Code set means any set
of codes used to encode data elements, such
as tables of terms, medical concepts, medical diagnostic codes, or
medical procedure codes. A code set includes the codes and the
descriptors of the codes.
Code set maintaining
organization means an organization that creates
and maintains the code sets adopted by the
Secretary for use in the
transactions for which standards are adopted in this part.
Data condition means
the rule that describes the circumstances under
which a covered entity must use a particular data element or segment.
Data content means all
the data elements and code sets inherent to a
transaction, and not related to the format of the
transaction. Data
elements that are related to the format are not data content.
Data element means the
smallest named unit of information in a
transaction.
Data set means a
semantically meaningful unit of information
exchanged between two parties to a transaction.
Descriptor means the
text defining a code.
Designated standard
maintenance organization (DSMO) means an
organization designated by the Secretary under Sec. 162.910(a).
Direct data entry
means the direct entry of data (for example, using
dumb terminals or web browsers) that is immediately transmitted into a
health plan's computer.
Electronic media means
the mode of electronic transmission. It
includes the Internet (wide-open), Extranet (using Internet technology
to link a business with information only accessible to collaborating
parties), leased lines, dial-up lines, private networks, and those
transmissions that are physically moved from one location to another
using magnetic tape, disk, or compact disk media.
Format refers to those
data elements that provide or control the
enveloping or hierarchical structure, or assist in identifying data
content of, a transaction.
HCPCS stands for the
Health [Care Financing Administration] Common
Procedure Coding System.
Maintain or maintenance
refers to activities necessary to support
the use of a standard adopted by the Secretary, including technical
corrections to an implementation
specification, and enhancements or
expansion of a code set. This term excludes the activities related to
the adoption of a new standard or implementation
specification, or
modification to an adopted standard or implementation
specification.
Maximum defined data set
means all of the required data elements for
a particular standard based on a specific implementation
specification.
Segment means a group
of related data elements in a transaction.
Standard transaction
means a transaction that complies with the
applicable standard adopted under this part.
