element -> <ePayment.04>
ePayment.04 Reason for Physician Certification Statement No No The reason for EMS transport noted on the Physician Certification Statement Optional Added to assist in billing documentation.
Namespace:
Type:
anonymous (extension of Reason)
Content:
simple, 1 attribute
Defined:
Includes:
definition of 1 attribute
Content Model Diagram
XML Representation Summary
<ePayment.04
    CorrelationID
 = 
xs:string
    >
   
Content: 
{ enumeration of xs:string }
</ePayment.04>
Simple Content Detail:
Enumeration:
"2604001"
 - 
Bed Confined
"2604003"
 - 
Cardiac/Hemodynamic monitoring required during transport
"2604005"
 - 
Confused, combative, lethargic, comatose
"2604007"
 - 
Contractures
"2604009"
 - 
Danger to self or others-monitoring
"2604011"
 - 
Danger to self or others-seclusion (flight risk)
"2604013"
 - 
DVT requires elevation of lower extremity
"2604015"
 - 
IV medications/fluids required during transport
"2604017"
 - 
Moderate to severe pain on movement
"2604019"
 - 
Morbid Obesity requires additional personnel/equipment to handle
"2604021"
 - 
Non-healing fractures
"2604023"
 - 
Orthopedic device (backboard, halo, use of pins in traction, etc.) requiring special handling in transit
"2604025"
 - 
Restraints (Physical or Chemical) anticipated or used during transport
"2604027"
 - 
Risk of falling off wheelchair or stretcher while in motion (not related to obesity)
"2604029"
 - 
Severe Muscular weakness and de-conditioned state precludes any significant physical activity
"2604031"
 - 
Special handling en route-Isolation
"2604033"
 - 
Third Party assistance/attendant required to apply, administer, or regulate or adjust oxygen en route
"2604035"
 - 
Unable to maintain erect sitting position in a chair for time needed to transport, due to moderate muscular weakness and de-conditioning.
"2604037"
 - 
Unable to sit in chair or wheelchair due to Grade II or greater decubitus ulcers on buttocks.

Included in content model of elements (1):
Anonymous Type Detail
Type Derivation Tree
xs:string (restriction)
  Reason (extension)
      complexType
Derivation:
extension of Reason
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ReasonforPhysicianCertificationStatement" maxOccurs="unbounded" minOccurs="0" name="ePayment.04">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="Reason">
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>
Attribute Detail (all declarations; defined in this component only; 1/1)
CorrelationID
Type:
Use:
optional
Attribute Value
xs:string
MaxLength:
255
MinLength:
0
XML Source (see within schema source)
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>