Id | ServiceInfoRequestDetail.DetailType | Picklist | 1.1 | Select Assertion Identifier as the picklist value in DetailType. |
assertion.Id | ServiceInfoRequestDetail.DetailValue | String | 0.1 | Enter the assertion ID in Detail Value when the detail type is Assertion Identifier. |
action.detail | ServiceInfoRequestOperation.OperationType | | 1.1 | N/A |
action.questionnaire | ServiceInfoRequestOperation.QuestionnaireUrl | URL | 0.1 | N/A |
action.requestTime | ServiceInfoRequestOperation.InitiatedDateTime | DateTime | 1.1 | N/A |
action.responseTime | ServiceInfoRequestOperation.ResponseDateTime | DateTime | 0.1 | N/A |
action.httpResponse | ServiceInfoRequestOperation.ResponseStatusCode | Integer | 0.1 | N/A |
issue | ServiceInfoRequestDetail.DetailType | Picklist | 0.M | Select Issue as the picklist value for DetailType. |
issue.code | ServiceInfoRequestDetail.DetailCodeType | Picklist | 1.1 | N/A |
issue.details | ServiceInfoRequestDetail.DetailCode | Lookup: Code Set, Code Set Bundle | 0.1 | N/A |
doc.Reason | ServiceInformationRequest.DocRequiredReasonType | Multi-select Picklist | 0.M | N/A |
launchMode | ServiceInformationRequest.ContextType | Picklist | 0.1 | N/A |
coverageInfo.covered | ServiceInfoResponseCoverage.CoverageIndicator | Picklist | 0.1 | N/A |
coverageInfo.paNeeded | ServiceInfoResponseCoverage.PreapprovalRequirementInd | Picklist | 0.1 | N/A |
coverageInfo.docNeeded | ServiceInfoResponseCoverage.RequiredDocumentationType | Picklist | 0.1 | N/A |
coverageInfo.infoNeeded | ServiceInfoResponseCoverage.RequiredAddlInfoType | Picklist | 0.1 | N/A |
coverageInfo.assertionId | ServiceInfoResponseCoverage.CoverageAssertionIdentifier | Picklist | 0.1 | N/A |
coverageInfo.satisfiedId | ServiceInfoResponseCoverage.PreapprovalIdentifier | String | 0.1 | N/A |
coverageInfo.businessLine | ServiceInfoResponseCoverage.CoveragePlanTypeId | Lookup: Code Set, Code Set Bundle | 0.1 | N/A |