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! style="color: black; background-color: #62BC43;"|Identifiers !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
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| 1 || CaseID || Unique Identifier for Case || Numberic Numeric ||
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| 2 || ServiceID || Unique Identifier for Service || Numberic Numeric ||
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| 3 || CustomerID || Unique Identifier for SmartSimple Customer || Alpha ||
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| 4 || Source || Source Type || Numberic Numeric || 10=IME , 20=Insurer
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| 5 || TypeofService || Type of Service || Numeric || '''1'''
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| 6 || ProtocolPassword || Protocol Password || ||
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| || PostTest || Testing flag used to indicate test submissions || Numeric || 1=True , 0=False
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! style="color: black; background-color: #62BC43;"|Referral !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
|33||ClaimantPOBox||Claimant P.O. Box||Alpha||
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|33||Billingsameasreferral||Billing same as referral||Numeric||1=Yes;2=No<br>*Note that this section controls if the Billing section below is visible.
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! style="color: black; background-color: #62BC43;"|Billing !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
|50||ConfirmAppointment||Confirm Appointment with claimant/patient||Numeric||1=Yes;2=No
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|51||DateandTime||Date and Time of appointment||Date/Time||YYYY-MM-DDHHDD HH:MM:SS
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|52||Duration||Duration(Calculated in hours)||Date/TimeNumeric||hh:mme.g 3.5 (this represents 3 hours 30 minutes)
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|53||AppointmentLocation||Location||Alpha||
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| 6 || ProtocolPassword || Protocol Password || ||
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| || PostTest || Testing flag used to indicate test submissions || Numeric || 1=True , 0=False
|-
! style="color: black; background-color: #62BC43;"|Referral !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
|33||ClaimantPOBox||Claimant P.O. Box||Alpha||
|-
|33||Billingsameasreferral||Billing same as referral||Numeric||1=Yes;2=No<br>*Note that this section controls if the Billing section below is visible.
|-
! style="color: black; background-color: #62BC43;"|Billing !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
|50||ConfirmAppointment||Confirm Appointment with claimant/patient||Numeric||1=Yes;2=No
|-
|51||DateandTime||Date and Time of appointment||Date/Time||YYYY-MM-DDHHDD HH:MM:SS
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|52||Duration||Duration(Calculated in hours)||Date/TimeNumeric||hh:mme.g 3.5 (this represents 3 hours 30 minutes)
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|53||AppointmentLocation||Location||Alpha||
! style="color: black; background-color: #62BC43;"|Pickup Details !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
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|55||PickupTime||Pickup Time||Date/Time||YYYY-MM-DDHHDD HH:MM:SS
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|56||WheelchairVehicle||Does claimant require a wheelchair accessible vehicle?||Numeric|| 1=Yes;2=No
|57||SpecialNeeds||Does claimant require special needs (e.g. Assistance)?||Numeric||1=Yes;2=No
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|58||PickupSame||Is Pickup Address same as Claimant Address?||Alpha||1=Yes;2=No |-|colspan="5"|Note the fields below will be populated by SmartSimple if '''No''' is selected for the field above
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|59||PickupAddress||Pickup Address||Alpha||
==Field List transferred to SmartSimple==
*Note that all fields are mandatory, with the exception of Notesnotes*References reference is unique to each transaction*ProviderEmail provideremail field is used to send error messages via email if the record cannot be processed.
'''Sample Error Messages'''
----
*Invalid provider name, case, or service ID
*Invalid field value
*Invalid Provider Key during submission
! style="color: black; background-color: #62BC43;"|# !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Description
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| 1 || CaseID providerkey || Numeric Alpha || Unique case identifier as authentication key provided by SmartSimple when transferring the service request.
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| 2 || ServiceID caseid || Numeric || Unique service case identifier as provided by SmartSimple when transferring the service request.
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| 3 || TypeofService serviceid || Numeric || Interpretation records - set to '''1'''. Transportation records - set to '''2'''Unique service identifier as provided by SmartSimple when transferring the service request.
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| 4 || Client typeofservice || String Numeric || SmartSimple Client Identifier as provided by SmartSimple when transferring the service requestInterpretation records - set to '''1'''. NOTE this is not the client/patient identified Transportation records - but the SmartSimple customer identifiedset to '''2'''.
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| 5 || Source client || Numeric String || This represents SmartSimple Client Identifier as provided by SmartSimple when transferring the service request. NOTE this is not the client/patient identified - but the SmartSimple client type: 10 for IME client and 20 for Insurer clientcustomer identified.
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| 6 || Gap Code source || Alpha Numeric || Goods, Administration, and Other Codes(GAP). This list corresponds to represents the [httpSmartSimple client type://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixCFINAL.pdf HCAI GAP Code list]10 for IME client and 20 for Insurer client.
|-
| 7 || Rate gapcode || Numeric Alpha ||Rate for ServiceGoods, Administration, and Other Codes(GAP). This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixCFINAL.pdf HCAI GAP Code list].
|-
| 8 || Measure rate ||Alpha Numeric ||Unit Measure. This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixFFINAL.pdf HCAI Unit Measure Codes]Rate for Service.
|-
| 9 ||Quantitymeasure ||NumericAlpha ||QuantityUnit Measure. This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixFFINAL.pdf HCAI Unit Measure Codes].
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| 10 ||Taxquantity||AlphaNumeric||Options: Yes;NoQuantity
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| 11 ||TaxTypetax||Alpha||Options: Yes;No;HST;GST;BCST;NSST;QST
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| 12 ||Totaltaxtype||Numeric, two decimalAlpha||Rate*QuantityOptions: No;HST;GST;BCST;NSST;QST
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| 13 ||TaxAmounttotal||Numeric, two decimal||Calculated tax amount.Rate*Quantity
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| 14 ||GrossAmounttaxamt||Numeric, two decimal||[Total]+[TaxAmount]Calculated tax amount.
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| 15 ||Referencegrossamt||AlphaNumeric, two decimal||Unique Service Provider identifier for billing transaction.[Total]+[TaxAmount]
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| 16 ||ProviderNamereference||Alpha||Name of Unique Service Provider - SmartSimple will provide name to provideridentifier for billing transaction.
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| 17 ||ProviderEmailconfirmationnum||Alpha||Email address of contact at Optional confirmation number provided to SmartSimple when service request is sent to provider.
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| 18 ||Notesprovider||Alpha||Name of the Service Provider|-| 19 ||provideremail||Alpha||Email address of contact at service provider.|-| 20 ||notes||Alpha||Service Provider notes for this transaction.
|}
==See Also==
* [[Service Provider Integration]]
[[Category:Universal Tracking ApplicationIntegration]][[Category:IntegrationExternal Services]]
